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Tag: shoulder pain
Flexible Chest and Spine
A Flexible Chest and Spine – The Hidden Key to Freeing the Neck and Back
The Hidden Key to Freeing the Neck, Back and Shoulders
Most people don’t consider their chest and spine as playing a large role in feeling comfortable and at ease through the neck, shoulders and back. The first instinct when dealing with neck and shoulder pain is to spend time working on localised ‘knots’ and muscle tension. However this could be addressing the symptoms, whilst ignoring the underlying cause.
The thoracic spine, and the rib cage serve as the support structure for the entire upper body. Finding comfortable alignment and releasing through the chest and spine allows the rest of the body to relax. In turn, when there is stiffness through the chest and spine, the neck, back and shoulders work overtime to try and correct this, leading to muscle tension, ‘knots’ and pain.
The ‘knots’ are not actually a ball of tangled fibres as you might imagine, they are trigger points. Trigger points are highly sensitive points in the muscles and connective tissue, which can refer pain to other places. In Feldenkrais we don’t massage or manipulate the ‘knots’. Instead we address underlying causes – stress, poor posture and inefficient use of the muscles.
How Feldenkrais Can Help
Feldenkrais uses a process known as ‘sensory-motor learning.’ Students are guided to closely attend to how they are moving, reducing unnecessary and wasted effort. The Feldenkrais Method accesses our brain’s own neuroplasticity, allowing us to revise and replace movement habits which may no longer be serving us.
READ MORE about how Feldenkrais actually works.
BOOK A CLASS or REQUEST AN INDIVIDUAL APPOINTMENT
Our Mental Map of the Thorax
We begin the process of re-educating our posture and muscle use by improving our self-image.
When Moshe Feldenkrais talked about the self-image he was not referring to self-worth or self-concept. What he meant was the sensory map of the entire body that each of us carry in our brain. Our self-image is not totally accurate and is constantly open to change. Neuroplasticity allows us to continually refine and update our mental maps
Our mental map of the thoracic spine and ribs is often particularly vague. For one thing the back of our ribs are out of sight and therefore often out of mind. Secondly, it’s usually the hardest part of the body to reach with the hands. (Think about trying to apply sunscreen in between the shoulder blades!) Thirdly, the sensory nerve endings are spaced far apart in this area compared with say the hands and lips. As a result our ability to feel the difference between 2 different points is poorer in this area.
Improving Awareness of the Chest and Thoracic Spine
The thoracic spine is not only the longest section of the spine, it is also normally the stiffest. The reason for this is the attachment of the ribs cage. The ribs serve the function of protecting the vital organs within the thoracic cavity, including the heart and lungs. Although the ribs are made of bone, they are more flexible than we might imagine. They have moveable joints at the back, where they articulate with the spine. They also have bendable cartilage attachment to the sternum (breast bone) at the front. The lowest 2 ribs are even more flexible, because they don’t attach at the front but ‘float’ freely at one end. For this reason they are called ‘floating ribs’.
If the thorax is used like an immobile block more strain is shifted onto the relatively mobile neck and lower back vertebrae. Without the protection of the ribs, these sections of the spine are prone to injuries such as cervical or lumbar disc herniations. Learning to better mobilise the chest also helps with the co-ordination of the arms and legs for walking, running and sports and a huge variety of other activities.
The Chest, Ribs and Diaphragm in Breathing
Holding on to unnecessary tension in the chest and abdomen increases the effort required to breath. At times tension is so great that the breath is held completely. At other times breath is not held but it is restricted. This can occur at the end of the breath in or the breath out or somewhere in between. Sacrificing breath markedly impairs our ability to function efficiently and drains energy.
Breath holding and tension around the chest and diaphragm are a common response to physical, mental or emotional stress. Under stress the sympathetic nervous system takes over, resulting in the ‘Fight, Flight or Freeze’ reaction. In our current world we are constantly called upon to achieve, produce results and keep up with a myriad of small and large tasks. This includes keeping up communications through social media and the internet.
Many people use television or social media platforms to relax when they finish work, however the content often keeps the mind revving in high gear. We are losing the art of unwinding and allowing our parasympathetic nervous system take over. The parasympathetic nervous system allows us to ‘rest, digest and repair’. For better sleep and more daytime energy, we need to know how to wind down before we go to bed.
A Mobile Mind and a Comfortable Body
By improving the accuracy of our mental maps as well as the mobility of the chest and ribs we can enhance all of the above functions. We reduce strain on the neck, shoulders and lower back by sharing the work load more evenly. We enhance our ability to easily and comfortably bend and twist the spine in all directions by listening to which sections of the spine are overworking and which could participate more fully. We can connect our limbs to our central axis so that we may use large muscles to provide the power, while smaller ones are reserved for accuracy
Breathing can become simpler, lighter and more spacious, as we learn to use more of ourselves. The mind naturally becomes calmer and our sleep deeper and more refreshing. As we re-discover the pleasure of letting go of excessive effort, our parasympathetic nervous system naturally takes over. Some people even fall asleep during Feldenkrais class – and this is perfectly ok (but we’ll wake you up if you start to snore loudly!)
Exercise, Imaging and Laser Therapy for Shoulder Pain
Exercise, Imaging and Laser Therapy for Shoulder Pain
A recent review of research on Low Level Laser Therapy (LLLT), also known as Cold Laser shows that it may be helpful in conjunction with exercise therapy for the treatment of shoulder pain. But should you see your doctor first? And do you need imaging, such as an Xray, Ultrasound or MRI? Read on to find out more.
Imaging and scans
Shoulder pain imaging can help determine whether you are likely to get quick results with Physiotherapy, or whether it would be better to seek an opinion from a specialist. Unfortunately, unnecessary referrals for these scans occur frequently and may not improve treatment outcomes. An experienced Physiotherapist will know when to refer you for a scan and when to persist with treatment.
Visiting your doctor
Should you decide to see your doctor first, do request a referral to see your Physiotherapist. Although a referral is not required in Australia, only 10 to 30% of patients who see their GP for shoulder pain are referred for Physiotherapy. This means you may need to be proactive and either ask for the referral or book a Physio appointment without a referral.
Specialist doctors may prescribe anti-inflammatory or analgesic medication, an injection or surgery. In most cases it’s better to try physiotherapy treatments such as exercise and Laser before seeing a specialist. However a good Physiotherapist quickly identifies clients who are not likely to make progress without medical procedures. Prompt onward referral in cases which are not responding saves you time and money and helps you get out of pain and return to normal functioning quickly.
Our Physiotherapists
At Free2Move our Physiotherapists use a variety of treatment techniques to promote quicker recovery from shoulder pain and dysfunction. These include taping or strapping, dry needle acupuncture, progressive range of movement and strengthening exercises and Low Level Laser treatment. Shoulder pain is a condition we treat every week in our clinic, so we are very confident that we can give you the best possible advice, minimising your recovery time. Because we consistently keep abreast of the latest scientific research , you can be sure that you will receive a high standard of treatment.
Research on Shoulder Pain and Laser Treatment
Conditions such as frozen shoulder (adhesive capsulitis), rotator cuff injuries (for example supraspinatus tendinitis) and sub-acromial bursitis respond may respond well to this combined approach.
Read More about research on shoulder pain and Low Level Laser Therapy.