Month: April 2012

APRIL FOCUS – THE SHOULDER

Have you been following the exercises on the monthly posts? Set aside 10 minutes a day to give them a go, and see how you feel.

THE SHOULDER


Anatomically the shoulder is considered a complex of joints. It consists of four joints; the glenohumeral (ball and socket), the acromio-clavicular (on the tip of the shoulder), the sterno-clavicular (between the collar bone and breastbone), and the scapulo-thoracic joint (between the shoulder blade and ribcage).

Injuries may occur in one or some of these areas. As they are all so closely associated, it is easy for a problem in one area to have a knock-on effect in another part of the complex. The joints, muscles, tendons and ligaments are commonly injured.

The nature of an injury provides valuable information as to which structures have been damaged. This alongside examination and testing allow the Osteopath to make a diagnosis and formulate an appropriate treatment plan.

The shoulder is a mobile complex, and can easily be placed under excessive strain. Commonly injured by sporting activity, falls, bad postural habits, or possibly excessive strain is placed on the area from an injury elsewhere.

SHOULDER EXERCISES


These exercises shouldn’t cause pain, if you experience a problem, stop the exercise and consult your Osteopath or other medical practitioner. If you have an existing complaint, it would be wise to consult your practitioner to check these exercises are appropriate for you.



Pectoral muscle stretches


Standing level with the doorway, place a flat palm and forearm against a door frame, start with your left side. Take a step forward with the left leg in a lunging motion. Keep the arm fixed on the door frame and your body facing forward. You should feel a stretch across the front of your chest. Hold for a slow count of 30. Turn around and repeat on the right hand side.

You can stretch different parts of the muscle by slightly altering your arm position. Try starting with your elbow level with the shoulder, then slightly below, then slightly higher.

Gentle shoulder articulation


Place one hand on the shoulder of the same side. Draw circles with the elbow. Draw 5 in a forward direction, then 5 in a backwards direction. Try and keep your body facing straight forward as you do it, so to focus the movement at the shoulder.

Shoulder blade fixation

This is a great one for correct shoulder position. Shrug your shoulders up towards your ears, then use the muscles (“the lats”) underneath your shoulder blades to pull your shoulder blades down. You should try and aim to have a degree of activation in these muscles as much as possible on a daily basis. This will have a positive affect on spinal and shoulder position.
Internal rotation of the shoulder (“the towel drying exercise”)

Take a scarf or something similar and place one end in each hand behind your back. Have one hand at lower back level, and the opposite above shoulder level. You are working the shoulder of the lower hand. Pull gently with the top hand to ease the lower hand up behind your back, Hold gently for a slow count of 2, repeat 5 to 10 times. Then repeat on the other side.
THE BITS THAT CAUGHT MY EYE IN THE NEWS
Big news recently have been the reports of problems for those with metal on metal hip joint replacements. Experts are calling for the replacement to be banned due to research revealing they have a four times higher failure rate. A large scale research project has been undertaken over the last eight years, looking at 400 000 people receiving hip replacements. It found complications were particularly high for women in their 50’s and 60’s, and for those with metal heads on their replacements. Yearly scans and blood tests for those with such replacements have been recommended. Metal ions can break off into the blood stream and cause muscle and bone damage.

Green tea has just upped it’s super-food status even more! It is thought to help reduce cholesterol, cancers, heart disease and halitosis, amongst other things. Because of the way it is processed it retains less caffeine, and as it tends to be drunk without milk and sugar, so a cup contains fewer calories.
The drug Protelos has been used to treat osteoporosis in post-menopausal ladies. Now clinical trials have shown it can slow down the process of degeneration in osteoarthritis. The tests have shown that for every three years of treatment, the progression of the disease could be slowed down by a year. This could potentially help millions who suffer with pain and disability from osteoarthritic joints.