Sports Spine Specialist Chiropractic Team: Athletes strive to achieve their body’s maximum performance by participating in numerous training regimens consisting of strenuous exercises and physical activity and ensuring they meet all of their body’s nutritional requirements. Through proper fitness and nutrition, many individuals can condition themselves to excel in their specific sport. Our training programs are designed for athletes that look to gain a competitive edge in their sport.
We provide sport-specific services to help increase an athlete’s performance through mobility, strength, and endurance. Occasionally, however, the excess workouts can lead many to suffer injuries or develop underlying conditions. Dr. Alex Jimenez’s chronicle of articles for athletes displays in detail the many forms of complications affecting these professionals while focusing on the possible solutions and treatments to follow to achieve overall well-being.
When the body sustains an injury or a virus, the immune system springs into action by sending out cytokines to the affected area and causes a process known as inflammation. Inflammation in the body is good for eliminating numerous pathogens, damaged cellular structures, viruses, or infections. Inflammation causes the affected area to be warm to the touch and causes swelling that will decrease in the recovery state. However, inflammation in the body can be positive and negative depending on the severity of the injury. When inflammation is in its chronic form, it can cause muscle and tissue damage to the musculoskeletal system while being associated with other conditions in the body’s system, like the gastrointestinal, nervous, and reproductive systems. In today’s article, we will focus on how chronic inflammation affects the body’s muscles and how the MET technique can help relieve muscle inflammation in soft tissues. We utilize valuable information about our patients to certified medical providers who use methods like MET combined with manual stretching therapy to reduce inflammation associated with musculoskeletal conditions. We encourage patients by referring them to our associated medical providers based on their findings. We support that education is a marvelous way to ask our providers the most interesting questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., incorporates this information as an educational service. Disclaimer
How Inflammation Works In The Body
Have you been experiencing pain in different muscle areas in your body? What about dealing with aches and pains in the morning? Or do your muscles feel tight and hurt more when you bend to pick up an object? Many of these issues affecting the musculoskeletal system are associated with inflammation. As stated earlier, inflammation can positively and negatively impact the body depending on the severity of the injury. Inflammation is a natural healing process for the body that is characterized by redness, swelling, and heat to the soft tissues so that they can be repaired within a few days to weeks. Studies reveal that when the body deals with various pathogenic factors, the immune system releases inflammatory cytokines to the pathogenic factor and starts to heal the affected area.
Inflammation helps the sprained muscle tissues heal naturally and can be healed within 2-3 days to a few weeks in its acute stage. However, when inflammation is in a chronic state of the body, it causes damage to not only the affected muscle and tissue areas but can even affect the surrounding ligaments, joints, and vital organs. A great example is when a person has a sprained ankle, the affected area swells up, becomes red, and is tender to the touch when its acute inflammation. For chronic inflammation, the body is in constant pain that can be slow and long, and it takes several months to years to heal. Another great example would be gut disorders associated with chronic muscle inflammation.
What Does Chronic Inflammation Do To The Body’s Muscles?
So what does chronic inflammation do to the body’s muscles, and how does it affect the surrounding structures? According to research studies, chronic inflammation has been associated with musculoskeletal disorders that can cause an impact in reducing muscle strength and muscle mass. When this happens, it can cause the muscles to weaken and generate the surrounding muscle groups to compensate by working harder. This leads to misalignment in the body and causes overlapping risk profiles in the various muscle groups. In “Clinical Applications of Neuromuscular Techniques,” Dr. Leon Chaitow, N.D., D.O., and Dr. Judith Walker DeLany, L.M.T., stated that numerous factors associated with inflammation could impact how a person sleeps, eat, and function throughout the day. The book also noted that when pathogens can disrupt the natural cycling between the defensive and repair modes of inflammation correlating with the immune system can be disrupted in ill health. A chronic inflammatory cytokine shift could lock the body into a pro-inflammatory state.
Reducing Inflammation In The Body- Video
Have you been dealing with constant inflammation in your muscles? Do you feel muscle weakness or strain when you are in motion? Or do other portions of your body starts to feel aches or pains? Many of these issues are associated with chronic inflammation affecting the musculoskeletal system. Inflammation is part of the immune system’s natural defense that sends cytokines to the affected area and starts the healing process. Inflammation has two patterns: acute and chronic. Acute inflammation is associated with sprains from a twisted ankle or wrist, a sore throat, or an infection. While at the same time, chronic inflammation is associated with muscle pain, sleep disorders, or rashes that affect the skin. When the body is suffering from chronic inflammation, it can be due to many overlapping factors that can cause the body to be in pain. Luckily numerous treatments can help the body and reduce the effects of inflammation. The video above explains how incorporating an anti-inflammatory diet and chiropractic care can help reduce chronic inflammation effects in the body.
The MET Technique & Muscle Inflammation
Regarding chronic muscle inflammation, the musculoskeletal system deals with numerous symptoms like pain, stiffness, and weakness associated with various pathological factors. Chronic inflammation can develop from insufficient sleep, eating high-cholesterol foods, not getting enough exercise, and being stressed, which can affect the body and its systems. Fortunately, numerous available treatments can reduce inflammation. Studies reveal that treatments like MET therapy can help reduce pain correlated with muscle inflammation and increase the range of motion to the joints. The body can reduce the effects of chronic inflammation and keep it under control when MET therapy is combined with an anti-inflammatory diet. Also, practicing mindfulness can help reduce the stress contributing to chronic inflammation, which can help relax the body and naturally heal itself. Making these small changes can benefit many individuals trying to be healthier.
Conclusion
When it comes to inflammation in the musculoskeletal system, it can lead to overlapping risk profiles that can cause the body to be misaligned and have many pain-like symptoms that can make a person’s life miserable. Since inflammation is part of the immune system’s natural response to fight off infections, incorporating anti-inflammatory diets and MET stretching can help reduce the effects of inflammation and help the body heal itself from the inside out.
References
Chaitow, Leon, and Judith Walker DeLany. Clinical Applications of Neuromuscular Techniques. Churchill Livingstone, 2003.
Chen, Linlin, et al. “Inflammatory Responses and Inflammation-Associated Diseases in Organs.” Oncotarget, U.S. National Library of Medicine, 14 Dec. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5805548/.
Thomas, Ewan, et al. “The Efficacy of Muscle Energy Techniques in Symptomatic and Asymptomatic Subjects: A Systematic Review.” Chiropractic & Manual Therapies, U.S. National Library of Medicine, 27 Aug. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6710873/.
Tuttle, Camilla S L, et al. “Markers of Inflammation and Their Association with Muscle Strength and Mass: A Systematic Review and Meta-Analysis.” Ageing Research Reviews, U.S. National Library of Medicine, 26 Sept. 2020, pubmed.ncbi.nlm.nih.gov/32992047/.
Learning how to stay active with busy lives and schedules takes practice. There are daily ways to incorporate physical movement into the everyday routine and shed sedentary habits in favor of more active ones resulting in improved overall health, elevated mood, and better energy levels. Regular movement lowers body weight and reduces the risk of medical conditions like cardiovascular disease, diabetes, and arthritis. And regularly incorporating small physical activities throughout the day can make the exercise more fun and not like a chore that begins to become second nature.
Daily Ways To Stay Active
Like most individuals, much time is spent sitting in the car, workstation/desk, or couch. Research has found that maintaining physical activity can reduce the risk of colon and breast cancer.
Movement
Everyone is different, and there is no one-size-fits-all daily or weekly movement plan. The Centers for Disease Control and Prevention recommends that adults ages 18 to 64 get around 150 minutes of moderate-intensity weekly exercise combined with functional strength training. This can seem like a lot, but still, some activity is better than none. Wherever an individual is in physical fitness, it is never too late to make incremental adjustments and rebuild health one step at a time.
Brisk walking is an example of moderate-intensity exercise.
Individuals with busy schedules can break up their daily movement into smaller chunks.
5 or 10 minutes here and there add up to significant health benefits.
Start With Stretching
A quick morning stretch of 10 minutes can help limber up the muscles, get circulation pumping, and reduce stress.
A study found that a regular 10-minute stretching plan helped reduce anxiety and physical pain and increase flexibility.
Stand Up and Walking Around More
Standing up every 20-30 minutes at home or work is recommended during seated activities.
Walking and thinking increases creative output.
Mobility gets the blood pumping and increases caloric output.
With regular practice, individuals learn to feel their muscles tensing from too much sitting and know it’s time to get up and move.
One way to stand and move is to pace the room during a phone call.
Take the Long Way
Take the stairs or park farther from the store to increase walking steps.
Physical activity in small bursts creates a mindset of an added challenge.
Choosing to go the long way does make a difference and can significantly affect other areas of life.
Move to Music
Research shows that music has amazing effects on physical activity.
It distracts from pain and fatigue.
It increases endurance.
Makes physical activity and exercise feel like less of an effort.
Playing moving music around the office, if possible/headphones and house can get the body naturally moving more.
This could be washing dishes after dinner, using the whole body
Vacuuming the house can work the muscles and elevate the heart rate.
A 150-pound person can burn serious calories from a full hour of cleaning and chores.
Added mental health benefits from the work reduce anxiety, depression, and negative mood.
Get Up When Commercials Come On
Get up and move during commercial breaks.
But with streaming services, commercials aren’t the same.
When watching shows or movies without built-in commercials, make a habit of getting up.
For shows or movies with no commercials, pause and take a quick stretch, do a quick round of jumping jacks, or walk to the other end of the house or twice in an apartment and back.
A brief break is not an actual workout, but it will get the heart pumping more than staying sedentary.
The more you do it, the more natural it will become.
Military Training and Chiropractic Care
References
Habay, Jelle, et al. “Interindividual Variability in Mental Fatigue-Related Impairments in Endurance Performance: A Systematic Review and Multiple Meta-regression.” Sports medicine – open vol. 9,1 14. 20 Feb. 2023, doi:10.1186/s40798-023-00559-7
Hotta, Kazuki, et al. “Daily muscle stretching enhances blood flow, endothelial function, capillarity, vascular volume and connectivity in aged skeletal muscle.” The Journal of Physiology vol. 596,10 (2018): 1903-1917. doi:10.1113/JP275459
Kruse, Nicholas T, and Barry W Scheuermann. “Cardiovascular Responses to Skeletal Muscle Stretching: “Stretching” the Truth or a New Exercise Paradigm for Cardiovascular Medicine?.” Sports medicine (Auckland, N.Z.) vol. 47,12 (2017): 2507-2520. doi:10.1007/s40279-017-0768-1
Maltese, Paolo Enrico et al. “Molecular foundations of chiropractic therapy.” Acta bio-medica : Atenei Parmensis vol. 90,10-S 93-102. 30 Sep. 2019, doi:10.23750/abm.v90i10-S.8768
Ma, Peng, et al. “Daily sedentary time and its association with risk for colorectal cancer in adults: A dose-response meta-analysis of prospective cohort studies.” Medicine vol. 96,22 (2017): e7049. doi:10.1097/MD.0000000000007049
Rangul, Vegar, et al. “The associations of sitting time and physical activity on total and site-specific cancer incidence: Results from the HUNT study, Norway.” PloS one vol. 13,10 e0206015. 23 Oct. 2018, doi:10.1371/journal.pone.0206015
Shen, Dong, et al. “Sedentary behavior and incident cancer: a meta-analysis of prospective studies.” PloS one vol. 9,8 e105709. 25 Aug. 2014, doi:10.1371/journal.pone.0105709
Softball and baseball require running, jumping, throwing, and swinging movements. Even for the fittest athletes and weekend warriors, the body and the neuromusculoskeletal system will go through overuse injuries, throwing-related injuries, sliding injuries, falls, collisions, and getting hit by the ball. Chiropractic and physical therapy can assist athletes by integrating strength training, body realignment, and rehabilitation injury recovery.
Softball and Baseball Injuries
Baseball and softball injuries are generally defined as either acute/traumatic or cumulative/overuse injuries. Both types can occur in various body areas, for example, a knee injury caused by a fall or quick repositioning shift.
Acute/Traumatic
Injuries occur from traumatic force or impact.
Overuse/Cumulative
These occur over time from repeated stress on the muscles, joints, and soft tissues.
Often athletes return too soon to play, not giving the injury enough time to heal fully.
They begin as small aches and pains that can progress into chronic conditions if not treated.
Shoulder
Shoulder overuse injuries are very common. Constantly performing the throwing movements and high-speed throwing strains the joints, muscles, tendons, and ligaments.
In softball, bicep injuries are more common than shoulder injuries.
In baseball, the overhead throwing position leads to shoulder problems.
Frozen Shoulder
Characterized by a restricted range of motion and pain.
Athletes with frequent shoulder injuries have an increased risk.
Shoulder Instability
Softball and baseball players are more susceptible to injury from overhead throwing, which stretches the shoulder capsule and ligaments.
Shoulder instability can lead to loose joints and dislocation.
Shoulder Separation
This is the tearing of the ligaments that connect the shoulder blade to the collarbone.
This is often a traumatic injury that occurs during a collision or fall with outstretched hands.
Shoulder Tendinitis, Bursitis, and Impingement Syndrome
These are overuse injuries in which the shoulder joint becomes inflamed, restricting movement.
This is an injury to the growth plate on the inside of the elbow.
It can be caused by the wrist flexors pulling on the inside.
It is typically attributed to overuse and improper mechanics when throwing.
Tennis Elbow
This overuse injury on the outside of the elbow makes it difficult to lift or grasp objects.
Hand and Wrist
Softball and baseball can cause hand and wrist injuries from catching, colliding, falling, and overuse. Damage to a hand or wrist is typically caused by repetitive stress and/or a sudden impact.
Finger Fractures
These can be caused by impact on the ball or falls.
This can happen during contact with another player or diving for a ball and hitting the ground hard or at an awkward angle.
Sprains
A fall or impact from the ball or another player can cause these.
Tendinitis
This is an overuse injury, often from pitching and/or throwing.
Back
Catchers are especially prone to back injury because of the crouched position and overhead throwing.
Softball pitchers also experience back strain from the windmill pitching action.
Common conditions include chronic muscle strains, herniated discs, low back issues, sciatica symptoms, and pain.
Knee
Softball and baseball players quickly twist or rotate their knees, making them more susceptible to injuries. Sprains, meniscus tears, ACL tears, and hamstring strains are common.
Aggressive twisting and pivoting can cause swelling, stiffness, and pain.
Running and sudden changes in direction can result in acute knee injuries and overuse injuries.
Knee issues require examination for proper diagnosis.
Other common injuries include ankle sprains, stress fractures, and tendonitis in the foot and ankle.
Chiropractic
Chiropractors work with a massage therapy team to treat various musculoskeletal conditions. Chiropractic specializes in spinal adjustments and other treatments, including joint manipulation, myofascial release, MET techniques, trigger point therapy, and electrical stimulation. It encourages expedited recovery for sports-related injuries because instead of focusing on just the injuries, chiropractic assesses the mechanics of the whole body through proper alignment and release of constricted tissues. Adjustments of the spine and extremities allow the body to realign for better overall functionality, reduce pressure, improve blood circulation, and reduce inflammation to promote increased and thorough healing.
Improving Athletic Performance Through Chiropractic
References
Greiner, Justin J et al. “Pitching Behaviors in Youth Fast-Pitched Softball: High Pitching Volumes With Unequal Pitch Counts Among Pitchers are Common.” Journal of pediatric orthopedics vol. 42,7 (2022): e747-e752. doi:10.1097/BPO.0000000000002182
Janda, David H. “The prevention of baseball and softball injuries.” Clinical orthopedics and related research,409 (2003): 20-8. doi:10.1097/01.blo.0000057789.10364.e3
Shanley, Ellen, and Chuck Thigpen. “Throwing injuries in the adolescent athlete.” International Journal of sports physical therapy vol. 8,5 (2013): 630-40.
Shanley, Ellen, et al. “Incidence of injuries in high school softball and baseball players.” Journal of athletic training vol. 46,6 (2011): 648-54. doi:10.4085/1062-6050-46.6.648
Trehan, Samir K, and Andrew J Weiland. “Baseball and softball injuries: elbow, wrist, and hand.” The Journal of hand surgery vol. 40,4 (2015): 826-30. doi:10.1016/j.jhsa.2014.11.024
Wang, Quincy. “Baseball and softball injuries.” Current sports medicine reports vol. 5,3 (2006): 115-9. doi:10.1097/01.csmr.0000306299.95448.cd
Zaremski, Jason L et al. “Sport Specialization and Overuse Injuries in Adolescent Throwing Athletes: A Narrative Review.” Journal of athletic training vol. 54,10 (2019): 1030-1039. doi:10.4085/1062-6050-333-18
Mountain and trail biking is a fun way to exercise. Mountain biking requires total body/core strength, explosive power, balance, endurance, and agility to maneuver the bike, build speed, and absorb the rough bumps and terrain. But it also means that certain muscles get overused, causing overcompensation in the body that can lead to musculoskeletal problems and conditions. Strength, cardiovascular, and cross-fit can benefit mountain biking training for improved performance, safer and more confident riding, and injury prevention.
Mountain Biking Training
A few of the benefits of training are:
Increasing bone density.
Improving joint health.
Correcting imbalances and unhealthy posture.
Weight loss.
Aging muscle loss prevention.
Maintaining body posture centered on the bike requires core strength to perform the movements when moving the body backward and forwards, side to side, and pushing up and down when different obstacles pop up. The exercises’ objective is to work various body parts simultaneously and diagonally, like the movements used on the bike.
General Overview of Mountain Biking Training
Build strength – Target the quads, hamstrings, and abdominal muscles to power pedaling strokes.
Increase endurance – Avoid getting fatigued early because of weakened legs and aerobic performance.
Improve mountain bike skills – Ride faster and more efficiently by improving bike handling and technical skills.
Example Training Week
The terrain determines the intensity, but the same basic principles apply to mountain biking training as other endurance sports. Here’s a training example for a beginner that can be adjusted to the rider’s needs:
Monday
Stretching and training the muscles to relax prevent becoming stiff or cramping up during rides.
Cornering is a critical skill that should never stop being practiced and improved.
Cornering Drills
Pick a corner on a local trail and ride through it until mastered.
Focus on riding smoothly through the corner, and speed will generate.
As confidence builds in the corners, do the same on the opposite side.
Straighten Out
Ride to the furthest outside edge when approaching the turn.
Initiate the turn just before the sharpest point of the corner.
Stick to the furthest outside point of the corner when riding out of the corner.
Brake Before The Corner
Braking in the corner can cause the tires to slide out of control, causing a slip-and-fall accident.
Look through the turn as the bike follows where the eyes look.
Don’t stare at the front wheel, which could lead to a falling or flipping accident.
Eventually, riders can handle this technique, but it’s too advanced for beginners.
Smooth Ride
Beginners can be amazed at how much terrain bikes can ride over and through. Modern mountain bike suspension and tire systems can handle it. However, using the correct technique is essential to get through or around the obstacles and avoid crashes.
Stay aware of the surroundings.
Keep the body loose when approaching obstacles.
Decide how to overcome the obstacle – ride over, pop/raise the wheels, jump, or ride around.
Maintain confidence.
When riding over the obstacle, maintain an even balance on the pedals and keep the buttocks slightly off the saddle.
Keep arms and legs loose and let the body absorb the shock of the obstacle.
Trust the suspension and tires.
Ensure enough speed is generated to go over it and that it won’t stop the bike and cause a fall.
Some rough trail areas can require added strength to hold the bike steady.
Braking
There is no need to squeeze the brake handles with extreme force.
Extreme braking, especially the front, will likely lead to a flip or crash.
The brakes are made to stop with minimal force.
Beginners are recommended to learn to use a light touch when braking.
Improvement will follow with each riding session.
Foundation
References
Arriel, Rhaí André, et al. “Current Perspectives of Cross-Country Mountain Biking: Physiological and Mechanical Aspects, Evolution of Bikes, Accidents, and Injuries.” International journal of environmental research and public health vol. 19,19 12552. 1 Oct. 2022, doi:10.3390/ijerph191912552
Inoue, Allan, et al. “Effects of Sprint versus High-Intensity Aerobic Interval Training on Cross-Country Mountain Biking Performance: A Randomized Controlled Trial.” PloS one vol. 11,1 e0145298. 20 Jan. 2016, doi:10.1371/journal.pone.0145298
Kronisch, Robert L, and Ronald P Pfeiffer. “Mountain biking injuries: an update.” Sports medicine (Auckland, N.Z.) vol. 32,8 (2002): 523-37. doi:10.2165/00007256-200232080-00004
Muyor, J M, and M Zabala. “Road Cycling and Mountain Biking Produce Adaptations on the Spine and Hamstring Extensibility.” International Journal of sports medicine vol. 37,1 (2016): 43-9. doi:10.1055/s-0035-1555861
Ranchordas, Mayur K. “Nutrition for adventure racing.” Sports medicine (Auckland, N.Z.) vol. 42,11 (2012): 915-27. doi:10.1007/BF03262303
Mountain biking is a recommended sport for building muscle power and strength, endurance, and agility. Mountain biking uses bicycles designed to ride off-road and over rough terrain. The sport requires core strength, endurance, balance, and self-reliance. This is because riders are often far from civilization. Riders must learn to repair broken bike parts and fix flat tires to avoid being stranded. Mountain biking gear that riders carry includes a heavy-duty backpack with plenty of water, food, tools for repairs, and a first aid kit. Using the appropriate gear and equipment will help make the next ride safer and more comfortable.
Mountain Biking Gear
The first piece of equipment is a properly fitting and well-maintained mountain bike. There are all types of bicycles for every type of rider and trail. There are variations of bikes with full suspension, front suspension, disc brakes, V-brakes, different wheel sizes, and frame materials. It is recommended to consult a professional or visit a bicycle shop specializing in mountain biking to match the individual with the best bike. The right bike makes for a better ride.
Brakes
Disc brakes offer more secure braking when going high speed and needing the option to stop safely and at the proper distance.
Frame Size
The bike’s frame must be properly set up so the individual can easily step over and pedal at the correct height.
Suspension
Individuals that plan on taking on all kinds of terrains need the bike to absorb the shock and impact and are recommended to consider a full-suspension bike or one with a suspension fork.
Wheels
Mountain bike wheels range in size from 26 to 29 inches, and depending on the terrain and speeds, the right wheel diameter is key.
Larger wheels accelerate slower but provide improved traction.
Smaller wheels are lighter and easier to maneuver.
Helmet
A helmet is the most important safety gear that significantly reduces the severity of head injuries; no one should ride without one. Mountain bike helmets generally have a visor to help block the sun when riding so individuals can focus on the trail and not be distracted by glare. Three styles of mountain bike helmets are available, depending on the type of activity.
A trail mountain biking helmet covers part of the face and has a visor to help protect the head from the sun and other weather elements.
Trail helmets are recommended for mountain biking, road, and trail cycling.
Full-Face
Full-face helmets are essential for downhill trails at high speeds and on varying terrains.
They feature an adjustable visor and chin protection for added safety.
Eye Protection
Eye protection helps keep dirt, dust, and debris out of the eyes and helps have clear vision in dark shadows and bright sunlight.
Glasses or goggles protect the eyes if not using a full-face helmet.
Choosing a frame with an interchangeable lens system that comes with different lenses for varying light conditions is recommended.
Hydration Pack
Wearing a hydration packwhen riding provides easy access to hands-free hydration.
This is important for anyone exercising for more than two hours and with limited access to refills on the trail.
Mountain Biking Shoes
Beginners can wear comfortable sports shoes when starting.
Riders who begin riding more frequently will eventually want to transition to mountain biking shoes.
Cleated bike shoes work with pedals and lock the rider’s feet to the bike.
There is a variety of cycling footwear, but all-mountain bike shoes provide thorough traction off the bike, durability, comfort, and a heavy-duty sole for optimal pedaling efficiency.
Clipless Pedals
Clipless pedals are recommended for cross-country trail riding.
Cycling shoes and clipless pedal systems lock the shoes into the pedals for secure and efficient pedaling and can be unclipped easily with a twist of the foot.
Use shoes and pedals that work together.
Gloves
Mountain bike gloves provide additional padding and finger coverage.
They absorb the shock and protect the hands from falls on rough terrain.
The handlebar grips are padded, but additional cushion from the gloves is beneficial for long or downhill rides for extra comfort and protection.
Full-finger gloves offer the best coverage, protection, and grip on the brake levers.
These shorts provide a padded inner liner like underwear that increases comfort and reduces chafing.
The exterior looks like a baggy pair of shorts made of tough, abrasion-resistant fabric to take the wear and tear.
Bicycle Repair Kit
A repair kit can be attached to the bike saddle and holds all the essential tools for mechanical trouble or a flat tire.
The repair kit should include a bicycle multi-tool, an extra tube and patch kit, tire levers, a mini pump, and emergency cash.
Riders should keep an identification card with a list of contact numbers in the seat bag in case of a serious injury or other emergencies.
First Aid Kit
Riders can lose traction on loose rock and crash on the trail.
A first aid kit with various bandages, tape, pain relievers, and antiseptic wipes to treat cuts, scrapes, blisters, rashes, and everything in between is highly recommended.
Also include an eye drop solution, a small pocketknife, moleskin, energy gels, and an emergency whistle.
Biking Franklin Mountains
References
Alena Høye, Bicycle helmets – To wear or not to wear? A meta-analysis of the effects of bicycle helmets on injuries, Accident Analysis & Prevention, Volume 117, 2018, Pages 85-97, ISSN 0001-4575, doi.org/10.1016/j.aap.2018.03.026.
Ansari, Majid, et al. “Mountain Biking Injuries.” Current sports medicine reports vol. 16,6 (2017): 404-412. doi:10.1249/JSR.0000000000000429
Clark, Gregory, et al. “Do Mountain Bikers Know When They Have Had a Concussion and, Do They Know to Stop Riding?.” Clinical Journal of sports medicine: official journal of the Canadian Academy of Sports Medicine vol. 31,6 (2021): e414-e419. doi:10.1097/JSM.0000000000000819
Hall, Cougar et al. “Pedal-Assist Mountain Bikes: A Pilot Study Comparison of the Exercise Response, Perceptions, and Beliefs of Experienced Mountain Bikers.” JMIR formative research vol. 3,3 e13643. 13 Aug. 2019, doi:10.2196/13643
Impellizzeri, Franco M, and Samuele M Marcora. “The physiology of mountain biking.” Sports medicine (Auckland, N.Z.) vol. 37,1 (2007): 59-71. doi:10.2165/00007256-200737010-00005
Providing the body with adequate hydration and nutrition at the right time can maximize performance abilities, endurance, and muscle repair and restoration. Eating the right foods at the right time will fuel the body to support intense exercises. That means plenty of energy for cardiovascular and strength training. The optimal combination of pre-workout nutrition depends on the type of workout and how long it takes for the body to absorb the nutrients to get moving. Injury Medical Chiropractic and Functional Medicine Clinic can develop a fitness and nutritional plan customized to the individual’s needs and health goals.
Pre-Workout Nutrition
The three main macronutrients are carbohydrates, proteins, and fats when preparing pre-workout meals and snacks. Ratios are based on the specific needs of the workout. For example, going for a one-mile jog or a light aerobics class requires different amounts for different purposes. The longer and more intense the exercise, the more food is needed. Individuals may only need to modify or adjust their eating habits slightly for light workouts. Their roles vary:
Carbohydrates
Fats
Proteins
Each has a different role in supplying fuel for powering through physical activity.
Carbohydrates
Carbs are an important fuel for exercise.
Carbs can be found in grains, fruits, vegetables, and dairy products.
These are the easiest energy foods for the body to turn into glucose.
Glucose is stored in the muscles as glycogen.
Without enough carbohydrates, the body will be depleted of energy and become exhausted.
Proteins
This macronutrient is found in poultry, eggs, fish, and nuts.
Takes longer for the body to digest.
Protein helps the body feel full.
The body uses various nutrients to repair and build muscles.
Getting protein throughout the day can help with recovery after a workout.
Fats
The body burns fat for longer low to moderate-intensity workouts, such as a long run or bicycle ride.
However, fat takes more effort and time for the body to digest.
So, eating healthy fats is not the best right before exercise.
Pre-Workout Nutrition Guidelines
The exact mix of foods/nutrients ideal for the workout depends on when the individual can eat in relation to the time of the activity and intensity of the exercise.
Two to Four Hours Before Exercising
Have a meal containing a mix of carbohydrates, fats, and protein.
Oatmeal with fruit and nuts, a turkey sandwich with vegetables and some fruit, or a chicken and rice bowl with vegetables and avocado.
One to Two Hours Before Exercising
A light meal or snack.
Cereal with low-fat milk, peanut butter with crackers, or a fruit smoothie.
Avoid foods high in fiber and fat because they take longer to digest and can lead to digestion/stomach issues during exercise.
Before Morning Exercise
Going to the gym or out for a run first thing in the morning, something small, like a banana or granola bar.
For individuals that can’t eat early, don’t force yourself.
Have an extra portion at dinner or a snack before bed to have enough fuel for the morning.
During Workout
Have easy-to-digest carbs if the exercise session lasts more than an hour.
A banana or pretzels.
Sports drink during the workout contains electrolytes and minerals like sodium, magnesium, and potassium that assist in regulating functions like muscle contractions lost as the body sweats.
Hydration
Liquids are lost when the body sweats. Sipping water before, during, and after the workout is important.
Even a small dip in hydration levels can lower exercise performance and lessen mental sharpness.
Drinking two to three cups of water two to three hours before exercise is recommended.
During the workout, you should get at least a half to a full cup of water every 15 to 20 minutes.
After the workout, replenish hydration levels with two to three more cups.
Pre-Workouts
References
Jensen, Jørgen, et al. “The role of skeletal muscle glycogen breakdown for regulation of insulin sensitivity by exercise.” Frontiers in physiology vol. 2 112. 30 Dec. 2011, doi:10.3389/Phys.2011.00112
Jeukendrup, Asker. “A step towards personalized sports nutrition: carbohydrate intake during exercise.” Sports medicine (Auckland, N.Z.) vol. 44 Suppl 1, Suppl 1 (2014): S25-33. doi:10.1007/s40279-014-0148-z
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The various muscle groups in the body allow the host to move around and function through many actions without feeling any discomfort or pain. The body has two sections: upper and lower portions that have different functions, from turning the neck from side to side to allowing the legs to enable the body to move around. When various issues or factors begin to affect the body over time, like muscle injuries or normal factors like poor posture and prolonged sitting, it causes overlapping risk profiles that can lead to chronic musculoskeletal conditions. When musculoskeletal disorders affect the body, it can lead to muscle and joint pain that can cause misalignment in the spine and cause the muscle fibers to become short and tense. Luckily there are available treatments that allow the body to realign itself and stretch those short muscles. Today’s article looks at how muscle pain affects the body and how different variations of the MET technique are used to reduce and stretch muscle pain. We mention and provide valuable information about our patients to certified medical providers who use techniques like the MET and therapy for individuals with muscle strain associated with body pain. We give encouragement to patients by referring them to associated medical providers based on their diagnostic findings. We support that education is a marvelous way to ask our providers the most interesting questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., incorporates this information as an educational service. Disclaimer
How Does Muscle Pain Affect The Body?
Have you been dealing with muscle strain or pain in different body areas? Are you experiencing any referred pain in other body locations? Or are your muscles feeling extremely tight that it is causing you pain? When the body is dealing with various issues that are causing the muscle fibers to be tensed, it can lead to muscle pain and cause many people to suffer. Studies reveal that muscle pain is caused when painful conditions like mechanical forces, ischemia, and inflammation stimulate the body’s free nerve endings. Many of these factors also correlate with musculoskeletal disorders like fibromyalgia and myofascial pain that can develop trigger points (palpable, small nodules) in the muscle fibers to cause the muscles to become stiff and contract. Additional studies also reveal that when the muscles begin to cramp up, especially the calves, it can become extremely painful and involuntary as it affects the entire muscle group, the muscle itself, or any selected muscle fibers. This causes the individual to be in pain in an acute setting as the muscle relaxes; however, if the muscle fibers are still in constant contraction, it can lead to chronic issues that affect the muscle group.
Overcoming Pain With Chiropractic Care-Video
Regarding muscle pain in the body, studies reveal that the nociceptive nerve endings in the muscles and tissue fibers can cause the neuron signals from the central nervous system to become hyperexcitable, and hyperactivity can lead to muscle pain. This causes the muscle group and the surrounding muscles to tense and invokes pain when in motion. To that point, it can cause the individual dealing with muscle pain to try and find various treatments to alleviate the pain and continue their lives. When it comes to pain can be relieved through treatments like chiropractic care and massage therapy to reduce the effects of the muscle pain associated with musculoskeletal disorders. The video above explains how treatments like chiropractic care incorporate different techniques to realign the body from subluxation and help stretch the tight, short muscles using manual manipulation and the MET technique.
Variations Of The MET Technique
When the muscles in the musculoskeletal system are dealing with pain in different locations or one location in the body, it can cause the individual to be in constant pain. Luckily treatments like chiropractic care are non-invasive and therapeutic as they utilize different techniques to realign the spine and stretch the tight muscle groups. In “Clinical Applications of Neuromuscular Techniques,” written by, Leon Chaitow, N.D., D.O., and Judith Walker DeLany, L.M.T., stated that when muscle pain affects tone muscle or causes structural changes to the joint’s ROM (range of motion) can lead to shortness and stress to the muscle group. Studies reveal that MET is a stretching technique therapists use to contract the affected muscle in a precisely controlled direction voluntarily. Many stretch variations of the MET technique allow the muscles to be stretched, strengthening and improving local circulation while mobilizing joint restriction. Down below are some of the variations of stretching techniques with MET.
Isometric Contraction: Reciprocal Inhibition In Acute Setting
The isometric contraction technique is used for reciprocal inhibition in an acute setting where the affected muscles are dealing with symptoms of muscle spasms. The isometric contraction allows the therapist to help relax acute muscular spasms and mobilize restricted joints while preparing the joints for manipulation.
Starting point: When acute muscles or joint problems affect the body’s functionality, therapists must commence an easy restriction barrier.
Modus Operandi: The affected muscles are used in an isometric contraction, allowing the short muscle to relax.
Forces: The therapist and individual forces are matched and involve 20% of the individual’s strength to increase no more than 50%.
Duration: Initially7-10 seconds while increasing up to 20 seconds.
Action following contraction: The area of the muscle and joint are taken to a new restricted barrier without stretching after complete relaxation. Therapists should perform the movement to a new restricted barrier on exhalation.
Repetitions: Repeat three to five times until no further gain in the range of motion is possible.
Isometric Contraction: Post-isometric Relaxation In Chronic Setting
The isometric contraction technique is used for post-isometric relaxation in a chronic setting where the muscles are severely contracted. The isometric contraction technique is known as post-facilitation stretching, where therapists stretch chronic or subacute restricted, fibrotic, contracted soft tissues or muscle tissues affected by myofascial trigger point pain.
Starting point: Short of resistance barrier
Modus Operandi: The affected muscles are used in the isometric contraction that allows the shortened muscles to relax and let an easier stretch.
Forces: Both the therapist and individual forces match and increase about 30% of the patient’s strength and increase to 50% of contractions up to 20 seconds.
Duration: Initially 7-10 seconds and increasing up to 20 seconds.
Action following contraction: The rest period is 5 seconds so the body can relax completely before being stretched, and during exhalation, the muscle goes through a painless, new restriction barrier position that is held for at least 10-60 seconds.
Repetitions: Repeat three to five times.
Isotonic Eccentric Contraction
The isotonic eccentric contraction is an isolytic technique to strengthen weak postural muscles that are tensed or tight from prolonged sitting or poor posture.
Starting point: At the restriction barrier
Modus Operandi: When the muscle is contracted and prevented, the therapist uses this technique to slowly overcome and reverse the contracting muscle so it can be stretched to full resting length.
Forces: Therapists use greater forces on the individual and build up subsequent contractions for the affected muscle (*Utilize this stretch on individuals who are not dealing with osteoporotic issues in their muscles and joints)
Duration: Five to seven seconds
Repetitions: Repeat three to five times if discomfort is not excessive.
Isokinetic
The isokinetic technique is a combination of isotonic and isometric contractions that many pain specialists like chiropractors and massage therapists use to tone weakened musculature, build strength in all the surrounding muscles that are involved in a particular joint function, and help train and balance the effects on the body’s muscle fibers.
Starting point: Easy mid-range position
Modus Operandi: The individual uses moderate resistance as the therapist puts the joint through a rapidly full range of movement as this technique is different than simple isotonic exercises, and resistance varies from each person. This technique progressively increases as the procedure progress.
Forces: The therapist uses moderate forces to prevent movement from the individual and then progresses to full forces.
Duration of contraction: Up to four seconds.
Conclusion
Different stretching techniques in MET therapy allow the affected muscles to be stretched and lengthened while reducing muscle pain affecting a body’s location. It is important to be mindful of the movements that can cause the muscles to be overstretched or cramped up, which can cause pain. Treatments incorporating these various stretching techniques allow the affected muscles to relax and restore naturally.
Chaitow, Leon, and Judith Walker DeLany. Clinical Applications of Neuromuscular Techniques. Churchill Livingstone, 2003.
Faqih, Anood I, et al. “Effects of Muscle Energy Technique on Pain, Range of Motion and Function in Patients with Post-Surgical Elbow Stiffness: A Randomized Controlled Trial.” Hong Kong Physiotherapy Journal : Official Publication of the Hong Kong Physiotherapy Association Limited = Wu Li Chih Liao, U.S. National Library of Medicine, June 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6467834/.
Gregory, Nicholas S, and Kathleen A Sluka. “Anatomical and Physiological Factors Contributing to Chronic Muscle Pain.” Current Topics in Behavioral Neurosciences, U.S. National Library of Medicine, 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC4294469/.
Mense, Siegfried. “The Pathogenesis of Muscle Pain.” Current Pain and Headache Reports, U.S. National Library of Medicine, Dec. 2003, pubmed.ncbi.nlm.nih.gov/14604500/.
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