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Throwing Sports Strength Training

Throwing Sports Strength Training

Can weight and strength training increase speed and power in athletes that participate in throwing sports?

Throwing Sports Strength Training

Throwing Sports

Top-throwing athletes have amazing arm speed. To succeed in throwing sports athletes need to be able to generate quick explosive power. This means the ability to propel the arm forward with substantial velocity for maximum object delivery like a baseball, javelin, hammer throw, shot put, discus, etc. Combined with sports technique training, throwing strength and power can be increased by training with weights. Here is a three-phase training plan to improve throwing performance.

Full Body

  • The arm provides only one part of the delivery process.
  • The legs, core, shoulders, and general flexibility need to work cooperatively to exert maximum thrust and achieve maximum object speed.
  • The natural ability to throw fast with power is largely determined by an individual’s muscle type, joint structure, and biomechanics. (Alexander E Weber, et al., 2014)

Preparation

  • Preparation should provide all-around muscle and strength conditioning for early pre-season conditioning.
  • Athletes will be doing throwing training as well, so fieldwork will need to be able to fit in.
  • It is recommended not to do weight training prior to throwing practice.
  • Do the session on a separate day if possible.

Frequency

  • 2 to 3 sessions per week

Type

Exercises

  • Warm-up
  • Squat or leg press
  • Bench-press or chest press
  • Deadlift
  • Crunch
  • Seated cable row
  • Triceps pushdown
  • Lat pulldown
  • 3 sets of 12
  • Cool-down

Rest

  • Between sets 60 to 90 seconds.

Weight Training

  • This stage will focus more on the development of strength and power. (Nikolaos Zaras, et al., 2013)
  • This leads to the start of competition and tournament play.

Frequency

  • 2 to 3 sessions per week

Type

  • Strength and power – 60% to 70% for one-rep max/1RM
  • The one-repetition maximum test, known as a one-rep max or 1RM, is used to find out the heaviest weight you can lift once.
  • When designing a resistance training program, individuals use different percentages of their 1RM, depending on whether they’re lifting to improve muscular strength, endurance, hypertrophy, or power. (Dong-Il Seo, et al., 2012)

Exercises

  • 5 sets of 6
  • Romanian deadlift
  • Incline bench press (Akihiro Sakamoto, et al., 2018)
  • Hang clean press
  • Single-leg squats
  • Back squat
  • Lat pulldown
  • Pull-ups
  • Combo crunches

Rest

  • Between sets 2 to 3 minutes

Competition

  • This stage focuses on maintaining strength and power. (Nikolaos Zaras, et al., 2013)
  • Throwing practice and competition are the priorities.
  • Before competition begins, take a 7- to 10-day break from heavyweight sessions while maintaining throwing workouts.
  • Weight training during competition should provide maintenance.

Frequency

  • 1 to 2 sessions per week

Type

  • Power – lighter loads and faster execution than in the preparation stage.

Exercises

  • 3 sets of 10
  • Rapid movement, 40% to 60% of 1RM.
  • Squats
  • Power hang clean and press
  • Romanian deadlift
  • Lat pulldown
  • Incline bench press
  • Crunches

Rest

  • Between sets 1 to 2 minutes.

Training Tips

  • Athletes have individual needs, so a general program like this needs modification based on age, sex, goals, skills, competitions, etc.
  • A certified strength and conditioning coach or trainer could help develop a fitness plan that can be adjusted as the athlete progresses.
  • Be sure to warm up prior to weight training and cool down afterward.
  • Don’t try to train through injuries or try to progress too fast – it is recommended not to throw or do weights when treating or recovering from an injury. (Terrance A Sgroi, John M Zajac. 2018)
  • Focus on the fundamentals and practice proper form.
  • Take a few weeks off at the end of the season to recover after hard training and competition.

Body Transformation


References

Weber, A. E., Kontaxis, A., O’Brien, S. J., & Bedi, A. (2014). The biomechanics of throwing: simplified and cogent. Sports medicine and arthroscopy review, 22(2), 72–79. doi.org/10.1097/JSA.0000000000000019

American College of Sports Medicine (2009). American College of Sports Medicine position stand. Progression models in resistance training for healthy adults. Medicine and science in sports and exercise, 41(3), 687–708. doi.org/10.1249/MSS.0b013e3181915670

Zaras, N., Spengos, K., Methenitis, S., Papadopoulos, C., Karampatsos, G., Georgiadis, G., Stasinaki, A., Manta, P., & Terzis, G. (2013). Effects of Strength vs. Ballistic-Power Training on Throwing Performance. Journal of sports science & medicine, 12(1), 130–137.

Seo, D. I., Kim, E., Fahs, C. A., Rossow, L., Young, K., Ferguson, S. L., Thiebaud, R., Sherk, V. D., Loenneke, J. P., Kim, D., Lee, M. K., Choi, K. H., Bemben, D. A., Bemben, M. G., & So, W. Y. (2012). Reliability of the one-repetition maximum test based on muscle group and gender. Journal of sports science & medicine, 11(2), 221–225.

Sakamoto, A., Kuroda, A., Sinclair, P. J., Naito, H., & Sakuma, K. (2018). The effectiveness of bench press training with or without throws on strength and shot put distance of competitive university athletes. European journal of applied physiology, 118(9), 1821–1830. doi.org/10.1007/s00421-018-3917-9

Sgroi, T. A., & Zajac, J. M. (2018). Return to Throwing after Shoulder or Elbow Injury. Current reviews in musculoskeletal medicine, 11(1), 12–18. doi.org/10.1007/s12178-018-9454-7

Radial Nerve: Peripheral Upper Extremity

Radial Nerve: Peripheral Upper Extremity

The brachial plexus is a network of nerves that begin in the cervical/neck spinal cord and travel down the cervicoaxillary canal into the armpit. Forming in the area of the shoulder joint at the branch junction of the brachial plexus, the radial nerve extends down the arm, through the elbow joint, into the forearm, across the wrist, and tips of the fingers. The nerves are susceptible to injury that can cause abnormal function leading to unusual sensations and impaired muscle function.

Radial Nerve: Peripheral Upper Extremity

Radial Nerve

One of the major nerves of the upper extremity.

  • There is one brachial plexus on each side of the body that carries the nerves to each arm.
  • The radial nerve has two major functions.
  • One is to provide sensations in the hands, forearms, arms, and fingers.
  • The other is to deliver messages to muscles about when to contract.

Motor Function

  • The radial nerve transmits signals to the muscles of the back of the arm and forearm on when to contract.
  • Individuals who have abnormal radial nerve function can experience weakness of the muscles and symptoms like wrist drop.
  • A wrist drop occurs when the back forearm muscles cannot support the wrist, causing the individual to hold the wrist in a flexed posture.
  • Abnormal radial nerve function can cause symptoms of numbness or tingling in the back of the hand.

Conditions

Associated conditions to the radial nerve include lacerations, contusions, fractures, and palsies.

Nerve Contusion

  • A contusion typically occurs through blunt force trauma that can crush and smash the nerve area.
  • This causes abnormal or no function.
  • A nerve contusion can occur from a personal, work, or sports injury or other conditions that generate intense pressure on the nerve/s.

Nerve Lacerations

  • A laceration occurs when there is a penetrating injury that cuts and/or severs the nerve.
  • This injury can occur from stab wounds or sliced by broken glass, metal, etc.

Fractures

  • Broken bones of the upper extremity can lead to extended damage to the nerves near the damaged bone.
  • The most common type of fracture associated with radial nerve malfunction is fractures to the humerus bone.
  • The nerve wraps tightly around the humerus and can be injured with a fracture.
  • Most fracture-related radial nerve injuries heal on their own and do not require surgery.
  • However, the way the injury heals can be the difference between normal function and chronic pain.

Crutch Palsy

  • Crutch palsy is pressure on the radial nerve in the armpit resulting from using crutches incorrectly.
  • To use crutches properly, the individual needs to support their body weight through the hands.
  • However, many tend to place pressure around the armpit at the top of the crutch, causing irritation to the nerve in that area.
  • Padding the top of crutches and using the proper form can prevent the condition.

Saturday Night Palsy

  • Saturday night palsy is the abnormal function of the radial nerve after sleeping in a position that causes direct pressure against the nerve.
  • This often occurs when an individual falls asleep with their arm draped over an armrest on a chair.
  • The name comes from when individuals are intoxicated and fall asleep in a location other than the bed and in awkward positions.

Treatment

Nerve injuries often cause symptoms at different locations other than where the nerve damage is, complicating diagnosis. Determining the specific location of nerve damage is the first step in developing an appropriate treatment plan. Once the location has been identified, steps can be taken to prevent worsening damage to the nerve.

  • The objective is to relieve the pressure from the irritation or compression.
  • Chiropractic treatment can relieve symptoms and restore function through:
  • Massage to relax the area and increase blood circulation.
  • Decompression to physically restore alignment.
  • Adjustments to restore body balance.
  • Exercises and stretches to maintain treatment, strengthen the muscles, and prevent injuries.
  • In cases where there is structural damage, surgery may be necessary to remove pressure or repair damage.

Avoid Surgery


References

Ansari FH, Juergens AL. Saturday Night Palsy. [Updated 2023 Apr 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK557520/

Barton, N J. “Radial nerve lesions.” The Hand vol. 5,3 (1973): 200-8. doi:10.1016/0072-968x(73)90029-6

Daly, Michael, and Chris Langhammer. “Radial Nerve Injury in Humeral Shaft Fracture.” The Orthopedic Clinics of North America vol. 53,2 (2022): 145-154. doi:10.1016/j.ocl.2022.01.001

DeCastro A, Keefe P. Wrist Drop. [Updated 2022 Jul 18]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK532993/

Eaton, C J, and G D Lister. “Radial nerve compression.” Hand Clinics vol. 8,2 (1992): 345-57.

Glover NM, Murphy PB. Anatomy, Shoulder and Upper Limb, Radial Nerve. [Updated 2022 Aug 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK534840/

Ljungquist, Karin L et al. “Radial nerve injuries.” The Journal of hand surgery vol. 40,1 (2015): 166-72. doi:10.1016/j.jhsa.2014.05.010

Węgiel, Andrzej, et al. “Radial nerve compression: anatomical perspective and clinical consequences.” Neurosurgical review vol. 46,1 53. 13 Feb. 2023, doi:10.1007/s10143-023-01944-2

Stiffness and Pain Developing In The Shoulder

Stiffness and Pain Developing In The Shoulder

Stiffness and pain developing in the shoulder could be adhesive capsulitis, (frozen shoulder), a condition in the shoulder’s ball-and-socket joint/glenohumeral joint. It usually develops over time and limits the functional use of the arm. The pain and tightness restrict arm movement, and the duration of symptoms can persist for 12-18 months. The cause is often unknown, but it is more common in individuals over 40, individuals with diabetes, thyroid disease, and cardiac conditions have an increased risk of developing the condition, and women tend to develop the condition more than men. Chiropractic treatment can be effective at relieving pain and expediting recovery.

Stiffness and Pain Developing In The Shoulder

Stiffness and Pain

The shoulder joint allows more movement than any other joint in the body. A frozen shoulder causes the capsule surrounding the shoulder joint to contract and form scar tissue. The capsule contraction and the formation of adhesions cause the shoulder to become stiff, restrict movement, and cause pain and discomfort symptoms.

Stages

The progression is marked by three stages:

Freezing

  • Stiffness and pain begin to restrict motion.

Frozen

  • Movement and motion are severely restricted.

Thawing

  • The shoulder starts to loosen up.
  • It can take years to fully resolve symptoms.
  • In mild cases, a frozen shoulder can go away on its own but that does not mean that it is truly healed and correctly aligned.
  • Even in mild cases seeking treatment is recommended, rather than just waiting for it to go away.

Symptoms

  • Limited range of motion.
  • Stiffness and tightness.
  • Dull or aching pain throughout the shoulder.
  • Pain can radiate into the upper arm.
  • Pain can be triggered by the smallest movements.
  • The symptoms are not always due to weakness or injury, but actual joint stiffness.

Causes

Most frozen shoulders occur with no injury or discernible cause but the condition is often linked to a systemic condition or one that affects the entire body.

Age and Gender

  • Frozen shoulder most commonly affects individuals between the ages of 40 to 60, and is more common in women than in men.

Endocrine Disorders

  • Individuals with diabetes have an increased risk of developing a frozen shoulder.
  • Other endocrine abnormalities like thyroid problems can also lead to the development of this condition.

Shoulder Trauma and/or Surgery

  • Individuals who sustain a shoulder injury, or undergo surgery on the shoulder can develop a stiff and painful joint.
  • When injury or surgery is followed by prolonged immobilization/resting the arm, the risk of developing a frozen shoulder increases.

Other Systemic Conditions

Several systemic conditions such as heart disease have also been associated with an increased risk of developing the condition and can include:

  • High cholesterol
  • Adrenal disease
  • Heart and lung disease
  • Parkinson’s disease

Stiffness and pain can also be associated with damage to the joint from injuries or other shoulder problems that include:

  • Muscle or connective tissue injury
  • Rotator cuff tendinopathy
  • Calcific tendinitis
  • Dislocation
  • Fracture
  • Osteoarthritis
  • A frozen shoulder associated with any of these causes is considered secondary.

Treatment

A diagnosis is made by observing the range of motion in the shoulder, considering the two types:

Active Range

  • This is how far an individual can move a body part on their own.

Passive Range

  • This is how far another person like a therapist or doctor can move the body part.

Therapies

  • Chiropractic, massage, and physical therapy involve stretches, realignment, and exercises to relieve pain symptoms and restore mobility and function.
  • Usually, strength is not affected by a frozen shoulder but a chiropractor may want to strengthen the surrounding muscles to better support the shoulder and prevent worsening the injury or causing a new injury.
  • Anti-inflammatory medications and corticosteroid injections may help manage pain symptoms.
  • Getting a diagnosis and treatment during the freezing stage can keep the condition from progressing and expedite recovery time.

Enhancing Health: Evaluation and Treatment


References

Brun, Shane. “Idiopathic frozen shoulder.” Australian Journal of general practice vol. 48,11 (2019): 757-761. doi:10.31128/AJGP-07-19-4992

Chan, Hui Bin Yvonne, et al. “Physical therapy in the management of frozen shoulder.” Singapore medical journal vol. 58,12 (2017): 685-689. doi:10.11622/smedj.2017107

Cho, Chul-Hyun, et al. “Treatment Strategy for Frozen Shoulder.” Clinics in orthopedic surgery vol. 11,3 (2019): 249-257. doi:10.4055/cios.2019.11.3.249

Duzgun, Irem, et al. “Which method for frozen shoulder mobilization: manual posterior capsule stretching or scapular mobilization?.” Journal of Musculoskeletal & neuronal interactions vol. 19,3 (2019): 311-316.

Jain, Tarang K, and Neena K Sharma. “The effectiveness of physiotherapeutic interventions in the treatment of frozen shoulder/adhesive capsulitis: a systematic review.” Journal of back and musculoskeletal rehabilitation vol. 27,3 (2014): 247-73. doi:10.3233/BMR-130443

Kim, Min-Su, et al. “Diagnosis and treatment of calcific tendinitis of the shoulder.” Clinics in shoulder and elbow vol. 23,4 210-216. 27 Nov. 2020, doi:10.5397/cise.2020.00318

Millar, Neal L et al. “Frozen shoulder.” Nature reviews. Disease primers vol. 8,1 59. 8 Sep. 2022, doi:10.1038/s41572-022-00386-2

Bicep Curls: El Paso Back Clinic

Bicep Curls: El Paso Back Clinic

The biceps curl is an exercise to build strength in the upper arm. Curls are a common exercise used in upper-body strength training. Specifically, the curl works the muscles in the front of the upper arm. It’s recommended for achieving strength and definition and provides core and stability challenges. Injury Medical Chiropractic and Functional Medicine Clinic can educate individuals on fitness, strength training, nutrition, and injury prevention.

Bicep Curls: EP's Chiropractic Fitness Clinic

Bicep Curls

Located at the upper arm, the biceps comprise a short and long head that operates as a single muscle.

  • The bicep heads begin at different places around the shoulder/scapula region,
  • They have a common insertion point on the elbow tendon.
  • Together allow the bending of the arm at the elbow joint to curl and pull weight.
  • Curls work the muscles at the front of the upper arm and the lower arm. The brachialis and brachioradialis.

Dumbbells

Different equipment and grips can be used, including dumbbell weights, kettlebells, barbells, resistance bands, or cable machines. Select equipment with enough weight that can be lifted ten times using proper form, ensuring the last three repetitions are challenging to the point of being unable to raise another. From there, use this same weight to perform eight repetitions or slightly lower the weight and perform ten repetitions.

  • Begin by standing with the feet about hip-width apart.
  • Keep the abdominal/core muscles engaged.
  • Hold one dumbbell in each hand.
  • Relax the arms down at the sides with palms facing forward.
  • Keep the upper arms stable and shoulders relaxed.
  • Bend at the elbow and lift the weights so the dumbbells approach the shoulders.
  • Raise the dumbbells to eye or forehead level for a full range of motion.
  • Tension will be felt in the muscles in the front of the upper arm.
  • Keep movements smooth and controlled.
  • The elbows should stay tucked in close to the body.
  • Be careful to keep the wrist straight and rigid.
  • Flexing the wrist while bending the elbow won’t target the biceps effectively and can result in a wrist or elbow injury.
  • Exhale while lifting.
  • Lower the weights to the starting position.
  • For most, one set of 12 to 15 repetitions is adequate.
  • Train to failure performing the desired reps, staying within 3 to 5 repetitions of total failure.
  • When able, slightly increase weight and/or reps over time to increase muscle and strength.
  • Both biceps can be worked out by alternating arms.
  • It can be done standing or sitting.

Avoid Errors

Get the most out of the workout by avoiding these errors.

Rushing Through

  • Focus on proper form and avoid rushing through the workout.
  • Lift the weights with a smooth motion.
  • Take as much time to lower the weight as when lifting it.
  • Lowering the weight slowly can help build more muscle, making the most of the workout.

Improper Elbow Position

  • The position of the elbows should remain close to the side of the body.
  • Only the lower arm should move until the end of the movement when the elbows rise. This is a complete range of motion.
  • If the elbows move away from the torso or swing behind the body, there is probably too much weight.

Avoid Swinging the Weights

  • Focus on maintaining a tall, upright spine and a tight core.
  • The shoulders or torso should not swing the weights up when doing the curl.
  • It can feel like swinging, twisting, or heaving movements.
  • Don’t let the hips hinge, or the lower body assist the movement.
  • Keep the elbows at the sides until they naturally rise at the end of the motion.
  • Keep the shoulders relaxed
  • Make sure the shoulders don’t move forward to initiate the movement.
  • Use lighter weights or reduce the number of repetitions if this happens.

Safety

This exercise is generally recommended for most individuals. However, getting clearance from a primary caregiver before beginning any exercise routine is recommended.

  • Individuals with an arm injury or who experience pain during the motion should not perform the exercise without a doctor’s approval.
  • Don’t try to lift weights that are too heavy.
  • After a few lifts, expect to feel fatigued and a burning sensation in the biceps and forearm muscles.
  • This is the desired effect to get the muscles strong and growing.
  • Do not force extra repetitions once proper form cannot be achieved.
  • Take a thorough rest before the next set.
  • Stop if pain begins to present.

Benefits

  • These muscles are in constant use when picking things up.
  • Consistently performing the biceps curl will help build strength in the upper arm.
  • Individuals learn to use their arm muscles correctly and with the core muscles.

Unlocking Athletic Potential with Chiropractic


References

Coratella, Giuseppe, et al. “Biceps Brachii and Brachioradialis Excitation in Biceps Curl Exercise: Different Handgrips, Different Synergy.” Sports (Basel, Switzerland) vol. 11,3 64. 9 Mar. 2023, doi:10.3390/sports11030064

Coratella, Giuseppe, et al. “Bilateral Biceps Curl Shows Distinct Biceps Brachii and Anterior Deltoid Excitation Comparing Straight vs. EZ Barbell Coupled with Arms Flexion/No-Flexion.” Journal of functional morphology and Kinesiology vol. 8,1 13. 19 Jan. 2023, doi:10.3390/jfmk8010013

Marchetti, Paulo H et al. “Seated row and biceps curl exercises present similar acute responses on muscle thickness, arm circumference, and peak force for elbow flexors after a resistance training session in recreationally-trained subjects.” The Journal of sports medicine and physical fitness vol. 60,11 (2020): 1415-1422. doi:10.23736/S0022-4707.20.10996-4

Sato, Shigeru, et al. “Elbow Joint Angles in Elbow Flexor Unilateral Resistance Exercise Training Determine Its Effects on Muscle Strength and Thickness of Trained and Non-trained Arms.” Frontiers in physiology vol. 12 734509. 16 Sep. 2021, doi:10.3389/fphys.2021.734509

Schoenfeld, Brad Jon, et al. “Differential effects of attentional focus strategies during long-term resistance training.” European Journal of sports science vol. 18,5 (2018): 705-712. doi:10.1080/17461391.2018.1447020

Arm Discomfort Symptoms: El Paso Back Clinic

Arm Discomfort Symptoms: El Paso Back Clinic

The function of the arm is to allow for movement of the wrist and hand. Various muscles initiate the arm’s actions, large muscles flex and extend, pronate and supinate, and the more sensitive muscles allow fine motor control. Lifting capacity and grip strength come from the arm muscles, making them essential for all types of activities. Because of the many functions and jobs the hands and arms do, added stress is placed on them. Arm discomfort symptoms, radiating pain, weakness, numbness, and tingling are common conditions. Chiropractic care can relieve injury symptoms and restore mobility and function.

Arm Discomfort Symptoms: EP Chiropractic Team

Arm Discomfort Symptoms

The muscles of the upper arm, the biceps, and the triceps, control the movement and positioning of the elbow joint, and the muscles of the forearm control the wrist and hand. There are 30 bones from the top of the arm to the tip of the finger that include:

  • The humerus in the upper arm.
  • Ulna and radius in the forearm.
  • Carpal bones in the wrist.
  • Metacarpals and phalanges make up the hand and fingers.
  • The joints allow movement between the bones and are stabilized by ligaments and joint capsules.

Symptoms

Discomfort or Radiation

Symptoms vary based on the severity of the injury but commonly include.

  • Arm range of motion decreased.
  • Stiffness.
  • Tightness.
  • Pain.
  • Tenderness.
  • Edema during activity.
  • Muscle weakness.
  • Numbness and tingling in the elbow, forearm, or hand can develop.
  • Pain sensations often radiate to other areas.

Causes

Individuals that work with their hands related to work, home tasks, sports, or hobby activities, such as construction workers, hair stylists, store cashiers, graphic artists, automotive technicians, carpenters, painters, butchers, and more, have an increased risk of injury and developing chronic conditions. Work that involves manually cutting, writing, typing, gripping, operating motorized tools, hair clippers, working with animals, etc., makes the arms susceptible to injury from the constant stress on the ligaments. Common overuse injuries affecting the upper extremity include:

Carpal Tunnel Syndrome and Cubital Tunnel Syndrome

  • These conditions involve the nerves of the forearm.
  • Prolonged or repetitive bending or flexing of the wrist or elbow can generate swelling pressure that compresses the nerve/s.
  • Symptoms include numbness, coldness, tingling, and/or weakness in the hand and fingers.

Tennis, Golfer, and Pitcher Elbow

  • These conditions involve the inflammation of the tendon structures surrounding the elbow joint.
  • Repeating the same motion over and over causes damage.
  • This leads to tenderness and pain inside and surrounding the elbow.

De Quervain’s Tendinosis

  • Tendinosis refers to inflammation of the tendons.
  • De Quervain’s syndrome affects tendon structure in the wrist.
  • Swelling near the base of the thumb.
  • Individuals have difficulty grasping objects.
  • This is common for landscapers, gardeners, and sports where constant gripping is involved.

Tendonitis

  • Tendons attach muscles and bones
  • The condition causes tendon inflammation, presenting pain in the area around single or multiple joints.
  • Common types include wrist tendonitis, pitcher’s shoulder, and swimmer’s shoulder.

Tendon Tears

  • Overuse and frequent stress from continuous motion can wear tendons to the point of partial or complete tearing.
  • Rotator cuff tears in the shoulder are often caused by overuse wearing down.

Chiropractic Treatment

Chiropractic and massage therapy can rehabilitate arm injuries, restore function and reduce arm discomfort symptoms. Treatment includes:

  • Ice or heat treatment.
  • Manual therapy – soft tissue massage and trigger point alleviation.
  • Joint mobilization.
  • Taping or bracing support.
  • Rehabilitation targeted exercises.
  • Work and sports modification training.
  • Training on upper extremity overuse, practicing caution, and knowing when to seek professional medical help.

Shoulder Pain Rehabilitation


References

Bass, Evelyn. “Tendinopathy: why the difference between tendinitis and tendinosis matters.” International Journal of therapeutic massage & Bodywork vol. 5,1 (2012): 14-7. doi:10.3822/ijtmb.v5i1.153

Cutts, S et al. “Tennis elbow: A clinical review article.” Journal of Orthopaedics vol. 17 203-207. 10 Aug. 2019, doi:10.1016/j.jor.2019.08.005

Hoe, Victor C W, et al. “Ergonomic design and training for preventing work-related musculoskeletal disorders of the upper limb and neck in adults.” The Cochrane Database of systematic reviews vol. 2012,8 CD008570. 15 Aug. 2012, doi:10.1002/14651858.CD008570.pub2

Konijnenberg, H S et al. “Conservative treatment for repetitive strain injury.” Scandinavian Journal of Work, Environment & Health vol. 27,5 (2001): 299-310. doi:10.5271/sjweh.618

Luger, Tessy, et al. “Work-break schedules for preventing musculoskeletal symptoms and disorders in healthy workers.” The Cochrane Database of systematic reviews vol. 7,7 CD012886. 23 Jul. 2019, doi:10.1002/14651858.CD012886.pub2

Pitzer, Michael E et al. “Elbow tendinopathy.” The Medical Clinics of North America vol. 98,4 (2014): 833-49, xiii. doi:10.1016/j.mcna.2014.04.002

Verhagen, Arianne P et al. “Conservative interventions for treating work-related complaints of the arm, neck or shoulder in adults.” The Cochrane Database of systematic reviews vol. 2013,12 CD008742. 12 Dec. 2013, doi:10.1002/14651858.CD008742.pub2

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

It Could Be More Than Triceps Muscle Pain

It Could Be More Than Triceps Muscle Pain

Introduction

One of the many muscles that help stabilize the shoulders and provide movement when the arms are in motion. The tricep muscles are one of the most underrated muscles that many people don’t seem to take care of when working out. The other muscles in the upper arms and shoulders are more likely to be worked on when it comes to being physically active. The deltoidsbiceps, and brachialis muscles are some of the muscles that get much more attention when working on shoulder mobility. Still, the triceps provide the functionality to the shoulders as well. When the shoulders or the upper arms are injured and develop pain-like symptoms in the muscle groups, it can develop trigger points along the affected muscle. Today’s article looks at the tricep muscles, how trigger points affect them, and ways to manage trigger points along the tricep muscles. We refer patients to certified providers who specialize in arm pain treatments to aid individuals suffering from trigger points associated with the tricep muscles along the upper arms and elbows. We also guide and inform our patients by referring them to our associated medical providers based on their examination when appropriate. We established that education is a great solution to asking our providers profound questions the patient requests. Dr. Jimenez DC takes note of this information as an educational service only. Disclaimer

What Do The Tricep Muscles Do?

 

Do you experience pain underneath your forearm? How about feeling a dull ache on your elbows? Or do you feel a numbing sensation on your ring and pinky fingers? Individuals experiencing these symptoms in their arms could potentially develop trigger points along their tricep muscles. The tricep muscles are located under the upper arm and are a large, thick horseshoe-shaped muscle at the end of the arm. As stated earlier, the tricep muscles are one of the most underrated muscles in the arm that no one tends to work on during a workout, so they can be easily overlooked. However, the tricep muscles help in providing stability to the shoulders and help strengthen the arms. One of the main functions the triceps offer is that they allow the extension of the elbow joints. Studies reveal that the three head tendons that make up the triceps can influence elbow extension torque. The three heads of the triceps have different patterns of force when it comes to various activities during different shoulder evaluations. To that point, multiple combinations of the shoulder and elbows at different angles can affect the tricep’s shoulder extensions. Since many individuals don’t work on their triceps often, it can potentially develop issues that can make this underrated muscle weak.

 

How Trigger Points Affect The Tricep Muscles?

 

When the triceps don’t get worked on during a workout, it can lead to muscle weakness when doing pushups or when someone suffers from an injury with direct trauma in the elbows. When the tricep muscles become affected, it can lead to chronic conditions that are associated with myofascial pain or trigger points. Trigger points in the triceps can be formed when there are restrictions in extending the elbow joints. Studies reveal that when the triceps become overloaded from overusing the forearms from normal activities, it could potentially lead to tricep tendon rupture. To that point, which leads to the development of trigger points to invoke pain in the triceps and elbow joint. According to  Dr. Janet Travell, M.D., trigger points associated with the tricep muscles could potentially involve referred pain in the vicinity of the elbow joints. What this refers to is that trigger points can mimic other chronic conditions so in this case, referred pain caused by trigger points associated with the tricep muscles can be mistakenly attributed to arthritis on the elbow joints. All is not lost, as there are ways to manage trigger points affecting the tricep muscles.

 


Treating Trigger Points On The Triceps- Video

Have you been experiencing pain in your shoulders, elbows, and hands? Do you have limited mobility when extending your elbows? Or do you notice that your triceps are weaker than normal? If you have been dealing with any of these symptoms, it could be due to trigger points associated with the tricep muscles that are causing referred pain to the upper arms and elbows. The triceps in the upper arms is one of the most underrated muscles people tend to overlook. When individuals begin to succumb to injuries that affect their triceps, it can lead to the development of trigger points along the muscle fibers in the tricep muscles. Trigger points can occur in the tricep muscles due to overusing the forearm muscles, causing stress in the elbow joint and the muscle itself. When the trigger points become active, it can lead to limited mobility to the elbow joint, causing the individual thinks they are developing arthritis when it is the trigger points causing the referred pain. There are ways that many people can manage trigger points associated with the elbows along the triceps to relieve the pain from the muscle. The video above shows where the active trigger points are located and how to release them through palpations and massage. Treating the trigger points along the tricep muscles allows many individuals to regain mobility in their elbows and upper arms.


Managing Trigger Points Along The Triceps

 

As stated earlier, the triceps are the underrated muscle that people tend to forget. When the tricep muscles succumb to trigger points, it can lead to referred pain along the elbow joints, causing pain-like symptoms affecting the elbow’s mobility function. When this happens to the upper arms, there are various ways to strengthen the tricep muscles and manage trigger points from developing in the future. Incorporating exercises targeting the tricep muscles can help improve mobility to the elbows and shoulders. If a person is playing sports like tennis, they can opt for a lighter racket and have a more lightweight grip on the handle. Suppose a person is in pain from their triceps. In that case, however, studies reveal that upper limb rehabilitation can help reduce the pain along the triceps and improve the mobility range caused by pain associated with trigger points. People can continue their daily activities without pain when they utilize these various ways to enhance their triceps’ functionality. 

 

Conclusion

As the most underrated muscle that people tend to forget to work out, the tricep muscle can be overlooked. This large, thick horseshoe-shaped muscle has a job that provides stability to the shoulders and allows an extension to the elbow joints. When individuals don’t work on their tricep muscles, it can lead to muscle weakness and pain-like symptoms that lead to the development of trigger points. Trigger points associated with the tricep muscles can cause referred pain to the elbow joint, making many individuals believe they have arthritis. However, many individuals can regain mobility to their elbows by incorporating exercises targeting the triceps and utilizing treatments to manage trigger points along the muscle fibers. They can do daily activities that require the triceps without pain.

 

References

Landin, Dennis, et al. “Functions of the Triceps Brachii in Humans: A Review.” Journal of Clinical Medicine Research, Elmer Press, Apr. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC5827912/.

Lennon, Olive, et al. “Effect of the Triceps Brachii Facilitation Technique on Scapulohumeral Muscle Activation during Reach and Point in a Healthy Population.” Physiotherapy Canada. Physiotherapie Canada, University of Toronto Press, 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6855346/.

Mangano, Tony, et al. “Chronic Tendonopathy as a Unique Cause of Non Traumatic Triceps Tendon Rupture in a (Risk Factors Free) Bodybuilder: A Case Report.” Journal of Orthopaedic Case Reports, Indian Orthopaedic Research Group, 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4719357/.

Tiwana, Manpreet S, et al. “Anatomy, Shoulder and Upper Limb, Triceps Muscle.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 6 Aug. 2021, www.ncbi.nlm.nih.gov/books/NBK536996/.

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Trigger Points Affecting The Brachialis Muscles

Trigger Points Affecting The Brachialis Muscles

Introduction

When it comes to the human body in motion, the arms can carry, lift, and move items from one place to another without pain. The arms have different muscles that work together to protect the arm and shoulder joints while providing mobility and movement. One of the muscles that help the arms carry items is the brachialis muscles, which work together with the bicep and tricep muscles. As part of the forearm, it can succumb to various injuries affecting the muscle, tendons, and ligaments. When this happens, referred pain can affect the arm and develop trigger points to overlap chronic conditions that can potentially cause more pain. Today’s article looks at the brachialis muscle’s function, how trigger points affect the muscle, and various ways to manage brachialis trigger points. We refer patients to certified providers who specialize in arm pain treatments to aid individuals suffering from trigger points associated with the brachialis muscles along the upper arms. We also guide and inform our patients by referring them to our associated medical providers based on their examination when appropriate. We established that education is a great solution to asking our providers profound questions the patient requests. Dr. Jimenez DC takes note of this information as an educational service only. Disclaimer

What Is The Brachialis Muscle Function?

 

Have you been experiencing muscle strain in your forearms? What about stiffness in your wrist? Or do your arm muscles begin to spasm out of nowhere? Many people who have experienced these pain symptoms might be caused by trigger points associated with the brachialis muscle. The brachialis is an important muscle that flexes the forearm at the elbow. This muscle works with the biceps as it can carry heavy items, like the deltoid, and is the opposite of the tricep muscles. However, it can become overused and succumb to injuries that can invoke pain in the arm muscles, thus leading to the development of trigger points along the brachialis muscle.

 

How Does Trigger Points Affect The Brachialis Muscle?

 

When the brachialis muscle becomes injured, many people will experience pain when flexing their elbows inward or outward. According to Dr. Travell, M.D., these pain symptoms may be due to referred pain and tenderness from brachialis trigger points or radial nerve entrapment. During heaving lifting, the forearm flexion stress overload activates trigger points along the brachialis. Studies reveal that excessive sudden physical stress or repetitive activities may result from a muscle sprain or tear in the brachialis muscle. To that point, these symptoms associated with trigger points can cause overlapping risk profiles that can mask the condition. Some of the conditions that can overlap and activate trigger points include: 

  • Carrying heavy groceries
  • Holding power tools
  • Tennis elbow
  • Playing a string instrument

Studies also reveal that active trigger points along the affected muscle can increase weight coefficients and alter motor control without co-contraction patterns. This is due to trigger points becoming tricky to diagnose and mimic other conditions affecting the arms’ muscle group. Many people with pain-like symptoms associated with trigger points often complain about numbness or deep pain in their arms and hands. To that point, trigger points can also be involved with nerve entrapment in the brachialis muscles.

 


The Brachialis Trigger Points Release-Video

Have you been experiencing stiffness in your hands and arms? What about muscle spasms near your elbow? Or does constant pain affect your forearm muscles when you bend your arm? Many of these symptoms are associated with trigger points affecting the brachialis muscle that is causing pain in the forearms. Trigger points or myofascial pain syndrome can affect a person’s well-being by impairing their mobility in the affected areas, causing pain, and even reducing their overall sense of life. Trigger points affecting the brachialis muscles can mimic chronic conditions like nerve entrapment that can affect the motor function of the forearm. Luckily, trigger points are treatable, and there are ways to reduce the pain-like symptoms from the affected brachialis muscles. The video above shows how to treat trigger points along the forearm. Incorporating non-invasive treatments to reduce future trigger points to form can reduce the pain symptoms and release the trapped nerves that are causing motor function problems in the arms.


Ways To Manage Brachialis Trigger Points

 

As stated earlier, trigger points are tricky to diagnose since they can mimic other chronic conditions along the affected muscles. When the affected muscle succumbs to injuries and is not treated, it can develop tiny knots along the taut muscle band fibers known as trigger points over time. To that point, it can cause referred pain-like symptoms along the muscle group. Luckily, treatments can help reduce pain-like symptoms and prevent trigger points from forming along the muscle fibers. Studies reveal that trigger point injections are one of the various treatments that can help reduce pain in the brachialis muscle. With gentle stretching and physical therapy, allow mobility back to the arm. One way to manage brachialis trigger points that many people can use is to place a pillow at the angle of the elbow to prevent the arms from tightening or use a hot pack to relax the forearm muscles to relieve muscle strain and aches. Another way is not to overuse their forearms when playing an instrument or carrying items on their forearms. This can prevent trigger points from forming in the future and reduce pain-like symptoms from affecting the forearms.

 

Conclusion

The brachialis is the main muscle that is important to the forearms. This large muscle works with the bicep and tricep muscles to help the host carry heavy objects while bending at the elbows. However, like all the muscles in the body, the brachialis muscles can succumb to injuries and develop trigger points along the brachialis muscle fiber bands. Trigger points along the brachialis muscle are associated with pain-like symptoms that can mimic conditions like tennis elbow or nerve entrapment in the forearms. Fortunately, various treatments are utilized by doctors to help many patients dealing with trigger points along the brachialis muscle and can help reduce pain in the forearms. This allows mobility back to the arms and prevents future trigger points from forming.

 

References

Geri, Tommaso, et al. “Myofascial Trigger Points Alter the Modular Control during the Execution of a Reaching Task: A Pilot Study.” Scientific Reports, Nature Publishing Group UK, 5 Nov. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6831581/.

Plantz, Mark A, and Bruno Bordoni. “Anatomy, Shoulder and Upper Limb, Brachialis Muscle.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 22 Feb. 2022, www.ncbi.nlm.nih.gov/books/NBK551630/.

Sharma, Pankaj, et al. “Isolated Traumatic Brachialis Muscle Tear: A Case Report and Review of Literature.” Bulletin of Emergency and Trauma, Shiraz University of Medical Sciences, Oct. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5694606/.

Suh, Mi Ri, et al. “Ultrasound-Guided Myofascial Trigger Point Injection into Brachialis Muscle for Rotator Cuff Disease Patients with Upper Arm Pain: A Pilot Study.” Annals of Rehabilitation Medicine, Korean Academy of Rehabilitation Medicine, Oct. 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC4221396/.

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