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💥Dealing with Shoulder Separations ⬅️➡️ . AC Joint Sprains are a staple of what we treat every day. They are also known as: 🔻Shoulder Separations 🔻Acromio-Clavicular Joint Sprains . These are NOT shoulder dislocations. But typically occur from a traumatic force where the collarbone shears ↪️away form the shoulder blade. They happen a lot in activities like: 🏈Football 🏒Hockey 🏂Snowboarding 🚴♀️Biking🏂 . Severity varies a lot, and are graded from 1-6 depending on ligaments affected. 1️⃣AC Ligaments Sprained, some swelling 2️⃣AC ligaments and Coraco-Clavicular Ligaments sprained, some deformity 3️⃣ AC and CC Sprained, with deformity and a lot of swelling 4️⃣to 6️⃣Usually Require Surgery . ◼️Rehab for mild sprains usually takes 4-6 weeks. Most injuries I’ll typically put through a week of rest, then start working isometric exercises in pain-free positions, finally progressing to sport-specific exercises. . 💪Push-Ups, Side Planks and Bench Press will be painful for much of recovery. I like my clients to be able to do some intensity of these before return. 
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📐WAYS THE SHOULDER BLADE CAN MOVE 🔄 - Ep.162 [INFO] . ❇️When we think of the shoulder blade we mostly assume 2 movements: ➡️forward and back ⬅️ . In reality the scapula floats around the rib cage, supported by the soft tissue around the shoulder and 1️⃣7️⃣muscle attachments. This combination produces an endless number of movements but can include: . 🔹Elevation 🔸Depression 🔹Medial Rotation 🔸Lateral Rotation 🔹Protraction 🔸Retraction . ✳️There’s some schools of thought that think scapular position and movements don’t have any influence on subsequent pain in your neck, shoulder, etc. Personally I think it depends on a case to case basis. . 🔶I think knowing these movements are key, especially if you have a patient who responds better to their pain with control in a certain position. 👀 Check out the diagram above for the primary muscles producing each movement.  💀TYPES OF JOINT MOTION [Anatomy] - Ep.151 . ➡️If you’re a rehab specialist or trainer it’s REALLY important to understand joints. Many people think of the typical shoulder and knee, but there are many more variations structurally (fibrous/cartilaginous) and functionally (no movement vs lots of movement). . 🔹Above you’ll see the 6 types of synovial joints we have. Synovial are those that allow more movement and have a joint space with fluid. . 1️⃣Pivot Joints (C1-C2 Vertebra) - allows rotation in one plane . 2️⃣Hinge Joints (Knee and Elbow) - allows flexion and extension in one plane, but unstable with perpendicular force. . 3️⃣Saddle Joints (Thumb Joint) - are like special hinge joints. Mostly flex and extend but can do some rotation and side to side movements. . 4️⃣Plane Joints (Carpal/Tarsal Joints) - basically 2 flat surfaces that glide over each other . 5️⃣Condyloid Joints (Radio-Carpal Joint) - similar to ball and socket joints, but has less rotation capability because of the oval shape . 6️⃣Ball and Socket Joints (Shoulder and Hip) - the champion of joints 🏆. Allows for flexion/extension/abduction/rotation. But can be very unstable with high forces . ✳️Joint Form dictates function ➡️ which dictates injury and rehab. So knowing the physics of the joint you’ve injured really helps with rehab! . 📝If you’ve injured a joint, can you pick which of the 6 it was? Let me know! ⤵️  💢WHY YOU MIGHT BE GETTING HEADACHES AT WORK . Lots of Headaches happen mid-week from the grind of work 🙇 or if you may be still recovering from sleeping all weekend. . This post covers the ‘Suboccipital Muscles’ aka The muscles at the base of your skull. Which are BIG💥 headache generators. In fact they’ve found about 2/3 of people with chronic neck pain have trigger points in this area. . They get tense due to hyper-extension 🔄 of the base of your skull. This includes activities like: . 🖥Working at a screen all day 🚗That brutal drive to work 📺Watching TV while lying on your stomach . . There are 4 main Muscles: 1️⃣/2️⃣ Rectus Capitis Major and Minor ⛓Attaches from C1-C2 Vertebra to Base of Skull . 3️⃣Superior Oblique ⛓Attaches from outside of C1 to Base of Skull . 4️⃣Inferior Oblique ⛓Attaches from Spinous process of C2 to outside of C1 . The way these muscles attach, forms this 📐Triangle of discomfort. We'll show you some stretches over the next couple of weeks.  |
Milner Chiropractic and Sports Injury Clinic
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