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Mar 26, 2018 - AC Joint Sprains/Shoulder Separations

3/26/2018

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💥Dealing with Shoulder Separations ⬅️➡️ 
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AC Joint Sprains are a staple of what we treat every day. They are also known as:
🔻Shoulder Separations
🔻Acromio-Clavicular Joint Sprains
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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🏂
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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
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◼️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.
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💪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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March 16, 2018 - Ways the Shoulder Blade Can Move

3/16/2018

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📐WAYS THE SHOULDER BLADE CAN MOVE 🔄 - Ep.162 [INFO]
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❇️When we think of the shoulder blade we mostly assume 2 movements: ➡️forward and back ⬅️
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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:
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🔹Elevation
🔸Depression
🔹Medial Rotation
🔸Lateral Rotation
🔹Protraction
🔸Retraction
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✳️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.
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🔶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.
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Types of Joints - March 9, 2018

3/9/2018

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💀TYPES OF JOINT MOTION [Anatomy] - Ep.151
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➡️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).
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🔹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.
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1️⃣Pivot Joints (C1-C2 Vertebra) - allows rotation in one plane
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2️⃣Hinge Joints (Knee and Elbow) - allows flexion and extension in one plane, but unstable with perpendicular force.
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3️⃣Saddle Joints (Thumb Joint) - are like special hinge joints. Mostly flex and extend but can do some rotation and side to side movements.
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4️⃣Plane Joints (Carpal/Tarsal Joints) - basically 2 flat surfaces that glide over each other
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5️⃣Condyloid Joints (Radio-Carpal Joint) - similar to ball and socket joints, but has less rotation capability because of the oval shape
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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!
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📝If you’ve injured a joint, can you pick which of the 6 it was? Let me know! ⤵️
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WHY YOU GET HEADACHES AT WORK - Mar 2, 2018

3/2/2018

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💢WHY YOU MIGHT BE GETTING HEADACHES AT WORK
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Lots of Headaches happen mid-week from the grind of work 🙇 or if you may be still recovering from sleeping all weekend.
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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.
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They get tense due to hyper-extension 🔄 of the base of your skull. This includes activities like:
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🖥Working at a screen all day
🚗That brutal drive to work
📺Watching TV while lying on your stomach .
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There are 4 main Muscles:
1️⃣/2️⃣ Rectus Capitis Major and Minor ⛓Attaches from C1-C2 Vertebra to Base of Skull
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3️⃣Superior Oblique ⛓Attaches from outside of C1 to Base of Skull
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4️⃣Inferior Oblique ⛓Attaches from Spinous process of C2 to outside of C1
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The way these muscles attach, forms this 📐Triangle of discomfort. We'll show you some stretches over the next couple of weeks.
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    Milner Chiropractic and Sports Injury Clinic
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Location:
10 Milner Business Court, Suite 101
Scarborough, ON,     M1B 3C6
​P: 416-299-5455
​milnerchiropractic@gmail.com
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  • Home
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