Friday, August 30, 2024

Preventative Pain Series: Shoulders (A Series)

 Disclaimer: This post is about different strategies/techniques to help reduce the risk of general should issues/soreness and not necessarily meant to prevent higher level sport-specific injuries. I do have a plan to add a post addressing those issues in the future.

Shoulder Stability: The Key to Pain-Free Adventures

Our shoulders, workhorses of our upper body, play a vital role in countless daily activities, from lifting groceries to reaching for overhead shelves. But neglecting shoulder health can lead to pain, stiffness, and limited mobility. By incorporating a few simple strategies into your routine, you can keep your shoulders strong, stable, and ready for any challenge.

The Startling Stats on Shoulder Pain

Shoulder pain is a common complaint, affecting millions of people worldwide. A study published in the Journal of Orthopaedic & Sports Physical Therapy found that shoulder pain is one of the most frequent reasons for seeking physical therapy [1]. A study by the American Academy of Orthopaedic Surgeons found that over 3 million people in the United States visit a doctor each year with complaints of shoulder pain.

With a proactive approach, you can significantly reduce your risk of shoulder problems and maintain a pain-free lifestyle.

Understanding Your Shoulder's Complexities

The shoulder joint, also known as the glenohumeral joint, is a ball-and-socket joint formed by the head of the humerus (upper arm bone) and the glenoid cavity of the scapula (shoulder blade) [2]. Surrounding muscles, tendons, and ligaments provide stability and allow for a wide range of motion [2].

Key structures include:

  • Rotator cuff muscles: These four muscles (supraspinatus, infraspinatus, teres minor, and subscapularis) help stabilize the shoulder joint and allow for smooth movement [3].
  • Deltoid muscle: The large, triangular muscle covering the shoulder joint provides strength and power.
  • Biceps brachii: This muscle assists in shoulder flexion and helps stabilize the shoulder joint.
  • Triceps brachii: Located on the back of the upper arm, it extends (straightens) the elbow and contributes to shoulder stability.

Building Shoulder Strength: Your Key to Stability

Stronger shoulder muscles can help prevent injuries and reduce pain. Here are some effective exercises to incorporate into your routine:

  • Rows: This exercise targets the muscles in your back, which help stabilize the shoulder joint. Use dumbbells or a resistance band to perform rows, focusing on maintaining good posture and avoiding shrugging your shoulders [4].
  • Sidelying External Rotation: This exercise targets the rotator cuff muscles, which help stabilize the shoulder joint. Lie on your side with your arm bent at a 90-degree angle. Keeping your elbow close to your body (ideally with a rolled towel between your arm and body), slowly rotate your arm outward, rotating the hand towards the ceiling.
  • Banded Internal Rotation: This exercise also targets the rotator cuff muscles. Use a resistance band anchored to a door handle or a sturdy object. Stand facing away from the anchor point and hold the band with your affected arm. Keeping your elbow close to your body, rotate your arm inward, moving the band towards your body. (You could also do external rotation this way, with same rules as above).

Don't Forget Flexibility: Your Shoulder's Secret Weapon

Tight muscles can contribute to shoulder pain and stiffness. Regular stretching helps improve flexibility and range of motion. Here are some key stretches to include:

  • Arm Circles: Stand tall with your arms extended out to the sides at shoulder height. Gently rotate your arms in a circular motion, gradually increasing the size of the circles. Repeat 10 times in each direction [7].
  • Doorway Stretch: Stand facing a doorway and place your hands on the doorframe at shoulder height. Step forward until you feel a stretch in the front of your shoulder. Hold for 15-30 seconds and repeat on the other side [8].
  • Behind-the-Back Stretch: Stand tall with your arms extended down to your sides. Reach behind your back with one hand, then try to touch your hand to the opposite shoulder. Hold for 15-30 seconds and repeat on the other side [9].

Bonus Tip: Listen to Your Body!

If you experience shoulder pain during activity, take a break and rest. For persistent pain, consult a healthcare professional for proper diagnosis and treatment.

By following these simple strategies, you may be able to keep your shoulders strong, stable, and ready for life's next adventure!

References:

[1] Journal of Orthopaedic & Sports Physical Therapy: https://biddefordpt.com/try-pt-for-these-5-common-causes-of-shoulder-pain/ 
[2] Cleveland Clinic: https://my.clevelandclinic.org/health/body/24780-shoulder-joint
[3] American Academy of Orthopaedic Surgeons: OrthoInfo - Rotator Cuff Tears
[4] American Council on Exercise: https://www.acefitness.org/resources/everyone/exercise-library/12/bent-over-row/
[5] American Council on Exercise: https://www.acefitness.org/resources/everyone/exercise-library/43/seated-shoulder-press/
[6] American Council on Exercise: https://www.acefitness.org/resources/everyone/exercise-library/295/lateral-shoulder-raise/
[7] Mayo Clinic: https://www.youtube.com/watch?v=P-DbBfHZHC8
[8] American Academy of Orthopaedic Surgeons: OrthoInfo - Shoulder Conditions
[9] American Council on Exercise: https://ace-pt.org/shoulder-exercises-for-strength-and-flexibility/

Monday, August 26, 2024

Stay Tuned!

 I've been working on lining up some Q&A's to add to the blog from some well-respected people in the exercise, sport-performance, coaching realm in the near future. I'm excited about adding this type of content to the blog.

Currently, I've got four different individuals lined up to provide some new information to the blog. If there is anything in particular that you would like to see/read about, let me know and I'll try to make it happen!