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Dry Needling for Pain, Dysfunction, and Performance

Trigger Point: if you're an active person, have worked out before, spent a day in the yard, or sat a desk for too long, chances are that you've probably felt this thing called a trigger point. Trigger points are about as normal to life as a cell phone, breakfast, and breathing. It's a natural physiological response to movement and stresses. If you've had "trigger point" or a tight and tender area in your muscle, you've also probably wondered how you could get rid of these nagging little things. Lucky for you, the purpose of this article is to do just that! 

Several interventions have been proposed for the treatment of "myofascial trigger points." Trigger points don't just hurt (some do), but they have also been shown to contribute to motor impairments such as altered muscle activation patterns and accelerated muscle fatiguability. One of the interventions used by Doctors of Physical Therapy to seek and destroy these pain points is the use of dry needling. We'll get to...

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Common Hip Injuries Explained

Do you ever wonder why you are having this constant discomfort in your hip?

Do you spend time searching through Google to understand what is going on and all of your searches send you into a downward spiral of thinking you need surgery to fix your pain?

Well, we are here to tell you it is going to be okay. Take a deep breath and let’s dive in!

 

The Hip Anatomy

 

As you can see in the images above, the hip can be quite complicated which is why it may be hard to differentiate exactly what is causing your pain. Now, before we get into common issues we see and treat here at Alliance Regen & Rehab, we wanted to provide a brief overview of how involved our hip is on a daily basis.

The hip joint is a large ball and socket joint comprised of the femoral head and the deep socket of the acetabulum (part of your pelvis). Within this deep socket is a circular piece of cartilage that we call the labrum. Our hip labrum works to stabilize the joint and allows for smooth...

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Early Extension In Your Golf Swing

Imagine this…. You’re on a Par 5 and you smoke your drive, you set up your second shot and you’re just imagining a beautiful second shot.

You take your backswing and initiate the downswing…

And you hit it thin…. The ball just skips down the fairway or possibly into the bunker and you’re wondering why this happens (why does it happen so much to me?)

What if I told you this can be fixed and it has something to do with both your swing and your golf fitness.

Early extension happens quite often in amateur golfers and even those who have been playing for years! 

Early Extension - excessive and early movement of the pelvis towards the ball during the golf swing.

Some golfers who experience this swing flaw commonly complain of the following...

1. Feeling like they run of space for their hands.

2. Lower back pain in the middle or end of the round.

3. Constant issues with slicing right or thinning the top.

All of the issues happen at the same time...

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Stretching - Do's and Don'ts

Sometimes it just feels so good to stretch!!!!!

As a sports medicine practice with DPT's and DO's, we get asked a lot of questions about stretching. Usually, people come to us for advice on different ways to stretch before or after a workout. Most of the time its because people feel tightness or pain and feel as though stretching would be the right way to approach their perceived tightness/pain.

We also get dozens of questions from people asking for beneficial stretches for a "pulled muscle" or a "slight muscle strain."

The purpose of this article is to discuss some of the "do's and don'ts" of stretching and hopefully provide some clarity on the concept of stretching.

We think its important to address a couple of things:

There are still a lot of advancements to be made when it comes to researching stretching. Multiple theories have been proposed to explain stretching. These are highlighted in this article by Weppler 2010. https://pubmed.ncbi.nlm.nih.gov/20075147/

Oh That Feeling

...

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The Ankle Joint - Don't Get it Twisted

The Ankle Joint 

There are many different joints that make up the ankle/foot, each playing a vital role in the biomechanics of the ankle and the foot.  For now, we are going to focus on the primary joint of the ankle; the talocrural joint.

The talocrural joint is made up of the distal tibia and fibula articulating with the talus.  Dorsiflexion and plantar flexion, or bringing your foot up, and pushing your foot down, are the primary motions that occur at this joint.  Other motions you may have heard of that occur at this joint are, pronation and supination.  Pronation and supination each required 3 different motions to occur at the talocrural joint.  Pronation requires dorsiflexion, external rotation, and eversion; this happens when you bring your feet up and all the way out, or when you’re standing, and your arch flattens out.  Supination requires plantarflexion, internal rotation, and inversion; so when you point your foot down and in, or...

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Cortisone Vs. Regenerative Medicine

You seldom meet anyone who's never dealt with some sort of injury or pain. Likewise, you rarely meet anyone who has not heard of or had a cortisone (steroid) injection. That is because cortisone injections are one of the most mainstream and most common first line treatment options. It's the standard of care in traditional and conventional medicine. When NSAID's, ice, or rest doesn't work, cortisone is often the next recommendation. And in many cases, it's often presented as your last option before surgery.

This is a sad reality that is frustrating for wholistic and naturopathic doctors as we are at Alliance Regen & Rehab. Let's go over why.

The good news about cortisone injections is that they help reduce inflammation fast. This is "good" because this decrease in inflammation often leads to a reduction in pain (which isn't always a good thing).  

The bad news is that pain relief can last from 2 weeks - 6 months, depending on a variety of factors. There is lots of...

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The Slide - Don't Dance In Your Golf Swing

Uncategorized Dec 13, 2020

You’ll be hard pressed to find two golf swings that are the exact same! However, that does not mean that one person’s swing is wrong compared to another swing.

Every golfer’s body is different, which means their swings will be different!

Titleist Performance Institute says it something like this… “There’s not just one way to swing a golf club. Instead, there’s an infinite number of ways to swing a club. However, there is one efficient way for every player to swing and that is based on what the player can physically do!”

According to TPI, there are 12 major swing characteristics that can cause inefficiencies in your swing and also put you at greater risk for injury! You may have guessed it, but the slide is one of those Big 12 Characteristics.

What is a slide? A slide is any excessive movement of the lower body down the target line that happens during the downswing.

Why is this a problem?

  1. Decreases stabilization of the lower body,...

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5 Ways To Improve Your Running Posture

Looking to improve your running form and your running posture? Improving your run form and posture can improve your efficiency, improve your speed, and help you to run with reduced risk of injury due to less stress on your body!

Running form shouldn't be ignored by even the casual runner, because it's extremely important if you want to run strong and run forever!

The good is news is that there are some easy tips that you can follow to help with your running form!

Through working with hundreds of runners, analyzing running form, and helping injured runners overcome injury, we've been able to pick up some of the most effective and simply strategies that help improve form and posture!

It's important to know that each runner has different learned habits, is able to correct and make changes at different speeds, and that these cues take practice for them to become learned!

Let's start going over these cues and breaking them down one by one!

1. Relax Your Shoulders

Do you feel...

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End Golfer's Elbow

How many times have you heard from a medical doctor, doctor of physical therapy, or other medical professionals say "You have golfer's elbow?"

Then you start to think...

"What's that?"

"What's causing it?"

"How can I make the pain go away?"

We get the frustration... We've been there ourselves. But hopefully, this article can help you understand what might be happening when you have elbow pain as a golfer, and how to address it. The purpose of this article is to dive into the anatomy of the elbow and potential causes of elbow pain in golfers. First, let us just say, the elbow is a complex structure to examine as a sports physical therapist and sports medicine physician. Mainly because the body has a lot of anatomical structures that may be causing discomfort locally in the area. But also, patients can experience pain that is referred from the cervical spine (i.i Neck) and chest area. So, let's dive into it!

Anatomy

The elbow Is made up of your arm bone (humerus) and two bones...

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Thoracic Park: Unleash Your T-Spine for Better Golf

Did you know you there are more than 70 joints in this area we call the thoracic spine?

Yes, there are 12 vertebrae in your thoracic spine, but each single vertebrae has multiple joints associated with it.

There are joints from thoracic vertebrae to thoracic vertebrae and also joints from rib to vertebrae.

That means many areas for motion to come from, but that also means a lot places for stiffness. Stiffness and limitations in ranges of motion are the more common problem that people face in the thoracic spine, especially as you age.

If you are reading this, then chances are you may be dealing with the problem mentioned above, and you may also be wondering - “how can I decrease the stiffness in this area.”

By the end of this blog, my goal is that you will have gained some solutions and actionable steps to find relief and improved range of motion in your thoracic spine.

The design of the thoracic spine is to act as a protective shield for our internal organs, but it...

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