Tag Archives: pain

Muscle Firing Pattern

walking beatles

Muscle Firing pattern Muscle firing pattern is the sequence in which muscle should get activated to complete an action or movement. Whenever we move a joint, is not just 1 muscle to do that action there are multiple numbers of muscles that allow the action to happen, and other multiple numbers of muscles counterbalance that action. So, the muscles that control the action are called agonist muscles and the antagonist are the muscles that counterbalance that action. The antagonists are usually the muscles that do the opposite action to the one played. Said so we have also to introduce another term, that in the massage industry is known as synergetic muscles. Synergetic muscles work together to make allow a joint to complete an action. But let’s look into an example. Leg extension firing pattern. Leg extension is controlled by the synergetic muscle: gluteus max (GM) hamstring (HM erectors spine (Esp o) (opposite side of the leg) erectors spine (Esp s) (same side of the leg) The antagonist in the leg extensions are the Quadriceps. So, let’s focus on the agonist of this action for now. If the GM is weak or inactive, when we go for leg extension the Hm gets overpowered. As the Hm gets overpowered the ES starts firing too early to stabilize the pelvis abandoned from the weakness of the gluteus. Moving forward with this unbalance, the ES on the same side could end up to start being the first muscle that gets fired for doing the action of leg extension when it should be the last one. And this could happen because the Esp o is holding the body still to get the action done. Lower back pain or hamstring tear can be often a consequence of these unbalances. Lower back pain can happen when the firing pattern is like: 1st Erectos Spine (opposite or same side) 2nd Hamstring 3rd Gluteus Max (because if weak or inactive) Hamstring tear can happen when the firing pattern is like: 1st) Hamstring 2nd) Eroctos Spine (opposite or same side) 3rd) Gluteus Max (because if weak or inactive) But nothing is lost, and the firing pattern can be reorganised. For doing that we have to look into exercises for firing pattern reestablishment. For the leg extension, for example, the exercises would be: Lying in a prone position (face down) Tugged the toes under the feet Squeeze the gluteus one against the other With the gluteus, squeeze and extend the knee Still with the gluteus squeezed to release the knee The final step, release the gluteus. Repeat 30 times for 6 weeks every day. To don’t fall back into an incorrect firing pattern, make sure to strengthen the gluteus. Massage would help to release the trigger point in the GM. Thanks to the release of trigger points the muscle can start to be trained to get stronger. Are you struggling with pain and or body ache? Book now your next massage appointment, at Melbourne Massage and Treatment. Also, massage can help in fastening the process of firing pattern reestablishment, by reducing tension in the hamstring and or reducing pain in the lower back by flashing out the tensions that have been accumulated over time.  

Lower Back Pain

lower back pain

Lower Back Pain Lower back pain is a condition which can deliver lots of stress and can affect our daily habits. It can be a terrible experience to live, as it can make many tasks difficult or impossible to take. Here below you will find a series of questions and answers in regard to my experience with lower back pain, as a person and as a practitioner. Q: Did/do you ever experience lower back pain? A: Yes, I did suffer from lower back pain when I was a teenager and that was a trigger for my massage career.Said so, at the age of 16, I was not thinking yet to become a massage therapist.More experience was needed before I did decide to step into the massage career. Q: How common is lower back pain within the Australian population? A: It is estimated that in Australia between 2017 and 2018 4.0 million people did suffer from back pain, whereas 70-90% out of those 4 million did suffer from the lower back itself. Q: What are the causes of Lower back pain? A: Lower back pain can come from different causes. Here below are the most common: bulge disk muscle strain fascia tightness trigger points muscular-skeletal unbalance physical trauma stress Q: I feel pain on my Rx or Lx side on a horizontal line. What can be? A: That’s what we call a red flag. A pain that spread on a horizontal line can be given by a bulging disk. More tests must be put in place to confirm a diagnosis. As a massage therapist is not in our scope of practice to diagnose a bulging disk. Our next step would be to refer you to a GP for further investigations. Q: So, what is a bulging disk? A: A bulging disk is a condition (hernia) where the disk that seat between the vertebrae, gets a tear in it. As a consequence, the disk touches the nerve running along the spine and creates a pain sensation. There are 4 different stages of herniation of the disk. Disc protrusion Prolapsed disc Disc extrusion Sequestered disc. Q: What are other symptoms related to a bulging disk (for the lower back)? A: Other symptoms of a bulging disk (for the lower back) can be: Numbness in the glutes, legs, feet. Weakness in the leg/feet movement Pain increases when seating, like the disk, gets compressed and decreases if standing, like the disk, gets decompressed and less pressure is applied to the nerve root. Difficulties in going to urinate, it is a strong sign that there could be a bulging disk in the lower side of the lumbar area. Medical attention is urgently recommended. Q: Why a bulging disk can occur urine blockage? A: The nerve that controls the spasm of the bladder is rooted between L1 and L2. Indeed, Pressure on the main root, between these 2 vertebrae, would then transform into nerve dysfunction. This condition is called Cauda Equina Syndrome. Q: My lower back pain moves vertically. Why is that? A: A sign of lower back pain that moves vertically is more luckily related to muscular inflammation. In fact, there is a group of back muscle called Erectus Spinae, (Spinalis, Longissimus, Illiocostalis) that originates in the lower side of the lumbar area and extend vertically along the cervical area. Q: What triggers muscle inflammation? A: Many are the reason why muscles can get inflamed.Repetitive movements pour posture, the incorrect firing pattern of a muscle group, in specific the leg extension firing pattern. Q: How massage can help? A: Massage can be an effective approach to release tension along the lower back. Given the training that I did go for, I would ensure to use the knowledge learned along the Remedial Massage and Myotherapy course to identify what back pain is related to. Based on the finding and on the willingness of the clients, we can then disgust with the client what technique of massage they may prefer, Remedial Massage, Dry Needling (if applicable), Mobilisation (if applicable) or Thai Massage. Even MLD can be an effective technique, as it can be used to reduce inflammation, swelling, tension and stress. As previously mentioned, if I got suspicious of a bulging disk, I would not hesitate to refer the client to a GP for further investigation. In regards to the Thai massage technique, I will ensure to warm up the area first with some simple passives stretch and or cupping and then work on the muscle that needs some tension released if it is safe to do so, or on the muscle surrounding the area, like gluteus, hamstrings and or shoulder muscles. Q: Would you use your knee to massage my back? A: The use of the knee is not compulsory. If it is safe to do so, yes, I may use my knee to massage the back. A correct and proper evaluation of the injury must be applied before doing so. If you are in pain or even just feel tight along your lower back, don’t hesitate to book a massage appointment. Any of the techniques offered at Melbourne Thai Treatment can be really effective in reducing pain and ache and giving you back the mobility lost. Said so, for chronic conditions their massage can help till a certain point. Exercises and other treatment options have to be evaluated.

Exercises for Upper Cross Syndrome

Seating straight

Exercises for Upper Cross Syndrome As previously mentioned, the UCS is caused by a constant habit of poor posture, to achieve a correct posture on top of massage therapy, we would need to do exercises for Upper cross syndrome. So, there are 2 main groups of muscle that we want to target. 1st group, the tense muscles: Levator Scapulae Upper Trapezius Pectoralis Major Second group, weak muscle Deeper Neck Flexors Rhomboids Middle Trapezius. Now, let’s go through some exercises for Upper cross syndrome. Brugger exercises for Neck deep flexors. This exercise is going to focus on improving the strength of the deep flexors. Stand straight with feet apart ; Place 2 fingers, one on each sternocleidomastoid and start gently and slowly flexing the head forward. The fingers seating on the Sternocleidomastoid (SCM) would allow you to keep those muscles deactivate and so would place all the strength of flexion on the deeper muscle that we are trying to train in gaining strength. If you are not sure where the SCM is, place a hand horizontally between the neck and the upper chest, along the Clavicle line. Rotate your head gently right and left and those 2 muscles that pop up below your hand when you rotate the head are the SCM. Just be aware that the L SCM will activate when you rotate right and vice versa; 3 repetitions for 10 head flexion. Do you feel like you need help with your neck pain? Book now your next appointment at Fitzroy North Clinic. Strengthening the Rhomboids and Middle Trapezius. For this exercise, we would need an elastic rubber band for exercises. · Stand straight, feet apart, and wrap the elastic band on your fist, thumb facing out. · As you breathe in flex the elbow at 90, breathe in and bring the rubber band in tension. As you breathe out extend the elbow out. · Release and start again. 3 repetitions of 10. All those exercises have to be done daily for 6 weeks in order to be effective to change the UCS. Self Massage for Pectoralis/Upper Trap/Levator Scapulae. Pectoralis Self Massage exercises: Lie down in a prone position with the arms along the body; Place a tennis or a spiky ball right between the Pectoralis and the floor; Keep the foot’s toes anchored on the floor; Gently push yourself forward and back by breathing in (from the nose) and out (from the mouth). If you would like more pressure, is enough to open the arm at 90 and lightly extend the arm, by lifting the hand from the floor. Upper Trap and Levator Scapulae Thai Yoga exercises: Start by lying in a supine position and the ball will be seated between the shoulder and the floor. Place the ball right next to the upper angle of the scapula. This time keep your shoulder flexed at 90 degrees, so with the hand facing the ceiling. Start gently a slow rotation movement at the shoulder, by drawing a circle with the hand. 3 series of 6 repetitions for each rotation movement. With Thai Yoga, you wanna make sure that each exercise is done slowly and gently. Those exercises often work on the delicate area of the body and can reproduce massage pain. Moving the body slowly and gently and having constant breathing in and out would allow you to live Thai Yoga at its full potential.


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