Neck pain is such a common presentation, and often I have to hear from my clients that it is due to them storing stress in their neck or shoulder. I can’t think of how many times I heard this, and how many times I than have to ask questions like: “When was the last time you did some neck-strengthening exercises or movement for your neck?” “If you work in an office, how many screens do you have in front of you, and which one do you look at more often?” “Have you ever had a whiplash? And if yes, have you done anything about it?” As you would imagine, the answers are anticipated by a moment of silence, thinking and then in order of question: “I never do neck strengthening exercises, at best I do some stretching”. “2 or 3 screens and I look at the one on one side most of the time”. “Yes, but it was xx years ago, and I haven’t done anything about it, as I was too young to care about it”. Now, I believe that those answers are already going to give you an idea of where that pain may come from. In fact, the neck isn’t just tight, it’s often weak and poorly controlled. To fix that, we need to understand how the neck actually works and how we can strengthen it. Why Neck Strengthening Matters (Mobility vs Stability) Each cervical spine is unique, and we can all present with different needs and capacities for movement. Indeed, a hypermobile person may find their neck to be really mobile and easy to twist and turn. Hypermobility, as discussed many times, is an advantage for flexibility, but it comes with the cons of joint weakness and a higher risk of joint injuries. So, when looking at the cervical area, we may notice that it sits at the top of the joint chain, meaning everything from your shoulders to your lower back influences it. Specifically, the cervical is made of 2 joint sessions: The upper neck (C1-C2) is built for mobility (turning, nodding) The lower neck (C2-C3) is built for stability (supporting your head) When that balance is off, you’ll often notice: Neck stiffness Headaches “Poor posture” (forward head position) Ongoing discomfort Fortunately, those statements are backed up by recent research that shows how strengthening deep neck muscles improves pain, posture, and neuromuscular control, especially when mobility and stability training are combined. Chin Tucks (Deep Neck Flexor Strengthening) Chin Tucks are simple and effective neck strengthening exercises that I often prescribe for neck pain. Let’s then look at a series of progressions for this type of exercise: Chin-Tuck in all four: Position yourself in all four, with hands under the shoulder, and knees under the hips You will be looking at the floor where you have placed an object, right between your hands. Now retract the chin, while you keep looking at the object between your hands. Release the chin and repeat. This version of chin tuck is ideal for: Early rehab. People with pain or poor control. Learning correct movement without compensation. Chin-Tuck in sitting or standing position: Sit or stand upright (standing is the ultimate progression). Gently pull your chin straight back (like making a double chin). Keep your eyes level. Anyhow, you are going to do these exercises, ensure to do them slowly, and take your time doing them. 4 to 5 second tempo. Why Chin Tuck Works for Your Neck Strengthening This exercise activates your deep cervical flexors, which are the stabilising muscles that support your neck. Those muscles can be defined as stabilisers as they go from the thoracic vertebrae to the upper cervical vertebrae, for the longus capitis, which originates in the lower portion of the cervical (C3-C6) and inserts at the basilar portion of the occipital bone. When these muscles are weak: Your head shifts forward Larger muscles overcompensate (SCM) Pain builds over time Isometric Neck Exercises (Build Stability in All Directions) Isometric exercises are an optimal exercise that places major focus on tendons and ligaments, and are ideal for acute symptoms and warm-up pre-training. How to do it: Place your hand on your forehead and gently push into it (no movement) Repeat on: Back of your head Left side Right side Hold each for 5–10 seconds Perform 5 reps per direction This form of exercise can be applied in any direction of movement, such as flexion, extension, lateral flexion, rotation and mixed movement, like flexion on the diagonal side. Why it works: Isometric exercises are applied to pain-free range of motions, so while you move and contract the tissues, you are not experiencing pain, your brain gets triggered to be safe while the body moves, and your musculoskeletal tissues get looked after as they get activated and contract. This would help in improving joint stability and control. Shoulder Shrugs – Let’s Make Those Muscles Work Shoulder shrugs are a simple but effective way to build neck stability through the upper trapezius, which plays a key role in supporting the cervical spine as part of the broader joint chain. How to do it: Take in your hands a pair of weights, or an elastic band, which would you make pass under your feet. Gently lift your shoulders up toward your ears, pause briefly, then lower them with control. Why it works: Shoulder shrugs exercise does work by placing shared-load capacity between the neck and shoulders, reducing the strain on the cervical spine. On the other hand, when working on the cervical joints, it is ideal to intervene also on joints that are muscle-connected to the cervical itself, by adding global muscular support, which is essential for everyday loads. How These Exercises Fit Into the Joint Chain Your neck doesn’t work alone. As mentioned in many other blogs, all the body’s joints are part of a bigger system, the joint chain of mobility and stability. Therefore, if you present with: Tight shoulders A stiff thoracic spine Lack of movement […]
Tag Archives: strenght training
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Dec
ACL stands for anterior cruciate ligament, and is the strongest ligament in the knee. ACL injuries can be time-consuming, depending on the severity. At Melbourne Massage and Treatment in Fitzroy North, I offer an ACL rehab program that aims to help you recover based on your clinical history, daily activities, including your sports, if any, and consider that the healing time can’t be boosted, but assisted. ACL – What It Is? ACL is the strongest ligament in your knee, and connects the femur to the tibia. Its role is to keep the knee stable, especially during activities that involve sudden stops, changes in direction, or jumping. You can then understand why so many athletes or sports lovers end up with an ACL-type injury. As with all ligaments in our body, the ACL doesn’t have an excellent blood supply, which makes its recovery longer, compared to what can be a muscle injury. What is Myotherapy and How Can It Help with ACL Rehab? Myotherapy is a hands-on treatment method that targets muscular pain, improves joint mobility, and addresses the root causes of musculoskeletal injuries. For ACL rehab, this approach is essential because an ACL injury affects not just the knee but the surrounding muscles, joints and movement patterns. Hands-on treatment can indeed be a good start for rehab and injury, as it not only creates a trust between the patient and the therapist, but can help in creating better awareness of the muscles, which in a second phase of the myotherapy appointment are going to be used for delivering tailored and injury-specific exercises. The goal is to support your ACL recovery and knee rehabilitation holistically. ACL Injury: Scan and Manual Test There are several methods of diagnosing an ACL injury. Scans: Arthroscopy – A keyhole surgery, where a camera is inserted in the knee to check the level of injury. Partial or complete ACL tear. Magnetic Resonance Imaging (MRI) – Less invasive than an Arthroscopy, but still expensive to run. Indeed, it is rare nowadays; in Australia, you can get an MRI prescribed for this presentation. More information is available here. Manual Test Lachman test Lateral Pivot Shift Test Anterior Draw Test Those together with an attemptive clinical history, range of motion and functional test would help to tailor a conclusion on a possible ACL injury. ACL and Surgery – Is Surgery Still a Thing? Surgery techniques and technologies have come a long way from what we could expect, and yes, ACL surgery is still a thing. That said, before going for surgery, you will be asked to try and recover from your injury with conservative treatment, like a rehab program. The reason behind this is: Suregey cost and pressure on the public health system Rehab gives as good results as surgery most of the time Surgery also goes by the severity of your injury – is any other knee tissue/structure injured, or is it only the ACL? Post surgery, you still have to go for rehab, and it would still take 6 to 12 months for a full recovery. Athletes may benefit the most from ACL surgery, given its longer-lasting effects on knee stability. More information about ACL rehab vs ACL surgery is available from the systematic review by Papaleontiou et al (2024). The ACL Rehab Phases: Strengthen Beyond the Knee To recover from an ACL injury, we need to look behind the mechanics of your lower limb, and set a starting and and ending point of recovery. Acute Phase In the acute phase, which is the first one to two weeks after injury, we may focus on isometric holds, gentle movement, and spend more time on hands-on treatment. In this phase, the aids of crutches is mandatory. Strength Phase Past the acute phase of the injury, you will notice how it would be easier to engage the knee joint, as the swelling would be eased, and therefore, you can achieve greater movement. There, we will start incorporating eccentric and concentric loads, with some light-weight or light-resistance bends. This phase can last somewhere between 10 and 12 weeks. All of these would be a step-by-step process. So the loads would be progressed weekly, based on the strength and mobility outcome. Sometimes, you will have to push through some mild pain, but the most important thing is that you keep that joint moving, and have good rest, good food too, to enhance the recovery at its best. Return to daily activity – RDA In the final stage, the focus would shift to plyometrics, an essential part of ligament rehab. That’s where we would re-train your knee to act pre-injury time. This can take another 12 to 24 weeks. It all depends on the severity of the injury and what your needs, in terms of sport or daily activities, are. So, the combination of myotherapy treatment with targeted rehabilitation exercises and fitness classes for recovery is what makes Melbourne Massage and Treatment service stand out. In my rehab-focused classes, we work on: Strengthening the muscles that support the ACL Improving balance and stability to prevent re-injury Gradual conditioning to safely return to sports, running, or everyday activities My Personal Approach At Melbourne Massage and Treatment, I work one-on-one with each client. I assess your movement, identify areas of weakness or tension, and design a personalised ACL rehab program. To be even more specific to your individual presentation, I do use THE MAT as an aid. A measurement tool that allows me to test your mobility and stability, giving us objective numbers and data to work on, too. Recovery from an ACL injury takes time, but with the right approach, you can regain full function and return to the activities you love. I’m here to guide you through every step of your ACL rehabilitation journey. If you’re ready to start your ACL rehabilitation in Fitzroy North or want to see how myotherapy can help, book a session with me at Melbourne Massage and Treatment today. Let’s get you moving stronger and safer than […]
May
As a Clinical Myotherapist, I often work with patients who perform back squats as part of their exercise routine, and at the question: “What’s your goal with a back squat?” the answer is often vague and not specific to what this exercise is for. The reason why the answer is not specific is simply because they don’t know what the difference is between high and lower bar squat, and don’t know that the back squat, as long as it is an amazing functional movement, doesn’t train all the lower body muscles at the same level. That’s where, to prevent injury, to perform better squats, and to strengthen more evenly all the lower body muscles, I would suggest them to do exercises like: Quads curl, Hamstring curl, Cable Machine Adduction and Diagonal Extension (Glute Medius). Back Squat: The Foundation of Strength The back squat is such a great form of exercise because it trains multiple joints and multiple muscles all at once, but also allows us to use our innate capacity of squatting, which is a functional movement, to move high loads, therefore achieving more strength gains. However, this leaves us with more responsibility to train smartly. So let’s start to break down the two main types of back squat: High-Bar Back Squat (Upper Bar Position) The bar rests on the upper traps The torso remains more upright Greater emphasis on the quadriceps muscles Ideal if your goal is quad strength and knee-dominant movement patterns Ideally, you are standing with your heels elevated from the ground The fact that the bar is sitting on the upper traps, and that the torso sits straighter, would lead to a descending movement where your back thigh (hamstrings) would lean on calf muscles, and from there you will stand back up. This is why you put more force throughout the quads. Indeed, the combination of a higher bar, a straighter torso, and a reduced descending position allows the weight to sit in the middle of the centre of gravity, which is placed more posteriorly than in a lower-bar back squat. Low-Bar Back Squat (Lower Bar Position) Bar rests lower on the rear deltoids Torso leans forward slightly more Greater load on the glutes and posterior chain Favoured by powerlifters Best for developing hip strength and glute activation Ideally, your feet are nice and flat on the ground from heel to toes. On the other hand, the lower-bar back squat, as anticipated, is more for the posterior chain muscles, like the gluteus max. This is possible because the bending forward of the trunk stretches more muscle fibres in their origin point (the posterior aspect of the ilium (the pelvic bone), the sacrum, and the coccyx), allowing more fibre contraction in the ascending movement. Also, the lower position of the bar and the bending of the torso maintain the weight in the middle of the centre of mass, which is pushed forward at this time. How about if I cannot squat deep? The depth of a squat is the distance that you can cover from a standing position to the lowest point you can reach. How deep you can squat will definitely change which muscle groups you can activate, but not everyone can squat deep —and that’s absolutely ok. Each of us has biomechanics that are different, due to differences in how the skeleton is shaped. Without going into many details in this blog, we can definitely say that those who have a longer femur would have a harder time going for a deep squat, compared to those who have a shorter femur. The femur’s length is compared to that of the torso. But this is not all, indeed, there are also other femur and hip characteristics that can limit how deep you can squat, such as an anteverted or retroverted femur head. Other conditions that can get in the way while you squat are hip impingement. Accessory Work for a Complete Lower Leg Program So, knowing when and why to use each back squat variation can help tailor your program toward specific goals or help rehab muscle imbalances through focused intent. No squat is right, no squat is wrong; it is all about your goal. However, we need to add work more specifically with other exercises for strength symmetry, muscle activation, and injury prevention. Quad Curl (Leg Extension) Isolates the quadriceps Improves knee tracking and squat depth Essential in rehab for knee pain or quad weakness Quads curl can be done in many ways, with a cable machine or on a bench with a quads curl attachment, but even with a kettlebell or resistance band. It all depends on your setup. As per all the exercises, be consistent with your set-up and progressions. What I prefer most for my training, and what I offer to my patients during the fitness class, is to do quad curls on a bench with the attachment for quad curls. The advantages of this set-up are: Confort Easy progressions Easy set-up Inclination of the back at about 45° to 65° and slight elevation of the quads. The last point is essential to ensure we engage both ends of the quadriceps femoris, which is one of the four quads, that crosses both the hip and knee joints. Hamstring Curl Focuses on the hamstrings, which during a squat are often undertrained Strengthens the back of the thigh and supports knee stability A must-have for runners and athletes prone to hamstring strains As per the quad curl, even the hamstring curl can be done with different variations; there is never one way to train those muscles, but again, it is all about the efficiency and the amount of load that we can put through the muscle, which makes a difference. And again, what I can offer at Melbourne Massage and Treatment, in Fitzroy North, is to do these exercises on a bench, using this time a lower inclination for the upper body (which is now in a prone position) so that the origin of […]
Feb
Alzheimer’s is a growing concern worldwide, affecting millions of individuals and their families. As we age, cognitive decline becomes a reality for many, but research has shown that regular exercise can play a significant role in reducing the risk of developing Alzheimer’s. Incorporating physical activity into daily routines can improve brain health, enhance memory, and support overall mental well-being. But how is this possible? And what do exercises have to do with brain health? What are the main factors that lead to Alzheimer’s disease? Even before starting to look into how exercises are beneficial for reducing the chance of developing Alzheimer’s, we have to understand what conditions can lead to Alzheimer’s in the first place. Indeed, there is a combination of factors that would increase your chance of developing this form of Dementia. Here is the list: low education level, midlife hypertension, midlife obesity, hearing loss, later-life depression, diabetes, smoking, social isolation, and, of course, low physical activity. Now, once you read this list, you can easily imagine how exercises can be beneficial for many of these presentations and how already acting directly on reducing these factors can lead to reducing your future chance of developing Alzheimer’s. How Exercise Benefits Brain Health Engaging in regular physical activity helps maintain cognitive function by improving blood flow to the brain. Indeed, the brain, as shown in the picture here, is a bundle of veins and arteries and has the most blood supply of any organ. As we now know, blood helps reduce inflammation and promotes the release of brain-derived neurotrophic factor (BDNF). BDNF is a protein that supports neuron growth and connectivity, which is crucial for memory retention and learning. On the other hand, exercise also helps reduce stress and anxiety, which are known contributors to cognitive decline. Additionally, studies like the London taxi driver study demonstrate how mental and physical engagement can grow the brain. The study found that taxi drivers who undergo rigorous memorization training developed larger hippocampi compared to bus drivers who followed set routes. This supports the idea that both physical activity and cognitive challenges contribute to brain resilience. Types of Exercises for Brain Health Different types of exercises offer unique benefits for brain function. Here are some of the best activities to help prevent Alzheimer’s: Aerobic Exercise: Activities like walking, running, cycling, and swimming increase heart rate and improve circulation, ensuring that the brain receives adequate oxygen and nutrients. Strength Training: Lifting weights or using resistance bands helps build muscle mass, which has been linked to better cognitive function and reduced risk of Alzheimer. Balance and Flexibility Exercises: Yoga, Tai Chi, and stretching improve coordination and reduce the risk of falls, which can contribute to brain injuries and cognitive impairment. Mental Engagement through Exercise: Activities such as dancing, martial arts, or playing sports require learning new movements and strategies, stimulating brain activity and improving neural connections. Metabolic and Lifestyle Factors Moving forward on the prevention side of things, there is to say that exercise alone is not the only factor influencing Alzheimer’s risks. Chronic conditions like pre-diabetes, diabetes, high LDL cholesterol, and chronic inflammation are significant contributors to cognitive decline. Studies show that individuals with uncontrolled pre-diabetes and high cholesterol in midlife face a greater risk of developing Alzheimer’s later on. A holistic approach to brain health should also address these metabolic pathways through a combination of exercise, a balanced diet, and proper medical management. How to Incorporate Exercise into Daily Life Nowadays I often hear patients saying that they have no time for exercise. But is that true? Or is it more about knowing how to optimise the time and apply some changes to our lifestyle? Then, here are some practical ways to integrate exercise into your routine: Take a brisk 30-minute walk daily. This can be easily accomplished by leaving the tram one stop earlier than your work’s stop and walking one stop back and forth, or parking the car a bit further away than the work location and walking your way down and back (15 mins each way). Join a local exercise class or sports group. If you give yourself a time and day that you have to attend a regular appointment, you are more luckily to make it a routine. Use stairs instead of elevators. If you work in a building with an elevator, opt for the stairs as many time as you can. Engage in gardening or household chores that require movement. Indeed gardening is not only a great way to spent time outdoor but it also a good way to move your body. Practice mobility drills before and after bedtime. Start and end yoyr day with a 10 minutes mobility self time, where you focus on get the spine moving and get your joint some selflove. How Melbourne Massage and Treatment can help with exercises for Alzheimer’s prevention? At Melbourne Massage and Treatment, I do my best to teach my patients exercises and guide them through a better lifestyle. Alzheimer’s disease is something that I experienced myself with my family throughout my mother’s journey. As I lived this in the first place, I want to make sure that no others have to go through the same journey. So not only do I regularly practice exercises myself, but I ensure to pass these skills and knowledge to others. If you are keen to learn more about how exercises can help your wellness journey, book now your next appointment for Exercises Prescription. Or if you have any questions, reach out via the contact page. FAQ about Exercises and Alzheimer’s prevention. Q: What are the main risk factors for developing Alzheimer’s disease? A: Several factors increase the likelihood of developing Alzheimer’s, including low education level, midlife hypertension, obesity, hearing loss, depression, diabetes, smoking, social isolation, and low physical activity. Addressing these risk factors through lifestyle changes can help reduce the chances of cognitive decline. Q: How does exercise benefit brain health? A: Regular physical activity improves blood flow to the brain, reduces inflammation, […]