Home Posts tagged "Neck Pain" (Page 2)

The Who-What-When-Where-Why of Flexibility Training

I got this question the other day and thought I'd share my response: Q: When significant improvements in flexibility are either desired or needed, do you have any general suggestions with regard to what method(s) and type of schedule set-up (frequency, duration of session, etc.) would help accomplish this in the most timely and efficient manner possible? A: As always, my answer would be "it depends."  And, more specifically, it depends on whether you are talking about short or stiff tissue. If a tissue is legitimately short - meaning that it has lost sarcomeres due to chronic immobilization - longer duration holds are ideal.  Bill Hartman and Mike Robertson go into great detail in covering this in the Indianapolis Performance Enhancement DVD Set, as I noted HERE.

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If you are dealing with someone with capsular issues (outside the scope of practice of the personal trainers and strength coaches out there, in most cases), then you might just leave them alone with 15 minutes of low-load passive stretching (e.g., theraband wrapped around a DB to hold the shoulder in external rotation after a period in a sling).  Going back to our "loss of sarcomeres" scenario, if you're dealing with something more muscular-only issues, the least you'll want is five 30s holds throughout the day, in my experience.  Or, if feeling bold, you can have people set up for 3x5min holds or 1x15min hold.  In both cases, total duration over the course of the day is likely more important than duration per stretch. If it's stiff, in order to get it to relax, you likely need to train an adjacent tissue that acts as a synergist.  A good example would be strengthening the lower traps to take the stress off chronically overused upper traps and the stiff neck that follows.  Or, we have activating the glutes to take the stress off the lumbar erectors and/or hamstrings and adductor magnus.  Here is a great blog post from Bill Hartman that closely illustrates the point that you don't necessarily have to stretch a muscle to reduce its stiffness. Of course, you can never go wrong with integrating a good dynamic warm-up program prior to exercise, as this option challenges both range-of-motion and stability to provide a comprehensive training effect in a matter of minutes. So, in the end, it's different strokes for different folks - at different times, with different issues.  Keep an eye out for an upcoming project from Bill, Mike, and I that really delves into this in great detail.  It'll be the most comprehensive resource out there for self-assessment and corrective exercise.
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Newsletter 136

You probably noticed that the newsletter is a day late this week. I have been absolutely swamped with the goings-on at Cressey Performance on top of heading to a big baseball seminar in Houston this weekend (fly out Thursday night). Fortunately, though, this full schedule provided me with the idea for this newsletter.

With the chaos of the past week, I didn't have time to do my normal cooking and food prep for the week on Sunday night. So, Tuesday morning (had already had a normal breakfast), with about twenty minutes left before I needed to head out to work, I looked in the fridge in hopes of pulling together a few meals from a stir fry or casserole. Nothing was there.

As a result, I just wound up grabbing a half-empty tub of cottage cheese and added a tablespoon of psyllium husk powder for fiber. Later in the day, I'd add some Superfood and a scoop of low-carb Metabolic Drive, and had that concoction with a handful of almonds from the stash in the top drawer of the desk in my office. Another meal was a Metabolic Drive bar, and a third was simply a shake with Superfood and some Flameout (fish oil) and almonds. Obviously, it wasn't an ideal daytime meal plan - and it certainly wasn't an aesthetically-pleasing culinary masterpiece like you'd see in John Berardi's Gourmet Nutrition Cookbook, but it got me through the 8-10 hours.


I had a shake with my evening training session, and then came home to cook up a legitimate, whole food meal.

This certainly wasn't optimal, but it was a nutritional "out" for me: it got calories in, kept my energy levels up, and did so without blowing my diet with unhealthy convenience foods. Having good food easily accessible to me is huge when things get busy; I'll roll with mixed nuts, protein powders, protein bars (homemade and Biotest ones), Superfood, and beef jerky. We're also lucky to have a cafeteria in our building, and a good take-out place with awesome salads just about three miles down the road. So, in my eyes, there is never a reason for me to eat garbage - even if I haven't had time to cook up good stuff for myself.

Obviously, this can be applied to diet, but it also has applications in other facets of your healthy lifestyle.

From a training logistics standpoint, what happens if you walk in to your gym to squat, and find that the only squat rack is occupied and there is a long line waiting to use it. Do you stand in line, or do you go to trap bar deadlifts (option A) or walking dumbbell lunges (option B)?

Also along the training lines, but with more of injury perspective, what do you do if your shoulder starts acting up when you go to barbell bench press? Do you try to push through it, skip it altogether, or move to neutral grip dumbbell bench presses (option A) or a push-up variation (option B)? (As an aside, I just wrote an article covering these situations; check it out HERE)

How about professionally? If you're a trainer or a strength coach, if something stumped you, who do you contact? Have you built a good network of health care professionals with both general expertise and specializations? Case in point, one of my current clients started up with me in December of 2006, and he came to me with a C5-C6 disc hernation that had left him with numbness in the tip of his middle finger for the previous ten years - and none of the neurologists and physical therapists he'd seen could do anything about it. I introduced him to John Pallof, PT, COMT, and John had complete feeling back in his finger within two sessions from a combination of manual therapy and neural flossing.

Nowadays, John sees every neck issue that comes to Cressey Performance. Likewise, Dr. Bill Morgan sees all our significant wrist and elbow issues - and the list goes on and on. So, it's not just about having a network; it's about having a network of great people, some of whom specialize in certain areas. I had dinner with Dave Tate a while back, and I recall him saying that he was less concerned with knowing everything and more concerned with knowing who to call to find out everything. Dave was right on the money.

What about easily accessible resources? What books, DVDs, journals, and newsletters do you consult on a regular basis to stay on top of things and research new issues that cross your path? Improving your own abilities is just as important as expanding your network. If you haven't seen it already, a while back, I compiled a Recommended Resources page outlining my recommendations for both free websites and products you can use to stay ahead of the game.

At risk of sounding overconfident, I think that the Building the Efficient Athlete DVD set is something that every trainer and strength coach should watch, as it covers everything from functional anatomy, to static and dynamic assessments, to troubleshooting common resistance training technique mistakes.

Food for thought - and hopefully a little something for everyone.

New Blog Content

Random Friday Thoughts
Training the Baseball Catcher
Relative Strength Improvements on Maximum Strength

Have a great week!

EC

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Shoulder or Neck Pain

Mark Comerford made a really good point last weekend when he was talking about differentiating between neck and shoulder-related upper extremity pain. In many cases, the symptoms are very similar. For instance, both labral problems and cervical spine impingement can cause numbness into the lower arm. And, both rotator cuff tendinopathies and tears and cervical spine issues can refer pain to the medial border of the scapula. Comerford noted (and it holds true in everyone that I've seen) that when you have something from the cervical spine (neck), weakness is greater than pain. Conversely, if it's a problem of shoulder origin, there is generally more pain than weakness. Simple, but I've never heard of anyone actually put it out there. Smart dude. Keep your shoulders healthy for the long-haul with Optimal Shoulder Performance.

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Neanderthal No More: Part V

It's been a while since Part IV so those of you following this program are probably chomping at the bit for the conclusion. Chomp no more, because this is it! The program contained in this article is designed to reintroduce more of the traditional exercises that you've grown to love while still maintaining the emphasis on postural corrections through appropriate prioritization and volume manipulation. Essentially, it's one step closer to the balanced training programs you should seek to create. Remember, we shifted the balance in the opposite direction to start to take care of the problems created by lack of balance in previous programs. This program will last three weeks (and is meant to follow the first program outlined in part IV), after which you'll want to have a back-off week consisting of markedly lower volume. Oh, and even if you're not following the entire "Neanderthal No More" program, you'll still learn some new exercises you've probably tried before. Here are the goods: Continue Reading...
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Feel Better for 10 Bucks

Ten bucks doesn't buy much nowadays. You could pick up a day pass at some commercial gym, or pull off the co-pay on a visit to the chiropractor. If you're lucky, you might even be able to swing a mediocre Russian mail order bride. Or, you could just go the safe route with your $10, take our advice, and receive a lifetime of relief from the annoying tightness so many athletes and weekend warriors feel from incessantly beating on their bodies. Don't worry, this isn't an infomercial. We just want you to pick up a foam roller for self-myofascial release and deep tissue massage. Continue Reading...
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Neanderthal No More: Part IV

After reading Part 1, Part 2, and Part 3, you've probably come to grips with the fact that you have a greater resemblance to Cro-Magnon man than you previously thought. Now, what are you going to do about it? The program outlined below is designed to keep your current strength levels intact while correcting the muscle imbalances holding back your strength and physique. We have two primary goals: 1) Hit the global muscles hard and heavy with a four-day per week program. 2) Hit the local muscles daily (or at the very least on off days) to take advantage of the motor learning effects produced by frequent, low-intensity training. What are "global" and "local" muscles? Local muscles (also known as the deep muscular system) are extremely important when we're discussing posture improvements. The primary roles of the deep muscular system are motor control, segmental stabilization, and fine-tuning of movements. On the flip side, you have the global (or superficial) muscle system. The primary role of the superficial muscle system is to produce movement, power, and torque. As a general rule, when you have significant postural issues, your global or superficial system is overactive and the deeper system is inhibited or weak. Continue Reading...
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Neanderthal No More: Part III

After covering all the "what's" and "how's" of the most common postural problems in Part I, we focused on some self-assessment tools in Part II. Those self-assessments are certainly valuable tools, but they can sometimes be too subjective if you aren't accustomed to assessing these problems. With that in mind, use the results of those tests in conjunction with the cases studies featured in this article to really get an idea of how significant your problems are and how to correct them. Continue Reading...
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Neanderthal No More: Part II

After reading Part I you're probably thinking to yourself, "Maybe my posture isn’t so great after all, but how do I know?" Well, if you completed your homework assignment from last week, you should have been waiting for this week's update with a bunch of photos in hand. Time to put them to good use! Continue Reading...
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Neanderthal No More: Part I

Disclaimer: What you're about to read is some very technical, very geeky stuff, but don't panic if you don't have your kinesiology degree just yet. In the future articles in this series, Eric and Mike will break it all down for you and show you how to fix your posture and improve your physique. For now, take off that poseur trucker hat and put on your thinking cap! Continue Reading...
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