back pain

5 Times When Stretching Is Not A Good Idea

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“I can’t understand why I’m getting injured so often.

I always stretch before I exercise.

I’m confused!”

A phrase I hear in the clinic on a daily basis.

Just to clarify, in terms of ‘stretching’ we are talking about holding a static muscle stretch.

Optimising mobility, (especially around a joint) is another thing altogether and can be a very useful way to prepare the body for the demands of sport.

Knowing where and when to perform joint mobility exercises and foam rolling can be invaluable - but we’ll talk about that another time.

5 Times When Stretching Is Not A Good Idea

  1. Right before a training session/race

There is a growing scientific argument that pre-exercise muscle stretching is generally unnecessary and may even be counterproductive, increasing the risk of injury and decreasing performance.

Researchers have shown that static stretching reduces strength by about 5 percent.

Certainly not an ideal way to start a race, where you will be placing big demands on your muscular system, and creating risk of overload and injury with a weaker muscles.

In terms of performance, a study of runners completing a 1 mile run - those who stretched before hand were slower at running the mile by a full thirteen seconds.

And this study found that runners had who stretched before had a higher rating of perceived exertion during their run.

Stretching aims to loosens muscles and their accompanying tendons.

But in the process, it makes them less able to store energy and spring into action, essentially creating a temporary reduction in available capacity.

Instead of static stretching, focus on a proper warm-up involving running at an easy pace for 10-15 mins (aim to break a sweat) and gradually layering in sport specific drills.

You can tune your body by activating the specific stabiliser muscles that may be required in your sport and create joint mobility where you need it.

Dedicating some time to stretching and mobility work (Yoga, Pilates e.t.c) during the week is a very good idea, just not right before you exercise.

If you need some help with your warm-up routine, just let us know.

2. When you have a painful and irritated tendon

For example if you have hip pain, (often when the hamstring and gluteal tendon have become irritated) - many people intuitively try and ‘stretch it out’ to get some relief.

Stretching can sometimes make you feel better temporarily.

But it’s not until later (often that night) that the pain is becomes a problem.

Aggressively stretching tendons irritates them by compressing them and this can delay the healing process.

The most important thing for tendons is to gradually increase their capacity and tolerance to load, via a graduated strengthening program under the supervision of a Physiotherapist.

3. Chronic lower back pain

Research shows people who focus exclusively on stretching their lower backs actually had a greater risk for developing back pain.

This comes back to a bigger picture view of the body and the role of each segment (see The Joint-by-Joint picture below).

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We can see the main role of the the lower back is to provide stability - the core from which the rest of the body can move freely.

Stretching the lower back may feel good temporarily, and there is absolutely no issues with adding stretching to your overall program, especially if it makes you feel good.

But stretching doesn’t build capacity and if you have ongoing back pain, you will need to develop a program of building core strength and capacity to help in the long run.

Getting the balance right between mobility and stability is the trick for lower back pain.

To get you started, check out a 6 Minutes To A Supple Spine routine that you might find useful and you may want to try a KIN Foundation Class.

4. To try and improve your hamstring flexibility

The primary role of the hamstrings in walking and running is to eccentrically control the landing of the foot.

Eccentric refers to a type of contraction where a muscle lengthens while contracting.

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Whilst it is important to have adequate flexibility, the actual more important job of the hamstring to have enough strength and capacity to walk and run properly.

If a muscle doesn't have much capacity to contract when needed, it will most likely get overloaded. 

When it gets overloaded, it's muscle fibers contract and knot up, limiting flexibility.

For a runner, strength and stability trumps flexibility everyday of the week.

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Hang on a sec...I thought stretching was a good thing!?

Stretching the hamstring in this position, you are actually making the hamstring weaker and sending confusing mixed messages to the brain about what the function of the muscle is. 

Anytime your brain is confused, it's going straight into fight-flight mode and will want to tighten everything up to protect it.

Intuitively stretching feels good and it often does give some short term relief. 

But in the long run, with continued stretching, the hamstring becomes weaker and more likely to become overloaded and tight.  Then you've got yourself into a real pickle. 

The hamstring, once locked down, becomes an inefficient blob that hampers everything you try and do.

Our first step in making friends with the hamstring is to stop making it angry, so no more stretching. 

For more info on how to become friends with your hamstring - please click here.

5. Your sore neck

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If you have neck pain, a first line of treatment that many people try is stretching.

But being over-zealous with your neck stretches could potentially do more harm than good.

With too much stretching, we can run the risk of irritating the vertebrae, compressing the discs and pinching nerves.

A general rule of thumb is that your neck stretches should be gentle, never feel painful and avoid pushing to the extreme ends of motion.

If you have any uncertainty in regards to cervical stretches you are currently performing, schedule an appointment to ensure that your neck does not become a pain in the neck.

In the long term, performing exercises to improve your neck and shoulder strength can be more useful than only stretching.

Maintaining good cardio-vascular fitness is extremely important, as well practicing appropriate stress reduction techniques and having a good ergonomic set-up (and not always looking down at your phone!).

Have you any questions about stretching?

Please leave any comments below…

And if you have any ongoing niggles, please schedule an appointment to come in and see us.

We can get to the root cause of your problem and get you back on the fast track to doing what you love.





A new take on scoliosis

If you've ever been diagnosed with scoliosis, this is a must watch 👀

About 4% of the population has scoliosis in some form or another.

Fear of damaging the spine can lead to over-protective behaviours and reduced physical capacity.

Don't ever let yourself be defined by your spine or x-ray changes. You may have to put in a bit more effort and be more consistent with a daily exercise program. But there is always room for hope and achieving great things.

Many world class athletes have been diagnosed with scoliosis and achieved world-class success, such as Mick Fanning and Usain Bolt.

Usain Bolt says, “If I keep my core and back strong, the scoliosis doesn’t really bother me,” he says. “So I don’t have to worry about it as long as I work hard.”

And if you would like some guidance on how to help with your spine, don't be afraid to get in touch 😊

Free Your Upper Back And Shoulders

Stiffness in the upper back and shoulders can develop over time, especially if you have an office based job. This can lead to compensations and eventually pain in the muscles around the neck and lower back.

Below you'll find a short (less than 3 minutes) set of exercises - that you can do once or twice per day to keep your upper back and shoulders healthy and mobile 👇

This would be really helpful for anyone who spends time sitting in front of computer or driving around a lot.

Movement is Medicine!

We each have our own strengths and weaknesses, so getting a personal assessment / set of exercises from your Physio would be best, but this would be a pretty good start.

Let me know how you go in the comments and please tag anyone you know who might benefit 🙌

The exercises include:

  • push-ups

  • cat-cow with hands on foam roller

  • childs pose lats stretch using foam roller

  • thread the needle using a foam roller

  • pecs stretch on the foam roller

  • foam roller upper back

Psoas - Get To Know Your Muscles

Psoas - Get To Know Your Muscles

QUICK ANATOMY REVIEW:

The psoas (pronounced ‘so-az’) is one of the deepest core muscles in the body.

As you can see in the picture below, the psoas is a long muscle, attaching above to the upper part of the lower back as well as the intervertebral discs.

It then travels down through the abdomen and attaches to the inner part of the hip, making it one of only two muscles that attaches the spine to the lower limb.

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FUNCTION:

The psoas has a number of diverse functions, making it a key factor in health.

There is still some controversy concerning it’s exact role in the body.

The psoas is partly a hip flexor - that helps bend your hip when you walk and run.

It also has an important role in stabilising the lower back and posteriorly tilts the pelvis.

HOW PSOAS BECOMES OVERLOADED:

The psoas can become tight from spending extended periods of time in the following positions:

  • sitting

  • sleeping in the fetal position

  • standing with a swayed back and wearing high heels too often

  • sitting in a kayak/canoe

The psoas becomes overloaded with repeated use in the following situations:

  • driving

  • kicking

  • cycling

  • excessive sit-ups

Visceral pain

As it passes through, and has some attachments to the internal organs, the psoas can also be activated when there is irritation internally, (in particular the colon).

Stress

The psoas tends to tighten in response to general life stress (activated during the fight / flight response). Think of the fetal position protective response - that is the psoas causing your spine to contract.

SYMPTOMS:

The psoas is known as the ‘Hidden Prankster’ due to it being responsible for a lot of lower back pain (especially related to disc pain), without many people being aware of it.

Pain from a tight psoas muscle may be projected in a vertical direction in a ‘gutter’ along either side of the lowerback as well as to the sacroiliac region and buttock (see red areas marked below).

Pain may be felt during sitting and walking.

Overload of the psoas can also lead to pain and tightness in the front of the hip. 

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TREATMENT APPROACH:

Physiotherapy assessment will involve a comprehensive movement assessment to determine the cause of your psoas issue.

Some common manual therapy treatment approaches include:

  • joint mobilisation to the lower back

  • dry needling to the psoas insertion point in the hip and upper attachment point in the back

  • deep tissue and manual myofascial release on the mid-section of the muscle (pictured below). It is very difficult muscle to dry needle direclty due to its deep location and proximity to major organs.

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SELF-CARE TIPS

  • avoid extended periods of sitting. Think about ‘time in the posture’ vs trying to find a perfect posture

  • consider a standing desk

  • avoid walking and jogging uphills and on sloped surfaces in the short-term

  • apply heat to the front of abdomen 10 minutes each day

  • sleep on side with pillow between knees, avoiding the fetal position with the hip flexed right up

  • use cruise control on long car trips to stretch the legs

  • learn to breathe through your diaphragm and manage your stress

    Some of the following exercises you may find useful:

Psoas stretch - gently ease into it tucking the pelvis under as you lean forward (Picture credit: Fiona Melder Photography)

Psoas stretch - gently ease into it tucking the pelvis under as you lean forward (Picture credit: Fiona Melder Photography)

Bridge stretch - tuck your pelvis, squeeze your glutes but don’t overarch your back. Breathe! (Picture credit: Fiona Melder Photography)

Bridge stretch - tuck your pelvis, squeeze your glutes but don’t overarch your back. Breathe! (Picture credit: Fiona Melder Photography)

Diaphragm breathing

As the psoas attaches to the diaphragm, when you breathe deeply you will naturally help decompress the psoas.

You can do this by putting your hands on the outside of your lower rib cage.

As you breathe in, expand the ribs from the sides, front and back - 360 degrees.

Aim for five seconds breathe in and five seconds breathe out for 1 minute.

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Building capacity in the Psoas

Weakness in the psoas causes decreased ability to flex the hip joint.

It’s really important for runners to have adequate capacity in the psoas.

Try this marching exercise below with a theraloop to help build some capacity in your hip flexors.

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Need some help with your lower back or hip pain?

We have a special interest in helping people overcome their pain and get back to what they love.

If you think we are the right fit for you and you wish to get relief right away, use our simple online booking system to make an appointment.  If you would prefer to speak to us directly,  call us 1300 657 813


6 Minutes To A Supple Spine

There are many options out there for addressing back pain.

But the one approach that has the best scientific support is exercise ✅

We are taught early on how to care for our teeth to prevent tooth decay.

But no one ever told us how to take care of our spines 🤔

Unfortunately this can lead to ongoing spot fires 🔥 and niggles, as the underlying issues aren't being addressed.

Below you'll find a short 6 minute set of exercises - that you can do once or twice per day to keep your spine healthy, supple and strong 👇

We have our own strengths and weaknesses so getting a personal assessment / set of exercises from your Physio would be best, but this would be a pretty good start.

Let me know how you go in the comments and please tag anyone you know who might benefit 🙌

Prevention is better than cure!

Here’s an outline of the moves:

  • Heel taps

  • Bridge

  • Single leg bridge

  • Hip abduction, clams

  • Side plank

  • Plank

  • Cat-cow

  • Superman

  • Child’s pose

  • Pigeon pose

  • Thoracic foam roller

  • Hip flexor stretch

The solution to keeping your spine healthy lies in finding the balance of mobility and stability.

Each part of our body has a specific function (as the picture below shows).

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This is know as the joint by joint approach.

Focusing on the giving what the body what it needs will lead to more efficient movement and a suppleness that you will leave you feeling energized and strong.

Research has showed that people who just focus only on stretching only had a higher incidence of lower back pain.

And people who focused only on strengthening (e.g machine based weights at the gym) had a higher incidence of back pain.

So this set of exercises has been specifically formulated to switch on the deep core stabilisers and creating mobility in the hips and back.

Doing this regularly will certainly help keep your spine supple and strong.

Let me know how you go in the comments.




Need some help with your lower back pain?

If you think we are the right fit for you and you wish to get relief right away, use our simple online booking system to make an appointment.  If you would prefer to speak to us directly,  call us 1300 657 813