Kyle Michelle

//Kyle Michelle

Rotator Cuff Tears

By | 2017-09-05T06:11:22+00:00 September 28th, 2015|Kyle Michelle, Massage, Pain, Physiotherapy, Rehab|

A rotator cuff tear is a rupture of the muscle fibres located at the shoulder joint that are responsible for shoulder rotation, abduction and also general shoulder instability. The shoulder joint is a ball and socket joint which has the largest variety of range of all joints which leaves it predisposed to all types of injuries.   The rotator cuff is made up of four muscles that originate on the shoulder blade and attach at the head of the humerus (upper arm bone) which is known as the greater and lesser tubercles. These muscles are: Supraspinatus Infraspinatus Teres Minor Subscapularis Symptoms of a rotator cuff tear: Deep and sharp type of pain that can refer around the whole shoulder joint, towards the neck or down the arm towards the elbow. Shoulder weakness Excessive shoulder pain on movement Clicking noise on movement   Causes FOOSH injury (Falling on out-stretched hands) Tearing while under load such as shoulder exercises at the joint Repetitive movements   Immediate management After a rotator cuff tear you will experience a specific pain able to be pin-pointed at your shoulder joint and surrounding structures will begin to tighten up and will be extremely tender on palpation. There will be a varying degree of inflammation so it’s important to control this and let the shoulder heal with RICER (rest, ice, compress, elevate, referral to practitioner).   Treatment Plan After the injury has settled down, physiotherapy will be required to assess the severity of the strain to determine if medical imaging (MRI) will be needed and to work out a treatment plan. From here you will be referred to a myotherapist for soft tissue release massage, dry needling and joint mobilisations. There is always [...]

Stretches To Keep You Moving

By | 2017-09-05T06:11:23+00:00 August 30th, 2014|Kyle Michelle, Rehab|

Muscle length, connective tissue flexibility and joint mobility are all factors that can influence you chances of developing an injury.  By undertaking regular stretches for those areas that 'tighten up' you can help maintain or improve your mobility.  Sometimes when we are in pain we can become avoidant of moving in fear of hurting ourselves further.  In some cases this can be true, however regaining your mobility and normalising your movement can help to get you back to your functional baseline. The following stretches are good for targeting common muscle groups which commonly are issues for many people.  The evidence for how long you should stretch for is unclear, however the general consensus is to hold your stretch for a minimum of 20-30 seconds.  Holding a mild-moderate stretch for a longer duration gives your tissues the opportunity to adapt and relax into the stretch. If you find stretching aggravates your symptoms it is important you cease your exercises an seek further advice from you physiotherapist or myotherapist. Lower Back Stretch On your knees with your hands outstretched in front and crawling your hands forward for extra pull while your butt sits back against your heels   Hip Flexor Stretch Kneeling on one knee & bringing the opposite leg out in front of the torso at a 90o Leaning the hips forward towards the front knee while twisting the back in the opposite direction & leaning the torso backwards for a deeper hip-flexor stretch Note: a square box from a side view should be seen along front leg & thigh from the back leg.   Gluteal Stretch  For right glue: Lying face up with right ankle placed on left knee Bring the left [...]