The Polar Plunge is SO 2017!

For a couple of years now, we have been trying to communicate to our patients the now debunked concept behind icing an injury. Dr. Mirkin, the originator of the acronym R.I.C.E. (Rest Ice Compression & Elevation) that he coined back in the seventies, lead a research study in 2013 that found that icing an acute injury actually retards the healing process. Ice is still a great treatment for those who are in pain, but anything more than 10 minutes, could result in a change in the physiological healing process and the overall repair process.

A study that was released December 2017 on PubMed (Post-exercise recovery of contractile function and endurance in humans and mice is accelerated by heating and slowed by cooling skeletal muscle), showed that for optimal recovery from strenuous training, we should be using heat, rather than the commonly considered, ice (think ice baths…brrrr). The study showed that the administration of heat far outweighed the benefits we all once thought ice was doing. Recovery, fatigue resistance as well as glycogen resynthesis, all improved compared to the use of ice, post activity. The overall conclusion was that recovery from exhaustive endurance exercise is accelerated by raising and slowed by lowering muscle temperature. This will come as GREAT news for those of you who have been training in these cold winter months, only to attempt to boost your recovery by jumping into a cold pool. Looks like a hot tub is just what the ‘scientists’ are ordering!

Muscle Strains

A strain, sometimes referred to as a pulled muscle, is a muscle injury produced by excessive tensile stress that causes fibers to tear within the tissue. A muscle strain does not usually result from excess stretch alone, but from a combination of tension and contraction. Muscle strains can develop when excess tension is placed on…

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Shin Splints or Compartment Syndrome?

One of the most common overuse injuries affecting the lower extremity is the condition known as shin splints. While the term shin splints routinely is used, especially among the athletic population, it does not represent a specific clinical pathology. Instead, it describes chronic shin pain resulting from overuse. It occurs in two regions of the…

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An Alternative Approach to Stretching

Clinicians, athletes and rehabilitation specialists advocate stretching as a means for injury prevention and treatment. The primary purpose of any stretching technique is to enhance pliability and flexibility in the soft tissues. It is also routinely incorporated with massage in the treatment of pain and injury conditions. There are many different stretching techniques, which all…

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Ganglion Cysts

The highly refined palpation skills of massage practitioners are such that we often identify tissue abnormalities before the client is aware of them. An indication that we should refer a patient for further evaluation is when we identify something we aren’t sure of but know shouldn’t normally be there. One such example may occur with…

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What Is the “End Feel”?

Some of the most valuable assessment information is derived from relatively simple procedures such as passive range-of-motion tests. While many massage practitioners have been exposed to the fundamental concepts of active and passive range-of-motion testing, most have not learned how to use this information effectively in a clinical environment. In this article, we will focus…

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How Accurate Is That Test?

Physical assessment is considered one of the most accurate ways to assess function of the locomotor tissues of the body. While we can often gain valuable information about structural problems through high-tech diagnostic procedures like X-ray or MRI, these procedures tell us very little about the function of the tissues involved in creating and limiting…

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When Is It Tendinitis?

Tendinitis is one of the most common diagnoses for soft tissue pain resulting from repetitive motion. As repetitive motion disorders have dramatically increased, so has the incidence of tendinitis. However, recent investigations into the cellular nature of tendon pathologies have brought forth interesting discoveries that may alter the way tendinitis is treated. In this month’s…

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