• Join Us!
  • Use of Active Release Technique to Treat Shoulder Pain
  • Use of Active Release Technique to Treat Shoulder Pain
  • Use of Active Release Technique to Treat Shoulder Pain
  • Use of Active Release Technique to Treat Shoulder Pain
  • Use of Active Release Technique to Treat Shoulder Pain
  • Use of Active Release Technique to Treat Shoulder Pain
  • Join Us!

  • Get the Fitness Geared Forum App Now!
  • Use of Active Release Technique to Treat Shoulder Pain
  • Use of Active Release Technique to Treat Shoulder Pain

SALTWRAP1

  • Join Us!
  • Use of Active Release Technique to Treat Shoulder Pain
  • Use of Active Release Technique to Treat Shoulder Pain
  • Use of Active Release Technique to Treat Shoulder Pain
  • Use of Active Release Technique to Treat Shoulder Pain
  • Use of Active Release Technique to Treat Shoulder Pain
  • Use of Active Release Technique to Treat Shoulder Pain
  • Join Us!
  • You have 1 new Private Message Attention Guest, if you are not a member of Fitness Geared - Body Building & Fitness Community, you have 1 new private message waiting, to view it you must fill out this form.
  • Amused
  • Angry
  • Annoyed
  • Awesome
  • Bemused
  • Cocky
  • Cool
  • Crazy
  • Crying
  • Depressed
  • Down
  • Drunk
  • Embarrased
  • Enraged
  • Friendly
  • Geeky
  • Godly
  • Happy
  • Hateful
  • Hungry
  • Innocent
  • Meh
  • Piratey
  • Poorly
  • Sad
  • Secret
  • Shy
  • Sneaky
  • Tired
  • Wtf
  • Thanks Thanks:  0
    Likes Likes:  0
    Dislikes Dislikes:  0
    Results 1 to 2 of 2

    Thread: Use of Active Release Technique to Treat Shoulder Pain

    1. #1
      FUZO's Avatar
      FUZO is online now FUZO
      Points: 707,040, Level: 100
      Level completed: 0%, Points required for next Level: 0
      Overall activity: 99.9%
      Awards:
      Posting AwardActivity Award
      This user has no status.
       
      I am:
      Cool
       
      Join Date
      Mar 2003
      Location
      PLANET FUZO
      Posts
      52,246
      Points
      707,040
      Level
      100
      Blog Entries
      816
      Rep Power
      1617

      Default Use of Active Release Technique to Treat Shoulder Pain



      • Get the Fitness Geared
        Forum App Now!
      • Use of Active Release Technique to Treat Shoulder Pain
      • Use of Active Release Technique to Treat Shoulder Pain

      • Use of Active Release Technique to Treat Shoulder Pain
      • Use of Active Release Technique to Treat Shoulder Pain
      • Use of Active Release Technique to Treat Shoulder Pain
      • Use of Active Release Technique to Treat Shoulder Pain
      • Use of Active Release Technique to Treat Shoulder Pain
      • Use of Active Release Technique to Treat Shoulder Pain
      Use of Active Release Technique to Treat Shoulder Pain
      By Dr. Keith Bartley


      [This is an article by Glenn Buechlein’s doctor. The patient in question is Glenn (no surprise there). This will give you an idea as to how a doctor diagnoses and treats a patient. My thanks go to Dr. Bartley for taking the time to write this article. —Jim Wendler]

      History and presenting symptoms

      The patient is a 39-year-old male who teaches at Vincennes Lincoln High School. He is a powerlifter, specializing in bench pressing, and has several national and international bench press records. He experienced a severe incident in July of 2005 when he “exploded his right shoulder” during a lifting competition. His past history also includes low back surgery for an L5 ruptured disc in 1989. The patient has experienced bilateral shoulder pain off and on for years. His pain occurs on a daily basis and occasionally at night, and he has taken NSAIDS, Celebrix, and Lodine. His pain is reoccurring and has slowed his ability to workout.

      Exam findings

      This very active man is in excellent physical condition, weighs 235 lbs, and is 70 ½” tall. He denies smoking and rarely consumes alcohol. His family history is unremarkable.

      Chiropractic evaluation of posture and gait

      A standing postural evaluation finds generally good alignment with intact spinal curves and no lateral listing of his pelvis or spine. He demonstrates excessive bilateral shoulder protraction, causing a mild increase in his thoracic kyphosis. He has excessive muscular hypertrophy throughout his bicep, tricep, deltoid, and upper trap region. A lateral view reveals mild forward head posture. His gait pattern reveals no obvious abnormalities. He also has excessive muscular hypertrophy in his quadriceps, hamstring, and lower leg region.

      A shoulder exam reveals limited motion in all planes, with a forward elevation to 120 degrees, bilateral, and an external rotation to 0 degrees, bilateral. He has internal rotation to L2 and abduction to 120 bilateral. He exhibits no weakness to internal rotation or abduction. The patient noted mild tenderness around the AC joint, R > L, and he is tender over the posterior joint line and posterior glenohumeral capsule. A mild glenohumeral crepitus is noted bilateral as well. His rotator cuff strength is intact, and his neurovascular exam is intact.

      Imaging

      The patient’s x-rays reveal moderately severe, advanced degenerative changes of the glenohumeral joints bilaterally. A mild spurring is noted, and lateral tilting of the distal acromion and hypertrophic changes are noted at the AC joint.

      An MRI of the right shoulder with arthrogram revealed a small focal defect seen in the cartilage of the mid glenoid area.
      There was fluid evident within the biceps tendon sheath.
      There were marked edematous changes seen in the region of the supraspinatus muscle and adjacent fascial planes, raising concern for intramuscular tear/strain.
      Degenerative spurring was seen inferiorly at the AC joint facing the underlying supraspinatus muscle/tendon.
      Multiple degenerative cystic changes were seen in the humeral head.
      Clinical impression
      The patient has a right shoulder, intramuscular tear/strain associated with defects in the glenoid cartilage as well as moderate degenerative spurring in and around the AC joint. Also, there is impingement of the supraspinatus tendon in the subacromial space.

      Treatment plan
      A conservative approach was taken, which included the use of joint manipulation, soft tissue management, active release technique (ART), and supraspinatus rehab exercises as well as the avoidance of provocative lifting procedures and proprioceptive neuromuscular facilitation (PNF) of the shoulder rotator cuff musculature.
      The patient was treated 1–2 times a week for 4–6 weeks.
      Ice was recommended for 25 minutes, three times daily, and initially the patient was to avoid abduction past 90 degrees with progress to full ROM exercises and specific rotator cuff strengthening exercises.
      The patient was advised on taking glucosamine and chondroiten sulfate and MSN as well as omega-3 fatty acid, which he was already taking.
      Response to care
      The patient’s response was excellent to manipulation, soft tissue management, and rehabilitation exercises. Following six weeks of therapy, the patient had build back up to almost 100 percent of his pre-injury workout weight. He will continue to have limitations in abduction and external rotation due to the degenerative changes and hypertrophy of his musculature.

      Discussion
      Rotator cuff tears or strains are very common in powerlifters, especially those who specialize in the bench press. It has been my experience that heavy bench pressing does lead to premature degenerative changes in most shoulders, and this is a perfect example of that category. Conservative care can be used to manage these types of injuries if one can coordinate with a qualified practitioner.

      Active release technique (ART) is a patented, state-of-the-art soft tissue system/movement based on a massage technique that treats problems with muscles, tendons, ligaments, fascia, and nerves. These conditions all have one important thing in common—they are a result of overused muscles. This can lead to acute conditions such as a supraspinatus strain or the accumulation of small tears due to repetitive microtrauma. This in turn will cause the tissue to undergo hypoxia, which means that the tissue is not getting enough oxygen. These factors can cause the body to produce tough, dense, scar tissue in the effected area. This is very common in weight lifters. This scar tissue binds up and ties down tissues that need to move freely. As this scar tissue builds up, muscles become shorter and weaker, tension on tendons can cause tendonitis, and nerves can become trapped. This can cause reduced ROM, loss of strength, and pain. If a nerve is trapped, the patient may also feel tingling, numbness, and weakness.

      The ART provider uses his or her hands to evaluate the texture, tightness, and movement of the muscles, fascia, tendons, ligaments, and nerves. Abnormal tissues are treated by combining precisely directed tension with very specific patient movements. The practitioner uses over 500 specific protocols that are unique to ART, which allows them to identify and correct the specific problems affecting each individual patient.

      ART has been developed, refined, and patented by P. Michael Leahy, DC, CCSP. Dr. Leahy now teaches and certifies healthcare providers all over the world to use ART. For more information, visit the ART web sight at www.activerelease.com.
      Disclaimer: Steroid use is illegal in a vast number of countries around the world. This is not without reason. Steroids should only be used when prescribed by your doctor and under close supervision. Steroid use is not to be taken lightly and we do not in any way endorse or approve of illegal drug use. The information is provided on the same basis as all the other information on this site, as informational/entertainment value.

      Please take the time to read these threads!

      Fitness Geared Shoutbox rules

      FG member signature rules

      Fitness Geared Forum Rules

      https://www.fitnessgeared.com/forum/f334/

      https://www.fitnessgeared.com/forum/f283/

      https://www.tgbsupplements.com/

    2. #2
      kite's Avatar
      kite is offline Elite Senior Resident
      Points: 153,624, Level: 100
      Level completed: 0%, Points required for next Level: 0
      Overall activity: 0%
      This user has no status.
       
      I am:
      ----
       
      Join Date
      May 2004
      Location
      Georgia
      Posts
      9,741
      Points
      153,624
      Level
      100
      Rep Power
      1190

      Default Re: Use of Active Release Technique to Treat Shoulder Pain

      • Get the Fitness Geared
        Forum App Now!
      • Use of Active Release Technique to Treat Shoulder Pain
      • Use of Active Release Technique to Treat Shoulder Pain

      • Use of Active Release Technique to Treat Shoulder Pain
      • Use of Active Release Technique to Treat Shoulder Pain
      • Use of Active Release Technique to Treat Shoulder Pain
      • Use of Active Release Technique to Treat Shoulder Pain
      • Use of Active Release Technique to Treat Shoulder Pain
      • Use of Active Release Technique to Treat Shoulder Pain
      ART is the shit! If you haven't tried it yet, go get it done. It's pretty intese, kinda like deep tissue massage but works wonders!

    Posting Permissions

    • You may not post new threads
    • You may not post replies
    • You may not post attachments
    • You may not edit your posts
    •  
    skinnyBeef2
    Join us
    About us
    www.Fitnessgeared.com is a Bodybuilding Fitness health & Training Discussion forum for all levels from beginner to advanced. We offer everything from Nutrition, Supplements, Fat Loss, Weight Training, Dieting, to achieve your goals to get in the shape you want.