SAS Sport and Remedial Massage

19/08/2026

The Shoulder - Such a complex Joint which also impacts on other joints of the neck, Spine, Ribs, Hips

The Shoulder Is a Team Sport: Understanding the Scapular Force Couples 🦴💪

The scapula is not simply a passive platform for the shoulder joint. Its position and movement are controlled by a coordinated network of muscles that work together to provide stability, mobility, and efficient force transmission.

The upper and lower trapezius work with the serratus anterior to form an important force couple for scapular upward rotation. As the arm elevates, these muscles help rotate the glenoid cavity upward, allowing the humeral head to remain optimally positioned while creating a stable base for shoulder movement.

The rhomboids and levator scapulae contribute to scapular elevation, retraction, and stabilization. Their activity must be balanced with the muscles producing upward rotation so that the scapula can move smoothly rather than becoming excessively fixed against the thorax.

The serratus anterior is particularly important because it holds the scapula against the rib cage while contributing to upward rotation and posterior positioning of the scapula. Weakness or impaired activation can contribute to altered scapular mechanics and, in some cases, scapular winging.

Meanwhile, the rotator cuff provides dynamic stabilization of the glenohumeral joint. Rather than simply producing large movements, the cuff helps control the humeral head and maintain its relationship with the glenoid during shoulder elevation.

The deltoid generates substantial shoulder elevation force, but its action is most effective when coordinated with the rotator cuff and scapular muscles.

🧠 Key takeaway: Efficient shoulder movement depends on a balance between mobility and stability. The trapezius, serratus anterior, rhomboids, levator scapulae, rotator cuff, and deltoid must work together to keep the shoulder complex functioning smoothly.

12/07/2026

This is a good detox and a great page to follow for tips and advice regarding Gut and overall Body Health during all phases of life..
https://www.facebook.com/share/p/1CbByHVnFE/

30/06/2026

Biomechanics of Running

13/05/2026

Definitely a strong believer that the subconscious and what is stored here has a huge impact on the physical body.

🧠 Trauma can feel deeply physical, but that does not mean it is stored in body tissues waiting to be released.

From a prediction led view, the nervous system may predict threat, prepare the body to protect, then interpret returning body signals through that prediction. Touch, movement, safety and context may help the system update, not by releasing trauma from fascia or muscle, but by offering safer sensory information.

👐 Better explanations support safer, clearer and more evidence informed practice.

13/05/2026

Good Information

05/05/2026

Certainly realizing that my sleep position is not always good long term.

YOUR ARM IS NOT “ASLEEP”… YOUR NERVE IS BEING COMPRESSED WHILE YOU SLEEP

If you wake up in the middle of the night and your arm feels numb, heavy, or completely “dead,” it might seem like a circulation problem. But in most cases, that’s not what’s happening.

The real cause is usually nerve compression.

When you sleep in certain positions—especially with your arm under your head or your shoulder rotated forward—you create pressure around the nerves that travel from your neck into your arm. These nerves form what’s called the brachial plexus.

When that pathway is compressed, the signal between your brain and your arm gets disrupted. That’s what creates the numbness, tingling, and “pins and needles” feeling.

That’s also why the sensation disappears quickly when you change position. The moment the pressure is removed, the signal returns.

This is not a blood flow issue.
It’s a temporary nerve signal block caused by sleep position.
Doctor of physical therapy

23/04/2026

Something I have experienced and had to have my left shoulder operated on as a result in 2021.

SHOULDER IMPINGEMENT SYNDROME: WHEN SPACE, CONTROL & TIMING FAIL

Shoulder impingement syndrome is not just a local tendon problem—it is a biomechanical failure of space management within the subacromial region. In a healthy shoulder, the humeral head glides smoothly beneath the acromion, maintaining an optimal subacromial space for the rotator cuff tendons and bursa. However, when this delicate balance is disturbed, repetitive compression begins to irritate the tissues, most commonly affecting the supraspinatus tendon and the long head of the biceps.

The key issue lies in poor humeral head control. The rotator cuff—especially supraspinatus, infraspinatus, teres minor, and subscapularis—acts as a dynamic stabilizer, keeping the humeral head centered in the glenoid. When these muscles become weak, delayed, or fatigued, the humeral head migrates superiorly during arm elevation. This upward translation reduces the subacromial space, causing mechanical compression against the acromion and coracoacromial arch.

Equally important is the role of scapular biomechanics. The scapula must upwardly rotate, posteriorly tilt, and externally rotate to maintain clearance during shoulder elevation. If there is scapular dyskinesis—often due to weakness of the lower trapezius and serratus anterior or tightness in the pectoralis minor—the scapula fails to create adequate space. This leads to a phenomenon where even normal arm movement becomes compressive rather than functional.

Another major contributor is soft tissue imbalance. Tight anterior structures, such as the pectoralis major/minor and anterior capsule, pull the shoulder into a protracted and internally rotated position. This alters the orientation of the acromion, effectively narrowing the subacromial space even before movement begins. At the same time, posterior shoulder stiffness can restrict humeral head glide, further increasing compressive forces.

Over time, this repeated mechanical irritation progresses from tendinitis to tendinosis and eventually partial or full-thickness tears if not addressed. The involvement of the long head of the biceps is also significant, as it shares the subacromial space and often becomes inflamed due to increased friction and altered shoulder kinematics.

From a functional perspective, impingement is best understood as a timing and coordination problem, not just a structural one. The shoulder relies on a precise rhythm between the glenohumeral joint and scapulothoracic motion. When this rhythm is disrupted, even simple activities like reaching overhead, lifting, or throwing become painful.

Clinically, this condition highlights the importance of restoring movement quality rather than just reducing pain. Addressing scapular control, improving rotator cuff activation, restoring thoracic mobility, and correcting postural alignment are all essential to re-establishing proper biomechanics. Without correcting these underlying factors, any symptomatic relief remains temporary.

Ultimately, shoulder impingement is a reminder that joint health depends on space, control, and coordination. When these elements are optimized, the shoulder functions as a highly efficient and mobile joint. When they are compromised, even normal movement can become a source of chronic pain and dysfunction

16/04/2026

Also applies to sitting at a desk. Regular breaks - ideally every 20 minutes can help..
Keep the Hip higher than the knee when sitting

PAIN WHEN DRIVING LONG HOURS 🛑

Do you feel pain in your lower back, hips, or legs after long drives? Does it get worse the longer you sit in the car?

Most people think it’s just sitting posture… but in many cases, the real issue is sustained hip flexion and nerve compression.

When you sit in a driving position for long periods, your hips stay in a fixed bent position. This increases pressure on the lower spine and can also compress the sciatic nerve in the glute area.

At the same time, your lower back muscles stay active to stabilize your body.

This creates:

Lower back pain after driving
Hip stiffness and discomfort
Tingling or radiating leg pain

It’s not just sitting… it’s prolonged compression in one position.

That’s why:

Pain increases with longer drives
Standing up brings relief
Symptoms may radiate down the leg

Adjusting seating position, taking breaks, and reducing continuous hip flexion can help reduce pressure and improve comfort during driving.

16/04/2026

Interesting and something I certainly get at the moment

The Achilles tendon is one of the strongest structures in your body…
but strength doesn’t mean invincible.

Every step you take adds load.
Every jump increases tension.
Every tight calf shifts more force down into the tendon.

Over time, that force doesn’t disappear — it accumulates.

And when a structure is exposed to constant pulling without enough recovery, it starts to change.

Not suddenly.
Not dramatically.
But slowly… like a cable being stretched beyond its natural range.

First comes stiffness.
Then discomfort.
Then pain during simple movements like walking or standing on your toes.

It’s not always a single injury moment.
It’s often a repeated stress pattern that the tendon can no longer fully absorb.

That’s why it feels like something is “tight” or “overstretched”…
when in reality, it’s a load management problem, not just a flexibility issue.

06/04/2026

One to consider and links in with the weak and shortened Psoas in a lot of individuals

Your “Lower Belly” Might Not Be Fat, It Could Be Anterior Pelvic Tilt 👇😯

👉 A lot of people blame belly fat when they notice this

Your lower stomach pushes outward
your lower back feels tight
and your posture looks slightly arched even when you are standing still

It can feel frustrating because the body may look “off” even when weight is not the real issue

Sometimes the problem is not fat at all

It is anterior pelvic tilt (APT)

This happens when the pelvis tips slightly forward, changing the natural alignment of the hips, core, and lower back

That forward tilt can make the lower belly appear more prominent and the lower back curve look exaggerated

👉 Why this happens is usually very relatable to modern life

Long sitting hours, weak movement habits, and not enough hip extension work can slowly create the perfect setup

The most common contributors are:

• tight hip flexors from too much sitting
• weak deep core muscles that cannot stabilize the pelvis
• underactive glutes that are not pulling the hips back into balance

When these three happen together, the pelvis stays tilted forward and the lower back starts taking extra tension

That is why people often feel:

• lower back tightness
• hip stiffness
• glutes not “firing” well
• belly sticking out even when lean
• poor standing posture

👉 The best stretch pattern is one that fixes all three together

Instead of stretching randomly, focus on a half-kneeling hip flexor stretch with a glute squeeze and gentle core brace

This works because it combines:

• hip flexor lengthening
• glute activation
• deep abdominal engagement

How to do it simply:

• kneel with one knee down
• tuck your pelvis slightly under
• squeeze the glute of the kneeling side
• gently brace your lower abs
• shift forward until the front of the hip stretches

The glute squeeze and slight pelvic tuck are the real secret

Without that, many people only arch the lower back more and miss the actual hip flexor

Sometimes posture changes are not about losing fat

They are about restoring muscle balance around the pelvis

Small alignment changes can completely change how the lower belly, hips, and back look and feel

Save this 📍
Someone chasing ab workouts may actually need to fix their pelvic position first