JC'S SPORT Injury Clinic"

JC'S SPORT Injury Clinic" Sports therapy and massage clinic , specialist in sports injury and back neck sciatica treatment .

02/12/2020

🔈 POSSIBLE CAUSES OF KNEE PAIN

13/11/2020

🔈 ANATOMY OF TRAPEZIUS

04/11/2020

🔈 NECK PAIN, HEADACHES OR TEMPOROMANDIBULAR JOINT (TMJ) SYNDROME?

[NEUROMUSCULAR INTERACTION BETWEEN SUBOCCIPITAL MUSCLES AND TMJ MUSCLES]

The TMJ is a complex joint that allows us to open/close our mouth. TMJ disorders do not only create pain and limitations with the jaw. Oftentimes, there are associated issues with the neck, face, and ears.

The body is classically divided into systems such as muscular, skeletal, nervous system etc.
However, this is a mirage as these systems are all a part of one super-system that works in unison to create function.
An excellent example of this is the links between the muscles of the suboccipital region, the jaw muscles and the central nervous system.

As you know the suboccipitals are short and have only minor contributions to gross movements of the spine. However, they are loaded with sensory muscle spindles which indicate these muscles have a strong link to the cerebellum and the CNS. Postural distortions that affect the position of the skull and upper cervical vertebrae are immediately relayed to the CNS via these spindle receptors and the ganglion of C2 which is the largest in the body with 49,000 neurons. For comparison, the T4 ganglion has 24 neurons. More neurons = higher speed delivery of information to the brain.

The muscles of the jaw include the masseter as well as the deeper pterygoid muscles. They obviously allow for chewing but also have an interesting link to the CNS. The masseter has been shown to spontaneously activate during periods of stress. The masseter will also activate in unison with the subocciptal muscles during sudden postural changes in order to keep the eyes stable on the horizon.

The suboccipital and TMJ muscles may not be physically linked but they are absolutely “connected” in the cerebellum and in most clinical cases. This relationship tells us these muscles have a large role in stress/sympathetic nervous system syndromes as well as global postural regulation. A patient may present with complaints of neck pain, but now we see how we must look globally at posture, TMJ function, vestibular function and stress management!

Credit: Stefan Duell

22/10/2020

🔈THE SIX TYPES OF SYNOVIAL JOINTS

Synovial joints are classified according to the shape of their articulating surfaces and/or the type of movement they permit.

1. Plane joints permit gliding or sliding movements in the plane of the articular surfaces. The opposed surfaces of the bones are flat or almost flat, with movement limited by their tight joint capsules. Plane joints are numerous and are nearly always small. An example is the acromioclavicular joint between the acromion of the scapula and the clavicle.

2. Hinge joints permit flexion and extension only, movements that occur in one plane (sagittal) around a single axis that runs transversely; thus, hinge joints are uniaxial joints. The joint capsule of these joints is thin and lax anteriorly and posteriorly where movement occurs; however, the bones are joined by strong, laterally placed collateral ligaments. The elbow joint is a hinge joint.

3. Saddle joints permit abduction and adduction as well as flexion and extension, movements occurring around two axes at right angles to each other; thus, saddle joints are biaxial joints that allow movement in two planes, sagittal and frontal. The performance of these movements in a circular sequence (circumduction) is also possible. The opposing articular surfaces are shaped like a saddle (i.e., they are reciprocally concave and convex). The carpometacarpal joint at the base of the 1st digit (thumb) is a saddle joint.
4. Condyloid joints permit flexion and extension as well as abduction and adduction; thus, condyloid joints are also biaxial. However, movement in one plane (sagittal) is usually greater (freer) than in the other. Circumduction, more restricted than that of saddle joints, is also possible. The metacarpophalangeal joints (knuckle joints) are condyloid joints.

5. Ball and socket joints allow movement in multiple axes and planes: flexion and extension, abduction and adduction, medial and lateral rotation, and circumduction; thus, ball and socket joints are multiaxial joints. In these highly mobile joints, the spheroidal surface of one bone moves within the socket of another. The hip joint is a ball and socket joint in which the spherical head of the femur rotates within the socket formed by the acetabulum of the hip bone.

6. Pivot joints permit rotation around a central axis; thus, they are uniaxial. In these joints, a rounded process of bone rotates within a sleeve or ring. The median atlanto-axial joint is a pivot joint in which the atlas (C1 vertebra) rotates around a finger-like process, the dens of the axis (C2 vertebra), during rotation of the head.

12/10/2020

🔈 ANATOMY FACT

30/09/2020

ANATOMY OF FEMORAL TRIANGLE

The femoral triangle, a subfascial formation, is a triangular landmark useful in dissection and in understanding relationships in the groin. In living people, it appears as a triangular depression inferior to the inguinal ligament when the thigh is flexed, abducted and laterally rotated. The femoral triangle is bounded.

Surface anatomy of femoral triangle

A. Surface anatomy
B. Underlying structures

✅ Superiorly by the inguinal ligament that forms the base of the femoral triangle
✅ Medially by the lateral border of the adductor longus
✅ Laterally by the sartorius

The muscular floor of the femoral triangle is formed by the iliopsoas laterally and the pectineus medially. The roof of the femoral triangle is formed by the fascia lata and cribriform fascia, subcutaneus tissue and skin.

The inguinal ligament actually serves as a flexor retinaculum, retaining structures that pass anterior to the hip joint against the joint during flexion of the thigh. Deep to the inguinal ligament, the retro-inguinal space is an important passageway connecting the trunk/abdominopelvic cavity to the lower limb.

18/09/2020

🔈 MASSAGE THERAPY FOR MULTIPLE SCLEROSIS (MS)

Benefits - Pain, Stress Reduction

Multiple sclerosis is a condition where there is inflammation of the myelin tissue covering the nerves. This inflammation varies; it may worsen and then gradually subside. After the inflammatory response, there is formation of scar tissue, which hinders the neurological function of the patient. The spinal cord, brain stem and cranial nerves are commonly affected.

Massage therapy is very beneficial in patients suffering from multiple sclerosis. Massage therapy helps in reducing stress and alleviates the symptoms of MS such as pain and loss of function.

The massage therapy done in MS patients depends upon the intensity of the disease and its stage. Massage therapy should be avoided in the acute stage where there is exacerbation of the MS, as it aggravates the pain and discomfort.

Deep tissue massage does wonders in relaxing the tense and knotted muscles and helps in decreasing the pain.

Trigger point therapy is also beneficial in MS.
Swedish massage therapy comprises of gentle massage and is advised in the initial or acute stage, as even slight pressure causes pain to the patient.

The biggest problem which the patients suffering from MS face is muscle and joint stiffness. This greatly restricts their functionality and mobility. Massage therapy helps by stimulating the blood flow to these body parts which in turn speeds up the healing process and increases flexibility.

Massage therapy also helps in arresting the onslaught of the disease and improves the prognosis. In serious cases, weakness of the muscles can also cause atrophy which further leads to deterioration in the patient’s condition. In such a case, massage therapy helps in increasing the blood flow and oxygenation to affected muscles and also helps in regaining health and energy.

12/09/2020

🔈 ILIOPSOAS TIGHTNESS CAUSED BY INGUINAL LIGAMENT DISFUNCTION
🔒 ANATOMY & FUNCTION

The Inguinal Ligament is a constricted band of thick fibrous connective tissues which are present in the pelvic region of the body. These tissues arise from the external oblique and course through across the groin and attaches to the front part of the iliac spine. The inguinal ligament forms the floor of the inguinal canal and provides support to the passage of structures through the canal.

The inguinal ligament supports the muscles which course inferiorly to the fibers of the ligament, including the iliopsoas muscles. It also supports the femoral vein, artery, and nerve along with other blood vessels and nerves of the lower extremities as they course through the pelvic area. This support is important to maintain the flexibility of the hip and supply nutrients and blood supply to the lower extremities.

🔒 PAIN SYMPTOMS AND DIAGNOSIS
According to a peer-reviewed report published in the Ochsner Journal and the National Institutes of Health, inguinal ligament pain has several possible diagnoses:

➡️ Direct hernia where a bulge is able to be seen
➡️ Indirect hernia where a bulge is not able to be seen (sports hernia or athletic pubalgia)
➡️ Ligament and muscle strains affecting the adductors, lower abdominals, or ilipsoas muscles
➡️ Nerve entrapment (one of the possible complications of a sports hernia)
➡️ Hip joint issue

🔒 INGUINAL LIGAMENT PAIN TREATMENT
The ligament also helps to supports the iliopsoas muscles which includes the psoas major muscle that runs from your upper femur, through your pelvis, to your lower spine.
Because of its positioning, the ligament is responsible for helping to support the lower abdominal wall and prevent the groin from tearing.

When looking at muscle and ligament issues, there are two causes of the pain, and the first is much less serious.

➡️ Groin Strain
➡️ Sports Hernia

A groin strain is a more common type of injury where the muscles of the groin become overstretched or tear slightly as a result of sudden movement, such as sprinting or a quick shift during a game of soccer or basketball.

Groin strain treatment is relatively straightforward and follows the 3-point physical therapy approach:

💡Stretching
💡Mobility
💡Strengthening

With just stretching and no mobility work or strengthening exercises, you will not see lasting flexibility and pain relief - it will be only transient and short-term right after you get done. With just physical therapy exercises and no mobility, you will be unable to get into the proper positioning. This leads to poor form and incorrect movement patterns - which is how you got injured in the first place. Bottom line, make sure you do all three.

🔒 GROIN STRAIN EXERCISES
You can begin stretching your groin muscles right away. Stretch gently and avoid any pain. If you have pain while doing these exercises, you should not do them.

🛠 Hip adductor stretch: Lie on your back. Bend your knees and put your feet flat on the floor. Gently spread your knees apart, stretching the muscles on the inside of your thighs. Hold the stretch for 15 to 30 seconds. Repeat 3 times.

🛠 Side plank: Lie on your side with your legs, hips, and shoulders in a straight line. Prop yourself up onto your forearm with your elbow directly under your shoulder. Lift your hips off the floor and balance on your forearm and the outside of your foot. Try to hold this position for 15 seconds and then slowly lower your hip to the ground. Switch sides and repeat. Work up to holding for 1 minute. This exercise can be made easier by starting with your knees and hips flexed toward your chest.

🛠 Resisted hip flexion: Stand facing away from a door. Tie a loop in one end of a piece of elastic tubing and put it around the ankle on your injured side. Tie a knot in the other end of the tubing and shut the knot in the door near the floor. Tighten the front of your thigh muscle and bring the leg with the tubing forward, keeping your leg straight. Return to the starting position. Do 2 sets of 15.

Address

AYLSHAM
Norwich
NR116DJ

Opening Hours

Monday 9am - 8pm
Tuesday 9am - 8pm
Wednesday 9am - 8pm
Thursday 9am - 8pm
Friday 9am - 8pm
Saturday 9am - 8pm
Sunday 9am - 8pm

Telephone

+447717496514

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