Office Location: 1817 S Main Street, Suite 10 SLC, UT 84115 | Phone 801 . 859 . 4142
Align Integration & Movement
  • Home
  • Work with Me
    • Request an Appointment
    • Rates & Insurance
    • Orthopedic & Pelvic Health Physical Therapy
    • Visceral Manipulation
    • Biofield Tuning®
    • Restore Room: Enhance your healing with Whole Body Vibration & The Vitalizer Chi Machine
    • NeuroKinetic Therapy™
    • Nutritious Movement™
    • Workshops
    • Testimonials
    • Resources
  • Blog
  • About Me
    • About Me
    • My Philosophy
  • Store
  • Podcast

The Best Shoulder Stretch You Should Do Every Day

5/30/2013

14 Comments

 
Picture
Muscles that attach to the scapula: Left side of the pic you can see trapezius, deltoid. Right side of the pic you can see rhomboids, levator scapula, supraspinatus, infraspinatus, teres minor, teres major and serratus anterior.
Picture
Muscles that attach to the scapula: Pectoralis minor, bicep, subscularis, serratus anterior, teres major.
Movement of the arm requires joint mobility and muscular stability. Moving the arm requires appropriate muscle facilitation and mobility in the shoulder joint, the scapulo-thoracic joint (which is not a "true" joint, more of a physiological joint), the acromioclavicular joint (AC) and the sternoclavicular joint (this is the only joint connecting the arm to the axial skeleton).
Take a look at the pics on the left. There are a lot of muscles that can affect the movement of the arm, the scapula, the shoulder, and the clavicle. So... basically what I am pointing out here is that optimal muscle function of the shoulder girdle is key to a healthy pain free shoulder joint, neck and arm.  
Muscle, bone and connective tissue adapt to how we use them.  And typically during a day our arms are positioned out in front of the body: computing, driving, pushing a stroller/walker/cart. This positioning, along with all of our other daily habits of grasping, clenching and tensing can lead to shortened muscles, winged shoulder blades and internal rotation of the shoulder joint which can lead to impingement and eventual rotator cuff tendonitis/tear.

Hand Behind the Back Stretch

scapular winging
Before we get to the stretch, observe the position of your shoulder blades when your arms are down by your side.  Notice the medial edge and the lower angle.  Do they wing away from your back like mine?  Ideally the scapulae should be positioned equidistant from each other with no visual boney edges.  Winging of the scapulae is an indication of muscle imbalance.

Picture
Just for fun, see how you need to move your scapulae so you don't see your boney edges poking away from your thorax.  In this pic you can see that I had to move my blades forward and elevated a little.  Once the blades are in the ideal position you can really see some of the culprits driving this imbalance:  can you say tight pectorals anyone?

Hand behind the back stretch
Now for the stretch.  Bring the hand behind the back.  Make sure to keep your elbow straight down from your shoulder (notice how this makes me wing even more.  More than likely this will happen with you too).  Begin to bend the elbow as if to reach for your opposite shoulder blade.  Notice your elbow, did it start to go out wide?  If it did, you went too far.  Bring your arm back down so you can comfortably hold in position in a gentle stretch.  Believe me, this can be intense, don't let it. Hold for up to a minute.

Hand behind the back with shoulder blades wide
Now, let's refine the stretch.  You will need to have a mirror for this so you can see the position of your shoulder blade.
Bring your hand behind your back.  Move your scapula (usually forward and up) so that you do not see winging anymore.  Make sure to watch your elbow.  In this pic you can see that my elbow moved outward a little bit, and is not straight down from my shoulder.  The requirement or alignment marker for this stretch is to keep the elbow in line with the shoulder.  To correct that, I would need to lower my hand so the stretch isn't so intense.  Notice in the pic that the lower angle is still lifted away a little bit.  But because of my tension, I wasn't able to get completely flush with my thorax without moving my elbow.

Picture
Here is side view of me bringing the arm behind the back.
Picture
Here I am moving my shoulder blade forward so the shoulder blade doesn't wing.
Picture
This is what it looks like from the front. You can see how tight my pecs are. And I am smiling because I used to not be able to do this and now I can! Yeah!
Susan McLaughlin is a physical therapist who specializes in the management of pelvic floor and orthopedic dysfunctions. She is the owner of ALIGN integration|movement in Salt Lake City, UT.  Helpful tips and other self care strategies can be found at www.alignintegrationandmovement.com.
14 Comments

Scapular Freedom

10/28/2012

17 Comments

 
The first movement is called the Rhomboid Pushup.  Complete 5-10 repetitions.  Make sure that your fingers and elbow creases face forward, and keep your elbows straight.
Pain in the shoulder blade after raking
We had a good storm this week to blow off all of the leaves of the frontyard tree.
I spent two hours raking and bagging.  The next morning I woke up with pain and pulling at my left shoulder blade.
I am sure that many of you can relate.
So, instead of waiting it out and griping about it all day, I took 15 minutes to work with the muscles and set freedom to my scapular sling muscles. Post session, no pain!
Below I have pics and video of the simple movements and stretches I went through to decrease the pain in my shoulder girdle.  
These are also great exercises to perform daily to combat shoulder blade, arm, and neck tension from computing, driving, hair styling, pushing strollers, carrying babies, etc.


After the rhomboid pushup, perform a shoulder stretch as shown here.

Repeat the rhomboid pushup 10 more times and then go into this next stretch, Quadruped Rib Twist.

Complete another cycle through of each, the rhomboid pushup, the shoulder stretch and the rib twist.  Finish up with some wrist stretches shown below.
Wrist extensor stretch
Place forearm vertically, flex wrist and pull fingers down and toward your forearm. Hold for 30 secs.
Finger stretches
Now pull each finger individually, hold 10-20 secs.
Wrist Stretch for carpal tunnel
Bend elbow to 90 degrees. Extend wrist and pull all fingers down and back, keeping fingers straight. Hold 30 secs.
Stretch for wrist pain
Now pull each finger back individually and hold 10-20 secs.

Susan McLaughlin is a physical therapist who specializes in the management of pelvic floor and orthopedic dysfunctions. She is the owner of ALIGN integration|movement in Salt Lake City, UT.  Helpful tips and other self care strategies can be found at www.alignintegrationandmovement.com.
17 Comments

The Cure for Flabby Arms

6/5/2012

5 Comments

 
Picture
It’s summertime and it’s hot.  This means short sleeves and tank top weather.  Recently I have had a few people ask me how they can get rid of the excess arm fat that seems to hang around like a turkey waddle, so I thought I would share:

First off, make sure that when you walk, swing your arms.  A natural walking pattern has a reciprocal arm swing (that means when one foot is moving forward, the opposite arm is moving back).  Not only is this a great waist slimmer, but an arm toner as well.  Make sure that your arms are in a neutral position: the elbow crease and the thumbs are facing forward. The action or work phase of the swing is backward (toning the triceps) and momentum will carry it forward again. Check out the arm swing in this gait pattern.

Here are 3 simple exercises that will get those arms ready for the spaghetti strap dresses, summer weddings and beach time fun!

Shoulder Exercises: extension & adduction isometric
Take a yoga block or a book. Place it between your hands behind your back. Press into the block and lift away from your back and hold 30 seconds. Repeat a few times. Try to keep your elbow crease facing forward.
Shoulder Exercise: Extension lift with yoga strap
Hold onto a yoga strap or belt behind your back. Make sure palms and elbow crease face forward. Lift away from your back and hold 30 seconds. Repeat a few times.
Shoulder Exercise: Bicep Curl with External Rotation using a resistance band
Step on a resistance band. Bend your elbows to 90 degrees (for more resistance, step on more of the band). Keep palms facing the ceiling, elbows close to torso and move hands away from each other and then return to starting position. Repeat 10-20 times.
Susan McLaughlin is a physical therapist who specializes in the management of pelvic floor and orthopedic dysfunctions. She is the owner of ALIGN integration|movement in Salt Lake City, UT.  Helpful tips and other self care strategies can be found at www.alignintegrationandmovement.com.
5 Comments

The New Science of Self-Empowerment: Epigenetics

5/22/2012

7 Comments

 
Picture
I have been reading The Biology of Belief by Bruce Lipton.  Last night's chapter title: “It’s the environment, stupid” really struck a cord with my current consciousness on a physical, mental, spiritual and emotional level.  

Lipton is a cellular biologist and as a researcher has examined the mechanisms by which cells receive and process information.  He writes, “When I provided a healthy environment for my cells they thrived; when the environment was less than optimal, the cells faltered.  When I adjusted the environment, these ‘sick’ cells revitalized.”

He goes on to share how scientists started to veer from the environment model after Watson and Crick‘s revelation of DNA’s genetic code.  Genetic determinism has since become the belief of our modern culture: genes determine biology.  

Succumbing to the hypothesis that genes control our lives, we have an “excuse” to become victims of heredity.
Today’s diseases, like heart disease, diabetes, arthritis and cancer are not the result of a single gene, but a complex interaction of many genes and environmental factors.

The latest scientific research has debunked the hypothesis of gene control to show that “when a gene product is needed, a signal from its environment, not the emergent property of the gene itself activates the expression of that gene.” The birth of epigenetics (control above genetics) is the forefront of science.  What we now know is that "the DNA blueprints passed down through genes are not set in concrete at birth.  Environmental influences, including nutrition, stress and emotions can modify those genes."

The question I have asked myself is:  How can I create an environment within my being to allow my cells to be vital and healthy?

In my own personal quest, in the last two years I have directed my focus on creating an optimal environment for my wellbeing through alignment principles.  Consistent practice of alignment, and observation of my movement habits has lain the foundation for me to be more efficient in the use of my muscles and joints, to the lovely benefit of getting out of chronic low back and sacroiliac pain.

Here are some suggestions to optimize your environment:
  • Stand more and sit less
  • Get adequate sleep
  • Hydrate: At least 8 glasses of water
  • Notice your habits: change those that aren't serving you and continue the habits that enhance
  • Get nutrition
  • Avoid alcohol, caffeine and processed foods
  • Meditate
  • Walk
  • Laugh
  • Attend my Restorative Exercise class
In Restorative classes this week our focus is on the shoulder girdle. Here is an alignment tidbit from class:  What is the relationship of the motion of your forearm and your entire arm?  When our arms are resting at our sides, the elbow pits should be facing forward.  Are yours?  We should be able to maintain the position of said elbow pit as we move our forearm so the palm is facing down (this is called pronation).  Did you notice that your elbow pit moved?

Try this: hold arm so your elbow pit is facing the ceiling, pronate your forearm.  How far can you go?

Picture
Starting position: elbow pit and palm up. The arm is in neutral.
Forearm range of motion
Elbow pit in same position. Pronation of forearm. Can you see that I don't have full motion? Due to the tightness of my muscles, I can't get my wrist parallel with the floor. The tension in my forearm can pull my whole arm into internal rotation.
Picture
This picture is taken after my Restorative Exercise class. Now I am able to fully pronate and get my wrist parallel! I love this stuff! Now to maintain it.....
Susan McLaughlin is a physical therapist who specializes in the management of pelvic floor and orthopedic dysfunctions. She is the owner of ALIGN integration|movement in Salt Lake City, UT.  Helpful tips and other self care strategies can be found at www.alignintegrationandmovement.com.
7 Comments
Forward>>

    Author

    Susan McLaughlin,
    Physical Therapist

    Picture
    Picture
    Picture
    Picture
    Picture

    FEEL GOOD SERIES:
    Movement videos for download

    Picture

    Products I love:

    Picture
    Picture
    Picture

    Props for home:

    Disclosure: I only recommend programs and products that I would use myself.  If you use these links to purchase something, I may earn a small commission at no additional cost to you.  Thank you.  

    Categories

    All
    Alignment
    Back Pain
    Breathing
    Chronic Pain
    Core Stabilization
    Fascial Health
    Foot Health
    Healing The Nervous System
    Hip Pain
    Knee Pain
    Lower Extremity
    Neck And Upper Extremity
    Pelvic Health
    Postpartum Healing
    Pregnancy
    Psoas Release
    Self Care
    Shoulder Girdle
    Shoulder Pain
    Si Joint Pain
    Spine
    Thoracic Mobility
    Transversus Abdominis
    Treatment For Si Dysfunction
    Walking
    Wrist

    RSS Feed

    Archives

    November 2022
    May 2022
    November 2021
    April 2021
    December 2020
    September 2020
    July 2020
    June 2020
    May 2020
    April 2020
    February 2020
    October 2019
    September 2019
    August 2019
    July 2019
    March 2019
    January 2019
    December 2018
    November 2018
    September 2018
    August 2018
    June 2018
    March 2018
    February 2018
    January 2018
    December 2017
    November 2017
    October 2017
    August 2017
    July 2017
    May 2017
    March 2017
    February 2017
    January 2017
    December 2016
    November 2016
    September 2016
    August 2016
    July 2016
    June 2016
    May 2016
    April 2016
    February 2016
    January 2016
    December 2015
    November 2015
    October 2015
    September 2015
    August 2015
    July 2015
    June 2015
    May 2015
    February 2015
    January 2015
    December 2014
    November 2014
    October 2014
    August 2014
    June 2014
    May 2014
    March 2014
    February 2014
    January 2014
    December 2013
    November 2013
    October 2013
    August 2013
    July 2013
    June 2013
    May 2013
    March 2013
    January 2013
    December 2012
    November 2012
    October 2012
    September 2012
    August 2012
    July 2012
    June 2012
    May 2012
    April 2012
    March 2012
    February 2012
    January 2012

Office:  1817 S Main Street, Suite 10 | SLC, UT 84115
Located in the Forrester Office Complex


ALIGN integration | movement, PLLC.  All rights reserved.
@2012-2023
​Medical Disclaimer        Privacy Policy & Terms of Use
Good Faith Estimate
​

Contact:  Susan McLaughlin, PT 801.859.4142
susan@alignforhealth.com