Saturday morning pump done💪😎 #ApPhysio #injuryclinic

Advantages of Eccentric Training: an Avenue to Improve Strength, Power & Speed Performance! #ApPhysio #injuryclinic

LOW BACK PAIN TREATMENT SERIES - MYOFASCIAL RELEASE OF THE ILIOPSOAS MUSCLE . The iliopsoas muscle belongs to the inner hip muscles and is innervated by the femoral nerve + lumbar plexus. It consists of: ▪️Psoas major: origin. from 1st-4th lumbar vertebrae, costal processes of all lumbar vertebrae and 12th thoracic vertebrae + ins. at the lesser trochanter of the femur. ▪️Iliacus: runs from the iliac fossa to the lesser trochanter. The psoas major and iliacus unify in the lateral pelvis shortly before the inguinal ligament becoming the iliopsoas. There they pass below the inguinal ligament through the muscular lacuna together with the femoral nerve. Both muscles are completely surrounded by the iliac fascia. The lumbar plexus lies dorsally from the psoas major which is penetrated by the genitofemoral nerve. . The iliopsoas is the strongest flexor of the hip joint (important walking muscle). In the supine position it decisively supports the straightening of the upper body (e.g. during sit-ups). Furthermore it rotates the thigh laterally. A unilateral contraction leads to a lateral flexion of the lumbar vertebrae column. It plays a significant role in the movement and stabilization of the pelvis. . On the picture you can see how I approach the iliopsoas to perform a myofascial treatment as: 1️⃣a trigger point technique: make sure you hold the pressure as long the patient tells you the pain or the radiation goes down or the pain is not radiating anymore but at least for 1 minute and finish the technique then with a Ponçage. I usually hold the pressure until i feel a myofascial release under my fingers! . 2️⃣a fascial release technique for the complete iliopsoas: make sure you perform the technique from proximal to distal or distal to proximal along the muscle stomach. . 3️⃣a release technique between the psoas and iliacus: use the thumb from one hand and your finger 2-5 from the other hand and stay between both muscles until you feel a fascial release! #APhysio #injuryclinic

Making them shoulders and trapezius lose after Richie Gray @richiegrayofficial (from Team Wilkey) busy week at the gym. Might be a bit painful afterwards but it has to be done. #ApPhysio #injuryclinic

A Cross side release of thoracic spine, Manual therapy to the spine and, followed by MRT (muscle relaxation techniques) and deep tissue massage with pro #boxer Emran Hussain @emranhussain_ . #ApPhysio #injuryclinic #teamwilkey

Individual layer's of abdominal region. The anatomy of the regions and planes of the abdomen is composed of many layers with varying blood supply and innervation. The abdomen has been bisected, trisected, and even divided into as many as 9 separate regions. The layers of the abdominal wall consist of the skin, superficial fascia, and muscles. #ApPhysio #injuryclinic

Do you have disc pain, sciatica⚡️, SIJ issues, or a “tight” lower back? Try it! . This self-massage technique of the QL (quadratus lumborum) muscle will temporarily decompress↕️ the disc, relax the lower back, and relieve tension on the SIJ😊. When the disc is decompressed, the symptom of sciatica can reduce. Do 1-5 minutes⏱ of searching and smashing the QL on each side as shown in the video. A lacrosse ball ⚪️works best for this exercise. A tennis ball 🎾is pretty squishy. A golf ball 🏌️is too small. A baseball ⚾️is awkward with the stitching. . The occurrence of disc injuries is much higher📈 in people who have posterior tilt🔄 (butt tucked under) and a straightening of the spine. At the same time, massive marble or even golf ball sized adhesions(knots) can form on one or both sides of the back in the QL muscle😭. These adhesions can be extremely painful when sitting/standing for long periods… a deep throb/ache/burn in the lower back. Combined with an extension-based exercise (for months) like the “press up,” “cobra pose,” or “sphinx pose” you will feel dramatic relief in the lower back and a slight reduction in the size of the adhesions as you return curvature to the spine.👉🐋 . The @Theragun drill is awesome for speeding up the process of softening the QL… or any other muscle! . . Is this the answer to all your pain?!?!?! 🤷‍♂️Hell no. You have to learn how to strengthen and move properly! Pay attention to our videos and realize that everything we talk about relates to your injury. The entire body is connected… the movements of your feet 👣 or shoulder 🙋 directly relates to your lower back.

‘When Can I Run!?’ after an ACL surgery! . This is a question everyone asks me after ACL Reconstruction. • Whenever I get asked questions like this from patients or parents I prefer to give performance benchmarks instead of timelines. • Every rehab progresses at its own unique pace, but every athlete eventually gets to where they want to be, and it happens after they achieve these benchmarks. • Most of my athletes begin running around the 3 month mark, but that's 3 months of regular training with the rehab focused on the next benchmark in the progression. • It's also important to remember that there is no reason to rush into running, this is a 9 -12 month rehab with progression based upon movement proficiency and success. Not a calendar #ApPhysio #injuryclinic

Spinal mobilisation with pro boxer Emran Hussain @emranhussain_ . #ApPhysio #injuryclinic

@Regranned from @kieranltd - @ap_physio looking after my legs 👐👐 - #ApPhysio #injuryclinic

Mobilisation of Talocrural joint with pro boxer Emran Hussain @emranhussain_ . Ankles are very important in boxing as their are part of every boxer arsenal. Moreover, the ankle joint (or talocrural joint) is a synovial joint located in the lower limb. It is formed by the bones of the leg and the foot – the tibia, fibula and talus. Functionally, it is a hinge type joint, permitting dorsiflexion and plantarflexion of the foot. #ApPhysio #injuryclinic

THORACIC OUTLET SYNDROME (TOS) AND SELF-TREATMENT . TOS are a group of syndromes involving pressure on the brachial plexus. Each syndrome is named according the structure that is causing the compression. . 1️⃣SCALENE ANTERIOR SYNDROME: The fibres of the brachial plexus must pass through a narrow aperture between scalenes anterior and medius. Any increased tone in one of these muscles (usually anterior), will provide enough compression to produce symptoms. Scarring and adhesions from injuries can be causes of compression, particularly if found at the attachments of the scalenes. Dysfunction or misalignent of the cervical spine may also be a contributing factor to this syndrome. . 2️⃣PECTORALIS MINOR SYNDROME (HYPERABDUCTION SYNDROME): In this case, the compression occurs where the neurovascular bundle passes between the tendon of pectoralis minor and the coracoid process of the scapula. Tractioning is greatest with the arm in abduction, but even with the arm dependent, enough pressure from postural problems or tight pectoralis muscles can cause symptoms. . 3️⃣⃣COSTOCLAVICULAR SYNDROME: Symptoms result in this case when the neurovascular bundle is tractioned between the clavicle and the first rib. This is often bilateral, indicating a symmetrical postural cause. . CAUSES: Crutch use; Joint subluxation; Adhesions and scarring; Muscular hypertonicity from postural dysfunction such as hyperkyphosis; Trigger points; Occupational stresses; Emotion stresses; All of which lead to shallow breathing and poor sleeping posture. . SIGNS AND SYMPTOMS: All thoracic outlet syndromes feature paraesthesia in the arm, forearm, hand, and fingers. Symptoms are usually unilateral, but can be bilateral, particularly if postural dysfunction is a main cause. Anterior scalene syndrome is also noted for edema in the hands and fingers. . On the picture you can see several exercises which can help if you suffer from TOS! #ApPhysio