Dr. Ryan- Prime Time 10/5-6

Worker,

Do you feel like you have dry mouth at the time?

If you have dryness of the mouth and throat, which you can get with working out or nervous stress, can often lead to a cough reflex.

Take care,

Ryan

Anymore questions out there?

Doc -

Any thoughts on how to train someone to sleep on their back? Unfortunately my parentals taught me to “relax and sleep on my stomach,” but that isn’t really the best thing for me.

Any thoughts?

My heel feels a lot better BTW. I don’t experience much pain at all on it anymore. I’m full go. I put a jelly thing it my cleat and that helped some until I was able to cut again on my heel.

Anyway, Thanks for the help on that.

Do you know of any procedures that can re-attach a level one AC sprain? The tedon that connects the clavicle to the shoulder?

-Get Lifted

Dr. Ryan,

I seem to have a slight pain in my left arm. The pain is above my elbow and is generally located between the elbow and where the horseshoe shaped muscle starts on my arm. Is this a case of tennis elbow?

Do you have any suggestions on exercises to help improve/stengthen that area. Do you have any suggestions on how to perform any exercises in a certain way that will not aggravate the pain>

Mike,

Are you having a problem with sleeping on your stomach? It actually is usually more of a problem for your neck than your low back.

I always slept on my stomach as well. I have tried to switch to a modified side sleeping posture, in which I use several pillows to help keep my pelvis from twisting and to take pressure off my shoulders.

One doc I know took a rather different approach to keep patients from sleeping on their stomachs. She had them duct tape or glue two tennis balls to the front center part of an old T-shirt. That way if you tried to roll on to your stomach, it would push the balls into your chest.

The modified side sleeping position requires three pillows other than the one you use for your head. One pillow goes between your knees. The second pillow you tuck snugly behind your back so that you can roll back on to it, just enough to relieve some of the pressure from the shoulder that you are laying on. The third pillow, tuck under your arm or hug it in order to prevent the top arm from flopping across your chest.

The pillow under your head should support the neck and head while holding them in a neutral position. If the head is either pushed up or dropped below the neck, then it could potentially lead to neck pain.

Take care,

Ryan

Get Lifted,

I’m glad your heel is doing well.

With a grade 1 sprain, the ligaments are still grossly intact. There are some torn fibers but the joint still has stability.

In an acute situation ice the joint for 15 minutes every couple of hours for atleast 3 days. You can also use NSAID’s for 5-7 days. Avoid exercises that distract the shoulder or place strain on the AC joint(shrugs, deadlifts, bench press, flyes, etc). Some people will use a sling to take pressure off the joint to allow the tissues as chance to heal.

In a grade 1 sprain, there really shouldn’t be much disruption of the joint planes. There is an adjustment you can do to the AC joint to help with the problem.

Let me know how you are doing.

Take care,

Ryan

Bijan,

I’m not sure if I understand exactly the region you are referring to.

Tennis elbow, AKA lateral epicondylitis, involves musculotendinous and insertional tendinopathy or enthesopathy of the wrist extensors.

Pain is usually present w/ wrist extension, and lifting with a palms down grip, as in reverse curls.

Let me know what kind of symptoms you are having and I will try to help you out.

Take care,

Ryan

Dr. Ryan,

I usually experience the pain when I try to bench or do pushups explosively. It is usually fine though when i lift at a slow/moderate tempo.

The pain is generally above the elbow.

[quote]Dr. Ryan wrote:
Get Lifted,

I’m glad your heel is doing well.

With a grade 1 sprain, the ligaments are still grossly intact. There are some torn fibers but the joint still has stability.

In an acute situation ice the joint for 15 minutes every couple of hours for atleast 3 days. You can also use NSAID’s for 5-7 days. Avoid exercises that distract the shoulder or place strain on the AC joint(shrugs, deadlifts, bench press, flyes, etc). Some people will use a sling to take pressure off the joint to allow the tissues as chance to heal.

In a grade 1 sprain, there really shouldn’t be much disruption of the joint planes. There is an adjustment you can do to the AC joint to help with the problem.

Let me know how you are doing.

Take care,

Ryan[/quote]

This is for next week.

This injury is from last year but I was curious if they can do anything after football is done. Done in the sense that if I don’t get picked up after college in the combine done.

I got one of those bumps on the top of the shoulder so it might be a grade 2. I have full strength and it doesn’t really bother me unless I sleep on it wrong than it feels stiff. I was just curious if it is worth doing anything for it.

I don’t know what the protocol is but was curious. I think it is a grade 1 because I have not lost much mobility except for a slight feeling of my shoulder being more pulled forward than my right shoulder and some “pressure” when I bench heavy or press heavy. I’m going to see a sports doctor after this season from the team and just want to be informed so I can discuss it with him intelligently.

If you can look at these pictures you may be able to somewhat see it. This is before the program http://www.t-nation.com/readTopic.do?id=617026 which may give a better view . It is my left shoulder.

-Get Lifted