Dr. Ryan- Prime Time 9/27-28

as,

Aspirin has been known to cause pancreatitis, although it is not that common.

Did they check you for gallstones? Gallstones and alcohol are the most common causes.

See the attached link for more info.

Take care,

Ryan

carpenter,

Pain with lifting overhead is often related to impingement syndrome. There are several causes of this problem. Rotator cuff problems are often a causative factor.

I would lay off upright rows for the time being.

Regarding overhead lifts, dumbbells are usually a better option as it gives you a greater degree of freedom to groove the non-painful motion pattern.

Try searching the site for the Cracking the Rotator Cuff Conundrum article.

It wouldn’t hurt to get checked out by a good sports med chiro or PT that could do some myofascial treatment and try to identify if there are any muscle imbalances that might be contributing to the problem. Often times treatment to the muscles can help to improve what is known as scapulohumeral rhythm and decrease the risk of impingement. If that doesn’t work an MRI could be done to determine whether or not you would need to be referred for an orthopedic consult.

[quote]Dr. Ryan wrote:
carpenter,

Pain with lifting overhead is often related to impingement syndrome. There are several causes of this problem. Rotator cuff problems are often a causative factor.

I would lay off upright rows for the time being.

Regarding overhead lifts, dumbbells are usually a better option as it gives you a greater degree of freedom to groove the non-painful motion pattern.

Try searching the site for the Cracking the Rotator Cuff Conundrum article.

It wouldn’t hurt to get checked out by a good sports med chiro or PT that could do some myofascial treatment and try to identify if there are any muscle imbalances that might be contributing to the problem. Often times treatment to the muscles can help to improve what is known as scapulohumeral rhythm and decrease the risk of impingement. If that doesn’t work an MRI could be done to determine whether or not you would need to be referred for an orthopedic consult.[/quote]

thanks doc will follow your advice and set up an office visit and see what happens.

Meddl,

First of all, why are you sitting like that?

That position loads the horns of the menisci. It also stretches all of the anterior knee structures. The pain could be generated from several structures.

I would avoid that position if possible. Conversely, you could use your arms to brace against the floor as you slowly lower yourself down into the full sit back position. A gradual stretch may help to decrease the pain. Although, that position really isn’t good for the knees. If you bent your finger to the very end range of motion and then loaded it like you do the knees it that position, I would expect that your finger would hurt too.

From your post, it doesn’t sound like you have any problems with the knees during your exercise, which is a good sign. Just make sure to balance quad and hamstring training.

Take care,

Ryan

asking youre opinion have you heard of a product called syn-flex it is liquid glucosamine with shark cartilage,omega 3,and yucca I like the liquid but this stuff is pretty expensive I have tried the various pills but could hardly keep them down when I took them.Something in them just wont sit on my stomach

brotzfrog,

Well to answer your question, simply continuing to play or practic those activities will help improve your performance from a specificity of training standpoint.

You may want to search this site for articles related to GPP (General Physical Prepardness) These are activities like tire flipping, tire hitting with a slegehammer, car/truck pushing, sled pulling. These work multiple muscle groups with functional exercise in an attempt to build work capacity.

Regarding gym training, trying to train in all planes is fine and will help to prevent muscle imbalances as a result of only working limited movements.

I would focus on compound multijoint exercises like squats, deadlifts, cleans, rows, pull-ups, dips, bench, shoulder press etc. These will give you the most bang for the buck.

As far as books go, Stength Training Anatomy isn’t bad. Any good anatomy book will explain the axis of movements and the movements that occur about each axis and in what plane they occur. Muscles-Testing and Function is a very detailed book that has probably more info than you are looking for, but it is a good book.

Take care,

Ryan

at school someone has gottne a staph infection. he ended up having some surgey but is all better. now there are around 5 people with it. they had cleaned the locler room, threw away all the water bottles, jugs, and almost everything else.
Now we have to drink from cups to make sure people dont share.

What are some signs of a staph infection, the people who have it now say they thought they were just pimples, but any way to tell? also any ways of not getting infected?

Hello Dr. Ryan.
Injury History and symptoms
I had an AC joint separation in January of this year. I separated it performing a one arm snatch like motion of an extremely heavy weight (not working out, it was just one of those moments of shining idiocy). I didn’t know I injured it initially, but soon after noticed a bump on my shoulder and it was sore and lightly sore to the touch. I could still do a pushup or dip or whatever, but with some pain. Eventually went to an orthopedist (1 month later, yeah more stupidity) and he diagnosed me with a grade one/grade two AC joint separation.

He noted that my clavicle was popped up significantly (It’s visually noticeable) and at the time of the initial examination I still had some horizontal and vertical travel of the clavicle. He examined me again in two months and the clavicle had pretty much stabilized with the exception of still having a little bit of vertical travel.

I’ve been working on stabilizing the surrounding muscular of the joint focusing on the scapular retractors, depressors, and serratus.

I still have some pain in ac joint area (light soreness) after lifting. Recently I’ve also began to notice increased impingement (light clicking, catching) when rotating the humerus and when lifting arm out in front or to the side. I feel it mostly on top of the shoulder. Would you think its rotator cuff tendonitis? What are your thoughts on chronic impingements to watch out for as a result of this type of injury?

Bauer,

Yes it sounds like it could be lateral epicondylitis. I would suggest that you find a good chiro or PT that can do some myofascial release, ultrasound, etc.

Also, try to avoid any lifting with a palms down grip. Doing lifting with a palms up grip will help decrease some of the pain/strain on the area.

I would use wrist wraps on any exercise where grip is a factor (deadlifts, shrugs, pull-ups, etc). That will decrease the strain on those muscles as well.

Ice massage the area following any training.

If you use the computer mouse with that hand, either switch sides or take frequent breaks.

Some times these injuries will respond to eccentric based exercise for the involved muscles. Doing a couple sets of wrist extensions where you use the opposite hand to assist the concentric portion of the lift and then do a slow eccentric could help. Ice massage after the exercise. You can try these every other day and see how it responds.

Wearing a lateral epicondylar strap helps to decrease the strain on the area as well.

Hope that helps, it can be a tough injury to heal just because you use those muscles a lot during normal activities.

Keep me posted on how you respond.

Take care,

Ryan

Whitelabel,

The best thing to do is just do a search on Google. That should pull up several links that will go into detail about Staph infections and will have pictures.

Take care,

Ryan

Matticus,

Check back tomorrow morning and I will answer your question. I have to get offline for the night.

Take care,

Ryan

thanks for your help… look foward to reading it.