Shoulder Health – Part 1

I’ve been getting a lot of shoulder health questions lately and decided to compile some of the information into a series of posts. This first post is about posture and subsequent posts will be on shoulder rotation, mobility work for the shoulder, and applying this information to training or sport.

The shoulder is an interesting joint because it evolved to have good mobility, but poor stability; in contrast, the hip has poor mobility but good stability. The shoulder is composed of the humerus (upper arm bone) fitting into the glenoid fossa (the socket of the ‘ball and socket joint’) of the scapula (the shoulder blade), but is primarily held together through muscles on the anterior and posterior (front and back respectively) sides. The following video is excellent at showing the musculature of the shoulder joint (though the joke at the end couldn’t be crappier).

Improving shoulder health or mobility isn’t simple; it requires an understanding of how the upper body integrates in the ability to achieve good or bad positioning. Poor mobility in the shoulder will prevent the person from getting into good position and results in bad mechanics, or inefficient transfer of force. Poor force transfer loads structures incorrectly or incorrectly and wears them down resulting in trauma. Do this enough and there will eventually be an injury or dysfunction. At the very least you won’t be strength training properly and will poorly develop musculature and strength.

Given the shoulder’s unique anatomy, it often requires targeted care to maintain its function and alleviate discomfort. Registered massage therapy can play a crucial role in addressing the imbalance between mobility and stability in the shoulder joint. For those seeking professional help, trust Inspine Therapy to provide expert care tailored to your needs. Their skilled therapists use a combination of therapeutic techniques to address shoulder issues, ensuring a comprehensive approach to managing pain and promoting recovery. By focusing on the muscles that stabilize and move the shoulder, therapists can help improve flexibility, reduce pain, and enhance overall joint function.

In addition to the specialized services offered at Inspine Therapy, exploring other reputable options for shoulder care can also be beneficial. Facilities that provide a multidisciplinary approach, including physical therapy, chiropractic care, and acupuncture, can further enhance recovery by addressing the shoulder from multiple angles, ensuring a well-rounded treatment experience tailored to individual needs.

One notable clinic is a physical therapy henderson nv location that emphasizes a holistic approach to treatment. Here, patients are guided through personalized rehabilitation programs designed to address their specific needs. The therapists employ a variety of techniques, including manual therapy and targeted exercises, to restore mobility and strengthen the surrounding muscles. This clinic recognizes the importance of patient education, equipping individuals with the knowledge and tools necessary to manage their conditions effectively and prevent future injuries.

To address shoulder health effectively, incorporating professional massage therapy can be crucial. Massage therapy helps by increasing blood flow, reducing inflammation, and promoting relaxation in the shoulder muscles. This approach not only aids in improving mobility but also assists in preventing the trauma associated with poor mechanics.

For those looking to optimize their shoulder health and prevent injuries, visiting a specialized clinic like https://www.athleteschoicemassage.ca/ can be highly beneficial. These clinics provide tailored massage therapies designed to address individual needs, focusing on improving mobility and strength in the shoulder. With regular sessions, you can expect a significant reduction in the risk of shoulder dysfunction and a more effective strength training regimen, leading to better muscle development and overall physical performance.

Posture

The first step in understanding shoulder health is understanding posture. It starts with correct spinal positioning and finishes with proper shoulder positioning.

Most people look like “round shoulders” above. This is the “thoracic flexion, shoulder internal rotation, cervical flexion, and atlas extension” that I always talk about make fun of. The thoracic spine is the upper/middle back, and flexion means that it rounds. Shoulder internal rotation refers to the shoulders rolling forward; external rotation rolls them back. The cervical spine is the neck, and flexion means that it is rolled down towards the chest. The atlas is the C1, or first cervical vertebrae, and that flexes or extends the actual skull (named after Atlas in Greek mythology because it supports the globe of the head). Despite the fact that the cervical spine is flexed forward, the atlas can be in extension to bring the chin up (as in the “round shoulders” picture above). The result is a wormy human being who definitely doesn’t lift. To review these and other anatomy motion terms, watch this video. I will now proceed as if you know the anatomical terms.

The “correct posture” above is the goal. To do this, tighten the lower abs and lift the chest towards your chin. The chin itself will be level with the ground. You can check this relationship by making the “rock on” sign with your fingers (middle and ring finger pulled down with the thumb on top of them, the pinky and index finger extended) and place your manubrium (upper sternum) and put your index finger under your chin. That will more or less put your chin in the proper position. Your spine should now be in a “correct posture” that allows it to transfer force efficiently.

It is no coincidence that this spinal position is the same you should use while lifting. Note that the cervical position should remain the same in lifting, and therefore eye gaze will adjust depending on the back angle of the exercise (e.g. the high bar squat will have a forward eye gaze while the low bar squat will have a slightly downward eye gaze).

Since your thoracic spine is in neutral position (which may be considered “extension” if you are always hunched over), slightly pull back the shoulders. This will put them in neutral position, yet it may feel like they are “back” since they are probably routinely rounded forward. This is the alignment you should aim to have most of the time. If you cannot achieve this position, it’s likely that all of your athletic endeavors are inhibited. More importantly, you’ll never get tan as a result of being jacked.

If you have trouble with posture, make a conscious effort to improve it. The world sees posture and bases an initial assumption on it; it’s part of a first impression. If you see a guy walk in a room like “round shoulders” above, do you have a positive view of him? I don’t; it indicates a lack of self confidence and attention to detail. If someone walks in with “correct posture” above, it indicates confidence and self-assurance. A communications book I read gave the suggestion to realign posture every time you pass through a doorway. It said to imagine reaching slightly up and lightly biting a piece of leather; this lifts the chin and subsequently the chest and pulls the lips slightly back to make a smile. It gives a visual cue to set proper posture before one of the most important social challenges: giving a good first impression. Do this every time you walk through a doorway and you’ll end up doing it upwards of 30 times a day. Not only do you look like someone who actually lifts, but you’re getting constant reminders to set your posture throughout the day.

If you have poor shoulder mobility, I’d have to assume your posture is poor. Work on it with the tips above, because it’s vital for efficient force transfer in lifting as well as preventing injury.

If you have poor posture and sit down all day, also read this “Hyperlordosis” post. 

Form = Function?

Today I was at a loss of what to write about for the female post. I’ve written about how society negatively affects the body image of women and how lifting can help modify it. I’ve written about how the gals who do lift can set a good example to try and encourage non-lifting women to try it out — or get their friends in the gym period. I’ve written about how guys can convince the lady friends in their lives to train and explain why “doing cardio” is futile, irrelevant, and inefficient. I’ve written about programs, developing a pull-up, correcting mechanics, improving muscle imbalances, and what to do if a girl cries in training.

One thing that I haven’t written about — something that I’ve made it a point to avoid — is how I think publicizing overtly fat female athletes does more to hurt their sport and athletics than to help it. The first person that comes to mind is Olympian Holly Mangold (right).

I don’t know Holly Mangold. I’m the first to say that the picture I chose for the post couldn’t be worse, but this is what girls of all ages see. I’ve seen this exact picture all over the internet mocking Holly, weightlifters, lifters, as well as being used as in “fat girl memes”. Most women don’t see this picture as someone who is near the pinnacle of lifting, but someone who looks grotesque. Lifting already has a bad enough stigma, but then you attach this face to it and I can hear the teenage girls (who actually exercise) run to the celebrity waif trainers.

To make matters worse, MTV — the shittiest network ever — did a special on her over a year ago (I’d link it but I refuse to give them clicks). This solidifies the idea that “weightlifting” and “fat” are synonymous. It doesn’t matter that we know this couldn’t be farther from the truth, but it doesn’t matter what we think. What matters is that the anti-lifting dogma is only made worse. Imagine every asshole personal trainer telling their new female client, “You don’t want to lift; did you see that big girl at the Olympics? Do you want to look like her?”

Sure, Holly has athletically accomplished more in four years of a sport that everyone — including me — could only dream about; she qualified for the Olympics and placed 10th in the world. But my focus is on the big picture. Yes, I think Holly is abhorrently fat. No, I don’t think she should die because of it. No, I don’t want her feelings to be hurt, but I also don’t care about her feelings. She’s an Olympian now, and that means she’s been awarded with the fact that she is a role model whether she likes it or not. Her physique is not necessary for her performance and she will do more harm than good to the sport of weightlifting — and lifting in general — by failing to do something about it.

This isn’t just my opinion; it’s how society works. We are all judgmental assholes. We judge personality on outward appearance. There’s so much sensory and data input in our lives that we wouldn’t be able to function if we didn’t do this. If anything, it’s a necessarily selected trait in order to function and survive in civilization. Besides, you can’t look me in the eye and tell me that a 17-year-old girl is not going to have a negative view of female weightlifting after watching Holly’s MTV special. Ptsh, you couldn’t even truthfully tell me that the teenage girl would have a neutral view of it. If I’m wrong about society, I’m definitely not wrong about a shallow air head who watches reality TV.

The good news is that it’s not like Holly can’t do anything about it. She’s an Olympian. She should have the capacity to set her mind to a goal, work towards it, and achieve it. She has the ability to tighten her diet and training regime and come into the 2016 games looking svelte and hitting PRs. It’s not like I expect her to compete as a 75kg/165lb lifter (the second heaviest female weight class), but there’s no reason she needs to weigh 165kgs/363lbs. And if she fails to do this again (she’s tried in the past), then she fails female weightlifting, exacerbates the image of female lifting, and further poisons the misconception of female body type and legitimate training methods. I’m rooting for Holly Mangold, but it’s solely on her plate.

Q&A – 49

PR Friday is a time to reflect on your training with people who actually understand you. Post your updates or PR’s to the comments.

Last Week’s Challenge was to do rows after every training session; post results to the comments.

Next Week’s Challenge: 1) Sign up for the Movember team, 2) post about it on your personal social media, and 3) donate one doll hair to the Movember team. This isn’t the first or last fundraising initiative 70’s Big will be a part of, so I’m not asking you to drop 10, 20, 50, or 100 doll hairs into the kitty. Just donate one doll hair. If everyone that looks at this site in the next month donated one doll hair, we’d raise a shit load of doll hairs and easily beat last year’s total. Remember: every doll hair counts. Also, instead of asking you or other people to donate a lot, I think that we can raise more by getting more people on the team overall. So join up, donate up, and let’s do this.

Week In Review: Monday’s female post asked hard training females to not only continue setting a good example, but to share how they got into lifting. Tuesday was a very important day — the 2012 Declaration of Movember. Join the team and help us raise money. Wednesday was a statement of unity through our uniqueness.

Image made by Alex B.

Q&A

Leeuwer on  said:

Dear Justin,

My girlfriend is highly interested in growing muscle, powerlifting and losing fat. This is fantastic.

I moved her from a typical diet to a paleo diet. Currently, she is used to sprinting 2-3 times a week.

I wrote down the following training routine for her:

 

Workout A:

Squat
Press
Chins (5 x 2, one leg on a bench behind her, cannot perform multiple reps unassisted yet)

Conditioning: 10 minutes Jump Rope

 

Workout B:

Squat
Bench Press
Deadlift

Conditioning: 10 minutes Jump Rope

 

These are alternated for three weight training days a week.

I suggested she limits the sprinting to twice a week and performs a calmer jog or walk on the third day (since she trains dogs and does her training with them). These are performed on the days in between weight training.

 

The questions:

1) Is the chin-up progression all right for her the progress to doing singles or doubles on chinups? Once I know that she can perform at least two chinups, I’ll move her up to doing 10 sets of singles, etc. Is this a good idea?

2) Is the sprinting/weight training too much? Having them both on one day would allow for more recovery, but that is unfortunately not possible.

3) Based on your article on females and higher reps, I wondered how I should best program her sets and reps. Better to have her perform 3 sets of 10 or 3 x 5? Or would you advise alternating? She wants to gain muscle and firm up, first and foremost.

Thanks for any advice.

 

Dear Leeuwer,

Good to hear that your girlfriend is interested in strength training and muscle building. Before I get to your question, I just have a few general notes to consider. This doesn’t mean you have to blindly follow them, but I think they are relevant.

– I’ve written about developing a chin or pull-up for females exhaustively. “Programming Pull-ups” and “Developing A Pull-up” will give you all you need to know. I also suggest “Experiment for da Ladies” in this case. This addressed your first question.

– I’m not a huge fan of just simply alternating A/B workouts in a linear progression unless the person is brand new to lifting. The A/B alternate will have a trainee deadlifting three times in two weeks, and this will become a problem very soon. If she’s brand new, then run with it, but after 6 to 8 weeks, just have her deadlift on Friday and do RDLs on Monday (or whatever corresponding days).

– What kind of sprints has she been doing? If they are legitimate 200 or 400 meter repeats, then jump roping won’t be terribly stressful to her. In fact, I would consider jump roping as less stressful than yogging for the same amount of time. If she’s been doing legitimate sprints, the jump rope won’t have the desired effect you’re after.

– I’m not a huge fan of training on off days, but if she’s relatively new to lifting (and hasn’t been consistent before), then it probably won’t be a big deal if she does a bit of conditioning on the off days. Just keep in mind that if her progress stalls in a few months (and her protein intake is close to 1g per pound of body weight), then the conditioning on off days should be the first to go. Your second question indicates that it’s not possible to do the sprints on the same days that she lifts, so your current plan is fine until you guys run into stalled progression — which should not happen for several months. And assuming she’s new to lifting, I don’t think it’d be a problem if she sprinted on a third non lifting day of the week (like on a Saturday). You know what to remove if she has recovery problems.

– Since she is still new to lifting, just use a 3×5 set/rep scheme. It provides a happy medium between strength training and hypertrophy, and she cannot build muscle without strength. She will develop muscle doing this stuff, and you can even turn her “conditioning” days into high intensity circuits to give her more reps of muscle contraction. I think you did a good job creating her plan and suggest that you stick with your plan until February and then worry about changes then. I realize she wants to “gain muscle” and “firm up” first, but muscle building is not a fast process, even for guys. Improving body composition will help the “firm/tone” goal.

 

There haven’t really been a lot of questions lately. Feel free to drop them in the comments or on social media.