The Training Room_Shoulder, Elbow, Wrist Pain

The Newsletter About Your Health And Caring For Your Body


Akil Piggott, PT, DPT, ACSM EP-C Physical Therapist, Exercise Physiologist

Akil is the most recent addition to the Training Room PT team and has already begun pushing the envelope in what it means to practice what you preach. Growing up, Akil competed as a competitive powerlifter throughout his high school and college years. Still an avid exercise enthusiast, he now competes in the natural physique/bodybuilding circuit. Recently he competed in an amateur physique competition in Philadelphia, Pennsylvania where he placed 1st in his class and 2nd overall, nearly earning his Pro-card. Now Akil is hungrier than ever (literally he guarantees a complete victory. For more details about Akil, check out his bio under Our Team at

The Training Room Bulletin The Newsletter About Your Health And Caring For Your Body

DidYouJust Suffer a Sprainor aStrain?

You’ve probably had a sprain or strain at some point in your life. Chronic sprainsandstrainsarenotgoodas they lead to lastingproblemssuchas weakness and joint damage. However, did you know that being strong, flexible and having good posture can go a long way to stopping sprains and strains? Sprains and strains are extremely common injuries to the musculoskeletal system. What is a sprain? A sprain is an injury that overstretches or tears a ligament (tissue that connects bone to bone), which provides joints their stability. A severely damaged ligament during an injury or accident can cause a joint to become unstable. Symptoms may include pain, inflammation and in

some cases, the inability to move a joint (elbow, wrist or shoulder). Sprains occur when a joint is forced beyond its normal range of motion, such as bending your wrist back during a fall. If you still have pain from a past injury, this is probably because you never fully recovered from the sprain or the joint is unstable. Sprains can be mild, or they can be traumatic, such as with a fall or with an on-the-field injury . What is a strain? A strain is an injury that overstretches or tears muscles or tendons (connects muscles to bones). A strain typically occurs at the point where the muscle is becoming a tendon and is stretched too fast, then suddenly contracts, as with quickly grasping for a falling heavy object.

DoYouHaveShoulder, ElboworWristPain? You try to get through the day, but that nagging pain in your shoulder, elbow or wrist just keeps your attention focused on it. It sure is hard to concentrate on work, your family and other activities you need to do! We can help you get back to living!

It is common to fixate on that body part that hurts. The thought is that because it hurts there, the problem is right there! However, this is often not the cause. You see, the body part that is painful is usually the one that is doing all the work, because other areas are not doing their job. The body is truly amazing and all the parts work together as one whole, most of the time. However,whenanareaofyourbodybecomes weak or stiff because it was abused from poor posture, stress or injury, even an old one, other areas strain from the overwork to pick up the slack. A common word that is used for this type of repetitive injury strain is called “tendonitis”.This is simply an inflammation of the tendonsof thatarea,whichattachmuscles to bones. For example, a very common complaint is tennis elbow and even pain in the forearm or wrist area. However, why is

this happening in the first place?

in your wrist and elbow. If this goes on too long, it becomes severe and you seek out medical help. Typically a brace may be put on the area, but that is not where the problem is, right? It’s because your shoulder was stiff and weak from your slouching. Our highly trained physical therapists will be able to identify faulty postures and poor compensation patterns. With a comprehensive evaluation and individualized treatment plan, you can be back to doing what you like to do, quickly and easily. The education you receive about your injury and its cause will help you to stay healthy moving forward and hopefully, prevent future injury. Give us a call today if your shoulder, elbow or wrist is hurting, we can help!

The upper extremity works in 3 parts, the shoulder, elbow and wrist. They rely on each other to make the incredible movements of your arm so you can reach grasp and do ordinary daily tasks we take for granted. They rely on your posture to be good in order to function properly. When you slouch or sometimes do a repetitive task, like reaching acrossyourdesk,certainmusclescanbecome too tight or strong while others become weak. This muscle imbalance leads to that area not working as well as it should. For example, you sit at a desk all day and you slouch your shoulders. Now, your shoulder doesn’t work as well, but you still move your mouse around with your arm, which causes your wrist and forearmmuscles tooverwork.As thishappens over time, you start to notice aches and pains

Exercise Essential

Lower Fiber Traps | Prone

Strengthens Arms Always consultyour therapistorphysicianbefore startingexercisesyouareunsureofdoing. Do this exercise if you have shoulder pain.

Lie on your stomach with arms at your side. Slightly bring your shoulder blades together

“ I amback swimming as strong as ever, racing triathlons, and tackling crazy trail ultra-marathons with confidence.” PATIENT SUCCESS STORY

“My initial reason for coming in was another dislocation of my shoulder during a biathlon accident. I’d previously dislocated both shoulders and had a few other injuries in my career as a weekend warrior- herniating a discwhilekayakingand tearingmyMCLandACLwhileplayingvolleyball. Becauseofall theabuse Ihadavarietyofmuscular imbalances thatheld me back in athletics. We started with strengthening my shoulders and midback and once that was progressing well, we addressed the issues with my core and hips. Nick was unfailingly creative and imaginative with the routines and stretches we tried, never failing to present new challenges and target all problem areas, strengthening my core, hips and entire dynamic chain. I am back swimming as strong as ever, racing triathlons, and tackling crazy trail ultra-marathons with confidence. I feel my running stride has improved and gotten smoother, and I’ve even picked up a lot of speed. Come winter I might even have another go at biathlon… although, I’ll be working on improving my cross-country skiing skills first!”

-Jennifer Parisi

StartMovingBetter Today! This past summer we moved our Washington Township clinic into a new space within Webb Fitness and MMA gym. We are excited to be here, because we are now in an exciting and motivating atmosphere in which to rehab any injury. We have full access to all of the gym equipment, including cardio, weight machines, free weights, and even punching bags, as well as our own designated clinic space where we put our expertise to work! It’s a one-stop shop for all your health and fitness needs! Call us today to schedule an appointment!

Have YouMet Your Out-of-PocketMax? Have you met your annual Out-of-Pocket Max? If you have, your therapy may be free. How do you check to see if it has been met? You can call your insurance and ask them or you can call us and we will gladly check your benefits for you.

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