Trademark_Shoulder Elbow & Wrist Pain

HEALTH & WELLNESS The Newsletter About Your Health and Caring for Your Body GIVE CHRONIC PAIN THE COLD SHOULDER Shoulder, Elbow and Wrist Pain, Where Is It Coming From?


HEALTH & WELLNESS The Newsletter About Your Health and Caring for Your Body

INSIDE: • What Are The Benefits Of Shoulder Training? • Baseball’s Most Fearsome Injury • Meet Our Team

GIVECHRONICPAINTHECOLDSHOULDER Shoulder, Elbow and Wrist Pain, Where Is It Coming From?

It’s time to say goodbye to shoulder, elbow, and wrist pain once and for all. Identifying the cause of your pain and taking steps to combat ill habits that may be contributing to your discomfort can have a significant impact on your quality of life. Wave goodbye to pain in your hands, shoulders, elbows and wrists with targeted techniques from your experienced physical therapists. What is Causing the Pain? Think about the tasks that make up the majority of your day-to-day life. It is often said that life in the 21st century is way easier on the body than life during any other time in human history — and it’s true that there is a fair amount of evidence to support this idea. Rather than spending all of your daysworking inafactoryoronafarm,thevastmajorityofAmericanswork indoors, often at a computer for a predetermined number of hours week afterweek.Butthisnew lifestyle isn’texactlyharmlessforthebody,either. There are plenty of ways in which the common tasks of 21st-century life put the body under a great deal of stress. Sedentary lifestyles frequently contribute to weight gain, which increases your risk for a long list of obesity-related diseases. This puts additional stress on your body, which could result in pain in crucial joints like your shoulders, elbows and yes, even your wrists. But even aside from that, there are a lot of potential

issues that your body can face as a result of sedentary behavior in the workplace — including shoulder, elbow, and wrist pain. Shoulder, elbow, and wrist injuries are especially common as a result of workplace injuryandoveruse.While it issometimespossibletotakeaction to prevent an injury from developing, it is especially important to be able to recognize when an injury develops and to understand ways that you can combat that injury by identifying what may have caused the pain to develop in the first place. Common issues that can lead to shoulder, elbow, and wrist pain include: • Issues with poor posture • Carpal tunnel syndrome, which can develop from overuse of the wrist and regular, repetitive motions, such as typing • Heavy lifting

• Athletic injuries • Muscle sprain • Muscle strain • Dislocation or hyperextension of the joints

For more support in finding relief from your shoulder, elbow, or wrist pain, call us today at 219.319.0110.




There is no denying that a pair of sculpted shoulders looks great on everyone. The definition around the shoulders helps enhance a male or female’s frame and is the perfect accessory to a sleeveless shirt or dress. However, shoulder training has several benefits beyond the aesthetic; it enhances posture and strengthens the muscles surrounding the shoulder joint, creating more stability and an overall sturdier body structure. The shoulder joint is one of the most delicate joints. The shoulder joint allows a greater range of movement (think about doing arm circles). When the muscles surrounding the shoulder joint are weak, this movement can become altered, creating instability and often leading to injury. As the least stable joint in your body, your shoulders will benefit from exercises designed to strengthen supporting muscles while gently increasing your range of motion, so that you can easily swing a golf club, hit a volleyball or reach overhead. The shoulder has a wider and more varied range of motion than any other joint in the body. Our shoulder allows us to do everything from paint to play basketball, but this flexibility also makes the shoulder joint more prone to injury. Those most at risk for shoulder problems are athletes or workers with “overhead” movements—swimmers, throwers, painters and construction workers. The older we get, the more vulnerable to injury we all are.

Dear Patients and Clients, This is an extremely difficult time as we contemplate whether to stay open or close our doors. According to the most recent official guidelines, healthcare businesses are still considered essential services, and we deeply recognize our responsibility to continue providing care to patients who need it. Chronic pain won’t just go away, and the need for post-surgical rehabilitation isn’t negated by this pandemic. For your information, we have implemented the following measures: • Ensuring treatment tables and other equipment are a safe distance between patients and staff. • Providing 1-on-1 care. • Requiring all patients to wash their hands or sanitize upon checking- in prior to starting treatment and again before leaving our facilities. • Asking every patient a set of classifying questions at the start of treatment to identify any potential risks. • Adjusting treatment plans to include medically necessary manual therapy work and only with patient consent in an effort to reduce hand-to-body contact. • Instructed our team members to self-distance especially when outside of our clinics, including the elimination of all travel, and to ask their families to take the same precautions. • Continuing to schedule on an as-needed basis to keep schedules limited. Thank you for continuing to support us and trust in us through these uncertain times. We know that together, we will get through this and celebrate on the other side.

Keeping the shoulders free from injury means training them.

If you are looking to improve in sports, prevent injury, strengthen your shoulders following an injury and completion of physical therapy program, or even just to improve your physique, Trademark has a plan custom fit for your needs.

Sincerely, Your Trademark Family





Angel is extremely passionate about fitness and maintaining a healthy lifestyle. She is aware that everyone has different boundaries and that each person is unique. Therefore each one of her clients will have a work out and routine specialized accordingly to his or her capability. Working out isn’t about being a certain size or build; It’s about enhancing your body as a whole, strengthening your heart, bones and your mindset. Balance speed and agility has no age limit. Angel enjoys working with all ages, from athletes to parents.

INGREDIENTS • 1 cup raw, unsalted cashew pieces • ¼ cup plain, unsweetened, almond milk (or leave out if you want a thicker dip) • 1 clove garlic, minced

• 3 Tablespoons chives, chopped • 3 Tablespoons parsley, chopped • 3 teaspoons raw apple cider vinegar • Sea salt to taste

INSTRUCTIONS Placethecashews inwaterandsoakovernight inthefridge.Drainandrinsethe nuts,theplacethem inablenderorfoodprocessorwiththealmondmilk,garlic, andvinegar.Blend1-2minutesaddingwaterasneededtogettheconsistency you want. Add the rest of the ingredients and blend on low another minute.



• McKenzie Method • Myofascial Release • Personal Training • Therapeutic Exercise • Vestibular Therapy • Wellness Program • Ergonomics

• ACL Injury Prevention Program • Advanced Functional Science • Athletic Training • Electrical Stimulation • Graston Technique • Kinesio Taping • Laser Therapy • Manual Therapy

BASEBALL’S MOST FEARSOME INJURY Michael Hornbuckle, ATC, CWCE, FAFS In over 25 years of baseball, I’ve heard this story too many times to count… A high school pitcher has great velocity and pop in his Sophomore season, but during his Junior year, his velocity drops by 10 miles per hour, and is missing it’s zip. Every baseball player knows that they typically play the game with some shoulder pain, and tend to live on a regimen of ibuprofen during the season, but this type of situation normally draws the question, “What happened?” This is when the plot tends to thicken. The conversation has to happen that the athlete may have suffered a significant injury: a torn labrum. A piece of fibrocartilage in the shoulder, the labrum cushions the top arm bone (the humerus) against the socket known as the glenoid. Having it securely in place is vital for throwing, and the most common solution is surgery to repair a tear in it. From a layman’s perspective, the labrum is a pretty simple stabilizer to the shoulder joint. It creates a suction seal. It’s like an O-ring on a valve. The labrum tear as baseball’s “most fearsome injury,” and rightfully so. About half of major leaguers don’t return to form. It is most commonly a career ender, as in the case of Mark Prior, but some do make it back. Trevor Hoffman was a star relief pitcher with the San Diego Padres when he tore his labrum and had surgery. He returned to be just as dominant and ended up in the Hall of Fame. All of the force generated to throw a ball travels from the stance leg, through the hip and back and into the arm and shoulder joint. If the labrum isn’t sealing right, there could be instability, which translates to pain and a dip in performance. Many times this is a significant dip in velocity and the feeling like a dead arm, or even sharp pain. But instability isn’t just related to pain. Stability provides proprioception, or knowledge where the arm is in space. It also lets the athlete subconsciously know where exactly to place the ball by the feedback it provides to the brain. There is a concept of good SLAP (Superior Labral tear from Anterior to Posterior) and bad SLAP. Good SLAP happens when the labrum stretches and results in more range of motion than is typical of experienced throwers. Bad SLAP is more significant separation and extends further down the back of the glenoid (shoulder socket), and results in instability. While bad SLAP usually needs to be fixed by surgery, the issues that caused the labral tear in the first place can potentially be remedied through things like physical therapy. Whether it is a good SLAP, or just shoulder pain, the problem could typically be poor scapular mobility, tight hips or quads, and potentially even limited ankle motion in the stance leg to name a few. These issues must be addressed to ensure that recurrence of the injury is unlikely. Issues can linger for a thrower whose labrum has been torn. Every torn labrum that gets repaired tends to have SOME loss of motion in the shoulder. This motion can and does improve with time, but the need for continued arm care exercises is very important to keep the shoulder healthy after injury or surgery. So why are labrum injuries career-killers for some but just a bump in the road for others?

Keep up with your physical therapy exercises to relieve pain and prevent further injuries. If your pain doesn’t subside, consult with your therapist about what other things might be causing pain. Call Trademark Performance for a complimentary injury consultation. We will guide you so you can get back to the activities you love. HAS YOUR PA I N COME BACK? 1 2 3 CLINIC NEWS REMOTE PERSONAL TRAINING I S NOW L I V E !

If you have shoulder pain, we can give you advice and help start the process of recovery.

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