Valence Massage and Physical Therapy

Exercise is medicine: https://www.facebook.com/100049680654059/posts/1580220183643988/

I believe firmly that moving in more diverse and complex ways enhances your movement vocabulary. Don't buy in to the idea of fragile bodies and specific "correct" patterns. It's just marketing. https://www.facebook.com/100063944655596/posts/1430606292414179/?app=fbl

Exercise and even just moving around more can have profound benefits far beyond just strength or weight loss. If you need help getting movement, I'm here to help!

Surgery does not seem to outperform "conservative care" in many musculoskeletal pain conditions. I wish to see every person made aware of this before they go under the knife! https://www.facebook.com/100064622535057/posts/1236777958486277/

Biomechanical explanations for pain and dysfunction often rely on old narratives that imaging and science has shown to be wrong. Moving more, increasing load tolerance, and training can help with pain, even spinal flexion.

Updating your narrative with research is absolutely necessary for a clinician. I have learned special tests for shoulder impingement in no less than 5 continuing education seminars, that's not to even mention physical therapy school. https://www.facebook.com/100063774721900/posts/1313334844135661/?mibextid=rS40aB7S9Ucbxw6v

The area between the humeral head and the acromion, coracoacromial ligament, and acromioclavicular joint is known as the subacromial (under the acromion) space. Within this space is the supraspinatus tendon, long head of the biceps brachii tendon, subacromial bursa (fluid-filled sac that reduces friction), and the capsule of the shoulder joint.

When most people discuss shoulder impingement, they are referring to these tissues being compressed in this space. 

The shoulder impingement theory was popularized by a surgeon in the 1970’s before he proposed a surgery to treat the issue. Since then, here’s what we’ve learned:

1. If symptoms were solely caused by compression of these overlying structures, we’d expect their removal to improve symptoms and function. However, research demonstrates that subacromial decompression is no better than placebo surgery.
2. Subacromial decompression also doesn’t seem to change the long-term prevalence of rotator cuff tears. Rotator cuff tears are present in asymptomatic individuals and are more common as we age, like many other imaging findings. 
3. Compression of tissues in the subacromial space is common, occurs equally in people with and without symptoms, and happens with normal, day-to-day tasks. 
4. A smaller subacromial space is not correlated with symptoms or disability. 

So shoulder impingement exists, but it’s not the bogeyman it’s been made out to be. 

To learn how to properly manage this condition, click the link in our bio or search “E3 Rehab Shoulder Impingement” on YouTube!



•YouTube: 
•Programs, Blogs & 1-on-1 Coaching: www.e3rehab.com

Massage is not a "find it and fix it" approach but it can be transformative. It is a partnership between patients and providers with many well documented benefits. Often, massage gets pidgeon-holed with luxury or pampering services, or worse with magical thinking and scammers. I am so happy when I see posts from legitimate therapists, doing the work to educate the public.
https://www.facebook.com/100063614677961/posts/1250006737129804/

Back pain does not have just one cause, so it doesn't have just one solution either. https://www.facebook.com/100063521441542/posts/1213990924061611/?mibextid=rS40aB7S9Ucbxw6v

A great quote.

Agree or disagree?

Let me know in the comments 😉

*realistic* goals

FYI: Vitamin C is very beautiful. https://www.facebook.com/100064555159421/posts/1047372384091257/

Can you guess what this picture is?

It's actually an image of Vitamin C, taken with polarised light.

Vitamin C is essential for collagen formation and wound healing and a lack of it can lead to scurvy. Its study led to the awarding of both the medicine and chemistry prizes in 1937: the first to Albert von Szent-Györgyi, who first isolated the vitamin, and the second to Norman Haworth for determining its molecular structure.

More about the 1937 medicine prize: https://bit.ly/2QcpJGC
More about the 1937 chemistry prize: https://bit.ly/2U4IxbI