What To Do For Muscle and Joint Stiffness

Q: I went to see a chiropractor today to get orthopaedic lifts for my shoes, and he gave me a bit of an examination at the same time.

He told me that I was very stiff and I was likely feeling a lot of back pain. Actually I have no back pain but I am very stiff. I have always struggled with flexibility.

These days my upper shoulders and back of my neck are often sore and tight. I have been slowly working on some of the stretches on your website, but this guy wanted me to go see him and he would help me with adjustments, etc., etc.

I'm wondering if I can just rely on stretching (seriously 30 minutes a day) to regain flexibility and deal with these problems instead of actually seeing this guy.

A: Generally, my feeling is that it's best to see what you can accomplish with a regular stretching routine.

In the absence of chronic inflammation or pain from an acute injury, stiffness in the back, shoulder, and neck regions is typically caused by one or both of the following:

• Stiffness within the joints in the area

• Tight muscles

Joint stiffness can cause surrounding muscles to become tight from lack of use, and tight muscles can cause underlying joints to become stiff, also from lack of use. So for practical purposes, in addressing stiffness, it doesn't really matter which one is causing the other; the vast majority of stretches promote joint flexibility and healthy muscle length.

Chiropractic adjustments aim to prevent joint stiffness, typically by delivering a "short amplitude, high velocity" thrust through one of the planes through which the involved joints are designed to move.

Though chiropractic adjustments can be immensely helpful in promoting optimal joint motion, my experience has been that without regular stretching and awareness of daily activities and postures that are at the root of chronic stiffness, adjustments can become a short term fix.

In my opinion, it's better to adopt a lifelong program of stretching to establish and maintain healthy length and blood flow in all major muscle groups, which should help your joints and surrounding ligaments to stay healthy as well.

I would add foam rolling to your stretching routine, as I find it to be an invaluable tool for keeping muscles, ligaments, and the joints they service healthy.

Also keep in mind that beyond stretching and foam rolling, you can likely benefit from some resistance training that promotes a strong core and good body balance. For example, instead of doing conventional push-ups, by doing push-ups with one hand on the ground and one on a medicine ball, you force muscles, ligaments, and proprioceptors (joint receptors that register joint position sense) throughout your body to develop a high level of functional strength. By functional strength, I mean strength that your body can consciously and subconsciously use to stay balanced and be less prone to injury as you go about your daily activities.

Another example of an exercise that promotes good body balance is one-leg squats, where you keep your core strong, balance your weight on one leg, and do slow, controlled squats - even just a few degrees will yield big dividends to your functional core strength and balance.

But not to move too far away from your question, a regular program of stretching and foam rolling is where I would begin - this really needs to be the foundation of your self care program. If you try to do too much with strength and balance-related exercises without ensuring that your muscles are healthy and your joints are moving properly, you might just reinforce faulty patterns of being and moving.

Archive of Stretching and Foam Rolling Posts

After spending a few months taking care of your body, if you feel that you haven't experienced significant improvement and can use some help, that's when I might visit a chiropractor, physiotherapist, kinesiologist, or any other practitioner that specializes in functional movement work. If your stiffness is severe enough that you can't stretch and exercise effectively, then it makes sense to seek treatment from day one.

Find more info at: http://drbenkim.com/what-do-muscle-stiffness

Benefits of Foam Rolling

You’ve probably seen it. Those people at the gym, rolling around on the floor with a giant cylinder thing, and wonder “what the heck are they doing?” Well, it’s time for you to jump on the bandwagon too, because foam rolling really can change your life. And if not your life, it can at least change your workout.

Foam rolling, or self-myofascial release, as it’s technically called, is basically like a deep tissue massage for your muscles. It’s a type of soft-tissue therapy that focuses on connective tissue called fascia. Fascia is tissue that connects with your muscles, bones, and ligaments to provide support throughout your entire body. (1)

When it works properly, fascia is elastic and can stretch and move as one with the rest of your body. However, many times, due to intense workouts, poor posture or movement patterns, stress, and lifestyle factors, fascia can tighten and become stiff, restricting movement and even causing pain.

Unfortunately, conventional stretching on its own doesn’t always release tight fascia. Direct pressure from a massage therapist, or a tool like a foam roller, or even a lacrosse ball, is needed to release those tight muscles and tissue. It’s important to have muscles and fascia supple and elastic for proper muscle movement and function.

1. Improves Range of Motion & Performance

Exercise, injury, and lifestyle can cause your fascia to tighten and cause trigger points, or “knots”. These knots are what restrict both mobility and performance. Foam rolling can break up those knots and return muscles and soft tissue back to normal, increasing range of motion. With an increased range of motion, you can perform better in your workouts by engaging muscles fully to increase strength and power. (2)

2. Relieves Muscle Soreness and Aids in Recovery

Fascia provide your muscles with support and protection. Overuse, injury, and even inactivity can cause fascia to tighten, causing inflammation and irritation. Foam rolling breaks up those knots which can actually help increase circulation to your muscles and connective tissues. With better circulation and more oxygen, your muscles can recover faster and you’ll experience less muscle soreness. (3)

3. Relaxes Muscles

Just with deep tissue massage, foam rolling applies direct pressure on tight muscles and knots which helps them relax and release tension. “Rolling” over your muscles and trigger points creates a similar effect that a massage therapist uses when kneading your muscles. (4)

4. Lengthens Muscles & Prevents Injury

Just as it increases range of motion, foam rolling allows you to stretch your muscles more efficiently as well. Foam rolling lengthens muscles and breaks down scar tissues that can prevent you from reaching your deepest stretch. It allows muscles to return to their normal length, which in turn allows for proper muscle function. When your muscles are efficiently stretched and function properly there is far less risk of injury.

5. Correct Muscle Imbalances

Because foam rolling can relax tight muscles, improve range of motion, and lengthen muscles, it allows your body to perform better. It helps correct muscle imbalances by relaxing the overactive, tight muscles, and allowing for proper movement to strengthen the weak, underactive muscles.

6. Can Boost your Immune System

A healthy myofascial system directly correlates with a healthy immune system. Your lymphatic system detoxifies your system and keeps it healthy. Lymph, or lymphatic fluid, runs along the facial plane of your body. When the fascia in your body are tight, it restricts the movement of lymph. Foam rolling will release tight fascia, allowing for proper detoxification and immune function. (5)

Fair Warning: Foam Rolling won’t feel that great…

For some, foam rolling seems as if it can’t possibly help if it is so painful while actually doing it. But again, think of it as a deep tissue massage. Most people understand and know that deep tissue massage can be uncomfortable and even painful. Foam rollers are really just a tool used as a substitute for the hands, elbows and forearms of the massage therapist.

When foam rolling, it is important to choose the right type of roller to start with to minimize the amount of discomfort in the beginning (sometimes the pain the first time can be enough to scare people off forever!). Foam rollers come in different densities, or “hardnesses”. The harder to roller, the more painful it will be if you have extremely tight muscles and fascia. When starting a foam rolling program, choose a softer roller (usually colored white or light blue) and start there.

As soon as you move off of the foam roller, the muscles you were working on should stop hurting and actually feel relieved and more relaxed. As the discomfort starts to go away when foam rolling, this means that you have been able to work out those knots.

As you progress through a foam rolling program and the pain starts to decrease, you gain flexibility and increase range of motion, and then move up to the next level of hardness in rollers (usually a black roller). Eventually, you will become accustomed to the uncomfortable feeling and even start to enjoy it. You may eventually even want a roller that is lined with a PVC pipe in the middle to really dig into those muscles.

Tips for Foam Rolling

• • Roll each muscle group for 1-2 minutes and roll very SLOWLY. When you hit a tight spot that is painful or uncomfortable, HOLD on that spot for 30-45 seconds. You should feel the tension release slowly.

• • Make sure to keep breathing, even when it’s painful. Holding your breath won’t allow the muscles to release and relax.

• • Be sure to RELAX the muscle as best you can. If you are flexing or tensing the muscle group you are trying to roll out, you won’t feel the trigger points you need to release.

• • Drink plenty of water for the next 24 hours. Your body needs to rid itself of the lactic acid released after rolling.

• • The next day your muscles may be a bit sore. That’s normal, they should feel slightly fatigued and possibly a tiny bit tender. Wait 24-48 hours to foam roll again if you’re sore.

• • Never roll on a joint or bone and DO NOT roll your lower back. Also, when rolling your upper back be careful not to roll directly on your spine, instead always roll one side of your back at a time by slightly leaning to that side. There are small knobs on your vertebrae, called facets, that could get injured when rolling directly on your spine.

• • If an area is too painful to apply direct pressure, shift the roller and apply pressure on the surrounding area and gradually work to loosen the entire area.

This a full body foam rolling routine for you to get started with. Some muscle groups may be more sensitive than others, THOSE are the ones that you need to focus on! You will eventually be able to feel which muscle groups tend to always be tight for you personally. If you work at a desk (like most people) some areas to pay special attention to are the chest (and fronts of shoulders), lats, hip flexors, and IT-band.

1. Chest

Lay facedown with the bottom of the foam roller angled away from you, and your arm extended out to the side over it. (The foam roller should rest in the crease of the front of your shoulder.) Lift your stomach and hips off the floor to press your weight into the foam roller. Roll forward and backwards a few inches over your chest and your front shoulder muscles. Repeat on the other side.

2. Lats

Lie on your RIGHT side with the foam roller just under your armpit and your RIGHT arm extended over the roller. Bring your LEFT leg over and place your foot on the ground for support. Press all of your weight into the foam roller and roll along the RIGHT side of your torso from your underarm to the bottom of your rib cage, and then roll back up. Repeat on the other side.

3. Thoracic Spine

Lay with the foam roller in the middle of your back across your shoulder blades. Clasp your hands behind your head for support, but don’t pull on your neck. Shift slightly to your RIGHT side and lift your hips off the ground to put as much weight as possible up your upper right back. Roll from your shoulder blades down to the bottom of your rib cage and back up. Do NOT roll directly on your spine. Repeat on the other side.

4. Glutes/Piriformis

Sit on top of the foam roller with your RIGHT ankle crossed over your LEFT knee. Shift your weight to the RIGHT slightly to apply pressure onto your right glute. Roll forward and back slightly to release, then switch sides.

5. Hip Flexors

This can sometimes be a tricky muscle group to reach. The best way to hit it is to angle the upper part of the foam roller away from you so that the bottom part of it lines up with the crease of your pelvis and hips. Roll back and forth a few inches to release the hip flexors and shift your weight slightly from side to side to hit those muscles a little differently. Repeat on the other side.

6. Quads

Lay facedown, almost in a plank position on your elbows, with the foam roller just under your hips on your quads. Shift as much weight as possible onto the foam roller and slowly roll down your legs to just above the knee and roll back up. Also, try externally rotating your legs to hit the inside quad muscles, and internally rotate your legs to hit the outside quad muscles.

7. IT-Band

Lay on your side, with the bottom RIGHT leg placed onto a foam roller between the hip and the knee. Cross your LEFT leg over and place the foot on the floor. Place as much weight as possible into the bottom leg and roll from the hip to just above the knee and back up. Repeat on the other leg.

8. Calves

Sit on the floor and place the foam roller under your RIGHT lower leg, between the base of your calves and your Achilles. Cross your LEFT leg over your right. Press into your hands and lift your hips off the ground to apply pressure onto the roller. Slowly walk your hands towards the foam roller to roll it up your leg. Stop just below the knee and roll back down. The most sensitive spot will mostly likely be at the base of your calf muscles. Repeat on the other leg.

Article originally appeared on http://blog.paleohacks.com/foam-rolling/ written by Deanna Dorma.