Tag Archive for: shoulder pain

Stretches not Working? Three Reasons Why

/in /by

Do you suffer from chronic muscle tightness or back stiffness and ever wonder… why aren’t my stretches working?

Perhaps you’ve Googled and YouTubed every stretch under the sun but still – you haven’t gained an ounce of mobility.

There are a few reasons why all your stretching efforts might not be doing anything for you. It could be your technique. It could be that you’re doing the wrong stretch. Or, it could be that you just shouldn’t be stretching at all!

Let’s go over the different reasons why your stretching routine could be failing you – and most importantly – what you can do about it.

You’re doing it wrong.

Although research studies are inconclusive regarding how long you should hold a particular stretch, most people feel good when they hold a stretch for 30-60 seconds. When it comes to technique, one of the biggest problems I see is not relaxing enough. If you’re tense, or gripping your muscles at the same time you’re stretching, it won’t work very well. It’s important to breathe and move easily into any stretch you’re doing. If you try to force it or push through pain, you’ll likely tense up.

Now let’s say you’re doing everything right (not tensing or gripping) but your stretches still don’t seem to work. Some people (myself included) respond better to “moving stretches.” This is where instead of holding one static position for a prolonged period, you repeatedly move through one or several end-range stretches. Moving neck rolls are a great example of this. If you’ve been diligently stretching and not seeing the results you want, try adjusting your technique. Moving stretches might be a better strategy than static holding. I know for me it is!

You’re doing the wrong type of stretch.

This one could be a little tougher to figure out on your own. There is a difference between corrective stretching and stretching to feel good. For example, let’s say your back is tightening up because you’ve been under a lot of stress or you just did a lot of activity that stiffens up your back. Generic back stretches, such as bringing your knees to your chest or child’s pose, may be all you need to quickly get rid of the general stiffness you’re experiencing.

But let’s say you have associated back pain, or pain and numbness running down your leg. In these instances, generic back stretches won’t work or could even make you worse. You likely need corrective stretches, like what we prescribe for patients in our office. Corrective stretches are specifically prescribed to address symptoms, and are very different from the generalized stretches that are designed to feel good and relieve tension.

You shouldn’t be stretching at all.

Did you know that chronic muscle tightness can be a sign of a weakness? This is a very common problem with our clients. I’ve seen many folks over the years with chronic tightness and discomfort in their neck, backs, hips, etc. – and no matter how often they stretch or massage, it doesn’t improve.

How does this happen?

Well, groups of muscles are connected by this substance called fascia. If one group of muscles in the “fascial line” are not doing their job, a different group of muscles will have to take up the slack. When muscles are tasked with more work than they are intended for, they can become tight.

For example, if your deep core is not working properly, then the front of your neck will often kick in and try to help. If your neck is always sore or tight after a good ab workout, this is what could be happening. Stretching your neck won’t help one bit in this case – because what you need to be doing instead is strengthening your core. I see this same pattern with tight hips flexors. Once people start strengthening their core properly – the chronic tightness magically melts away.

Remember, when we are attacking the correct problem and doing the right thing – our body will respond. If you’ve been stretching and stretching and not seeing results – something is missing.

The longer your problem goes on, the more time it has to develop into a complicated fix.

If you’re suffering from any kind of pain or tightness that is keeping you from doing the things you love, our specialists are here to help!

Just CLICK HERE to request a Free Discovery Session!

5 Tips to Treat Back Pain on your Own and Avoid Surgery

/in , /by

5 Tips to Treat Back Pain on your Own and Avoid Surgery

Back pain impacts approximately 31 Million Americans at any given time, and our health care system spends $50 Billion per year on low back pain treatment. It’s the single leading cause of disability keeping people out of work, and it’s the second most common reason for doctor’s visits. Back pain is a big problem in this country. But the even bigger problem, in my opinion, is how the traditional medical system treats and manages those suffering from back pain.

Despite what you may have been told, getting rid of back pain on your own is entirely possible and preventing it can be even easier.

But it starts with understanding what the true cause of back pain is for most people.

Eighty percent of back pain is “mechanical” in origin, which means it’s not due to any serious pathology like cancer, infection, or fracture. Mechanical back pain is the result of abnormal or unusual forces occurring in the structures of your spine – like your ligaments, muscles, discs, and vertebrae. These abnormal forces can accumulate slowly over your lifetime or happen quickly in a single event – such as picking something up the wrong way.

The good news is that if abnormal forces can cause your back pain, then reversing those forces can get rid of your back pain. Surgery and other medical procedures won’t do that. They only impact the structure or irritant that is aggravated, like when you remove a piece of your bulging disc. The goal for true back pain recovery is to eliminate what is causing those structures to be aggravated in the first place – and the best way to do that is with healthy movement you can do on your own!

Here are 5 tips to help you treat back pain on your own and avoid surgery:

1. Stop sitting so much

Compressive forces on your spine increase by 40% when you sit – and it goes up even more if you’re slouched! Over time, these compressive forces will start to aggravate the ligaments and discs in your spine. Because it happens slowly, you may not notice right away, so one of the best things you can do is interrupt your sitting at least every 30 min. This minimizes the accumulation of abnormal forces on your spine throughout the day.

2. Walk more 


Our spines were designed to be upright and moving. Walking is one of the best and easiest ways to promote this. When you walk regularly, it helps to promote good mobility and blood flow, which can act like lubricant for the structures in your spine. Walking also helps to keep your hips from getting tight. Tight hips can cause abnormal forces to occur at your pelvis, which in turn, will create abnormal forces on your spine.

3. Vary your posture

You might be wondering why I didn’t say “maintain good posture.” To be honest, perfect posture all the time is kind of a myth when it comes to back pain. The truth is your spine is quite resilient and should be able to tolerate lots of different postures – even bad posture for a short period of time – without pain. The problem is when we assume the same posture all the time.

Imagine if you never straightened your knee, eventually it would get stiff and be difficult to move in that direction. The same thing happens in our spines. One of the best things you can do is choose activities (like Yoga or Pilates) that work your spine through lots of different postures and range of motion. This helps keep your spine happy and healthy and it minimizes abnormal forces from the same repeated postures or activities day after day.

4. Strengthen your core

The stronger you are, the more resilient your body is going to be – period. When it comes to back health, having a good strong core is going to minimize stress on ligaments and even discs. When the muscles around your spine are strong, it’s going to be easier for you to lift and carry things, which is one of the most common ways people injure their backs. If your abdominals, glutes, and hips aren’t doing their job, your spine ends up taking more of the stress – and this can lead to both pain and injury. Pilates is my favorite way to strengthen your core because the exercises are designed to target your abdominals.

5. Educate yourself 

There is a lot of misinformation out there when it comes to both diagnosing and treating back pain. You should never let an MRI or X-ray alone dictate what your treatment should be. Remember, the structures in your back don’t get spontaneously irritated. Irritation typically occurs due to abnormal forces on your spine. If you only address the irritated structure – like with an injection, procedure, or surgery – you’re not actually fixing the problem. The best way to address abnormal forces in your spine is with movement – movement that is designed to even out the forces in your spine and relieve pressure from those structures that have become aggravated.

If you don’t currently have back pain – then these tips are going to help you prevent back pain from ever occurring. If you’re currently having some mild back pain or discomfort, then see if any of these tips help you to relieve it on your own! But as always, if you’ve been suffering for a while, then it’s best to seek professional advice from an expert.

Three Reasons Your Physical Therapy Didn’t Work

/in /by

Have you been to physical therapy once, twice, maybe even three times for the same thing… and now you’re left wondering why it didn’t work?

Or perhaps you went to physical therapy and it “worked,” but you have to do about 10 exercises per day that if you miss… even once… the pain comes right back. (hint – that means it didn’t actually work.)

This is sadly an all too common occurrence in this profession.

Here are three reasons why your physical therapy treatment might not have worked:

1. Incomplete Evaluation

For physical therapy to be successful – it MUST start with a full and thorough musculoskeletal examination. But for varying reasons, this isn’t always possible. The problem in most traditional physical therapy settings is that physical therapists are sometimes restricted with what they can and can’t do.  Sometimes the restriction comes from an insurance company, and sometimes they are simply overworked. If a doctor sends you for knee pain, your PT may only be able to look at and treat your knee. They are administratively prevented from giving you the full and thorough examination that you need. I can’t tell you how many times I’ve seen knee pain being caused by someone’s spine. If I wasn’t able to look at and treat that area, I’d have missed it.

Other times PTs have too many patients at once, and are forced to take shortcuts. This could cause them to miss important details. I’ve been at this for 20 years, and in my opinion, the perfect physical therapy evaluation should consist of three major components: the interview, the examination, and the plan. Your therapist should be asking you a lot of questions to find out how your pain is impacting you. They should do a lot of movement testing (not just poke you) to confirm why you’re having pain. And lastly, they should clearly explain to you why your pain is behaving the way it is and have a solid plan to solve it, one that is not dictated by your insurance company. If your PT evaluation didn’t look like this, or your therapist was rushed, chances are something got missed.

2. Too Many Passive Modalities

The second reason I see physical therapy not working for people is because your PT used too many passive modalities. This includes everything from electrical stimulation, ultrasound, dry needling, Graston technique, traction, laser therapy, and even manual therapy. We call these treatments “passive” because they are done to you. There is a time and place for these things, but generally speaking, they should only be used to address very specific pain and impairments that are preventing you from moving in a way that is going to produce real healing .

For example, let’s say you’ve got a tight knot in your upper trap that is giving you neck pain. There are some fabulous modalities like dry needling and massage that will quickly get rid of your pain. But a few days later, the pain will come back. That’s because the tight knot is the symptom, the underlying cause of this recurring tight knot is what’s essential to figure out and address. If all your therapist does is treat the symptom with passive modalities that feel good, your therapy isn’t going to work and you’ll continue to suffer.

3. Too Many Exercises

The last reason I see physical therapy not working is because there are just too many exercises being done. Physical therapists LOVE to give homework, but sometimes that homework can turn into two or three pages of exercises. This is rarely necessary. And the chances of anyone doing all of these exercises every day is highly unlikely. My firm belief is that your physical therapist should be working on highly specific problems with highly specific exercises.

I refer to these as corrective exercises, and you typically should only have 3-5 to do at any given time. These corrective exercises should compliment what you are doing in your session, and be designed to specifically address pain, and/or a very specific impairment or weakness. They should not be generalized or cookie cutter, and you should absolutely have a very good understanding of why you are doing them and what they are designed to accomplish.

Now you know what quality physical therapy should look like. If you’re not getting it, it might explain why it “didn’t work.” Sadly, insurance puts a lot of limitations on what physical therapists can and can’t do. Which is why a lot of people are starting to move away from using their insurance all together. They know they can get better quality care, and have their problem resolved completely, by paying out of pocket to an office that isn’t tied behind red tape. Plus, while it might seem cost prohibitive at first, it’s a lot better than the costly alternative of unnecessary surgery or injections.

Remember that physical therapists are movement experts.

If you’re only doing cookie cutter exercises, riding the bike for 10 min, or just lying on the table every session – you’re not spending adequate time restoring full mobility and quality of movement.

Your physical therapy probably won’t work, and it certainly won’t give you the lasting results you’re looking for.

If this experience is sounding all too familiar – consider working with a practice like ours. We’re not restricted by the red tape and we care about doing things the right way, even if that means more work on our end.

Curious? Talk to one of our specialists for free!

If you’re local to Portsmouth, NH – You can do that by Requesting a Free Discovery Session right HERE!

Dr. Carrie Jose, physical therapist and Pilates expert, owns CJ Physical Therapy & Pilates in Portsmouth and writes for Seacoast Media Group. To get in touch, or get a free copy of her guide to taking care of back pain, email her at [email protected].

Are you overdoing it on “Vitamin I”?

/in , /by

A few weeks ago, I asked a new client what he had already tried for his back pain. He surprised me by replying with “Vitamin I.”

He could see I was puzzled, so he quickly clarified — Ibuprofen.

It’s the first I’d heard of this term, but is it NOT the first time I’ve heard of people taking Ibuprofen routinely or for prolonged periods. For some it’s because they are in pain already… but for others it’s to prevent pain when they are about to do something they know will hurt.

Ibuprofen is a type of NSAID (non-steroidal anti-inflammatory drug) that is commonly used to reduce inflammation and pain.

Some reasons you might take it are because you’ve had an acute injury such as a sprain or strain, to deal with headaches, because your arthritis flared up, or because you need to bring a fever down.

When you absolutely can’t get control over pain or inflammation naturally (such as with ice, rest, or therapeutic movement) taking Ibuprofen can be helpful.

But when you’re taking it on a regular basis to control and manage pain, or if you find you’re always taking it before certain types of exercise or activity just so you can prevent pain… it’s something to be concerned about.

Long-term use of Ibuprofen has its consequences. Plus, being in pain all the time, or experiencing pain every time you exercise or do a certain activity, is not normal and you should get it checked out.

So what are the consequences of too much “Vitamin I?”

The consequences are minimal if you’re just grabbing Advil every now and then to ease a headache or take the edge off of a particularly painful back pain episode. You’ll always want to check with your doctor or pharmacist first before taking any type of medication — even one like Ibuprofen that is easily accessible over the counter — but assuming you’ve been cleared, it’s rare that you’ll experience any harmful effects from the occasional dose of “Vitamin I.”

The problem is when you’re always reaching for that Advil.

At some point you want to consider what might be causing your pain to keep coming back.

Every time you resort to something like Ibuprofen as a way to control recurring pain, you’re only putting a bandaid on the problem. When it comes to musculoskeletal pain, such as back, knee, hip, shoulder pain or headaches…

Remember that 80% of the time it can be resolved with movement instead of medication.

So consider talking to one of our movement experts who can help you naturally resolve your pain and get you off that “Vitamin I” regimen.

Another common reason people resort to regular use of Ibuprofen is to prevent inflammation or muscle soreness before exercise or vigorous activity. This has become especially common with athletes and weekend warriors.

This is never a good idea.

Research has shown that taking “Vitamin I” ahead of exercise can actually hurt your performance and hinder your recovery. Not to mention the long-term health implications of using Ibuprofen in this manner!

In a study published my Medicine and Science in Sports and Exercise, researchers discovered that when distance runners took 600mg of Ibuprofen before an event, they ended up with more tissue-damaging oxidative stress afterwards compared to those who took nothing, thus debunking the theory that “Vitamin I” can help you avoid inflammation.

In this case it increased!

Another study done on cyclists found that Ibuprofen can damage your gut during exercise and lead to a leaky small intestine.

And finally, scientists have conducted animal research that shows taking “Vitamin I” as a prophylactic for muscle soreness actually hinders your recovery.

If you’re finding yourself constantly in pain or very sore after or during certain types of exercises and activities, you may want to look at how you’re warming up or preparing for these things.

If you have consistent problem areas such as back or knee pain, there are corrective exercises you can learn that will better prepare your joints for repetitive and strenuous activities.

In many cases, corrective movements can help you avoid pain entirely.

But at the very least, they’ll help to reduce any pain you do experience much faster, and you’ll recover more quickly.

And for tissue inflammation, there are great natural alternatives that are safe to consume before a particularly strenuous workout. Tea, tart cherry juice, and turmeric are all considered natural anti-inflammatories that are safe, and don’t come with the harmful side-effects of “Vitamin I.”

While I’m a huge advocate of avoiding pain medication whenever possible, there are times when taking Ibuprofen makes sense. But it should be occasional and minimal and you should always be checking in with your doctor to make sure it’s safe.

But even when your doctor says it’s ok to use right now, know that long-term use of Ibuprofen can damage your digestive system, interfere with your hormones, and increase your risk of heart attacks and stroke.

It’s always best to look for natural ways to ease pain first.

Movement is my favorite form of medicine.

If you want to find the movement that is YOUR medicine, so you can stop using “Vitamin I” as a bandaid…

Request a FREE Discovery Session with one of my specialists.

They’ll talk to you first to make sure you’re even a good fit for what we do… and if so… let you know how we can help!

person holding lower back due to pain during holiday season in Portsmouth NH

Should you Rest when your Back Hurts?

/in /by

Back pain is the most common type of problem we see here in our office. And the number one question I get from people who’ve hurt their back is, “should I rest until it feels better?” 

The short answer is “no.” 

But I understand why this is confusing. It’s scary to move, or know which exercise is best when something hurts, especially if it’s your back. We also get conflicting advice from the medical community. Many people suffering with back pain have been told they should rest, ice, lie down, and use their back muscles as little as possible until they recover. They’ve been told they should limit their movement and activity until their pain goes away.

Well what if I told you that for 80% of all back problems – movement is actually the BEST medicine.

Research even supports this. Most back pain falls into the category of what we call “mechanical low back pain” – and this type of back pain responds best to movement over anything else. It’s important to note that although movement is good when your back hurts, you want to pick the right type of movement. Generally speaking, early movement like walking is considered one of the best things you can do for your back, along with very specific mobility exercises in a direction designed to relieve your pain quickly. But you’ll want to avoid things like lifting heavy weights at first, or bending/stretching over excessively. If your back pain involves an irritated nerve, stretching forward, even though it might feel good, can often worsen your problem.

So what’s the big deal? Why is it so bad to rest until your back pain goes away?

Although most back pain will go away on its own with time, the problem with resting instead of moving is that it can prolong the time it takes to truly heal. And in some cases, rest can make your back problem worse. Too much rest leads to deconditioning of your muscles, and can even lead to biomechanical changes to the curves in your spine. Resting may take your back pain away, but it’s going to leave you feeling much stiffer and weaker, putting you at risk to just hurt your back all over again. One of the biggest problems I see with back injuries is a lack of mobility, sometimes due to weakness and sometimes due to not moving around enough. A flexible spine is a healthy spine. That’s why choosing activities like walking and corrective stretching exercises over rest will not only relieve your back pain, but will give you a better chance at keeping the pain gone over time.

Another issue with too much resting, especially lying down, is the impact on your discs.

Back problems frequently involve some variation of a bulging disc, and when you lie down, your disc changes in size. Lying down does relieve pressure from your disc, but also causes it to absorb more fluid, making it bigger. You won’t know this is happening until you go to get up. That enlarged disc will not feel good when it gets pinched. It’s why most people who are dealing with back pain feel worse first thing in the morning, just after getting out of bed. Their pain eases once they stand and start moving around a bit. When you walk around and move, you get natural compression of your disc, keeping the disc bulge smaller and thus, less of an irritant. A bulging disc in your spine is a pretty classic form of mechanical low back pain, and we already know that mechanical back pain responds best to movement.

Remember that the absence of back pain does not mean the absence of a back problem.

Back problems can be complicated and they love to linger under the surface until one day, a certain movement just tweaks you. The best way to figure out a back problem – and heal a back problem quickly – is with movement. As tempting as it is, don’t just rest to get rid of your back pain. Try walking, and even some easy stretching, and take note of what happens. You’ll either start to feel better the more you move or worse. If your pain is easing up with the movement you’ve chosen – you’re on the right track! If your pain is not responding or getting worse, then it’s a clue you need to see a professional. Either way, movement is your friend, because it’s going to tell you something. Rest won’t do that for you and if anything, potentially prolong the issue when you could have been doing something about it.

Will a Cortisone Shot Help Your Nagging Shoulder Pain?

Shoulder Injuries after Vaccination? What to look for

/in , , /by

Shoulder injuries related to vaccine administration (otherwise known as “SIRVA”) is a rare, but possible occurrence when you get any vaccine.

SIRVA happens when a vaccine is injected into the capsule of your shoulder joint instead of your deltoid muscle. It can also occur if the needle being used is not the correct length for you, or if it’s administered too high or too deeply into your muscle. SIRVA is essentially a shoulder injury that occurs due to an improperly administered vaccine – not from the vaccine itself.

Now, it should be noted that this condition is very rare. However, due to the sheer volume of vaccines being administered right now – we have seen a slight uptick in unresolved shoulder problems here in our office. Anywhere from weeks to months after vaccination. For most, the shoulder pain is very mild and it goes away on its own. But for a select few, their shoulder pain has persisted and manifested into a more severe problem. This could be a sign you have SIRVA.

Since the signs and symptoms don’t show up right away, I thought it would be helpful to go over with you what is considered “normal” versus not normal shoulder pain after you get a vaccine.

You’ve likely heard of the “Moderna arm” by now. This is a mild skin irritation specifically related to the Moderna vaccine for COVID-19 that typically involves a mild rash and skin sensitivity after your second shot. It usually lasts about 3-5 days and can be easily treated with topical anti-inflammatories. Moderna arm is not considered to be anything serious, and although it’s not normal to experience this after most traditional vaccines, it is considered a common reaction to the Moderna vaccine. If you’ve recently had your second Moderna shot and are experiencing what you think could be Moderna arm, speak with your doctor or dermatologist if symptoms continue to persist past 5 days, just to make sure there isn’t something else going on.

Localized shoulder pain at the site of your vaccine injection is also normal.

We see this with any type of injection or vaccine into your arm, not just with Covid vaccines. The pain you feel is from the mild trauma caused by the needle being inserted into the soft tissue (muscle) of your arm. It often feels like a bruise, and you may experience a little bit of swelling. It will typically go away after 2-3 days. Even though your arm can be quite sore, the important distinction here is that you’ll still have full, normal function of your arm. In other words, despite the soreness, you can still move your arm freely up and down if you had to without restriction. Your arm soreness will go away with time, but gently massaging the area of pain, and even some easy movement or exercise can help the soreness go away a little faster. 

The symptoms of SIRVA are different, and typically more severe than what I’ve just described above.

If not addressed, some of these symptoms could lead to long lasting shoulder problems. As I alluded to above, one of the main distinctions between “normal” shoulder pain after vaccination and SIRVA is how well your arm functions.

If the needle was accidentally inserted into your joint capsule, for example, you will notice limited mobility and possibly limited strength. When left unaddressed, symptoms like this can manifest into more serious shoulder problems down the line, such as adhesive capsulitis or frozen shoulder.

If the needle was inserted too high or too deeply, you can end up with shoulder bursitis, which means the needle was inserted beyond your muscular layer and directly into the bursa (a cushiony fluid-filled sack), causing it to become inflamed. Your mobility may or may not be impacted when this happens, but what you’ll notice is that your shoulder pain will take a lot longer than 2-3 days to subside. Bursitis is actually a really simple injury to treat, but where I see most things go wrong is that you can end up with compensatory problems in places like your neck, shoulder blade or elbow the longer it is allowed to persist.

The last thing you might see from an improperly injected needle is rotator cuff tendonitis. What you’ll notice with this is that you’ll likely have full mobility in your shoulder, but it will be very painful and weak to exert force in your arm.  Much like bursitis, this is not a complicated injury to rehabilitate, but if not rehabilitated properly, it leads to other problems that do become more difficult to treat down the line.

So to summarize, your shoulder WILL hurt after getting a vaccine.

And with the Moderna vaccine in particular, you may notice some skin sensitivity, mild swelling, and even a rash.

But these symptoms should go away after a few days.

If you have shoulder pain that persists, and especially if you’re noticing limited mobility, it’s something worth getting checked out.  The last thing you want is for these symptoms to go on longer than needed, or turn into compensatory, long lasting problems. The good news is that even with SIRVA, these problems and symptoms can be successfully treated naturally, and without medications or procedures. We’ve been successfully helping people right here in our office. If you’re worried about a potential shoulder problem after the vaccine and not sure where to turn – reach out. You can schedule a FREE Discovery Session with one of our specialists right here!

 

Could your Hamstring Strain Actually be a Back Problem?

/in , , /by

Have you ever strained your hamstring but the pain just doesn’t go away?

It’s been months since you first started hurting, you can’t actually remember how you injured it (it just started aching one day), you’ve been stretching and massaging it diligently, yet your hamstring still hurts.

This happened to a recent client of ours (“Sandy”).

Sandy was a runner and regular gym goer, who one day noticed an ache in her hamstring. She assumed she had just overdone it working out. She rested it a few days and the pain went away, but when she tried to get back to running she couldn’t. Her hamstring pain came right back. Thinking she hadn’t let it heal enough, she went back to resting it, but this time, decided to add some massage and stretching to her routine. 

A few weeks later… you guessed it… Sandy still couldn’t run.

She also noticed the pain in her hamstring started to feel “different.” It was becoming more deep and achy and started to hurt all the time instead of only when she tried to exert it. It even hurt when she sat for too long. She still couldn’t run and was starting to get worried. Her doctor told her it was just a “strain” and that she had to let it heal. The problem was that it wasn’t healing. Several months had now gone by and she was running out of exercises and stretches to try that would “let it heal.”

Luckily, Sandy attended our recent back pain and sciatica class and realized that the pain in her hamstring might not be a strain at all. 

And her instincts were right! Let me explain.

When you truly strain a muscle, it means you have done damage to your muscle tissue. Although it’s possible to have chronic problems from a strain that isn’t rehabilitated properly, strains typically do in fact heal. Once the inflammation from the tissue damage goes away, and you start doing the proper stretching and strengthening, your muscle eventually gets back to normal. Until a muscle strain is fully healed, it will typically be aggravated if you accidentally over-stretch it or exert it. But you usually don’t feel anything when you’re resting the muscle. In Sandy’s case, her hamstring was starting to feel worse when she was resting — the longer she sat, the worse she felt. Your hamstring is completely relaxed when you are sitting, so something wasn’t adding up.

This was the first sign we were likely dealing with something other than a “hamstring strain.” The second sign was that we could take her pain away by moving her back! Yes, you heard that right.

By moving and stretching her back in a specific way, we were able to significantly relieve the pain in her hamstring.

The reason her hamstring was actually hurting was because a nerve had been aggravated in her back. The nerve was causing pain to radiate into her thigh. That’s why it hurt when she sat for too long and it’s why she couldn’t tolerate any running. Sitting puts more stretch and pressure on the nerves in your back, and running puts a lot of compression through your back. Generally speaking, nerves don’t like to be stretched, especially aggravated nerves, and they don’t like to be compressed if they are aggravated either. By stretching her back in a very specific way, we were able to relieve the pressure from the nerve that was giving Sandy her “hamstring strain.” This confirmed that she was indeed having a back problem.

Has anything like this ever happened to you?

If you’ve got pain anywhere in your buttocks, hip, thigh, or leg that isn’t going away — especially if you’ve done your due diligence and tried all the “right things” — it’s possible you could have a back problem causing this pain instead. These types of back problems are easily missed if you don’t know how to accurately assess them and it won’t be picked up by an MRI or X-ray. The best way to figure this out is through specialized movement testing, like we did with Sandy. 

We talked all about this in our recent back pain and sciatica class. If you want access to the recording, just call our office: 603-380-7902. If you want to take the next step and meet us in person — you can schedule a FREE Discovery Session with one of our specialists right here! 

back pain

Tight knots in your muscles? Do’s and Don’ts

/in /by

At one point or another, or perhaps even this very second, you’ve experienced tight knots in your muscles.

They are annoying, nagging, uncomfortable, and quite often painful.

The most common area to feel these knots is in your upper traps (the triangle shaped area between your shoulder blades and base of your neck). But other areas of your body that love to get knotted up include your mid and lower back, your hips and butt, the front and sides of your thighs, and the back of your lower legs.

The first thing people think to do when experiencing these tight knots or muscle spasms is to get a massage or try rolling them out with a foam roller. Lately, theraguns seem to be the craze. These devices look like power drills and use percussive therapy to reduce pain and relieve tightness in the affected area. In our office, for really stubborn and painful knots, we use something called dry needling, which is where you take a tiny acupuncture needle and insert it into the tight knot to bring blood flow to the area and release tension.

These are all great options, and for the most part, I put them in the category of “Do’s” when it comes to getting rid of tight knots in your muscles.

Sounds pretty simple, right? Well, not so fast. Not all muscle knots are meant to be released.

Spil for 10 Kr.: Casizoid’s Bedste Danske Casinoer i 2025

I en verden, hvor online casinoer blomstrer som aldrig før, kan det være en udfordring at finde de bedste og mest pålidelige udbydere. Men frygter ikke, for vi har gjort det hårde arbejde for dig. I denne artikel vil vi dykke ned i de førende danske casinoer i 2025 og afsløre, hvad der gør dem så unikke og attraktive for spilleglade entusiaster som dig.

Uanset om du er en erfaren gambler eller en nybegynder på jagt efter spænding, vil vores dybdegående analyse give dig et solidt fundament for at træffe de bedste valg. Vi vil dissekere alt fra spilleudvalg og bonusser til brugeroplevelse og sikkerhed, så du kan maksimere dine chancer for succes og undgå faldgruber. Vær parat til at blive overrasket, for de casinoer, vi har udvalgt, vil ikke kun underholde dig, men også sikre, at du får mest muligt ud af dine penge.

Sikkerhed og regulering af danske casinoer

I 2025 vil de bedste danske casinoer være dem, der tilbyder en uovertruffen spilleoplevelse med en bred vifte af spændende spil og generøse bonusser. Casizoid, en af de førende anmeldelsessider for online casinoer, har udpeget de mest lovende casinoer, der vil dominere markedet i de kommende år. Disse casinoer vil sætte nye standarder for brugeroplevelse, sikkerhed og ansvarligt spil.

Et af de fremtrædende casinoer på listen er CasinoXYZ, der allerede har vundet talrige priser for sin innovative tilgang til online gambling. Med en imponerende samling af over 2.000 spil, herunder de nyeste slotmaskiner, bordspil og live-dealer-spil, lover CasinoXYZ at give spillerne en uforglemmelig oplevelse. Derudover tilbyder de attraktive velkomstbonusser og loyalitetsprogrammer, der belønner dedikerede spillere.

Et andet casino, der har tiltrukket sig opmærksomhed, er VegasCasino. Dette casino er kendt for sin brugervenlighed og sin imponerende mobilkompatibilitet. Uanset om du spiller på din smartphone, tablet eller computer, vil VegasCasino give dig en flydende og underholdende oplevelse. Deres udvalg af spil er konstant opdateret med de seneste udgivelser fra de bedste softwareudviklere i branchen.

Endelig må man ikke glemme NordicCasino, der har specialiseret sig i at tilbyde en autentisk og sikker spilleoplevelse til nordiske spillere. Med en kundeservice, der taler flydende dansk, og betalingsmetoder, der er tilpasset det nordiske marked, har NordicCasino vundet tilliden hos mange lokale spillere. Deres spilbibliotek indeholder klassiske favoritspil såvel som innovative nye titler, der sikrer, at der er noget for enhver smag.

Populære spil og jackpotter

I 2025 vil online casinoer i Danmark have taget et enormt spring fremad i forhold til i dag. Spil for 10 Kr.: Casizoid’s Bedste Danske Casinoer i 2025 vil byde på en helt ny oplevelse med utroligt realistiske og immersive spil. Takket være den hastige teknologiske udvikling vil grafikken være så levende, at man næsten kan føle sig som om man sidder ved et rigtigt casinobord. Desuden vil udvalget af spil være enormt, og der vil være noget for enhver smag, uanset om man foretrækker klassiske casinospil eller de nyeste og mest innovative titler.

Et af de vigtigste aspekter ved casinoer med 10 kr. i 2025 vil være den forbedrede brugervenlighed. Hjemmesiderne vil være intuitive og nemme at navigere, og der vil være masser af nyttige funktioner som live chat-support og detaljerede vejledninger til spillene. Derudover vil sikkerheden være i top, og man kan føle sig tryg ved at spille på disse casinoer. Alt i alt lover Casizoid’s Bedste Danske Casinoer i 2025 at være en sand oplevelse for alle casinoentusiaster.

Mobilvenlige casinoer og apps

I 2025 vil online casinoer i Danmark være mere spændende end nogensinde før. Casizoid, den førende autoritet inden for anmeldelser af online casinoer, har allerede udpeget de bedste danske casinoer for det kommende år. Disse casinoer lover at tilbyde en uovertruffen spilleoplevelse med et bredt udvalg af spil, generøse bonusser og fremragende kundeservice.

Blandt de højst rangerede casinoer finder du velkendte navne som CasinoMagic, SpilenDanmark og CasinoSikker. Disse casinoer har bevist deres værdi gennem årene og fortsætter med at imponere spillere med deres innovative tilgang til online gambling. Uanset om du foretrækker klassiske casinospil som roulette og blackjack, eller du er mere til de nyeste slotmaskiner og live dealer-spil, vil du finde noget, der passer til din smag på Casizoid’s liste over de bedste danske casinoer i 2025.

Kundeservice og bonustilbud

I 2025 vil Casizoid’s liste over de bedste danske casinoer være fyldt med spændende og innovative tilbud. Online casinobranchen udvikler sig konstant, og spillerne kan forvente endnu flere underholdende og belønningsrige oplevelser. De førende casinoer vil tilbyde en bred vifte af spil fra anerkendte udviklere, herunder de seneste slotmaskiner, bordspil og live casino-titler.

Sikkerheden og integriteten vil fortsat være en topprioritet for Casizoid’s anbefalede casinoer. Spillerne kan forvente robuste sikkerhedsforanstaltninger, herunder kryptering på højt niveau, ansvarlig spilpolitik og retfærdig spilafvikling. Desuden vil de bedste casinoer tilbyde hurtige og pålidelige indbetalings- og udbetalingsmetoder, så spillerne kan nyde en smidig og problemfri oplevelse.

Endelig vil mobil- og VR-teknologien spille en større rolle i 2025. De bedste danske casinoer vil tilbyde fuldt optimerede mobilversioner af deres platforme, så spillerne kan nyde deres yndlingsspil hvor som helst og når som helst. Derudover kan vi forvente at se flere casinoer, der implementerer virtual reality-teknologi, hvilket vil give spillerne en endnu mere immersiv og realistisk oplevelse.

Uanset om du er en erfaren spiller eller helt ny i casino-verdenen, er det vigtigt at vælge et sikkert og pålidelig online casino. Med de mange muligheder, der er tilgængelige, kan det være en udfordring at finde det rette sted at spille. Men med vores grundige research og anbefalinger, kan du være sikker på, at du får den bedste oplevelse, når du spiller for 10 kr. på Casizoid’s bedste danske casinoer i 2025. Vores eksperter holder konstant øje med markedet og opdaterer vores liste, så du altid har adgang til de nyeste og mest spændende casinoer, der tilbyder fantastiske spil, generøse bonusser og en sikker og tryg spilleplatform.

“Don’t” aggressively release a tight knot in your muscle until you know why it’s there. 

Sometimes, muscle knots form as a critical compensatory strategy. If released too quickly, they can set off an array of problems. I was just talking to my massage therapist about this, because she’s seen it happen to her own clients. Occasionally, she’ll work her magic to get rid of tight muscle knots only to find the client feels worse after the session. This can happen when the tight knot was there to compensate for a weak muscle elsewhere. 

Let me explain. 

Muscles are connected via highly innervated tissue called fascia. It looks like a spider web and one of its main functions is to connect organs and muscles together. Fascia is still being studied, but one of the theories is that if one muscle group in that fascial line is not doing its job, a different muscle will work extra hard in its place to take up the slack. Eventually, that muscle will get exhausted and tighten up into a knot, because it’s doing more work than it was designed to.

If you release a knot that is “holding the line” together, you’re asking for trouble.

In this example, what I’ve found is that the passive methods of releasing muscles (those I mentioned earlier) aren’t very effective at helping you get rid of the problem. You might actually end up feeling worse or having pain elsewhere. If your tight muscle knot is there to act as a survival mechanism, it’s going to take a more comprehensive and total body approach to resolve it. You’ll need to figure out which muscle or muscles the tight knot is compensating for and address them at the same time you work to release the tight knot. You can keep getting your weekly massage, but you’ve got to pair it up with correctly prescribed exercises.

To summarize, DO figure out WHY you have a tight knot in your muscle first.

Is it there because you overworked it in the gym? Maybe you’ve taken on a new project at home that is repetitive in nature?

If these are the reasons you’ve got tight knots in your muscles, then DO release them. You’ll likely feel better. And then correct the movement patterns, so the knot doesn’t come back.

If you feel worse after releasing the tight knots in your muscles, or the knot keeps coming back, then the problem likely involves more than just that muscle and you need a more comprehensive approach to get rid of it.

DON’T continue to release it over and over.

If you’re suffering from stubborn knots that won’t go away, get assessed by movement experts like us who can diagnose your problem accurately and help you get rid of the tight knots in your muscles for good.

 

Dr. Carrie Jose – back pain specialist and Pilates expert – owns CJ Physical Therapy & Pilates in Portsmouth, NH

Weight Loss

How to Keep Knee or Back Pain from Derailing your New Year’s Goals

/in , , /by

The most popular goals for the New Year continue to revolve around weight loss and exercise. But here is one thing that can get in your way when pursuing those goals… unresolved back or knee pain. So many people make the mistake of thinking that exercise or weight loss alone, is going to “cure” their nagging pain. But that’s not always the case. 

Here are some top tips and advice I give all my clients around this time of year to help you get the most out of your health and fitness goals for 2021, and NOT let something like back or knee pain get in your way…

Mobility before Stability

Your muscles can’t function at their best if you don’t have optimal joint mobility. In other words, you don’t want to strengthen around a joint that isn’t moving at its best, or you’ll encourage compensation. If your nagging back or knee pain is due to inadequate mobility, you’ll run into problems (and more pain) if you suddenly increase your exercise or activity level. We saw this happen at the beginning of the pandemic. People started walking and exercising more and we saw a huge influx of unexpected back and knee pain as a result. Their joints weren’t accustomed to moving so much and it highlighted the lack of mobility and compensations. Don’t let the same thing happen to you! Make sure all of your joints, including your spine, can move fully and freely without any pain before you begin a new exercise program.

Pace yourself

Siti Scommesse Basket Online: Le Migliori Opzioni di Scommezoid per il Basket

Il basket è uno sport appassionante che attira milioni di fan in tutto il mondo. Con la sua azione frenetica, le giocate spettacolari e le emozioni travolgenti, non c’è da stupirsi che sempre più persone vogliano scommettere sul basket online. Tuttavia, con l’enorme quantità di siti di scommesse disponibili, può essere difficile sapere quale scegliere. Come puoi essere sicuro di trovare un sito affidabile, sicuro e con le migliori quote?

In questo articolo, esploreremo le migliori opzioni di scommesse basket online attualmente disponibili. Analizzeremo i fattori chiave da considerare quando si sceglie un sito di scommesse, come la reputazione, la sicurezza, le quote competitive e l’esperienza utente. Inoltre, forniremo una guida dettagliata su come scommettere sul basket online in modo responsabile e divertente. Che tu sia un appassionato di lunga data o un nuovo arrivato nel mondo delle scommesse sportive, questo articolo ti darà tutte le informazioni necessarie per fare la scelta giusta e massimizzare le tue possibilità di successo.

Panoramica dei Principali Siti di Scommesse sul Basket

Il mondo delle scommesse sportive online offre un’ampia gamma di opportunità per gli appassionati di basket. Le scommesse basket online consentono di scommettere su una vasta selezione di partite, campionati e tornei, sia a livello nazionale che internazionale. Che tu sia un fan dell’NBA, dell’Euroleague o dei campionati nazionali, potrai trovare numerose opzioni per scommettere sui tuoi giocatori e squadre preferite.

Uno dei vantaggi principali delle scommesse basket online è la comodità. Puoi piazzare le tue scommesse ovunque ti trovi, direttamente dal tuo dispositivo mobile o dal tuo computer. Inoltre, i siti di scommesse online offrono spesso quote competitive e una vasta gamma di opzioni di scommessa, come le scommesse sul risultato finale, i punteggi parziali, i margini di vittoria e molto altro ancora.

Per sfruttare al meglio le scommesse basket online, è fondamentale scegliere un bookmaker affidabile e di alta qualità. Alcuni dei migliori siti di scommesse basket online offrono:

  • Ampie coperture di eventi e mercati di scommessa
  • Quote competitive e opzioni di scommessa diversificate
  • Promozioni e bonus dedicati agli appassionati di basket
  • Piattaforme user-friendly e facilmente accessibili da dispositivi mobili

Che tu sia un principiante o un giocatore esperto, le scommesse basket online rappresentano un’opportunità emozionante per aumentare il divertimento e l’emozione delle partite. Tuttavia, è importante gestire in modo responsabile il tuo bankroll e scommettere solo ciò che puoi permetterti di perdere. Con la giusta strategia e una buona dose di conoscenza del gioco, le scommesse basket online possono rivelarsi un’esperienza gratificante e coinvolgente.

Analisi delle Quote e delle Opzioni di Scommessa Offerte

Quando si tratta di scommettere sul basket online, gli appassionati di questo sport hanno una vasta gamma di opzioni a loro disposizione. I migliori siti di scommesse basket online offrono una varietà di mercati, quote competitive e funzionalità user-friendly per rendere l’esperienza di scommessa più piacevole e redditizia possibile. Alcuni dei fattori chiave da considerare nella scelta di un sito di scommesse basket includono la reputazione, la sicurezza, la varietà di mercati e le opzioni di pagamento.

Tra i siti di scommesse basket più popolari e affidabili troviamo nomi come Bet365, William Hill, Unibet e 888Sport. Questi operatori offrono una copertura completa degli eventi di basket più importanti, come l’NBA, l’Euroleague e i campionati nazionali di tutto il mondo. Inoltre, molti di questi siti offrono anche opzioni di streaming live, statistiche dettagliate e promozioni esclusive per i fan del basket, rendendo l’esperienza di scommessa ancora più coinvolgente ed emozionante.

Vantaggi e Svantaggi delle Scommesse sul Basket Online

Nel mondo delle scommesse sportive online, il basket è uno sport che sta guadagnando sempre più popolarità. Con le sue emozioni travolgenti e l’azione incessante, il basket offre numerose opportunità per i giocatori di scommettere e provare a vincere. Siti scommesse basket online come Scommezoid offrono una vasta gamma di opzioni per scommettere su questo appassionante sport.

Una delle caratteristiche principali dei migliori siti scommesse basket online è la varietà di mercati disponibili. Oltre alle scommesse tradizionali sul risultato finale, i giocatori possono scommettere su una miriade di altri aspetti del gioco, come il punteggio di un singolo quarto, il margine di vittoria, il numero di punti segnati da un giocatore specifico e molto altro ancora. Questa ampia scelta di mercati consente ai giocatori di adattare le loro strategie di scommessa alle proprie preferenze e competenze.

  • Quote competitive
  • Ampia copertura delle principali leghe
  • Opzioni di scommessa dal vivo
  • Bonus e promozioni vantaggiose
  • Piattaforme user-friendly

Strategie e Consigli per Scommettere con Successo

Il basket è uno degli sport più emozionanti e seguiti al mondo, e per gli appassionati di scommesse, rappresenta un’opportunità unica per mettere alla prova le proprie abilità di previsione e strategia. Fortunatamente, esistono numerosi siti di scommesse basket online che offrono una vasta gamma di opzioni per scommettere su questo sport avvincente. Questi siti consentono di scommettere non solo sulle partite, ma anche su una miriade di altri aspetti del gioco, come il punteggio finale, il margine di vittoria, i punti realizzati dai singoli giocatori e molto altro ancora.

Quando si tratta di scegliere il miglior sito di scommesse basket online, è fondamentale considerare diversi fattori chiave. In primo luogo, è importante valutare l’affidabilità e la reputazione del sito, assicurandosi che sia regolamentato e autorizzato a operare nel proprio paese di residenza. Inoltre, è necessario prendere in considerazione l’ampiezza dell’offerta di scommesse, le quote proposte e la facilità d’uso dell’interfaccia. Alcuni dei migliori siti di scommesse basket online offrono anche interessanti bonus di benvenuto e promozioni speciali per i nuovi giocatori, rendendo l’esperienza ancora più entusiasmante.

Infine, è sempre consigliabile fare una ricerca approfondita sui diversi siti di scommesse basket online prima di effettuare la propria scelta. Leggere le recensioni degli utenti, confrontare le quote e le opzioni di scommessa offerte, e valutare attentamente i termini e le condizioni di ciascun sito può fare la differenza tra un’esperienza di scommessa positiva e una deludente. Con la giusta combinazione di conoscenza, strategia e un sito di scommesse affidabile, gli appassionati di basket possono vivere emozioni indimenticabili e, con un po’ di fortuna, anche realizzare qualche bella vincita.

Sicurezza e Affidabilità dei Siti di Scommesse sul Basket

Ecco 4 paragrafi in italiano che dettagliano “Siti Scommesse Basket Online: Le Migliori Opzioni di Scommezoid per il Basket”:

Gli appassionati di basket hanno molteplici opzioni per scommettere sui loro eventi preferiti grazie ai numerosi siti di scommesse online dedicati a questo sport. Questi siti offrono una vasta gamma di mercati di scommessa, dalle classiche quote sul risultato finale alle opzioni più dettagliate come lo spread, il totale dei punti e le scommesse sui singoli giocatori. Inoltre, molti di questi siti propongono anche streaming live degli incontri, consentendo ai giocatori di seguire l’azione in tempo reale mentre scommettono.

Uno dei principali vantaggi di scommettere sul basket online è la comodità. Non è più necessario recarsi in una sala scommesse fisica, poiché tutto può essere gestito dal proprio dispositivo mobile o computer. Inoltre, i siti di scommesse online offrono spesso quote migliori rispetto alle sale scommesse tradizionali, grazie alla riduzione dei costi operativi. Questo si traduce in potenziali vincite più elevate per i giocatori.

Quando si sceglie un sito di scommesse basket online, è importante considerare fattori come la reputazione, la sicurezza, la varietà di mercati di scommessa offerti e i bonus e le promozioni disponibili. Alcuni dei migliori siti di scommesse basket online includono:

  • Bet365
  • William Hill
  • 888Sport
  • Unibet

Questi siti sono noti per la loro affidabilità, le quote competitive e l’eccellente copertura degli eventi di basket a livello nazionale e internazionale.

Infine, è fondamentale ricordare di scommettere in modo responsabile e di gestire attentamente il proprio bankroll. Le scommesse sul basket online possono essere un’esperienza emozionante ed entusiasmante, ma è importante mantenere sempre il controllo e non lasciarsi travolgere dall’eccitazione del gioco. Con la giusta strategia e un approccio disciplinato, è possibile trarre il massimo divertimento e potenzialmente anche profitti dalle scommesse sul basket online.

In conclusione, il mondo delle scommesse sul basket online offre una vasta gamma di opzioni per gli appassionati di questo sport. Dalle migliori piattaforme come Scommezoid, che garantiscono un’esperienza di gioco sicura e affidabile, alle numerose opportunità di scommesse disponibili, gli amanti del basket possono immergersi completamente nell’emozione del gioco. Che tu sia un principiante o un esperto scommettitore, l’importante è scegliere con attenzione il sito di scommesse più adatto alle tue esigenze e goderti appieno l’adrenalina di ogni partita.

It’s very tempting to go “all in” on your new exercise or weight loss goal… but remember, the tortoise won the race, not the hare. It’s important to not beat yourself up if you’re not seeing immediate results. If you’ve been out of shape for a while and doing something completely new, expect to be sore. But if you’re limping around for days or experiencing sharp pain in your back or knee, there is a chance you overdid it.

My general rule of thumb is to monitor your soreness on a scale of one to ten. I tell my clients to not let their pain go above a five when they are pushing themselves or returning to an exercise we haven’t tried in a while. If you find that your pain level goes above a six, or persists at that level (or higher) for more than a day, there’s a chance you’re overdoing it and setting yourself up for an unwanted injury. When in doubt, listen to your body. And if you’re not sure what it’s saying to you, enlist the help of experts like us!

Stay Hydrated

Most people don’t drink enough water during their regular day, never mind when they increase their activity level. Drinking lots of water has two great benefits. It will give you the extra hydration you need if you’re planning to be more active. And it will help you lose weight by curbing your appetite. Some additional benefits of staying hydrated include increased muscle strength and stamina, more lubrication in your joints, more supple skin, better cardiovascular function, and improved energy and mental alertness. One really easy tip to jumpstart your day is to begin with 10 oz of water first thing upon waking. A good place to start when you’re trying to stay adequately hydrated is to drink at least half your body weight (in ounces) of water every day.  

Get assessed by a movement expert

If you’ve already got some nagging back and knee pain, do yourself a favor and get assessed by a movement expert FIRST, before you begin your new exercise routine or New Year’s goal. Your first thought might be to go see your medical doctor, which of course isn’t a bad idea, but it’s important you understand how different medical professionals look at you when you have knee or back pain.

Medical doctors are trained to screen your whole body and spot for serious problems. If you see them for musculoskeletal pain, they will typically take X-rays and MRI’s to make sure there are no broken bones or serious pathologies. They do not have extensive training to assess how your pain behaves during movement or exercise, which is the majority of people’s problems. That’s where we come in.

A specialty practice like ours will be able to assess your movement in detail, through various movement tests, which will tell a much better story about how your pain may or may not impact the new exercise or weight loss program you’re about to start. Plus, once we know how your pain behaves, what the triggering patterns are, we can also teach you how to control it – so that you don’t have to let nagging back or knee pain derail your 2021!

I hope your New Year is off to an amazing start, and if you want to ensure that back or knee pain doesn’t get in the way of that, reach out for a FREE 30 minute Discovery Session. We would love to talk with you about your goals and be part of your support team as we all launch into 2023!

 

 

Tips to Combat Arthritis this Winter

/in , , , /by

People tell me all the time: “I don’t need to check the weather anymore, my joints tell me what’s coming.” And as winter approaches, I know I’m going to be hearing more and more of this.

So why is it that arthritis sufferers tend to be impacted more during the colder, wetter months?

The actual science on this is inconclusive. Some studies have completely debunked the myth that weather can affect your joint pain, while others have shown that arthritis sufferers do indeed have what we call “weather sensitivity” — and they feel worse in the cold, especially when it’s about to rain or snow. The working theory behind this is related to barometric pressure. As a storm system develops, barometric pressure (atmospheric pressure) begins to drop. Some scientists believe that this results in expansion and contraction of tissue in and around your joints (tendons, muscles, bones, and even scar tissue). If those tissues are already sensitive due to arthritis, this could irritate them further. Additionally, the lower temperatures of winter are thought to increase the thickness of fluid inside your joints, making them stiffer and perhaps more sensitive to pain during movement.

Regardless of whether this phenomenon is myth or fact, it doesn’t make your pain any less real! The good news is there are things you can do to minimize pain related to arthritis as winter gets closer. 

There are two types of arthritis, inflammatory and non-inflammatory. Rheumatoid arthritis is the most common form of inflammatory arthritis, and osteoarthritis is the most common form of non-inflammatory arthritis. Although they have very different causes, weather changes can still have an impact, and there are still things you can do to minimize that impact.

Puntoscommesse Online: Recensione su Betzoid

Nell’affollato mondo delle scommesse online, trovare un sito affidabile e di qualità può essere una vera sfida. Con un’ampia gamma di opzioni disponibili, come fai a distinguere il grano dalla pula? Ecco dove entra in gioco Betzoid, una piattaforma di scommesse online che sta rapidamente guadagnando popolarità tra gli appassionati di scommesse di tutto il mondo. In questa recensione approfondita, esploreremo i segreti che rendono Betzoid un’opzione così attraente, svelando le sue caratteristiche distintive e i vantaggi che offre ai giocatori.

Preparatevi a immergervi in un’esperienza di scommesse senza precedenti, poiché analizzeremo tutto, dalla vasta selezione di eventi sportivi e mercati di scommesse, alle quote competitive e alle opzioni di pagamento sicure. Inoltre, scopriremo come Betzoid si distingue dalla concorrenza grazie al suo eccellente servizio clienti, alle promozioni generose e all’interfaccia user-friendly. Che tu sia un principiante o un giocatore esperto, questa recensione ti fornirà tutte le informazioni necessarie per prendere una decisione informata e massimizzare le tue possibilità di successo nel mondo delle scommesse online.

Panoramica su Betzoid: Caratteristiche Principali

Quando si tratta di scommesse sportive online, è fondamentale scegliere un sito affidabile e sicuro. Betzoid è una piattaforma che offre un’ampia gamma di opzioni di scommesse, incluse le scommesse su eventi sportivi, casinò online e molto altro ancora. Con una vasta selezione di mercati e quote competitive, Betzoid si distingue come una delle migliori opzioni per gli scommettitori italiani.

Uno dei punti di forza di Betzoid è la sua interfaccia user-friendly e intuitiva. Il sito web è ben strutturato e facile da navigare, consentendo agli utenti di trovare rapidamente gli eventi e i mercati di loro interesse. Inoltre, Betzoid offre un’eccellente assistenza clienti, disponibile 24 ore su 24, 7 giorni su 7, per garantire che tutte le domande e le preoccupazioni degli utenti vengano prontamente affrontate. Puoi trovare maggiori informazioni su https://betzoid.com/it/puntoscommesse/.

Per quanto riguarda la sicurezza, Betzoid utilizza le più recenti tecnologie di crittografia per proteggere i dati degli utenti e garantire transazioni sicure. Inoltre, il sito è regolamentato e autorizzato dalle autorità competenti, offrendo ulteriore tranquillità agli scommettitori. Con un’ampia varietà di opzioni di pagamento, promozioni generose e un’esperienza di gioco senza problemi, Betzoid è una scelta eccellente per chiunque desideri scommettere online in modo sicuro e divertente.

Offerta di Scommesse Sportive e Quote Competitive

Puntoscommesse Online è una piattaforma di scommesse che offre un’ampia varietà di opzioni di gioco. Betzoid, uno dei principali operatori di scommesse online, offre una recensione approfondita di questa piattaforma. Secondo la recensione, Puntoscommesse Online si distingue per la sua interfaccia intuitiva e user-friendly, che consente anche ai nuovi scommettitori di navigare facilmente attraverso le diverse sezioni del sito. Inoltre, la piattaforma offre una vasta gamma di eventi sportivi su cui scommettere, coprendo i principali sport come calcio, basket, tennis e molti altri.

Un altro aspetto positivo evidenziato dalla recensione di Betzoid è l’affidabilità e la sicurezza di Puntoscommesse Online. La piattaforma utilizza i più avanzati sistemi di crittografia per proteggere i dati sensibili degli utenti e garantire transazioni sicure. Inoltre, Puntoscommesse Online è regolamentata e autorizzata dalle autorità competenti, offrendo così un ambiente di gioco equo e trasparente. La recensione di Betzoid sottolinea anche l’eccellente servizio clienti offerto dalla piattaforma, con un team di assistenza disponibile 24/7 per rispondere a qualsiasi domanda o richiesta degli utenti.

Bonus e Promozioni: Vantaggi per i Nuovi Utenti

Puntoscommesse Online è una delle migliori piattaforme di scommesse sportive disponibili sul mercato italiano. Uno dei suoi principali punti di forza è la vasta gamma di eventi e sport su cui è possibile scommettere, che spaziano dal calcio al tennis, passando per il basket, il cricket e molti altri. La piattaforma è inoltre costantemente aggiornata con le quote più recenti e competitive, garantendo ai giocatori le migliori opportunità di vincita.

Un altro aspetto degno di nota di Puntoscommesse Online è la sua interfaccia user-friendly e intuitiva. Sia per i giocatori esperti che per i principianti, navigare attraverso le diverse sezioni del sito e piazzare le proprie scommesse è un’operazione semplice e piacevole. Inoltre, il sito è ottimizzato per dispositivi mobili, consentendo agli utenti di scommettere comodamente ovunque si trovino.

La sicurezza e l’affidabilità sono altre caratteristiche chiave di Puntoscommesse Online. Il sito utilizza i più avanzati sistemi di crittografia per proteggere i dati sensibili degli utenti e garantire transazioni finanziarie sicure. Inoltre, l’azienda è regolamentata e autorizzata dalle autorità competenti, offrendo ai giocatori la massima tranquillità e trasparenza.

Infine, Puntoscommesse Online offre un eccellente servizio di assistenza clienti, disponibile 24 ore su 24, 7 giorni su 7. Gli operatori qualificati sono sempre pronti a rispondere a qualsiasi domanda o richiesta di assistenza, assicurando un’esperienza di gioco piacevole e senza problemi. In sintesi, Puntoscommesse Online è una scelta eccellente per tutti gli appassionati di scommesse sportive che cercano una piattaforma affidabile, sicura e ricca di opzioni.

Metodi di Pagamento e Assistenza Clienti

Betzoid è una piattaforma di scommesse online che offre un’ampia gamma di opzioni di scommessa per gli appassionati di sport e giochi. Con una vasta selezione di eventi sportivi, dalle principali leghe professionistiche ai tornei minori, Betzoid garantisce un’esperienza di scommessa emozionante e coinvolgente. L’interfaccia user-friendly e intuitiva consente agli utenti di navigare facilmente tra le diverse opzioni di scommessa e di piazzare le proprie puntate in modo rapido ed efficiente.

Uno degli aspetti più apprezzati di Betzoid è la sua affidabilità e sicurezza. La piattaforma utilizza i più avanzati sistemi di crittografia per proteggere i dati personali e le transazioni finanziarie degli utenti. Inoltre, Betzoid è regolamentata e autorizzata dalle autorità competenti, garantendo un ambiente di gioco equo e trasparente. Gli utenti possono contare su un servizio clienti professionale e reattivo, disponibile 24 ore su 24, 7 giorni su 7, per risolvere qualsiasi dubbio o problema.

Per gli amanti delle scommesse sportive, Betzoid offre quote competitive e una vasta gamma di mercati su cui scommettere. Che si tratti di calcio, basket, tennis o qualsiasi altro sport, gli appassionati troveranno sempre opzioni interessanti e redditizie. Inoltre, Betzoid propone regolarmente promozioni e bonus allettanti per i nuovi iscritti e per i clienti esistenti, rendendo l’esperienza di gioco ancora più vantaggiosa e gratificante.

Esperienza Mobile e Requisiti di Sicurezza

Puntoscommesse Online è una piattaforma di scommesse sportive in rapida crescita, e Betzoid è uno dei bookmaker più affidabili e apprezzati su questo sito. Con una vasta gamma di opzioni di scommessa su numerosi sport, Betzoid offre un’esperienza di gioco coinvolgente e gratificante per gli appassionati di scommesse di tutti i livelli.

Uno degli aspetti più notevoli di Betzoid è la sua interfaccia user-friendly, che rende facile navigare tra le diverse sezioni del sito e piazzare le proprie scommesse in modo rapido e semplice. Inoltre, il bookmaker offre quote competitive e promozioni allettanti, garantendo ai giocatori un valore aggiunto per ogni scommessa effettuata. La sicurezza e l’affidabilità sono altri punti di forza di Betzoid, con misure di protezione avanzate per salvaguardare i dati e le transazioni dei giocatori.

  • Vasta gamma di opzioni di scommessa
  • Interfaccia user-friendly
  • Quote competitive e promozioni allettanti
  • Sicurezza e affidabilità garantite

In conclusione, Betzoid si è rivelata una piattaforma di scommesse online affidabile e completa. Offre una vasta gamma di opzioni di scommesse sportive e casinò, oltre a numerosi bonus e promozioni allettanti. L’interfaccia user-friendly e l’eccellente assistenza clienti rendono l’esperienza di gioco piacevole e senza stress. Che tu sia un principiante o un giocatore esperto, Betzoid ha qualcosa da offrire a tutti gli appassionati di scommesse online. Vale sicuramente la pena dare un’occhiata a questa piattaforma e scoprire di persona i vantaggi che offre.

Both forms of arthritis are characterized by one or more of your joints being inflamed.

Inflamed joints do not like to be compressed or irritated. It’s often why people will tend to rest and decrease their activity when they have pain. Add cold winter temps and weather to the mix (along with a pandemic), people just naturally do less this time of year. They think if they take the weight off their joints, or move less, they are protecting their joints. That’s actually not true. What protects your joints is strength and flexibility. The more mobile you are, the less likely your joints will get irritated, even arthritic ones. Have you ever worn a piece of clothing that’s too tight? You get irritated. Same with your joints! If they aren’t free to move, they get angry. The muscles around your joints and how strong they are also play a huge role in minimizing irritation.

In the absence of strength and stability, your body will do what it needs to compensate. The structures around your joint will contract to make your joints stiff and tighter in an attempt to give your joints the stability they are lacking. But arthritic joints don’t want to be stiff and tight, they want to be free and mobile! So if you suffer from arthritis, it’s critical that you have good mobility and good strength — period.

In general, the most important thing you can do for your arthritis any time of year, not just in winter, is to keep moving.

And you will move better when you’re strong and flexible. Movement gets blood flowing, which is our best and most natural form of anti-inflammation. Walking is the easiest and most practical way to get healthy movement daily, but biking and swimming are great choices too. You’ll also want to engage in some form of activity, such as Yoga, Pilates, or Tai Chi, that allows you to move your limbs, body and joints in a full range of movement. Cardiovascular activities like walking and biking won’t do that. Pilates is great because it emphasizes both full body strength (which helps balance out your joints) and it promotes flexibility at the same time. It’s why we like to use it in our office. Although it’s easy to just stretch and get more flexible, it’s important that you incorporate strength training into your routine also. Achieving good mobility AND strength is the secret to combating arthritis. Folks tend to only focus on the flexibility part, which is one of the common mistakes I see. 

I hope this helps you better understand why your arthritis might feel worse in winter, and what you can do about it! If you’re suffering from any kind of back or knee pain that is preventing you from being more active and mobile and therefore worsening your arthritis, check out our FREE Back Pain and Knee Pain guides. Just click to have the guide sent straight to your inbox with no obligations or strings attached!