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Yoga for Shoulder Rehab

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Yoga for Shoulder Rehab The Rotator Cuff Supraspinatus Infraspinatus Teres minor subscapularis Secondary stabilizers Trapezius Rhomboids Latisimus dorsi Pectoralis ... – PowerPoint PPT presentation

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Title: Yoga for Shoulder Rehab


1
Yoga for Shoulder Rehab
2
The Rotator Cuff
  • Supraspinatus
  • Infraspinatus
  • Teres minor
  • subscapularis

3
Secondary stabilizers
  • Trapezius
  • Rhomboids
  • Latisimus dorsi
  • Pectoralis major and minor
  • Serratus anterior
  • Triceps

4
Bones that make the frame
  • Scapula
  • Humerus
  • Ribcage
  • Clavicle/sternum

5
Cartilage (soft parts)
  • The labrum
  • The capsule

6
Movement
  • Rotation (circumduction)
  • Abduction
  • Adduction
  • Extension
  • Flexion

7
Standard exercises
  • Overhead press
  • Lateral raise
  • Upright rows
  • Internal/External rotation therabands
  • Shoulder shrugs
  • Incline bench press

8
The better way!
  • Mountain
  • Down dog
  • Bridge
  • Shoulder stand
  • Plank
  • Lord fish

9
Mountain
10
Downward Facing Dog
11
Bridge
12
Shoulder Stand
13
Plank
14
Lord of the Fish
15
Crow
16
Pointers for injured shoulder
  • Work first to mobilize the shoulder girdle
  • Control pain (spasm) flare up with usual measures
  • After flexibility is gained, work on muscle
    tone and continued flexibility (exhale and
    push)
  • Once accustomed to movement, advance to shoulder
    challenging poses

17
Understand pathology
  • Most common injury is rotator cuff overuse and
    inflammation/tear
  • The space between the humerus and the acromial
    arch is narrow thus creating a guillotine
    especially if the scapula moves poorly (as in
    fatigue or sloppy movment)
  • Once injured, the shoulder joint collects more
    fluid than it is used to holding (bursa)
  • Frozen shoulder ensues causing smaller space and
    poor perfusion of muscle and tighter shoulder
    space etc etc

18
Surgical pathology
  • Once the movement of the scapula is impaired, the
    humeral head will not sit correctly in the
    glenoid fossa and it will start to clunk out of
    space tearing labrum (cartilage) or muscle
    (supraspinatus)
  • Attempt physical therapy with a shoulder trained
    therapist
  • Time for surgeon or injection with conventional
    medicine .or.

19
Alternative pathology
  • With poor healing comes the introduction of
    stagnation of energy
  • Meridias in TCM or Nadis in Ayurveda
  • Acupuncture or Marma therapy
  • Less invasive would be Qi Gong or Yoga
  • (with massage to both arts)

20
Integrative pathology
  • The antiinflammatory diet
  • Specific supplements for the short run
  • Topical oils
  • Homeopathy
  • Energy healing
  • Massage (thai, deep tissue, hot stone, lymphatic)
  • Tens unit/sling

21
Supplements
  • Tumeric
  • Vitamin D3
  • Omega 3 fish oil
  • White willow bark, shark cartilage, oregano,
    ginger, holy basil
  • Helicrysium, tea tree, traumeel, frankinsence.
    Menthol, marjoram

22
Circulatory benefits
  • Lymphatic movement
  • Synovial wringing
  • Muscle perfusion
  • Proprioceptive training

23
Side benefits
  • Balance
  • Counter pose
  • Flexibility
  • Breath control
  • Mind stilling
  • Core strength
  • Improved digestion

24
The Saguil Approach
  • See the proper healthcare providers trained in
    shoulder injury (including PTs)
  • Use sling when necessary and TENs 3-4 times a day
  • Stick to the diet for a month or two
  • Supplements for the same
  • Acupuncturist (electro, auricular and moxa)
  • Back up prolotherapy

25
The Saguil Approach
  • Weight training is building muscle using
    eccentric and concentric movement around a joint
  • Yoga is stilling the mind to balance the body-it
    involves more than just a pose
  • Yoga in sanskrit means union, the union mind
    body and spirit, (an entire science of existence
    from 5000 years ago)
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