Archive for October, 2010

Talk About A Pain In The Neck

Friday, October 29th, 2010

Left Anterior Neck

Our neck plays an important role in nearly every movement we make on a daily basis.  It contains some of the most delicate tissues in the body making it highly vulnerable to injury.  Most of us know someone who has had neck pain, neck surgery, whiplash, etc.  Whatever the case may be, injuries to this part of our body are not always quick to heal and do require special attention and proper care.  For the sake of this discussion, we are going to look at soft tissues in the front of the neck as they continue down the arm.

There are numerous soft tissues that can be affected in the neck and any other area of the body.  When the term soft tissue is used, it will be to group tissues such as muscles, tendons, fascia, nerves, ligaments and blood vessels.  Each of these tissues has a specific function and if there is injury to any one of them, pain might be evident, we might see loss of motor function or numbness/tingling in the upper extremities.

The anterior triangle of the neck is home to many important muscles, nerves and blood vessels.  These tissues can become injured through repetitive micro trauma such as sitting in front of your computer for endless hours, a whiplash injury during a motor vehicle accident, a traumatic birth if delivery required excessive pulling or even certain cancers can cause injury destruction to these tissues.

One of the most common locations for an injury like this occurs at the brachial plexus.  A plexus is a network of various spinal nerves.  Think of a plexus as an electrical box at your home, which distributes wires to different parts of a home. In a plexus, nerve fibers from different spinal nerves (which connect the spinal cord to the rest of the body) are sorted. The fibers are recombined so that all fibers going to a specific body part are put together in one nerve. Damage to nerves in the major plexuses (ex. brachial plexus) causes problems in the tissues these nerves supply.

The most common cause of damage to this area is physical injury.  With so many structures in a small anatomical area, it is important that the injury is diagnosed correctly in order to render successful treatment.

One key finding in any soft tissue injury is the accumulation of scar tissue or adhesions.  Adhesions develop as the body attempts to repair itself.  This is a normal response and can occur after surgery, trauma or infection.  Although this is a normal response and necessary for healing, it should be controlled, minimized or eliminated, depending on the person and/or activity level.  In an elite athlete, adhesions in key muscles can hinder performance and mean the difference from gold to silver.  In a non active person, it might mean being able to move pain free from one side of the room to the other.  Regardless of the individual, we can all benefit from soft tissue treatment in one way or another.  Many seek out soft tissue treatment for pain and others for performance enhancement.  So keep in mind, you do not have to have pain to experience the benefits of soft tissue treatment.  For more information on the different types of soft tissue treatment, please visit www.activerelease.com and www.sastm.com

Live your best,

Dr. Brian

Photo courtesy of McGraw-Hill Education

I will be discussing and demon…

Thursday, October 14th, 2010

I will be discussing and demonstrating the benefits of #ART #SASTM and #kinesiotaping Hope to see you there! http://tinyurl.com/27qhp6m

Join me at the grand opening o…

Thursday, October 14th, 2010

Join me at the grand opening of #TheMultiSportAdvantage (Oregon’s only certified USA #triathlon retail shop) from 3-5pm this Sunday.

Our white raspberries are taki…

Tuesday, October 12th, 2010

Our white raspberries are taking off! There are plenty more to come. 2nd batch of strawberries out now too! http://plixi.com/p/50281370

Big congrats to everyone who r…

Saturday, October 9th, 2010

Big congrats to everyone who raced Kona today! Thank you for putting on a great show! Well worth the watch today!

Improved Tool Developed for Cycling Fitness

Sunday, October 3rd, 2010

ScienceDaily (Sep. 23, 2010)

For competitive bicyclists with goals – whether competing in the Tour de France or aiming for the podium at a local race – faster cycling comes from training regimens based on various zones of exercise intensity. New research from exercise scientists at the University of New Hampshire has found that effective training regimens, which generally are created after expensive, time-consuming laboratory tests, can be developed from a relatively simple, do-it-yourself test.

Using two tools most competitive cyclists already own — a power meter, an increasingly common training device that mounts on a bicycle’s rear wheel, and a stationary bicycle trainer – UNH graduate student Jay Francis ’09 modified a three-minute all-out cycling test and found that it is as effective as more lab-intensive measurements for determining exercise intensity. The study, which was Francis’s master’s thesis, is published in the September 2010 issue of Medicine & Science in Sports and Exercise, the premier journal in the field.

“Power is a very unbiased way of measuring your exercise ability, compared to speed, heart rate, or perceived exertion,” says Francis. “A power meter measures how much power you are getting from your body to the road,” independent of external conditions like hills, wind, or even what you had for lunch, he adds.

Francis and his advisor, assistant professor Dain LaRoche, wondered if this increasingly common piece of equipment could be used to establish individualized exercise intensity domains – training zones that range from moderate to severe – that were as accurate as those established with complex laboratory testing.

Francis used a three-minute all-out cycling test – “you just push and push and push and never let up” – which had previously shown to yield, in the last 30 seconds of the test, a power level that a cyclist can sustain for 20 to 30 minutes. He replaced the expensive and problematic laboratory equipment used in the original three-minute test with the cyclist’s own bicycle, fitted with a power meter and used with a stationary trainer.

Testing 16 competitive cyclists, Francis compared their exercise intensity from the power meter test with classic laboratory-produced exercise intensity measures: blood lactate concentration and oxygen consumption. The power-meter and laboratory-based results correlated.

“You can go out with your own power meter and, for free, in just three minutes, you can do what would cost you $250 and take over an hour in the lab,” says LaRoche.

With this data, says LaRoche, a cyclist can develop a range of individualized training zones that a coach will use to prescribe a particular workout. “You can’t use heart rate, because everyone’s is different, but you can say, ‘we’re doing a zone three workout today.’ As a former coach I see the practicality of it,” he adds. LaRoche previously worked with speed skaters and Nordic skiers for the U.S. Olympic Committee.

Francis took a more circuitous route toward exercise science. He received bachelor’s and master’s degrees from UNH in electrical engineering in the early 1990s, then worked in that field for many years while taking up cycling recreationally. He returned to UNH for a second master’s degree, in exercise science, to help him pursue his goal of becoming a cycling coach. A self-described “mid-range amateur cyclist,” Francis launched his own coaching service in Merrimack upon graduation last year. Its name, FxD Coaching, riffs on an equation that engineering and exercise share: force times distance equals work.

The work he dedicated to his master’s thesis paid off. LaRoche says it’s unusual for a master’s-level student to have an article accepted in the prestigious Medicine & Science in Sports and Exercise journal. More importantly, says LaRoche, Francis’s work can now have an impact on athletes. “There’s so much misinformation out there about how to train,” he says. “Jay is providing a real service for mid-range cyclists.”

Journal Reference:

1. James T. Francis, Timothy J. Quinn, Markus Amann, Dain P. Laroche. Defining Intensity Domains from the End Power of a 3-min All-out Cycling Test. Medicine & Science in Sports & Exercise, 2010; 42 (9): 1769 DOI: 10.1249/MSS.0b013e3181d612e8