Maltby Therapy

🪢 Adhesive Capsulitis 🪢

“Frozen Shoulder” is a common shoulder condition among older persons but can occur in younger persons as well. Sometimes it can be seen in post-surgical cases when the surgery is in/ around/ through the shoulder area.

👀 Other risk factors that may predispose you include: hyperthyroidism, uncontrolled blood glucose (Type 2 Diabetes), and being female (sorry ladies🙃). These risk factors affect small portions of the population within studies, showing a prevalence rate of 2-5% (Redler, 2019).

🤔The exact reason adhesive capsulitis occurs is not understood. It is often idiopathic (arising spontaneously) and starts with an inflammatory reaction with associated synovitis. This progresses into fibrotic contracture of the shoulder and build up of adhesions within the glenohumeral joint capsule.

🎱 Simply put: it can start at random, makes connective tissue inflamed and swollen, and causes tissues to stick together.

Characteristics of adhesive capsulitis involve a contracted and thickened joint capsule. This becomes tight around the humeral head with little synovial fluid surrounding the joint. There is chronic inflammation within the shoulder and rotator cuff muscles become contracted and inelastic. This combination leads to pain with both active and passive motion.

**Information for educational purposes only, references on last slide**

Huge shoutout to for allowing me to take over their break room to do stretching this week! 🤩 Each individual had specific needs but bending to one side 💫 ALL THE TIME 💫 during work created similar patterns of compensation we had to work through. Pictured here is about 1/3 of the great staff but they were all awesome and so fun to work with!

🦷 Be sure to thank your dentist next time you see them! 🦷

Looking for a way to thank your office staff? Give them the gift of stretching and book an office event with Maltby Therapy! 🗓

Thoracic Outlet Syndrome (TOS) is a highly debated topic due to the lack of a gold standard diagnosis method. The best way to diagnose is case-case basis and thorough patient history. If suspected, it's always better to take preventative versus reactive measures.
🙌 As always, conservative treatment is the first option whenever possible. Conservative = non surgical.
🗣“Treatment adjuncts that may be applied include behavior modification, ergonomic correction, relaxation exercises, manual therapy, stretching of the neck and shoulder muscles, …[and] should undergo at least 3 months of conservative treatment before considering surgery.”. (Nichols, 2009).

👀Focusing on the functional causes of TOS helps the majority of those affected. Things like postural correction, ergonomics, workplace environment, scapular stabilizing exercises, and shoulder girdle strengthening all have a place in preventative rehab. Separating exercises into different phases help track progress and allows good goal setting! ✨

1️⃣Posture Correction
2️⃣Strengthening Phase
3️⃣Prep
4️⃣Full Return

Need help working through corrective exercises or don’t know where to start? 🤔 Book an Amelioration or Stretch Session with me and let’s work on getting you back and better! 📲🗓

**Information for educational purposes only, references in last slide**

Sickle Cell Trait and Athletes!

‼️Some people with SCT have been shown to be more likely than those without SCT to experience heat stroke and muscle breakdown when doing intense exercise under unfavorable temperatures or conditions. The National Athletic Trainers Association (NATA) states, “Sickle cells can “logjam” blood vessels and lead to collapse from ischemic rhabdomyolysis, the rapid breakdown of muscles starved of blood…Sickling [of red blood cells] can begin in 2-3 minutes of any all-out exertion.” (NATA, 2007).

‼️Studies have shown that the chance of SCD negatively affecting training can be reduced by avoiding dehydration and getting too hot during training. Other recommendations include:

🏃🏽Setting your own pace and build activity intensity slowly
🧘‍♀️Rest often in between repetitive sets and drills
💦Drink plenty of water before/ during/ after training & conditioning activities
🧊Keep the body temperature cool when exercising in hot/ humid temperatures
🌬Request access to supplementary oxygen when exercising at high altitude
⚕️Immediately seek medical care when feeling unusual distress

🔆Healthcare Professionals Spotlight🔆
The National Collegiate Athletic Association (NCAA) made a recommendation in 2009 for all student-athletes to be tested for Sickle Cell Trait. This recommendation stated, “if screening is done, it may be done on a voluntary basis with the informed consent of the student-athlete and should be offered to all student-athletes…because sickle cell trait occurs in all populations”. (NCAA, 2010).

Preventative measures DO NOT RELY SOLELY ON ATHLETE. If athletic officials/ healthcare providers need to know sickle cell trait status, then they should also be involved and responsible for the safety of the student athlete(s).

**Information for educational purposes only, references in comments**

Let’s Talk about some heath issues. While there are many potentials to choose from this one may be less known 🧐
Sickle cell disease (SCD) affects millions of people throughout the world and is particularly common among those whose ancestors came from sub-Saharan Africa; Spanish-speaking regions in the Western Hemisphere (South America, the Caribbean, and Central America); Saudi Arabia; India; and Mediterranean countries such as Turkey, Greece, and Italy. (CDC, 2020).
In the US it is estimated that:
❣️SCD affects approximately 100,000 Americans
❣️SCD occurs among about 1 out of every 16,300 Hispanic-American births
❣️SCD occurs among about 1 out of every 365 Black or African-American births
❣️SCT occurs among about 1 in 13 Black or African-American babies is born

SCD comes from the Sickle Cell Trait (SCT) and is genetically passed down. 👩‍👦‍👦👨‍👧‍👧If BOTH parents have SCT, then there is a 50% chance that any children will have SCT and there is a 25% chance that any children will have SCD. If BOTH parents have SCT, there is a 25% chance any children WILL NOT have SCT or SCD. (CDC, 2020).

For the past 40 or so years the State-Public Health Newborn Screening Program has been screening for sickle cell disease and related hemoglobinopathies in the US. An important aspect to screening and recognition of these traits and pathologies is the counseling and education of patients, parents, and caregivers.

Raising awareness to these issues is key. A diagnosis of SCD doesn’t necessarily mean you need to live a sedentary life. Many people live full active lives. If you think you may have SCD please ask your doctor!

**Information for educational purposes only, references in comments**

Happy Valentines Day Everyone! Be sure to stretch and spend time with the ones you love today!

For both Black History Month AND for National Girls and Women in Sports Day we are honored to be celebrating as the first Muslim-American woman to win an Olympic medal, as well as the first American woman to compete in the Olympics in hijab, doing both at the 2016 Rio Olympic Games. Muhammad is an Oympic medalist, 5-time senior World medalist and World Champion, and is a 3-time NCAA All-American at Duke University. As an activist, speaker, and entreprenuer, Muhammad uses her platform to advocate for inclusion and representation in sport. Muhammad serves as sports ambassador for the U.S. Department of State's Empowering Women and Girls Through Sport Initiative and is a member of the Atheles Commission for the Los Anegeles 2028 Olympic Games. Named to Time Magazine's 100 Most Influential list, Muhammad is a NY Times Best-selling author and in 2017 had a Barbie created in her likeness, as a part of Barbie's "Shero" line of dolls. Muhammad competed for Team USA for eight years, training under the tutelage of the Peter Westbrook Foundation, and is the first and only Black woman to qualify for a women's sabre Olympic Team. We are honored to feature Ibtihaj during USA Fencing's Week of Firsts of Black History Month.

Dr. Nikki Franke is the first and only Black woman to become a NCAA Division I Fencing Coach, coaching at Temple University for 50 years with her career highlight of leading the Temple Owls to win a NCAA Women’s Foil Team Championship in 1992, and a career record standing at 874-263-1 after the 2020-2021 season. Dr. Franke was a member of the 1976 and 1980 Olympic Teams, as well as a two-time Women's Foil National Champion. She is a co-founder of the Black Women in Sport Foundation that encourages Black women and girls to participate in all areas of sports. We are honored to feature Dr. Franke during USA Fencing's Week of Firsts of Black History Month.

Happy Chinese Lunar New Year 🧧 I will be celebrating my Chinese heritage in small ways throughout the week (mainly with foods). May this year of the water tiger 🐯 grant you bravery, confidence, and a strong will.

February marks the start of Black History Month. We are able to celebrate and acknowledge the hard work, dedication, faith, and hope of black and brown peoples in America. This year’s theme is Black Health and Wellness. I will be posting a variety of information centered around black and brown peoples from healthcare systems, pathologies, historical figures in the medical field, and more to bring awareness and tidbits of information for y’all! Lots of information will be coming from Association for the Study of African American Life and History (ASALH) Enjoy!

⭐️ Shoulder Pathology ⭐️

Thoracic Outlet Syndrome (TOS) involves three main anatomical structures; the subclavian artery, subclavian vein, and brachial plexus. These regions are all subject to compressive and repetitive loads and stressors. The distinct points of potential injury occur at the interscalene triangle, costoclavicular space, and the rectropectoralis space. Most common occurrence is the neurogenic (nTOS) which accounts for 90-95% of cases (Jones, 2019). The “Functional” nTOS classification is most likely to occur with repetitive sport or work activity.
Common symptoms include:
💢Upper extremity pallor
💢Paresthesia (pins-and-needles)
💢Weakness
💢Muscle atrophy
💢Numbness
💢Pain

These symptoms may present as posterior shoulder and/ or neck pain and tightness, upper extremity “heaviness” with overhead motions, 4th and 5th finger tingling and/ or numbness.🤽‍♂️🏊‍♀️ Symptoms can occur with activity and at rest ranging from mild to severe. If you suspect you have TOS your doctor can confirm with thorough physical exam/ special testing, radiographic and/ or vascular testing.

Prevention is huge in management of TOS. First steps include stretching for neck and shoulders, postural corrections, activity modification, targeted muscle strengthening, and of course patient education. 🧘‍♀️🏋️ Take a look at the IG post for more visual information!

Book an Amelioration or Stretch Session with me and let's get to work! DM or email to book. Website link in bio. 📲



**Information for educational purposes only, references below**
Jones, M.R., Prabhakar, A., Viswanath, O. et al. Thoracic Outlet Syndrome: A Comprehensive Review of Pathophysiology, Diagnosis, and Treatment. Pain Ther 8, 5–18 (2019). https://doi.org/10.1007/s40122-019-0124-2
Kuhn, John E. MD; Lebus, George F. V MD; Bible, Jesse E. MD Thoracic Outlet Syndrome, Journal of the American Academy of Orthopaedic Surgeons: April 2015 - Volume 23 - Issue 4 - p 222-232 doi: 10.5435/JAAOS-D-13-00215
Prentice, W., Arnheim, D. Principles of Athletic Training: A Competency-Based Approach: 15th Edition. McGraw-Hill Higher Education, 2013.

✨Welcome to your shoulder✨
Using anatomy allows us to identify and describe structures, therefore, if we know anatomy we can help repair ourselves. We have to know the basics before we can understand the why for simple to advanced movements, injuries, compensation patterns, etc.

❇️Bones: clavicle, sternum, scapula, humerus
❇️Articulations: sternoclavicular, acromioclavicular, glenohumeral, *scapulothoracic
❇️Nerve Innervations: C5 - T1
❇️Movement Planes: flexion, extension, abduction, adduction, horizontal abduction, horizontal adduction, internal rotation, external rotation, circumduction

*While not a true joint the scapulothoracic “joint” is crucial for shoulder joint movement. Contraction of scapular muscles attach the scapula to your axial skeleton providing stability for this highly mobile shoulder joint.

Is your shoulder causing you pain or affecting everyday tasks? DM me to set up your first amelioration session and let’s figure it out together.

Here's a goodbye to 2021 and Hello! to 2022! Lets move better and more often this new year! Let's go party into it! 🥂💃🕺🎊

Happy Holidays and Merry Christmas! Hoping everyone gets time with family, friends, and food! Enjoy everything the day has to offer!

I should wish everyone a happy turkey day.....
but I don't want to use any fowl language 🦃 I'll settle for Happy Thanksgiving! 🥧🍽️🍁

Thank you to all my family that support me, friends who help, and clients that allow me to live my dream. Very grateful to be able to do something that I love and help others. The season of giving thanks should be extended to the whole year! 🙏

Prediabetes and Diabetes Prevention Management Strategies

Making healthy habit changes within your lifestyle should be in the conversation with your healthcare provider but it is up to each person to really make the change. Both Prediabetic and Diabetic prevention management strategies have the same underlying strategy: GET MOVING!💃🕺

Starting a regular exercise routine is a large part of a successful management plan. Having time set aside on specified days can help with personal accountability, regulate body functions, and allow you to set attainable goals. If you have a hectic schedule, portion off a block of time and fit it in your day as your schedule allows, even if it is not regular days or times.🗓️

According to the American Diabetes Association the magic number is 150. That is 150 minutes of moderate exercise per week. As mentioned before, breaking down and spreading out these minutes throughout the week is the best way to tackle this big number! Here's options!
⏳50 minutes 3/wk
⏳30 minutes 5/wk
⏳25 minutes 6/wk

Curious if you might fall into the pre-diabetic category and need to implement exercise? This short “test” recommended by the CDC considers age, lifestyle, family history, and a few other factors and will calculate your risk level. If you have questions about the “test” results or need more information please consult with your physician. *Test does not replace physician consultation*
https://doihaveprediabetes.org/

Ready to take the first step to a healthier lifestyle? Book an Amelioration or Performance Session with me! DM me or book online.📲

Resources:
Center for Disease Control and Prevention - https://www.cdc.gov/diabetes/basics/diabetes.html
American Diabetes Association - https://www.diabetes.org/healthy-living/fitness/weekly-exercise-targets

Let’s focus on PREVENTION!

Prevention starts with knowledge of the condition and its contributing factors. Symptoms for Type 2 Diabetes can develop slowly over time (some individuals might not have symptoms for years) and may include:
🥝 Fatigue
🥝 Increased hunger/ thirst
🥝 Blurred vision
🥝 Unexplained weight loss
🥝 Numbness or tingling in hands/ feet
🥝 Sores that do not heal
*Type 1 Diabetes cannot be prevented but the symptoms are similar and may have faster onset*

Type 2 risk factors typically revolve around lifestyle and family history. Being overweight/ obese contributes to insulin resistance. Another huge factor is physical inactivity. Genetics and family history also play a role in the probability of developing diabetes. Ethnic with risk are:
🌎 Native Hawaiians/ Pacific Islanders
🌎 American Indian/ Alaska Natives
🌎 Asian Americans
🌎Hispanic/ Latinos
🌎 African Americans

Prevention starts with physical activity! We can all get up throughout our day and take a short 5 -10 minutes to walk to the kitchen for water and do some stretches. Getting blood flowing can improve mood and cognition as added bonuses! On your evening walk include walking lunges for a challenge. Adding 10 minutes of stretching daily can help to improve mobility and correct posture.
Ready to take the first step to a healthier lifestyle? Book a Performance or Stretch Session with me! DM me or book online.

Ask your doctor if you have any questions or feel like you may be developing symptoms of Diabetes. Work with a dietitian to address nutritional behaviors. Talk to my friend .first.fueling.llc for more information!

Resources:
Center for Disease Control and Prevention - https://www.cdc.gov/diabetes/basics/diabetes.html
National Institute of Diabetes and Digestive and Kidney Diseases - https://www.niddk.nih.gov/health-information/community-health-outreach/national-diabetes-month

Happy Veterans Day! Elmer Davis said, "“This nation will remain the land of the free only so long as it is the home of the brave.”
🇺🇲 Thank you to all service members, past, current, and future. 🇺🇲

🚩Diabetes Awareness Month! 🚩

Diabetes is a chronic condition that affects how your body processes food/ drink. Most of what you intake is broken down into glucose (sugar) and released into your bloodstream. As glucose levels increase the pancreas will release insulin which allows the sugar to be transported into the cell where it is then metabolized and used as energy.

🔺Prediabetes means that you have elevated levels of blood sugar, above normal but not enough to be classified as diabetes. About 1 in 3 adults in the US have this condition and about 84% don’t even know they have it.

🔺Type 1 Diabetes is thought to develop as an autoimmune response that stops your body from making insulin. This type is usually diagnosed in children and young adults. Currently there is no cure or prevention and those diagnosed need to take insulin regularly.

🔺Type 2 Diabetes is when your body does not use insulin effectively and cannot regulate blood sugar levels. Type 2 makes up the majority of diabetes diagnosis at 90-95%. There are ways to prevent and/ or slow the progression of this chronic condition through healthy lifestyle changes.

🔺Gestational Diabetes usually occurs only during pregnancy and typically subsides after the mother has given birth. However, this condition puts the baby at a greater risk of health problems during pregnancy. Both the baby and mother have a greater risk of developing Type 2 Diabetes later in life.

Some ways to prevent or slow Type 2 Diabetes is to make changes to your lifestyle. Small steps at a time is best! For example you can start adding in a 10 minute walk to your day. This allows your body to move and get blood flowing. Add 5 minutes each week for progress! 👟🚶‍♂️Add elements of strength training to your day. It can be as simple as doing bicep curls with a can of soup or walking lunges. 💪 Another example would be to add an extra serving of veggies once per week. Use veggies you like first and work up to incorporating a serving of veggies daily. 🥦🌽🥙Nutrition is a huge part of prevention and treatment with Diabetes. Talking to a Registered Dietitian (RD) is the best way to go! Follow __ for more nutrition information and schedule a 1-1 with her for specialized care!

DM me to schedule an Amelioration Session and let’s start moving!🗓️

Resources:
Center for Disease Control and Prevention - https://www.cdc.gov/diabetes/basics/diabetes.html
National Institute of Diabetes and Digestive and Kidney Diseases - https://www.niddk.nih.gov/health-information/community-health-outreach/national-diabetes-month