Saturday, January 28, 2023

The Ultimate Guide To Golfer’s Elbow Exercises

In this video, I have categorized most of the exercises that the 13 of the most famous physical therapists and physiotherapists on YouTube have recommended for golfer's elbow, or medial epicondylitis. I have organized the exercises into roughly four categories: massages (for the forearm), flexibility exercises (for the wrist and elbow), strengthening exercises for the wrist and elbow, and strengthening exercises for the shoulder.
List of channels I sampled: Bob & Brad, AskDoctorJo, E3 Rehab, Tone and Tighten, Physiotutors, Rehab Science, Airrosti Rehab Centers, Precision Movement, Precision Wellbeing, Squat University, SmashweRx, Dr. Kristie Ennis, and Mr Phyio. Disclaimer: please consult your local medical doctor and/or physical therapist before attempting the exercises in this video. The exercises in this video are for general golfer's elbow and might not fit your specific situation or needs. You are responsible for any injury that might occur while attempting these exercises. All the footage used in this video are either my original footage or obtained via StoryBlocks. Script: This video is for people who know they have golfer’s elbow, or medial epicondylitis, or simply tendinitis of the wrist flexors. This video I am going to show you exercises for this condition. Timestamp is in the description so if you want to skip right to it go ahead. I am not going to explain the anatomy of this condition like many other videos do. If you are interested elbow anatomy, you can check out the anatomy lesson from Mr Physio. In this video I have analyzed and categorized all the physical therapy exercises for golfer’s elbow that have been mentioned from 13 of the most popular physical therapy YouTube channels. I have categorized these exercises into four different categories, and I have the list here. There are four categories of exercises that have been recommended for golfer’s elbow: massage for the forearm, flexibility exercises for the wrist and forearm, strengthening exercises for the wrist and forearm, and strengthening exercises for the shoulder. Category one: massage 8 of the 13 channels recommended some type of soft tissue mobilization or massage for the affected arm. Bob & Brad, ADJ, Tone and Tighten, and Mr Physio recommended cross friction massage. Bob & Brad, Dr. Kristie Ennis, Squat University, and Mr Physio also recommended functional mobilization technique to release tension in the medial epicondyle. Aiirosti Rehab, Precision Wellbeing, and Squat University recommended using a ball to massage the medial forearm. I thought it was interesting that Rehab Science actually discouraged the practice of rolling the arm over the ball that the other two channels recommended, and recommended to use to ball as a tool for myofascial release instead. Personally, I don’t like the idea of rolling sensitive muscles and tendons over a hard object. I prefer using my hands instead so I can adjust the pressure according to the sensitivity of the arm. Dr. Kristi Ennis recommended the use of an edge massage tool to mobilize the fascia of the medial epicondyle. Category two: Flexibility Exercises 7 of the 13 channels recommended some type of flexibility exercise for the wrist and forearm. Bob & Brad, ADJ, Tone and Tighten, SmashweRx, and Precision Wellbeing all recommended wrist extension stretch with overpressure. This is very useful to release tension in the wrist flexors. Precision movement recommended an active stretch of the wrist flexor and wrist extensors with elbow straight. Physiotutors recommended ulnar nerve sliders. Category Three: Strengthening Exercises for wrist and forearm. 12 of 13 channels recommended some type of strengthening for the wrist and forearm. 7 of 12 channels recommended concentric strengthening of the wrist flexors: Bob & Brad, ADJ, E3 Rehab, Precision Wellbeing, Rehab Science, Physiotutors, and Squat University 6 of 12 channels recommended eccentric strengthening of the wrist flexors (Bob & Brad, Aiirosti, Precision Movement, Tone and Tighten, Squat University, Mr Physio). 8 of 12 channels recommended strengthening of the forearm pronator muscle (Bob & Brad, ADJ, E3 Rehab, Aiirosti, Physiotutors, SmashweRx, Rehab Science, and Mr Physio) Category Four: Strengthening Exercises for the shoulder 4 of 13 channels recommended strengthening of shoulder muscles (E3 Rehab, SmashweRx, Physiotutors, and Squat University). These can be divided into shoulder external rotator strengthening, shoulder abductor strengthening, shoulder extensor strengthening, and scapular strengthening. Shoulder external rotator strengthening: Physiotutor (face pull), Squat University Shoulder abductor strengthening: Physiotutor, E3 Rehab Shoulder extensor strengthening: Physiotutor, E3 Rehab (prone) Scapular strengthening: E3 Rehab (Prone T), SmashweRx (flying V) Management of acute phase (inflamed golfer’s elbow): Bob & Brad and Tone and Tighten recommended the use of ice pack and ice massage for the inflamed medial epicondyle. Brace: Bob & Brad and ADJ also recommended the use of elbow brace. Tone and Tighten also recommended taking prescribed anti-inflammatory medication Kinesiotape: Bob & Brad recommended kinesiotaping

Wednesday, January 25, 2023

300 YouTube Subscriber Milestone!

Finally hit 300 YouTube Subscribers! I know it might dip below 300 any second but at least I can say at one point I did have 300 subscribers. What a milestone! I know it's far from 1k but it took a little over 130 days for me to go from 151 subscribers to 300. Here's to continued growth! Let's go!

Sunday, January 22, 2023

The Ultimate Guide to Tennis Elbow Exercises

In this video, I have categorized most of the exercises that the 8 of the most famous physical therapists and physiotherapists on YouTube have recommended for tennis elbow, or lateral epicondylitis.
I have organized the exercises into roughly four categories: massages (for the forearm), flexibility exercises (for the wrist and elbow), strengthening exercises for the wrist and elbow, and strengthening exercises for the shoulder. List of channels I sampled for this video: Bob & Brad, AskDoctorJo, E3 Rehab, [P]rehab, Precision Movements, Physiotutors, Tone and Tighten, and ATHLEAN-X. Disclaimer: please consult your local medical doctor and/or physical therapist before attempting the exercises in this video. The exercises in this video are for general tennis elbow and might not fit your specific situation or needs. You are responsible for any injury that might occur while attempting these exercises. P.S. I do recognize that many of these channels (such as Bob & Brad and AskDoctorJo) do recommend the use of tennis elbow brace for pain relief, but since they aren't really exercises, I didn't think it's a big deal that I left it out of the video and just mentioning it here instead. All the footage used in this video are either my original footage or obtained via StoryBlocks. Script: Do you have pain in the outside of your elbow and forearm that prevents you from doing gripping movements? If you do, you might have figured out you have lateral epicondylitis, or tennis elbow. I have analyzed and categorized all the exercises that eight different physical therapists and physiotherapists have recommended across their 8 YouTube channels, and I have the list here. There are four categories of exercises that have been recommended for tennis elbow: massage for the forearm, flexibility exercises for the wrist and forearm, strengthening exercises for the wrist and forearm, and strengthening exercises for the shoulder. Category One: massage Two of the 8 channels recommended cross friction massage of the forearm at the level of the lateral epicondyle. (Bob & Brad, AskDoctorJo) Recommended time: Bob & Brad recommends 30 seconds to 15 minutes daily, or 3x a day for 5 minutes. Bob & Brad also recommends functional mobilization with wrist extension AROM as an alternative. Category Two: Flexibility exercises for the wrist and forearm 4 of the 8 channels recommended some type of flexibility exercises for the wrist and forearm Wrist Extension AROM: Bob & Brad, [P]rehab, Tone and Tighten Wrist flexion AROM: AskDoctorJo, Tone and Tighten Wrist pronation/supination AROM: Bob & Brad, AskDoctorJo, Wrist radial/ulnar deviation AROM: AskDoctorJo Forearm pronation/supination stretch: Bob & Brad Wrist extension stretch: Bob & Brad, AskDoctorJo, Wrist Flexion stretch: AskDoctorJo, [P]rehab, Tone and Tighten Category three: strengthening exercises for the wrist and forearm Resisted wrist extension: Bob & Brad, AskDoctorJo, E3 Rehab, [P]rehab, Precision Movement (end range isometric) Resisted wrist flexion: Bob & Brad, AskDoctorJo, Tone and Tighten, Physiotutor Resistance bar: Bob & Brad, AskDoctorJo, Physiotutors (vertical to horizontal transition) Resisted pronation/supination (hammer): Bob & Brad, AskDoctorJo, Physiotutor Resisted radial deviation: AskDoctorJo, [P]rehab Eccentric strengthening of wrist extensor: Bob & Brad, E3 Rehab, Precision Movement, Tone and Tighten Eccentric strengthening of wrist extensor using resistance bar: Bob & Brad, AskDoctorJo and Physiotutors Eccentric strengthening of supinators: Physiotutors Category four: shoulder strengthening Bob & Brad: Shoulder W in standing and prone E3 Rehab: Prone T ATHLEAN-X: Kettle Bell Swing Shoulder external rotators: E3 Rehab, Tone and Tighten

Friday, January 20, 2023

300 Facebook Follower Milestone!

As of two days ago (1/18/23) I reached 300 Facebook followers! What a milestone! It took 5 weeks for Facebook to really push my reels again. Taking one day off when my second boy was born led to Facebook stop pushing my reels out for five whole weeks. On a side note, my Facebook page like fell from double digits (10 likes) to single digit (9 likes). I guess you win some and you lose some.

Sunday, January 15, 2023

The Ultimate Guide to Frozen Shoulder Exercises

Disclaimer: please consult with your local medical doctor and/or physical therapist before attempting any of the exercises in this video. These exercises for general frozen shoulder and might not apply to your specific condition or need. There are also many different conditions that resemble frozen shoulder that may require very different treatment and/or exercises. Any injury and/or increased symptoms that might occur from you attempting these exercises are your own responsibility. In this video I have analyzed and categorized physical therapy exercises for carpal tunnel syndrome, after studying 9 different YouTube channels.
Here are theh YouTube Channels I sampled: Bob & Brad, AskDoctorJo, Upright Health, E3 Rehab, BESS – British Elbow & Shoulder Society, Motivationaldoc, Bupa Health UK, Grow Young Fitness, and Dr. Kristie Ennis. My favorite for massage is Motivationaldoc video. My favorite for flexibility exercises is E3 Rehab video. My favorite for strengthening exercises is also the E3 Rehab video. The repetitions and frequency of each exercise vary from channel to channel. Almost no two channels have the same numbers. As a general rule, go by how you tolerate the exercise. Red, Green, and Yellow lights are a good rule here: if symptoms increase (red light) stop and rest for the day. If symptoms go down (green light) then keep going. If symptoms stay the same (yellow light) proceed with caution. All the footage used in this video are either my original footage or obtained via Storyblocks.

Saturday, January 7, 2023

The Ultimate Guide to Carpal Tunnel Syndrome Exercises

Disclaimer: please consult with your local medical doctor and/or physical therapist before attempting any of the exercises in this video. These exercises for general carpal tunnel syndrome and might not apply to your specific condition or need. There are also many different conditions that resemble carpal tunnel syndrome that may require very different treatment and/or exercises. Any injury and/or increased symptoms that might occur from you attempting these exercises are your own responsibility. In this video I have analyzed and categorized physical therapy exercises for carpal tunnel syndrome, after studying 17 different YouTube channels.
Here are the list of YouTube Channels I sampled: Bob & Brad, AskDoctorJo, Airrosti Rehab Centers, OrthoIndy Northwest, Cleveland Clinic, E3 Rehab, Tone and Tighten, Rehab Science, Rehab and Revive, SmashweRx, Goodful, Virtual Hand Care, ZHealthPerformance, Milton Chiropractic Clinic Cambridge, Sunit PhysioTHerapist, Rachel Richards Massage, and Body Fix Exercises. My favorite for massage is Bob & Brad Massage gun video and Rachel Richards video. My favorite for tendon glide is E3 Rehab video. My favorite for median nerve exercise is Virtual Hand Care video. The repetitions and frequency of each exercise vary from channel to channel. Almost no two channels have the same numbers. As a general rule, go by how you tolerate the exercise. Red, Green, and Yellow lights are a good rule here: if symptoms increase (red light) stop and rest for the day. If symptoms go down (green light) then keep going. If symptoms stay the same (yellow light) proceed with caution. To summarize all the exercises that these doctors, chiropractors, physical therapist, and even massage therapist have mentioned, I have a list here. There are generally six general categories of advice/exercise types that have been mentioned. There is posture/thoracic spine exercises, shoulder stretches, wrist/forearm stretches, massages/soft tissue work, tendon glides, and median nerve exercises. These exercise categories corresponds to the type of causes for your carpal tunnel symptoms. Posture/thoracic spine exercises and shoulder stretches are appropriate for patients whose median nerves are compressed at the level of the shoulder. The remaining four categories are appropriate for patients whose median nerves are compressed at the level of the wrist and hand. It’s quite easy to determine if your symptoms come from the shoulder. If you have increased symptoms when your move your shoulder, you should probably try the exercises from the first two categories. There are some patients who have impingements both at the shoulder and at the wrist/hand. For these patients they would benefit from exercises from all six categories. Category one: Posture/thoracic spine exercises Three of the 17 channels recommended posture or thoracic spine exercises: Bob & Brad, E3 Rehab, and SmashweRx. Bob & Brad recommended a type of seated thoracic extension using a chair. E3 Rehab recommends a vigorous series of thoracic spine mobilization exercises, and SmashweRx recommended snow angel exercise on the floor. Category two: Shoulder stretches Seven of the 17 recommended some form of shoulder exercise: Bob & Brad, Airrosti Rehab Centers, E3 Rehab, Rehab and Revive, SmashweRx, Virtual Hand Care, and Body Fix Exercise. Bob & Brad recommended pec stretches and first rib stretch. Airrosti Rehab recommended a composite stretch that stretches the wrist flexors, biceps, and the pecs. E3 Rehab’s Half-Kneeling Thoracic Windmill stretches both the thoracic spine and the shoulder. Rehab and Revive recommended shoulder clocks, which is more of a scapular mobility exercise. SmashweRx recommends the overhead triceps stretch, shoulder internal rotation stretch, and snow angel which can be considered a pec stretch as well. Virtual Hand Care recommends shoulder depression exercise, which is also a type of scapular exercise. Body Fix Exercise recommends the first rib stretch. Summary: both Bob & Brad and Body Fix Exercise recommended first rib stretch. Bob & Brad, Airrosti, E3, and SmashweRx all recommended at least one exercise that stretches the pecs. All the other stretches are pretty straightforward except the first rib stretch, so I’ll go into detail a little bit here. The First Rib Stretch: This is also called the first rib mobilization. The idea is that the upper trapezius, the levator scapulae, and the scalene muscles of the neck have so much tension that they are elevating the first rib without you telling them to. For most people, if you have a tight upper trapezius, there is a good chance you have elevated first rib as well. This puts pressure on the nerves and blood vessels in the shoulder area and could lead to impingement of the median nerve. It's a good idea to release the tension in the shoulder muscles first, so you can set up the exercise by warming up the muscles with a heating pad, let it sit for 15-20 minutes. After heating up the muscles, you can massage them. You can either massage them by hand or massage them using an electric neck massager. After massaging the muscles for about 5 minutes, you can start with upper trapezius and levator scapulae stretches. Next, do depress the first rib, you can do it one of two ways. The first way is demonstrated by both Bob & Brad and Body Fix, which is using a strap or a long towel. Put the strap over the first rib and pull the straps diagonally across your body with both hands. Apply slight pressure into the strap. Take a deep breath, and as you breathe out, try to relax the involved the shoulder. I know in the other videos they move the neck away from the shoulder but that is really a modified upper trapezius stretch that I already covered from stretching out the upper trapezius and levator earlier. Take deep breath again while maintaining the tension in the strap, and as you exhale, relax the involved shoulder. Repeat. The second way to do this is my preferred way. Instead of using a strap, I just use my uninvolved hand. I put four fingers together and apply pressure on the first rib. Then, I go through the same breathing process. Each time I exhale, I relax my involved shoulder and continue to put pressure on the first rib with my uninvolved hand. If this is too complicated, it is a good idea to go to a physical therapist and have the therapist go over this with you. Category three: Wrist/forearm stretches 8 out of 17 channels recommended wrist/forearm stretches: AskDoctorJo, Airrosti Rehab Centers, Cleveland Clinic, Tone and Tighten, Rehab and Revive, Goodful, ZHealthPerformance, and Sunit PhysioTherapist. 3 of these 8 channels recommended wrist radial and ulnar deviation stretches. My personal opinion on these two stretches is that while they do stretch some of the forearm tendons, it’s more effective to stretch the flexors and extensors. I personally never give my patients these two stretches for carpal tunnel syndrome. They aren’t bad but I wouldn’t prioritize these. The remaining 5 channels all recommend some form of wrist flexion/extension stretches, which release the tension in the forearm very effectively. If your symptoms are caused by muscular tension, this could solve the problem. However, if your symptoms are caused by scar tissue in the carpal tunnel or inflammation in the carpal tunnel, these stretches won’t be enough. Category four: massage/soft tissue work 6 of the 17 channels recommended some form of massage or soft tissue work: Bob & Brad, Airrosti Rehab Centers, Rehab and Revive, ZHealthPerformance, Sunit PhysioTherapist, and Rachel Richards Massage. 2 of these 6 (Airrosti and Sunit) recommended using a tennis or lacross ball to release tension in the wrist and forearm flexors. I would not recommend this because this puts direct pressure on the median nerve. Bob & Brad recommended using the massage gun to massage the proximal forearm and the lumbricals of the hand. Rehab and Revive recommended massaging the neck. ZHealthPerformance recommended mobilizing the skin of the forearm. My opinion on this skin mobilization is, while it’s not bad, it’s more effective to massage the muscles like the wrist flexors and the lumbricals. Rachel Richards Massage goes into detail on massaging the hand and the forearm so if you have the time you could check out her video. Category five: tendon glides 7 of 17 channels recommended tendon glides: OrthoIndy Northwest, E3 Rehab, Tone and Tighten, Rehab and Revive, Goodful, Virtual Hand Care, and Body Fix Exercise. My personal opinion for these exercises is: it could be painful if you have a lot of tension in your wrist flexors and lumbricals, because every tendon glide exercise contracts at least one type of finger flexors which go from the fingers to the hand, and the wrist and forearm. I generally save this exercise for patients who are rehabilitating from carpal tunnel release surgery. Category six: Median nerve exercises 10 of 17 channels recommended some form of median nerve exercise: Bob & Brad, OrthoIndy Northwest, E3 Rehab, Tone and Tighten, Rehab Science, SmashweRx, Virtual Hand Care, Milton Chiropractic Clinic Cambridge, Rachel Richards Massage, and Body Fix Exercises. This is the number one recommended exercise for carpal tunnel syndrome that is caused by scar tissue or thickening of the carpal ligament inside the carpal tunnel. The idea is that the median nerve has trouble sliding through the carpal tunnel due to the decreased space caused by scar tissue. To improve the symptoms, we try to stretch the nerves back and forth inside the carpal tunnel gently until it frees itself and moves easier. I’m going to group median nerve exercises into three group. The first subgroup is the most commonly demonstrated. 7 of the 10 use the same arm movement: Bob & Brad, E3, Tone and Tighten, Rehab Science, SmashweRx, Virtual Hand Care, and Body Fix Exercises. When it comes to head movement for this exercise, I want to point out that 3 of the 7 recommended head away and 4 of the 7 recommended head away. Head away: Bob & Brad, E3, Virtual Hand Care Head toward: Tone and Tighten, Rehab Science, SmashweRx, Body Fix Exercises The second group of median nerve exercises focus primarily on the wrist and fingers. The two channels that only recommend wrist and finger median nerve glides are OrthoIndy Northwest and Milton Chiro. E3 also recommended a wrist and thumb only exercise. These exercises are convenient for incorporating overpressure on the thumb because you don’t have your arm extended away from your body. The last group of median nerve exercises is variations that are so different from the first two groups that I don’t know where to put them. One is from Rachel Richards and another one from Rehab Science. The one from Rachel Richards included the abducting the shoulder and extending the elbow, as well extending the wrist and fingers, but did not supinate the wrist. Her head movement is also different in that instead of side bending her neck, she flexed and extended her neck. The other unique median nerve exercise is from Rehab science. It’s not quite like any of the others but still very interesting. The mechanics makes sense to me because you are still putting the median nerve on stretch by putting your arm in this position, so it seems like it would do something to help. Lastly I want to mention that if your wrist is acutely inflamed and swollen, which means it has burning pain and your palmar wrist is tender to the touch, any and every movement will hurt and you need to take appropriate measures to decrease that inflammation. You could take your prescribed anti-inflammatory medication. You could ice your wrist with an ice pack for a few minutes or do a 10 second ice massage with an ice cube. You could soak your wrist in warm Epsom salt bath. You could try contract bath therapy by alternating soaking in warm water with cold water. If one of these methods to decrease inflammation doesn’t work, try another one until you find something that works. Please note also that your doctor probably will prescribe you’re a wrist splint to immobilize your wrist. This is to prevent your median nerve from flaring up. You should wear it 24/7 BUT make sure to take it off every hour or so to move your hand/wrist and stretch. If you don’t take it off regularly to move your wrist joint you will lose range of motion and your blood flow to your hand will decrease, and it will slow your recovery because of decreased blood flow.

Sunday, January 1, 2023

Happy New Year! Thank for 100 Pinterest Followers!

Nobody reads this blog so I can post my milestones here. As of last night midnight I have 100 Pinterest followers! It's been a tough year but a great learning experience. I learned so much in the last few months of content creation and I'm not about to stop doing what I've been doing now! It's going to be better and better as I learn!