DSP: Right Sided Neck Pain, Upper Cross Syndrome, Patellofemoral Pain: Phase 4 (2-19-18)

  • Email Follow Up
    • We clarified some points earlier in the week
    • make sure with the weight pullover, as you increase the weight, make sure you are still able to go through full range. Typically as that weight increases we start short changing the range of motion and stick with the 4-5 sec negative/eccentric
    • Neck feels great with mild restriction in end range right rotation
    • Dull ache in shoulder blade that comes and goes
    • Knee is difficult to gauge because its minor with some odd tightness at times
  • Phase 4
    • This week will focus on progressing to current movements along with some daily movements that may assist with cervical rotation
    • ALL CHANGES/UPDATES WILL BE IN BOLD BELOW
    • Organization of the week
      • Day 1: Daily Sequence + Strength Circuit #1 (2 sets of strength circuit)
      • Day 2: Daily Sequence
      • Day 3: Daily Sequence + Strength Circuit #2 (2 sets of strength circuit)
      • Day 4: Daily Sequence
      • Day 5: Daily Sequence + Strength Circuit #1 and #2 (1 set of each)
    • Daily Sequence
      • This is meant to be somewhat easy and focused on maintaining mobility and muscle activation
      • You should choose a couple of these movements as options to do gently thorughout the day to break up static postures
      • 10-20 reps of each movement is recommended
      • They can be done in a circuit 1-2x a day along with doing a couple of them frequently throughout the day as able
    • Strength Circuits
      • This week we will add a new strength circuit into the mix
      • These are meant to challenge you and should be done every other day in addition to the daily stuff
      • Goal is to try and remain in a range where you are able to achieve muscle fatigue with the least amount of pain
      • Typical issues arise when individuals push too far into a movement to quickly
        • I would rather you remain in a shorter range of motion and do 20-40 reps versus do 5 too deep into the notion and get pain
    • If any of these movements cause an increase in pain, either try to adjust the exercise or email me…if have a pretty extensive arsenal of options so if something doesn’t feel right I can probably find a better alternative
    • Do all reps slow and controlled in a range of 5-30 reps ( I know that is a wide range)
      • I would rather you do 5 very slow and controlled reps with great form rather then rushing to 30 reps out of boredom
      • At the same time I want you to get to some muscle fatigue with more of and emphasis initially on higher reps and endurance, so don’t stop at 10 because we are somehow programmed that 3 sets of 10 reps is the golden rule for exercise
    • Sometimes I switch to doing an exercise for time for those who refuse to count, rush to get to 30reps, don’t have the attention span to count. time goal is 30sec to 2 minutes
      • This works better for some as it takes away the motivation to rush through and exercise
      • Either option is fine
    • IF YOU WANT TO GET BETTER, DO EACH REP SLOWLY, FOCUSED ON TECHNIQUE AND CONTROL, AND DO IT UNTIL YOU FEEL TIRED OR AN INCREASE IN PAIN…TRY TO REMAIN IN A RANGE OF MOTION THAT DOES NOT HURT…AT ALL IF POSSIBLE 
    • Daily Sequence
    • Strength Circuit #1
    • Strength Circuit #2