Rotator Cuff Tendonopathy

Overhead Athlete? This one’s for you!

Rotator cuff tendinopathy is an irritation of one or more tendons of a group of muscles stabilizing the shoulder called the rotator cuff.

Repeated overhead movement can, over time, cause irritation, inflammation and/or a lesion to these tendons.

The rotator cuff consists of four muscles that help position the humerus, your upper arm bone, into the shoulder socket during arm movement.

The shoulder has great mobility but is prone to injury during falls or accidents, or in case of altered motor control.

Rotator cuff tendinopathy can cause, but is not limited to, pain felt at the shoulder and sometimes the scapula, a pinching sensation, loss of strength and active range of motion, and localized swelling.

The pain and pinching sensation are often felt when raising the arm overhead or when lowering the arm from an elevated position. Pain may also be present at night. In more advanced cases, you may additionally feel pain during the day while at rest.

Treatment consists of Class IV Laser Therapy, management of any biomechanical stresses in the area and exercise rehabilitation to address any weaknesses that can be putting undue stress on the area. 

Contact us for treatment in Winnipeg

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Shoulder Impingement Injury

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Impingement syndrome is an irritation of the structures between the upper portion of your arm and your shoulder blade mainly during overhead arm movements.

The rotator cuff is comprised of four muscles that help stabilize the humerus (upper arm bone), in the shoulder socket during arm movement.

The shoulder has great mobility but is in return susceptible to injury not only during falls and other accidents, but also if motor control is inadequate.

Men over 40 performing manual labor are the most affected with this condition. It is also present in young athletes practicing sports involving repeated overhead motion such as swimming, baseball or tennis.

Treatment of impingement injuries consists of Class IV Laser Therapy, management of any biomechanical stresses in the area and exercise rehabilitation to address any weaknesses that can be putting undue stress on the area. 


Suffering with a shoulder injury? Contact us for treatment in Winnipeg

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Hip/Spine/Groin Warm Up

When trying to prep the lower body for training, I’ve always been a fan of compounding movements that hit multiple areas at once, the same way sports/training do. Vernon Griffith shows us a great set of movements that will help prep your spine, hips and groins for the training to come. Give him a follow for more great training and mobility information!

Stress and Weight 

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Bottom Line:

A recent research study found over 75% of people experience at least a moderate amount of stress every day! 

Chronic stress is not fun to deal with, but did you know it can also affect your weight? 

When you are stressed your body goes into survival (or “fight or flight”) mode which changes your hormonal balance. You don’t need to be running from a saber tooth tiger to enter fight or flight mode. Even everyday events like traffic and stress at work can cause you to have that physiological response. 

Why it Matters:

Recent research suggests that chronic stress can result in:

  • high blood pressure,
  • changes in your brain,
  • and weight gain.

When you are stressed out, it is more likely that you will over-eat and less likely that you will get enough sleep and exercise. Stress causes your body to release cortisol, a hormone that can produce a build-up of fatty tissue and cause weight gain. Cortisol increases both your appetite and the amount of fat the body stores. By recognizing your stressors, and engaging in a few simple relaxation techniques, you can learn to reduce your body’s natural stress response. 

  • The hormone Cortisol is released in response to stress and increases your blood sugar.
  • Chronic stress can lead to elevated cortisol levels. 
  • An association has been found between increased cortisol levels and obesity.

Next Steps: 

Relaxation techniques such as meditation, yoga, or even simple breathing exercises can help your body counter the stress response. Also, exercise has been shown to decrease stress levels substantially. 

The next time you are feeling stressed out, take a moment to breathe a few deep breaths and try to get some exercise into your schedule that day. Not only will you feel better mentally, but your body will be able to reduce the amount of Cortisol produced which will limit your body’s fat storage and help curb any thoughts of over-eating. Staying fit and trim does start in your head! 

Science Source(s): 

Hair Cortisol and Adiposity in a Population‐Based Sample of 2,527 Men and Women Aged 54 to 87 Years. Obesity 2017

Don’t Have Enough Time to Exercise? 

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Bottom Line:

You’re busy and you’re stressed out. Well, you’re not alone. 

These are two of the most common reasons people give for not exercising consistently. Ironically, these are the two exact reasons you should be exercising and moving your body! 

Moving your body releases endorphins which help you feel good, relaxes your mind which reduces stress, and burns calories to keep you looking great. 

Why it Matters:

Your body is meant to move. Long hours commuting in your car or sitting at a desk can place a lot of stress on your musculoskeletal system. 

If your spine and core muscles are weak and unstable, then you are more likely to suffer an injury which can cause a downward spiral that impacts your relationships with food, sleep, and exercise. So taking a pro-active approach to your exercise routine is crucial to live your best life. Chiropractic adjustments are an essential part of the picture because they can help you feel good mentally and keep you moving physically. 

  • Maintaining a healthy weight can decrease the risk factors for cardiovascular and heart disease.
  • Even 15 minutes of light exercise can make a difference in your overall health.
  • Exercise can help you feel good both physically and mentally.

Next Steps: 

Schedule time every day to exercise. But, don’t get discouraged if you feel like you aren’t doing enough. Rome wasn’t built in a day! 

Even 15 minutes of walking during your afternoon break can provide you with the health benefits you are looking for. Burning an extra hundred calories per day (which could be accomplished with 10 minutes of walking) adds up to thousands of calories each month. Continue that trend, and you will notice inches falling off your waistline before you know it! 

Science Source(s): 

The Role of Exercise and Physical Activity in Weight Loss and Maintenance. Prog Cardiovasc Dis 2015

Knee Osteoarthritis

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Knee Osteoarthritis
Knee osteoarthritis is a condition that can cause stiffness that limits joint range of motion. Over time, the knee’s flexion and extension movements become limited, generally causing pain and an alteration of the normal biomechanics. Your thigh muscles also have to work harder during movement, generating a feeling of muscle tension.To date, the exact causes of osteoarthritis have not been fully identified. It is completely normal to have a mild level of osteoarthritis with age. However, the more advanced stages of osteoarthritis can affect the ability to carry out daily activities and sports. An exacerbation of symptoms usually occurs during a period when the level of physical activity has been drastically increased. Direct trauma to the knee can increase the symptoms of osteoarthritis.


Structures involved

In the knee, the joint affected by osteoarthritis is the t​ ibiofemoral joint​, formed by the femur bone and the tibia bone. It is mainly ​cartilage​ damage combined with the presence, in some cases, of slight bone spurs in the joint that appear to be responsible for the restriction of movement. Over time, certain muscles in the thigh area may compensate for the joint restriction and become more tense.page1image34813889601


Signs & Symptoms that you may experience

Each person will react differently to osteoarthritis and management will depend on its stage. Knee osteoarthritis can produce, but is not limited to, local pain in the knee, localized edema and stiffness in certain knee movements. Repetitive movements of the knee during walking or other sports activities and a squatting position with direct pressure can cause pain.



Knee osteoarthritis is a progressive condition that cannot be cured, which means that the range of motion may decrease over time. An active lifestyle and a rehabilitation plan may however slow the progression of this condition and make it easier to manage the symptoms.



Painful episodes

Relative rest is a good way to prevent your symptoms from getting worse after a painful episode. A few days of rest while reducing activities that cause significant pain​ m​ ay be necessary, but it is very important to avoid deconditioning. A quick return to your daily activities, light cardiovascular exercises that do not cause an increase in pain, joint mobilization exercises and knee and hip muscles strengthening exercises will allow for better recovery.


Follow your therapist’s advice. This will help you manage the various stages of the healing process and increase the odds of success. Your therapist will accompany you during your rehabilitation program in order to improve range of motion of your knee’s joint, regain flexibility, muscle strength and endurance, and functional state.

According to the principles of knee osteoarthritis rehabilitation, improving joint range of motion should be an integral part of the treatment plan. A program to improve joint range of motion and flexibility, as well as specific muscle strengthening is common to control the symptoms of knee osteoarthritis.


Do not rely solely on a passive treatment approach. Each phase of the rehabilitation process is important. Patients who actively participate in their treatment plan tend to recover more quickly. Keep in mind that pain is not always a good indicator of joint or tissue damage. A significant level of pain does not necessarily imply a more advanced stage of osteoarthritis. As soon as you feel better and the pain is well under control, introduce, in collaboration with your therapist, light mobility and strengthening exercises based on your tolerance. Remember that exercise is an excellent way to manage pain associated with osteoarthritis.

Trigger point pain

Myofascial trigger points are contracted knots that form in muscle tissue. They form from overload stress placed on the muscle. Both chronic stress such as poor posture and acute stress such as an injury will cause trigger points to form. Once there a trigger point will produce pain, referred pain, weakness and stiffness. Trigger points don’t go away with rest or with time, some form of intervention such as trigger point massage is needed to treat the injured muscles. Trigger points can form in any muscle in the body and are one of the most common causes of pain.

Trigger points in the hamstrings.

With all the sitting going on these days, tight hamstrings are becoming increasingly common. When your hamstrings are tight they almost certainly have trigger points. These contracted knots in the muscle are a common cause of pain felt in the back of the leg, knee and lower buttocks. Trigger points don’t go away with rest or stretching, they need a therapeutic intervention such as massage to be released.