Tuesday, November 24, 2009

Nutrition and Pain

Anti-Inflammory Nutrients and Herbs

I am currently reading ‘Clinical Applications on Neuromuscular Therapy – Vol 1 Upper Extremity’, and I am extremely impressed with the information in the book. I am slowly progressing through the book. This is actually one of my main course books for my Higher Diploma course in Neuromuscular Therapy (NMT).

While I was reading through chapter 7 ‘The Internal environment I came across an interesting section on treating inflammation on a muscle when healing form an acute trauma. It was mentioned in the section that fish oil, pineapple stem, and papain from the papaya plant all reduces inflammation. Remember that inflammation is a necessary process of the healing process, so never try to eliminate inflammation, just try to reduce it. But what was interesting to me was the that the fish oil study was done back in 1986 (Moncada 1986). So it has been know for a long time that fish oil is a great supplement.

Whole body Inflammation and treatment

What also was of interest was the section on how important magnesium (Mg) and potassium are in reducing inflammation, and controlling pH levels. Low levels of Mg were linked to cardiovascular disease, atherosclerosis, hypertension and diabetes (Jing et al 1995). Barbagello et el (2003) stated:

that intracellular Mg has also been shown to be effective in modulating insulin activity ( mainly through oxidative glucose metabolism).

Barbagello et el (2003) also state:

A poor intracellular Mg concentration, as found in noninsulin-dependent diabetes mellitus (NIDDM) and in hypertension patients, may result in defective tyrosine-kinase activity at the insulin receptor level and exaggerated intracellular calcium concentrations. Both events are responsible for the impairment insulin action and worsening of insulin resistance in NIDDM and hypertension patients.

They further concluded:

We further suggest that a reduced intracellularMG concentration might be the missing link helping to explain the epidemiological association between NIDDM and hypertension.

The very next paragraph went on to talk about diet and inflammation where Seaman (2006) suggests:

We can craft a diet that is rich in foods that are know n to be anti-inflammatory .... such a diet would be free of simple carbohydrates because they drive hyperinsulinemia and the expression on syndrome X.

Seaman conclude that a hunter-gather style diet would be the diet prescription for people with chronic disease and inflammation.

Within the following paragraph it is discussed how non-steriod anti-inflammatory drugs (NSAIDs) can be harmful to the body, and the authors (Chaitow and DeLany) are strongly of the opinion that other, less harmful methods, should be employed in preference to NSAIDs whenever possible.



Clinical Applications on Neuromuscular Therapy Vol 1 – The Upper Extremity 2nd Ed

Barbagello M, Dominguez L J, Galioto A et al 2003, Role of magnesium in insulin action, diabetes and cardio-metabolic syndrome X. Molecular Aspects of Medicine 24 (1-3): 39-52

Jing M, Folsom A, Melnick S et al 1995, Association of serum and dietary magnesium with cardiovascular disease, hypertension, diabetes, insulin, and carotid arterial wall thickness. Journal of Clinical Epidemiology 48 (7): 927-940

Moncada S 1986, Leucocytes and tissue injury, the use of eicosapentenoic acid (EPA) in the control of white blood cell activation. Wiener Klinische Wochenschrift 98 (4): 104-106

Seaman D 2006, National considerations for inflammation and pain. In: Liebenson G (ed) Rehabilitation of the spine 2nd Ed. Lippincott Williams and Wilkins, Baltimore

Sunday, November 22, 2009

I am Finished!!

Yesterday I officially finished my MBSC internship. Boy that was a fast ten weeks. So you are all probably wondering, what was it like? How much did you learn? How much money did you spend? Where did you live? Did you have transport? What is Mike Boyle really like? Was it worth it?

Well.......... Here you go

How much did I learn?
I touched on this in my previous post. I didn’t learn much from a scientific standpoint, but a lot from a real world, practical stand point. I have become a much better coach with logistics. I have become much better when dealing with varied types of personalities, and boy are there varied personalities at MBSC! So becoming better at dealing with large groups, and having to adjust things on the fly (injured athletes, space available)is what I think I learned the most

How much money did you spend?
Not much! Flights were cheap (Thank you Aer Lingus!). Housing is free. So, all you need money for is food. Ah Stop and Shop!!

Where did you live?
I lived (still am as I write this) in an apartment in Woburn. I am about a 10 minute cycle from the facility. It is a nice apartment, has everything you need. Even your own crazy neighbour from Russia!!!!Plus did I mention that it is rent free. Thanks guys!

Did you have transport?
Not when I came, but thanks to Steve Bunker I got a bike (bicycle that is, not the motor type). Thanks for that bike Bunkie, now will you please do something about those white socks you wear when you train :-)

What is Mike Boyle really like?
I also touched on this on my previous post. The man is not just a legend of a coach, but a legend of a person. He let me sit in on his mentorship. He got me a spot at the Cressey/Reinold seminar, and wait for it, he give me FSC 3.0 for free. What a guy. He is also always very approachable and always willing to give advice but also will always listen to your opinion on things. Thanks for everything Mike. Also I think it is worth mentioning Mike’s partner in crime Bob Hanson. If you ever get the chance to intern at MBSC, and if you are like me, an Irish F-bomb, and strength and conditioning nerd who will work hard, you will love Bob Hanson, because he will look after you. He is truly a great guy.

Was it worth it?

I am not heading back home for another two and a half weeks. So I hope to get some more time with John Pallof. I also hope to get to BU with Mike. Got to keep learning baby! Everyday!


Monday, November 16, 2009

One down, Five to go!

Today marks the first day of my last week as an MBSC intern. I can’t believe how fast the time has gone by (Ten weeks!). It has been a worthwhile experience for sure. I meet so many great people, and made some great friendships. If I was to be completely honest I didn’t learn an awful lot science wise with regards to strength and conditioning. I would have loved to have worked with another intern (as I was the only one for most of the Fall), who was a nerd like me. Someone who I could just talk strength training and rehab with all day. In fairness Sam Dadd an MBSC employee (who was hired during my internship) is my go to nerd, so at least I had Sam for some of my internship. Plus Sam love The Kings of Leon, and Artic Monkeys is well, so we got clicked straight away!

What did I learn then?

I did learn to be a much better coach logistically. I have become a much better coach at making on the spot decisions. Nearly everyday I would have to tweak some kids program as they had a sore shoulder, back, knee, or ankle. In fact I had a client tonight come in with a broken ankle!! There would also be times when there just wouldn’t be enough turf space for a group to throw some medball throws, so you would have to come up with a comprise, such as partner medball slams. Like a lot of things in life, what you get out of something, will always depend on what you put into! I like to think that I have made the most out of my internship.

I hope to spend more time with John Pallof, Karen Wood, and Chris Larson when my internship finishes. These three are all excellent therapist that I hope to learn a lot from before I go back.

At the end of the week I will give a more detailed account of my MBSC experience. And for anyone wondering – “Robbie, what’s Mike Boyle really like?”. All I will say is LEGEND!!

PS. Kyle I hope you have checked my blog out by now ;-)


Cressey/Reinold Shoulder Seminar!

First of all a big shout out to Mike Boyle for getting me a spot for this seminar. The advantages of being an MBSC intern. Thanks Mike.

Going to Cressey Performance for this seminar I expected a lot of anatomy, a lot of research, and a lot of applicable exercises that I could use with athletes. It is safe to say that I got all three. The four presentations that were given by both Eric (2 presentations), and Mike (the other 2 obliviously) were extremely informative.

Mike put the sleeper stretch into a whole new perspective. The sleeper stretch for anyone who is not familiar with is a stretch that has been prescribed by a lot of coaches who deal with overhead throwing/striking athletes (i.e baseball, tennis). Mike said that as clinicians we are not doing a good job at looking at TOTAL range of motion at the shoulder. What this means is that if you have an athlete you must add BOTH his/her external, and internal rotation to get their total shoulder range of motion. So if you have a baseball player, and I know that there isn’t many back home in Ireland, but lets just use a baseball player as our example here, who has only 65 degrees of internal rotation, but has 115 degrees of external rotation, that base player already has a total range of motion of 180 degrees, which is ok.

What Mike believes is that many clinicians have only been focusing on the internal rotation number, and automatically assume that an athlete has posterior cuff tightness, or GIRD (gleno-humeral internal rotation deficit), and will prescribed sleeper stretches for this athlete. He believes that this could be detrimental to an athlete as your are adding flexibility to something that dosen’t necessary need any more range of motion.

Mike did say that when total range of motion is out of whack that this would call for some sleeper type stretches. He cautioned that the pressure should be very slight, and that there should be no sensation in the front of the shoulder.

Mike also went on to talk about perturbation type exercises for the shoulder stability. I had talked about this briefly with John Pallof at MBSC, as he too is a firm believer in this type of training. Some very cool exercises.

What about Eric you ask?

Of course Eric had some excellent points throughout his presentations. Some of the things that I took away from them was a better understanding as to why he does not overhead press is baseball players, and how important he thinks breathing patterns are in some of his guys.
Eric won’t overhead press his baseball guys because many have such poor upward rotation patterns that overhead pressing would just lead to ugly things. I have to say that I agree with him. I found the discussion on breathing patterns very interesting as this is something that I have become very interest in ever since I attained a weekend seminar with Leon Chaitow, and begin reading his outstanding text that he co-authored with Judith DeLany – Clinical Applications of Neuromuscular Techniques Vol 1, which I am slowly progressing through.

Eric said that he was getting some of his guys to lie prone on the massage table for 2-3 minutes and focus on breathing from their diaphragm. He said that some guys were instantly increasing their shoulder internal rotation range of motion by a few degrees (I can’t remember exact number), simple by doing this. This is from the deep breathing into diaphragm helping to mobilize the thoracic spine, and as any well read strength coach, or therapist will tell you, increase t-spine mobility will lead to a better moving and healthier shoulder joint.

So, all in all a great day spent at Cressey Perfomance. I would just like to Thanks Eric, and Mike for a great Seminar, and for anyone wondering this will be coming out on DVD. I make a cameo appearance on a foam roller wearing my Dublin jumper. UP THE DUBS!! Finally I have to give a huge, huge, THANK YOU to my man Connor Ryan who picked me up on Saturday night, let me stay in his apartment, and then drove to the seminar, and drove me all the way home to Woburn. Connor you are a LEGEND!!!! Thanks again buddy.

Hello World!

I suppose I should introduce myself to the Strength and Conditioning world. My name is Robbie Bourke, I’m a strength and conditioning coach, and certified Neuromuscular therapist from Dublin, Ireland, and I am glad that you have come to my blog. I hope to achieve a high quality of information for any strength coaches, and therapist’s out there, particularly the young coaches and therapists getting into fields of Strength and Conditioning, physical therapy, and rehabilitation. I hope you enjoy!!