Body and Spirit

Shoulder Pain

Three Angels Broadcasting Network

Program transcript

Participants: Greg Morikone, John Leaman, Dick Nunez

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Series Code: BAS

Program Code: BAS000039


00:02 The following program is designed to demonstrate
00:04 simple workouts that you can use to improve your health.
00:08 Be sure to consult your physician
00:10 before beginning any exercise program.
00:15 If you ever experience shoulder problems
00:17 and have trouble moving around,
00:18 you might want to stay tuned for Body and Spirit
00:21 because that's gonna be our topic for today.
00:51 Hello, I'm Dick Nunez,
00:53 wellness director of the Black Hill
00:54 Health and Education Center.
00:55 Welcome to Body and Spirit.
00:57 Today, we're gonna be covering the problem of shoulder pain.
01:00 When we see people often times,
01:02 they have trouble even reaching up
01:03 to grab something off the shelf,
01:05 it's very frustrating for them.
01:07 And they wonder what they can do
01:08 or just simple task like
01:09 putting on a coat become very difficult.
01:11 If that's a problem that you're fighting
01:14 this is the program for you
01:15 or if you know somebody who's fighting that problem,
01:17 this is something they want to learn about.
01:19 When we look at the Bible,
01:20 Paul says, "We want to run the race
01:22 as though we want to win the price."
01:24 Well, if you're hurting, it's hard to do anything,
01:27 and even just the simplest motions hurt,
01:30 how can you even begin to strive?
01:32 So we're gonna go over some of those things today.
01:35 Today, helping me out will be Greg and John,
01:37 so let's get started.
01:46 Okay, with shoulder pain, any little movement can hurt.
01:50 So we want to make sure we're loosened up very nicely.
01:52 So we're gonna easily just move the arms around
01:55 and even if you just have to go
01:57 just the little short circles, that's okay.
02:00 And as you feel better
02:01 you can start making those circles little bigger.
02:04 Remember all these exercises
02:06 can be modified for the person's needs.
02:15 Okay, let's go the other way now.
02:18 Once again if it has to be real small
02:20 or you can just barely move, that's okay.
02:24 Sometimes simply just bringing the arm up
02:26 over the head is a major task,
02:28 but you have to help yourself bring it up.
02:31 But if you don't do something about it,
02:33 it's not gonna get better.
02:35 Somewhere along the line we've got to
02:36 re-encourage those muscles to go back to range of motion.
02:40 Just because you might take an anti-inflammatory
02:43 or do something for the pain,
02:45 it doesn't mean that the shoulder
02:46 is gonna get better and start moving again.
02:49 Okay, let's go and relax.
02:51 Let's start with working the chest area,
02:53 and by doing that today,
02:54 we're simply gonna get ourselves
02:55 on a prayerful type position here.
02:58 And we're gonna push across our body
03:01 and then come the other way.
03:04 Push across and then back.
03:10 Push across and back, good.
03:15 Okay, keep that going fellas as we're doing that.
03:17 And as we're doing this exercise
03:19 we want to focus on the muscles in the chest.
03:21 Each time you come across,
03:22 you should feel the opposite side contract.
03:26 Good, that's good.
03:29 Okay, we want to keep those elbows up as we do it.
03:34 Okay, now what we're gonna do is
03:35 we're gonna rotate our hands forward,
03:37 we're gonna push out and we're gonna draw back.
03:42 Push out and draw back.
03:49 Question often comes, how do I breathe when I do this?
03:53 Just make sure you're keeping a normal cadence
03:55 to your breathing pattern.
03:57 Because actually we're applying pressure both ways.
04:01 So we pull back as we push up, squeezing the hands together.
04:05 The harder you squeeze
04:06 the more work you're gonna get out of it.
04:12 But if it's very painful then you just want to
04:15 easily go through the range of motion.
04:21 The thing about exercise
04:24 is even if your shoulders are okay,
04:26 these type-- this type of program will help
04:28 so they stay that way.
04:30 You don't want to have shoulder pain
04:31 later on down the road.
04:38 Okay, relax.
04:41 Okay, now what we're gonna do is
04:42 we're gonna put the hands back together for a moment
04:43 and squeeze hard.
04:47 And this will, again will vary on how hard you can push.
04:50 The stronger you are, the harder you can go.
04:55 Let's push it hard for ten more seconds.
05:02 Six, seven, eight, nine, and ten, good.
05:08 Okay, if you can go and get our towels there, Greg.
05:16 We're gonna do a rowing motion for our upper back today.
05:20 We're gonna step out, grab the towel,
05:22 resist with the other hand,
05:24 pull it back and then reach out.
05:29 Good, okay, keep it going.
05:32 As we do this,
05:33 we want to feel the muscles in through here
05:34 so reach way out, John, there we go.
05:38 when he does that, brings those muscles out.
05:45 Reach way out, good.
05:52 Okay, Greg, you want to bend
05:53 just a little more at the waist, okay,
05:55 and have the knees slightly bend as well.
05:57 Good, good, let's do five more.
06:05 Focus on latissimus area and scapular area
06:08 as we're doing that.
06:10 And also we will be begin
06:11 a little bit of shoulder action, as we do this as well.
06:16 Okay, let's switch around the other side.
06:24 Most shoulder pain that we deal with--
06:26 okay, reach way out, reach way out and draw in,
06:30 okay, just like that.
06:33 Most shoulder pain we deal with is
06:34 gonna be caused from arthritis, osteoporosis,
06:39 it can be a rotator cuff problem.
06:44 Most of the time, it's just a wear and tear,
06:46 sometimes you get an injury.
06:49 Now start right on the right there.
06:52 Yep, okay, reach out.
06:56 And then what happens is somebody doesn't want to move
07:00 and the shoulder somewhat freezes up on them
07:03 and it becomes difficult for them to do anything.
07:05 Okay let's do five more.
07:12 And three more.
07:16 Okay, last one. Okay, good.
07:20 Okay, just drop your towel for a second,
07:21 we're just gonna stretch the arm now,
07:23 now this might be difficult as well
07:24 especially if you have bad shoulder.
07:27 And if you have to just
07:29 take it real gently in through here, that's okay.
07:31 As you get more flexible you can go ahead
07:33 and pull your arm up over the head.
07:41 Okay, let's switch over.
07:46 Once again we're holding the stretch
07:47 for about a ten second time period.
07:52 We want to feel that in the shoulder area
07:53 and the upper back area.
07:58 Okay, relax, pick your towel back up.
08:05 Okay, we're gonna bring the--
08:07 bring the towel in front of us.
08:09 And we're just gonna cross it back and forth in front of us,
08:12 just like so.
08:15 Now if you have a lot of shoulder pain,
08:18 you simply want to not really pull hard,
08:21 simply use your towel to help you go back and forth.
08:28 Exercise unfortunately is a lot like a prescription
08:31 where you have to try various things
08:33 and see how it's working.
08:35 Sometimes a person will start taking a medication
08:38 and they have to change it halfway through
08:39 because it isn't working right
08:41 or they're getting bad side effects.
08:42 Well, sometimes even in exercise
08:44 we have to explore a little bit to see
08:46 what program is gonna be the best for each person.
08:49 It isn't just as simple as buying a tape
08:51 or reading a book and say,
08:52 I'm gonna do that because there are gonna be
08:54 physiological variabilities in all people.
08:58 Okay, Now let's drop it to the front.
09:02 Let's go all the way up and back down.
09:10 Good, remember if you're strong enough
09:12 you want to concentrate on pulling the towel apart
09:17 as you lift up and down,
09:18 that will give you more of a
09:19 stimulus on the shoulder region.
09:23 The shoulder is broken down into three major components,
09:26 the front aspect, the medial aspect, and the posterior.
09:31 Okay, relax.
09:34 In fact, John, I want you to step up here for a moment
09:38 and just turn sideways there.
09:40 On the shoulder area,
09:42 the fibers run three different ways,
09:44 right down over the side,
09:45 over to the front and then posteriorly.
09:48 The ones here on this side
09:49 simply raise your arm out to the side like so.
09:52 The ones on the front area
09:53 will bring that arm out like this
09:56 and the posterior one
09:58 will take you back in this direction
10:00 or if you bend over at the waist
10:02 it will raise you out to this side, this way, okay?
10:07 So some of the fibers might be all right and some won't,
10:10 so you might find some movements
10:11 you can do but others you can't.
10:13 Often times, we get a lot of discomfort
10:15 in this bicipital tendon area right up in through here
10:18 which makes it very difficult to bring your arm up.
10:21 So whatever the problem is,
10:23 exercise is gonna help that
10:24 as long as we don't get too carried away
10:26 and force things through.
10:28 Often times, people ask me,
10:30 shall I train through the pain?
10:32 Well, all depends what kind of pain you're talking about,
10:34 if there is actual structural pain,
10:36 then, no, we don't want to do that.
10:37 So let's get into little more shoulder training here,
10:40 I think we can just drop our towels for the moment.
10:42 And we're gonna put our arms out
10:45 and we're gonna do our easy rotations, nice and small.
10:49 For those who have shoulder problems
10:51 you might simply want to just put your arms
10:52 out straight and hold them.
10:56 So we can do nice, easy rotations.
10:58 For those who do have stronger shoulder,
11:00 we're gonna go ahead and increase the rotation now.
11:06 Now we're gonna reverse it.
11:09 Whenever we do these arms circles
11:10 it's bringing in multiple muscular areas
11:13 we're gonna do this motion,
11:14 so not only is it affecting the shoulder area,
11:17 but it's also affecting the tie end
11:18 of the upper back muscles and the shoulder region.
11:21 Okay. Let's go bigger now.
11:25 Lot of times, people feel
11:26 popping and grinding as they go up and around.
11:29 That grinding may be an arthritic condition.
11:32 The popping usually will be
11:33 some type of connective tissue going around.
11:35 As long as it's not painful,
11:36 I don't worry about it too much.
11:38 Let's go back the other direction.
11:41 Of course, if in doubt,
11:42 you always want to ask your physician
11:43 to find out exactly what's going on.
11:45 Okay, now let's make them tighter, nice and small.
11:50 Okay, make them larger again.
11:54 And smaller, now reverse it,
11:57 now let's go back the other way,
11:58 now let's go back. Okay, keep it going.
12:02 Changing the rotation of how we go
12:05 will often times help us to even get a better effect
12:07 on the muscles we're training.
12:09 Okay, let's go small again.
12:12 Okay, now reverse it.
12:14 Okay, now let's just hold it, nice and steady.
12:17 We're gonna try and hold that for 30 seconds,
12:21 30 second hold.
12:22 Once again this is just a static movement,
12:25 very helpful in rehabilitation,
12:27 just to hold the muscle in a contracted position.
12:30 It's one of the first steps to rehabilitation,
12:32 the next step would be going through
12:33 resistance where the speed is controlled
12:36 and then finally just do regular resistance exercise.
12:38 We got ten more seconds,
12:40 two, three, four, five, six,
12:45 seven, eight, nine, and good.
12:49 Relax those and we're gonna pull them across.
12:56 And pull the other way.
13:01 Okay, now we're gonna take our hands in front of us
13:04 like this and we're gonna roll them up
13:06 and push back down.
13:08 Now this is bringing in the trapezius area
13:12 which works along with the deltoid
13:15 and moving that shoulder region.
13:20 The trapezius is a big diamond-shaped muscle
13:22 right and middle of the upper back.
13:24 Very long muscle goes all the way from the skull
13:26 down to the 12 thoracic vertebrae.
13:31 In this exercise we'll be doing this.
13:35 Once again if you can only do partial range,
13:38 you might be nice and short right in here that's okay.
13:41 Now as you get better you can bring it up more.
13:52 Okay, now what we're gonna do is
13:53 we're gonna roll the shoulders and come way up, over around.
14:02 Way up high and roll it,
14:04 this is gonna be working on various aspects of the deltoid
14:07 plus the trapezius
14:08 plus some of those muscles of the upper back again.
14:15 Okay, now let's go the other way,
14:16 let's go forward now.
14:19 Just changing that little range of which direction we go
14:22 will affect the muscles just a little bit differently,
14:25 still the same muscles working but they are very adaptable
14:28 going through lots of different ranges of motion.
14:33 Just do that, five more.
14:40 And two more. Good.
14:44 Okay, let's turn the head to this side,
14:46 just let that stretch.
14:51 Okay, let's turn the other way.
14:57 Okay, turn back again.
15:01 And one more time back to the right.
15:05 Okay, good.
15:06 Okay, we're gonna do some biceps now,
15:08 we're gonna reach out.
15:10 So we just work the--
15:12 the biceps in the stabilized position
15:13 and it should be helpful for the shoulders as well.
15:16 I'm just gonna squeeze down, push out.
15:20 Squeeze down, push out,
15:23 and squeeze down and out, good.
15:33 Keep the elbows up as you're doing it.
15:42 Okay, let's try and do ten more.
15:45 There's one and two
15:50 and three and four,
15:55 five, six, seven,
16:03 eight, nine,
16:06 one more time and ten. Good.
16:09 Okay, relax them.
16:11 Okay, let's get our towels.
16:16 We're gonna put one arm up over the head, okay?
16:19 We're gonna press up and bring it back down.
16:25 Okay, let me see what we got going here.
16:27 You want to bring the elbow back little bit,
16:29 there we go, good. Okay.
16:38 Okay, bring it down so you feel that arm bend--
16:41 bend you're contracting arm a little more,
16:43 there we go, come down, good.
16:53 These towels can make very good training partners,
16:56 they don't costs that much.
16:57 I'm sure somebody's got 'em around the house somewhere.
17:01 So just as something as simple as a hand towel
17:04 can be made as a good piece of exercise equipment.
17:09 Once again the harder you want to go
17:11 the more you'll feel it
17:12 and also this will be excellent range of motion
17:15 again for the shoulder area.
17:19 Okay, five more.
17:27 Okay, one more time.
17:29 Now let's switch over the other side. Good.
17:35 Once again this is a good exercise
17:37 for the old grandma wave bye, bye fat.
17:40 You know, they wave bye, bye
17:41 and they're still waving after they are done.
17:43 So this helps that area.
17:47 Here we go.
17:51 Nothing wobbling around on that arm though.
17:53 That's good.
18:00 Okay, let's go five more.
18:07 And two more.
18:11 And good, all right, now with our towels,
18:14 we're just gonna stretch back little bit,
18:16 just use them as a stretching tool now,
18:19 reach way back and then bring it forward,
18:23 nice and gentle.
18:24 So we're different in the exercise we do,
18:26 we're simply just stretching out with the towel now.
18:29 Reach back and come down.
18:33 And one more time as a nice gentle stretch back,
18:36 reach back and down. Good.
18:41 Okay, could you toss the towels off the side now?
18:47 Okay, we're gonna do a little leg training now.
18:50 We're gonna start by stepping out to this side
18:53 and just feeling it stretch through the adductor area,
18:56 putting pressure on the quadriceps.
18:59 Now we're just gonna shift over to the other side,
19:02 do the same thing, feel the stress on the quadriceps
19:05 as we're stretching the adductor.
19:07 Now back again, good, and switch again.
19:16 And switch. Good.
19:20 We just keep it going now. Back and forth.
19:24 Feeling those quadriceps contract
19:26 and feel the stretch of the inner thigh
19:29 as you go each rotation.
19:37 Okay, let's do about five more each way.
19:43 There's one and two,
19:49 now if you can just barely move on this one,
19:51 that's okay, three, more fit you become
19:54 the deeper you'll able to take it, four, last one,
20:00 and five. Good.
20:02 Okay, now facing your front,
20:04 I want you just to put your hands on your hips.
20:06 I want your lunge out with one leg and way out,
20:09 okay, touch the opposite knee to the floor if you can.
20:12 Okay and up, step back.
20:15 Okay and step out with the other leg now.
20:18 Okay and back.
20:20 Okay, keep going.
20:22 Now this is lunges,
20:23 it's one of the most difficult exercises we can do for legs
20:27 but it's a very good one,
20:28 it works a lot with the tightening of gluteal
20:30 and of the leg area.
20:32 If you can only just barely lunge, that's okay.
20:36 I just want to encourage you to get, so you can step out
20:39 so it might get very little range of motion, that's okay.
20:43 More fit you become,
20:44 the more you'll be able to do like these fellows here
20:47 or you might only be able to step out
20:48 just a little bit, that's okay too.
20:59 You guys are looking great, no problem.
21:03 Nicely synchronized, put you in a swinging pool
21:05 will be doing good. Good.
21:11 Okay, we're gonna try and do our ten more on each side.
21:17 Since we're not using any weights,
21:19 we have to do a-- few more repetitions.
21:23 Guys you can see each one of these fellows
21:25 has taken a good,
21:27 at least a good yard stride on each step
21:29 but doesn't have to be that far,
21:30 if you just take a foot
21:34 and just switch back and forth that way,
21:35 that's okay as well.
21:37 Remember, this is little more of an advanced exercise,
21:40 so sometimes it takes time to get to the point
21:42 where you can do it like this
21:43 and then when they really get fit,
21:45 then they can hold dumbbells on each hand
21:46 or somebody like me can sit on their back
21:49 and make it a little more difficult.
21:52 How many is that? One of you counting?
21:58 Was that two? I think it's about seven.
22:02 Okay, two more each side.
22:08 Okay, one more time.
22:13 Okay, good job.
22:15 Okay, go ahead and use me as your wall
22:18 and I want you to stretch out your quadriceps.
22:24 Once again, if you can lean forward a little bit
22:26 then you can get a little more of a stretch on it still.
22:32 This is something I'm very good at,
22:33 just standing here and you guys embrace.
22:36 Okay, switch.
22:46 Okay, what I like you to do now,
22:48 just have a seat on the floor.
22:53 And I want your legs spread out.
22:55 Okay, little more if you can.
22:58 Okay, now what I like you to do is,
22:59 I like you to just lean forward
23:01 and feel yourself stretch there, good.
23:04 Just feel that stretch.
23:10 Okay, now I like you to lean over to your right side
23:12 and stretch that way.
23:15 You can go ahead and get a hold of your ankle
23:16 if you want or you can reach your toe,
23:18 you can use that as well
23:20 to give yourself a little more of a tug.
23:26 Okay, let's go over to left side,
23:29 feel that stretch.
23:36 Okay and back over to the center.
23:41 Reach out there, good.
23:44 Okay, now over to the right.
23:49 Feel that stretch.
23:52 You should be feeling your hamstring
23:53 and also through the back.
23:55 Okay, and back over to the left side.
24:04 Okay, very good.
24:06 Now we're gonna get to into a crunch position,
24:09 so go on lay down on your back,
24:10 have your knee bent, feet on the ground,
24:14 hands behind the neck.
24:16 And when we do the hands behind the neck
24:18 because of the fact that if we simply grab the head,
24:21 we can hurt the neck
24:23 or if we don't stabilize the neck,
24:26 lot of times people will hurt their necks
24:27 because they just don't have any--
24:29 anything holding them back there.
24:31 Okay, so just for good form,
24:32 we're gonna have hands behind the neck.
24:34 When we come up, we're gonna blow out
24:36 and we're gonna contract the abdominal muscles,
24:38 remember it just has a 4 inch range of motion.
24:40 So we're gonna go ahead and come up
24:41 and when you come up, try and look your chin
24:43 towards the ceiling.
24:44 Good and back down again and up,
24:48 good, down and up
24:52 and nice variation of that, if you concentrate
24:54 on just coming up one vertebra at a time
24:57 and going back one vertebra at time
24:59 it'll be an excellent way of giving you
25:00 a good abdominal workout.
25:02 Often times, people will get on there
25:04 and they'll do crunches, really quick.
25:06 In fact, if we can gets a camera
25:08 focusing on Greg over here.
25:10 Okay, Greg, just do some really fast crunches,
25:13 do them kind of sloppy. Yeah, okay.
25:16 See now he's coming up too far,
25:18 doesn't need to come up that far.
25:20 And most people aren't gonna be able to do that anyway,
25:22 but they just get going too quickly
25:24 and they think they can just pop them off
25:26 and it's gonna be even more beneficial for them.
25:28 In reality they be better off,
25:29 just to stay nice and tight
25:31 like he's doing right here as we get a good abdominal.
25:36 I want to make sure his abdominal
25:37 stay nice and tight.
25:38 You know, not too bad, now if I really stand on that.
25:41 Okay, not bad.
25:47 There isn't a test for everybody?
25:55 Your basic 275 pounds on the belly
25:57 while you're doing your abdominal crunch.
26:00 Okay, good.
26:02 Okay, now what I'd like you to do is flip around
26:05 on your abdominal wall out here to the front.
26:09 Okay, now I just want you to push yourselves up
26:12 and feel that abdominal wall stretch.
26:18 Now if you can't go up this high, that's okay.
26:20 If you can just get up on your elbows,
26:21 that's all right as well.
26:24 But getting this flexibility
26:25 through the trunk is very beneficial.
26:27 Okay, let's put the hands behind the back.
26:29 Okay, now I just want you to lift your chest
26:31 off the ground. Okay, and back down again.
26:35 Let's do ten of those.
26:37 Okay, speed it up just a little bit. Good.
26:44 Five more times.
26:52 Good job, one more time.
26:53 Okay, good.
26:55 Okay, fellas, I think that should be good for today.
26:58 Thanks again.
27:02 It's sad for me often times when I watch people
27:05 and I see them having trouble moving
27:07 or they're complaining about the fact
27:08 that they can hardly pick anything up anymore.
27:10 Because I know that there is help
27:12 right around the corner for them.
27:13 If they would simply get into regular exercise program
27:16 and stay with it, not this, "Oh, it's New Years,
27:19 now it's time to get started in an exercise program,"
27:21 that doesn't always work
27:22 or somebody else make a thing, it's my birthday.
27:25 And for my birthday on, I'll give myself a present
27:27 and I'm gonna start working out on regular basis,
27:30 that often times doesn't work.
27:31 You have to want to do something,
27:33 not because of the fact that you're gonna get
27:35 all muscular and well developed.
27:36 It's something to the fact that God calls us
27:38 into accountability of the body He gave us.
27:40 We're only gonna get once,
27:41 we might as well take care of it.
27:42 But remember, we want to train for the right reasons.
27:45 Remember all things-- when we train for Christ,
27:48 all things are gonna work together for good.
27:50 God bless you and we'll see you next time.


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Revised 2014-12-17