Uncovering the Hidden Cause of Scapular Winging: A Comprehensive Approach

Have you ever noticed your shoulder blade sticking out awkwardly? This is called scapular winging. You might have been told that it’s due to a problem with your serratus anterior and that reaching or punching exercises are the key to fixing it.

However, there’s more to the story. Most advice on scapular winging overlooks a critical element that can make all the difference.

The Overlooked Role of the Scapulothoracic Joint

While much attention is given to the muscles surrounding the scapula, the ribcage, which acts as their stage, is often ignored. The scapula is concave, needing a convex surface to move smoothly. This surface is provided by the ribcage.

But what happens when there are restrictions in the ribcage? The ribcage might position itself forward in relation to the scapula, creating the appearance of scapular winging. This isn’t a problem with the scapula itself; rather, the shoulder blade lacks a stable platform to move upon.

The Rotator Cuff’s Dual Function

Commonly, the rotator cuff is thought to solely influence the shoulder joint. Yet, these muscles also play a significant role in moving the scapula. The posterior rotator cuff muscles, specifically the infraspinatus and teres minor, facilitate internal rotation of the scapula. This movement can make the inner border of the scapula lift away from the ribcage, mimicking scapular winging.

When there is insufficient space between the scapula and the thorax, these muscles are forced to multitask, acting on both the humerus and the scapula.

Understanding Ribcage Expansion

The relationship between the thorax and scapula is well-documented. Poor posture, which often limits ribcage expansion, can greatly reduce shoulder mobility. When the ribcage doesn't expand adequately, it restricts scapular movement and places additional stress on the humerus. Therefore, enhancing ribcage expansion is crucial to improving overall shoulder function including scapular winging.

Step by Step Process to Help Improve Ribcage Expansion

To effectively address scapular winging, we must enhance ribcage dynamics through a specific sequence of exercises:

1. Increase Front-to-Back Thoracic Shape (Anterior and Posterior Expansion)

2. Fill the Gap Between the Ribs and Shoulder Blade (Upper Back Expansion)

3. Retrain Scapular Gliding (Chest Expansion and Glenohumeral Mechanics)

Step 1: Front-to-Back Expansion

Enhancing the front-to-back dimension of the ribcage can be achieved through a side-lying position with a foam roller:

Setup: Position a foam roller at the middle third of your ribcage, approximately at chest height. Use a pillow for comfort if necessary to support your head.

Position: Lie on your side with your knees stacked.

Action: Roll forward and slightly sidebend over the foam roller, you can reach forward as shown in the video or reach your top arm toward the ceiling while looking at your hand. You can even hold a dumbbell or kettlebell in an arm bar position while on the roller.

Breathing: Inhale silently through your nose. On the exhale, relax into the foam roller.

Reps: Perform 2-3 sets of five breaths, twice daily for 2-4 weeks

Step 2: Upper Back Expansion

Next, we aim to create space between the ribs and the shoulder blade by driving upper-back expansion: (Rolling drills are great for achieving this)

Setup: Set up depends on the variation, for the first variation, sit on the floor with both feet in front of you.

Position: Hold onto your legs by grabbing behind your knees, keeping your eyes forward.

Action: Inhale and roll backward, then exhale and roll forward, keep a nice rhythmic tempo.

Reps: Do 3 sets of 8-12 rolls (per side), a few times daily for 2-4 weeks.

Step 3: Chest Expansion

To facilitate proper scapular movement, we need to expand the front of the chest. The "pump handle" action of the ribcage can be stimulated using a downward dog position:

Setup: Begin on your hands and knees with hands below shoulders and knees below hips.

Contact Points: Focus on the pisiform (small wrist bone) and the base of the index finger.

Action: Exhale and lift your hips upward while keeping weight on your hand points and looking toward your feet.

Breathing: Inhale silently through your nose. On the exhale, press more heavily through the hand points.

Note: unlike the video you can also pause and breathe in the top position.

Reps: Perform 2-3 sets of five breaths breathing in the hips up position, then do 6-12 reps of the bear to down dog. Perform twice daily for 2-4 weeks.

Conclusion

Scapular winging is not solely a scapular issue. It's a complex interaction between the scapula and the ribcage. Addressing ribcage expansion can provide a stable base for the scapula to glide efficiently, reducing undue stress on the rotator cuff muscles.

By focusing on improving the dynamics of your ribcage, you can create a better environment for your shoulder blade, leading to enhanced mobility and reduced discomfort. Remember, a well-supported scapula is key to healthy shoulder function.

Strength Training For Trail Running

Trail running isn't just a sport; it's a captivating journey through rugged terrain, demanding both physical resilience and mental fortitude. As trail running gains popularity among fitness enthusiasts and adventurers, the importance of strength training in preparing for these exhilarating runs cannot be overstated. Beyond just logging miles on the trail, incorporating strength training into your regimen can be the key to unlocking your full potential as a trail runner.

The Unique Demands of Trail Running

Unlike road running, trail running presents a myriad of challenges. Trails are often uneven, with varying inclines, declines, obstacles, and surfaces. The constant changes in terrain demand exceptional balance, stability, and muscular endurance. Moreover, trail runners must navigate steep ascents and descents, requiring significant lower body strength and power to conquer challenging climbs and maintain control during treacherous descents.

Why Strength Training Matters

Strength training serves as the foundation upon which trail runners build strength, power, and efficiency.

At Avos we are a huge fan of the Trap Bar Deadlift - especially for our tall runners

Here are several reasons why strength training is indispensable for trail runners:

1. Injury Prevention: Trail running places immense stress on the body, increasing the risk of overuse injuries and muscular imbalances. Strength training helps mitigate these risks by strengthening muscles, tendons, and ligaments, enhancing joint stability, and correcting imbalances. A well-rounded strength training program can address weak areas, reduce the likelihood of injury, and promote longevity in the sport.

2. Enhanced Performance: Strength training enhances the body's ability to generate power, endure fatigue, and maintain proper form over long distances. Stronger muscles provide the support and propulsion necessary to tackle steep climbs, power through technical terrain, and navigate challenging descents with confidence. By improving strength and efficiency, trail runners can sustain higher speeds, conquer formidable obstacles, and excel in varying distances and difficulties.

3. Improved Running Economy: Running economy, the measure of how efficiently a runner uses oxygen at a given pace, is crucial for endurance athletes. Strength training contributes to improved running economy by enhancing biomechanical efficiency, optimizing muscle recruitment patterns, and reducing excess energy expenditure. As a result, trail runners can cover greater distances with less effort, allowing for faster race times and improved overall performance.

4. Mental Resilience: Trail running is as much a mental challenge as it is a physical one. Strength training cultivates mental resilience by instilling discipline, focus, and determination. Moreover, it allows individuals to have the confidence in their strength and conditioning to not have to worry as much about being injured and super fatigued. Being strong in the weight room and pushing yourself helps teach runners to embrace discomfort, overcome obstacles, and persevere in the face of adversity—essential qualities for success in trail racing.
   

Designing a Strength Training Program:

When writing a strength training program for trail running, it's advisable to include a variety of exercises that target key muscle groups, address weaknesses, and complement running-specific training sessions. Incorporate a diverse mix of bodyweight movements, resistance training, and plyometrics to enhance core stability, lower body strength, balance, and flexibility. Prioritize exercises like squats, lunges, deadlifts, calf raises, planks, and single-leg movements to strengthen muscles used in running and improve stability on uneven terrain. Ensure that your program progressively challenges your muscles while allowing for sufficient recovery to optimize gains in strength, endurance, and performance on the trails.

Conclusion:

In the dynamic world of trail running, strength training serves as an important tool for unlocking peak performance, preventing injuries, and mastering the challenges of rugged terrain. By integrating strength training into your training regimen, you'll not only become a stronger, more resilient runner but also embark on a transformative journey of self-discovery and exploration. So, lace up your trail shoes, hit the gym, and prepare to unleash your full potential on those trails.

In trail running, the climb is always worth it once you reach the top. Here are some clients enjoying the reward!

Understanding Your Body: The Role of a Kinesiologist in Personal Fitness

Embarking on a fitness journey is a commendable decision that can positively impact various aspects of your life. Whether you're aiming to shed a few pounds, build muscle, or enhance overall well-being, understanding your body is a crucial first step. In this pursuit, a key ally can be found in the expertise of a kinesiologist. In this blog post, we will delve into the pivotal role a kinesiologist plays in personal fitness, shedding light on the science behind movement and the benefits of seeking professional guidance.

Understanding Kinesiology:

Kinesiology is the study of human movement, encompassing anatomy, physiology, biomechanics, and neuroscience. A kinesiologist is a specialist in this field, possessing a deep understanding of how the body moves and functions. Their knowledge extends beyond mere exercise routines, focusing on the science behind movement patterns, muscle function, and the intricate interplay between various physiological systems.

Assessment and Individualized Programs:

One of the primary roles of a kinesiologist is to conduct a comprehensive assessment of an individual's physical condition. This may involve evaluating posture, flexibility, strength, and identifying any imbalances or limitations. Through these assessments, a kinesiologist gains valuable insights into a person's unique physiological profile, allowing them to create personalized fitness programs tailored to specific needs and goals.

Preventing and Rehabilitating Injuries:

Understanding the body's mechanics enables kinesiologists to identify potential areas of vulnerability and design exercise regimens that minimize the risk of injuries. Moreover, for individuals recovering from injuries, a kinesiologist plays a crucial role in rehabilitation by implementing targeted exercises to restore strength, flexibility, and functionality. This personalized approach aids in a faster and more effective recovery, reducing the likelihood of recurring injuries.

Enhancing Performance:

Whether you're an athlete seeking to improve performance or an individual aiming for optimal fitness, a kinesiologist can be a game-changer. By analyzing movement patterns and biomechanics, they can fine-tune training programs to maximize efficiency and boost overall performance. This not only helps in achieving fitness goals but also enhances the enjoyment and sustainability of the exercise routine.

Educating and Empowering Clients:

In addition to designing exercise programs, kinesiologists play a vital role in educating clients about the importance of proper movement and the impact of physical activity on overall health. Armed with this knowledge, individuals are empowered to make informed choices about their fitness journey, fostering a long-term commitment to a healthy lifestyle.

In the realm of personal fitness, the guidance of a kinesiologist can be a transformative force. Their expertise in understanding the intricacies of the human body goes beyond traditional fitness training, providing a holistic approach to health and well-being. By working with a kinesiologist, individuals can unlock their body's full potential, reduce the risk of injuries, and embark on a journey towards sustainable, lifelong fitness. So, if you're looking to truly understand your body and optimize your fitness experience, consider the invaluable partnership with a kinesiologist – the key to unlocking the full potential of your physical well-being. Contact Avos Strength today to book a Free on boarding call to discuss how we can help you reach your goals.

Building a Strong Foundation: The Crucial Role of Youth Strength and Conditioning

Introduction

As parents, coaches, and educators, we all want the best for our youth. We strive to provide them with the tools and opportunities they need to succeed in life, both physically and mentally. One often overlooked aspect of youth development is strength and conditioning. Recent research has shed light on the importance of building strength and athleticism in young individuals, and it goes far beyond just being physically fit. In this blog post, we'll delve into the significance of strength and conditioning for youth, emphasizing key factors like peak height velocity, critical windows for development, proper form, and the many benefits, both physical and psychological, that come with it.

1. Peak Height Velocity (PHV) and Critical Windows

Peak Height Velocity (PHV) refers to the period during adolescence when an individual experiences their most rapid growth in height. It typically occurs around ages 12 to 14 in girls and 14 to 16 in boys. During this critical window, a child's body is highly adaptable and responsive to training stimuli. Research has shown that this is the optimal time to introduce strength and conditioning programs, as the body can make significant gains in muscle and bone development.

2. Developing Proper Form and Fundamental Movement Patterns

Strength training is not just about lifting weights; it's about teaching young athletes proper form and fundamental movement patterns. Developing these skills early not only reduces the risk of injury but also sets the foundation for a lifetime of healthy physical activity. Young athletes who learn how to move correctly are less likely to develop bad habits that can lead to injury in the long run.

3. Physical and Psychological Benefits

The benefits of strength and conditioning for youth go beyond the physical realm. Improved self-esteem, self-confidence, and a sense of accomplishment are often seen in young individuals who engage in structured training programs. When children see the results of their hard work in the form of increased strength and improved athletic performance, it boosts their self-esteem and provides a sense of purpose.

4. Injury Prevention and Athletic Performance

One of the most significant advantages of youth strength training is injury prevention. Developing strong muscles, tendons, and ligaments can protect young athletes from common sports-related injuries. Additionally, increased strength and power contribute to enhanced athletic performance. Young athletes who engage in strength and conditioning programs often experience improvements in speed, agility, and vertical jump height – essential attributes for sports like basketball and volleyball.

5. Setting the Stage for Future Success

For those aspiring to collegiate, varsity, or even professional sports, youth strength and conditioning lay the groundwork for future success. The physical and mental discipline acquired through training can translate into elite-level performance. Many professional athletes credit their early exposure to strength training as a key factor in their journey to the top.

Conclusion

In today's competitive world, youth strength and conditioning should be considered an essential component of a well-rounded education. It's not just about building strong bodies but also about fostering confident, disciplined, and resilient individuals. By introducing strength training during the critical windows of development, emphasizing proper form and fundamental movement patterns, and reaping the physical and psychological benefits, we can set our youth on a path to a healthier, more successful future. Remember, investing in the physical well-being of our youth today will pay dividends for a lifetime of achievement and happiness.

10 Step Approach For When You Get Injured

Often people think that coaches are invincible/super human… but we aren't. You can do everything right: have a solid warmup, good technique etc but sometimes things happen!

Note that this is not medical advice - this is what I find works best for me.

1. Stop what you're doing

2. Don't be the hero and assume you can do another set. Trust me, it never goes well.

3. Book an appointment with your therapist of choice as soon as you can get in.

   1. Everyone has someone, or some type of modality that works best for them.

   2. But remember that these are always temporary solutions.

4. Assess your current movement abilities and the area of restriction with low level mobility drills.

   1. The first thing that I usually do would be a joint range of motion assessment - something like a cat cow/spinal rotation to see what positions I'm restricted in.

5. Usually attempting to foam roll or release the area does not work when it's too acute and flared up.

6. I find the most beneficial thing to do is to actually walk. Make sure that you walk with a good arm swing to allow rotation through the spine.

7. I will also do some positional breathing drills to drive expansion to the compressed areas.

8. Try to stay active -When you stop moving is generally when it starts to get worse.

9. Once it's less acute and/or you've gotten in to see a therapist, I will do some mobility and movement work.

10. I will gradually progress the intensity and start to add exercises that don't cause pain, increasing the load over time.

    1. Note this may take 1-2+ days or weeks depending on your situation

Be patient and keep moving. There is always something that you can do in the gym. I'm also a big fan of heat: hot baths, hot tub, sauna..

Do what works for you - and hopefully some of these pointers will help you!

Does your Knee Cave Inward When you Squat or Lunge?

How many times have you heard someone say drive your knees out when you squat?

- I know I have said it in the past!

What I used to think, was that you could use a band during a split squat to distract the hip, which in essence forced you to drive the knees out. Now while this is not inherently wrong, it may not always be the best solution depending on the individual. Yes, this band will allow you to recruit the glutes more, as you drive the knee outward putting the hip into external rotation,  BUT, this also prevents the natural movement at the hip in certain ranges of motion.

Using a band to drive more external rotation at the hip

Most sticking points occur at about 90° of hip flexion in a squat. At 90° of hip flexion if we look at a movement limb arc model, the hips requires internal rotation of the femur (or the thighbone). At 60 to 110° of hip flexion, the muscles at the back of your hip that do external rotation actually gain more leverage in internal rotation (i.e. they will lengthen).  In order to get into 90° of hip flexion you need space in order to internally rotate the femur. Therefore, by driving the knees out we are actually reducing the amount of space at the back of the hip because we are creating external rotation (driving the knees out and shortening the muscles that should be lengthened at 90° of hip flexion).  This is why it may not be the most effective cue for some people. 

An exercise that I like to use to help prevent the knee from coming in, is a box step down variation with a band around the knee pulling the knee outward (which forces you to resist that motion by driving the knee inward slightly).

Note: always start with body weight and a lower box before you progress to using load with a higher box.

This is a more ideal way to work on knee control, because based on the limb arc model from 60 to 110deg of hip flexion, it requires internal rotation. Here we are forcing the knee to work by internally rotating. You will get even more glute recruitment in addition to adductors (the inner thighs) because these muscle co-contract or work together when you are in single leg stance.

Contact me today for a custom program to help you move better and get stronger to prevent injuries.