“I have been doing a triathlon every day this summer.” This is what my patient told me one month ago. He returned to my practice for care from his training. He has decided to do the Lobsterman’s triathlon this weekend.
He is a wonderful athlete. He was a high school track star and ran for a Division I college. He won a number of prestigious races in southern Maine.
His family has been associated with my practice for four generations. His grandparents were patients of my father, and now his nieces and nephew have been to see me.
His father and mother are terrific people. His father was a basketball star at a local high school and went on to captain his Division I college basketball team. His father has been ill the last several years. He still affectionately calls me “Roberto,” the nickname he gave me years ago when he would come into the office.
Both of his brothers were outstanding athletes for their high school and college teams. They continue to be in great shape.
This was the first time a patient told me they were doing a triathlon every day. He rides his bike about 15 miles per day before going to his summer job.
At his summer job, he and the other lifeguards will run 3 to 5 miles per day as part of their training. They also will swim each day and practice rescues. All of the lifeguards take their job seriously. Their lives and the lives of the beach goers depend on their training and fitness.
He usually will swim between a third- and a half-mile each day, depending on the tide.
He’s in the shape we all dream of being in. I have cycled with him. He talks during most of the ride while I’m breathing like a freight train trying to keep up.
His chief complaints are neck pain and tightness in his calf. He also has some stiffness in his lower back.
I have found other swimmers to have neck issues, especially if they breathe out of one side. This will cause a muscle imbalance on one side of their upper back and trapezius muscle.
Treating this type of neck pain is not complicated and it responds very well to conservative care. Preventing it from recurring takes work. I ask the athlete to get a swimming coach.
A good coach can make you more efficient in the water. This will place less stress on your body as you propel yourself through the water.
Breathing out of both sides of your swimming stroke makes you more symmetrical. This reduces the stress on one side of your upper body and neck. It’s hard to learn and takes practice.
His calf muscle had a mild strain. He has had this before when he increased the intensity of his running. I performed deep tissue work on the muscle. We reviewed stretching exercises as well.
His lower back showed some joint restriction in his lumbar spine. I used spinal manipulation to restore joint mobility.
I encourage my triathletes to do more swimming and cycling than running. Both of these sports are less stressful on the body than running. They also will maintain their cardiovascular fitness.
I hope you will consider trying a triathlon. You will be glad you did.
Dr. Robert Lynch is a former president of the Maine Chiropractic Association and head of the Lynch Chiropractic Center in South Portland. “Staying in the Game” appears every other Thursday in the Press Herald. Contact him at:
drlynch@drlynch.com
The tennis season is in full swing. Many of us are playing on clay courts, both green and red clay.
Clay is my favorite surface for tennis. It’s softer and much
easier on your feet and legs than the hard surfaces of indoor and many
outdoor tennis courts.
Because the surface is soft the ball doesn’t come off the court as
fast. This can lead to longer rallies where it takes longer to win a
point. It also results in the games and sets lasting longer, which can
be exhausting if you aren’t in great condition.
I’ve been playing for years with a friend who vacations in Maine.
Whenever he’s here, we play as often as we can. He was coming to
Portland and wanted to play at my club.
Before we played he asked me to evaluate him. He was having pain in
his right shoulder blade area — a big problem, especially when he
served. He was also tight and sore on the top of his shoulder and right
lower back. This had started several months ago.
My evaluation discovered his right shoulder was much lower than his
left. There was muscle spasm on the inside of his right shoulder blade
and trapezius muscle. He also had a very tender rib attachment at his
spine.
I also found his pelvis to be unlevel with weakness of his right
gluteus muscle. His cervical spine was also restricted when he tilted
his head to the right. His core strength needed work.
Tennis is a one-sided sport. You will swing the racket hundreds of
times during a match or practice. This creates a lot of stress and
tension on the muscles of the upper back, shoulder and arm. There’s also
a tremendous amount of torque in the pelvis and hips.
I treated him with spinal adjustments to his hips, midback, neck and
ribs. This helped level his shoulders and hips while reducing the muscle
spasm and pain. I showed him a series of exercises to help balance his
muscles and strengthen his core.
The good news was he improved and hit his serve without pain. The bad
news was he won our match. I learned to evaluate and treat him after we
play!
Another player is the head teaching pro of a large New York tennis
facility. A month ago he started to have stiffness and pain in the front
of his right hip.
He was walking with a limp. He could not cross his leg. Playing was
almost impossible. He was very concerned he had degeneration in his hip
and he didn’t want hip replacement surgery.
Pain in the front of the hip with restricted motion is a reason to be worried about degenerative hip disease.
I found his hip to be very tight with spasm of the psoas and anterior
hip flexor muscles. This was restricting his hip motion. His pelvis was
locked on the right side as well.
Years of playing a one-sided sport had taken its toll. I performed
manipulation to the pelvis and deep muscle work to the hip flexor and
psoas. I gave him several exercises to do at home.
He was 50 percent better after three visits. He left for home and
would continue his exercises. He was so pleased he didn’t need surgery.
Maintaining muscle and structural balance is the key to avoiding injuries playing a one-sided sport.
Dr. Robert Lynch is a former president of the Maine Chiropractic
Association and head of the Lynch Chiropractic Center in South Portland.
“Staying in the Game” appears every other Thursday in the Press Herald.
Contact him at:
drlynch@drlynch.com