Physical Therapist
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Tight Hip Flexors?  Why your current stretching might not be helping and what to instead.

3/13/2023

 
Do you have tightness, tension or pinching in the front of your hip? How about low back tension or pain? A limited ability to get the hip flexor muscles to relax and lengthen can be a contributor to these issues. Additionally, limited hip motion due to tension in the hip flexors will make it difficult to hit good positions  with lifts such as snatches and overhead squats. Limited hip motion will also shorten stride length with running. 
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Image credit: Dmoose.com  ​
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image credit: arrowptseattle.com

What are hip flexors?
​Hip flexors a group of muscles on the front side of the body that connect the spine and pelvis to the leg. Typically, the most common action they are thought to perform is lifting the leg in front of the body similar to marching.  Another, less appreciated aspect of these muscles is that they attach to the spine and pelvis, influencing their position. Commonly, this results in the pelvis and spine getting pulled forward and down.  This orientation limits hip mobility and contributes to excess tension up the line into the back and even affects the shoulder and neck. 
​

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photo credit: Beth ohara
Traditional hip flexor stretch  (What’s the deal?)
If you Google hip flexor stretches, the most common image you will see is some variation of the position below:
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 image credit: Tnation.com
The idea is to lengthen and stretch the tight hip flexor muscles of the back leg. While you can definitely feel a stretch sensation in this position, it might not be the most effective way to get the change you desire. 
Why not?
​

To truly lengthen the hip flexors and improve your ability to extend the hip, you must be able to change the position of the femur (leg) relative to the pelvis. In the picture above, as she moves into the stretch, you can see her low back extends and where her belt line would be tipping forward. If she has tight hip flexors and limited hip extension, her hip joint stopped moving well before she got to this position and the majority of the movement happened at the spine and pelvis.
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Image credit: Conor Harris
You can most definitely still feel a “stretch” in the front of the hip and leg, and get a temporary reduction in tension but most likely will not get lasting changes in hip mobility and will potentially reinforce the forward tilting position of the pelvis and back. 
What to do?
A big consideration to making this half kneeling position more effective is to appreciate not only what position the leg is in but also the spine and pelvis. Then, you can get a more accurate picture of where your hip motion actually stops and work from there.

2 VARIATIONS:
A modification of the half kneeling positioning.  
(credit Zac Cupples for exercise)
  1. Get into “superhero landing” pose.
  2. Slightly posterior tilt (tuck) your pelvis
  3. Reach into the block/roller to push yourself away, (Don’t’ overly round your back)
  4. Find the first barrier of resistance or stretch, then stay here for several breaths.
  5. As the muscles relax, you can move up into a higher stance, maintaining the slight pelvic tilt.​
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For the video on how to do this stretch: https://youtu.be/KbmTd_yU4WI
Supine “half kneeling position”​
  1. Lie down on floor/table, with one foot on the wall and the other foot on the ground.
  2. Perform a slight pelvic tilt/tuck, and maintain it throughout the movement.
  3. Have the intention to “pull” your foot down the wall and “push” through the foot on the ground to lift your hips off the table.
  4. Hold the top position for 3 seconds, then slowly reverse and lower back down.
  5. Perform in  3-4 sets of 10 reps each side
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https://youtu.be/MBTOwrzDbl4
You can use at Thomas Test to do a test/retest and check your hip extension capabilities 
  1. Lie on table/bed hugging on leg to your chest
  2. Allow the other leg to extend down towards the floor.
  3. If the down leg does not reach the table, and “floats” in the air, this is an indication of hip flexor tightness.
This is not a foolproof test, but can give an idea of any hip flexor tightness.
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Check your hips, give these exercises a try, and get those hip flexors to melt and those hips moving like a BOSS.

Exciting Addition to ProFormance Services: ML830 Cold Laser Therapy

7/30/2022

 
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 Cold laser therapy is an innovative low level laser technology (LLLT) that is able to stimulate healing, relieve pain and inflammation, and restore function in the body. That means Fast Pain Relief for Soft Tissue Injury, Joints, Tendons, Ligaments, and Nerves WITHOUT Drugs or Surgery!
This advanced technology is safe, noninvasive and painless. You can now take advantage of this unique therapy at ProFormance Therapy and Wellness.

​Watch this video for a short description of how amazing this technology is.
​Conditions that can be helped using this patented one of a kind LLT include:
thritis
Bursitis
Tendonitis
Trigger Finger
Fibromyalgia
Sciatica Pain
Neck Pain and Whiplash
Shoulder, Elbow, and Hand Pain
Rotator Cuff Pain
Carpal Tunnel Syndrome
Repetitive Stress Injury
Tennis Elbow and Golfer's Elbow
​
Knee and Ankle Pain
Heel Spurs
Plantar Fasciitis
Herniated and Bulging Discs
TMJ Pain
Back Pain
Chondromalacia Patellae
Heel Spurs / Plantar Fasciitis
Migraine Headaches
Nerve Root Pain
Post Operative Pain
Neuralgia

​How does it work?!?​
How ML830 cold laser therapy can help you rapidly reduce pain and inflammation
and/or quickly strengthen healed tissues to prevent re-injury. As the ML830 microlight increases the speed of healing through a complex augmentation of your body’s normal inflammatory process. The non-thermal laser penetrates deep into your tissue promoting photobiostimulation. In essence, the cellular metabolism increases which in turn accelerates cell repair increases blood flow and stimulates the immune and lymphatic systems.
The photobiostimulation energizes cells and accelerates your body’s normal healing process.
That’s not all; Low-Level Laser Therapy with the ML830 also improves collagen and muscle tissue
development and helps generate new healthy cells and tissue. Clinical studies to date have shown a
reduction in pain, inflammation, edema, and an overall faster healing time. Amazingly, the ML830
creates true healing instead of masking pain as in the case of ice, heat, medication, and electrical
stimulation.​

What does treatment look like at ProFormance?
Treatment with the ML830 Laser is painless consisting of several brief sessions, lasting a couple of
minutes to about five minutes per whole body part on average. Each area is treated with the laser for about 1.5 minutes. Roughly 3 to 4 areas make up a whole body part. You should not feel anything during treatment other than the ML830 Laser’s tip coming into contact with your skin. There is no pain, electrical pulses, or feeling of heat during treatment as is common with other therapies. Only a very small number of patients have ever reported feeling anything during therapy (about 3%). Of those, they only report a feeling of slight warmth or slight stimulation of nerves, nothing discomforting at all.

You may be one of the 75 to 80% of patients who feel improvement immediately after (and sometimes
during) treatment. For chronic conditions, it might take a few treatments. This advanced technology is non-invasive, painless, and drug-free!

How the ML830 is unique 
Up until now, other lasers were only able to penetrate half as deep into bodily tissues. The ML830,
with its patented 830nm wavelength, is the only device capable of a penetration capacity of
approximately 5cm with a 3cm lateral spread. This makes the ML830 the deepest penetrating
treatment modality currently available allowing it to reach many more of your tendons, ligaments,
and muscle tissues. 
​
ML830 Cold Laser Therapy Is Safe, Painless and Noninvasive.
The MicroLight Corporation is the exclusive manufacturer of the patented ML830 Laser and the first 
company approved in the United States by the FDA to provide low-level laser therapy for the non-surgical treatment of Carpal Tunnel Syndrome. 

The ML830 has been safely used around the world for over 30 years with great
success. In fact, General Motors was part of the original ML830 Laser clinical studies, testing all
employees at their Flint Michigan plant who suffered from Carpal Tunnel Syndrome (this was a large
group). “GM found it to be 70 to 80 percent effective – nearly 80 percent of the people in the study went back to work, while the other 20 percent experienced some improvement.” However, there’s more, the ML830 is the world’s first FDA-approved “3-B Laser” after passing guidelines that include years of clinical studies and tests. The FDA has some of the highest standards in the world. Surprisingly enough, the Laser doesn’t generate heat and is approved to be used over metal implants and fractures making it safer than Ultrasound. Laser therapy can be used when you want or need a drug-free procedure to control pain, when conventional therapies have been ineffective, or when you want to quickly heal from injuries.

For more information, please see the MicroLightCorp website.


​Take advantage of this exclusive decrease way to decrease pain and promote tissue healing pain with the  ML830 Cold Laser Therapy at ProFormance Therapy and Wellness. 

How to up your recovery and training? BFR!

4/29/2022

 
Do you want to give yourself the best change for fully recovering strength after a procedure? Have you had surgery and never regained full strength? Blood Flow Restriction training may help you.
“Normally, patients undergoing Achilles surgery take a year to return to sport. We are hoping to cut that down by at least 30% and potentially make patients stronger as well,” said Dr. Drakos. “Blood flow restriction therapy is an accelerated rehabilitation protocol. The therapy essentially creates an environment in the muscle where it makes the muscle work as hard as if it is lifting heavy weights when it is lifting smaller weights. Cutting off the blood flow tricks the muscle into working harder than it actually would be doing…
Achilles rupture often presents a difficult recovery for patients, who commonly suffer a 10% to 30% strength reduction in the affected leg up to one year postoperatively… Blood flow restriction therapy allows us to work the muscle right away, so it doesn’t atrophy and shrink. It safely allows the muscle to see some loading and develop more muscle, so that it can actually start to recover while the tendon is not completely healed yet.”
This technique can be used for most muscle groups. We have the Smart Cuffs Pro here for your training and rehab needs. Get the most bang for your buck here at ProFormance. 
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Let's play golf at the Golf Classic on May 16!

4/21/2022

 
 We will be back this year supporting the Special Operations Warrior Foundation! Join us by signing up for a fun Golf Classic presented by T&W Operations. It is held at the local Huntsville Country Club. Last year they had an AR-15 shooting hole! Do not miss the fun for a worthy cuase. 
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ProFormance is now in Athens, AL

3/22/2022

 
ProFormance provides one-on-one expert care for athletes in Athens at our new location inside of Life Changing Fitness/CCross Fitness. Do not miss out on experiencing this caliber of training and rehab right in Athens! Whitney Thompson is a Doctor of Physical Therapy and a certified Athletic Trainer with an emphasis in Health and Human Performance. She provides performance enhancement, fitness, stretching, dry needling, wellness, and physical therapy services. Whitney has experience with athletes at the high school, college, and professional levels including the NFL, NBA, PRCA, MiLB, MLB, PGA. She has worked with basketball, football, baseball, softball, tennis, golf, bowling, soccer, rodeo, swimming, wrestling, gymnastics, cheer, cross country, and track & field athletes as well as weekend warriors, marathon runners, tri-athletes, and Ironman competitors. Let Whitney get you back on track and keep you ready to perform your best!
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Should I Get a Posture Corrector?

10/15/2019

 
​Have you been looking for help with your posture? Have you thought about getting a posture corrector? Is it because of neck or back pain? You have probably been told that your posture is the problem. 
 
From my perspective, any one posture is not the problem. Several research studies conclude that there are not clearly defined "good" or "bad" postures nor does a specific posture cause pain. 
Our bodies are made to move. How you feel is based on how and when you move your body. You have to do the work. It is likely something easy for me to identify during an assessment for you to make a change over the long run to help with your problem.
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​No device is going to correct your pain or save you from pain later down the road. There may be a problem such as a tightness, weakness, prolonged positioning, or something such as the neck, shoulders, or back not moving like they should. However, a device may help support you while you learn how to move or give you relief during an episode of pain. There is an inherent problem with posture correctors; they do the work for you. They hold you up so that your muscles do not have to. As a result, your muscles get weaker over time which leads to increased symptoms if you continue to rely on the device. 
 
Usually, the real solution to your pain is movement and variability. You need to get up every 30 min to an hour and walk around for 5 minutes. Changing positions often and stretching the front muscles while strengthening the back-side muscles to hold you upright will provide more benefit than just a posture corrector. The problem is that something is not working as it should, not that you need an external device to do your body's job. Remember, there is not a "bad" posture. There is a lack of variability. Even having "perfect" posture for 8+ hours a day could easily lead to pain. You have to move your body throughout its full range of motion. That is why I look at your full motion and other factors during an assessment. 
 
 If you still feel like a posture corrector will help you and would like to get one, just pick one. If you are still hesitant, reach out and ask me about specifics. 
 
If you think you have poor posture or poor ergonomics causing your pain, fill out the form below, call, or email me so we can chat about how to get you moving better and in less pain!

    Would You Like to Chat with a Doctor of Physical Therapy About Your Concern?Let ProFormance Know!

Submit

Want Bigger Quads? Pull out your Weightlifting Shoes.

7/24/2019

 
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 Want bigger quads? Try wearing your lifters! I recently did the 92 of the thrusters for the Mayhem on the Mountain's Butterfly Effect WOD in lifters and found myself very sore the next day.
 
The raised heel of a weightlifting shoe allows you to go deeper into your squat and requires you to bend your knee more to get down to parallel. More joint motion means more tissue stretch around the joint. Your quads then have to contract farther and harder to get you back up. This increased quad work can show up as bigger gains at the weight bar and in your quads. The Journal of Sport Science and the Journal of Strength and Conditioning Research found that lifters who were able to exploit this phenomena for more upright torsos, increased quad activation, and heavier lifts.
Who doesn’t want heavier lifts?
 
 If you do not know what the hype about weightlifting shoes is:

Running shoes are not optimal for squatting in the gym. They compress to allow for shock absorption and lack the firm foundation needed to stabilize you with heavy loads. Weight lifting shoes can help you feel more balanced and stable with heavy lifts. They provide a solid foundation for a good return on the forces you create. But, they may also give you another benefit – a quad pump. 

What is Dry Needling? Could I Benefit From It?

7/21/2019

 
​Dry needling is a technique that uses a small needle to decrease pain, increase range of motion, and improve functional mobility. It often provides instant results and may be beneficial for those with muscle aches and pains, tightness, lingering mobility issues after an injury or surgery, or muscle spasms. 

Iliopsoas Releases

6/19/2019

 
Are tight hip flexors causing you back pain or limiting your squats? Do you notice pain in the front of your hip when squatting, in your back after sitting, or pain in your back after certain workouts? A tight iliopsoas may be the cause.

If you already know you have a tight hip flexor and have been stretching, but it has not helped, what else can you do?

Check out this video for 3 tissue release techniques plus advancements to help you manage this !

Why does my back hurt after sitting, and how can I fix it?

6/4/2019

 
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ProFormance Would Love to start helping you live pain free now!


Huntsville Location

Inside Crossfit Invigorate
​162 Export Circle NW
​Huntsville, AL 35806

Athens
​Location

Inside Life Changing Fitness
​1104 Annie Ruth Jamar St
Athens, AL 35611
​​

​Hours

Mon-Thurs: 8am - 5pm
​Friday: 8am-5pm

Contact numbers

Scheduling: 256-203-3804
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Billing: 256-203-0376
​Fax: 256-513-9952

Email

MDuggan@ProFormanceHSV.com
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  • Home
  • About
    • How ProFormance is Different
    • Meet Dr. Duggan
    • What People Say About ProFormance
  • Services
    • HSV Physical Therapy: Prime & Tune-Ups
    • Athens Physical Therapy: Prime & Tune-Ups
    • Comprehensive One Stop Shop
    • Dry Needling
    • Stretch Clinic
    • BFR: Blood Flow Restriction
    • Performance & Sport Training
    • Concierge Visits
  • Patient Info
    • New Patient Paperwork
    • Insurance and Billing
    • FAQ
    • Pay Your Bill
  • Crossfits and Gyms
  • Blog & News
  • Contact