Back to work, Back to play. PATIENT: Yeah so, went to go play Fresno State at a baseball
game on Tuesday, today's Thursday, taking batting practice, and it's just, you know,
I took probably 50 to 75 swings, and you know, 10 or 15 swings in I just started to feel like
I just had nothing in my left arm after every swing, I'd be finishing and like I'd just come
out of the cage and be achy, like barely be able to raise it up, um and pretty much tried Theragun,
roll out, ibuprofen, um, stretch, anything to get it to just loosen up and be able to let the swing
go, um, you know, game didn't feel like I was getting to the ball, and then practice yesterday,
I went through a full lift and, you know did everything I could think of to release the trap,
release the pec, bicep, tricep, you know, strengthen, you know, everything. DR. COHEN: One
of the things you said, I mean, you've been coming in for a little while, is,
if you kind of stabilize the scap down and back. PATIENT: Yeah, oh yeah yeah, so after the game,
you know, I was just on the bus on the way home, kind of trying to lift it and feel
where I had strength and didn't, and then I just. I realized that you know, it was kind of a rounded
forward position, even when I tried to have good posture that I couldn't really activate my scap,
so just, for a while, just kind of holding the scap and trying to breathe into it,
I was able to get it to where I felt like my shoulders in the right spot and then I could
move it in full range of motion without any pain. DR. COHEN: So let's go through
a few of these muscles and see what's working and what isn't, um. So, if we hold up there,
just kind of testing those big muscles in the back, that doesn't work at all. Uh, hold up there,
that doesn't work. Here, that doesn't work very well. Um, this over your head, like that,
I'm gonna call forward, it doesn't work. The thing that probably works is the posterior delt,
because that's the one, as you pull it back and kind of stabilize it, it has a better hold. So
it can actually do more of the work. Otherwise you're a little forward and then that's coming
from the biceps, from the pec, from the mid and the anterior deltoids. If you lie face-up,
if we look at your chest muscles, hold up there, that doesn't work, and here,
and obviously you're a strong dude, so sit up and face that way. The thing that was working
was this posterior delt, and if I start to traction your shoulder, because what I think
happened is when you went and swung back, you jammed this shoulder in, because you went so far
back and the muscles weren't able to stabilize it anymore. So when I sort of open that up,
and take it apart, then this muscle which did work, doesn't work at all, but the good
thing is these muscles are now doing their job. And this is called a compression injury,
impaction injury. So that feels way, way stronger, hold. So we need to make it,
because if you now kind of stress it out, like you swing a little bit, yeah, then it's going to shut
right down and you have no strength again. So, to get this working, I want you to lie down, put your
head right here, we're going to use the table do to some of the work now. Head here, face up.
And for this, I need to open up that joint, the table's loud, um, it's gonna come up,
(MECHANICAL SOUNDS) in and out. Perfect. Okay, now sit up, face me over here. Let's retest you.
So now this one, which didn't work before, right there, and we drop it
back to the only one that worked, it now works, hold that up there, good,
and then the only other one we saw, was this. Hold. And that feels a lot better. PATIENT: Yeah,
way better. DR. COHEN: Way better. And now do your swing show me how, like just tell me
if it feels any different. PATIENT: Yeah I can just, it's loose, like it can go all the way to
where the bat would be on the ground, instead of where like here, just get caught and then
I would feel everything, like I was ripping, I honestly thought I had tore my labrum or had a
bicep tear or something because of how sore my bicep was. DR. COHEN: Yeah, this pain can
be super intense, and it's one of those things that most trainers and chiros and therapists
even orthopedics with imaging, get thrown off by because if we did an image there be no tear, there
might actually be an old tear for you, because you've had a ton of time playing. PATIENT: Yeah,
no doubt. But that's not really the injury, the injury is a result of this joint kind of being
jammed in too far, and as we get it back to where needs to be, those sensors can fire the
way they should. But whenever we're dealing with the shoulder we need to look at hold that there,
how the neck is doing, hold that right there, and this doesn't work, when I touch this joint,
try to keep this up, like there's no strength at all. If I go to another joint things are really,
really strong, right? PATIENT: Yeah. DR. COHEN: So now we're gonna adjust this joint
And a little movement here. Cool. Awesome. Awesome. So, before we started, you kind of
moved your neck around and cracked, there's no way you would have reset that joint because it
was so locked up. PATIENT: Yes. DR. COHEN: So the top that you heard was the one above it,
and that area feels like it's moving really well, so what you're doing is you're actually getting
too much mobility above that joint that's locked, because you kind of doing those things. Hold that
there. And that's super common, push, because if you think of your spine as like a bike chain with
lots of different links, PATIENT: Yeah. DR. COHEN: Um, if you just move a bike chain it's not gonna
free up a locked link, it's gonna move above and below that lock. Push. Awesome. Yeah this
is so much better, I'm excited to see how you play in Portland this weekend, um, and thanks
so much for letting us record. PATIENT: Thank you. AUTOMATED VOICE: Subscribe ProActive Chiropractic.