The Obsession with Hanging
The world seems fascinated with the idea of hanging as a solution for shoulder pain. A quick online search for "exercise for shoulder pain" reveals numerous recommendations advocating for hanging from various objects. But is hanging really the ultimate answer to shoulder pain?
Understanding the Mechanics
When we hang or engage in any movement that pulls a limb away from the joint, we create a distraction force. This force can provide pain relief for many shoulder conditions by alleviating pressure and promoting a decompressive effect on the joint.
The Limitations of Hanging
Hanging for shoulder pain was initially popularised in a book by orthopedic surgeon Dr John Kirsh. However, his findings were observational in nature and not based on clinical trials. While hanging can be beneficial for some shoulder issues, it is unlikely to be effective as a stand-alone treatment and there is no research showing that it's an effective strategy. A structured loading program is essential to build strength and capacity in the shoulder, which hanging alone cannot achieve.
The Risks for Certain Conditions
For some conditions, especially those related to shoulder instability, the traction force from hanging can exacerbate pain and worsen the injury. It's crucial to understand that what works for one type of shoulder pain may not be suitable for another.
The Importance of Screening
Before recommending hanging or similar exercises, healthcare professionals typically conduct a symptom modification procedure. This screening helps determine if the exercise is appropriate for the individual's specific condition.
Consult a Professional
If you are experiencing shoulder pain and considering popular approaches like hanging, it is vital to consult with a physiotherapist. A professional can tailor a program to your unique needs, ensuring that you receive the most effective and safe treatment.
Conclusion
While hanging can offer some relief for shoulder pain, it is not a one-size-fits-all solution. A comprehensive approach that includes a structured loading program is essential for building shoulder strength and capacity. Always seek professional advice to ensure your exercise program is suited to your specific condition. If you do decide to implement this into your program, as with anything, start of slow and build up the volume and intensity gradually.
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