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Why Mobility Matters More Than You Think (And How to Protect Yours in 2026)

A new year isn’t just about new goals—it’s about building a body that supports the life you want to live.

Mobility is one of the most overlooked foundations of health, yet it affects everything: how you move, how you feel, how long you stay independent, and how confidently you show up for the things you love. At Rausch Physical Therapy, we believe mobility isn’t just about avoiding pain—it’s about protecting your freedom.

As we move into 2026, now is the perfect time to shift your focus from “pushing through” discomfort to moving with strength, control, and confidence.

What Is Mobility—Really?

Mobility is your body’s ability to move intentionally and efficiently through everyday life. It’s not just flexibility—it’s the combination of:

  • Strength
  • Balance
  • Coordination
  • Endurance
  • Joint range of motion

Mobility is what allows you to get out of bed without stiffness, climb stairs without hesitation, lift groceries without pain, travel without fear, and stay active without setbacks. When mobility declines, even simple tasks start to feel exhausting or risky.

The truth? Most people don’t think about mobility until they start losing it.

Why Mobility Declines (And Why It’s Not Just About Age)

While aging plays a role, loss of mobility is often accelerated by:

  • Sedentary routines
  • Repetitive movement patterns
  • Old injuries that never fully healed
  • Poor posture or movement mechanics
  • Stress and muscle tension
  • Ignoring pain instead of addressing it

In fact, nearly 14% of U.S. adults experience mobility limitations, and that number increases rapidly when pain and injury go untreated. The good news? Mobility loss is not inevitable.

We have many tools to support your mobility, like stretching with StretchFix assisted stretching. Our unique program, crafted by Doctors of Physical Therapy, is designed to enhance your well-being and mobility through expert-assisted stretching

The “Use It or Lose It” Rule Applies—At Any Age

Mobility thrives on movement. The more consistently you move your body with intention, the longer you preserve your independence and reduce your risk of injury.

The most effective mobility strategies include:

  • Strength training to support joints
  • Cardiovascular movement to build endurance
  • Balance and coordination work to prevent falls
  • Stretching and assisted mobility to maintain range of motion

Activities like walking, swimming, cycling, yoga, pickleball, and resistance training all play a role—but the key is doing the right movements for your body.

That’s where professional guidance matters.

Mobility vs. Flexibility: What’s the Difference?

Flexibility is the ability of muscles and joints to move through a range of motion.
Mobility is your ability to control that movement without pain.

You can be flexible and still lack mobility. True mobility means your body is strong, stable, and resilient through motion—not just able to stretch.

How Rausch PT Helps You Move Better—For the Long Run

At Rausch Physical Therapy, we don’t just treat symptoms—we build durable bodies.

Our approach includes:

  • One-on-one physical therapy sessions
  • Personalized movement and strength programs
  • Assisted stretching through StretchFix
  • Rx Massage to reduce tension and improve recovery
  • Specialized pelvic health and post-injury care
  • At-home exercise video programs you can access anytime

Whether you’re managing pain, recovering from injury, or simply want to move better than you did last year, our team meets you where you are—and helps you go further.

Come in and meet with us — each one of us would so love to help you in 2026 achieve your goals in mobility and wellness.

Make 2026 the Year You Move With Confidence

Improving mobility doesn’t require drastic changes—just consistent, guided action. The earlier you invest in how your body moves, the longer it will support your lifestyle.

Ready to feel stronger, move better, and protect your independence?

👉 Book a one-on-one evaluation with a Rausch Physical Therapist today
📞 Call us at 949-276-5401
📍 Or Book Online Now

For daily movement tips, recovery insights, and behind-the-scenes care, follow us on Instagram:
👉 @rauschpt

Your body was built to move. Let’s keep it that way.

5 Steps to Fuel Your Fitness

Balancing a healthy diet and a consistent exercise routine can often feel like a complicated equation, but successful healthy living is truly about synergy, not sacrifice. The key to long-term vitality isn’t about rigid, temporary rules; it’s about making small, strategic, and sustainable adjustments to both your plate and your workout schedule so they perfectly complement each other. Read on for five essential tips that will help you seamlessly blend healthy eating and exercise into your daily life.

With the year wrapping up, there is no better time to put the building blocks in place for a strong, energized start to 2026. Our Rausch PT experts can help you create a personalized plan to not only end the year on a high note but also ensure your body is perfectly fueled and ready to tackle all your ambitious health resolutions in the new year. Remember – we have the ability to support your health, healing, and mobility with Rx Massage as well! 

Eating and exercise go together. When and what you eat can be important to how you feel when you exercise. And it’s important to think about what you eat when you exercise, whether you’re doing a casual workout or training for a competition. Think about trying these eating and exercise tips.

1. Eat a healthy breakfast

If you exercise in the morning, get up early enough to finish breakfast at least one hour before your workout. Be well fueled going into a workout.

Studies suggest that eating or drinking carbohydrates before exercise can help you do better during your workout. And the carbohydrates may allow you to work out for a longer time or at a higher intensity. If you don’t eat, you might feel slow-moving or lightheaded when you exercise.

If you plan to exercise within an hour after breakfast, eat a light meal. Or have a sports drink. Focus on carbohydrates for the most energy.

Good breakfast choices include:

  • Whole-grain cereals or bread.
  • Low-fat milk.
  • Juice.
  • A banana.
  • Yogurt.

And remember, if you usually have coffee in the morning, it’s probably OK to have a cup before your workout. Also know that anytime you try a food or drink for the first time before a workout, you risk an upset stomach.

2. Watch the portion size

Be careful not to overdo it when it comes to how much you eat before exercise. General guidelines suggest:

  • Large meals. Eat these at least 3 to 4 hours before exercising.
  • Small meals or snacks. Eat these about 1 to 3 hours before exercising.

Eating too much before you exercise can leave you feeling slow-moving. Eating too little might not give you the energy you need to keep feeling strong during your workout.

3. Snack well

Most people can eat small snacks right before and during exercise. The key is how you feel. Do what works best for you. Snacks eaten soon before exercise probably won’t give you added energy if your workout lasts less than 60 minutes. But they may keep you from feeling hungry.

If your workout is longer than 60 minutes, it may help to have a carbohydrate-rich food or drink during the workout. Good snack choices include:

  • An energy bar.
  • A banana, an apple or other fresh fruit.
  • Yogurt.
  • A fruit smoothie.
  • A whole-grain bagel or crackers.
  • A low-fat granola bar.
  • A peanut butter sandwich.
  • Sports drink or diluted juice.

A healthy snack is especially important if you plan to work out many hours after a meal.

4. Eat after you exercise

Eat a meal that has both carbohydrates and protein in it within two hours of your workout if possible. Eating after you work out can help muscles recover and replace their glycogen stores. Think about having a snack if your meal is more than two hours away. Good post-workout food choices include:

  • Yogurt and fruit.
  • Peanut butter sandwich.
  • Low-fat chocolate milk and pretzels.
  • Post-workout recovery smoothie.
  • Turkey on whole-grain bread with vegetables.

5. Drink up

Don’t forget to drink fluids. You need to have enough fluids before, during and after exercise to help prevent dehydration.

To stay well hydrated for exercise, the American College of Sports Medicine recommends that you:

  • Drink roughly 2 to 3 cups (473 to 710 milliliters) of water during the 2 to 3 hours before your workout.
  • Drink about 1/2 to 1 cup (118 to 237 milliliters) of water every 15 to 20 minutes during your workout. Change amounts related to your body size and the weather.
  • Drink roughly 2 to 3 cups (473 to 710 milliliters) of water after your workout for every pound (0.5 kilogram) of weight lost during it.

Water is generally the best way to replace lost fluids. But if you’re exercising for more than 60 minutes, try a sports drink. Sports drinks can help keep your body’s electrolyte balance. And they can give you a bit more energy because they have carbohydrates in them.

Let experience be your guide

Remember that the length and intensity of your activity can help you decide how often and what you should eat and drink. For example, you’ll need more energy from food to run a marathon than to run or walk a few miles. And try not to add any new products in your diet before a sports event that lasts a long time. It’s best to have tried the products before the event to see how your system handles the food.

When it comes to eating and exercise, everyone is different. So notice how you feel during your workout and how your overall performance is affected by what you eat. Let your experience guide you on which pre- and post-exercise eating habits work best for you. Think about keeping a journal to see how your body reacts to meals and snacks so that you can change your diet for your best performance.

Don’t let poor form or improper recovery derail your 2026 fitness resolutions. Our Rausch PT experts will identify your biomechanical limitations and recovery gaps, ensuring you start the new year injury-free and fueled for success! Call our physical therapy center today at 949-276-5401. For more tips, you can also follow us on Instagram.


Reference: [https://www.mayoclinic.org/healthy-lifestyle/fitness/in-depth/exercise/art-20045506]

The Female Athlete Triad & How Physical Therapy Helps Girls Grow Strong

As girls grow and step into competitive sports, their bodies go through a lot of changes. For young female athletes, balancing the demands of school, practice, competition, and growing bodies isn’t always easy. One challenge that often goes unnoticed is the Female Athlete Triad—a condition that can affect health, performance, and long-term well-being.

At Rausch PT, we’re passionate about helping athletes of all ages move better, recover faster, and build lifelong healthy habits. That’s why early awareness and support around this issue are so important.

1. What Is the Female Athlete Triad?

The Female Athlete Triad is a combination of three interconnected concerns:

  • Energy Deficiency: Not getting enough calories or nutrients to fuel both growth and training.
  • Menstrual Dysfunction: Irregular or absent menstrual cycles due to energy imbalance.
  • Low Bone Density: Higher risk of stress fractures and weaker bones over time.

Even if only one piece of this triad is present, it can impact an athlete’s overall health and performance.

2. How Physical Therapy Supports Young Athletes

Physical therapy is about more than just recovering from injury—it’s about prevention, performance, and confidence. Here’s how we help:

  • Early Recognition: PTs spot movement issues, fatigue, or recurring injuries that could point to energy imbalance or bone stress.
  • Strength & Movement Training: We guide athletes through safe strength programs to protect joints and build stronger bones.
  • Education & Collaboration: Our therapists partner with parents, coaches, and nutrition experts to make sure athletes are fueling and training the right way.
  • Healthy Habits: We help athletes learn body awareness, balance training loads, and build sustainable routines—skills that carry into adulthood.

3. Why Mental Health Matters Too

Sports aren’t just physically demanding—they’re mentally challenging as well. Confidence, mindset, and resilience all play a role in how young athletes perform and recover.

For parents looking to support both the body and mind, we recommend these great podcast episodes from The Elite Competitor:

Pairing physical support with mental strategies helps girls grow not just as athletes—but as strong, confident young women.

4. Takeaway: Strong Bodies, Strong Futures

The Female Athlete Triad can be serious, but with the right guidance and care, young athletes can thrive. Physical therapy gives girls the tools to stay healthy, prevent injury, and build confidence as they grow.

At Rausch PT & Wellness, we’re here to support your athlete’s journey every step of the way—whether it’s injury prevention, recovery, or building a strong foundation for future success.

📞 Want to learn more about supporting your young athlete? Call us at (949) 276-5401 or stop by Rausch PT to talk with our team.

👉 Check out The Elite Competitor’s free training on how to best support your girl athlete with confidence, encouragement, and the tools she needs to thrive.

The Essential Guide to Bursitis Treatment

Bursitis, a painful inflammation of the fluid-filled sacs cushioning our joints, can impact mobility. This common condition often affects major joints like the shoulders, elbows, and knees, making daily tasks a challenge for many people. This guide will help you manage and overcome bursitis, allowing you to regain comfort and return to your routine.

While rest and over-the-counter remedies can help ease flare-ups, true recovery often requires a tailored approach that addresses the root cause. Physical therapy is one of the most effective treatments, helping to strengthen surrounding muscles, improve joint flexibility, and prevent future inflammation. By learning the right movements and exercises under professional guidance, patients not only find relief but also regain the confidence to return to their daily activities without fear of recurring pain.

Bursitis is inflammation or irritation of a bursa sac. You have these sacs all over your body. They’re filled with fluid that eases rubbing and friction between tissues such as bones, muscles, tendons, and skin. Bursitis is common around major joints such as your shoulder, elbow, hip, or knee.

Bursitis is common in adults, especially after age 40.

It’s usually caused by repeated pressure on an area or by using a joint too much. High-risk activities include gardening, raking, carpentry, shoveling, painting, scrubbing, playing tennis, golf, skiing, and throwing. You can also get bursitis by sitting or standing the wrong way for a long time at work or home, or by not stretching enough before you exercise. Sudden injury can sometimes cause bursitis.

As you age, your tendons aren’t able to handle stress as well. They’re less elastic and easier to tear.

If there’s a problem with the structure of a bone or joint (such as legs that are different lengths or arthritis in a joint), it can put more stress on a bursa, causing bursitis. Reactions to medications and stress or inflammation from other conditions, such as rheumatoid arthritis, gout, psoriatic arthritis, or thyroid disorders, may also raise your risk.

An infection, especially with Staphylococcus aureus bacteria, can sometimes cause bursitis.

Bursas are small sacs filled with fluid that help cushion your joints, bones, and muscles. Any bursa can become inflamed, but the most common places to have bursitis are in your shoulder, elbow, knee, hip, or foot.

Bursitis can happen suddenly, or it can be ongoing (chronic). When it comes on suddenly, it usually hurts to move your affected joint. With chronic bursitis, a bursa swells slowly, and you may or may not feel pain.

Sometimes, bursitis is caused by an infection. This is called septic bursitis, and it’s not as common. Your doctor will check to make sure you don’t have an infection.

Shoulder bursitis

Shoulder bursitis causes painful swelling in your shoulder that gets worse when you move it. This can be caused by an injury or bump. Some people’s shoulder bones are naturally shaped in a way that puts more pressure on the bursa. If your bones are shaped like this, you’re more likely to get shoulder bursitis.

Depending on how bad the swelling is, you might not be able to move your shoulder, a condition called frozen shoulder. If it hurts too much to move your shoulder, you should see your doctor. They can do tests to find out if it’s bursitis or a different problem. They might recommend physical therapy for your shoulder or other treatments.

Elbow bursitis

One of the most common places to get bursitis is the pointy part of your elbow. If you have elbow bursitis, the bottom of your elbow will be swollen, red, and painful, with pain that gets worse when you bend it. Because of the swelling, it can look like there’s a small ball under your skin. If the ball gets bigger, it can make it harder to move your elbow.

Leaning on your elbows a lot can lead to elbow bursitis. Plumbers, electricians, HVAC technicians, and other people who have to crawl into tight spaces for work are more likely to put pressure on their elbows as they do their jobs. This kind of bursitis is also called “students’ elbow” because many people lean on their elbows when they sit at a desk to write or use a computer.

Injuries or bumps can also cause elbow bursitis. You might not remember the injury because it can take at least a week for bursitis to start. Doctors don’t understand why, but people who get dialysis for kidney problems are more likely to get elbow bursitis.

You can wrap an elastic bandage around your elbow or wear elbow pads to help ease your pain. If you do work that puts pressure on your elbows, wearing elbow pads or using a padded mat can help you avoid bursitis.

Knee bursitis

There are many different parts of your knee that can get bursitis, including near your kneecap or on the inside of your knee. If your bursitis is in your kneecap, it’s more likely to be caused by an infection.

When you have bursitis, it often hurts to move or put pressure on your knee, and it can hurt if someone else touches it. Your knee might also feel warmer than the rest of your body, and it sometimes looks swollen or red.

Sometimes, knee bursitis comes on suddenly after an injury or bump to your knee. More often, it’s caused by pressure on your knee joints over time, and the pain comes on slowly. Runners and people who kneel on the ground for work, such as landscapers, gardeners, and plumbers, are more likely to get knee bursitis.

If you do these kinds of work, you should wear knee pads or use a padded cushion or board under your knees and take as many breaks as you can. Try not to squat or bend your knees for too long. Stretching your hamstrings and other muscles before you exercise can help prevent knee bursitis.

People who fall a lot, such as wrestlers and people who play sports like football, are also more likely to get knee bursitis because they are more likely to bump or land on their knees.

Your doctor will look at both your knees, even if only one knee hurts, to compare them to each other and figure out what’s wrong. They might tell you to wear a knee brace or wrap to help you heal and protect your knees in the future. Putting your knee up on a pillow can help the swelling go down.

Hip bursitis

You can get bursitis in the bony part of your hip that sticks out near your waist. If you have this kind of bursitis, you might feel pain in your hip or outer thigh. You can also get bursitis on the inside of your hip, which causes pain in your hip, crotch, or groin.

You might not see any swelling if you have bursitis in your hip, but it can be painful. At first, the pain often feels sharp, and then turns into an ache that spreads out across your hip. It might hurt more when you lay on your hip, walk up the stairs, squat, or stand up from sitting down.

You are more likely to get this kind of bursitis if you have problems with your back or hips, if you’ve had hip replacement surgery, or if you were born with one leg that’s a little shorter than the other. Exercises such as running, riding a bike, or climbing up stairs can irritate it. You have a bigger risk of getting hip bursitis if you have a job where you have to move heavy things or stand up for long periods (for example if you’re a cashier, warehouse worker, or server).

If you have hip bursitis, your doctor might tell you to walk with a cane or use crutches while it heals. They might watch you walk, sit, and stand, or even videotape you. This will help them teach you less painful ways of moving around or standing.

Foot bursitis

There are 33 joints in your feet, and many of these joints have bursa sacs to protect them. You can get bursitis in your feet if any of these bursa sacs get irritated. You might have bursitis around your Achilles tendon in the back of your foot, near your heel, in the ball of your foot, at the base of your toes, or in between the outside of your little toe and your ankle.

If you have foot bursitis, your foot might feel swollen, stiff, or painful. The pain might get worse when you walk, run, or stand on your tip-toes.

High heels and shoes that squish your feet or don’t fit you well can lead to bursitis. Athletes, dancers, and runners are more likely to get foot bursitis.

Wearing supportive shoes that fit you well and stretching your feet and legs before you exercise can help prevent bursitis.

If you have foot bursitis, your doctor might tell you to go to a podiatrist. A podiatrist is a doctor who takes care of feet and ankles. They might give you a piece of foam or plastic called an orthotic to put in your shoe to cushion your foot.

Other types of bursitis

You have about 150 bursas throughout your body. It’s not as common, but you can get bursitis in any of these bursas. Some other types of bursitis are:

  • Buttocks bursitisThis is when a bursa near the main muscle of your buttocks becomes inflamed. This type of bursitis is sometimes called “weaver’s bottom” or “tailor’s bottom” because it’s more common in people who often sit on hard surfaces, such as the floor or chairs that are not padded.This kind of bursitis can cause pain and aching in your buttocks and upper thighs. The pain is usually worse after you sit for a long time, stretch, or exercise. It might also hurt when you flex, extend, or move your hips.

    You can use a donut-shaped pillow to make sitting more comfortable. A cold compress on the area can help you feel better.

Pain is the most common symptom of bursitis. It might build up slowly or be sudden and severe, especially if you have calcium deposits in the area. You’ll probably feel it when you stretch or extend the joint, and you may have a limited range of motion even without pain.

Your joint might also be:

  • Stiff
  • Swollen
  • Red

Call your doctor if you have:

  • Fever (over 102 F or 38.89 C)
  • Swelling, redness, and warmth in the area
  • General illness or more than one area that hurts
  • Trouble moving the joint
  • Pain that lasts longer than 2 weeks

These could be signs of an infection or another problem that needs medical care right away.

You can’t always prevent bursitis, but some steps can lower your risk.

  • Use cushions or pads when you’re resting a joint on a hard surface (for example, if you’re kneeling or sitting).
  • If you play sports, mix things up so you don’t make the same motions all the time. Warm up and stretch before you play, and always use proper form.
  • Start slowly and easily when you’re trying a new exercise or sport. As you build strength, you can use more force and do the motion more often.
  • Don’t sit still for a long time.
  • Take breaks often when you’re making the same motions over and over again.
  • Maintain good posture all day.
  • Hip bursitis can come from having one leg longer than the other. An orthotic shoe insert can help.
  • Keep a healthy body weight.
  • If something hurts, stop doing it and check with your doctor.

Your doctor will ask about your symptoms and do a physical exam to see if the joint is swollen. You might also have tests including:

  • Imaging tests. X-rays can rule out other problems that might be causing pain. MRI and ultrasound give your doctor an image of your joint.
  • Lab tests. Your doctor might use a needle to take a bit of fluid from your bursa and test it for signs of infection.

Bursitis usually gets better on its own after a few weeks of resting the affected area. Try not to put pressure on it, and avoid activities that make the pain worse.

You can take medicine such as ibuprofen or naproxen sodium to lower the swelling and help with pain. Your doctor might give you this medicine in cream or lotion form.

See your doctor if you don’t feel better after resting the affected area. Call your doctor right away if you can’t move the joint at all or the area around it is very swollen or red. If you have a fever or there’s a rash or bruise on the area, you should see a doctor—these are signs that your bursitis might be caused by an infection.

Your doctor will do an exam to make sure it’s bursitis and not something else. They might have you bend or move the affected joint, or ask you to move around or walk. This helps them figure out which bursa is inflamed, and suggest exercises to help you heal. They might also do blood tests or imaging, such as an ultrasound or MRI, to get more information.

If your doctor thinks an infection could be causing your bursitis, they might take some fluid out using a small needle, and then test the fluid for bacteria. Your doctor will give you antibiotics to take at home if you have an infection. It’s rare, but you might need to stay in the hospital and get antibiotics through an IV, especially if you have immune system problems or if the infection is very bad.

Your doctor might give you steroids, a medicine that works quickly to lower inflammation and pain. They might prescribe steroid pills to take at home or use a small needle to inject steroids or pain medicine into the irritated area. Doctors disagree about whether steroid shots are helpful.

Depending on where your bursitis is, your doctor might tell you to use a cane, crutches or a brace, elastic bandage, or split.

Physical therapy can help you strengthen muscles and increase your joint’s range of motion. Your physical therapist might also teach you exercises for your core (the muscles in your back and belly that hold you up). A doctor or physical therapist can show you ways of sitting, standing, and moving that help bursitis get better or stop it from happening again.

It’s rare, but you might need surgery if other treatments aren’t helping.

Here are some things you can do to help your bursitis get better:

  • Rest. Rest the area as much as you can, and avoid doing anything that makes the pain worse.
  • Ice. Put an ice pack or cold compress on the area to help the swelling go down. After the first 2 days of icing it, you can also use a heating pad, hot water bottle, or heat pack, or take a hot bath or shower.
  • Support the joint. Use a brace, ace bandage/elastic band, or splint to cushion the joint.
  • Elevate it. Put the affected joint up on pillows.
  • Cushioning. Pad the affected area and avoid hard surfaces. For example, use knee pads or a padded mat if you need to kneel down for work, or sit on a donut-shaped pillow or padded cushion instead of on the floor.
  • Stretching and exercise. Stretch before exercising. Doing exercises that strengthen your core muscles and make you more flexible can help some kinds of bursitis.
  • Posture. Use good posture and body mechanics. A doctor or physical therapist can help you learn ways to move, sit, and lift that are easy on your body and won’t irritate your joints.
  • Massage. Massaging the area can help, but you should check with your doctor to make sure your bursitis isn’t caused by an infection before you massage it.
  • Avoid repetitive movements, pressure, and heavy lifting. If possible, avoid putting pressure on the area, don’t lift heavy things, and try not to do the same motions over and over. If you can’t avoid this, take as many breaks as you can. Ask your doctor for a note if you need to miss work or make changes to the kind of work you do—for example, sitting on a padded chair instead of standing.

Don’t let bursitis continue to sideline you. At Rausch Physical Therapy, our expert team specializes in personalized bursitis care designed to restore strength, reduce inflammation, and get you back to doing what you love. Call us today at 949-276-5401 to schedule your appointment, and follow us on Instagram @rauschpt for more tips, insights, and recovery inspiration.


Reference: [https://www.webmd.com/pain-management/arthritis-bursitis]

How to Tackle Trapezius Muscle Knots

Tightness and discomfort in your upper back and shoulders often present as muscle knots in the trapezius. These areas of tension, or trigger points, can result from prolonged sitting, poor posture, stress, or repetitive movements. They commonly cause headaches, neck pain, and restricted movement. Read on to learn practical techniques for managing trapezius muscle knots …. and then connect with us and allow us to get you better, faster, so you can get back to doing what you love.

If you’ve got a lump on top of your shoulder muscle, there’s a good chance it’s a trapezius knot. In fact, according to a study published in June 2017 by ‌Medicine‌, these lumps in the trapezius muscle — called myofascial trigger points — are among the most common causes of musculoskeletal shoulder pain.

Anyone familiar with this particular tension and pain is probably wondering how to release trapezius knots. Luckily, home remedies can help.

What Are Muscle Knots?

Myofascial trigger points or muscle knots are tight balls of clenched muscle fibers under the skin in areas we typically stress and strain a lot during the day, like our neck, shoulders and back, according to the Cleveland Clinic.

Causes of Muscle Knots in Your Traps

Your trapezius muscle spans from the back of your neck to your lower back, according to a February 2015 article in ‌BioMed Research International‌. Because it attaches to your vertebrae and shoulder blades, it has many functions: shrugging your shoulders, rotating your shoulder blades to allow you arms to move overhead and pulling your shoulder blades down and together.

Knots most often occur in the upper trapezius, or the part that runs on either side of your neck and along the tops of your shoulders. These swollen trapezius lumps are typically painful to the touch and can cause pain to spread to other areas in your shoulder and back.

Common causes of upper trapezius muscle knots include poor posture and psychological factors that increase stressors, such as high pressure at work and low job satisfaction, according to the ‌Medicine‌ study.

You could also develop tension in your trapezius muscle, knots or even spasms if other surrounding muscles are weak or fatigued, causing the upper trap to work overtime to help support your arm.

Trapezius Knot Release Techniques

There are a number of different approaches that deliver trapezius muscle tension relief, either at home or under the guidance of a physical therapist.

Even if the muscle knot on top of your shoulder isn’t particularly painful, it indicates that your muscle is inflamed. Trigger points in the upper trapezius muscle can negatively affect movement of your shoulder, increasing risk of injury. This is especially true if you perform a lot of overhead activity.

According to a very small September 2018 study in the ‌Journal of Human Kinetics,‌ stiffness in the upper trap can decrease shoulder range of motion, increasing the risk of rotator cuff injuries. However, this study also showed ischemic compression — trigger point release — was effective in treating muscle knots on the top of the shoulder for 12 professional basketball players.

1. Release Your Trigger Point

While trigger point release is often performed by physical therapists and massage therapists, you can try this technique on yourself with a massage ball, tennis ball or lacrosse ball. Try it both standing and while lying on your back.

  1. Stand with your back against a wall.
  2. Place a ball behind your upper trap directly on the lump, and lean against the ball. Press hard enough to cause tolerable pain.
  3. Hold until the pain subsides by 50 percent, then press harder.
  4. Continue to hold this pressure until the pain subsides, typically between 30 seconds and several minutes.

2. Stretch It Out

Stretching for trapezius knots can reduce tightness on top of your shoulders. Hold each stretch for 20 to 30 seconds, and repeat three times on both sides.

  1. Sit up straight and tip your ear toward your shoulder on the unaffected side.
  2. Rest your hand on top of your head to gently increase the amount of stretch.
  3. Rotate your head slightly and repeat to target different fibers in your trapezius muscle.

3. Apply Cold or Heat

Trapezius pain that occurs immediately after activity or pain that is sharp is a sign of inflammation, according to Summit Orthopedics. For this type of pain, apply ice to your affected muscle for 10 to 15 minutes to decrease blood flow and inflammation.

If you have a knot in your trapezius that just won’t go away, and it is achy and annoying, apply heat for 15 to 20 minutes to increase blood flow and help the muscle relax.

4. Squeeze Your Scapula

Strengthening a muscle that has a trigger point puts more strain on the already aggravated muscle, potentially making it worse, according to the National Association of Myofascial Trigger Point Therapists.

But you don’t have to avoid exercise altogether. Strengthening exercises for your upper back can help improve posture and reduce risk of overuse of your upper trapezius muscle. You can perform scapular squeezes without even leaving your desk.

  1. Sit up straight on a firm surface.
  2. With your arms relaxed by your sides, squeeze your shoulder blades together as if you are trying to hold a pencil between them.
  3. Hold for two to three seconds, then relax.
  4. Repeat 10 times, working up to three sets in a row.

Be sure your upper trap muscles are relaxed during this exercise. Try it in front of a mirror to help keep your shoulders from shrugging.

5. Get a Massage

If self-myofascial release don’t help, you could enlist the help of a professional massage therapist for muscle relaxation (or even try a massage gun), according to the Cleveland Clinic. They’ll use a variety of massage techniques to help break up the knotty ball of muscle fibers.

6. Perfect Your Posture

Poor posture, especially while sitting at a desk, can contribute to trapezius trigger points, per the Cleveland Clinic. Make sure you’re set up properly by following these tips from the Mayo Clinic:

    • Adjust your chair so your feet can rest flat on the floor (use a footrest if needed) and your thighs are parallel to the floor.
    • Position your keyboard and mouse so your wrists and forearms are aligned and your shoulders are relaxed.
    • Place your computer monitor about an arm’s length away from your face, at eye level.

When to See a Doctor

While most lumps on the top of the shoulder muscles are likely to be trigger points, there are other medical conditions — such as cancer — that can cause lumps. Cancerous lumps often appear out of nowhere and grow steadily in size. See a doctor for an accurate diagnosis if you have any concerns about a lump in your trap muscle (or anywhere else, for that matter).

You should also talk to a doctor about trap pressure points if the lump gets red, feels hot to the touch or is draining any fluid or blood, per the Cleveland Clinic.

Experiencing stubborn muscle knots in your traps that just won’t go away? Our expert physical therapists can help! Discover effective, personalized strategies to release tension, reduce pain, and improve your mobility. At Rausch PT, everyone from our friendly front office staff to our dedicated aides is here to cheer you on and help you achieve your goals. We strive to give you the best experience possible every time you come see us, which is why your personal Rausch physical therapists will be by your side throughout your entire treatment. Call our physical therapy center today at 949-276-5401. For more tips, you can also connect to our IG.


Reference: [https://www.livestrong.com/article/354329-lump-in-the-trapezius-muscle/]

Signs of Tight Hips and How They Impact You

Tight hips can subtly impact your daily life and activities, causing discomfort or limiting your movement. Recognizing the signs of restricted hip mobility is key to preventing issues and improving your overall physical well-being. Read on to identify when tight hips might be hindering you and discover ways to address them.

At Rausch Physical Therapy, our mission is simple: to provide you with the best care possible, helping you return to what you love as quickly as possible. We provide personalized one-on-one care to help you reach your wellness goals. Unlike other PT clinics, your personal Rausch physical therapist will be by your side throughout your entire treatment; we don’t just treat the injury—we condition the body as a whole to get you feeling better, faster. Let’s talk! 

YOU WANT BIGGER arms and a chiseled chest. Oh, and don’t forget stronger legs—super important. Oh, and a resilient core, too! So the last thing you want to do is train your hips—we get it. But here’s the thing: Your lack of hip TLC just may be holding you back.

Yes, really. Sure, there was a time when hip mobility mattered only if you were doing Jean-Claude Van Damme splits on Volvo trucks. But these days, more and more trainers are recognizing that tight hips can stealthily wreck nearly every part of your life. New hip stretches and exercises often flood FitTok, and a Google search for “hip mobility” turns up about 1 million results.

So whether you’re trying to slash your half-marathon time, crush a CrossFit WOD, or just keep up with your kids on the playground, buttery-loose hips can help. The best part is it doesn’t take much to train your hips. All you need to do to start: understand the answers to these five questions.

When Are My Tight Hips Hindering Me the Most?

EVERY SINGLE TIME you stand up after a few hours of sitting. When you’re sitting, whether you’re at your desk for the whole morning, on a long roadtrip in a car, or stuck on a ten-hour flight to Europe, your hip flexors, the muscles that help bring your thigh to your chest, wind up trapped in a shortened position, unable to stretch out. Your glutes, meanwhile, are in an ultra-relaxed, stretched position. When you stand, you’re often left with a nagging tightness in the front of your hips.

What’s So Bad About That Tightness in My Hips?

WHEN YOUR HIP flexors are tight and your glutes aren’t strong, you may struggle to position your pelvis to support your spine. Your pelvis shifts into something called anterior pelvic tilt, the top of the pelvis tipping forward just slightly, butt sticking out a bit, Instagram-model style. This causes your lower back to arch in places it shouldn’t, and that can create serious issues, compressing the discs in your lower back, says Boyce. It also prevents you from being powerful during exercises like deadlifts and squats, as well as other activities, like running and jumping.

How Exactly Do Tight Hips Effect My Running and Jumping?

QUICK, STAND UP. Place your hands on your hip bones. Now squeeze your glutes as hard as possible. See how your hips shift forward ever so slightly? This position is called hip extension, and this motion helps propel you forward (if you’re running) or upward (if you’re jumping). If your hip flexors are tight, your glutes can’t “contract the way that they’re supposed to when they’re supposed to,” says Boyce—and that limits your speed and vertical leap.

Should I Stretch My Hip Flexors to Loosen Them?

AND STRENGTHEN THEM! Weak hip flexors cause other problems. Try this: While standing straight, lift your right knee as high as you can. Can you get your knee higher than your hip? If you can’t, you’re hurting your running ability by limiting the length of your stride. “The stronger your hip flexors are, then the more powerful and efficient your knee drive is going to be,” says Faris Khan, C.S.C.S., the creator of the Men’s Health Summer Strength Challenge. To compensate, you may also round your back more than you should need to during everyday tasks.

What Else Does Poor Hip Mobility Hurt?

YOUR ABILITY TO change direction. Ideally, you’re able to turn your hips one way and your shoulders another, a key trait that defines agility. And even if you’re not an NFL cornerback, lacking that movement can cost you, making it harder to move quickly if you’re dodging somebody while rushing to catch your train—and harder to run down your daughter in a game of tag, too. The bright side: Just a few simple drills can ensure you’re preserving you hip mobility—although we should all leave the splits to Van Damme.

How to Stay Hip

AIM TO DO at least 1 of these 3 drills in your workout warmups every day to make sure you’re giving your hips plenty of TLC. Do 2 or 3 sets.

Hip Circles

Take your hips through their greatest range of motion. Start on all fours, knees beneath hips. Keeping your knee bent, lift your right leg outward to the right, then rotate it in a wide arc so that your right foot points toward the ceil-ing. Reverse the movement back to the start. Repeat 6 to 8 times per side.

Seated Hip Lift

Build hip flexor strength. Sit on the floor, chest up, legs straight, a kettle-bell or another object just outside your right ankle. Keeping your legs straight, lift your right leg over the object and touch your heel to the floor; return to the start. Do 8 to 10 reps per side.

Crescent Lunge

To loosen tight hip flexors, set up in a half-kneeling stance, right knee on the floor. Squeeze your right glute and push both hips forward; as you do this, reach your hands overhead. Hold for 2to 3 seconds, then return to the start. Do 3 to 5 reps per side.

Struggling with discomfort or limited movement due to tight hips? Don’t let it hold you back! Call our physical therapy center today at 949-276-5401 and take the first step towards a more comfortable, active life. Our comprehensive approach helps you heal faster, move better, and stay stronger for the long run. For more tips, you can also connect to our IG.


Reference: [https://www.menshealth.com/fitness/a64578236/hip-mobility-plan/]

Why Staying Active Matters More as We Age: 4 Key Reasons (+ Tips to Get Moving)

At Rausch Physical Therapy and Wellness, we believe that movement is medicine—at every age and every stage of life. That’s why we’re excited to announce our new partnership with Fort Fitness in Laguna Hills, where we now have a dedicated Rausch PT clinic inside the gym. This collaboration brings world-class physical therapy, fitness education, and hands-on wellness care directly into a state-of-the-art environment—making it easier than ever for you to stay mobile, strong, and vibrant.

While aging is inevitable, slowing down doesn’t have to be. In fact, staying physically active is one of the most powerful things you can do to maintain your independence, confidence, and quality of life as you grow older. The Physical Activity Guidelines for Americans recommend at least 150 minutes of moderate-intensity activity per week—and for good reason. Regular movement can slash your risk of chronic illness by up to 50%, according to the U.S. Department of Health and Human Services.

So why exactly is staying active so important—and how can you make it work for your lifestyle? Here are four big reasons (plus tips!) to keep moving:


1. Lower Risk of Age-Related Conditions

Exercise is the closest thing we have to a fountain of youth. Regular movement helps preserve muscle mass, protect bone density, and improve joint flexibility—making it a powerful defense against falls, fractures, arthritis, and osteoporosis. But it’s not just your body that benefits—exercise also protects your brain, reducing the risk of cognitive decline, memory loss, and conditions like dementia or Alzheimer’s.

Tip: Include resistance training 2x per week to maintain strength, and add in low-impact cardio like brisk walking or swimming to support heart health. Don’t forget simple balance exercises (like standing on one leg or heel-to-toe walking) to reduce fall risk. Come into see us at our Fort Fitness location and talk to one of the trainers on great classes you can work around your PT!


2. Mental Health and Social Connection

Physical activity doesn’t just strengthen your muscles—it boosts your mood. Endorphins released during exercise act as natural antidepressants, which is especially important for older adults who may feel isolated. Group fitness classes, walking clubs, or sports leagues are excellent ways to stay active and socially connected.

Tip: Try pairing movement with community—sign up for a group class with us here, join a pickleball league, or go on weekly walks with friends. Even 15 minutes a day makes a difference. Don’t let any mobility restrictions or injuries slow you down: That’s where we come in!


3. Improved Daily Function and Energy

The more you move, the more energy you have to enjoy life. Regular activity enhances balance, coordination, and flexibility—making everyday tasks like grocery shopping, gardening, and playing with grandkids easier and safer. Better sleep, digestion, and circulation are just a few more benefits you’ll feel almost immediately.

Tip: Think “movement snacks”—brief sessions throughout the day like walking while on the phone, stretching during TV commercials, or taking the stairs. Functional fitness (exercises that mimic daily movements) can also be incredibly effective for real-life strength and stability. We can help you with a routine here if you’re looking for some good ideas to implement at home — or even on vacation if you have travel lined up.


4. A Sense of Purpose and Personal Growth

Setting physical goals—like completing a charity walk, mastering a yoga pose, or just sticking to a weekly class—can reignite a sense of accomplishment. Movement offers more than physical perks; it gives structure, purpose, and motivation that uplifts your whole mindset.

Tip: Choose something you enjoy. Whether it’s dancing, cycling, tai chi, or light weightlifting, consistency is easier when it’s fun. Set a small weekly goal and celebrate your wins.


At Rausch Physical Therapy and Wellness, we’re here to support your health at every age and ability. Our new Fort Fitness location makes integrating expert care and physical activity part of your everyday life. Whether you’re recovering from an injury, looking to prevent one, or simply want to move with more freedom and joy, we’re here to help.

📍 Visit Us: 25252 McIntyre St, Ste A, Laguna Hills, CA
🌐 Fort Fitness: FortFitnessUSA.com
📅 Book with Rausch PT: (949)-276-5401

Movement is medicine—and it’s never too late to start.

What Causes Hand Pain?

Hand pain can stem from various causes, from everyday overuse to chronic conditions like arthritis or carpal tunnel syndrome. Stiffness, swelling, or sharp discomfort can mean repetitive strain injuries, nerve compression, joint inflammation, or even poor ergonomics at work. Let’s explore the most frequent causes of hand pain and how to identify them. At Rausch PT, our sport-specific, licensed physical therapists combine their expertise in human mechanics with the clinic’s innovative rehab and performance technologies to help patients get healthy, stay healthy, and reach their goals. Come on in and meet with us!

Hand pain can happen for many reasons. An injury or disease of the muscles, nerves, or tendons in your hand can cause pain. Arthritis, tendonitis, and carpal tunnel syndrome are common causes of hand pain.

Hand pain can often be cured or the symptoms can be managed with treatment. Your doctor can suggest treatments depending on the cause.

This is also called de Quervain tendinosis. It causes pain and swelling in the tendons on the thumb side of your wrist.

Symptoms include:

  • Pain and/or swelling close to the base of your thumb
  • Trouble moving your wrist when you’re pinching or grabbing something
  • A feeling like your thumb is “sticking” when moving it

Pain can also travel the length of your thumb and up your forearm.

If you have de Quervain tenosynovitis, it can be painful to:

  • Make a fist
  • Grasp or hold objects
  • Turn your wrist

Repetitive activities and overuse are often the cause of de Quervain tenosynovitis. It can also be caused by:

  • Arthritis
  • Wrist or tendon injury that causes scar tissue to form
  • A buildup of fluid, possibly due to hormonal changes in pregnancy

Pain relief treatments include:

  • A splint to rest the thumb and wrist
  • Anti-inflammatory medications
  • Cortisone shots

Surgery may be an option if symptoms remain severe after you have tried other treatments.

Skier’s thumb is an injury to a ligament (a thick band of tissue that connects bones) inside your thumb. Skiers sometimes get this injury when they fall with a ski pole in their hand. The fall tears or stretches the ligament. Any accident that pulls your thumb out farther than it’s meant to go can cause skier’s thumb.

The inside of your thumb will feel tender. It may also be:

  • Bruised
  • Red
  • Swollen

If you have skier’s thumb, your thumb may bend to the side more easily than usual. It may be hard for you to hold things or turn knobs.

Ways to treat the pain include:

  • Anti-inflammatory pills, gel, cream, or patch
  • Ice
  • Physical therapy

If your ligament is partially torn, you may need to wear a cast for 4 weeks to hold your thumb still. Then you wear a splint for 2 weeks. You can take the splint off to do exercises to increase movement in your injured thumb.

Surgery is the only way to treat a complete tear. After a surgeon fixes the torn ligament, you’ll wear a cast on the hand for 4 weeks. Then you’ll wear a splint for 2 weeks, and do exercises to regain movement in your hand.

This is one of the most common nerve disorders of the hand. It causes pain in the:

  • Palm and some fingers of your hand
  • Wrist
  • Forearm

Often the pain is worse at night than during the day. Carpal tunnel syndrome can also cause:

  • Weakness
  • Tingling
  • Numbness

You may especially feel it in your thumb, index finger, and middle finger. This can make it hard to grip objects.

The discomfort happens when swelling constricts the median nerve. The median nerve controls sensation and muscle impulses in your thumb and most of the fingers (except for your pinkie finger and the half of your ring finger that’s closest to your pinkie finger).

The median nerve passes through the carpal tunnel. The carpal tunnel is a structure made up of bones and connective tissues that is located at the base of your hand. In this narrow space the median nerve can get pinched by inflamed or irritated tendons or other swelling.Common treatments include:

  • Resting the hand and wrist
  • Anti-inflammatory or analgesic painkillers
  • Wrist splints
  • Steroid shots
  • Physical therapy

Your doctor may suggest surgery if your symptoms don’t get better with treatment.

A fracture, or a break in a bone, can cause a lot of hand pain. Besides pain, after a fracture you may have:

  • Stiffness
  • Swelling
  • Loss of movement
  • Unstable joint
  • Overlapping fingers
  • Numbness in your fingers

If you have fractured a finger, for example, you may not be able to move it fully. Your injured finger might be slightly shorter than usual.

Some fractures can be treated without surgery. Your doctor may be able to line up the pieces of bone and then put a cast or splint on to keep them in place. You might need to wear this for up to 6 weeks.If you need surgery, your doctor will make an incision. They might use pins, wires, or plates to hold the bones together while they heal. It’s possible that you could lose some function in your finger.

This is a common cause of hand pain. The tough tissue on the ends of your bones called cartilage that allows them to move smoothly against each other starts to break down. As this happens, the bones rub against each other and can cause swelling, irritation, and pain.

In the hand, the areas where this most often occurs are the:

  • Base of your thumb
  • Middle joint of one or more fingers
  • End joint, which is closest to your finger tip

Osteoarthritis is the most common type of arthritis. It can happen with aging or following an injury, such as a fracture or dislocation. When it affects your hand, it causes:

  • Pain
  • Swelling
  • Stiffness

Bony nodules may also form at the middle or end joints of your fingers. Osteoarthritis can also cause deep, aching pain at the base of the thumb. The hand may also become weaker, making everyday activities difficult.

Treatment depends on how bad your pain and loss of function is. It might include:

  • Anti-inflammatory or analgesic painkillers
  • Splints for the fingers or wrist
  • Heat and cold therapy
  • Corticosteroids
  • Physical therapy
  • Acupuncture

If these treatments do not provide relief, your doctor might recommend surgery.

Doctors call this stenosing tenosynovitis. It causes your fingers or thumb to lock in a bent position. It can be painful, especially when you bend or straighten the affected finger or thumb.

The condition develops when the flexor tendons, which control the movements of your fingers and thumb, become irritated. This can make them thicken within the tendon sheath that surrounds the flexor tendons. Nodules may also form on the affected tendons. The sheath itself may thicken, too.

All of this prevents the smooth movement of the tendons. Eventually, the tendon may become stuck when you try to straighten a bent finger or thumb. You may also feel a catching sensation when the finger or thumb locks in place, and then a pop as the tendon is released.Doctors don’t know what causes trigger finger. You’re more likely to get it if you have:

  • Rheumatoid arthritis
  • Gout
  • Diabetes

Trigger finger is more common in adults between ages 40 and 60.

Rest, sometimes while wearing a splint, may fix the problem. Over-the-counter pain medications can ease the pain. Corticosteroid injections (steroid shots) often can help relieve symptoms. Your doctor may recommend surgery if other treatments fail.

A ganglion cyst is a fluid-filled lump in your hand. It grows from joints and tendons in your fingers and wrists. It’s the most common type of lump in the hand.

Doctors don’t know what causes ganglion cysts. You’re more likely to get them if you are:

  • Assigned female at birth
  • Between ages 15 and 40
  • A gymnast and put a lot of stress on your wrists
People assigned female at birth who have arthritis are more likely to get a ganglion cyst at the end joint on the back of the finger.

If the cyst presses on a nerve, it can cause pain, tingling, and weakness.

You don’t have to treat a cyst if it doesn’t cause symptoms. Wearing a wrist brace or splint can shrink the cyst. Your doctor can drain the fluid out of the cyst if it hurts, but the cyst could grow back.

Surgery may be an option if these treatments don’t work. Your doctor can remove the cyst and the stalk it grows from.

Peripheral neuropathy happens when nerves outside your brain or spinal cord are damaged. You might feel pain, weakness, and numbness in your hands and feet. Other areas of your body may also be affected, as well as body functions like digestion.

Causes of peripheral neuropathy include:

  • Autoimmune diseases like rheumatoid arthritis and lupus
  • Type 2 diabetes
  • Infections such as Lyme disease, shingles, hepatitis, and HIV
  • Low vitamin B levels
  • Chemotherapy
  • Heavy metals like lead or mercury
  • A tumor or other growth that presses on a nerve

Treatment depends on the cause.

These medications can help:

  • Pain relievers
  • Antidepressant medicines
  • Anti-seizure medicines

Other treatments include:

  • Physical therapy
  • Braces and special footwear
  • Visiting a foot doctor (podiatrist)
  • Surgery to relieve pressure on the nerve or reconnect nerves

These symptoms may come and go. Constant hand pain and numbness could be a sign of more serious nerve damage. It’s important to treat nerve injuries quickly. See a doctor if symptoms like pain, weakness, and tingling don’t go away.

If you wake up with a prickly sensation in your hands, your sleep position could be the cause. Some positions put pressure on nerves in your hand or wrist.

You’re more likely to have numbness and tingling in your hands if you sleep with your:

  • Hands under your head or pillow
  • Elbows bent more than 90 degrees
  • Fists closed

Sleep on your back with your arms at your sides or on pillows to take pressure off the nerves in your hands. Or sleep on your side with your arms on a pillow.

Hand pain holding you back? We can help. Get Rausch PT expert insights into the causes and explore personalized treatment plans. Call our physical therapy center today at 949-276-5401. For more tips, you can also connect to our IG.


Reference: [https://www.webmd.com/pain-management/hand-pain-causes]

This Soft-Tissue Maintenance Routine Will Keep You On Your Bike Longer

By Dustin Hancock, DPT, PT
Rausch Physical Therapy & Sports Performance

The “Mountain Bike-PT” Dustin Hancock explains how introducing a soft-tissue mobilization maintenance program can help you avoid limiting aches and pains so you can stay on the bike longer, train harder, and reduce your recovery time.

A great friend and old patient of mine recently forwarded this great quote to live by:

“Life’s journey is not to arrive at the grave safely in a well preserved body, but rather to skid in sideways, totally worn out, shouting, “Holy [bleep]! What a ride.”

While I absolutely love to live by this quote, I’ve worked as a physical therapist long enough to have seen my fair share of athletes whom lack a maintenance program and arrive in the clinic destroyed. They have neglected treating some injuries and wore out their body before its time. So the question is, how do you want to live your life? Do you want to feel stiff and old, or flexible and healthy?

Whether your goal is to avoid injury, place at Over the Hump, or just shave some seconds off your Strava time, you need to start introducing a mobility program to maintain balance, otherwise you will wear out parts on your body that can’t be replaced. Introducing soft tissue mobilization in some fashion on a regular basis will help keep you on the bike, train without the limiting aches and pains, and reduce your recovery time.

Rigid Things Break

With my patients at Rausch Physical Therapy & Sports Performance, I use an analogy between two types of bridges to explain how important the balance between flexibility and rigidity is to the body. First think of a suspension bridge, which can not only hold up to the force of thousands of cars on a daily basis, but also the power of an earthquake thanks to its mobility. Now, a rigid-frame bridge will also hold up to thousands of cars on a daily basis, but it’s less likely to tolerate the shearing forces of an earthquake due to its stiffness.

One of my favorite words is “tensegrity,” which means something has both great stability and mobility, like a suspension bridge; similar to a suspension bridge, us mountain bikers need tensegrity to stay intact. Between strength and endurance training, long rides, poor posture, old injuries, and the beautiful aging process, we put our bodies through a lot. This can cause global muscle stiffness, and remember: rigid things break. Understanding the importance of tensegrity can help you avoid body breakdown and keep you on your bike longer

Understanding Flexibility vs. Mobility

So, how do you improve your tensegrity (stability + mobility)? While most MTB riders are willing to train hard to improve their stability, many neglect mobility maintenance (and sorry, simply stretching more frequently won’t cut it.) To achieve the second half of the tensegrity equation, you first have to understand the difference between flexibility and mobility.

Flexibility refers to your muscle tissue having the appropriate length to achieve the range of motion needed for that function. If you wanted to improve your flexibility, you could do some long-duration stretching (30-second to two-minute holds with no bouncing) on a routine basis—and “routine” is the key word here.

Mobility, on the other hand, is how the tissues slide-and-glide upon the adjacent tissues, which are not only muscles, but could also be skin, fascia, bone, ligaments, nerves, etc. This distinction is why you can’t just stretch more often to improve mobility: it’s not just about your muscles. You need to add in some form of soft tissue mobilization into your recovery routine, such as professional myofascial release, specialized manual therapy joint work, active release technique (ART) and/or a home mobility program.

Three Ways to Maintain Soft Tissue Mobilization

As a physical therapist, I preach how important mobility maintenance is, however as a cyclist with a busy schedule, I sometimes struggle to add yet another item to my to-do list at the end of the day. Still, I make it a point to continually challenge myself to maintain my mobility routine to make sure my old injuries don’t start to catch up to me just yet. A good mobility maintenance routine looks a little like this:

  1. Daily foam roll routine: Spend time working out the tissues that are tight for five to 10 minutes daily, or until you feel about a 50% reduction in pain. Click here to view my specific Foam Rolling Routine for Mountain Bikers.
  2. Massage at least once or twice a month. I recommend a specific myofascial release from the experts at Dynamic Touch, or you can try ART with Lawrence Van Lingen at Rausch PT; he has some amazing fascially-specific techniques he’s perfected for elite cyclists across the globe.
  3. Biomechanical assessment (also known as a “tune up”) at least every six months. Make an appointment with your physical therapist at least twice a year for a tune-up, movement screen evaluation, and postural assessment. During this visit your PT can determine any new abnormal alignment patterns, soft tissue restrictions, or areas that you need to address to prevent future injuries.

Maintenance isn’t always convenient, but I personally make it a point to do it to ensure I get to join the riding group every weekend and race stronger at Over the Hump. The daily grind takes a big toll on our bodies and will cause imbalances, whether it’s from poor posture at your desk, lack of cross training or focusing too much on strength training. This is why it’s critical for all MTB riders to actively pursue some form of mobility maintenance routine to keep their bodies balanced and their seat on the trails.

Conclusion

All this talk about mobility comes down to helping us get less injuries, improve recovery time, improve your overall athleticism and generally help you feel less old. So be specific, be consistent, and respect mobility with cross friction-based foam rolling.

Feel free to stop by the Rehabulance during the second half of Over the Hump 2016, and I’ll show you some awesome foam rolling techniques to address your individual mobility issues.

Cheers, fellow riders.

-DH


Dustin-MTBDustin Hancock, DPT, PT
Rausch Physical Therapy & Sports Performance
dustin@rauschpt.net

Dustin is an adrenaline junkie with a passion for mountain biking and an outdoor-enthusiastic lifestyle. As a Doctor of Physical Therapy, his approach combines research-based knowledge and manual therapeutic treatment with Rausch PT’s cutting-edge equipment. He has experience treating extreme sport athletes of all levels, from XTERRA World Champions to challenged athletes with amputations, neuromuscular disorders, and spinal cord injuries.

Five Ways to Train Smarter This Offseason

Five Ways to Train Smarter This Offseason

By Sean Swopes, PT, DPT, CSCS

Rausch Physical Therapy & Sports Performance

While most people take the offseason to train for a better “next year,” Mountain Bike-PT Sean Swopes explains why you should spend some time out of the saddle and try a few other methods to improve your performance and overall health.

You survived racing through the dirt and heat, and now the Over the Hump 2016 season has come to an end. So, what next? For many of you, the end of OTH means it’s time to pump up those skinny tires and focus on road races, crits and TT’s. Before you get back to pounding those pedals, take some time away from tuning up your bike and spend some time tuning up your body.

While the subtle differences of road cycling and mountain biking offers great balance to your riding skill level, as the quickly changing terrain and variable cadence can help to enhance your riding technique, it’s also important to spend some time out of the saddle. As a physical therapist, I know that muscle imbalance/dominance are main contributors to pain and dysfunction, but as a mountain biker I also know that many of us will go to great lengths to enhance our power output, VO2 max, and velocity.

The offseason is a great time to train to improve your performance, but it’s also the perfect time to start focusing on ways to prevent the aches and pains that may be keeping you from reaching your potential. Here are five methods you can use to stay balanced this off-season.

1. Mix Things Up

A quick and easy method I like to use to offset this imbalance is to simply go for a run. Running is a great way to change the pace and the demands of those muscle that typically get overworked when cycling. Swimming also offers a great way to continue working on aerobic demand while also decreasing the load demands on your joints.

2. Get Rolling With Soft-Tissue Work

Ever feel your knees brushing the top tube during a down stroke? It’s a frequent technique used to stay in an aerodynamic position, but it can also create increased tightness of the liotibial (IT) band. In fact, it’s quite common for cyclists to develop IT Band Syndrome from repeated down stroke.

To combat this imbalance, my colleague Dustin Hancock, DPT has created a great foam rolling program to help improve flexibility and mobility of your tissues. Click here to check it out.

3. Strengthen Your Core

I went to a great workshop recently where we discussed how important it is to have core strength for successful cycling. I have been preaching this exact thing for years! We often think of our legs being our powerhouse, but how much power can you expect your legs produce without a stable base to explode from?

The primary drive for you pedal stroke is produced from the glutes, quadriceps and hamstrings. All of these muscles attach directly to the pelvis. Without good core balance and stability, your biomechanical leverage to utilize these muscle group is altered, and therefore you produce less force.

To improve your core and stability, try these exercises:

  1. Bird Dogs – Do these on a stable surface, or challenge yourself on an unstable surface. The key is to focus on your pelvis and prevent any rotation or tilting
  2. Planks – You know, that exercise we all love to do. Challenge yourself by starting with a static plank on your elbows and sides, then progress by involving leg movements.
  3. Swiss Ball Walkouts – Progress this exercise by incorporating knee tucks and pikes.

4. Work on Those Lungs

VO2 max is the maximum rate of oxygen consumption during vigorous activity. It’s often used to objectively measure an individual’s aerobic physical fitness and determine their endurance capacity during prolonged, submaximal exercise. The theory is: improve your VO2 max, improve your performance.

While the critical importance of VO2 max is debated, a 2012 article in the Journal of Strength and Conditioning Research concluded that VO2 max was a great determinant of mountain bike race performance, at least more so than for road races.

So, what can you do while training to improve your VO2 max? While research has shown that Hight Intensity Interval Training (HIIT) can lead to great benefits in cardiovascular gain, is HIIT really the only way to go? A 2010 article by International Journal of Sports Physiology and Performance reports that a 80/20 split in Low Intensity to High Intensity training program will create ideal physiological benefits, like V02 max.

And just remember, while it’s important to push you body to its limits to create physiological responses, this is often where injury occurs.

5. Go See a Physical Therapist

With weekly OTH races for the past three months, it’s likely you’ve developed a few aches and pains this summer. Unfortunately, many MTB racers (like most athletes) subscribe to the school of thought, “Just deal with the pain until the end of the season; it’ll get better when I stop racing.”

While I can’t force you to change your mindset, I can tell you that pain is often your body’s way of telling you that it’s undergoing an abnormal amount of stress. We often think that that one fall, that one crash, is what’s going to break our bodies. The truth is, most injuries are the result of overuse—repetitive stress over a prolonged period—and while our body does a great job of adapting to the stress we place on it, its ability to repair itself diminishes the more time we spend in stress/pain.

So, now that OTH 2016 season is finished, show your body you care and make an appointment with a physical therapist. At Rausch Physical Therapy & Sports Performance, your PT will perform a biomechanical assessment to determine any new abnormal alignment patterns, soft tissue restrictions, or areas that you need to address this offseason to repair your body and prevent future injuries.

Conclusion

Stop allowing pain to determine how your body moves. While you may think you can live with “a little” hip pain, you may not realize that pain in one region of your body can lead to compensatory movement in another.

Think of it this way: think of how your derailleur cable on your bike can begin to stretch. This affects how your bike can shift, but you tell yourself you can live with that. But that small sound you hear from your chain grinding against the cassette means you’re slowly wearing down your chain, until one day—it breaks.

The moral of the story here is to listen to your body’s signs that your internal drive train is breaking down, and get it fixed.


Sean Swopes | Rausch Physical TherapyAbout Sean Swopes, PT, DPT, CSCS

sean@rauschpt.net

Sean Swopes, DPT is the “Mountain Biking-PT” at Rausch Physical Therapy & Sports Performance. He is also a certified Strength and Conditioning Specialist. As a physical therapist, Sean’s goal is to help his patients understand their musculoskeletal impairments and work together to improve them.

Jon’s Youth Baseball Injury

Around the office, they call me “The Baseball Guy.” My years of clinical treatment of ballplayers at Rausch Physical Therapy and Sports Performance, coupled with my interest in biomechanical research, has motivated me to find new ways to reverse the alarming increase in youth baseball arm injuries. In fact, for the past two years I have been developing injury prevention programs for southern Orange County baseball leagues to help protect our youth’s elbows and shoulders.

And it looks like I am not the only one getting on base with this initiative. Major League Baseball and USA Baseball recently teamed up to launch their Pitch Smart program, which is designed to educate parents, coaches and young athletes about how to avoid overuse injuries. It includes information on pitching guidelines, injury risk factors, Tommy John surgery and more.

 

Did you know:

If you pitch more than 100 innings in a year, whether little league, club or showcase, it will increase your risk of injury by 3.5 times

If you pitch greater than 8 months in a year, it will increase risk of surgery by 5 times

The number one risk factor for injury

I have found that out of all the risk factors that can cause injury, the number one is pitching too much, both in a game and in any given year. New research is coming out every month about the correlation of throwing too much and arm injuries in little league athletes.

Kids should take off about 2-3 months of competitive pitching in a year and engage in other sports or active rest where they are still using their arms, just not in a pitching motion

As a healthcare professional, I believe that change needs to occur in the traditions and schedules of little league baseball across the nation. The Pitch Smart initiative proves to me—and hopefully to parents and coaches—how crucial injury awareness and prevention is. I want to take this information and use my skill to prevent, rehabilitate and treat the youth of little league baseball.

If you have any questions about throwing injury prevention or rehabilitation, please send me an email and I will be happy to answer them. For now, take care of those elbows and shoulders!

Sincerely, The Baseball Guy

Jonathan Meltzer, D.P.T. | jonathan@rauschpt.net


About the Author
Jonathan Meltzer graduated from the University of Redlands with a bachelor of arts in biology and a minor in physical education. Following graduation, Jonathan discovered his passion for physical therapy while working as a Physical Therapy Aide. After graduating top of his class from Loma Linda University in 2012 with a Doctorate in Physical Therapy, Jonathan began his career at Rausch Physical Therapy and Sports Performance. Jonathan’s goals are to identify limitations and treat his patients with the most recent and innovative techniques in order to maximize functional independence and obtain his patients’ individual goals.

Common Workout Mistakes (and How to Fix Them!)

We’ve all been there: feeling defeated after a workout, wondering why the results aren’t matching the effort. Maybe you’re pushing too hard, neglecting certain muscle groups, or even falling victim to some fitness myths. The good news? You’re not alone! Here’s the thing: even the most dedicated gym rats make mistakes. Together, we can unpack the “why” behind these mistakes and, most importantly, share tips on how to fix them.

Exercising is one of the best things you can do for your health, and you deserve an enthusiastic pat on the back for any amount of physical activity you’re doing. But if you’re performing your exercises the wrong way, you could be hurting, not helping your body.

One of the biggest exercise errors is using improper technique. You risk back injury if you arch your back while doing planks or push-ups, and knee injury if you bend too deeply in a lunge or squat (see “Move of the month”).

Another mistake is doing the wrong exercise. For instance, running when you have severe back or knee arthritis puts too much pressure on the joint.

But those are just a few exercise no-nos. Consider the following, and see if you need to take steps to fix them.

Skipping the warm-up

You need to warm up your muscles so they’re more flexible before you put them to work, especially when you get older. “An older person has less flexible muscles and tendons. Muscles can tear easily because they have less water content, and they’re brittle and less elastic,” says Clare Safran-Norton, clinical supervisor of rehabilitation services at Harvard-affiliated Brigham and Women’s Hospital.

Fix it: Warm up your muscles before exercising with a few minutes of repetitive motion such as marching in place or doing arm circles. That gets blood, heat, and oxygen to the muscles and makes them amenable to change.

Being inconsistent

An occasional or weekend workout is less effective than more frequent activity, and cramming a week’s exercise into a single session increases the risk for injury.

Fix it: For most people, the weekly goal should be 150 minutes of moderate-intensity exercise (that gets your heart and lungs pumping) and strength training at least twice per week. That could consist of shorter aerobic workouts (at least 20 minutes) each day or longer workouts (at least 50 minutes) three times per week.

Lifting too much weight

Lifting too much weight — especially lifting too much too soon, if you’re just starting to get back into a routine — can lead to muscle tears.

Fix it: Use lighter weights and lift them more times. “Do two or three sets of 20 lifts using 2-pound weights instead of one set of five or 10 with a 5-pound weight,” Safran-Norton says.

Not resting muscle groups

Working the same muscle groups every day can cause injury. Muscles need at least 48 hours after a strength workout to recover and rebuild.

Fix it: Alternate which muscle groups you work from day to day, such as arms and shoulders on Tuesdays and Thursdays, but not Mondays or Wednesdays.

Improper hydration

Fluids help cushion your joints and stabilize blood pressure and heart rate. Exercising causes you to lose water and electrolytes (sodium, potassium) when you sweat, and it also causes lactic acid to build up in your muscles (which can lead to muscle cramps).

Fix it: Healthy people need six to eight cups of fluid per day, and more if they’re exercising. “Some people do well with water; others do well with a sports drink to replace electrolytes,” Safran-Norton says.

Poor posture

Exercising with slouched posture and rounded shoulders puts you at risk for back and shoulder injury (such as a rotator cuff tear).

Fix it: Keep your shoulders down and back, keep your back straight, and work with a physical therapist to correct poor posture.

Struggling with form and avoiding injuries? Let’s fix those pesky workout mistakes for good! Learn from them and work smarter with our expert PT guidance. Contact us today at 949-276-5401. For more tips, follow us on Instagram.


Reference: [https://www.health.harvard.edu/staying-healthy/stop-making-these-common-workout-mistakes]