Monthly Archives: October 2016
Very common sports injury that can result in a problem in the shoulder part throughout all your career. As I pulled my shoulder while skiing just a few months before going to work as a fitness instructor in Dubai, my full recovery and return to the gym, will be the topic of today’s text.
In short we will go through the anatomy of the shoulder part, the concept and the types of dislocation of the shoulder joint. Shoulder hoop consists of 4 joints that connect 4 bones. Specifically shoulder joint bind the two bones: the humerus and scapula. Joint is securing firm tissue, known as ligaments. Shoulder joint is also secure by deltoid muscles and tendons. This joint is the most mobile joint in the human body and thus the most likely to cause most complicated injuries. Dislocation occurs after separation joint parts after some force. Depending on the direction of the shoulder dislocation, there are: front (among the 90% of all dislocations), rear and bottom dislocations. Due to the dislocation of degradation and stretching the ligaments that hold the joint, or in severe cases leads to the tearing of ligaments.
After signing the contract for the fitness company from Dubai and waiting to finish the paperwork and visas in order to make the journey, in the meantime, I decided to go in January, on Olympic mountain Jahorina for skiing. As a good and experienced skier, for me it’s supposed to be a relaxing holiday before working trip. Turns out it was not. 3 days of fog, cold weather did not stop me to open and close the wire on the track, what i always did. 4th day and a beautiful sunny morning promised it will be a beautiful skiing day. After a couple of slope in the morning at one moment I split off from the team and started alone to ski. A small error and high speed caused huge inertia, rolling and fall on head and right shoulder at one time. The vertical drop and strong shock caused the internal dislocation of the shoulder which was concluded by an Englishman, random skier who skied here and stopped to help me, he is a doctor by profession. Ski-do is came for me, and on the way to a small clinics I did not remember anything because of pain. Upon arrival the doctor and after removal equipment from me scene it was terrible, right shoulder almost did not exist, even hoped in a hand movement was impossible. Proposal is to send me in Sarajevo hospital, because the case was complicated. I told the doctor that the pain is not a problem I can tolerate that, just ask him to try to return the shoulder. With the great fear, which I felt at his behavior, he put me on the bed and almost with the principle of the lever at a mechanic’s, he move shoulder back into place. Satisfaction was mutual, he put me the triangle and bandage, and the next 4 days hotel was the only place I spent time where I had a lot of time to reading and analyze this form of injury.
After i get at home i saw the mail where it said that 1. April will be my first working day in Dubai so i need to be there. So i have to two months in order to be able to work or simply cancel the long-awaited job. Head of the hospital, which was considered like the best experts in this field, told me that is happiness that I only stretch the ligaments and the best way to get everything back is to practice BREASTSTROKE SWIMMING at the pool. Hand I could not lift more than 20 cm from the body, it was all tight with every move and the pain was strong. Initially the pool’s right hand almost had a 10% function. Water is becoming more and more strained tendon and weaken the entire joint inflammation. Arm was more mobile, water is massaged and also help to moderate movements regain function. Progress has been significant. 1st of April, I was in Dubai at the end of the same month I lifted 100kg in the bench press which meant the end of my complete recovery and return to the scene 🙂
Recovery prognoses were that I would need six months to rehabilitate the injury, which i almost achieved in less than 3 months. Breaststroke Swimming without any medications, creams and treatments showed a large positive effect for the rehabilitation of the shoulder dislocation injuries.
Veoma česta sportska povreda koja može za posledicu imati problem u ramenom pojasu tokom cele karijere. Kako sam isčašio rame na skijanju samo par meseci pre odlaska na rad kao fitnes instruktor u Dubai, moj oporavak i potpuni povratak u gym, biće tema današnjeg teksta.
Ukratko da prođemo kroz anatomiju ramenog pojasa, pojam i vrste dislokacija ramenog zgloba. Kompletan rameni obruč se sastoji od 4 zgloba koja povezuju 4 kosti. Konkretno rameni zglob vezuju dve kosti: nadlaktična kost i lopatica. Sam zglob učvršćuju čvrsta tkiva zvani ligamenti. Osim ligamenata zglob učvršćuju i deltoidni mišići i tetive. Rameni zglob je najpokretljiviji zglob na čovekovom telu i time najkomplikovaniji i najskloniji povredama. Do dislokacije ramena dolazi nakon odvajanja zglobnih tela usled neke sile. U zavisnosti od smera iščašenja ramena, postoji: prednja (spada u 90% svih dislokacija), zadnja i donja dislokacija. Usled dislokacija dolazi do slabljenja i istezanja ligamenata koji učvršćuju zglob, ali kod težih oblika dolazi i do kidanja ligamenata.
Nakon potpisivanja ugovora za fitnes kompaniju iz Dubaija i čekanja da se papirologija i viza završi kako bi krenuo na put, odlučujem da u međuvremenu odem u Januaru na Jahorinu na skijanje. Kao dobar i iskusan skijaš za mene je to trebao da bude jedan opušten odmor pred put. Ispostavilo se da nije. 3 dana magle, hladnog vremena me nije sprečilo da otvaram i zatvaram žice na stazi, tako uvek i radim. 4-ti dan i prelepo sunčano jutro je “samo” obećavalo da će skijanje biti prelepo. Nakon par spuštanja u jutarnjim satima na trenutak sam se odvoio od ekipe i krenuo svojim stazama. Mala greška i velika brzina prouzrokovala je veliku inerciju, kotrljanje i pad na glavu i desno rame u jednom trenutku. Vertikalni pad i jak udar je prouzrokovao unutrašnju dislokaciju ramena što je i konstatovao jedan Englez, slučajni skijaš koji se tu zadesio i stao da pomogne, a doktor je po profesiji. Došle su motorne sanke po mene i na putu do male ambulante se ničega ne sećam jer sam od bolova padao u nesvest. Po dolasku doktora i nakon skidanje oprema sa sebe prizor je bio grozan, desno rame gotovo da nije postojalo, celo je upalo unutra a pomeranje ruke je bilo nemoguće. Predlog da se vozim u Sarajevo, jer je slučaj bio komplikovan, nisam prihvatio. Rekao sam doktoru da bol nije problem da mogu da istrpim, samo neka proba da mi vrati rame. Sa veliki strahom, koj sam osetio po njegovom ponašanju, me je stavio na krevet i gotovo uz princip poluge kao kod automehaničara rame vratio na mesto. Zadovoljstvo je bilo obostrano, stavljen je trougao i naredna 4 dana je hotel bio jedino mesto gde sam provodio vreme gde sam imao puno vremena da čitajući izanaliziram ovaj oblik povrede.
Nakon dolska kući dočekao me je mail gde je pisalo da će 1. April biti moj prvi radni dan u Dubaiju. Trebalo je oporaviti se za dva meseca kako bi bio sposoban za rad ili jednostavno otkazati dugo očekivani odlazak. Načelnica bolnice koja je tada važila za najboljeg stručnjaka u ovoj oblasti mi je rekla da je sreća da nisam pokidao ligamente, da je povreda ozbiljnija, ligamenti istegnuti i da je najbolji način da se sve vrate u prvobitan položaj PRSNO PLIVANJE na bazenu. Ruku nisam mogao da podignem više od 20cm od tela, sve je bilo zategnuto i pri svakom pokretu bi bol bio jak. U početku u bazenu desna ruka gotovo da je imala 10% funkcije. Voda je sve više i više popuštala napete tetive i celu upalu zgloba. Ruka je bila sve pokretljivija, voda je masirala i ujedno pomagala da umerenim pokretima povratim funkciju. Napredak je bio veoma značajan. 1-og Aprila sam bio u Dubaiju a krajem istog meseca sam podigao 100kg na benč klupi što je značilo i kraj mog oporavka i potpuni povratak na scenu 🙂
Prognoze su bile da će mi trebati 6 meseci da se povreda sanira, to sam gotovo postigao za nepuna 3 meseca. Prsno plivanje bez ikakvih medikamenata, krema i tretmana je pokazalo veliki pozitivan efekat kod sanacije povrede DISLOKACIJA ZGLOBA RAMENA.
The vacation time, holidays, sea, beach and lying is passed. The period of winter food, cold days, depressing rain and poor movement of your body is coming. Now it’s time to start with a light workout to prepare your body more easily and implemented for the upcoming year and summer. And here’s why …
It is wonderful when the client comes to me in April and say, is great we have two months to lose weight and prepare body for summer. A fact is, his brought 20,000 extra calories in the winter and get 10 kilograms overweight, because it was cold period without activities, he was overtaken by holidays and celebration … well, it can all be caloric possible with an allowance if you start at the wright time, NOW, with training twice a week, maintain weight, keep the speed of your metabolism and calorie consumption, and we can see each oder on spring and for two months make your body so nice that all will turn on you at the beach.
It’s all a matter of habit. My experience working in the world as a personal trainer shows that the lot of people have habit of exercise during all year. They do not kill themselves with training two months before summer, they continuously used body on effort, which was mild, for example, compared to a few months of intense exercise 4 times a week to make six pack for the beach. Sudden changes from passive over the winter to a very active state of the organism before the summer cause serious injuries, tendinitis, sprains and tearing ligaments and overtraining. Fast walk, run, hiking, biking when the weather allows it. When is cold, fitness center and lightweight functional and circuit training for 45 minutes, that activities should begin now. Who likes to ski, the season starts in a few months and then make sure that you do not put on weight because of the knee suffering, a pain in muscles and legs due to overweight are inevitable.
Constant maintenance of your fitness level by just 2 sessions per week throughout the year, you will not need high intensive training before summer. In the spring, just insert a third training during the week and your body will be ready and taut. Metabolism will not slow down during the winter, stay active, you entered using the calories that will not settle in fat, you will be more mobile, less apathetic and depressed because of the cold and bad weather. The point of a healthy and quality lifestyle and diet is not a waiver, is only moderate consumption of food and frequent physical activity!