I had an insightful physio appointment today.
I haven’t had physio in a while as I had to cancel my last one and the therapist was on vacation. Most of my appointments had been more focused on providing relief to my neck and shoulders, but since I last saw him I have had some good progress through acupuncture, including release the knot in my trapezius.
This allowed the therapist to focus more on an evaluation to try and figure out what hasn’t been working around my shoulders so we can start to correct the issue.
What he discovered made perfect sense. My right serratus anterior muscle is extremely weak (I am almost not able to resist pressure against it at all), and is very limited in its range of motion.
The serratus anterior muscle runs from the shoulder blade along the outside of the torso and is connected to the 2nd to 8th ribs. It’s a very long muscle that pretty much runs from the armpit down your side. This muscle is what moves the shoulder blade around the ribs, moving it forward. It is a key muscle when you punch straight forward.
Strength in this muscle helps protect the rest of the shoulder and neck muscles from getting hammer backwards when there is resistance from the front. It’s also the muscle that keeps the arm in front of the body when it is held at 90 degrees.
This explains a big part of why the muscles on the right side of my neck and shoulders tend to easily get angry. It also explains why I have a hard time with lead and follow, arm movements and always seem to be allowing my right side to fall back behind me when I try to use my partner to turn.
Its something Boss and I have been trying to figure out for a few weeks now. In order to be able to counter resistance from Boss in many of my turns, I have to start with my arm almost straight out or else it goes too far behind me and it is like I am not there.
Since I have so little strength in the muscle, pretty much I am not there.
It’s hard to say why this muscle on this one side is so weak, but it is likely a combination of many things. First, the lymph nodes that were removed from my right armpit would have been sitting right on top of the muscle (as that is where they lie), and it would have been very difficult to remove them without causing at least minimal damage to the muscle. This area was also fully irradiated by the radiation. Then you add in several other surgeries to the area and a lot of time spent not being able to lift things, and shingles in the nerve that is connected to this muscle…well, it makes sense.
The good news is that now we have found the root of the problem, I can start working to fix it. I have 3 exercises to focus on for the next week – stretching the muscle to try to gain some range of motion back (the best stretch is the classic triceps stretch bending the elbow over the head), the waiter lift (which focuses on lifting the bent elbow straight up from a position like a waiter carrying a tray), and a lying punch (pushing a weight straight up from the shoulder without allowing the shoulder to raise towards my ears).
I expect to be a bit sore tomorrow after the work I have done on the muscle today.
It’s going to be a long process to restrengthen the muscle, but it’s very possible. As the muscle strengthens, some of the neck and shoulder pain should begin to subside (it’s only part of that problem), but I should also be able to move through my arm styling better (its a main muscle for properly moving the arm from the shoulder since it controls the shoulder blade), and it will help with my lead and follow in latin.
It’s something I can focus on while I am away since the exercises are easy to do in a confined space.
I have some other exercises to work on which should also help with the neck and shoulder issues.
I promise to write about dance next time. Lots of things have been happening, especially in latin as we prepare to perform in a couple weeks. It seems that we will be doing not only the cha cha, but we are now adding the rumba.
September is turning into a busy month.