It is not uncommon for individuals post cervical surgery to have shoulder and scapular issues, mainly due to the expected co-contraction of musculature and immobility and guarded posture. The shoulder and scapular move in a coordinated symbiosis, referred to clinically as the scapulo-humeral rhythm. Scapular glide allows for the shoulder to move through its arc of motion. The scapula can become “tacked down” with restricted glide, which impacts the shoulder.
A personal trainer or physical therapist would be a helpful adjust for you when cleared by your surgeon. The children’s song, “The hip bone is connected to the leg bone . . . “ is correct. The body is interrelated. The cervical spine and shoulder and scapula are interrelated. One impacts the other.
Trigger points, areas of heightened muscle tension that feels ropy or nodular, is also common after cervical surgery. Trigger points can be aching and persistent in pain. Trigger points are common under the scapula, lying in the musculature beneath the scapula (rhomboids, trapezius, teres major and teres minor). Trigger point injections can be helpful as can be therapist guided gentle mobilization.
The shoulder is a suspension joint. Think of a clothes’ hanger. Stability of the shoulder depends on muscular strength of the rotator cuff, ligaments, and joint capsule.
Pilates might be a resourceful means of addressing your core strengthening and perceived laxity. Pilates has multiple benefits, especially for those recovering or frail in well-being. Flexibility, core strengthening, and restoration of normal patterns of movement are at the core of Pilates. Gentle Pilates, like gentle restorative yoga, are a valuable tool of self-care for those (including myself) with chronic conditions. You might want to discuss both/either with your medical team as appropriate to augment your recovery and pathway forward.
I maintain a firm commitment to daily exercise - including Pilates and yoga - as part of my self-care. Moving is simply part of my DNA and something I have always gravitated to. I was always most at peace and content during a long run. The rhythm of my breath and steps like a metronme. I encourage everyone to find a form of exercise/movement that feels “right” to them in mind-body-soul.
This weekend is the annual running of the Hood To Coast relay in Portland, Oregon. It is a relay running event that winds its way from the summit of Mt. Hood to the city of Seaside on the Pacific Ocean. I ran this relay for several years and have fond memories of friendships foraged and commaraderie. I remember having to run a 4 mike segment of the relay at 3 am. The stars illuminated against the blackness of the sky. Absolute quiet amongst tall evergreen trees. I never felt more alive then I did at that moment.
As I deal with a body that I am sometimes at odds with, I continue to try to find simple activities or outings that help me feel “alive.” Recovering from any surgery is difficult. Especially several weeks out as acute healing wanes, aches and pains and fatigue persist, and people become more expecting that you be as good as new. Find a few things that help lift your spirits and recharge your emotional batteries. I treat myself to fresh flowers when I am in recovery mode. Daffodils are one of my favorites, a happy flower. A manicure or pedicure are also a treat that I give to myself. Treat yourself to something just for you as you as part of your recovery.
Post Edited ((Seashell)) : 8/25/2018 12:18:11 PM (GMT-6)