Wii, Wii, Wii, all the way home

Wii-itis. Xbox thumb. PS3 wrist. Guitar Hero elbow. All common injuries and most you have probably never heard of or would admit to having. As we near the holiday season and presents are flowing, I started to think about common injuries or conditions that might occur. We used to only have to worry about over-eating and wrapping paper cuts during the holidays but in today’s technology soaked world, injuries due to video games are a real threat. Many kids and the young at heart are requesting Nintendo Wii, Xbox, or Play Station gaming systems this holiday season. I myself am a huge fan of video games and as I wrote out my own list to Santa, I made sure to add a few Xbox games to get me through the long, boring winter. You may think that I am making up Wii-itis and I guess I can see why. It just sounds ridiculous. But, like any activity, overuse or unexpected use can lead to injuries. With Xbox and PS, you have the risk of hand and wrist injuries. But with the new Wii consoles, you are now adding in potential elbow and shoulder injuries. And for all you Guitar Hero fans out there take heed, a well known relief pitcher in the MLB missed 3 games during the playoffs due to overplaying the popular game. Everyone wants to be a rock star…even professional athletes. Who knew?


For the couch potatoes of the world, this new development of video gaming injuries presents an interesting problem. People are waking up in the morning with shoulder and wrist pain that they weren’t expecting. Don’t be fooled. These pains are not just reserved for the inactive population. I’m sad to say that after a particularly long night of Halo 2 with my brothers I had a little pain and fatigue in my thumb and wrist. It may sound a little pathetic to those who have never had epic alien battles but to the video game enthusiast population, I think you feel my pain. To make myself feel (and sound) better, I’ll tell you that I am an active individual. I love sports but I also enjoy a good video game shooting spree against a bunch of unsuspecting aliens. I make a living as a Certified Athletic Trainer at the university level. I see rotator cuff tendonitis, lateral epicondylitis, and De Quervain’s tenosynovitis quite frequently. (Okay, De Quervain’s not so frequently but it is a real injury and it sounds impressive, right?!) And I know that those injuries, while they aren’t as serious as some, can be debilitating.


Tendonitis and other overuse injuries are often characterized by pain and inflammation of the underlying structures. It usually has a gradual onset that takes some time to develop. But it is also possible to have minor strains or micro-traumas of the muscles while playing video games. This “micro” damage to the muscles can produce pain even after what most would consider minimal activity. While these may sound like minor injuries, they can still be quite painful.


Treatment for overuse injuries is fairly simple but typically difficult for most people to follow. Are you ready for my miracle cure? Rest and ice/cold pack. That’s it. If you have access to therapeutic modalities (like in a Physical Therapy clinic, Hospital, or Athletic Training room), then you know that there are a few other options. But for you at home, rest and ice (about 15-20 minutes at a time at least once a day, more if you can) will help. Now you may be asking yourself, does that mean that the gaming console has to be put away? I’d say no. But it really depends on how much pain you are in. If the pain is affecting other aspects of your life or is hindering your gaming, then that should tell you your answer. My “official” recommendation would be to decrease the amount you are playing or perhaps decreasing the intensity of your games.


My disclaimer: I am not a doctor and every injury is different so if my recommendations aren’t working for you or if the problem persists for an extended period of time…go see a doctor.


Video gaming injuries aren’t just reserved for physically inactive people. Some oif these games will use muscles that you might not typically workout at the gym and even if you do workout, there is always the possibility of overuse. Wii-itis will become more and more prevalent and until they make a Wii workout or a Wii fitness training class at a local gym near you, you’ll just have to wing it.


Oh…Wii workout, that’s a good one. Patent pending. J


“Video Gamers…represent! I’d love to see some comments about this!”


~ Missync MS, ATC, LAT ~

Exercises to Help Prevent Shin Pain

The following exercises are easy enough to do at home or in the office — designed to help prevent shin pain.

#1 – Gastroc/Achilles stretch on slant board

#2 – Soleus stretch on slant board


#3 – Gastroc stretch (medial head)


#4 – Gastroc stretch (lateral head)


#5a – Starting position for heel raises


#5b – Ending position for heel raises


#6 – Toe walk


#7 – Heel walk


#8a – Starting position for strengthening anterior tibialis (front of shin)


#8b – Ending position for strengthening anterior tibialis


#9 – Stretch for anterior tibialis


Back Pain Woes and Appropriate Treatments

Anyone who has ever experienced significant back pain will certainly appreciate the agony of suffering with lumbar, thoracic or cervical pain.


Muscular back pain is the most common form of acute symptom and affects more patients than any other type of dorsopathy condition.  Back muscle pain can come from a minor injury, a postural problem or an oxygen deprivation issue.


Muscular pain is very easy to recognize by its most common symptoms,

including: pain experienced with movement, a central hotspot with radiating pain in a regional area, muscular stiffness, limited range of motion in the affected area, heat in the muscles and extreme tenderness to palpitation.


While muscular back symptoms can be SUPER PAINFUL, they are rarely a serious concern and should not warrant considerable worry.  The best treatment options for muscular back pain are holistic and readily available at home.


First, apply an ice pack to the affected region for 15-20 minutes on and 30 minutes off.  You can do this for the first 24 to 48 hours depending on pain and inflammation.  Gently move the muscle, but do not force it to move beyond its comfortable range.  Keeping the muscle completely still is contraindicated, as this will allow fluids to accumulate and will not do anything to remove toxins and waste products, such as lactic acid, from the damaged tissue.  Try to avoid drugs for the pain if at all possible and stick to OTC remedies when necessary.  After 24 to 48 hours, switch the ice to heat to stimulate circulation and induce a healing response.  Wet heat works great, but any heat source will be fine. 


Once again, allow the heat to work 20-30 minutes on and then an hour off.  Be very careful not too make the heat source dangerously hot, nor leave ice or heat on for too long.  If the painful complaint does not improve within a few days or resolve in a few weeks, consider going to get a check up from a qualified physician. 


Long term muscular back ache is often a sign of a psychosomatic causation, such as in the cases of fibromyalgia or tension myositis syndrome.  For these scenarios, I recommend finding a helpful source of knowledge therapy to overcome the underlying causative condition.
For additional information on a wide variety of back pain conditions, please visit my site:  http://www.cure-back-pain.org/


Best to you all, Sensei Adam Rostocki 

Concerned about the negative side Effects of Oral Pain Relievers

Ever taken ibuprofen or some other oral pain medication for deep joint pain or a back or shoulder ache, but then been concerned about the potential side effects? Numerous studies have shown that over time, these negative side effects can be severe.

When taken orally, nonsteroidal anti-inflammatory drugs (NSAIDs) such as Ibuprofen, Salicylates such as aspirin and acetaminophen stop the body’s production of mucus in the stomach and digestive track. Lack of mucus in the stomach can result in ulcers, bleeding, indigestion and other stomach problems.


If you have concerns about these possible side effects, a viable alternative is to use a unique topical Ibuprofen cream like Ibunex that is used directly on the site of the injury instead. One .2 gram pump of Ibunex contains 10 milligrams of Ibuprofen, 4 milligrams of Glucosamine, 4 milligrams of Chondroitin, 5 milligrams of MSM and 5 milligrams of Bromelain.

While the topical Ibuprofen reduces the swelling and inflammation, the other ingredients work together to start the rehabilitation process. In addition to stopping the pain associated with an injury in the acute stage, topical Ibuprofen is also effective at eliminating the chronic pain associated with long term conditions like tendonitis, carpal tunnel syndrome and tennis elbow.

Those who suffer from chronic joint symptoms may also want to try out Gluconex, a unique topically applied maintenance formula of Glucosamine plus Chondroitin, MSM and Bromelain clinically formulated for topical application of these key ingredients.

Courtesy of ARAcontent

A Customer In His Own Words… Mr. Hoffman

I normally do not volunteer personal information.  However, because your ankle wrap and your service is so outstanding that I will make this exception.

My background:  I am a retired professional Gold Card Certified Fitness Trainer with a strong medical background.  I live in a retirement community of approximately 33,000 people with an average age of 72.  The physical problems for these people range from a torn rotator cuff to arthritis and every thing in between. 

Whenever I am in the gym to do my own workout, I hear of all these problems.  I am not a MD and I do not give medical advice.  However, I do make suggestions and give a definition of the probable cause.  Many people do respect my advice even though they will not see a physician.

I welcome experimentation if it is done with medical knowledge and where the doctors do not have the exact answer.  The Ice Ankle Wrap that I ordered from you is the best one I could find on the Internet or in retail stores.  It fits exactly as I anticipated.  I immediately ordered a second one after trying it out.

Usage:  A member of my family occasionally suffers from edema where the ankles swell to a point of being painful.  Such is the case now but this time it is much more severe due to 3 other contributing factors (all of which could cause edema individually).  The patients knowledgeable physician could only prescribed diuretic pills because there really is no other standard generalized treatment he can offer.

The experiment by me at this time will be both Cryotherapy followed by Thermal Therapy.  I could not find anything through medical research that suggests this is an improper treatment.  However, this combination treatment has had its success on many other conditions.

Proper Cryotherapy is very difficult using the usual household methods (ice in a towel) especially on the joints.  Your ice ankle wrap solves the problem very well and is easy to use.  The 20-minute limit of coldness in your wrap is just right. 

Only time will tell how effective this experiment will be on edema but I do know that the ice ankle wrap has already relieved the pain and some swelling. 

If you want to use this testimony, you have my permission.

                                                   Mr.  Hoffman, Sun City West AZ