She also stated a nagging “stretch” sensation in her left hip. After telling her history and beginning the evaluation, it was clear why she was in so much pain. For one, her left pelvic joint was significantly rotated, causing a “stretch” sensation to her hip. However, the most memorable finding was that every single tissue along her low back, left glutes and hamstrings were extremely tender to light touch. I was barely touching her, yet her pain was reflexive, reactive and high. Her connective tissue was trying to stabilize, move and do the work of the lazy glutes and leg muscles. Her muscle atrophy pain was the very end result of her pelvis getting rotated after the fall. Talk about a cascade of events!
For example, muscle disuse atrophy that occurs with knee injuries is more common in the quadriceps than in the hamstring muscles. The quadriceps muscles are anti-gravity muscles, whereas the hamstrings are not. In addition, most injuries that require knee immobilization maintain the knee in an extended position, which puts the quadriceps in a shortened position while the hamstrings are lengthened. 8 Pain avoidance from an injury also leads to disuse atrophy. It is remarkable how quickly disuse atrophy may develop, and muscles affected by it will rapidly lose significant strength. 14
One of the most commonly asked questions here at Stimrx is “What is the difference between TENS and EMS?” Most people assume that TENS and EMS are similar enough to be interchangeable. StimRx wants to make sure you know the differences in the two, and the importance of when to use each of the modes with our equipment. Both TENS and EMS devices use a power supply, lead wires and identical electrodes to supply the electrical impulses to the body. However, their purpose is quite different. Most machines offer both TENS and EMS programs to choose from. You can select not... read more