Utmost Performance Therapy

FREE squat mobility workshop tomorrow from 11:15am-12:15pm at Triangle Fitness of Arcadia

Check out the event page for more details!

All fitness levels welcome

Thanks for everyone who was apart of our first squat mobility workshop !

We had an hour full of learning mobility tests and techniques to improve squat position. It was even some of the athletes first time squatting with a barbell!

👀 Be on the look out for more of these workshops in the near future if you are looking to improve performance and prevent injury with your training!

Possible mechanisms of pain from a degenerative disc 🧐

Role of Inflammation 🔥 in Lumbar Pain

👉 Degenerated discs exhibit abnormally widespread innervation with sensory nerve fibres penetrating deep into the nucleus pulposus [https://pubmed.ncbi.nlm.nih.gov/17905946/, https://pubmed.ncbi.nlm.nih.gov/9250186/]. Most discs with positive pain provocation on discography show radial fissures within the annulus [https://pubmed.ncbi.nlm.nih.gov/3589823/].

👉 The process of disc degeneration produces an inflammatory response, generated by cells within the nucleus pulposus, where multiple inflammatory factors are released. Histologic studies reveal ingrowth of vascularized granulation tissue along the annular fissures [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8185559/].

👉 Immunohistochemical analyses have demonstrated cytokine-sensitized nociceptors, phagocytic cells, and perivascular neoinnervation (axono-genesis). Small, free nerve fibres may be found in the outer annulus and extend to the inner annulus and nucleus pulposus [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8185559/, https://www.sciencedirect.com/science/article/pii/S1063458420311407].

👉 Nerve fibres in the disc may contain nociceptive neurotransmitters, such as substance P, calcitonin gene-related peptide, and vasoactive intestinal peptide. These inflammatory factors migrate through fissures into the outer third of the annulus or into the endplate, where stimulation of free nerve endings results in nociception and potentially pain [https://pubmed.ncbi.nlm.nih.gov/15686239/]. The degenerating discs thus exhibit free nerve endings (nociceptors) and inflammation, which are contributing factors to a potential pain response [https://onlinelibrary.wiley.com/doi/full/10.1002/jsp2.1196].

📙 Illustration: Calodney, A., Vest, A.T. (2023). Discography. In: Hunter, C.W., Davis, T. T., DePalma, M.J. (eds) Regenerative Medicine . Springer, Cham. https://doi.org/10.1007/978-3-030-75517-1_16

❗️BIG NEWS ❗️

Excited to announce that .pt will be at a new location, effective immediately!

The new space is now located within in Welcome, NC! This space offers a private treatment room, turf field and a gym loaded with strength equipment

We will continue to offer physical therapy and performance services to active adults and athletes of all ages!

Check out , and as they offer top tier athletic training services for athletes looking to gain an edge and improve in their sport.

Check out our website for our services 👨‍💻
www.utmostpt.com