clothing that heals

Sunday, March 29, 2015

Athletes like to compete. Surgeons like to operate. When injury happens, their worlds collide. Ideally, the goals of the athlete and the surgeon align; return to full time playing status at the same level of function and expertise as before the injury. Athletes tend to be more blunt, wanting to get back into the game as soon as possible and sometimes have to be protected from themselves in doing more harm. Often, decisions have to do with timing.

A pro athlete’s career is relatively short and missing even one season may be professionally and emotionally devastating. Rushing to surgery to repair an injury may be preferable than committing to physical therapy for a few weeks in hopes of avoiding an operation and then still needing to be repaired. Yet surgery is not a sure thing. Kevin Durant of the Oklahoma City Thunder broke the 5th metatarsal bone in his foot, (a Jones fracture). Surgery is usually the first option and it should have taken 6-8 weeks to completely heal, but in pro athletes, there can be a significant non-union and refracture rate. Mr. Durant developed that complication and now need further surgery and a lost year of competition.

But just because surgeons like to operate, does not mean that they always advocate for that as the first option. The success of New Orleans Pelican’s Eric Gordon using conservative therapy (non-surgical)in treating his torn shoulder labrum, is testament that the opportunity to avoid an operation should be given to everybody if possible.

The shoulder is the most mobile and least stable joint in the body. A ball and socket arrangement allows for a wide variety of movements, but its design makes it prone to become damaged and unstable. The glenoid fossa of the scapula (shoulder blade) forms a very shallow socket where the humeral head fits. The bony socket is extended by the labrum, a sleeve of cartilage that helps stabilize the joint and keep it from dislocating. The muscles that surround the shoulder are also key in that stabilization. However, in overhead athletes, (for example basketball and volleyball players, swimmers, tennis players and baseball players, the shoulder can be subject to violent forces and the structures in and around it can fray and tear.

zzzshoulder labrum

When a shoulder labrum tears, the inflammation causes swelling and pain and this can shut down the surrounding muscles, weakening them and decreasing range of motion. Surgery can repair the damage and physical therapy can help return those functions, but the recuperation and recovery time may be as long as a year. Physical therapy alone may be successful in returning the athlete to normal function and it is a big decision for an elite athlete to forgo first line surgery in hopes that rehab alone might work. Mr. Gordon elected that second option and has continued to play throughout the season.

Mr. Gordon also used clothing made by AlignMed, also being worn by his teammate Anthony Davis and Dwight Howard of the Houston Rockets, to help with his shoulder that was recommended as part of the healing process. The shirts with built in bands that help with posture and muscle alignment have the ability, according to research from the Kerlin Jobe Orthopedic Foundation, to stabilize and increase rotator cuff function (one of the muscle groups that helps stabilize the shoulder). In another study from that group, the clothing helped increase stability of the scapula and increased muscle strength. The Stedman Research Institute found that the shirt might help decrease the risk of impingement and pain.

Most sport clothing companies, from Under Armour to Nike, make compression clothing that uniformly squeezes parts of the body. Perhaps the next step has been taken with the AlignMed concept to make functional clothing to apply pressure and help muscles, tendons, bones and joints, align more physiologically. This might allow mere mortals the opportunity to catch up to their pro athlete counterparts. Most people cannot spend hours a day in the gym or physical therapist’s office rehabilitating an injury. Work and family time get in the way. Pro athletes, on the other hand, can devote an 8 or 10 hour work day to their therapy regimens. And wearing the shirt all day long at work, whether it is on the playing field or in the office may help prevent injuries caused by poor posture and muscle fatigue.

Every patient is different and the treatment options presented and chosen will depend upon their injury, their underlying medical status and how active they were and will want to be after recovery. That said, it will be interesting to watch what happens with the Pelican’s Mr. Davis and Mr. Gordon and how they recover from their injuries. And as the baseball season begins, will players who strain or damage their shoulders look to physical therapy and clothing as an alternative to surgery. Because as Kevin Durant can attest, surgery is not a sure thing.

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6 Responses to clothing that heals

  1. Anne says:

    I would like to know how atrophy is avoided when the clothing is doing the work. How is it designed to avoid atrophy and increase muscle firing? I am interested in buying their products, in particular to help with postural issues, but just would like more information…

    • bwedro@charter.net says:

      I reached out to the developers of the Posture Shirt at Alignmed for your answer. From Dr. Stephen Hochschuler of the Texas Back Institute:
      The answer lies in physiology or physical logic. The design premise on all Alignmed products is that we apply NeuroBands™ as controlled resistance (not compression) to targeted muscle groups and that the controlled resistance activates the neuromechanics of muscle function,such as proprioception, stretch receptors and muscle memory,but will not restrict the user’s natural movement. The dynamic resistance facilitates muscle retraining, joint alignment and movement performance. NeuroBands™ are the opposite of braces which are designed to restrict joint motion which will induce muscle atrophy and unnatural body mechanics. The Alignmed principles mirror physical therapy treatments where weight training, Therabands, stretching, etc…are used to apply controlled resistance to rehab or prevent an injury. Alignmed is a therapy or workout you can wear. In some ways NeuroBands™ are similar to Kinesio skin taping applied to the body in specific anatomic zones.

      As to how often one should use the product, the answer is personal. However, it would be hard (or illogical) to argue that a tool to help practice good posture is something you should do daily and throughout life. Our goal was to build the bridge that would make it easy for the user to practice good posture without having to think about it.

  2. jeannine says:

    I’m interested in the bra

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