THE STRENGTH ATHLETE

A smarter, scientific way to recover from lifting and fitness injuries

The physical demands of the "strength and fitness athlete" are uniquely different from the general population who do not engage in similar activity. Likewise, physical therapy for this special population should not be given a conventional approach.

With the evolution of the fitness industry, new approaches to exercise are emerging in big box gyms, boutique fitness studios, and CrossFit boxes. The increased popularity of functional strength training, power lifting, and full-body (multi-joint) movements provides a new environmental stimulus that forges higher degrees of challenge and athleticism. With greater resistance, complexity and intensity of each exercise comes a heightened demand placed on the body's systems.

An accumulation of physical and physiological stresses can put the athlete at risk of injury. Proper training habits along with the ability of the athlete to perform the desired movements in a strong, efficient, and safe manner are essential for optimal health and pain-free performance.

 

What happens when your body gets in the way of enjoying life?

  • Spine pain (neck, thoracic, low back)
  • Shoulder pain in any overhead position
  • Knee and ankle pain with running, jumping, or squatting
  • Pinching in the anterior (front) hip with squats
  • Never ending need to perform mobility drills

While these symptoms are common among Crossfitters, they are not normal and should be addressed by a qualified healthcare provider.

If this sounds like you, click here to find an Activcore location to get help now.

 

 

A Neuromuscular Focus

When you train at relatively high intensities as a strength or a functional fitness athlete (ex. CrossFit), you are placing more demands on your body in order to attain a specific level of fitness or performance. As with any physical activity that challenges you to push your boundaries, you are subject to an elevated risk of injury.

Injuries can occur due to factors such as poor training strategies, inadequate mobility and stability, or even bad luck training accidents. What is commonly overlooked is the true root cause of your pain or injury, which is often a lack of neuromuscular control.

The concept of neuromuscular control refers to your brain's capacity to turn on the right muscles, at the right time, and with the right amount of muscle strength and stability in order to produce a desired movement. The more complex or intense the movement performed, the higher degree of neuromuscular control required.

Many physical events (a sports injury, orthopedic surgery, etc.) can disrupt your brain's capacity to execute this program, a process known as neuromuscular de-activation. As a result, there is a tendency for your body to compensate (with less efficient movement patterns) to maintain the same current level of physical activity. Eventually, neuromuscular de-activation can lead to a vicious cycle of pain, muscle imbalance, and abnormal joint stress. You will often see a decline in fitness and performance until adequate neuromuscular control is restored.

 

Physical Therapy for the Strength and Fitness Athlete

How can Activcore help?

Working with strength and fitness athletes is typically not a big part of a physical therapist’s education. It is a specialty area requiring much further study, training, and practice following graduation.

At Activcore, you will be matched with a physical therapist who specializes in treating strength and fitness athletes. Unlike the "typical" PT who probably doesn't even lift, you will have a specialist PT who knows exactly what you are going through.

Activcore physical therapists are also recognized nationally as a leading authority in the application of Redcord, a suspension exercise system designed to help you develop a smarter, balanced body through the power of neuromuscular activation.

Activcore's unique, one-on-one treatment environment allows your physical therapist to focus totally on you and your specific needs. This personalized approach helps you get the most out of each session for the fastest results possible.

Your physical therapist will assess how you move as it relates to strength and fitness. The quality and technique of your movements will be analyzed, while you perform specific lifts with Olympic barbells, kettlebells, bodyweight pulling, and many other training modalities you would typically use within your gym or box.

Your physical therapist will treat your whole body to identify not only the site of injury, but the true source of your pain, weakness and dysfunction. Addressing the underlying cause is absolutely essential for healing an injury, preventing recurrence, and keeping you healthy and at a peak level of performance. The progression of your physical therapy treatments should be a reflection of the type of activity you are trying to get back to doing.

You will feel the Activcore difference from your first visit. A highly personalized experience delivered by a passionate movement expert fully dedicated to getting you back and keeping you in the sport or training activity that you love. Once your pain has been addressed, you will have the opportunity to continue honing your movement through performance training at Activcore.

 

Neuromuscular Activation is like flipping on a light switch to muscles that have gone dim due to injury, pain and inactivity. Utilizing the Redcord suspension system, your provider will take you through exercises that demand total body awareness and precise muscle control. There are slings and bungee cords to assist you with each movement. Similar to floating in water, this creates a weightless and painless environment where you can safely develop strength, stability and optimal neuromuscular control, regardless of your age or physical condition.

 

SWIPE TO SEE MORE METHODS >>

 

 

Neuromuscular Activation

Postural Muscle Retraining consists of specialized stabilization exercises, breathing techniques, and verbal and tactile cues to help you strengthen and regain control of your pelvis, hips and core — and up to your shoulders and neck. An emphasis is placed on restoring mobility and stability of your thoracic spine, a common area of tightness and dysfunction.

 

Postural Muscle Retraining

Trigger Point Dry Needling (TPDN) involves placing a very thin needle into muscles at their trigger point. This is an area where the muscle is tight and often tender. The intent is to contract and then release the muscle, improving overall flexibility and decreasing pain. TPDN can be a valuable treatment for enhancing neuromuscular performance by modulating myofascial pain and spasms, and preparing the body for exercise and activity.

Dry Needling

Manual Therapy is skilled hands-on movements and manipulations of your joints and soft tissues intended to release myofascial trigger points, modulate pain, induce relaxation, improve range of motion, and reduce swelling and inflammation. Oftentimes, manual therapy can help prepare your body for more active interventions like exercise and strength training. Some examples of manual therapy include:

 

  •  Myofascial release

  •  Joint mobilizations

  •  Spinal manipulations

  •  Manual traction

  •  Stretch therapy

  •  Craniosacral therapy

  •  Lymphatic drainage massage

Manual Therapy

Strength training is essential for optimal long term health and performance. At Activcore, our physical therapists and performance specialists have a strong understanding of how to appropriately modify, regress, and progress exercises based on you and your specific condition. They apply functional exercises with use of kettlebells, barbells, conditioning ropes and other training tools — modified or scaled into many different variations or positions to achieve the goal of building strength and muscle control for better fitness and function.

Strength Training

Functional Movement Assessment is a total body approach, with the primary goal to identify which portion of a functional movement pattern is restricting how you move for your sport and everyday life. We move in patterns, not in individual segments. The whole is only as good as the sum of all its parts. A functional movement assessment looks beyond local impairments, because it is more important to understand how this local impairment can influence your global functional movement patterns, like throwing a softball, swimming freestyle, or spiking a volleyball. 

Functional Movement Assessment

Neuromuscular Activation

Neuromuscular Activation is like flipping on a light switch to muscles that have gone dim due to injury, pain and inactivity. Utilizing the Redcord suspension system, your provider will take you through exercises that demand total body awareness and precise muscle control. There are slings and bungee cords to assist you with each movement. Similar to floating in water, this creates a weightless and painless environment where you can safely develop strength, stability and optimal neuromuscular control, regardless of your age or physical condition.

 

SWIPE TO SEE MORE METHODS >>

 

 

Postural Muscle Retraining

Postural Muscle Retraining consists of specialized stabilization exercises, breathing techniques, and verbal and tactile cues to help you strengthen and regain control of your pelvis, hips and core — and up to your shoulders and neck. An emphasis is placed on restoring mobility and stability of your thoracic spine, a common area of tightness and dysfunction.

 

Dry Needling

Trigger Point Dry Needling (TPDN) involves placing a very thin needle into muscles at their trigger point. This is an area where the muscle is tight and often tender. The intent is to contract and then release the muscle, improving overall flexibility and decreasing pain. TPDN can be a valuable treatment for enhancing neuromuscular performance by modulating myofascial pain and spasms, and preparing the body for exercise and activity.

Manual Therapy

Manual Therapy is skilled hands-on movements and manipulations of your joints and soft tissues intended to release myofascial trigger points, modulate pain, induce relaxation, improve range of motion, and reduce swelling and inflammation. Oftentimes, manual therapy can help prepare your body for more active interventions like exercise and strength training. Some examples of manual therapy include:

 

  •  Myofascial release

  •  Joint mobilizations

  •  Spinal manipulations

  •  Manual traction

  •  Stretch therapy

  •  Craniosacral therapy

  •  Lymphatic drainage massage

Strength Training

Strength training is essential for optimal long term health and performance. At Activcore, our physical therapists and performance specialists have a strong understanding of how to appropriately modify, regress, and progress exercises based on you and your specific condition. They apply functional exercises with use of kettlebells, barbells, conditioning ropes and other training tools — modified or scaled into many different variations or positions to achieve the goal of building strength and muscle control for better fitness and function.

Functional Movement Assessment

Functional Movement Assessment is a total body approach, with the primary goal to identify which portion of a functional movement pattern is restricting how you move for your sport and everyday life. We move in patterns, not in individual segments. The whole is only as good as the sum of all its parts. A functional movement assessment looks beyond local impairments, because it is more important to understand how this local impairment can influence your global functional movement patterns, like throwing a softball, swimming freestyle, or spiking a volleyball. 

COMMON CONDITIONS

  • Achilles strain / tear / tendinopathy
  • AC joint repair surgery
  • AC joint sprain / dislocation
  • ACL tear / repair / reconstruction
  • Ankle sprain
  • Arthroscopic surgeries
  • Bicep tendon surgery
  • Biceps tendinitis / tendonitis
  • Carpal tunnel syndrome
  • Cervical radiculopathy
  • Cervical spine dysfunction
  • Cubital tunnel syndrome
  • Decreased rotational mobility
  • Deltoid bursitis
  • Elbow instability
  • Epicondylitis
  • Femoral acetabular impingement (FAI)
  • Fractures
  • Frozen shoulder
  • Golfers elbow
  • Groin strain
  • Hamstring strain/tear
  • Hip labral tear
  • Hip trochanteric bursitis
  • Impingement syndrome
  • IT band syndrome
  • Joint sprains
  • Labral tears
  • Labral surgery
  • Lateral epicondylalgia / epicondylitis
  • Ligament injuries
  • Lumbar spine dysfunction
  • Medial epicondylalgia / epicondylitis
  • Meniscectomy
  • Meniscus tear / repair
  • Muscle strains
  • Neck pain
  • Nerve injuries
  • Patellar tendinopathy
  • Patellofemoral syndrome
  • Plantarfasciitis
  • Postural dysfunction
  • Rotator cuff dysfunction
  • Rotator cuff repair surgery
  • Rotator cuff tears
  • Rotator cuff tendinitis / tendonitis
  • Sacroiliac (SI) joint dysfunction
  • Scapular dyskinesis
  • Sciatica
  • Shoulder dislocation
  • Shoulder (glenohumeral) instability
  • Shoulder impingement
  • Shoulder replacement surgery
  • Shoulder subluxation
  • SLAP repair surgery
  • SLAP tears
  • Spondylolisthesis
  • Sports injuries
  • Subacromial bursitis
  • Tendinitis / Tendonitis
  • Tendon injuries
  • Tennis elbow
  • Thoracic spine dysfunction
  • Tommy John surgery
  • Ulnar collateral ligament dysfunction
  • Ulnar tunnel syndrome

5 stars

Great space, great people, great service! I’ve been to many healthcare professionals for chronic back pain - doctors, physical therapists, chiropractors, massage therapists - and I have found that there are very few that are willing to devote the attention and effort required to reduce pain, improve mobility, and increase strength in your body. Activcore is absolutely one of those few. One-on-one services allow them to truly study your body and the way it moves before jumping to any (potentially inaccurate) diagnoses and strategies. Amazing! For anyone looking to improve their body functioning, I would definitely recommend Activcore.

Noah G.

 

 

5 stars

Highly recommend this clinic for PT, especially Gavin Ongsingco. It is obvious he is extremely knowledgeable, well trained, and dedicated to his work. When I started with Gavin I had only 2 months to improve before moving out of state for work. I progressed very quickly and many of my problems that had been overlooked for years or could not be identified by other physical therapists he was able to address. I have had many sports injuries throughout my life and have seen more than a dozen different PTs, he is definitely one of the best! I would definitely fly back to Denver to have him evaluate me if I needed it in the future, his skills are unmatched!

Anne P.

 

 

5 stars

Activcore is unlike anything I have ever experienced. One patient, one provider, one hour – one at a time, every time. If you’re serious about your physical therapy and recovery, this is the only place to go!

Michael

 

 

5 stars

I've only gotten excellent, effective care at Activcore. They have helped me through a long post-surgery rehab with skill and kindness that have been key to my recovery.  

Joan

 

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