East Bay Chiropractic Wellness P.C.

Dr. Martin Marmorale

Pickleball Injuries and the Graston Technique®

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Your elbow has been aching for two weeks, and it is not settling down between games. Or maybe it is your heel, sharp and stubborn every time you step out of bed in the morning. If pickleball has become part of your weekly routine here on Long Island, you are far from alone in dealing with an ache that showed up around the same time you picked up a paddle.

Pickleball’s reputation as a gentle, low-impact sport can be misleading. The quick lateral cuts, sudden stops, and repetitive paddle strokes place real demand on tendons and connective tissue that many players have not used this way in years. We see this pattern often in the elbow injuries that show up across racket and paddle sports, and pickleball has become one of the more common causes of it at our Bellmore office. The encouraging part is that these soft tissue injuries tend to respond well to targeted, hands-on treatment, including the Graston Technique®, an approach Dr. Marmorale has used with active adults on Long Island for years.

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Treating Muscle Knots with the Graston Technique®

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You can usually find them with your fingertips — those small, tender, rope-like spots buried in the muscles of your upper traps, your lower back, or the side of your hip. You press, and they push back. You stretch, and they refuse to soften. Sometimes they radiate a dull ache far from where you are pressing, leaving you wondering why your shoulder hurts when the source of the trouble seems to be somewhere else entirely. These stubborn pockets of restricted tissue are commonly called muscle knots, and they are one of the most frequent — and most frustrating — reasons patients walk into our office.

Muscle knots feel deceptively simple to fix. Roll them out, press them harder, stretch them more — surely something will give. But anyone who has lived with a recurring knot in the shoulder or low back knows the truth: most of these tight spots simply do not respond to general stretching or self-massage in the long term. The reason has less to do with the muscle itself and more to do with the layers of connective tissue surrounding it. If you have already read about how stubborn restrictions interact with muscle tightness when returning to exercise, this article picks up where that one left off and focuses specifically on what to do when a knot will not let go.

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Muscle Tightness When Returning to Exercise

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You decided to get moving again. Maybe it was a New Year’s resolution, a doctor’s recommendation, or simply the realization that your body felt different after months (or years) away from regular activity. So, you laced up your sneakers, picked up the weights, and pushed through that first workout. Now, two days later, every step feels heavier than the last, your hamstrings refuse to fully lengthen, and even reaching into the cabinet for a coffee mug seems to involve muscles you forgot you had.

Muscle tightness when returning to exercise is one of the most common — and most discouraging — experiences for adults reentering a fitness routine. It is also one of the most misunderstood. The discomfort you feel is not necessarily a punishment for taking time off, but rather your body’s way of recalibrating. Understanding what is happening, how long it should last, and when to seek targeted care can make the difference between sticking with your routine and quitting before you start to see results.

At East Bay Chiropractic Wellness P.C. in Bellmore, NY, we work with patients every week who are navigating exactly this challenge. This guide will walk you through the physiology of post-workout soreness, evidence-based strategies to ease it, and the role chiropractic care — particularly the Graston Technique® — plays in helping you move with less stiffness and more confidence.

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Spring Cleaning Injuries: Protecting Your Back and Shoulders

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Every spring, millions of people dive into the annual ritual of deep-cleaning their homes — moving furniture, hauling boxes from attics, scrubbing floors, and reaching into corners that haven’t been touched since last year. It feels productive, even cathartic. And then, somewhere around the third hour, something stops you cold… a sharp pull in your lower back, a sudden ache in your shoulder, or a stiffness that wasn’t there when you started. You’re not imagining it. Spring cleaning is physically demanding work, and the injuries that come with it are more common (and more treatable) than most people realize.

At East Bay Chiropractic Wellness P.C., we see a predictable uptick in patients every spring who’ve overdone it during their seasonal cleaning. Whether you’ve strained a muscle moving a sofa or aggravated an old shoulder issue by scrubbing ceiling fans, this article will walk you through what’s happening in your body, why it happens, and how Graston Technique® — the specialized soft-tissue treatment we focus on — can accelerate your recovery.

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Graston Technique® For Shoulder Injuries

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Our shoulders are the most moveable joints in our body. It is comprised of three bones, with the ball of the upper arm bone keeping it secure by being larger than the shoulder socket and surrounded by muscles, tendons and ligaments. While the shoulder is impressive, it also means that a shoulder injury has the potential to be very complicated to recover from.

Depending on the severity of the injury, shoulder surgery may be suggested to you as an option. Surgical options, however, always come with some level of risk of complications, and can require further surgeries. Below we will discuss how to best recover from a range of shoulder injuries without surgical intervention.

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Treatment Alternatives Before A Cortisone Shot

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You or someone you know have likely had a cortisone shot or had been recommended to have one by a doctor as an option for pain relief. Cortisone is a steroid that when used in this way can combat inflammation in soft tissue temporarily. Although this can be helpful to some, the relief typically lasts for only 3-6 months and doesn’t heal the affected area.

Because cortisone shots have no ability to heal you when they work, many have looked for alternatives to cortisone shots. We’ll discuss more about cortisone shots and their alternatives below.

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