The truth about stretching and physical therapy

Many people believe that sports physical therapy and performance training should involve a significant amount of stretching. However, every aspect of injury rehabilitation or athletic training needs to serve a clear and specific purpose. When was the last time you paused and asked yourself, “What do I hope to gain from stretching this area?” or “Does this particular muscle even need to be stretched?”

The truth is, like most things in physical therapy, the answer isn’t black and white—it depends. To understand whether stretching is appropriate, you first need to know why a muscle has become stiff or tight in the first place.

Why Do Muscles Become Stiff?

Muscles can become stiff when they are held in a shortened position for extended periods of time. For example, if you spend most of your day sitting or standing in the same position, your muscles may “lock up” in that position and feel tight. Another common cause of stiffness is repetitive movement—when you continually perform the same motions without incorporating enough variety into your routine.

So, if your day involves repetitive tasks or being in a static posture for hours on end, stretching might temporarily relieve the stiffness, but it won’t address the root cause. The solution to “tight” muscles often lies in incorporating more varied movement into your daily routine.

Stretching Without Purpose: A Common Mistake in Physical Therapy

One of the biggest misconceptions in physical therapy is that stretching is always the answer to stiffness or discomfort. However, stretching a muscle without addressing the underlying reason it became stiff is like putting a bandage over the problem—it may help in the short term, but it won’t fix the issue.

For example, in many cases, a muscle might become stiff to protect the body from injury. This is particularly common with back pain. When your back muscles tighten up, they are often responding to underlying instability or strain in the spine. Stretching those muscles could actually make the problem worse by compromising the body’s natural protective mechanisms, increasing your risk of injury.

A Smarter Approach to Stretching in Physical Therapy

Next time you think about stretching a stiff muscle, ask yourself this important question: “Why is this muscle stiff in the first place?” In physical therapy, we focus on identifying and treating the root cause of muscular tightness, rather than just addressing the symptoms. Often, incorporating more variety into your daily movements or addressing imbalances through targeted exercises is a far more effective approach than simply stretching.

Remember, physical therapy is about **rehabilitation with purpose**. Instead of stretching without knowing why, work with a physical therapist who can help you identify the root cause of stiffness and develop a plan to address it safely and effectively. This will not only help you overcome your current discomfort but also reduce your risk of future injuries.

What All Rotational Athletes Must Be Capable Of

Low back pain with golf or arm pain with throwing. At our performance physical therapy practice, we see this constantly. 

Swinging a golf club, throwing a baseball and hitting a tennis ball involve a great deal of rotation. Many areas of the body should be involved in these movements, however that is not always the case.

It is common to see baseball pitchers that are experiencing arm issues demonstrate the habit of trying to “arm” the ball as they throw it. There is not much contribution from the legs which places a great deal of stress on the arm and over time results in overuse injuries. 

Many golfers and tennis players experience lower back pain because they do not effectively link the power that they generate in the lower body through the trunk, into the upper body and ultimately to the head of the club. As a result they compensate elsewhere, placing increased stress onto the lower back.

The rotational row is a great drill to train the body to generate rotational power through the legs and connect it through the trunk. View this exercise here.

Once you have mastered the rotational row and learned how to link the power generated in the lower body to the trunk, we can now add in the upper body! The rotational lift trains the body to generate rotational power through the legs and connect it through the trunk and arms. Check this exercise out here.

Interested in learning more ways you can address lower back pain while enjoying your active lifestyle? Sign up for a FREE phone consultation today!

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