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Question 3, Marco (Muscular Pains and Stretching)
I am a well-trained athlete and I practice various sports disciplines, including running, swimming, and cycling. For some time now, I have been suffering from gluteal pains with some strong muscular contractions in that region.Are there some extension techniques that can help me?Thanks and greetings from Marco.

- Answers David De Angelis
In order to comprehend your problem, Marco, before all, it would be necessary to specify the exact muscle to which you refer. Often, athletes of various disciplines are subjected to femoral biceps sprains and in particular of its upper insertion (which is to insert itself in the lower part of the gluteus). Pain and regional annoyance in the gluteal zone is often confused with an inflammation or sprain of this section of the femoral biceps (the posterior thigh muscle).Another important factor, in order to prepare a suitable remedy, is to comprehend if you are dealing with an inflammation, a strain, or a tear, or if you have simply overtrained the muscle. You will not object to the fact that this problem presents itself only on one side: there is always a stronger and a weaker side and often, especially in the case of injuries, we tend to utilize and then to overload only one part or region of the body. This phenomenon is called lateralization and it is very unlikely that it present itself in so-called 'cyclic' sports, in which a bilateral demand and muscle cycle is expected (esp. running, swimming, rowing, etc.). I would exclude therefore, in your case, this last hypothesis (of excessive overloading and then lateralization on one part of the body). The persistence (and cropping up) of inflammations and serious injuries is often, for professionals (who must teach and train themselves for a profession everyday), in the 'difficulty' of allowing oneself rest and regeneration periods. Often, it recurs in pain relievers, 'masking' and therefore destroying the pain, permit themselves to continue training. In this way, one continues to aggravate a problem that, little by little, tends to become more pronounced and chronic.The Remedy- Do not abuse pain reliever medicines.- Recuperate and regenerate the 'struck' muscle.- Once the inflammation has disappeared, proceed (as described in my book POWER-FLEX) to rehabilitate and strengthen the muscular fibers and associated connective tissue (perymisium, endymisium, epymisium) with specific exercises with low loads/high repetitions. Not respecting this last phase of rehabilitation exposes you to the risk that the problem will re-present itself because the weakest links in the muscular chain are often those which yield first. In the case in which your problem is caused by a state of chronic muscular fatigue (remember that tired muscles are less strong and elastic), I advise you to subscribe to a resting period session of relaxed stretching (which is well-known: absolutely contra-indicated in this case to isometric PNF stretching, given that the muscular overload that arouses the muscle is suitable for a well-prepared musculature (through specific exercises) and above all uninjured. Understand, Marco, my difficulty in giving you further clarifications on treatment of your problem via Internet. I recommend, therefore, that you consult an excellent orthopedist or physiotherapist who knows how to examine and evaluate the problem through a visit.


Happy training!

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