Hey mate, how's the rehab going?
Not my favourite surgery, but hope it's going well for you.
You need a good physio who specialises in rehab to performance (strength and conditioning). You need quadriceps strength (lots of it) and glute medius and glute max. strength. If the physio gives you...
For sure. VMO work and patella tracking work is ridiculous and such a short sighted view, not taking any biomechanics into question. Treating the knee as a knee, and not the knee as part of a complex connected body.
Eccentric work is fantastic as it has been shown to generate as much muscle...
I like your thoughts and I see you strongly subscribe to Boyle's joint by joint approach and regional interdependence. It certainly makes a lot of sense, but in my humble opinion it's not always this simple (or complicated depending how far up the kinetic chain you start treating).
In terms of...
If it is 'extremely difficult' not to, i'd be highly questioning my reliance on alcohol and inability to go without. Addiction comes in many forms and can be very subtle.
As i've gotten older (30 now), I see society's huge problem with alcohol and how normalised it is. There are a huge...
Interesting take on a tricky injury.
My main concern with palpation findings is that we actually have no idea what a hypomobile joint feels like. Research consistently backs up our inability to 'feel' areas of dysfunction.
Would love to know your thoughts on the mechanism - eg. decreased...
I assume you are a few weeks post this injury now. Calf tears are common in that age group. Number one factor is strength. Build up to doing 25-30 single leg calf raises (depending on activity level). Glute max strength highly correlated too, strengthen the glutes. I'd add posterior chain into...
An unlikely injury from that exercise. A glute medius tear would cause you to have difficulty standing on one leg and abducting your hip. Could be a little muscle spasm..
Agreed. You see guys squat heavy for 6-8 reps, and then grab some light dumbells and do sets of 15-20 lunges. It doesn't make sense.
Hit lunges heavy and low reps - 6 if you ask me.
Sorry mate, just saw this.
More on signs and symptoms and basically an educated guess. Unless there is imagine - a CT or bone scan will show stress reactions or bony changes.
One thing I have found work to diagnose stress fractures is to use therapeutic ultrasound, which is normally...
I'll have to agree that heavy barbell lunges are fantastic. So good for glute development. I believe squats would hit your quads to a greater extent, but I lunge far more than i squat now.
As CptKirk mentioned single leg exercises are so good. A lunge is a great way to develop hip control...
May have torn your plantar fascia. Fill a plastic water bottle with water and freeze it, then roll your foot on it to do some ice massage. I'd go see someone, trainers generally don't know a lot about these ttype of injuries.
There is no simple answer to it, but education is key. Realising that pain does not necessary = harm is a good place to start. You basically have to prove to the central nervous system that there is no 'threat' from that movement. Pain is all about perceived threat from the brain - if the brain...
Agree on the leg press. Kirky has given one of the best simple pain science explanations i've seen (neurotag and nerves becoming sensitive and firing even in the absence of tissue damage).
I'd add that if pain with driving, sit with a lumbar support across lower back to maintain natural...
Ulnar nerve irritation at the elbow (medial epicondyle). Usually from spending too much time leaning on elbow or with elbow spent in a bent position.
Stop leaning on elbow and avoid elbow flexion - keep elbow straight as much as possible, even at night. If persisting look up 'ulnar nerve...
Yeah, very. Can be hard to enforce though, without person thinking 'he's saying it's all in my head'.
I've been to a few 2 day conferences with the best in the business at explaining pain - david butler and lorimer moseley
Every single pain you have ever felt has been in your head (as has everyones ever). Stress can play a huge role in pain, and often drives a lot of pain experiences.
Exactly. It sounds like you're overloading too quickly, without gradually increasing load. Tendons hate changes in loading and it sounds like you've developed a reactive hamstring tendinopathy.
Probably PFJ. Pain with prolonged sitting with the knee at 90 degrees?
Don't do leg extensions.
Foam roll ITB, Lateral quads, stretch hip flexors and quads and work on hip strength with clamshell and side lying hip abduction and see if that fixes it.
Quadriceps, glutes, hamstrings, balance, single leg work. Gonna have to have amazing neuromuscular control of that knee to get back to footy. It can be done without an ACL though.
Okay, well it's not the tendon then. It sounds like your hammy is strong from all the rehab you are doing. It might be a good idea to do a single leg hamstring curl on machine or on swiss ball to test out the strength in comparison to other side.
I'd be still looking at the neural component...
From my experience with treating wrists i'd say this: don't stuff around with them. It is such a complicated and essential joint and an injury there can be horrific and have longstanding consequences. You may have a fracture, so get it x-ray'd. If still sore a CT or MRI could be the go in a week...
90% of people have no body awareness and are unable to dissociate hip movement from lower back movement. Deadlifts are certainly not a good exercise for everyone as they are shockingly detrimental if done without good technique.
There are so many lumbar disc issues just waiting to happen. My...
I wouldn't rush back into it. High recurrence rate with patella dislocations. How old are you? Find a good physio and make sure he/she gives you exercises to work on glute medius strength (hip muscle) as well as VMO strength.
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