Posts Tagged ‘physical therapy’

IT Band Hits Rock Bottom (if only this was about a rock group)

walking

photo credit: Justin Jay

Trying to fix a stubborn injury can be demoralizing.

And I’m not just talking about the crying in public, or getting passed by a nun with a limp while you stagger home from a failed run.

I’m talking about the bare-ass nakedness of your weaknesses getting exposed in the effort to return to health.

There are the physical weaknesses of course, (the reasons you got injured in the first place,) that are uncovered as soon as you go to a doctor or physical therapy.  As strange as it sounds, you go to these people hoping they find something wrong with you, thereby identifying at least one good reason why it’s taking you so freaking long to get healthy.

In no other area of my life will I pay money to have a person tell me straight to my face that I’m terrible at something, but when I’m at the doctor unsuccessfully attempting a “single-legged turn-a-ma-jigger” I want him to say, “You suck at that. That’s the reason you’re injured,” and when he does I want to jump up and give him a big fat kiss on the mouth, but also grab a hanky.

If an injury drags on and on, you get progressively less excited when someone uncovers a new “weakness” that might be the source of your problem: Weak glutes; muscle imbalances; scar tissue; fascia tightness; lack of flexibility; neural misfiring; bad motor pathway habits; lack of core strength.

Before you know it, you have a laundry list of issues and a binder full of strength exercises. After enough time, even if the therapy is world class, you start to feel like nothing works properly and you can’t understand how you ever ran well in the first place.

Sweet.

This is a funny clip from Forgetting Sarah Marshall (thanks MBS) that illustrates my life right now:

And Then There’s the Mental Demoralization

After chasing my IT band problem around for three months, thanks to good treatment I finally put together three weeks of running in February and I start to let myself feel excited and dream again. And then three weeks ago, my knee decides to hurt like a mofo during the cool down of a workout, erasing my progress in one swoop.

I’m faced with a two mile walk home, and while I maintain my composure on the outside (barely), my mind spirals fast. How did I let this happen? Things were going so well. Why did I do that fartlek on the soggy trails with the team after a night of hard rain? What was I thinking? Why didn’t I run on the pavement alone? Why do I live in this God forsaken rain-soaked shit hole?! Why am I doing this stupid sport?! Why am I letting this make me feel so awful?! I can’t believe I’m letting myself get this upset and irrational!

The Olympic Trials are in less than four months and I can’t even jog a 5k much less race one. This is clearly not how I pictured my season shaping up. As I walk home there are no tears. I hate everything. I want to hurt something. The fire inside me makes me impervious to the winter air. I can feel it, the rage, like a screaming kettle building inside me. It burns the backside of my eyes. I want to run over to those fisherman on the side of Pre’s Trail and snap their fly rods over my busted knee and hurl their open tackle boxes toward the river, watching the contents erupt through the sky like fireworks.

Even now, just remembering how that felt makes me panicky inside.

A Change of Scenery

After clearly reaching the end of my sanity in Eugene, I hopped on a plane to Phoenix two days ago to reconnect with JB (Dr. John Ball). I bought a one-way ticket and I’m not leaving until I’m unbreakable. I needed to get out of the grey and the rain and the home of the Olympic Trials, which has a way of sucking out your soul when you are unable to run. I needed to remove myself from it all and summon the healing victories of the past.

My awesome and understanding PT from home, Robyn Pester, (who helped provide the therapy to bring me back from Navicular surgery in 2008/2009 to win the USA title in 2010) sent along all her findings to JB in Phoenix so the transition will be smooth. I felt bad leaving after everything she has done for me, but she and I both knew that it wasn’t personal. No matter how good the cut of meat, it will rot if you leave it in the fridge long enough. It’s time to barbecue this bitch. Phoenix is the place where I am going to get back on my feet.

We did it last year. We can do it again.

 

____________________________________________

Sometimes it takes a long time to get to the bottom of an injury. Without knowing how to fix it, it’s hard to make a plan. Without a plan, some feel really lost. Does anyone have any tips for how to cope with that overwhelmed feeling when you can’t get to the bottom of an injury?

Is My PT Missing Something?

Q:

Hi Lauren,

This site is awesome. I wish I’d known about it sooner! I actually had a navicular stress fracture my senior year of college and did the whole two weeks on crutches+4weeks in a boot thing. I ALSO made the mistake of not seeing a PT when I returned to running. I was impatient and just started running when I felt like it.

I’ve had tendinitis in my foot and now IT band syndrome, so clearly I’m doing something wrong. I’ve seen a few PTs and I’ve been told my hips were out of balance and that my glute muscles have been completely shut down.

I’m just curious, you mentioned that there were some gross imbalances/inefficiencies found after you finally saw a PT…what were they? I just wanted to ask my PT just in case they miss.

This site is awesome. Thanks for sharing all the information you’ve learned.

-Mandy

A:

Hey Mandy,
I was also told that my hips were out of balance and that my glutes were shut down, (especially the one on the opposite side of my injured foot).  I’ll share with you the best three things my PT showed me, and you can ask your PT what he or she things about them.
1.  Foot Intelligence:
The first step is making your feet smarter.  Ask about “short foot” exercises.  Then do all your lower leg strength and balance work with bare feet.  Walk around with bare feet more often, and go on walks in the Nike Frees and seriously just spend an entire 2mile walk or so focusing on your feet rolling through the entire motion on the ground, following through behind you until your glute muscle fires up.  When you are running, spend time thinking about the same type of follow through so that your glute fires properly.
2.  Bootie Incorporation:
There are certain PT exercises that help with muscle sequencing from your feet up to your glutes.  You may need to retrain your neural system to fire things in the right order so all the right muscles are on board at the right times.  After my injury, my muscles were firing in the wrong order and one of my glutes wasn’t doing anything at all.  The best ways I learned to do this were chop and lift exercises with a Freemotion cable machine.  You start by doing the exercises while kneeling on one knee, and progress to standing on one leg immitating a stride.  Firing the glute of your push-off leg, you pull a cable across your body, challenging your core and your foot contact.  After you get that down, you can do all sorts of other exercises along the same theme (single leg, functional movement stuff.)  When you build up to weight lifting, you can do single leg squats and single leg RDL’s to really drive the message home.
3.  Running with Awareness:
With smarter feet and an awareness of core/butt stuff, I worked every day to translate what I was learning into my stride.  It was awkward at first, but after about 6 weeks, I was using my glutes and feeling the ground better.  I now wear more minimal running shoes (Lunarglides) so I can feel the ground, and I always touch back on chop and lift work as well as single leg squats, lunges, and step ups to wake up my butt.
Best of luck with resolving your issues.  Try not to get overwhelmed…its exciting to rebuild your body!  The lightbulb will go on faster than you think if you really bring consciousness to the exercises and remember that its not about building “strength.”  Its about making your body smarter.
-Lauren
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