Concerns About Physio

[quote]bushidobadboy wrote:

I shall at this point quote from one of my favourite films:

“Well that’s Buuuuullshit, Mr Han Man!”

If you can name the film, I’ll be impressed. It has Bruce Lee in it.

Obviously I haven’t met or assessed you, so I can’t be 100% in what I say, but I have never yet worked with a patient who IMO needed to give up resistance exercise.

Maybe she’s not good enough to effect repair and healing or is not confident enough in her own ability to reverse some of the training-accrued damage.

She’s certainly not (from the sound of it) competent enough when it comes to exercise to be able to know which (if any) exercises you truly do need to give up.

Shame you’re not over here (England), since I would enjoy working with you and taking the time to educate you properly wrt healing yourself and what to do in the gym.

Ah well, I do live near an airport so if you want to visit (and stay overnight if necessary) then we can see what your condition really is.

BBB[/quote]

Literally the only Bruce Lee film I’m capable of naming is Enter the Dragon. Lol, if it so happens that I’ve nailed that quote, then it’s a lucky coincidence.

At the minute, I just about wish more than anything that I also lived in England- I know you have a lot of experience with helping people out and are well-respected in those regards, so I would place total trust in your opinion. Ironically, I was actually in England at the start of June for a few days; if things had been a bit further along back then, I could have arranged something with you. I will likely be over again in several months (my brother’s graduation) but at the minute, affording a flight might be a bit rough.

Something I’m wondering is if I could send you some shots, even just for some sort of basic attempt at identifying problems arising from postural issues? I don’t have the guts to post them up online (my body doesn’t belong on a bodybuilding forum…) but if you had an email address or something to shoot them to, would you mind? No worries if it’s something you’d rather not do- I could appreciate that seeing me in person would make things a lot easier for you.

[quote]bushidobadboy wrote:

[quote]watermelon_2001 wrote:

[quote]bushidobadboy wrote:

I shall at this point quote from one of my favourite films:

“Well that’s Buuuuullshit, Mr Han Man!”

If you can name the film, I’ll be impressed. It has Bruce Lee in it.

Obviously I haven’t met or assessed you, so I can’t be 100% in what I say, but I have never yet worked with a patient who IMO needed to give up resistance exercise.

Maybe she’s not good enough to effect repair and healing or is not confident enough in her own ability to reverse some of the training-accrued damage.

She’s certainly not (from the sound of it) competent enough when it comes to exercise to be able to know which (if any) exercises you truly do need to give up.

Shame you’re not over here (England), since I would enjoy working with you and taking the time to educate you properly wrt healing yourself and what to do in the gym.

Ah well, I do live near an airport so if you want to visit (and stay overnight if necessary) then we can see what your condition really is.

BBB[/quote]

Literally the only Bruce Lee film I’m capable of naming is Enter the Dragon. Lol, if it so happens that I’ve nailed that quote, then it’s a lucky coincidence.

At the minute, I just about wish more than anything that I also lived in England- I know you have a lot of experience with helping people out and are well-respected in those regards, so I would place total trust in your opinion. Ironically, I was actually in England at the start of June for a few days; if things had been a bit further along back then, I could have arranged something with you. I will likely be over again in several months (my brother’s graduation) but at the minute, affording a flight might be a bit rough.

Something I’m wondering is if I could send you some shots, even just for some sort of basic attempt at identifying problems arising from postural issues? I don’t have the guts to post them up online (my body doesn’t belong on a bodybuilding forum…) but if you had an email address or something to shoot them to, would you mind? No worries if it’s something you’d rather not do- I could appreciate that seeing me in person would make things a lot easier for you.
[/quote]
Well… since you correctly identified the film, even if purely by coincidence, I’ll have a look at some shots. I’ll try to get someone to PM you my email.

BBB[/quote]

Hugely appreciated. Many, many thanks.

I’ve now managed to arrange an appointment with a chiropractor, who has come very highly recommended to me. He seems to be one who is very thorough with what he does, and listens to his patients, which is all I can really ask for, given the way physio has been going. I’m just wondering, out of curiosity, if there is anyone who thinks that a chiropractor would NOT be the way to go, in relation to the symptoms which I have mentioned.

Bushidobadboy, you’ve been very helpful so far, so I would appreciate your opinion in particular, if you’re about. The appointment is scheduled for Friday, so I was lucky to get seeing him so soon. The initial consultation and physical examination is £59 (around $97) and though it doesn’t seem like much, with having been unable to get a job after months of applications, I could do without spending money which could end up going to waste.

[quote]bushidobadboy wrote:
I trained as a chiro, which honestly means fuck all; many of them are shit when it comes to this sort of thing. If the guy is GOOD, then he could have ‘muscle magician’ on his business cards for all I care, lol.

The fee is not unreasonable, IF he effects positive change.

Good luck!

BBB[/quote]

From what I’ve been told, he’s an experienced guy with a couple of decades worth of practice. I know that doesn’t necessarily mean jack shit, but I would be hopeful that he could at least spot something. If not, I’ll wait until my appointment with the neurologist and MRI before making further decisions. I may consider going to see a private, more experienced physio, but again, money will be a limiting factor as to what I could do. All else fails, I’m booking a flight to England… I managed to PM you details of viewing some pics I uploaded online, but I genuinely mean I would try to get my shit together so I could come see you in person, if everything here is just a total blow-out. At least it’d be considerably cheaper getting there from Northern Ireland than it would from the States.

[quote]bushidobadboy wrote:

[quote]watermelon_2001 wrote:

[quote]bushidobadboy wrote:
I trained as a chiro, which honestly means fuck all; many of them are shit when it comes to this sort of thing. If the guy is GOOD, then he could have ‘muscle magician’ on his business cards for all I care, lol.

The fee is not unreasonable, IF he effects positive change.

Good luck!

BBB[/quote]

From what I’ve been told, he’s an experienced guy with a couple of decades worth of practice. I know that doesn’t necessarily mean jack shit, but I would be hopeful that he could at least spot something. If not, I’ll wait until my appointment with the neurologist and MRI before making further decisions. I may consider going to see a private, more experienced physio, but again, money will be a limiting factor as to what I could do.

All else fails, I’m booking a flight to England… I managed to PM you details of viewing some pics I uploaded online, but I genuinely mean I would try to get my shit together so I could come see you in person, if everything here is just a total blow-out. At least it’d be considerably cheaper getting there from Northern Ireland than it would from the States.
[/quote]
My PMs don’t work and the guy I usually ask to give out my email hasn’r responded to my requests.

I went to see a “very experienced and skilled chiropractor with years of practice under his belt”. I was excited… until I had to show him what a deadlift was. "Hmmm, that’s a very heavy weight (only 100kg at the time caused the injury), I’m not sure you should continue with that sort of thing."D’oh!

OK, so it’s not unreasonable that he had no idea of what a deadlift was, however, unfamiliarity put him at a distinct disadvantage because of the unique mechanical loads, forces and muscle recruitment patterns which are a major factor in diagnosis, treatment and rehab advice.

Bear in mind this guy was later selected to be a tutor at the only UK university that teaches chiro. So you can see that the lack of familiarity with weight-lifting injuries will be passed onto future generations of UK chiros.

BBB[/quote]
BBB if your pms dont work, any possibility of contact?

[quote]
My PMs don’t work and the guy I usually ask to give out my email hasn’r responded to my requests.

I went to see a “very experienced and skilled chiropractor with years of practice under his belt”. I was excited… until I had to show him what a deadlift was. "Hmmm, that’s a very heavy weight (only 100kg at the time caused the injury), I’m not sure you should continue with that sort of thing."D’oh!

OK, so it’s not unreasonable that he had no idea of what a deadlift was, however, unfamiliarity put him at a distinct disadvantage because of the unique mechanical loads, forces and muscle recruitment patterns which are a major factor in diagnosis, treatment and rehab advice.

Bear in mind this guy was later selected to be a tutor at the only UK university that teaches chiro. So you can see that the lack of familiarity with weight-lifting injuries will be passed onto future generations of UK chiros.

BBB[/quote]

Ahhhh, fuck… Probably too much to hope that this guy’s into his bodybuilding.

Okay, so what I have discovered from my visit to the Chiro this morning…

  • Anatomically, everything is seemingly okay, though I have definite functional issues
  • My SI joints are stiff (physio told me they were fine)
  • My left piriformis is tight
  • My left psoas is weak (physio told me I had no hip flexor issues)
  • My right foot is more pronated than my left (physio told me pronation was fine)
  • Parts of my lumbar verterbrae need addressing

So I guess I am somewhat satisfied that he has been able to identify issues which may be linked to my problem. I had mentioned my myofascial work and stretching, and though he said there was nothing wrong with doing them, they would be unlikely to fix the problem (or at least would have done already after a year of work.) With the muscle activity being controlled by reflex mechanisms, originating from the spine, if there are issues around the spinal structure that remain unaddressed the reflex mechanisms won’t work as they should, and so the muscle remains in an altered state- tackling the muscle itself won’t necessarily fix the problem. Does any of this make sense to anyone, and is he right with what he says?

I also have another question, if anyone can help me out.
With all these previous things I’ve mentioned, something in particular (and slightly more recent) which is bothering me is in regards to my feet and pronation. It constantly seems to change, and it’s killing my knees. I’ve had severe Chondromalacia Patella and IT Band syndrome in the past, after trying to improve my walking pattern by walking with toes straight ahead (which also turns me slightly knock-knee’d) and so reverted to what felt like a more natural style of walking for me (naturally slightly bow-legged and duck footed.) Since recovering from those injuries, I’ve been diligent with foam rolling, stretching and improving hip mobility and glute strength but now things seem to have suddenly gone to shit. My feet keep switching themselves from pointing straight ahead to pointing out, with my knees following suite. It also means that I’m walking on different parts of my feet. Thing is, now I can’t remember what is my ‘natural’ style of walking, as messed up as that sounds. I’d been getting on fine for months but these past few weeks this has been getting worse and worse- I can feel my knees beginning to act up again and I don’t know how to put things right. Is there any way of finding your own natural walking pattern?

[quote]bushidobadboy wrote:

[quote]chriscarani wrote:

[quote]bushidobadboy wrote:

[quote]chriscarani wrote:
Having faith and trust in your therapist in important. [/quote]

Well said.

BBB[/quote]

Thanks! Don’t know if you remember me or not it has been a long while (we had the disagreement on lumbar rounding during squats) but good call on the posterior capsule adhesion in the shoulder. I did some deep cross fiber on that SOB and it healed up nicely. Still have to work the RCM every now and then, but much better. [/quote]

I remember you :wink:

My latest thoughts on a structural cause for lumbopelvic rounding is a short pectineus muscle. What do you think?

BBB[/quote]

Interesting. I have not heard or even thought about it really. I will do some digging (no pun intended) and see what I come up with. Thanks buddy!

[quote]bushidobadboy wrote:
What is ‘natural’? A footpath? No. A shoe? no.

Don’t place too much importance on ‘natural’. As long as it’s biomechanically appropriate/correct, then it’s OK, usually.

BBB[/quote]

It’s not so much that I’m considering what is natural for us as people in general, but what is natural for me and my own body. I can appreciate that everybody’s own natural walking style is different so as to accomodate their own biomechanics, but things just seem to keep changing with my own on a repetitive basis; things which have felt correct in the past, now don’t.

Okay, I’m biting the bullet here and putting up some pics. With any luck, I can get a little feedback as to potential postural issues; I refuse to believe my physio’s opinion that everything looks fine. Very self-conscious about posting these, but at least it’s not under ‘rate my physique’…

http://my.imageshack.us/v_images.php

And before questions are asked, no, it was not taken in my own room…

See if that link works; I’ll try and get some pics posted up here.

[quote]bushidobadboy wrote:
I can see that you are wearing socks, boardshorts and another pair of undershorts that are pulled right up.

All these things make it much harder to see the anatomy.

BBB[/quote]

Snap. Okay, I’ll get a hold of a camera and take some more pics. Probably not get a chance to do so until the weekend, but if you’re still willing to take a look, I’ll hopefully have them posted up by then.

Hey, was just wondering what you have found out about your probelms? Was the chiro able to help you?

I have been dealing with a lot of the same issues and not sure who to see without wasting time and money.

Things we have in common seem to be SI pain, one foot pronated more than other, one shoulder slightly lower than the other and not remembering what my normal gait feels like. My pain used to come and go but now is pretty constant.

Anyway just wondering if you got your issue sorted out and if you were able to correct things how?