Dr. Ryan- Prime Time 9/27-28

Nikboa,

If your surgeon has given you the OK to train again, then I would suggest that you incorporate several different variations of wood chop exercises with either Ther-bands or light cables. Some medicine ball throws, tornado ball, and sledge hammer/tire exercise would all help.

You need to start off light while keeping the speed of movement slower than you would normally. Once you assess your tolerance to these activities, you can gradually up the weight or velocity. Don’t increase both variables significantly at once.

I would suggest that you either PM Dan John or catch him during his Prime Time shift. He is a world class thrower and has worked with tons of athletes. I’m sure he has coached athletes with this problem. He could give you some exercise suggestions that he has found effective.

Take care,

Ryan

HHH,

Always better to be safe than sorry. I would get it checked if you have any thought that it could be potentially problematic.

Take care,

Ryan

as,

It’s not something that I deal with frequently, but I will get some more information for you.

I’ll look into the Superdrol issue as well.

Anything else that you might have changed in either your diet or supplement program around the time.

What kind of diet have they put you on for the time being?

Take care,

Ryan

Dr. Ryan,

What do you think of heel lifts? I recently bought one and tried it out today. Feels pretty good overall.

Should I be concerned with anything relating to my gait or any weird compensation by my body not used to being “balanced.”

Thanks

Jeep

Vash,

Hard to say for sure what is going on without examining you. Whether the bicep is tight as a protective mechanism to prevent the joint from fully extending is hard to say.

I would say ice for 3 days followed by heat should help. NSAIDs for about 5-7 days could help. Mild ROM exercise without forcing the joint to a painful end range will help.

It wouldn’t hurt to get it checked out and get some additional therapy to help with the healing process.

Let me know if you have any follow up questions.

Take care,

Ryan

retailboy,

Try doing a Google search for ‘Eustachian tube.’

There will be several articles that will explain the anatomy and function of the tube and how allergies, etc influence them.

The nose spray may prevent the fluid from draining into the middle ear. Is the fluid in the ear that you lay on?

The Zyrtec-D has a decongestant, which should help.

Take care,

Ryan

carpenter,

It’s hard to say if it is related to the rotator cuff. There are many things that can cause clicking or popping in the shoulder with overhead lifting.

Do you have any pain associated with the popping?

What kind of lifting program do you perform? Have you done any rotator cuff exercises?

Take care,

Ryan

[quote]Dr. Ryan wrote:
as,

It’s not something that I deal with frequently, but I will get some more information for you.

I’ll look into the Superdrol issue as well.

Anything else that you might have changed in either your diet or supplement program around the time.

What kind of diet have they put you on for the time being?

Take care,

Ryan[/quote]
There’s really nothing else I can think of in my diet that had changed at the time other than the Superdrol. I did go heavy on the aspirin (for an injury) which I also take daily(cardiovascular preventative measures)which I thought I read can cause pancreatitis sometimes. Other than that I have no idea. Thanks for your help.

Ready for another round

Here I am… again.

I was playing a heated game of dodgeball (I’m in a league!) last night and BOOM pitcher’s elbow hits me (what can I say, I got a sick curveball and sinker).

So the inside of my right forearm hurts like crazy, as such I’ve been icing it about every hour and a half for 20 minutes, keeping it compressed (went and bought a wrap for it) and raised as much as possible. Also resting it too. Anyhow, can you think of anything I’m not doing that might help me out, or that would help it out? This pain sucks… I can’t even straighten my arm all the way out without getting that twinge in their… making a fist no longer hurts, and wrist flexion/pronation doesn’t hurt (never did, but apparently this is what causes this… anyhow)

Thanks again doc.

Doc, how was post-hurricane weather? Any problems in your area?

pain is the reason I limit my overhead lifts as it will bother me for a few days after.I have been doing cuff exercises for about four weeks trying to see if that helps.my routine constists
mon deadlift and squat
bentover rows and lat pull downs
roman chair sit up and back hypers
wed bench and shoulder work
db incine barbell incline
triceps
fri calves hamstrings good mornings
upright rows
seated rows
on ocasion throw in some bi cep work
my shoulders except for overhead have always been one of my strengths just finishing a strength routine of eight weeks basicaly warm up then 5x5 on most at 80 % of 1 rep max

Sorry guys something unexpected came up and I have to reschedule for tomorrow night.

Dave,

I’m not in Houston anymore. Long story, I’ll fill you in later.

I have to say also that if I can make just the right motion when going overhead it doesnt always bother me but I can not do military presses right now at all unless they are seated at a slight incline which is better than nothing but I love standing military press for the core work

Hello Dr.Ryan

In the last time i experienced some strange pain in my knees, when i kneel lown and lean back.
http://img224.imageshack.us/img224/6450/knie3nc.jpg

When i keep tension in my legs it is no problem, bur when i relax und try to sit down, it hurts at the front sides just below the knee.
I marked the area in the picture below
http://img224.imageshack.us/img224/8465/knie28my.jpg

Normally i Don’t think about it too much, because i rarely sit down like this, but when it happens, it is quite distracting.

Do you have any idea what that could be and what I coud do to cure it?

I normally don’t do much what could hurt my knees except for Deadlifts and (box)quats, which i perform in a powerlifting style with not so much weight (maybe 220-240lbs → skinny 140lbs bastard)which should not be too bad for knee health I guess.

Thanks for your advice.

OK, hopefully nothing unexpected comes up tonight. Sorry for having to bail last night. I’m ready for some questions.

Ryan

jeep,

Regarding heel-lifts, if the problem is related to a true leg-length inequality or some kind of structural deformity, then they can help make the gait cycle and standing more balanced or symmetric. If the problem is just due to some muscle tightness or joint dysfunction, then it would be more beneficial to correct the problem with treatment as opposed to giving a lift, which would just help to maintain or reinforce the problem.

Sometimes in people that keep coming back in with the same problem even after addressing the issue, I’ll sometimes do a trial with a heel-lift to see what kind of results we get.

You may get some soreness in areas of the kinetic chain due to the changing biomechanics or movement pattern as a result of the heel-lift. However, this is usually temporary.

Take care,

Ryan

Hey doc whats up? Sorry for that probably not the most original. I hope you can give me some advice. I like to play various sports, flag football, softball, baseball, basketball, etc all at an intermural level with my college buds, what might be some suggestions for me to maximize my performance in those endeavors, all while still looking good, and staying healthy. I dont want to be some walking pile of muscle who strains his back trying to tie his shoes, or some kind of oaf who can bench every plate in the gym but cant get back on defense. on the flip side I dont want to look like nor have the strength of a marathon runner or a pilates instructor.

I would guess that most of the people here on T-Nation are not professional athletes nor do they oil themselves done and pose in bikini’s while other men stare, not that there is anything wrong with that.

Should I try and focus on as many things as possible in my training such as trying to build strength, hypertrophy, power, explosiveness, and injury prevention, and if so should I try and do them all at once, or would that be riding to many horses at one time. Thanks for any advice.

Hey Doc,

Glad to see you back tonight, hope everything went alright last night…

Anyway, I have a question about something you’ve probably answered a million times, but it’s nuisance is new to me: good 'ol lateral epicondylitis.

Just started about a month ago, and varies in severity day to day, but consistently hurts my lateral elbow if I clench my fist at arms length, have to hold any weight at arms length (i.e. lateral raise), or especially a move like a reverse curl. This does sound like the famed tennis elbow, yes?

What treatment do you recommend? I’m fearing you’re going to use the word “rest”, but be that as it may…

sorry I forgot to put this into my first post. I was wondering what your thoughts on training in all four, frontal, saggitial, and the other two they escape me, planes are. Is it necessary or is it more important to train in certain ones and just make sure to do some training for the others. I was also wondering if you could explain better exactly what they are and maybe give some examples or maybe point me to some article or text that would. thanks again