Micro-Tear Trauma

I just finished a talking to a doctor friend of mine, explaining the excruciating - almost debilitaing - pain I’ve had for the last 3 weeks around my L3, L4, L5 area.

He poked, prodded and pretty much had me crying like a baby. Then he said I had micro tears in the connective tissue (ligaments and tendons) along my lower back.

I asked him how long it would be before I could squat or deadlift again, and he laughed me. He said that my lifting days were over.

Somebody tell me he’s wrong. Tell me that I can stretch, or something that will allow me to continue leg/back work.

That sucks ass man, sorry to hear. I can’t imagine that your “lifting days are over”, and it’s probably a silly suggestion on their part (though I’m not an MD).

As for continuing training, WTF, just relax and take some time off. Enjoy yourself and heal.

What the hell happened anyway? Is it a cumulative effect or was there an event that really messed you up?

Take care of yourself!
Cheers

rainjack, get a second opinion. Talk to somone you KNOW is credible and experienced in the area of ART.

In the meantime, load up on fish oil, MSM, Vitamin C and a good proteolytic enzyme complex. Wobenzyme with some extra bromelain is good. Take all of the above at aggressive dosages (i.e., higher than is recommended on the bottle). As an example, I’d be taking the Wobenzyme and bromelain (get 2000 GDU from NOW) one hour before every meal (assuming 6 meals) and in the middle of the night if you wake up.

I wish you all the best. I don’t see why if you allow your body to heal and support the healing process that you can’t return to lifting, assuming you would start slowly. The only problem I would expect is that scar tissue would form and tighten/shorten during the healing process, but that’s where ART comes into play.

Along the lines of a second opinon, why not give Dave Tate at EliteFTS a call on the phone to see what healing resources and modalities he might be aware of.

I wish you all the best, and please let me know how it goes! Honestly, if I were you, I wouldn’t be ready to retire my lifting belt without a fight!

It’s possible that some sort of “alternative-pharmaceutical” drug therapy would help.

Sodium Pentosan Polysulphate (Cartophen Vet) is favoured among strength-athletes as a joint regenerative. This is however an off-label use for the drug as the human variant (Elmiron) is used as a treatment for interstitial fibrosis. Pento did help with tendinitis in my knees which was a legacy of my wayward youth spent as a distance runner.

Coseqin is a veterinary-grade glucosamine/chrondroitin/MSM stack with other additives which is rumoured to be teh best products on the market. I haven’t tried this, though, since I have a good joint supplement.

Growth hormone has been known to cause regeneration of connective tissues, as has Nandrolone (Deca-Durabolin, Laurabolin). It’s rumoured that Equipoise (Boldenone Undecanoate) and Anavar/Lonaver (Oxandrolone) have something to offer, but I havne’t seen anythng conclusive.

Of course these drugs have side-effects, and can possibly worsen the problem. Your best bet is to do what TT said, and, failing that, find a good “alternative physician” - someone who is open to exploring the potentially beneficial uses of these drugs.

I really hope this helps. I was also told that my lifting days were over, but I now squat 220kg for 1, 180kg for 5 and dead-lift 180kg for 5 as well. Don’t put too much faith in one doctor’s opinion. Ask around at your gym about a good sports physician who can advise you better.

DB -
I had been squatting pretty heavy - well heavy for me anyways(400 lbs.).

I started meltdown 1, and squatted with 205. First set went fine. But when I started my second set - first rep I felt it pop - like sombody popped me in the lower back with a rubber band. Doc said I tore the ligaments holding the vertabrae, and the tendons hold the muscle to the vert.

I cried when Old Yeller died, when Green Bay won the Super Bowl, and 3 Saturday mornings ago when I tried to get out of bed. Thank God for muscle relaxers, and heating pads.

I 've started back to lifting - just no leg work, or back work that is unsupported - I can do anything as long as my lower back is stableized.

I know it will take time for this thing to heal - it’s just really frustrating.

TT -
I’m not real up to speed on ART, or any of that holistic stuff - but I was actually wondering (while stoned on muscle relaxers) if ART could help in my situation.

I asked for a second opinion - turns out he thinks I’m ugly as well.

But seriously - I’m going to reread your advice and explore the whole ART/alternative medicine route.

Rainjack,

What kind of doc did you see? I see no reason why you would not be able to perform those lifts again. I would suggest finding a chiropractor in your area that performs myofascial release (ART) and also can get you going on a rehab exercise program to strengthen and stabilize the lumbar spine. TT’s nutrition rec. should help to optimize the healing process.

It was unclear in your post how long after your injury that you started with the heating pad. If you did this within the first 72 hours or so, you probably made the problem worse. Heat on on acute injury is like gas on a fire. It would increase the amount of inflammation and result in increased pain, stiffness, swelling, etc. For future reference use ice only for the first 3 days and then only gradually add the heat.

The problem with squats and deadlifts is that they produce tremendous amounts of lumbar spine compressive, tensile and shear forces. These forces can easily result in injury. This does not mean that you should not do them, but that great care must be taken to minimize these stresses to reduce the potential for injury. Proper form is a must, with maintenance of the lumbar spine lordosis being one primary objective. Appropriate warm-up and flexibility is necessary to make sure that form breakdown doesn’t occur as a result of muscle tightness. Obviously, appropriate loading parameters (wt/sets/reps) are paramount for injury prevention. Often, people have greater leg strength than low back strength and using loads based on leg strength can result in accumulated low back strain. Remember a chain is only as strong as the weakest link. Once your injury heals to the point that you can resume these exercises, take it as an opportunity to start light and work on impeccable form. Also, I think Ian King wrote an article not long ago about one-leg exercises. You could perform these as well, since the loads on the back would be less. Feel free to PM me with some more details about your symptoms (what movements/positions make you better/worse, any leg pain, numbness/tingling, etc) and I would be glad to provide you with some general treatment rec.
Take care
Ryan

drryan,

The Doc is an old buddy of mine - he’s a GP.

I didn’t start with the heat until a week after the injury.

I was squatting in the 400’s before I switched to the Meltdown workout. I reduced my squat weight by more than half for the two week program because it is such a killer on the lungs.

What i didn’t do was warm up before I started. The first set went fine. when I got underneath the bar on the second set it didn’t feel right, but I thought that since this was only 205, it wouldn’t matter.

When I started the second set I went all the way to the bottom, and as I was coming up - I kind of hitched my back sidways - that’s when I felt the pain. Instead of dropping the bar right there, I came all the way back up and it felt like I was squatting with a knife in my back.

Sorry to be so long winded about saying thanks for the advice, but thanks for the advice.

How might one go about finding an ART practioner in my part of the world?

Rainjack,

I can’t tell you anything about ART, but I would defintely tell you not to give up hope. While I am not a doctor, it does not sound like you did permanent damage to your back when you squatted.

If you can, you should see a second doctor. I injured my lower back doing jerks once, and compounded it when a week later I did what I thought was “light” pressing but my back didn’t.

I was sent to a physical therapist who believed it was something structural (can’t remember the proper terms right now), he regularly did some massages, and would slide my back into position. It seemed like what he was doing was working. It gave some immediate relief, but after several weeks my back still was not better.

I was abroad, and when I returned home several months after the injury, I saw three more doctors, two of whom had sports backgrounds. The first two had various theories after looking at the x-rays. The third took a look, and said, your back is fine. He said I had strained it badly, but now should be good to go. So the next day I started squatting, doing pulls, etc. again with no problems.

What I learned is this: not all doctors are good at diagnosing sports injuries, and even many sports doctors poorly understand weightlifting/weight-training and the strains and stresses it does and does not put on an athlete. Perhaps this is because the majority of patients who have injured their backs, knees, etc. are sedentary people in terrible shape, and so if Jo Shmoe throws out his back doing some light snow shoveling or bending over to pick up a 35 lb box, and the next patient is talking about squatting 400+ lbs, the doctor is horrified and in disbelief.

The other thing is to be patient. Some injuries take a long time to heal, but they heal nonetheless. Finding a doctor and/or therapist with experience with athletic experience can make a world of difference in getting an accurate diagnosis and an effective rehabilitation program (also very important, I have learned with experience).

rainjack, here is a link to the ART site. you should be able find a practioner close to you: http://www.activerelease.com/

Rainjack,
The link provided in the previous post would be a good place to start. If there is a provider in your area, great, if not, call a couple of chiros in your area and ask what type of myofascial treatment they use and if they can provide lumbar spine rehab. There are floor and swiss ball based exercises you can do to complement what you do in the gym to help solidify the low back. Active Release Techniques(ART) is a trademarked myofascial (soft) tissue treatment. While it is a very good technique, it costs 1500 dollars for a weekend seminar to become certified,thereby being cost prohibitive for many docs. I had a teacher at chiro college who was certified and taught some of us the techniques. I use it all the time, but if you look on the web-site I won’t be listed (some one told me that you have to pay every year to keep having your name listed,but I don’t know if that is true).

How many reps did you do the first set?

Like I mentioned previously feel free to PM me and give me some more info about your symptoms and I can give you some general rec. on things to do to help decrease strain on your back during your normal daily activities.

Also, ask to speak to the doc before you come in to the office. I will always talk to a potential patient if they have a couple questions.
Take care,
Ryan

Hmmm… sounds like a bona-fide lifting ACCIDENT to me. Shit happens, and it can happen to anyone at any time. Sorry it had to happen to you. All the best with your recovery, rainjack.

Also, you might want to investigate EMS/TENS for the pain and rehab. There’s a nice article here called “The truth about EMS” that you might want to take a look at.

First of all any doc who makes that kind of diagnosis without getting an MRI is foolish. Even x-rays wouldn’t show torn tendons and ligaments. How does he know you didn’t injure a disk? Reguardless, go see an orthopedic back specialist and demand an MRI. That will give you your best view of whats going on down there. I myself have ligament laxity from a back injury and im not going to lie to you, it fucking sucks. Im looking into getting prolotherapy (google it to find out more info.)as a possible treatment for this.