[quote]scj119 wrote:
3/1/13. OHP.
Well, I reaggravated my back doing leg presses tuesday. It feels about as bad as it did 3-4 weeks ago (not as bad as when I hurt it, but back to being uncomfortable all the time). Why the fuck did I do leg presses? They aren’t that important and I know they’re hard on my back.
[/quote]
Ok, I tried this in your last log and was summarily dismissed but I hate seeing people with injured backs, so we’ll try it again. If you don’t want it, delete it.
About 6 years ago I herniated a disc in my back (L5/S1, sound familiar?) to the point where my left leg was in constant pain from the piriformis cutting across the sciatic and I had a drop foot, literally dragging my useless left foot around for a bit.
First thing’s first: Talk to a good sports doc. Most other docs are going to tell you to stop doing anything. You want a guy who wants you back to top form. My sports physio was the greatest guy in the world. His attitude was always “Let’s get you better so I never have to see you again.” He wasn’t looking for repeat business. And surgery, for anything, should always be the LAST RESORT, not the first. Getting cut on, even with the micro-stuff they have now is a traumatic experience to your body. Exhaust rehab options before you decide the knife is the plan.
Second: Mentality. Congrats, you screwed your back up. You are now INJURED. FOREVER. Accept this. You’re like an alcoholic now. You don’t get to be NOT injured. You just get to move normally and do all the other stuff you did. AS LONG AS YOU DO THE STUFF THAT KEEPS YOU HEALTHY! Lots of guys do the “Lessons repeated” thing. Try to be one that does the “Lessons learned”.
Ok, some first response stuff:
- Do whatever your sports doc and/or physio says.
- Try to get routine traction done. Taking the pressure off that disc helps a ton.
- Decent massage therapist. Your back is a ball of non-functional meat right now because it’s trying to protect itself.
- NEVER STOP MOVING. Walk whenever possible. If you have cardio equipment at home, get used to hobbling down and using it before work or anything else. Motion is lotion.
Exercises and resources:
Multifidus Back Pain Solution - Good book. Cheap. Educational. Gives you kind of the basic stuff to do that will, in all likelihood, become the basic template for your warmups. Takes a much different view than most people on backs. Don’t fool yourself. Almost all back injuries are disc related. The muscles are probably fine. The little stabilizers are gone and you’re trying to have prime movers do their job. This is like trying to do surgery with a chainsaw instead of a scalpel.
McKenzie Exercises. This stuff is gospel to most people who end up with a disc injury. Or are even just stiff in the lower back.
Reverse planks. YMMV but this was the one exercise that finally stabilized my back to the point of zero pain. I was still doing all the other stuff but this was the kicker. I should just make up my own damn video for this because noone else seems to have one. But it’s very similar to below with some exceptions:
I don’t balance this stuff on a bench. I just stabilize myself with something solid in front of me.
I just do a static hold at the top. Emphasizing holding with the lower back/glutes.
Piriformis stretching and loosening. This will help take some pressure off the back and alleviate any pressure from the piriformis pushing on your sciatic.
Core work (from Stuart McGill). He’s verbose but there’s some good non-flexion stuff in here.
For later on when you’re moving more normally.
Defranco’s Agile 8 (lower body)
Defranco’s Simple 6 (upper body): DeFrancosGym.com - Joe DeFranco's Upper body warm-up routine - YouTube
You can pick and choose for some of those. I don’t do the rollover into v-sits as it never made my back feel good. Lots of the other stuff is money though.
Ok, I think that’s probably more than enough to get anyone moving. But start doing some work in stabilizing this or you’ll be one of those guys who gets to be in his late 30s and early 40s and has a “trick back”, meaning you reach up to put a box on a shelf and spend 3 days on a couch.
A note to the uninjured: adopt a lot of this stuff early and maybe you’ll never BE injured.
Good luck, kid.