Posts Tagged ‘chiropractor’

Quick and Dirty Update on Last 3 Weeks, Then Back to Regularly Scheduled Blog!

So, these past three weeks have been a whirlwind of excitement and exhaustion. The school year began with full force; at the same time I was house/dogs/cat/fish/newts sitting for friends who go to go to Burning Man; and I was trying to maintain a workout schedule. Whew!

Well, the house/dogs/cat/fish/newts survived; my students are awesome this year (so far); my workout limped along.

I also had several appointments with Travis, my physical therapist, who is currently treating my right shoulder, which I am calling the last of my old injuries. It is well on the road to recovery, and next week I should be released from physical therapy for good 🙂 That is barring any new weird things that might happen. So, Yay!!!

Melissa, my personal trainer, has been awesome! She has been supplementing my physical therapy on my shoulder with more specific and difficult serratus anterior exercises. I really do have a great team!

On the chiropractic front, Dr. Larry has been keeping everything in line – hahaha! While Lynda, my massage therapist, aka the muscle whisperer, has been working with my right shoulder mainly to keep it functioning without all that tightness.

All together, these past three weeks have been challenging and rewarding. I’m looking forward to a more normal routine where I can workout regularly and begin running training again.

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8/9/10 – New Workout, More Push-Ups!

Yesterday, Melissa totally kicked my butt, again! My quads are feeling much better, but last workout she had me do side lunges. Well, I was so sore over the weekend, that I was unable to do my homework. I only got in one run 🙁

It was also a short time period between seeing Melissa last week and this week due to a trip I’m taking to the ol’ homestead, which gave me fewer opportunities to workout.

Enough with the excuses, already.

Yesterday, Melissa gave me some excellent exercises. Starting with FIFTEEN push-ups! Yes, 15!!! Then we moved onto a curtsey-like lunge, where I lunge back and toward the side holding me up. These work your abductors, and boy can I feel it today! I was worried that when it came time for my left foot to hold me up, it would not be able to. However, the left foot did just fine! I couldn’t really tell a difference between it and the right foot. Hooray!

Next, I did some more squats with a dowel that I bring up from my hips to even with my shoulders out in front as I squat. Not bad. Finally, a little hamstring using the balance exercise ball. I place my ankles on the ball and come into a plank. Then, I roll the ball up to my butt. Once there, I hold and raise one leg with knee bent off the ball. Hold for 30 sec. each side. The left side felt like it would charley horse in the last 10 sec, but the right side felt fine.

Now, rinse and repeat three times.

The last half of the workout was more archers with more weight 🙂 Then, one-arm fly laying on floor with legs at 90 degrees and opposite arm (not doing fly) out to the side palm down to balance. Next, on the balance exercise ball roll down to ball under shoulders in bridge with feet on floor. Using 15lb weights(!) I did the hip/glute exercise from two weeks ago. I love this exercise because it really does a good job of getting at my glutes without hamstring issues. I remain in the bridge on the ball and take my 15lb weights to do the skull crushers and tricep press. This was difficult, but I could do it!!! 15Lbs!!!

Finally, I did some shoulder rehab, while in side plank with abductor leg raises after, still in side plank.

Whew! What a workout. Today, I my hamstrings are a little sore with a small dose of sciatica in the left hamstring. Not too bad. A few slump stretches should help that. I do have a pain in my low back/hip. I am trying to decide if I need to go see Dr. Larry before I leave for home. The problem is that I’m getting on a plane, which will very likely undo anything Dr. Larry does. Hmmm.

Well, kiddos, that’s all for now. Until my next run in a few minutes 🙂

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8/4/10 – Chiropractor and Massage, Finally

What a banner day! I wake up with my nerve in my right arm raging, my quads screaming at me with every movement, and my ankle feeling fine.

So, I arrive at Dr. Larry’s office EARLY, which I never do. As a matter of fact, I think I’m 20 minutes early! Do ya think I’m really looking forward to this visit?

Anyway, when I get to the room, I launch into the shoulder explanation:

Me: “You need to adjust my shoulder b/c my nerve is shooting pain down to my elbow.”

Dr. Larry: “Let me test it first.”

Me: “You really need to adjust my shoulder….”

Dr. Larry: “Just let me test it. Hmmm. Ok. I’ll adjust your shoulder.”

My Shoulder: “CRACK!”

Me: “Ahhh.”

Dr. Larry: “That’s amazing! Have you thought about becoming a chiropractor?”

Ok, so maybe we said slightly different things, but it was something to that extent. I really think that my chiropractor is awesome. His shoulder adjustments are actually a special move that he kind of invented, which as he has said is a combination of two moves to make one super move – “The Macarena”. This is my favorite shoulder adjustment. It always does the trick.

He also did the standard pulling my leg, adjusting my ankle and of course the L5 for the sciatica.

Next, the massage 🙂

Lynda was back from her awesome bike ride across Ohio (correct me if I’m wrong, I think it is Ohio). So cool! She stayed with people she knew all across the state and ate homemade cookies that a family was simply GIVING away to the bike riders. She slogged through thunderstorms and finished with a family wedding. She is awesome!

Then, on her first day back in the office, she has to deal with me – muwahahahaha!

So, she gets to the right shoulder first. Turns out that b/c I have not been wearing my night guard, I have been clenching my jaw, which is not causing issues with my jaw. Instead, the clenching is completely screwing up my right shoulder! It’s all connected, baby.

So, she works some magic on my shoulder muscles (she’s like the muscle whisperer – they release when she tells them to). Then, down to my oh-so-sore quads. I was so not looking forward to this as I knew it was going to hurt.

And it did, but she was able to get the muscles and tendons to relax, which did quicken the recovery time.

My left foot was really crunchy, too. It did decide to relax a bit. She also released my hip flexors.

Overall, a really wonderful and very needed afternoon.

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7/19/10 – Another Successful and Incredibly Informative Chiropractic Visit

I looked forward to this chiropractic visit all day today because I missed it last week due to a minor period of complete and total brain fart. So, when I finally arrived, I knew I needed to have some serious adjustment of my L5. Seriously.

For this adjustment I changed into exercise shorts because I did not want my jeans to be in the way, as they can be even though the doctor insists that they are just fine. I’m just sayin’ that I disagree, and I figured every little bit helps 😉

Of course, I begin by telling Dr. Larry exactly what I think my diagnosis is. He then examines my back and tells me exactly *what* my diagnosis is.

Me: “I need an L5 adjustment because the sciatica has returned to my left leg and my right hip just isn’t working right.”

Dr. Larry: “Your L5 spinous process is rotating to the right.”

Alrighty then.

He got to work on my mid back, my neck (very impressive pops this time), my hips (he “pulled” my leg – ahahahaha), and the ankle. After all that, he did a very specific adjustment to push the L5 spinous process to the left only. Normally, he does a lower back adjustment that includes the L3,4 and 5 on both sides, but today he focused on the L5 and only pushing it to the left.

Let me tell you – INSTANT MIRACLE! It is amazing how fantastic your body feels when the spine is in alignment. My sciatica is abating (it takes a few days as the sciatic nerve is slightly inflamed, and must be calmed down with stretching and exercise), and my right hip working correctly, again! Hooray!

Thanks, Dr. Larry!

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7/9/10 Chiropractor and Massage for my Feet Only!

Did you know that a massage therapist can spend a whole hour on just your feet? Well, I was a little skeptical, but it is true! However, before I go there, I want to talk about my adjustment last week.

I started with just the massage and no adjustment, but when I got there I was informed that if I wanted an adjustment they could squeeze me in. So, I thought about it, and I noticed that my neck hurt, my hips felt a little stiff, and the L5 felt that it could use a little movement. Ok, I’m in – I need an adjustment!

So, I go back and Dr. Larry gets some awesome pops on the neck. Then, the mid back was not so mobile. My hips were normal, my ankle was really a big movement, but my low back was not a much as I had expected.

I then decided to take this time to brag about how my multifidus muscles felt much stronger when I was doing my PT exercises. Dr. Larry then tells me that my back does, in fact, feel more “balanced” 🙂 Hooray! It’s working!

Of course, after the whole session I am really feeling flexible and awesome. Then comes the massage on my feet.

I did get a tiny bit on my right shoulder because there was this knot right over the shoulder blade….oh, nevermind.

Anyway, Lynda actually spent one whole hour on my feet. She massaged the back of the heel (I keep meaning to look up what is back there anyway), and it was amazing the kinks that were there – I mean, who knew the back of the heel had issues?

Then, she worked on the top of the feet: the band that holds your ankle together (that’s a doozie); the posterior tibial tendon (all the way up the tibia) – it did a really nice release; the muslces on the outside (anterior) of the tibia; and, finally, the underside of the foot. Wow! That underside of my left foot was all kinds of messed up. That sucker was painful, but when she finished I had excellent range of motion and mobility in general.

Yes, folks, one whole hour on the feet (ok, maybe minus 10 mins on the shoulder). I highly recommend having an hour long foot massage. I highly recommend Lynda. However, you will have to wait until she has finished her bike ride across the entire state of Ohio.

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Physical Therapist, Chiropractor and Massage Therapist – Oh My! 6/2/10

So, the trifecta hits in one day! I must say that I truly do have some of the BEST doctors here in Seattle working for me and my high maintenance body.

This morning I went to Travis Orth, my awesome physical therapist, to report on my exercises. Lo and behold it is NOT my piriformis muscles because all that piriformis work did not do a whole lot. He said that he really thought it was my back, which was fortunate because I had a chiropractor appointment this evening. So, I have a whole new set of exercises to work on the multifidus muscles, which function to move the spine as a whole.

Fun Fact: according to Dr. Larry, my chiropractor, the multifidus muscles are unique in that each section works independently of the other sections both up and down the spine as well as the left and right. This means that the right lower multifidus can fire independently of the upper or left multifidus.  Cool, huh!

Back to Travis, since it is my back, I am no longer allowed to do any exercises with flexion (meaning bending over). So, the dead lifts are out; the balancing bends, out; lunges, out (for good measure; biking, out (sitting in flexion); etc.  However, I can walk (on treadmill or outside) and use the elliptical machine.I also have to sit in the neutral spine position at all times.

Fun Fact: To find neutral spine, lay on your back with your feet on the floor and knees bent. First lift your lower back in as high of an arch as possible. Then, press your lower back down as much as possible. Neutral spine is the position in between these two positions. Thanks, Travis!

So, I then head over to Dr. Larry’s office where he says that he thought he was my back all along 🙂 Anyway, the L5 adjustment was just the same as my lower back adjustment, but more focused on the specific vertebrae. I also requested a set up on the shoulder, which did the trick, and he pulled my left hip and ankle to pop them both. It was a fantastic adjustment day.

I then head into my massage therapist, Linda this week (“Where’s my jello?”). So, I’m explaining the sciatic and how it’s not piriformis, etc. Somehow I tell her my hip flexor  (the ilopsoas) is really tight on my right side. She says that it is connected to the L5 vertebrae, and that she has to go in from the front to get to it since it is a deep muscle. Wow!!! I had never had anything like that done. Plus, if the hip flexor is pulling the vertebrae to the right, then no wonder it is the left sciatic nerve with issues.

This is getting better and better! I’m feeling like we’re about to figure some major stuff out.

Well, this massage was simply wonderful and very needed. I had knots in my right and especially my left quadriceps and my left hamstring was really, really sensitive. Linda said that my IT bands felt way better because they were moving rather than just stuck together! Yay!!! That is awesome because I have been working on them for a very long time, and, finally, I have confirmation of progress! Yippee!!!

Also, she worked on the left and right ankles. Well, that left ankle hurt me and apparently her as well because it was so tight. Then, she moved to the really weird iliopsoas muscles. She basically pushed down through the hip bone to the back where she just kind of pushed on the hip flexor. My left side was super easy, but my right side (the tight one) was incredibly painful.

I also asked Dr. Larry if I needed to sleep a certain way, and he said no. Just sleeping on different sides is good enough, and my husband confirmed that I am definitely sleeping on multiple sides with the fact that I always end up with the covers on my side or wrapped around me as proof. Dr. Larry also said that if my hip flexor was tight he would do some activation on it next time.

So, in summary, no running and no exercises with flexion until I have had a chance to further strengthen my back and get the sciatic inflammation down. Still a work in progress….

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The Village Revealed!

I mentioned my Village a few weeks ago, and after having consulted most of them, I am thinking that they should get some free press. So, drum roll please……………

First up, my chiropractor. Hailing from Cap Hill, he has a lovely office located at Boylston and Olive. You may find them open Monday -Saturday (I think), and they offer chiropractic adjustments as well as massage therapists for really making it all work together.

Dr. Larry Thomas
Capital Hill Chiropractic

Next, my physical therapist. Presiding over Downtown in the Medical-Dental Building is a fabulous guy with lots of ideas and exercises. He looks up articles relating to your problem and will even read your blog if you needle him enough about it.

Mr. Travis Orth PT, MS, DPT
Therapeutic Associates Physical Therapy
Seattle Physical Therapy

Finally, my massage therapists. Since I get the massage after my chiropractic appointments, I sometimes get new massage therapists due to the schedule and who is available. Recently, Linda found the gristle in my ankles. However, on my last massage appointment, Julie did a fantastic job of really releasing my TMJ through a technique of inside the mouth massage. She also worked extensively on my feet. These wonderful folks may be found at Capital Hill Chiropractic as well.

There they are! Please let them know that I sent ya.

Oh, and tell them to read my blog while you’re there. 😉

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Introducing “The Village”

Remember how I have said that I will most likely need “a village” to get me through this, well, here they are:

My Chiropractor

My Massage Therapist

My Physical Therapist.

Each and every one of them is awesome, and I highly recommend all of them! If you want their information, please comment and I will get it to you.

I am going to use this category to talk about their recommendations and treatments.

That is all for now.

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Run 6 – Thursday, March 4, 2010, oh man.

Okay. Remember how I said that I had been trying to run since I was 18. Well, the cycle is something like: don’t run for a long time, run, inflame a tendon (patellular tendonitis, IT band-itis, etc.), quit running to let it heal, and don’t run for a long time….. I am continuing the cycle.

On Thursday, I was on the fence for running, but I ultimately said to myself, “Self, let’s try to establish this routine and go run.” So, that’s what I did. I met my friend, and we did a different location run/walk for about 3.5 miles. I wore my super stiff running shoes with orthotics. When we finished, the run proved to be another posterior tibial inflamer! WAHHHH!!!!

I am not going to lie. At this point I was incredibly disappointed. I went home Thursday night and did the ice, heat, ice cycle twice. It felt better by the time I went to bed. However, Friday morning was another story. The left foot really did not like it when I walked on it. I even broke down and took ibuprofen when I got to work. I was at wits end.

How can I prove to the world that I can run in barefeet with my flat feet  if this stupid tendon won’t stop hurting?! Doesn’t it understand that this is really important? GGGAAAAHHHH!

Then, I realized this is part of the process. The process of getting my feet acclimated. So, hang on tight, folks, as I take you through some additional steps for getting over the beginning bump of working out with flat feet.

First, I enlisted the help of the physical therapist I had been to in October when I was going to start training for a half-marathon (no specific half, just any half-marathon at this point). However, once I quit going to him, I pretty much just stopped running and working out period. Man do I need to have some stick-to-it-tiveness in my life.

Anyway, I emailed him about the inflammation with two quesitons: 1. How long does it take inflammation to clear up. 2. Should I stop weight-bearing exercise while letting the inflammation heal?

His answers: 1. 2-3 weeks depending on the inflammation, etc. 2. YES! Stop the weight-bearing exercise immediately.

He also said that ice is the only thing that I needed to do (no ice, heat, ice), and that I should do 15min 3x’s MAX ice per day. He also recommended that I come in for an appointment so he can see my foot and give me some pointers on training in barefeet (his company had recently done a mini-seminar on barefoot running – what timing!).

My response since then, I iced for 15min on Friday night. I am planning to call on Monday to make an appointment, and hopefully I’ll see him next week to get new stuff going.

Second, I had an appointment with my chiropractor (I see my chiropractor at least once per month, and I highly recommend this action for everyone – more on that later), and at the end of these appointments, I also have a massage to help the body’s muscles realign with the adjustment or something.

During this particular appointment, I was worried because I was getting a new massage therapist. It turned out that I had absolutely nothing to worry about. She was fantastic and very in tune with the body. It was interesting because they keep a file on me, and she knew about my history with TMJ even though I didn’t mention it. I always get a little freaked out when the massage therapist goes, we’ll need time to massage your jaw for your TMJ, when I have only mentioned that my left posterior tendon is killing me. My massage therapist is AWESOME!

Ok, back to the massage, when she got down to my legs, it was the usual OMG pain in the quadriceps from all the new work they’ve been doing (expected), but there was this excruciating pain across the top of my ankle. She said that this is a band of muscles that the wrist and ankle have because they are the “weak link” in the body. Well, let me tell you, my band of muscles were super tight! She worked on the left foot first, and then the right foot. Her observation was that the “right foot is a lot less gristly than the left foot.” And boy was she correct!

Overall, I felt so much better with my chiropractic adjustment and massage, that I am going to increase the frequency during my early stages of training. I will start with once every two weeks and see if that is enough. I am also going to enlist the help of my physical therapist. Let me tell you, folks, it really does take a village!

This is not the end! It is merely an obstacle on the way to success!

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Welcome to my world!

Hello and welcome to the world of running with flat feet. I have been running on and off (due to injuries and laziness and car accidents) for over 15 years, and I have been continually learning all about my body, my feet and how it all works together. This adventure began the summer before I started college.

My best friend, Amy, got me to run with her that summer so that we could look hot for the boys at our new schools. This adventure started well for us. I found that I could run, which I had previously thought was impossible. Lo and behold, if you just go for it, you usually find that it is not impossible.

So, I started school and ran intermittently (especially when the freshman 15 started creeping 0r shall I say just dumped itself on my body). Usually I would run successfully for a few weeks, and then I would have to stop due to shin splints.

After two relatively unsuccessful years, my right knee started really bothering me. So, I did the responsible thing and went to the doctor for a diagnosis. I had patellular tendonitis. Yep, it meant that my knee hurt. So, I iced and continued to run. No one told me at that time that I should stretch or strengthen – that came much later.

The next year, I went out for a run to blow off some steam, and I pounded away at the concrete sidewalk. Yes, this hurts me to think about it, too. I seriously injured myself, but did not want to admit it. I had severe pain in my left foot. Four months after that run, I went back to my foot doctor to find that I had fractured my lateral sesmoid bone and had a hairline fracture in the bone of my fourth toe all on that same foot. I ended up having to have the lateral sesmoid removed, which has caused some interesting side effects such as splaying of my big toe – more on that later.

So, what did I do after that? I kept running, of course! The next year, while running, my hamstring began to really bother me a lot both during and after a run. At this point, I was in graduate school, and I followed a reference from the  university health center to go to a physical therapist. I had no idea what they would be able to do for me.

First, I ran with tape on my shoe and ankle with a video camera recording my feet. Then, I was told I would have to have prescription orthotics – plaster molds, baby! After that I was stretched in every conceivable fashion and given all kinds of exercises for my hamstrings.

I wore my orthotics religiously. I changed my shoes to accommodate orthotics. I stretched and strengthened. I will say that I have never had shin splints since wearing orthotics.

However, after my hamstring issues came IT band problems. I had switched schools. So, I switched physical therapists. They applauded me for wearing my orthotics religiously. The difference with this physical therapist was that he told me we needed to treat the problem, not the symptoms. He looked at how my core was working – oh – it WASN’T! And he looked at my glutes – they weren’t doing anything either. Turned out that at this point, my hamstrings were doing all the stabilizing as well as their own job. This also led to the increased tension on the IT band as they tried to help to the hamstrings. “Eureka!”, I thought. “Now, I will be able to run pain free!”

So, I stretched; I strengthened; I even did exercises to strengthen my big toe; and I ran on grass, etc. Then, when my symptoms did not really improve, my physical therapist told me that I would never be able to run.

I did not believe him.

I still do not.

After having my orthotics for about 4 years, I went to a new doctor to get a new pair. More plaster, but this time, the doctor cut away the padding under the big toe on both feet to enable them to do more work. I also learned around this time that I should have a callous under my big toe because it should be doing the push-off motion. Well, my callous for push-off was under my second toe. Hmmmm…..big toe still not working. Could that be the cause of some symptoms? Maybe…

I returned to working on the strengthening exercises for the big toe with more vigor! This had to work! All the while I am buying the stiffest motion control shoes I can find because that’s what I needed, right?

During this time, I graduated from graduate school and got a job. The running was very intermittent as I switched to a very high stress job. Then, I changed fields: I started teaching; then, acting; then, coaching, etc. Finally, I returned to running only to find that the old IT bands were still inflamed at the smallest of runs. ARRRRGGGGGHHHH!!!

I continued to run despite the issue. I added massage once per month. Then, I got in a car accident. Halt to running for one year. During that year, I moved across the country, got married and started a new job.

After moving, on the recommendation of a friend, I found a chiropractor in my new city. I was all kinds of out of alignment. I had a shoulder problem (couldn’t raise my arm above my head without pain), TMJ, and my right hip was killing me all the time. Running was out of the question. Walking was a daily necessary pain as my new city was awesome and pedestrian friendly.

After 6 months of chiropractic and massage, I started running again. With the responsibilities in my new job ramping up, I did not stick with it.

Last summer, my chiropractor went to a conference where he learned about how we might be doing it all wrong. Maybe the body doesn’t need all these fancy orthotics to function correctly. Maybe the body was built, even with imperfections, to function at its best without help. He also learned of Vibramâ„¢ Five Fingers. He told me that they were shoes with a pocket for each toe, and that they simulated barefoot walking as well as stimulated the bottom of the foot.

Ok, I’ll try anything once. So, I bought some. They were amazing. Unfortunately I was so enamored of using them, I jumped in too quickly and the top of my right foot ended up swollen. I was not running in them at this point. I was walking (I walk one mile one way to work) in them and wearing them all day. Turns out that if you read the Vibramâ„¢ website, they tell you to ease into the barefoot sensation – especially if you pronate! Duh!

Anyway, I stopped wearing them for winter because I only have the Sprint model and a pair of injinjiâ„¢ socks, which do not really keep my feet as warm and toasty as I would like.

Now, we come to the present day. My husband and I spent a week skiing, which really felt good as far as being active. Once we got home, I resolved to try and run in my Five Fingersâ„¢.

This blog is an attempt to document my steps in the process. I want to track what my feet feel like. Research that I do. Information to share on how things are going – what to look for if you, too, are starting down this track.

Basically, I want to test my hypothesis that I can run barefoot with my flat feet. I think that by going slow and not jumping in too fast, I can make this a reality.

Be on the lookout for pictures, and I will start with my first run experience tomorrow!

For now, good night, and good running!

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