Posts Tagged ‘massage’
8/20/12 – The Aftermath, or A Trip to the Chiropractor
Posted by admin in Appointments on August 30th, 2012
My first appointment after the triathlon was to see Dr. Larry and to get a massage. I admitted that I had gone to another chiropractor. Dr. Larry and I talked about my crooked spine, which was visible on the x-rays that the new chiropractor had taken, and he explained that just because I had a slight bend in my spine, it would not change my treatment. Basically, everyone has some sort of abnormal bend in their spines. He is there to help minimize this bend and make everything line up correctly.
So, he did some pretty deep foot/ankle adjustments, a wrist adjustment and an overall total back alignment. Then, he activated my legs to increase hip mobility, especially in the right hip.
Next up – the massage! Yay! Gordie did the honors, and he probably could have used 30 more minutes with all of the knots and kinks he found and worked out. He even did a great release on my hip flexors. That, I think, is one of my favorite things. If the hip flexor is not tight, the world is rosy.
I’ll be seeing Dr. Larry again. For sure.
10/8/10 – Thank Goodness for Massage Therapists.
So, after just about the crappiest week in history, I had a wonderful hour-long massage from my favorite therapist, the one, the only, Lynda, the muscle whisperer. She spent time really working on both of my crunchy ankles, and I am happy to say that they are less crunchy and much more mobile! Not to mention that she said my right shoulder was very much improved over the last time.
I am still experiencing some mysterious inflammation in my right ankle, and I was wondering out loud how it could have happened. Lynda started asked questions about my workout, and when I was talking about the new static lunges, she says – “That’s it!” And I think she may be right.
The lunges, although static and, thus, low-impact, are still putting major stress on the ankle that lies behind my body on the step. Plus, that foot is balanced on the toes, which is even more unstable. Put this together with the fact that the front foot is out there on it’s own, and I think we’ve got an over-worked ankle.
Ok, we’ve found the aggravating exercise, now what?
I continue to ice and self-massage the area (so difficult to do the self-massage b/c it hurts!), but I’m not feeling much improvement. This could also be b/c I wore cute shoes on Saturday to a wedding and danced with my husband. Oops….
All that aside, I’m going to give it one more week. I’m beginning to feel like a slug, and I’ve got a stuffed up nose. So, I’m going to head to the gym on Wednesday for some needed workout time. Nothing high impact, but I’ve got to get moving again before everything decides to get “all stove up”.
I hope that the icing and massage gets that inflammation going in the opposite direction. We’ll see.
No running 🙁
I’m going to try swimming to see if I can remember how – hahaha!
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.
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….
Physical Therapy Visit 5/26/10
It really does take a Village!
Today, I went into Travis after having an increase in the “pulling” sensation in my left hamstring and sometimes my upper calf muscle. I showed him where my problem was, and he said that he did not think it was my hamstring. After several tests, he hypothesized that the sciatic nerve is being irritated by the piriformis muscle (this is a muscle that wraps around your hip bone from the tail bone to the top of the femur or big leg bone).
HA! Once again the symptom is not really anywhere near the problem! The idea is that the sciatic nerve runs under the piriformis. Thus, when the piriformis is tight (mine is), then it places pressure on the sciatic. Pressure on the sciatic equals irritation further down the leg.
So, if this sciatic nerve hypothesis is correct, then it explains why glute exercises irritate it. When I work out my glutes, then I am definitely tightening the piriformis muscle, thereby irritating the sciatic – VOILA! My hamstring feels like it’s “pulling” or doing all the work.
Wow, if this is correct, I am going to advertise for real for my physical therapist!
The exercises:
I am to do a slumped stretch where I slump over as much as possible with my hands completely limp and resting on the chair behind me while I lift my leg just enough to stretch but not irritate the sciatic nerve.
Then, a “press-up” where I lay on my stomach and press up with my arms. This is to help relieve any pressure that might be coming from misalignment in my back (I’ll get back to that as I am now going to call my chiropractor to consult him).
Next, a bridge to specifically use my lower back.
Finally, a stretch for the piriformis.
Oh, I’m also supposed to foam roll the piriformis when I foam roll the IT Band.
So, I have a plan. I have a new diagnosis that is much more plausible. However, this is still a hypothesis.
As for how my chiropractor fits in: Travis said that when folks have sciatic nerve problems a lot of time it starts when the vertebrae put pressure on a disc. So, there could be a possibility of my having a disc out of place or something, but my symptoms are so mild that it is probably not that severe. I am going to call Dr. Larry tomorrow to talk about it.
Anyway, several things fell into place if the sciatic nerve and the piriformis are to blame. First, I have not had problems with the sciatic in a very long time – maybe a year, and that includes all the running I did at the start of this project. The one thing that is true for that point in time is that I was getting a back adjustment and an hour-long therapeutic massage every two weeks. It has been over 5 weeks since my last massage, and I had not had an adjustment in 4 weeks when I saw Dr. Larry last Friday.
Put that all together and my piriformis has had the chance to really get tight, and my back could have gotten all kinds of out of whack. Plus, when you are not getting regular adjustments, your body tends to not hold them as well. I know all this seems to point to the fact that once you start chiropracti you never stop.
Well, I don’t think it’s like fast food where you become addicted, I think it is something that your body actually needs on a regular basis. I also think that everyone should get a massage at least once per month. With our sedentary lifestyles, our bodies do not get the constant movement that they were made to do. So, they get all “stove up” or tight and run down. The chiropracti puts everything back into alignment, while the massage relaxes the muscles and helps the body to hold the correct postion, especially when supplemented further by strengthening and exercise.
However, I must bid you good bye as it is time for me to ice my butt. Have a great evening!
Run 6 – Thursday, March 4, 2010, oh man.
Posted by admin in Training (running, cycling, etc.) on March 7th, 2010
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!