My L5-S1 Disc Explosion Pt II
Continued from Part I So after bucket-loads of pills, rest, e-stim, physical therapy, decompression treatment, chiropractic adjustments, and acupuncture I was still a mess. My pain had only gotten worse over the course of 6-7 months. What was the next step?
Steroids
I was referred to another doctor, this time a pain management specialist. I gave him the story that I’ve been repeating over and over to the other health care professionals. He took notes, reviewed my MRI and my treatment history, and decided the next step was to try an oral steroid treatment. Before you shake your head in disappointment and disdain, understand that we aren’t talking about anabolic steroids (I doubt those would have helped me much). The treatment consisted of 10 days of a corticosteroid drug, specifically Prednisone, in a hardcore attempt to kill the inflammation in my spine. The doc was straight up with me and told me that there’s a chance it will help but it’s a far cry from a guarantee. He wrote me the prescription and warned me of the side effects:
-High blood glucose
-Fluid retention
-Insomnia
-Anxiety
-Weight gain
-Severe facial swelling
-Fatigue and weakness
-Mental confusion
-Steroid dementia syndrome
-Infection
-Joint pain
-Blurred vision
-Acne
-Depression, mania, or psychosis (wait… what?!?!)
I followed the directions closely and took the pills everyday for ten days. The dosage started high and tapered down throughout the duration. I can’t say I felt much of a difference throughout that time. The pills didn’t make me feel better at all, but I didn’t get any noticeable side effects either.
So soon after that I’m back in the doctor’s office to see what the next step is. We agree that something more invasive needs to be done, but not surgery… yet. He suggests an epidural steroid injection. An epidural injection does not “fix” the issue of the blown up intervertebral disc, but can provide lasting relief for anywhere from a few weeks to a year or more. In combination with a solid rehabilitation program, many patients have had great success with these injections.
A few weeks after the oral steroid treatment, I’m in the doctor’s office ready for my first injection. It was definitely a scary thought, the idea of an enormous needle driven right into your lower back, but I was a desperate man ready to take desperate measures.
They provided some local anesthetic to my lumbar region, and proceeded to stab me in the spine with a Super Soaker of a syringe. They warned me that it would hurt, and it did. I felt an extreme sense of pressure in my lower back, as if an elephant stepped on it, followed by intense pressure down my left leg. When I got off the table to stand up I almost collapsed, because my left leg was still numb. They told me this was normal and that I should regain the feeling in my leg in a couple hours.
The pain in my back and down the leg at this time wasn’t completely gone, but it was significantly dulled. I remember feeling a sense of hope, that I was FINALLY on the path to recovery. The dulled pain continued for a few days, but then slowly started creeping back. I called the doctor with concern, but he let me know that sometimes it actually takes a couple weeks for the drugs to kick in 100%, so I should give it time.
Over the next two weeks I remember trying to ignore the fact that the pain was coming back, but after a few days of waking up to the full blast pain that I felt before, I went back to the doctor. He recommended a second injection. The second injection was just as pleasant as the first one, and left me numb for a day. This time the doctor also wrote me a prescription for Cymbalta.
“An anti-depressant?!” I asked. I mean this injury is depressing for sure but c’mon doc.
He explained to me that the drug is a seratonin-norepinephrine reuptake inhibitor (SNRI) and that yes, it is used to treat clinical depression but also to treat peripheral nerve pain. Reluctantly I took the prescription and took about a weeks worth. I quit after that first week because I felt like it wasn’t helping and I was becoming paranoid about the dictionary-sized list of associated mental side effects.
The dulled pain lasted about three days this time and immediately returned. After another couple weeks I came back for injection round three. The limit for these injections is three per year, and I reached this limit within a couple months. These injections definitely aren’t child’s play and you can’t haphazardly just shoot them up into your spine whenever you want to. With each injection you run the risk of infection, dural puncture, nerve damage, and even joint degeneration in the long run!
This time the doctor wrote me a prescription for Gabapentin as well. Gabapentin, also known as neurontin, is a drug used to treat epilepsy but has been successful in treating neuropathy as well. Apparently it’s also a popular recreational drug because of its potential psychoactive effects. What is this doctor feeding me?!
Anyways, after three injections and a bunch of sketchy drugs, I was back to square one. No relief. When I came back to the doctor I already knew what they were going to tell me: “We’ve exhausted all of our options and it may be time to consider surgery.”
The Surgeon
My girlfriend, who works at INOVA, did some digging on several reputable orthopaedic surgeons in the area. After consultations with three different surgeons, I decided to go with Dr. Thomas Schuler of Virginia Spine Institute.
As one of the top 100 spinal surgeons and specialists in the country, recognized among the top 1% of physicians in his specialty, and top 10 spinal surgeons for the NFL, his reputation preceded him. Being the spine specialists for the Washington Redskins had nothing to do with my decision… I think…
During the consultation at his office, he and his assistants spent almost two hours of dedicated time with me, running me through a myriad of tests, looking through my records, performing another x-ray on my spine, and analyzing my MRIs.
When it was all said and done, he was confident that a microdiscectomy would be the way to go.
A micro-what now?
The plan was to perform a “micro-surgery” that was relatively minimally invasive: The doc would slice into my lower back, push the erectors out of the way, cut some bone away from the lamina of the vertebrae, find that insidious piece of disc that was pushing on my sciatic nerve and ruining my life, decapitate the herniation, and stitch me back together.
Terrifying… I thought. “Let’s do it,” I said. My consultation was on a Thursday, and the operation was scheduling for the following Monday.
The Surgery
Like almost everything in life, the operation came with a bunch of paperwork. I filled out all my papers, signed a will (yeah, really), and they sent me home with my pre-op packet filled with instructions.
There wasn’t much to do from my end pre-op. I couldn’t eat or drink anything the night before and had to shower with a special soap.
The next day I showed up at the hospital, checked in, and waited in the waiting room with a number of other poor souls like myself that were about to get cut open. When I was called up they prepped me up in a gown and surgical socks and rolled me away on a bed to the anesthesiologists.
The anesthesiologist prepared the IV and stuck it into my arm. She explained that she would soon inject the drug and I would fall into a deep sleep. I remember her asking me where I went to school, to which I replied “George Masgfughabluhhhhhhh…” BAM! I was out like a light!
After what seemed like a minute or two, I slowly woke up, very hazy. One eye half-open, I looked up at a nurse and asked “when are they taking me to surgery?” She chuckled and replied “Oh honey, you’ve been out of surgery for hours. It went perfectly!” I didn’t want to argue so I went back to sleep.
The second time I woke up I was in the recovery room with my girlfriend and family. After the blur started to wear off I realized that the intense pain in my back and left leg were gone. I was so happy I could’ve cried. Pain had become such a huge part of my life that I forgot what it was like to not be in agony. I was definitely sore from the flesh wound I now had in my back but it was merely a slight discomfort compared to how I’d been living that past year.
I spent the night there, still in a daze from the morphine and eating French toast while watching The Simpsons. It was definitely one of the most joyous days of my life.
Stay tuned for Part III!
A Prerequisite to Lifting Heavy Weights
Ahhh how exciting, my first blog post as a coach at SAPT. I’ve got my cup of coffee, The Best Around playing on loop and I’ll be doing hip mobilities throughout writing this blog entry. Why? Because The Best Around was originally supposed to be for a Rocky III montage, but was replaced by Eye of the Tiger and I think Joe Esposito deserves more credit for the inspiration it brings…. Why am I doing the hip mobilities every 30 minutes while at a desk? Easy, because I want to squat later. Mobility: A Prerequisite to Lifting Heavy Weights
If you’re reading this blog, then it’s obvious you want to get strong, build muscle, and improve fitness in each and everyone of your workouts. You’re the type of person who sees exercises like deficit deadlifts, deep squats and overhead presses and gets as giddy as a little schoolgirl at the thought of trying it in your next workout. You look up the technique, take a few mental notes, begin with light weight for a warm-up, and then finally drop butt-to-heels into that heavy squat.
But what happened? You thought you would drive up out of the hole like superman initiating his flight takeoff, but instead you feel your lower back light up like Iron Man’s arc reactor.
You didn’t check your mobility prerequisites for that exercise did you?
Position is Power
Every exercise requires a certain degree of mobility in particular joints in order to execute the movement safely. If the mobility is not there, then the body will look for a way around it to accomplish that movement. By doing this you are putting yourself into a compromised position, and what’s worse is that if you’re doing it with training, you are reinforcing a compromised motor pattern. Practice doesn’t make perfect; practice makes permanent.
Not only are you actually weaker in these compromised positions, but you are more likely to injure yourself. This needs to be fixed before you can get strong. You can only squat so much weight with a Hyena Butt. You must work on gaining enough mobility to get into whatever position a given exercise/movement requires, WITHOUT compromise, and then you can become strong.
I’m sure you’re probably wishing I’d just shut up and tell you how to get mobile, right? Well too bad! Because first it is more important to understand WHAT needs to be mobile.
Understanding Mobility
Joint mobility is the degree to which a joint can move through a range of motion. When a joint becomes less mobile, it becomes more stable as it can’t move. (Note: Stability is not a bad thing! You just need it in the right places.)
Though it’s not black and white, many of our joints are meant to be mobile while others are stable. Sometimes, due to activities (or lack thereof) in our daily life, injuries or even the shoes we wear, joints that should be mobile become stable and throw off our body’s movements. When these joints that should be mobile are then locked down, joints that are stable then become mobile to compensate for the lost motion. This relationship is constant throughout the entire body and it’s the reason you will see lots of errors in movements that can’t be fixed with simple queues.
The Joint-by-Joint Approach outlines this mobility-stability relationship between the joints and how it could affect movement. Essentially it conveys that the following joints need more mobility or stability:
Arch of Foot – Stability
Ankle- Mobility
Knee- Stability
Hips- Mobility
Lumbar spine- Stability
Thoracic spine- Mobility
Scapula- Stability
Gleno-humeral(shoulder) joint- Mobility
Does anyone else see the pattern here? Our body alternates the needs of our joints from head to toe. So what do you think happens if one of these is thrown off? Then the pattern is broken and they all get thrown off to some extent. If someone is flat footed, they will probably have poor foot stability and it will cause their feet to collapse in movement. This results in a loss of ankle mobility over time, and their knees will almost always cave in when they squat. The reason for this is because their knees are now looking for mobility. The same can be true for losing stability. Lets say Yoga Sue starts stretching out her lower back more and more because she’s been having back pain. By creating more mobility in her lumbar spine through stretching, she is reinforcing her body to move through her lower back rather than hips and will eventually lose hip mobility. I’ll touch more on the stability component in my next post.
If the stability/mobility pattern is thrown off, then it will compromise your movements and thus jeopardize the intended benefits of lifting heavy things and your training sessions will look like poop.
Fix It!
So I’m sure you’ve spent the past few minutes form checking your squat depth in a mirror and are now begging for the answer of how to become a mobility master. Have patience grasshopper; first you must find your weakness.
Step 1. Find your limiting factor
This step will most likely need a coach or knowledgable training partner. You must determine what joint is immobile and causing the issue in your movement. You can use a movement screen for this or you can informally just breakdown the movement to see when the poop hits the fan.
Step 2. Determine WHY it’s your limiting factor
Joints can become immobile for several reasons. More often then not it is because your joint is stuck in one position for a long period of time due to your lifestyle. If you find this to be the culprit you’re going to need to make some changes before you can start seeing results. You may have to stop wearing those 5 inch heels or you may have to start getting up and walking from your desk every 20 minutes.
Sometimes a joint can become immobile due to overuse in a certain range of motion. You will see this a lot in runners or any other athlete that goes through repetitive motion. If this were the finding, you would just go straight to step 3.
Occasionally you may find that a joint is immobile because it is protecting something. This will take a more educated diagnosis, but if that is the case, then DO NOT MOBILIZE IT. If muscles aren’t firing right or there is a structural issue causing instability, the body’s natural response is to lock that joint down to keep it from being unstable and causing more damage.
Step 3. Soft Tissue Work
You now know what’s immobile and why. You’re about to start training, now it’s time to mobilize it. Foam rolling is one of the fastest ways to increase mobility of a certain joint. Simply roll on the muscles that influence that joint and try to workout the super-happy-fun knots you find. If you’re new to this use a foam roller, if you’re one bad dude, try a PVC pipe or lax balls. If it’s your thoracic spine, try using a t-spine peanut.
Step 4. Mobilities
You’re going to have to lengthen the tissues holding down the joint at some point. I find it most effective to do in the warm up, right after foam rolling and even throw a few into the workouts. If it’s pre or intra-workout, then you will want to use dynamic movements to accomplish this. Otherwise feel free to do the good ol’ fashioned static holds.
Step 5. Activate
If you take one thing away from this process, I want it to be this: Mobility will not stick, unless stability is created somewhere else. If you’re trying to loosen up your hip flexors, do some glute work after you stretch them. If you’re trying to improve ankle mobility, do some dorsiflexion exercises after you stretch the calf. If you’re trying to improve adductor length, do some core stabilization exercises right after loosening up the adductors. I think you get the picture.
Step 6. Use It
In order to keep your joints mobile, you must consistently use the full range of motion in them when you train. This means going to full depth in a squat, locking out that deadlift and overhead press and really grinding the lateral lunges. If you want to get fancy with it, you can even use exercises that are known for creating excessive range of motion like Bulgarian split squats, windmills and arm bars. Whatever you decide to do, don’t cheat yourself and use the full range.
Step 7. Dominate
If you consistently follow the previous steps, you should be in a good position to rip some weight off the floor. Some issues will take longer to fix then others, but be religious with your mobility work and it will pay off to help you feel and perform better.
Strength as a Foundation
On March 15, 2013 I became a regular person - well my perception of regular anyway - and I love it!
Why did I have to relinquish my super-hero status? I’ll leave it at this: I saw my dreams not just faltering, but failing. So, to get back on track, I stopped working two full-time jobs... which I had been doing for years for "fun" versus necessity. I took a break from my love-affair with iron. I also sit more than I have in about 15 years... that's a mega regular person activity!
Well, if we fast forward to today, my big dreams in life are properly realigned and effectively back within reach. But, I want to talk about what has happened to my physical foundation over that time.
SAPT’s methodology is based on the approach of Strength as a Foundation. We use various examples to explain why this is the best approach for building speed and explosiveness, but my favorite is “imagine shooting a cannon out of a canoe” sounds silly, right? Well that’s because it is. Never having operated an actual cannon myself, I can still easily imagine how ineffective and potentially dangerous it would be to try to shoot the thing out of a canoe.
The same concept holds true for performance training. If Strength as a Foundation is ignored, you’ve effectively set yourself or your child up for ineffective and potentially dangerous training.
Okay, so getting back to my little story: since becoming proudly “regular,” I’ve been working out at home and put a huge emphasis on improving my overall fitness. “Fitness” in this case meant I wanted to put a big focus on improving my cardiovascular system's functioning and efficiency. My exercise of choice? Running. And because of time limits I have only been lifting an average of 20-minutes, twice a week... but my running workouts stick around 60-90 minutes, 4-5 days a week.
Do you see where this is heading...?
I've let my foundation crack. My strength foundation. It sort of sucks. But, I planned for this to happen... I guess I just didn't know what it would feel like once I arrived. I've been lifting consistently since I was 19 years old. The longest break I’ve ever taken (up until this year) would have been a MAXIMUM of one week off from lifting. Crazy, but this 20-min/2x per week lifting has been going on for almost 4-months. With several weeks in there taken completely off from lifting.
I’ve been trying to shoot a cannon out of an ever destabilizing canoe. Attempting to keep up such a high volume, frequency, and intensity of running without maintaining my strength foundation is trouble. I’m feeling it now.
My goals have been accomplished in terms of “fitness” but I’ve been surprised what a slippery slope running that much and lifting that little has been. It’s like the losses are compounded. My knees often ache and the muscle mass in my legs (read: glutes and hamstrings) has dropped significantly.
What’s the plan and what’s the lesson?
I need to build muscle and lift weights more frequently. That’s the plan. And the lesson? As advertised, running really is detrimental to strength levels. I’m undecided about how I feel about this. Where I am in my life, running really lines up well with my mentality and goals. I can’t even begin to tell you how many excellent ideas I’ve had while running... SAPT was actually conceived during a run 6-years ago(!). But, I need to prioritize more prehab exercises to keep myself on the trails. In terms of the biggie compound lifts, eh, I’ll probably continue to take a break. 13 years straight of weight training means I’m certain the lure of the iron will pull me back when the time is right. In the meantime, I’ll continue setting a laser focus on building an amazing business and embracing my “regular” side.
Last week I attended a workshop on marketing for the small business owner. It was amazing and led by John Jantsch who is *tha guy* when it comes to this topic. As much as I believe the experience has already had a permanent and positive change on SAPT, I will try to exercise some self-control and stay on-topic. I do mention the experience for good reason: the first - and most tangible - impact from this workshop for our readers is in how we deliver content on the blog. Here are the changes you can look forward to:
- Each month will have a theme that each primary (MWF) post will address. This month's theme: Give Me Strength!
- We will be attempting to up our quality from an internal standpoint by actually editing posts ahead of time.
- All this requires *gasp* planning, so posts should be more reliable with few, if any, missed posts.
Please engage if you like or hate or even have no feeling about what you read here!
Lifting & Running = Monster Benefits - An Intern Post!!!
This week we're going with one theme: RunFAST. This is the new program we've been developing that we'll officially take the lid off of on Friday. I have to acknowledge, we're offering something totally new, so we're gonna take it slow and start with a post a bit more traditional in terms of the usual SAPTstrength banter. But check the blog every day this week. We've got 5 killer posts lined up.
For the first RunFAST post, one of our interns has written a fantastic post describing in detail the benefits of lifting for ALL TYPES OF RUNNERS (yes, you distance folks can enjoy this, too!).
Why should you listen to this guy who I just admitted is an intern, well, he's a special intern. His name is Gustavo Osorio (or Goose from here on out) and he just graduated from George Mason. Goose was a member of the track team and a stellar decathlete who very recently repeated as CAA champion! Pretty cool, right? This guy knows his stuff. I learned a few things myself and, given that I was his strength coach, that means he really knows some awesome details about high-performance.
I opened up comments again, so please post your thoughts and share with friends. Here we go:
Lifting And Its Benefits For Runners!
“Strength is the foundation for excellence,” this is a mindset I’ve come to respect and adopt for myself after my short time here at SAPT. When you think about it a strong body is a health body, one capable of efficiently moving in any way and letting a person’s athleticism truly shine. Strength is without a doubt the foundation for speed and agility. This concept that may seem foreign to many runners because of all the myths regarding resistance training and running. Many runners and even some running coaches are under the impression that hitting up the weight room once in a while will only result in injury, getting “bulky”, and losing that speed they’ve worked so hard to achieve. When, in reality, a well-structured resistance training program can make the body bulletproof, make your muscles more efficient without bulk, and boost the training effects of your running workouts (aka make you faster).
Myth #1: Lifting (squatting and deadlifting) is bad for your back. Don’t do it!
When performed correctly and with the appropriate assistance work squats and deadlifts can help you build a bulletproof back, glutes, and hamstrings. All three of these muscle groups also happen to be three of the most common sites for sprains and injuries on runners. Coincidence?? I think not! When running you’re lower back acts as a shock absorber, while the glutes and hamstrings are used for force production to propel the body forward. If an individual doesn’t strengthen these muscle groups and continues to constantly hammer them with more running eventually the muscles breakdown from overuse and an injury occurs.
On the other hand, if an individual strengthens these muscle groups they reduce their chances of injury and increase the work load their body can handle. This means they’ll be able to put in more work on the track during practice and, when meet day arrives, fast times will be run!
Fun fact about elite runners, whether it be a sprinter or a distance runner, is that they have some type of year around resistance training program implemented into their training. When you get to the Olympic level and everyone is tenths of seconds away from each other, keeping your body healthy through resistance training makes the difference between being an Olympic medalist and not making the final.
Myth #2: Lifting will make you bulky and slow
A big fear amongst runners is that resistance training will put on too much “useless” muscle for them to carry around. Truth is, a resistance training routine will make you bulky and slow ONLY if you completely stop running and if you have no idea of how to make it sport specific. Just because you’re lifting weights doesn’t mean you’ll turn into the hulk overnight (or ever... let's be real here) but it can make your muscles more efficient at what they do. By training your energy systems through lifting you’re running can be exponentially enhanced. Think of your body as a car and that the energy systems providethree different types of fuel it runs on. These BIG 3 are: the phosphagen system, the anaerobic system, and the aerobic system.
The phosphagen system provide the equivalent of jet fuel for the body. It gives you tons of energy but it burns out super fast! How fast you ask?? Well it gives you enough for 6 to 10 seconds of all out exertion. It provides the energy for the beginning of every race and it is the most dominant energy system during short running event, 60 meters to 100 meters. It is also involved in any sport that requires any sudden bursts of speed and explosion such as basketball, baseball, football, and volleyball. This system is primarily trained through plyometrics and lifts that require high force production at high speeds.
The anaerobic system gives you a mix between jet fuel and regular gas, it still yields a high amount of energy and manages to last a bit longer, between 1 to 3 minutes depending on the intensity of the event. This system is the most dominant for the 400-800 meter distances.It is also involved in sports that require prolonged bouts of speed and some endurance such as boxing, wrestling, lacrosse, and soccer. This is a tricky energy system to train because it requires a mix of power training, muscular strength training, and some muscular endurance training.
The aerobic system gives the body the same effect gas would in a car, it doesn’t let you go blistering fast but it give you a constant stream of energy to keep you going for miles. This is the dominant system in athletes who compete in endurance events such as triathlons, marathons, long distance swimming, and cross country skiing. This energy system can be trained through circuit training and low weight/high rep/low rest lifting.
**WORD OF CAUTION: Train a certain energy system through lifting does not mean you’ll necessarily get faster. When you integrate a lifting program on to a running program correctly the two can complement each other quite nicely. However if all you do is lift aerobically and then expect to go run a marathon you most likely won’t finish.**
Myth #3: Lifting has no positive transfer to running.
Another great benefit of resistance training is the improvement in something called your Rate of Force Development (RFD). [Side note: Kelsey did an amazing job of going into great detail on RFD, if you haven’t read her posts I strongly recommend them! Part 1 and Part 2.] Basically what that means is how fast your muscles can produce a high amount of force. This is beneficial to runners and all athletes because producing higher amounts of force at a faster rate enable you to move faster. Through training this can help optimize your stride length (amount of distance covered per step) and increase your stride frequency (how fast your feet hit the ground) both of which will also make you faster.
This last bit is something most people often neglect, but it makes a world of difference in their running. Aside from improving energy systems and Rate of Force Development lifting can be used to improve running posture. When performed correctly the squat and the deadlift teach people to brace their core and to properly align their back so it’s in the neutral position. A lot of people can go through an entire running career (like myself) without ever realizing that this has a massive positive transfer to running.
The two pictures above demonstrate how the body should be aligned during the deadlift and squat. If you take a side picture of yourself you should be able to draw a straight line from your hips to the base of the head.
Let’s take a look at Tyson Gay coming out of blocks. You can make a straight line from his hips to his head, JUST like a squat or deadlift! Coincidence?? I think not! By keeping his back in a neutral position and bracing his core he is getting the most propulsion out of the power he is putting on the ground. By keeping his core rigid (not tense) all the force being placed on the ground is not lost or being absorbed by an arched or hunched back. Same thing would happen if you lifted with a rounded back, the spine would absorb a lot of the force going up (deadlift) or down (squat) instead of letting your legs and glutes do the work.
Now take a look on the right at Carl Lewis, he is in the Maximum Velocity phase of the 100 meters which means he is trying to maintain his top speed for as long as possible. The line from the hips to the head is still there which means he is getting the most out of the force production. But that’s not all! Notice how his hip are neutral and not anteriorly rotated, his butt isn’t sticking out. This allows him to get a higher knee drive, cover more ground with his stride, and keeps him from kicking his leg too far back. A great way to teach this to people is the finishing position in the squat and the deadlift often referred to as the “lock out”. And like the squat/deadlift lock out phase if his hips were too posteriorly rotated, too far forward, he would put his back out of alignment and sacrifice kick back range of motion.
SAPT's Baseball Summer Training Program
It's that time of year! Time to get stronger, faster, more powerful, and pack some muscle mass onto your frame. Check out our special offer for baseball players this summer:
For the past 6-years, the coaches at SAPT have been helping pitchers and position players alike achieve their potential on the field. Set up a comprehensive evaluation today and start down your path to superhero status!
My Experience with ART: Part I
For years I’ve been interested in restorative and rehabilitative techniques. Whether it be something in the “do it yourself” category such as foam rolling, or something a bit more invasive like dry needling (a technique used by doctors of physical therapy to release tight muscles in spasm), I'm always interested in finding out what seems to “work” and what seems to be an expensive waste of time.
One of the rehab techniques that really sparked my curiousity was ART, or Active Release Technique. Was it a fancy style of massage? Was it chiropractic manipulation? I came to find that it was a style of treatment that involved locating scar tissue in the body that is suspected of causing soft tissue restriction or dysfunction, and using a combination of manual pressure and the patient’s own movement to break up the gunk in the body and restore the tissue to proper function.
As I read more about it and talked to several patients that have had ART before, the general consensus was overwhelmingly positive. I couldn’t resist anymore and got myself an appointment with Grove Spine & Sports Care.
The Assessment/Evaluation
I came in with no urgent concerns or problems, but I knew that I had some movement dysfunction of my own. My hips are fairly tight and I will get some lower back soreness from a long day of sitting, and my left hip will bother me if I over-do it with squatting movements. I was very curious to see what kind of condition the soft tissue in my lower back and hips were in.
Just as I suspected, there was something up with my left hip. My hip flexors are both super tight, but even more so on the left side. I’ve always felt that this is pulling my spine into a less-than-optimal hyperlordodic position.
My hip external rotators on my right side were also locked up, causing me to turn my right foot out more when I stand or sit relaxed.
But the fun didn’t end there. There was junky tissue in my adductors, spinal erectors, QL, and some scarred up ligamentous tissue in my lower back.
So I proceeded to have much of this knotted up nonsense “released” by the good Doctor. The “releasing” consisted of having deep pressure applied to the restricted area, and then moving my own body in a way that would stretch the tissue against the pressure. For example, for my hip flexors, I started in a side-lying position and deep manual pressure was applied to my psoas right next to my belly button. While the pressure was maintained I had to extend my hips by throwing my top leg back and reaching up toward my head with my top hand.
I was warned that it may cause some deep burning and even a painful sensation, but I thought it just felt awesome. I was still smiling throughout the session, so I guess that puts me at a 0-1 according to this fullproof scale.
After getting my left hip flexor, right external rotator, and left adductor magnus released I got up off the table to walk around and feel out my freshly ironed out hips. I must say I was very impressed. I did a few bodyweight squats and could definitely feel the increased ease at which I dropped down to depth.
The initial evaluation and first ART session was enough to convince me that there is something magical happening here. Of course it would be naïve to assume that my experience will be the same as others, but for those of you who have some nagging soft tissue aches and pains I definitely recommend you try it out! Stay tuned for further experiences with my future ART sessions.
