Injury resource?

blastar

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I've come to the realization that I know a good deal about strength training, conditioning, martial arts training, diet, etc. but when it comes to injuries I am mostly lost. I can find some information on the internet, but the problem is I don't have much insight in it. I have insight in my diet, I have insight in my training. About injuries I know RICE (rest, ice, compression, elevation) and not that much more. I just try something a doctor said or something but I'm shooting blindly here because I lack the insight. Part of the problem is that medicine is so mainstream so I haven't come across a book about injuries that is to the point. You would have to study to become a doctor and than specialize in (mostly) sport-related injuries, which isn't to the point. I feel the doctors I've visited barely care and don't even take the time to assess the individual situation. I can't completely blame them since they are somewhat like drones who have to help a patient in 10 minutes and than the next patient is there. I have not been satisfied with the treatments doctors have prescribed me.

Examples:

>when I was a kid the doctor recommended me to take MgO for some sort of pains I was having (growth related I guess). Only after I invested time learning about nutrition I know that MgO is a shitty form of magnesium and there are much better forms to take magnesium in, which is probably why MgO didn't help much from what I remember

>I know a guy who had pain in his knee which kept him from training properly for over 2 years and he visited multiple knee specialists, literally people who don't do anything but treat knee injuries in their professional lives, and they all wanted to operate and do this and that and they gave him special medication and only the 4th specialist fixed the problem by telling him to do a very simple stretch and that was that. The knee was 100% in a few days. Such a simple problem and the doctors just wanted to make money of him and ruin him for life.

>a girl I know was almost killed by a doctor when he prescribed medication to combat a kickboxing-related injury. The medication reacted with the medication the girl was already taking and she couldn't breathe anymore and was rushed to the hospital and barely survived. If the paramedics were a few minutes later she would've been dead.

I know many more stories like this just about the people I personally know. My own experience with doctors isn't too great either. My confidence in our medical system is quite low, especially for sport-related injuries. Does anyone know where I can find a great resource about injuries to give me the insights I am looking for, without the extra luggage for doctors. Probably a book or ebook, a website perhaps. Injury prevention, rehab, mobility drills etc. for a muscle tear, a problem with joint x or ligament y. That's what I'm looking for, specific and to the point.

If it was a diet book, it could look like this:

carbohydrate info
protein info
fat info
micronutrient info
concrete plan for weight loss
contrete plan for muscle gain
etc.

This but for injuries so I get insight into injuries and know to the point what to do. Or maybe I'm asking too much and such a thing does not exist.
 
Become a physical therapist. But even they don't have all the answers.

Become certified in MAT. Muscle Activation Techniques.

Go train with Dr. Edythe Heus and learn her exercise methods.

The last two are the easiest to do.

What problem(s) are you having the most?
 
Become proficient in anatomy. Literally.
Purchase any orthopeodic hand book of manual muscle testing/special testing. And then have a little knowledge become dangerous.
So unless you're willing to commit a shit ton of hours learning and applying a trade, you might do more harm than good.
 
What problem(s) are you having the most?

My right wrist has been injured for months, can't punch anything but air at respectable power. One of my achilles tendons hurts when I take my first steps in the morning or when I run/rope skip/hop etc. I have a bunch of minor annoyances as well.
 
My right wrist has been injured for months, can't punch anything but air at respectable power. One of my achilles tendons hurts when I take my first steps in the morning or when I run/rope skip/hop etc. I have a bunch of minor annoyances as well.
Your Achilles issue probably has an issue with ankle flexibility and elasticity of the tendon.

The foot and ankle routine of the book "ProbodX" would probably help you. Also stretch it on the slant board or stairs. Those injuries are aggravating. If you have scar tissue, it's just hard to deal with. And it's gonna take time. But that daily ankle routine would probably help, along with stretching. You may need ASTM to scrape on that scar tissue by a physical therapist. It's not fun though.

The wrist I wouldn't know what to say. There is a hand/wrist routine in the book. It may or may not help you.

The book is just a good warm up head to toe that will build elasticity, flexibility in joints, muscles, fascia and tendons.
 
Badger67 is correct in that you should be willing to commit a tonne of hours towards education. A little knowledge being a dangerous thing is very true with regards to injuries, and is one reason of many you want to be taking advice from professionals who are seeing you in person, rather people over the internet. Which includes some of the individuals posting in this thread - it's a very, very, bad idea.
 
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Rip seriously, don't. There's at least 4 things off the top of my head that could be wrong with his achilles not related to ankle stability or elasticity of the tendon, especially since its first thing in the morning as this gives more info but still not enough (which is why your suggestions isn't good unfortunately).

blastar, see a sports physio or ATC. They tend to be better for multi directional movement athletes like us.
 
Rip seriously, don't. There's at least 4 things off the top of my head that could be wrong with his achilles not related to ankle stability or elasticity of the tendon, especially since its first thing in the morning as this gives more info but still not enough (which is why your suggestions isn't good unfortunately).

blastar, see a sports physio or ATC. They tend to be better for multi directional movement athletes like us.
He wouldn't hurt himself doing a balance workout, mobilizing his foot on pipes, or doing some light stretching. Especially if he currently runs and jumps rope on it. If my suggestion still hurts him, he should stop.

But yeah, obviously he should see a professional if he can afford it.
 
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Actually, depending on what it is, it could. If he had posterior compartment syndrome half of what you are suggesting is a no no.
 
Actually, depending on what it is, it could. If he had posterior compartment syndrome half of what you are suggesting is a no no.
Actually balancing and stretching are two of the therapeutic exercises listed for compartment syndrome.

http://www.physioadvisor.com.au/10513350/compartment-syndrome-chronic-compartment-syndrom.htm


"Physiotherapy for compartment syndrome
Physiotherapy treatment for compartment syndrome is vital to ensure an optimal outcome. Treatment may comprise:

  • soft tissue massage (particularly to the deep calf muscles)
  • mobilization (of the ankle joint)
  • dry needling
  • electrotherapy
  • PNF stretches
  • arch support taping
  • the use of orthotics
  • biomechanical correction
  • progressive exercises to improve flexibility (especially of the deep calf muscles), balance and strength
  • activity modification advice
  • footwear advice
  • weight loss advice where appropriate
  • a gradual return to activity program"
 
Mobilization is to be done at elevation to increase drainage and reduce volume of the compartment space; so simply mobilizing it may literally do nothing, and might even keep it pooled. By doing this while standing on something, this will only serve to push the volume back into the space as the exerted additional pressure will not be able to be relieved. But your website told you this, right?

Stretching is to be done conservatively, and with specific muscles (you don't know how to isolate these). Otherwise, you might aggravate the swelling, or put pressure on a nerve or artery (blood clots ding ding ding). They told you this too right?

If there's any syndesmosis issues, the method of stretching as well as activity changes. You don't want to do too much calf stretching with a syndesmosis issue (assessment needed). I'll let you figure out why.

PNF stretching can't be done until a neuro assessment is done with PCS, otherwise it's ineffective. Same with electrotherapy (pending type), as the nerve may be unresponsive.
Taping doesn't come until much later for the same reason as above with exerted pressure as its restrictive. This is why fasciotomy is often the most common surgical component.

Footwear advice...what specifically? Tighten where? Loosen where? Rather vague. I'll assume a physio knows what to do here, but not you.

Now do you see why you need an assessment rather than pulling websites out of your ass and making suggestions? We have no idea what this guy's issue is, it could be one of or even a combination of several things.
Unless a guy literally tells you his diagnosis and the stage he's in and what he has been doing with doc's/physios, stop.
 
Mobilization is to be done at elevation to increase drainage and reduce volume of the compartment space; so simply mobilizing it may literally do nothing, and might even keep it pooled. By doing this while standing on something, this will only serve to push the volume back into the space as the exerted additional pressure will not be able to be relieved. But your website told you this, right?

Stretching is to be done conservatively, and with specific muscles (you don't know how to isolate these). Otherwise, you might aggravate the swelling, or put pressure on a nerve or artery (blood clots ding ding ding). They told you this too right?

If there's any syndesmosis issues, the method of stretching as well as activity changes. You don't want to do too much calf stretching with a syndesmosis issue (assessment needed). I'll let you figure out why.

PNF stretching can't be done until a neuro assessment is done with PCS, otherwise it's ineffective. Same with electrotherapy (pending type), as the nerve may be unresponsive.
Taping doesn't come until much later for the same reason as above with exerted pressure as its restrictive. This is why fasciotomy is often the most common surgical component.

Footwear advice...what specifically? Tighten where? Loosen where? Rather vague. I'll assume a physio knows what to do here, but not you.

Now do you see why you need an assessment rather than pulling websites out of your ass and making suggestions? We have no idea what this guy's issue is, it could be one of or even a combination of several things.
Unless a guy literally tells you his diagnosis and the stage he's in and what he has been doing with doc's/physios, stop.
Relax badger, what I said is probably what most pt's would do for him. I know you are eager to "own me" or get me to stop posting in this forum. If balancing, mobilizing his ankle and stretching hurts him, he would know to stop. And he would know he's gotta go seek professional help.
 
Not at all, i'm simply implying your advocacy for certain things is not warranted until things are found out, otherwise it's pointless and possibly dangerous. This is common sense and falls under the do no harm application of ethics under any healthcare professional.

Pt's might do that, they also might conduct an assessment and say "you need a doctor and possibly surgery, i cannot help you". We have no idea. That's the only thing that's important here; we do not know anything at this point. He doesn't even know. Lot's of people attempt to work through things like discomfort and pain, doesn't mean it's a good idea in overuse cases. This is why us guys with credentials in this field don't often make suggestions online. If he had a diagnosis etc, things might change a bit here and we can actually go into that route when and if the time comes. Until then....

I've made one mistake 5.5 years ago with something similar when still in college on placement regarding a child with possible autism and developmental delay physical by use of miswording a single sentence. This was a giant clusterfuck that thankfully the parents were very understanding of toward my ignorance (knowledge can be dangerous), otherwise the agency would've been sued or the OT might have lost their license. (I made it seem as though their child might out grow it, when that wasn't my intention. You do not outgrow autism, obviously). I'm not speaking simply out of any agenda as i don't have one, it's out of compassion and a do no harm policy. I actually give a shit about people and what happens to them. It's why i got in this field.
 
Not at all, i'm simply implying your advocacy for certain things is not warranted until things are found out, otherwise it's pointless and possibly dangerous. This is common sense and falls under the do no harm application of ethics under any healthcare professional.

Pt's might do that, they also might conduct an assessment and say "you need a doctor and possibly surgery, i cannot help you". We have no idea. That's the only thing that's important here; we do not know anything at this point. He doesn't even know. Lot's of people attempt to work through things like discomfort and pain, doesn't mean it's a good idea in overuse cases. This is why us guys with credentials in this field don't often make suggestions online. If he had a diagnosis etc, things might change a bit here and we can actually go into that route when and if the time comes. Until then....

I've made one mistake 5.5 years ago with something similar when still in college on placement regarding a child with possible autism and developmental delay physical by use of miswording a single sentence. This was a giant clusterfuck that thankfully the parents were very understanding of toward my ignorance (knowledge can be dangerous), otherwise the agency would've been sued or the OT might have lost their license. (I made it seem as though their child might out grow it, when that wasn't my intention. You do not outgrow autism, obviously). I'm not speaking simply out of any agenda as i don't have one, it's out of compassion and a do no harm policy. I actually give a shit about people and what happens to them. It's why i got in this field.
Professional help is the best thing for blastar as you are saying. I get that from you that you care for the people you see. I have admiration for that. I wish everyone did. I get the feeling this guy can't get help at the moment. So I'm offering some e-advice that may or may not help him. I hope he gets better like you do as well. That's why I post.
 
Except your advice could quite likely make his condition worse, for the reasons Badger explained. So if you really do hope that he gets better, the best choice is to stop giving advice regarding injuries.
 
Except your advice could quite likely make his condition worse, for the reasons Badger explained. So if you really do hope that he gets better, the best choice is to stop giving advice regarding injuries.
It could get worse doing his running. It could get worse climbing up the stairs on it. It's not too risky to stretch it, mobilize it and balance on it. Which is probably what his therapist would do anyway. If that aggravates it, obviously he needs to stop. He may find some benefit to the foot workout in that book.
 
Your Achilles issue probably has an issue with ankle flexibility and elasticity of the tendon.

The foot and ankle routine of the book "ProbodX" would probably help you. Also stretch it on the slant board or stairs. Those injuries are aggravating. If you have scar tissue, it's just hard to deal with. And it's gonna take time. But that daily ankle routine would probably help, along with stretching. You may need ASTM to scrape on that scar tissue by a physical therapist. It's not fun though.

The wrist I wouldn't know what to say. There is a hand/wrist routine in the book. It may or may not help you.

The book is just a good warm up head to toe that will build elasticity, flexibility in joints, muscles, fascia and tendons.
It's good that you want to help, but you shouldn't be diagnosing anyone over the internet, especially in regards to injury and pain. Even a physio wouln't do that because they would know that they could not give the right treament without a proper diagnosis, assessment and even supervision.

I understand giving general advice, and as general advice it's alright, but be mindful in regards to injuries.

Also, listen to Badger, it's his field. He has real experience both practical and theoretical.

TS, if it's a persistent problem, seek out a physio and at least get an assessment.

EDIT: In regards to injury PREVENTION and physical well being, it would acually be interesting to see if there any recommended books, as the TS suggests.

I heard these two were pretty good:
www.amazon.com/The-Pain-Free-Program-Relieve-Shoulder/dp/0471687200
www.amazon.com/Movement-Gray-Cook-ebook/dp/B0079QQCHI/ref=sr_1_2?s=books&ie=UTF8&qid=1454351560&sr=1-2&keywords=greg+movement

I'm considering buying them. Any thoughts guys?
 
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Gray cook is pretty decent actually, but parts of his FMS system have some flaws (i know of a few PTs who disagree with parts of his assumptions on it, i loosely agree). Generally he's good though.
Haven't read the book though. Haven't heard of or read the other.
Supple leopard is a decent book.

I also recommend this one. Which i need to get myself.

9781451104318.jpg
 
Best online injury resource: my training logs.

I'm gradually making my way through every injury known to man.
 
I appreciate the advice you are all giving me and I'm sure you all now what you are talking about, but this is EXACTLY what I mean. I have no insight in it. One guy says this the other one says that. I could be doing something suggested here and it may or may not help and I won't know why/how anything.

About my achilles, I researched about it and I am pretty sure I have achilles tendonitis:
http://www.foothealthfacts.org/footankleinfo/achilles-tendon.htm
because of overuse of my achilles (rope skipping, running, kickboxing).

"Often pain appears upon arising in the morning or after periods of rest, then improves somewhat with motion but later worsens with increased activity."

Exactly what I have.

Treatment
  • Immobilization - I don't have a walking boot though.
  • Ice: To reduce swelling due to inflammation, apply a bag of ice over a thin towel to the affected area for 20 minutes of each waking hour. - check
  • Oral medications. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen, may be helpful in reducing the pain and inflammation in the early stage of the condition. - I'm gonna have to buy some tomorrow
  • Orthotics. For those with over-pronation or gait abnormalities, custom orthotic devices may be prescribed. - I am sure my gait is excellent and it is simply overuse
  • Night splints - don't have
  • Physical therapy. Physical therapy may include strengthening exercises, soft-tissue massage/mobilization, gait and running re-education, stretching, and ultrasound therapy. - no idea what to do and not sure if I should let my achilles rest as much as possible and only after the pain is completely gone do mobilization or while trying to recover.
Alterations to my planned treatment is appreciated. I will be checking out the books suggested in the thread when I can. Thanks.
 
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