Anvil or Hammer


Change of plan

Posted in Rest and Recovery by Mike on April 17, 2008

The plan for Wednesday, Dumbarton 80K cleans for about 45 minutes, go home.

Unfortunately, over the last two weeks my hip has really started to bother me. To the point that it was getting hard to work. Yesterday was nearly impossible. So I left work early, skipped the gym and went home. I also made a physical therapist appointment. The guy I saw before, he could see me a week from Monday. That was a little far off and I didn’t really like him so I kept looking. I found a different place that could take me Monday. Well, great, that screws up Friday’s workout, probably, but it’s a whole lot better than what I had gotten so far. I booked it, then I got the call that they had a last minute cancellation and I could come in this morning. Awesome!

So with some trepidation based on past experiences, I headed in for my appointment today. I’m sure this PT got a more fair opportunity because I had very precise complaints and I had spent enough time with the pain that I could give a pretty detailed history. I went through the whole description, the original injury, how that seemed to have healed then a new set of symptoms presented, then how that had progressed. She put me through some basic movements and tests, for weakness, tightness and pain. In the end, she agreed, it was sciatic nerve pain and it was probably caused by some other muscle injury. She did some more work and found/decided it was my Piriformis muscle, it was probably not a part of the original injury but through compensation or something similar, it got tightened up pretty bad. It was applying pressure to the sciatic nerve, giving me pain and making it more sensitive.

The prognosis, is good. She did not try to stop me from training in anyway. There were a few things that may be associated with increased pain the next day that we talked through, but she seemed understanding of my view on the world and I was of hers. She used the ultrasound heat jelly stuff. That was awesome, it seemed to take away even the soreness I had woken up with. Then it was stretch time. She kept it simple, three stretches, count to ten do each leg 3 to 5 times. Do that twice daily. Finally they did electro-stimulus and ice to try and inhibit inflammation. Honestly, that made it hurt again. I may ask for us to not do that in future but I’ll give it a few tries before I condemn it.

I’m extremely glad I made that appointment.

In other news, my nutrition for the week is crap. I don’t expect to lose, in fact, I won’t be surprised by a pound gain next week. I’m not losing my mind and going all piggy piggy but with only two training days, a night out with a friend (which I enjoyed and would do again, regardless of calories) and a couple unplanned days that were my own mistake. That said, I’m keeping it reasonable, so I don’t think it will get to far away from me.

Last, Kris over at virtualmeet.net is looking for folks who are willing to help him with chores relating to the website and what they do over there. I offered my name because I’m a fan of what he is doing and believe in it. If you have participated or want to or even just enjoyed his videos, stop by the website and let him know or tell me and I’ll pass the word.

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4 Responses to 'Change of plan'

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  1. Chris Rice said,

    Hope this works out and you get feeling better!

  2. Scott Styles said,

    Balancing out the body has to come first. Glad to hear you found a better therapist and are getting professional help with the problem.

  3. speedstudio said,

    Mike:
    I recently discovered the traditional piriformis stretches I’ve been doing (recommended by alot of “experts”) is actually aggravating my hip joint and lower lumbar.

    I found an alternative stretch for the piriformis on page 2 of this article:

    http://www.t-nation.com/article/performance_training/how_not_to_warm_up

    By the way my copy of McGill’s book came the other day – I’m already finding value in it – and recommend it. I believe some of my inflexibility is due to instability and weakness. Instead of stretching, I need to strengthen and improve stability. I’ve also discarded a number of the warm up drills I’ve been doing that have been promoted by alot of coaches and trainers.

  4. Mike said,

    Thanks guys. I have about three stretches and they seem to be doing their jobs, I’m pretty happy so far.

    Stepehn,
    I haven’t read the T-nation article yet but I will, thanks for sending it along. In general I need to find a good stretching routine. I’m looking forward to that book at some point as well. It’s gonna be down the road though.


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