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Thread: Injury Q & A with Dr. Joe
01-10-2011, 05:01 PM #136
Thanks Joe. You have given me some hope.
01-20-2011, 08:03 PM #137
Don't know if you caught this in my journal Joe, but I apparently have issues with my anterior delts that may be responsible for a lot of my problems. I found out there was a problem quite accidentally. I was leaning on a doorway during a meeting and felt pain at the top of my arm. So I used the doorway to do a little massaging. Discretely of course And to my amazement, pressing on this area released my traps! My ever tight/sore traps! I never felt pain in my anterior delts when exercising or at rest.
My massage therapist worked on them last Friday. Holy freaking heck was there pain! I've worked on them myself this week and my upper body workouts are showing the benefit.
My trigger point therapy book indicates trap issues can be referred to the shoulder, but not vice versa. Weird huh? I also wonder now if my forearm/hand pain wasn't at least in part referred pain from the anterior delts.
My poor massage therapist now has so many upper body areas to work that she can't get to them all. And I can't handle two hours of deep tissue massage My lower body may not get a massage for a year
01-20-2011, 09:20 PM #138
I'm glad you were able to pin point an area to work on that is helping your injuries. Let me know how you make out with your treatment. I hope your trouble resolves quickly so you can get back to feeling 100%.
01-21-2011, 04:17 PM #139
Well, after 2 months of great training sessions and no major pain or I juries, I appear to have a setback.
I'm self-diagnosing tronchanteric/gluteus medius bursitis. I have the classic pain symptoms for that.
Crazy how that came about. I almost always have a certain amount of tenderness in the area. I squatted Tuesday with no problem. No problem with any pain Wednesday, although I did have some tightness in the area of the greater trochanter.
Woke up Thursday feeling fine. But as I was putting on my shoe, seated cross-legged with my femur abducted and my lower leg 90 degrees to the femur, I felt a searing sensation at the greater trochanter. Been hurting ever since. I'm limping around like an old man and shuffling up/down stairs. Getting into/out of my car really hurts! I'm not optimistic I'll be able to squat Sunday.
Need rest and anti-inflammatories I suppose. Any other suggestions, Joe.
01-21-2011, 05:02 PM #140
My first suggestion would be to have it examined. Often when someone comes in to see me with such a problem, I find other aggravating factors that can be corrected and help the injury. For example, I may find a "locked up" S-I joint causing increased stress on the hip. When the S-I joint is corrected, the hip pain will also resolve.
As far as home therapy, your best bet is the use of moist heat (make sure it's moist), non-steroidal anti-inflammatories, light stretching, and rest. Of course, this doesn't mean you have to take 4 weeks completely off from the gym. You can train all other areas and whatever leg movements you can do without pain (e.g. leg extensions?).
Hip bursitis is painful and can be quite limiting in regards to activity. Let's hope it is minor and resolves quickly! Let me know how you make out!
01-25-2011, 01:10 PM #141
Joe, what's your opinion on using elbow wraps or braces when doing heavy chest pressing movements or even tricep skull crushers? Lately I've had some tendonitis in my left elbow that has hampered my chest and tricep workouts I've had to work thru the pain with a lower weight. Not sure if elbow braces would protect it as I go heavier or hurt them in the long run.
01-25-2011, 01:44 PM #142
Joe, just wanted to report that my hip bursitis is resolving amazingly fast. I've gone from feeling like a near-cripple 5 days ago to feeling about 75 percent healed. Walking normally again and feel very little pain when climbing stairs.
NSAIDs, rest and moist heat have done the trick. Thanks!
01-25-2011, 04:02 PM #143
01-25-2011, 04:03 PM #144
01-25-2011, 04:10 PM #145
02-01-2011, 10:43 AM #146
Dr Joe, Paula is afraid to ask I think, but she is having pain just to the left side of the tailbone, just below the pants line. Radiates down the leg some and to the knee a little. I have SI joint problems, which are in the same area, but no pain in the leg and knee, so I don't know if Paula's is the SI joint or something else. Her pain goes away a lot when she exercises or walks, worse after sitting for a while. She says it really is bad when she drives home from work and has to sit in the car for 45 minutes straight. She is on her feet 8-10 hours a day as a dental assistant, and I am sure that doesn't help!
02-01-2011, 11:00 AM #147
She should have the area looked at by a chiro. It's a good idea to get the S-I joint adjusted.
Here's a little home therapy you can try to loosen up the piriformis (if it is contracted). Have her lay on her stomach. Start applying pressure in some different areas over her left buttocks with your elbow. If you find an area that is really sensitive, slowly increase pressure and hold for a few seconds. You can let Paula know in advance, that it is going to hurt! Work the sore areas a few time with the elbow. After applying pressure, use some wet heat on the area for 20 minutes.
Go online and also locate some stretches for the piriformis muscle. It's to hard to explain. You are better off going on line so that you can get some illustrations.
Let me know how you guys make out.
02-01-2011, 11:16 AM #148
02-04-2011, 09:39 AM #149
I've read several opinions of how creatine promotes muscle tears/strains. I have been using creatine off and on for many years-more on than off. Within the last 3 years I have torn my rotator cuff and my groin. Two nights ago I was attempting to up my hack squat poundage and on my last rep(#6) of my last set I pulled my inner quad in an area that was pretty close to where my groin tear was. The groin tear happened 18 months ago and is completely healed and my legs are strong but I seem to be much more prone to injury than I used to be. Granted I am 55 years old and that certainly may have something to do with it. Do you think that taking creatine exacerbates muscle injuries? Also, should I now be training differently at my age to try to avoid injury? I've always tried to push my weight poundage up when I can but it seems like this approach may not work for me any more as far as injuries go. I have a goal of competing nationally when I get to the 60+ age level so I am hesitant to reduce my training intensity.
02-04-2011, 07:13 PM #150
In regards to training, I know everyone on this board has different philosophies. Here's mine: If your body can handle heavy training, then keep training heavy. Others may argue, but I believe it is the most effective way for building size and mass.
If heavy training is resulting in injuries, then it is time to re-think how you train. Listen to your body. There are many effective ways to train with lighter weights. For example, "time under tension" is often discussed on this forum. Slowing the rep speed down so that lighter weight feels heavier.
You want to train in a manner that will work for you. You still have 5 years to go until you are able to compete in the 60+ division. Therefore you want results but you also want to be able to stay injury free so that you can continue to make progress.
Stay healthy and good luck!
02-04-2011, 08:29 PM #151
Thanks, Joe. I'm still not sure how I will approach my training. I have a feeling that it may become painfully obvious(pun intended) at some point. I guess I will stay with the creatine.
02-10-2011, 09:10 AM #152
Z noticed that the left side of my middle back was more developed, or at least pumped, that the other side. Didn't feel like a pulled muscle, so I am thinking an imbalance in legs/hips that is causing stress factors in that area? I wear orthotics, however they didn't look at relative femur length, hip girdle, nothing...just took mold of my feet. What if I need a shim? Joe, if you have any input here...a good sports related P.T. to measure and assess? Chiros around here are of the 20 min. in and out variety, nothing cutting edge.
02-10-2011, 09:43 AM #153
However, more times it is the result of a pelvic unleveling. I will also use a heel lift on the patient in this case, however only on a temporary basis (until I can get the pelvis to level off).
My former training partner (the one that I have mentioned with all of the aches & pains) had a very similar situation. I put a lift in his shoe and a lot of his discomfort went away. We are currently working on his pelvis so that we can take the lift out eventually.
Let me know if you have any other questions.
02-10-2011, 12:54 PM #154
thanks joe, I will look for someone locally to help. I look forward to getting together with you soon, so I can have an expert evaluate me.
02-10-2011, 01:30 PM #155
I have heard about improper blood and oxygen getting to the area will inhibit muscle activation and growth. That's why I get deep tissue and active release massages as often as I can afford to....
04-04-2011, 01:31 PM #156
I notice that when I bench in the 80% 1RM range that my left shoulder is extremely unstable. By this I mean the attachment of the rear delt, triceps area at the humerus. This occurs during the negative/loading portion of the bench. The pain starts rear delt and goes into tricep and biceps brachii as the load increases. Once I push/unload the bar, no pain. I have been diagnosed with a torn labrum and I tore the biceps/biceps brachii several years ago. Once this pain sets in, it compromises my strength on flyes, same pain. I don't seem to have nearly the issues with incline bench. Ideas?
04-04-2011, 04:33 PM #157
Do you know how badly the labrum is torn? My buddy had surgery on his labrum a couple of years ago because he actually had a 360 degree tear of the labrum. Doctor said it was the first time he ever saw that. Usually it is only partially torn.
04-04-2011, 04:47 PM #158
04-23-2011, 07:37 AM #159
This is a copy of a post I had actually sent to Steve. Was wondering if you might have any other suggestions.
On a side note....the glute/ham pain I was experiencing was actually a sciatic? nerve problelm. Went to a chiro for the first time yesterday at the suggestion of someone at the gym after I told him the pain was moving around in my leg too. The doc showed me the x rays of my spinal column! Looked CRAZY!..... he said it is what he calls the "bodybuilder's question mark". Damn thing took about a 1/2 an inch turn to the right and then back in the lower back area.He said after 35 years of lifting heavy it really wasn't unexpected, if you lift that long all the compression over the years is going to have some effect.......said he could treat and it should resolve.Looks like regular chiro trips are now an official part of
my training regimen!
04-23-2011, 02:02 PM #160
04-25-2011, 10:19 PM #161
Pec rupture and repair
Joe, thought I would throw out some facts/observations/and open up for listening.....
Its been a short 13 weeks since my surgery to re attach my left pec to the humerous bone. My thread in here has cronicled most of my healing. I am avoiding any wide pressing and doing close grip Hammer incline presses, olympic bar punches, high rep pec deck, high rep incline flies, high rep flat bench flies, light pull overs, high rep cable work. Weakness, no pain, and I have my ROM back.
I am healed. However I have a half a golf ball sized ball of tissue dead center of the pec. There was NO tear there. Doc says its dried blood and will disolve....really?? The ball gives me the visual dreaded "pec tear dimple". I must really pose carefully to hide this defect.
75 days 'till show time.
BaldieMY MIND & BODY ARE AT ONE WITH MY POWER & STRENGTH............JM
04-26-2011, 06:57 PM #162
A tremendous recovery for being only 13 weeks post-op. Your avatar picture speaks a 1,000 words. Is you question related to how to rid yourself of the blood mass in your pec or how to train your pecs at this point? Just wasn't sure what you were asking.
04-27-2011, 06:11 AM #163
Joe...I would like to diminish the dried blood mass in short order. I have iced, moist heat and daily massaged. What might be helping a bit is that my upper pec work is taking effect....I do some pec work daily. Press one day, flies next, pull overs next.
BaldieMY MIND & BODY ARE AT ONE WITH MY POWER & STRENGTH............JM
04-27-2011, 07:17 PM #164
05-22-2011, 07:19 PM #165
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Ques for joedemarco
I am in my 40s and have been training for 25 years. For the past 5 years I constantly tear muscles. Both biceps are visibly a mess from tears; my quad has a quarter sized hole from a tear; I tore my triceps off the bone, and have an ongoing hamstring tear.
I was treated by a leading pro sports surgeon, who was nonjudgmental and very cool about trt, but he could only suggest that aas as a possible cause. Another doc (works with athletes) guessed high cortisol. My cortisol levels are slightly above the normal range. I took 11oxo (adrenosterone) for awhile and no change.
While I still train hard, I am very careful with form (never bounce weights and have a very controlled range of motion). So, I really don’t think it is form or from trying to lift heavy. I don’t use any crazy weights anymore. I can still do 20 plus reps with 315 on squats, for example, but train regularly with 225 or 275 max, and stop when I do 315 at 8-10. I once pulled my quad squatting 185! I take a week off every six to eight months, and train a body part once per week.
Every other month I tear a muscle, sometimes real small, other times enough to avoid training that muscle for a month or more. Sometimes I feel like my quads will tear walking up stairs, no joke. My biceps tighten up from routine activities including brushing my hair, again, no joke, It is fuck'd up. I take a multivitamin, D3, omega 3, 200mg/wk trt dose.
My question: have you ever heard of constant muscle tears?
Last edited by DR.BB; 05-22-2011 at 07:22 PM.
05-22-2011, 08:15 PM #166
05-24-2011, 09:28 AM #167
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Thanks for the reply.
11-05-2011, 01:04 AM #168
ok here goes what will probably be a lame attempt at describing a symptom I have had for probably the past 3+ years and never really asked anyone about it. I basically feel like the left trapezius is always tight and in a spasm. It's worse when I lift back and it feels like it's always there. When I take a break from lifting it eases up but without fail, when I lift again, it's back. It nags me.
I basically don't know what to do about it. I don't know it's a nerve issue of some kind or if it's damage. I don't know if it's my desk job sitting at a computer all day at work. Either way, I'm at a totally loss if there is anything I can do about it. Thoughts?
11-05-2011, 09:32 PM #169
11-06-2011, 09:58 AM #170
11-07-2011, 03:14 PM #171
Last edited by HeavyDutyGuy; 11-07-2011 at 03:15 PM.
11-07-2011, 06:31 PM #172
11-07-2011, 07:31 PM #173
so I looked this up a little bit - thanks again. Do you know if this is something that is actually "diagnosable"? I mean how would a doctor determine if this is what I have and is it worthwhile trying to see a doctor about?