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funkie
Venezuela9377 Posts
He said the pain that I was feeling was due to a cavity pressing down a nerve or some sort (this is kind of what he said) he then proceed to tell me the exact name of the "injury" but I can't remember it. He sent me some medication Norgesic (Orphenadrine citrate 35mh, Paracetamol 450mg) and Pregobin (Pregabalin 75mg). I have take one pill of each every 12 hours and Pregobin is for 15 days, and norgesic just for 7. Any ideas  ? | ||
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Osmoses
Sweden5302 Posts
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eshlow
United States5210 Posts
Paracetamol is Tylenol, Orphenadrine is basically anti-muscle spasms, and pregobin is an anti-neuropathic pain med... So pretty much the dude doesn't know what's going on and assuming that you're just having pain/spasms/etc for some reason and hoping the drugs will calm it down. Funkie, you said the SI self adjustment helped correct ? (or was that phyre?)? Eh, you're in South America so I don't know if there's any good PTs/Chiros/etc. available to help you out. -_- | ||
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phyre112
United States3090 Posts
On March 15 2013 22:35 eshlow wrote: Well, Paracetamol is Tylenol, Orphenadrine is basically anti-muscle spasms, and pregobin is an anti-neuropathic pain med... So pretty much the dude doesn't know what's going on and assuming that you're just having pain/spasms/etc for some reason and hoping the drugs will calm it down. Funkie, you said the SI self adjustment helped correct ? (or was that phyre?)? Eh, you're in South America so I don't know if there's any good PTs/Chiros/etc. available to help you out. -_- That was both of us. pretty much the only things that bother me now are deadlifts, and sitting in chairs - but they both bother my spine, not my hip. | ||
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eshlow
United States5210 Posts
Basically you either traded a hypo/hypermobility at the SI joint and put it on the spine. Like i said if you can get to a physical therapist who has a good handle on the lumbopelvic area that would be the best because they can just fix the issues and then give you rehab exercises for it. Funkie is a tougher case because he's in an area where there aren't traditionally a lot of PTs.... I know some things about SI and know how to spot them but I don't know how to correct them that well. This link contains stuff that goes over them but I don't know if you can self assess yourself... http://www.scribd.com/doc/6513777/Joint-Mobilization-Techniques-for-Sacroiliac-Joint-Dysfunction | ||
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funkie
Venezuela9377 Posts
pain is gone. Finally. I tried doing some squats with some 40kg and pain isn't there, I even deadlifted the same weight and felt no discomfort or pain at all. ! Maybe all the SI joint exercises I've been doing helped (or the rest). | ||
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infinity21
Canada6683 Posts
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Osmoses
Sweden5302 Posts
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eshlow
United States5210 Posts
and yeah if the pain is gone I would stop all of those meds. They can have some bad side effects. | ||
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funkie
Venezuela9377 Posts
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phyre112
United States3090 Posts
On March 17 2013 09:43 eshlow wrote: Hmmm, well on the one hand botherig the spine with the SI joint tends to mean something is shifted still... so it's not completely fixed. Basically you either traded a hypo/hypermobility at the SI joint and put it on the spine. Like i said if you can get to a physical therapist who has a good handle on the lumbopelvic area that would be the best because they can just fix the issues and then give you rehab exercises for it. Funkie is a tougher case because he's in an area where there aren't traditionally a lot of PTs.... I know some things about SI and know how to spot them but I don't know how to correct them that well. This link contains stuff that goes over them but I don't know if you can self assess yourself... http://www.scribd.com/doc/6513777/Joint-Mobilization-Techniques-for-Sacroiliac-Joint-Dysfunction I'll see a PT when I get home next. That could be anywhere between a week from now, and the end of may - but until then, things are good enough that I'm not worried about it. I can stand/walk without pain, I can sit up for ~2 hours without pain, or stay on my feet almost indefinitely. I can do most lifts again (except deadlifts), and 2 aleve (440mg naproxen sodium) takes away 80% of the pain now even when I DO have it, whereas previously the only thing that helped at all was drinking too much alcohol to function properly. | ||
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eshlow
United States5210 Posts
If you have some PT friends or know people who know PTs... ask them who all of the PTs go to for PT... or in particular has good knowledge of SI joint function. That is the PT that is probably the best and will most likely be able to help you. | ||
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mordek
United States12705 Posts
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Mortal
2943 Posts
 edit for missing letter. | ||
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patronage
Iraq123 Posts
On March 21 2013 02:24 Mortal wrote: After 3 months of PT, my shoulder injury is now getting worse. My AC joint and impinged supraspinatus have now been regressing for a couple weeks and I'm at a total loss what to do. Anyone have recommendations on who to see about this? I've come to the conclusion that my PT is just a vapid moron regurgitating things he doesn't really understand, so I may try to find another one. In the meantime, any ideas how to fix this? My push lifts haven't been above 70% in almost 5 months edit for missing letter. I have the same problem. The most common reasons for impingement syndrome is poor thoracic mobility, rounded shoulders, forward head, and poor scapular stability. The causes for these is mainly using the computer too much and bad postural awareness. In 2011 I had gotten my first supraspinatus tendonitis. I rested it and after 3 weeks it was back to normal. But in 2012, I got supraspinatus tendonitis again, but this time, even rest wouldn't fix it, I rested for 4 months, and the pain was always there, I could barely lift up my arm. I had entered the realm of tendonosis. Since I had bad posture, the subacromial space which is only about 1 cm, was much narrower now and causing impingement. When an injury doesn't heal properly, and you keep irritating a tendon, it enters a cycle of degeneration and doesn't heal with just rest. The dilemma is, you must do exercises to pull your shoulders back, increase mobility in your thoracic spine (extending the thoracic spine), strengthen lower trapezius and serratus anterior, while stretching upper trapezius, pec minor, pec major and sternocleidomastoid. This is a dilemma because doing any of these things will cause pain in the already irritated supraspinatus, but you need to do them to increase the subacromial space to prevent more impingement. I couldn't bear the pain of doing those exercises, so I did it the other way around. I researched something called "Eccentric Training". It is basically using the supraspinatus muscle to slow down the acceleration of your arm falling down. My girlfriend would lift my arm up to 90 degrees horizontally, and about 15 degrees forward. Then she would let go, and I would use my supraspinatus to slow down the fall. Studies have shown that this type of contraction of the muscle reverses tendonosis and the cycle of degeneration. Oddly enough, lifting my arm up is called a concentric contraction, and is not effective, only the eccentric contraction seems to work. I started with no weight at all. I did 3 sets of 10 reps, 2 times a week. After the first week, I added 1 pound. Then I waited 2 weeks to add another pound, and then another 2 weeks to get to 2 pounds, and so on. By the time I hit about 3 pounds, the pain was 80% gone. I then began working on my lower trapezius, serratus anterior and thoracic mobility with a PT. I also got a prescription of Nitroglycerin patches, called Minitran 0.2 mg/hour. Studies have shown that nitric oxide is a regulator in tendon health. It is only effective if you do eccentric training with the patches, it speeds up the healing, but alone the patches do nothing, except increase blood flow. The AC joint pain, is a bit more complicated. When you have poor posture, you start to use your chest and the front of your neck to breathe, instead of using your diaphragm. This causes the depression of your ribs, also leading thoracic flexion, which is bad posture for impingement syndrome. This also has an effect on the clavicle causing it to move out of its normal range, which then causes stress on the acromio-clavicular ligament which is holding the clavicle to the acromion. This is the pain you are feeling. You need to practice breathing deep into your stomach, and learn to sit up straight, and learn to sleep properly as well. If you are sleeping on your side, your causing stress on your shoulder. For now I recommend sleeping on your back, it is uncomfortable at first if you are not use to it, but stick to it. Hope it helps. | ||
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eshlow
United States5210 Posts
On March 21 2013 02:24 Mortal wrote: After 3 months of PT, my shoulder injury is now getting worse. My AC joint and impinged supraspinatus have now been regressing for a couple weeks and I'm at a total loss what to do. Anyone have recommendations on who to see about this? I've come to the conclusion that my PT is just a vapid moron regurgitating things he doesn't really understand, so I may try to find another one. In the meantime, any ideas how to fix this? My push lifts haven't been above 70% in almost 5 months edit for missing letter. What exercises do you do? Do you push through pain? Ettc... need more details.... see the spoiler in the OP for questions Also, what patronage said is correct IF you have tendinOSIS of the supraspinatus tendon in which case I would point you to this article: http://www.eatmoveimprove.com/2009/08/on-tendonitis/ However, AC joint issues + impingement make things more difficult than just aiming to solve tendinosis/tendonitis..... so it's probably best to see a different PT still. Follow my directions above... find a PT that other PT's go to for PT and/or read this article: http://www.eatmoveimprove.com/2010/02/healthcare-professionals-for-athletic-complications/ | ||
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mordek
United States12705 Posts
On March 17 2013 09:43 eshlow wrote: Hmmm, well on the one hand botherig the spine with the SI joint tends to mean something is shifted still... so it's not completely fixed. Basically you either traded a hypo/hypermobility at the SI joint and put it on the spine. Like i said if you can get to a physical therapist who has a good handle on the lumbopelvic area that would be the best because they can just fix the issues and then give you rehab exercises for it. Funkie is a tougher case because he's in an area where there aren't traditionally a lot of PTs.... I know some things about SI and know how to spot them but I don't know how to correct them that well. This link contains stuff that goes over them but I don't know if you can self assess yourself... http://www.scribd.com/doc/6513777/Joint-Mobilization-Techniques-for-Sacroiliac-Joint-Dysfunction Wow there are so many variations... I'm thinking self-assessment is out of my league lol. I'm guessing you don't want to just mess around with a variety of these as you could create mobilization where the SI Joint doesn't need mobility, which is equally as bad, right? | ||
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eshlow
United States5210 Posts
On March 22 2013 21:41 mordek wrote: Wow there are so many variations... I'm thinking self-assessment is out of my league lol. I'm guessing you don't want to just mess around with a variety of these as you could create mobilization where the SI Joint doesn't need mobility, which is equally as bad, right? Yeah... that's the big problem. I would say for most people who get it from a jarring injury it tends to be an upslip since you're stepping off a curb or landing hard from an impact. That will manifest as a leg length discrepancy though. Otherwise, it tends to be some type of rotation, if you were sitting or standing oddly for an extended length of time and the pelvis/SI got stuck in a weird position. | ||
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StimD
Norway738 Posts
I want to do Starting Strength and I am a little worried that some of the integral exercises in the program will put my shoulder at risk. More specifically: Would power cleans, dips, bench presses and presses be stupid to perform given my shoulder history? | ||
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eshlow
United States5210 Posts
On March 24 2013 20:47 StimD wrote: I am currently ~14 months out of my SLAP II repair (two anchors). Rehab went well, and at this point I am back in the gym without pain (avoiding some exercises). I want to do Starting Strength and I am a little worried that some of the integral exercises in the program will put my shoulder at risk. More specifically: Would power cleans, dips, bench presses and presses be stupid to perform given my shoulder history? Are you still in therapy? Talk to your physical therapist. They usually have protocols they follow, which basically time out various things you can do as long as you're progressing according to schedule. I know such protocols but I'm not familiar with your specific case so that's why it's not a good idea for me to advise you. | ||
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