On October 29 2019 03:42 Lmui wrote: That's what I've heard too.
I'm super scared of tearing my achilles since it's a massively long recovery time. For any tendon though, active recovery seems to be the way to go as long as you don't push it hard enough to do more damage. I'd be super hesitant about doing shock loading through it though with box jumps (depth jumps?), that seems like an insane thing to do on a tendon that's tenuously attached
here is an in depth look at the achilles tendon. it is interesting that Durant tore his achilles tendon during a move where he was performing a move with a big twist. The twist in the achilles tendon itself makes it more vulnerable to tearing.
Generally speaking, throughout the human body the better the circulation the faster and more complete the healing. However, no research indicates that the parts of the achilles tendon with the best circulation heal faster when torn.
On October 25 2019 13:31 decafchicken wrote: My buddy ruptured his Achilles and had surgery 90 days ago. He's a lifting coach (and national level lifter) and has his masters in kinesiology and has been documenting his recovery. He's already doing box jumps, squats, and Olympic lifts again. He's also in his mid 30s so not exactly his prime recovery age so it's pretty impressive to watch, don't think he's taken more than a couple days off some sort of athletic training during the whole process.
i wouldn't try to do the kinds of things basketball players do only 90 days after tearing my achilles. Carefully exercising in a very controlled environment is cool though.
What does it mean if flexing my bicep to bring my forearm close to my bicep (or wrist close to my shoulder) hurts? It actually hurts regardless of whether the bicep flexes, but only if I bring them close in that same motion.
The pain is at the part where my bicep meets the inside of my elbow x_x
On January 08 2020 05:52 Aerisky wrote: What does it mean if flexing my bicep to bring my forearm close to my bicep (or wrist close to my shoulder) hurts? It actually hurts regardless of whether the bicep flexes, but only if I bring them close in that same motion.
The pain is at the part where my bicep meets the inside of my elbow x_x
FUCK injuries holy shit
the bicep muscle never meets any bone. the distal biceps tendon goes into the elbow joint though. that is the "insertion point". here is a diagram.
see an MD DR. either a General Practitioner or an Orthopeadic surgeon. do not diagnose yourself.
if i had to guess i'd say you have distal biceps tendonitis. but that's just a guess. see a doctor.
I've seen you in the basketball thread. i know Kyrie Irving "doesn't believe in" NSAIDs or cortisone shots. He is fucking crazy. If the DR prescribes NSAIDs I highly recommend following his/her instructions. If he/she recommends a cortisone shot do that as well.
Haha I recognize you too! Though these days I mostly follow this thread. That makes sense yeah, I haven't been lifting (resting wrists) or anything, just somehow woke up with this pain. It's been improving and I also recently got sick, so I've already been taking ibuprofen lolol. That looks like the place it hurts though, and I'll probably go in if it persists.
On January 08 2020 05:52 Aerisky wrote: What does it mean if flexing my bicep to bring my forearm close to my bicep (or wrist close to my shoulder) hurts? It actually hurts regardless of whether the bicep flexes, but only if I bring them close in that same motion.
The pain is at the part where my bicep meets the inside of my elbow x_x
FUCK injuries holy shit
the bicep muscle never meets any bone. the distal biceps tendon goes into the elbow joint though. that is the "insertion point". here is a diagram.
see an MD DR. either a General Practitioner or an Orthopeadic surgeon. do not diagnose yourself.
if i had to guess i'd say you have distal biceps tendonitis. but that's just a guess. see a doctor.
I've seen you in the basketball thread. i know Kyrie Irving "doesn't believe in" NSAIDs or cortisone shots. He is fucking crazy. If the DR prescribes NSAIDs I highly recommend following his/her instructions. If he/she recommends a cortisone shot do that as well.
Don't go to an MD/GP most of them don't know shit about athletic injuries and will just refer you. Orthopedic surgeon overkill. Go see a physical therapist or physio. But yeah it's probably just tendonitis and can be fixed by managing load, rehabbing, and tissue work.
Honestly the more about I learn about NSAIDs the less I believe in them as well. There's times when they're appropriate to manage pain for specific reasons, but the majority of the time people use them to cover up issues and exacerbate the problem and/or slow down the body's natural healing process. I can't imagine why he would need a fuckin cortisone shot. A lot of MDs and GPs will treat injuries by prescribing NSAIDs and painkillers and completely removing load (anecdotally and in person experience) which is ridiculous and counterproductive.
Shit you're right. I've always seen an MD and literally they all just say to rest it completely and take painkillers if necessary. I'd been afraid of PT because my assumption had been that it would involve one on one sessions to rehab ($$$), but maybe that's not the case? Anyway yeah, much obliged!
On January 08 2020 05:52 Aerisky wrote: What does it mean if flexing my bicep to bring my forearm close to my bicep (or wrist close to my shoulder) hurts? It actually hurts regardless of whether the bicep flexes, but only if I bring them close in that same motion.
The pain is at the part where my bicep meets the inside of my elbow x_x
FUCK injuries holy shit
the bicep muscle never meets any bone. the distal biceps tendon goes into the elbow joint though. that is the "insertion point". here is a diagram.
see an MD DR. either a General Practitioner or an Orthopeadic surgeon. do not diagnose yourself.
if i had to guess i'd say you have distal biceps tendonitis. but that's just a guess. see a doctor.
I've seen you in the basketball thread. i know Kyrie Irving "doesn't believe in" NSAIDs or cortisone shots. He is fucking crazy. If the DR prescribes NSAIDs I highly recommend following his/her instructions. If he/she recommends a cortisone shot do that as well.
Don't go to an MD/GP most of them don't know shit about athletic injuries and will just refer you. Orthopedic surgeon overkill. Go see a physical therapist or physio. But yeah it's probably just tendonitis and can be fixed by managing load, rehabbing, and tissue work.
Honestly the more about I learn about NSAIDs the less I believe in them as well. There's times when they're appropriate to manage pain for specific reasons, but the majority of the time people use them to cover up issues and exacerbate the problem and/or slow down the body's natural healing process. I can't imagine why he would need a fuckin cortisone shot. A lot of MDs and GPs will treat injuries by prescribing NSAIDs and painkillers and completely removing load (anecdotally and in person experience) which is ridiculous and counterproductive.
The fact they had to threaten Irving with surgery in order to get him to take one, single cortisone shot is a good indicator of what a loon he is. A single cortisone shot properly administered by an orthopod or GP has about as many side effects as a single Big Mac meal deal from Mcdonald's.
Properly used a single cortisone shot can be very effective in a large proportion of tendonitis cases. Taking NSAIDs during the peak acuity of an -itis physical injury can be very useful in getting things under control as well.
Improperly used any treatment can be an over all negative which is why it is the responsibility of every health conscious person to find a good General Practitioner.
On January 08 2020 05:52 Aerisky wrote: What does it mean if flexing my bicep to bring my forearm close to my bicep (or wrist close to my shoulder) hurts? It actually hurts regardless of whether the bicep flexes, but only if I bring them close in that same motion.
The pain is at the part where my bicep meets the inside of my elbow x_x
FUCK injuries holy shit
the bicep muscle never meets any bone. the distal biceps tendon goes into the elbow joint though. that is the "insertion point". here is a diagram.
see an MD DR. either a General Practitioner or an Orthopeadic surgeon. do not diagnose yourself.
if i had to guess i'd say you have distal biceps tendonitis. but that's just a guess. see a doctor.
I've seen you in the basketball thread. i know Kyrie Irving "doesn't believe in" NSAIDs or cortisone shots. He is fucking crazy. If the DR prescribes NSAIDs I highly recommend following his/her instructions. If he/she recommends a cortisone shot do that as well.
Don't go to an MD/GP most of them don't know shit about athletic injuries and will just refer you. Orthopedic surgeon overkill. Go see a physical therapist or physio. But yeah it's probably just tendonitis and can be fixed by managing load, rehabbing, and tissue work.
Honestly the more about I learn about NSAIDs the less I believe in them as well. There's times when they're appropriate to manage pain for specific reasons, but the majority of the time people use them to cover up issues and exacerbate the problem and/or slow down the body's natural healing process. I can't imagine why he would need a fuckin cortisone shot. A lot of MDs and GPs will treat injuries by prescribing NSAIDs and painkillers and completely removing load (anecdotally and in person experience) which is ridiculous and counterproductive.
I disagree with a forum goer diagnosing the cause of a pain in someone's body. If you go to a GP tell them you want a plan to get back to 100% activity level. If the DR doesn't give you that and just says "never do anything again" then start DR shopping. Find a good DR.
Also, until a diagnosis is made you ruling out the input from an orthopod is off base. Without a thorough in person physical examination and proper testing... for all we know... this guy could have bone cancer.
Go see an MD.
Throughout southern ontario, canada and new york state there are sports medicine clinics all over the place that are headed up by either a Sports Medicine DR or an Orthopeadic surgeon. I do not know what its like in the rest of the USA.. i suspect Sports Medicine Clinics are very common.
On January 08 2020 05:52 Aerisky wrote: What does it mean if flexing my bicep to bring my forearm close to my bicep (or wrist close to my shoulder) hurts? It actually hurts regardless of whether the bicep flexes, but only if I bring them close in that same motion.
The pain is at the part where my bicep meets the inside of my elbow x_x
FUCK injuries holy shit
the bicep muscle never meets any bone. the distal biceps tendon goes into the elbow joint though. that is the "insertion point". here is a diagram.
see an MD DR. either a General Practitioner or an Orthopeadic surgeon. do not diagnose yourself.
if i had to guess i'd say you have distal biceps tendonitis. but that's just a guess. see a doctor.
I've seen you in the basketball thread. i know Kyrie Irving "doesn't believe in" NSAIDs or cortisone shots. He is fucking crazy. If the DR prescribes NSAIDs I highly recommend following his/her instructions. If he/she recommends a cortisone shot do that as well.
Don't go to an MD/GP most of them don't know shit about athletic injuries and will just refer you. Orthopedic surgeon overkill. Go see a physical therapist or physio. But yeah it's probably just tendonitis and can be fixed by managing load, rehabbing, and tissue work.
Honestly the more about I learn about NSAIDs the less I believe in them as well. There's times when they're appropriate to manage pain for specific reasons, but the majority of the time people use them to cover up issues and exacerbate the problem and/or slow down the body's natural healing process. I can't imagine why he would need a fuckin cortisone shot. A lot of MDs and GPs will treat injuries by prescribing NSAIDs and painkillers and completely removing load (anecdotally and in person experience) which is ridiculous and counterproductive.
The fact they had to threaten Irving with surgery in order to get him to take one, single cortisone shot is a good indicator of what a loon he is. A single cortisone shot properly administered by an orthopod or GP has about as many side effects as a single Big Mac meal deal from Mcdonald's.
Properly used a single cortisone shot can be very effective in a large proportion of tendonitis cases. Taking NSAIDs during the peak acuity of an -itis physical injury can be very useful in getting things under control as well.
Improperly used any treatment can be an over all negative which is why it is the responsibility of every health conscious person to find a good General Practitioner.
It is the responsibility of the certified health practitioners to administer proper health care. Unfortunately the US health care system is at a point where the average person has to take responsibility to seek out proper care because the system doesn't work properly.
"Getting things under control" is not a specific outcome for use of anti inflammatory and pain killers in the case of general pain that isn't actively disrupting day to day life. I don't know where you are getting your information regarding cortisol is from, but it contradicts what I've seen from the NLM NIH.
Corticosteroid injections are one of the most commonly used treatments for chronic tendon disorders. Despite their popularity, the biologic basis of their effect and the systematic evidence for their benefits are largely lacking. In addition to suppressing inflammation, the effects of local corticosteroid injections could be mediated through their effect on the connective tissue and adhesions between the tendon and the surrounding peritendinous tissues by inhibiting the production of collagen, other extracellular matrix molecules, and granulation tissue in these sites. Also, if the pain in tendinopathy is a result of stimulation of nociceptors by chemicals released by the damaged, degenerated tendon, corticosteroids might mediate their effect thorough alterations in the release of these noxious chemicals, the behavior of these receptors, or both. [...]
Although corticosteroid injections are one of the most commonly used treatment modalities for chronic tendon disorders, there is an obvious lack of good trials defining the indications for and efficacy of such injections, and subsequently, many of the recommendations for the use of local corticosteroid injections do not rely on sound scientific basis.
Also the fact Kyrie's team threatened him with surgery to get him to take a cortisol shot makes me even more keen to side with him - rehab and natural recovery is generally preferred when possible to either of those options in terms of long term health rather than short term performance (guess which one the NBA cares more about).
I disagree with a forum goer diagnosing the cause of a pain in someone's body. If you go to a GP tell them you want a plan to get back to 100% activity level. If the DR doesn't give you that and just says "never do anything again" then start DR shopping. Find a good DR.
Also, until a diagnosis is made you ruling out the input from an orthopod is off base. Without a thorough in person physical examination and proper testing... for all we know... this guy could have bone cancer.
Go see an MD.
Throughout southern ontario, canada and new york state there are sports medicine clinics all over the place that are headed up by either a Sports Medicine DR or an Orthopeadic surgeon. I do not know what its like in the rest of the USA.. i suspect Sports Medicine Clinics are very common.
I also disagree with forumers diagnosing each other which is why I told him to go to a physical therapist. Sports medicine (well rehabilitation at least) clinics are very common but the degree of care varies wildy regardless if an ortho or MD is involved. I've met Orthos that don't know anything outside of specific knee surgery and I've met physical therapy assistants that are extremely knowledgeable about bio-mechanics and the average person would have a very difficult time navigating their way to the best treatment for them.
On January 09 2020 12:01 decafchicken wrote: It is the responsibility of the certified health practitioners to administer proper health care. Unfortunately the US health care system is at a point where the average person has to take responsibility to seek out proper care because the system doesn't work properly.
its not confined to the USA. I had to DR shop in Canada. I also dentist shopped in Canada as well. In Canada, some DRs are good some are not good. In Canada, some dentists are good. Some are not so good.
So ultimately its up to the individual to find good health care providers.
On January 09 2020 12:01 decafchicken wrote: I also disagree with forumers diagnosing each other which is why I told him to go to a physical therapist. Sports medicine (well rehabilitation at least) clinics are very common but the degree of care varies wildy regardless if an ortho or MD is involved. I've met Orthos that don't know anything outside of specific knee surgery and I've met physical therapy assistants that are extremely knowledgeable about bio-mechanics and the average person would have a very difficult time navigating their way to the best treatment for them.
yep, that is why a good relationship with a good General Practitioner is your best ally in navigating the labyrinthical healthcare system whether it is Canada or the USA.
A good relationship with a good GP is better than a good relationship with a good physical therapist. A good GP is a 1000X better diagnostician than a good physical therapist.
You don't even know if he has tendonitis or what is going on. Thus, the most prudent move is to go to a good GP and "begin at the beginning" and see if it is tendonitis or some other issue.
On January 09 2020 00:41 decafchicken wrote: Don't go to an MD/GP most of them don't know shit about athletic injuries and will just refer you. Orthopedic surgeon overkill.
a referral is not a bad thing. its good to get multiple opinions.
On January 09 2020 05:03 Aerisky wrote: Shit you're right. I've always seen an MD and literally they all just say to rest it completely and take painkillers if necessary. I'd been afraid of PT because my assumption had been that it would involve one on one sessions to rehab ($$$), but maybe that's not the case? Anyway yeah, much obliged!
How much PT will cost depends on your insurance. Some will be very affordable ($0-20/visit), some will be full cost till you hit your deductible, etc. If you have a PPO or similar then look up reviews for physical therapists near you with good reviews from athletes and see if they're covered. If you have an HMO or similar where you'll need a referral just go to your GP, tell them your problem, and ask for a referral to PT (if you're lucky you can do this step over the phone instead of spending the time and money to go in to the office). I've run into some bullshit when I had HMO where my athletic trainer set me up with a PT clinic he trusted that was in-network with my insurance but my primary care doctor had a contract with a different place and wouldn't write me a referral to the place I wanted to go -_-
On January 09 2020 05:03 Aerisky wrote: Shit you're right. I've always seen an MD and literally they all just say to rest it completely and take painkillers if necessary. I'd been afraid of PT because my assumption had been that it would involve one on one sessions to rehab ($$$), but maybe that's not the case? Anyway yeah, much obliged!
See a different MD. I can find a bad physical therapist as well. Does this mean you avoid all MDs and all physical therapists because i can find 1 bad physical therapist and you ran into 1 bad DR?
On January 09 2020 00:41 decafchicken wrote: Orthopedic surgeon overkill.
you don't have enough information to make this claim.
On January 09 2020 12:01 decafchicken wrote: I don't know where you are getting your information regarding cortisol is from, but it contradicts what I've seen from the NLM NIH.
I'm referring to a localized injection of cortisone. It is a very small amount of cortisol. It works a substantial percentage of the time and that's why its been used for decades.
I had lateral epicondylitis. Battled it for 3 months with conservative treatment. After 3 months of physical therapy and ultrasound treatments my DR recommended a localized injection of cortisone. I was back playing basketball in 2 weeks after the shot. That was 9 years ago.
Prudently and conservatively employed a localized injection of cortisone can work. That's why its been around as a treatment option for many decades.
Several cortisone shots in the exact same area can, in some cases, weaken the tendon in the very long term. I'm not talking about that though. I'm talking about 1 localized injection of cortisone.
On January 09 2020 12:01 decafchicken wrote: Also the fact Kyrie's team threatened him with surgery to get him to take a cortisol shot makes me even more keen to side with him - rehab and natural recovery is generally preferred when possible to either of those options in terms of long term health rather than short term performance (guess which one the NBA cares more about).
threat? Irving can't play because he is pain. Kyrie has his own DRs. Most players do these days. The consensus amongst all the DRs including the team DRs and Kyrie's DRs was: take the cortisone shot because the next step is surgery.
Do you know how to fix Kyrie's problem without surgery?
On January 09 2020 12:01 decafchicken wrote: It is the responsibility of the certified health practitioners to administer proper health care. Unfortunately the US health care system is at a point where the average person has to take responsibility to seek out proper care because the system doesn't work properly.
its not confined to the USA. I had to DR shop in Canada. I also dentist shopped in Canada as well. In Canada, some DRs are good some are not good. In Canada, some dentists are good. Some are not so good.
So ultimately its up to the individual to find good health care providers.
Most people don't have the option to shop around for GPs, and even if they do it's next to impossible to compare them and pick accordingly.
On January 09 2020 12:01 decafchicken wrote: I also disagree with forumers diagnosing each other which is why I told him to go to a physical therapist. Sports medicine (well rehabilitation at least) clinics are very common but the degree of care varies wildy regardless if an ortho or MD is involved. I've met Orthos that don't know anything outside of specific knee surgery and I've met physical therapy assistants that are extremely knowledgeable about bio-mechanics and the average person would have a very difficult time navigating their way to the best treatment for them.
yep, that is why a good relationship with a good General Practitioner is your best ally in navigating the labyrinthical healthcare system whether it is Canada or the USA.
A good relationship with a good GP is better than a good relationship with a good physical therapist. A good GP is a 1000X better diagnostician than a good physical therapist.
You don't even know if he has tendonitis or what is going on. Thus, the most prudent move is to go to a good GP and "begin at the beginning" and see if it is tendonitis or some other issue.
I have gotten infinite more value out of good relationships with my athletic trainer and chiro than my GP. GPs are generally good for illnesses, prescriptions, and referring you to specialists that may or may not best align with your goals.
I never claimed to know if he has tendonitis, and the majority of MDs won't know any more than I do about diagnosing or treating tendonitis which is why I recommend he skip the middle man. You were espousing the benefits of painkillers and cortisone shots without knowing whether or not he has tendonitis (or any science to back up your claims) either and I did not want him to go to a GP and experience confirmation bias then head down a path that might not best be suited for him.
On January 09 2020 12:38 decafchicken wrote: Most people don't have the option to shop around for GPs, and even if they do it's next to impossible to compare them and pick accordingly.
It is only impossible if you give up before you start. Visit them and use the same judgement you would with your auto mechanic, real estate agent, or tax accountant.
Most of the Americans I know have insurance plans that let them shop around. Its important to have a medical insurance plan that lets you shop around for a good DR.
My GP in Canada is great. I had to ask around though and i had to do my homework and some legwork. He didn't fall in my lap.
Hard work and careful research pays off.
On January 09 2020 12:38 decafchicken wrote: You were espousing the benefits of painkillers and cortisone shots without knowing whether or not he has tendonitis (or any science to back up your claims) either and I did not want him to go to a GP and experience confirmation bias then head down a path that might not best be suited for him.
NSAIDs and a localized injection of cortisone are not quite as simple as being a "pain killer".
When a structure initially fractures the body moves cortisol to the area. Cortisol and other things an inflammatory process leaves behind are part of what will become the foundation upon which healing of the fracture can occur.
NSAIDs can break the inflammation cycle so the body can move into a healing cycle.
So the characterization of "pain killer" is a bit off.
On January 09 2020 05:03 Aerisky wrote: Shit you're right. I've always seen an MD and literally they all just say to rest it completely and take painkillers if necessary. I'd been afraid of PT because my assumption had been that it would involve one on one sessions to rehab ($$$), but maybe that's not the case? Anyway yeah, much obliged!
See a different MD. I can find a bad physical therapist as well. Does this mean you avoid all MDs and all physical therapists because i can find 1 bad physical therapist and you ran into 1 bad DR?
Physical therapists are better at treating and diagnosing sports injuries. Yes there are bad and good examples of both, but if I'm an athlete and my arm starts hurting when I flex it I will go to a PT. If I start passing out randomly or coughing blood, I will go to an MD.
On January 09 2020 12:01 decafchicken wrote: I don't know where you are getting your information regarding cortisol is from, but it contradicts what I've seen from the NLM NIH.
I'm referring to a localized injection of cortisone. It is a very small amount of cortisol. It works a substantial percentage of the time and that's why its been used for decades.
I had lateral epicondylitis. Battled it for 3 months with conservative treatment. After 3 months of physical therapy and ultrasound treatments my DR recommended a localized injection of cortisone. I was back playing basketball in 2 weeks after the shot. That was 9 years ago.
Prudently and conservatively employed a localized injection of cortisone can work. That's why its been around as a treatment option for many decades.
Several cortisone shots in the exact same area can, in some cases, weaken the tendon in the very long term. I'm not talking about that though. I'm talking about 1 localized injection of cortisone.
This is nice anecdotal evidence and I'm very happy you found a fix for your problem. It is not peer reviewed science though, if you have some that says cortisone shots work a substantial % of time I would love to review it. It is standard to see if a period of rehab is effective first on tennis elbow and then administer cortisone if that does not work - the rehab portion is extremely important and can expose/treat the root cause of the problem (weakness, imbalance, technique, etc.) as well as the symptoms.
On January 09 2020 12:38 decafchicken wrote: Most people don't have the option to shop around for GPs, and even if they do it's next to impossible to compare them and pick accordingly.
It is only impossible if you give up before you start. Visit them and use the same judgement you would with your auto mechanic, real estate agent, or tax accountant.
Most of the Americans I know have insurance plans that let them shop around. Its important to have a medical insurance plan that lets you shop around for a good DR.
My GP in Canada is great. I had to ask around though and i had to do my homework and some legwork. He didn't fall in my lap.
On January 09 2020 12:38 decafchicken wrote: You were espousing the benefits of painkillers and cortisone shots without knowing whether or not he has tendonitis (or any science to back up your claims) either and I did not want him to go to a GP and experience confirmation bias then head down a path that might not best be suited for him.
NSAIDs and a localized injection of cortisone are not quite as simple as being a "pain killer".
When a structure initially fractures the body moves cortisol to the area. Cortisol and other things an inflammatory process leaves behind are part of what will become the foundation upon which healing of the fracture can occur.
NSAIDs can break the inflammation cycle so the body can move into a healing cycle.
I'm not sure how familiar you are with the US health insurance system but it is literally impossible/not practical for the average person to shop around for a GP. On some of the insurance plans I've had (relatively good ones), I'd still have to take time off work, pay for multiple visits, go through bureaucratic bullshit, etc. to meet multiple Drs in a process that would take months and months.
People don't have choices in their medical insurance, they get what is offered by their employer and take whatever they can afford. I also don't get to pick my auto mechanic due to my insurance but that's another issue entirely lol
On January 09 2020 12:38 decafchicken wrote: Most people don't have the option to shop around for GPs, and even if they do it's next to impossible to compare them and pick accordingly.
It is only impossible if you give up before you start. Visit them and use the same judgement you would with your auto mechanic, real estate agent, or tax accountant.
Even assuming most people can afford the time off work and have adequate insurance coverage to attend multiple doctor visits, shopping around is incredibly impractical. Of the doctors offices I'm familiar with in my area, probably half of them are not accepting new patients regardless of insurance status. The ones that are will typically put you on a waiting list that's at least 3 or 4 weeks long just to have a "new patient appointment" where they get your baseline, and then you'll have to come back a week or two later than that to actually discuss any acute issues. That's over a month of going untreated just to see the first Doctor, under the best of circumstances.
On January 09 2020 12:52 JimmyJRaynor wrote: Most of the Americans I know have insurance plans that let them shop around. Its important to have a medical insurance plan that lets you shop around for a good DR.
Most Americans aren't able to pick their insurance plan, period. You get what your employer offers. If you don't like it, you better hope you like your spouses plan, otherwise you get nothing. And it's probably going to cost you between 5 and 20% of your salary if you don't get sick.
On January 09 2020 12:52 JimmyJRaynor wrote: My GP in Canada is great. I had to ask around though and i had to do my homework and some legwork. He didn't fall in my lap.
Hard work and careful research pays off.
Great option when you don't need something taken care of now. Everyone should find a doctor that they're comfortable working with and can afford. Not everyone has that foresight and/or luxury.
I won't actually comment on the NSAID/cortisone treatment plan, I agree that Cortisone shots are useful in certain injuries and I also agree that an ortho is probably overkill. Surgeons know surgery, and (insert adage about nails and having a hammer here) - if it were me, I would begin with an MD, and after ruling out "bone cancer" or something structurally damaged with imaging would ask for a referral to a PT, preferably one who works with athletes. I've never encountered a PT clinic that will take patients without a referral and a diagnosis before so I'm never sure where the recommendation online to go directly to a PT comes from.
That said, my insurance is crap and I can't afford healthcare so I just pretend not to be hurt and hope that what I think are developing hernias aren't. Go USA.
Physical therapists are better at treating and diagnosing sports injuries. Yes there are bad and good examples of both, but if I'm an athlete and my arm starts hurting when I flex it I will go to a PT. If I start passing out randomly or coughing blood, I will go to an MD.
Hey, I really appreciate all of your guys' input and personal experience. Up until the last couple years I haven't had many injuries, so it's been stressful, and I'm super grateful for the insight/advice I get from you guys as a more experienced community. So yeah, debate aside, thanks so much for finding the time to reply.
As far as the MD/GP/DR vs PT point, maybe it's different between Canada and the US -- indeed, for me it's been a big burden going around to different doctors on my insurance, most of whom aren't accepting new patients etc. It does sound reasonable to go to a doctor just to double-check it's not some horrible underlying issue like cancer if I have a reason to suspect that, and to see a PT about sports-related injuries. I do think this is a lifting injury, as I originally got a twinge "bottoming out" on OHP, and I think I didn't let it heal properly. It hurts when I flex but it's specifically the compression and not the flexing that causes pain.
Anyway, that doesn't matter; I'll be monitoring the progress and seeing an appropriate medical professional if I feel the need. Diagnosing stuff online obviously is inferior to seeing a professional etc, but just having some basic insight always helps. For instance, the wrist issue I've had has been improving leaps and bounds with a combo of side-to-side wrist rehabbing/stretching and the muscle flexion/extension rehab video decaf linked.
For most regular sport injuries that have a gradual onset I'd reccomend seeing a physio first but if it was an "acute" injury then an orthopod with specialization in sports could be a smarter move.
Achilles tendon injuries are a bitch in general and will set you back at least 3 months with or without surgery. 6-8 weeks with Airwalker/cast initially and then an equal amount with ROM training and gradual increase in workload.
But great to see this thread alive still, been ages since I was last here. Starting training again after a long hiatus so taking it easy and working up the volume.
On January 16 2020 22:44 sJarl wrote: Achilles tendon injuries are a bitch in general and will set you back at least 3 months with or without surgery. 6-8 weeks with Airwalker/cast initially and then an equal amount with ROM training and gradual increase in workload.
My buddy I mentioned earlier that ruptured his Achilles hit a 110kg sn, 130kg cj, and 182kg front squat last month, 4-5 months post op O.O Insane recovery.
EPT
![[image loading]](https://i.imgur.com/ZvXjoB1.jpg)
