Dealing with injuries, previous injuries, post-rehab
Continuing from the example above (not being able to squat well), please imagine you sprain your ankle, or you tear down your ACL in your knee.
They operate on it and ask you to rest until it doesn’t hurt anymore (which is the point private insurance would also stop covering you… FYI). But is the lack of pain is fixing the bad movement that caused the injury? Could it be that the bad ankle / knee is actually good, but over-worked due to other parts of the kinetic chain not doing their job? Did an injury cause bad movement or did bad movement cause an injury. The answer is probably both.
More important, If your injury has in-fact been properly rehabilitated… how come you get injured again? That’s a great question you should be asking!
The way I see it:
- The kinetic chain is still pushing excess forces onto some segments. For example: if your hip doesn’t work the way a hip should, your knee will over-work… regardless of how “rehabilitated it is”. By giving you the option to move your hip better, we are giving your body the option not to compensate through the knee.
- Our body degenerate and regenerate. If we are waiting for it to “heal” from an injury without giving it directive, it will create scar tissue. This is tissue that has a messy collagen structure and it can’t deliver good proprioceptive signals which are essential for motor control, stability and strength production, We need to re-create tissue (ideally at the rehab stage.. but we must go through it regardless) that is useful, by using force and directions (the language that your cells speak…). That’s exactly where traditional rehab often fails.
- An injury happens when a tissue is exposed to forces it can’t handle. Those forces are angle-specific. It’s impossible to prevent all injuries but we can damn right prepare for one and reduce any effect it may have in as many angles as possible. You do it by expanding your movement variability, your options to move without over-using one single segment continuously (compensation).
Am I medical professional?
No! I’m a personal trainer and I’m not a medical professional.
I do however have extensive knowledge (far more extensive than some medical professionals) when it comes to making your joints work nicer. I would trust a good medical professional for medical diagnosis. They (should) have the skills to run blood-work and tell you if the back-pain you’re feeling is actually pancreatic cancer. I can’t tell you that but they can. They can also run MRIs, identify broken bones and ligaments.
This is where I trust them to do an excellent job. My trust with them ends in regards to rehabilitation of movement / joints building a body that is resilient and capable of dealing with forces (expected as in certain sports, or unexpected as in accidents).
Most medical professionals in the field would address these by telling you to stretch, foam-roll, take pain-killers and rest a lot… that’s hardly going to make a positive effect on the joint… just on your pain levels.
So what about pain? And when do I involve medical professionals?
You were not meant to be in pain, fragile or broken – not by the time you’re 50 and definitely not in your 20s or 30s. I’ll show you the way forward (guaranteed).
Resolving pain is the first thing we do because building strength relies on you being resilient. We make things work better and we do it quickly, very quickly. It’s all about strategy. Sometime’s I can get you out of pain in 10 seconds – that would be a short term strategy, making you feel better now. A long term strategy is working on the deficits that leads to that pain in the first place, this takes time and it’s 100% worth doing.
As an FRCms I am able to show you how to get more flexibility (passive range), turn it into mobility (active), and help your body direct force to generate new ligaments, tendons or other… stuff… this is not therapy (per say). Although we (experienced FRCms people) have been known to resolve issues that traditional physical therapy does’t have tools to properly address.
I maintain a strong connection to other like minded individuals, specialists medical professionals and manual therapists with a mobility background similar to mine. In the rare occasion, such as complex neurological issues, deep degenerative changes or when a low level movement is causing an inflammation – I will move you in the right direction and set you up with some very capable people, always in good hands!