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The fact that physical therapy is not a frontline treatment for chronic pain is a searing indictment of the global medical profession.
Hey kid, look at me.
I want you to T-pose. Turn your right thumb up and your left thumb doen and look at your right thumb. Move your arms up and down a bit until you feel a nerve running from your armpit to your palm. Now turn your right thumb down and your left thumb up, and look at your left thumb. Keep your chest facing forward and your shoulders back. Move your arms again until you feel that nerve again. Keep alternating between these two for a minute, or look at each thumb thirty times each.
Now sit down. Put your left hand firmly under your left buttock, palm down. Keep your shoulders back and put your right hand over the crown of your head, very gently pulling it to the right. Do this for thirty seconds, then do it again but with your right hand under your right buttock.
These are stretches for the nerves in your arms, and are very good for people who sit behind a computer a lot, or fibre artists, or you name it. Do them daily. They will hurt in the beginning, but keep doing them, even after the pain has gone, or it will return and you'll have to start all over.
Physical therapy is wild because they're always like "hey do this weird little movement" and you're like "hmm my brain doesn't seem to know how to activate that movement" and then they'll like trick your brain into doing it by making you do other movements first or making you resist against them moving you or some shit and your brain is like oooooh ✅ new movement unlocked. And then they tell you to do that movement 20 times a day and you do and it makes some part of your body you didn't even know was related hurt less. What the fuck.
My ankle journey
I am sharing this with all you good people on the dash because I am so fucking mad it took so long for me to learn it and if I can spare one (1) person the agony it will be worth it.
So for like...oh, 8 or 9 months, I've been struggling with pain/inflammation/tendinitis in my left Achilles tendon. I don't know what caused it. It just started up (welcome to middle age, this shit happens). It wasn't severe enough to be debilitating, but it was annoying and limiting. It was also intermittent, in that some days it would be very painful and other days hardly at all. The kind of shoe I was wearing affected it a lot.
Now, I have bone spurs on both heels (it's just a thing that happens as you get older sometimes). I'm also aware that heel pain is usually the result of tight calf muscles that pull and irritate the tendon. I tried stretching that calf muscle. You know the stretch, this bitch right here:
I did it all the time. I also iced the ankle after walking for awhile, hoping to avoid inflammation. Results were...unsatisfying.
I went to:
A chiropractor
A podiatrist
A physical therapist
A bodywork coach
They all gave me some variation on the "strengthen your calf muscle, stretch your calf muscle" advice. I continued doing this without results.
I was getting frustrated, and a little afraid that this was just my life now. Finally, I thought...maybe some targeted massage might help. I asked for rec on a local FB site and was pointed to a woman who specializes in therapeutic massage including cupping, etc.
I went to her a week ago.
She spent over half our first session working on my left lower leg. Within about 10 minutes of making my eyes water, she uttered the sentence I did not know I had been waiting to hear:
"Oh, it's your soleus."
Excuse me, what?
"It's your soleus that's the culprit. It's all tied up and stiff." She started digging into it and I felt literal sparks run up my leg as she released adhesions and got the muscle moving a little. When she finally put the leg down, it felt like it was on fire with all the blood rushing into it.
She said, "You'll need to stretch your soleus. It'll clear up, but it'll take a bit of time - tendons take ages to heal."
But I HAVE been stretching.
"No, you haven't. The usual straight-leg calf stretch only stretches the gastrocnemius, that's the big belly muscle in your calf. That's not your problem. That stretch doesn't stretch the soleus. Don't worry, I'll show you how to stretch it."
My mind is spinning.
So here are the muscles in question:
The gastroc (as the pros call it) just attaches down the back but the soleus runs underneath it from the knee around the side to the heel. The lower part above the ankle is where it typically gets tight and forms adhesions.
To stretch it, you do the same calf thing where you put your foot back and press your heel to the ground, but you have to do it with your KNEE BENT:
The bent knee keeps the gastroc from engaging. It's one of those selfish muscles (like traps) - if you give it an inch, it'll just take over and prevent other muscles from working or stretching. There are other ways to stretch the soleus but this is the easiest and you can literally do it anywhere. I've been doing it while standing and waiting for things (the elevator to come, the toast to toast). You just put the heel back and bend the knee. It's kind of like curtseying.
The minute I did this stretch, I could FEEL where it was pulling on my tendon. I knew that THIS had been the problem.
The massage therapist also told me to stop icing my heel. She said icing is for an acute injury, but a more chronic aggravation needs heat, to increase blood flow for healing. She recommended elevation with heat every day (I've been doing it in bed during "phone before bed" time).
I have been doing the soleus stretch at least half a dozen times a day for almost a week, and the ankle is at least 70% better. It is still a little tight and tender, but the improvement is significant. I think a few more weeks will have it feeling normal.
I am...blown away by this. This massage therapist was able to pinpoint an issue in only a few minutes that eluded all the other professionals I saw. I can't wait to go back to her and have her solve all my other problems, tbh.
In This Post, I mentioned how I used to have physical therapy for my cerebral palsy in the form of riding horses
Here's a video with a nondisabled rider and a physical therapist narrator demonstrating, and explaining, how horse riding benefits the body ... there's also a brief allusion to how it can provide good a good stim for some autistic folk.
Watching it, I'm also guessing it would be a good reference for anyone one doing an animation of horse and rider (I'm fairly certain there are a few of those folks around these parts).
My physical therapist: You should train more
Me: I'd like to but every time I try it hurts ):
My physical therapist: That is because your joints are weak, you need to train your muscles to take the load of your joints.
Me: But training hurts my joints?
My physical therapist: You should try to be careful with your joints, putting them in too much stress causes the pain.
Me: Yes, but how?
My physical therapist: You should train more
Me : (ㆆ_ㆆ)
have you ever been to physical therapy? are you physically disabled
yes, and i am able bodied
yes, and i do not know if i would be considered physically disabled
yes, and i am physically disabled
no, and i am able bodied
no, and i do not know if i would be considered physically disabled
no, and i am physically disabled
many physically disabled people rely on physical therapy to help us maintain what abilities we have, and gain or recover new abilities. one person who requires physical therapy is muhammad, a young boy from Gaza.
muhammad was deprived of oxygen during birth, which is a common cause of disabilities like cerebral palsy. muhammad has hypotonia, a condition in which muscles are excessively relaxed. people with hypotonia are often described as "floppy." because of his condition, muhammad cannot walk or sit unsupported.
since the beginning of the war, muhammad has not had access to physical therapy. his mother @noor-yashour is raising funds to evacuate from Gaza, so that her son can continue physical therapy abroad. You can donate to help muhammad return to physical therapy here, at noor's gofundme.
'fundraiser has been shared by @90-ghost here
Hello my friends all over the world I am Nour Ashour from Gaza, 29 years old I am marrie… Mohammed Ashour needs your support for Help us sa