Physical Therapy General

It feels like my leg is being pulled back into a "bend" and I can't straighten it. They said it could be because of my ATP and weak glutes. They had me do a hamstring stretch with a rope and some core work but nothing really helped.

I did have hip pain at one point but I ignored it like a retard and it got worse before I saw a PT. It's been three years now that I've been walking really stiff and in pain.

Just based on what you've told me, there might be the case that your APT could be adding tension to your hamstrings, which would be stopping your leg from extending further. What you need to do is this:

1. Deal with your APT before you deal with your hamstrings
2. Stretch and loosen your hamstrings
3. Work on getting your walking back on track.

Can you tell me about your tilt at all?

Bad sitting posture brought it on I think my butt sticks out and same thing with my stomach. I used to have bad back pain but it's almost gone now.

What to do when I have a noticeable lumbar lordosis? Usually looks better after deadlift days and overall looks better since I started lifting. Should I add stretching (if so, what?) or will proper form with increasing weight on squats/deadlifts be enough?

Okay that's fair. Based on what you've said I'd recommend you speak to someone IRL - the best advice I can give you is to treat from your pelvis to your knee, but you'll have to sit down with someone to get it looked at in a hands-on assessment.

I hope I was helpful, but this is the limit of what I can do over the internet.

Should I stick with PT's?

Will I ever be able to squat and deadlift? I tried stronglifts a few years ago. after about a month I started getting lower back tightness soreness and even minor sciatica. quit lifting until two months ago (PPL) started really light with squats, but once I got to 1pl8, the lower back issues came back.

issues
>very tight hamstrings. can't even come close to touching my toes
>poor hip flexibility
>shitty posture
>weak core

I'm actually ok with ditching squats for leg press, but if it's possible to get past my posture/flexibility issues I would like to squat.

Any replacements for deads?

You can do a few things for lumbar lordosis. Look up the "Cat stretch" for yoga, as well as lower back mobility exercises that you can do on bosu balls and yoga balls. I can't link them all within the forum right here and now but there are plenty of reliable resources online.

The danger is that lumbar lordosis may introduce instability to your deadlift so, being as conservative as I am, my advice to you would be to address your lower back issues before you continue progressing your deadlift. I'd also advise you to progress slowly in your deadlift and to keep an eye on pain or any instability in your lower back.

forgot to add:
35 years old
6'
200lbs

Either a PT or an Exercise Physiologist, maybe even a Sports Medicine specialist if you want to be fancy.

You've done a really good assessment of your issues, and thanks for providing your vital data as well. Can I ask if this is the first time you've ever done something like this or if you've had experience with weightlifting before?

Thanks for the advice! It's pretty funny how I didn't care about physical therapy or sports medicine until I ended up like this, but it's making me want to become a PT so I can help those in a similar situation.

Same reason I got into PT - I got fucked up in a horse riding accident and a qt pt put me back together. She fixed my legs but she can't fix the hole in the heart where she belongs ;-;

First time. I've lifted for a total of 4 months. Two months a few years ago, and two months now.

I'm lefthanded and my right shoulder just feels... unstable.

It doesn't really hurt, it's kinda sore or uncomfortable, but idk what it is.

I've benched and OHP'd and I've improved, but idk if there's seriously something wrong or nah

Okay, that's kind of what I reckoned. If you're jumping into weight training after a long time of being out of the gym, you're going to get these aches and pains. One thing the sticky doesn't tell you is that it's helpful to do a few months' worth of conditioning work before you move into weight training.

For this problem, I'd recommend you do some cardio work or even think about going to a pool and doing some swimming in preparation for strength training. Other than that, if problems still persist, see a doctor or an IRL PT for an initial assessment before you start anything.

If you suspect it's unstable and it's giving you enough pause that you'd ask about it then there might be something worth investigating. can you describe the nature of the instability?

>went to school for exercise science
>got breddy gud gpa
>wanted to go to school for physical therapy
>just decided fuck it and not to

what can i do with my useless exsc degree? it's fucking useless. I'm looking at getting a 2 year thing to be an RDN but that seems uselss too. But I think if I had them together, I could apply for stuff like, coordinate health fitness for schools or old folks home, and bam have 2 relevant degrees

What country u in breh

mericua

Thanks, but I really don't want to stop lifting now. I've been lifting every other day for two months and have only had issues when I try to squat. Sorry to ignore your advice, but lifting has been such a positive influence in my life over the last few months.

I will definitely cut out squats and deads for a while though. I like the swimming idea. Maybe I should add in some core work?

Hmm, I'm not sure what the job market for ExSci is over there. My advice would be to look into the requirements for PT or RDN and work backwards from there. If you can do work as a private coach or something that could work, but aside from that I've got nothing.

Sorry brew

being a PT in america is close to medical school. I will never be able to do it. being an RDN is easy, i can do it online

I just dont really see getting jobs as an RDN...

It's only when I bench or OHP,

My right shoulder is just less comfortable doing the movement. The strength is still there for both lifts

>I really don't want to stop lifting now

That's cool man, and good on you for wanting to stick with it. You're not ignoring my advice per se, just implementing it differently. All I suggest is that you do some core work and conditioning to help build up a foundation for your bigger lifts. Even consider doing some yoga if you want to get really esoteric and meet alternative qts but you didn't hear that from me

I'm going to go way out on a limb and make the

>assumption

that this is a movement co-ordination issue. Do you do dumbell or barbell bench / OHP

Great, I'll do that. Thanks, bro

Anything for chostchondritis?
had it go away before but felt a pull in my 3/4th rib and some pain doing chinups 3 weeks ago and ever since it's been short breaths and struggling to do yoga, GP already took a look and said I can't be helped beyond ibuprofen

I'm gonna go with your GP on this one and say use pain relief, don't be afraid of using anti-inflammatories, and minimise the movements you do with that arm. Is it on the left or right side and are you left or right-handed?

moving the right arm is decent but putting any load on it causes spurts along my right sternum, same for twisting motions, twisting torso and sticking an arm out perpendicular to the ground on either side also causes pain

right side sternum but my scapular muscles are also in pain and my ribs are tender in symmetrical spots all along the ribs

moving the right arm is decent but putting any load on it causes spurts along my right sternum, same for twisting motions

>Anything for chostchondritis?

Do you drink?

yeah that sounds nasty. I'd advise you to rest that arm as much as you can right now and minimise loading to prevent exacerbation of the pain. Once you're feeling better, slowly transition back into working weight by doing unresisted then resisted work, and try and get back to regular performance. be mindful of pain and roll back if it's becoming too much

dumbell fly but no dumbell press or bench

Cool cool.

Consider swapping to dumbbell exercises - it's a completely different ergonomic demand and completely different load so if you've got any form issues, that'll sort them right out. My advice is to drop the weight way low and work up from there, being mindful of your form and how your movement tracks so that you can minimise the extent to which your arms splay out to the sides.

How's that sound?

So I hurt my lower back a tear ago doing weighted lunges with a small barbell on my back (the ones with the set weight). No idea what I did wrong because the pain didn't come until the next day. I felt the pain in my tailbone and it would shoot down one leg (it would switch off between legs it seemed like). Really intense pain for about a couple weeks, but it slowly went away as I started doing yoga and stretching every day.

Now a year later I still get tightness in my lower back if I sit too long. It's not painful but pretty uncomfortable. That never happened before the injury. It gets really annoying sometimes and I just wish my back would get completely better. I've gotten a PT script from a doctor so I will be doing that. Will a PT be able to help me or am I just going to be plagued by this back tightness shit for the rest of my life? Also, do have any idea why my back is like this?

And by sitting too long I mean half an hour

walk us through your schooling / thought process if you please PTbro?

i have all my shit at a basic level in college and hoping to jump into PT as a career.
any tips?

sorry, meant that message for OP of the thread

>why my back is like this?

This is another

>assumption

on my part but I'm going to guess it goes like this - you had a muscle spasm in your back which caused pain. This is normal and usually doesn't cause issues but the fact that you got referred shooting pain is a bit of a flag. You most likely have some residual madaptation in the muscles around that spinal level, which is a complicated way of saying that the muscles there are a little aggravable and need to be told that it's okay to sustain a posture without freaking out.

>Will a PT be able to help me

Yes

>I just going to be plagued by this back tightness shit for the rest of my life

No, if you follow your treatment plan and communicate with your clinician.

Godspeed lungebro

Schooling was a five year combined bachelors and masters of PT here, and then followed by work. The actual degree was two years of theory, two years of clinical placement, plus one year of research that I did by myself.

If you want to jump into PT, take it as seriously as medicine, even before you get in. That means your marks need to be as good as you can get them, and your extracurriculars need to be in order too while you're getting the work done. Then once you're in, take it seriously. I didn't take it seriously and so it was hard for me, but that's because I'm lazy. I ain't stupid so I could rally but if I'd taken it seriously then it probably would have been more fun.

Other than that, try and get some volunteer work in at a PT clinic and see how it goes from there.

Any other q's?

Thanks for the insight PTbro

extracurriculars?

Yeah, stuff like volunteering, clubs, extra subjects and community work and the like

I have a very dull pain in my lumbar. It's mostly nonextant, even during deadlift, but any sort of lumbar flexion will cause it to arise. It's very weak, never hurts very much at all, but it's there. I can also feel it when I did around in there with my knuckles. It feels almost as if some vertebrae are bruised.

It happened maxing deadlifts. I am unused to maxing, but I rep 3 plate, was hoping to hit 4, but got shut down at 365. Finished the lift, but couldn't do the heavier weight, nor anything even 70 lbs lighter. 285 felt bolted to the floor. I didn't feel the pain then, just like I'd forgotten how to deadlift. I noticed the pain the next day.

What's wrong with me? My deadlift is back to normal, but I don't feel good ignoring this pain.

What is the best and most effective way to heal a sprained ligament in my lower back?

10/10 thread, if more had this level of in-depth health/fitness discussion this would be a great board. Thanks OP.

Just a heads up, I have to drive a mate to the airport so I'll be back in a bit. At his place atm, will be back in a few hours.

My shoulders ruin my every upperbody lift. No matter if it's bench (incline is worse), curl or tricep ecercise my shoulders get tired almost instantly and I cant get any feel to the muscle I'm trying to work (e.g. not feeling it in the chest when benching or in the biceps when curling). It is infuriating and frustrating. Years ago when I first began bodybuilding I had no problems at all. I then stopped due to various reasons for a couple of years and now I'm back at it with motivation like never before, but this shit is daunting. What is wrong with me?

>5"11
>210 lbs
>24

i was doing back on wendsday and from then till midday today i have been feeling a slight compression in my lower back, i didnt deadlift with good form (my back was straight instead of bent toward the chest). Should i be worried or just keeping going but with better form ?

I have pain where my delt inserts into my arm, laterally. What's going on? My physical therapist put me on a generic shoulder girdle strengthening program to no effect. Rhomboid, rotator cuff, and rear delt work. Nothing in particular seems to trigger it

25, 5'8, 190

Current second year Aus PT student. Any major tips or things I should be looking at doing? Noticed you said neuroscience which is (at least at a rudimentary level) part of my current course already. Done a sports trainer cert already and that sort of thing, but I'd be curious about anything from someone already in-field.

are pushups good for some shoulder injuries? I only went to three PT sessions for my shoulders but my PT literally told me to do pushups whenever because they can't hurt me.

I do know how to do pushups correctly, and don't get any discomfort or pain after completing them. I was just wondering if they were on crack when they told me this.

When I do latteral raises I feel like my shoulder wants to pop out. And in the end position during ohp with my arms stretched it feels really tight and want to naturally tilt a bit forward. I have no issues with benching~2pl8. Anything other than streching I can do? I've only been doing light high rep work for shoulders since I noticed my shoulders aren't 100% mobile.

Also lately I've been feeling slight discomfort in my lower back after heavy squats 3pl8 ~5rm when I do movements like touching my toes with stretched feet and stuff like that. I dont feel it anymore if I stop squatting for a few days. Maybe I slipped my form a bit since I made some progress so I'll deload a bit and pay more attention to form , but I was wondering if APT could cause problems with lower back stuff as I do feel I have a little APT. Thanks.

Aight I'm back. I'll respond to everything above this post but then I have to go to bed

Not "feeling" the muscle isn't an indication you're not working it. I experience the same things sometimes - after a big chest day I won't feel much of a pump afterward unless I do some specific exercises like dumbell bench press with a squeeze afterward or work on the fly machine with a three sec hold at end contraction. Nothing's wrong with you and you aren't injured, you're just most likely coming at this from a much more advanced level than most people so you're going to have to do more esoteric and targeted shit to get the feeling you want to.

With regards to your shoulders, let's break it down.

If it's weakness, train for strength. You know the deal, if you can manage more than eight reps then add more weight.

If it's fatigue, train for endurance. Drop the weight until you can bust out 20 reps at a constant tempo and then see if you can maintain that.

Also, remember to vary your movements as much as you can to keep your shoulders hit from all angles.

I'd say deload your DL and keep going but with an eye to form. If you really want to be precise, get a gymbro to form check you and point out where you're fucking up.

Good luck matey

Can you tell me anything more about the pain? When did it start, what makes it worse, how long has it been going on, does it fluctuate?

Hey man simple question, I've sprained both my ankles a few times, what are some good excercises to keep them healthy?

Also my right knee hurts, I think it's the ACL, due to squatting. I can still sprint, but it hurts sometimes, is it worth doing some rehab excercises? It's the bit right below the knee in the front, it hurts to get on my knees

You want to buy these books:
- Tidy's Physiotherapy
- The Physiotherapist's Pocketbook
- Clinical Case Studies in Physiotherapy
- Strength Training (Zatsiorsky)
- Joint Structure and Function (Levangie and Norkin)
- Neuromusculoskeletal examination and assessment
- Principles of neuromusculoskeletal examination and management
- Orthopedic Physical Assessment

Memorise that shit. I did it, so can you. Get autistic about your work and don't let your standards slip.

Bookmark these pages
- Radiopedia
- Physiopedia
- Anything on Facebook that disseminates articles regularly

Read one article ever day. I don't care if it's excessive. Keep up with the literature or you will be left behind.

Good luck, Physibro

It depends on what shoulder injury you've got and what irritates it. I'm not gonna do a full biomechanical or ergonomic breakdown of how your shoulder works because I'm tired as fuck and it'd take too long but the bottom line is this - if it's not hurting you, that's cool. If it DOES hurt you, stop doing it or find another way to do it.

TL;DR your PT may be on crack, but I don't know you IRL so I can't be sure. My advice: give them a try. No pain? No issue.

I've got a lot of questions to ask you but I can't order them in my head just now - if this thread's up in the morning I'll do a more thorough assessment.

Sorry brogue.

Hello Kenny, good to see you again.

Multiple things, all regarding my girlfriend.

A bit of context to start off. She is sedentary, and has never had much strength, to the point that in the past she had trouble not collapsing when getting down from a foot's height. She has been getting stronger (lower body mostly) but is still far from fit.

Sometimes her cranium hurts, to the point that she has trouble sleeping because resting her head even on a pillow hurts.
This is oftentimes associated with pain on the back of her neck but the neck pain may come later.
I suspect this might be due to a neurological problem where some nerve in her neck gets impinged or whatever causing the pain on her cranium.

Secondly, her right shoulder is kind of fucked up, it makes a loud clunk and hurts if she presses horizontally, no problems overhead. Sometimes she cannot reach her back with her hand, then the shoulder will clunk and she will be able to reach, this does not hurt and she even describes it as relieving.
When she holds a bar in a high bar squat position it will also hurts her shoulder more and more as she holds the position, and it will hurt the most when she lets the bar go.
She also suspect that her shoulder problems are related to her inability to make full circles with her head, she will be stuck when reaching from middle-back to right-back but has no trouble the other way around.

Last, when doing something like a pull-up negative, she cannot attain full extension of the arm. When lowering she will start to feel tension in her elbow and she has to let go otherwise she feels it will fuck her up. This is more acute on her right arm, she is right handed and I suspect she uses her right arm a bit more which may explain the discrepancy.

I suspect the two last problems may be due to a sheer lack of strength causing her joints to have trouble staying in a proper alignment.

What would you say, Kenny-sama ?

Aight bro, I'm going to be as direct with you as I can be. If she's so deconditioned to the point where she can't navigate properly then she needs direct medical intervention and help. My advice to you would be to concentrate on conditioning before strength - walking, running and upper body work will give her a strong base to work off of before you can begin addressing her other issues.

Hydro work is great for this - you two kids jump into a pool and have fun. Swim laps, go up and down, and the pressure will do wonders for her chest and breathing.

The headache you reported may be cervicogenic, which means that it may arise as a consequence of pathology in her neck, like you suspected. However, given how important the neck is, this is something that needs to be assessed in real life, preferrably by a specialist or someone with at least a decade's worth of experience in these problems.

her ergonomic problems might arise from her deconditioning, and there also might be problems with her flexibility. I'm not going to pry into her medical history but I'm going to guess that it's more complex than usual.

Long story short, hit the pool, go for walks together, see an IRL PT. I know you wouldn't last unless you cared, so you're going to have to support her. Hold her hand. Walk with her. Give her pep when she's down.

You're both going to make it.

i have a recent herniated disc in my lumbar spine, between L5-L6 specifically (i was born with an L6). my lifts were never that great, but my deadlift and squat are in the shitter due to back pain. i have seen a physio and a pt about excercise /routine adjustments and working in core excercises. are herniated disc sufferers just fated to be weaker or is there an eventual loss of back pain if i keep incrementally increasing the weight?

Okay so I may have sounded more dramatic than it actually is. Lol

She used to be in horrible shape due to mental problems preventing her from enjoying the outside world.
I have done what you said, getting her to walk, swim, carry the groceries, climb the stairs... It has been an uphill battle but she now is a normally functioning human, physically at least. I have to say the transformation has been amazing, we can now enjoy basic physical activities together.
But she is basically a skinnyfat girl with the opposite of an athletic background.

The two last issues have only arised recently because she is willing to try more physically demanding activities.

Okay, I will try to find a competent professional for her neck issues.

For the rest do you think our best bet would be some strength and conditioning work with flexibility sprinkled in ?
She has seen a PT in the past to take care of her weakness, he didn't seem really concerned about her and basically said that she needed to get in shape.

Thank you for the kind words, she definitely needs my support and I do my best to give it to her.

We're all going to make it.

Please respond

Hello friendo,really liking what you're doing here,im 19 years old medbro and i might have scoliosis on the t-spine.I'll go for an x-ray this summer cause i cant atm.My question is: Until then,is there anything i should be careful about,in regards to lifting ? Also the difference between my shoulders is maybe 1-2cm.Also also i think the reason for this is because i used to put my backpack only on the left shoulder. (English is not my native language so sorry for the eyefucking

Starting physio course in UK this summer. How hard is it to work abroad? UK wages are fucking pathetic and I want to go work in the US for 3-4x the salary

I hurt my upper butt dead lifting. Definitely not my back, and off to the side, like, you know, where your butt cheek is. Just rest til healed? Is it something else?

I hurt my lower back four weeks ago while Deadlifting. Was fucked bretty gud.
I was told it would heal within a couple weeks and although the pain has subsided, I'm still dealing with pretty consistent pain when laying in bed or especially bending/stooping.

Am I finished?

Fuck, I didn't even read the bottom of the thread before I just posted. Feels bad, user. Fuck deadlifts.

Alright.
I fucked my lumbar spine up pretty badly last November, ended up needing an MRI.

Basically the short and sweet of it is that I cracked an IVD and 2 vertebrae had facet joint effusion, with chondromatosis in the lower vertebras facet joints, worse on the left side.

My doc was fucking useless. She said lose weight and maybe see a physio, come back if it's bad enough for an anti-inflammatory injection into the facet joint synovial fluid or something.

I opted to google facet joint recovery stuff instead.
Fast forward to now, I'm no longer in constant pain, but I can't stretch my back backwards, like over a bosu ball or something, otherwise it aches for hours, only forwards. Kinda shit because I am hypermobile and I've been doing backbending yoga crap for my whole life, and now I'm an inflexible cripple.

Am I fucked for life?

Oh wait, I'm not sure if it's chondromatosis. I can't remember the wording. I was told in laymans terms it was basically arthritis that might go away.

so I recently saw a video that most back injuries happen because of a chain reaction, to the poor diet, blood vessels cannot supplement minerals to the disks anymore and then they slowly degrade.

Is this any true?

how do i make dank lumbar spine gains? LF yoga poses mostly or unassisted bodyweight

core activation, proper bracing, back extensions, planks.

My right shoulder is slightly lower and more forward than my left. What does this mean? Is my left side weaker or stronger? It's not a big deal but can I correct it? I'm right handed

Been out with cartilage damage underneath the patella in the left knee since Nov.

Ortho advised complete rest for a few months along with physiotherapy.

Now he's told me to resume running but no weights (squats/lunges) yet.

He's added leg extensions to my physio routine, aren't they supposed to be bad for your knees?

Any anons with similar experiences?
Should I really do the leg extensions?
How long before I can squat again?

I've got pain in my shoulder when I do an overhead press or a pushup, but no problem with the bench.What's up?

i squatted heavy a couple of days ago and now experiencing knee pain and hip pain. the knee pain is much worse, it feels like my knee is grinding inside

ok thanks. i'm doing tucked v-sits, good posture always, and raised-leg planks (supported)

gotta find a tool for the back ext's, thx

My lower back muscles get fucked whenever I do high reps on squat, or isolate it in any way. I did 10 reps romanian deadlift with 20kg and the muscles were already starting to hurt. I can deadlift 220kg for the record.

Squatting low reps is fine, as I hit 140kg for 5 recently, but when I did 80kg for 4x10, my lower back was in so much pain, even sitting down was agony, and it only relieved itself when I lay down.

I think it may have something to do with the fact I used to have fairly pronounced lumbar lordosis, and although I have fixed it a lot, it's still there a little, and when my lower back does start to hurt, my body tries to go back to being in that posture.

Also I should add that I've started doing some hamstring and hip flexor stretches, and I'm trying to do more ab isolation work.

>hip flexor stretches
be careful with those.
they're often not necessary and can fuck up ur hips and lumbar spine.
b-reddy.org/2012/10/08/you-shouldnt-stretch-your-hip-flexors-if-you-have-hip-pain/
b-reddy.org/2012/06/01/standing-version-of-the-best-damn-it-band-stretch/

one of vertebra between my shoulderblades sticks out and i have pain between my shoulders. does anybody have a idea whats going on there?

Try to describe it as best I can.

Happened during chest flys using dumbbells.

The area on my arm above the armpit that you can feel moves around when moving your arm on the front half so I assume something with shoulder or a tendon/muscle/something inside of there.

When I stretch it in certain ways and not always one way causes any pain it tightens up and becomes harder to move for a few seconds at a time and then usually goes away.

I find rotating it backwards in a circular motion with my elbow bent eases the tension faster.

I don't do chest flys and it does not bother me during bench or chest press unless I go heavy so i've been avoiding heavy lifts.

Doctor basically told me to take some advil and stretch more. It's been about 2 years and while it's not debilitating enough for me to go see a PT (No insurance, just graduated with a degree so hopefully insurance in the next few months)
I'd rather figure it out before it worsens later in life and maybe causes problems.

Alright I'm up, let me make some tea or something and I'll be right with you.

The thing is that it's not about a "loss of back pain," it's about management. There's always going to be the POTENTIAL for the pain to resurface but depending on how you program your routine and how you move your weight, you can minimise the likelihood of a recurrence. In a word, be smart with your workouts. You'll also need to include more core exercises and be more patient with yourself following your workouts - do decomp exercises and the like.

Sprained ligaments will heal with rest - minimise resistance for about 2-3 weeks and then reload to your original working weight.

Yeah the best advice I can give you is to minimise loading through your T-spine and to wait until you get that scoliosis managed before you do anything else. The spine is the foundation for everything so wait until your foundation is in order before you do anything else.