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Started By
Message
re: Sciatic pain
Posted on 3/1/23 at 5:06 pm to Yeti_Chaser
Posted on 3/1/23 at 5:06 pm to Yeti_Chaser
quote:
I quit squatting and deadlifting 6 weeks ago
Did your PT not have you doing these in clinic? We typically have >80% of our caseload doing some form of these each session they attend. If you don’t load they spine and it’s surrounding muscles, how can you expect the back to get stronger to take stress off the area that is flared up?
2
Posted on 3/1/23 at 5:51 pm to h0ll@yaboy
quote:
Did your PT not have you doing these in clinic?
No, he did not have a rack. I wasn't too confident in him so I quit going. I quit all barbell work 6 weeks ago to give myself a break as I was pushing it pretty hard last year and thought maybe some rest would help, but it hasnt. I called my doctor yesterday to get a new PT recommendation and will be starting with them next week.
quote:
Your PT may be trying to “open up your disc space” to allow the fluid inside to move more anteriorly.
We were using the traction machine each session which I thought was supposed to open the disc space. However I thought it was odd that we would use traction at the end rather than before the exercises. Seems like you would want to open the disc space with traction before trying poses like Cobra to create the space to move the disc anteriorly
Posted on 3/1/23 at 7:15 pm to Yeti_Chaser
It sounds like your PT was concerned with billing units for reimbursement before quality patient care. Where are you located? I would shop around and find a clinic that feels right. We just had a guy come this afternoon and was excited/surprised to see patients deadlifting and squatting. They are both essential functional movements. They don’t need to be max weight to failure, but need to be fundamentally sound.
If you can afford it, look for a cash based or hybrid clinic to get the best bang for your buck. Cash based is out of network, so not through insurance. Hybrid is similar in that the clinic provides you a super bill to submit to your insurance for reimbursement
If you can afford it, look for a cash based or hybrid clinic to get the best bang for your buck. Cash based is out of network, so not through insurance. Hybrid is similar in that the clinic provides you a super bill to submit to your insurance for reimbursement
Posted on 3/1/23 at 8:37 pm to h0ll@yaboy
What if you can’t really squat or DL? I’m trying to avoid another back surgery as well as a surgery to fix a labrum tear in the hip
I have a L5 S1 that I already had a laminectomy on, but it’s still fricked up, though not as severe. My leg pains are gone for the most part but the back is still wonky. Def need to strengthen it and the core
I have a L5 S1 that I already had a laminectomy on, but it’s still fricked up, though not as severe. My leg pains are gone for the most part but the back is still wonky. Def need to strengthen it and the core
Posted on 3/1/23 at 8:49 pm to h0ll@yaboy
Thanks for all the info. I'm in Northern Utah so not local unfortunately. Any advice on how to ID a good PT? Questions I should ask or things I should look for?
Posted on 3/1/23 at 9:07 pm to GynoSandberg
quote:
What if you can’t really squat or DL?
Start with a pvc pipe and work on your hip hinge pattern. If you need, put the pvc along your spine and maintain contact with you skull, shoulder blades, and tailbone.
Do elevated deadlifts. We put the safety bars high enough to match the depth a patient can reach without pain or a form breakdown. Sometimes it’s barely any lift but it’s a start. Other times I start with RDLs with a kettlebell.
Start with high box squats and work you way down, utilize front squats, goblet squats, sumo squats, or even the dreaded leg press
One of my favorite exercises for the back without much movement is a Chinese plank, with focused breathing
Also heavy carries. It can be a suitcase case, farmer’s, weights hanging in bungee cords, overhead, etc. they all help to load the spinal stabilizers without making them move a lot
This post was edited on 3/1/23 at 9:21 pm
Posted on 3/1/23 at 9:12 pm to Yeti_Chaser
quote:
Any advice on how to ID a good PT?
They should look like they know how to lift. The clinic shouldn’t be full of random equipment and treatment tables. Look for barbells, heavy weights, and a squat rack.
I always recommend googling ICE Physio and finding a PT trained by them. If that’s not an option, call local CrossFit boxes and ask who they recommend, or if they have an in house PT. Physically go to a clinic and ask for a tour as a prospective patient. Ask how many patients each PT sees per hour, ideally only 1 but can be ok with 2-3. If it feels off just move along to the next one
Posted on 3/6/23 at 7:14 am to boxcarbarney
I am going to try this but not sure my shoulders can handle the 'froggers' or the last one (the last two exercises).
I totally forgot about my tens machine, i needto get a new one... do you a certain one or just get one from like Walmart.
I totally forgot about my tens machine, i needto get a new one... do you a certain one or just get one from like Walmart.
Posted on 3/6/23 at 8:55 am to dupergreenie
quote:
do you a certain one or just get one from like Walmart.
I got this one. I have no idea if its the best, but it gets the job done Amazon
Posted on 3/6/23 at 1:16 pm to Yeti_Chaser
quote:
No, he did not have a rack. I wasn't too confident in him so I quit going. I quit all barbell work 6 weeks ago to give myself a break as I was pushing it pretty hard last year and thought maybe some rest would help, but it hasnt.
I’ve found seated good mornings to be a decent alternative to DL for strengthening lower back and stretching out my chronically tight hamstrings.
Posted on 3/7/23 at 7:54 am to SouthernInsanity
I've dealt with this over the years. As noted, weight loss, strengthen core (abs and lower back muscles), proper posture (if you sit, work a lot, see if you can get an adjustable desk. Just bought one at Wayfair. Get a good adjustable chair with lumbar support (like a Herman Miller or similar). Buy a lumbar pillow for back support in the chair if needed.
Follow this Channel. Yeah, they're swarmy, but they put out good content!
Note: I work in healthcare and have a good friend that's a PT/OT. Told me recently certainly poses (like Cobra for example) could exacerbate the pain and irritate the nerve.
Anti Inflammatory like Celebrex are safe and work great if you have chronic pain.
Bottom line in all of this: Get checked out by a physician that specializes in spine issues. There can be a combination of exercises and therapy that helps prevent eventual back surgery, which is the last resort.
Follow this Channel. Yeah, they're swarmy, but they put out good content!
Note: I work in healthcare and have a good friend that's a PT/OT. Told me recently certainly poses (like Cobra for example) could exacerbate the pain and irritate the nerve.
Anti Inflammatory like Celebrex are safe and work great if you have chronic pain.
Bottom line in all of this: Get checked out by a physician that specializes in spine issues. There can be a combination of exercises and therapy that helps prevent eventual back surgery, which is the last resort.
This post was edited on 3/7/23 at 7:55 am
Posted on 3/22/23 at 5:51 am to h0ll@yaboy
quote:
look for a cash based or hybrid clinic to get the best bang for your buck.
This was good advice, thanks. I found a cash based, 1 on 1 guy and I'm much more optimistic. I've had 3 sessions now, and although I haven't had much improvement yet I feel pretty confident that I will eventually start seeing results with this guy.
Posted on 4/5/23 at 8:29 am to Nole Man
quote:
Bottom line in all of this: Get checked out by a physician that specializes in spine issues. There can be a combination of exercises and therapy that helps prevent eventual back surgery, which is the last resort.
I would agree that surgery should be your last resort but don't take that as a negative. I heard "horror stories" from people about back surgery but none of them could give me specifics on the actual story. When I finally starting pushing them for examples I started getting "well I don't know them personally but heard it was terrible" or it was for a major surgery like a fusion that didn't have anything to do with my situation.
After months of PT, epidurals and pain pills my sciatic pain wouldn't go away. It was awful.
I decided to have a neurosurgeon perform a microdiscectomy which is one of the least invasive back surgeries. Out patient surgery and was pain free as soon as I left the hospital. Rehab was easy and been feeling great ever since. I will likely have some type of lower back issues down the road but for now the surgery and side effects have been 100% worth it.
Good luck OP!
This post was edited on 4/5/23 at 8:31 am
Posted on 4/5/23 at 9:56 am to Palmetto08
quote:
microdiscectomy
I had a similar experience but I will say that while you're pain free keep doing preventative exercise and mobility. I failed to do that while I was feeling good and now 8 years later I'm back to where I was pre-surgery.
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