L5-S1 issues from paddling

VonMeister

Tom Curren status
Apr 26, 2013
10,408
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THE TERRORIST OF TERRAMAR
Try a ball medicine ball on your lower abs to release trigger points
.
Passive modalities are placebo at best. Generally they raise the persons threat response which keeps them hyper sensitive to benign nerve inputs. We have large groups of people that now sit around in pain because they haven't had their myofascil release yet, and that dependency is as bad as opiates if the goal is to get a person out of pain.
 

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Michael Peterson status
Jan 11, 2002
1,814
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question to OP, would u rather have a weak and injured back or a strong and injured back?
Kind of moot, as it appears I don't have an injured back at all. It's muscles in the core and pelvic floor locking up, as well as the piriformis mentioned earlier. The PT is helping, but I'm taking things very very slowly. Unfortunately, bracing for squats/DLs is a major trigger, but believe me, I would love to get back into the gym.
 
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Chocki

Grom
Feb 18, 2007
101
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Planet Earth
Last edited:

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Michael Peterson status
Jan 11, 2002
1,814
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Just realized I should of first asked if you’ve ever had a postural assessment done during PT?
I think I had both postural and gait analysis for PT, which are informing the current treatment protocol. I also had a "postural analysis" done for free at an event booth by a chiropractor I didn't really trust, who told me (shockingly) I was horrendously crooked and in dire need of chiropractic care.
 

Chocki

Grom
Feb 18, 2007
101
20
18
Planet Earth
I think I had both postural and gait analysis for PT, which are informing the current treatment protocol. I also had a "postural analysis" done for free at an event booth by a chiropractor I didn't really trust, who told me (shockingly) I was horrendously crooked and in dire need of chiropractic care.
Not a fan of chiros.
I think I had both postural and gait analysis for PT, which are informing the current treatment protocol. I also had a "postural analysis" done for free at an event booth by a chiropractor I didn't really trust, who told me (shockingly) I was horrendously crooked and in dire need of chiropractic care.
The postural assessment is a good starting point. Leg length discrepancy in particular along with whatever else is jacked up from injuries, age, or just poor posture.

These guys are super legit (like for real backgrounds and credentials). I don’t know why I didn’t think of them sooner. Their stuff in general has been a part of my life for a long time. I’m a firm believer in “Correct exercise is corrective exercise”.

 

emmohl80

Legend (inyourownmind)
Oct 17, 2010
369
3
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Don't raise your head, neck, and shoulders so much when you paddle. Keep your head lower. Always do stretching before and after a session.
Been having some back pain the last month or so when I ride my new fish.Thought it was from riding as a twin but maybe i'm raising my head more? Pretty good in regards to keeping head down.To the point of getting pressures from chin. No pain when on my shortboards.
 

VonMeister

Tom Curren status
Apr 26, 2013
10,408
7
38
THE TERRORIST OF TERRAMAR
Kind of moot, as it appears I don't have an injured back at all. It's muscles in the core and pelvic floor locking up, as well as the piriformis mentioned earlier. The PT is helping, but I'm taking things very very slowly. Unfortunately, bracing for squats/DLs is a major trigger, but believe me, I would love to get back into the gym.
Your muscles aren't locking up and your piriformis is fine. Your PT is shaking you down to keep you coming back.
 

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Michael Peterson status
Jan 11, 2002
1,814
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Your muscles aren't locking up and your piriformis is fine. Your PT is shaking you down to keep you coming back.
Yeah... given that I had months of excruciating pain before going to PT that got worse with trips to the gym and now the pain is absent most days and far diminished when it does come back, they can keep taking my $25 copay.
 

VonMeister

Tom Curren status
Apr 26, 2013
10,408
7
38
THE TERRORIST OF TERRAMAR
was it the pt or the time that allowed it to heal?
Activity.

As you found out, a well programmed strength and conditioning program works. Random gym type stuff doesn't.

Any PT that says a muscle is locked up, or not firing....or really even mentions piriformis should be quickly ignored. Lets just entertain for a moment that any or this is true (it's not). What do you gain by telling a person who is in pain, yeah, you're broken. It's criminal that douchebags like that make up sh!t in order to nod in agreement with a patient who is suffering to some degree.
 

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Michael Peterson status
Jan 11, 2002
1,814
11
38
Activity.

As you found out, a well programmed strength and conditioning program works. Random gym type stuff doesn't.

Any PT that says a muscle is locked up, or not firing....or really even mentions piriformis should be quickly ignored. Lets just entertain for a moment that any or this is true (it's not). What do you gain by telling a person who is in pain, yeah, you're broken. It's criminal that douchebags like that make up sh!t in order to nod in agreement with a patient who is suffering to some degree.
It was the PT.

I've been lifting on and off for about 10 years. I originally injured myself during an on phase, in which I was deadlifting, squatting, and cleaning multiple times per week doing the Candito linear strength/power program. The pain goes away when I'm sedentary and comes back with activity, not the other way around. Core loading and hamstring loading, along with abdominal bracing, trigger it. It has gone away a few times and come back after I've tried to lift again, so it's either a reinjury issue or other faulty patterns.

Let's be more specific here. The PT is not telling me the muscle is locked up or not firing, nor is she telling me I'm broken. What she's saying is that I'm exhibiting certain symptoms, probably caused by overuse of some muscles that are overloading because other major muscles are too weak, and prescribing strength and stretching exercises to counteract that. In fact, she's not really mentioning or treating the piriformis at all; I keep bringing it up, because I keep getting a lot of soreness and swelling there during flareups. Her prescribed exercises are my current well-programmed gym routine. They are working. My ultimate goal is to get back under the bar and squat and deadlift again, but only without pain. She's on board with that, and wants me to surf as much as possible as well.