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jim thornton
May 14th, 2002, 08:39 PM
I have done something to my hip, I think thanks to the abductor/adductor Nautilus machine, followed by a few weeks of lots of fly and breaststroke kicking drills. In any event, since you guys out there in Masters land have been exceedingly helpful about various aches and pains in the past, I am wondering if any other swimmers have experienced this, and if so, what is the best way to hasten its retreat.

I tried doing some swimming with a pull buoy this afternoon, but the slight effort required to keep the float between my legs seemed to hurt the hip. I'm wondering if this is one of those strain injuries that will get better regardless of whether you rest it or not. I've been taking ibuprofen and icing the area, both of which help a little. Any suggestions? Thanks.

Tom Ellison
May 14th, 2002, 11:30 PM
Hi Jim:
Gosh, by now I should have a PHD in hip pain...both before and after replacement. So, my advise it this:
1. NO BREASTSTROKE KICKING. THAT IS BAD STUFF FOR THE HIP WHEN IT IS SORE.
2. Stay away from pull buoys until it feels better. Pull buoys made mine worse...and your right, the effort to hold the buoy between your legs can aggravate the hip.
3. Without knowing what is going on inside the hip you are guessing on your recovery or severity of the injury. I do know that some hip injuries can get much worse with exercise...and some get better with rest. So, my strong suggestion is to see a qualified Dr. and have it looked at. Again, stay away from the breaststroke kicking until it gets better. Fly kicking never bothered my hip, but other guys with bad hips told me fly kicking hurt theirs. Dott Donnley (bless her heart) told me fly kicking bothered hers for a short time..then it quit.
Get well soon.
Tom

bluerose
May 16th, 2002, 03:09 PM
Does your hip "pop" at all, particularily when doing exercises like the abductor/adductor and breaststroke kick that use a wide range of motion for your hip? Do you think it may have dislocated, even partially, and gone back into place? I had problems with this about a year ago when I was doing kickboxing (I've noticed my hip "pop" occassionally while doing breaststroke). I finally went to the doctor because it was getting so sore I could barely walk. He sent me to a physical therapist (DON'T go to a chiropractor if your hip is "popping" or dislocating, it'll only make it worse and wear at the ligaments to keep readjusting it). The physical therapist said one hip was considerably weaker than the other and did ultrasound therapy (to lessen the pain) and gave me floor exercises to strengthen my hip. Since I started doing that, I have had almost no problems . . . or pain.
If you did strain the muscle, most doctors would say to quit icing it after a while, it slow the circulation in the area and slows healing.

Hope this helps, if not you, someone else! :-)
Anna

jim thornton
May 16th, 2002, 05:43 PM
Tom and Anna and Greg (who sent me an e-mail directly): thanks to one and all. I've taken a couple days off, i.e., no swimming, or exercising, or even much in the way of substantial walking, and the hip does seem to be getting better. I have also taken ibus and ice regularly until today--Anna's advice about weaning myself off the ice seems to be worth heeding. (I stopped the ibus after we ran out, and I didn't want to walk over to the store to buy extras.)

Anna, I haven't noticed any popping sounds or sensations and don't think the joint is coming apart, even momentarily. I suspect that I inflamed a muscle or tendon or ligament or some combination thereof, and that with enough rest the inflammation should begin to die back. In any event, it's very encouraging to hear that with the right rehab, you have successfully bounced back from your kick-boxing injury (which sounds similar to what I did on the Nautilus machine.)

My big dilemma as always with injuries and/or colds is that I get such stress relief from swimming that I am going stir crazy "taking it easy"! Hopefully, I will be able to return to the pool soon, and the hip will continue its slow slouch back to normalcy... Here's a credo I propose for those of us in the neighborhood of 50 or over:

Any form of exercise you haven't done a lot of lately, DON'T DO A LOT OF NOW!!!

Start very, very slow and gradually build your way up. I think I get tricked into doing more than I should because I feel like I'm able to swim similar times to college--and hence my body must generally be in the same kind of shape. Perhaps this is arguably a little true for swimming, but it is definitely not true for kick boxing, Nautilus adductor exercises, etc. i.e., anything I haven't done much of lately. (Last summer, I played soccer for the first time in 25 years and had trouble walking for a week.)

Any tips on how to handle the psychodynamics of being out of the water? I know there must be other swimming addicts whose heads say "rest" but whose hearts long to be back in the water.


And remember, all those out there who have not recently injured yourselves: Any form of exercise you haven't done a lot of lately, DON'T DO A LOT OF NOW!!!

gmgdc
May 17th, 2002, 09:07 AM
Anna,

I resent your statement that going to a chiropractor can make the situation worse. Whoever told you that, doesn't understand chiropractic (which is just about everybody). It is very tiresome to continue fighting the medical opinions about our profession that have been going on for over a hundred years.

With the overload of criticism heaped on us over the years, if one percent of it was true, chiropractic would have disappeared long before now. I can't do anything about the few bad Doctors out there, but there are incompetent people in every profession. Perhaps you've heard that surgeries occasionally get botched? Does that mean that nobody should ever have a surgical procedure done, because you can die? In reality, that is more true than your original statement about chiropractic.

My apologies to the rest of you. I would have replied directly to Anna, but her profile didn't allow for her to receive e-mails in that manner.

Dr. G

emmett
May 17th, 2002, 11:08 AM
I'm neither an MD nor a chiropractor. But I have loads of observational experience with swimmers who've been to one, the other or both. From that experience I can confidently state that chiropractors do NOT have the market cornered on ineffective, detrimental or inappropriate treatment.

By and large, the experiences my swimmers have had with chiropractors has been very positive. In addition, the general consensus is that they seem to be better "tuned-in" to the needs of athletes than is your average MD - though certainly there are many exceptions, on both sides.

I also perceive that the incidence of MDs giving poor advice or treatment (at least from the athlete's, coach's or PT's viewpoint) isn't any less than that of chiropractor's giving poor advice or treatment

How all this relates to the specific topic of hip replacement I cannot say, as I've no knowledge or experience in that area. But I'd be no more inclined to dismiss chiropractor care or advice in this area than I would that of an MD.

jim thornton
May 17th, 2002, 11:33 AM
I'd like to second Greg's statement regarding chiropractors vs. orthopedic surgeons and other specialists. I think what you want in any kind of healer is someone who understands the injury, the psychology of the injured, and the best "first, do no harm" remedies for the condition.

I interview lots of doctors for various articles I write for GQ, Modern Maturity, etc., and I've come to believe that sports injuries in particular need to be treated by someone who understands how important sports participation is to the injured athlete. I'm convinced that a good physical trainer, for instance, with expertise in specific sports, and who really understands how to rehab a wounded part, is likely going to do a much better job than a "top" orthopedic surgeon who makes the lion's share of his/her money from wielding the knife.

I don't mean to be stereotyping here--plenty of orthopedic surgeons are athletes themselves, understand how important getting back in the pool is to us swimmers, and send their patients to rehab without knee-jerk surgery. Conversely, I suspect there are chiropractors out there who have not kept up with current trends in sports medicine/rehab, and apply a cookie cutter "manipulation" approach to all their patients.

Greg has e-mailed me advice, and I am extremely grateful for this. If I lived in Knoxville, I wouldn't hesitate to consult with him about this injury because it is obvious that he understands swimming and could help me rehab my hip and return as quickly as possible to active participation. His academic credentials, in my opinion, are not the critical factor but rather his wholistic approach that emphasizes stretching and rehab.

bluerose
May 20th, 2002, 02:11 PM
Apparently some people either mistook what I said before or read more into it than was actually there.
I never said anything negative about chiropractic care. I stated that for the injury I had, it would not be a good idea. Emphasis on the injury I had. Many of my friends suggested I go to a chiropractor to have him/her re-adjust my hip and put it back in place after it had dislocated (which I was able to do myself anyway). If I had done that, the problem would have re-occurred a couple of hours later (just as it did when I adjusted it myself) or the next day if I was lucky. Everytime it dislocated and had to be adjusted, it wore at the ligaments and bone in my hip. I needed the care of someone who would help me rehabilitate my hip, not bandage the problem with a quick fix. My friends go to some of the best chiropractors in the area, but none of them have ever been given advice for rehabilitation of their injuries and therefore, they keep going back for adjustments and will have to do this forever since they aren't healing the root of their problems. If they are content with that, it's their choice.
Here's another way to look at. If every time you raised your arm to wave at someone, your shoulder became dislocated, what would you do? You'd realize immediately that something was wrong and you wouldn't be satisfied to adjust it and wait for it to happen again and again. Most people would probably go to a physician, maybe get an x-ray. Well, that's what happened to me. Just walking across the room, my hip would become dislocated, it was very evident and very painful.

Greg,

There was no need to get so defensive about my remarks. I did not attack you personally, or your profession. I simply stated that chiropractic care was not the appropriate approach for my injury. If you truly do focus on rehabilitation, then you are way ahead of your colleagues in my area. I have never known anyone to have received long term results, or even advice for long term results, for their injuries from a chiropractor around here. They all have to keep going back, years later, and their problems are just as bad as when the injuries occurred. All the criticism out there comes from somewhere, much of it from people who've had bad, or simply worthless, experiences with chiropractors. Many professions get a bad reputation because of a few underqualified and careless people, you have to prove yourself and overcome those things. I'm sure it does get tiring, but unfortunately, it comes with the territory when you work in a profession that is still trying to prove itself, even after all these years. I would have much more respect for, and faith in, chiropractors if more of them took a whollistic approach to healing, not just bandaging, and even one person I knew saw long term results from chiropractic care.

tzsegal
May 20th, 2002, 03:34 PM
I have gained many long-term benefits from my chiropractor. He has helped me rehab through both a shoulder and a hip injury ... to the point where these bother me no longer. He suggested various muscle-strengthening exercises, in and out of the pool, appropriate supplements of magnesium both at critical times and for ongoing muscle maintenance. He did adjust my hip back into place with that injury ... ONCE. And it has stayed there. With the shoulder discomfort he repeatedly adjusted my neck ... but the adjustments became less dramatic and my range of motion continually increased and is sustained.

Anytime I visit him now is for some new problem ... unless I decide to go for a muscle relaxing tune-up ... about twice a year ... also to make sure I haven't unaligned something that could lead to injury.

My chiropractor comes with a couple other benefits. He always does alot of deep muscle massage before any adjustment. Also, he used to be a competitive swimmer and coach ... so he knows what I'm doing with my body and often has great ideas for small ailments.

I HIGHLY recommend a good chiropractor ... especially for those of us pushing our older bodies. It really helps to stay injury free ... and can greatly help any aggravation!

Philip Arcuni
May 20th, 2002, 04:07 PM
I think Anna is correct that she said nothing negative about chiropractors in her first post. Her second post, however, is a significant criticism of the profession, at least in her geographic area.

Unfortunately, there are many professions and 'sciences' that have existed for hundreds, or thousands, of years, and still are not effective in what they claim to do. While some of you may disagree, I put in this category astrology (of all traditions), acupuncture, and homeopathy, among others. And dousing, and . . .

Chiropracty has at least plausibility going for it. It will have to submit *all* of its practices to scientific study, much as western medicine is (trying) to do before I become a complete believer, however.

My own limited experience with *both* chiropracters and orthopedic surgeons has been poor. I went to both trying to solve a sore lower back, and both took extensive xrays and identified a front-to-back misalignment in the lumbar vertebrae. One (the best surgeon in a large midwest teaching hospital) said it was congenital and may or may not be the cause of the bad back, but weakly recommended significant and debilitating surgery. Thank god I did not follow that advice. The other said the misalignment was definitely the cause of the problem, and proceded to make me so sore that I had another spasm the next day and was in bed (painfully) for several days afterword.

Neither did the obvious and responsible thing and take a personal history, with the intent to identify behaviors that could have been aggravating my back. It was only six years later, while wondering why I had not had a sore back in all that time, that I realized what the problem had been.

I'm sure there are both chiropractors and orthopedic surgeons that could have and can have identified the cause and suggested a simple solution, but the title to this post is the lesson for everyone to pay attention to.

Lexa
May 20th, 2002, 06:01 PM
Hi Jim, your post wound up generating a lot of heated discussion around the merits of chiropractic medicine...I'm a teacher, so I know first hand about trying to validate a profession...

But about your comment: Any tips on how to handle the psychodynamics of being out of the water? I know there must be other swimming addicts whose heads say "rest" but whose hearts long to be back in the water.

Yup, it's a bummer, but listen to your head...make yourself better, not more injured...here's some thoughts passed on to me by my coach when I've been laid up:

1. accept it. use the time to get caught up on other areas of your life (bills, writing Christmas thank yous, time with your friends, etc.)

2. know that an injury or illness is not a reflection of you as a swimmer, athlete, person, etc....you just got tagged by some bad luck. Better luck is bound to be around the corner.

3. can't swim? exercise what you can...arms, lats, abs...do some weight training. Also, focus on daily stretching. I mean, just how streamline is the average master coming off the wall? We could all use a bit more flexibility. (Laura Val not included, obviously...)

4. Volunteer on deck, if you can...if not coaching stroke technique, how about videotaping people's stokes, or recording splits in long distance swims...besides being a nice helpful guy, you'll get to breathe in that nice chlorine smell...

Anyway, hope this helps and that you get well soon.
Lexa

Fisch
May 20th, 2002, 10:50 PM
I have had major back problems for 25 years. (I'm 49)
My experience is the same as Phil's.
Stretching for 20 minutes when I first get out
of a hot shower in the am and swimming fours times
a week is the only thing that has let me lead
a sort of normal life. Without swimming,
I'd be a basket case. ( Mentally, as well as physically.)

This leads back to Jim Thorton's thread---
Stretching deeply every day and especially before
major stress is essential!!!

Karlene
May 21st, 2002, 11:51 AM
Anna,
I can appreciate that you did not receive a favorable outcome from chiropractic for your particular injury. However in your postscript to Greg, you continue to bash the entire profession based on your personal experience and the experiences of a limited number of friends.

As an associate professor at Texas Chiropractic College, perhaps I can shed some light on the amount of regulation and education that is involved in the chiropractic profession.

All accredited chiropractic colleges are accredited through two entities that are recognized by the US Dept. of Education. The first is the regional college accrediting body. For our college, that is the Southern Assn. of Colleges and Schools. The second accrediting agency is the Council on Chiropractic Education, the profession-wide accrediting body. Having been involved in two reaffirmations of accreditation, I can assure you that the scrutiny we undergo from both governing bodies is extremely comprehensive and exhaustive. The full process takes one to two years.

Additionally all chiropractic students take National Board examinations covering basic sciences (Anatomy, Physiology, Pathology, Microbiology, Chemistry, Neuroanatomy) and clinical sciences (Diagnostic Imaging, General Diagnosis, Neuromuscular Diagnosis, Chiropractic Practice, Associated Clinical Sciences). There is also a National Board examination in Physical Medicine and Rehabilitation and part IV of the National Board exam is an objective structured clinical evaluation (OSCE) exam. This involves hands-on practical examination on simulated patients. Forty four of the fifty states require that students pass parts I, II, III & IV of the National Board examinations to be eligible for licensure. Additionally, states require that practitioners take continuing education hours in order to maintain licensure.

I cannot speak for other chiropractic colleges but at Texas Chiropractic College our students have over 4,600 hours of education including the following:
625 hours of Anatomy
280 hours of Physiology
283 hours of Biochemistry and Nutrition
445 hours of Pathology
800 hours of Diagnosis including EENT, Serology, Dermatology, Geriatrics, X-Ray Interpretation and Neurology
136 hours of Obstetrics, Gynecology and Pediatrics
800+ hours of Orthopedics and Chiropractic Technique
900+ hours of Clinical Experience

Additionally, we have a clinic extrance examination prior to our students entering our outpatient clinic and a clinic exit examination prior to graduation. These are barrier examinations that the student must pass to proceed in the curriculum or to graudate.

Our College also has an active hospital rotation program in which our students are actively involved in rheumatology, neurology, orthopedic surgery, general practice and pain management rotations at regional hospitals including the Texas Medical Center and Univ. of Texas Medical Branch in Galveston.

The profession has post-graduate specialties that practitioners can pursue. I would encourage you to try a practitioner with continuing education in sports. That would be either a CCSP (Certified Chiropractic Sports Practitioner) or DCSP (Diplomate, Chiropractic Sports Practitioner).

I have noted that South Dakota has only 264 active practitioners in the entire state as of January 2002. This is comparison to Texas with over 4,500 active practitioners. Perhaps the small number of chiropractors in your state has limited the possibility that you can find a chiropractor that specializes in sports injuries.

I regret that you did not have a positive experience with your chiropractor. But to paint the entire profession with a very broad brush based on your limited experience and lack of knowledge of our education, does chiropractic a grave disservice.

Karlene Trebesiner, DC, CCSP

jim thornton
May 21st, 2002, 12:01 PM
I just talked my editor at GQ magazine into letting me write about the active rehab of sports injuries. I'm trying to line up a consultation with top hip specialists (Greg Norman's doctor plus the physical therapist who works in conjunction with him), both of whom recently moved to the University of Pittsburgh Medical Center's new facility for sports medicine. I'll keep you guys posted on what these guys say.

In the meantime, thanks very very much for all the advice. Lexa, your suggestions are excellent. I've found that I can swim about 30-40 minutes before my hip starts tightening up/acting cranky--so maybe I will prepare myself to accept truncated workouts for a while, followed by deck monitoring (and stroke advice) to my healthy comrades.

gmgdc
May 21st, 2002, 01:31 PM
My personal thanks to Karlene for assisting just when I was becoming too tired of the misinformed criticism to even respond anymore. Reinforcements, just when I needed them. The requirements she wrote about are the same where I went to school, too, as is the case for every accredited college of chiropractic.

bluerose
May 21st, 2002, 09:29 PM
Karlene and Greg,

I am fully aware of the training and schooling chiropractors are required to go through. When I had my injury, I read up on it. But in deciding whether or not to go to a chiropractor in this area, I had to rely on the experience of others (and not just friends of mine), and though some of them viewed chiropractic care favorably, they had never gotten any type of rehabilitation advice/care or seen positive long term results. My point is that it's a shame that some of the chiropractors out there do not make the best use of their extensive training.
Once again, I did not "bash" the entire profession. As one other person noticed from my post, my biggest concern is with some of the chiropractic care available in my area. If you read the entire post, I applauded Greg and anyone who, like him, takes a whollistic approach to the practice and focuses on rehabilitation, not just bandages and quick, short term, fixes. If you are only going to read the negative in my posts and are not going to hear my out, then don't bother to read them.


Anna

jim thornton
May 23rd, 2002, 03:03 PM
First of all, I would like to re-thank everyone who offered me advice on my hip pain. Here's a quick update for those of you who are interested and/or may have suffered a similarly injury of your own.

Yesterday I went in to interview some doctors and physical trainers at the UPMC Sports Medicine Center (magnificent facility, by the way.) This is for my next GQ column, which is supposed to be on the active rehab of sports injuries. As with many of my columns, my editor was interested in having me serve as a guinea pig of sorts, and my recent hip pain seemed a perfect opportunity for the story's lead.

I thought I was going to be given some stretching and strengthening exercises and be told to keep on swimming, etc., maybe at a somewhat reduced intensity.

Instead, the PT (Pete Draovitch) and doctor (Marc Phillipon--both famous guys who have arthoscoped the hip joints and rehabed a ton of athletes like Greg Norman and Lynn Swan) did a bunch of hip manipulation (i.e., bend the joint in direction X, followed by "Does that hurt? How about this? And here?"), ordered an X-ray (which showed very minor "normal" arthritic changes), talked about having me undergo an MRI with some kind of dye injected into the joint, then finally concluded I have a combo of "capsular strain" and iliopsoas tendinitis. The likeliest cause is not the abductor Nautilus exercise I thought set things off, but rather the fly and breaststroke drills we've been doing tons of in practice lately.

My joke in practice several weeks ago comes back to haunt me today--"Ah! My balls ache! My sockets are okay, but the balls ache!" If only I'd listened back then to the message the ball-and-socket joint had tried to tell me...

From what I can gather, iliopsoas tendinitis is an inflamation of tendons that hook the hip flexors and other muscles to bones in the complicated hip joint. Anyone with an anatomy hobbyist mentality can read more about the latter condition at:

http://www.emedicine.com/sports/topic52.htm#section~workup

The bottom line recommendation I got from the doctor: two weeks off from any sports activity. No swimming, no weight lifting, no hiking around for hours at Kennywood Amusement Park with my sons, not even very much regular walking. Lots of sitting with ice, yes; but that's about it.

At the end of this period, Dr. Phillipon seemed confident that the acute inflammation would have had a chance to die down, then I will be able to return for some rehab exercises to strengthen the compensating muscles, keep the joint more stable, stretches, etc. I can then return to swimming in a gradual way. I mentioned the USMS long course meet in August, and Dr. Phillipon said that if I take some time off now and prevent further aggravation, that shouldn't be a problem. If after two weeks I still have some pain, then they might have to do the MRI with dye to see if I maybe tore the labrum or other soft tissues inside the hip.

This experience has made me want to reiterate a word of caution to my fellow borderline geriatrics. On the USMS forum, people have spoken about the Masters prerogative--i.e., depending on how your body feels, you can choose to opt out of a set, or avoid fly, or do anything else you think you need to do to prevent injury. As a diehard disciple of my excellent coach's, I admit that I have not always taken the various aches and pains of my fellow swimmers all that seriously. With the coach's help, and an unwavering belief that he is infallible in terms of swimming advice, I was able to have the best year of my whole swimming life last season.

However, as great a coach as he is and will always be, I do think that his own youthful resillience and musculoskeletal magnificence (he's 31!) can sometimes perhaps blind him (well, not blind, but astigmatize him, maybe) to the vulnerabilities of the somewhat more mature (well, not mature, it's more like rotting) bodies of guys like me. I would like to reiterate a maxim of caution regarding physical exertion and the aging body:

Anything that you have not done a lot of lately, don't do a lot of now.

The kicking drills, for instance, though not nearly as strenuous as a set of 10 x 200s on 2:30 proved, for my body at least, way too much for my pathetic iliopsoas tendon to handle. I'm reminded of earlier in the season when the coach generously agreed to try to teach me the wave breaststroke on a thursday before a sunday meet. I'd entered the 200 breast for the first time in my life, and my goal was to try to make it into the local Y top 10. Well after an hour of whip kicking muscles I'd rarely remembered ever using, I was a little sore. But I thought nothing of it. That Sunday, I was warming up with some hyper leisurely breaststroke, my groin muscle pulled, and I had to withdraw from the 200 breast and the 400 im (because I could not kick any breaststroke at all.)

There is nothing inherently wrong with any drills, wave breast stroke, etc. What I am going to try to do my best to remember, however, now and in the future, is that it's critical to work up to any new activity slowly and over a long period of time. Being in "great shape" is very specific to what you've trained for--any slight variations from what you are used to will recruit different muscles, tendons, cartilage, etc. And it's easy to dupe yourself into believing that because you're in "great swimming shape" these different-than-usually-recruited soft tissues will be similarly invulnerable to problems. As my own iliopsoas seems to point out, this is not necessarily true.

Fortunately, the doctor said nothing about beer imbibing--so I will see my teammates this friday for pizza and beer. Thanks again for the advice. I should note that one fellow--name escapes me right now--prescribed exactly what the hip specialist said: 2 weeks out of the water, then very gradual return to activity. Thanks.

Philip Arcuni
May 23rd, 2002, 03:13 PM
Thanks Jim, this is definitely a top-ten post.

jim thornton
May 24th, 2002, 10:03 AM
I found the note from Tzivia Segal regarding hip injuries. He had e-mailed this directly to me rather than posting it out of fear perhaps someone would misdiagnose their own problem. Anyhow, I asked Tzivia if it would be okay to post this e-mail, which I think is informative and wise. He or she? (I confess I don't know the gender of the name Tzivia!) said that would be fine.

Here goes:

I saw your post on the Masters B-Board ....

Not too long ago I did something to my hip ... not sure the original cause to this day. But as a couple weeks w/ regular breast-stroke and butterly (w/others) progressed it got worse and worse. It seemed as long as the injury was causing my muscles to flinch and grab (that jolting pain) any exercise
worsened the situation. I hope by now you are past that. With the help of my trusty chiropractor, I did have the hip adjusted ONCE (and only once) which stayed. My chiropractor also did alot of deep muscle massage ... we found the abductor to be extremely tender ... probably the original injury ... and
from that some core muscles in my stomach were very, very tight ... probably from compensating. It took about two weeks of essentially no swimming, then a slow build-up, to get back w/
it. Over it all there were the first two weeks of decline, two weeks of very painful grabbing, jolting, misbehaving muscles, two weeks of sore but more like an ache in the muscles during which time I did some very easy swimming (<1000 yds, all free and back), and then another week w/ more yards before I even began a little head-led undulation and fly ... and another week before I tried some breaststroke. Even then I went slow. All in all it took a couple months out of my routine.

I hope this is helpful ... and I hope by now your pain is significantlylessened.

Best of luck! oh, yeah, almost forgot, push the magnesium!

Tzivia

In a follow up e-mail, Tzivia offered the following advice well-worth listing to:

I saw your most recent post. Very informative. And now I wonder if tendonitis is at play for me. It has been in one ankle and one shoulder over the years. Anyway, the remedy is the same ... easy does it. By the way, I agree SO MUCH w/ your repeated theme: We, of older bodies, must go very slowly in our increases of activity. The more I think about it, the more sure I am that I was pushing more fly and breaststroke in my workouts prior to my injury. They were fairly slow increases but, I got bit anyway.

Here's to EASY DOES IT!!!!!

Tzivia

tzsegal
May 24th, 2002, 11:42 AM
female -- fyi, not that it's much of factor in this discussion.

The magnesium is to help muscles relax. [Calcium helps contraction ... that's why these two are in groovy mineral supplements to aid in a healthy heart.] I don't know if the magnesium matters much if it's not muscles ... although if the attached muscles are getting crampy or stiff from compensating for the injured tendon, then magnesium will help to keep the muscles able to relax easily.

Wishing everyone good health!!!

Tzivia

Eagleboy
June 5th, 2002, 12:06 AM
This topic is interesting to me because my back flares up every so often due to age-related "normal" (!!!) bone spurring. I am 76 and have returned to swimming this past year. Pretty quickly, I've had to quit the breast stroke because the kick definitely impacted the lower (lumbar) back. In his book, "No More Aching Back", Dr. Leon Root advises that after a period of back pain, one should avoid swimming prone. He advises that one should do the back stroke--and even then with a modified stroke that does not reach back over the head. PRETTY DISCOURAGING. At this point, I'm gingerly resuming the crawl, trying to let my body "talk" to me. I'm doing the steam room, the 20 minute stretching and the whirlpool, hoping to prove Dr Root wrong, at least about the freestyle. This discussion group represents a pretty expert group...and so I do await your comments and advice and shared experiences

jim thornton
June 13th, 2002, 05:19 PM
Three weeks ago, I couldn't swim or even walk without significant cramping pain in my right hip. I got some great advice from this forum, and I told everyone I would return here with an update on my progress (or lack thereof.)

Since the original injury, I have had two appointments (initial diagnosis and follow-up two weeks later) at the UPMC Sports Medicine Center with two great hip specialists--Dr. Marc Phillippon and physical therapist Pete Draovitch.

I started to jot down all I've learned about inflamation, hip anatomy, and rehab exercises, but several days after I began this effort, I find I'm still adding more to a manuscript that grows more bulky by the hour!

Eventually, I will need to cut down all this into a 2500 word piece for GQ on the active rehab of sports injuries. I will then cut this down into something that will actually fit in this forum!

But until then, I want to share the good news. Last night, at my second practice in 3 weeks, I completed a pain-free T-30 swim, covering 2400 yards in 30:04 (for an "anaerobic threshhold" 100-yard pace of 1:15). I feel like a wet Lazarus, reborn!

To anyone else out there who may find themselves currently sidelined by injury (and going crazy as the injured part has a chance to heal), take heart from my example. A couple weeks may seem like an eternity when you're out of the water, but once you get back in healthy again, it's really a small price to pay.

More later! And thanks again to all who provided advice.

JuneO
September 1st, 2003, 10:04 AM
All,

This is such an excellent discussion forum with a wealth of information!

Does anyone have an opinion on naprapathy?

Tzivia Segal,

If you still visit the USMS forum and read this, would you mind providing a name to go with the testimonial for your Chicago chiropractor?

I have apparently worn down most of my l5-s1 disk, and also have some asymmetric hip joint mobility.

Thanks very much.

June

msgrupp
September 1st, 2003, 04:19 PM
according to a medical dictionary is:
a system of treatment by manipulation of connective tissue and adjoining structures (as ligaments, joints, and muscles) and by dietary measures that is held to facilitate the recuperative and regenerative processes of the body.