Adarq.org
Performance Area => Injury, Prehab, & Rehab talk for the brittlebros => Topic started by: ssr7 on October 04, 2010, 10:01:55 pm
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Hey guys,
I've been experiencing some right lateral knee clicking since last night. I rolled the heck out of my IT band, stretched my piriformis (dunno if that's relevant to the problem at hand) and iced my right lateral knee and the discomfort isn't really subsiding. I had a lateral meniscus tear diagnosed via an MRI in 2007 (not sure if I tore it then or earlier) and had a PLC reconstruction operation following the diagnosis and have linering scar tissue, which may be causing or aggravating the "problem." Any suggestions?
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Hey guys,
I've been experiencing some right lateral knee clicking since last night. I rolled the heck out of my IT band, stretched my piriformis (dunno if that's relevant to the problem at hand) and iced my right lateral knee and the discomfort isn't really subsiding. I had a lateral meniscus tear diagnosed via an MRI in 2007 (not sure if I tore it then or earlier) and had a PLC reconstruction operation following the diagnosis and have linering scar tissue, which may be causing or aggravating the "problem." Any suggestions?
This is going to sound glib, but given your history, my suggestion would be to find a good PT, call him or her, and set up an appointment.
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Hey guys,
I've been experiencing some right lateral knee clicking since last night. I rolled the heck out of my IT band, stretched my piriformis (dunno if that's relevant to the problem at hand) and iced my right lateral knee and the discomfort isn't really subsiding. I had a lateral meniscus tear diagnosed via an MRI in 2007 (not sure if I tore it then or earlier) and had a PLC reconstruction operation following the diagnosis and have linering scar tissue, which may be causing or aggravating the "problem." Any suggestions?
i'd give it a few days before getting it checked out.. ice/roll ITB is my general advice, but if it's still bugging at nearly the same intensity by thursday i'd think about getting it checked.. if you are 'adarqui' with no insurance though, you workout :< (edit: knock on wood)
peace
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^^^ Probably true, give it a couple of days of RICE and see where you're at. But the fact that you had surgery makes me think that, unlike Lord Darqman there, thou hast insurance. In which case, get thee to a licensed physical therapist.
Why is it suddenly 1647? I don't know.
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Thanks for suggestions guys. Which would be preferable between a PT evaluation and a chiro evaluation? Also, LBSS have you worked with Steve Horwitz in Silver Spring? I'd gone to get graston/ART from him for a while, but it got too expensive and eventually I reached the point of diminishing returns...LBSS, do you have any PT recommendations in DC/Moco?
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Thanks for suggestions guys. Which would be preferable between a PT evaluation and a chiro evaluation? Also, LBSS have you worked with Steve Horwitz in Silver Spring? I'd gone to get graston/ART from him for a while, but it got too expensive and eventually I reached the point of diminishing returns...LBSS, do you have any PT recommendations in DC/Moco?
I'd prefer to have a licensed PT look at it. If that person was also a chiro, okay, whatever. Haven't worked with Horwitz, although I've heard of him and read some of his stuff. I'm a bit skeptical of chiropratics in general. Bit too much pseudo-science there for my taste. That's not to say all chiros are nutjobs, mind you. And Horwitz is obviously well-respected in the lifting community. So there's that.
Couple of recs (one negative and three positive):
1. Do NOT go to Metro Orthopedics and Sports Therapy (M.O.S.T.) in Silver Spring. Went there a couple years ago for the ankle, was seen only by unsupervised students who barely paid attention to what I was doing and didn't even do manual therapy. Barely even spoke to a full PT while I was there and stopped going after two or three visits.
2. Center for Neuromuscular Massage and Rehabilitation, at 17th and I streets NW, is where I've gotten trigger point and deep tissue massage. The therapists are very good and I always left there feeling looser than when I went in. Didn't do any traditional PT-type stuff there, though, and ultimately they weren't able to solve my underlying issue (see x-ray on one of the previous pages). Not their fault, though, and what they do feels gooooood. Also, a friend at the gym started going to them on my recommendation. His shoulders were an absolute disaster, like almost laughable they were so tight and fucked up. After a few weeks his ROM had improved so much it was unbelievable. From not being able to lift his arms forward past his nose to near-overhead status. Pretty impressive. http://www.pthands-on.com (http://www.pthands-on.com)
3. Place I ended up going after the most recent ankle sprain (early this summer) to was Pro Sports Care, in Metro Center/Chinatown. They've done PT for some players from the Capitals, Wizards and Nationals, for what it's worth. Patrick Lally supervised my treatment there, although most of the manual therapy and assisted stretching was done by a student doing her internship. She was good, though. Patrick knows his stuff and the care I got there was very hands-on and coherent and they're happy to answer questions from a geek like me. Very friendly people, too. My ankle got better and I'd now say it's 95% healthy, which is better than it's been in going on three years. A former teammate of mine has also been to them for ankle issues and had a similarly positive experience. Actually, it was he who recommended them to me. http://www.prosportscare.com (http://www.prosportscare.com)
4. Some people I know (in the ultimate community) go to Sports and Spinal Physical Therapy, which is on like 22nd and K streets NW. Farragut West or Foggy Bottom would be closest Metros. Anyway, I've heard good things. Like Pro Sports Care, they're a big and fancy operation. http://www.ssptdc.com (http://www.ssptdc.com)
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Now, a question for you: What did you get ART for and what did you think? Graston?
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Now, a question for you: What did you get ART for and what did you think? Graston?
Gotten ART for my VMO and vastus lateralis. I didn't experience any more benefit from it than I did from SMR with a foam roller...I got graston to break up scar tissue around my right patellar tendon (ACL recon w/ patellar tendon autograft in 05') and around my left libial region (3 surgeries to remove staph in 99'), and on my feet/shins to relieve myself of dorsal foot pain/"shin splints." Graston worked much better for me in the areas that I didn't have surgery (feet/right shin) and exacerbated the pain/discomfort in the regions in which I had surgery (left shin/right knee).
Thanks for suggestions guys. Which would be preferable between a PT evaluation and a chiro evaluation? Also, LBSS have you worked with Steve Horwitz in Silver Spring? I'd gone to get graston/ART from him for a while, but it got too expensive and eventually I reached the point of diminishing returns...LBSS, do you have any PT recommendations in DC/Moco?
I'd prefer to have a licensed PT look at it. If that person was also a chiro, okay, whatever. Haven't worked with Horwitz, although I've heard of him and read some of his stuff. I'm a bit skeptical of chiropratics in general. Bit too much pseudo-science there for my taste. That's not to say all chiros are nutjobs, mind you. And Horwitz is obviously well-respected in the lifting community. So there's that.
Couple of recs (one negative and three positive):
1. Do NOT go to Metro Orthopedics and Sports Therapy (M.O.S.T.) in Silver Spring. Went there a couple years ago for the ankle, was seen only by unsupervised students who barely paid attention to what I was doing and didn't even do manual therapy. Barely even spoke to a full PT while I was there and stopped going after two or three visits.
2. Center for Neuromuscular Massage and Rehabilitation, at 17th and I streets NW, is where I've gotten trigger point and deep tissue massage. The therapists are very good and I always left there feeling looser than when I went in. Didn't do any traditional PT-type stuff there, though, and ultimately they weren't able to solve my underlying issue (see x-ray on one of the previous pages). Not their fault, though, and what they do feels gooooood. Also, a friend at the gym started going to them on my recommendation. His shoulders were an absolute disaster, like almost laughable they were so tight and fucked up. After a few weeks his ROM had improved so much it was unbelievable. From not being able to lift his arms forward past his nose to near-overhead status. Pretty impressive. http://www.pthands-on.com
3. Place I ended up going after the most recent ankle sprain (early this summer) to was Pro Sports Care, in Metro Center/Chinatown. They've done PT for some players from the Capitals, Wizards and Nationals, for what it's worth. Patrick Lally supervised my treatment there, although most of the manual therapy and assisted stretching was done by a student doing her internship. She was good, though. Patrick knows his stuff and the care I got there was very hands-on and coherent and they're happy to answer questions from a geek like me. Very friendly people, too. My ankle got better and I'd now say it's 95% healthy, which is better than it's been in going on three years. A former teammate of mine has also been to them for ankle issues and had a similarly positive experience. Actually, it was he who recommended them to me. http://www.prosportscare.com
4. Some people I know (in the ultimate community) go to Sports and Spinal Physical Therapy, which is on like 22nd and K streets NW. Farragut West or Foggy Bottom would be closest Metros. Anyway, I've heard good things. Like Pro Sports Care, they're a big and fancy operation. http://www.ssptdc.com
Thanks a bunch for the recs man!
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No prob. Interesting about the Graston helping non-operated-on parts and not on the surgeries.
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Hey guys,
I've been experiencing some right lateral knee clicking since last night. I rolled the heck out of my IT band, stretched my piriformis (dunno if that's relevant to the problem at hand) and iced my right lateral knee and the discomfort isn't really subsiding. I had a lateral meniscus tear diagnosed via an MRI in 2007 (not sure if I tore it then or earlier) and had a PLC reconstruction operation following the diagnosis and have linering scar tissue, which may be causing or aggravating the "problem." Any suggestions?
i'd give it a few days before getting it checked out.. ice/roll ITB is my general advice, but if it's still bugging at nearly the same intensity by thursday i'd think about getting it checked.. if you are 'adarqui' with no insurance though, you workout :< (edit: knock on wood)
peace
I don't get this insurance thing. I have to pay for my MRI regardless if I'm insured or not. The consultation is "free", meaning it's free besides whatever it is you're giving to the doctor for himself.
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Raptor: Where do you live?
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In a cave.
Well not really, but close: Romania.
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That's what I thought. So, the way insurance works here in the States (if you have it) is, a doctor prescribes something for you. Say, an MRI. Then you go to the MRI place, where they get your insurance information. Then take the images and, based on your insurer, you pay a certain amount in co-pay. On my insurance it would be like $15 or $20. The MRI place bills your insurance company for the rest. If the insurance company decides that the MRI was the right thing for you get (based on the doctor's prescription and other stuff), they pay the MRI place. If they decide it wasn't, they refuse to pay and the MRI place sends you a bill. Then you have to pay.
Usually (in my experience) the insurance company takes care of it.
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That's because you use the state's medical system. I had a prescription for an MRI for a private cabinet. I'm not really aware of many MRI's being available to the public system (there probably are, but ...).
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That's because you use the state's medical system.
No. I and nearly everyone I know have private insurance and visit private doctors, private imaging centers, private physical therapists, private hospitals, etc. The state only provides for people who have completely fallen off the cliff, either by being unemployed, past retirement age, or too poor to afford private insurance.
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Hey LBSS, here's a PT rec for you (in case you aren't already seeing one): Hilary Grant at CORE Physical Therapy
http://www.coreptdc.com/index.php?id=14 (http://www.coreptdc.com/index.php?id=14)
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Far out, thanks dude. Know any good orthopedic practices that have a foot-and-ankle-focused surgeon on the team?
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Posted by: LBSS
Insert Quote
Far out, thanks dude. Know any good orthopedic practices that have a foot-and-ankle-focused surgeon on the team?
Nah, man. I'll keep my eyes open though.
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LSS's description is entirely accurate. I had a hernia surgery and got a bill for 20k in the mail!!! Luckily the insurance evaluator had just not had the opportunity to look over the file and it ended up being covered.
I almost shit my pants!
Sad thing is the way it is set up you don;t entirely know if a procedure is covered until after the procedure.
Back to the OP's question,
I would say foam roll the glutes as that is where the musculature that controls/is attached to the itb is located.
Cross your leg over the other knee and roll out the glute of the crossed leg. IT issues almost always have a ton of hot spots on this