Comments on: How To Heal Injuries http://www.happinessinthisworld.com/2009/07/12/how-to-heal-injuries/ Reflections of a Buddhist Physician Mon, 06 Feb 2012 22:49:06 +0000 hourly 1 http://wordpress.org/?v=3.3.1 By: Robert http://www.happinessinthisworld.com/2009/07/12/how-to-heal-injuries/#comment-56671 Robert Thu, 03 Mar 2011 03:19:50 +0000 http://www.happinessinthisworld.com/?p=2862#comment-56671 Active Release Therapy (ART) clinic claim they have a 80-90% success rate with tennis elbow within 5-6 treatments. After reading your article that it can take years for these types of injuries to heal, is this just BS? They seem to have their theories (as everyone does) as to why it works. Thanks! <blockquote><em><strong>Robert</strong>: Not many good studies on ART. Not likely to be of harm in the right patients but I'm withholding judgment about its efficacy at this point due to insufficient data. Of note, the injuries that ART is supposedly good for are not necessarily acute muculoskeletal strains but rather chronic pain theoretically due to the presence of scar tissue. Alex</em></blockquote> Active Release Therapy (ART) clinic claim they have a 80-90% success rate with tennis elbow within 5-6 treatments. After reading your article that it can take years for these types of injuries to heal, is this just BS? They seem to have their theories (as everyone does) as to why it works. Thanks!

Robert: Not many good studies on ART. Not likely to be of harm in the right patients but I’m withholding judgment about its efficacy at this point due to insufficient data. Of note, the injuries that ART is supposedly good for are not necessarily acute muculoskeletal strains but rather chronic pain theoretically due to the presence of scar tissue.

Alex

]]> By: TD http://www.happinessinthisworld.com/2009/07/12/how-to-heal-injuries/#comment-47961 TD Mon, 10 Jan 2011 22:23:34 +0000 http://www.happinessinthisworld.com/?p=2862#comment-47961 This was very helpful advice. I am new to your blog, and from what I have read so far, I am very inspired. I have been dealing with PTTD for the last year and a half, and I think what helped most was a good bit of rest and lot of (reluctant) stretching. I still find the discipline required for daily stretching as a constant challenge. Often the limitations I face in my daily activities depress me. I was hoping to start walking/biking again this year, but I can't seem to figure out way to begin without risking injury to my ankles. Do you have any ideas for how I can watch for signs of trouble? Thanks. <blockquote><em><strong>TD</strong>: Sorry, I don't know what PTTD is. Email me directly through my Contact page and I'll try to help you as best I can. Alex</em></blockquote> This was very helpful advice. I am new to your blog, and from what I have read so far, I am very inspired.

I have been dealing with PTTD for the last year and a half, and I think what helped most was a good bit of rest and lot of (reluctant) stretching. I still find the discipline required for daily stretching as a constant challenge. Often the limitations I face in my daily activities depress me. I was hoping to start walking/biking again this year, but I can’t seem to figure out way to begin without risking injury to my ankles. Do you have any ideas for how I can watch for signs of trouble? Thanks.

TD: Sorry, I don’t know what PTTD is. Email me directly through my Contact page and I’ll try to help you as best I can.

Alex

]]> By: adrenal fatigue gal http://www.happinessinthisworld.com/2009/07/12/how-to-heal-injuries/#comment-8721 adrenal fatigue gal Wed, 23 Jun 2010 04:16:45 +0000 http://www.happinessinthisworld.com/?p=2862#comment-8721 Do you have any tips on exercise for chronic fatigue condition? <blockquote><em><strong>Adrenal fatigue gal</strong>: Not specifically. In general, pace yourself. Don't surpass what you know to be your exercise tolerance and risk an exacerbation of your chronic fatigue. The glass is always half full. Alex</em></blockquote> Do you have any tips on exercise for chronic fatigue condition?

Adrenal fatigue gal: Not specifically. In general, pace yourself. Don’t surpass what you know to be your exercise tolerance and risk an exacerbation of your chronic fatigue. The glass is always half full.

Alex

]]> By: Don't concentrically train for tendinosis | Fitness Contrarian http://www.happinessinthisworld.com/2009/07/12/how-to-heal-injuries/#comment-1283 Don't concentrically train for tendinosis | Fitness Contrarian Fri, 02 Oct 2009 01:01:04 +0000 http://www.happinessinthisworld.com/?p=2862#comment-1283 [...] For example, I personally had very good results with slow eccentric training to heal my own tendinosis in my shoulder.  Before trying this therapy, be careful and speak to your doctor. In addition, check out this article by Dr. Alex Lickerman on How to Heal Injuries. [...] [...] For example, I personally had very good results with slow eccentric training to heal my own tendinosis in my shoulder.  Before trying this therapy, be careful and speak to your doctor. In addition, check out this article by Dr. Alex Lickerman on How to Heal Injuries. [...]

]]> By: Bob H http://www.happinessinthisworld.com/2009/07/12/how-to-heal-injuries/#comment-1149 Bob H Thu, 24 Sep 2009 00:19:17 +0000 http://www.happinessinthisworld.com/?p=2862#comment-1149 Rest is problematic because the body needs activity to maintain health. Regarding musculoskeletal health, activity is necessary for both local strength and resistance to injury as well as systemic conditions. That is why many athletes have a problem with the advice "rest": They know, both in their head and also according to how it feels, that extended rest (e.g. to allow injury to heal) causes atrophy, loss of bone mineral density and strength, metabolic dysfunction, and many many other negative results. Extended rest makes one weak and ill, and it feels BAD—plus, it makes it even harder to regain former condition. That doesn't refute the need for rest to heal injuries; it just explains why some people (genuinely athletic types, as opposed to socialized-athletic types such as organized sports participants) have a problem with rest. Rest is problematic because the body needs activity to maintain health. Regarding musculoskeletal health, activity is necessary for both local strength and resistance to injury as well as systemic conditions.

That is why many athletes have a problem with the advice “rest”: They know, both in their head and also according to how it feels, that extended rest (e.g. to allow injury to heal) causes atrophy, loss of bone mineral density and strength, metabolic dysfunction, and many many other negative results. Extended rest makes one weak and ill, and it feels BAD—plus, it makes it even harder to regain former condition.

That doesn’t refute the need for rest to heal injuries; it just explains why some people (genuinely athletic types, as opposed to socialized-athletic types such as organized sports participants) have a problem with rest.

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