Ruphus -> RE: Hands injured (May 9 2019 11:18:29)
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quote:
ORIGINAL: El Burdo quote:
Causal approach to muscular imbalance and its effects on skeleton, cartilage, tendon, neural issue is a plain and most effective answer in practice That might be true in establishing what caused the problem but it isn't a fix for it. Runner's knee, for example is caused by the kneecap not being correctly pulled into position across the joint - so it grates against the bone. In the long term adequately exercising the muscles responsible for pulling the kneecap into position (the glutes) will mean the injury is unlikely to repeat. But, they won't improve the pain in the knee because they did not cause the pain. Their lack of proper use caused the pain. Treating the cause is not the same as treating the effect. Do the stuff that improves things in the short term, the ice, massage etc then do the strategic stuff, training the glutes etc over the long term. That is not delegating problem solving, it's problem solving. Knees and atlas are evolutionary human imperfections / predetermined breaking points so to say. However, these delicacies don´t come in an isolated way, but in conjunction with imbalance and induced false posture / coordination. Often main bad state not even close to the acute problem. (Like for instance upper, lower back or feet effecting knees.) Issues with ligaments are literally connected to muscles. Nothing against comforting plasters, but they will not remove anything causally. What works is to not continue wrong practice (as you sound as if I was recommending such), but to introduce according exercises and strengthening / balance. These will not dynamically strain on the accrued injuries and allow for controlled application below pain threshold, while bearing the fastest muscular rebuild possible. However, there will be no reach by ignoring and evading from start. The physicians whose appreciation has been gained on the way weren´t introduced to the right approach through lengthy explanation either, but through acute relieving and simply healing their patients in no time. Patients sometimes in treatment for many years even. Others with date for surgery too, who then happily cancelled. Just get used to the idea that some things do not need to be too awkward and that not every pointer against common procedures is a frivolous. My old man taught me to listen to everyone regardless of reputation or social ranking, and check out then. To my experience a good advice. - In modern realm (unlike undeveloped places where docs still behave incredibly lofty and irresponsible) wise physicians have stepped down from pedestal voluntarily, being vary of own competence / obtaining second opinion from colleagues, seeking holistic insight, while specialist chapters looking for synergy, and pharmacologists understanding that there is wide resource among native healers and botany that they could have never come up with by themselves, etc. (Now analytically and experimentally supported by algorithms.) It is rather patients who keep looking for physicians as countryman or whatever else that makes them hope for authority / trustworthiness. So, no wonder how whom we knew as best dentists in towns by trade, wouldn´t necessarily be most reputated among local folks in the same time, -while a highly accepted guy made it to being a provinces head of chamber in spite of being a true butcher. Anyway, be prepared for gradually establishing insights (what I am recommending here is already seeping in since years, yet for most made use of in late physiotherapy, only neither fully nor widespread yet) in the subjects / don´t be too stiff with what may seem to be current up to date approach and thinking. Just remember: The largely immobilizing and suspending times of plastering, insoles etc. are from not too long ago. With sustaining / improving concepts like countering or strengthening measures like foot gymnastics or a ball in the slipper existing, but scraping a bare living then. ... And while rambling: Just look at the orthopedically still vastly miserable shaping of footwear, determined in historical and silly perception of aesthetics. As I´ve said before: Take your common shoe, sneakers or what have you and hold its sole against your foot. (At best in the evening.) See how much slimmer it is than your foot? Having not even overcome such stupidity of skeleton crippling, hallus valgus, knees and spine issues causing fashion ... how can you expect our medicine to have broadly discovered the knees bees already. Not to downplay research. It seems progressing greatly for most these days. But the gap between discoveries and common practice tends to remain too broad and lasting. Partially for reasons of economy, and too often still for ordinary ones of stubbornness (which I am aiming at here). - One of the things I teach as general base before martial art is correct walking. Most urban people would not even imagine how that works.
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