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  • in reply to: Foam roller #76445
    AvatarMartin Repcek
    Participant

    The one that looks like it will sit on a BattleStar cradle? I’m sure Kelly will tell you all about it in the near future. 

    in reply to: Sliding surfaces of the ankle #75307
    AvatarMartin Repcek
    Participant

    I’ve been working on my ankle for about 2 1/2 years. I’m getting really close to being fixed but I’m still not quite there. Depending on how long you’ve had the problem, an ankle problem can be more than an ankle problem. I’m almost 40 and it’s possible my problems stem from a nasty sprain I had in 4th grade – exacerbated by every other sprain I had since then. I had almost no dorsiflexion in my right ankle. Doing the “knee to wall” test, I couldn’t get my knee past my toes. My right hip was just as messed up with almost no range of motion. They only way I could walk was turning my foot out with a circumducting gait. If my left leg were as bad off as my right leg I would have been completely incapable of walking down stairs. Before I started fixing everything, doing the 10-minute squat test my right foot would turn out and I would fall backward just about the point where my thighs got to parallel with my feet hip width apart. Now I can almost get into the deep ass-to-heels squat with toes and heels touching. 

    I stil have something going on around the lateral malleolus. My talus is stuck in a forward/tilted up position and the fibula seems to use it as a fulcrum instead of gliding beside it. I believe the anterior talofibular ligament is tight. So, I googled “anterior talofibular ligament tightness” and found this interesting article. 

    I found this a couple weeks ago that also seems to apply to my case:
    Here is the interesting part:

    The heel will remain inverted in relaxed calcaneal
    stance, which may predispose to inversion sprain of the
    ankle and hyperkeratosis over the lateral border of the heel.
    In an attempt to stabilise the foot, the first ray plantarflex-
    es to make ground contact, giving the foot a high arch pro-
    file. Alternatively, hallux flexus progressing later into a
    hallux rigidus may develop. As a result of the lack of STJ
    pronation, the foot assumes a rigid posture with the MTJ
    remaining locked from the beginning of the stance phase of
    gait. This diminishes the shock absorbing function of the
    foot and problems affecting the knee, the hip and the lower
    back may arise. The lack of STJ pronation also causes an
    abductory twist to assist in the transfer of weight from the
    lateral to the medial side of the foot. This may cause
    hyperkeratosis over the medial 
    aspect of the hallux and may also cause a heloma durum
    over the plantar aspect of the fifth metatarsal head. 

    I had good success recently attacking the medial side of the lower leg. I can feel tension all the way from the calcaneous to the knee. Keep working on the ankle, but go after the hip joint also and go after the soft tissues of the upper and lower leg. Do some wide squats to open the hips and work on your splits. If, like me, your foot has been turned out for decades the soft tissues are going to be twisted around the tibia and femur. You can’t fix that overnight. One last piece of advice, do yoga. Yogis have ways of stretching you out in ways would never dream of. Different instructors have their own things they like to do so go to a variety of classes led by different instructors. Even the right cue in Warrior 2 might cause a stretch in your back foot that will improve ankle function. 

    in reply to: Lack of ankle dorsiflexion (joint or bone issue) #75010
    AvatarMartin Repcek
    Participant

    You just have to keep working at it. This includes areas you don’t think are relevant. You are going to have to do all the heavy lifting yourself, but I highly recommend seeing a highly qualified physical therapist. Someone who deals more with sports injuries than occupational therapy/post-surgical type rehabilitations. There is only so much a therapist can do in a once or twice weekly 40 minute or so session. 

    I’ve been working on my gimpy right leg for over two years now, including two rounds of physical therapy. MWod is a great resource, but Kelly and gang can’t cover everything. You really need someone who can do a hands-on assessment and keep you pointed in the right direction. Your physical therapist will have exercises for you that Kelly doesn’t demonstrate, including some strengthening exercises. You’ll find that what you learn from MWod will help you understand what your physical therapist is doing, watching what your physical therapist does will help you better understand what Kelly is talking about in his videos. Maybe your back being out of alignment is inhibiting some muscle from firing properly. This was the case with me. My therapist did some manipulations and just like magic I had much improved strength in the glute medius. It was like flipping a switch. There are a lot of possibilities. 
    When I first started I couldn’t do the 10-minute squat test to save my life. My foot would turn out and I would fall over backwards just about when my thighs got to parallel. I can now get all the way down and keep my feet parallel. I get just a little big of crackling in my right knee. I used to have major impingement in the front of my ankle, that “bone-on-bone” feeling, along with something going on around the medial maleolus. I find increasing hip mobility also improves hip mobility. 
    in reply to: How to lunge? #72827
    AvatarMartin Repcek
    Participant

    Those pictures look familiar. Does your right leg swing to the side (circumduction gait) as you walk? Do you have problems walking down stairs? Can you keep your heel planted on the back foot as your reach down to the next step without the knee collapsing in? Any stiffness in the big toe? Those are the biggest problems I noticed with everyday activities before I started fixing my problems. 

    Circumduction gait explanation: https://www.youtube.com/watch?v=VAyeYzbQJNg (Don’t immediately start thinking you have a leg length discrepancy after watching this.)
    Here is a test to assess your ankle dorsiflexion. The test also serves as a good exercise. According to my physical therapist you need to get at least 4 inches. When I first started two inches was a challenge.
    The link to Pro Episode #44 that Kaitlin provided will probably be a good one for you. Kelly just had DailyRx to kind of do the same thing on your own. (Sept. 21?) Start with some hip mobilizations and do some smashing along the tibialis posterior and the IT band/TFL. If your problem is the same as mine you’ll be working at this for a year or two. There are likely several dysfunctions that are reinforcing each other. 
    in reply to: Rollerblading #72826
    AvatarMartin Repcek
    Participant

    Rollerblading isn’t going to do anything for you. Do it if you enjoy it, but it isn’t going to do anything for your foot, ankle, or calves. Every rollerblading boot I’ve ever worn keeps the ankle in a fixed position.

    The best overall exercise I’ve found for improving the overall biomechanics of the lower body is the elliptical machine. Specifically, the commercial grade LifeFitness (like the 95xi?). The LifeFitness has a longer stride length than most of the other ones I’ve used. They key to using the elliptical for fixing your crappy biomechanics is to always keep both feet firmly planted on the platform at all times. Don’t let your heels lift up as your feet cycle around. Keep your toes pointed straight and keep your knees tracking to the outside of the big toe. BTW, it is best to do this barefoot. The beauty of the elliptical is that since your feet are always planted you have something to push against to create torque. The elliptical is a low impact and easy way to get thousands of repetitions in while maintaining proper form. 
    Before last Christmas I couldn’t keep both heels planted to save my life. I had so much tightness in the right hip capsule that the femur wanted to push up through my pelvis as the right side cycled around.The severely limited range of motion on the right side was causing the left foot to lift entirely off the platform. After about 15 minutes, with quite a bit of pain, things finally loosened up to the point where I could keep both feet planted with little pain. Four of five elliptical workouts did more for my hip than 5 months of physical therapy. I still have ankle problems I’m working on, but it’s getting there. 
    in reply to: pistol squat strength vs mobility #72713
    AvatarMartin Repcek
    Participant

    There is definitely a connection. If you can’t get into the position you can’t activate, thus strengthen, the muscle fibers to get you out of the position. Using a TRX you can kind of work on strength and flexibility at the same time. I would prioritize on flexibility. 

    AvatarMartin Repcek
    Participant

    Wear what is comfortable. Obviously avoid shoes with crazy high heels. There is no reason to sacrifice comfort for a flat shoe. High heels can exacerbate your problem but flat shoes won’t fix it.

    I’ve been working on trying to fix my complete lack of ankle ROM for about a year and a half now and I think I am finally making some progress. This a problem I’ve probably had for 25 years for all I know. That should give you and idea how bad off I am. I recognized years ago that right foot had a tendency to turn out and my right knee go valgus. At the time I just assumed it was some sort of genetic deformity and that there was nothing I could do about it. There may still be a small genetic component but I think it is about 99% fixable now that I’m wiser. I’ve fixed most of my hip problems and but full ankle ROM has eluded me. The typical symptom with a valgus knee is flat feet, or dropped navicular. This is not my problem at all. I couldn’t get my navicular to drop if I tried. My problem is that my foot is stuck in a high arch position that puts my foot tripod on a tilted plane. 
    I think I’ve narrowed my problem down to a super tight beef jerkied soleus muscle. My cuboid is being pushed out of place and my talus is kind of wedged up. My theory is the super tight soleus is pulling down on the head of the fibula causing a chain reaction of complete dysfunction. I know the knots in my soleus are ginormous. Smashing the inner thigh, TFL/ITB area, quads, and hamstrings. Anyway, after working at it for a year and a half I’ve probably gotten about 50%-70% ROM back. 
    in reply to: Scap, T-spine and lumbar spine #72619
    AvatarMartin Repcek
    Participant

    Sounds like my back was pretty similar to yours. I always got spasms on my right side and it felt like my traps and rhomboids were stuck together. For starters, you need to attempt to always maintain good posture. When I first found this site a year and a half ago the lacrosse ball became my best friend. I rolled around whenever I got the chance to work out the tightness in my back. Sometimes I laid on the floor and sometimes I would lean up against a wall. After a couple days of really working at it I literally felt 20 years younger. I was able to stand up straight and maintain a posture I didn’t thinkI was capable of. I obviously did more than just roll around on a ball. I also fixed my frozen shoulder on my left side.

    I think my left scapula was stuck to the ribs or something also. While on vacation I spent some time just walking around the resort making a conscious effort to keep good posture with the shoulders back, back and neck straight and so on. After about half an hour of walking around like this my left scapula spontaneously peeled away from whatever it was stuck to and I instantly had full range of motion in my left shoulder. It was the weirdest and most awesome feeling in the world. 
    Something else I used is a Finn hook. http://www.finnhookusa.com It works great for pinpointing those trouble spots in your back and for getting up underneath your scapula. 
    You will probably see some relief by also working on our shoulders, neck, and abs. I found that tight abs will cause me to sit and stand with a rounded back in the thoracic area. The gut smashing that Kelly and Jill Miller demonstrate are great. Standing backwards bends work well (careful not to pinch your spine). Hook your feet under a bar and lay back over a stability ball to really stretch your abs. Enhance the stretch by holding a weight and reaching your arms out. 
    AvatarMartin Repcek
    Participant

    Arron, my PT’s response wasn’t in the same context as what Kelly is talking about so it isn’t a matter of who’s right or who’s wrong. In any case, my PT was half-joking when he said it, but I did have a big toe dysfunction too. 🙂 My point was that where you start might not have anything to do with where you think the problem is.

    The spine isn’t in contact with the ground. It can’t possibly be a foundation for anything… except your head… shoulders if you want to be generous.
    I think it depends on which plane you’re working in. I’m a perfect example of why it doesn’t always make sense to start with the spine. A year ago if you took a picture of me standing from the front or back I would look more like the letter C than the letter I. The dysfunction in my ankle and hip caused my pelvis to shift to one side while I stand. To compensate, my spine bent the other way to maintain center of gravity between my feet so I don’t fall over. I have the X-ray that shows my spine bending immediately off the sacrum, with another bend in the thoracic area and another in the neck. I’m pretty sure I have a functional leg length discrepancy. Although, between 2 doctors and 2 physical therapists, one doc and PT said there is no difference and another doc and PT said there is about a 1/4 inch difference. 
    Without a doubt my ankle caused my hip dysfunction. Lack of ankle rocker during the gait cycle preventing normal hip extension. I have mostly fixed my hip problems but ankle problems persist. I think I am finally on track to getting that resolved – extreme tightness with tibialis posterior seems to be the main culprit. I just tonight found an article that supports my hypothesis. 
    Just another anecdote, last year when I had shin splints so bad (inflamed tibialis posterior) that I could not walk without a severe limp it was my lower back that paid the price. It wasn’t lower back pain that caused shin splints. I fixed my biomechanics to the point where I don’t get shin splints any more. 
    AvatarMartin Repcek
    Participant

    This might be the video you are referring to, can’t remember for sure and I don’t have time to watch it again. http://www.mobilitywod.com/daily/tuesday-july-16th-2013/

    I don’t completely agree with starting with the spine. What if your spine is the way it is because your feet, hips, or pelvis are out of whack? It would be like fixing the crooked walls in your house while ignoring the crumbling foundation. If you have a leg length discrepancy (whether it be anatomical or functional) chances are good your back will pay the price eventually. 
    I asked my physical therapist basically the same question, where do you start when you have so many things wrong that all seem to re-inforce each other. His response was the big toe. I was seeing him for ankle, knee, and hip problems so his answer might have been different if the problems were higher up.
    in reply to: Free Your Heel, Free Your Mind #72428
    AvatarMartin Repcek
    Participant

    First of all, thanks for bringing this video to my attention again. Pretty sure this is the exact problem with my crappy ankle ROM problem. I have so much tightness in the area between where the achilles attaches to the calcaneus and the medial malleolus that my heel is being rotated up and inward. The tightness then continues up along the tibia to just below the knee. The result is my talus is getting wedged up and my cuboid is getting pushed out.  

    As to your question, do you mean along the side of her foot? I’m pretty sure it is placed in front of the lateral malleolus. In the video Kelly talks about and demonstrates pushing the fibula back. So you would push into the ball to force the fibula back. In the same position you would use the ball as a fulcrum while pushing down on the calcaneus. 
    I’ve tried this MWOD and the other one done with Jill Miller and haven’t had much luck. I’m just not capable of getting enough pressure on my foot to get things moving because everything is so tight. Maybe I need to get creative with a kettle bell and/or sandbag… 
    in reply to: Active Release/Shoulder? #72421
    AvatarMartin Repcek
    Participant

    Everything is connected. It’s entirely possible something as far down as your big toe can impact your neck. I’ve read somewhere that compensation to an injury can become permanent after two weeks. For example, you sprain your ankle. You can’t dorsiflex because of the injury so you walk like a duck. Twenty years later you still walk like a duck although it healed years ago because you didn’t do the proper rehab. Now you might have some hip dysfunction, be leaning to one side, pelvis tilted, crooked spine, etc… I’m over-simplifying this because I don’t fully understand it all myself. I just know I feel like I’m playing whack-a-mole when trying to fix all my problems. It seems like one dysfunction re-enforces another. 

    in reply to: morning stiffness #72404
    AvatarMartin Repcek
    Participant

    I wake up every morning with my right ankle basically frozen solid. I’ve been working on fixing my ankle range of motion for almost 18 months now and am just FINALLY starting to make some progress. In my case there are a whole lot of tissues stuck together that aren’t supposed to be stuck together. After working at it for months I’m finally able to get enough movement to get the connecting tissues to separate. You have to keep testing your range of motion and working through the restrictions. Repeat. My physical therapist says I should have enough dorsiflexion in my ankle to get my knee about 4 inches past my toes. It takes about 50 pistol squats (holding on to something) before I’m able to achieve that kind of range of motion. The range of motion doesn’t stick for long, but it gets slightly easier every day. Just got to keep working at it. 

    This video I recently found does a good job of explaining exactly what is causing the stiffness. It is pretty much in-line with what KStar says, but much more illustrative. Keep in mind this video is older than MobilityWOD. The medical community has a better understanding of fascia now than they did in 2005 when this was created.
    in reply to: Pec Minor Numbness? #72348
    AvatarMartin Repcek
    Participant

    I have some constant tingling/numbness in my left hand which I’m pretty sure is caused by my tight pec minor on that side. (Might be tight bicep problem too) Looking at the anatomy at http://www.zygotebody.com/ it looks like the nerves run under the pec minor. You might be compressing the nerves. Try coming at it obliquely by laying on your side or leaning into a door jam with the Gemini. 

    Doing some scapula mobilizations may help too. I seem to have a tight pec minor, tight neck, and scapula issues all on the same side and I’m pretty sure it’s all related. I think where was a DailyRx recently where KStar briefly touched on the interconnections in this area.
    in reply to: Pec Minor Question #72325
    AvatarMartin Repcek
    Participant

    Here is one video that will show that pec minor some love. It hurts so good. http://www.mobilitywod.com/2011/07/episode-286-trigger-point-world-headquarters-shoulder-mob/

Viewing 15 posts - 1 through 15 (of 25 total)