WHAT IS VIRTUAL MOBILITY COACH?
The Ready State Virtual Mobility Coach is like having a virtual Kelly Starrett in your pocket.
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Viewing 6 posts - 1 through 6 (of 6 total)
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Simon GarlandParticipantYou did not mention if you limp while you run or walk. Forward progression while walking or running is the most important movement to work on before jumping. This uses the plantar fascia in a organized manner with the Achilles tendon to build usable control of the ankle at it’s end range in plantar flexion. Dorsiflexion range is important but power in plantar flexion is your goal. Sometimes these repairs stretch out over time and the elastic properties, the fast twitch fibers, do not come back. I have seen quite a few repairs of this nature and about half made it back to full scale workouts. Be sure to check the mobility of the ankle joint itself to make sure you are not missing the sliding of the talus to the rear in max dorsiflexion. Loss of mobility of the talus will restrict the pistol and cause the ankle to collapse to the inside. Good luck.
Tim Daley PT
Simon GarlandParticipantI am struck by the collapse of the ankles in the picture. We had a patient in our office who could not flatten the ankle as in the picture. She did not continue dancing because of the lack of motion required to look like the rest of the dancers. The collapse of the medial side of the foot may look good for this activity, but ouch! Consider the bias of one leg forward and the tightness in the joint capsule. Maybe posterior mobilization to seat the hip in a better position to stretch the hips.
Tim Daley PT
Simon GarlandParticipantHi Ken,
I am a physical therapist and have been practicing for 42 years. My patient load is orthopedics and sports injuries with a wide age variation. I think being cautious about who you use the bands on is smart. I like to show the patient what I’m going to do on the non-involved side first. I will use less pressure if the patient is not comfortable with the technique. The response to the technique and how well I can explain it is important. I have used it on total knee and ACL’s, if the soft tissue is the problem. Also consider the age of the client and their vascular condition of the extremity. I do a lot of soft tissue work with my hands before I do bands. I can feel the soft tissue response to this work and usually gives a good basis for continued deep work if necessary.
Hope this helps.
Tim Daley
Simon GarlandParticipantHi Jon,
I have had both of my knees replaced in 2003. I had them done about 10 months apart. When your mobility becomes limited and the pain is too much you will get them done. I got to the point where I could walk for limited amounts of time and then had to sit down because of the pain. What really got me was a fall in my office. My quadriceps completely let go and I was on the floor. That happened twice and I knew that my ever weakening quads and hips were the problem. The problem is the constant pain will inhibit your muscular system to the point of failure. You can try to strengthen your legs but the pain will win everytime. I have never seen anyone who could work through the joint pain in a knee with severe osteoarthritis and perform well. I am a physical therapist and I see lots of total joint replacments. I have been practicing for 43 years and feel that when the time comes you will know when to get them done. Most people wait to long to get fixed, I know I did. Hope this helps.
Tim Daley
Simon GarlandParticipantHi Sam,
I am a physical therapist and I have had more than a few patients lately with your problem. We have had better luck with less mob work with the bands when your symptoms have occured.. Unfortunately if you have an ugly arthritic knee, the bands will not change the joint surfaces. The return of knee pain and swelling or stiffness is not an optimal response to the use of the bands..You could have your knee examined by your orthopedic specialist to see if any other treament may be needed. Try to train around you pain and do activities that don’t bring on those symptoms. Making a joint hurt is never a good idea! Hope it gets better.Tim Daley PT
Simon GarlandParticipantHi Molly,
I feel for you. I had the same thing and skiied for years. I used a Lennox-Hill brace that unloaded the medial side of the joint.They worked well for many years. I have had other braces that never fit or worked quite as well. I am a physical therapist and have a ton of patients with this problem. You can try bracing but remember that they can limit knee motion and increase torque at ther knee.This may or may not be good for your knee. Good luck!Tim
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