#physical therapy

I want you to T-pose. Turn your right thumb up and your left thumb doen and look at your right thumb. Move your arms up and down a bit until you feel a nerve running from your armpit to your palm. Now turn your right thumb down and your left thumb up, and look at your left thumb. Keep your chest facing forward and your shoulders back. Move your arms again until you feel that nerve again. Keep alternating between these two for a minute, or look at each thumb thirty times each.

Now sit down. Put your left hand firmly under your left buttock, palm down. Keep your shoulders back and put your right hand over the crown of your head, very gently pulling it to the right. Do this for thirty seconds, then do it again but with your right hand under your right buttock.

I am sharing this with all you good people on the dash because I am so fucking mad it took so long for me to learn it and if I can spare one (1) person the agony it will be worth it.

So for like...oh, 8 or 9 months, I've been struggling with pain/inflammation/tendinitis in my left Achilles tendon. I don't know what caused it. It just started up (welcome to middle age, this shit happens). It wasn't severe enough to be debilitating, but it was annoying and limiting. It was also intermittent, in that some days it would be very painful and other days hardly at all. The kind of shoe I was wearing affected it a lot.

Now, I have bone spurs on both heels (it's just a thing that happens as you get older sometimes). I'm also aware that heel pain is usually the result of tight calf muscles that pull and irritate the tendon. I tried stretching that calf muscle. You know the stretch, this bitch right here:

I did it all the time. I also iced the ankle after walking for awhile, hoping to avoid inflammation. Results were...unsatisfying.

I went to:

A chiropractor

A podiatrist

A physical therapist

A bodywork coach

They all gave me some variation on the "strengthen your calf muscle, stretch your calf muscle" advice. I continued doing this without results.

I was getting frustrated, and a little afraid that this was just my life now. Finally, I thought...maybe some targeted massage might help. I asked for rec on a local FB site and was pointed to a woman who specializes in therapeutic massage including cupping, etc.

I went to her a week ago.

She spent over half our first session working on my left lower leg. Within about 10 minutes of making my eyes water, she uttered the sentence I did not know I had been waiting to hear:

"Oh, it's your soleus."

Excuse me, what?

"It's your soleus that's the culprit. It's all tied up and stiff." She started digging into it and I felt literal sparks run up my leg as she released adhesions and got the muscle moving a little. When she finally put the leg down, it felt like it was on fire with all the blood rushing into it.

She said, "You'll need to stretch your soleus. It'll clear up, but it'll take a bit of time - tendons take ages to heal."

But I HAVE been stretching.

"No, you haven't. The usual straight-leg calf stretch only stretches the gastrocnemius, that's the big belly muscle in your calf. That's not your problem. That stretch doesn't stretch the soleus. Don't worry, I'll show you how to stretch it."

My mind is spinning.

So here are the muscles in question:

The gastroc (as the pros call it) just attaches down the back but the soleus runs underneath it from the knee around the side to the heel. The lower part above the ankle is where it typically gets tight and forms adhesions.

To stretch it, you do the same calf thing where you put your foot back and press your heel to the ground, but you have to do it with your KNEE BENT:

The bent knee keeps the gastroc from engaging. It's one of those selfish muscles (like traps) - if you give it an inch, it'll just take over and prevent other muscles from working or stretching. There are other ways to stretch the soleus but this is the easiest and you can literally do it anywhere. I've been doing it while standing and waiting for things (the elevator to come, the toast to toast). You just put the heel back and bend the knee. It's kind of like curtseying.

The minute I did this stretch, I could FEEL where it was pulling on my tendon. I knew that THIS had been the problem.

The massage therapist also told me to stop icing my heel. She said icing is for an acute injury, but a more chronic aggravation needs heat, to increase blood flow for healing. She recommended elevation with heat every day (I've been doing it in bed during "phone before bed" time).

I have been doing the soleus stretch at least half a dozen times a day for almost a week, and the ankle is at least 70% better. It is still a little tight and tender, but the improvement is significant. I think a few more weeks will have it feeling normal.

Here's a video with a nondisabled rider and a physical therapist narrator demonstrating, and explaining, how horse riding benefits the body ... there's also a brief allusion to how it can provide good a good stim for some autistic folk.

FOR EVERY REBLOG, I WILL DO MY PHYSICAL THERAPY EXCERCISES ANOTHER DAY

1 like - I will pet my cat and let him in my room (even if I'm a little allergic to him)

10 likes - I will post a picture of said cat

50 likes - I will drink a full glass of water

100 likes - I will brush my teeth and take a shower

150 likes - I will go on a 1 km walk

200 likes - I will post one of my drawings on tumblr

300 likes - I will go on a bike ride to the downtown area of my city

400 likes - I will wear sunscreen for the rest of the summer (or, if this is reached during fall or winter, the entirety of the next summer)

500+ likes - I will try to post a drawing, no matter how good or bad, every 100 likes

over 2000 likes will change that to every 1000 likes (probably not gonna happen unless like, satan reblogs or something, but just in case because it's the internet and anything is possible at this point)

White text - not reached

Red - Reached but not completed

Orange - Reached but in progress

Me: I'd like to but every time I try it hurts ):

My physical therapist: That is because your joints are weak, you need to train your muscles to take the load of your joints.

Me: But training hurts my joints?

My physical therapist: You should try to be careful with your joints, putting them in too much stress causes the pain.

Me: Yes, but how?

My physical therapist: You should train more