Showing posts with label spondylolisthesis. Show all posts
Showing posts with label spondylolisthesis. Show all posts

Monday, January 11, 2010

Back to the Back: Session 1

As promised I'm going to try and post after every session of my back rehab and overall rebuilding of the body - for cycling and life. Today was the first real workout with Phil. After time for the holidays and giving Phil a chance to analyze an approach, we got down to actual gym time this morning. I was coming in as a blank slate - mentally letting go, putting my body in Phil's hands and focusing on building this body into something better than it was before.

A focus of today was a new term to me - Proprioception. It's something that I'm, ...well, maybe more accurately I'm not. Ya see, I can't dance (except that silly excuse for a thing Jenn is kind enough to laugh at with great kindness) or anything else that requires independence and rhythm from my arms, my hands, feet and brain. Coordinated communication is proprioception:
"Proprioception (PRO-pree-o-SEP-shən) is the sense of the relative position of neighbouring parts of the body. Unlike the six exteroceptive senses (sight, taste, smell, touch, hearing, and balance) by which we perceive the outside world, and interoceptive senses, by which we perceive the pain and movement of internal organs, proprioception is a third distinct sensory modality that provides feedback solely on the status of the body internally. It is the sense that indicates whether the body is moving with required effort, as well as where the various parts of the body are located in relation to each other."
Today's first session was about dumping old data, and rebooting Ger's mental hard-drive so we can start reprogramming the new Ger. According to Phil that's the first step before we can ever get to rebuilding what 50 years of active living on this planet has damaged.

This first session was about "bookend" as Phil called it - teaching me how to warm up properly, and cool down. As he says, "We're gunna go slow, and do this right". That began by telling me he was going to break me of the habit of stretching before warming up. See how little I know - I thought stretching was warming up?

We began with a light easy (a word I'm going to become reacquainted with) with a few laps of jogging. Then a series of walking, then walking while bending, walking lifting legs, and walking swinging arms, etc. None of these to any length or extreme. C'mon how tough could thsi be? After 45 mins of stopping and starting to focus on my back position, proper body alignment, proper movement and technique I finished extremely "worked" and completed the warm-up that someday I'll do on my own in 10-12 mins max. For now that was it.

Then he pops out the "roller" - I thought I knew about this - a 6" x 15" hard solid foam tube. But like everything else today, it was time to learn. We started with the IT band (Iliotibia band). Ouch! This is good, I kept telling myself, Phil called it, from where he was comfortably sitting, "pain is your friend", and then remind me to slooooooow down. The goal here was to sit for 15-20 secs on pain spots in the IT band before rolling slowly on up towards my hip. If stoping at pain was my goal, then I wasn't going to be making swift progress - but "slow is good" Phil kept reminding me.

After the IT band was adequately mutilated - so it felt - we moved on to the interior of the upper leg and the same slow roll from interior knee. It's truly amazing the body parts and pain you can find when you go looking for them. OUCH! Slowly I was reminded. Repeat on left leg with equal pain and then it was off to ice the back for ten minutes - more on iceing later.

Session 2 on Wednesday..... think proprioception

Saturday, December 19, 2009

We can rebuild it, we have the technology

No, not the environment or Tiger Wood's reputation, I'm focused on something simpler and closer to home. In fact, it can't get any closer and more personal - my spine.

Specifically I'm facing a degenerative disc (see x ray - not mine but similar) and I have what's referred to as Spondylolisthesis: The word spondylolisthesis derives from two parts - spondylo which means spine, and listhesis which means slippage. So, a spondylolisthesis is a forward slip of one vertebra (i.e., one of the 33 bones of the spinal column) relative to another. Spondylolisthesis usually occurs towards the base of your spine in the lumbar area. And then there are a range of issues, some from previous bike crashes (broken ribs, clavicle, scapula, etc) and the wear-n-tear of 53 very active years on this planet as a photographer, as I found out yesterday.

Spondylolisthesis can be described according to its degree of severity. One commonly used description grades spondylolisthesis, with grade 1 being least advanced, and grade 5 being most advanced. The spondylolisthesis is graded by measuring how much of a vertebral body has slipped forward over the body beneath it.

I have grade 1 Spondylolisthesis, painful, but good news - we can rebuild it, we have the technology... now I need the patience and determination to stay focused.

So I'm dealing with two phases - recovery and reconditioning

I initially started seeing a chiropractor, Dr. Jason Lindekugel, who has initiated the recovery portion - with regular visits to correct alignment, and egoscue static stretching as well as yoga.

And today Jason and I met with cycling and fitness coach Phil Claud. It was Jason's recommendation I (and he) meet with Phil to be part of my back rehab team. Phil became a professional cyclist and joined the USA national team, eventually racing in Europe for five years. More about Phil.

What is clear from our first meeting Friday - I have a lot of work to do. Phil's first objective is going to be to try reteaching my brain/nervous system to be more adaptive. He does know I can't dance (dance lessons may also be in my future - more on that later).

Funny - one of the last things he commented on was my saddle alignment - I had ridden my race bike over in case - he said, see that saddle position, nose is down, we'll get to that later, we have other things to work on first.

Over the next several weeks and months, maybe years, I'm going to try, with the help of some very skilled, experienced folks, try and rebuild this anatomy into something that will motor me more efficiently, faster and pain free on the bike, but also my life. If you are interested I hope to share as much as I can - please feel free to comment here or write me. I'll post all of these entries with the Label: Cycling pain free