Gary's new website

Showing posts with label iliotibial band syndrome. Show all posts
Showing posts with label iliotibial band syndrome. Show all posts

Monday, May 04, 2009

Feedback from Rotorua Marathon


Hi Gary
I just want to thank you for all your help with my ITB.
I wasnt sure if i would ever get to do the Rotorua Marathon but for 13 weeks of pain i never gave up hope.

With your help and the help and support of fellow runners i got there in a time of 4hrs 12mins and 17 secs.

Thank you again
Angie Martin

Your email address:


Powered by FeedBlitz


Do you have a question?
Email Gary: gary at myotec.co.nz (Replace the "at" with @ and remove spaces). Please include any relevant background information to your question.

Monday, April 20, 2009

How can I avoid getting "tin hips" (hip replacements)?


Gary
During the last 18months or so I have had several (3 or 4) instances of hip joint soreness.This has been after more than two hours of exercise :running,tramping and skiing. It has not been a severe pain merely an irritation causing minor limping. Talking with peers who have had hip replacements makes me wonder whether I'm in for a tin hip myself - if I don't prevent this getting worse.

Years ago I used to have knee pain problems but with regular glucosamine (currently Nutralife Joint Factors 4500) use the knees have been totally painfree. Any recommendations re tin hip avoidance? I'm 67,running 1-2 hours about 3x a week,tramping 30-40 days per year (no more heavy packs) and ski also some 30 days per year...and would like to continue for some time yet!
Regards
Peter
__________________
Gary responds:
Peter, itis all good news: The pain you are describing and the kind of activities you are involved in suggest that the cause is probably spasm of the backside muscles, radiating down the outer side of the hips.

Often called "runner's hip", "iliotibial band syndrome" or "hip bursitis" and sometimes "sacroiliac joint pain". You probabaly have a bit of the lot!

That the taking of glucosamine and chondroitin with MSM has alleviated your knee pain but not your hip pain is a further indication of the causes being soft tissue rather than bone and cartilage.

The solutions lie in reducing the inflammation and spasm which you will feel as a tenderness upon firm pressing or rubbing deeply into the affected areas:
Nutrients
  • Reduce inflammation by taking plant antioxidants three times daily (In this case the best one at best value is Nutralife Fruitful Greens).
  • Reduce muscle spasm with a 3 times a day dose of Agewise Coenzyme Q-10. Q-10 is at the heart of mitochondrial function and the closest yet to the Fountain of Youth. It is also a powerful antioxidant.
  • Complete an Active Elements assessment via this website and take the tissue salts formulation that is prescribed for you.
  • Keep taking the JF 4500 for healthy joints (all available off this website store).
Massage
Get a once weekly deep tissue massage of the backside, low back and all of the thigh muscles. Look for a strong and experienced massage therapist. Give preference to a large, hairy person with meaty hands and a name like Olga or Igor. Start this about two weeks after you have started taking the nutrients.

You may feel sore for 3-5 days after the first few sessions; but there should be a notable improvement in pain levels after about the 3rd. Give it about 6 sessions to be sure it is going to work.

Stretching
I am displaying several exercises that are beneficial for stretching and mobilising the muscles about the hips and low back. Do these most days.

Please let us know how you get on.
Your email address:


Powered by FeedBlitz

Do you have a question?
Email Gary: gary at myotec.co.nz (Replace the "at" with @ and remove spaces). Please include any relevant background information to your question.

Monday, March 09, 2009

I have severe pain on the outside of my knees right below the knee cap


Hi Gary,
I recently viewed a YouTube video of you addressing a mans question about his knee problem.

I am very active in sports, mainly basketball and football, but not until recently have I ever had any kind of knee pain or problems. Im 21 years old and have been involved in sports since about 6 years of age. I have severe pain on the outside of my knees right below the knee cap. The pain is towards the outsides of the knee and hurts when jumping as well. My knees or legs never swell after or during activity, they just hurt immeadiatley after.

I recently had a pair of shoes in which the outer bottom soles were not very stable, but due to financial issues continued to play basketball in them - this is where I believe the pain is coming from. Is it possible that poor shoes could cause this to happen to my knee? Can I reverse this pain with new shoes?
Angelo
______________________________
Gary responds:
Angelo, the good news is your knee joints are probabaly in perfect health! From what you are describing, you may be suffering from irritation of the iliotibial band (ITB) where it runs over the bony prominences of the outer knee and inserts. This is not an uncommon problem in sports that involve repeated and vigorous jumping, sprinting and lunging. Shoes that throw the weight even slightly to the outside borders of the feet may cause added strain on the ITB. If you still have the offending shoes, throw them out.

The treatment is straightforward:
  • Please read the many articles on this site about muscle cramp, active elements salts and nutrition for tendons and follow the advice (vitamin C, etc)
  • Get a once weekly deep tissue massage on the low back, buttt and muscles of the legs, concentrating on the ITB. The massage therapist will be able to locate areas of extreme tenderness and some swelling on the sides of the knees. Despite their tenderness, these areas should be massaged to soften the areas and to shift any toxic fluid that has been accumulating. If the massage is done just right, any feeling of bruising should be gone by about 5 days. Repeat every week. Significant progress will be noticed by three weeks. Continue untill you are pain free.
  • Similar issues of pain, swelling and knotts will surely be found in other areas of the length of the ITB.
  • If the injury is as suspected, please continue to exercise normally from the day after the first massage therapy session. Exercise will aid the healing and recovery.
If you fail to recover within about 4 weeks of this therapy, please get back to me with an update and we will see what else can be done.
Your email address:


Powered by FeedBlitz

Do you have a question?
Email Gary: gary at myotec.co.nz (Replace the "at" with @ and remove spaces). Please include any relevant background information to your question.

Sunday, September 14, 2008

Have you any stretches for illiacus and the fascia covering the hip/ thigh area?



Hi Gary,
I just wondered if you had any stretches for illiacus and the fascia covering the hip/ thigh area. I am a former elite runner and now can barely jog the leg seizes up and has a dull ache with tingling/pins and needles.
I would appreciate any help
"J"
______________________________
Gary comments:
Stretching this muscle group (iliotibial band) is not the solution, although some relief may be felt.  
The most likely cause is the buttock muscles being in spasm.  These muscles include the Piriformis which can impinge on the sciatic nerve causing pain, spasm and pins and needles down the back and side of the leg.

Anything other than gentle stretching of a muscle that is chronically in spasm risks overstretching the healthy muscle at the borders where it merges into the gristly unhealthy muscle, extending the length of the affected area.

I find the best approach is a series of weekly deep tissue massages, easy exercise that takes the
 muscles through their range of motion, gentle stretching and nutrition (An imbalance in MgPO4
 and other tissue salts, fat soluble vitamins and essential fatty acids may cause spasm).  Of course, the iliotibial band may be affected with knots and adhesions and these require attention at the same time as dealing with any buttockand low back spasm.

Your Trainer or Physiotherapist may tell you that you need to "Activate your Glutes".  Do not worry about this - it is just one of those misinformed fads that will pass.  If one's Glutes are inflamed and in spasm, attempting to tense these muscles will be a waste of time and may even make matters much worse.

I can help further with the nutrition - You will need to complete the Active Elements Assessment on this website, tell me about your, exercise patterns, diet - what you have eaten and drunk over the last 24 hours and list any health conditions, medications and supplements and their purposes.  

Massage: Locate an experienced sports massage therapist in your area.  3-4 sessions should be sufficient to gain significant relief.  It is best to commence the massage therapy about 1-2 weeks after commencing any nutrition programme.  When I employ this approach I have most athletes back running within a day or so and they never look back.


Your email address:


Powered by FeedBlitz


Do you have a question?
Email Gary: gary at myotec.co.nz (Replace the "at" with @ and remove spaces). Please include any relevant background information to your question.

Saturday, December 29, 2007

My body is ravaged with imbalances - please help!

Hi Gary!
My body is ravaged with imbalances.
The main problems show at the hip, abductors one the left side and adductors on the right, both with tightness.
The adductor tightness seems to be linked to tightness in the tibialis posterior on the same side.
I have attached 2 pictures to show problems including bowed legs and pronation.
I have tried alot of workouts and seemingly everything apart from custom orthotics.
My theory is that "toe sitting" could have caused my pronation, ie sitting in chairs with only the toes on the floor instead of the whole foot.
Do you agree?
I first found it almost impossible to sit with the feet flat on the floor while trying to fix this, and think I have stretched out my arches?
If you agree, do you think stopping it would fix things?
Many thanks in advance!
Brian
______________________________________
Gary Moller comments:
Brian,
Your legs look remarkably like some I have seen recently with similar problems with chronic iliotibial band pain and have had good success with.

First of all, if you are having treatment by a health professional, please discuss my comments with that person and take heed of their advice. What I am about to say is making a number of assumptions based on other cases and how relevant this is for you is uncertain, given the limited information I have to go by. I am about to make some big assumptions and am doing so in the hope that at least one or two will be relevant and helpful for you and others.

I am sure that examination of your muscles will indicate chronic hypertonic muscles (Tense and sore that do like being pressed). While this problem may be most obvious in the muscles on the outsides of the legs and buttocks, you will find this is general, including the calves, feet, neck, shoulders and arms. If one was to press on the most affected areas, there would be intense pain and the muscles would appear hard and unforgiving. As in the photos, there may be lack of muscle definition and some muscles may appear to have wasted causing muscle imbalances such as you describe. In your case, you are indicating loss of muscle that opposes the outer thighs and abductors, causing the appearance of being bow-legged. There may also be early signs of knee joint arthritis.

If we were to test your blood pressure, it may be higher than 120/80. This is because of the many hard muscles making the heart work hard to circulate blood, plus the associated stressful lifestyle that seems to go hand in hand with this.

If we were to measure your body PH it may be acidic, due to the toxic buildup of lactate and other metabolic by-products in the muscles due to poor oxygenation. These leak into the general circulation causing an overall frop in body PH.

You may be leading a stressful lifestyle that causes and exacerbates muscle tension, poor circulation and the buildup of metabolic toxins. You may be an athlete who has pushed himself too hard in training and racing with not enough rest. Ultra-marathons and Iron Man races are good at producing the kind of sporting casualty I am describing.

You may feel dead tired during the day, craving mid afternoon naps. You may rely on sugar, chocolate, sports drinks and coffee to get through the day and during training and competition. Your sex life may not be quite as hot as it used to be.

The appearance in the photos you supplied is of legs that are ravaged with muscle tension and very tight fascia sheaths that constrict the muscle bellies and tendons.

So what's the solution:

Massage to soften the muscles and fascia and to release any myofascia adhesions.
Each session takes about an hour, is painful and should be repeated every 4-5 days. This can be very painful; but should be more bearable with successive sessions as the muscles become healthy and toxins are eliminated. You may even feel a little ill after the first few sessions as huge volumes of metabolic toxins are released from the muscles into the blood stream where the liver and kidneys must work hard to eliminate them. By about the 4th session, you should notice that the muscles are getting softer and less painful to press. Painful trigger points will be less obvious.

If you were living in Wellington I would be able to assist with the massage. You will need to shop around carefully to find a suitable therapist in your locality.

Take several key supplements
The most important to take are vitamin C (2,000 mg/day) and natural vitamin E (1,000 mg/day) and a quality natural B complex. These assist tissue healing following the massage, and helps settle the nerves. The B and C vitamins support the liver with its extra loading while eliminating metabolic toxins.

If your body is acidic, then a calcium and magnesium supplement may assist as would one that contains potassium. These form alkaline hydroxides in the body that help neutralise acids. There are several to choose from, including the Floradix range of elixirs, Red Seal Crampbuster, Active Elements 3.1 and Bioceutical Ultra Muscleze. You can learn more about these by going here. Avoid acidic foods and excessive protein. Soft drinks, sports and energy drinks can be among the most acidic drinks you will find anywhere.

If there is any joint pain, such as affecting the knees, take a glucosamine and chondroitin supplement for three months and review progress.

I am not suggesting that you become reliant upon supplements. The idea is to follow these recommendations with discipline for about three months without fail and then to review what progress has been made and to try to identify what has worked and what has not. You then decide what to continue and what to drop and what else might be worth trying.

Are you burning body and mind from both ends?
Take a close look at your lifestyle, including work, family and sport. Are you overdoing things? When do you have real "chill-out" time? When was the last time you took a really healthy and relaxing holiday? Do you really like your job? Are you married to your work? Are you a stress addict? Are you happy at home? Do you worry about debts? Is sport an escape from harsh realities? Look at ways to progressively de-stress your life.

To stretch or not to stretch
If you have hard, painful knots in your muscles then you should not over stretch. Do only gentle stretching. Excessive stretching will not lengthen the hard bits; it will overstretch and damage the margins where healthy soft tissue merges with hard unhealthy gristle. Over time, stretching will extend the gristle the length of the muscle.

So, stretch gently and give time for the massage, the vitamin C and E to soften the hard muscles and gristle. You will find that flexibility improves as the muscles relax and soften.

Moderate your exercise
Take it easy for the next three months by doing only regular exercise that does not strain or exhaust the body. Give your body time to respond to the massage and supplements. As blood flow improves, toxins are eliminated and your body restores health and vitality your exercise capacity will be restored and you will quickly and effortlessly achieve new levels of performance.

Wednesday, January 31, 2007

Is it iliotibial band syndrome - or is it Wobbly wheels syndrome?


"Hi Gary
I did my first marathon in July last year and had very tight ITB bands afterwards. I had a few weeks off then starting running again. When I did my first few runs I developed a shooting pain around my knee. I have been for physio treatment on and off and had a big break from running but I’ve just tried starting back again and the knee pain has come back. It is where my ITB band joins my knee on the outside of my left leg. Do you have any suggestions/advice on how to overcome this injury so I can get back to running again.
Photo: Here is an example of useless therapy in action - Get the cart after the horse please: This patient needs to improve nutritional status first before any kind of physical therapy can be expected to give lasting benefit.
_____________________________________
Gary Moller comments:

Further discussion with this 30'ish very active woman revealed that this injury is just one of a whole succession of injuries over the last few years, all of which have been pushed, prodded, massaged, manipulated or exercised in various way, including the near mandatory fitting of the dreaded orthotics. I have concluded that she is suffering "Wobbly Wheels Syndrome" (WWS). "

I clicked to WWS several years ago because I kept getting inquiries like this: "Gary, I get a week into exercising in the gym and my knee flares up. I rest for a couple of weeks, and go see the physio several times and then my hip goes and then its the knee again. Then its my back and and then my doctor tells me I have blood pressure! I feel as if my body is falling apart. Am I just getting old? Should I just give up and go buy a rocking chair?"
No, it is not really about getting old and this person does not need the rocking chair - But his wheels and other part are getting loose and worn. Time to put the body into the Body Workshop for some major tender loving care.

WWS has little to do with getting old. I think it is a case of the body getting exhausted and depleted. The body needs to recharge its batteries. This means a physical and emotional rest from the rush of modern life and a diet with some supplements to restore depleted stocks.
The therapy that I usually recommend for conditions like recurrent iliotibial band pain, glandular fever or high blood pressure is a combination of corrective exercises, rest, sun and nutrition. This may include advising the person to take a lenghty holiday in the sun in a place like the peaceful and isolated Cook Islands and living on the locally grown fruits and vegetables. This advice works without fail. Their injury and health problems resolve within a few weeks and the person is able to resume exercise later on with energy and enthusiasm and without recurrence of health or injury issues.

I have thought often about setting up a health resort in a place like the Cooks as an alternative to the costly, wasteful and mostly ineffective medical treatment that goes on for conditions like cardiovascular disease, obesity, depression and anxiety, chronic fatigue and arthritis (to name a few). Unfortunately, all the health money has been sucked up by these wasteful therapies, leaving little over for the therapies that actually work.