If a therapist, like me, jumps on your back to give it a crack, it may be that they are acting out a “meniscoid entrapment theory” moment. This means, they are speculating that vertebral joints have small menisci (synovial folds) that gets trapped within the joint. This entrapment causes guarding and preventing movements ( that group of facet joints lock).
The idea of using a manipulative techniques is, so some think, is to change the pressure within the joint , pushing the synovial folds back out.
Originally proposed by Kos and Wolf. elaborated by Bogdvk And Jull.
Frankly, I think my theory that your back is invaded by evil demons, makes far more sense!
1) effective stretch and strengthening regime for my achilles tendon.
2) An understanding of the POSE running technique
3) Going barefoot.
This article is how to sort your Tendinosis in 8 weeks
I began using ice and , stretching,
Here are my two favourite stretches
but I also employed “eccentric loading exercises” ( the lowering part of a calf raise, for you body building type)
Get the balls of your foot on a block or a step
and use both feet (handsupport) to get you above the block.
then lower down with the weight on the injured side.
I found being on a staircase with a handrail helped me control the load.
Here is a handy “You Tube” clip
After that, it was 3 sets of 10 reps . How awful the pain is suggests the amount of load you can work with in the early stages.
This was inspired by some ideas from crossfitter Philip Holbrook ( and his physio) and this report….
Eccentric calf muscle training for the treatment of chronic achilles tendinosis
by Toros Tsermakian, Ioannis Mitsakis, Christos Lyrtzis, Ioannis Tsartsapakis, Menelaos Mitsakis, Christos Papadopoulos, and Georgios Nousios, who sort of observed/discovered the following
Overuse injuries involving the Achilles tendon are common, especially among runners.
The majority of Achilles tendon overuse injuries occur in men,
higher rate in middle-aged athletes than do most other overuse injuries.
So, they studied the effect of eccentric calf muscle training in 18 athletes with chronic Achilles Tendinosis with a long duration of symptoms despite conventional nonsurgical treatment. Calf strength and the amount of pain during running was measured before and after the study.
At the start of the trail, all patients had Achilles tendon pain so sever that they could not run. There was also significantly lower calf muscle strength on the injured side.
At the end of the study. Almost everyone was cured. It bloody well worked for me.
for a fuller report visit here http://www.jssm.org/suppls/11/posterpresentations.pdf
In the early stages i used ice after the exercise to help with the swelling.
Whilst my research focus is mainly on back pain, I have a lot of clients with Achilles tendinopathy, i though i might as well add a few articles with advice on remedial treatment for sore achilles.
If you are going to a party and want to show off, you simply must drop the name Silbernagel into the conversation. He is quite famous in coming up a type of training to help with Achilles Pain. He was part of the team who researched “A Randomized Controlled Study Continued Sports Activity, Using a Pain-Monitoring Model, During Rehabilitation in Patients With achillies tendonosis” published in Am. J. Sports Med. 2007
That team tried this protocol:
Phase 1: Weeks 1-2 Patient status: Pain and difficulty with all activities, difficulty performing ten 1-legged toe raises
Goal: Start to exercise, gain understanding of their injury and of pain-monitoring model Treatment program: Perform exercises every day
Pain-monitoring model information and advice on exercise activity
Circulation exercises (moving foot up/down)
2-legged toe raises standing on the floor (3 sets × 10-15 repetitions/set)
1-legged toe raises standing on the floor (3 × 10)
Sitting toe raises (3 × 10)
Eccentric toe raises standing on the floor (3 × 10)
Phase 2: Weeks 2-5 Patient status: Pain with exercise, morning stiffness, pain when performing toe raises
Goal: Start strengthening Treatment program: Perform exercises every day
2-legged toe raises standing on edge of stair (3 × 15)
1-legged toe raises standing on edge of stair (3 × 15)
Sitting toe raises (3 × 15)
Eccentric toe raises standing on edge of stair (3 × 15)
Quick-rebounding toe raises (3 × 20)
Phase 3: Weeks 3–12 (longer if needed) Patient status: Handled the phase 2 exercise program, no pain distally in tendon insertion, possibly decreased or increased morning stiffness
One of my current pieces of research into preventing and curing back pain is the spiral Stabilization of the spine concept designed by Richard Smisek MD. Ill update you when I evaluated the regime and exercises. Im still by instinct a Mcgill Fan
Its the same with anything, the more you practice, the better you become: perfect practice makes perfect performance.
But, this great secret of super performers (practice, practice, practice,) is the same for those with chronic pain. The better you get at sending pain messages, the more it hurts.
This is great if you are a masochist, but sucks a bit for the rest of us.
“Simply put, pain that persists can become chronic because your neurons become more efficient at transmitting pain signals. The strengthening of connections between neurons through repeated use is called Long Term Potentiation, (LTP).“
Dr. Darnall said “The results also underscore the importance of non-pharmacologic psycho-behavioral treatments for chronic pain and also for anxiety,” she added. “When people learn skills to decrease the physiological markers of anxiety or stress, they are simultaneously treating pain.”
Anxiety amplifies pain, so it seems there is a lot in that tree hugging hippy crap of relaxing and thinking happy thoughts: certainly being negative and depressed does not help your pain
The proposition seems logical. A system that “knows” when you are holding a static “correct posture”and holds you to it.
I think my only reservation is the idea that there is a correct static posture. Certainly you need a stiff core, but your position when seated, is best often changed ( see some of the observations by McGill).
But, if it reduced your slouching by say 15 minutes a day , and encouraged you to learn a bit more about your posture, and improved your general back hygiene, the £80 seems totally worth it.
But, It could fall into the Standing desk error. There are very few safe static postures! if you work at a desk, rotate between kneeling, sitting, sitting side on, standing ,holding a lunge.
I suspect , having tested a similar system ( the computer’s camera kept your head in a frame) that its possible to get a “good reading” in as much as you haven’t “tipped” the sensor, but, you have actually collapsed your back.
the only thing id add is that i feel the Mcgill and Verkoshansky V Mel Siff . is a bit contrived. I think they deal with different types of people with different out puts.
“The pelvis plays a vital role in the ability of the athlete to produce strength efficiently and safely, because it is the major link between the spinal column and the lower extremities… a neutral pelvic tilt offers the least stressful position for sitting, standing and walking. It is only when a load (or bodymass) is lifted or resisted that other types of pelvic tilt become necessary. Even then, only sufficient tilt is used to prevent excessive spinal flexion or extension… The posterior pelvic tilt is the appropriate pelvic rotation for sit-ups or lifting objects above waist level. Conversely… the anterior pelvic tilt is the correct pelvic rotation for squatting [and] lifting heavy loads off the floor. – Supertraining 2009 (Hat tip to Pavel Tsatsouline for finding this quote)”
Bret believes this: “I’ve learned much of my spinal biomechanics knowledge from Stu and highly respect him. In this case, I feel that some slight pelvic tilt can help buttress the spine by creating torque in the necessary direction in order to help stabilize the spine and prevent buckling. However, the pelvic tilt isn’t to end-range so it doesn’t dramatically impact spinal posture, but rather keeps it in check”
The difference in the opinion is probably a matter of perspective and objective. McGills observation ( and I’m a Mcgill fan) is that bad backs are correlated with poor back control and use. back pain is the result of years of systematic abuse. His battle is to get clients to learn or relearn back positions.
Verkoshansky and Mel Siff are not trying to cure your bad back, they are trying to get you to lift more. For advanced athletes who do not suffer back pain, their approach is great.
For people who do suffer back pain, getting an effective general purpose healthy motor pattern is far more important.