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 Overstretched ligaments
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katie

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Overstretched ligaments - Sunday, August 30, 2009 1:29 PM
Has anyone dealt with an injury of overstretched ligaments?  A few years back I overstretched ligaments and muscles in my left hip/glute doing a lot of physical outdoor work in some bad footing.  The Dr. and physical therapist I saw back then didn't connect the dots, they thought I had the beginning of MS because of how I walked and thankfully they were wrong.   It took a while to find someone better because we don't have many options here.  The area got so bad it was then throwing my lower back out and i now have arthritis there.    Anyhow, another physical therapist and I have got it so the lower back doesn't go out anymore(yeah!!)and my core work is improving all the time but she says the ligaments supporting the hip will never be the same and I have to rely on the muscles to compensate for them.  She said exercise with shorter range of motion is the best way to help them out.  This is not an easy task because the muscles fatigue easily doing twice their job especially trying to go for a longer more cardio type walk which I greatly miss.  Has anyone experienced overstretched ligaments and what is your experience on recovery?  My physical therapist is very knowledgable but there's always a chance that there's other info out there we just don't know about.  Thanks so much!  I really have learned a lot from this forum.
 ~A moment of patience in a moment of anger saves you a hundred moments of regret.~
Mrsprincess07
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Re:Overstretched ligaments - Tuesday, September 01, 2009 10:20 PM
I genetically have loose ligaments which is basically the same thing. I had a really bad accident when I was 20ish that was not treated properly (I was young and dumb thinking I would heal eventually) that led to MASS hips/back/glute/core problems. I have spent the past 12 out of 18 months in physical Therapy for this. I will have this condition for the rest of my life and the pain is chronic. I have weeks where I am fine and weeks/months that I am unable to sleep, move, walk, or sit without mass discomfort.

I started seeking treatment when I could no longer do daily functions and I found that my condition was further troubled by the types of workouts that I did. I was a huge Cathe Friedrich/Step fan and those types of workouts kill my body. I am able to do longer workouts up to about 50 minutes, but the impact has to be lower and I MUST be intuned with my body. I am constantly listening for my body to tell me if I need to back off, stop, or if I can take a little more. I though, don't do longer workouts often. I also notice that on days I workout then take a walk in the evening (nice weather), I am in more pain and those fragile muscles tend to tighten and become flaired. Several nerves may get pinched on the process. It's an odd thing really. I got to Phys Therapy and my Orthopedist both whom are quite impressed with my flexibility (loose ligaments allow for that without work) but the "injured" muscles are tight and atrophied, and very much the opposite of loose! I have bursitis in my low back, hips, and glutes bc of this tightening, which for me is the "chronic" in my condition.

I would say listen to your PT. Mine has said similiar things to me, but most importantly to listen to the body. I have a had a few and all caution me to not always do what is featured on DVDs or what others do as injuried bodies don't function the same. Many muscles over compensate while others wither away. Functional Fitness in our case is the priority as is keeping our bodies stretched out, but not over stretched to prevent further ligament stretching. I've had issues in ALL joints upper and lower bc of the loose ligaments, but my lower half is the painful end bc of my recent past. I've also had knee surgery to remove part of the tendons as those were helping to cause some of my hip pain. Band work for the lower body, stabilization moves to encage the core, and overall multi-muscle exercises are the way to go. It's sad bc it's limiting, but it's a relief once you feel how good it makes your body feel. I will never be able to go back to being an Advanced exerciser for this reason, but my body knows best. Since i have to live with it for another 60+ yrs, I'll trust what it tells me. Trust your PT and your body's cues and you'll be just fine.
katie

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Re:Overstretched ligaments - Wednesday, September 02, 2009 12:53 PM
Mrsprincess07,  First of all, I can't thank you enough for responding!  I'm aware that ligaments connect bone to bone.  Do your joints get pulled out of alignment a lot and what methods do you or your p.t. use to reposition?  I think I have pretty good instincts with my body but getting p.t.'s to be team players in this area has been real challenging and made things worse(mostly spinal arthritis) before they could get better.  It's a tough area to attract really skilled people.  My p.t. now seems to be on board and she does have really good skills and can reposition(gently)some joints that are out of alignment using PRI and muscle energy techniques. I've done pretty well with massage therapists-actually started to make the most improvement after adding them to the program.  I cannot use the band type exercises because the left side of my body is to loose and the right side is to tight and they just seem to make it worse.  One thing I've found is that when I'm outside walking and I reach a hill, I walk up it backwards and it helps tighten that left glute plus I use shorter steps.  We live in the country so I don't get strange looks from anyone-just have to make sure I don't trip over a cat or dog..  LOL! Step workouts I cannot even consider because the hips are to fickle.  I even tried a Cathe Stretch video that just didn't click with my body and had to send it back.  I've done pretty well with some Mari Winsor pilates type videos, a tai chi tape for beginners which I could barely do when I first started and now can do in it's entirety, I have a Gilad tape for shoulders and arms that agree with me pretty well and a beginners bellydance that I hope to grow into a little more.  I hope to at some point get a ballet type video, think it might help maintain posture and keep those legs strong-have you tried any ballet type tapes?  Pls keep me posted as you move forward...there always seems to be some good info out there that can make a difference and thanks again!  Katie
Mrsprincess07
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Re:Overstretched ligaments - Wednesday, September 02, 2009 1:38 PM
The hips are the most to be pulled out of allignment for me and I have to press into a wall (butt against it). It depends on how badly it's out; sometimes just a gentle press works, other times I have to tie a strap around my waist and have hubby pull on it, something they do in PT, which pops the hips out then I can press against a wall to line them up properly. Honestly though, I am still learning what it feels like to be "in" allignment as I spent a few years out of and it began to feel normal to me.

Massage is the 1 thing that helps me consistantly every time! I had my husband go with me to some of my last sessions before my awesome PT moved out of state so he could learn the proper pressure points and techniques. I use a foam roller now on those joints and bursa sacs and that helps. It hurts like no other, but it helps afterwards. The PT I have currently isn't as good as my last one; she specialized in Pelvic Floor disruptions and Core manipulations so I got really lucky with her. This current one though, she's good, but doesn't quite do as well as my last one. I am going to start seeing a message therapist a couple times per month starting in October to help hit my worse parts. She can also use hand pressure to help guide my hips back into allignment if needed.

Ballet, pilates, and yoga are supposed to be some of the best things to do for the body, especially injuried bodies. I though get so bored and antsy that it's hard for me do to more than 10-15 minutes twice per week. Cathe's stretch Max actually helped me, but again, that might just be bc the nature of my issues.

Hips asside, again bc I am unlearning my habits with them, a ligament getting pulled is extremely painful! I noticed the first time with my left shoulder in Jan 09, I have had it do that several times since then and have loss the use of my left arm for more than a few hours; not being able to grip or move it. As a result of just "jarring" to the shoulder, I have tendonitis in my biceps, which now make weight lifting hard. So when you take the arm, shoulders, knees, and hips into consideration, I have given up on Advanced exercise and instructors. I have a small fortune of their DVDs, but have gone back to Prevention Fitness, Tamilee, Denise Austin, and more functional types of fitness, with pilates and yoga (10 minute solutions). That was the hardest part, getting over my ego. So many people tend to look down on basic exercise, but its so very beneficial especially in our case.

Walking backwards on an incline is amazing for working the ligaments, joints, and muscles. I did that in PT and WOW does it ever help! I hope to get a treadmill within the next 2 years and that will be a base walking pattern for sure! Bc of the opposite issues you have in your body have you tried balance work (1 legged squats, 1 legged toe touches, standing on a balance board, ect)? Those do wonders and it helps to get both sides stronger all while avoiding issues in ligaments.
katie

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Re:Overstretched ligaments - Wednesday, September 02, 2009 10:12 PM
Sounds like you have had some pretty good p.t.   I have a foam roller to and definetly has some helpful uses.  I like the idea of doing 1 legged squats, toe touches, etc.  and think that would be VERY good for me but I'm not quite there yet.  Squats though absolutely, keeps all those muscles  firing!  I don't have the genetic condition but no doubt, just that one hip has had quite the dominoe effect.  Along with it, I have a scoliosis that caused upper back/neck problems and that's how I injured the hip, compensating for the upper back and neck.    I've accepted to that I won't be an advanced exerciser again and quite honestly, would be very happy at beginner level tapes...some are still pretty challenging and I wonder how they got that beginner rating.  I think what is hardest is that we(husband  and I)are ranchers and I thrive on physical work.  It is not a very ergonomic profession, always putting your hip into this or your shoulder into that come rain or shine.   So I'm trying to rewire myself and adapt to the situation.    We've discussed getting a recumbent bike at some point(maybe will happen this winter) which may have some benefits.  I probably will get a ballet type tape sometime.  Yoga I have to be careful with because one side is to tight and the other side hypermobile.  Some simple poses are good but not to much twisting.  Like you, some of my flexibility is astonishing - not only can I touch my toes, but I can also touch the floor- then other movements, well, there just not going to happen.  Walking backwards actually feels so good now that when I reach a hill I automatically want to turn around and go up it backwards, otherwise, I feel all those muscles, ligaments in the left glute and hip starting to s t r e t c h way to much.  Your right, being in tune and then following through makes a difference.  Thank you SO MUCH for passing on your experiences!  I sure know I'm not the only one out there with aches and pains but everyone's challenges are so different-the effects of these overstretched ligaments have contributed to so many odd symptoms-has really been a process to figure things out and move forward.  I sure appreciate you and what you're dealing with!   Katie
 ~A moment of patience in a moment of anger saves you a hundred moments of regret.~

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