Wednesday I went to my first physical therapy visit ever.
Dude, it was awesome. All this time I've been seeing doctors and all I really needed was PT. Both the guys who took care of me were runners, and both were excellent. They asked all the right questions, got a thorough history, and repeatedly asked me to interrupt with additional info or comments and ask any questions.
My appointment lasted two hours and in that time I:
- Did a full history and physical
- Had my leg length and all my major muscles measured
- Had my joint mobility assessed
- Had my flexibility assessed
- Had my muscle strength measured
- Had a podiatric exam
- Had my footstrike and shoe wear examined
- Had my stride analyzed (landing, length, weight, etc)
- Had a full body stretch done by the PT (almost as good as a massage)
- Did, and was taught, a lengthy stretch and strength routine
- Got to view my own gait analysis
- Had ultrasound therapy to the injured area
- Received detailed "homework", stretch bands, and instructions
And my total - I'm paying cash - was $78.50! They only charged me for a follow up visit because they thought I was interesting as a case, and because they "know of" me - the running world is very small!
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Doing some PT on the floor |
The results of the visit were very promising to me. I have osteitis pubis, but I have just a few mechanical corrections to make. Basically I just need to focus on strengthening a few areas. My left hip is a little weaker than my right, which causes my right leg to sort of dip down as I run - this has lead to a slight heel strike on that side and I tend to land with my foot close to the center of my body, creating an angle which stresses the pubic symphysis. However, this is actually a calorically efficient stride - very compact, minimal movement - so normally it wouldn't be an issue. I just need to have strong enough muscles to support the movement!
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Resistance band stretching |
Other than that, I have a pretty smooth stride, including a perfect mid-foot strike on my left. No idea how that could be true since in all my race photos I can see the bottom of my shoe, ha. I was told I should try to go by feel and land the same on both feet, but not to over think it. Stride length, turnover, and weight distribution were all good. And my overall strength is quite good, but the few imbalances mean I need to work on adding even more muscle (time to buy new jeans, I guess). I was told to take 2 weeks off running, but I can bike, and I can add in running a few miles a day by week three! And if I do feel pain when I run, I can treat it with NSAIDS or perhaps move up to steroids. Now that's pretty good news!