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I opened up the year by running the 2.2-mile version of the John Daley Memorial One One Run.

Injury Rehabilitation Exercises By Dr Mark Howard From work-out-routines.com

Injury Rehabilitation Exercises By Dr Mark Howard From work-out-routines.com

Natalie Teichmann at Sangha Yoga Shala.

www.sanghayoganyc.com

 

photo by elise espat

Injury Rehabilitation Exercises By Dr Mark Howard From work-out-routines.com

Injury Rehabilitation Exercises By Dr Mark Howard From work-out-routines.com

Journal of Pain

Rehabilitation of a Recalcitrant Posterior Tibial Tendinopathy

(or maybe I'm the refractory one)

 

January 5, 2015

On January 3rd, I got cocky and ambitious after jumping around and doing my physical therapy exercises, and decided that maybe I could indeed get running again and do this half marathon in three weeks. I resolved that if I could run two miles at a really easy pace without symptom provocation, then maybe I could jog short distances on alternate days. I mean, I had jumped 10x, 3 sets, and felt fine two days in a row. I had also taken to wearing the orthotic in my casual and athletic shoes the last two days, as I finally realized they reduced the pronation of my statically pronated feet, and thus somewhat reduced the internal rotation of my legs (all the subtle scoffing, transiently disapproving glances, urging, lecturing, imploring, advising, suggesting, advocating, and insisting from my physical therapist was finally penetrating my dense skull in a manner that logically made sense to me). In retrospect, running those twenty minutes at an easy 6 mph on the treadmill was asinine (3600 steps is much more than 30, which evidently was more than my poor posterior tib could handle). The last occasion I had run was on December 6th, and that had elicited unpleasant feelings. This twenty minute jaunt was no different; not quite two days have elapsed, and I still feel it. The pain is not acute (VAS of 2-3 ish), but enough that I don't want it to be around. To quote my physical therapist quoting someone else, "Insanity is doing the same thing over again and expecting a different result." Actually, she substituted "ignorance" for "insanity." Ugh. Yeah, I was that bad, and undoubtedly described as "non-compliant" and "incorrigible" in all her records. I re-read a number of review articles on posterior tibial tendinopathy, as well as a some NYT articles, and have come to the realization that, if nothing else, I am inhibited by the fear of debilitation—the lack of acute pain has fueled my incredulousness, and in combination of not knowing its threshold of irritability, and has drawn out the duration of this tendinosis. As I see it, the endpoint of this injury can be one of three: I get better, I remain chronically injured, or crap happens (rupture, foot deformation, rupture, RUPTURE!) and I require surgical intervention. Only the first of these outcomes is acceptable.

 

The F^3 Lake Half Marathon is not happening for me. Neither is the 5K that same day. With exception of the occasional dash across the street or after a bus or to an imminent appointment, I cannot be running. The goal, minimally through February...or March, which really was supposed to be the goal all last fall, is the avoidance of symptom provocation, like for real. Remember the pain, and think, RUPTURE. The sound of tendons popping is never a good thing (do tendons pop?). Be scared. If I don't want to be damned for life, this is what I'm gonna have to do, and then, hope for the best:

 

1. Be a teetotaler, and be happy. Alcohol, albeit in excessive quantities, delays healing, and muscle firing, compromises coordination, is a depressant, etc. Psychological distress can detrimentally alter cytokine signaling and hormone production, affecting immunological and cytological responses to tissue damage. Oh, and something about cognitive-emotional sensitization and central sensitization to pain stimuli that I haven't entirely wrapped my brain and all those nerves around.

2. Medial arch support via an orthotic, or the like, to reduce load on the poor posterior tibial tendon. Now that it no longer affects my iliotibial band or threatens knee explosions, I guess it's okay.

3. Low intensity, low impact cardio, even if it gets excruciatingly boring. Biking or elliptical or swimming, with contingencies.

4. Rehabilitation program, being cognizant of symptom onset (medial ankle or arch sensations), leg and knee positioning. With exception to the eccentric posterior tib strengthening, most of the exercises address my intrinsic biomechanical anomalies that are hypothesized to contribute to my pathology.

- gluteus medius/maximus: lateral band walks, side-lying hip abductions, beached whale, planks with hip abd/extensions, unilateral bridges, step-downs, single-leg squats

- hamstrings: hamstring curls, good mornings

- hip flexors: reclined sit-up

- quads/glutes: double-leg squats, lunge walks

- eccentric calf strengthening

- core: planks, side planks, praying mantis

- proprioception: balancing on BOSU, functional balancing

- ankle inversions/eversions with resistance band

- bilateral jumping, sets of 10, with good form

- pushing the treadmill belt, avoiding internal rotation of legs

 

Two months. If I'm so lucky.

Thomas Tuchel confirmed Chelsea face a period without Romelu Lukaku and Timo Werner after the Champions League holders were rocked by their forwards' injury problems in Wednesday's (Oct 20) 4-0 win against Malmo.

 

Tuchel's side brushed aside the Swedish minnows at Stamford Bridge thanks to Jorginho's penalty brace and goals from Andreas Christensen and Kai Havertz.

 

But Chelsea's second Group H victory, after losing to Juventus in their previous match, was significantly tarnished by the ankle injury suffered by Belgium striker Lukaku and a hamstring issue for Germany forward Werner.

Both had to come off in the first half and Chelsea boss Tuchel will be waiting nervously to see how quickly they can return.

 

"We have a twist of the ankle for Romelu, and muscle injury and hamstring for Timo, so they will be some days out I guess," Tuchel said.

 

"We have a lot of games, so now we have to find solutions, no excuses." It would be a major blow if the pair are sidelined for a long period in the midst of a hectic schedule as Chelsea try to retain their position at the top of the Premier League, while pushing to qualify for the Champions League last 16.

 

"The two were in good shape, they are dangerous and can create and score so we need to find solutions and guys who waited for their chance need to step up and score," Tuchel said.

 

"The race is on, the guys who start against Norwich have our trust and we will try to find new solutions.

 

"We have won games before with Werner and Lukaku, we don't want these problems too often but it happens during a season."

 

Tuchel admitted this week that Lukaku has suffered from mental and physical fatigue amid a draining schedule for club and country.

The Belgium striker has now gone seven Chelsea games without a goal after starting with four in four following his £98 million (S$180 million) club record move from Inter Milan.

 

Frustratingly for Lukaku, he had looked closer to his best and it was his powerful surge that won the penalty converted by Jorginho, in the process causing his injury.

 

While Werner has endured another difficult season, his injury will leave Havertz as Tuchel's only experienced option for the central striker's role.

 

The decision to allow Tammy Abraham and Olivier Giroud to leave Chelsea since the end of last season might now prove costly for Chelsea.

 

A relatively undemanding fixture list in the next few weeks is the only saving grace for Tuchel if he is denied the services of Lukaku and Werner for long.

 

Rampant Chelsea

After nine minutes, Thiago Silva curled a cross into the Malmo area and Christensen timed his run to meet it with a volley that bounced off the slick turf as it sped past Johan Dahlin from 10 yards.

 

It was the Denmark defender's first goal for Chelsea since his debut in 2014.

 

In the 21st minute, Lukaku bulled his way through the Malmo defence with a twisting run, prompting Lasse Nielsen to haul the striker down with a crude foul that forced him off.

 

Jorginho took the penalty and altered his usual hop-step technique to drive a powerful strike past Dahlin for his first goal this season.

Tuchel's injury woes mounted just before half-time when Werner was forced off after pulling up while turning in the Malmo area.

 

Havertz provided a welcome glimpse of his quality in his audition for the striker's role as he bagged Chelsea's third goal in the 48th minute.

 

Callum Hudson-Odoi, on for Werner, led a dynamic break that finished with Havertz clipping a composed shot in off the far post.

 

Chelsea were rampant and Antonio Rudiger's muscular burst was curtailed by Eric Larsson's foul, conceding a penalty that Jorginho nonchalantly slotted home in the 57th minute.

 

The second-placed Blues remain three points behind group leaders Juventus with three games to play.

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Injury Rehabilitation Exercises By Dr Mark Howard From work-out-routines.com

On Sunday March 22nd 2015 I ran the Syracuse half marathon. It was cold, very cold. I ran it in 1:52:20 a far cry from my best half marathon time. However I've been battling injury after injury over the past year. Torn hip flexors, Hamstrings, IT band and as of recent a pretty big calf strain.

 

Thankfully I am now under the watchful eye of a coach and after some video analysis we have hopefully found the issues that plague me.

 

Nonetheless I had a blast during the race and afterwards.

Woman and pilates stretching yoga rubber band strap

Old Cranleighan HC Hamstrings 3-3 Surbiton, October 16th 2021

Injury Rehabilitation Exercises By Dr Mark Howard From work-out-routines.com

Alexander Scott Gonzalez (b: April 8, 1973) is a former MLB infielder, who spent the majority of his career with the Toronto Blue Jays. Gonzalez established a career-high with 20 home runs for the Chicago Cubs in 2003 and hit 20 or more doubles eight times. He was drafted straight out of high school in the 14th round of the 1991 Major League Baseball Draft by the Blue Jays.

 

After making the major league team to begin 1994, Gonzalez batted only .151 in 15 games and was sent down to Triple-A Syracuse at the end of April because of a hamstring injury. Gonzalez was the Blue Jays starting shortstop from 1995 to 2001 with the exception of 1999 when Toronto traded for Tony Batista. Throughout his career, Gonzalez averaged around .250 with decent power for a middle infielder, but was unable to hit for high average. He made up for the lack of average with good RBI production and solid defense. He led the American league twice in fielding percentage for shortstops. After spending eight years with the Toronto Blue Jays, he was traded to the Chicago Cubs on December 21, 2001, for Felix Heredia and minor leaguer James Deschaine.

 

Gonzalez has worked as an analyst for NBC Sports and MLB Network covering season news and the World Baseball Classic.

 

Career statistics:

Batting average - .243

Home runs - 137

RBI - 536

Myosource, LLC offers upper and lower kinetic bands for great resistance workouts . Use our abs plus video that will work the abs in just 10 minutes. We offer a variety of videos for full body, lower body, abs and upper body workouts. myosource.com/abdominal-workout/

 

improve arm strength, core strength, leg strength (including glutes and hips), speed, balance, and endurance with Kinetic Bands resistance

The North Carolina Tar Heels, a power five program out of the Atlantic Coast Conference, dealt Old Dominion its first home defeat since November 2015. But in the loss, ODU gained a new starting quarterback.

 

True freshman Steven Williams, a graduate of Woodrow Wilson H.S. in Washington, D.C., replaced starting quarterback Jordan Hoy and backup QB Blake LaRussa in the 53-23 loss.

"When you don't have a first down in the first quarter and you have no energy on the sideline because the players feel it, you have to make the move," ODU head football coach Bobby Wilder explained. "I didn't go into this game thinking [Williams] would play."

 

Seeing his first action, the 17 year old Williams completed 9-of-20 passes for 139 yards and two touchdowns. He also threw an interception and lost a fumble. Williams added 34 rushing yards on seven attempts.

 

"We haven't developed an identity on offense," Wilder noted. "Stevie Williams today gave us an identity. Steven Williams is the quarterback of the Old Dominion football team moving forward."

"They just said 'let's go," Williams explained of how he learned he was about to receive his first college playing time. "My teammates were all behind me. I just had to go do my job and we'll be fine."

 

Old Dominion outscored North Carolina (1-2), 16-14, in the second half, after trailing the Tar Heels, 39-7, at the half.

 

Prior to the game, ODU learned All-Conference USA running back Ray Lawry, the program's all-time leading rusher, has a torn hamstring. Head coach Bobby Wilder reveals the injury could keep Lawry sidelined for the remainder of the season.

I do volunteer work up here twice a week. I was stretching out my tight hamstrings after biking from Hoquiam. It was beautiful out so I took a picture.

Injury Rehabilitation Exercises By Dr Mark Howard From work-out-routines.com

Injury Rehabilitation Exercises By Dr Mark Howard From work-out-routines.com

The pull was at the top but this odd bruising has occurred lower down on the opposite side. It's at least a 4 week absence right in the middle of the season:-(

natalie, some lady i don't know and didn't talk to, mike henrick, and richard bravo. mike messed up his hamstring and couldn't ride this year, he volunteered to man one of the check points. richard fell on some soft gravel about 5 miles into the race and fractured his wrist. i rode the last twenty-four or so miles back in with natalie after losing jed and maria just before the lunch stop.

Steven Lowell Hargan (b: September 8, 1942 in Fort Wayne, Indiana), is a former professional baseball player who pitched in the Major Leagues from 1965–1972 and 1974-1977.

 

In 1967, he pitched shutouts in his first two starts in April. By midseason his 9-7 record with a 2.68 ERA and 10 complete games in 17 starts earned him a berth on his first and only MLB All-Star Game. He pulled a hamstring in his last start before the All-Star Game and did not pitch in the game. That year he led the American League in shutouts with six.

 

The 1977 season was Steve Hargan’s last in the major leagues. At 34 he was the oldest pitcher on the Blue Jays’ roster. He got his first victory in relief in the fourth game of the season and then entered the starting rotation. Then, after his best performance of the season (a complete-game loss), on May 9 he was traded back to the Rangers.

 

Steve Hargan's transactions with the Toronto Blue Jays:

Nov 05, 1976: Selected by Toronto Blue Jays (39th pick overall) — expansion draft.

May 09, 1977: Traded by Toronto Blue Jays (with Jim Mason) to Texas Rangers for Roy Howell.

 

Career statistics:

Win-Loss Record 87-107

Strikeouts - 891

ERA - 3.92

  

works lower back, upper back, quadriceps and hamstrings

Thompson Track, Te Aroha

 

It started as a couple of hour ride up from Te Aroha and turned into a 2 day bush bash in mud and rain.

The bikes were a Gas Gas 700SM, Honda CRF300 Adventure and my Montesa 4Ride.

The rough road up to the summit was pretty easy for all of us. Big rocks and potholes on a clay bed but no real problem. That took about 25 minutes.

Then I found a track going down the other side and we decided to follow it.

Within 500 metres was the first slip; that should have warned us off but no, we soldiered on...........and on and on a on! For hours we battled bogs, bush slips and trees.

Finally, we decided we were not going to make Katikati on the other side. The bogs were too big and the GasGas and Honda too heavy.

We turned around and started back up but the rain set in and made it harder.

We decided to leave the two heavy bikes behind and come back the next day for them. Between the three of us, we rode and hauled the little Montesa 4Ride 260cc trials based bike to the top and I rode on down to get help. On the way down, I lost the front wheel on a slippery rock, fell and tore my hamstring. It was a lot of pain but I got up and rode on.

I found a couple in town with a double cab ute who agreed to come with me to the base of the trail so we could drive the other two back to town; they finally walked out around midnight!

The next day we went back to get the bikes left behind.

I waited at the bottom with my torn hammy and acted as the emergency system just in case. The other two took my Montesa back up to cut 2-3 hours off their walk then walked into the bush to rescue the other bikes with a winch, folding spade and tree saw.

2 expert hard enduro racers had contacted me offering help so I said yes please!

They turned up abpout 2.30pm and rode in to help. Then half an hour later, 2 more riders turned up to help.

The 2nd two riders didn't go far enough to find the others and came back. They'd seen my Montesa just over the top but that was all.

By 6pm I was getting worried and ready to call emergency services (the boys had a satelite rescue device so I knew they may have set that off).

They hadn't and, just before I called emergency; they all came back down some 5 hours after entering. Our 2-3 hour adventure ride had turned into a 2 day balls out test of skill, endurance and planning. On the way up, we didn't just ride, we stopped and planned our way through every obstacle.

Nobody was hurt at all until I fell off on the way down in the rain and we all had wet weather gear and plenty of spring water.

Staying in the bush for the night would have been cold but not a life or death issue.

What a ride! What an experience a what a great bunch of people Kiwis are to drop everything, drive hundreds of km with bikes on the back to help us!

Injury Rehabilitation Exercises By Dr Mark Howard From work-out-routines.com

Injury Rehabilitation Booklets By Dr Mark Howard From work-out-routines.com

Injury Rehabilitation Exercises By Dr Mark Howard From work-out-routines.com

Oh, hai there. Still love how this bike rides. However, I'm discovering just how high that front end is. Much more than my Trek, which is hilarious considering the old 5500 geometry is not aggressive. I may have to Ted King this and rock a negative rise stem. As my hamstrings unfurl themselves from the tightly wound bridge-cables that they are I'm able to get ____looooooow____. Or at least low for this highrise cockpit.

 

Also notice that I've dropped the angle of the handlebars down. The shifters just felt and looked strange pointing up so high. Plus, they looked like Cav's abominable cockpit. And that's a bad thing considering that guy's a style black hole. Another, and more functional, reason I changed the angle is that I've been enjoying climbing in the drops. Channel Pantani a little and I'm good.

 

I need to de-badge those wheels. There is WAY too much Bonty on this bike. Seriously.

 

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