Physical therapy 1:00:00 [4]
(injured)
Went to see my favorite DPT, Kevin Vandi at his new place, The Competitive Edge. He's had me run on a treadmill a bit (not too much because of my sore knee); he's got a cool set up where cameras record you from several angles and then the video can be played back simultaneously and in slow motion so your form can be analyzed. Then he had me do a number of tests where, while I'm laying on my back, he puts my leg in different positions then tells me to resist while he pushes hard in a certain direction. There was only one position where I couldn't resist. That, coupled with the video analysis of my running stride, led Kevin to conclude that what I have is a strained tendon that connects my quad to my knee, and that, furthermore, this due to not having strong enough hip muscles and glutes plus not engaging those muscles properly. So, the object of my PT will be to both strengthen those muscles (both legs) and to learn to engage them. To the latter end, he placed a sensor on my right hip while I did the first two of the four exercises I'll describe below; I could then see a big screen with a graph on it, showing to what extent my hip muscle was engaged while I was doing the exercises, which allowed me to "search around" and try to push the graph higher, which should help me figure out how to "engage" those muscles with regularity.
The exercises (each held for one minute followed by one minute rest, repeated for a total of 3 times):
1. Laying on the left side with a yellow Theraring (small theraband in the shape of a circular band) around my lower thighs, raise the right leg, keeping it straight, and hold.
2. "Dog pee on hydrant". On hands an knees, with Theraring again around lower thighs, raise the right knee out to the side and hold.
3. Quad stretch. Standing, with back to a massage table, bend right knee and place toes on the table, then rotate top of hips back to stretch quad, meanwhile engaging hips and glutes.
4. Another quad stretch. Right knee on the ground, left leg with foot on the ground, knee bent at a right angle. Again, rotate top of hips forward and hold.
Found all of these difficult to hold for the full minute, but pushed through.
Think these will really help, not just to recover from the present injury but also to make me stronger going forward. It's quite clear that I generally over work my quads and this program should help a great deal.
[Physical therapy]