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Pelvic Power & Balance - Page 2

post #31 of 45
Originally Posted by RicB
I can buy that Disski. I know I had a gal in my womens group who when we did paired, eyes closed skiing, kept falling to the same side. During our conversations, she divulged that her leg was shorter on this side. If I remeber right it was the left leg. Interesting stuff.

Recruitment patterns can be trained though, which is an important point. I found my skiing improved more from the foundational fitness I have achieved in the last two years than from other strength training. Later, RicB.

yes - the pilates/fitball/yoga classes I did with our sports institute & the work I did with one of their trainers in the gym (she trains xc-skiers) was very useful.

My point was simply that while soft tissue issues can be helped, the skeletal issues needed someone like a physio who understands what is "solvable" & who to refer to & what is a "need to do the best we can with it" issue.
They also can test & work around various problems. Like I find it very hard to relax a muscle - so it is difficult to stretch them. (try relaxing something when you have no idea if it is tense - tricky). The physio has custom "designed" special stretches that allow me to get stretches in required muscles. (arrgggh I hate the woman - i could always do all the hip flexor stretches really easily - because they never came close to stretching my hip flexors - now I have a new set & they are NOT nice to do)
post #32 of 45
Ric - one of my biggest hassles was I had trouble with my turn to the shorter leg side. I would start with weight on my longer leg side & it was tricky to disengage that legs ski (ooops - now I can see why it might have been hard). Took a lot of work to overcome that. Then I got the "hip rotation" problem going on - which many saw as a foot too far forward/back type issue. I managed to fix that by focusing on the core being strong.... However I have always needed to watch the turns on that side... Traverses too - we spent hours traversing one direction so i could practice!

I will be interested to see how stuff like pivot slips go once I am better fixed - always been a problem area for me....

The thing that used to set my instructor off was that I would use what he described as "good technique" on the one side - but be totally unable to replicate the movements on the weak side.
post #33 of 45
You are persistently dedicated Disski. I think you are right though. It does take above average awareness and knowledge to solve these challenges. The ones who impress me, whether it is from a book or from clinnics ect, have multiple papers from related yet different disciplines. Like Chiro/PT/exercise specialist.

The info and knowledge is out there for those looking for it.

My personal view is that soft tissue and skeletal issues are so interelated that you cannot effectively address one without addressing the other.

Hope your pivot slips are awesome! later, RicB.
post #34 of 45
Thread Starter 
My personal view is that soft tissue and skeletal issues are so interelated that you cannot effectively address one without addressing the other.
It gives new meaning to "alignment specialist" doesn't it?
post #35 of 45
Ric - dedicated - nah just plain old stubborn - I keep thinking how much faster I would have learnt if I had not had to spend time learning to compensate for all the dodgy alignment that should have been fixed when the instructor first called it
post #36 of 45
Originally Posted by RicB
My personal view is that soft tissue and skeletal issues are so interelated that you cannot effectively address one without addressing the other.

Exactly - that is why I was suggesting a good sports physio....

The physios (here at least) are taught a LOT about this stuff.... Those with enough "oomph" in them to then do another 2 years post-graduate study specialising in sports medicine end up VERY good at this stuff.... best of all they are trained as part of a medical team in their first course & practical placements - so they understand well the concept of "referral" & where they specialise & where they should just go get someone else to do the deed.

Just for interest the physio who picked up my psoas issue & sent me off to get the feet checked out is studying another qualification. She has always had horses & is quite a keen animal lover - her new degree - a masters in animal physiotherapy. Seems the horse & dog racing industry sees enough benefit in physiotherapists that they now have a specialty course in it.
post #37 of 45
Not really skiing related but several years ago, I was heavily into triathlons and was running and biking alot. I developed a terrible sciatica problem. I could only run for a couple of minutes before my leg went numb. I went to the orthopedic doc (because you have to have a referral to go to a PT). The doctor said, "I think you have a herniated disc". "Get an MRI and come back." I told him how much I was running and I would like to be referred to a PT. He reluctantly agreed. I went to a PT who treated runners. After watching me run on a treadmill and outside, she figured out that my left hip flexor muscles were weaker than the right. Not a big deal until the mileage caught up with me. Essentially, I was contracting my hamstrings before my glutes when it should be the other way around. A few strenghtening exercises and I have never had the sciatica problem again. I did not go back to the doctor or get the MRI.

I was amazed at the skills of this PT to diagnose this problem. There are some wonderful, talented people out there. I wish some of the docs would be more open to these solutions instead of being so quick to order the MRI, prescribe a ton of medications and not listen to the patient.
post #38 of 45
Over here there is no need for a referral to a physiotherapist....
Why do they require one there?

My physiotherapist can even order x-rays - which of course go to the doctor if I have a problem that needs medical intervention.....
post #39 of 45
Most states physical therapy licensing acts do not allow a PT to treat a patient without an order from a physician.
post #40 of 45
I also have a shorter leg but more in the 1/4" range but it never has given me the problems you have experienced. I probably would have stopped skiing if it hurt that much. As an instructor, I deal with a lot of asymmetry issues but I will be thinking about it a little differently from now on. Thanks, JASP
post #41 of 45
Oh skiing does not hurt - just was very hard to get the short leg side to work quite right....

the stomach pain was from injuring a muscle when I was a gym junky in my youth....

Assymetry - yes the reason my instructor kept thinking it was my legs is because he has >1cm difference in his legs also....So he was aware of what it will do...

Unfortunately with my movement issues already it was always tricky to know how much was caused from what.... For instance my LEFT hand wanders less than the right when I don't watch them.... I am right handed.... when I think back I was always in trouble at school for allowing my left hand to wander & get in the way of the person next to me.... seems I worked out a "system" to keep better track of it than the right which I watch as i use it
post #42 of 45
Originally Posted by skier31
Most states physical therapy licensing acts do not allow a PT to treat a patient without an order from a physician.


So do you need a referral for a
9)occupational therapist

I'd trust a physio here with things like a bad back/sports injury etc much more than a GP....

It is like when I mangled my medial ligament - the doctors I worked with made sure I saw the Sports medicine doc who worked with the best knee surgeon - because if I saw the knee surgeon he would diagnose by operating(arthroscope) - because he is a surgeon - ie his mindset is "does it knee to be operated on?" "what operation" etc.... while the sports guy is "what impact does this have on your sport?"
post #43 of 45
Dis - up until very recently in NZ you also required a refferal to a physio from a GP. In our case it was becuase of ACC (NZ's version of workers comp which covers sporting accidents as well). The basic reason was that PT and physio licensing is/was not as tightly control as licensing for MDs.

Now that the physios (PTs) have stricter licensing regimes they can be the first point of contact rather than the last.

In the USA I'd imagine that an MD is required to sign-off for insurance cover on a PT. What's the situation in Oz?
post #44 of 45
I go to the physio - I pay the bill.... If I have private health insurance I will get some money back when I send in the bill to them - otherwise tough - I pay... (about $50 a visit from experience)

The physios in the hospital can have referrals from any member of the health team - eg I may refer a patient who has poor breathing technique when I try to train them in using an asthma medication. Nurses commonly write referrals to physios

If it is workers comp I probably want to see a doctor first - but unless the doctor says the physio will NOT help they would pay an account that started with a physio then referred to a doctor (from memory not experience).
Physios commonly do work place assessments for workers comp any way - so they start assessments of work place dynamics in those situations.

If it is car accident then in my home state it would be payed for by the state car insurance mob - again they would want a docs assessment for ongoing but a police report of the accident should get you payment if the physios assessment is something like whiplash & it was a treatment or 2
post #45 of 45
Just in case anyone else has been thinking of the Bucket Thread, it is here.
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