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Training someone (a woman) with a broken back?

  • Thread starter Thread starter Citruscide
  • Start date Start date
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Citruscide

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Someone who has 3 compression fractures in their back... what sort of training could they do?

Kythoplasty is a type of surgery that would be needed to correct this...

But my concern is, if you don't get the surgery... and you don't do some sort of workout for your spinal errectors... your muscles will atrophy, and there will be no spinal support at a later age.

Any exercises that would be safe?

C-ditty
 
Cit- Ive had a broken neck...Iam fused from C4 thru T1....I was partially paralyzed from my waist up on the right half of my body, including arm and hand....its taken me 5 yrs to fully recover...Part of my right hand is still numb and does not work properly-mostly opening of the rht hand...grip is good....I will say this: If there is structural damage, ie; bones or discs it will never get better and waiting will only make matters worse....Nerve Damage only repairs itself at approx. 1mm every 30 days....testoterone has limited effect on rebuilding nerve paths...GH does it better-however with minimal results...therapy is needed for some time with these drugs...exercise is a must.....these are the only drugs that have a rebuilding affect on nerves....Having structural damage-I would suggest- if this is the case-have the spine repaired before implimenting any type of weight baring training- any loads are going to exacerbate the injured spine at this point. nerve damage and atrophy are extremely difficult to overcome.....
 
C-ditty....
I "broke" my back playing ball in '99. My actual injury is two stress fractures (compression fractures) at L4-5 w/ some disc herniation and spondololysis of L5 which led to spondololisthesis. Not sure if all that spelling was right or not.

Anyway - the pain actually ended my softball career at that time and I was in a wheelchair for a short while and in a back brace for even longer. I could manage w/o those things but the goal was improvement so I followed doctors' orders. A few months later I went for epidural injection of the SI joint (injecting steroids and local anesthetic into area) which actually made the situation somewhat worse.

The next step is fusion therapy which I did not and do not want because 1) I know several people who have had fusions and 3-4+ surgeries later, they still have back problems. 2) they are not guaranteed, the success rate is less than 50%. 3) I was still in college and didn't have the time to take off to be bed ridden after the surgery (nor could I afford to be out of work for that long).

So the next two years I basically did nothing - though I should have, I was pretty depressed about not being able to play ball anymore. So what happened? I gained 70lbs! The worse thing I could have ever done for my back because carrying the extra weight put me in horrible pain - so I began pain management therapy. Taking Loricet 10mg 2-3x/day did help some but it also did horrible things to my memory!

I finally decided I was sick of being fat - something that was totally new to be after being an athlete all of my life - so I got back in the gym. I have lost 45lbs of the 70 gained so far and I feel better every day.

My workout has not changed that much since pre-injury and I still lift heavy - but heavy for me right now is only about 1/2 of what I was doing before because I have been out of it for so long. I really think it depends on the persons attitude toward working out, because someone who is not that dedicated will bitch & moan about the pain....I choose to ignore it b/c getting back in shape is more important to me.

The pain is still there for me - though I have developed a tolerance and have learned to live with most of it - and it does really seem to get less irritating the more "in shape" I become.

I think the most important thing to help my back is strong ab and back muscles. I don't just do regular crunches, I do "quality" ab work, many pilates-style moves, etc. I also found that reverse crunches (laying on stomach and lifting shoulders off ground) is building support muscle for my injury - also "superman" (same but lift shoulders and feet off ground) does the same, they were actually one of my PT exercises Rx by the doctors.

I also do deadlifts and good mornings to work my lower back.

The things that actually hurt my back and cause me to bitch/moan are things that really have nothing to do with working out. One of the worst is driving for long distances, I always have to have my pain meds then.....and walking around for 1+ hours (like at the mall, or amusement park, etc).

So for cardio - eliptical is the best thing for me b/c it takes away that impact for me.....but I can also run on the treadmill w/o much trouble. I cannot ride a bike for some reason and have lost my ability to tread water (very aggravating).

Weights wise - nothing much is different. I am currently @ 205lbs on my leg press and squatting 100lbs. I don't know how this compares to other women my size/age (23y/o, 5'7", 155lbs) but it is my ability at this time. I also think that I could play ball again (and have pitched since the injury) but can't find a fastpitch team in the area.

People who don't know me would never know that I was injured. Oh yes, another important thing is POSTURE! I was horrible at this and my posture actually caused me to have upper back/neck problems after adding in my lower back injury. I am working on the posture thing right now, esp. at work b/c I have a tendency to slump when I am at the computer.

Sorry for the length but hopefully it helped some! If you have any specific questions, I am more than happy to contribute!

Tigs
 
Thank you for the posts... this is really good information.

The person I'm talking to has really NO muscle at all... 5'8" 112lbs... model body... Meaning, she is really really weak as it is... she can't carry a 12-pack of pop for very long with out her arm hurting (nothing to do with her back) -- so training her is even going to be THAT much more difficult.

Basically, I'll be training her with foam weights or something like that... nothing heavy.

Do you guys have any advice? One of my major concerns (as my mother has broken verts in her neck, back and lower back) is that her (the girl I'm talking to) muscles will atrophy even more, giving her less spinal support than she already has. Building up the spinal errectors will help give her some support, no?

I just don't want to do exercises that may injure her further... also, I have NO idea about the fragility of a back in this state... I mean, can it just break further by doing good mornings with a 30lb bar?

Thank you for ALL the advice! :)

C-ditty
 
Cit-when a disc is herniated- the outer membrane structure is lost- keep in mind Iam not a doctor-so I dont use medical terms unless I can back it up.....ONCE a DISC has lost its integrity it will DEGENERATE......when pressure keeps being applied, the disc will BULDGE.....when this happens the disc will start to impede on the spinal cord...this causes nerve blockage, and thus shuts down, no signal thru nerve paths- no signals to muscles-everything starts to atrophy...Not many people know how painful atrophy is in a healthy body....it fucking hurts bad for a long time, until everything is dormant....Personally,IMOP- before you go on-I would seek the advice of a sports medicine doctor and then back that with a NEURO doc.....you have to know whats going on in there- IT MAY BE NOTHING SERIOUS.....now you are in the clear...If she is fucked up-YOU are taking a risk possibly making it permanent and screwing her up for life....no one wants that...especially when your trying to help..
 
PBR said:
Cit-when a disc is herniated- the outer membrane structure is lost- keep in mind Iam not a doctor-so I dont use medical terms unless I can back it up.....ONCE a DISC has lost its integrity it will DEGENERATE......when pressure keeps being applied, the disc will BULDGE.....when this happens the disc will start to impede on the spinal cord...this causes nerve blockage, and thus shuts down, no signal thru nerve paths- no signals to muscles-everything starts to atrophy...Not many people know how painful atrophy is in a healthy body....it fucking hurts bad for a long time, until everything is dormant....Personally,IMOP- before you go on-I would seek the advice of a sports medicine doctor and then back that with a NEURO doc.....you have to know whats going on in there- IT MAY BE NOTHING SERIOUS.....now you are in the clear...If she is fucked up-YOU are taking a risk possibly making it permanent and screwing her up for life....no one wants that...especially when your trying to help..

Good points... I am recommending that she talk to these doctors...

I know she has to do something, but I have no idea of the structural integrity of her back (as I also am not a doctor)...

Thank you all for the advice, your first hand experience with this is INVALUABLE... you are true assets to the board. I wish you the best of luck in your own recovery and training... If you ever need any advice from me, and I can help you... always feel free to ask me.

C-ditty
 
I have no experience in this area at all but aside from getting as much medical input -- from both "regular" docs & sports docs (so you can talk to someone who has half a clue about therapies OTHER than popping a pill) - as stated above, structural damage could easily be aggravated by weight-bearing activities. It seems that going w/ pilotes, yoga or some such activity would be the safest approach. This would also improve balance, flexibility, conditioning, etc.
 
Yeah, I hear you Sassy... but there is one thing I know... with bad backs... one thing to help the pain is to cause the spine to be more stabilized... strong spinal erectors help that... without any supportive back muscles.. the spine will be even LESS sturdy...

But then you have the problem that was discussed... further injury to the back through exercise...

Which is why I am here lol -- but I have learned some VERY sound advice here... and I think I know where to start at least, and that is finding out the degree of the damage, degeneration and possible furtherance of damage due to an exercise program....

C-ditty
 
Cit....I just got out of the gym today...My best friend is a physical therapist who has helped me over the years to recover.....He just under-went back surgery at L4-5-6 last week...the doc s went in thinking 2 hour surgery max...they were in there for over 4 hours...there was alot of spurs and arthritis found at the location...HOWEVER INTERESTING was the fact that the discs themselves were CALCIFIED....Why and how this occured is not known....This was a good thing for him...Doc told him nothing was to be done in the gym for 4wks....He is still very uncomfortable, but this will pass as the nerves have been relieved and will start to wake up...Point being- the CALCIFICATION OF THE DISCS....this would be a good question to be brought up to a doc...this can probably be looked at by an MRI......Also an MRI can show if the spine is DEHYDRATED as the discs will be very dark if this is the case......he will be seeking GH therapy when the time is right...He will be the third member in our group to use GH to repair spinal conditions....
 
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