Introduction to biomechanics


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The Physical Therapy And Pain Connection

Exercise is a four letter word, isn'tmainstream thinking, but at that time
it? I know some forms of exercise are.they were not. He even had his own
Let's see, there's leap, jump, lift,physical therapist in the office. After
flex, hike and the most friendly of all,my second or third trip down to see him,
walk. Okay, so it isn't my favoritehe called her in to evaluate me. I was
thing to do. I'm not nor have I evertotally discouraged. I hate to admit my
been the athletic type. I'm not lazy.ignorance, but I didn't see what that
I'm just more cerebral.had to do with me. I was sick. I needed
As a nurse, my experiences with physicalmore medication. I needed a firm
therapy were with those therapists whodiagnosis. I needed someone to relieve
came onto the unit to walk about withme of this burden. I did not need to be
the patients who had a fractured hip, ortold to move. I must confess to you that
they applied the motion machines toI can be very stubborn and just didn't
those who had total knee replacements orget this whole PT bit, at all. I
generally helped those who werecouldn't imagine how it pertained to me.
recovering get back on their feet.I thought he was just passing me off to
After struggling with pain in my sitter,get rid of me. I know. How stupid can
my neck (accompanied by excruciatingyou get?
headaches) and a few other places, IThe first thing the PT did was to
still was unable to get an adequateexplain to me that if I didn't move, my
diagnosis. I looked for and found one ofbody was going to become even more
the best rheumatologists in the country,misshapen and useless. I'm sure that
Dr. Rodney Bluestone. He had treated mywasn't her word "useless," but that was
oldest sister who had psoriaticthe general idea. I was having a great
arthritis and she got better. So Ideal of neck pain from the long drive
figured he must know what he was doing.down and felt as if my whole body was
His practice was in Beverly Hills, whichtwisted from my head down to my always
was three hours from where we lived atpainful behind. She directed me over to
the time. The trip was gruesome, witha full-length mirror and had me look at
the sit, the ride and the damnable L.A.myself. I was wearing a slip, and it was
traffic. But he was well worth it. Hisall too evident that my shoulders were
approach was a practical one ofnot the same height. Funny, I had never
function. I had to keep moving even ifnoticed that before. One shoulder was at
we didn't have a name for this thingleast two inches higher than the other.
that had come to destroy my life. TheRight there before my eyes, I was
local internist I had been seeingbecoming that tangled mass of
belonged to the old school of jointprotoplasm. It was indeed happening.
protection. That was the philosophyThat was my day of conversion. That was
which said, "If it hurts, let it rest."the day I began to embrace physical
I began to suspect if I let it rest anytherapy, faithfully following all of my
longer, my husband would come home onePT's recommendations for daily stretches
day and find me a tangled mass ofand moderate exercise. I went on and
protoplasm! At the time, my arms andconnected with a local physical
legs were intertwined, unable to eventherapist, and he followed Dr.
make it into the bathroom. I was tiredBluestone's protocol.
of lying down, loathed the constant painOver the last 20 years, I have relapsed
and felt completely ostracized frommany times, become lazy and let the
society. By the time I saw Dr.whole movement thing slide, only to be
Bluestone, I was on my last nerve,brought back abruptly by the pain and
dissolved into tears just talking aboutsuffering that ignoring my body brings.
myself. It's important to note that thisTrue, it's overused but the old adage is
doctor is British, and he has a totallypainfully true, "If you don't use it,
different idea about moving the joints.you lose it.
Thankfully, those same ideas are now



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