BE: Bilateral Medial Elbow, Knee, and Ankle Pain: Week 2 Updates

  • Pool Program:
    • The pool seems like a good place to progress lower extremity activity
    • I want to give you a couple things to mix in to a circuit in the pool. Try each movement below for 30-90sec
    • Try to start with 1-3 sets once to twice a day
    • If there is pain then hold on that movement all together and we can discuss it next week
    • I do not have video of pool activities so I will do my best to describe each
      • #1: Walk slow and controlled like walking in slow motion
        • Stick with a short step length and progress to walking more heel to toe as able
      • #2: Noodle or intertube under armpits to float
        • Take feet apart laterally and back together while suspended in deeper water
        • This is like the bottom of a jumping jack
        • start in small range
        • With water, the faster you attempt to pull each direction the more resistance
        • Go through each direction pushing as forefully as comfortable and then pause before you change direction
          • EX: forceful push feet apart…pause….forceful pull of feet towards each other
      • #3: Side Steps in small knee bend
        • Three steps one way and threes steps back the other way
        • Deeper equals less weight on lower extremities
      • #4: Suspended as in movement # 2
        • Front to back opposing movements
        • One foot moves forward and the other moves behind
        • Pull forcefully towards each other as they alternate positions like a scissoring movement
      • #5: Standing Feet side by side
        • Arms forcefully pull apart and forcefully pull back together
        • This is made more difficult by standing with feet closer together or in a mini lunge or heel to toe