JLD: Left Posterior Knee Pain: Phase 2 (12-24-18)

Phase 2:

  • This week will will set up 2 categories
  • Sorry for the long explanation below, but believe me it is necessary
  • Below the explanations you will find your movements for the week with new ones in BOLD
    • Light movements that I call “Daily Sequence”
      • This is a sequence that is all about light movement and muscle activation
      • It is meant to improve mobility and possibly serve as a warm up, cool down, or a light sequence in the morning or at night to improve mobility
      • I will continue to give you some alternative options over the next few weeks to include in this sequence
      • The goal is to isolate 4-5 movements that you feel are most effective in moving parts of your body that are stiff/painful and feel that they improve mobility/stiffness
      • You will do one set of 10-20reps for each movement so this sequence should be very quick and user friendly
      • There is something called the “5 Tibetan Rites” that had a great impact on me
        • Basically, these monks for thousands of years did this sequence, some calling it “The Fountain of Youth”
        • I do not necessarily hand out the 5 rites, but I do believe that everyone should have their own personalized version of 5 movements that are not incredibly challenging, that move areas of their body that they do no move enough in their daily life
        • This sequence should be brief and take only 5-10 minutes at the most
        • I do my own 5 rite sequence before bed each night and I do it as a warm up pre workout/wrestling practice/jujitsu
    • Strength Circuits
      • These are meant to challenge you with the goal of creating fatigue or tension in muscle without overloading painful structures
      • Your goal with this is to feel muscle tension and hopefully fatigue
      • Each movement will have a time goal or a rep goal, once you achieve that goal with no negative side effects, you are ready for a new challenge
      • When your body fatigues, you may start to get pain and that is your cue to stop
      • Pay attention to what you feel later that day and the next day
        • Mild pain is alright as long as it goes back to baseline within 24 hours
        • If pain is more severe you have a couple options
          • 1) Ice right after to minimize inflammation
          • 2) Try to decrease the intensity of the exercise by not going through as much range of motion or not pushing so hard
            • In my mind, most exercises can be made painful or not painful by the way that you go about it
            • Example: If I give you a squat variation, there are many ways to decrease risk of pain
              • Don’t go as deep into the motion, do it slower, keep weight more on the heels, hold an isometric position squat without moving in whatever range is least painful, do only 2-5 reps
            • Have the mind set of getting through new exercises making it super easy just to find a safe zone…you can always increase the challenge from there
  • Daily Sequence: Complete everyday
    • Self Myofascial Release Options, press on any area that feels tender, especially if it is worse on the painful side
      • Focus on areas that feel more sensitive on the problem side
      • spend 30sec to 2 minutes on each tender spot as discussed in the video
      • Self MFR Quad/Hip Flexor VIDEO
      • Side Lying IT Band VIDEO
      • 38) Self MFR Ball Glute/Piriformis VIDEO
    • 113.1) Ball Hamstring Curl to Knee Extension VIDEO
      • Full active knee motion with very little pressure on the knee
    • 29.1) Prone to Supine Quad Stretch, Isometric, Active Motion VIDEO
      • One of my favorite quad mobilizations
      • This one has 3 parts so shoot for 10-15 for each part
    • Bridge Band Around Knees Progression VIDEO
      • Only bend the knees as much as comfortable
      • Goal is to feel pulling in the thigh with no significant pain
      • band is an option to reduce tension in lateral quad/knee
  • Strength Sequence: Complete every other day, if sore, wait until soreness completely goes back to baseline prior to completing it again which may require 2 day rest
    • First time through, try for just one set, if that goes well you can go through it 2x on strength day
    • Circuit #1
      • Bridge Progression Physio Ball Progression (Choose 1)
        • Goal is 8-20 reps…if you achieve 20 slowly then progress to next level and start at 8
        • 113) Isometric Co-activation Abdominal/Glute Phase 1 VIDEO
        • 114) Abdominal Control With Hamstring Curl Phase 2 VIDEO
        • 114.1) Straight Leg Bridge Gradual Integration of Bent Knee Phase 3 VIDEO
        • 115) Double Leg Bridge Phase 4 VIDEO
        • 117) Double Leg Bridge With Hamstring Curl Phase 5 VIDEO
        • 118) Single Leg Bridge Phase 6 VIDEO
        • 119) Single Leg Bridge With Hamstring Curl Phase 7 VIDEO
      • Heel Raise Progression at Wall (Choose 1)
        • 8-20 reps
        • 124) Double Leg Heel Raise Phase 1 VIDEO
        • 125) Double Concentric/Single Leg Eccentric Phase 2 VIDEO
        • 126) Single Leg Concentric/Eccentric Phase 3 VIDEO
    • Circuit #2
      • Leg Extension machine
        • I show with a band but same principles apply to machine
        • 8-20 reps
      • Sidelying Leg Raise Progression to a Stretch VIDEO
        • Make sure you feel this in the right place
        • Goal 8-20 reps
      • Hip Extension/Glute Max Progression(Choose 1)
        • Goal: 8-20 reps
        • Quadruped with Physio Ball Hip Extension VIDEO
        • Hip Extension Over Table/Bed VIDEO