Home Page › Forums › Boater Board › Looks like no or limited paddling for me this season. › Re: know your stuff, eh…
You obviously know your stuff when it comes to health and anatomy…
However, I’ve had several partial tears that are stonger now than they were before the tear. They’ve included my left hamstring (biceps femoris), and right quadricep (rectus femoris), one from climbing, and the other from rugby.
Granted, I still get some stiffness from the scar tissue, especially in the hamstring….
I’ve heard of people building stability to where it’s better than before an injury when it comes to ACL, MCL, etc, too!
I haven’t the foggiest idea what the labrum is… My anatomy ain’t that good ” title=”Confused” />
But I think people can be more than 100% better after an injury if they put their mind to it (including full tears reconnected through surgery). It just depends on what 100% was
**Disclaimer**, just in case some of you are thinking I’m going into to much detail on this please note that I am in school studying this stuff and actually have exams to write regarding this material. This is great review for myself.
I partially agree on the “building stability” statement but it’s more complicated than what you might think. I am going to surmise that when you say “stability” you mean strengthening the muscles that surround the joint. Yes, you can build “more” stability in a joint through strengthening the muscles that cross that joint. This is especially true when the muscles in the first place were weak or “overworked” which is the case with most weekend warriors. Most people out there, are not “proactive” in their approach to sport (i.e. weekend warriors that kayak and also go the gym to train their rotator cuff muscles to prevent injury), they are reactive and pursue remedial exercise (improve the joint’s stability) once they have injured it up because they either A. subjected their joints to excessive wear and tear or B. experienced some kind of trauma (like Collin) or C. some other pathology became involved outside of their control (e.g. arthritis which actually might be a result of their own doing too). Something to keep in mind is that in addition to moving the bones, muscles also act as “shock absorbers” for the joints. In this day and age of sport, competition and plain old border line “obsessive compulsive behavior” people place enormous, specialized demands on the body for extended periods of time (for which it was not designed to do). At some point, something usually gives (e.g. your hamstring tear)…. especially if people do not properly rest or pro-actively train (which means weight training + proper stretching + “movement” training). So, to summarize, yes you can build “stability” with muscle training but guess what happens when those muscles are “overworked” and become fatigued? The good ol’ ligaments (ACL for example) that kick in to help prevent “excessive” movement start doing there job but since they are compromised (because of previous injury and the resultant scar tissue, more on this next paragraph), they are MORE prone to re-injury than before (unless the person is wearing some kind of supportive brace).
Regarding your statement “I’ve had several partial tears that are stronger now than they were before the tear”, please read the next sentence carefully. This is totally incorrect and a complete [b:1du3s9o6]fallacy[/b:1du3s9o6], you are subjecting yourself to [b:1du3s9o6]re-injury [/b:1du3s9o6]by believing this. Do some research and you will find muscle tissue is not “stronger” after being “torn” (more proper terminology is “strain” in case you decide to look this up). In fact, after inflammation and the healing process has resolved, the resultant scar tissue in that area is [b:1du3s9o6]weaker[/b:1du3s9o6] than the tissue it has replaced (btw…this applies not only to muscle but also tendons & ligaments). [b:1du3s9o6]If you are lucky[/b:1du3s9o6], it will reach 80% of the “strength” of the original muscular/contractile tissue. Moreover, scar tissue is a lot [b:1du3s9o6]less extensible/elastic [/b:1du3s9o6]than muscular tissue. Your false sense of “stronger” tissue is probably in my guess a result of the [b:1du3s9o6]decreased range of motion [/b:1du3s9o6] in the joints and/or resistance to certain actions associated with those muscles with scar tissue (for example, you may experience more resistance now when you go to do the classic “toe touch” stretch for your biceps femoris aka hams??? Or perhaps during sprinting, you may feel “resistance” in your hamstrings or quads and interpreting this as “strength”. I’m curious, so please let me know what your signs/symptoms are.
All is not lost though, scar tissue can be manipulated by experienced professionals (for example massage therapists) if it is indeed limiting your ROM (range of motion) in a joint….it is not a fun or enjoyable experience though, in fact it is usually painful. However, scar tissue can be manipulated so that it’s extensibility is increased. Even functional strength might be able to be improved with certain sophisticated, “hands on” techniques that require no specialized tools or surgery. Be aware though that not much empirical evidence has been done in this regard (or much at all with true “clinical” massage therapy) but there is plenty of anecdotal evidence to back it up. I also speak from professional & personal experience in this regard.