I got her a good (non-SSC) trainer. I had him do things like you did with Gus – stand up out of chair with out using hands, etc. She loved it. Then her arthritis started acting up. Sent me this email today:
"Just saw orthopedist. He gave me exercises and told me not to see trainer because exercising is activating arthritis under knee caps. I told him that on Saturday we only worked on upper body because of knee issues and now I couldn’t hold a coffee cup with one hand. He thought I should have figured out that these exercises weren't working for me. I will do the exercises he gave me to strengthen my knees. Also told me to take Aleve instead of Tylenol. Saying good bye to the trainer. That was my instinct. He also said that I should walk every day. Most important thing to do."
Now I agree that walking is incredibly important, and she needs to do more, but can you suggest any counterarguments to this ortho?
No, I can't. And neither can you. I'm sorry, but we lose this one. This is the way things are. It's tragic, and until her doctor grows the fuck up it will stay this way.
There are very few ways to respond other than to state that the doctor is completely talking out of his ass and knows absolutely nothing about barbell training. But as others have said, you're going to lose that argument every time. Because he has a medical degree, and you don't. And that medical degree gives him an automatic presumption of correctness even when he's talking about something that he has no experience with himself.
It's really bad that her doctor talked her out of a training program. But it also sounds like she was looking for a way out already. I have a hard time with this one, because I meet virtually zero patients who are willing to do what it takes to stop being in pain and start having a life that doesn't consist of cruising around the house like a toddler (cruising is what toddlers do when they first learn to walk - hanging on to things as they go. Old people start doing this when their strength starts to fade below a critical threshold that makes simply walking across the living room floor a terrifying experience for them). They all like to say that "doctors" can't figure out how to make them stop hurting. Maybe most can't, but my thought on that one is that I can tell you what would help, but you won't do it, so ...
This past December I injured myself while deadlifting, I let my ego get in the way and tried to lift more than I should have. The MRI results showed that I had a crack in the L4, L5 spinal columns. Not quite a spinal fracture, but still bad enough to cause some of the worst pain I've experienced. The doctor didn't seem to think too much of it and said I was cleared to do anything.
If you drop all exercises that involve spinal loading, you can't do barbell training and the spine will never have to adapt to being loaded. You'll have to decide.
I don't get this. Your lumbar spine is loaded just with walking around with your own upper body. Are not going to bend over anymore?
Training Wendy –Jeff Leonard
West Coast Impressions, a Random Journey, Pt II –Dr Ken Leistner
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