Achilles tendinopathy and plantar fasciitis Achilles tendinopathy and plantar fasciitis - Page 5

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Thread: Achilles tendinopathy and plantar fasciitis

  1. #41
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    • wichita falls texas december seminar 2020
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    That's always a good idea.

  2. #42
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    Quote Originally Posted by Shion View Post
    Oh no, not you, but my doctor did when I saw her this morning. I quote:

    -"So when you say long term, do you mean 3 months, 6 months, 2 years,..."

    -"For as long as you breathe."

    Time to look for second opinions?
    Oh, fuck yes.

    Please understand that coumadin (warfarin) is not a fun drug. It promotes bleeding and bruising, it interacts in interesting and practically unpredictable ways with other drugs (primarily through disturbances of protein binding in the serum), and it requires regular monitoring (which means regular blood draws to monitor prothrombin time and/or INR). The side effect profile is...notorious. You have to take it for a long time in the setting of venous thromboembolism, but unless you have a procoagulopathy, recurrent dvt, atrial fib or other well-defined underlying pathology mandating indefinite anticoagulation, a categorical decision that you'll be on it forever seems premature, to put it as politely as I can. (Even in such conditions, the NNT is high and the harm-benefit ratio is not super-groovy.) The therapy needs to be re-evaluated in 3-6 months, depending on your response to treatment, the suspected etiology of your thrombosis, and the results of other studies.

    See readings below disclaimer. Your doc has no business being categorical at this stage, unless she know something about your case I don't. Warfarin is a therapy, not a way of life.

    For fuck's sake, we're talking about rat poison here.

    -

    This post is intended for ejumacational and infotainment purposes only, and does not represent medical advice for any particular patient, disease, disorder, symptom or condition. It does not purport to represent the opinion of Wayne State University, the Detroit Medical Center, or any affiliated on nonaffiliated organization, institution, college, club, movement or militia. Rat poison should not be substituted for coumadin for economical or any other reasons, unless your insurance company sez so, in which case you're fucked. No doctor-patient relationship obtains. See your physician. Don't hit your head. Go to coumadin clinic. But remember that I'm not a real doctor. So don't get any big ideas. Rats can make great pets for the asocial, senile and stupid, unless you give them coumadin, in which case they just lay there.

    -

    http://jama.jamanetwork.com/article....ticleid=201376
    http://link.springer.com/article/10....0511790#page-1
    http://archinte.jamanetwork.com/arti...ticleid=215644
    http://www.gefaesse.at/download/7_ak...m_2011_BMJ.pdf
    http://www.nejm.org/doi/full/10.1056...99506223322501

  3. #43
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    Shion: Good to hear that you're ok after the embolism. That shit was definitely NOT overtraining. I'm on warfarin as well, but only for 3 months until the DVT is gone. Or at least that's the case unless blood work shows some genetic predisposal of any kind or any other underlying pathology. Standard treatment for DVT's here is 3 months of warfarin if the DVT is below the knee, 6 months if it's above the knee or in the upper body. From what I've read, DVT's below the knee are far less likely to break loose than DVT's above the knee.

    In Beau's case family members who were predisposed to blood clots were put on daily intake of aspirin, but they obviously hadn't developed a DVT yet so I guess that's really another kind of case. I reckon that's preferable to warfarin, at least after reading what Sully had to say about warfarin. I'd be interested to hear the second opinion if you do decide to get one.

  4. #44
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    I will bring this up with my GP and the specialist when I see her again. Thank you for your help and information and I'm sorry if I'm being annoying at this point, but what do you think of training while on this drug?

  5. #45
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    Quote Originally Posted by Shion View Post
    I will bring this up with my GP and the specialist when I see her again. Thank you for your help and information and I'm sorry if I'm being annoying at this point,
    Not at all.

    Quote Originally Posted by Shion View Post
    but what do you think of training while on this drug?
    I think I don't know fuckall about it. AFAIK, there's no literature on the topic, and I haven't trained on warfarin, nor have I trained anybody on warfarin. If it were me, I'd train, but I'm crazy and stupid and halfway to the grave already and I just don't give a fuck. My first thought is that a joint injury or a big muscle belly tear could get ugly in a real hurry.

    So...don't get a joint injury or a muscle belly tear.

    Really, I have no experience on this issue, and neither does your doctor. Perhaps Rip or Sqwt or somebody else has relevant experience. Which will be anecdotal. Perhaps you will do the experiment for us. (That is neither a request nor a recommendation, btw, just a statement of one possible timeline...)

    Do NOT drop the barbell on your head.

    This post is intended for ejumacational and infotainment purposes only, and does not represent medical advice for any particular patient, disease, disorder, symptom or condition. It does not purport to represent the opinion of Wayne State University, the Detroit Medical Center, or any affiliated on nonaffiliated organization, institution, college, club, movement or militia. Dropping the barbell on your head is of questionable utility even under ideal circumstances, but strictly prohibited in those on anticoagulant therapy, unless, you know, they really want to have an intracranial hemorrhage. It is your doctor you must see, and that doctor surely is not me. And so on.

  6. #46
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    Me not know either. I could have trained someone on warfarin and not have known it, but that does neither of us any good.

  7. #47
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    Don't take this as me telling you to train on warfarin.

    I trained on it for over 6 months. Everyone is correct, you will find no useful information about training on the drug. Partly because there's about 10 of us who have asked this question.

    I trained with a barbell as normal. I didn't worry about much other than hitting my head. I didn't think much about a muscle belly tear but if I had I would probably have trained any way. I mean, the alternative for me was not training for over 6 months.

  8. #48
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    Hmmmm. I'm in the same situation as Shion as far as the walfarin goes, at least for the next three months. Originally I thought I'd train more or less normally except avoiding squats and deadlifts because the affected leg is still somewhat swollen and achy around the lower calf. Not really painful anymore, just uncomfortable. Now I'm having second thoughts, though.

    Quote Originally Posted by Jonathon Sullivan View Post
    Really, I have no experience on this issue, and neither does your doctor. Perhaps Rip or Sqwt or somebody else has relevant experience. Which will be anecdotal. Perhaps you will do the experiment for us. (That is neither a request nor a recommendation, btw, just a statement of one possible timeline...)
    I did train this weekend, and that's the whole extent of my experience training on walfarin. I only did some chin-ups and light pressing and bench pressing, so not a normal workout at all. Even the light pressing aggrevated my leg for the next couple of days, but not by much.

    I got blood work done on monday and the area around elbow joint and lower bicep is bruised and surprisingly achy. Perphaps it's best not to stress the tissue in this area needlessly with chins and pressing, at least until the bruising subsides. I can see how any joint or muscle belly injury could get nasty.

    So right now I'm leaning towards taking a break from training, at least any serious barbell training. Damnit, I get cranky when I can't train. Maybe at least do some chins and pushups at home to stay active, those ought to be low risk, right? Or perhaps just maintaining the press. Some walking to keep the blood flowing and not sit on my ass. Damnit, I'm rambling now. Decisions decisions.

  9. #49
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    Ah fuck it, I'll train. I don't have a habit of dropping barbells on my head, so why start worrying about it now.

    Stupid question: When/how do muscle belly injuries typically happen with barbell training? My lifts are far from impressive, so the weights are moderate to say the least. So I got that going for me, eh?

  10. #50
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    starting strength coach development program
    They happen with ballistic movements. So don't sprint and don't do DE and you should be fine.

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