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BeyondLowCarb  |  Exercise  |  General Exercise Discussion  |  Topic: Posterior chain exercises to work around a groin pull 0 Members and 1 Guest are viewing this topic. « previous next »
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RedSpikeyThing
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« on: March 05, 2010, 04:36:22 pm »

Hey all I've been having some issues with a nagging groin injury.  It started when I was deadlifting (conventional) for a new max.  I pulled 440 and also pulled my groin.  I didn't deadlift for a few weeks, but continued squatting heavy with little/no pain.  I tried DLing heavy but reinjured my groin on a 420 attempted. 

Fast forward to today and I DLed 340 for 11 with no pain whatsoever.  I went to do good mornings after and my groin started screaming with 65 lbs.

Since I can deadlift and squat I'm not too concerned about the injury.  I would, however, like some free weight exercises that I can use to replace good mornings.  Some advice on how to deal with this would be great too.

Thanks!
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Johnny Retardo
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« Reply #1 on: March 05, 2010, 04:41:08 pm »

Wait till you have no pain at all.  Then wait 2 weeks after that and begin slowly.  Most people go right back in once the pain is gone and reinjure it.
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« Reply #2 on: March 16, 2010, 09:55:08 pm »

reverse hyper-extensions, ham/glute raise, stiff-leg deadlift, pull-throughs,

and try varying your stance on good mornings.
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RedSpikeyThing
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« Reply #3 on: March 17, 2010, 07:23:50 am »

Sorry, forgot I posed this thread.

Wait till you have no pain at all.  Then wait 2 weeks after that and begin slowly.  Most people go right back in once the pain is gone and reinjure it.
That's a good point.  I've been avoiding exercises that hurt, but continuing with squats and deadlifts.

reverse hyper-extensions, ham/glute raise, stiff-leg deadlift, pull-throughs,

and try varying your stance on good mornings.
sweet, I forgot about reverse hypers.  I've tried a couple different stances for GMs but no dice Sad
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jsully
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« Reply #4 on: March 17, 2010, 09:58:45 am »

Wait till you have no pain at all. Then wait 2 weeks after that and begin slowly. Most people go right back in once the pain is gone and reinjure it.
I think this is the single best piece of advcie I've ever seen Johnny give..

I reinjured my hamstring 3 times because I went backinto it when I didn't feel any pain. I ended up taking 6 solid weeks off and have spend the last 3 weeks building back up to where I was, which I'm still a bit off from..
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« Reply #5 on: March 17, 2010, 02:54:30 pm »

You should give the Bill Starr Rehab protocol a try:

Quote
Here is the tried-and-true injury rehab method for muscle-belly injuries we got from Starr and that has worked for years better than any other method I've ever used. THIS METHOD WAS SPECIFICALLY DEVELOPED FOR MUSCLE BELLY INJURIES, AND DOES NOT WORK FOR TENDINITIS, JOINT CAPSULE INJURIES, TENDON OR LIGAMENT RUPTURES, OR INFECTIOUS DISEASE. Wait 3-4 days until the pain starts to "blur",which indicates that the immediate process of healing has stopped the bleeding and has started to repair the tissue. Then use an exercise that directly works the injury, i.e. that makes it hurt, in this case the squat. Use the empty bar and do 3 sets of 25 with perfect form, allowing yourself NO favoring the injured side. If it's ready to rehab you will know by the pain: if the pain increases during the set, it's not ready, if it stays the same or feels a little better toward the end of the set, it is ready to work.

The NEXT DAY do it again, and add a small amount of weight, like 45 x 25 x 2 , 55 x 25. Next day, 45 x 25, 55 x 25, 65 x 25. Continue adding weight every day, increasing as much as you can tolerate each workout. It will hurt, and it's supposed to hurt, but you should be able to tell the difference between rehab pain and re-injury. If you can't, you will figure it out soon enough. This method works by flushing blood through the injury while forcing the tissue to reorganize in its normal pattern of contractile architecture.

After 10 days of 25s, go up in weight and down in reps to 15s, then to 10s, and finally to fives. During this time do NO OTHER HEAVY WORK, so that your resources can focus on the injury. You should be fixed in about 2 weeks, squatting more than you hurt yourself with.

This method has the advantage of preventing scar formation in the muscle belly, since the muscle is forced to heal in the context of work and normal contraction, using the movement pattern it normally uses. The important points are 1.) perfect form with 2.) light weights that can be handled for high reps, 3.) every day for two weeks, and 4.) no other heavy work that will interfere with the system-wide processes of healing the tear.

It is also very important through the whole process of healing the injury that ice be used, during the initial phase after the injury and after the workouts. Use it 20 on/20 off, many times a day at first and then tapering off to morning, after the workout, and before bed. Ice is your best friend in a muscle belly injury, holding down inflammation and fluid accumulation ("swelling") while at the same time increasing beneficial blood flow through the injury. But DO NOT USE ICE MORE THAN 20 MINUTES AT A TIME. More than that can cause more damage than it repairs.

This may actually be the most MISUNDERSTOOD post on this entire little forum of mine, and if you use this method exactly you can save yourself many weeks of lost training and long-term problems with muscle-belly scarring. Try it and see.

http://www.startingstrength.com/resources/forum/showthread.php?t=7351
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jsully
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« Reply #6 on: March 17, 2010, 04:41:11 pm »

where was that when I pulled my hammy in november..

ugh
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RedSpikeyThing
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« Reply #7 on: March 18, 2010, 08:25:06 am »

You should give the Bill Starr Rehab protocol a try:
Bookmarked.  Thanks for the link.  When he says no other heavy work, does he mean for the affected area, or  at all?  I can bench and overhead press without any issues.
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« Reply #8 on: March 18, 2010, 09:55:43 am »

I think he means for the affected area.  Other heavy lifting should be fine.
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RedSpikeyThing
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« Reply #9 on: March 18, 2010, 03:49:02 pm »

I think he means for the affected area.  Other heavy lifting should be fine.
Thanks.  That's what I thought.

I started with this today and did 3 sets of 25 good mornings with the bar.  There's discomfort, but no pain.  I'll be carrying on with it for a couple weeks Smiley
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« Reply #10 on: May 08, 2010, 01:15:53 pm »

Every time I had to do rehab, PT had me do high rep sets of like 15 for free weights and between 20-40 reps on every machine-based exercise. Only when I'd be able to do more than 40 was I allowed to increase weight.. worked like a charm.
Good for blood flow & healing injuries.
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