Something that “feels” inflamed is usually not inflamed.
Those are just symptoms and signals from your body that you are interpreting as inflammation.
Joints and tissues creating symptomatic inflammation is not as common as you’d think.
A loss of motion can be from a soft tissue restriction, a joint derangement, a joint articular dysfunction.
All three of these conditions are significantly different in how much pain to push into, the type of stretch to do, and the speediness of improvement.
If you have a big shot of pain upon rising after sitting for a long time, there is a BIG chance that you are dealing nerve/lumbar pain, not leg or hip pain.
Tightness Sensation ≠ Loss of Mobility
If something feels tight, that is a sensation, not a loss of motion.
Many times stretching into “tight” directions won’t resolve the issue and can sometimes actually make the tightness worse in the long run.
Most PTs go into PT with a passion to help people and a hunger for knowledge.
The system chews up PTs through a focus on quantity VS quality.
We end up with a bunch of zombie clinicians who are under slept and overworked with the expectations to change people’s lives.
You can get pain free relatively quickly in many cases, but getting back to full activities, exercising without pain, and preventing a recurrence usually requires extensive habit changes with lifestyle, strength training, and general health changes.
You are with your PT one hour a week, which leaves 167 hours for the rest of the week.
If you rely on that one hour to fix all your issues and you’re not mobilizing and strengthening at home, you will most likely will not see improvements. At best, you may be able to maintain.
Tip for consistent workouts: Don’t judge your motivation.
If looking good for your upcoming trip or event gets you into the gym, then who care about the “why”.
You’ll still get the other psychological, cardiovascular, and musculoskeletal benefits no matter your motivation.
Mobility needs to be dosed like strengthening.
Keep in mind intensity, duration, frequency.
We also want to think about balancing our stretches in all directions to keep our joints healthy and unobstructed.
When the disc moves in the spine, so does facet joints, joint capsules, ligaments, muscles, tendons, fascia, bones, synovial fluid, nerves, even the segments above and below.
The disc model is good at explaining a lot of spine pain, but it's much more complex than one tissue.
Physical Therapy is beyond just physical stimulus.
Soft tissue work, cupping, joint mobilizations and manipulations, activation exercises, facilitation, these are all just different ways of providing stimuli to the nervous system to influence change on the complex system.