Do Not Give Up Your Favorite Sport! (Vol. 1-6 )
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About this ebook
This book contains the 6 previously published texts: Shoulder dislocation (Vol. 1); Meniscus lesions of the knee (Vol. 2); Tendon problems (Vol. 3); Ligament injuries (Vol. 4); Spine topic (Vol. 5), and Aging (Vol. 6).
Remaining active and exercising throughout life is essential for one's health. Sport is one solution, but many people abandon it, because of trivial problems. Solutions are proposed by many specialists, but my booklets are depicting less common facets of those injuries. Resorting to unconventional therapies, like the ones I describe, is sometimes last chance.
Constantin Panow
Born 1955, in Sofia, Bulgaria.Swiss citizen since 1981.MD 1983.General practitioner FMH 1989.Radiologist FMH 1995.Neuroradiologist FMH 1998.Married, two grown-up children.Calisthenics enthusiast;Interested in natural healing potential of the human body;And new health projects.Retired 2020.
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Do Not Give Up Your Favorite Sport! (Vol. 1-6 ) - Constantin Panow
The author and publisher decline responsibility about any injury or deleterious effect that could result from misinterpretation or wrong understanding and application of this text.
Consult with your physician before starting any training program!
Volume 1
Do not give up your favorite sport for a shoulder dislocation!
Any part of the body trained appropriately, with consistency, ages slower, and keeps its plasticity and function better and longer, than parts which are not used
Hippocrates (460-370BC)
Key words
Shoulder dislocation; therapy of shoulder dislocation; shoulder instability; treatment of shoulder instability; habitual dislocation of shoulder.
Personal history
It was a long time ago I had my first shoulder dislocation.
It was while skiing, back 1976.
After that, it continued happening, and I had to give up almost all sports, which I was practicing.
This philosophy didn't make it better, it became even worse with years.
After several decades I could feel my shoulder dislocate even when my wife would hold me by the hand.
As a treatment, conventional medicine proposes several stabilizing operative procedures.
One way or the other, I didn't choose this option.
The first idea
Then, a few years ago I started a calisthenics program.
I thought at that time:
If it doesn't help, it couldn't make it worse!
I was so accustomed to having my shoulder out of the socket, that I was used to think:
Some pain from time to time belongs to life!
It didn't last more than 4 to 6 months, and I was amazed my shoulder was doing much better.
It wouldn't tend to dislocate any more when I was holding hands with my darling.
After less than one year, it was completely stable.
So, if you, like me, are not eager to be operated, there is a solution.
Progressive calisthenics don't cure only habitual shoulder dislocation.
Other shoulder injuries are also amenable to improvement or healing.
Be it pain or shoulder instability, they can be both improved or cured by this treatment.
The only factor to consider is:
Do you like exercise?
Would you like calisthenics?
But calisthenics is not the only activity you can aim at.
It prepares your shoulder for other sports too.
Is this method amenable to Olympic weight lifting also?
Treatment options
The main parameter which needs to be highlighted here is time.
An operation by an orthopedic surgeon aims at changing your shoulder anatomy, in order to make it stable again.
But here also, you must implement time to provide healing and make the surgical construction viable and efficient.
If you are a professional in sports, it would mean an interruption of at least 6 months.
Consult your orthopedic surgeon!
Experimental method
With my method, it's your body that promotes the change, and it takes usually longer.
It depends essentially how old your injury is.
In the case of habitual shoulder dislocation, we have a rupture of the middle gleno-humeral ligament. (Anterior- inferior type of dislocation)
The shoulder, being a diarthrodial joint;
That is a joint with a very big angle of free motion;
It needs very potent restraints in some directions of movement.
These restraints are thick cords of collagen, called ligaments, which thicken tremendously the articular capsule.
If your injury is recent, a rest of the joint of 2 weeks is warranted to resorb bleeding in the joint.
After that, you can start with your calisthenics program.
In the case of an older lesion, the middle gleno-humeral ligament has completely resorbed, as it was no more useful in any movement.
Result is complete atrophy of that structure.
As in my case, strengthening of the joint capsule would need to reconstruct out of nothing a similar anatomy.
This would take necessarily much more time in the stabilizing process.
When the ligament still exists, the gap is filled with scar tissue, and the middle gleno-humeral ligament continues to contribute to joint stability.
This would mean a shorter healing process in cases of first dislocation.
As to the labrum of shoulder joint, which is part of its cup, the so-called glenoid;
This structure can be injured in two different ways:
One consists of a bone lesion or fracture, so-called Bankart lesion;
The second, much more common, or the usual type, is only a rupture, or rather an avulsion of the cartilage rim.
(This happens on the lower anterior edge of glenoid, for the most typical antero-inferior type of shoulder dislocation).
The bone type, or fracture heals without leaving any kind of instability, and is out of the scope of this short text.
As to the second one, much more common, or the usual type, it ends in instability-
Because cartilage lesions do not heal the usual way.
Indeed, if fracture of a bone needs stabilization, usually with a cast in extremities, to unite, that is to consolidate;
This is not so for cartilage breaks.
Immobilization does not have the same effect on this kind of structure.
Owing probably to lower metabolism of cartilage, depicted by much less nourishing vessels;
Such a structure, being rib cartilage, or any other part of the body with similar composition, it rather needs to be subjected to loading in order to heal, or unite again.
As you would understand the mechanics of it, this kind of treatment should have rather a static character, and should not imply any excessive shearing motion as such.
As to practical examples of this principle of healing cartilage, I could witness it several times in my career:
Healing of cartilage labrum of the hip joint (Acetabular labrum).
Reunion of broken rib cartilage. Etc…
The program
Why calisthenics?
Use of bodyweight exercises limits the strain to which the joint is subjected.
- As opposed to free weights.
It needs a few weeks or months till the joint adapts with thickening and strengthening of its capsule.
When you go with this philosophy from two- arm movements to one- arm movements, instability ensues again.
As with all biological systems, you have one effect till a certain load, and the opposite with higher loads. (See Vol. 5)
Thus gentle loads with calisthenics induce apposition of more ligament fibers in the joint capsule.
Going beyond a certain point, there is an opposite effect;
Instead of tightening of articular capsule, you end up with loosening of this structure;
Probably owing to more fibers being ruptured in the process, than the system can replace.
This point is certainly true for weight lifting, as there is no limit to weight that you can put on your bar.
Draw backs in Calisthenics
But, this is also true for Calisthenics, in certain conditions.
Up- grading from two-arm movements to one-arm movements, and depending on your body weight;
Such a training, if exclusively done with this method, supposes loads exceeding joint adaptation capability.
For practical purposes, I propose you to refer to long time practitioners of Calisthenics, with proved results.
Proven specialists are highly critical towards philosophy of one-arm movements, as towards free weights.
I would propose you to refer to experience substantiated by practitioners like Johnny Grube and Herschel Walker.
They both do not use one-arm movements