Meniscal Tears

meniscus

What’s up ? This is THE stephane ANDRE. With my training, I’m interested in biomechanics to avoid injuries. I read « Sport Medicine Media Guide » and I learned some good stuff.

Meniscus tear

meniscus tear

Meniscal tear is one of the most common knee injuries in athletes. This is caused after a contact injury or a traumatic twist. The meniscus is a wedge-shaped cartilage that provides a cushion in the medial and lateral portion of the knee joint and acts as a « shock absorber ». It’s located in the area of joints contact to prevent the bones rub between them because of the bodyweight. It’s hard and rubbery to help cushion the joints and keep the knees stable.

It’s important to also know that the meniscus helps to nourish the knee by facilitating the diffusion of joint fluid. With this injury, athletes can experience acute pain with a swelling and often a catching or locking sensation.

Diagnose

A meniscus injury can be diagnosed on the basis of the story that the patient provides and a physical examination of the knee.

An orthopedic surgeon my also use other techniques to further diagnose such as magnetic resonance imaging (MRI), which gives a 3-dimensional image of the inside of the knee joint. In some cases, a surgeon can perform an arthroscopic inspection of the articulation, this is a minimally invasive surgical procedure.

Treatment

knee brace

A small meniscus tear can be treated with rest, ice and anti-inflammatory medications. When a meniscus tear causes a significant loss of movement or catching, the appropriate treatment is often a surgical operation. Depending on the location and type of tear, the treatment may be a simple arthroscopy to remove the torn fragment. Depending on how quickly the inflammation disappears, athletes can return to a full activity after a week or months.

For athletes with a repairable tear, sutures are used to sew the meniscus. In this situation, the knee is braced for 6 weeks. These athletes take at least 3-6 months to back to their activities but maintain the full cushion in their knees.

Prevention

There is not really any way to prevent a meniscus tear apart from a conditioning program to try to prevent an acromioclavicular ligament (ACL) tear and knee instability.

Stats

Women have meniscus tears more often than men and at an earlier age. These tears are often associated with an acromioclavicular ligament injury (ACL)

There are some variables of meniscus tears can be repaired and despite repair, they aren’t always heal. But arthritis can be avoided in the majority of cases when repair is successful. One study shows that 60% of patients who undergo meniscectomy (partial elimination) had some degree of progressive arthritis.

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-Steph

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Broomstick Twists

broomstick twist

What’s up ? This is THE stephane ANDRE ! I read a Frederic Delavier’s book « Strength Training Anatomy » and I learned good stuff.

Standing with your legs apart and the stick placed on your trapezius above your posterior deltoids. Your hands are on the stick but don’t press on it :

Make a torso rotation on one side then the other, keeping your pelvis motionless with an isometric contraction of your glutes.

This exercise works when your right shoulder is forward : the right external oblique, left internal oblique and a little bit rectus abdominis, quadratus lumborum and extensor spinae on the left side.

For more intensity, it’s possible to slightly round your back. A variant is to do this movement sitting on a bench, which will block your pelvis and focus the effort on your abs.

seated broomstick twist

It’s with sets of several minutes that you get the best results.

Attention

Torso rotations are prohibited for people suffering from low back or having had a herniated disc as this may aggravate or resurgence of this lumbar pathology.

Share this article if you think it can help someone you know. Thank you.

-Steph

Incline Bench Sit-Ups

incline bench sit ups

I read a Frederic Delavier’s book « Strength Training Anatomy » and I learned good stuff.

Sitting on the bench with your feet under the pads and your hands behind your neck. Inhale and tilt your torso without ever exceeding 20° :

  • Move your torso back up by slightly rounding your back to better target the effort on recuts abdominis

 

  • Exhale at the end of the movement.

This exercise work the entire rectus abdominis muscles and iliopsoas, rectus femoris and tensor fasciae latae (these last 3 muscles help pelvis anteversion). This movement is to do with high sets.

Variant

incline bench sit ups

When you back up, you can do a rotation of your torso to transfer a part of the effort to the obliques.

Example

A rotation to the left work more intensely right abdominal external oblique, left abdominal internal oblique and rectus abdominis on the right. Twists can be done alternately or unilaterally. The goal is to focus on the muscular sensation and it’s unnecessary to incline the bench too much.

Diagram showing the senses of action of abdomen muscle and the system of viscera’s compression

action abdomen muscle system viscera compression

 

  1. Rectus abdominis

  2. Abdominal external oblique

  3. Abdominal internal oblique

  4. Transverse abdominal

With quadrupeds, the entire rectus abdominis muscles passively support the viscera (like a hammock ) and help a little in locomotion.

With human being in bipedal mode, the entire rectus abdominis muscles have hugely strengthened so that the torso and pelvis is upright and prevent the pelvis from tipping excessively during walking or running. They became powerful muscles of contention and they built a strong core to maintain viscera in an active way.

Share this article if you think it can help someone you kow. Thank you.

-Steph

Higher Level

higher level

June 1, I increased the level of my training program. I increased 4 kg (8.8 lbs) all exercises (except those which I couldn’t do 4 sets of 10 reps clean). Well do all of my sets with 6 repetitions.

Exercises I couldn’t do 4 sets of 10 repetitions clean, I kept the same weight and I do 5 sets of 6 reps to work well the techniques. For the rest, it’s 4 sets of 6 reps.

Squat and Romanian deadlift have a different periodization. Now I’m to 4 sets of 10 repetitions at 110 kg (242 lbs). I increased 2 repetitions.

higher level

34kg (74 lbs) for the dumbbells incline bench press, it changes many sensations, during 6 months I lifted the same weight. Every 2 months I added 2 reps, I was getting used to. What’s cool is that I can lift the weight alone, without help. 36kg (79 lbs) for dumbbells bench; 75kg (165 lbs) for one arm lat pulldown; 100kg (220 lbs) for one leg Leg Press; a dumbbell of 30kg (66 lbs) for the decline crunch and decline twist crunch .

I am happy with myself, I have prepared my body to be able to come there. What fun is that my training time is shorter and I feel I can do more but later in the day, I’m hits by a stronger fatigue than usual and there I told myself that I am trained. My body is being reorganized to adapt to this new training. I think I have to be careful with my sleeping hours to really recover.

Right now, I weigh 78kg (171 lbs) with a 8% bodyfat, I focus on my body symmetry, my body aesthetic. 2 last summers, I liked the walk without t-shirt in parks (show off, show off, show off) but this year I don’t want to do it. I want to improve my body as I do an update for a software. People tell me that my body is better than last summer but their compliments make me anything. I know my body can be better and I will.

higher level

It’s special now, the weather is fine, I wear T-shirt and when I hear people comment (wow, he is muscular, did you see his shoulders, etc.), it annoys me ! I’m a discret person, I have always been discreet. I’m not looking to have problems with someone, I do my stuff and I’m not talking. I had too many stories where jealous people broke my plans, that’s why I say nothing now.

When you work hard on a project, after a time you can’t hide because results are there and nobody can contest them, that’s what life is beautiful. I just need to get used to these comments and I simply ignores them. Knowing me, I’ll ignore them because the majority of people who say these comments have a worse physics than mine.

You want my advice, listen only people who are better than you in your domain. This is the only way to be better than yesterday and even become better than them. Being better than the person you admire, that’s motivation. Yeah, that’s what I want !

And you want ? Do you want to become better than people you admire ?

-Steph

Niveau Supérieur

higher level

Le 1 juin, j’ai augmenté le niveau de mon programme d’entraînement. J’ai augmenté de 4 kg (8.8 lbs) tous les exercices (sauf ceux où je n’arrivais pas à faire 4 séries de 10 reps propres). Ce qui fait que toutes mes séries sont à 6 répétitions.

Les exercices où je n’arrivais pas à faire 4 séries de 10 répétitions propres, j’ai gardé les même poids et je fais 5 séries de 6 répétitions pour bien travailler la techniques. Pour le reste, c’est 4 séries de 6 répétitions.

Le squat et le soulevé de terre roumain ont une périodisation différentes. Maintenant je suis à 4 séries de 10 répétions à 110 kg (242 lbs). J’ai augmenté de 2 répétitions.

higher level

Les haltères de 34kg (74 lbs) pour le développé couché incliné, ça change beaucoup les sensations, ça faisant 6 moins que je soulevais les mêmes poids. Tous les 2 mois j’augmentais de 2 répétitions, je commençais à être habitué. Ce qui est cool,c’est que j’arrive à soulevé les poids tout seul, sans aide. Les haltères de 36kg (79 lbs) pour le développé couché ; 75kg (165 lbs) pour le tirage poitrine à une main ; 100kg (220 lbs) pour le Leg Press à une jambe ; une haltère de 30kg (66 lbs) pour le crunch et le crunch twist décliné.

Je suis content de moi, j’ai bien préparé mon corps pour pouvoir y arrivé. Ce qui marrant, c’est que le temps de mon entraînement est plus court et j’ai l’impression de pouvoir en faire plus mais plus tard dans la journée, j’ai des coups de fatigue plus fortes que d’habitude et là je me dit que je me suis bien entraîné. Mon corps est en train de se réorganiser pour s’adapter à ce nouvelle entraînement. Je pense qu’il faut que je fasse attention à mes heures de sommeil pour vraiment récupérer.

En ce moment, je pèse 78kg avec un taux de graisse corporelle de 8 %, je me concentre sur la symétrie de me corps, l’esthétique de mon corps. Les 2 étés passé, j’aimais bien marché dans les parcs à torse nu (la frime, la frime, la frime) mais cette année, je n’ai pas envie de le faire. J’ai envie d’améliorer mon corps comme je fais une mise à jour pour un programme. Des gens me disent que mon corps est mieux que celui de l’été passé mais leurs compliments me font rien. Je sais que mon corps peut être mieux et je vais le faire.

higher level

C’est spécial, maintenant qu’il fait beau, je suis en T-shirt et quand j’entends les remarques des gens (wow, il est musclé, t’as vu ses épaules, etc.), ça m’énerve ! Je suis quelqu’un de discret, j’ai toujours été discret. Je cherche des problèmes à personne, je fais mes trucs et j’en parle pas. J’ai eu trop d’histoires où des jaloux ont cassé mes plans, c’est pour ça que je ne dis rien maintenant.

Quand tu travailles dur sur un projet, au bout d’un moment tu ne peux plus le cacher parce que les résultats sont là et personne ne peut les contester, c’est ça qui est beau avec la vie. Il faut juste que je m’habitue à ces commentaires ou que je les ignore tout simplement. Me connaissant, je vais les ignorer parce que la majorité des personnes qui disent ces commentaires ont un physique moins bien que mien.

Tu veux un conseil, écoute uniquement les personnes qui sont meilleurs que toi dans ton domaine. C’est le seul moyen pour être meilleur que hier et même devenir meilleur qu’eux. Etre meilleur que les personne que tu admire, ça c’est de la motivation. Ouais, c’est ce que je veux !

Et toi, tu veux devenir meilleur que les personnes que tu admires ?

-Steph