Inspirational Ivy II - Beating Foot Drop and Sciatica, and Getting Healthier
Wednesday, August 29, 2007
Jolie Bookspan, M.Ed, PhD, FAWM
Ivy had serious sciatica with foot drop. She had knee and other injuries. She was in awful pain. In this kind of foot drop, the nerve cannot serve the muscles enough to lift the foot to walk normally. The toes drag. The foot hangs limply and slaps the ground with each step.
Commonly, someone with foot drop is put in a leg brace for life. One surgery done for foot-drop fuses the ankle so the foot is rigid and doesn't hang. Other problems come over years from changes in walking mechanics. For the terrible pain, patients are often directed to drugs and surgery. These are not healthy.
We changed that:
- Monday's post Inspirational Ivy told the essentials of stopping the cause of the sciatic pain and nerve impingement, rather than treat the results with unhealthy means. Links to specific methods are there.
- Sciatica, disc damage, facet pain, and impingement are results, not the cause of pain. They are not a diagnosis. When you have them, find what is causing them. Then you can reverse the cause: The Cause of Disc and Back Pain
- The post How Often Should You Be Healthy? explains when and how to apply it.
"Over the past few days, I have been very conscious of my movements and, hey presto, I have not experienced any tingling or pain. I have to take total responsibility for every movement I make. I am constantly telling myself 'Think before you go to the fridge or need to pick up something off the floor - think lunges.'"I gave her simple gait retraining. Ivy quickly discarded the cane she had used for nearly 7 months.
Ivy went on to teach several neighbors in her community how to fix their own pain. One story is posted in Each One Teach One.
In April 2006, Ivy wrote,
"It is nearly 5 months since I started your wonderful programme so I thought it was time that I gave you an update. I am fit and well, the sciatica has disappeared, if I get a little niggle in that area, I ask myself as to what have I done wrong, my left knee (IT Band) is no longer a problem, my balance has improved immensely and the "dropped" foot is great, in fact, when I go for my daily walk, I no longer hear the plop, plop of which I hated. I can also now wear "normal" shoes.
"Without your help and support and putting me on the right road so to speak, I would still be in constant pain plus making the chiropractor richer. Please note, I no longer go to him for treatment - I DON'T NEED HIM."
At age 70, Ivy is steadily improving strength and range of motion using healthy movement for daily life. She is eating healthful vegetarian food. January 2007 brought this note:
"The reason for this e-mail being that I feel somewhat excited re a remark made by the son of one of my fellow villagers. His very words being, "How did you become the woman that you are now. I have watched you over the past couple of years - when I first met you, you were obviously in a lot of pain, what is your secret?"
"I also sent the photos to my son and daughter-in-law who live in the US, they too, could see the improvement - they thought I looked great. Mind you, over that 2 year period, I gradually lost 20 lbs."
What about Ivy's e-mail that I mentioned in the last post about the new hip stretch? I'm out of room again. Watch for the next post - Good Life Works Better Than Bad Ab Exercise.
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Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail" (under trumpet) upper right.
For answers to personal medical questions - Replies to Medical Questions. Limited Class spaces for personal evaluation. Top students may apply to certify through DrBookspan.com/Academy. See Dr. Bookspan's Books.
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Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail" (under trumpet) upper right.
For answers to personal medical questions - Replies to Medical Questions. Limited Class spaces for personal evaluation. Top students may apply to certify through DrBookspan.com/Academy. See Dr. Bookspan's Books.
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Photo of "milagro" (miracle) by Daquella manera
Labels: disc, facet joints, feet, fix pain, footdrop/dropfoot, gait, iliotibial band, injury, knee, lunge, nutrition, readers inspiring story, sciatica, shoes, spirit, squat
16 Comments:
At Monday, September 03, 2007 5:42:00 PM, Anonymous said…
Dear Jolie,
I have had problems with my lower back since long time ago when a placed my young son who was sleeping into an upper bunk bed.
I do not like to go to Doctors appointments so I somehow let things get over by themselves. Recently (3 years ago) my problems increased and I had some back spasms that drove me into an Orthopedic Doctor office for treatment (drugs). I was able to recover in a matter of weeks and then have some other events every 7 or 8 months.
They wanted me to take a MRI to see how was my back, as they could not see anything clear from my x rays, but I always refuse because I thought they would tell me that I needed a surgery and I am afraid of that.
I came up with your books in the net and bought most of them (regarding exercises, stretches and bending) to try fixing my back problems and I even lost 40 pounds during the last year.
Maybe I have not been a good student because I have ended up with a bigger problem. We are going to a new sport Club near our house and I started playing tennis with my kids and wife but I notice that my back was hurting afterward in a little different way. I kept doing my 30 min walk on a treadmill and a 22 min static bike during the week. I did this for two weeks and then thought I would stop playing tennis and I would only swim. That day at night my back was hurting even more than the other days up to the point that I could not sleep with a lot of pain in my right leg. In the past I suffered sciatica on my left leg and now it was the other one.
Next day (Sunday) I asked my wife to take me to a near hospital as I could not take the pain, they gave some drugs and sent home, on Monday I went to see this doctor that told me to take a MRI and yesterday he told me that I have two herniated discs
The old injury is between L5–S1 to the left and it is somehow small but the new one is between L4–L5 and the doctor says this one is big even affecting the spine cord thru he yellow ligaments and in his opinion this one will not recover with traditional treatment (drugs).
I have not been able to walk for a week, as soon as I get up and walk the pain on my right thigh and knee is so great that I have to seat immediately. The doctor says he has to take off the discs but after reading a lot I am even more afraid to do it, so I have given me another ten day treatment with drugs to see if a start recovering to be able to start your exercise program and learning new posture techniques.
I have tried to start with the prop low on elbows (face down) before getting out of bed (pages 69¬–71 on Fix your own pain). But this hurts a little on my lower back and right thigh as I have been bending my legs (lying face up) because I could get some pain relief in this position; my hips are a little tight. Then if I try the pectoral and trapezius stretch I cannot hold my self too long standing up.
I do believe I can recovered and avoid the surgery, also I feel inspired after reading the post Inspirational Ivy. I just ask you to give me some additional advice to start my recovery.
Sorry for my English, I hope you can answer back and understand what I have posted here
Best regards
Fernando from Mexico City
At Tuesday, September 04, 2007 3:32:00 PM, Jolie Bookspan, M.Ed, PhD, FAWM said…
Ay Fernando, sorry you're going through this. Let's see about fixing it quickly. Following are a few quick things and links, then e-mail me and we'll make sure we got everything.
It is common to do good exercises then go back to old habits that harm discs - bad hamstring stretches ( Sitting Badly Isn't Magically Healthy by Calling It a Hamstring Stretch), abdominal crunches and other forward bending exercises, bad sitting on a bike, and other exercises popular in gyms ( Is Bad Martial Arts Good Exercise? with helpful comments from Kip showing continued improvement and Common Exercises Teach Bad Bending). Then bad bending around the house harms discs more. Doing "back exercises" is not what fixes the back - instead look at how you move during all you do. Then you won't have repeated events, as you mentioned. See pages 56-60 in the Fix Pain book.
Good work finding my books and losing 40 pounds. If you can do that, you can fix this. You mentioned a few things that give me clues that you may have added something else. With regular disc pain, most people cannot sit; it hurts more. With overarching the lower back, pain is common after doing things standing - the different pain you mentioned after tennis. People sit for relief. Good that you did the 'face down' before getting out of bed. This should reduce disc pain right then. If it hurts, usually it is from overarching the lower back. Bending your leg up reduces this. Probably why the pain reduces. In the Fix Pain book, page 100 (stenosis paragraph) explains why overarching adds to disc pain and what to do. Page 73 shows overarching when lifting a child overhead - as you mentioned lifting to the top bunk. The overarching (hyperlordosis) problem is often overlooked in disc pain. People unfortunately have surgery to remove the disc, but return to overarching and pain.
Getting an MRI or other test never means you have to do anything. A disc showing on MRI does not always mean it is what is hurting (important to know) or that you need surgery. An x-ray or MRI or blood test is just to get part of the information. You have choice. Discs heal. You do not have to rush into *any* treatment that you do not like or want.
Your English is great. If you prefer, I have several native Spanish speaking patients who got better using this. I can ask them if you can contact them to compare notes on how to use my method right. Long ago, I lived in Guerrero, south of you in D.F. and enjoyed living my life in Spanish, a fun language. After a cart ran over my foot, the clinic x-ray handed me la factura ('the invoice' for non-Spanish readers). In the noisy clinic, I heard fractura (that my foot was broken). They never saw someone so disappointed at a bill before. Let's get you better so you can laugh at long-healed discs. Sin factura.
At Thursday, August 28, 2008 1:39:00 PM, Unknown said…
Dear Jolie
I seem to have exactly the same symptoms as Ivy - I have your books and am reading the website avidly. What gait retraining did you suggest for Ivy? The specialist orthopedic surgeon I was referred to fortunately said he would not operate and my subsequent follow up visit has resulted in him telling me to go away as I am no longer in pain although I still have no dorsiflexion . If in a year I still have drop foot I should discuss again with my doctor. Not very helpful.
I will continue to bend with my knees and try and lengthen my hamstrings etc while I wait to hear how to retrain my gait.
Thankyou for the wonderful work you have done putting this web-site together
Best Wishes from England
Sylvia
At Thursday, August 28, 2008 10:46:00 PM, Anonymous said…
Dear Sylvia
I understand your concern re your dropped foot. Dr Jolie advised me to do the Archilles Wall stretch which is featured on page 261 of her book "How to fix your own pain without drugs or surgery." I had great success with this stretch along with stretching my hamstrings which I would do up against the wall between a doorway. My hamstrings, particularly on what I will call the "sciatica leg" was very, very tight, in fact, at first it was so painful and seemed impossible to do. You must be patient, remember, Rome was not built in a day - just persevere and you will get a positive result. I, personally, did these stretches twice a day EVERY day. I wish you every success Sylvia.
At Friday, August 29, 2008 5:44:00 PM, Anonymous said…
Dear Sylvia -
Alpolgies I forgot to mention that you lift your toes when walking. Tapping your toes to music is also helpful. I found that my big toe was very weak - to strengthen it, I would put pressure on it with my finger then have the toe TRY to push back. Does this make sense?
At Sunday, August 31, 2008 1:56:00 PM, Unknown said…
Dear Ivy
Thankyou for your reply. I have the book and wall ready to go - my efforts so far are not very impressive and yes it hurts to do the stretch but now I have heard from you I know it is not impossible and will strive to keep at it
Kind regards
Sylvia
At Saturday, September 06, 2008 4:24:00 PM, Unknown said…
Dear Ivy
That is very interesting. I have been experimenting with different walks - toes first on both feet which makes less flapping sound but I realised this is not helping, but just disguising the condition. I am trying to lift the toes as you suggest - but not quite getting it yet. I must look very funny !
Heel walking is still very difficult and my big toe, like you experienced, is still very weak. I am tapping to any and every type of music now and will try the resistance routine. Unfortunately I am still getting muscle cramps in my legs and hope that the leg stretches will improve the spasaming. Then I'll be able to reach my toe more easily with my finger without cramping up
Thankyou again for adding more advice
Best wishes
Sylvia
At Tuesday, September 09, 2008 11:51:00 PM, Ivy - New Zealand said…
Dear Sylvia
Re your big toe - it took a very long time for my big toe to get back to what I will call "normal." Even now, after all this time, I can still get that numb feeling. I often walk around my unit bare foot and up on my toes. Do give it a try. As I said in an earlier comment, be patient and keep on with what you are doing. You will get there in the end. You know what they say "patience is virtue."
Regards
At Wednesday, September 10, 2008 2:44:00 PM, Ivy - New Zealand said…
Dear Sylvia
Another litle exercise. On a regular basis, I wriggle and spread my toes. If you prefer, you can do this while sitting.
"Keep on keeping on, you WILL get there in the end."
At Tuesday, September 23, 2008 5:42:00 PM, Jolie Bookspan, M.Ed, PhD, FAWM said…
Sylvia, Keep heart. Two main things in addressing foot-drop - most important is to stop the cause. If something is pressing on the nerve, making it unable to send good signals to your foot, just find out why and stop adding to the source of it. The "specialist orthopedic" guy you mentioned should have supplied some info. For example if it is a disc, then we stop the reasons for discs pressing outward, such as bad bending and sitting, and use good bending and sitting instead. If it is slouching so that you have too much inward curve of the lower spine, and that is pressing on the nerve, or it pushes the disc which then pushes the nerve, then you stop that habit, so it can heal. Stop the source. Surgery is not necessary. This is explained more in the post Cauda Equina - Result Not Cause.
Once you stop adding to the trouble, the second main thing is using the foot and leg in fun ways, and retraining it to strengthen and move normally again. You have friends here. Ivy writes updates where she keeps getting better and doing new things. We hope you will too.
At Wednesday, October 01, 2008 4:44:00 PM, Unknown said…
Hi Jolie and Ivy
I really appreciate your support and enthusiasm. My badly herniated disc obviously impinged on the nerve causing the nerve damage.I know this is from years of bad posture .
I have come a long way already but not too far in the lunging and balance areas yet.
At the weekend I was seen to be dancing at my son's wedding and I realised that non-one would believe I am usually slapping along.
Instead of wearing my usual flat shoes or bare feet I had some new ankle strap 2 inch heel sandals for the event. The strap helps to keep the shoe on and the height of the heel was just right to keep me on my toes ! So I have decided to find a dance class to supplement my pool and land exercises as I have rediscovered I love dancing !
I am going to Florida for a couple of months and should be able to find some dance action there. I'm going to try and toe walk on the sandy beach too.
In the meantime I will keep on trying to change my bad postural habits!
Best wishes
Sylvia
At Friday, October 10, 2008 9:07:00 AM, Ivy - New Zealand said…
Dear Sylvia
Good for you Sylvia. Enjoy your dancing and have fun. From my experience, I found the foot drop took a very long time to come right. It is now nearly 4 years since I had that first sciatica attack and even now, if I am tired, I can hear a slight slapping sound when I walk. I do as I advised you and lift my toes. Good for you re working on the posture. Have a wonderful time in Florida. Regards
At Tuesday, March 31, 2009 1:50:00 PM, Kirstine said…
Sylvia, Ivy, and Dr. Jolie,
I came across your website while researching my foot drop condition. I had back surgery 2 1/2 years ago and woke up with a foot drop. I had NO foot drop before the surgery. Tests were performed and the conclusion was that the nerve was not severed or cut at all. The surgeon said it must have just happened from moving the nerve during surgery?
Anyway, I went to physical therapy right after the surgery but all they had me do was use an E-stim to shock the nerve into responding and cause the muscles to contract which would make the foot go up. They also had me do some heel cord stretches. They suggested that I purchase the E-stim for at home use. I see a rehabilitation specialist and he tells me to use this for only 5 minutes a day (any longer would fatigue the muscle, he says) and do the heel cord stretches. He also prescribed a brace to control the foot drop and a brace to wear at night. On my own, I have exercised at the gym wearing my brace. But then I started to go to yoga and Pilates and would go without my brace. I found I gained back a lot of strength in my hip and the yoga has improved my balance tremendously. I still have weakness in the ankle and it wants to turn in. But it isn't as bad as it used to be.
I have done all this on my own. No one has encouraged me to do any kind of strength training. I was told that time needed to heal it and it would take three years IF it was going to heal at all. The Dr. indicated that if it wasn't healed by the three year mark, I would never heal. It will be three years in August.
I have been trying to research this issue on my own, since I feel like I have no help from the medical community. Your stories have inspired me. But I have a few questions.
1. How severe was your foot drop? Were you able to move your foot or toes at all? I have foot drop and I am unable to move my foot or toes up at all.
2. How do you do the toe taps if you can't lift up your toes? I can tap down but I can't lift my toes up.
3. How does walking on your toes help? (This question might be for Dr. Jolie) I can do that and I will give it a try. I'm wondering how this helps though since I have the strength to push down but not to pull up and walking on my toes seems to strengthen the pushing down of the toes not up. And is there anything I need to be careful about when walking on my toes. I do have that weakened ankle.
4. Sylvia, what kind of exercises did you do in the pool?
5. Ivy, the exercise where you put pressure on the big toe with your finger and try to push back. I'm assuming you mean put pressure on the top of the big toe and try to push up with the toe, right? Because we want the foot and toes to lift, correct? Or am I missing something. Can strengthening in the other direction (going down) help strengthen the foot to go up?
I'm sorry about all the questions. I'm going to order Dr. Jolie's book. Which one is the best one to address these specific issues? I"ve also been thinking about attending a workshop, Dr. Jolie, but I was wondering how many attendees there are in a workshop and if you would be able to work individually with me at all.
Oh, and I've started doing the achilles stretches already. My achilles is actually not as tight as I thought. I was able to do the stretches easier than my husband!
Sorry this is so long. I'm just so happy to find something, anything that will give me a ray of hope.
At Tuesday, March 31, 2009 5:14:00 PM, Anonymous said…
Hello Kristine - Firstly, may I say that my heart goes out to you.
Re the putting pressure against the big toe - I did this to regain strength by putting resistence on the toe - I tried to get the offending toe to push back. I might add that even today the big toe does not have the strength of the other, however, in saying that, it is much improved. Previously, there was no resistence what so ever.
I walked on my toes to strengthen my ankles.
Dr Jolie recommended that I stretch the archilles by placing my foot up against a wall. I had great success with this. I did the stretch twice daily for a few seconds.
My hairdress Michael, who also suffered severe foot drop from a sciatica attack, had great success by walking in water every day.
Yes, I was able to move my foot a little, however, not the toes. Even today, should I become tired while out walking, I can still hear a slight slapping sound as my foot hits the ground. I am conscious of it so try to rectify it immediately. Also this can happen if I am not wearing my walking shoes. I also had to use a walking cane for some months.
I do hope my answers are helpful.
Regards
Ivy - New Zealand
At Tuesday, March 31, 2009 7:04:00 PM, Sylvia said…
Hello Kirstine
I am so pleased you found Dr Jolie's site. She tells it like it is and has mountains of information to help people like you and me who have received no service from the medical profession for our condition.
In the pool I have been walking on my toes, trying to alternate between heels and toes and use a resistance band to do Hamstring stretches, by pulling my foot up with the leg straight out. This allows me to experience the stretch which I would get if I could do it with my foot on the wall, as per Dr Jolie's exercise which I can't manage yet.
I also put the band round the bottom of my foot and hold it taught with my hand, so that when I walk slowly across the pool I can pull the foot up into a normal walking position. I do this to remind myself what it is like to walk normally !!!! without lifting my hip or swinging my leg out as it is easy to get into this habit but I think I have got past that now .
I also try squatting on the pool steps getting a little further down each day because I cannot do a full squat on land yet without falling over.
My drop was pretty bad and I found not being able to rest with my foot in a normal position was very tiring - it would turn out to the side and flop down when in bed for example. This seems much better now and I can almost lift my big toe a half inch off the ground. It is difficult to remember how little I could move it but I could always move the toes somewhat, so now I can practice big toe tapping as well as the whole foot from the ankle.
I have been dealing with this problem for 15 months and look forward to the day when I can walk and maybe run as far and as long as I want !
I take Dr Jolie's Stretching Smarter when travelling ,Health and Fitness as a resource at home and Fix your own back pain circulates in my family !
Best wishes for your recovery
Sylvia
At Thursday, April 02, 2009 1:18:00 PM, Kirstine said…
Sylvia and Ivy,
Thank you for your assistance. I'm beginning to do some of these strengthening exercises in addition to changing the way I sit, stand and bend over. The squatting is difficult for me so I will try to use the pool as you suggested, Sylvia. It may be some time before I can use the squatting in "real life" situations as I have an 8 month old and with the weakness in my leg I am fearful that I will drop her.
As stated before, I am unable to move my foot or toes in an upward motion at all. I can push down with my toes and foot so when I practice the toe taps, it is mainly a mental exercise. I figure if I think it, eventually it may happen? :)
I am so thankful that I found this site and found your stories. You have really inspired me. I realize that you are still struggling with it, but you have made great strides. Thank you, thank you , thank you for your help. I hope you don't mind if I bug you again as I work on getting better!
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