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A Climber's PT Regimen for Facet Joint Pain

Original Post
Andy P. · · Unknown Hometown · Joined Apr 2013 · Points: 190

First time posting at MP for awhile as a slipped disc in my back has taken me out of action for 19 months now. First, if you are reading this because you want advice about a bulging or slipped disc, refer to these excellent threads; I tried everything listed in them (except for the inversion chair which would exacerbate a different chronic injury):

https://www.mountainproject.com/forum/topic/113642197/herniatedslipped-disc-advice

https://www.mountainproject.com/forum/topic/115678489/herniated-disk-success-without-surgery

https://www.mountainproject.com/forum/topic/108659942/l4-l5-bulged-disc-right-side-and-micro-discectomy-surgery

After trying with PT and exercise for a year, and then suffering an even more painful disc herniation just because I bent down to get something in the fridge (including ER visit this time), I elected to get the microdiscectomy/nucleoplasty procedure 6 months ago. My recovery has stalled now for 3 months as I am experiencing lots of facet joint pain, MRI shows the disc situation was solved with the procedure but I now have compressed space between the facet joints. This pain was supposed to abate after awhile but it just isn't. Anything high impact, including walking down stairs quickly, is painful. I doubt even a fall on an auto-belay right now would be soft enough to not cause pain.

The above linked MP threads were full of great PT/exercise advice regarding disc pain. I'm curious if y'all have any advice for facet joints? I'd like to strengthen my core in the way in needs to be strengthened. Unfortunately, I live in an area that is devoid of innovative PTs and whenever I go to my PT appointments I get the same damn exercises that you can find on 50 basic PT youtube channels. They treat me like I am some sort of 70 year old with no strength and just desires to recover enough to walk to the bathtub; it's annoying but I can understand; not all PTs are truly passionate or well-rounded enough to see anything they didn't learn at school. 

Would love to hear any ideas, experiences or advice so I can get to the next stage of my recovery. Thanks in advance!

Ryan Clewlow · · Unknown Hometown · Joined Nov 2020 · Points: 0

Not sure where you live but find a Mcgill clinician in your area and disregard anything anyone else told you. Follow everything they say and youll be good. You can search them out on backfitpro website i think. If nothings close, work with one online. 

Ryan Clewlow · · Unknown Hometown · Joined Nov 2020 · Points: 0

Not sure where you live but find a Mcgill clinician in your area and disregard anything anyone else told you. Follow everything they say and youll be good. You can search them out on backfitpro website i think. If nothings close, work with one online. 

Guideline #1: Don't be a jerk.

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