The thing that gets me most about physical therapy is how much bullshi’t is involved in it these days. There are people out there with legitimate problems, yet the practice is outdated.
People are usually sent to physical therapy to rehabilitate a broken bone, torn muscles/ligaments or even a dislocation. Rest, massages and pain killers are fine, but once the injury begins to heal, strength training is important for recovery. This is where physical therapy comes in.
The best physical therapy is intense strength training. To achieve this safely, machines are preferred. Unfortunately, there are a lot of physical therapy places that resort to cardio and stretching. Both are either ineffective to the healing process and even be damaging.
The treadmill for example is very high impact on the joints. The stationary bike isn’t as effective for strengthening the leg muscles as a slow, controlled leg press. It’s unfortunate, but many physical therapy places still run with this kind of bullshi’t.
I pulled my hamstring a few years ago and the doctor scheduled therapy for it. They had me do a lot of static stretching, hot pads and light exercise. I don’t want to even get started on the negative effects of stretching, but the exercise they had me do was pathetic. It was light weight with high reps. I didn’t even break a sweat.
The body requires a strong enough physical stimulus to grow. What was the point of them giving me easy shi’t to do? I’m suppose to struggle to build myself back up. Starting with a reasonably intense weight, the patient should be struggling to move the weight. The exercise should be performed slow and controlled with smooth reversals from pushing to pulling and vice versa. This should be done until failure preferably with machines for safety.
At first, the patient is going to be weak, but the muscle will soon regain it’s strength and get even stronger. This will protect it from future injuries.