Peter, think what would have happened if your chiros had manipulated you, and then you had not done anything differently in regard to your exercise. Do you think the results would have been as good or as long lasting? KPj, same question about your PT.
The thing is, modern physical therapy is based on resistance training. The era of symptom based approaches in PT ended years ago, although many still practice it. However, a good 'manual therapist' will make you fully aware that the relief you feel is temporary, and the actual cause of the problem runs deeper - your lifestyle, be it your training, work, or whatever....
My PT is like that. He'll want to know what you do in the gym, what you do for a living, etc.
So, in short - if nothing altered in my training would it of lasted? No chance. Also, If nothing was altered in my day to day life, then I don't believe training and PT visits would be enough either. The day to day life thing is the biggest issue in my opinion, it even goes beyond the gym. The old 23/1 rule. 1 hour in the gym to make progress and another 23 to screw it all up. The best program in the world can't undo 23 hours of bad habbits.
If it's something of interest, you should read Shirley Sahrmann (Diagnosis and Treatment of Movement Impairment Syndrome). She's basically a pioneer in Physical Therapy. She gives a whole new meaning to what a Diagnosis is or does or tells us. I think the traditional way of dealing with Injuries (overuse) is not very good at all. Gray Cook is another great example of someone pioneering Physical Therapy into something more than 'rubbing it better'. Personally I think his movement screen should be enforced as a Law or something, for all Trainers.
I think that chiros have a great opportunity to help people if they broaden their spectrum of expertise. Posture and strengthening in particular present great possibilities. If they just crunch people's spines and send them out without any tools to change their habits and strength, I doubt that they will do much long-term good.
Exactly. That's what I think these guys need to do. I wouldn't go to or recommend a PT or chiro that only knew how to ease the pain of the symptom, I would want one who got to the cause, and to do that, they need other skills. Also, it's probably his opinion but, my PT says getting 'crunched' itsn't good regularly. He says "every few months, maybe, but no more than that". He says it's no more than a pressure release. Whatever it is, it does help in the short term. I define 'help' in this case as - it makes you move either better or more pain free or both.
Also, in terms of 'alignment' - you can be out of aligmnent and not have conditions such as Scoliosis. That's quite an extreme example. It can also be structural or functional. Sure, many claim to work miracles but you can't tar them all with the same brush. Scoliosis can be quite extreme and a big problem, but, what looks like scoliosis isn't always scoliosis. I have a personal hate for most traditional diagnosis, such as Scoliosis (only when they're quick to tell you that), Impingement Syndrome, Patella Tracking Symdrome, ITBand Syndrome, runners knee, jumpers knee, whatevers-knee etc. I feel they mislead you. IN terms of Scoliosis, someone can be all screwd up on one hip or shoulder or both (which is common) and they 'look' like they have it. Someone can have more hypertrophy in one lumbar erector and get told they have it. A few tight muscles here and there can cause your alignment to screw up.
In general I feel the realm of just making a diagnosis is as screwed up as the realm of treating it. This is an area that things just aren't black and white at all.