Research Corner - Q&A Crohn’s Disease Pain with SMR by Craig Burris | Date Released : 04 Nov 2003 0 comments Print Close Question: I have a client with Crohn's Disease and Trochanter Bursitis. Her doctor wants her to stretch her ITB, glutes and hamstrings. I had her do some of the SMR, and she was in pain and could not continue. How should I start with a program for her since she is very limited in the exercises she can do? Answer: Let me start by letting you know from experience that you can have a huge impact on this person's life. The biggest problem I have encountered in dealing with Crohn's and other IBDs (Inflammatory Bowel Diseases) is that common sense seems to go out the window. Anti-inflammatory are given that provide short term relief, but in the long term, they reinforce the problem. Other inflammatory conditions are such as "bursitis" are common with an IBD. The body is in what is referred to a "pro-inflammatory state." While in this state, the body is extremely prone to inflammation in the joints and muscles. Often times, powerful steroids are given that further upset the balance of the body and weaken the immune system. Nutritionally, there are some things that can help greatly: Remove all foods that have any additives (i.e., coloring, sugar, flavor). Ensure your client is drinking a minimum of one ounce of water per kilo of body weight. Use high quality fish oils. Use pro-biotic and enzymes. This is as far in-depth as I can go in this forum. For further information, contact a qualified dietician or C.H.E.K NLC. As far as exercise is concerned, you will want to focus on doing soothing yoga, Pilates and aquatic exercise. Working on balance and stability would also be beneficial. The things you want to stay away from are hypertrophy based exercise that can cause further inflammation. The problem you are having with the foam roll can be solved by simply using two foam rolls or putting the roll on a wall instead of the floor. References: Seaman, David DC. "Clinical Nutrition for Pain, Inflammation and Tissue Healing." Paperback, 282pp. ISBN: 0966721101. NutrAnalysis, Incorporated, January 1998. Back to top About the author: Craig Burris Craig is currently the owner of Peak Physique personal training. Peak Physique provides training in home and at select health clubs in the Twin Cities. Prior to this, Craig was the Director of Trainer education at BODYFIT, a personal training center in St. Paul, as well as providing treatment to clients at twin cities chiropractic clinics. Craig conducts educational seminars for trainers, physical therapists and chiropractors and writes articles for various web sites and publications. His philosophy is, “Achieve optimal health through exercise and nutrition.” Craig specializes in rehabilitation, sport specific training and nutrition. Full Author Details Related content Content from Craig Burris Crohn's Disease Joshua Rubin | Articles Seniors Training Results Jeff Thaxton | Articles SMR and Recovery Ian O'Dwyer | Articles SMR Issues: Tired or Bruised Muscles? Ian O'Dwyer | Articles Self Myofascial Release – Muscle Knots Ian O'Dwyer | Articles Self-Myofascial Release Techniques Alan Russell | Articles Neuropathy on the Foot Craig Burris | Articles Crohn’s Disease Pain with SMR Craig Burris | Articles Weight Loss Difficulties Craig Burris | Articles Female Weight Gain with Workouts Craig Burris | Articles Cushings Syndrome Craig Burris | Articles Knee Surgery Rehab – Lateral Release Craig Burris | Articles Amino Acid Supplement – L-arganine Craig Burris | Articles Hernia Exercise Recommendations Craig Burris | Articles Vestibular Vertigo Craig Burris | Articles Hamstring Stretch with LBP Craig Burris | Articles Pooch Belly Craig Burris | Articles Spinal Stenosis Craig Burris | Articles Stretching Before Exercise Craig Burris | Articles Muscle Adhesions Craig Burris | Articles Glycemic Index Assessments Craig Burris | Articles Truth in Nutrition - Part 2 Craig Burris | Articles Disc Herniation and Steroids Craig Burris | Articles Spot Reduction for Arms Craig Burris | Articles Tight Trapezius Craig Burris | Articles Facio-Scapular-Humeral Muscular Dystrophy Craig Burris | Articles Hip Pain from Old Ankle Injury Craig Burris | Articles Truth in Nutrition - Part 1 Craig Burris | Articles Please login to leave a comment Comments (0) Back to top