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?
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.
- Seaman, David DC. "Clinical Nutrition for Pain, Inflammation and Tissue Healing." Paperback, 282pp. ISBN: 0966721101. NutrAnalysis, Incorporated, January 1998.