My ankle journey
I am sharing this with all you good people on the dash because I am so fucking mad it took so long for me to learn it and if I can spare one (1) person the agony it will be worth it.
So for like...oh, 8 or 9 months, I've been struggling with pain/inflammation/tendinitis in my left Achilles tendon. I don't know what caused it. It just started up (welcome to middle age, this shit happens). It wasn't severe enough to be debilitating, but it was annoying and limiting. It was also intermittent, in that some days it would be very painful and other days hardly at all. The kind of shoe I was wearing affected it a lot.
Now, I have bone spurs on both heels (it's just a thing that happens as you get older sometimes). I'm also aware that heel pain is usually the result of tight calf muscles that pull and irritate the tendon. I tried stretching that calf muscle. You know the stretch, this bitch right here:
I did it all the time. I also iced the ankle after walking for awhile, hoping to avoid inflammation. Results were...unsatisfying.
I went to:
A chiropractor
A podiatrist
A physical therapist
A bodywork coach
They all gave me some variation on the "strengthen your calf muscle, stretch your calf muscle" advice. I continued doing this without results.
I was getting frustrated, and a little afraid that this was just my life now. Finally, I thought...maybe some targeted massage might help. I asked for rec on a local FB site and was pointed to a woman who specializes in therapeutic massage including cupping, etc.
I went to her a week ago.
She spent over half our first session working on my left lower leg. Within about 10 minutes of making my eyes water, she uttered the sentence I did not know I had been waiting to hear:
"Oh, it's your soleus."
Excuse me, what?
"It's your soleus that's the culprit. It's all tied up and stiff." She started digging into it and I felt literal sparks run up my leg as she released adhesions and got the muscle moving a little. When she finally put the leg down, it felt like it was on fire with all the blood rushing into it.
She said, "You'll need to stretch your soleus. It'll clear up, but it'll take a bit of time - tendons take ages to heal."
But I HAVE been stretching.
"No, you haven't. The usual straight-leg calf stretch only stretches the gastrocnemius, that's the big belly muscle in your calf. That's not your problem. That stretch doesn't stretch the soleus. Don't worry, I'll show you how to stretch it."
My mind is spinning.
So here are the muscles in question:
The gastroc (as the pros call it) just attaches down the back but the soleus runs underneath it from the knee around the side to the heel. The lower part above the ankle is where it typically gets tight and forms adhesions.
To stretch it, you do the same calf thing where you put your foot back and press your heel to the ground, but you have to do it with your KNEE BENT:
The bent knee keeps the gastroc from engaging. It's one of those selfish muscles (like traps) - if you give it an inch, it'll just take over and prevent other muscles from working or stretching. There are other ways to stretch the soleus but this is the easiest and you can literally do it anywhere. I've been doing it while standing and waiting for things (the elevator to come, the toast to toast). You just put the heel back and bend the knee. It's kind of like curtseying.
The minute I did this stretch, I could FEEL where it was pulling on my tendon. I knew that THIS had been the problem.
The massage therapist also told me to stop icing my heel. She said icing is for an acute injury, but a more chronic aggravation needs heat, to increase blood flow for healing. She recommended elevation with heat every day (I've been doing it in bed during "phone before bed" time).
I have been doing the soleus stretch at least half a dozen times a day for almost a week, and the ankle is at least 70% better. It is still a little tight and tender, but the improvement is significant. I think a few more weeks will have it feeling normal.
I am...blown away by this. This massage therapist was able to pinpoint an issue in only a few minutes that eluded all the other professionals I saw. I can't wait to go back to her and have her solve all my other problems, tbh.
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Today my therapist introduced me to a concept surrounding disability that she called "hLep".
Which is when you - in this case, you are a disabled person - ask someone for help ("I can't drink almond milk so can you get me some whole milk?", or "Please call Donna and ask her to pick up the car for me."), and they say yes, and then they do something that is not what you asked for but is what they think you should have asked for ("I know you said you wanted whole, but I got you skim milk because it's better for you!", "I didn't want to ruin Donna's day by asking her that, so I spent your money on an expensive towing service!") And then if you get annoyed at them for ignoring what you actually asked for - and often it has already happened repeatedly - they get angry because they "were just helping you! You should be grateful!!"
And my therapist pointed out that this is not "help", it's "hLep".
Sure, it looks like help; it kind of sounds like help too; and if it was adjusted just a little bit, it could be help. But it's not help. It's hLep.
At its best, it is patronizing and makes a person feel unvalued and un-listened-to. Always, it reinforces the false idea that disabled people can't be trusted with our own care. And at its worst, it results in disabled people losing our freedom and control over our lives, and also being unable to actually access what we need to survive.
So please, when a disabled person asks you for help on something, don't be a hLeper, be a helper! In other words: they know better than you what they need, and the best way you can honor the trust they've put in you is to believe that!
Also, I want to be very clear that the "getting angry at a disabled person's attempts to point out harmful behavior" part of this makes the whole thing WAY worse. Like it'd be one thing if my roommate bought me some passive-aggressive skim milk, but then they heard what I had to say, and they apologized and did better in the future - our relationship could bounce back from that. But it is very much another thing to have a crying shouting match with someone who is furious at you for saying something they did was ableist. Like, Christ, Jessica, remind me to never ask for your support ever again! You make me feel like if I asked you to call 911, you'd order a pizza because you know I'll feel better once I eat something!!
Edit: crediting my therapist by name with her permission - this term was coined by Nahime Aguirre Mtanous!
Edit again: I made an optional follow-up to this post after seeing the responses. Might help somebody. CW for me frankly talking about how dangerous hLep really is.
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