Download PDF Living Life to the Fullest with Ehlers-Danlos Syndrome: Guide to Living a Better Quality of Life While Having EDS
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Living Life to the Fullest with Ehlers-Danlos Syndrome: Guide to Living a Better Quality of Life While Having EDS
Download PDF Living Life to the Fullest with Ehlers-Danlos Syndrome: Guide to Living a Better Quality of Life While Having EDS
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Kevin Muldowney, MsPT has been treating people with Ehlers-Danlos Syndrome since 2005. As a physical therapist, he has developed an exercise protocol to help stabilized the many joint subluxations/dislocations associated with this genetic disorder. This book is intended for the person diagnosed with EDS to both inform them about the healthcare team needed to properly treat them as well as to guide both the physical therapist and their patient with EDS through the Muldowney exercise protocol. This book will cover such topics as: how joints sublux in this population, how to find the right physical therapist, how to exercise without injury and what physical therapy techniques works best. By the end of this protocol people with EDS should be better informed about what is going on with their body and how to make it better.
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Product details
Hardcover: 400 pages
Publisher: Outskirts Press (July 17, 2015)
Language: English
ISBN-10: 1478758880
ISBN-13: 978-1478758884
Product Dimensions:
8.5 x 0.9 x 11 inches
Shipping Weight: 2.6 pounds (View shipping rates and policies)
Average Customer Review:
4.3 out of 5 stars
78 customer reviews
Amazon Best Sellers Rank:
#22,319 in Books (See Top 100 in Books)
I have had problems with joint pain / multiple dislocations and subluxations for years. I've been in PT mulitple times and it has never been particularly helpful - in fact, I usually wind up more injured than when I first started. About a year ago I had a doctor insist that I needed to go back to PT with the purpose of developing and implementing a full-body strengthening program. I begrudgingly went because he wouldn't drop it and lucked into seeing someone who understands connective tissue disorders and how to go about treating them. It has been life changing. Unfortunately, we haven't been able to work on a full body preventative strengthening program because we have been dealing with multiple injuries. I bought this book to see what I could do at home to augment what my PT is already having me do. It is a great book, and the only one of its kind (that I am aware of, at least). I do have some quibbles with it, though.Negative:* The author makes it clear in his introduction that you are to use this book with a physical therapist. He says this will take 2-3 visits a week for 6-12 months. I don't think this is practical for most people. My insurance pays for 20 PT visits a year. After that the cash pay price for my PT is $75 a visit. We can swing 1 visit a week paying cash because PT allows me to function. $225 a week for PT is not in our budget.* He is also adamant that you need to follow the protocol of progression of exercises exactly, without skipping around to address things that hurt NOW (chronic injuries). On some level I understand this reasoning because dealing with a long string of chronic and new injuries is what has prevented me from figuring out a whole body program with my PT. However, I don't think a rigid approach is practical. For example, I injured my shoulder. It was so painful that I could not sleep. I couldn't lie down on my back because it hurt too much. I also couldn't raise my arm. This was not a brand new injury - it has been an issue for years. It never really healed after the first time I dislocated it, and then got worse and worse until I couldn't ignore it. If I had a PT tell me that they wouldn't help me with my shoulder until I had gone through back exercises for the sake of protocol / the larger picture, I would find a different PT. As a patient, I think there needs to be a balance between keeping the chronic injuries under control and working on the preventative.* I am disappointed by the pictures in the book. They aren't very high quality / resolution. I suspect that having better pictures would have dramatically increased the price of the book. (Which, by the way, I think is a fair price. This is basically a textbook for a physical therapist. To reach more people the author went through and also included a translation into normal person speak. The price is less than 1/2 what a typical medical textbook costs. It's comparable to a couple of co-pays, or less than one of my cash visits with my PT. You also have to think about what a narrow audience this book addresses. I don't see it hitting the NY Times best seller list.) In addition to the quality of the pictures, the model is wearing a baggy shirt and shorts that obscures his knees and elbows. I wish I could better see what his knees and arms are doing.* He states that you need to have a geneticist diagnose hypermobile EDS and then after the diagnosis you start the protocol and assemble your team. The problem with this is that the geneticists that *know* connective tissue disorders are swamped. Having to wait over a year to start to get things going is too long. My PCP diagnosed me, referred me to genetics to confirm and also sent me to several specialists (cardiology, GI, allergy, PT) to get the ball rolling while we waited for genetics to have an opening (which wound up being 18 months later). Those specialists did things and gave me information that immediately improved my quality of life. If I had to wait for genetics to confirm my diagnosis I would still be waiting.The positive:* This is a whole body program. Seriously. There are face exercises. It is INCREDIBLY comprehensive and takes you slowly through different levels of exercises. He gives modifications and instructions on what to do if you can't tolerate something.* The author really and truly understands EDS. He acknowledges things that are unique to EDS, like coming out of PT more injured than when you started and the weird injuries that don't happen to typical people but are rampant in those with EDS. He gives instructions to the physical therapist on how they need to modify massage and mobilization techniques to avoid accidentally injuring you. He talks about POTS. He talks about who you need to have on your medical team and why. It's pretty incredible.* The non-medical speak explanations of the exercises are easily understood so that you can do this on your own (even though you aren't supposed to.). The medical speak is in there too and isn't inaccessible if you have a medical dictionary or google handy.* He includes a protocol on adding cardio to your activity. This is great for POTS and for people who have a hard time pacing themselves. I always feel great when I am exercising, decide to push myself a little bit harder, and then wind up feeling like I've been hit by a bus a few hours later.* There are lists of what you need to do each day when you are working through the protocol and for when you have worked through all the exercises.It's a great book. My issues with it are pretty picky. I wish Amazon allowed half stars because I would give it a 4-1/2. I am planning on using the book mostly on my own to augment my current PT program. I am going to have my PT double check my form on the exercises before I start doing them at home and I do plan to work through the protocol as it is written. For me this is a reasonable approach, although it is not exactly what the author recommends.
I am a physical therapist who specializes in treating patients with hypermobile Ehlers-Danlos Syndrome (hEDS). This book has a lot of great exercises in it. However, the book makes it seem that anyone with hEDS should be able to do these exercises, and that simply isn't true. I've seen patients who have gotten much worse trying to do them. Some of the exercises work for SOME people with hEDS, but many of the exercises can make other people worse. Also, every picture is of the author demonstrating the exercise - it would be nice to see a range of body types, strength, age, etc.
I was really excited to start this program with my physical therapist. I'm not new to physical therapy. I've had good and bad experiences. Following this book is right up there with the bad experiences. I could not progress past the level 1 exercises. I kept having to bump back to level 0.5 because it was aggravating the tendon attachments at the back of a knee so badly. It got so bad that I'm worse off than I was before attempting this program. I have no doubt that this program can help people, but everyone's unique.I think the whole philosophy was wrong for my manifestation of EDS. I get tendinitis anytime I overuse a body part. Three minutes on one muscle group even if I build up to it is just clearly too much. This book is very focused on isolating one area of your body at a time in order to build stability from the core outwards. I think it's worth trying for anyone with EDS, but listen to your bodies if something seems to be aggravated by the program.
He repeats himself a LOT. Really good information if you're new to having hEDS and even if you've done a fair amount of research on your own but it's mostly worth having the book so you can bring it to your Doctor to MAKE them help you by prescribing Physical Therapy instead of just giving up on you. Also worth it to own so you can bring it to the PT office to help them understand that you're NOT KIDDING when you say you have loose joints, this was written by a physician and doctors will believe doctors even if they don't believe their patients.
I'm on week one of this protocol (and have read the book) and am feeling optimistic for the first time in quite some time. The author describes the SI joint to be the keystone of the body, and works from there. My SI is very problematic and causes spinal and pelvic issues, among others, and I can tell just after doing 7 sets of the first run of exercises that I have marked improvement. I also picked up quite a few new pieces of information that were blind spots to me - such as not massaging out muscle spasms around sublaxed joints, because the muscles need to hold the joint in place. Great book, resource, and help!!
This book and exercise program have given me hope, guidance, and results. I am so grateful to Kevin Muldowney for his work. It is improving my quality of life. I have been working through this protocol for about 7 months so far, and have seen improvements I couldn't have imagined before beginning. I am pretty severely disabled by H-EDS, and always afraid to get my hopes too high, but every little change in my quality of life, such as being able to stand in line at the pharmacy for 4-5 minutes when before I became miserable after about 2, means the world to me. I encourage anyone dealing with EDS to give this a try. It actually helps! A lot!
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