Fast Fitness - Contest for Children (and Everyone) To Learn What They Live
Friday, November 20, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness - a contest for your kids, students, co-workers, and teams to reinforce healthy movement, deeds, and thinking as part of normal everyday life. It's one thing to say it, or read it, and better to do it and live it:
Choose something fun and easy from Fitness Fixer. There are over 670 Fitness Fixer posts so far. Use labels under posts to get categories, for example all Fast Fitness articles, or all reader inspiring stories, or use the Fitness Fixer Index.
Have your group (or self) learn one or more of the methods or activities. It can be anything from learning simple good bending to use all the time, or better sitting for the whole class, to preparing healthier meals with good body positioning, to doing good deeds in your neighborhood or home.
Draw pictures or take photos of what everyone learned and did, write your stories, and send them in.
A child who lives with healthy ways learns health as a lifestyle. Use your brain. Have fun. I will post the winners - everyone who tries.
--- Read success stories of these methods and send your own. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Subscribe to The Fitness Fixer, click "updates via e-mail"(under trumpet) upper right. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
Anton, Alberto (farioreo), and others have asked how many "sets and reps" of exercises and stretches will help. The answer is in a story my Mother told me when I was small:
A young boy in school always made the same mistake in English. Instead of the proper, "I have gone…" he said, "I have went." The teacher told him to stay after school and write 100 times on the chalkboard, "I have gone, I have gone, I have gone…" The boy wrote "I have gone" the required 100 times. When he finished writing, he saw the teacher had stepped outside. He left her a note, "Dear Teacher, I wrote "I have gone" 100 times, and now I have went home."
The answer is that repetitions are not the entire answer - you have to understand and use the result. I am asked the question so many times of how many "reps" (repetitions) of a rehabilitation or training exercise are needed, that it has become a "light bulb" joke - How many (whatever) does it take to change a light bulb?
Readers ask:
Q. How many sets and reps of upper back exercises does it take to straighten rounded forward posture? A. None, you just straighten up right then and hold it. A2. Or you can say one repetition is enough. Then use that one all the time. A3. Or until you actually use it - Note the person slouching (photo right) to measure posture.
Q. How many sets and reps of back exercises does it take before my disc pain stops that I got from bending over wrong to pick up things. A. None if you stop bending wrong to remove the cause. A2. A whole lot more than if you stopped bending wrong.
Q. How many sets and reps of good squats with heels down does it take to get enough stretch in the Achilles tendon to be able to squat well? A. Doesn't matter, if you use good bending in your ordinary day, you will get hundreds of Achilles tendon stretches throughout the day and it will be built in for you. You aren't supposed to stop your day to do a number of repetitions, then go back to heel up squatting, or bending over wrong.
Q. How many sets and reps of squats does it take before I can squat right to bend right? A. Until you do it right.
Q. How many sets and reps of your exercises on Fitness Fixer should I do? A. Until you remember them.
--- Read success stories of these methods and send your own. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Subscribe to The Fitness Fixer, click "updates via e-mail"(under trumpet) upper right. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
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Photo of slouching while measuring posture by Neeta Lind
"Jolie Bookspan, the Fitness Fixer, brings us a detailed post about how to look upward without placing strain on our necks. I like the part about how our necks are not Pez dispensers – good visual image. The article is a good reminder that we need to use proper form in all of our daily activities, not just while we’re at the gym."
On the web, Grand Rounds is a collection of the best on-line medical posts from the past week. A different host works hard each week to find and list the articles. This is different from the Grand Rounds in a hospital, which is a lecture for doctors about a patient or topic.
Thank you to this week's host for doing the hard work of collecting and featuring our information.
--- Read success stories of Fitness Fixer methods and send your own. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Subscribe to The Fitness Fixer, click "updates via e-mail"(under trumpet) upper right. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
Fast Fitness - Fourth Group Functional Training Exercise, Functional Upper Back Stretch
Friday, November 13, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness from the 2009 Black Belt Hall of Fame. I am here teaching and learning.
In my "Stretching Smarter" workshop here, I teach healthier ways to move and stretch for daily life and sports. One is the fourth Functional Fitness Training (FFT). It retrains how you look and reach upward, to reduce neck and shoulder compression and give a built-in stretch for the upper back:
Assemble your group (or yourself) and tell them that when they look upward, to feel the range of motion more from their upper back than neck. Have them feel, notice, and visualize where is their upper back - one way to do this is to watch a person in line ahead of them.
Remind the group that the neck is not a Pez dispenser - the idea is not to pinch the neck back (photo below with yellow hat), but to "unround" and lift upward more from the upper body.
photo shows unhealthful neck compression - pinching back and jutting chin, creating a postural spondylolisthesis.
3. Have everyone look upward by straightening the upper back and by lifting more in the chest (drawing, upper bike rider on water bottle). Repeat while reaching upward with both hands. Make sure not to return to pinching backward at the neck, jutting the chin forward (photo above), or leaning the upper body backward. Get the reach from the shoulders.
Use conscious control to prevent pinching your neck back every time you look and reach upward.
Each new Functional Training exercise shows how to teach your groups (or self) how to prevent common musculoskeletal problems during the team season or operational theater. Trainers, Drill Instructors, readers, send in your stories of how you use these in your program.
Read success stories of these methods and send your own. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification through DrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
She writes, "I didn’t realize that those old school fitness tests may have been all for naught!" Are they? Click Do They Do What They Claim?
On the web, Grand Rounds is a collection of the best on-line medical posts from the past week. A different host works hard each week to find and list the articles. This is different from the Grand Rounds in a hospital, which is a lecture for doctors about a patient or topic.
Thank you to this week's host for doing the hard work of collecting and featuring our posts.
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Read success stories of Fitness Fixer methods and send your own.
Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
See if your answers are already here by clicking labels under posts, links in posts, archives at right, The Fitness Fixer Index andDr. Bookspan's Books. Read success stories of Fitness Fixer methods and send your own. Subscribe to The Fitness Fixer. Click "updates via e-mail"(under trumpet) upper right.
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Image of Tee Yee Neen Ho Ga Row (Hendrick), Emperor of the Six Nations, via Wikipedia
This weekend we will attend the Black Belt Hall of Fame event hosted by the Eastern USA Martial Arts Association. Paul and I are honored to be invited back this year, and receive awards for Instructor of the Year. I will teach a workshop on Stretching Smarter for Martial Artists.
Why stretch smarter? Many standard stretches work to increase flexibility but don't improve martial arts or other sports, and aren't good for the joints.
Martial artists and other athletes often develop injuries from years of bad stretches. It's understandable to put yourself in harm's way to carry children and elders from a burning building, or suffer cold and hypoxia rescuing a stranded mountaineer. It's silly to injure yourself doing stretches and exercises you think are for your health. In martial arts you can harden your body to withstand blows through difficult and uncomfortable training, but it isn't the point of martial arts or other sports and activities to beat up yourself. I cover the difference between toughening the body and injuring it in the seminar and in my book Healthy Martial Arts.
My workshop teaches functional flexibility - changing your body to work better in real ways needed for daily life and fighting arts.
The hall of Fame event is by invitation only. Contact:
Executive Director Soke Kanzler Eastern U.S.A. International Martial Arts Association 1 (800) 456-3872 EUSAIMAA@aol.com P.O. Box 9642 Pittsburgh Pennsylvania 15226 USA
Read success stories of these methods and send your own. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Subscribe to The Fitness Fixer - Click "updates via e-mail"(under trumpet) upper right. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
In the first act of Macbeth, Shakespeare wrote, "Your face, my thane, is as a book where men may read strange matters."
Here is Fast Friday Fitness - Your face shows how you lead your life. In other words, "Time may be a great healer, but it's a lousy beautician." How can you improve your face?
Healthy exercise and hard work doing good deeds, benefits your face more than the same time and money spent on artificial makeup.
Stop eating sugar and processed flour. Your skin will improve. Stop fried food and soda. Simple healthy nutrition improves your face and skin more than all the money spent on fast food, expensive "health food," engineered supplements, and skin drugs.
The woman hoeing a field in India doesn't use indulgent face peels. Her dignity and honest work polish her face. Genuine laughter does more than corny face exercises and laugh yoga. The life you live of integrity, thinking of others, and lack of self-absorption, shows more on your face than all the facial exercise gizmos and programs.
Actress Lauren Bacall said, "I think your whole life shows in your face and you should be proud of that." Instead of spending on externals, save the money or give it to the poor. Decide how you want your life to look, then go make a face.
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Read success stories of these methods and send your own. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
We planted a vegetable garden this Spring in my mother's field. Hard exercise changed a rocky ruined area into beautiful food. It's getting cold now. Readers asked how the garden turned out. Here are stories:
We are harvesting. By afternoon it is dark with a large orange moon overhead lightning our work. The hard work keeps us warm.
When we first cleared the area, we filled the wheelbarrow with concrete slabs, pried and dug from the patch. Paul bent to grasp the wooden handles. When he rose lifting the handles, the barrow was so heavy that both handles snapped, scattering everything. Paul is strong.
We sawed and attached new handles. Much good squatting, bending, rising, lifting, and reloading. Paul bent well (upper body fairly upright, knees bent over heels). At almost seven feet tall, he needed to bend low. When he rose, the wheelbarrow handles were so high in the air, the front of the barrow tipped forward so far that contents spilled everywhere.
Hoeing a field, breaking concrete, digging stumps and rocks, bending and reaching, lifting right, hauling bales of compost, and all the rest that gardening can involve, is more exercise than you can get in a gym. It combines hard natural movement using much of the body at once to give muscular and cardiovascular exercise. To pull weeds, you squat well, both heels down, loosen roots with a digging stick, grasp weeds at the roots, rise pulling slowly. Over and over. Rise and bend. Garden prayer.
We were amused that more grew outside than inside the garden. Outside, tall weedy grasses grew everywhere. Inside, small seedlings grew into low herbs and vegetables. Deer and other animals didn't eat our garden. We had built a 6-foot fence around it, but deer can easily jump that height, and small burrowing groundhogs and rabbits can wiggle through or under. What we had done is leave them a bushy meadow near the garden area, with plenty of food and hiding places. They didn't need to bother the garden. The municipality cited my mother for a violation of some kind for not mowing her "lawn." Sorry Mom! We paid it for her.
Large slabs of concrete lay buried, inches below the surface of much of the area we wanted to plant. We needed to break and remove them. I managed to lift Paul's huge sledgehammer, swinging it with both hands over my head. It came down on the slab and bounced. I tried a wider stronger swing. It was heavier to swing than it looked. It bounced off the concrete each time. I handed it to Paul. He swung it quickly with one arm, splintering the slab. We dug the dozens of new football-sized pieces and made a rock border for the flowers nearby.
We gardened without pesticides or chemicals. We hauled hundreds of pounds of compost that the municipality gives away free at the recycling centers. Thank you recycling center for all the good exercise, compost, and manure. Plants grew healthy and didn't need chemicals to fight insects. They could fight them from their own internal health - people can do the same much of the time from simple good health practices. Plants manufacture their own anti-inflammatories against disease. That is part of why eating vegetables and fruit is good for your own health against inflammation.
The work it took to eak out a few plates of vegetables for each meal reminded us of subsistence farmers - how worrisome it is to have to rely on what you can scratch out of your own soil. If we had to last the winter on what we grew, it would be a long thin winter. Much of the world does not sit around indulgently with fast food in the refrigerator. Many do not have refrigerators. Before spending money on junk food, then complaining you are too heavy, think. Save the money. Improve your health. Refraining from eating does not make anyone fat.
The tomatoes grew tall and long. They grew so much that we could not find the strawberries.
We are saving the seeds from the sweetest cantaloupe, the largest cabbages, and the most wonderful purple peppers and white eggplants for next year.
The wonderful Thai bamboo hoes we brought back with us have shrunk in our colder dryer climate, loosening the heavy metal shovel-heads so they tilt sideways with each overhead swing. We have been fixing them, then going back to hoeing. The ground will soon freeze. Hoeing is more upper back strengthening and work than anything in a gym, even more than all the pushups and handstands that I love. Bend knees, upper back upright, breathe in, swing up, breathe out, swing down. Over and over.
Saturday night was Halloween. The World Series was playing. Paul didn't want to disappoint me by not going out to see the fun going on for Halloween in the city, and would never have said anything. I put on a costume and sat with him to watch the game. It was a great evening. The next day I put on a scarecrow costume and we worked in the garden.
We were just two city kids, who grew up in urban slums. I didn't know about gardening, but we read, worked, learned from mistakes, and sweated under the hot sun and the cold evening air.
Read success stories of these methods and send your own. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
Dr. Jolie Bookspan from The Fitness Fixer has been collecting some interesting data about sitting straight up. Read about it here: Fast Fitness - Contest: What Does It Take To Sit Upright? Back health is important, but do you know how to keep your back healthy? The health and fitness industry is another area where health care professionals are finding some interesting non-clinical opportunities.
On the web, Grand Rounds is a collection of the best on-line medical posts from the past week. A different host works hard each week to find and list the articles. This is different from the Grand Rounds in a hospital, which is a lecture for doctors about a patient or topic. Thank you to this week's host Dr. Kim for doing the hard work of collecting and featuring our posts.
Read success stories of these methods and send your own. See if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
The human body is healthiest and happiest when it moves throughout the day. Reader Paul J sent this video clip of a project in Sweden, reminding people how much movement can be fun: Click > arrow to play:
Medicines prescribed for poor mood and the surprising number of diseases caused by sedentary lifestyle, frequently cause disease and despondency. Real life movement throughout the day has been found more effective than pills and surgery to reduce or solve depression, obesity, heart disease, high blood pressure, reduce risk and effects of cancer, and other diseases.
Remember to enjoy moving. Go dancing. Skating. Play ball and Frisbee. Do community work. Pick up litter. Help a shut in. Fun doesn't only mean being entertained. Make doing good for yourself and community a positive fun feeling.
What projects can you think of to make real life active, healthy, and fun again, not just artificial movements in a gym? My Academy- the Academy of Functional Exercise Medicine (AFEM) teaches people and communities healthier ways to live - both in formal classes and grassroots community projects - click AFEM.
Read success stories of these methods and send your own. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
Fast Fitness - Exercise Involvement In World Health
Friday, October 30, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - shed unhealthy petty feelings of maltreatment because you had to wait in line for your luxury items, or didn't get them in your color.
We have things to be extremely grateful for.
More of the time, it is not necessary to gain them through harming others or the Earth.
Lead by example. Teach children and others not to litter, pollute, harm others, do harm for money, do harm for power, harm themselves.
Check Simple Ways to Get Started:
My Academy- the Academy of Functional Exercise Medicine (AFEM) teaches people and communities how to be healthy in body and actions. Readers who use my work have been teaching their groups simple healthy bending and movement for daily life instead of injury producing habits, good food instead of disease causing food, healthy training for high level athletics and military, healthier medical practices for sick, injured, preventive medicine, "green" fitness, and healthier mindset. Come join us by doing simple things in your home and community - click AFEM.
Read success stories of these methods and send your own. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
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Images sent to me by Dear Colleague Dr. Ern Campbell - ScubaDoc
Halloween - the time when I take off my lab coat for work, and others put them on for costumes. A time when we dress as groups who pledge: "An it harm none, do what ye will" also stated as, "First, do no harm." Who are these groups? Read on.
The Wilderness Medical meeting where I have been teaching certification courses held a costume banquet last year. Medical professionals and students dressed in costumes depicting wilderness medicine. One couple was wearing outdoor clothing. I looked again and their faces were covered in red face paint. Except around their eyes, strangely pale. Also long thin white strips from eyes to ears. Sunglasses were propped on top of their head. They were sunburn. (White areas were those unburned, shielded by the glasses.) Another student was wearing regular clothing, except there was a large bat attached to his chest. Look closer. His face had strange white around the mouth. Rabies! Professors of envenomations wearing suit jackets covered with plastic bugs and snakes. Another wearing a giant falciparum, a protozoan parasite that causes malaria. Many others, simple, intelligent, and fun. When a solution in medicine is brilliant and simple at the same time, it is called "elegant."
For other events, one year I wore black jeans and sweater, and held up a black card with a white circle enclosing a black 8. People shrugged, "Oh, an 8-Ball."
I flipped the card. It was a black card with a blue triangle that read "I am The Magic 8 Ball" which got some laughs. Flipping over the cards got them another blue triangle that read, "You May Ask Your Question Now" I came ready with cards and never had to say a word. They flocked over. Lots of questions. Funny how they can all be answered by the Magic 8 Ball. A couple walk over together: 8 Ball: "I am The Magic 8 Ball." He: "Will I get lucky tonight?" 8 Ball: "Doubtful" She: "Will *I* get lucky tonight?" 8 Ball: "Outlook Good" He: "Hey!! Not fair, how do you know that?" 8 Ball: "I am The Magic 8 Ball" She: "Hey, you thought of a good costume" 8 Ball: "My Sources Point To Yes."
Read success stories of these methods and send your own. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
Thank You Code Blog for collecting the best medical articles of the week for the Halloween Edition, and including my Kneecap Tracking article among the scary entries. A reader's doctor says the fix for tight knee muscles is to cut the muscles. That is scary when pain can be stopped by stretching them instead.
On the web, Grand Rounds is a collection of the best on-line medical articles from the past week. A different host works hard each week to find and list the articles. This is different from the Grand Rounds in a hospital, which is a lecture for doctors about a patient or topic.
Thank you to this week's host, Code Blog Tales of a Nurse, for the hard work of collecting and featuring our posts for Grand Rounds Volume 6, Number 6.
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Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right.See more in the archives at right and The Fitness Fixer Index. Read success stories of Fitness Fixer methods and send your own. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
A number of conventional standardized fitness tests, surprisingly, are not accurate. They do not test what they claim to test. To get real answers that you can use, it is important to know if you are doing what you think you are doing.
An example of a test that does not test what it claims is the "Sit and Reach" test. Sit and Reach is assumed to test hamstring flexibility, but is more a measure of how much you can round your spine. Many people can pass the Sit and Reach with little hamstring flexibility and an unhealthful angle at the hip - tilted back (shown by shorts side seam) rather than vertical. The Sit and Reach is required testing for numerous military, corporate, and school fitness programs
Another standard fitness assessment uses crunches or sit ups, supposedly to test abdominal muscle function. Bending or curling forward does not give a predictive measure of how well you can use your abdominal muscles to adjust your spine position for spine health, for sports ability, to prevent back pain, in short, to move in healthy ways in real daily life and work where you need it most.
A test may be reliable, which means it gives the same answer each time you test the same thing. For example, a scale should measure the same item at the same weight each time. A reliable scale may not be accurate. That means, it may be wrong by the same amount each time. But it does give the same answer reliably. Having a reliable test does not mean it will be accurate. Accuracy and reliability are both necessary components of devising tests that are actually helpful.
I worked years researching more prognostic and beneficial tests for several common fitness measures. If your military or police division, school, or industry wants to hire me to train you in simple new reliable and accurate tests, let me know.
Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right.Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Read success stories of Fitness Fixer methods and send your own. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
Here is Friday Fast Fitness - another contest! Do you know what constitutes ability in balance as a lifestyle? Tell us!
On the urging of reader Mr. Georges Nakhlé, I started the Academy of Functional Exercise Medicine (AFEM) to train people in healthier, functional, more common-sense exercise and lifestyle. We teach classes, certify top students, and are creating better methods of instruction.
One of our courses is Balance. Mr. Nakhlé, who runs the AFEM office in Lebanon asked me, "Which test tells whether a person has good balance or not?"
Readers - Your Challenge:
Write your ideas for different needed levels of balance
Write specific balance skills or training drills
Give examples that are needed for real daily life - functional balance testing, rather than isolated clinical measures.
Here Is What To Know:
Standardized tests exist, but don't predict how someone can function (move doing real things) in real life without falls, sprains, and other injuries of poor balance. A single test, such as the standard, "Can you stand on one foot for 5 seconds" may give a low basic measure, but a single test doesn't cover range needed throughout real life. That means we need several simple tests to rank ability.
Examples:
Basic low level balance needed for safe healthy life:
"Can you step over a pile of clothes and toys on the floor, without spilling a cup of water"
"Can you descend narrow basement stairs holding a laundry basket in both hands without holding the railing?"
"Can you put on hosiery and shoes standing up?"
"Can you rise from your chair and the floor without using your hands?"
Average:
"Can you leap over a puddle or hole in the street and land lightly on the other foot?"
"Can you safely climb a stepladder without hands and change an overhead light bulb without holding on?"
High:
"Can you walk though a rushing rocky stream and rescue a child on a rock?"
Your ideas here…
Last contest time running out - How well do you know human movement?
Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Read success stories of these methods and send your own. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
Forward Air Head Syndrome - Doing Sets and Reps and Missing The Point of the Exercise
Thursday, October 22, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
After the article Help Yourself last Monday, I received many notes from readers. Almost a dozen the first few hours. Notes saying that that once they understood how my method changes "doing" exercises into stopping causes of injury, they tried to help their friends who had pain. The friends turned their generous help back into the party line of doing sets and reps of stretches and exercises, then returned to habits that recaused their injury. They missed the greater point of using the retraining after the reps stop - during actual real life.
One reader wrote how he explained to his friend about the cause of degenerating discs and vertebrae of the neck. His friend was constantly jutting the neck forward - a painful posture called a "forward head." The friend protested that he had a disease of the facets, the joints of the vertebrae. The reader explained that damage to the facets was caused by the bad posture called a forward head. The friend insisted he had disc deterioration and bulging. The reader explained the cause was simple bad posture called a forward head. The friend agreed to try my method, did a few stretches mentioned in part of one of my articles, then went back to their forward head posture, and complained that the method didn't work because pain returned. He wanted to know exactly how many and which other exercises to do and how long it would take for the exercises to work.
Check some of the comments to certain Fitness Fixer articles. Some commenters miss the point that the stretches or exercises may help you feel better for the moment (and if they don't then you are doing them wrong) but you must change injurious movement habits. Prevent tilting your hip and use neutral spine instead when you stand and walk, to prevent lower back and SI pain. Stop craning your neck. These are voluntary actions that need your brain to work.
Reader Paul J wrote this accurate assessment:
"The Department for Silly Syndromes has determined that Forward Air Head Syndrome is closely related to Cerebral Detachment Syndrome that occurs in patients that read the writings of Dr. Bookspan.
"The patient knows how to read and understands words; however after reading Dr. Bookspan’s writings, a detachment in the cerebral cortex seems to occur often affecting the patient’s ability to think and type. The patient exhibits some of the following symptoms:
Writing questions to answers already given in the original text,
Writing questions to answers already given in previous articles
Writing questions that are not congruent.
In mild forms, the patient will read some of the information, do some stretches, and expect complete results.
"The recommended treatment for those suffering from CDS is to watch the movie* ‘What About Bob?’ This may not cure CDS however it should temporally delay the effects of CDS."
(*In the movie, a psychiatrist gives his nice but overanxious patient a book, to understand and solve his own problems. Instead, the patient drives the psychiatrist insane with repeated unneeded questions (and did his previous doc in with the same).
Read success stories of these methods and send your own. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
This week's Grand Rounds combined the usual Grand Rounds (health & medicine "best of" list) with Encephalon (brain & mind edition). To use BIPOD, you need to use your brains.
In a hospital, Grand Rounds is a lecture for doctors about a patient or topic. On the web, Grand Rounds is a collection of the best on-line medical posts from the past week. A different host works hard each week to find and list the articles.
Reps of Exercises Don't Fix Pain; Fixing Causes Does
Monday, October 19, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Monica from Montana bent over dogs daily in her dog boarding kennel. She spent the summer doing stretches, exercises and going to chiropractors for severe back pain. She did all her "sets and reps" (repetitions) of the exercises her various practitioners gave her. The pain kept coming back. What did she do differently that stopped this cycle?
I first heard from Monica through her short happy note:
"Thank You!! So much. I've had quite the drain of lower back pain the whole summer. Finally I got online and read your article and have now begun the fast road to recovery. The first day I did have relief. Now it's been three days and I can't stop talking about how good I feel. Today I drove six hours and was still comfortable! "Thank you again, "Monica "Montana"
I wrote to thank her for using my work as intended and taking time to tell me. She replied:
"Hi Dr. Bookspan, "The whole summer of 2009 was plagued with lower back pain, I thought due to raking pine cones. I did my usual routine. Going to the chiropractor. Doing stretches (the wrong stretches) all day long thinking they were giving me relief and come to find out by reading your website I was re-injuring my back over and over by doing these improper stretches of bending forward. When I found your website it all made sense so I immediately implemented your instruction and what do you know I immediately started feeling better.
"The pain did not all go away over night, it has taken time to heal, tolerable time thank you. At the end of August I wrote to you saying thank you. It is now the first part of October and the lower back pain is pretty much gone.
"When the pain makes an appearance I immediately pay attention to body position and it (the pain) goes away. I also suspect the chairs I use at work were a part of setting me up for this injury. The chairs are like saddles to "help with upright posture." The molded hard part of the back of the chair is protruding to where it was subtly pushing on my tail bone I've now realized. I think that's a part in why the injury was so low in my back. Plus I think the saddle part of the chair had been affecting my hips. This has taken some time to realize I was so used to these chairs. This whole combination has caused quite a bit of pain and discomfort but due to your website I started looking at all of these things and am reaping the benefits.
"Thank You Dr. Bookspan! You are a bright expression of this essence we all are. The essence of compassion, clarity and skillful means. "Much Love, "Monica
Thank you Monica, for lovely writing.
I wrote back to Monica to see what, specifically, she found helpful, and make sure that after time, she remained pain free, had her life back, and could do more than before she started using my work. To help readers, I make sure these reader inspiring stories are tutorials, not just testimonials. For new readers who have not previously heard of fixing causes rather than doing a few sets and reps of exercise and stretches, I ask success story writers to include specifics.
Monica continues with two commonly prescribed forward bending stretches that add to a common source of pain, rather than fix any problem:
"The main (wrong) exercise I kept repeating over and over was to sit in a chair, bend forward with arms between my legs to stretch as much as I could. This would make my spine move as if straightening - I thought. I also found that bending forward over the front knee created a stretch that would make my spine move. I realize now this was not a good thing."
She also described habitual body positioning that are classic contributors to pain. Even if you do all your sets and reps of exercise and stretches, if you don't prevent these causes of pain, you won't stop the resulting pain:
"My habits have been to let the bottom of my pelvis bend back at while sitting or standing. You know the "butt out" posture. While walking, my feet tend to face outward too. I've now been more conscious to keep my feet square and tilting the bottom of my pelvis forward to give my spine more support. Works like a charm.
"For real life bending... The first thing I do in the morning is go feed dogs in my dog boarding kennel, so in order to pick up bowls and put them back down I now bend my legs instead of bending over using my back. I try to keep my heels to the ground and come up easy while I'm still gaining strength to take care of my knees. My legs have adapted quickly. I bend using my legs all day long and really try to take care of my knees and back.
"I hope this helps someone. "Warm Regards, "Monica"
If You Have Questions How To Do This For Yourself:
Read success stories of these methods and send your own. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
Fast Fitness - Contest: What Does It Take To Sit Upright?
Friday, October 16, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness - a Contest!
Conventional beliefs about posture include that you must do certain exercises or stretches or strengthening to change your posture. Is that true?
Look at photo 1 and 2 and answer the simple question below:
Photo 1
photo 2
Submit Your Answer:
What muscle strengthening or stretch is required to change from first (unhealthy rounded) to second (upright) sitting?
Name the muscle(s) and action needed - don't just name a muscle, say which way it needs to pull.
Explain why the same people (with the same tightness or weakness) who sit with the lower spine rounded forward (flexion) often stand with the lower back overly curved inward (hyperlordosis) - just the opposite.
Disregard the leg position in the two photos - the question is not how to move the leg, those were just the two photos I could find. Focus on describing how to change yourself to upright sitting without moving the leg (why? if you need to move the leg, then you are too tight for basic health. This question is how to restore that basic).
Use your brain. Partial credit applies. I will post answers, explanations, and winners.
Hint for success:
Sit and try it yourself, don't go only to anatomy books.
Read inspiring success stories of these methods and send your own. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more (answer to this quiz too) in Dr. Bookspan's Books.
Exercise and Weight Loss Reduces Kidney Disease and Death
Wednesday, October 14, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
We recently found a cure for "irony deficiency disease." My near-7 foot tall husband and I were walking to a Vidocq forensic society meeting. A bake sale was set up in the building lobby - junk food, refined junk pastries, pies with artificial colorings. The sign stated "Bake Sale for Kidney Disease." I asked which items caused the most kidney disease. I was sure it was a staged joke for a commercial on nutrition awareness. The sellers were disappointed with me. Apparently, it was a real bake sale. "Bake Sale for Kidney Disease" is true, both for them and their kidneys.
Research reported in the Clinical Journal of the American Society Nephrology of pooled data from 13 studies showed found, in obese adults with kidney disease, losing weight through diet and exercise prevented additional decline in kidney function and reduced proteinuria, which is excess excretion of protein in the urine, a major characteristic of kidney damage.
Regular exercise of the recommended amount cuts risk of death in patients with chronic kidney disease by 56%, according to an analysis of National Health and Nutrition Examination Survey (NHANES) data. People who exercised, but less than recommended levels were still 42% less likely to die during follow-up than sedentary people.
1. Weight Loss Interventions in Chronic Kidney Disease: A Systematic Review and Meta-analysis. Sankar D et al. Clin. J. Am. Soc. Nephrol., September 17, 2009 as doi: 2. Physical Activity and Mortality in Chronic Kidney Disease (NHANES III). Beddhu S, et al. Clin J Am Soc Nephrol 2009; DOI: 10.2215/CJN.01970309. doi:10.2215/CJN.02250409.
Obesity is a major factor in kidney disease. A large percentage of the United States adults and children are overweight or obese, increasing their risk of kidney ailments, plus diabetes and high blood pressure, which in turn affect kidney function. More than 20 million Americans already have chronic kidney disease, with the number and severity growing.
Researchers of the Systematic Review and Meta-analysis stated,
"The health care costs that are associated with this increase are staggering. In obese adults, weight loss may offer real benefits in terms of the kidneys, in addition to the heart-related benefits of shedding excess pounds."
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
"It reminded me of a conversation I had yesterday with one of my neighbours. She is 71, very much overweight and is in a lot of pain. She has been receiving physical therapy for the last year. Not having much success she asked her doctor to refer her to a specialist. The results of her x-ray show that she has 2 herniated discs. She also has arthritis plus her lower spine has a curve.
"I mentioned your name and said that herniated disks can heal. I showed her how to stand with a neutral spine. She did not want to know. You have probably come across people like this time and time again. The way she spoke, she wants to have surgery. I was horrified.
"What could I do???? Sadly, I walked away.
"Over the years, she has complained about her weight. I have tried to help in a nice way. How can one help a lady who sits all day long watching TV, eating. So sad. One has to help oneself."
Mindset alone can't fix pain. You can want something until you are blue in the face, but that will not change what happens. You need to do the steps needed. It's also sometimes hard or impossible to do the steps on your own, and a little help is needed. A flame can't ignite on its own.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Fast Fitness - BIPOD Reader Prescription for Healthier Feet
Friday, October 09, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - BIPOD is a way to happier feet that you can do yourself at home. Reader Paul J sent in this gem in July. Other great work from him and other readers are still in the piles of mail.
For background: A shoe insert is any pad of any size, shape or quality that you put in your shoe for various reasons. Hard shoes are a common course of joint pain. Many shoes benefit from better cushioning and even a cheap soft insert for cushioning purpose can help that. Orthotics are different. Orthotics are hard shapes, specially fitted by a trained orthotist or sometimes a physical therapist with orthotic training. Orthotics usually cost a few hundreds of dollars. Orthotics are rigid forms to hold your feet in a specific position. There are also hard inserts with molded arch or other area advertised to change your foot posture. Sometimes orthotics and hard inserts make more pain or don't change the source of the problem. Most of the time, for non-paralyzed people, if the orthotic can make your foot change to a healthy position, you can do the same using your own muscles and sense of positioning. Using your own feet and ankle muscles is often healthier, more comfortable, and more likely to yield long term results.
Now Paul J's intelligent prescription:
"Bookspan Invisible Pain-free Orthotic Drops - BIPOD. Now you can walk, run, or stand without the pain of traditional hard orthotic inserts. BIPOD will revolutionize the way you stand. Read and follow product instructions, failure to do so will render this product ineffective. Attempts to walk, run, or stand without BIPOD is not recommended by our accountants.
"In order to reduce the burden on landfills, please follow the directions below to make BIPOD at home. You must use your brain and following all directions in order to get DHMO and CS (see above).
Ingredients: one tablespoon of cold tap water one tablespoon of tap water from hot tap, before it gets hot.
Mix for 4 seconds in a container that can hold 2 _ tablespoons of liquid.
"The left over mixture maybe placed in the refrigerator for later use or discarded in most plants."
Remember - get the point of healthy practices. Don't get bogged down on purchasing exercise machines and expensive devices that reduce your own body's involvement in your life, or trivial details of exercise "form." Get the big picture of easy healthier ways and enjoy improving your life.
Many readers' great stories are in the piles. Remember to read the instructions and concepts in articles on fixing pain first before asking what to do. Gain the benefits and better health and send in that story. Then we can all enjoy more instead of taking time plodding through and answering reader comments of, "I read your work on how to fix neck pain, will your stretches work?" and similar instances of missing the point. Would anyone help Hannah (or Cheryl?). She left the 36th comment asking if the stretches work on Fixing Upper Back and Neck Pain, which had already explained, along with the 35 questions and replies already there. Thanks!
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
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Image of helping feet with brains by "lapolab" via Flickr
Thank you Pallimed for not including me in your votes of the best in palliative medicine for Grand Rounds Vol 6, No 3 this week. Palliative medicine, by definition, means to alleviate pain and symptoms without eliminating the causes. Palliative comes from the Latin palliare, meaning "to cloak." My life's work is not to cloak problems but stop causes.
Palliative care is sometimes all that is considered possible in situations of end of life or hospice, and those are difficult situations needing some cloaking and definite soothing of symptoms. There are also times where addressing causes can be included, with good results to stop the entire problem.
Pallimed did include one of my articles Fixing Discs by Fixing Causes, by shunting it to their comments section. In Fixing Discs by Fixing Causes, Fitness Fixer reader Laraine P had previously tried palliative measures for the pain of her herniated discs, then changed movement practices to healthy ones so that the discs themselves could heal and the pain stop.
On the web, Grand Rounds is a collection of the best on-line medical posts from the past week. A different host works hard each week to find and list the articles. This is different from the Grand Rounds in a hospital, which is a lecture for doctors about a patient or topic. Thank you Pallimed for all your work.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Tracking problems have several names: Lateral Facet Syndrome, Chondromalacia, Anterior Patello-Femoral Pain Syndrome, Lateral Pressure Syndrome, Malalignment Syndrome, Maltracking Syndrome, Patello-femoral Degenerative Arthritis, and other scary names. It is not a disease or a syndrome or that you are doomed to arthritis, but usually a simple injury process that can be stopped.
Instead of surgery, you can stretch the tight side area and retrain the weak area, so the kneecap slides normally instead of grinding sideways in its channel. Stopping causes stops need for surgery, bracing and pain pills. The knees heal and you go back to all you want to do, using the new healthy mechanics.
What can you do when pain continues after physical retraining? Captain Scott wrote that he had been to physical therapy for his knees "for a few months without much success." He had previously endured ongoing treatments for back pain, then discovered Fitness Fixer methods and resolved the pain. He came back to see if he could do the same for his knees.
Kneecap tracking should begin normalizing within days of stopping causes - far sooner than "a few months." If not, one obvious thing to check is if you have the right re-tracking stretches, exercises, and functional retraining. After that, here are four common reasons when PT does not "work."
Tracking Exercises That Don't Fix Tracking. A common PT scenario is doing 10 (or however many) repetitions of straightening the knee against resistance of a stretchy band, called "terminal extensions," "setting" exercises such as squeezing things between the knees, stretching the lateral (side structures), and small leg lifts with ankle weights to strengthen inner thigh muscles (VMO)s. Without retraining gait and knee use during real life movement, the person often gets up from the PT session and walks away and goes back to their activities with the same poor tracking. PT needs to look at and fix specific use during real life activity - do you turn your knee inward or your feet outward, do you let your foot flatten, do you let your upper leg bone rotate. Also, weight or resistance used is often far less than what the knee encounters when the person stands up and uses their knees to walk away from their exercise session. Tracking angles should monitored during rehab. Not just during standing or during leg lifts, but during the patient's customary activities. If they are not changing, and they are the confirmed cause, then you may not be changing tracking.
Are You Sure It's a Tracking Problem. Knees can hurt for other reasons. You can go for the best re-tracking programs, but if your knee does not have an actual tracking problem, it is no mystery when tracking exercises do not help. You have not spent time fixing the cause. Make sure that tracking is the reason before treating for tracking. Tracking can be identified with specific patellar x-rays or other scans that can clearly include position during several points of motion. Tracking also can be visualized - look at kneecap path during quadriceps use during several kinds of movement. The kneecap slides up and down obviously under the skin at the knee during use. There is a variable degree of normal angle at the knee. Human legs are not straight from upper to lower leg. That angle at the knee allows us to walk upright on two legs in a smooth gait. The angled knee is one of many markers that tell forensic scientists and anatomists if the leg bones they are looking at are human. Sometimes a normally tilted kneecap slide is misidentified as a tracking problem when it is a normal angle in line with the joint.
Multiple Causes. Sometimes tracking mal-alignment is confirmed and rehab done. The patella tracks normally and stops wearing the area, but pain continues from other causes. No mystery. Check for other poor knee mechanics that cause injury. Check if your shoes are too hard. Many people paying for "good supportive shoes" get knee pain from the hard shoe. Often the pain from bad shoes is sharply outlined around the kneecap with deeper aching. Check your bending. If you have pain with knee bending (squatting), fix that. Fitness Fixer articles summarize and my books detail more.
Medicines that Cause Pain. Whether you have tracking problems or not, common prescription medicines cause pain that does not respond to PT. Look into stopping reasons you need the medicines in the first place, and save yourself time, money and pain.
My idea of health care is a quick, straightforward assessment of causes and intelligently addressing them. That beats having someone stick a knife in your knee and charging you for it.
Health&Fitness in Plain English THIRD edition - How to Be Healthy, Happy, and Fit for the Rest of Your Life. Both available from www.DrBookspan.com/books.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For personal medical questions - Replies to Medical Questions. LimitedClass spaces for personal evaluation. Top students may apply to certify through DrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
The British Journal of Cancer published a study finding that, "Exercise, including manual labor, cuts colon cancer (the most common kind of bowel cancer) by a quarter."(1)
Another study by the Division of Population Science at the Fox Chase Cancer Center found that, "People who get lots of exercise have a 30 percent to 40 percent lower risk of developing colon cancer" and that "A sedentary lifestyle accounts for as many as 14 percent of all colon cancer cases in the United States." (2)
They stressed in their findings that of 1,932 adults who answered questions about colon cancer risk, 85% did not list physical activity as a method of reducing their risk of colon cancer, and that "not all doctors are informing patients of this simple preventive approach."
According to Dr. Edward Giovannucci, professor at the Harvard School of Public Health, "Sedentary people can greatly benefit from starting a modest exercise program, such as gardening or walking two to three hours a week. Sedentary people should first set such moderate, achievable goals. More benefits could accrue from higher levels and more intense exercise, such as jogging, running or tennis. To some extent, more may be better, but it is important to note that a little is much better than nothing."
1 KY Wolin et al. Physical activity and colon cancer prevention: a meta-analysis. British Journal of Cancer. Volume 100 Issue 4, 2009. 2 Coups EJ, Hay J, Ford JS. Awareness of the role of physical activity in colon cancer prevention. Patient Educ Couns 71(2), 2008.
Key Encouraging Points:
Exercise has definite, positive effect to reduce colon cancer risk
Exercise reduces risk, even if you have a family history, or risk factors for the disease.
Colon cancer is considered a largely preventable disease.
--- Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Read and contribute your own success stories of Fitness Fixer methods. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
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Image by lantzilla via Flickr, no derivitave works
Fast Fitness - Third Group Functional Training Exercise: Ankles and Knees in Jumps and Landings
Friday, October 02, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness - third in the series of Functional Fitness Training (FFT) to teach your teams, squads, classes, students, kids, groups, battalions, etc.
Assemble your group in neat rows. Stand in front in view of all. Tell them this is a basic, functional physical skill to reduce musculoskeletal injuries, that puts together the first and second skills, previously learned:
Tell everyone to crouch using good bending (knees do not sway inward or slide forward, taught in the first skill), then rise to toes with stable neutral ankle (not bowing outward at the side, taught in the second skill).
Next, have everyone bend and rise increasingly rapidly and smoothly, in a jumping motion, first without rising from the ground, then barely jumping. With each bend and rise, they maintain good knee bending and neutral ankle. Repeat 10-100 times, depending on time and needs.
Next, tell everyone to jump, landing softly using thigh and hip muscles for shock absorption, and good knee bending and neutral ankle. Start jumping moderately, then work for increasing height with each repetition. Repeat 10-100 times, depending on time and needs.
Use conscious control to prevent inversion sprains and turns by not allowing the ankle to invert (turn sideways) when rising to toe during push-off in running and jumping, and coming down during landings. Watch for healthy ankle and knee stability and placement throughout the team season.
Each new Functional Training exercise shows how to teach your groups (or self) how to prevent common musculoskeletal problems during the team season or operational theater. Learn this one to be ready for an upcoming FFT, needed for cutting, changing direction, lateral movement, more.
Trainers, Drill Instructors, readers, send in your stories of how you use these in your program.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Reader Success With Functional Fitness Training - Stronger Ankles, Better Balance
Thursday, October 01, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is a good start to October. I had invited readers to send in names for my group Functional Fitness Training program (tentatively named FFT) and success stories using it. Reader Paul J sent in both. He wrote:
"I don't think I can come up with a better name than FFT.
"Some ideas….let's see,
"Simple Training Big Benefits. (The toe balance training is great; I suppose a success story is in order.) Bookspan's Basic Training. Bookspan's Body Basics. Basic Fitness Training Basic Functional Fitness Jolie's Joint Jewels (That has a nice ring to it, it might be good for something like a list.) Functional Physical Training.
"Well, what do you think, any keepers?"
Readers - votes? The "Basic Functional Fitness" name has the advantage (as does "Bookspan Functional Fitness") of the initials BFF, young person lingo for "Best Friend Forever."
Paul J. continued with his success story:
"I have been doing your toe balance training and have noticed some interesting things. Before I learned your toe balance training I would usually stand on one foot to put my sock on and had decent balance from martial arts, but felt my ankles were weak. I even bought a BOSU and it may have helped, but you have to be on it, to get a benefit from it. I remember the first time I tried your technique and how quickly my right foot tried to roll out.
"Thanks to your simple do-anywhere training my ankles are stronger and my balance is much better. The other day stepping out of the tub I had such an odd sense of stability when standing on just my right foot, I looked at my ankle. My general balance has improved too. I have a folding bike with 20” wheels and for the past 3 years hands free was a very bad idea, just the other day it was quite easy. All though to some this may still be a bad idea, it was done in a nice low traffic neighborhood.
"May your favorite physiologist have a fun Friday afternoon. : ) "
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Reader Robert Davis sent a well-written summary in last Thursday's Healthy Aging Starts Now. Here he adds about our view of aging, and improving physical skills as years pass rather than letting them slip away from lack of use:
"I forgot to mention to that this stuff has helped my instrument playing as well! Sitting straight up and relaxed makes execution of difficult passages so much easier. I used to unconsciously tense up sometimes and it made it harder for no reason. Things just seem so much easier relaxed =P
"I think aging in America is a plague the way it is viewed. I dunno if I made a good point or not (Thursday's Part I) but it seems to me that aging has a warped sense of reality to it in our country. Easy example is I was watching a clip from a dancer (pop dancer) who was in her 40s. Someone made an off the wall comment - "Well she does really good for being 45." But what does her age have to do with it.
"I just realized lately that you see this "plague" of thought that seems to be culturally conditioned that says by a certain age we should be degraded and unable to "do" things. This is how people think and it seems this is how the medical fields think. All I can think of when I see this plague is people in other countries going up and down mountains in flip flops or bare feet at all ages. Activities that would really poop out an average American, they do with ease.
"I get frustrated that we as a nation have the mentality that we must decline when you have shown me this is not true. I used to believe it, but when you turn your head slightly and see it from a better angle, it is not true. It is our lifestyle and habits that degrade. Not our age:) Change the habits, like you say and say over and over again. Why can't people see this?
"Ok I am all worked up lol.. This is why I have considered trying a different field more like yours! I am still considering it."
Mr. Davis has been making great gains in his weight lifting and healthy life using my work after first writing last year to learn how to fix a back injury from lifting. He previously sent in photos practicing various retraining drills by propping his cell phone set on timer against a paper clip and other impromptu devices. I asked if he had update photos of his progress. He replied that, "the phone that had the camera had decided to test gravity and never came out of it :( "
With his can-do ways, I think he will be sending more of his success stories. Click the label 'readers inspiring story' for many readers' stories of using my work to fix injuries and get their life back.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Thank You LaikaSpoetnik Grand Rounds From The Netherlands
Wednesday, September 30, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Thank you Jacqueline for hosting Grand Rounds Vol. 6 No. 2 this week on the LaikaSpoetnik MedLibLog and including my article Fast Fitness - Stretch For Menstrual Cramps - a quick stretching technique to ease symptoms of menstrual and other uterine cramps. On the web, Grand Rounds is a collection of the best on-line medical posts from the week. Who Is Laika?
Jacqueline is an information specialist in the Netherlands. She chose the blog name "LaikaSpoetnik" as a pseudonym because she thought of starting her blog as "a kind of an pioneering experiment." Laika is a Russian word for someone who howls or barks. The first dog to orbit the earth was renamed Laika (originally Kudryavka- "Little one with curly hair" and other names). Laika, pictured at right, flew in Spoetnik II (Dutch spelling of 'Sputnik'). Laika died soon after launch, in 1957.
Laika was not the first astro-dog. Several flew previous suborbital missions for the Soviet Union. In 1961, Nikita Khrushchev gave one of the puppies of Soviet space dog Strelka ("arrow") to Caroline Kennedy, young daughter of then U.S. President John F. Kennedy. That doggie had a cold war romance with a Kennedy dog. More puppies.
A different Grand Rounds host works hard each week to find and list the articles. This is different from the Grand Rounds in a hospital, which is a lecture for doctors about a patient or topic. Jacqueline went to much extra work for this Grand Rounds. I thank her. Here is her photo of the results: Related:
--- Read and contribute your own success stories of Fitness Fixer methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Fast Fitness - Second Group Functional Training Exercise: Ankle Stability and Ability
Friday, September 25, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness - the second of the promised series of Functional Fitness Training (call it FFT until we create a better name) that you can teach your teams, squads, classes, students, kids, groups, battalions, etc.
Assemble your group in neat rows. Footwear is whatever used for their sport or activity. Stand in front facing forward. Everyone sees your feet and you see each participant's feet. Tell them this Functional Fitness Training exercise is a basic, needed many dozens of times every day, for their sport or activity, and for daily life - ankle stability when rising to toes, stepping down, landing from jumps, running, turning skills, and other motions requiring ankle stability:
Tell everyone to stand straight and lift heels to stand on the ball of the feet
Tell everyone to look down at their own feet. Weight should not shift outward/sideways over the small toes. While everyone holds tip-toe, make sure each participant straightens ankles, shifting weight back over the big and second toe. Prevent teetering and turning outward.
Have everyone stand flat again, then rise to toes again, this time properly without needing to adjust ankles. They should feel the difference - using leg and ankle muscles instead of letting body weight slide sideways, which bends ankles into classic sprain position - turned at the outside (inversion).
Repeat good toe-rising 10 times or any number that suits your group's need - more for groups needing higher training (or groups with poorer memory), faster for teams requiring this skill done quickly in actual use, and so on. Tell everyone they will need this for skill #3 - for stepping down and landing from jumps. This is scheduled for Fast Fitness Next week.
Watch them for good ankle stability practices throughout the team season. Reduce ankle injury from letting the ankle invert (turn sideways). Instead use muscles and conscious control to prevent inversion sprains and turns, and get leg, foot, and ankle exercise, from the many needed neutral-ankle stability needed for varies movements daily.
Each new Functional Training exercise will show you how to teach your groups (or self) how to prevent common musculo-skeletal issues during the team season or operational theater.
Send in your ideas for a name for this program. Trainers, Drill Instructors, send in your stories of how you use them in your program.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Robert Davis, frequent Fitness Fixer success story contributor, wrote to me with observations that will encourage, educate, and help many -
"I am beginning to see an almost "plague" in our society. That plague is auto-assumption that age automatically will start to equal degradation of your body."
Mr. Davis, a young lifter, had first left a comment to a Fitness Fixer article last year asking about fixing his back injury from weight lifting. His success stories came in frequently from there, telling how he gained better health and ability than before his injury. In a recent update letter to me, he sent these insights:
" I have not mailed in a few months. However I did not want to forget what got me back to what I love. I have had no issues with my back for months now. It went from dreadful to move, to better then ever.
" It is all so simple once it becomes ingrained. At first it does seem to be a chore learning to (bend right with a lunge and) squat and all the other things to correct bad habits. However these things, with conscious repetition, become habits. No longer do I have to think about healthy movement!
" This has been beneficial not only for my back, but for all areas that were troublesome. The more I loosed up, bent correctly, and used movement correctly, the more minor problems just seem to fade away!
" I have a new mantra when I workout with weight. It is called "on the muscle" chant. Every exercise I perform I say this in my mind and concentrate all weight on the muscles (instead of making it easier by shifting weight to joints). If I feel it is too heavy and I am doing some joint crushing, I back off the weight. I do not lose anything backing off. I gain something. More strength to do the same "on the muscle". In sum, I have really really chosen healthy movement over getting in an extra few pounds with "joint/arch or whatever" assistance. It is not worth it. You will get it eventually "on the muscle!"
" One sad thing I am noticing though lately after going thru stuff myself is this. I am beginning to see an almost "plague" in our society. That plague is auto assumption that age automatically will start to equal degradation of your body. I grew up as a pre-teen/teen in the late 80s and into the 90s. I never remembered regarding people who were much older as limited. I think this phenomenon is a cultural condition based on no facts, and the massive influx of pharmaceuticals. I could be wrong but that is what I see.
" I am amazed at all the people I run across in the gym who are told to "not do this or that". I often think of my grandfather and the time period he grew up in. He was very active and working under cars and whatnot till a few months before he passed away. No one told him his age would hamper that.
" I could go on and on about this but I think particularly in America, we are in a self created plague where age is a bad thing and something to postpone. What little do people know is that healthy movement, awareness, and lifestyle help one get thru all this without having to stop what they love.
" Look at me. From a debilitating back injury to returning to what I love to do - "lift weights in the gym." I was skeptical I would have ever made it back when I got hurt. However I am kinda glad now I did get hurt as sometimes there is a gem inside what otherwise would seem problematic. That Gem was learning (from you) how to do what I love to do without worry of age or injury ever detouring me from that. I am in my mid 30s now and plan to stay on top of myself with your methods for as long as I have a passion for this(and I feel that is a very long time). After all I see the body builders in the 70s and am truly inspired to keep going.
" Thank you! I also wanted to just check in and give a little insight of what I was doing and my thoughts on things =P "Robert Davis"
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Thank you Dr. Colin at Residency Notes for hosting Grand Rounds 6.1 this week (what happened to 5.6-5.9?) and including my article Prescription Acid-Reducing Drugs Produce Heartburn and Dependency in his selection of best medical posts of the week. The post showed evidence that "proton-pump inhibitor therapy (specific acid prevention medicine) induces the symptoms it is used to treat."
In his "Clinical Corner" he introduced my post with the words, "…to put the right information out there is a challenge. Here are some fine efforts." Thank you Dr. Colin.
On the web, Grand Rounds is a collection of the best on-line medical posts from the past week. A different host works hard each week to find and list the articles. This is different from the Grand Rounds in a hospital, which is a lecture for doctors about a patient or topic.
Thank you Residency Notes for the time and hard work of collecting and featuring our posts this week.
--- Read and contribute your success stories of Fitness Fixer methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Three years ago, Merlene's closest friend died. Merlene, who is 74, lost all motivation. Because she was not exercising, she gained a lot of weight. This is where Ivy came in...
Ivy from New Zealand, frequent success story contributor, wrote me in August about her neighbor Merlene:
"You will be pleased that I have a new lady under my wing so to speak. I lent her your book "How To Fix Your Own Pain Without Drugs Or Surgery." Along with giving her advice she tells me that it has changed her life which pleases me."
I wrote to Ivy to ask her if Merlene would be comfortable telling us more on what she did, so others could try it too. Ivy replied:
"I encouraged her to walk again. At first it was difficult, she had difficulty breathing. I noted that she was walking flat footed and taught her to lift her toes. She complained of back pain - I showed her how to lie on her stomach and lift herself up on her elbows before getting out of bed in the mornings. She has now learnt to put her spine into the neutral position. Re her breathing, I showed her how to breathe deeply. She told me that she rolled her neck every day in a circle - she now does the trapezius stretch plus pectoral stretch instead.
"Instead of bad bending, she does squats and lunges while making the bed, doing the vacuum cleaning, going to the fridge and the like, plus gardening.
I checked in with Ivy a while later to make sure all was still improving, and gave her questions to ask Merlene so I could make sure all was well. Ivy wrote again:
"Today I visited Merlene and asked her some questions. She is stronger, breathing has improved, she is more flexible, can walk further, the back pain has improved immensely. She hasn't weighed herself yet, however, is hoping that there will be a weight loss when she weighs herself next week.
"She finds your books "How to Fix Your Own Pain Without Drugs or Surgery" and your Stretching Smarter book very helpful so I left them with her so that she can refer to them.
"She also tells me that your books along with my help and advice has changed her life for the better. She has lost that negativity and feeling positive about life again.
"Merlene is a very quiet, private lady so I try to treat her in a gentle way. She comes from another country and I gather that life has been very hard. She is so enjoying what she is doing. Most important is the fact that she trusts me plus she is very happy you are doing this article.
"Merlene is happy for you to use her name. Re the photo and title (of the article) she would rather it was your choice. "Hugs Ivy "
How to Fix Your Own Pain Without Drugs or Surgery and Stretching SmarterStretching Healthier, and others, on www.DrBookspan.com/books.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Fast Fitness - The First Group Functional Training Exercise, Good Bending for Back and Knees
Friday, September 18, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness - the first of the promised series of Functional Fitness Training (call it FFT for now) that you can teach your teams, squads, classes, students, kids, groups, battalions, etc.
Assemble your group in neat rows so you can see each participant, and they feel the self-control of the neat rows. Stand in front facing sideways so everyone can see you in profile view. Tell them that the first Functional Fitness Training exercise is a basic that is needed many dozens of times every day, for their special sport or activity and for daily life - good bending:
Tell everyone to keep both heels down on the ground while they bend their knees and crouch about halfway down
Tell everyone to look down at their own feet and pull their (bent) knees back until they can see their toes. Tell them if they cannot see their toes because their knees cover their toes, their knees are too far forward (left).
Have everyone stand and bend again, this time properly without needing to adjust knees back over feet (right). They should feel the difference - using thigh and hip muscles, instead of sliding weight forward onto the knees.
Repeat good bending 10 times or any number that suits your group's need - more for groups needing higher training (or groups with poorer memory), faster for teams requiring this skill done quickly in actual use, and so on. Then put items on the ground they use for their sport or work and use the new good bending to retrieve. Replace on ground with good bending, and retrieve with good bending. Repeat for the number suited for your needs.
Tell everyone that this is how they can bend for picking up all their gear (except medical or tactical reason not to). Watch them for good bending practices throughout the team season. Reduce back injury from bad bending, get leg exercise, burn calories, and build strong bones from the many free built-in squats daily.
Each new Functional Training exercise will show you how to teach your groups (or self) how to prevent common musculoskeletal issues that arise during the team season or operational theater. Send in your ideas for a name for this program. Trainers, send in your stories of how you use them in your program.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Is It Health Care to Miss Top Healthy Practice? - Doctors Don't Exercise
Thursday, September 17, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
According to work published in the British Journal of Sports Medicine (December 2, 2008 with several follow-ups) a survey of 61 hospital physicians, "found that only 21 percent get the recommended 30 minutes of moderate exercise at least five days a week." The results for physicians was lower than the percentage of the general population. Results for physicians was less than half the percentage "of the overall population in the same age group who claim to meet this goal."
The doctors blamed, "lack of time, lack of motivation, and lack of workout facilities." However, the study checked physicians with a gym at their hospital and found they, "didn’t fare any better than those without."
This is not like someone who knows healthy practices but makes a conscious decision to live their life differently by choice. This is like a mechanic who drives an unsafe car because he has no idea how to keep it in good running condition or has faulty knowledge and performs practices that make it run worse.
The mindset that you must stop your busy day to get exercise is the core of the problem. The idea that you stop your life, then go "do health," then resume your unhealthy life, is not health as a lifestyle, it is not health care, and it results in many people feeling they cannot take time away from their "real life" in order to exercise because health is not their real life. The practice of medicine should not be procedures to "do" to counter poisonous lifestyle. My colleague Dr. Tom Kessler calls that, "committing medicine."
There is no need to go to a gym to get exercise. Healthy lifestyle means how you move and live all day, and would yield much healthy exercise just by changing movement habits of the same bending, lifting, standing, sitting, and other daily life to healthier ways. The following Fitness Fixer resources show how.
Click this for more on the topic, plus links to specific articles how to change to exercise and health as a lifestyle - Trainers Don't Exercise Enough?
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Thank you to the blog Suture for a Living for hosting Grand Rounds Vol. 5 No. 52 this week and including my article Exercise in the Heat in the list of best medical posts of the week. Suture for a Living writes:
"Dr. Jolie Bookspan, The Fitness Fixer, reminds us that it’s still hot in many places and a chance to learn the several overlooked medical benefits of exercise and heat and improving heat tolerance. Take her advice when you Exercise in the Heat."
On the web, Grand Rounds is a collection of the best on-line medical posts from the past week. A different host works hard each week to find and list the articles. This is different from the Grand Rounds in a hospital, which is a lecture for doctors about a patient or topic.
Thank you to this week's host for doing the hard work of collecting and featuring our posts and reminding readers to listen :-)
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Teachers, coaches, parents, babysitters, trainers, and others have asked me for retraining drills to do with their sports teams, exercisers, and regular school classes.
I will start a series of short articles, one topic per article.
Each will have short instructions that work for group training.
Teams can practice them before each training session, or incorporated into their other exercises.
These will be retraining exercises that school teams and athletes can use to reduce sprains, knee pain, back strain, and other common musculoskeletal issues that arise during the team season.
Each topic can be taught in a short lecture, hopefully within 1-5 minutes, then everyone can try the drill.
This new curriculum is part of the Academy of Functional Exercise Medicine (AFEM)'s Youth Division programming. If your team is changing to healthy ways, you can be a part of this program, which includes certification, awards, teacher training, and other fun - click Academy. There is no charge to participate. This is for health.
Send in your ideas for a name for this program. Trainers, send in your stories of how you use them in your program.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Here is Friday Fast Fitness - custom portable fitness tea, quick and inexpensive, no need for hot water:
Put clean (or filtered) water in your own healthy bottle.
Poke a teabag in the bottle. The tea will brew on its own in a short time, no need for hot water.
Choose your favorite tea or experiment to find your favorite. Mix several together to make your custom brew - for example mint and lemon (all non-caffeine), or ginger plus green (half and half), or green and black tea together (extra interest). Or a whole bunch of flavors.
This makes a fresh drink, no preservatives or coloring, no hype or purchased throw-away bottles. It easily transports with you to work, school, gym, exercise, and biking.
Add water to make more throughout the day. At the end of your day, remove the bags and wash the bottle for another custom tea tomorrow.
Future posts will cover making your own teabags from loose tea and preparing herbal teas from flowers.
--- I make posts from fun mail and success stories. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
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Image by Akibubblet via Flickr. No derivative works.
"Thanks so much for your help. "I wanted to let you know that I have had a herniated disk in my lower back for eight months. Had physical therapy & injections, but still needed medications-pain pills, etc. I never experienced so much pain in my life. I came across your website & articles & starting doing what you recommended, & within days I have been feeling great & have reduced the pain medicine because I don't need it.
"I know now that I was doing the wrong exercises in the past- too much bending forward & back. Didn't really know that this exercising technique (bending, stretching forward, arching) is incorrect. It sure is!!!!
"I really like the hamstring stretch - putting your leg on the wall. This is terrific. I feel so MUCH BETTER....
"Also, when you get copies of the Abs book, please let me know. "Have a great day Dr. Bookspan!!!! Laraine"
A herniated disc is an injury, not a condition or disease. It can heal. You do not have to live with it. You can go on to being able to do more not less.
Discs are living parts of your body, not like a tooth that once broken cannot heal. Most of the time, injured areas can heal, if you let them. Bulging areas can reduce. Dried discs can rehydrate. Each night as you sleep, discs replenish fluid. They plump back up a bit. That is part of why you are taller each morning, than in the evening. They can do all this if you stop the causes that injured them.
Doing surgery, adjustments, treatments, massage or yoga does not stop the cause of disc injury. Common exercises add to injury. Not all exercise is medicine. Then it is no surprise when pain does not stop, or stops but returns, or the next disc herniates after fixing the first one.
Changing unhealthy movement habits that degenerate discs and push them out of place means moving in healthy ways for all you do, not just for sets and reps in a gym. You can do all the "reps" of back exercises in the world. If you return to bending and standing in injurious ways all day around the house and workplace, it is no surprise that the exercises and treatments did not fix the pain.
Click the following for simple ways to stop causes of disc injury. Get the overall concepts, don't bog down on details. I see people in gyms following trivial, exacting "proper form" for exercising, while missing the whole point of healthy bending and lifting or how to apply it to general motion all day.
--- Read success storiesand contribute your own of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Prescription Acid-Reducing Drugs Produce Heartburn and Dependency
Tuesday, September 08, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
In a study of acid-suppression drugs, healthy adults with no previous symptoms developed
"heartburn, acid regurgitation and dyspepsia" after a course of the drugs. Forty percent of 120 volunteers taking anti-heartburn drugs called proton pump inhibitors (PPIs) had a rebound increase in gastric acid secretion, resulting in acid levels above their starting levels.
Study - "Proton-pump inhibitor therapy induces acid-related symptoms in healthy volunteers after withdrawal of therapy." Gastroenterology. 2009 Jul;137(1):80-7, 87.e1. Epub 2009 Apr 10.
Gastroenterology is the official journal of the American Gastroenterological Association (AGA) Institute. A comment appearing in the Journal stated, "Evidence that proton-pump inhibitor therapy induces the symptoms it is used to treat." Gastroenterology. 2009 Jul;137(1):80-7, 87. McColl KE, Gillen D.
PPI drugs for gastrointestinal symptoms is widely prescribed. Study authors stated, "This might lead to PPI dependency and thus have important implications."
In the previous Thank You to Grand Rounds, I noted that several prescriptions drugs are known to cause the problem of increased symptoms, rebound, or the original problem - Thank You Grand Rounds 5.50, Medicine & Technology.
It is becoming known that these drugs also do not target the source of the problem, so may not be needed. It does not seem necessary to start a course of drugs that perpetuates your symptoms. The Fitness Fixer article Stomach Acid Drugs Increase Osteoporosis and Hip Fractures explains more.
--- Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Read and contribute your own success stories of fixing life with Fitness Fixer methods. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
This is nice because three previous Grand Rounds rejected this article, even though their themes included health care reform and medical safety.
Dr. Kim wrote, "The Fitness Fixer talks about some common medications that may cause musculoskeletal pain (and you just thought you were getting old)."
He makes a common caution, "Don't ever stop taking any pills before you get a chance to speak with your healthcare provider." Why is this? Several prescription drugs not only can produce unwanted effects when you take them, but when you stop - causing withdrawal, rebound of the original problem, or changes in body chemistry or function.
Check better ways before turning only to prescriptions. Learn ways to make your life healthier to avoid needing them.
On the web, Grand Rounds is a collection of the best on-line medical posts from the past week. A different host works hard each week to find and list the articles. This is different from the Grand Rounds in a hospital, which is a lecture for doctors about a patient or topic.
Thank you to this week's host for doing the hard work of collecting and featuring our posts.
--- Before asking questions, see if your answers are already here - labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Want mind and body? ChessBoxing is a sport from Germany that combines "the number one thinking sport with the number one fighting sport." Fighters go 6 rounds of chess and 5 of boxing in 11 alternating rounds. ChessBoxing decision is by checkmate or knockout.
Competitors must have an ELO chess rating of 1,800 or above and have fought a minimum of 20 real boxing matches. (Elo rating, named for creator Arpad Elo, is one of several chess rating systems.)
Click the > arrow to watch a short video of ChessBoxing.
ChessBoxing origin is attributed to cartoonist Enki Bilal from his 1992 novel Froid Équateur. Dutch artist Lepe Rubingh was inspired by it to hold a live tournament
ChessBoxing spokesman Bill Schneider says, "The most difficult part of the game is making the transition from the ring to the board. “Your pulse is not a problem, but the adrenaline certainly is. It makes you want to play a far more attacking game of chess than you ordinarily would, and that often leads to mistakes.”
--- Before asking questions, see if your answers are already in labels and comments under posts, links in posts, archives, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Read success stories of these methods and send your own. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Diver Down Flags - Boating, Swimming, SCUBA Safer and Smarter
Monday, August 31, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
My father, some of my brothers, and I loved swimming together in a cold river in the northern United States. We enjoyed fun discussions treading water at the turn-around points. One day, a speedboat left the boating lanes and came at us. I stared dumbly at the fast-approaching boat, because why would anyone run right over you when he could plainly see you? Everyone knew that people swim in the water. The prow churned the water right over us. We corkscrewed underwater like five clams in a row snapping shut, to clear the propellers. It is an acoustics fact that words attempted underwater are distorted. Humor columnist Dave Barry once wrote that anything said underwater sounds like "b-mmoogle" but Dad's blue stream was pretty clear through the roil of bubbles
We listened underwater until the propeller sound deepened, showing it was going away. We surfaced, and looked, and saw the boat turn around and head straight back for us. I thought it might be checking if we were all right, but Dad pushed all our heads back under. The boat smashed the water directly overhead again. Maybe the boat came to "finish us" but with the benefit of the doubt, maybe he just wasn't looking where we he was going again.
We dodged trouble. We are divers and have and use diver down flags. Boats not observing them is another problem. Every year, boats hit swimmers and scuba divers, and injure, disfigure, dismember, and kill them. Know your flags and prevent tragedies:
The Diver Down flag has a red background with diagonal white bar. It is notice to boaters that scuba divers are in the area and to keep clear. It was designed in the late 1950's so that boaters would not suddenly find themselves running over divers surfacing in their path. The "Diver-Down Flag" may be attached to a floating surface buoy and dragged around by a diving group if they will be ranging far from the entry point, or used as a stationary line for descents and ascents. It may also be flown by a boat used for divers. Some states prohibit flying the diver-down flag if divers are not in the water at the time. In that case, the dive boat will (is supposed to) raise the flag during dive activity then lower after all divers and swimmers are back onboard
A second and different diver flag designated by the International Code of Signals (ICS) was designed to protect the diving vessels. Technically, if diving operations restrict the boat's ability to maneuver, for example, attached scientific equipment, communication lines, air hoses, or other attached equipment, then a blue and white "ALPHA (alfa) flag is required. Not all dive boats are restricted so are not required to fly it, but may because it looks nautical and cool and is a diving symbol. The Coast Guard reminds, "The ALFA flag is a navigational signal intended to protect the vessel from collision."
If you are boating, keep your boat clear of Diver Down areas. Please watch the surface for those without diver down flags - swimmers and the slow moving manatee (sea cow). Every year, hundreds of manatees are killed in the state of Florida alone, by collisions with boats. It is their leading cause of death, contributing to rapidly dwindling numbers.
Enjoy your boating with attention and concern. Learn rules of the road and diver flags, don't drink and drive (leading cause of boating accidents). Care for others in the water.
--- I make posts from fun mail and success stories. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Why not try fun stuff, then contribute! Read success stories of these methods and send your own. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
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Diver Down Flag and IC Boat Alpha flad image via Wikipedia
Fast Fitness - Better Than Ice Cream, Quick Homemade Healthy Treat
Friday, August 28, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness - one of my own favorites - good for a pre-game meal, exercise recovery food, desert, and quick snack. It tastes like chocolate ice cream, sweet and creamy, but made of healthy food, no sugar or dairy, good amounts of vitamins, minerals, fiber, anti-oxidants, and the health benefits of cocoa without the chemicals and sugar of commercial chocolate, quick, inexpensive, and easy to prepare:
Peel and freeze bananas.
In a food processor or bowl, mix plain unsweetened, undutched cocoa with enough water to make a smooth paste. (Boxes of Hershey's powdered cocoa is available in most supermarkets.)
Beat in one frozen banana until creamy smooth (or two bananas and more cocoa).
Don't use unfrozen or partially frozen bananas or it won't be sweet and creamy. Crush in walnuts or pecans for crunchy nut taste. If you can't eat tree nuts, try flax seeds. For extra taste, crush in a slice of fresh ginger root.
If you don't like chocolate, leave out the cocoa. It will still taste like ice cream. Experiment with healthy additions of mint, ginger, real vanilla bean, and spices.
--- I make posts from fun mail and success stories. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Why not try fun stuff, then contribute! Read success stories of these methods and send your own. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
In the hot days of summer, common warnings involve avoiding the heat. What about the advantages of heat? Hot environments can improve your health in several ways.
Done right:
Exercising in the heat improves your fitness level and ability to exercise.
Exercising in the heat increases your tolerance to heat, making life more comfortable in the heat.
Exercising in the heat prevents the decreases in heat tolerance that otherwise occur with increased age, which can be unhealthy, even dangerous.
Exercising in the heat makes positive changes in your body that improve your fitness. You increase blood volume, improve cooling ability, make changes in sweating, increase the vasculature that helps circulation, cooling and exercising at the same time, increase specific chemical compounds in the body that improve health and ability to exercise.
When you exercise and increase body temperature, your body produces more of an interesting compound called heat shock protein. Heat shock proteins are families of proteins that do several things including preventing other proteins from damage by infection, ultraviolet light, starvation, heat, cold, and other harsh conditions. Heat shock proteins are thought to mobilize immune function against infections and diseases, even cancer.
Improved ability to tolerate heat without discomfort, called heat adaptation, occurs fairly quickly - with large improvements within the first week of exerting in the heat. Exercising in heat is more effective to produce heat acclimatization than heat exposure without exercise. Aerobic fitness is a major factor in heat tolerance.
It is a myth that you must avoid sweating to stay healthy. Exercising enough to sweat makes you more flexible, increases many chemical reactions in your body that are healthy. Sweat itself has compounds beneficial for your skin and body. Don't worry that you must exercise only indoors in air-conditioning in order to do healthful exercise. A protective environment does prevent initial discomfort, but reduces benefits and the ability to be comfortable in the heat.
This all does not mean to go out and cause yourself heat injury by overdoing without thinking. It is to gain the many benefits of exercising safely in the heat
I will cover more physical changes from exercise in the heat that improve health and exercise level in future articles.
--- For more, click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Why not try fun stuff, then contribute. Read success stories of these methods and send your own. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Reposting - Physician Told Her Give Up, Fitness Fixer Made Her Able
Monday, August 24, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Last week, several Fitness Fixer posts did not become viewable after writing and posting them. One reappears here (hopefully) with the rest to follow this week. Photos will not load at all, so I have included links to view them at another page. May all life's troubles continue to be this small :-) enjoy the posts:
Another reader named Lisa wrote in with a success story. This Lisa had not been active for many years. Her doctor had told her the way to stop injuries from running was to give up running. She is now successfully doing marathons, changing to healthy movement, and working as a professional photographer.
Lisa P writes:
"I had done some running in college and wound up with a stress fracture on the ball of one of my feet. I remember the doctor telling me to stay away from running in the future.
"I have enjoyed visiting your site for many months (more than a year for sure) and find your practical, everyday life approaches to body movement and exercise right on. The idea of walking a marathon was a "no-brainer" once I found out that walking was allowed.
"As someone who grew up in a home where shoes were always worn, I never got the chance to let my feet walk around barefoot for any extended periods (or distances). My feet couldn't handle "feeling" everything as they had been encased for so long in any number of supportive shoes.
"I remember reading a post of yours about hiking in flip flops and tried to imagine myself doing anything in flip flops or another simple shoe without a lot of cushy padding and support in "all the correct places." I am using my muscles to adjust to uneven surfaces while walking barefoot or with minimal padding between my feet and the ground. I think this has improved my body mechanics. Doing it myself helps in a way that wearing special shoes to do it for me does not. Time will tell of course.
Walking may take more time than running, but I've become a faster walker with training and will surely realize my goal of completing a marathon in under 6 hours this fall.
"I've made an effort to reduce and or eliminate certain things from my diet such as refined sugars, hydrogenated oils, and processed foods. This most certainly has contributed to the results I get in training. As I near the actual marathon, I will be walking upwards of 30 miles a week. It is amazing how my stamina improves as the miles add up.
"Attached is a photo of me at mile 25 of The Nike Women's Marathon, the first marathon I completed.
"Oh, one other thing that I have you to thank for is my regular routine of push ups. After every training walk, I do push ups and am currently doing 36. Won't be long before I get to 40!
Going barefoot by itself, or wearing special shoes will not automatically put your foot in healthy position or increase balance skills. You can walk in healthy or unhealthy ways when barefoot, and in healthy or unhealthy ways even in an expensive corrective shoe. You can easily change how you move to healthy ways without needing devices, and save time and money. You can change to healthier eating and reduce a grocery bill greatly, by no longer buying unhealthful food. Click the labels under this post for all Fitness Fixer articles with ideas on each topic.
--- I make posts from fun mail and success stories. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Why not try fun stuff, then contribute! Read success stories of these methods and send your own. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Here is Friday Fast Fitness - a stretch to help relieve the ache of menstrual cramps and the same pain from uterine cramping after sexual relations:
Person with cramping lies on back, knees bent, feet flat on the floor or bed.
Partner sits at their feet, facing their knees, and gently cups the front of both thighs near the knees.
Partner leans backward, pulling the top of both thighs with them (yellow arrows in photo). Cramping person should feel a pleasant relief stretch in the lower abdomen (red arrow in photo). Repeat as needed.
The partner doing the cramp release can either sit closely, securing the cramping person's feet with their knees (as pictured), or sit further back. It is preference for how you can best and most comfortably do the stretch.
The cramping person's feet can be moved closer to their body to add a nice Achilles tendon stretch, or if the partner applying the stretch is not strong enough to easily pull back. This stretch works extra well on a soft bed when the feet can sink into the soft surface. Apply it slowly to not overdo.
See how this works for you and send your suggestions.
--- I make posts from fun mail and success stories. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Why not try fun stuff, then contribute! Read success stories of these methods and send your own. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Physician Told Her Give Up, Fitness Fixer Made Her Able
Thursday, August 20, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Another reader named Lisa wrote in with a success story. This Lisa had not been active for many years. Her doctor had told her the way to stop injuries from running was to give up running. She is now successfully doing marathons, changing to healthy movement, and working as a professional photographer. Lisa P writes:
"I had done some running in college and wound up with a stress fracture on the ball of one of my feet. I remember the doctor telling me to stay away from running in the future.
"I have enjoyed visiting your site for many months (more than a year for sure) and find your practical, everyday life approaches to body movement and exercise right on. The idea of walking a marathon was a "no-brainer" once I found out that walking was allowed.
"As someone who grew up in a home where shoes were always worn, I never got the chance to let my feet walk around barefoot for any extended periods (or distances). My feet couldn't handle "feeling" everything as they had been encased for so long in any number of supportive shoes.
"I remember reading a post of yours about hiking in flip flops and tried to imagine myself doing anything in flip flops or another simple shoe without a lot of cushy padding and support in "all the correct places." I am using my muscles to adjust to uneven surfaces while walking barefoot or with minimal padding between my feet and the ground. I think this has improved my body mechanics. Doing it myself helps in a way that wearing special shoes to do it for me does not. Time will tell of course.
Walking may take more time than running, but I've become a faster walker with training and will surely realize my goal of completing a marathon in under 6 hours this fall.
"I've made an effort to reduce and or eliminate certain things from my diet such as refined sugars, hydrogenated oils, and processed foods. This most certainly has contributed to the results I get in training. As I near the actual marathon, I will be walking upwards of 30 miles a week. It is amazing how my stamina improves as the miles add up.
"Attached is a photo of me at mile 25 of The Nike Women's Marathon, the first marathon I completed.
"Oh, one other thing that I have you to thank for is my regular routine of push ups. After every training walk, I do push ups and am currently doing 36. Won't be long before I get to 40!
Going barefoot by itself, or wearing special shoes will not automatically put your foot in healthy position or increase balance skills. You can walk in healthy or unhealthy ways when barefoot, and in healthy or unhealthy ways even in an expensive corrective shoe. You can easily change how you move to healthy ways without needing devices, and save time and money. You can change to healthier eating and reduce a grocery bill greatly, by no longer buying unhealthful food. Click the labels under this post for all Fitness Fixer articles with ideas on each topic.
I make posts from fun mail and success stories. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Why not try fun stuff, then contribute! Read success stories of these methods and send your own. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
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See various versions of the poem at www.noogenesis.com/pineapple/Kristone.html
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Use conscious control to prevent inversion sprains and turns by not allowing the ankle to invert (turn sideways) when rising to toe during push-off in running and jumping, and coming down during landings. Watch for healthy ankle and knee stability and placement throughout the team season.![Reblog this post [with Zemanta]](http://img.zemanta.com/reblog_e.png?x-id=7f3cda12-f181-4c7a-9393-ff9d7b56df77)
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