Fast Fitness - Hip and Quadriceps Stretch Lying Down
Friday, February 05, 2010
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness - The front of the leg and hip are helpful places to stretch. Here is another nice stretch for the front of your hip and thigh.
People often "do" a quadriceps stretch without getting a stretch. They keep the front of their hip bent forward at the crease where it meets the body, meaning the area is being shortened not stretched. This is opposite of the point of the stretch. To get the stretch and the idea of lengthening and extending at the hip:
Lie on one side with both knees bent in front of you. It is ok to round your body a bit. The spine is not rounding under compression. It's a nice stretch. Prop your head comfortably.
Keep the bottom knee still bent in front of your body.
Notice different stretch with raised and lowered top knee placement. Stretch the other leg too.
Prevent these reasons the top knee may hurt:
Don't pull back so hard that it pulls painfully at the knee.
Tight quads can feel like knee pain when they tightly pull where they attach at the knee. It is not a problem with the knee, but with tight thigh and quadriceps muscles. Tight people may feel sharp pulling or yanking around the knee when trying to put weight on a knee stretched behind them, as when ruining or lunging. The problem is tightness, so stretch gently and intelligently. The idea is to stretch the quads so you don't hurt, not yank so that you do.
Check that you are not twisting at the knee - generally you can tell this if your foot is facing a different direction than the front of your knee. One commonly missed reason for knee pain felt during running and walking is twisted stretching, including yoga poses like lotus and hero if you don't turn from the hip, and others, covered in Knee Pain When Running - Check Your Yoga.
--- Read success stories of these methods and send your own. See if your answers are already here by clicking labels, links in posts, archives, and The Fitness Fixer Index. Subscribe free, "updates via e-mail" upper right. For personal medical questions - Replies to Medical Questions. Limited Class space for personal feedback. Top students may earn certification throughDrBookspan.com/Academy. Getinfo all in one place in Dr. Bookspan's Books.
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 (Bookspan Basics) 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.
Good body mechanics are a powerful performance enhancing aid.
--- 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 - Built In Functional Achilles Tendon Stretch
Friday, July 31, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - get a free, built-in stretch for the Achilles tendon in the way your legs need to stretch during normal movement.
Every time you bend with the squat, keep both heels down on the floor (upper right drawing) instead of raising heels (left).
Every time you bend with a lunge, keep the front heel down, not lifted up and shifting forward to the toe.
When ascending stairs, step up on your entire foot including the heel, down on the step, not just the toes and ball of the foot.
Many people stretch their Achilles tendon holding still. Is it such a mystery to get a pull during movement? Prepare your body how to stretch during movement. This normal daily life activity practices lengthening under body weight during normal movement.
Why do a few seconds of Achilles stretch then go back to tight, shortened real life use. Get hundreds of free stretches built in to your day in a way that gives free muscle and bone building exercise too.
Good bending benefits your back, knees, and Achilles Tendon at the same time.
--- Questions come in by hundreds. I make posts from fun mail. Before asking more, 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 certified - DrBookspan.com/Academy.
Fast Fitness - Develop Ankle Stability Sense While Stretching
Friday, June 05, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness - prevent a common source of overstretched lateral ankle ligament, which is one contributor to repeated sprains - turning the ankle when stretching:
When you stretch your hip and legs, or sit cross legged or in yoga poses, notice if you allow the foot to turn, increasing stretch on the outside ligaments of the ankle - too much supination. Reader Liz demonstrates in photo 1 below.
Straighten your ankle, Liz photo 2, below.
You may notice you get more good stretch from your hip to make up for the motion you were getting by turning your ankle. Holding straight gives better stretch in the hip, and better ankle stability training.
Avoid turning ankle, overstretching outer ligament, demonstrated by Liz in photo 1 above /\
Then remember to use the sense and knowledge of ankle straightening when you stand, run, take stairs. Lying down to stretch will not train stable ankles. The idea of this post is not to make ankles worse with your stretches. Not all things are good to stretch. Avoid the unhealthful practice of lengthening the side ankle ligaments, shown again in the photo below:
Ligaments are like a briefcase latch. They attach the top bone to the bone below it. Like a latch, a ligament is not supposed to stretch, but hold position, so that the briefcase hinge (your ankle joint) does not rattle and the briefcase does not pop open (side of your ankle sprain). While sitting cross legged, straighten the ankle so that it does not turn up.
Read success stories of these methods and send your own. Questions come in by the hundreds. I make posts from fun ones. Before asking more, see if your answers are already here by clicking labels under posts, links in posts, archives at right, or in the Fitness Fixer Index.
Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books. Get certified - DrBookspan.com/Academy.
---
Healthy photos thanks to Liz of New Zealand Ligament stretch yoga ankles by Than Tan
Fast Fitness - Straighten and Stretch Hip While Strengthening Core, Arms, Legs, and Balance
Friday, March 27, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - Increase strength and muscular endurance of your body working as a whole, and learn to keep neutral spine and good hip position against resistance.
From a pushup position, turn to the side, raising one arm overhead, holding legs and body straight.
Raise your top leg. Notice if you increase the inward curve of your lower back (overarch to hyperlordosis) and if you bring the leg forward - demonstrated in the upper photo.
Instead, hold straight. To feel position, practice against a wall - demonstrated in the lower photo. Bring the back of the raised leg against the wall. Press your lower back closer toward the wall instead of letting it overarch from the weight of your leg pulling the spine.
The idea is to use the wall as a guide to learn positioning, then use your muscles and sense of positioning to hold straight without the wall from then onward.
Read success stories of these methods and send your own. Questions come in by the hundreds. I make posts from selected ones. Before asking, see if your answers are already here by clicking labels under posts, links in posts, and archives at right.
Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right.
Reader Robert Davis has been enthusiastically sending in success story after success story. He sent his first story of fixing a painful back injury from weightlifting - Fixed Injuries, Got Strong, With Functional Exercise.
Since getting the idea of using healthy daily movement instead of injurious movement during daily life and exercise, Robert stopped major causes of his injuries. He has rapidly been getting strong using fun functional exercise, and improving function. He has been taking ingenious photos using his camera phone. His stories and photos will be posted. He is sending them in fast and furiously. I enjoy hearing how he experiments with each thing, and sees and understands how they work so he can incorporate the concepts into daily movement, not just going thorough arbitrary motions and calling it exercise.
We are still having problems uploading photos and movies for you - since October. It has been a time-intensive and difficult process to get any photos at all uploaded for these posts. It has changed and delayed a few of the articles I wanted to write for you. When Healthline staff can help, they will. Robert generously made a page to store visuals so you can link and see them. Start with:
Watch how he uses a healthful squat for real life, not just 10 times in a gym.
Robert writes:
"Make a mess and pick up only one item at a time via a squat. If you need to clean the house only pick up one item at a time. The constant up/down motion of the squat etc should get the heart rate up for a good cardio workout. Why not kill two birds with one stone? Tired of the stationary bike? Do this for a half hour:)"
Good bending is natural built-in cardiovascular exercise, leg strength and stretch, Achilles tendon stretch, hip strengthener, warm-up for stretching, and back pain prevention, since it stop one major cause of back pain - bad bending (bent over at the waist or hip). Done properly, good bending strengthens knees and does not cause knee pain. The Related Posts below explain more. For all Fitness Fixer articles on each topic, click the labels under this post - for example, "Achilles stretch."
Read success stories of these methods and send your own. Questions come in by the hundreds. I make posts from fun ones. Before asking, 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. SeeDr. Bookspan's books.
Fast Fitness - Even More Core With No Forward Bending
Friday, March 13, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness - build on a previous Fast Fitness for increased strength of body and core. Strengthen almost everything with this fun move.
Questions come in by the hundreds. I make posts from fun ones. 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 inspiring success stories of these methods and send your own.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. For personal evaluation take a Class. For top students, certification throughDrBookspan.com/Academy.
Fast Fitness - Better Back and Leg Exercise When Vacuuming
Friday, January 30, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - Prevent lumbar disc degeneration, and strengthen and stretch your legs without needing a gym, trainer, or exercise equipment, or even changing your clothes:
Notice if you bend wrong - pictured at right with red X. It may stretch and feel good, but over time pushes discs outward to the back (herniates them).
Stand upright and bend both knees in a lunge - pictured center with green check mark.
Instead of only doing lunges as an exercise 10 times and paying for a trainer or a gym (right) use it hundreds of times a day for real life bending. That is functional exercise.
Good bending will not hurt your knees. Keep front knee back over your ankle (left and middle photo with green check mark). Healthy positioning keeps your body weight on your muscles and off your knee joint.
Questions come in by the hundreds. I make posts from selected ones. See if your answers are already here by clicking labels below posts, links, and archives. Read success stories of these methods and send your own.
Have The Fitness Fixer e-mailed to you, free. Click "updates via e-mail" - Health Expert Updates (trumpet icon) upper right column.
Hamstring to Quadriceps Ratios Not the Answer in Knee Injury
Monday, January 26, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
A common myth is that injury comes from "muscle imbalance" in the thigh from too much strength in the quadriceps muscles over the hamstring muscles.
Early studies showed poor ratios of quad to hamstring strength. It was concluded that because of this, when the athlete would kick, for example, the overly strong quadriceps would overstraighten the knee, and the overpowered hamstring behind the thigh would not be able to stop the powerful straightening. The knee would overstraighten and hyperextend the joint, injuring it.
Athletes were put on hamstring strengthening training. Then they went back to kicking with the same bad habit of overstraightening as before.
The problem was simply that they athlete would hyperextend the knee. They were allowing it through bad training habits, not being made to do it by a strong quadriceps. Your muscles do not make you move. You learn though training and practice how to move in healthy ways.
What to do? When you kick, don't fling your leg out and hyperextend (overstraighten) the knee. Control the end point position. When you land from jumps or descending stairs, don't step down on a locked, straight knee. Control the end point position.
--- 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.
Fast Fitness - High Core Strength For The New Year
Friday, January 02, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness - a quick fun one to fulfill New Year's Resolutions for increased strength of body and core. Strengthen almost everything with this fun move that my students affectionately call "peeing dog" -
Hold a straight pushup position. Keep elbows slightly bent, not locked.
Lift one leg straight out to the side, as if over a bicycle. Hold as long as you can. Jump to switch other leg out to the other side.
Hold neutral spine throughout (pictured at center). Don't let lower spine or neck droop under your weight (gray shirt second from right). This post shows how - Fast Fitness - Strengthen by Changing Your Plank.
Send your photos or short movies of your successes doing this. Coming soon - an even more fun and challenging maneuver once you can do this one.
Photo is from my workshop at the 2007 International Black Belt Hall of Fame.
---
Questions come in by the hundreds. I make posts from selected ones. See if your answers are already here by clicking links and archives. Read success stories of these methods and send your own.
Subscribe to The Fitness Fixer -Click "updates via e-mail" - (trumpet icon) upper right.
Anterior Cruciate Ligament (ACL) Surgery Unnecessary
Monday, December 22, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
After injury to the anterior cruciate ligament of the knee (ACL) it is common to be told that surgery is the only way to restore function. Is it?
Ninety percent of ACL injuries in the U.S. are treated with surgical reconstruction. A study reported in the Dec. 15 issue of Arthritis & Rheumatism found that, "Two to five years after treatment, patients had similar muscle strength and function whether they had training alone or with surgery." The study concludes, "Reconstructive surgery is not a prerequisite for restoring muscle function." That means you can have good results with good rehab and without surgery.
A second question is development of ostoarthritis following ACL injury. Poor knee stability increases risk of developing arthritis. Studies tracking results for years following the surgery are finding that surgery "adds no benefit over rehabilitative training alone" and that surgery is done, "despite an absence of evidence to suggest that reconstruction of the ACL prevents or reduces the rate of early-onset osteoarthritis." That means you don't need the surgery to prevent possible future arthritis.
Another common myth is that knee injury comes from "muscle imbalance" in the thigh from too much strength in the quadriceps muscles over the hamstring muscles. The strength of a muscle does not make you move it. That means you control whether you overstraighten a knee or not. It is a use issue, not a strength ratio. Future posts will cover the issue of quadriceps to hamstring ratios and injury to the ACL and other knee structures.
You don't have to have ACL surgery to rehab a knee injury.
Fitness Fixer Posts on Fixing Knee Pain Without Surgery:
Health&Fitness - How To Be Healthy Happy and Fit For The Rest of Your Life. THIRD edition.
---
Questions come in by the hundreds. I make posts from selected ones. See if your answers are already here by clicking labels below posts, links in the posts, and archives. Read success stories of these methods and send your own.
Have The Fitness Fixer e-mailed to you, free. Click "updates via e-mail" - Health Expert Updates (trumpet icon) upper right column.
Fast Fitness - Don't Shorten Hip When Stretching Hamstring
Friday, December 19, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness - Get a more functional hamstring stretch, and a built-in posturally helpful functional stretch to the front of the hip at the same time.
When lying on your back to stretch your hamstrings by lifting one leg:
Lie flat. Keep the leg you are not lifting flat on the ground, not bent at the knee and hip, or with upper body curled and neck craned, as pictured.
Don't let your pelvis and hip round under you. Don't let your backside curl up off the floor.
Keep your hip, leg, back, shoulders, and head relaxed, flat, straight, touching the ground.
It is a myth that you must bend your knee to protect your back. If you must bend your knee to protect your back, how are you supposed to stand on one leg and lift the other in real life to climb stairs, kick, and even run and walk, without curling into bent over, old-looking, tight, injury-producing position?
When stretching your hamstrings, remember function. Why practice a position that is rounded, tightening, and detrimental to how you move when you stand and extend your legs. Get stretch by lengthening you body enough to be able to straighten out.
Send me your photos of fixing this stretch. Doing is the best learning. I will publish the photos in a reader success post to come.
Questions come in by the hundreds. I make posts from selected ones. See if your answers are already here by clicking links and archives. Read success stories of these methods and send your own.
Have The Fitness Fixer e-mailed to you, free. Click "updates via e-mail" - Health Expert Updates (trumpet icon) upper right column.
Fast Fitness - Make Your Own Balance, Agility, and Leg and Ankle Retrainer
Friday, October 24, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - how to make your own device to get a high tech workout that retrains important motor skills, balance, and lower limb proprioception. Proprioception means to know where and how your body is moving.
Put a sturdy board on a rock or hard, fairly round object like a solid ball.
Step up on the board and balance. Do a variety of movements that mimic your sport, like tennis and golf swings, martial arts punches and kicks. Do daily life movements like reaching cabinets, and bending like squats and lunges. Try all the same on one leg.
For intensive training, place lengths of inexpensive putty or child's reusable clay to make chutes (channels) on the board. Control the motions of the board with your feet to direct the marble to the center target.
Good for kids and adults of most ages.
Be careful and use your brain. Remember the board can move suddenly and slide. That is the whole idea. Control movements with your strength and balance to prevent uncontrolled falls. Start with supervision and near a safety wall, not the stairs or the china closet. Know ahead of time how to fall safely.
--- Questions come in by the hundreds. I make posts from selected ones. See if your answers are already here by clicking links and archives. Read success stories of these methods and send your own.
Have The Fitness Fixer e-mailed to you, free. Click updates via e-mail - Health Expert Updates (trumpet icon) upper right column.
Readers Carol, Don, Teresa, AJ, and others asked about strength, and knee pain and placement when descending stairs.
Physical trainer Teresa wrote:
"Hello Dr. Bookspan, "The post on "Better Exercise on the Stairs" from July 2007 contains the following statement: 'When descending stairs or hills, bend your knees when landing for soft shock absorption. Don't step down on a straight, locked, knee.'
"Some clients I work with have the habit of descending stairs on one leg because they can land straight-legged on the "weak" leg. Pain or fear of pain keep them from having the confidence to bend that "weak" leg sufficiently to support themselves for a soft landing on the other leg, but the "strong" leg will let them land softly on the "weak" one. When I get them to practice it, they find the proper motor pattern that is pain-free, but end up falling back on the old motor pattern that creates pain.
"Do you have any ideas on this one since descending usually requires more use of the toes than climbing the stairs does?
"I keep recommending your site to loads of people because you are sooo right. It's about motor patterns of moving our bodies, not just "exercise." Thank you for your time and assistance!" Teresa Merrick, M.A. ACSM HFI, NSCA-CPT/CSCS, NASM CPT Master Trainer
Climbing stairs is a functional (real life) skill. Not having the strength to support your own body weight is serious weakness:
It is not healthy to land straight-legged with a locked knee on either a weak or strong leg. The functional life skill needed to descend the stairs is similar to what is needed for simple daily healthy bending (right drawing). Bending knees to retrieve and reach is something everyone needs to do many times a day. How many times a day do you think you bend for ordinary actions? Click How Good Would You Look From 400 Squats a Day - Just Stop Unhealthy Bending
Use the simple built-in life activity of healthy bending using the half squat (right drawing) to train your legs for the strength and mobility needed to descend stairs in a healthful way.
When you bend in the half squat, keep both heels down and your weight shifted back over the whole foot (right drawing), not just the toes (left-hand drawing). Pull back more to the heels if you slide forward.
No need to increase the inward curve, called hyperlordosis, or overarch (left). Hyperlordosis pinches the spine and can cause impingement and mystery back pain (Prevent Back Surgery). Overarching is sometimes taught to weightlifters because it shifts some of the effort onto the lower spine joints called facets, making the lift easier. It is healthier to keep the weight on the muscles and not overarch. Keep neutral spine (right drawing).
Keep heels down for bending using the half-squat, instead of lifting the heel. Keeping heels down shifts weight to the thigh and hip muscles and off the knee joint. Enjoy the free, built-in Achilles stretch with each bend. Specifics on this in the post Free Exercise and Free Back and Knee Pain Prevention - Healthy Bending.
Descending the stairs should not be a toe-intensive maneuver. Your body weight belongs on the strong muscles of the thigh and hip.
Once you have the idea of the healthy bending you need for daily life bending, transfer that healthy movement to the stairs:
Keep more weight on the leg on the upper stair, instead of flopping and stomping all weight down on the foot that is stepping down.
Keep your weight back more toward the heel on the upper leg.
Keep heel down longer on the upper leg, instead of lifting the heel right away. Get the free, built-in, functional Achilles stretch.
Bend knee slightly upon stepping down instead of landing straight-kneed. Remember this is the same strength and skill that you need and have been developing (or should have) for ordinary daily bending, which totals many dozens every day.
Use good shock absorption from the thigh muscles of the leg stepping down.
Instead of dong artificial leg exercises like leg raises, use legs for real life to get automatic built in exercise in the way you need to move. The movement gives built-in strengthening and stretch and movement patterns. The built-in strengthening and stretch and movement patterns directly improve daily function.
More will come in future posts. Have a real life of activity and fun, and enjoy.
Read success stories of these methods and send your own. Questions come in by the hundreds. I make posts from fun ones. Before asking more in the comments, see if your answers are already here by clicking labels under posts, links in posts, archives at right, or in the Fitness Fixer Index.
Subscribe, free by using "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books. Get certified - DrBookspan.com/Academy.
What Is The Difference Between A Leg Press and a Squat?
Monday, July 14, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
Is a leg press the same as a squat upside down? Both the squat and leg press bend and straighten the legs against resistance. But something special makes opposite forces on the joints.
The post Exercising With A Friend - Partner Leg Press showed a fun leg press without equipment using a friend for resistance, balance, and teamwork. Reader Nina left the comment on the post: "This could being done another way. Sit on a bench or sumthing (sp) else back-to-back with your partner. Interlock arms sitting straight with your backs pressed together. Rise up and down, and feel the pressure on your leg muscles."
What Nina describes is called a squat or half-squat. The exercise in the post is a leg press. Standing on your feet changes it to a squat.
The squat has opposite joint and muscle dynamics to the leg press. In the kind of leg press described in this post, your body is fixed, and the feet move away. In the squat, the feet are fixed and the body moves. The difference in which end is stationary creates different forces on the muscles and joints.
My students Lily and Biji demonstrate one way to do a fun partner leg press. Hold your body (and head) stable.
To do half-squats with or without a partner, it is usually better exercise and balance training without the bench. There is no need for equipment. Instead, use your own muscles to hold up body weight, rather than sitting or touching down to a bench between each raise. The squat is functional - meaning it uses your body the way muscles need for real life. The key is using the half squat for healthy daily bending instead of "bending wrong." Bending over forward unequally weights the discs of the spine. Over years of bad bending, you can accumulate enough small pushes on the discs to begin to break them down and push them outward toward the back. This is the process of disc herniation. It is not a mysterious situation or a disease process. It is simple mechanics. The resulting disc damage, slippage, herniation, is an injury that can heal, usually easily and quickly when you stop the injury process of bad bending during standing, sitting, and lifting.
Your body needs to practice both kinds of leg resistance to be good at both. Have fun building functional squatting into daily life instead of dong artificial squats in a gym, then bending wrong hurting your discs the rest of your day. Have fun doing leg presses balancing friends and family that move and squirm, instead of ignoring real humans to interact only with artificial stationary gym equipment. Get real fitness with real life.
Here is Friday Fast Fitness - Train children's balance and grip strength, use your legs, and have family fun.
Have young children sit on your feet, and hang on (sensibly, parent's permission, and all that). Babies are born with a grasping reflex and are stronger than you may expect.
Do any variety of walking, marching, dancing, and range of motion, while standing, or sitting, while they act as natural strength and endurance trainers and floor dusters.
Teach sharing, enjoyment, physical skills, personal interaction, and all the good you can think of.
Outside of all the debates of whether leg weights are helpful or not, fun activity with your family can develop many strengths.
Fast Fitness - Stronger Arms and Chest, and Core, Hip, and Leg Stability With A Friend
Friday, March 14, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - strengthen inner legs, thighs, arms, and core, while practicing neutral spine with a friend. More exercise than putting hands up on a bench or exercise ball.
My students Johanna (1) and Diana (2) demonstrate the beginning of this move. Description of how to progress follows the photos:
Partner 1 lies face up with bent knees
Partner 2 does pushups on Partner 1's knees while holding neutral spine, not letting the lower back sag and arch downward. Partner 1 gets entry-level exercise hip and core exercise by holding legs stable and does not let knees wobble. Higher-level exercise is described below the photos.
To increase core and hip stabilization training for both partners, Partner 1 tilts knees slightly to each side while Partner 2 continues pushups. Try both moving continuously side to side, and holding legs stable at an angle. Do not twist your spine.
Here is Friday Fast Fitness for the intercalary year (Leap Year) - Leap to develop ankle and knee stability, leg power, and balance.
Leap to a point in front of you. Then leap back again:
Leap forward, landing on the other foot with soft shock absorption. Don't land hard, which jars joints.
"Stick" your landing, without wobbling or setting the first foot down.
Leap backward to the original foot and place. Hold your landing steady. Try several leaps forward and backward, then change the leading leg and repeat.
This skill is good fall reduction training, and ankle sprain prevention for many terrains.
When landing, keep ankle stable by preventing your foot from rolling to the outside. Info in the post No More Ankle Sprains Part II. Train knee and hip stability by preventing your knee from swaying inward upon landing - Healthy Knees.
Fast Fitness - Core Hip & Body, Posture Strength & Balance
Saturday, January 26, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - training and challenging abdominal muscles to hold neutral spine. Use this, not as an exercise to "do," but to use to retrain neutral spine. Reader Mike, who did a A Whole Big Fix sent this photo to illustrate:
Hold a plank.
Lift one arm straight in front.
Figure out which is the opposite leg and lift that one. Keep straight spine
Mike writes:
"Here's some more feedback on your exercises: it seems the more planks I do with opposite arm/leg extended, the less my hip pops, so I'm doing those every morning for about 4 sets of 10 sec. holds on each side, along with the side planks. Those seem to set my posture off right for the rest of the day. I'm using my hand and wrist muscles to take weight off the bones, as you've said, and my wrists, are getting stronger.
"BTW: my daughter's badminton coach has a PhD in exercise physiology and she's also a big fan of your site."
Walk Lightly - Shock Absorption for Happier Joints
Thursday, January 24, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
"Your tread must be light and sure as though your path were upon rice paper
"This rice paper is the test Fragile as the wings of the dragonfly
"Clinging as the cocoon of the silkworm When you can walk its length and leave no trace You will have learned" - Master Khan to Grasshopper in the 70's TV series Kung Fu
Walk, run, jump, and move lightly.
Banging down with each step is not good for your body. It increases risk of joint pain and plantar fasciitis.
I tell my students to stop banging and stomping when they walk and move and jump. One day, a student asked me "How?" Here are some things to try:
1. I asked the student to stomp his foot. Then I asked him to place his foot down lightly. That is how.
2. Use an analog bathroom scale. Step on heavily and see the numbers go up high. Then step on again lightly and see that the last number reached is a lower number. In sports medicine, we use force plates to measure ground forces when an athlete jumps or runs by.
3. While walking, try not to make noise. It doesn't mean to tip-toe, but to walk with regular heel to toe gait, but lightly.
4. Try walking with a full-to-the-brim cup of hot coffee or any liquid. Don't tip-toe, just walk softly without spilling any.
5. Practice jumping in the air and landing softly. Bend your knees when landing. Increase the height of the jump, maintain soft landing. Work up to jumping down from increasing heights without making a sound, or much sound.
Photo by Jolie taken at a Malaysian backpackers hostel
As you read this, we have been traveling for work and are again on several days of flights back to Asia, with a few errands on the way. For the next two months in Asia, I will check in and post from Internet cafes as we make our way through work and travel on overnight trains and ferries. Here is the link to the post and photos from last year on our way back.
I won't have access to Internet or e-mail for the next week. If you have questions, I won't be able to receive them until after that. Check for posts already here on Fitness Fixer. The post New Year's Resolutions Made Easy gave a list of labels that access all posts with each topic. I drafted a post on long sitting that Healthline staffer Jerry will post for you on Wednesday, thank you Jerry.
If you send photos, send small jpgs so that my e-mail does not fill, and so that I can directly upload them without finding a graphics program to resize them for posts.
Later this month, at the full moon, we hope to be learning more about wound healing at the Thaipusam. Then back to the north to the Muay Thai Monks on Horseback, and training at several places in Thai Boxing.
On our travels through Thailand we hope to see our friends, including an eagle who adopted me.
These ladies are in their 80's and 90's. Last year we all went to the King of Thailand's flower exposition. They wore their best clothes. When friends arrived with their truck, the ladies easily climbed up the tailgate over the side of the truck bed. I thought Paul and I should ride outside and let them sit inside. The daughter took my arm and said, "No. She stronger dan yooou!" They explained that the Grandmothers had sat outside all their lives, and walked before they had rides.
We will stay for some time at a school that has become a home to us. The cook there, named Ahn, escaped from desperate conditions in Myanmar (Burma). Earning a few dollars a day in Thailand, working long days without time off, is riches by comparison. One year I got her a children's ABC book to learn to read English. I was thrilled when she took the arm of another Burmese helper and sat with the book, writing in page after page. She worked on it for days. She proudly presented it to me - translated all in Burmese. She thought I wanted to learn Burmese and spent her only free time to do this as a present for me.
A few years ago, before leaving the US for Asia, some of my students asked if they could donate to help her. About 150 students enthusiastically agreed. They signed a card, that we translated into Burmese. They all put money in a hat, totaling strangely, only about $50. I matched it to make a $100 gift. This is more than a month's salary for Ahn. We could give her much, put her niece through school, with so little.
I put it in a drab little purse and wrapped it as a present. Ahn graciously received the gift of what she thought was an ugly cheap bag. She smiled and thanked us and bowed low. I told her, "Look inside later." The next year, we found that she donated the entire amount to the temple to ask for blessings - for us.
At the same school, the Grandmother there is a feisty funny lady. We came to love her quickly and look forward to seeing her every year. She is in her 90's. I am not sure exactly, but maybe more than 95. She loves to joke and tease. In the photo above she is sitting at lunch that Ahn brought. She sits easily in full squat and rises easily.
Once as we were entering the school, she squatted down fully to rummage through her purse to get her keys. I tried to get her photo. When she saw me raise a camera, she bolted up and ran to a table with Western style chairs, and sat there, upright, with legs crossed and hands on her knees. She said she didn't want her photo "sitting like a farmer." Nothing I could manage to ask in my best Thai convinced her to let me show the world how strong and great she is.
Last year, while visiting them, the subject of Muay Thai came up, a martial art which is the national sport. She once ran a Muay Thai school. The next thing we knew, she was giving us lessons. I trained and competed in Muay Thai in the Netherlands and Thailand, and know that she gave us all a tough training. Then she grabbed her friend, a lady in her late 80's and sat her on the floor for a lesson too. Look how easily they bend and sit on the floor in this photo.
Here is a short movie of the last 30 seconds of her giving a lesson. Click the arrow to play. Watch how easily they both rise to a stand at the end. We hope you feel happy and inspired by her, and try it too. Last summer, she passed away, strong to the last.
Here is Friday Fast Fitness - fun challenge for body stabilization, strength, speed, and balance with a friend.
Stand facing a partner
Stand on one foot, pressing the other against your partner's raised foot.
Push, pull, surprise your partner with unexpected movement change, all while remaining balanced. Change to push toe to toe and side to side.
Reader Bernie supplied this photo. His inspiring story will be posted in January. He registered for my back pain workshop two years ago, then skipped it to do surgery instead. His doctors told him that since his pain was from structural damage, that no exercise or repositioning would help. Bernie took my class two years later. Although much of the pain was from structural problems, several of which he didn't have until the surgery, we successfully fixed the worsened structural situation.
Click archives at right for more, links in the articles, and labels under each post. Have The Fitness Fixer e-mailed to you, free, using the button at top right (looks like a trumpet).
Fast Fitness - Functional Agility, Flexibility, Strength
Friday, November 30, 2007
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - build balance, leg and hip strength, and flexibility as a lifestyle.
Lightly sit down on the floor and get up again without your hands.
Being able to rise from the floor is natural lifestyle movement, done in many places in the world by people up to the oldest years. My martial arts student Ms. Han demonstrates in the short mpeg movie. Click the arrow to run the video:
Fast Fitness - Strength, Abs, Balance, and Ankle and Leg Stabilization
Friday, November 09, 2007
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - quickly increase functional stabilization of the knee, leg, and ankle while increasing overall strength and balance.
Anyone can lift weights, but can you do it balancing on a basketball? Get started by standing on one foot:
Do your regular lifts, curls, presses while standing on one foot (and then the other). Breathe.
Notice the leg you stand on. Don't let the arch of your foot flatten toward the floor, or knee roll inward toward the other leg. Hold knee, ankle, arch inline, using your muscles. See Arch Support Is Not From Shoes.
It reduces exercise to sit, even on a fitness ball. It is more exercise, more functional, and better balance training to stand on one foot than to sit. You sit all day already.
Be safe, be excited about having fun doing functional movement, be happy.
Fast Fitness - Balance, Strength, Stretch, and Socks
Friday, November 02, 2007
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness with a new debut - web movies!
Fitness Fixer reader David D of Belgium has been making us many helpful mpegs. This one shows how to get several important physical skills and daily built-in fitness as a lifestyle by simply standing while dressing:
Stand with one ankle crossed over opposite knee
Put on your sock while balanced, safely.
If you want more, stay balanced and retrieve your shoe from the floor and put that on too. Stand to put on trousers and other clothes instead of sitting. The more you use balance, the more balance will develop.
Don't strain or force or round your back or make anything go pop. The idea is to learn to move in healthier ways, not unhealthy ones. The post Ancient Shoe Exercise for Hip Stretch and Balance explains more. Breathe. Have fun.
A special story came in. I had been answering inquiries from a reader who wrote me to ask how to stop her mother's knee pain, and after her mother was better, to help her father. I was charmed by this good daughter who wanted to help her parents. She faithfully taught her mother everything I wrote her, and she wrote back with results. I didn't know where she was from, and didn't ask. In the weeks of letters back and forth, she caringly scanned and e-mailed me copies of lab reports and pharmacy prescriptions. She asked good questions about the medicines and tests and how they could help her parents. The tests and prescriptions had notes in Arabic and distinctive generic names. I wondered if I might wind up on a watch list of people who correspond with people from certain countries. In one reply that I wrote, I headed the instructions on knee pain with, "To whoever else may read this, please use it to stop your knee pain too, for more peace and less pain in the world."
Here is the story of Katayon:
"I belong to Afghanistan and I am very grateful to Dr. Jolie Bookspan. My mother’s knees pain was my biggest concern for a long time. She went to more than six best doctors here in Pakistan. But all she got was medicine for relieving her pain which not always helped her. She was also told not to walk a lot and rather sit on the chair most of the time. My mom is young and still it’s very soon for her to spend her life just sitting. Doctors said the cartilage inside her kneecap has dried and can never be recovered and she will always have the pain. And that the only way is to always use those tablets. This really bothered me to think of her feeling pain all her life.
"After trying the doctors in the city, I selected the option of getting support through the internet. That is where I fortunately found Dr Jolie Bookspan who always keeps telling me that medicine is not the only option. But rather we have to adopt healthy movements. In the first stage, this knowing this thing encouraged and cheered me a lot. She also introduced me to the free articles- exercises related to knee pain and back pain, on her website. I have checked almost a lot of those useful links and currently I am following a lot of those helpful movements, exercises and directions mostly for knee pain. Currently I am also suffering from knee pain which is due to weakness of my muscles as the doctors here have told me. Dr Jolie has been a great help for me and my mother.
"And now I and my mother are feeling much better. I learned not to use knee-bands (bracing) because it further weakens the joints instead of strengthening them. I have shared all what I leaned with my whole family. So we are all blessed with an opportunity of adopting healthy joints movements. Besides a lot of other very useful guidance, I learned these important things: climbing the stairs putting full flat foot on the ground avoiding knees coming forward, so overall moving the knees in a healthy way which should not create pain while walking – I am practically doing this and I really see how useful and pain free it is; while picking something from the ground, trying to avoid knees coming forward and instead making it like sitting on a chair. So all in all, we are following all of the guidance and tips which really are pain free and help my knee joints get strengthened. I and my mother regularly every morning and anytime during the day we find time do the squat and lunge exercise which are very much helpful. Not only this, but I have also shared this exercise and all of the other healthy tips with my office colleagues who are suffering from knee pain.
"I never thought of a way out but only as the doctor said that the only option is to have medicine for whole life, whereas Dr. Jolie changed the whole thing for me encouraging me to have fun and keep walking pain free. I feel very fortunate to have found her. And I appreciate all of her time and efforts that she makes to help the world live without pain. I and my mother are deeply inspired by what she is doing to help the people. And we wish her best of luck and lots of energy to keep on her good job." Katayon Q – Afghanistan
Why is there a picture of a flower with this story? A personal photo was not the right thing. I asked Katayon what photo she thought would represent her story and country. She wrote:
"With this email I am sending a picture to go with my story. I was thinking of something to show relief and happiness as a result of being healthy. And I came up with the idea of selecting flower picture for my story. To me, a flower presents every positive thing."
Here is Friday Fast Fitness - Quickly strengthen lower back and backside muscles, improve balance, stretch your legs, and learn straighter positioning:
Stand on one foot.
Lift the other leg in back. Bend only at the hip until your entire body is parallel to the floor (like the top bar in letter T) as in the photo. Do not droop your leg down in back or droop your chest in front. Do not jut your chin forward. Chin in. Look in a mirror until you can tell straight positioning on your own.
Hold straight as long as you can. Switch legs. Hold straight as long as you can.
Here is Friday Fast Fitness - quick strengthener for arms, shoulders, body, legs, hands, feet. Healthier than bending over for rows (hard on discs) and more functional strengthening than lying on a bench:
Lift with the other arm 10 times. Try various lifts - front, back, sides.
Want more? Add a pushup, lifting the weight on the way up. More? Lift one foot. More? Use an unwieldy barbell for balance challenge or pinch grip to strengthen hands.
Tuck your hip to straighten your lower spine to strengthen abdominal and back muscles too. Hold your head up with neck straight to strengthen neck and upper back muscles the way they need for healthy straight standing.
Strengthen Legs Without Knee Pain - Standing Lunge
Thursday, August 02, 2007
Jolie Bookspan, M.Ed, PhD, FAWM
Many people know they need to bend "right" but don't because it hurts their knees.
Bending right will not hurt knees. It will help fix one of the things that has been injuring them - bad bending habits which pressure and grind the joint.
Good bending will also give your knees the exercise they (and you) need.
Some knee patients are told to never "bend right" with a half-squat or lunge because it is bad for the knee. There are specific things about bending and straightening the knee that can increase certain kinds of pain, to be covered in future posts. Use your brain and try the following gently and safely. Done right, it should reduce knee pressure, not increase it.
How To Lunge:
Stand with one foot far in front of the other. Both feet face forward. (Left photo.)
Feet remain normal width from side-to-side, not directly in line front-to-back.
Lift your back heel. Don't turn the back toes outward. Look at your back foot and check.
Tuck your hip under (click "neutral spine" label for posts explaining how). You will feel a far better stretch and strengthener.
Bend both knees to lower straight downward. Don't touch back knee to the floor. Use leg muscles. Watch your front knee and keep it over your front heel, not sliding forward. (Right photo.)
Don't let your front knee sway inward.
Keep upper body upright and straight. (Right photo.)
Lower and rise several times, then switch legs. Keep feet still, not stepping forward and back.
Tips:
To keep healthy knee positioning for the front knee, peek downward to see your front knee and foot.
You should be able to see your front toes all the way through the bend.
If your knee slides forward covering your toes, you are shifting weight to your knee joint and off your leg muscles. This is one of two common ways to increase knee pain while bending. Letting the front knee sway inward is another.
Keep front knee steady over your front ankle, not sliding forward or inward. You will strengthen and stabilize your knees and legs instead of hurt them. You will feel more muscle use when you keep healthful positioning.
Lunge is a Lifestyle, not an Exercise to "do" 10 Times:
No need to go to a gym to do lunges. Use the lunge for daily bending around the house. It will add up to many lunges every day, built-in as fitness as a lifestyle. The posts How Often Should You Be Healthy? and Bending Right is Fitness as a Lifestyle give ideas of how to use healthy bending for normal daily life.
Benefits of the Standing Lunge:
Strengthen leg muscles
Strengthen the knee
Stop harmful forces on the knees from bad bending
Stretch the front of the hip of the rear leg
Stretch the Achilles tendon and foot of the back leg
Learn knee stabilization
Practice balance
Retrain healthful bending for daily life - transferring to function instead of just being an arbitrary exercise - free exercise all day
Retrain straight upper body position for bending - more functional exercise
Provide beneficial general exercise, warming which makes further movement easier, and healthful body movement.
Have fun practicing this now. You will need the standing lunge for tomorrow's Fast Fitness - Quick Warm Up. Enjoy.
--- 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 answers to personal medical questions - Replies to Medical Questions. Limited Class spaces for personal evaluation. Top students may apply to certify throughDrBookspan.com/Academy.See Dr. Bookspan's Books. ---
To get a better lunge stretch and stop pressure on the medial knee (the side facing the other leg), don't turn your back leg outward (left photo). Turn your back foot parallel, and face forward (right photo)
The previous post Hip Stretch While You Strengthen Legs shows a key move to position the hip to get a great stretch on the front of the hip and feel a better strengthener for the legs as you lower and rise in standing lunges.
One of my students, Lily, demonstrates good hip and leg position for the lunge (second photo at right). Instead of tilting the hip forward in front and out in back, you tuck the bottom of the hip to maintain it vertical from the top of the leg (hip joint) to the middle of the waist. Note the stripe of the side of the pants compared to the vertical line in the wall behind her. On occasion, Lily makes me a wonderful bean dish and brings it to class in a glass container. The glass is a thoughtful healthy touch to avoid whatever may leach out of plastics into food. My students and I try to do this with food and drinks carried to work and class. Here is her recipe. Just throw it all in a bowl:
Lily's Wonderful Beans
Cup or two of cooked black beans Cup or two of corn 1 jalapeño pepper, diced 1 red onion, chopped 1 red pepper, chopped 2 tablespoons cumin powder 1 bunch fresh cilantro, chopped salt and pepper to taste sprinkle of olive oil, just enough to blend ingredients squeeze 1 fresh lime over the top
Some people with celiac omit the corn. Celiac causes various discomforts after eating wheat and related products.
Good bending gives free exercise and stops a major cause of several chronic pain syndromes (muscle strain, disc degeneration, disc herniation, and sciatica) at the same time. Click the labels under this post for related posts. If you use the lunge and squat around the house for all the things you need to bend for instead of bad bending, you will stop a major source of back pain back, and get hundreds of free leg exercises a day. Enjoy healthy eating and healthy lunging.
When you lunge to get a stretch, to strengthen, and to bend to reach or retrieve things, keep your hip vertical instead of tilting forward. You will feel a better strengthener for your legs and a wonderful stretch for the front of your hip.
Neither photo, above left, shows straight hip position. The left and right photos both show the hip tilted forward. The stripe in the pants tips forward between the top of the leg and the middle of the waist-band.
The photo below right shows straightening the hip. The moment you tuck the bottom of the hip under to straighten the hip, you will feel the stretch move to the front of the hip. If you use the lunge for bending and leg exercise, keep the hip tucked and vertical as you lower and you will feel a far better stretch and strengthener. One way to do the hip tuck:
Put your hands on each hip, thumbs in back, fingers in front.
Roll your hip down in back so that your thumbs roll down in back.
The front of the hip and upper leg will feel very good when you do this right. You will feel the large arch reduce and the front of the hip stretch. The front of the hip is an area often overly-maintained in bent and shortened position from hours of sitting, then exercising with the hip still bent, as in the top-left photos.
These two posts show the key to position your hip so that your lower spine returns to neutral position and the hip stops tilting. You get a nice stretch with the benefit of stopping one kind of lower back pain that comes from going around all day with your hip tilted forward.
Bending the legs with one foot in front of the other is one of two healthy ways to bend for all the daily bending around the house. Click here to see it. The half-squat with feet side by side is another. Click here to see it.
The lunge is not an exercise that you do ten times then bend wrong for the rest of the day. It is one of several ways to do healthy bending for all you do. Use the lunge, not as an exercise, but a retraining for healthy body function and easy fitness as a lifestyle.
If you would like to strengthen legs and reduce knee pain while going up stairs:
Don't lean forward (photo 1 above)
Stand upright (photo 2 below)
Keep your heel down on the foot that steps up.
Push off the whole foot, feeling the push-off through the heel. Do not push off the ball of the foot.
When you raise one leg to step up, don't let the other leg pull and bend forward. Keep the standing leg straight (not locked straight).
Many patients who come to me, previously unable to step up a curb without pain, can climb flights without knee pain using this repositioning. Stairs become not only accessible, but a source of the exercise their legs need to strengthen and regain function.
Keep your weight back toward your heel to use leg muscles instead of putting your weight on the front of your knee. You will get knee pain relief and a built-in Achilles tendon stretch with each step. Done right, you will feel a more muscular and strong push off, making stairs easier to climb and better leg exercise. Even if you have big feet and your heel is off the step, keep your heel down instead of going up "tip-toe."
Notice if you bend forward. Instead, stand straight. The post Common Exercises Teach Hip Tightness When Kicking, Stretching, and on the Stairs explains how hip tightness increases bent forward posture when raising one leg for kicks and activities like stairs, and shows how to hold straight body position instead, to stop tightness, and get a built-in hip and body stretch.
When descending stairs or hills, bend your knees when landing for soft shock absorption. Don't step down on a straight, locked, knee. Future posts will cover more about stairs. Have fun improving leg strength and knee function by taking the stairs during daily life in a healthy way. Send photos of your successes.
Read success stories of these methods and send your own. Questions come in by the hundreds. I make posts from fun ones. Before asking more in the comments, see if your answers are already here by clicking labels under posts, for example "stairs," links in posts, archives at right, or in the Fitness Fixer Index.
Subscribe, free by using "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books. Get certified - DrBookspan.com/Academy.
The previous post Leg Exercise That Helps Your Back introduced the lunge. The lunge can be a quick effective fitness and health enhancer when you understand that you use it for real life bending, not just as an exercise to do for a set number of "reps."
The idea is to use the lunge in a healthy way instead of bending over "wrong" for all the hundreds of times you bend around the house and workplace. Then you stop one of the major sources of back (and knee) pain and degeneration while you get free built-in exercise, calorie burning, and leg and hip stretch and strengthening. The post How Good Would You Look From 400 Squats a Day - Just Stop Unhealthy Bending shows just how many times every day you need to know this.
Reader Ivy from New Zealand sent in the photo above right showing a great way to bend for some of the many times you need to bend to reach and get things - the standing lunge:
Upright torso
Bending straight downward, not forward
Front shin pretty much vertical
Front knee over the foot
Front knee does not sway inward. This is key in retraining knee stability during real life bending, stairs, and other movement.
Back foot facing ahead, not turned out
Front heel down. Better for knee and gives built-in Achilles stretch
Feet nicely spaced
Hands free, not on front leg
The side-seam of the jeans from hip to waist-band is vertical, not tilting forward. It is somewhat hidden by Ivy's arm, I know. But the idea is important - do not tilt your hip forward to stick the backside out in back. Keeping the side seam vertical does several important things to strengthen and stretch, and keep neutral spine that I will cover in future posts on lunging.
Looks comfortable and doable.
When using the lunge, do not bog down in "rules" over placement. The idea is to move in simple, healthy positioning, not hold yourself rigidly.
Going to a gym three times a week is not fitness as a lifestyle. Instead of "doing" exercise, lift, and bend, and move in healthy ways all the time for real fitness as a lifestyle. Give it a try and send in your success stories.
Leg Exercise That Helps Your Back - Why The Lunge?
Monday, June 25, 2007
Jolie Bookspan, M.Ed, PhD, FAWM
I receive the question often, "What exercises should I do to stop my back pain?" I stress that that the exercises you need to do are to simply change away from all the injurious movements that are causing all the pain in the first place (left drawing) and use good movement instead (right drawing). Then your back can heal. The pain will stop.
I see patients all the time who come to me after going through back pain exercise programs. They went through their eight or ten week program, then their pain came back. Every day they did their exercises, then bent over wrong to put down their weights (left drawing), bend over wrong to pick up their gym bag (same left), sat badly on the way home, then hunched over their computer to record their exercise session. It is no mystery.
The post Disc Pain - Not a Mystery, Easy to Fix shows the mechanism of how bad bending and sitting damages the spine and discs. It is a simple injury, not a disease or condition. You can easily stop the process yourself.
A lot of dollars are spent on the common assumption that you need to strengthen or stabilize the back or exercise a particular muscle set, for example the multifidus. That does not fix the source of the damage. At the gym I see trainers, students, and yoga and Pilates teachers doing their exercise classes week after week, saying they come because they have to because of their back pain. Even the exercises they are doing were contributing to the problem. Many things that are bad for you feel good at the time. The post Common Exercises Teach Bad Bending gives examples so that you can avoid this pitfall. The post Sitting Badly Isn't Magically Healthy by Calling It a Hamstring Stretch shows how the most common stretches done, even in back pain programs are contributing to the problem, and what to do instead.
The answer is easy. The post Bending Right is Fitness as a Lifestyle showed one of the most important exercises you need to do to stop back pain. It introduced the squat, which is not an exercise to do for 10 repetitions, but to use instead of bad bending for the hundreds of times every day you bend for things. Instead of hurting your back hundreds of times every day, you prevent hurting your back hundreds of times a day. Instead of hurting your back hundreds of times every day, you strengthen your legs hundreds of times a day. It is not the exercise of squatting that fixes your pain by strengthening, but by preventing the damage in the first place.
This post introduces the lunge as a second wonderful "exercise" to stop back pain. It is not something you do as an exercise for a number of repetitions. Instead, you use it, along with the squat, for the many times a day you need to bend for all the daily things around the house and workplace - the laundry, the pets, the things on the floor, the kids, the dishwasher and refrigerator, and everything else, all day, every day:
Stand upright with one foot far in front of the other (right drawing).
Feet apart comfortably, both facing ahead, not turned outward (right drawing).
Bend both knees
Don't let your front knee come forward. Keep it over the front ankle (right drawing).
Lower straight down.
Your back heel comes up. Keep the front heel down for better knee health. It's a free, built-in Achilles stretch too.
Don't touch your back knee to the floor.
Don't hold your hands on your front knee. Although common, you get better balance and strength without it.
Done properly, the lunge should not hurt your knees. If you are too weak to lower enough to pick up the mail on the floor and get back up, that is serious weakness. You need functional strength to do ordinary daily life. This isn't walking miles over rocks to the river and returning with heavy water jugs over your back just to cook with. This is getting the mail.
Bending right with the lunge burns more calories than bending over wrong. Good bending helps a weight loss program.
Click the labels under this post to see more on these topics. The next post Strengthen and Retrain Function With The Lunge shows a reader making good use of the lunge. Posts to come will cover more about how wonderful the lunge is to transform your life from weakness and pain into easy function. This is fitness as a lifestyle.
--- 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 certified - DrBookspan.com/Academy.
Last week at the sports medicine conference, I talked to a researcher from Kuwait University. Dr. Jasem Ramadan presented a lovely little study called Bioenergetics of Islamic Prayers, measuring the amount of oxygen and calories the physical movements of the prayers burned.
Five standard prayers (Salat) are mandatory every day for every adult male and female Muslim. Each prayer has a continuous sequence of body movements (Rakkas) consisting of standing, bowing, kneeling and sitting. Each Rakka lasts between 3 and 6 minutes. Dr. Ramadan looked at the energy cost of two and four Rakka prayers in thirty-two male and female adults. He found that Salats have a positive effect on metabolic function. For an 80 kg person, energy cost of daily prayers was about 80 calories a day, and could be considered a form of physical activity that enhances fitness.
Dr. Ramadan told me, "The prayers have been done for thousands of years and no one thinks about it as physical exercise." I told him I think that often. I told him that Russian Orthodox prayer was pretty physical. A liturgy lasts hours, done standing and continuously crossing yourself from the floor in a squat to high overhead. Everyone including the oldest people do this, up and down, and up and down, and up and down, stretching and squatting, reaching and bending. I always thought it was group community health activity, probably found long ago to be protective against many ailments (and attributed divinely). The original yogas were the same, reaching upward to exalt the heavens, bowing, kneeling, prostrating, rising, over and over.
I told Dr. Ramadan that many Westerners aren't comfortably able to do the kneeling Rakka shown in Healthy Toe Stretches or rise to a stand without using their hands, as in the post Quick and Easy Strength and Balance Exercise, not only the elderly, but the rest of the population too.
He seemed surprised and interested. I told him I believed that this lack of basic human movement for real daily life was a major contributor to the epidemic numbers of people who are too weak and unstable to get up unassisted, to walk without canes and walkers, have trouble taking stairs, have poor balance, and for much knee and hip pain and degeneration. Dr. Ramadan said that elders in his country do not suffer knee and hip arthritis in high numbers, and can easily rise from the floor into their old age. I told him that many Westerners are familiar with a device that is worn, with a button to press for help if they cannot get up from the floor or chair. At this point, he was sure I was kidding.
If you cannot get up from the floor or low chair easily without using your hands, you likely have dangerously decreased leg strength and balance. Use good bending to strengthen your legs and knees many times a day and improve your fitness, explained in the post How Often Should You Be Healthy? Use healthy movement every day to sit, rise, bend right, clean, garden, give thanks, stretch, take stairs, and play to get healthy functional exercise, and prevent common joint pain. That is fitness as a lifestyle.
--- 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.
Sitting in full squat with heels down can be healthful and useful. Squatting for daily life is a built-in Achilles stretch, more effective and functional than the standard "lunge and lean stretch" against the wall, or lowering one heel from a step or ledge. Better Achilles Tendon Stretch shows one Achilles tendon stretch that is effective and quick. Sitting in a full squat is another. Rising from the squat adds functional leg muscle strengthening and balance.
I took the photo, above left, in an airport in Asia. The man was easily sitting to work on his laptop during the hour before boarding. Others were similarly sitting with laptops and mobile devices to get work done. Elders squatted that way to rest.
Achilles Stretch in the Bathroom introduced the full squat as a functional normal daily action used in many countries for resting, washing, gardening, working, washing, toileting, chatting on the phone, and other activities, and gave an idea of how to try it. Save Knees When Squatting explains how keeping the heels down rather than lifting heels to rest on the ball of the foot is safer for the knees. Reader Mim supplied a wonderful link in the comments for a great little film of the Asia squat. More Fun Squatting tells a funny squatting story. People new to squatting may find their Achilles tendons are too tight to bend in this normal manner. Reader Ivy of New Zealand offered to demonstrate one easy way to practice this stretch in a safe way, and sent the photo at right.
Keep both heels down while holding something sturdy in front. Straighten your arms and lean back to shift weight away from the knee joints.
Squatting can be a nice stretch for your lower back too. I have been working, off and on, for some years on the interesting finding that slight forward spine rounding when just sitting on your heels in the squat (no weights) does not load the spine to the extent of sitting on your behind in a chair. Be smart about trying it or not if you already have damaged knees. When rising, make sure to keep knees back over your feet, not sliding forward, which loads the knee joint, or inward at an angle (narrower than your feet), which can twist the joint. Either action can grind against the meniscus and cartilage.
Done properly, it should feel good on the Achilles and calf, lower back, be good exercise, not hurt the knees, and become an option for a functional stretch and even normal sitting ability.
How many times do you get in and out of a chair everyday? It could be enough for a fair amount of exercise, if you use muscles instead of leaning forward (photo shows terrible sitting) and flopping down.
At a medical conference last year, a speaker droned endlessly about back surgery (even though Studies Say Back Surgery Not Needed, and you can Fix Disc Pain Without Surgery) and the usual tedious exercises that people must do three times a week (then they do unhealthy movement all day that causes the pain in the first place, or do their exercises in back damaging ways - Common Exercises Teach Bad Bending). An obese physician arriving late plodded to a chair next to me. She laboriously bent over, bending wrong to put her bag on the floor. She slowly bent over forward, bending wrong again to retrieve two cushions from the bag. She bent over wrong again to place one cushion on the chair seat, then again for the second cushion for the chair back. She turned her back to the chair, bent far forward, bent her knees a small amount, so slowly, then slammed her backside down to the chair with a WHUMP. She sat rounded for the rest of the lecture about surgery for disc herniation. Sitting and bending rounded forward is the major cause of disc "disease." To easily avoid disc pain and surgery see Disc Pain - Not a Mystery, Easy to Fix.
What to do instead? Any time you start to sit, check if you lean forward and stick your backside out. You shouldn't need to lean far forward to sit, or rise from sitting. If you have to lean, it is usually a sign of weak legs. If your heels come up as you bend your knees, your Achilles tendons are tight (or you have functional bad Achilles habits). You shouldn't (ordinarily) need to use your hands to sit or rise. Your balance and legs should do the work. Do you sit down heavily, not using leg and hip muscles to decelerate? Why jolt your spine and give up free calorie burning at the same time? Try this now to see:
Stand up, ready to sit -
Start to sit, keeping both heels down on the floor.
Don't lean forward. If you lean, correct it by tilting your hip under and raising your upper body to be straighter.
Keep both knees back over your heels. Don't let knees slide forward.
Keep knees parallel over your heels. Don't let knees sway inward.
Notice how you have to use far more leg and hip muscle, and the pressure of holding your body weight comes off the lower back and knee joints.
Notice if you reach for the arm rests, or other support, out of habit. Use your leg muscles instead.
Sit down lightly.
Start to rise from sitting -
Notice if you lean far forward or raise your heels or jut your chin forward.
Notice if you need to push off your hands.
Notice if your knees comes together. Don't let them.
Change how you rise to put both heels down on the floor, push off your whole foot including heels, and use your leg muscles to rise while holding your upper body more upright without jutting your neck and chin forward.
This is not a bunch of strange rules for sitting, or a weird, contrived exercise, it is just basic concepts for normal healthful daily movement.
The previous post explains why it is not healthy for your back or the best exercise to lean and stick out in back - Aren't You Supposed To Stick Your Behind Out to Sit Down or Do Squats? It covered good knee placement too, so check that if you avoid healthy movement because of knee pain.
Exercise is still thought of as something you go and "do" instead of moving in real life. It's silly to do 10 squats in a gym or using your chair and then go back to unhealthy movement each time you sit or bend during the day. Have comfortable healthful movement all day. Sit and rise easily. That is exercise as a lifestyle.
It's Valentine week. Each post this week will show a fun way to improve health with a friend.
The Partner Leg Press strengthens your legs, hips, and posture muscles, and practices balance and good body position. It can be safely done with children too.
Partner 1 lies face up on the floor with both feet raised.
Partner 2 positions themselves facing down, with Partner 1's feet on their chest or abdomen, and holding their body straight (photo 1).
Partner 1, on the floor, bends knees to lower and pushes legs almost straight, in a leg-press action.
Repeat the leg pressing many times, trying for at least 10 presses, then switch places.
Be careful. This one is so much fun that Partner 2 may drool on, or fall on Partner 1 by accident (or purpose). Have fun on Valentine's Day.
Then try the Partner Leg Press with Partner 2 face up (photo 2). Start by partially sitting with Partner 1's feet on your back, and "walk" your feet away for straight positioning. Do several presses, then switch places.
Why tell a loved one or child you can't spend time with them because you need to go exercise? Instead of making exercise isolating and separating, and something you have to stop your life and disrupt your family to do, make it unifying, friendly, and fun. That is health.
Don't forget to stretch your toes. You need mobile toes for balance, healthy walking mechanics, and foot health.
Every day, take your feet in your hands and stretch your toes apart side to side, easily and comfortably. Make sure all your toes can move apart from each other, and that each one moves up and down. It is not healthy for your toes to remain stuck together and not moving.
Sitting in various ways can be a built-in stretch for the toes. If you sit on your heels, as in the photo at left, or kneel on your hands and knees with toes curled under you, or when you are sitting in your chair right now, see if you can bend your foot behind you and still touch all your toes to the floor - even your little toes. Don't force toes to bend, just gently see if they all reach the floor. After stretching your toes back (toward the top of your foot) bend them all down toward the bottom of your foot. Many people, particularly people who wear heeled shoes wind up with toes that are bent upward all the time. The tendons on the top of the foot can shorten from keeping the toes bent up, and the toes can get stuck in a pulled-up position. Future posts will cover more on stretching your feet for mobility, pain control, and health.
When you sit, as in the photo above, see if you can rise to a stand without pushing off the floor with your hands or bracing your hands against your leg or knee. Just use your leg muscles and get a strength and balance exercise while you get a nice stretch on the bottom of your feet.
The photo was taken when I studied a medicine course in Cambodia. Before and after classes you practice respect, concentration, and self-discipline. While you do this, you get a lot of physical exercise - it is commonplace for people of any age to kneel without using hands for anything except to hold the candles, flowers, and incense, and to rise the same way. The photo was taken in the middle of bowing, so I am not fully straightened yet. The nun is laughing. My Cambodian is so bad that I made her laugh. I think that is good exercise and good medicine too.
American baseball catchers have the occupational risk of meniscus tears in their knees. Yoga practitioners of certain squatting moves like "the eagle" and the hindu squat are more likely to get the same meniscus cartilage tears and early joint wear and tear. Asians who routinely squat for so many activities of daily life don't get these injuries. The difference is keeping your heels down and your feet facing in the same direction as your knees.
Sitting in a full squat with your heels down and your weight back does not pressure the knees the way squatting with heels up does. Keep both heels down and keep your weight back on your heels.
People who are not accustomed to squatting often find that they are too tight in the Achilles tendon to sit all the way down. Many of these same people do Achilles tendon stretches every day, or at least they do a motion commonly taught as an Achilles stretch, but which barely stretches the Achilles. The "lunge and lean," is the least effective Achilles stretch. The post Better Achilles Tendon Stretch tells why and gives a better stretch to do instead. The squat is another good Achilles tendon stretch. It is a lifestyle stretch for the Achilles and lower back, and a hip, leg, and shin muscle strengthener. You get healthful natural exercise from regular daily life. Even if you can't get down to full sit, bend properly with both heels down for daily bending and you will get a free Achilles tendon stretch every time you bend, which is many many times a day. Holiday Leg and Abdominal Exercise tells more on this.
The trains here in Thailand have the luxury of a bathroom, including a squatting bowl. You can tell new tourists here. They are afraid of the bathroom. When we lived in Japan, even the gleaming modern Bullet train, the Shinkansen, had a spotlessly clean squat fixture. Train bathroomsgive you balance practice too, swaying with the train as it takes you to the next adventure.
---
There is more information in the replies already here to the many reader comments below this post. Before asking more, see if your answers are already here. Also click labels under each post, links in posts, and archives at right. 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.
The previous post, Achilles Stretch in the Bathroom, explains how and why the squat is a functional lifestyle exercise, good to stretch the Achilles tendon and get strong, shapely leg muscles. By keeping both heels down and your weight off the front of your foot, it can be safe for the knees. The large amount of built-in leg exercise you get from routinely sitting and rising from sitting this way strengthens the hip, thigh, and knees.
At the left is a photo of a sign that is common here in Asia. The sign instructs people who are accustomed to squatting how to use the strange seat. The drawing marked with an X shows someone standing with both feet on the seat and squatting over the bowl. That is marked as incorrect use. The user is instructed to sit touching the seat. I asked some of the locals what they thought of the "sit and touch the seat" method. They shuddered, pointing out how silly that was.
Beside strengthening and stretching the legs, squatting is a cleaner way to sit, since only your feet touch the surface. It is common to see people waiting for a bus at the street curb, sitting, not with their behind on the curb, but sitting in a squat so that only their feet touch.
Squat toilets vary, but are often clean. You leave your shoes outside and wear bath shoes. Even some public toilets have public rubber shoes thoughtfully provided.
Western sit-down fixtures are becomming more common, as more wealthy tourists demand them and locals adopt less physical lifestyles. Our friends living here told us the story of a family who decided to convert their shining clean indoor squat facility to Western plumbing. They purchased a standard raised bowl and seat. They left on a short tip while a workman installed it. When they returned, the man was proud of his installation. He excitedly told the people it had been strange at first, but he did a fine job. He led the people to his finished work and said that at first he was puzzled by the height of it, but figured out to dig a deep hole. He buried the new, shiny toilet exactly up to the seat to become the familiar floor level.
In the airport, an obvious tourist arriving here in Asia proudly waved a travel pack of toilet seat covers and claimed to be ready for the germs of travel. Another tourist nearby announced that it was a problem for him that women couldn't go to the bathroom outdoors. I asked him why he thought they couldn't. He said it was because they can't stand up to go, and someone needed to invent a tray so that they could. I asked him if men sat to pass their bowels. He seemed surprised when he realized that everyone does natural things the same way. Both men and women have been sitting to "go" for thousands of years before plumbing and raised seats were invented.
All over Asia, Africa, India, the South Sea continents and islands, and even in places in Europe and the Americas, men, women, and children routinely and easily sit in full squat to eat, wait, talk on the phone, rest, relax, wash, and do other activities of life. The tourist with her seat covers may quickly find that squatting is cleaner than touching a seat. Many people who first encounter Western sit-down plumbing think it is unclean and barbaric. The squat is a functional and excellent leg strengthener and Achilles tendon stretch. People in their 80s and older who routinely squat have strong legs and healthy good knees, and can easily rise from the floor.
Would you like to try the squat? (Use your brain to be safe to try things or not, if you have damaged knees):
Keep both heels down (right drawing) as you bend both knees, which protects your knees.
One way to practice the squat if your Achilles tendons are too tight, is to hold something in front of you, like a counter or sink, and bend both knees as much as you can with both heels down.
While holding the support in front of you, lean back with both arms straight so that your weight stays over your whole foot and heels, which moves your weight off your knee joints and back onto your leg muscles.
Try to balance and sit without holding on. If you find yourself falling backward, or if your heels come up (left drawing), it is likely that your Achilles tendons are too tight for this normal activity. Put one or both hands behind you to lean on (not in the squat bathroom but just to practice).
Every time you bend around the house, use a small squat with both heels down, described in Bending Right is Fitness as a Lifestyle and Free Exercise and Free Back and Knee Pain Prevention - Healthy Bending. You will strengthen your thighs and hip, develop healthful bending that stops knee pain, strengthen your shins, and stretch your Achilles tendons each time. As this routing bending strengthens and stretches your legs, progress to lower and lower bending until you can comfortably sit in a squat. Have fun.
--- 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 certified - DrBookspan.com/Academy. ---
Thai boxing (Muay Thai) kicks are among the most devastating and effective kicks in the world. Thai fighters spend hours a day kicking heavy bags and posts, and years toughening their legs and shins for kicks and blocks by bashing them with pipes and against coconut trees. A blow from a Muay Thai fighter's leg is like a blow from a club.
When you practice moves that lift the leg for martial arts training, for self-defense, for dancing, or for exercise in an aerobics class, watch for several bad habits that increase strain on muscles and joints, and reduce effectiveness of the kick. It is not the point to kick someone else and wind up injuring yourself.
1. Look at the photo, above left. The teacher is holding his hip and neck straight. The blocking student is not. The orange arrow at the student's leg shows how, when the student lifts the left leg, the right leg pulls forward instead of remaining straight at the hip. This is a sign of tightness at the hip and poor technique. He needs to stretch the front of his hip and retrain kicking and blocking technique to prevent this common bad habit. Read more on this in the posts, Is Bad Martial Arts Good Exercise? and Common Exercises Teach Hip Tightness When Kicking, Stretching, and on the Stairs.
2. Next, check the white arrow at the student's belt line. It is tilting up in front. The teacher's hip remains level as the leg is raised. Curling the back and letting the hip roll under, as shown by the white middle arrow is another sign of tight hip muscles in the front and back of the hip, and poor movement habits. When you raise one leg to kick, block, prepare to kick, do a knee strike (whatever), check if you curl your hip or round your back. Hold your back straight and upright for more exercise, a built-in hip stretch, and more effective technique.
3. Third, note the black arrow showing how the student rounds the upper back and neck forward, instead of holding straight. With practice, the student will learn to hold the neck straight as the teacher is doing.
For all the exercise you do (kick, block, ascending stairs, whatever is done raising one leg), keep healthful positioning. Yes, rounding the back is taught, and done for fighting, but you will be beating yourself up in the long run. You can still be an effective fighter and at the same time, prevent hurting yourself with common strains from unhealthful technique, plus get more exercise with healthier ways.
See all martial arts articles, or other topics that interest you, by clicking labels under this post.
--- 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 certified - DrBookspan.com/Academy. ---
We have just gotten home to Thailand after over 40 hours of flights. It would have taken longer to walk here, so we are happy. We unfolded husband Paul, just under seven feet tall, from the seat. During the next month and a half we will travel on 14-hour overnight trains and ferries to places we need to be. Paul will practice good bending almost everywhere as he tries to fit under low Asian doorways, roofs, and bus ceilings, bow lower than the old people, and stand and sit with his head lower than the head of the monks, as is respectful.
Most people sit a great deal even without long travel. Sitting puts higher pressure on the back and spine than standing. Long sitting pressures the back far more. Sitting also means keeping the hip bent forward at the crease of the leg. The muscles in front of the hip shorten and tighten. When most people exercise, their exercise is usually more bending forward. The result for most people is that the hip stays bent almost all the time. Much tightness results that prevents normal hip function, and reinforces the same tight, bent positioning that is so hard on the spine.
Long airline flights sometimes provide a video or printed message encouraging in-seat exercise and stretching. Often the advice is forward bending. That is the last thing most people needs. Instead, try the following:
Stretch your back and shoulders backward, not forward. Pull your chin in while pushing your upper back backward against the seat back. Stretch arms overhead. Breathe.
Lean the back of your head and upper back against the seat, press your feet on the floor, and raise your hips, trying to straighten your hip at the "crease" of the leg. Don't bend your neck forward; leep it straight. You will feel your thigh and hip muscles working to do this.
Turn in your seat to each side to brace your elbow against the seat back for the pectoral stretch, shown in Fixing Upper Back and Neck Pain.
Stretch the back of your legs by straightening your knees and pulling your toes back using your shin muscles.
Increase leg circulation by pressing both feet against each other, then cross your ankles and pull both feet outward against each other, then cross your ankles the other way and repeat. Try it again with both legs out in fron, as in the stretch above.
Get out of your seat as often as you can. Restore length to the front of your hip with the hip-tilt quadriceps stretch shown in Instantly Better Hip and Quadriceps Stretch.
With one foot far in front of you and the other in back (lunge position) tip your hip under you to stretch the front of your hip. As soon as you tilt your hip under, you will feel the difference. While holding the hip tilt, bend both knees to dip straight down almost to the floor, then up. Do many, then switch legs and do many more.
It is easy and unobtrusive to do wall stretches while waiting for the rest room: Rest your head, heels, hip, and upper back against the wall, described in the post Breasts Causing Upper Back Pain is a Myth. Bring both arms overhead, hands touching the wall. Lean your body far to one side then the other. Keep both hands touching the wall. When Paul does this one, his head is often either against the ceiling or he can't stand up fully at all, depending on the type of aircraft. He bends knees and grasps each elbow overhead, keeping elbows touching the wall behind him. For other people short enough to fit standing up, just stand straight.
Then stand a step away from the wall and stretch arms overhead and back to touch the wall, fingers pointing downward. Straighten elbows as much as comfortable and keep the stretch coming from your upper back, not lower back.
Many people are taking down Christmas trees even as the Russian and other Eastern Orthodox families are putting theirs up for Christmas, coming this Saturday Jan 6th. The Russian Snow Girl (Snegurushka), and DedushMoros (Father Frost) have already come to visit. S nastupaiushchim Novym godom i s Rozhdestvom Khristovym - Happy New Year!
Here are two lifestyle strengtheners (and a free Achilles tendon stretch) to build into your fitness as a lifestyle for 2007:
If you would like to get strong legs for the New Year, don't bend over wrong to lift things (upper drawing, left). From now on, make all your bending the way that strengthens your thighs and at the same time prevents back and knee pain (upper drawing, right). Keep your upper body upright and bend your knees. Prevent knee pain and get better use of your leg muscles by keeping both knees down and back over your heels. Each time you keep both heels down while doing healthy bending, you will also get a built-in Achilles tendon stretch. The post How Often Should You Be Healthy? tells more on good bending.
If you want to stop "mystery" lower back pain for the New Year, check to see if you lean backward when you reach upward (lower drawing, left), carry things, or when you are just standing. Leaning back creates overarching of the lower back called hyperlordosis, which pinches and pressures the soft tissue and joints of your spine. People with this kind of pain feel they need to lean over forward or sit to relieve the pain. Instead of doing remedies for pain, it is smarter and healthier to stop the cause of the pain.
The "hip tuck" or "pelvic tilt" to reduce overarching and straighten the spine (lower drawing, right) is described in the post Throw a Stronger Punch (or Push a Car or Stroller) Using This Back Pain Reduction Technique. The muscles you use to move your spine out of unhealthy overly arched position and into straighter position are your abdominal muscles. By simply standing and moving with a healthier spine position, you get free exercise for your abdominal muscles. "Tightening" the abs is not what exercises the abs or prevents back pain. Tightening also does not let you breath or move properly. Tightening is not how to have healthy abdominal function. Instead, use the abdominal muscles to stop overarching and maintain healthy position while going about your daily life and exercise. The post, If Better Abdominal Muscles Are Your New Year's Resolution, Try This, shows how.
If your New Year's Resolution is to have a healthier low back, Achilles tendons, and abdominal muscles, you can do that all at once during your regular daily activities.
--- 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 certified - DrBookspan.com/Academy. ---
Readers have been asking what happened to the weekly reports of my martial arts classes. Others wanted to hear about my other classes including yoga. My martial arts students continued becoming skilled and disciplined. Next semester I will post some of the fun drills they do to build natural strength, discipline, and flexibility using themselves and each other instead of weights and equipment. In my yoga classes we learn that the poses themselves are not what gives good posture and focus. We learn what healthy positioning is, then apply it to how to move for daily life after walking out of the class.
In my sports medicine practice, I regularly see yoga teachers as patients for back, knee, and neck pain. That is because several yoga moves are not good for anyone - just as not all food is healthful. Many moves are fine, but other traditional poses injure joints, even when done "right" (or especially when done right), like bending over from a stand or a sitting position, whether the back is rounded or straight. We omit those moves and use others that are better stretches without the degenerating forces on the lower back and neck discs, for example, Healthier Hamstring Stretching. You don't have to injure yourself to get exercise. Fitness is supposed to be healthy.
This week in yoga we did a fun, effective hip stretch. We stood on one foot and reached for the other ankle crossed over the bent standing knee (drawing at left). When we do this, we practice the daily healthy position of keeping the upper body upright and straight, with the chin in, not craned forward. One new student was not happy with my class. She was used to sitting on the floor in classes she ordinarily took. She was peeved that we did so much standing. Although people call yoga "mind and body," she didn't like that we used the body. Although people frequently say that yoga is about understanding and light, she whined and complained and cursed me under her breath for most of the class. She wanted to know why I was making everyone do an extreme and bizarre movement.
I told the class it was healthy and happy to do this move every day. I pointed to my crossed foot and spoke the name of this ancient move - "Putting on shoe."
I hope you will try this too, to get a normal and healthy hip stretch and better balance everyday. Remember that most of the world stands to dress - the ones lucky enough to have shoes. Stand up now and try it. You will get free balance, healthy hip stretch, and leg strengthening every day from daily life. When you get good at this fun move, keep your ankle crossed and bend the standing leg enough for you to reach to the floor to retrieve your other shoe or sock. Keep your chest up and your back straight to prevent practicing unhealthful rounded position. Even though this one bends over, it does not transfer the pivot force to the lower discs for several reasons.
Have fun adding new healthy movement to your New Year. Write your stories and take photos of how you make your life better by fixing your fitness to be functional and healthy. Send link to your photo sharing site of your examples, and I can put you up in lights as a role model for healthier life.
--- 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.
The days are becoming longer and light is returning in the Northern Hemisphere. Native Americans, Shinto, Iranian Zorastrians, Buddhists, Christians, and non-faith based traditions all celebrate the winter return of light and life and enlightenment with trees, and lights, and cleaning the house, and giving presents, and lifting things.
In many of these traditions, is written that pain and darkness is high before the return of the light. The upper photo shows pain - unhealthy bending. The lower photo shows "seeing the light" - healthy bending.
For healthy holidays, check your bending for all the cleaning and lifting you do:
Don't lean over (upper photo). Keep your body upright and bend your knees. This bending gives healthful exercise and prevents straining back muscles and herniating (slipping) your lower back discs.
Many people think that lifting bent over strengthens back muscles. The problem is that, over years, it also degenerates your discs. Bend right to strengthen without also damaging.
Other people refuse to bend right because it hurts their knees. Done properly - both knees over your feet, and your weight back toward your heels, body weight shifts off your knee joints, to your thigh and hip muscles. You will feel the difference as soon as you try it. You get healthy leg and hip strengthening without back or knee pain.
For all my friend readers in the Northern and Southern Hemispheres, make healthy bending a New Year's Resolution and part of your healthy holidays and stronger New Year.
--- Read success stories of these methods and send your own. See if your answers are here, click post labels, links, archives at right, and Index. Subscribe free, click "updates via e-mail"upper right. For personal medical questions - Replies to Medical Questions. Limited Class space for personal feedback. Top students may earn certification,DrBookspan.com/Academy. Get lots more in Dr. Bookspan's Books.
---
Bad bending photo by subscription to Clipart.com Good Lifting photo (without halo) by iwona_kellie
I often hear from trainers, and read in exercise books, that you cannot get stronger without lifting weights. They say that body weight is not enough. Then I watch the trainers and read what the exercise books say to do to strengthen. Often the weights they teach to lift are far lighter than the resistance your muscles get from moving your own body during a real life activity.
I see women in exercise classes lifting little two and five pound hand weights, then bend over wrong to put the weights down and bend over wrong again to hoist up their 20-pound handbag. I see knee pain patients in rehab centers with two and three-pound weights strapped on their ankle, sitting down to do little leg raises. Or, they pull stretchy bands with their leg. Then they get up and walk away with injurious body mechanics, letting their knees and ankles sag inward because they are not using their leg muscles to stop it. The unhealthy sagging grinds away joint cartilage and prevents full use of the leg muscles. They don't understand why their knees, ankles, and feet still hurt even when they "Do their exercises."
Your body weight is the most important thing you need to lift. Following are things to start with, to strengthen without a gym or equipment. The main idea of these activities is not to "do" them as an exercise 10 times, but to use them to retrain your muscles how to hold your body in healthy position, then use that healthy positioning for all daily life:
1. Hold a pushup position, called the plank, described in the post Change Common Exercises to Get Better Ab Exercise and Stop Back Pain. Understand that the point of the plank is to learn how to hold your spine straight without sagging under your body weight. I see people doing the plank all the time in gyms and fitness classes, with their bottom hiked up in the air and their low back looking like a hammock, sinking under their body weight. That is not the normal lower back curve. It is injurious overarching. Done poorly this way, the plank does little to strengthen and just pressures your lower back. Done well, the plank is excellent to strengthen your wrist. The wrist is neglected in fitness, and the resulting weakness is a common source of injury. I will post more about wrists. Do the plank every day - that is how helpful and important it is. If you can't even hold up your own body weight, you may have serious weakness.
2. Use the squat for daily bending, described in the post How Good Would You Look From 400 Squats a Day - Just Stop Unhealthy Bending. The point is to use this healthy bending all the time instead of bending wrong. In posts to come, I will show another way for healthy bending using a lunge position with one leg in front and the other in back.
3. If you can't sit and rise from the floor without your hands, you are too weak and tight for ordinary daily life. Try Quick and Easy Strength and Balance Exercise. Also practice getting up from your chair (safely) without using your hands or leaning forward.
5. Hang from a chining bar, a branch, a pipe, a doorjamb, or any secure overhead. Don't worry if you cannot do full pull-ups, just hold on and hang. When you can do that, hang for as long as you can from a bent-arm position, and begin trying to raise yourself (do a pull-up). Maybe you will need to start by stepping up on a box to help raise yourself, and letting yourself slowly lower without using the box. Work up to full pull-ups. If that is easy, use fewer fingers to hold on.
When the above body weight activities become too easy, do them carrying functional weight, such packages, children, books, and other common things. It is crucial to health and independence to be able to lift and move your own body weight. In posts to come I will show you how to do more with these body weight activities for more strength and fun being active. Until then, do these every day and send your photos and stories of how you got stronger and happier.
Make it your New Year's Resolutions to be strong for real life in real ways.
Upper body strength is important for health, making daily activities easier, and other benefits including preventing osteoporosis of the upper back and wrist, two major sites of bone loss in both men and women. It is often said in gyms and fitness articles that body weight is not enough to strengthen, and that you need weights and equipment. Fortunately, that is not true.
Here is a quick, fun, upper body strengthener using your own body weight. It has the added advantages of also strengthening core muscles plus training a fair amount of balance. It also gives many benefits of a tilt table or inversion machine. You can use this fun exercise anywhere you have even a small wall space. It is fun and not as hard as it looks. Be brave, and (safely, carefully) try this:
Stand with your back about a foot in front of a wall (face away from the wall).
Crouch down and put both hands on the floor - drawing #1 at right.
Put the bottom of one foot high on the wall - drawing #2.
Lift your other leg to the wall so that you are standing on your hands with both feet up on the wall - drawing #3.
Hold as long as you can. Keep breathing.
When you want to come down, just step one, then both feet back down to the floor the way you started in drawing #1.
Avoid this one if you have uncontrolled high blood pressure or problems with pressure in your eyes or brain. To keep this exercise fun and safe, when you are upside down standing on your hands, don't let your lower back sag into an arch. Keep your hip tucked to straighten your back and you will get free core strengthening while you do this. Don't let your body weight pressure your shoulders. Use your upper body muscles to maintain shoulder position instead of letting your shoulder joints grind under your weight. Don't fall down on your face. Use your arm strength and hold yourself up. Keep breathing and don't tighten and strain, which increases blood pressure.
Don't think of this as an extreme exercise. It can be simple; don't be afraid to try it daily. My Grandmother "downgraded" to this one in her 90's from full handstands (without the wall), because it is easier and safer.
When this exercise becomes too easy, rock side to side so that you stand with weight first on one hand, then the other, as if walking on your hands. Keep your feet against the wall for balance, at first. When this becomes too easy, stand only on one hand for increasing periods. Start doing small dips, like upside-down pushups. Increase until you can dip your head almost to the floor, then push back up to a handstand again. Work until you no longer need the wall.
You do not need to lift big weights in a gym to strengthen. Your body weight provides fun, effective strengthening, with no machines, gyms, or extra weights needed.
Reader Tries This and Shows How To Get Started, Even if You Think You Can't:
Read success stories of these methods and send your own. See if your questions 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.
Last weekend we were packing up to drive to the New York Chapter American College of Sports Medicine conference on aging. It was early and cold. At the corner where we parked, an elder woman waited at the bus stop. She stood straight as a penguin; her things hung over her walker. We were late getting on the highway. I had to get to the conference to give my lecture. I was already going to miss the first lecture given by an expert on metabolic changes of aging. This was an important conference where we would learn important ways to help older people.
She was standing alone. I thought that if she had family she would not be standing alone at a bus stop early in the morning. There was no telling where she needed to go. I wouldn't get all my required continuing education credits if I did not attend all of the meeting. We had to drive all the way to New York, and at this rate I was not even going to be on time for my own lecture. The answer was simple. We opened the door and asked her, "Where can we take you?"
We bundled her into the truck, and asked her name. "Dottie!" she said, pointing to a mole on her forehead. My husband held out his big hand and said, "I'm Paul." Dottie looked at Paul, nearly seven-feet tall, squashed in his seat with his long legs bowed around the steering wheel and his hair brushing the ceiling. She sang, "Tall Paul, he's my all…" and Paul replied, "Annette Funicello," recognizing the old song and singing it along with her. Dottie was on her way to religious services across town. We enjoyed lively conversation with her all the way there. We passed a Greek restaurant. Dottie said, "You won't believe this but I used to belly dance there." My own Grandmother studied belly dancing into her 90's so I believed Dottie. I said, "Belly dancing is good for the hips." Dottie winked, "Belly dancin' is good for lots of things."
We dropped Dottie off at her destination and made sure she had her hat and scarf and gloves and some of our food and a hug. We gave her our number and said, "We won't be passing by in time to take you back home. Call us to go somewhere else sometime."
We met heavy traffic getting to the Lincoln tunnel. I won't get all my continuing education credits from the conference that was supposed to teach us about how to help old people. In posts coming soon I will tell about the lecture I gave on improving musculoskeletal health for older people. Although it is a common misconception to think that ruinous losses of bone density, strength, balance, and flexibility are unavoidable with aging, it is not the case, and at any age, even advanced years, you can still get stronger, faster, more flexible, and better balance through easy daily activity. You can also improve the most important aspect of helping aging people - by helping.
I heard a radio program about yoga for senior citizens. The yoga program directors made the usual statements about yoga helping strength and balance. Then they said something that seemed at odds with their goal. They said, "If your balance is poor, do the moves sitting down or hold on to the wall." The very thing that you need to improve your balance is to practice standing and (safely) not holding the wall. If you sit and hold on, you prevent practicing balance.
Balance that helps your normal daily life is easy to improve at any age. All you need is to stand up and balance. Balance is quickly lost with sitting and disuse.
How does balance practice help you? You have receptors in all your joints that sense positioning. They can tell if you are about to fall. They tell your body to send signals to your muscles to steady you. If you don't use your balance sensors with balance practice, they become slow and unable to sense positioning well. You may tip over far enough to fall before your receptors sense it and can tell your muscles to pull you to upright position. Balance practice also improves your muscles. Without balance practice, your muscles become too slow and weak to prevent you from tipping over and falling. If you have let yourself become tight, brittle, and weak from lack of general exercise, you may strain, tear, or break something from a fall that would not have otherwise caused any harm.
Years ago when I left working in the hospital to go into private practice in sports medicine, I found that by making house calls you learn the reasons for people's pain and injuries that you will never see in a hospital or clinic exam setting. It was the first time I ever saw anyone have to sit to put on or take off their shoes. Here are a few quick, functional (real life) ways to improve balance:
Stand up when you put on your socks or hosiery.
Stand up to put on your pants. Lift one leg in front of you, keep your upper body comfortably straight and upright, and slide on each pant leg.
Stand up to put on your shoes. Try two ways: holding the foot in the air front of you to place the shoe, and by crossing the ankle on the opposite knee.
For more balance, after putting on one sock or shoe, remain standing on one foot and do a small squat on one leg to reach the other sock or shoe on the floor.
If you can't stand to dress yourself, and you have at least one working leg, you may be too tight and weak and unsteady for healthy normal life. To get started:
Practice standing on one foot without holding on to anything. If balance is poor stand near a wall for safety to get started and have a skilled friend help. Practice standing for 10 counts without holding on. Increase how long you can balance.
Stand on one foot and swing the other forward and back, side to side, without holding on or touching down. Safely.
If you use a cane, practice walking holding it off the ground. Use your brain to do this intelligently and safely to improve balance and reduce dependence on the cane.
Balance is "use or lose" and can be quickly improved with safe smart practice. You don't need to go to a gym or "do exercises." Use balance skills as part of your daily life.
--- Read success stories of these methods and send your own. See if your answers are already here by clicking post labels, links, archives at right, and Index. Subscribe free, "updates via e-mail" upper right. For personal medical questions - Replies to Medical Questions. Limited Class space for personal feedback. Top students may earn certification,DrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
Reader Dr. Zoe Eppley e-mailed, "I have been trying to apply your "bending right" approach to my daily activities. I find my tight leg and hip muscles seriously limit my ability to squat. Could you please recommend some stretches that will help?"
I receive this inquiry often. People are realizing that they are too tight to move in healthy ways for normal everyday life. I hear it from instructors of aerobics, yoga, Plates, personal trainers, and many others. This is an important epiphany. If you are too tight to move in healthy ways, then it is likely that you spend every day of your life moving in tight ways that create pain and perpetuate tightness.
The good news is you do not need to "do" stretches and exercises. Keep bending right and you will get exactly the stretch and strengthening you need. My most important message that I stress in all my work about exercise is not to "do exercises" but get crucial, functional, effective exercise by moving in healthy ways during normal everyday life.
People spend fortunes on treatments for pain, gadgets, potions, pills, prescriptions, adjustments, and ongoing medical scans and tests. Tightness and body pain is often made to be a mystery because it persists even after surgery and exercise programs. The reason is that they don't stop the cause. My successful techniques for fixing pain, even the most resistant back, neck, knee, and other musculoskeletal pain, emphasizes that you don't "do exercises" but simply stop the source of the injury by stopping unhealthy injurious movement patterns, and using healthy ones. Many people do ten repetitions of an exercise and hold each stretch for 30 seconds, then go back to unhealthy moving, sitting, bending, walking, exercising, and everything else that caused their pain and tightness in the first place.
If you are too tight to use your legs to bend down and get back up without using your hands or getting help, you need the hard realization that you lack normal function. It may be common in Western society to not be able to lift your own body, but it is dangerously unhealthy weakness.
Dr. Zoe e-mailed me a second time and mentioned watching an Indi-pop movie. She noticed the healthy posture and flexibility of the actors and how easily they squatted. She wisely reflected that she had probably lost much flexibility by not using normal bending and from "spending my life in chairs."
Keep bending right with your heels down, knees back, and your body upright. You will stretch your Achilles tendon and hip, and strengthen your thighs and knees hundreds of times a day - every time you bend.
One fun way to greatly help your bending is not a specific stretch or exercise but another normal daily activity: apply the same healthy positioning to ascending any set of stairs. I will post more about stairs, as it is interesting and enlightening. Until then, any time you go up stairs, notice if you tilt forward and let your heels lift. Instead:
keep your heel down as you step up,
keep your knee back over your ankle as you step up, instead of sliding your knee forward,
keep your body upright.
Use healthy positioning for both bending and stairs and you will quickly gain functional and healthy strength and flexibility.
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.
Several readers sent e-mails about the last post, asking about being able to sit on the floor. Many said they are so tight and weak that it is hard for them to get down, and not comfortable to sit comfortably and straight, as in the photo at left. Others wrote applauding that I am getting the message out that sitting comfortably on the floor is a normal ability, not strange or extreme.
First, don't be shy about posting replies and comments on this blog instead of e-mailing me privately. Next, sitting comfortably on the ground or floor is not an advanced athletic contortion. It is an entry-level physical ability that is crucial for normal physical function of your body.
If you don't have the stretch, strength, and balance to do this most basic of movements, you have severe weakness and tightness. It is not just people who don't exercise. I have seen aerobics instructors and personal trainers who cannot sit comfortably straight on the floor. Their hip is so tight from all the forward bending exercises they do that their hip rolls and rounds under them, which shifts their body weight to their discs and lower back. They may do artificial gym exercises, but cannot easily get down to the floor without using their hands because they have not trained movement that is useful to daily life, called functional exercise.
For a quick exercise to improve strength and balance, try this:
Stand up.
Easily and lightly, sit down on the floor without using your hands to get down.
Sit by crossing your ankles and lowering into a cross-legged sit, or by squatting straight down, or lightly and softly kneeling on one knee then sitting. Experiment until you can do all three ways.
Don't thump down hard on the floor. Use your leg muscles to lower softly with shock absorption.
Sit straight without rounding your back forward or curling your hip under you.
Stand up again without using your hands to get up.
Do this "sit and rise" exercise several times in a row. It is more useful and effective than doing little leg raises or presses in a gym. Don't be put off if you can't do this right away. Practice (safely) and you will quickly get stronger and more flexible, with better balance. When your strength improves so much from practicing sitting and rising from the floor that your body weight is not enough to give you exercise, sit and rise from the floor holding children or packages.
You can sit and rise from the floor ten times a day as an isolated exercise then spend the rest of your day sitting in a chair, but it makes more sense to sit and rise from the floor for real life. Sitting on the floor is not a strange or rare thing only done in poor villages far away. It is done in a great part of the world's countries, even in developed cities, and in our home. When you come to eat with us, you will sit at a low table on the floor by the fire. It's nice.
Sitting and rising from the floor is one of the many ways that much of the world gets built-in leg exercise and protects their hip joints from stiffening, arthritis, and bone loss. You will see grandparents easily lifting grandchildren, and other loads. They get bone-building strength, flexibility, and balance every day through their real life, and don't need to buy little machines or go to trainers to do ten little repetitions of an artificial movement. So can you.
Conference on Aging Dec 2, 2006 in Midtown New York
Friday, November 24, 2006
Healthline
The Greater New York Chapter of the American College of Sports Medicine (ACSM) will hold a conference on aging on Saturday, December 2nd, 2006 at the Flatotel, 135 W. 52nd Street between 6th & 7th Avenue, in New York City.
In one fast moving day, there will be nine lectures by authorities on metabolic changes of aging, cardiovascular changes and the benefits of exercise, exercise in older patients with heart failure, neuromuscular training for the older population, psychosocial aspects, physical training for older clients with special conditions, and nutritional needs of older populations. I will be giving a lecture called "Three Quick Techniques for Three Musculoskeletal Problems Confused for Aging."
Many of the declines that come with doing less are often confused with aging. A stiff and rounded upper back, for example, is not necessarily aging, but practice. Are you sitting rounded forward reading this right now? Do you spend your day rounding over your desk and steering wheel, then go to the gym and bend forward for crunches, leg lifts, Pilates, and toe touches? Do you bend your neck down to do biceps curls? No wonder it's hard for you to straighten out. How long will you practice unhealthy bent forward position before you get stuck that way? There is no need to exercise in the very way that is not healthy when you do it sitting at your desk. There are better ways.
Much of the loss of strength and balance over the years is from disuse not aging. Many people do not use their legs for the hundreds of times each day they need to bend. They bend wrong, throwing their weight on their spine. Their back hurts and their legs and hips tighten and weaken. Eventually they find they are unable to sit comfortably on the floor, and more worryingly, cannot rise from the floor, or even from their chair without using their hands. This is debilitating weakness, and a dangerously unhealthy cycle of use or lose. It is not aging. In cultures where sitting and rising from the floor is a daily activity, people of 90 have the strength and balance to do it. They do not suffer the rates of falls, osteoporosis, arthritis, and cardiovascular disease of less active populations.
My lecture will cover three easy techniques to maintain and improve spine health and muscle strength. Come say hello. The meeting is designed for allied health practitioners, but is open to the public, with reduced registration fees for members of the American College of Sports Medicine (ACSM) New York Chapter. Contact Felicia D. Stoler, MS, RD (732) 946-4436, or e-mail fstoler@att.net
Fitness and Health as a Lifestyle for Thanksgiving
Tuesday, November 21, 2006
Healthline
If you think you won't have time to exercise over the Thanksgiving holiday, here is good news. This post will show you how to move in healthy ways so that you have healthy exercise built-in to all the cooking, shopping, furniture moving, and social interactions. Here is more good news. You don't have to go to a gym to work off the stress and eating too much of the Thanksgiving holiday. Life is not supposed to be a poison that you deliberately take, then need an antidote to offset.
Here are four of the healthiest, quickest ways to make your Thanksgiving into fitness and health as a lifestyle:
To pick up chairs, babies, and grocery bags, to move furniture, and for lifting things from the floor, bend your knees, keeping your weight back toward your heels, and your body upright.
To carry chairs, babies, grocery bags, furniture, and any loads in front of you, don't lean back. It is a common bad habit to lean the upper body backward, increasing the lower back arch. Leaning backward shifts the weight of the load off your core and arm muscles and onto your lower spine. Get free, built-in exercise for your abs and arms and save your back by standing straight. Don't lean and arch backward to carry things.
Notice all the times you round and hang forward over things that you can easily reach by standing upright. Check your upper back positioning when standing over counters, sinks, grocery bins, vacuum cleaners, cribs and baby-changing tables, and when setting food tables. Don't let your body weight hang over and forward. Stand upright, chin in, and just tilt your head downward in relaxed manner to see what you are doing. Relax shoulders downward. Smile. Breathe.
Preparations and family interactions are no excuse to do unhealthy behaviors out of habit like smoking, overeating, and arguing, then blame it on stress. The bad habits are even more stress on body and mind. If something is wrong, see about fixing it in a good way. Don't suffer in silence with people telling you that you have to be happy just because of a holiday. Make your home healthy for yourself. There is no place it matters more:
Get exercise cleaning the house of junk and clutter. Take the extra clothing, toys, and household items to a shelter. Carry the bags with healthy positioning to the people who need it.
Make a healthy meal with family or alone, without television or phone. Carry the meals to shut-ins and isolated elderly in your neighborhood, and the homeless on the street.
Volunteer at a soup kitchen. Do grocery shopping, cooking, and vacuuming for those who are too sick or disabled or alone to do it for themselves. If you think you don't have time because you have young children, take them with you to help carry things and to teach them healthy ideals, and how thankful they can be for the home you provide.
Don't smoke, drink soda (diet soda is just as unhealthy) eat junk food (even if it has marketing words like "organic" on the label), or undo the health benefits of fruit and vegetables by junking them with cream, sugar, and cornstarch. Add up all you spend on cigarettes and junk food that take a healthy body and give it health problems. Take the money and give to the poor. With what you save on prescriptions and treatments for all the pain and jitters you cause yourself, you can feed a village and still take a vacation.
When you eat the Thanksgiving meal, say thankful things. Taste your food. Turn down seconds. Breathe. Smile. Help clean up. Shoulders back. Enjoy the roof over your head. That is health as a lifestyle.
--- 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 certified - DrBookspan.com/Academy. ---
Readers asked for more pictures of healthy bending around the house and workplace during daily life. They've been getting excited about the idea that daily life is the way to physical ability and health, instead of stopping life to do a bunch of exercises. People spend time and money for endless treatments and gadgets for back and knee pain and tight Achilles tendon. Healthy bending prevents the commonest sources of all of these.
A major predisposing factor of knee and hip arthritis is weak thighs.
A major risk factor of hip osteoporosis is lack of weight bearing exercise.
A major risk factor of falls is weak legs and poor balance.
The Achilles tendon gets a natural stretch with each time you bend right with heels down, and loses this constant normal source of stretch without good bending.
The most important contributor to making a lumbar disc degenerate, or slip out of place (herniate), and press on nerves causing sciatica, is bad bending forward.
The biggest contributor to upper back and neck pain is keeping the upper body rounded and bent over forward.
If you would like to reduce risk of falls, osteoporosis, bad discs, sciatica, achy upper back, and arthritis, get a built-in Achilles tendon stretch, and get strong shapely legs all at the same time, just use your legs with good body position for daily healthy bending.
Why go to the gym or to physical therapy to do knee bends to strengthen your legs, then spend your "real life" weakening your legs and degenerating your lower back discs with bad bending, and say, "I don't have time to exercise."
You will get free built-in exercise just moving in life. My friends and family in Asia are astonished when I tell them I teach Americans how to bend to look in the refrigerator, and that Americans tell me it is too much work to bend right to load dishes in a machine that washes for them. Then they pay money to go to a gym or buy equipment to exercise their legs.
Here is a fun way to change mindset to exercise as a lifestyle:
Count how many times a day you bend and how many times you can choose to harm yourself or help yourself.
If you would like to try "fitness as a lifestyle," this is the best place to start. Think of it:
--- Read success stories and send your own of these methods. Before asking questions, see if your answers are already here by clicking labels and replies under posts, links in posts, archives at right, or in the Fitness Fixer Index. For personal medical questions - Replies to Medical Questions. Subscribe to Fitness Fixer Free - click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy. ---
My Tuesday night martial arts students worked hard last night on sweeps, falls, tumbling, and quick recovery to their feet. Each week they also learn a new jump rope technique. They have been getting good at fast skipping, crossing the rope in multiple spins to the front, sides, and overhead, and varied footwork during jumps.
When landing from jumps, it is important not to let your knees knock inward under your body weight (photo at left). It is important for knee health not only when jumping, but descending the stairs, bending for all daily needs, and even getting in and out of your chair.
Letting your weight fall to the inside of your knee joint, instead of holding your weight evenly on your knees using your own leg muscles, adds load and wear to the cartilage on the inner surface of the knee bones, stresses the anterior cruciate ligament (ACL) in the middle, overstretches the ligament on the inner side of the knee, and can damage a meniscus. A menscus is one of two small cushions in each knee between the knee bones. Letting knees sway inward more commonly damages the medial meniscus (the inner one) although either or both can be stretched or twisted by bad knee positioning. Letting your knees sway inward is not a "condition," and not unavoidable or something you are born to have. It is a posture you can control using your own muscles to hold your legs from swaying inward.
A while back I took a box-aerobics class because I had a coupon for a free week at a local club. The woman in front of me was stomping up and down as she swatted the air. Her knees bumped together every time her feet landed. Her feet were at least ten inches apart yet her knees bashed together, over and over, bending inward at the knee joint. It was alarming.
Don't let your knees (or ankles) sway inward under your weight. Use your muscles to hold knees in position, over your feet:
When landing, land lightly - softly. Don't pound. The only noise should be the whirring of the jump rope, not your feet slamming the ground, transmitting shock to your knees and hips, and up your spine.
Bend your knees lightly when you land. Don't land straight-legged.
When you bend your knees for landing, don't let them sway inward.
Keep kneecaps facing the same direction as toes, not twisting inward.
Land softly, on the ball of the foot first. Quickly bring heels down while bending knees to absorb impact.
Remember healthy knee positioning during all activities. Look at your own knees and other people's knees when they take the stairs, and when bending to reach or retrieve things for healthy bending at home and work. Notice knees when you get out of your chair and sit back down. Don't let knees sway inward. Hold them in line using your thigh muscles, not letting them angle sharply inward.
It is easy to control leg positioning for healthy knee joints while you stand, bend, take stairs, exercise, and jump so that your daily life and exercise is healthy.
A UK Times article featured a physician musing that as medical students they were not taught in school to identify the cause of medical problems, but to treat symptoms (and give electric shocks to decerebrate frogs). The cause of the problem would still remain.
He mentioned how you may go to the doctor with painful tonsils, and be given a "diagnosis" of tonsillitis. He educates the reader that "Tonsillitis, for example, is not a disease but a symptom - of something else that caused the tonsils to be infected." He continued with how you may go to the doctor with pain down your leg, and be given back a "diagnosis" of sciatica, which just means "pain down the leg" but not what is causing the sciatica. A disc may be pressing on the nerve, but what is making the disc press? The sciatica and the bad disc are the symptoms. They are not the cause. Unfortunately, he stopped there, and for treatment said to go back to your activities with light rest. Nothing about what caused the disc to degenerate (break down) or protrude (herniate or slip) in the first place.
Understand The Causes:
Bad sitting and bending are main causes of disc degeneration and herniation.
Rounded sitting (photo on left) compresses the space between vertebrae in front and opens the space between them in back and squeezes the disc gradually backward into that space.
Bad bending (right) levers the weight of your upper body plus whatever you are lifting onto your lower back discs, whether you keep your back straight or rounded.
Strengthening your back will not stop you from sitting and bending wrong. Stretches or massage that feel good for the moment will not stop you from sitting and bending in the way that rounds the spine forward, pushing and squeezing the discs until, finally, give break down and squeeze out to the back (herniate).
A bad disc is not the diagnosis. It is not the cause of the problem. It is the result of what is causing the disc go bad.
You can treat the disc pain with pills, exercises, massage, and shots, but not remove the cause. When you continue the cause, the pain often comes back. You can undergo surgery to remove the disc, but of you do not remove the cause and continue injurious sitting, lifting, and bending, you continue harming your other discs.
What to Do:
To stop the damage, stop the cause. Then it can heal.
It is easy to prevent and heal back pain when you simply stop the cause.
There is more help and information in my replies to many reader comments right under this post. Before asking more questions, see if your answers are already here.
--- Read and contribute your own success stories of fixing pain with 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. Limited Class spaces for personal feedback. Top students may apply to get certifiedDrBookspan.com/Academy.
A reader thoughtfully sent in the photos at left to help readers recognize unhealthy bending, and asked, "What is your advice when someone is having to bend to put dishes in the dishwasher? It just seems so uncommon to think to squat while loading the dishes."
There is no better time to bend in healthy ways than your real life. The whole point of fitness as a lifestyle is that your daily life is healthy movement - not to change clothes to do squats at a gym three times a week, then change clothes again, go home, and bend wrong all day. Healthy bending is for every time you bend. How often is that? The post How Good Would You Look From 400 Squats a Day - Just Stop Unhealthy Bending showed how we estimated that you bend an average of 400 times every day for ordinary activities. Why harm your back and miss free exercise for your legs hundreds of times a day? Most people know and repeat, "bend your knees" if you quiz them on healthy bending. Bending knees slightly, as in the above photos, does not make bad bending healthy. Bending over forward pressures your lower back discs, whether your back is rounded (photo above left) or straighter (above right). You are still bending over and the leverage point is your lower spine. Bending right is simple:
With feet side-by-side, comfortably apart, bend knees, keeping your torso fairly upright - as if not wanting something to fall from a shirt pocket (right drawing).
Keep both heels down and shift your weight back to your heels.
Pull your knees back over your heels. Don't let them droop forward under your body weight. When you shift your knees back, you will feel the effort shift away from your knee joint to your thigh muscles.
Don't stick your backside out or exaggerate the lower back arch.
Unless you are moving in healthy ways for your real life, it is not a lifestyle and it is not healthy. Healthy bending is easy and life changing. It is free exercise and injury prevention. When should you do it? Each time you want your daily life to be healthy.
More photos and description of bad sitting and bending that causes back and disc damage and what to do instead - The Cause of Disc and Back Pain
Check the exercises you do for the same body positioning that would be recognized unhealthy if they were not renamed "exercise" - Are You Making Your Exercise Unhealthy?
--- Read success stories of these methods and send your own. 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 certified - DrBookspan.com/Academy. ---
Common Exercises Teach Hip Tightness When Kicking, Stretching, and on the Stairs
Wednesday, October 11, 2006
Healthline
Tuesday night my martial arts students showed they had improved. When I came in they were waiting in two neat rows. I still had to cue them to sit up straight.
In the post Is Bad Martial Arts Good Exercise? I mentioned showing the class not to let their neck, back, and hip round forward when kicking. By straightening, strength and stretch are built into regular movement.
Several readers e-mailed me that they noticed for the first time that they let one leg pull forward when lifting the other (notice the standing leg in the left-hand photo, at left). They said they felt a good difference when they straightened (right photo).
If the front muscles of your hip are tight, when you lift one leg high you may find that you round your back and bend the other leg. Watch for this during kicks in martial arts and aerobics, when lying on your back raising one leg overhead to stretch the hamstrings, and ascending stairs. The common practice of allowing the other leg to bend forward perpetuates a tight anterior hip, which in turn, contributes to walking bent forward and back pain.
In martial arts, you don't want your standing leg completely straight. That is an invitation for your opponent to kick your knee, snapping it backward. But for both health and effective martial movement, you don't want to bend the leg more than a small amount. Bending the back, hip, and leg when kicking decreases force of the kick, pressures your discs, and reduces stretch on the hip and hamstrings. The rounded-under hip position keeps the hip tight, a hidden cause of groin pulls. It also looks weak and unskilled. For lying hamstring stretches with one leg overhead, it is often taught to keep the second leg bent to "protect the back." However, keeping the leg (and body) flat on the floor give a far better stretch and is healthier for your back. Even in slow easy motions of stair climbing, leaning forward and allowing the second leg to pull forward reduces the normal hamstring and hip stretch, decreases the exercise on your hip and leg muscles, and reduces the back muscle activation for holding the straight position you need for health and back pain prevention.
It is said the martial arts gives you discipline and strength. It won't if you practice unhealthy habits. When raising one leg, hold your neck and back upright. Prevent the other leg from pulling forward. You will get a built-in hip stretch, one of the places you need to stretch most. You will get back and hip exercise in the way you need to move in real life, and prevent tightness and weakness that leads to poor movement and pain. You will change from kicking like a bent over old lady to a young strong athlete. Exercise as a lifestyle is not something done "for body parts." It is built into your normal movement to make it healthy movement.
Free Exercise and Free Back and Knee Pain Prevention - Healthy Bending
Monday, October 02, 2006
Healthline
If you think that not having time to exercise is the problem, here is good news. Thinking that your life and your health are two separate things is the problem. You don't have to stop your life to get exercise.
Look at the drawings, above left. The left-hand drawing shows bad bending - letting weight rock forward, heels lifting, and overly arching the lower back. The right-hand drawing shows healthy bending - keeping weight back, heels down, and the lower back in healthy position, not rounded and not overly arched. Look at the right-hand drawing and try it:
Keep your upper body as upright as you can, instead of rounding over forward
Keep both heels down as you bend your knees (right drawing).
If you find you lift your heels, use your leg muscles to deliberately pull your knees back so that your weight shifts back over your heels. Shifting your weight back keeps your weight on your leg muscles and off your knee joints. There should be no knee pain with good bending.
Keep your knees back toward your ankles. If you just let your weight flop, the knees will come forward past your toes. Don't allow your knees to shift forward.
Don't overarch the lower spine (overly sticking your behind out in back). Keep neutral spine. If you overarch, tuck your hip (tailbone) under you just enough to prevent having a too large arch (inward curve) in your lower back. Although it is often taught in exercise and weight lifting classes to stick far out and overarch, increasing the arch increases pressure on the joints of your vertebrae, called facet joints, and the soft tissue of your lower back. Overarching is a major hidden cause of lower back pain and injury.
Use good bending every time you bend - even to look in the refrigerator and get in and out of your chair. Don't use your arms to lean on the arm rests to sit down and get up; use leg muscles. If you need to use your arms, or you lean your body forward to sit or rise, you need to improve balance, Achilles tendon stretch, and leg strength. Bending properly does all that for you. (Practice safely. Don't fall down.)
Have a friend (or a camera set on timer) take photos of you from the side as you stand and bend, showing how you fixed your bending from unhealthy to healthy during whatever you do all day for work and at home. Write a fun summary and e-mail your photos and stories to me. If you can, put the photos on a photo sharing site. That is easier for me to retrieve and post on Fitness Fixer. I can put the best photos and most fun stories up in lights.
Realize that a big part of your health is the way you move in real life. Make a conscious decision to change your idea of exercise, fitness, and health from stopping life to "do exercise" to how you live. Have fun - the best health.
--- 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 answers to personal medical questions - Replies to Medical Questions. Limited Class spaces for personal evaluation. Top students may apply to certify throughDrBookspan.com/Academy.See Dr. Bookspan's Books. ---
How Good Would You Look From 400 Squats a Day - Just Stop Unhealthy Bending
Friday, September 29, 2006
Healthline
Imagine how good your legs would look if you did 400 squats and lunges a day, and how many calories you would burn. Using your legs would strengthen them and reduce risk of both osteoporosis and arthritis. It has been found that a major predisposing factor of knee arthritis is weak thighs.
Now remember how many times a day you bend for ordinary household and work activities. It is more than you think. Some time ago I did an intensive tracking of how many times a day the average person bends. I also put my graduate students on this as a formal study. This kind of counting is a grad student specialty. Many of my other students wanted to count also. We all found about the same thing. The average sedentary person bends an average of 100-200 times a day just getting things out of the refrigerator, dishwasher, closets, washing, and doing other little things around the house or workplace. The average nonsedentary (but still not active) person bends 200-400 times a day. The average fidgety and active person bends over 500 times a day.
Now realize how many times a day you are hurting your back and missing free exercise by bending over in unhealthy ways, as in the photo, above left. Leaning over all day is also a factor in neck pain. If you only burned half a calorie each time you bent properly, keeping your body upright, and bending knees, you would get a lot of exercise. You would not have to change clothes or go to a gym or pay a trainer. You would not have to take pills because you make your back ache. You would not have to do anything except live your life. You life is supposed to be healthy. You are not supposed to stop your life to go "do exercise." It is a sad thing to see people do squats and lunges in a gym, then bend over wrong to put their weights down, and bend wrong again to pick up their things to leave.
When you bend, keep your upper body upright. When you are bending with feet side by side (squat bend), keep both heels down and your weight back over your heels to keep your weight on your leg muscles and off your knee joints. Don't stick your behind far out in back. In these ways, healthy bending saves your back and gives much exercise without going to a gym, and helps, not hurts, your knees. Healthy bending is life changing.
This week marked several beginnings. The equinox began the journey of the sun away from the northern hemisphere bringing longer nights. The festivals of Ramadan, St. Sophia, Navarati and others celebrate origins and understanding. The university semester began, including the full-to-capacity martial arts class I teach on Tuesday nights at Temple U's Center City campus.
When I arrived, students were sitting on the floor waiting. Some sat in bad rounded posture that you know is unhealthy at your desk. They straightened when I asked them to. In past semesters there were students who refused. Once, one stormed out shouting she didn't understand why she had to sit straight when class hadn't started yet. She didn't know that class is always in session.
Students got their equipment - bending wrong to yank weights out of bins. I told them, "Healthy bending. This class is for health." Some didn't understand the connection. Others tapped those still bending wrong, "Teacher says bend your legs." Several looked surprised. One said, "I'm getting leg exercise before class even begins." I told her that class is always in session. I reminded students to use healthy bending at home and work for every time they bend (Disc Pain - Not a Mystery, Easy to Fix). I showed them how to get more exercise by helping others who came in late.
We began stances. Students sometimes have a stereotyped idea, sometimes learned from aerobic boxing classes. They stand with shoulders hunched up, upper back rounded, head and chin jutting forward, and their behind tilted out in back. I mimicked them. They giggled at how bad it looks. I told them, "You don't look tough. You look ninety." It's true that you use shoulders to block some strikes, but you are not supposed to hunch. Don't do things to harm your neck in order to protect your neck. Overarching your lower back so that your behind tilts out in back is a frequent cause of back pain in daily life (Fixing the Commonest Source of "Mystery" Lower Back Pain) and injury when giving or receiving a blow. It's silly to go to boxing class and beat up yourself.
Look at the photo above. It shows terrible positioning that injures, and perpetuates the tightness that causes more troubles. When you lift one leg to kick (or stretch or take the stairs), notice if your other leg pulls forward. That shows tightness in the front of your hip. Instead, stand straight and keep the standing leg from pulling forward. Don't round your body to lift your leg. You will get built-in anterior hip stretch, one of the places you need to stretch most, and prevent several problems that I will cover soon.
The point of exercise is to improve life. It is missing the point to exercise in unhealthy ways, training unhealthy habits. If you are interested in learning how to retrain healthy movement in martial arts or aerobic boxing classes that you transfer to daily life, let me know and I will post more on what my students learn.
Book:
Healthy Martial Arts - www.DrBookspan.com/books. Winner of the Black Belt Hall of Fame Readers Choice Award.
--- 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 answers to personal medical questions - Replies to Medical Questions. Limited Class spaces for personal evaluation. Top students may apply to certify throughDrBookspan.com/Academy.See Dr. Bookspan's Books. ---
The Healthline Site, its content, such as text, graphics, images, search
results, HealthMaps, Trust Marks, and other material contained on the
Healthline Site ("Content"), its services, and any information or material
posted on the Healthline Site by third parties are provided for informational
purposes only. None of the foregoing is a substitute for professional medical
advice, examination, diagnosis, or treatment. Always seek the advice of a
physician or other qualified healthcare provider with any questions you may
have regarding a medical condition. Never disregard professional medical advice
or delay in seeking it because of something you have read on the Healthline
Site. If you think you may have a medical emergency, call your doctor or 911
immediately. Please read the Terms of Service for more information regarding
use of the Healthline Site.
If image doesn't load, try:
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)
![Reblog this post [with Zemanta]](http://img.zemanta.com/reblog_e.png?x-id=2e4a083b-58a9-47cf-957f-29de50a5cbe6)
![Reblog this post [with Zemanta]](http://img.zemanta.com/reblog_e.png?x-id=1759548b-8427-4b2e-9278-3b77ebd5a32e)
