Natural Hard Exercise - Stuart's Community Health Stewardship Continues
Monday, January 18, 2010
Jolie Bookspan, M.Ed, PhD, FAWM
Reader Stuart W did a magnificent thing; he took charge and started using and teaching my work in his community for projects ranging from school health to senior health to water harvesting in his arid city of Tucson.
Stuart writes:
"The second group of pictures in the set are from a water harvesting project run by the Water Management Group here in Tucson. We spent 5 hours digging and bending and planting. The structures make use of street run-off in a way that reduces road and water pollution while at the same time "greening" the street by providing the plants with water which will eventually shade the side-walk and street and reduce the "heat-island" created by all the asphalt and concrete that attracts and absorbs sunlight/heat.
"This was my first time volunteering with them and I didn't get a chance to teach but I did figure out how to dig and bend correctly myself. It was a work-out and felt really good. I have dug in the past for long hours with improper bending and what it a difference it makes! Soon I hope to teach the other volunteers so that in addition to being good stewards of the community they can also be good stewards of their health.
"The watershed admin is thinking the best thing for me to do would be to teach the various instructors so that they could then oversee the volunteers throughout the city.
Stuart will retrain participants' bending so that their exercise is healthy for themselves and the community
"I was looking at your website (DrBookspan.com/Academy) and seeing the part about scholarships for Native Americans and the elderly, that intrigued me a lot. There is a large reservation just south of town for the Tohono O'odahm Indians, I have been thinking about how neat it would be to teach some of them.
"Recently there has been a wellness program implemented by the City of Tucson to reduce work-related strains and injuries. They have not been exposed to your work yet but they have been exposed to stretches that are potentially damaging at worst and ineffective at best! My friend spoke kindly of me and how your blog and my advice had helped him so, when I talked to his supervisor, he was more than helpful in suggesting ways in which I might be able to teach city workers in various settings and occupations."
More work is in progress. Reports to come.
"Our deepest fear is not that we are inadequate. Our deepest fear is that we are powerful beyond measure. It is our light, not our darkness, that most frightens us. We ask ourselves, who am I to be brilliant, gorgeous, talented and fabulous? Actually, who are you not to be? Your playing small doesn't serve the world. There's nothing enlightened about shrinking so that other people won't feel insecure about you. We were born to manifest the glory that is within us. It's not just in some of us; it's in everyone. As we let our light shine, we unconsciously give other people permission to do the same. As we are liberated from our own fear, our presence automatically liberates others."
--- 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 to The Fitness Fixer, 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 atDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
Reader Paul J has been named Winner of the contest to name the figure who illustrates many of my books, articles in Fitness Fixer, web site articles, and Academy teaching materials.
The comic figure who educates about healthy movement continues from one I had an artist design for me. The artist moved away and could no longer work for me. I am no artist, and had to learn to draw him - not great like the original artist's, but what I could figure out for myself.
When I hired the talented young medical graphics artist, I told him I envisioned an image that was not man or woman, not black or white, not young or old, but everyone. He drew me a white guy, with a big western nose. Still it was a funny warm character that people say they can identify with as he figures out life.
Runner-up was reader JayaKrishna who gave him the name, Dr. Goodback™. I like that, and that remains his formal professional name. The rest of the time, thanks to Paul J, his name is Backman!™
When you see Fitness Fixer posts with this character, you should see the trademark symbol and his copyrighted name.
The name also reminded me of a SuperHero name. I wrote to thank Paul J, saying "I am BACKman!™ POW! splat! take that Joker!"
He wrote back, "Do you mean Jock-err...the steroid using muscle man that does bad bending?"
Close to 200 drawings in the book Stretching Smarter Stretching Healthier, many more in Health & Fitness THIRD edition, among the 114 photos and drawing in The Ab Revolution™ third edition revised expanded, and Fix Your Own Pain Without Drugs or Surgery - all on www.DrBookspan.com.
--- 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 to The Fitness Fixer, click "updates via e-mail" upper right. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
Fast Fitness - How To Be An Inspiring Success and Send In Your Story
Friday, January 08, 2010
Jolie Bookspan, M.Ed, PhD, FAWM
The 2009 Fitness Fixer Hall of Fame listed readers who fixed their fitness and sent their stories. How can you be in the Hall of Fame 2010?
Here is Friday Fast Fitness - Send in your reader inspiring success story. If you have read Fitness Fixer for any time, you probably are smart and would use it, and by now, be better at some aspect of your life:
Large or small, write what you did and why and how. It can be one small improvement like sitting in healthy position at your desk or bending right so that you no longer hurt. It can be that you stopped pain and now can do activities you used to love, or wanted to try for the first time. It can be how you taught a family member or friend to stop their pain.
If you don't have something, choose a fun and easy Fitness Fixer - close to 700 so far. Labels under each article gives all articles in that category, for example all Fast Fitness, or all reader inspiring stories. Or use the Fitness Fixer Index.
Take photos and short movies if you can, of small file-size. Send me your story with your link to your photos on a photo-sharing site like Flickr, MyPhotoTown, Picassa, or other you prefer. If you don't know how to do that, it may be fun to learn. At last resort, e-mail me the photos.
Ivy from New Zealand had to borrow a film camera, wait for developing, and mail me the photos from overseas, which I scanned and uploaded. Her efforts with her 86 year old neighbor who took the photos are on Inspirational Ivy. Reader Robert Davis propped his camera phone on a paperclip, put the camera on timer, and ran into place. For smart Fitness Fixer readers, there is always a way. On my professional website www.DrBookspan.com, the academy page and the BOOKS page have contact links to be used for Sending Good. Separate pages and contact links exist for asking questions and professional help.
A telling observation is when I search photo databases for examples for the hundreds of articles for all of you, searches using keywords of "exercise," "health" and "fitness," or searches of fitness sites yield only bad, unhealthful positioning. Often, unless I take the photo myself of a student or patient, or a reader sends one in, there is no "good" example. Come be one.
Double Benefit: Enter the Fitness Fixer contests. If you show how you do it yourself, and why this is a positive change in your life, you can have two successes - contest winner and success story.
--- 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 to The Fitness Fixer, click "updates via e-mail" 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.
"I'd bought a steel fire pit that weighs about 50 lbs, and when I got it last November I could barely move it more than a few feet and that was with some pain. I was going to ask someone to help me move it for use on New Years Eve. But I've been really watching and correcting my posture for the last couple months, and when I picked it up New Years Eve, it seemed really light. I just whisked it out to the front yard like it weighed nothing, and there was no pain!!!
Left drawing shows neutral spine and hip. Center and Right show two kinds of swayback (hyperlordosis) a slouching posture you can easily change to stop pain.
"I was amazed. I would never have guessed that good posture makes one so much stronger, but it does! I've also noticed a difference in my poise -- like forcing yourself to smile makes you feel happier, so does good posture make you feel more self confident. No surgeon could ever have given me that!
"Thanks, Dr. J.
"Happy 2010! -Bill"
Good body mechanics are a powerful performance enhancing aid.
--- Read success stories and send your own. See if your answers are already here - click Fitness Fixer labels, links, archives, andIndex. 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. Learn more in Dr. Bookspan's Books.
For your New Year's Resolutions and for the New Year to come, here are real stories from readers that appeared during 2009 here on Fitness Fixer:
World Program Health
Stuart Wood got up and just did it, He studied and used my work, then designed several programs for children and adults to learn healthy movement not only for itself, but to use for building community works. Watch for many honorable and important projects from Stuart to come as one of my Academy appointees - Reader Gains Academy Appointment for Making Community Projects Healthy
Fixed ankle pain and used healthy squatting, bending, and horse riding for a month rugged trek. Composer Andrea Clearfield and artist Maureen Drdak trekked a month in Nepal to record the sacred music and art of LUNG-TA, the Windhorse - Pain Free Trekking to Kingdom of Lo
Lisa P was told to stop running. She got out of shape but the injuries remained. She learned to stop the foot injuries, lost weight, got in shape, ran marathons, changed to healthy movement, and was able to fulfill her dream of working as a professional photographer - Physician Told Her Give Up, Fitness Fixer Made Her Able
David from Belgium took time to make us many training videos even with firstborn daughter Aiko on the way, then continued after her arrival with this gem, called by reader Shannon, "The most charming "fitness video" I have ever seen." - Fast Fitness - Isometric Abs Training. Keep your sound/speakers on.
Two great people won their fame this year and manfully allowed their stories to go next year so others could be counted now - Fellow rider BikaBill, and my old friend and fellow wild-hair Mark Lonsdale who will have his successes as frogman, marksman, and Specialized Tactical Training Unit instructor, coming soon.
Thank you everyone for using my methods for Good. Thank you for writing your stories for others to benefit. Congratulations on your great work.
Thank You Readers For Nice Comments And Successes In The Comments Of Posts
Anton, Alberto (farioreo), Anya, Terry Lee, Teresa, Vietanh, Dada, Caregiver Sandy, Captain Scott, Mr. Glass, Poleminx, Y, Marina, Rennie, Rene, Belly Dancer, Ted, Shannon, Dentists Plantation, BikaBill, Cockroach Catcher, jojo, JayaKrishna, MegaMom, TonyP. Sam, rania123456, meanne, Joe, Jeff, Elliott, RealMother, Hope, M.Pradeep, Kirstine, Steven, Uma, Vasudha, Laura, byte5, Sylvia, DD, Naiche, Margie, Reggie (R2_G2), SwissGraphics, Charles, Brooke, Sebastian, JH, adarrel, Ted, priyamno1, EMR, NurseLine, John, Dufbil (David), Alena, Shane, Maryk, Jilly, Ness, 4myJagiya, MountainsMan, Wondering Oriental, alkime, and others, let me know if you should be here to thank.
Thank You All For Your E-Mails Of Success
Paul J wrote, "8 months Chiropractor free, so Merry Christmas to you."
Anya taught her Grandmother to fix neck pain over Skype. Watch for insightful, smart, strong, stories from Anya to come next year. Anya reminds, "We are so far from knowing our limits!"
Hundreds more, too shy to put their story online, mailed me notes of the best thanks - that because of these methods, they stopped pain, they got strong, they had their lives back.
For Next Year
Start envisioning your success using these methods. Send me your photo sharing link with photos of what you do to fix your fitness, your well being, your life. Send in your story and you will soon be in the Fitness Fixer Hall of Fame 2010.
Link for all Success Stories - readers inspiring story. It will take a while to load - there are so many.
--- 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 to The Fitness Fixer, click "updates via e-mail" 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.
Academy of Functional Exercise Medicine Award by Alessandro Schiavone Creative Director from Ravenna, Italy Dr. Bookspan's Academy - www.DrBookspan.com/Academy
What does it take to sit up straight? Is it possible that the numbers of physicians, surgeons, instructors, and trainers who entered did not know? We now have five winners:
Paul J was first to write in to the contest with understanding,
"Brains are required to think and correct bad posture."
Steve Rice knew it when he wrote in the hints that first in importance, above doing any strengthening or stretching is,
"1. Engage the brain to develop better postural habits. No matter how strong the elongated muscles get, and how long the contracted muscles get, if the brain says "slouch" that's what the body will do. The other steps (stretch/strength) are necessary but not sufficient to fix the posture problem.
He also correctly stated that you use back muscles (not abs) to pull your spine back to straighten from rounded forward.
1. Only the brain is required. I simply have to do it! 2. Name the muscles -- lean back by stretching the pectorals, and maintain neutral spine in the lower back. All these years I was just too ignorant to use them until Dr. Jolie said so! 3. I think it's 'cause their chest is too tight from rounded shoulders. Good pectoral stretching, and remembering to maintain good posture will correct.
It's that remembering thing that's the problem. Fortunately my back keeps reminding my brain to use what I've learned! :-D
"Thanks, again, especially for what I've learned from you. My back is getting much better and I don't need a doctor!!!"
I learned things from readers:
Hopefully joking, were not one, but two surgeons who wrote that surgery is required to cut tight front (anterior) muscles.
Readers think abdominal muscles do every motion of all your limbs whether they do or not.
Readers think that somehow squeezing your abdominal muscles makes you move, and they think using one set of muscles magically makes you stop (inhibit) others. This is an often repeated bit of mythology, not true in all cases as previously thought. In fact, we couldn't move properly if it were true.
Readers think abdominal muscles somehow stop you from rounding forward and make you sit straight if you just do something called "engage." I have no idea how or what that would be. Abdominal muscles are flexors (bend the spine forward - not the body as a whole). Fourth winner Mr. Georges Nakhlé, my Academy instructor and manager of the Middle Eastern division was one of the two entrants who knew that abdominal muscles do not straighten you from a rounded forward position. Your back muscles are needed to pull back enough to straighten you (only if you use them). He names them in the Hints. Abdominal muscles do not attach to your legs. They cannot pull your body closer to your leg (or leg closer to body) if you are sitting with your hip slouched back away from your leg.
A helpful comment from Anonymous in Contest Hints enlightened me about a major source of the problem - readers honestly don't know what muscles do, and they feel like outsiders when hearing names of muscles and their actions. This is important. It opened a large door for me.
Thanks to these reader comments, I know to start writing articles explaining actual muscle use. No one should need any medical degree or training to know your body, names of parts, and how you move. Just like if you are not a mechanic, by knowing simple car parts, you can save much money and pain and being fooled by fancy sales talk.
Fifth winner was reader Sister Mary Smackham Witherstick of the Royal Order of Order,
"Quit yer sorry whining. Straighten up laddies!"
How hard was that?
Maybe our slogan for this contest could be the zombie cry from Return of the Living Dead,
--- Read success stories and send your own. See if your answers are already here - click Fitness Fixer labels, links, archives, andIndex. 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. Learn more in Dr. Bookspan's Books.
Reader Success - Using Good Bending For Shoveling Snow
Tuesday, December 22, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
About two feet of snow fell over the weekend in the Northeast US. I got a lovely Christmas card shortly after. I wrote back to thank the sender for remembering me.
KathyB replied,
"I not only remembered you, I've had you on my mind, as I so often do. I was thinking on Sunday, after I'd shoveled snow for 3 hours straight without hurting my back, and again yesterday when I did another half hour, that you gave me a gift that just keeps on giving, that I'll NEVER forget what you've done for me, and I thought how wonderful it must be to be able to do something like that for people.
"I wish you and Paul the very best always,
"Kathy"
Kathy - you make it all worthwhile. Kathy writes well. In fact, she is a professional mystery writer. I will ask her to tell us about some of her exciting books in the future.
In 2006 KathyB stopped 13 years of back pain using my work. She describes what she did in the comments of:
--- Read success stories and send your own. See if your answers are already here - click Fitness Fixer labels, links, archives, andIndex. 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.
StuartShip - How To Start Healthy Movement Programs
Thursday, December 17, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Reader Stuart Wood knew that the way to healthier communities is getting up and teaching it. He wrote me several impressive notes of using my work to fix his own injuries, then for his Boss, then requesting if he could use it formally to teach community projects. I awarded him an Academy Appointment for Making Community Projects Healthy.
Stuart writes this update:
"After months of reading your blog I have become inspired to teach some of your information to whoever is willing to listen. I think the health and fitness situation in our country can benefit from your work and after trying it out and seeing results, as well as helping my friend to fix his bulging disc, I thought that the information you provide on your websites and in your books needs to reach more people. I read your blog regularly and have always loved the inspirational stories that your readers have supplied. The writings between you and "Inspirational Ivy" really helped to make me realize that I could be healthy and strong for many years to come as well as the posts of the Thai women in their 80's going strong! I think it is so unfortunate that aging and weakness are commonly believed to go hand in hand. I think the problem needs to be addressed when children are young and before they ingrain bad health and movement habits.
"My co-workers have been receptive to your ideas and they have helped me greatly in thinking about and learning how to effectively explain your technique.
Today I taught for the first time in a semi-formal setting. I had a friend who had helped fix his own back pain (bulged disc) take pictures for me. The first thing I learned is that I have much improvement to make in my own movement, I suggest (like you have said) that everyone have a friend take candid pictures of them to test their progress. The group of kids I'm teaching are at the Archer Center in Tucson, AZ. They are part of the CATCH after school program and I wanted to teach them some good movement habits to benefit them in their daily lives as well as in sports and play-time.
"I was not sure how to start or what to teach exactly and time was limited for each group (only about 20 minutes) so I went to the Functional Fitness Friday posts and the (main) stretches like the side-stretch (done well at right, using wall for straight placement) and chest stretch and lunge. It was quite the learning experience! The first group of children were between 8-10 or so and their attention spans were short and I couldn't achieve much with them in the short time. I think the best thing would be big exercises like push-ups with neutral spine and lunge and activities full of movement because they seemed most interested in those things. The second group of kids were older and they were very focused and interested. I taught them the side and chest stretches, emphasizing relaxation and making it feel good. I had them do the wall test and then stretch and see if they found a difference. Some did and some didn't. I realized that teaching these age groups would require multiple sessions broken down into different sessions and incorporated into games.
"What I realized most was how interested the instructor was, he felt the difference at once between improper and proper techniques. I think in addition to teaching children I would like to teach the instructors because they are the primary source of information for the children. I am also very inspired to keep at it myself because I want to be effective in my demonstrations and be a model student myself."
"My teaching from today is listed under "Teaching to CATCH program" which is an after school health and wellness program.
Stuart is working on two other community programs so far, including a wellness Pilot program and a water harvesting project for his dry city of Tucson, with stories to come.
He summarizes:
"I went to the Parks and Rec Aquatics Supervisor and asked if I could teach and take some pics. The city of Tucson is starting a wellness pilot program in early January because of the high rate of strain related injuries. Because my friend (the one who I helped fix back pain) talked about the good your work had done for him with the aquatics supervisor at a recent wellness meeting for city employees, he already knew a little about what I was up to and is going to work with me to incorporate your method into the wellness program to teach employees at district meetings city wide!
"I just graduated from the University of Arizona with a bachelors in anthropology. I would like to pursue graduate school but not sure in what field.
"Thanks for the graduation present, couldn't have asked for better!" ;)
--- 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 to The Fitness Fixer, click "updates via e-mail" upper right. For personal medical questions - Replies to Medical Questions. See Dr. Bookspan's Books, take a Class, get certified - DrBookspan.com/Academy.
Reader Gains Academy Appointment for Making Community Projects Healthy
Wednesday, December 09, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Stuart W first contacted me with dozens of great observations and questions about fixing his injuries, tightness, and tension headaches using methods of healthy mechanics I developed. It was apparent that Stuart would soon be fixing more than himself, the bulging disc of his boss, and the aqua-aerobics class where he lifeguards.
Stuart writes:
"Oh, one more thing, I dearly want to become a certified student or teacher of AFEM. I have a dream of neighborhood groups all working together on community projects using proper mechanics to get free exercise, pain relief, and help beautify their cities. I live in Tucson and there is lots work to be done installing rainwater harvesting works!
"It a local group and they install groundworks in neighborhoods to harvest runoff water for native plants. Yes I would want to teach them to bend and dig correctly (hopefully they will be receptive) I better get to work with them first and lead by example so they know I'm for real. I could take photos for sure, both before and after instruction, possibly with little interviews of pain before and after techniques...
"I would love to travel and teach that would be great, there is an aqua-aerobics class that is full of older women who are in the class for "exercise" but they do improper stretches and I know that they could be helped, after they unsteadily get out of the pool I watch them walk around knock-kneed (and doing quadriceps stretches with lower spines overarched) and my heart goes out to them.
"I would also love to teach kids at schools proper habits because they have all this wonderful flexibility then after a few years cultural habits turn them into tight- hipped hunched teens. I think "fitness as a lifestyle" is such a commonsense and wonderful idea that much of the world adheres to and I think the "fitness" craze in the US is very destructive. So much effort going into (paying for!) bad exercises that could be redirected to health.
"I recently attended a water-harvesting workshop where we dug basins and planted trees I thought it would be difficult to properly bend all day but it was not and I even figured out how to swing a pick-axe without bending badly. I took pictures of the project as well as of the other volunteers who were digging and stooping in harmful ways so that if I get your permission to instruct them I will have before and after photos. Thanks, I hope to hear from you soon!
"Because my friend ( the one who I helped fix back pain) talked about the good your work had done for him with the aquatics supervisor at a recent wellness meeting for city employees, he already knew a little about what I was up to and is going to work with me to incorporate your method into the wellness program to teach employees at district meetings city wide! Wonderful!
"I was just thinking about how I used to pay for chiropractic work which led me nowherrrrrrre, except on a quest for good info, which led me to you!" - Stuart Wood
For his care and interest, I have given Stuart an Academy Appointment for the coming year for Community Health Projects. The idea is that his fun happy projects blossom into years of health for people and the larger community.
JoinTheFun:
We need better titles for our people who work to make things happen. They are not just coordinators or facilitators or directors, they are the brains and muscle too. What can we call these appointments?
Join Stuart in his work, and do the same for your own local world. Send in your own ideas and stories. See my Academy page - www.DrBookspan.com/Academy.
--- Read success stories of these methods and send your own. See if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Subscribe free, click "updates via e-mail"(under trumpet) upper right. For personal medical questions - Replies to Medical Questions. Limited Class space for personal feedback. Top students may earn certification throughDrBookspan.com/Academy. Get more in Dr. Bookspan's Books.
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Photo of construction of a 10,000 liter rainwater harvesting and ground well water storage tank, Some Rights Reserved, by Weenhayek
Academy Awards - Academy of Functional Exercise Medicine Awards Leading World Health 2009
Wednesday, December 02, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
It is an honor to announce the 2009 award winners of the Academy of Functional Exercise Medicine, AFEM. I am director of the Academy, and work (unpaid) for it to be an international resource for people and communities to learn to be healthy in body and actions. Award winners were selected for representing and carrying out true world health.
This year is the first year that we will award honorees. The design for the award is by Alessandro Schiavone, Creative Director from Ravenna, Italy.
The Academy is the certification teaching branch of my sports medicine practice. My practice and the academy teach individuals and groups healthy biomechanics and movement habits for daily life instead of injury-producing habits, good food instead of disease-causing food, healthier training for athletes, healthier medical practices for the sick, no cost preventive medicine, "green" fitness, and healthier mindset.
Leading World Health - Award Winners 2009
The 14th Dalai Lama He leads by example in his message of healthy, clean, non-violent, kind life to all ages, all people, all colors, all politics. www.dalailama.com
Jackie Chan - Nickname of Chan Kong Sang Antiviolence role model in martial arts, anti smoking public service pieces, leading by example of discipline in physical training, charity work, respect for teachers, and honor as a lifestyle. www.jackiechan.com
AboveTheInfluence.com English language web site for young people of personal responsibility in drug use prevention. www.abovetheinfluence.com
Jack and Elaine Lalanne Changed their own lifestyle to health, and since the 1930's have led by example to stop junk food and to exercise no matter what your condition or age. Jack Lananne is (at this writing) in his 90's, Elaine, in her 80s. They continue to exercise daily. www.jacklalanne.com
Amnesty International World organization to raise consciousness that lack of personal safety, rights, and freedom, lack of safe drinking water and adequate nutrition for some, is lack of world health for all. www.amnesty.org
Ellen Johnson Sirleaf Newly elected President of Liberia. Liberia has suffered 25 years of war, hundreds of thousands dead, lack of electricity or running water, 80% unemployment and 90% illiteracy. Grandmother of 6, imprisoned for her work for rights, she continues to put her country on a course of health and renewal. africanhistory.about.com
My Mother - Academy Lifetime Achievement Award Her students stop me in the street to say how she showed them healthy movement. Also their children, their grandchildren, and now, small great grandchildren who have also studied with her and learned that keeping moving is the way to health. Exercise Your Sense of Humor
Leading World Health 2009 - Youth Award Winners
The Youth Leading World Health award this year is shared by 16 year old Babar Ali of west Bengal India and William Kamkwamba of Malawi:
Babar Ali teaches hundreds of students in his family's backyard, where he runs classes for poor children from his village who cannot afford to go to school. news.bbc.co.uk/2/hi/south_asia/8299780.stm
William Kamkwambabuilt a windmill from junkyard parts to bring power to his village, continuing work to provide for all Malawians, where only 2% have electricity. He left school at 14 because his family could not afford the $80-a-year tuition. He went to the library: "I was very interested when I saw the windmill could make electricity and pump water. I thought: 'That could be a defence against hunger. Maybe I should build one." He built a turbine from spare bicycle parts, a tractor fan blade and an old shock absorber, and fashioned blades from plastic pipes, flattened by being held over a fire. "I want to help my country and apply the knowledge I've learned," he says. "I feel there's lots of work to be done." news.bbc.co.uk/2/hi/africa/8257153.stm
Everyone - "There's lots of work to be done" Enjoy the beauty and health you can bring.
Coming later this month - 2009 Fitness Fixer Hall of Fame
--- 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.
Forward Air Head Syndrome - Doing Sets and Reps and Missing The Point of the Exercise
Thursday, October 22, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
After the article Help Yourself last Monday, I received many notes from readers. Almost a dozen the first few hours. Notes saying that that once they understood how my method changes "doing" exercises into stopping causes of injury, they tried to help their friends who had pain. The friends turned their generous help back into the party line of doing sets and reps of stretches and exercises, then returned to habits that recaused their injury. They missed the greater point of using the retraining after the reps stop - during actual real life.
One reader wrote how he explained to his friend about the cause of degenerating discs and vertebrae of the neck. His friend was constantly jutting the neck forward - a painful posture called a "forward head." The friend protested that he had a disease of the facets, the joints of the vertebrae. The reader explained that damage to the facets was caused by the bad posture called a forward head. The friend insisted he had disc deterioration and bulging. The reader explained the cause was simple bad posture called a forward head. The friend agreed to try my method, did a few stretches mentioned in part of one of my articles, then went back to their forward head posture, and complained that the method didn't work because pain returned. He wanted to know exactly how many and which other exercises to do and how long it would take for the exercises to work.
Check some of the comments to certain Fitness Fixer articles. Some commenters miss the point that the stretches or exercises may help you feel better for the moment (and if they don't then you are doing them wrong) but you must change injurious movement habits. Prevent tilting your hip and use neutral spine instead when you stand and walk, to prevent lower back and SI pain. Stop craning your neck. These are voluntary actions that need your brain to work.
Reader Paul J wrote this accurate assessment:
"The Department for Silly Syndromes has determined that Forward Air Head Syndrome is closely related to Cerebral Detachment Syndrome that occurs in patients that read the writings of Dr. Bookspan.
"The patient knows how to read and understands words; however after reading Dr. Bookspan’s writings, a detachment in the cerebral cortex seems to occur often affecting the patient’s ability to think and type. The patient exhibits some of the following symptoms:
Writing questions to answers already given in the original text,
Writing questions to answers already given in previous articles
Writing questions that are not congruent.
In mild forms, the patient will read some of the information, do some stretches, and expect complete results.
"The recommended treatment for those suffering from CDS is to watch the movie* ‘What About Bob?’ This may not cure CDS however it should temporally delay the effects of CDS."
(*In the movie, a psychiatrist gives his nice but overanxious patient a book, to understand and solve his own problems. Instead, the patient drives the psychiatrist insane with repeated unneeded questions (and did his previous doc in with the same).
Read success stories of these methods and send your own. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
Reps of Exercises Don't Fix Pain; Fixing Causes Does
Monday, October 19, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Monica from Montana bent over dogs daily in her dog boarding kennel. She spent the summer doing stretches, exercises and going to chiropractors for severe back pain. She did all her "sets and reps" (repetitions) of the exercises her various practitioners gave her. The pain kept coming back. What did she do differently that stopped this cycle?
I first heard from Monica through her short happy note:
"Thank You!! So much. I've had quite the drain of lower back pain the whole summer. Finally I got online and read your article and have now begun the fast road to recovery. The first day I did have relief. Now it's been three days and I can't stop talking about how good I feel. Today I drove six hours and was still comfortable! "Thank you again, "Monica "Montana"
I wrote to thank her for using my work as intended and taking time to tell me. She replied:
"Hi Dr. Bookspan, "The whole summer of 2009 was plagued with lower back pain, I thought due to raking pine cones. I did my usual routine. Going to the chiropractor. Doing stretches (the wrong stretches) all day long thinking they were giving me relief and come to find out by reading your website I was re-injuring my back over and over by doing these improper stretches of bending forward. When I found your website it all made sense so I immediately implemented your instruction and what do you know I immediately started feeling better.
"The pain did not all go away over night, it has taken time to heal, tolerable time thank you. At the end of August I wrote to you saying thank you. It is now the first part of October and the lower back pain is pretty much gone.
"When the pain makes an appearance I immediately pay attention to body position and it (the pain) goes away. I also suspect the chairs I use at work were a part of setting me up for this injury. The chairs are like saddles to "help with upright posture." The molded hard part of the back of the chair is protruding to where it was subtly pushing on my tail bone I've now realized. I think that's a part in why the injury was so low in my back. Plus I think the saddle part of the chair had been affecting my hips. This has taken some time to realize I was so used to these chairs. This whole combination has caused quite a bit of pain and discomfort but due to your website I started looking at all of these things and am reaping the benefits.
"Thank You Dr. Bookspan! You are a bright expression of this essence we all are. The essence of compassion, clarity and skillful means. "Much Love, "Monica
Thank you Monica, for lovely writing.
I wrote back to Monica to see what, specifically, she found helpful, and make sure that after time, she remained pain free, had her life back, and could do more than before she started using my work. To help readers, I make sure these reader inspiring stories are tutorials, not just testimonials. For new readers who have not previously heard of fixing causes rather than doing a few sets and reps of exercise and stretches, I ask success story writers to include specifics.
Monica continues with two commonly prescribed forward bending stretches that add to a common source of pain, rather than fix any problem:
"The main (wrong) exercise I kept repeating over and over was to sit in a chair, bend forward with arms between my legs to stretch as much as I could. This would make my spine move as if straightening - I thought. I also found that bending forward over the front knee created a stretch that would make my spine move. I realize now this was not a good thing."
She also described habitual body positioning that are classic contributors to pain. Even if you do all your sets and reps of exercise and stretches, if you don't prevent these causes of pain, you won't stop the resulting pain:
"My habits have been to let the bottom of my pelvis bend back at while sitting or standing. You know the "butt out" posture. While walking, my feet tend to face outward too. I've now been more conscious to keep my feet square and tilting the bottom of my pelvis forward to give my spine more support. Works like a charm.
"For real life bending... The first thing I do in the morning is go feed dogs in my dog boarding kennel, so in order to pick up bowls and put them back down I now bend my legs instead of bending over using my back. I try to keep my heels to the ground and come up easy while I'm still gaining strength to take care of my knees. My legs have adapted quickly. I bend using my legs all day long and really try to take care of my knees and back.
"I hope this helps someone. "Warm Regards, "Monica"
If You Have Questions How To Do This For Yourself:
Read success stories of these methods and send your own. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
Fast Fitness - BIPOD Reader Prescription for Healthier Feet
Friday, October 09, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - BIPOD is a way to happier feet that you can do yourself at home. Reader Paul J sent in this gem in July. Other great work from him and other readers are still in the piles of mail.
For background: A shoe insert is any pad of any size, shape or quality that you put in your shoe for various reasons. Hard shoes are a common course of joint pain. Many shoes benefit from better cushioning and even a cheap soft insert for cushioning purpose can help that. Orthotics are different. Orthotics are hard shapes, specially fitted by a trained orthotist or sometimes a physical therapist with orthotic training. Orthotics usually cost a few hundreds of dollars. Orthotics are rigid forms to hold your feet in a specific position. There are also hard inserts with molded arch or other area advertised to change your foot posture. Sometimes orthotics and hard inserts make more pain or don't change the source of the problem. Most of the time, for non-paralyzed people, if the orthotic can make your foot change to a healthy position, you can do the same using your own muscles and sense of positioning. Using your own feet and ankle muscles is often healthier, more comfortable, and more likely to yield long term results.
Now Paul J's intelligent prescription:
"Bookspan Invisible Pain-free Orthotic Drops - BIPOD. Now you can walk, run, or stand without the pain of traditional hard orthotic inserts. BIPOD will revolutionize the way you stand. Read and follow product instructions, failure to do so will render this product ineffective. Attempts to walk, run, or stand without BIPOD is not recommended by our accountants.
"In order to reduce the burden on landfills, please follow the directions below to make BIPOD at home. You must use your brain and following all directions in order to get DHMO and CS (see above).
Ingredients: one tablespoon of cold tap water one tablespoon of tap water from hot tap, before it gets hot.
Mix for 4 seconds in a container that can hold 2 _ tablespoons of liquid.
"The left over mixture maybe placed in the refrigerator for later use or discarded in most plants."
Remember - get the point of healthy practices. Don't get bogged down on purchasing exercise machines and expensive devices that reduce your own body's involvement in your life, or trivial details of exercise "form." Get the big picture of easy healthier ways and enjoy improving your life.
Many readers' great stories are in the piles. Remember to read the instructions and concepts in articles on fixing pain first before asking what to do. Gain the benefits and better health and send in that story. Then we can all enjoy more instead of taking time plodding through and answering reader comments of, "I read your work on how to fix neck pain, will your stretches work?" and similar instances of missing the point. Would anyone help Hannah (or Cheryl?). She left the 36th comment asking if the stretches work on Fixing Upper Back and Neck Pain, which had already explained, along with the 35 questions and replies already there. Thanks!
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
---
Image of helping feet with brains by "lapolab" via Flickr
Reader Success With Functional Fitness Training - Stronger Ankles, Better Balance
Thursday, October 01, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is a good start to October. I had invited readers to send in names for my group Functional Fitness Training program (tentatively named FFT) and success stories using it. Reader Paul J sent in both. He wrote:
"I don't think I can come up with a better name than FFT.
"Some ideas….let's see,
"Simple Training Big Benefits. (The toe balance training is great; I suppose a success story is in order.) Bookspan's Basic Training. Bookspan's Body Basics. Basic Fitness Training Basic Functional Fitness Jolie's Joint Jewels (That has a nice ring to it, it might be good for something like a list.) Functional Physical Training.
"Well, what do you think, any keepers?"
Readers - votes? The "Basic Functional Fitness" name has the advantage (as does "Bookspan Functional Fitness") of the initials BFF, young person lingo for "Best Friend Forever."
Paul J. continued with his success story:
"I have been doing your toe balance training and have noticed some interesting things. Before I learned your toe balance training I would usually stand on one foot to put my sock on and had decent balance from martial arts, but felt my ankles were weak. I even bought a BOSU and it may have helped, but you have to be on it, to get a benefit from it. I remember the first time I tried your technique and how quickly my right foot tried to roll out.
"Thanks to your simple do-anywhere training my ankles are stronger and my balance is much better. The other day stepping out of the tub I had such an odd sense of stability when standing on just my right foot, I looked at my ankle. My general balance has improved too. I have a folding bike with 20” wheels and for the past 3 years hands free was a very bad idea, just the other day it was quite easy. All though to some this may still be a bad idea, it was done in a nice low traffic neighborhood.
"May your favorite physiologist have a fun Friday afternoon. : ) "
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Reader Robert Davis sent a well-written summary in last Thursday's Healthy Aging Starts Now. Here he adds about our view of aging, and improving physical skills as years pass rather than letting them slip away from lack of use:
"I forgot to mention to that this stuff has helped my instrument playing as well! Sitting straight up and relaxed makes execution of difficult passages so much easier. I used to unconsciously tense up sometimes and it made it harder for no reason. Things just seem so much easier relaxed =P
"I think aging in America is a plague the way it is viewed. I dunno if I made a good point or not (Thursday's Part I) but it seems to me that aging has a warped sense of reality to it in our country. Easy example is I was watching a clip from a dancer (pop dancer) who was in her 40s. Someone made an off the wall comment - "Well she does really good for being 45." But what does her age have to do with it.
"I just realized lately that you see this "plague" of thought that seems to be culturally conditioned that says by a certain age we should be degraded and unable to "do" things. This is how people think and it seems this is how the medical fields think. All I can think of when I see this plague is people in other countries going up and down mountains in flip flops or bare feet at all ages. Activities that would really poop out an average American, they do with ease.
"I get frustrated that we as a nation have the mentality that we must decline when you have shown me this is not true. I used to believe it, but when you turn your head slightly and see it from a better angle, it is not true. It is our lifestyle and habits that degrade. Not our age:) Change the habits, like you say and say over and over again. Why can't people see this?
"Ok I am all worked up lol.. This is why I have considered trying a different field more like yours! I am still considering it."
Mr. Davis has been making great gains in his weight lifting and healthy life using my work after first writing last year to learn how to fix a back injury from lifting. He previously sent in photos practicing various retraining drills by propping his cell phone set on timer against a paper clip and other impromptu devices. I asked if he had update photos of his progress. He replied that, "the phone that had the camera had decided to test gravity and never came out of it :( "
With his can-do ways, I think he will be sending more of his success stories. Click the label 'readers inspiring story' for many readers' stories of using my work to fix injuries and get their life back.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Robert Davis, frequent Fitness Fixer success story contributor, wrote to me with observations that will encourage, educate, and help many -
"I am beginning to see an almost "plague" in our society. That plague is auto-assumption that age automatically will start to equal degradation of your body."
Mr. Davis, a young lifter, had first left a comment to a Fitness Fixer article last year asking about fixing his back injury from weight lifting. His success stories came in frequently from there, telling how he gained better health and ability than before his injury. In a recent update letter to me, he sent these insights:
" I have not mailed in a few months. However I did not want to forget what got me back to what I love. I have had no issues with my back for months now. It went from dreadful to move, to better then ever.
" It is all so simple once it becomes ingrained. At first it does seem to be a chore learning to (bend right with a lunge and) squat and all the other things to correct bad habits. However these things, with conscious repetition, become habits. No longer do I have to think about healthy movement!
" This has been beneficial not only for my back, but for all areas that were troublesome. The more I loosed up, bent correctly, and used movement correctly, the more minor problems just seem to fade away!
" I have a new mantra when I workout with weight. It is called "on the muscle" chant. Every exercise I perform I say this in my mind and concentrate all weight on the muscles (instead of making it easier by shifting weight to joints). If I feel it is too heavy and I am doing some joint crushing, I back off the weight. I do not lose anything backing off. I gain something. More strength to do the same "on the muscle". In sum, I have really really chosen healthy movement over getting in an extra few pounds with "joint/arch or whatever" assistance. It is not worth it. You will get it eventually "on the muscle!"
" One sad thing I am noticing though lately after going thru stuff myself is this. I am beginning to see an almost "plague" in our society. That plague is auto assumption that age automatically will start to equal degradation of your body. I grew up as a pre-teen/teen in the late 80s and into the 90s. I never remembered regarding people who were much older as limited. I think this phenomenon is a cultural condition based on no facts, and the massive influx of pharmaceuticals. I could be wrong but that is what I see.
" I am amazed at all the people I run across in the gym who are told to "not do this or that". I often think of my grandfather and the time period he grew up in. He was very active and working under cars and whatnot till a few months before he passed away. No one told him his age would hamper that.
" I could go on and on about this but I think particularly in America, we are in a self created plague where age is a bad thing and something to postpone. What little do people know is that healthy movement, awareness, and lifestyle help one get thru all this without having to stop what they love.
" Look at me. From a debilitating back injury to returning to what I love to do - "lift weights in the gym." I was skeptical I would have ever made it back when I got hurt. However I am kinda glad now I did get hurt as sometimes there is a gem inside what otherwise would seem problematic. That Gem was learning (from you) how to do what I love to do without worry of age or injury ever detouring me from that. I am in my mid 30s now and plan to stay on top of myself with your methods for as long as I have a passion for this(and I feel that is a very long time). After all I see the body builders in the 70s and am truly inspired to keep going.
" Thank you! I also wanted to just check in and give a little insight of what I was doing and my thoughts on things =P "Robert Davis"
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Three years ago, Merlene's closest friend died. Merlene, who is 74, lost all motivation. Because she was not exercising, she gained a lot of weight. This is where Ivy came in...
Ivy from New Zealand, frequent success story contributor, wrote me in August about her neighbor Merlene:
"You will be pleased that I have a new lady under my wing so to speak. I lent her your book "How To Fix Your Own Pain Without Drugs Or Surgery." Along with giving her advice she tells me that it has changed her life which pleases me."
I wrote to Ivy to ask her if Merlene would be comfortable telling us more on what she did, so others could try it too. Ivy replied:
"I encouraged her to walk again. At first it was difficult, she had difficulty breathing. I noted that she was walking flat footed and taught her to lift her toes. She complained of back pain - I showed her how to lie on her stomach and lift herself up on her elbows before getting out of bed in the mornings. She has now learnt to put her spine into the neutral position. Re her breathing, I showed her how to breathe deeply. She told me that she rolled her neck every day in a circle - she now does the trapezius stretch plus pectoral stretch instead.
"Instead of bad bending, she does squats and lunges while making the bed, doing the vacuum cleaning, going to the fridge and the like, plus gardening.
I checked in with Ivy a while later to make sure all was still improving, and gave her questions to ask Merlene so I could make sure all was well. Ivy wrote again:
"Today I visited Merlene and asked her some questions. She is stronger, breathing has improved, she is more flexible, can walk further, the back pain has improved immensely. She hasn't weighed herself yet, however, is hoping that there will be a weight loss when she weighs herself next week.
"She finds your books "How to Fix Your Own Pain Without Drugs or Surgery" and your Stretching Smarter book very helpful so I left them with her so that she can refer to them.
"She also tells me that your books along with my help and advice has changed her life for the better. She has lost that negativity and feeling positive about life again.
"Merlene is a very quiet, private lady so I try to treat her in a gentle way. She comes from another country and I gather that life has been very hard. She is so enjoying what she is doing. Most important is the fact that she trusts me plus she is very happy you are doing this article.
"Merlene is happy for you to use her name. Re the photo and title (of the article) she would rather it was your choice. "Hugs Ivy "
How to Fix Your Own Pain Without Drugs or Surgery and Stretching SmarterStretching Healthier, and others, on www.DrBookspan.com/books.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
"Thanks so much for your help. "I wanted to let you know that I have had a herniated disk in my lower back for eight months. Had physical therapy & injections, but still needed medications-pain pills, etc. I never experienced so much pain in my life. I came across your website & articles & starting doing what you recommended, & within days I have been feeling great & have reduced the pain medicine because I don't need it.
"I know now that I was doing the wrong exercises in the past- too much bending forward & back. Didn't really know that this exercising technique (bending, stretching forward, arching) is incorrect. It sure is!!!!
"I really like the hamstring stretch - putting your leg on the wall. This is terrific. I feel so MUCH BETTER....
"Also, when you get copies of the Abs book, please let me know. "Have a great day Dr. Bookspan!!!! Laraine"
A herniated disc is an injury, not a condition or disease. It can heal. You do not have to live with it. You can go on to being able to do more not less.
Discs are living parts of your body, not like a tooth that once broken cannot heal. Most of the time, injured areas can heal, if you let them. Bulging areas can reduce. Dried discs can rehydrate. Each night as you sleep, discs replenish fluid. They plump back up a bit. That is part of why you are taller each morning, than in the evening. They can do all this if you stop the causes that injured them.
Doing surgery, adjustments, treatments, massage or yoga does not stop the cause of disc injury. Common exercises add to injury. Not all exercise is medicine. Then it is no surprise when pain does not stop, or stops but returns, or the next disc herniates after fixing the first one.
Changing unhealthy movement habits that degenerate discs and push them out of place means moving in healthy ways for all you do, not just for sets and reps in a gym. You can do all the "reps" of back exercises in the world. If you return to bending and standing in injurious ways all day around the house and workplace, it is no surprise that the exercises and treatments did not fix the pain.
Click the following for simple ways to stop causes of disc injury. Get the overall concepts, don't bog down on details. I see people in gyms following trivial, exacting "proper form" for exercising, while missing the whole point of healthy bending and lifting or how to apply it to general motion all day.
--- Read success storiesand contribute your own of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Reposting - Physician Told Her Give Up, Fitness Fixer Made Her Able
Monday, August 24, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Last week, several Fitness Fixer posts did not become viewable after writing and posting them. One reappears here (hopefully) with the rest to follow this week. Photos will not load at all, so I have included links to view them at another page. May all life's troubles continue to be this small :-) enjoy the posts:
Another reader named Lisa wrote in with a success story. This Lisa had not been active for many years. Her doctor had told her the way to stop injuries from running was to give up running. She is now successfully doing marathons, changing to healthy movement, and working as a professional photographer.
Lisa P writes:
"I had done some running in college and wound up with a stress fracture on the ball of one of my feet. I remember the doctor telling me to stay away from running in the future.
"I have enjoyed visiting your site for many months (more than a year for sure) and find your practical, everyday life approaches to body movement and exercise right on. The idea of walking a marathon was a "no-brainer" once I found out that walking was allowed.
"As someone who grew up in a home where shoes were always worn, I never got the chance to let my feet walk around barefoot for any extended periods (or distances). My feet couldn't handle "feeling" everything as they had been encased for so long in any number of supportive shoes.
"I remember reading a post of yours about hiking in flip flops and tried to imagine myself doing anything in flip flops or another simple shoe without a lot of cushy padding and support in "all the correct places." I am using my muscles to adjust to uneven surfaces while walking barefoot or with minimal padding between my feet and the ground. I think this has improved my body mechanics. Doing it myself helps in a way that wearing special shoes to do it for me does not. Time will tell of course.
Walking may take more time than running, but I've become a faster walker with training and will surely realize my goal of completing a marathon in under 6 hours this fall.
"I've made an effort to reduce and or eliminate certain things from my diet such as refined sugars, hydrogenated oils, and processed foods. This most certainly has contributed to the results I get in training. As I near the actual marathon, I will be walking upwards of 30 miles a week. It is amazing how my stamina improves as the miles add up.
"Attached is a photo of me at mile 25 of The Nike Women's Marathon, the first marathon I completed.
"Oh, one other thing that I have you to thank for is my regular routine of push ups. After every training walk, I do push ups and am currently doing 36. Won't be long before I get to 40!
Going barefoot by itself, or wearing special shoes will not automatically put your foot in healthy position or increase balance skills. You can walk in healthy or unhealthy ways when barefoot, and in healthy or unhealthy ways even in an expensive corrective shoe. You can easily change how you move to healthy ways without needing devices, and save time and money. You can change to healthier eating and reduce a grocery bill greatly, by no longer buying unhealthful food. Click the labels under this post for all Fitness Fixer articles with ideas on each topic.
--- I make posts from fun mail and success stories. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Why not try fun stuff, then contribute! Read success stories of these methods and send your own. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Physician Told Her Give Up, Fitness Fixer Made Her Able
Thursday, August 20, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Another reader named Lisa wrote in with a success story. This Lisa had not been active for many years. Her doctor had told her the way to stop injuries from running was to give up running. She is now successfully doing marathons, changing to healthy movement, and working as a professional photographer. Lisa P writes:
"I had done some running in college and wound up with a stress fracture on the ball of one of my feet. I remember the doctor telling me to stay away from running in the future.
"I have enjoyed visiting your site for many months (more than a year for sure) and find your practical, everyday life approaches to body movement and exercise right on. The idea of walking a marathon was a "no-brainer" once I found out that walking was allowed.
"As someone who grew up in a home where shoes were always worn, I never got the chance to let my feet walk around barefoot for any extended periods (or distances). My feet couldn't handle "feeling" everything as they had been encased for so long in any number of supportive shoes.
"I remember reading a post of yours about hiking in flip flops and tried to imagine myself doing anything in flip flops or another simple shoe without a lot of cushy padding and support in "all the correct places." I am using my muscles to adjust to uneven surfaces while walking barefoot or with minimal padding between my feet and the ground. I think this has improved my body mechanics. Doing it myself helps in a way that wearing special shoes to do it for me does not. Time will tell of course.
Walking may take more time than running, but I've become a faster walker with training and will surely realize my goal of completing a marathon in under 6 hours this fall.
"I've made an effort to reduce and or eliminate certain things from my diet such as refined sugars, hydrogenated oils, and processed foods. This most certainly has contributed to the results I get in training. As I near the actual marathon, I will be walking upwards of 30 miles a week. It is amazing how my stamina improves as the miles add up.
"Attached is a photo of me at mile 25 of The Nike Women's Marathon, the first marathon I completed.
"Oh, one other thing that I have you to thank for is my regular routine of push ups. After every training walk, I do push ups and am currently doing 36. Won't be long before I get to 40!
Going barefoot by itself, or wearing special shoes will not automatically put your foot in healthy position or increase balance skills. You can walk in healthy or unhealthy ways when barefoot, and in healthy or unhealthy ways even in an expensive corrective shoe. You can easily change how you move to healthy ways without needing devices, and save time and money. You can change to healthier eating and reduce a grocery bill greatly, by no longer buying unhealthful food. Click the labels under this post for all Fitness Fixer articles with ideas on each topic.
I make posts from fun mail and success stories. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Why not try fun stuff, then contribute! Read success stories of these methods and send your own. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
"I had not (previously) successfully implemented healthy movement habits. Your books are allowing me to comprehend the importance of doing so. This knowledge is permitting me to enjoy the benefits that come from less pain. Less pain means a happier Lisa. Moreover, since everyone enjoys happy people, anyone involved with me appreciates my enhanced education.
" You give your readers hope and allow us to strive for healing. You must tire of hearing this from everyone you help.
"I have read many publications regarding stretching and strengthening but none ever caused me to contemplate "living" rather than practicing the "postures." I have stopped many of the exercises and stretches "believed" to be essential to improving back health (they were hurting), and enjoy the exercises and stretches in your books.
"It is enchanting to have the opportunity to thank you for sending me personalized copies of your marvelous publications.
"With Kindest Regards, Lisa H."
There is no need to "live with pain" or try to use varieties of techniques to distract you when it hurts. Instead, fix the source of the pain, then the damage can heal and the pain not return, because you have stopped the daily repeated unhealthy motions that cause them. Healthy movement is for all you do all day - that is fitness as a lifestyle, not doing little repetitions or sets or reps in the gym or during commercials. To get started, click the related posts below. The label "reader inspiring stories" lists reader stories, not as testimonials, but tutorials. Enjoy getting your life back.
--- 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.
"Jolie Bookspan of the Fitness Fixer cites a new study showing that few if any of the myriad of medical treatments commonly used for treating low back pain offer any substantial or long-lasting benefits. Dr. Bookspan points out that a more effective method of treating low back pain might be to retrain patients to move in healthier ways, to prevent continued re-damage. This seems like good advice to DrRich, whose unhealthy career choice (which involved wearing heavy lead shields while standing in place and bending at the waist for up to 12 hours at a time) led him to sample many of these ineffective (and expensive) treatment options himself. He was cured only when he chose to move in healthier ways - by changing careers."
DrRich (Richard N. Fogoros, MD) is a former professor of medicine who spent over 20 years as a full-time clinical cardiologist. I thank him for being among the medical professional who recognize that you can make movement healthy and fix the damage instead of adding unhealthy medical treatments to an injury.
My post on effectiveness of various medical treatments for back pain includes a direct approach to continue activities you love. You don't need to reduce activity you love. Recognize damaging body mechanics, and fix damage without surgeries, injections, or drugs though changing all the movement of your regular day at work and for sport into healthy good body mechanics
--- 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 certified - DrBookspan.com/Academy.
Fast Fitness - Count How Many Times You Help Or Hurt Your Body Daily
Friday, July 17, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness - a simple tool to help you notice how many times during your ordinary day you can either get functional built-in exercise for leg, back, and hip muscles plus a Achilles tendon stretch, or produce a common factor in back and knee pain.
Every time you bend down to reach or retrieve something, count it
See how many bends you do for ordinary chores and by the end of the day
Choose if you want to hurt or help your fitness each time.
David from Belgium has written numerous Fitness Fixer success stories and created many photos and videos for better learning. He writes:
"I just spent half an hour vacuuming our house downstairs.
"When I do chores like these, I try to practice some focus instead of letting my mind wander all over the place.Usually this means I try to remain aware of my breathing (breathing normally, not grunting, straining, or holding breath to reach or lift things).
"But today I thought of one of your articles that said how many times on average a person bends over during the day. So I decided to count this for myself, just for fun and something to focus on.
"In the roughly 30 minutes of vacuuming, I counted 67 squats. Now that's a good workout! =)
Photos by David of squat and lunge for household bending
Bending over "wrong" is a common factor in back pain, and not only for out of shape people. It is common in many weight lifters. Bending "wrong is often done as an exercise. It doesn't strength back muscles as much as other ways, and puts large load on the discs, So it's not a helpful trade-off.
Previous Fitness Fixer posts explained that doing a few good rehab exercises and stretches for back pain won't undo a day of bad bending, and that you bend hundreds of times each day. "Fitness as a lifestyle" does not mean doing crunches during TV commercials or doing squats while on the phone. It means how you live. Get real exercise, built in, during real daily movement.
You get to choose whether you add an obvious check mark in the pile of things that don't benefit your fitness or whether you get functional exercise.
Fitness Fixer post on good bending for knees and back 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.
As kids become pre-teens, the slight normal inward curve of the lower spine often increases too much. Large degree of hyper-lordosis (swayback) is often written in medical textbooks as normal development, however, my physician colleagues who see patients at Children's hospitals report much back pain in these kids.
Teaching kids they don't have to ooze into any slouch that just happens, is part of regular training in manners, looking both ways before crossing the street, brushing teeth, and physical habits. Changing from overly-sagging inward at the lower spine to more neutral spine, stops much lower back pain in these populations.
Here is a charming, well-made video by reader James J., age 14, showing keeping stable in all planes and with a smile:
James' dad Paul J. says this is a fun reminder or a way to get kids interested in neutral spine. He wrote, "Plastic Man has a plastic shirt, so you won't be able to see the slight curve that is neutral lower spine. You can put a plastic man on your desk as a reminder."
Enjoy the video as a wonderful reader contribution, for a smile, and to keep going. The way to get strong enough for a plank or handstand or all you do, is to do them and keep good spirit.
--- Questions come in by hundreds. I'm bailing the ocean with a bucket. 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 - Better Standing Hamstring, Achilles, and Inside Leg Stretch
Friday, June 12, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness - get a better stretch for the hamstring of the standing leg when stretching the other leg to the side:
When you stand with one leg stretching to the side, notice the leg you are standing on. It is common to stand with the foot turned outward and the hip rounded under you.
Instead, turn the standing leg to face directly ahead. Knee and toes straight forward. Not turned out, not even a small amount. Stand straight.
Notice the stretch move to the back of your leg.
My student Leslie is pictured above at age 68. I snapped this shot of her while she was waiting for one of my classes. The position of the foot on the standing leg isn't visible, but she is straight ahead. I had to snap the photo quickly before the club manager told us to stop.
Stand straight without leaning over, rounding your upper body, or letting your hip round under you. This is different from the way most people are used to.
The straighter you stand, the more stretch, while training the function of healthy posture - a functional stretch. You need to be able to lift one leg without being so tight that your back rounds and your hip rolls under. Think of stairs, kicks for dancing, aerobics, martial arts, stepping over things, stairs, much real life. If you are not only using bad mechanics for daily life, but training unhealthful tight mechanics with conventional bent over stretching, what are you accomplishing?
If you can't stand straight, lower your leg to where you can. There is little point stretching for health while practicing unhealthful ways.
What has happened in a year? She can now do 40 push-ups. We just don't have a video camera. While we get one, click the link to do your push-ups with her each morning while it is still only 30.
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.
Weak Hips on Purpose? Running Injury and Hip Strengthening
Wednesday, June 03, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Who works their hips? Fitness Fixer success story Robert Davis wrote me several
notes that the weightlifters he knew didn't want to exercise their hip because they thought it would take away from the "V shape" they worked for.
Mr. Davis said that using my daily good bending and other functional exercise worked his hip greatly. He was pleased with reduction of stiffness and pain and increase in strength and mobility. No decrease in "V-shape."
The May/June 2009 issue of Sports Health: A Multidisciplinary Approach, published a study based on a literature review, concluding that running injuries to the lower leg may have more to do with weak hip muscles than how many miles run. Lead author Reed Ferber, Assistant Professor and Director of the Running Injury Clinic from the University of Calgary stated ”Hip muscle weakness especially appears to lead to atypical lower extremity mechanics and increases forces on knees and feet while running.” He also stated, "Based on a literature review, it appears that foot pronation (turning the arch and ankle flatter to the ground, and/or the knee inward) and inadequate hip muscle stabilization are the top categories for injury.”
From my own work in this area, I found that strengthening alone won't make you run with good mechanics, prevent pronating, or other injurious habits, you need to retrain them too. Not hard. Stopping your life to do rehab exercises then returning to bad daily movement also isn't so helpful. My work builds-in both strengthening and mechanics to daily life - functional exercise. Robert Davis has been sending in his successes fixing back and other injury using functional fitness.
Robert Davis writes:
"I had made a slight error in my story! I just wanted to let you know.. I had not ordered fix your own pain till only about 4 weeks ago cause I was looking at my expenses and the Amazon one came up!
"So to see how rapidly things change when you take up these habits is even more encouraging.
"Some things I noticed along the way (I did have some slight questions on this!). My hip muscles for one, started to get "sore". I believe this is because of over tightness and overall lack of use. My guess is like every other gym rat they avoid things to make obliques and lower back "too" big because it takes away from the V shape they are after. Everyone seems to fall for this but it is an un-healthy trap I now realize.
"Anyhow I had started to get really sore over the last few weeks in hip muscle areas and even upper buttocks from stretching these areas and working them (using your stuff). When I practiced going into full squats, this really seemed to stretch out areas that began to show signs of weakness/tightness. So it was like working out muscles and getting that "soreness" when your muscles start to adapt. I kinda figure it is as it is just as normal to workout a bicep and for it to "be sore" the next few days.
"The soreness goes away and with each passing week, it becomes more mild - kinda like the body getting used to biceps being sore and you don't get sore anymore.. They do not get sore like they did when I first started your stuff. I was just curious if you had seen this. I am sure it is normal, especially for a group of muscles not used to being used or stretched out.!
"Jeez I do not think most people realize just how tight and weak they can be in areas, mostly because they are never used or people are used to being tight there. People do not believe in the squat (I showed a few people to prove them wrong lol) because they are too tight. I realize how much I am glad I found this out early in life. I get stronger every day in the areas that were weak. I know I will have a much better core, lower back, complete back, and body then before I hurt myself :)
"I put together my "planche/pull up" setup for pictures and to start working on a full planche! That is difficult to do like you do it! Any suggestions? Just keeping trying? Heheh
"Thank you again! Thank you for posting my story."
Mr. Davis, thank you. You are well ahead of the fancy researchers :-)
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.
The RSS feed may still be down. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books. Get certified - DrBookspan.com/Academy.
Mr. Jim Morris won the Mr. Universe title in 1977, was inducted into the Physical Fitness Hall Of Fame with Bill Pearl and Jack Lalanne in 1978, won Mr. Olympia Masters in 1996, and other awards.
He continues bodybuilding at age 73, able and active, encouraging healthful nutrition and exercise practices, and responsible living.
For his ongoing positive teaching, he has been appointed as a Practitioner of the Academy of Functional Exercise Medicine. The Academy is the teaching arm of my practice, which works for a smart healthy world.
Mr. America write to us:
"Dr. Bookspan,
"I am so thrilled to be so honored.
"The Academy is the “missing voice” in the litany of exercise noise. The goal of improving daily life should be foremost in our priorities. Just as an athlete perfects a movement we should continually be looking to better those things we do constantly. As always you are at the forefront of thinking and implementing. Congratulations on the new Academy and the best of luck with it. I am honored to be placed in so exalted a position and shall cherish it.
Jim"
Mr. Morris was first featured in Fitness Fixer in:
The Academy has classes, fun activities, cool t-shirts, certification for teaching and health professionals, fellow advancement opportunities for physicians and researchers, and other opportunities. Click the Academy link for more about Functional Exercise - DrBookspan.com/Academy.
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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.
Pectoral (Chest) Stretch - The Most Common Mistake in the Best Shoulder Stretch
Tuesday, May 19, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Mike Benson has sent several Fitness Fixer inspiring stories. In response to reader requests, he made us this photo set showing, "The most common mistake in the best stretch - How to not get any stretch from the pectoral stretch." I asked him to demonstrate this, because I see this mistake so often. People often "do" a stretch without "getting" a stretch.
Why is this stretch so good? Round-shouldered posture is a main contributor to neck and upper body pain and rotator cuff injury. Round-shouldered posture feels comfortable and natural when the front chest muscles are tight. A common mistake is to stretch the shoulder joint, which does not address this problem.
The purpose of the pectoral stretch is to lengthen chest muscles so that healthier positioning feels natural and comfortable. If you merely hold your elbow to the side, little lengthening can occur - shown in first photo:
Second photo below - changing the position to get the purpose - lengthening anterior (front) muscles that go across the chest. One way is to use a wall to help you press your elbow back.
Turn your body and feet away from the wall.
Your elbow is behind you, no longer out to the side.
Raising the elbow higher or lower changes the stretch.
Experiment until you only feel a stretch in the front chest and no pain or pinching anywhere in the shoulder:
Keep shoulder down and relaxed
Do not make any pain anywhere. The idea is to make things healthier, not to strain, push, force, tighten, grunt, and call that a health promotion activity.
Understand the purpose first. The purpose of this stretch is to lengthen front chest muscles so that tightness does not pull you into feeling that round-shouldered position is the norm or that it is uncomfortable to straighten. Feel the stretch in the intended area.
Use a mirror to help you connect what the position looks like with what it feels like.
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.
RSS feeds still down - Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books. Get certified - DrBookspan.com/Academy.
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Photos by and of Fitness Fixer reader success Mike Benson
Certain headaches can be initiated or aggravated by tense facial muscles (squinting, scowling, furrowing brow), and by tight, tense, overstretched muscles in back of the head, neck, and shoulders, common with letting the upper body slouch forward. Headaches from tight muscles were formerly categorized as tension headaches. A growing theory includes upper body muscle use among triggers of a different kind of headache, the migraine, previously thought of as only a vascular event.
The wide range of kinds of headache is not my major field of study. I had previously had results with patients retraining upper body position to stop tension headache. I was not aware my own research would be useful to people with other kinds of headache, so I am learning from my patients who frequently report stories just like this one recently in from engineer Johannes Ernst:
Dr. Ernst writes:
"Some mindblowing ideas one might come across by accident instantly convert you into a new missionary because they are so clearly and obviously true, no further check required. Your particular religion ;-) of fitness is one of them.
"I would summarize it as follows: if our ancestors, over 10's of thousands of years, had had as many ailments as we have today, the human race would have died out a long time ago. No ergonomic chairs but only rocks and logs to sit on? No exercise equipment? Not even one pill a day? Just leaves and furs instead of expensive mattresses and beds? Humans clearly had no chance.
"Well, but here we are nevertheless. So given how many ailments we have, something that we are doing these days must be much worse than what our ancestors did in the forests. Jolie's mindbogglingly straightforward answer: instead of using ever-more complicated medical and fitness tools and regimens, whose benefits, never mind costs, often are marginal or doubtful, what about we use our bodies how they were meant to be used? Duh!!
"The shameful thing is that medicine, as a profession, does not necessarily nudge anybody in that direction. Often, its leading practitioners seem totally oblivious to what should be a "Duh".
"What is wrong with this picture?
"In my case, over the course of 25 years of headaches, healthcare professionals on two continents, etc. etc., nobody, never, not once, suggested, that I could improve my posture. I got all the drugs, regardless of how expensive, few of which would make much difference other than to put me out cold.
"Last week, for the first time, about 6 weeks since I got a few of Jolie's books, I managed to extinguish an immobilizing headache through some rather simple exercises, completely without drugs. I totally expect that I will be able to do it again. (I did! This morning!)
There is more to headache than muscles and posture. Many causes can be controlled without unhealthful pills. The book Health & Fitness in Plain English THIRD edition has an entire chapter devoted to known ways to prevent and end a headache.
--- 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. Limited Class spaces for personal feedback. Top students may apply to get certifiedDrBookspan.com/Academy.
Fast Fitness - Double Arm Strength, Endurance, Balance, Stability, and Free Inversion Table
Friday, May 01, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness - build on the handstands you have already been doing with Fitness Fixer.
Do a handstand against a wall. An easy way is to stand with your back about a foot or so from a wall, crouch down and put one foot, then the other, high on the wall.
With feet still against the wall, begin to lean your weight until you are holding yourself up on only one arm.
Hold as long as you can. Breathe normally. Leave shoulders relaxed, not tight. Switch to the other arm.
"Sorry my video requires a lot of phone power so I had enough to snap a shot before I have to charge it. Angle is kinda odd as it is on a "tv" with my wallet ingeniously holding it in a position so it can see me instead of the floor lol. I need to go and buy a camera.."
If you like lifting weight overhead for upper body strength, you don't need to wait to go to a gym, or to get weights or equipment.
How to get started with a wall handstand - Wall Handstand Success With Liz. Use your brain before trying this. Be safe and careful, obviously.
--- 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. ---
Here is the latest fun update from Robert Davis on losing fat and increasing strength and flexibility. He has been sending success after success using Fitness Fixer techniques:
"I have noticed a big improvement since I started in my flexibility. I noticed this the other day when I realized just how much farther I can stretch now. I could not lower completely into a sitting squat without tipping before. Now I can and it sure as heck makes working in really low areas for a longer time very easy without resorting to bending (bad weighted flexed) which I refuse to do at all now.
"I have seen increases in all areas of stretching. I see that it just takes time and consistency.
"Since I am a musician, I carry a guitar bag everywhere. I decided to make a "portable" gym. Got a pull-up bar that goes in doors (removes and mounts quickly) and my guitar bag. That is all I need. I fill the bag with random objects to add weight and strap it on (like a backpack) and do everything from the books with increased weight and also pull-ups of all kinds of grips/variations for more challenge. You mentioned the wall handstand pushups and this reminded me of that. I strap my weighted bag to my back and do those now too. No need to go to the gym =P
"PS my friends think the wall stand pushups are "nuts" and can barely hold themselves up in position when they try. Who needs the military press? I actually found this to be much harder because of all the stabilization. Unlike a machine or barbell, it feels like a lot more muscles are coming into play a bit more when doing them like that. Seems so with almost all the body weight exercises. No wonder aside from cosmetics, weight training has no functional use outside of the gym. Takes a bonehead like me to realize this!
"Oddly, since I had changed my diet from meats and animal to Vegan (inspired by the body builders you have shown on the Fitness fixer) I have had people comment that I seem to be getting bigger! This is kinda funny because I actually lost some mass and it is mostly body fat from the weightlifting diet (now changed to vegan) and doing these exercises in place of weight training. They often do not believe me when I say I have not touched the bench in 3 months or so now. =0"
Watch for Fast Fitness this Friday to see what Robert Davis will show you next.
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Read success stories of these methods and send your own. Questions come in by the hundreds. I make posts from cool 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. Become certified through the Academy - Dr.Bookspan.com/Academy BrowseDr. Jolie Bookspan's books on her website.
Healthful Real Food Tastes Good - No Commercial Health Food Needed
Saturday, April 25, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Ivy of New Zealand sends me frequent updates of her continuing improvements. She is a great-grandmother and still getting stronger, healthier, more mobile, and having more fun while she does all this. Ivy writes,
"Around 7.30 yesterday morning, my daughter's partner arrived - he was in the area so thought he would surprise me with a visit. I was about to make breakfast. He laughed and asked if I was about to cook some steak.
"I dished up buck wheat, molasses (he commented that it was horse food) banana, feijoas followed by ground flaxseed, sunflower and sesame seeds. I ground the seeds so he would not comment that I was feeding him bird seed. Smile, smile.
"Surprise, surprise, he could not get over as to how delicious it was. I pointed out that it was "whole food" and it would stick to his ribs, therefore no junk food required mid morning."
Hugs Ivy
Many Fitness Fixer readers send inspiring stories. Some continue to send updates, with improved fun, strength, mobility, and good thinking each time. Ivy's Successes have inspired many readers, all ages and abilities. Here are some of Ivy's gems:
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.
Fast Fitness - Add Balance, Stability, and Portability to Military Press - Handstand Pushups
Friday, April 17, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness - If you like lifting weight overhead for upper body strength, you don't need to wait to go to a gym, or to get weights or equipment.
Get more exercise, practice balance, and shoulder and arm stability, with handstand dips:
Do a handstand against a wall. An easy way is to stand with your back about a foot or so from a wall, crouch down and put one foot, then the other, high on the wall.
With good judgment, do upside down pushups (dips).
Vary the depth of each dip, speed of each, speed you can do a number of dips, and distance of your hands from the wall to vary the exercise.
Robert Davis sent in his video of how to do handstand pushups. Blogger is still having trouble uploading visuals. Click this link to watch it:
he writes, "I replaced the military press with this. It is portable for one! Ever notice how pronounced male gymnasts shoulders and arms are? They do things like this:) "
Robert was a weightlifter who hurt his back with conventional lifting (bad bending and overarching the lower spine). He rehabbed quickly with Fitness Fixer techniques and has been sending in his success stories one after the next. He writes:
"This was not a very problematic exercise as I had been used to destroying my shoulders with mega high weight LOL. But this is different because of the engagement of muscle groups that control stabilization.
"But yeah, I have been doing that in place of military press and see how it is more beneficial as the stabilizers have to kick in more then being benched or using a machine.
"Once again thank you and I think people should really listen to you. I am glad I did because I have no need to go in to get scanned or be told I need surgery or something silly ;)
"Like I said I am not into pro body building, I just did it to stay "fit" and look fit as I thought it was. But after going thru this, it is not all that functional to pound out reps of heavy weight and not be able to do a plank or walk/sit straight. I lifted enough just to have "lean muscle" but not to be huge. But I realize now this is easily done safely with your methods and I do not need a gym."
--- 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. ---
Fast Fitness - Better Legs and Pain Relief Comes From You Not The Exercise Ball
Friday, April 03, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - Be healthful when you do health activities. What a concept.
How fit is it to use fitness equipment in unhealthy ways?
When you pick up and put down an exercise ball, or any exercise equipment, how do you bend? Unhealthfully? During an activity you use to improve your health?
Robert Davis sent in this change of bad bending to good bending . Good bending shifts weight and leverage off lumbar discs and onto leg, hip, and back muscles.
Robert Davis wrote. "I had to use my cell phone on timer so the pictures are not the greatest quality."
Here is the ouchy
Here is the squat
Robert Davis was a weight lifter with a painful back injury from conventional lifting. He fixed his back pain with Fitness Fixer, intelligently applying principles of healthful movement for everything during exercise and also daily life. He wrote:
"I took a picture of what was causing "ouchy" because it is so normal in America *for adults!*.. (upper photo of forward bending). Then ouchy started to go away the more I did, 'ah much better' (squatting)... Pretty soon ouchy was gone from the bad forward bending.
"I am now doing a complete head to toe revision... Point was that my back stopped hurting, and as you said, heals when I let it, with better movement.
"I am glad there is someone out there like you who tells you how it is. It gives encouragement and hope. I have seen people my age already with a few surgeries (and they are in the 20s to 30s!). They were from injuries, and sadly they never had a chance to find that they didn't need it.
"I was encouraged by others' stories and with your statement, "don't let them scare you" because I was a bit scared. I have never been injured before with that much pain. But, I was more then willing to try this because I did not want limitation as I had seen in my friends who had surgery. Some multiple times. "
Mr. Davis has been sending in success stories one after then next. Here are some of his Inspiring Functional Fitness:
--- 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. ---
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.
Fixed Injuries, Got Strong, With Functional Exercise - Real Life
Wednesday, March 04, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
This fun note and great story came in from Robert Davis:
" I have tried to find a way to contact you for a while now!
"I have a story I thought I would share and I am so glad I had found your books and website.
" I had injured myself via weight lifting in late October. I had felt the warning signs before this, however I ignored them and continued to train full out. The result was I had hurt my lower back very badly. The pain was unbearable.
" Sitting hurt. Getting up and walking hurt. To top all this off, I was so adamant that one's "back" health is determined by how well you can stretch forward bending! So this became a discouraging struggle as the more I tested that, the worse I hurt! I had many bad habits besides that and will go into that in a moment.
" I kept training "thru" the pain and bad movement thru to about November 24th. I kept aggravating the area thru bad habits (while doing these exercises. Arched back, rounding etc). I finally went to the doctor and he just made me do some simple movements and the typical straight leg lift. He had decided for now that it was not something all that bad and said that we would do a MRI (or was it CAT scan?) if it did not get better.
I struggled for the next few weeks as I was told to simply rest. I realize the fallacy in this because "just taking it easy" had lead to muscle weakness. It was now a double edged sword by Christmas. I hurt in my back, but when I tried to exercise it it was so weak it hurt more.
I finally ran across your website just after Christmas and before the new year. I started to play around with the ideas at first. I was still stuck though on "better" meant no more pain bending forward. So for a week or two more I played back and forth with these ideas.
" Finally around the 15th or so after the new year I decided "what the heck" I will order some of your books. They seemed more promising then anything I had looked at and I realized in an "aha" moment that it was a form of exercise, which I so very much craved at the time as I simply love to exercise. This "resting" was driving me nuts..
I was watching a show on TV one night on beaches and shell collecting of all things and the biggest "aha" came to me in the form of a little girl. I watched adults picking things up and they bend right over without thought. This went on for a while. Then I saw a child pick up shells. She squatted every time! I said to myself "jeez these books are absolutely right, I am basing everything on bad habits!"..
" I immediately started becoming aware of everything I did during and after exercise. I took your book "fix your own pain" and have almost memorized every chapter and decided if I am going to do this I am going to balance my whole body.
" So after weeks of this (trial and error). I slowly got better. Things I learned along the way are this.. Bending over to pick stuff up is not healthy nor is it natural (that child in the show!).. I learned even after doing weight training for 2 years that my legs were still not as strong as I thought. I learned I had developed bad leg positions from unhealthy squatting (on the knee joints instead of behind). I had further learned that I was holding my feet outward and I think this had come from doing leg pressed with feet slightly out to try to target certain areas.
" I learned to strengthen my core much more effectively and better thru the ab revolution and fix your own pain. I was a 500 crunch type person. I am no longer doing sit ups crunches or whatnot. The stuff in your ab revolution is much more difficult to do and healthier.
I learned to strengthen my body thru its own weight, destroying the myth that you need "weights" for gains as I found these exercises to be just as challenging, if not more in some cases because of the added balance and flexibility required.
" I am now sitting here writing this and I tell you that compared to the initial injury and repeated re-injury (doing the same exercises with bad habits) to now, I am close to 100 percent.
" The funny thing is, I no longer have the desire to go back to weight training, which is odd because that was my life! I have discovered a whole new world of fitness with body weight alone. I am trying more challenging things by the day and I have realized that this is actually more fun the weight training for health and I am getting the same, and often better results (since I am not a body builder, just love exercise and looking fit). I had gone and bought a few things like pull up bars and planche devices and am currently working on mastering some very difficult moves that require body strength alone, but at the same time a mindful awareness of how I am doing it by using your techniques (keeping the back straight with slight tilt etc, no arching).
" It is fun working up to one arm pull-ups in good form. Jeez, to think you could bench press close to 300 a few months ago but doing a few of these exercises in your book were hard! I was surprised I could not do very many pull ups or hold these planks and whatnot.. I am set on a new adventure and I love it because it feels so "free" and balancing. I don't have to spend a huge fee to go to the gym. My gym is my body and functional movement.
" Thank you for your knowledge. Having my back back (sorry for that funny saying!) is great. I intend to keep it healthy now and have begun the correction process of all my body, all the way to my feet!
" I don't look at my injury as a mistake anymore. I look at it as a life changing experience and a chance to explore more functional and fun ways of living. I have passed this site and your books on (not my personal copies!) to a lot of friends into fitness. Some are already reporting healing knees and what not and even re-considering how they live and workout!
" PS I have also changed to a Vegan diet just to see what happens. I was very intrigued by the 72 year old body builder who is vegan.
"You are a godsend. Robert Davis"
Great work Mr. Davis! Robert has been sending me many insightful updates with photos, to be posted with his ongoing success stories. His next story starts here: Cardiovascular Cleanup.
Junk food can be vegan and vegetarian with unhealthful additives, dyes, refined processed sugar and flour. Click the label "Nutrition" under this post for all posts on how to get healthy fun sports food and Healthier Fitness by clicking the label "Green Fitness."
Weightlifting and Weightbearing With Lower Spine Overarching (Sticking out too much in back) Compresses Vertebral Facet Joints:
Read success stories of these methods and send in 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.
First Winner - International Academy of Functional Sports Medicine Logo Design
Monday, February 16, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
In January 2008, we announced the Logo Design Contest for the International Academy of Functional Sports Medicine. We are honored to announce the first winner, Alessandro Schiavone, Creative Director from Ravenna, Italy.
Sig. Schiavone's design will grace our awards division. His logo will appear on International awards each year to top people.
The International Academy gives annual awards to thank, recognize, and support those who help the world. Awards are conferred for those deserving special recognition for work, humanitarianism, teaching, developing programs, writing, and so on. It has been pointed out that awards each year will be called the Academy Awards :-)
Grazie Sig. Schiavone! Many good things behind the scenes are coming from this.
Other Academy logos still need to be designed, including Certifications, Fellow Advancement, and the main logo for the Academy itself. Contact us and send your designs and ideas to be included in this exciting and far-reaching project. See the Academy website for information.
--- 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.
"Hi Dr. Bookspan: I would love it (as I'm sure countless others would) if you would produce and make available workout DVD's for healthy and safe weight lifting, cardio and yoga workouts. Since reading your material I've been dismayed at how many fitness DVD's are in my library that have potentially injurious exercises. Just a suggestion, and thank you for your time Sincerely, Sandra Kimble"
Hello Sandra, thank you for your nice idea. Be part of it. Using my methods, make a short mpeg video - 30 seconds is fine, showing how to change one injurious move to normal healthful movement, and how your use it for functional movement in real life.
Readers, come be a part.
I will post it as a success story on Fitness Fixer, my educational site that is available to all at no charge. My site is a large "wiki" DVD. It is available to the many in the world who cannot pay for DVDs. It is more than just a collection of random exercise videos, but explains the real science, with links to related articles, and how it is not just exercise but real function and better life.
Instead of getting a longwinded DVD of just old me, and having to pay, you get all the real-life successes - the real people who learned, were inspired, and made their lives better. You have no production or hosting costs, entry fees, and get your DVD without having to pay. I will do the work to put it all together and give you the credit.
It is fun for you, and a benefit to the world.
Check my Fitness Fixer for other movies so far - here is the link for all posts with movies: video/movie.
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Questions come in by the hundreds. I make posts from selected ones. See if your answers are already here by clicking labels under posts, links in posts, and archives at right.
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.
Your Muscles Are Your Orthotics for Arches, Knock Knee, and Knee Pain
Thursday, January 22, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
David from Belgium has been a success story and valuable contributor. He frequently makes us photos and movies showing how to fix pain and unhealthful fitness using Fitness Fixer techniques. He first left a comment on a post in 2007:
"I'm training to be a yoga teacher and I'd love to teach the right things to my pupils such as good posture. Your insights are very inspirational. After struggling with minor but persistent knee pain for some years, I was diagnosed with seriously fallen arches recently. I'm not really flat-footed, but ankles that drop inwards too much. (I could clearly see that on the video my podiatrist made of me walking on bare feet). In a week I'll be getting new orthotics. Though, after reading a patient's testimony on your site I decided to try and use my feet differently. So now on my walks to and from my day job I'm trying to walk 'right'. Rolling on the entire foot, heel to toes, leaning more on the sides and using all five toes. It feels awkward though and I notice that I often forget it. I wonder if this will 'fix' my feet eventually? Anyway, thanks for sharing your knowledge!"
I replied that it "fixes" arch positioning as soon as you do it. It is natural to control how you stand and move - the whole intent of functioning in a healthy way in life, and the intent of yoga (supposedly). It seems at odds to say that yoga teaches body awareness, strength, or positioning, then let ankles slump without control, and purchase devices to do it for you. Once you understand the purpose, it will not be awkward. It is the same as any other good posture.
Since then, David has consistently made good use of these materials, and shared many success stories. He has fixed various pain producing habits for himself and his students, fixed his mother's herniated lumbar disc by showing her healthy bending around the house - Bending Right is Fitness as a Lifestyle, and developed a new yoga system of healthier movement - Getting the Right Yoga Medicine.
Orthotics are rigid shaped devices, fitted by prescription, that specifically move and hold your foot in a certain position.
Orthotics are different from over-the-counter shoe pads that can help by cushioning impact.
Orthotics do not do anything you cannot do yourself using your own muscles and sense of positioning (kinesthetics).
It is a myth that only a device can move your foot and leg leg. Click the label "myth" under this post for all Fitness Fixer posts on fitness myths.
Try these in relaxed way:
Stand and see that you can raise your own arches back to normal, taught in the post Arch Support Is Not From Shoes. It takes only seconds.
Make sure you are also not pronating from higher up - Healthy Knees.
Remember, don't force. If it hurts, it's wrong. All you are doing is learning how to stand neutral, not tilted so much that you compress the joints.
The concept is to hold your feet in the same healthful position that shoe supports would. It is like an ice skater holds their skates straight at the ankle, not angled.
During walking and running, a brief and small inward drop (slight pronation) occurs right after foot contact that creates part of the "spring" and propulsion. The idea is not to prevent all foot motion, but to not let the knee twist inward. You can do that with your own brain and muscles.
See if your answers are already here by clicking links, labels under posts, archives, and the Fitness Fixer Index. Read success stories of these methods and send your own. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer - Click "updates via e-mail" - (trumpet icon) upper right. Find fun topics on See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
This is the story of trekking to record the sacred music and art of LUNG-TA, the Windhorse.
Travel was by horseback and walking, at elevations approaching 14,000 feet, over treacherous areas with washouts, slides and erosion, some with sheer drop-offs over 1000 feet.
Composer Andrea Clearfield and artist Maureen Drdak trekked a month in Nepal in September 2008, to research and collect music, history, personal accounts, and art from Buddhist communities and monasteries, for a commissioned major work to be performed in March in Philadelphia.
They spent fourteen days trekking northward across the western highlands, arriving at Monthang, capital of the remote restricted Kingdom of Lo in Upper Mustang, close to the Tibetan border.
The Kingdom of Lo has been described as the "American Southwest on steroids." The artists' trek led northward following the canyon of the Kali Gandaki river, recognized as the worlds deepest gorge, cutting between the Himalayan mountains of Annapurna and Dhaulagiri.
Andrea had been one of my students for several years. Before she left for Nepal she met with me to ask what conditioning she should do.
I told her that good bending will serve her for many of the most important things she will do.
I reminded her she will be sitting horseback for hours and will not need exercises that sit or bend forward, but those that restore muscle length to get straightened up again. She would benefit by sitting and squatting comfortably on the ground. I evaluated her ankles for stability and reminded her that while the Westerners on treks will have expensive boots holding their ankles up for them, atrophying and leaving their muscles without use, the porters for her trek will likely be in flip-flops, holding their own leg position using their own muscles.
Andrea wrote me:
"On my trek to Nepal, what I found most beneficial was having learned from you the proper use of bending from the knees with straight back, particularly for squatting - necessary for using the "toilets" and for other functions in village life. I also incorporated your teachings of good posture into my long treks on horseback, and found my back to be strong and pain-free, even after 8 hours of riding through fierce winds and remote high desert environments through the Himalayas. I also practiced daily yogic asanas in the various tea-houses where we stayed, paying attention to keeping a straight spine, relaxed shoulders and open chest. Although I left the States with an ankle injury, this has slowly healed as well."
"Thank you, Jolie, for helping me stay healthy and pain-free on the trek!"
Namaste and Tashi Delek, Andrea
Andrea and Maureen were accompanied by Dr. Sienna Craig - Dartmouth anthropologist, and Dr. Gyaltso Bista, Amchi physician to King Jigme Palbar Bista of Lo.
They met with the King and Queen of Lo, Bista nobles, high ranking lamas, and the court singer Tashi Tzering. They met with John Sanday and Luigi Fieni, international experts in restoring the treasured monasteries of Monthang and newly discovered caves of the region. They also met with the Lobas, the people of, "this last enclave of pure Tibetan culture."
Lung-Ta, the Windhorse was commissioned by the Network for New Music. The Lo Monthang region of Nepal is home to a horse culture that is, "threatened by the encroaching pressures of the outside world." The horse carries the prayers of the faithful upwards toward the heavens.
The performance will be March 6, 2008 at the Great Hall at the University of the Arts in Philadelphia. Relatives of the King of Lo have been invited to speak to the audience about the cultural and environmental fragility of this remote kingdom.
Lung-Ta: Music by Andrea Clearfield. Group Motion Artistic Director Manfred Fischbeck will choreograph accompanying dance, performed by Network for New Music. visual art by Maureen Drdak, Dance by Group Motion Dance Company.
Maureen writes: "The title refers to the Tibetan Buddhist prayer flag, as well as that quality of the individual that manifests 'inner vibratory power' – the wellspring of infinite compassion. Incorporating text written for this work by Senior Lama Tenzin Bista of Lo Monthang’s Chode Monastery, it is a prayer for the planet."
Three large paintings will be suspended (like prayer flags) across the expanse of the Great Hall in the University of the Arts, beginning two weeks before the premiere.
A second performance/exhibition of Drdak's work and Clearfield's music will be held at West Chester University on March 8, 2009.
Information for the LUNG-TA project is on the Network website, networkfornewmusic.org.
Read more success stories 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. Find fun topics on the Fitness Fixer Index.
David of Belgium developed and teaches an improved new yoga system. He presented it at a world yoga congress. His system corrects for the widespread pain syndromes from flexion overuse, and reduces the cause instead of adhering to set ritual pose sequences - Getting the Right Yoga Medicine. He continues to translate my work into Dutch, create links for posts to reach world audiences, and make dozens of photos and videos for Fitness Fixer posts.
Dr. Clara Hsu teaches Fitness Fixer methods to patients in her practice, prescribes my website, gives my books as presents around the world, and has offered her office space to hold workshops for our new International Academy - How Doctors Help Patients With Fitness Fixer and How Doctors Use The Wall Stand.
An anonymous reader took time to find a neighborhood association with volunteers to shop and deliver a food order at no extra charge to the blind diabetic widow in - Thank You To Readers - Simple Gifts
Thank you everyone for using my methods for Good. Thank you for writing your stories for others to benefit. Congratulations on your great work.
Thank you readers Mim, Kate, Al, Kathy, Julia, PhatMac, Eddie, Carol, Dave, Tony, Anton, Terry Lee, Airchild, Teresa, Nina, Marina, Wondering Oriental, 9Volt Terry, Alberto (farioreo), Kip, Lee, Ness, Jayakrishnan, Michael LMT CNMT who gives his massage clients the Fitness Fixer and my professional website DrBookspan.com as their homework, and all the others who wrote their success stories in the comments of various posts.
Hundreds more, too shy to have their story online, mailed me the best thanks - that because of these methods, they had their lives back.
Happy New Year
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Be in the Fitness Fixer Hall of Fame. Send me your success story of using these methods for good. Subscribe to The Fitness Fixer, free. Click "updates via e-mail" - (trumpet icon) upper right. Find your topics on the Fitness Fixer Index.
A reader wrote in that he tried the "wall test" done by standing with your back against a wall. The wall test is a quick general assessment to see if you can comfortably stand up straight, and if not, where the tightness exists that prevents it. The reader said the test hurt. He was angry and wanted me to warn everyone not to do the wall test.
The point of the wall test is to see if you are generally standing upright, or have tightness preventing healthy stance, not to cause pain by forcing it. If you can't comfortably stand straight, it is likely that you are going about your day in a tight, crooked position that contributes to pain syndromes and gradual spine and disc damage. That is the point of doing the test - to determine the source of the problem right then. Then, see if it is just a bad habit of how you stand, if you don't know how to stand well, or if tightness prevents it. Specific functional stretches easily restore resting length to the area. Then you use the new ability to stand and move in healthy ways.
In the photo, Dr. Clara Hsu stands well while checking a patient. In the photo, the patient looks tight, both at the hip and the front of the shoulder. The patient seems to be straining to pull in her chin. She is lifting her ribs and overarching the lower back to try to get the upper body to the wall. These two compensatory moves are things to check for. Instead, pull neck and chin back loosely. Bring upper body upright by unroundng the upper back, not by leaning back, increasing the angle at the lower spine.
The wall test is a general test, not an exercise. It shows three things:
How you are standing at the moment, and perhaps as general habit
Where bad habit or tightness may be that prevents standing in healthy positioning, for example a forward head, bent or tight front hip where it meets the leg, or overarched lower back
The wall test is done a second time as immediate feedback after doing specific retraining stretches, to see how well you have achieved the purpose of the stretches to restore normal length of these areas.
The wall test is a general, not absolute measure. The assessment works for most body types. Many people who think that larger lower body prevents upright stance, may actually be standing bent forward at the hip.
Straining to stand straight is not healthy straight standing. Making it possible to be healthy is the point. Causing more pain would be silly, and counter to the point. Often it is just a matter of identifying what is straight stance using the wall test, and standing better from then on. If the wall stand is uncomfortable, or not possible, check your standing habits. If there is tightness, then stretch the hip, shoulder or wherever else is holding you in tight bent position.
To stretch front chest and hip to make straight standing comfortable:
Coming soon, Dr. Clara Hsu asked me to tell the story of, "Class is always in session."
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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.
After being told he'd have to retire, have surgery, and live with pain forever, Coast Guard Lieutenant Bill S. attended my workshops and went to on return to marathon biking and new work flying cargo 747's around the world - with Captain's bars. Bill has contributed three previous success stories (links below). He keeps in touch and signs his updates "Free Man."
Bill wrote me two notes of thanks over Thanksgiving:
"Hi Dr. Jolie, " I just wanted to say "thanks" for all the help. I would not be able to do my job or enjoy my strenuous activities if we had not done something about the pain. I have much to be thankful for. I cannot start the day without remembering you as I healthfully stretch on my elbows before rising from bed. I am well though my family thinks I'm nuts as I continue to enjoy my 10km runs, 50km hikes and 100km bike rides. The activity is healthy and gives me much to look forward to. I do something everyday I can as it clears the cobwebs from my head and chases the blues away!
" Still flying as 747 captain. I could not do it without the fitness I am maintaining. I am enjoying the job more than initially. My confidence is back.
" Hot new subject: teaching myself to weld and braze so I can design and build bicycles. I am no longer happy with buying frames made by others. Wish me luck. I hope I don't burn down my garage!
" Hope you are well and enjoying all things. Your blog is a frequent inspiration." Take care, safe journeys, your friend, Freeman(really!)
We are still having trouble uploading photos, so imagine the photo of a happy fit Captain Bill standing at the: top of the steps in Liege, Belgium.
Questions come in by the hundreds. I make posts from fun ones. See if your answers are already here by clicking links in posts and labels under each article for more Fitness Fixer on each topic. Find topics on the Fitness Fixer Index.
Read success stories of these methods and send your own. Subscribe to The Fitness Fixer, free - Click "updates via e-mail" (trumpet icon) upper right. Take classes with Dr. Bookspan - www.DrBookspan.com/classes.
Readers say they enjoy hearing how to do things, but often remain reluctant to try them. Here is a fun story of success trying a wall handstand for the first time.
Reader Liz first wrote how she fixed her lower back pain using Fitness Fixer methods. I enjoyed getting her organized intelligent e-mails showing how she paid attention to why things worked and how to apply them. I asked her if she did the wall handstand - for fun, and to strengthen in functional ways.
Liz wrote:
"I read your reassuring posts about this but it still looks scary. I'm just not used to being physical, being raised to be "Ladylike" although I'm trying all the time to push my boundaries. I liked your description of you leaping up from your desk and doing a handstand. That marvelous description has stuck in my mind. One day I shall try it, you are very inspiring."
"All you do is put your hands like a pushup on the floor and step your feet up on a chair or wall behind you. "The post has a short movie."
Liz replied:
"I shall try it! First I must visualize myself doing it a few times, and watch the video a bit more too. When I watched it I tried to feel my own arms and legs doing the same movements. I find that helps when I attempt something very new. Also I like the idea of trying it on a chair first, or perhaps I'll work my way up a wall, low at first.
"And after all that I just did it. Felt very odd, never felt like that before. My head full of blood, my arms wobbly (working on the upper body strength) all my tummy and thigh muscles working very hard to keep me straight. I had a few false starts and tried it with each leg, very badly. I'm not strong enough to do it very close to the wall, when I get better at it I expect I will be able to."
I was so happy. I wrote to Liz:
"I am thrilled with you (again).
"Thank you for your faith and trying this. Quick, just snap a photo - a camera phone photo e-mailed to me is fine - anything so that I can throw this up on the Fitness Fixer success stories.
"I never knew that so many people were just not trying the handstands. They write, and sigh, that it is for other people, not them. I am writing this all precisely for them - the very people who need it most - to build the strength, body knowledge, and self confidence that modern fitness removes.
"Enjoy this. Grab bunches of photos. I'll do the work of sorting them out."
Liz replied:
"Hello Dr Jolie, "I found a clear spot, in the hall, where my husband could get a clear shot of me doing a handstand. I was concentrating really hard, and my face was bright red from all my blood pooling in my head, so no smiling face for the photo I'm afraid! I did a downward facing dog first to get comfy with the top down bottom up feeling, then up I went and I held it for a good 25 seconds too!
"I'll work on the other photos.
"Hope you can use this, if it's the wrong size let me know and I'll resend. "Happiness, liz."
What a great handstand. Look at that great neutral spine. Feet so high up on the wall. So much so easily and quickly. What a success.
I wrote to Liz that I was proud of her for trying things that build the strength, body knowledge, and self confidence that modern fitness with arbitrary artificial movements and little sets and reps removes.
Liz replied:
"So true, I felt very proud of myself! I'm going to do it again right now!"
Click the label "handstand" under this post for all posts teaching how to learn various kinds of handstands.
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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.
Vertebral Artery Compression, Dizziness, Discs, and the Forward Head
Tuesday, December 02, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
I received an e-mail from Serbia. Miroslav had suffered eight years of dizziness from compression of the vasculature and nerves of his neck. Then he found how to prevent the bad position called "forward head" using my methods. Miroslav had previously read various sources promoting the often-repeated bad advice to bend the neck forward as a the way to make space for the nerves that exit the back of spine. A little knowledge is a dangerous thing. That kind of forward bending is not a healthy way over the long term.
Bending the spine forward pinches vertebrae closer in front and farther apart in back, creating unequal pressure that over time, wedges and squeezes discs rearward and outward, like squeezing a tube of toothpaste. A disc nearly always bulges (herniates/moves/slips/migrates/extrudes) toward the back of the spine out the enlarged space, from years of the bad posture of sitting and standing with a rounded/bent forward spine.
Sitting and standing straight would make more space for the nerves without the herniating force. Miroslav also had a forward head as a regular posture, also called "straightening the cervical lordosis." He had been flexing his neck (bending forward) trying to fix his various numbness and pain, and wound up compressing verves, blood vessels and other structures.
Miroslav wrote in one of his blog posts that he was practicing Alexander technique for the previous few weeks, "as specified in Richard Brennan's book /head up and forward." After getting worse and trying various doctors and cures, Miroslav found my web site. He wrote:
"Dear Dr Bookspan, "I have found Your articles online and they have been extremely helpful. I just wanted to say that I appreciate Your work immensely. Few last articles I wrote on http://cvelee.blogspot.com/2008/11/quick-solutions.html regarding my problem and how You have helped me. If You have time, you can catch a glimpse of them. "With respects, "Miroslav Cvetinov"
Here is the post from his blog:
"Q u i c k s o l u t i o n s
"I am strong opponent to quick solutions to many of our everyday problem, whether money or health related. In such manner, I didn't expect my dizziness to disappear over night without trace.
"I had it since 2000. So 8 years before, they did everything necessary to rule out other diseases : EEG, Dopler, Blink reflexes, Evoked potentials... everything clean.
"In 2007. dizziness worsened so neurologist sent me to do endocranium MRI/MRA. Totally clean: no lesions whether white MS or atherosclerotic, balanced blood flow...
"2008. I have found article from Dr Jolie Bookspan, describing forward head posture and neurological deficits. I did have extremely straightened cervical lordosis, so I qualify for FHP. I started practicing healthy head postures : head back and FLEXION.
"I always thought that neck flexion was the key to healthy disc, because it opens neuroforamen, and that that degree of neck flexion wasn't possible without FHP. But, guys, I am physics scientist, I do not know how did it miss me : head-neck system has 5 degrees of freedom. I could pull it back, yet keep healthy degree of flexion. Just think of extending back of the neck while shortening front portion of it. That compulsive strengthening of SCM muscles I did, didn't do me any good, but...
"Anyway, MY TREMENDOUS DIZZINESS DISAPPEARED IN A MOMENT!! MOMENT, not day, not week, immediately. How? I do not know! I do not care! Thanks Dr Jolie.
"I can look over my shoulder while walking now. Easily without dizziness, loss of balance and lightheadedness. This it totally new.
"I have to give credit to 2 doctors more: 1. Dear ENT Vukoja Novak - he was the first one out of many doctors to tell me that if I consider it real, organic disease and not anxiety/panic related, I should check out carotid arteries on Doppler and cervical spine on roentgen. Latter revealed disk degeneration and straightened lordosis. He was the first to point to the spine. 2. Dr Mijanović - While doing EMG, he told me that tongue is clear except huge amount of hyperexcitability and asked me to check out something serious and real. I suggested left arm, with disesthesia running in C6 dermatome. He asked me about dizziness, I told him " I do have it, a lot of it, but dear doctor, I have panic disorder and somatoform disorder. It is due to this.". After poked me with a needle in left deltoid he immediately said "I can assure you, your dizziness are due to your spine."
"So, now I know. Not that it was spine, it can be cured in a moment:)"
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.
14,000 Miles on a Bike - Herniating and Fixing Discs
Monday, November 24, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
Kristin S was run over by a hit-and-run driver while biking home from work. The car's trailer hitch crushed her face, nose, jaw, cheekbones, and eye sockets inward to her sinus cavities. After Kristin's reconstructive surgery, her step-mother, a student in my martial arts classes, asked me to make a house call to get Kristin back to physical activity. When I met Kristin, she had just had the wiring removed from her jaw, was moving slowly and painfully, and could barely open her mouth when she greeted me at the door.
We had a good session. I showed Kristin several of my rehab methods. She was a good listener and applied everything well. She rehabbed quickly and went back to biking, her socially conscious work, and her active life.
Kristin soon designed a bike trip called The EarthCycle Campaign to raise public awareness of ways to reduce common practices that waste and destroy world resources. Her trip extended 14,000 miles (22,530 kilometers) from Fairbanks, Alaska USA to Tierra Del Fuego, Antártida e islas del Atlántico Sur, Argentina.
I donated some of my books to Kristin to raffle along with her other fund raising activity for the trip, then off she went.
Along the 14,000 mile ride, Kristin stopped in villages and cities to exchange information about simple ways that we all can lower our impact on Earth's environment.
Months of biking passed. Kristin's back pain began.
Pain worsened as she rode mile after mile, through villages, open roads, and cities. She tried exercises she found on various web sites and doctors visited in cities she passed through. She did yoga. She stretched. The pain worsened. After one medical evaluation, the doctors told her results showed several herniated discs in her lower back. From there, she was told by every doctor that it was permanent and she had to stop biking. The rehab they gave her didn't help.
I received a short e-mail from somewhere on the road - "Help me, how do I fix this, they said I have to live with pain and have to stop the tour."
I chided her good-naturedly, "Kristin you should have read my books before selling them :-)" I e-mailed her back explaining the uncomplicated way that discs can be injured and also healed.
A herniated disc nearly always bulges (herniates/moves/slips/migrates/extrudes) toward the back of the spine, not the front. What pushes it to the back? You do.
Sitting with a rounded back physically angles the spine bones (vertebrae) closer in front and farther apart in back. The "opening" in back is often mistakenly written about as a positive way to make space for the nerves, but what is missed is that the bones pinching closer in front make unequal pressure, like squeezing a tube of toothpaste from one end. A little knowledge is a dangerous thing. Contents are squeezed outward to the other side. The discs are mashed and degenerated in front and pushed outward (herniated), little bit by bit, in back. At left (hopefully since we're still having graphics problems) is a graphic of the process from the post: Disc Pain - Not a Mystery, Easy to Fix. Two vertebrae are shown from a side view, as if you are sitting facing right. The right-hand drawing shows how sitting bent forward physically pushes discs (herniates them).
Sitting and standing straight would make space in a healthier way for the nerves.
Disc herniation is a process taking a few years, just like the damage of smoking or eating junk food accumulates until the heart is damaged enough to hurt.
I e-mailed Kristin telling her that a herniated disc is a simple injury, not a condition. It can heal if you understand and stop the bad postures that push the disc outward. In her case, it was sitting bent rounded over her bike, and unhealthful stretching and yoga. Here is what she did to understand and fix it all:
So was her yoga. If you already spend time bent forward and have the usually result of a flexion injury, you don't need more forward bending stretches - Getting the Right Yoga Medicine.
Questions come in by the hundreds. I make posts from fun 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, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certified - DrBookspan.com/Academy.
How Much Inward Curve Space Should There Be In The Lower Back?
Wednesday, November 19, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
Reader Carina asked a good question on the post Prevent Back Surgery about how much space there should be in the lower back inward curve. Comments were not accepted by the Blogger software for several weeks, and I could not reply in the comments. Her question is so good, it was chosen for this Fitness Fixer post.
Carina writes:
"Hello Jolie, "Your information is so wonderful. Thanks for this stuff it's priceless.
I have been using the wall trick during the day when my back hurts (How to Feel Change to Neutral Spine). Wow it feels great. Only thing I can't STAY and walk like this. My knees are STUCK bent (or I go back to the big arch). I'd seriously look very odd walking around with bent knees. So here are my questions
"1) How much of my hand should go through when I am standing against the wall??? When I stand at the wall and do it naturally I can stick my whole arm to my elbow behind the arch.
"2) Besides these links you provided from a previous question Fast Fitness - Quick Relaxing Hip and http://windowsxp-privacy.net/?id=198760105 " (Note - the above link didn't come through in Carina's comment; I don't know which it is.)
"is there anything that helps me walk in neutral spine and not looking silly? "Thanks for caring about our backs, Carina"
Carina, great work. You have found that simply changing spinal angle (wall "trick") to reduce overarching works right away to reduce cause of pain. Next, here is how to retrain neutral spine into a normal natural stance:
1) Don't worry about "How much hand fits." It doesn't indicate amount of overarching. Lower spinal angle is what matters. Body proportions change the distance from wall - independent of spinal angle.
If you have too much tilt to the pelvis or you lean the upper body backward, lower spinal angle increases. To reduce an arch that is large, press the lower back closer to the wall.
The post Neutral Spine or Not? shows how to tell if your hip (pelvis) is tilted or straight, and/or if overarching (hyperlordosis/swayback) is coming from the upper body (leaning back). The wall maneuver shows you how to reduce the overarch. Don't press flat against the wall or you'll round like a beetle :-)
While standing at the wall, see if you can do a small "crunch" movement without rounding your upper body forward, to reduce the overly large arch. Movement is just from the hip and mid-torso. Hopefully, you will feel that you easily move the body without bending your knees. That should produce reduced lower back arch. Send some photos if you like and I will take a look.
2) Next, you need to make it possible and comfortable:
Check how you are standing. Don't try to touch the back of the legs to the wall. Just heels, backside, upper back, back of head.
Thank you for already checking the other links and finding the relaxing-hip-stretch. I couldn't tell which other stretch you wrote, but most stretches that lengthen a tight front hip can help. One that is functional for daily bending that you need to do anyway is Hip Stretch While You Strengthen Legs.
Hope to hear more about your successes. Send photos and I can post your continuing success in Readers Inspiring Stories.
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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.
Which Stretch Stops Back Pain by Making Neutral Spine Possible?
Monday, November 10, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
What can you do if you're too tight to stand and move in neutral spine? A common lower back pain occurs after long standing, walking, and upright activity. The most common cause is exaggerated inward curve in the lower spine - a bad posture called hyperlordosis or overarching which pinches the joints called facets and the surrounding soft tissue. An obvious treatment is to simply stop the cause, and restore neutral spine.
Which specific stretches relieve the tight muscles that make neutral spine difficult?
Usually the tight muscles are in the front of the hip (anterior hip muscles) called hip flexors. Several specific easy stretches restore resting length to the front hip. Several of my patients and readers find that posterior hip stretches also help quickly. Liz first wrote in with her success story, How a Reader Stopped Recurring Pain, Got Stronger, and Said Aha!
Liz continues her story:
"Dear Dr Bookspan, "Just a few days ago I checked back to read your blog…since I posted my "Short history" which turned out to not be so short. I was particularly trying to share one thing that had happened to me, for which I couldn't find any specific help until I read your blog, which was back pain after bike riding.
"Even short walks hurt my back before I discovered your work, let alone the way my back felt after a bike ride, a future of pain, getting fat and depressed from lack of activity.
(trouble persists with getting photos to load - Liz' photo should be here and hopefully will soon)
"I thought I'd send at least one photo of me on my bike (I think I have mastered the dorky cyclist look) after a 12 km ride home from work and 12 kms to work that morning. If it hadn't been for you I would not have been able to do this, I would have not experienced the joy it gives me to use my muscles, feel my body doing what it was meant to do.
"I like being able to look after myself and not rely on an external source, like a chiropractor, to keep me well. Whenever I take out your book (Fix Your Own Pain) to refer to, my husband says, 'oh oh, what's wrong?' Mostly now it's just to refresh my memory of an exercise or principle you have written or to check I'm not doing something terrible to my knees. What a marvelous reference book it is.
"After I hurt my back during my first trial cycling to work, I read so many books and articles and web pages on back pain, and many on cycling and back pain. Mostly they were about pain caused by the racing position or impact injuries from bumps in the road. Then I read one of your blog entries where a readers/patient explained he had to give up cycling because of the pain he experienced in his lower back a while after he had been on a ride.
"This is what happened to me, in that blog you explained that a few specific stretches were useful for specific muscles. I checked many pictures of anatomy, which named the muscles that I seemed to be having trouble with, I went back to your book and read more about hips and how tight muscles in the hip area can cause lower back pain. It seems, sitting at a computer all day, then using my leg and hip muscles to propel myself up really steep hills was causing the muscles in my hips to tighten a great deal. That's why I tried your figure 4 stretch.
"It did precisely what I needed it to do, now if I don't do it regularly, I can feel my pelvis is tilting the wrong way, all by itself and my lower back starts to hurt. And when I lie on my back my front hip/pelvic bones (iliac crest) stick way out because of the extreme tilt. Then I do the lying figure 4 stretch and they go back into the right place. Now I know exactly what to do to end the pain and I wanted to make sure, should anyone be searching for help, that they will know there is an answer and your work is the source.
"Thank you for helping me find my joy." Liz.
Neutral spine is pictured at left. Too much inward curve (hyperlordosis) is pictured in the middle and right drawings. Abs are too long, lower spine is pinched in back.
Habitually keeping too much inward curve (hyperlordosis) shortens and tightens lower back muscles. Tight lower back muscles pull the back of the pelvis upward, tilting it outward in back and forward in front. The tight area feels normal when held shortened (hyperlordotic) and resists lengthening enough to stand in neutral spine. Stretching the lower back allows neutral spine to become possible and feel normal.
I wrote back to Liz asking if she was using anterior hip (hip flexor) stretches too and if she felt the posterior hip stretches working to let her restore straight hip instead of tilting forward.
Liz replied:
"Yes, being a mostly sitting worker I do the hip flexor (anterior front hip) stretch too, I'm sure it helps my ability to voluntarily keep my hips tilted correctly all the time, I can feel with my hands when they 'flatten'. I do this stretch everyday, sometimes twice a day and it's very helpful. I have on occasion skipped this stretch and only done the posterior hip stretch and I've found I have had no trouble achieving neutral spine. But I do it anyway, it's got to be good for me!
"This is my description of the reason I do the posterior hip stretch, mostly on my bike ride days (though it's so good for me, now I do it twice a day) - Even though I am tilting my hips voluntarily to the best of my ability, if I have not done the posterior hip stretch I feel a sharp pinching in my lower back, where the 'dimples' are, sometimes only one side sometimes both. I feel my front hip bones with my hands and can tell my pelvis is not correctly angled, I can't tilt it correctly any further without starting to use muscle force. Not the gentle neutral spine you describe.
"When I lie down and try to gently straighten my spine to neutral, I find I can't and my front hip bones stick out quite a bit. It feels like a muscle somewhere is holding on to my pelvic bone so firmly I can't move it without force. So then I do the posterior hip stretch on both sides for 30 seconds or more if it's feeling wonderful. Often I feel one side is far tighter than the other. Then I test again by lying straight, feeling my front hip bones with my hands and gently moving into neutral spine and I find they are nice and flat, and stay that way. Also the pinching pain goes quite rapidly. Occasionally the pain doesn't go away for a few hours, a hot bath helps. If this happens I do the posterior hip stretch a few times over an hour or two and that also helps. I expect this means I may have done a wee bit of damage to the soft tissue, amazing how the body heals.
"I have discovered that even on non-biking days, if I do this stretch regularly, I rarely feel any pain in my back at all. I'm not 100% certain if it's the combination of stretches that I do, including the hip flexor stretch, but I feel this one is critical for the correction of some kind of internal postural muscle, that is not behaving in a natural way, through some unconscious action of mine."
Usually, no special exercises are needed to have neutral spine. Worse, a common scenario is someone doing exercises then walking away with the spine still arched, never applying the exercise to real life. They become stronger people with the same bad posture - the exercise was not used for function. Instead, just stop the bad position and deliberately move your spine to neutral. However, when the area is too tight to move to neutral, here are stretches. The stretches don't change your voluntary posture, you do that. They just can make it possible:
First, Don't Tighten:
First make sure you don't tighten or clench abdominal or posterior hip and leg muscles. Tightening does not change posture, inhibits movement, and makes it hard to move to neutral spine.
Then, check if you just need a guide to help feel how to reduce the lower spine arch without pushing the hip forward, leaning back, or moving everything else:
If you find you are still too tight, stretch the front of the hip (anterior) and back (posterior):
Anterior Hip Stretches:
Until I make a post for this one, a relaxing start to stretch the front of the hip is to lie face up with knees bent and ankles crossed. Let knees separate to each side as far as comfortable. Keep lower legs next to each other, not one on top of the other. Do this without shoes, to fit your feet side by side without resting the lower leg on the foot. Experiment with pressing your lower back toward the floor. This stretches front and back at the same time, as needed for straighter standing. If this stretch is too much at first, start lying on your back with only one knee bent to the side, the other leg straight. Rest bottom of the foot of the bent leg at the knee of the straight leg.
A nice stretch over a bed or bench - Quick Relaxing Hip Stretch. If this one is too much, try it lying flat with a pillow under your hips. Gradually use a bigger pillow. Finally, lie with legs stretching down from the edge of the bed and no pillow.
A big stretch - Relaxing Hip, Leg, and Groin Stretch. If the Relaxing Hip, Leg, and Groin Stretch is too much to start with, do it face up instead of face down (see the first stretch above).
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.
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New International Academy Using Jolie Bookspan's Methods
Tuesday, November 04, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
Physical therapist George Nakhlé from Lebanon runs sports medicine and physical therapy training seminars using my research and methods. He will be joining the efforts of the new International Academy of Functional Sports Medicine where students can earn certification in several methods.
Mr. Nakhlé wrote me:
"I live in Lebanon and I have ordered many of your books. I am sure that your ideas are the true ones.
"I told the Order of Physiotherapists in Lebanon about you and I gave them your biography. They were VEDDY VEDDY happy to have you teaching us your lovely methods.
"The (first) seminar was titled "Muscular Functions and Training" for 15 hrs and focused on the training of the major muscles... Before one week of the seminar, I studied and even memorized "Health and Fitness 3rd edition" and I was able to explain and answer almost all of the questions even though the participants were well educated.
"There was a 4th-year physical therapy student between the participants and he was amazed about the information given. All others were also amazed from the information especially those about metabolism .. "Health and Fitness 3rd edition" was my strongest weapon in this seminar which took place in Beirut on 13-14 Sep 2008."
Photos are still not loading. Please check back soon to see Mr. Nakhlé and classes.
In the photo (coming soon, we hope), Mr. Nakhlé demonstrates a "forward head" (and so does the model) so you can recognize it. The forward head is an often-missed cause of upper back, shoulder, and neck pain, sometimes called upper crossed syndrome. It is not a medical problem, but a bad posture that is easy to fix without drugs, surgery, or treatments. Start by clicking this link and click the links in that post for more. His seminar students will be pictured below (soon).
Mr. Nakhlé continues:
"I always read the Fitness Fixer index. I have managed a seminar for fitness trainers from 3 weeks, I relied mainly on your books. I gave the trainers a certificate of attendance signed from me but their are many others who prefer a foreign certificate. Can we do something like that in the future?"
Since then, Mr. Nakhle has joined the International Academy of Functional Sports Medicine since then, renames the Academy of Functional Exercise Medicine (AFEM). Planning has begin to run World Congresses with internationally attended exercise medicine seminars, and certifications in several training and rehabilitation methods for medical personnel, allied health, physical therapists, fitness instructors, and the public. I have taught these classes for many years. Now there are opportunities for certification. A Fellow advancement program is available to physicians and researchers.
The organization is not for profit or personal gain. It is non-sectarian and dedicated to peace and health of all. I will be donating time and resources for classes and help to elderly and children of the world.
If you are interested to help through your good ideas and talents, or be part of this organization, let us know. I hope to post more about the Academy and certifications as we develop it.
--- Read success stories of these methods and send your own. See if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Subscribe to The Fitness Fixer, 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.
When is "quick fix" not a bad thing? When something is not right, there are times to make it right, then and there.
The health, injury prevention, and physical rehabilitation methods I developed are designed to quickly identify and stop sources of injury and poor health. The idea is to begin the benefits right then. It doesn't mean to substitute another problem, but put good practices to work intelligently and quickly.
Ivy from New Zealand first found The Fitness Fixer a few years ago when looking for information to fix serious sciatica and drop foot. Click Inspirational Ivy to see how she quickly stopped the pain, and how her neighbor took the photos used for that post and the updates Ivy has been sending since then. She wrote:
" You can imagine my joy when after 2 days I was free of pain. I was so excited that I contacted Dr Jolie, who in turn, took time out from her busy schedule to e-mail me giving me further advice and exercises which I might add, I follow religiously"
In a recent e-mail to me, Ivy brought up the idea of people wanting quick fixes. I am all for it. If something is wrong or bad, don't leave it that way. Mistakes become habit over time. It is quick to stop much pain and poor health by simple actions.
If something is causing injury or poor health, it makes no sense to allow it to linger. When medicine and fitness aren't healthy, fix it.
--- 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. See Dr. Bookspan's Books.
For someone with "foot drop," the front lower leg muscles are too weak to lift the foot upward at the ankle. The foot hangs downward instead of lifting upward to take each step. Gait is altered and the front of the foot may slap the ground with each step. Fixing foot drop involves fixing three things - stopping the original cause, strengthening the (several) secondary effects of the weakened and tightened muscles, and retraining gait to normal. Common treatment options of braces to hold the foot up, canes or walkers to steady walking, drugs for the pain of whatever is causing it, reductions in activity, and certain surgeries, may all interfere with recovery and create new, and even more serious problems. Healthy treatment can be done without surgery, drugs, inactivity, or bracing.
One common surgery fuses the ankle so that the foot can't hang down. The foot can't move any other way either, causing new gait disturbance, and limitations in moving for health or fun. When foot drop comes from a herniated disc reducing nerve conduction, surgeries may remove the disc. However, discs are needed for healthy spine dynamics. Surgical spine fusion, even more drastically limits healthful movement, and ultimately health itself.
Interchangeably called drop foot, it is not a disease by itself, but the result of something else. Foot drop can follow a herniated disc that presses on nerves that exit the lower spine. It may also come from an injury directly to the peroneal nerve behind the knee. Certain diseases of the nervous system such as multiple sclerosis, Parkinson's, and amyotrophic lateral sclerosis (ALS) may reduce signals to various nerves.
A disturbing and increasing number of foot drop cases come from back and knee surgery. Someone undergoing surgery for a herniated disc or a knee replacement may wake with foot drop when nearby nerves were damaged or accidentally cut during the surgery. Such "side effects" are regularly called unavoidable surgical risks. It is important to change understanding of medical practice so that it is understood that adding new problems is not healthy and so, isn't "health care." Tragically, surgery itself for disc trouble is nearly always unnecessary.
As foot drop continues, lack of stretching in back of the leg that would have naturally come with each step from lifting the foot results in Achilles tendon and other structural tightness. Tightness can increase until that alone restricts lifting the foot.
Reader Sylvia wrote me several notes of her success reversing the components of foot drop. She first wrote in August, after finding the post of Inspirational Ivy II - Beating Foot Drop and Sciatica, and Getting Healthier. Her photos walking with a cane and needing to ride in a golf cart are above, left.
In Sylvia's case, her physician told her that a herniated disc was preventing the nerve down the leg from conducting enough to the front lower leg muscles (usually the tibialis anterior), which lifts the foot. Sylvia wrote,
"The specialist orthopedic surgeon I was referred to fortunately said he would not operate and my subsequent follow up visit has resulted in him telling me to go away as I am no longer in pain although I still have no dorsiflexion (upward lift of the foot). If in a year I still have drop foot I should discuss again with my doctor. Not very helpful…Thankyou for the wonderful work you have done putting this web-site together Best Wishes from England.
Sylvia"
When a disc is involved, the first thing to do is to stop the reasons for discs pressing outward, such as bad bending and sitting, and use good bending and sitting instead. If it is slouching so that you have too much inward curve of the lower spine, and that is pressing on the nerve, or it pushes the disc which then pushes the nerve, then you stop that habit, so it can heal. Stop the source. Surgery is not necessary. This is explained more in the post Cauda Equina - Result Not Cause. Then you exercise the shin muscles that have weakened, and stretch the calf and Achilles and bottom of the foot, which has tightened. You also need to practice balance and gait.
Reader Ivy began corresponding in the comments of the post to tell Sylvia her specific events to first stop the disc herniation, which was pressing and constricting nerve conduction.
By October, Sylvia has done much to reserve several causes and results. She was walking without a cane (right) and wrote,
"Hi Jolie and Ivy "I really appreciate your support and enthusiasm. My badly herniated disc obviously impinged on the nerve causing the nerve damage. I know this is from years of bad posture. I have come a long way already but not too far in the lunging and balance areas yet.
"At the weekend I was seen to be dancing at my son's wedding and I realised that non-one would believe I am usually slapping along.
"Instead of wearing my usual flat shoes or bare feet I had some new ankle strap 2 inch heel sandals for the event. The strap helps to keep the shoe on and the height of the heel was just right to keep me on my toes ! So I have decided to find a dance class to supplement my pool and land exercises as I have rediscovered I love dancing !
"I am going to Florida for a couple of months and should be able to find some dance action there. I'm going to try and toe walk on the sandy beach too.
"In the meantime I will keep on trying to change my bad postural habits! Best wishes. Sylvia"
Sylvia and I also corresponded. She send a photo of her happy and healthy at her son's wedding (below, right), with this update:
"Dear Dr Jolie, "I have received the books today... Now I have no excuse for not stretching and correctly at that !
"I can't wait to get back in the water and see how my ankles are - they are probably quite stiff so will need some work.
"I have printed the Inspirational Ivy page with the pictures of her exercising and keep it in my purse as a constant reminder that my condition will improve. Everyone here whom I haven't seen for two months whilst in the UK, is telling me how much better I'm walking. I tell them what I'm doing and if they have any problems refer them to your web page. Best wishes for now." Sylvia
We will be hearing more wonderful things from Sylvia.
Disc Pain - Not a Mystery, Easy to Fix - When you stop bending wrong many times each day, which pushes discs outward many times each day, damaging forces will stop, and can heal.
Read success stories of these methods and send your own. Questions come in by hundreds. I make posts from fun ones. See if your answers are already here by clicking links and archives, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Have The Fitness Fixer e-mailed to you, free. Click updates via e-mail "Health Expert Updates" (trumpet icon) upper right column. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Do you have to spend money to be healthy? A look around typical food market carts shows much spent on unhealthy food and products (photo, right). This post is the start of a new Fitness Fixer feature of Fast Finance Fixes - saving money while being healthier. We need a good brand name so send in your votes. Until then, we'll call it Fiscal Fitness.
Reader Ivy writes:
"How often does one hear that eating healthy is too expensive? Yesterday on my return from shopping at my favourite shop, a friend asked me as to what I had bought. I showed her the organic brazil nuts, sunflower and sesame seeds as well as the green, red and brown lentils. She remarked that organic products are far too expensive. Later in the day, I decided to phone two friends who are in a similar age group, live alone and are also on a low income. We discussed living costs so with their permission, I did a little exercise.
"I choose to be a vegetarian, my friends are not - I do not eat dairy, cakes, cookies or junk food of any kind, plus I do not drink coffee or alcohol. My friends both eat out on a regular basis, I choose not to. I do not buy cleaning products, instead, I use baking soda and white vinegar. I also use a phosphate free laundry liquid which I buy in a 5 litre container through a friend who kindly gives me a 20% discount. I do not have a mobile phone I also turn off my hot water during the day - this can save me about $10 a month in electricity charges.
"I was the only one of us three who exercised on a regular basis. I found it interesting that I was the only one who seldom visited a doctor, also, unlike the others, I did not get a cold or 'flu this past winter.
"The result of this exercise being that our costs were approximately the same within a few dollars. We three respect each others difference - each of us making personal choices. Afterall, isn't that what life is all about.
"You, my dear Dr Jolie, have been a huge influence on my life in more ways than you realise - again I thank you. Your lovely little reminders re life are also an inspiration. Thank you for your support." Ivy
Ivy first found The Fitness Fixer a few years ago when looking for information to fix severe sciatica and drop foot. Click Inspirational Ivy to see how she quickly stopped sciatica, got rid of her cane, and how her neighbor took the photos for the post. Each post links to updates Ivy has been sending since then. Reader Sylvia has since been fixing her own drop foot with Ivy's help in post comments. Sylvia's success story is on the way.
Save plenty - don't buy things that are not healthy anyway. You don't need to be vegetarian or give up coffee and alcohol. With all the money you don't spend on junk food, commercial sports food and drink, and unnecessary fitness fad products, you can give to the poor and still have enough for good food and a vacation.
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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 Health Expert Updates (trumpet icon) "updates via e-mail" - upper right column.
In medicine, if someone wants to lose weight, they can do things to lose weight. It wouldn't work as well to "balance" the practice by doing things that both gain and lose. If someone has too high blood cholesterol, they may use foods, medicine, and exercise to lower it. It isn't helpful to do one thing to raise and another to lower the level. There's no need to "balance" the level by doing things to raise the level too.
Yoga has a long tradition to add or restrict specific movements and foods when you have too much or too little of something.
In modern life, it is common to sit too much. The answer is not more sitting, but to get up and stretch the other way. The concept is not just mystic yoga, but common sense.
It is not a mystery that several specific injuries come from too much time spent with the hip and spine bent forward. Hours a day, over months and years of sitting rounded forward, bring vertebrae together toward the front of the spinal column, slowly pressing the discs between them outward to the back, like squeezing the front of an old tube of toothpaste. Disc degeneration and herniation slowly result. The muscles that cross the front of the hip can become shortened until it is uncomfortable to stand or lie flat and straight. The front of the chest can round until round - posture feels normal and the rotator cuff rubs a little more raw with each lift of the arm. These are just three of several injuries from too much forward bending, also called flexion injury.
Someone with disc pain or other flexion injury doesn't need more flexion (forward bending). They need to reduce flexion and stretch the areas the other way. It is not unbalanced to give what is needed, not impose more of the cause of the problem. This becomes even more important with every passing year, as patterns and injuries become deep-rooted.
David Demets of Belgium has been invited to participate as a yoga teacher at a Global Mala event in Bruges. The event takes place September 21 and 22 at many places around the world. David will be one of four yoga teacher to lead people in 27 sun salutations on the 21st, to make a total of 108. The developers of the event say there are many approaches to leading a Yoga Mala and that they are open to any style of basic sun salutation.
One of many different parts of yoga is a short series of movements done in an order, like a dance, called a Salutation. Yoga has many different Salutations - moon salutations, wind salutations, sun salutations among others. They have different purposes, done at different times for different needs. Using all parts of one salutation for all students at all times, for people already loaded heavily with injury or pain from too much sitting does not serve the purpose of yoga.
David writes, "I think this is a great opportunity to introduce yoga without (weighted) forward bending to a large group of people. So I'm working on an adapted sun salutation where I've left out the standing forward bend. I've made a video of this for my blog." For forward range of motion without loading outward pressure on the discs, David retains the lunge with hands forward on the floor and the downward dog.
One year ago in October, David wrote me that he developed a yoga class that does not give more flexion to people with flexion injury. He wrote, "My mother follows this class as well. She says she hardly ever feels the hernia (herniated disc) in her back anymore since she started following (this new method). And I know she had really painful trouble with her back the past years. This is simply amazing! I'm very grateful."
Part II coming up - what happened when I explained this to one class that I teach.
--- 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.
Readers Count - Second Missed Cause of Back Pain With Golf
Monday, September 15, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
Although twisting during the golf swing is often thought to be part of spine injury, two far more injurious movements are the most ignored.
Reader Jean Christophe wrote asking about the second factor - how many times do you bend wrong, instead of bending right using the leg and back muscles. This is a largely missed cause of back pain both in every day life and in golf. I asked readers to count how many times every day they bent badly. Jean Christophe wrote:
"Dear Dr Jolie Bookspan, "One year ago, I wrote you about golf and you gently answered. I could not play then because of the season and just wanted to share with you that we have to bend and reach the floor a lot of times: We tee the ball 18 times, and pick up the tee from the ground 18 times, we take the ball from the hole 18 times, we repair pitches on the green 10 to 15 times, we putt 36 times, we go to the bunker 4 times so we have to take the rake on the ground, we make divots that we take from the ground 18 times, and we have to take the flag from the ground 6 to 12 times; this means that we bend in a golf course around 115 times in a round of 18 holes. If you add the practice session where we put a ball on the ground 60 times or the putting practice, this means that we bend 200 times each time we go to play golf.
"Now, all of us bend the wrong way. But frankly, I tried to squat but it is not practical to tee the ball (it is not nice looking either but let's forget that) or to pick up the ball from the hole (ie under the ground).
"So I tried to stand on one leg and make the kind of stretch you spoke of ones putting the trunk and the other leg horizontal. This is more nice looking but not really the solution.
At the end, I reverted to bend badly like all the other players, unhappy because there must be a way.
"Last but not least, I made a swing more on my whole feet (instead of on the balls of my feet) and played solid. So the swing doesn't lose with good posture. But these 200 bendings need some work. "Dear Jolie, thank you for all you help. "Jean Christophe"
1. The reader captured the problem with this summary: "All of us bend the wrong way. But frankly, I tried to squat but it is not practical to tee the ball (it is not nice looking either but let's forget that)." To solve this problem, the first thing to do is to make good bending, using a squat (also called crouch) or lunge (drawing at right), practical to tee and pick up the ball:
2. Standing on one leg, lifting the other keeping the back straight and upper body uplifted, rather than bent over is a useful way to bend for objects on the ground. It is often called the "golf pick-up."
3. Reader Jean Christophe counted 200 bad bends in a single game of golf. No wonder it hurts. He reminds that bad bending is not the answer and wants to know how to get out of the habit: "At the end, I reverted to bend badly like all the other players, unhappy because there must be a way." One good way is to realize that bending right as an isolated strange action will not build the brain and body habit. This is bending you want the day when not golfing:
--- 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. Limited Class spaces for personal evaluation. Top students may apply to certify throughDrBookspan.com/Academy. ---
"Short history, I have hurt my lower back and neck several times previously through poor lifting technique and bad posture. My chiropractor did help, but it kept happening. I used to sit at a computer most of the day at work, then drive home, then go for a 30min walk with minimum stretching.
"Last year, when my back was ok, I decided to try riding my bike to work, three days a week, for the environment, the money, and for my fitness and weight. Each way is 12 kms, very hilly too in Auckland (New Zealand). After one week, my lower back was very badly hurt. I thought I'd never be able to ride to work again, that I'd have to get dressed sitting down for the rest of my life and I could barely walk. I felt like an old arthritic lady and I was only 38.
"I searched every book and website I could find, I had the idea it was my posture but I didn't know what to do about it. I found some information, but often what they recommended I couldn't do, they were too extreme or hurt me more or made no difference.
"Then I found your website www.drbookspan.com. Aha! I thought-this sounds good. And it was.
"I bought your book "Fix your own pain" and learn't more and got stronger and healthier, following your advice.
"But still my back hurt a bit, I would forget to tuck my pelvis, then it hurt and I'd remember. I would get up and move around more, I adjusted my chair and computer to help my posture at my desk, but would forget and slump and my back or neck would hurt and I'd then I'd remember.
"I can't believe how long it took me to "Click." When you say it's for every time you bend, you mean Every Single Time! Keep your pelvis gently tucked All The Time. Keep your back straight, heels down and knees over your ankles Every Single Time you bend.
"Then I started to remember alot more, and my back only hurt a little bit. Then just recently I decided to try cycling again.
"And my lower back hurt again. I went back to your book and read some more and thought. I read about the hip stretches and read your blog and thought.
"And I tried two stretches I hadn't tried before, the sitting figure-4 stretch and the stretch on your blog where you lay on your back to do the figure-4 stretch and gently lean to the side your foot is facing.
"What a difference they have made. I have to tell you just those two stretches have changed my life. Now I walk (pelvis gently tucked) with no pain, I sit (small lower back arch, chin in, relaxed) with no pain. Any little twinge and I do the seated figure-4 stretch and it's gone. After my bike ride I get down on the ground (in the changing rooms!) and do the stretch on my back.
"I found that I needed to lift my foot well up from the floor, keeping my hips level, and move both legs, still in the figure-4, over to the side my foot was facing, helped by holding my crossed ankle with my hands and keeping this stretch for about 30 seconds. This increased the stretch and felt sooooo gooood. And continued to feel good after the stretch.
"This is the first time I've added a comment to a blog, but I just had to let you know how grateful I am to you and your generosity in sharing your knowledge and I wanted to share with your readers about the increased stretch, I've learnt so much from reading their stories and your replies, I wanted to contribute a little bit too."
Many many thanks, Liz Auckland, New Zealand"
Liz, thank you for great work applying the concepts, rather than just doing treatments and exercises, and taking time to write to inspire and teach other readers. Send updates and photos when you can.
Going to a chiropractor does not solve the cause of the pain. Something may be tight or "out" but that is the result, not the cause. Save a lot of money and time by spotting the cause and making simple changes to stop it from happening again, yourself:
When Liz says "tuck the hip" it means straighten the lower spine to neutral position, not to round the back. Rounding is tucking too much. There is a difference. Here is a post with descriptions and drawings - Prevent Main Factor in Back Pain After Running and Walking
Medical doctors write frequently that they fix pain for themselves and their patients with Fitness Fixer. Dr Clara Hsu, M.D., Board-certified family medicine physician writes:
"When I was in medical school, no one explained the mechanics of back pain as clearly as Dr. Bookspan.
"I used to think I had pretty good posture until I tried to do the wall stand test. It was difficult to stand with my back straight, and my chin was pointing way up toward the ceiling. I have had trouble with chronic neck stiffness and tightness, and so I began practicing the stretches that Dr. Bookspan recommends for the pectoral and trapezius muscles every day. Now when I do the wall stand, it is comfortable and easy to get my heels, hips, shoulders, and the back of my head against the wall. I also like Dr. Bookspan's suggestion to lie on your stomach and prop yourself up on your elbows as a good back extension exercise to do first thing in the morning.
"As a family medicine physician, I see many patients with back and joint pain. Things like excessive lumbar lordosis, the forward head, and walking duck-footed are common problems that are easy to remedy. Many of my patients comment that they feel like they are “learning to walk all over again.”
"I also practice kung fu and have found Dr. Bookspan's advice to be useful in many of the exercises that we do. For example, we do pushups and planks as part of our warm-up routine. I used to feel strain in my back, because I was allowing my lower back to sag. Keeping the back straight helps to take the pressure off the low back. Some of my fellow martial arts students have had back problems or musculoskeletal injuries, and I often share the articles from Dr. Bookspan's website with them.
"I would like to thank Dr. Jolie Bookspan for her tireless work, generosity, and desire to help people. Her articles and books are a great service to the public and offer much useful advice to assist people in relieving their own pain without medications or surgery.
"I think we could prevent many injuries and drastically decrease the amount of healthcare dollars spent on drugs, physical therapy, and operations, etc., if we were to follow her simple suggestions."
Clara Hsu, M.D. Hands-On Medical Clinic 1024 Pico Blvd., Ste. #3 Santa Monica, CA 90405 (310) 314-0868 http://www.ClaraHsuMD.com
The point of the wall stand is to test if you have tightness or injury preventing healthy stance, not to cause pain by forcing straight standing. First you fix the cause of the tightness, then you can stand straight without forcing. Causing more pain would be silly and counter to the point.
In A Whole Big Fix Mike fixed several injuries and made the interesting statement, "I stopped cycling to improve my health."
Back in December, I asked Mike if he wanted to get back to cycling and about his shoulder. While we were working on his story, reader requests piled in by the hundreds. Stay with us and questions will be answered. If I only answer them in order, it will be hundreds more posts before I get to questions arriving today, so make your questions fun and helpful.
Mike wrote his update:
"The cycling didn't cause pain at the time, but created bad posture habits and muscle tightness (shoulder rounded forward after separating collarbone in a crash, tight psoas muscles and hamstrings) which led to pain later. I'm walking more human-like now. Also, the air and traffic around here has gotten worse because of the housing and population boom, so I was having horrible coughing fits. Now I don't, without the aid of any medicine and, I believe, by following your diet recommendations.
"Shoulder: The physical therapist had me doing the trench coat type exercises you've described in your books as not as effective or needed, in many different ways (pictured at right), especially the "closing of the trench coat" which didn't make sense to me because they said I was overly tight in the front and too flexible and weak in the back. The visits there didn't work.
"Instead, I used the two stretches shown by your husband - right angle elbow with hand in air in Fixing Upper Back and Neck Pain, and the hand in the opposite pocket behind the back while leaning sideways, in Nice Neck Stretch."
Standard physical therapy exercise for rotator cuff consists of keeping the elbow close to the waist and rotating the forearm inward and outward, like a flasher opening and closing a trench coat (photo). There are almost no daily activities that need this specific motion, not even opening a door. No one uses their muscles this way (unless you are a flasher I guess). People do these exercises then go back to daily bad overhead reaching and re-injure their shoulder, or wonder why it never heals.
The rationale for doing the trench coat exercise is that strengthening the rotator cuff will heal the injury. Strengthening is not the main issue in most shoulder injuries that I see. Misuse of the shoulder is the root cause. A common counterproductive scene is people "doing shoulder exercises" with their head and neck slouching forward, upper body rounded, which injures the shoulder with each arm lift.
Slouching the upper body forward when raising arms for any daily activity, stretch, yoga, or weightlifting will continue to injure the shoulder. What improvement are you making to your shoulder to do exercises in a way that will injure?
Mike wrote:
"I'm also concentrating on keeping my thumbs facing forward when arms are down in order to help prevent my shoulders from rolling forward. I'm feeling more upright and balanced when doing everyday activities."
I told Mike that the idea is not to hold thumbs forward. The idea is to get the purpose of the stretch so that the chest muscles lengthen enough so that the arm bone is not pulled into inward rotation. The post on this topic is listed at the end.
Mike was also "doing" one of the key stretches but not getting the stretch needed, so no benefit was occurring. He was going through a set of motions to achieve the set of motions instead of to achieve the purpose, which was to restore resting length to the chest muscles. Mike made us some photos of how he was originally doing the pectoral stretch and how he fixed the motion to get the purpose. I will post them soon so everyone can see the difference.
It is common to stretch in ways that does not achieve the purpose, or are done in injurious ways. Then news stories report on studies that stretching doesn't improve physical performance or help prevent injuries, and no one knows why. It is not difficult to see why: What Does Stretching Do?
Overhead Lifting, Reaching, and Throwing - More Part I
Wednesday, August 13, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
Nice e-mails and requests came in after Part I last Monday about the overlooked training habit which slowly impinges and tears the rotator cuff. Here is one that covers the points from all received so far.
Reader Hanson writes:
"Thank you Dr. Bookspan for exactly the missing link. I had been attending months of expensive private yoga lessons at [well known studio name deleted] for my shoulder woes without much relief, and maybe have worsened my circumstances. I thought becoming worse with yoga was preferable to surgery that my orthopedic surgeon at [top California facility name deleted] said was required. The yoga directress said more months were necessary (for her wallet?) and I must learn to cool my mind (before I questioned why I wasn't getting better?). I sure didn't question when she wore that little outfit. She showed me yoga poses to "awaken" the area and other fuzzy yoga talk. Poses were raising arms overhead, leaning over with arms overhead, sitting with arms up, and so on. My shoulders burned, she said it was "awakenening." Now I discovered from you it was "impinging." No one said anything about a forward head when I raised arms. I did the same as the directress did. She had this bad posture too. She said do it slowly if it burns. So I burned up my shoulders slowly. Instead of paying the yoga directress for another private session of self-injury raising my arms with head forward I printed your blog and held it overhead to read it. I didn't lean myself back and didn't tilt my head forward. The shoulder is already better. I found all those yoga lessons never prepared me to stand up straight. They told me yoga gives you posture, but it didn't give me anything except a worse shoulder. The "awakening" came from your blog saying use this for life not just exercise. I can lift arms without pain now. I keep my head straight, not forward. Can you put more pictures up of what to look for and can you tell people about your blog?"
Left (pink), upper body leaning backward (explained in Part I). Tilting unevenly compresses the lower spine by increasing the inward curve under load, and fools some into thinking the arm is stretching fully. Center, hunched (raised) shoulders and forward head. Hunching compresses the area. Keep shoulders down when raising arms. Don't raise arms and shoulder together. Right (yellow), leaning upper body backward and forward head. Can you detect the forward head camouflaged by the upper body lean back?
Head forward when raising arm. Shoulders rounded, further compressing the area when lifting the arm.
Head forward when raising arm, shoulders rounded. Also pictured - lower back rounded, tilting the hip (pelvis) too far under. Shifts weight to the lumbar discs (click The Cause of Disc and Back Pain).
Fix Your Fitness to be Healthy and Stronger. Be able to do more, not give up lifting:
Click labels under this post for all Fitness Fixer on each topic.
--- Read success stories and send your own. See if your answers are already here - click Fitness Fixer labels, links, archives, andIndex. 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 apply for certification throughDrBookspan.com/Academy. Get more in Dr. Bookspan's Books.
Reader Steve writes me funny updates. Steve fixed his back pain that surgeons said was hopeless, using my methods. Then his knees, arches, neck, and various dings and injuries he gets during his active life as an adventurer and professional photographer.
Now he is losing weight in healthful ways. Usually reader inspiring stories start at the beginning. Here is Steve's latest update, sent from Japan. Future posts will work backward, through Steve's upbeat updates. Steve writes:
"I have reduced my waistline by four inches so far. It's a wonderful feeling cutting the excess from my web belts! I've changed my diet to a more healthy one, eating lots of fruits and veggetables, cut out almost all fried foods and processed stuff. I've been exercising. No health club stuff, just ordinary PT. Push-ups, arm circles with weight (20lb potato sacks... Some day I might even put some potatoes inside...) hanging knee lifts, pull ups, etc, and my favorite, the hamster wheel thingie... the little tryk wheel with the handle going through it. About 15-20 minutes of actual work, roughly every other day. I can see my abs again. Hell, I can see my toes again! …I can fit into pants I haven't been able to wear in 8-10 years. Of course, right now I would love to order a nice big pizza, but I'll just have to wait for dinner.... My mid-afternoon snacks are now fruit or nuts. I do treat myself to a square of 80% chocolate after dinner. And of course, a bowl of popcorn later on in the evening. But I'm popping it myself using just a spoonful of olive oil. No more microwave popcorn. And the fat is dripping off me like melted butter. I like that!"
Click labels for more on each topic. The "nutrition" label, for example, gives all articles on healthy cooking and food choices for fitness. The label "readers inspiring story" gives all articles so far of readers who fixed their injuries and pain. These are not testimonials, but tutorials so you can learn what they did, why, and how. Read, have fun learning, then send in your own.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Mr. Jim Morris is the 1973 AAU Mr. America and 1996 Mr. Olympia Masters Over 60. He is now 72. Mr. Morris is a vegan bodybuilder who reminds people that body building involves selflessly looking outward to do good, rather than focusing only on appearance and commercialism. He urges real nutrition through healthy food, rather than artificial chemically produced supplements, and healthy movement rather than harming yourself to gain physical looks or heavier lifts.
Mr. Morris looked over my Ab Revolution book, and wrote to me that he wanted to order several copies for his clients. He wrote, "You are the first person I know of to finally get it right."
Later, after reading Health and Fitness in Plain English Third edition, he wrote, "I have a copy of "Health and Fitness in Plain English" I just received and every page I open to, I say, 'I wish I said that,' and then add, 'I have been saying it for years.' Glad someone finally put it all into print and in one volume. Thanks, Jim Morris."
Students Balances, Listens, Fixes Father's Back Pain
Tuesday, June 03, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
My student Ginger sent the photo at right taken on her recent camping trip. Don't try this at home. It takes balance training, concentration, and a few changes to standard back bend technique.
Ginger is distributing the stretch along the spine so that no one area is compressed at an unfavorable angle, and is contributing most of the leg extension from the hip, not lower spine. More safe back extension stretch and strengthening methods will come in future posts.
Ginger is a good student who makes good use of my classes. Last week, while visiting her parents, she was out walking with her father. She told me that her father said that his back hurt from the walking. She looked, and saw that her father was standing and walking with too much inward curve to the lower back - hyperlordosis (swayback). Standing with the lower spine overarched is a slouch that compresses the spine unevenly downward, pinching the joints and soft tissue at the back of the lower vertebrae. Overarching is a large hidden cause of lower back ache during walking and running. This slouch is not fixed in the bone, it is a posture that is easily corrected. It does not require strengthening the back or core muscles, just using the ones you have. In moments, Ginger showed her father what I taught in class - how to change a slouching overarch to neutral spine. Ginger's father said the ache disappeared right there, and that was all there was to it.
The article Innovation in Abdominal Muscles gives an overview, and the comments give a link to another post with a short movie showing the concept.
If you want a whole book showing the concept, several techniques to achieve and use neutral spine, and examples of use in all daily life, try the book The Ab Revolution™ Third edition expanded. Part I of the book shows daily use without needing any exercises. Part II shows how to exercise using neutral spine to get more exercise, healthier exercise, and use abdominal muscles functionally to stop unattractive and damaging overarching.
"Thanks for yet another great post. I am an ER nurse and see the horror of chronic back pain on a daily basis -- the disability, depression, and addiction that eliminates any quality of life for the sufferer and their family. Even after surgeries and pain clinic visits, I've yet to meet a patient who has managed to rehab well. Last year at age 52, after years of moving patients, some over 700 pounds, I injured my back while installing a patio and I couldn't breathe, let alone move without pain. If I hadn't been a devoted follower of yours, my career would have been over. I got your book, Fix Your Own Pain, did the exercises and went back to work four days later. I took a muscle relaxer to help me sleep the first three nights but have never taken any pain medication. The exercises actually relieved pain for me. I can't thank you enough.
Just a quick question, can you suggest proper form for climbing stairs, to prevent back and knee problems? I'm in a 3-story condo and don't want daily routine to do any harm to the old joints. Thanks so much Jolie!"
Barb, you have the intelligence, quick thinking, interest in learning, and empowerment that makes a quality ER nurse. Try Better Exercise on the Stairs.
--- Read more success stories and send your own. See more by clicking labels, archives, and The Fitness Fixer Index. Subscribe to The Fitness Fixer - "updates via e-mail"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.
Fixing Pain and Golf Easier With Real Life Movement Than Isolated Exercises
Monday, May 12, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
Jeff is a Silicon Valley executive, and coach of Next Stage. He found that a lifestyle of unhealthy exercise habits can accumulate, until one day of golf becomes "the Camel's Last Straw."
Jeff writes:
"There is life after back pain – even the kind where you can’t walk, sit, lie down, or sleep.
"The weekend before Thanksgiving (2007), I was out golfing, and I made a pretty bad swing at a ball that was buried in deep rough. My club got stopped by the deep grass, my back and arms kept going. I immediately felt a sharp pain in my lower back – so much in fact that I could no longer make a normal swing or even get down into a putting stance.
"I had to give it up after 6 holes and head home. I could still walk, but I couldn’t crouch and I had a hard time getting up out of a chair.
"Three days later feeling a little better, I headed out to the fitness center to do some treadmill running - NOT a good decision. After about 10 minutes, as I was cranking up the speed to a fast jog, I felt a searing pain in my lower back and down through my left thigh. From then on, I was toast.
"By the next morning I could barely walk. I had so much pain in my lower back and left leg I needed to support myself with a cane. I could barely walk or stand with the cane. There was no comfortable position for me, and I couldn’t sleep more than an hour at a time – even on pain killers and over the counter sleeping pills. Two trips to the chiropractor changed nothing.
"I did a web search, found Dr. Bookspan's web site, bought "Fix Your Own Pain Without Drugs or Surgery" and then even sent her an email telling what had happened. To my amazement, I got a personal answer (then another then another as I wrote with more questions and my progress). Dr. Bookspan referred me to the lower back pain part of her site, and I started doing the retraining exercises daily – and more importantly I started “living” the exercises, i.e., using them to get good body positioning and healthy movement into my day.
"In the beginning I could barely do the exercises, my pain was so extreme I couldn’t lie flat on my stomach or back without pain, not to mention doing upper or lower back extensions. (I wrote to Dr. Bookspan who found that I was overarching the lower back, when I was thinking I was straight. Wow! Consciously tucking the hip more reduced the pain significantly.)
"After a few days, things improved so I could perform the exercises better. I started to walk again – albeit with discomfort. (I wrote again and once again got the encouragement I needed, and realized the specific things I was not yet getting right. I was still overarching the lower back and that was preventing healthful motion.)
"Today, it is 5 weeks since worst of the pain. Thanks so much for your support. I am orders of magnitude better! I am walking without a limp – pretty much normal gait. I played 9 holes of golf this morning, walking a very hilly course, carrying my clubs. Yesterday I was on the treadmill doing some light jogging. All signs of discomfort are gone and I am gradually working myself back into shape. I am not taking any medications of any kind, and I am doing just great.
"I am working hard to incorporate the things I learned from Dr. Bookspan about movement, posture, and exercise into my daily life. It makes total sense to me that the positions you are in for most of the day have far more impact than 10 minutes of exercise. I feel like I have been to hell and back, and I definitely don’t want to make another visit."
Last year, reader Ted fixed back pain by learning to use neutral spine during running and daily life. This week he checked in to say the back is still fine, and that he went on to fix other painful sites.
Fixing pain and injuries by doing some exercises may temporarily ease symptoms. Instead, you can stop the source of injury by making movement habits healthy while exercising and moving through daily life, so that you can get exercise at the same time that the area can heal, and the pain not return.
Ted writes:
"Dr Bookspan, last summer, you helped me return to running, and did an article on me and how the neutral spine fixed my back problem with running.
"The back is a NON ISSUE. Thank you so much.
"Currently, I am working on hip/hammy/knee issues (probably due to over-training). Just thought I would share a thought on the ''Duck Foot'' issue you had talked about (I read the Fitness Fixer religiously). While running on the padded infield of the Stadium Football Field, I was still noticing pains in my hip (caught my foot on the ''upswing'' during a run, hip has hurt off and on since October).
"I focused on my feet, specifically, how I pushed off after the foot-strike (very soft, I often scare other runners because they can't hear me coming up on them). A straight push off after the foot-strike made the pain go away (probably because it aligned my foot/knee/hip during the movement). Also, when the knee pain flared, tensing my quads made it go away.
"I have enjoyed reading your ''Running Articles' please keep 'em coming. AND Thank you for fixing my Back. Much Appreciated, Ted H"
To fix the source of pain, it works best to understand healthful movement retraining and not just "do" a series of rules. One important example is keeping feet parallel or facing forward. The idea is to understand that a straight push-off comes from keeping all the joints in the kinetic chain from feet to hip and spine from twisting in unhealthful ways, not just straighten one segment by twisting another. Yanking or forcing the feet straight is not the point of good positioning.
Ted has more helpful stories to come in future posts. Click these posts for more:
Readers have been writing in since the post How Strong Is Your Arm? They wanted me to know that they first thought they were strong because they lifted weights or went to exercise class, then realized for the first time that they thought they can't improve what they say, do, think, or eat, and were not strong as a human being.
Reader Dean e-mailed that he had previously thought that stress made him eat, and that it was "just natural." Then he realized that he was eating on purpose because he was angry, and thought it was his only way of showing he could do anything he wanted. Then he realized that doing that wasn't strength and control, but lack of it.
"Once again, I am back at the farm house/animal sitting for a few days. Little did I know that my "strong arm" was going to be put to the test. Last night while preparing my evening meal, I opened the pantry door and what do I see but a chocolate/rocky road cake covered in M & M's. I quickly shut the door then, after a few minutes, temptation took over. I decided that maybe I could have just a little wee bit, knowing full well that one piece would not suffice, I would want more - once a chocoholic, always a chocoholic. Who should come into my mind but you Dr Jolie and your post "How Strong is Your Arm" plus the fact that I had (replied to that post with a comment) telling the world that my arm is strong. Needless to say, the cake stayed where it was. On reflection, I still cannot believe that, after all this time, I would even consider eating such food. I would like to assure you and your readers, that should I have given in to temptation, I would be standing up and saying that my arm is not as strong as I thought."
Ivy had also written me in the past asking what to do when people insist that you should eat their unhealthful cooking at get togethers or give her gifts of unhealthy junk food. When Ivy politely refused bad food and explained she wanted to be healthy, the people were not understanding or enlightened, but disrespectful and insistent. I e-mailed Ivy that she could try accepting the bad food with a smile and a sincere thanks for caring to give a gift, and give it away to someone who wanted it. Ivy sent this update:
April 4 "I thought this little story might interest you. It is amazing how ones life can change.
"Marrianne, a friend of mine has just phoned to tell me that she has become a vegetarian. She is a little younger than me (note - Ivy is 71) and has not long returned from a trip to Nepal. She told me that while there she ate with the people and you would be aware that these people are vegetarian. Since returning to New Zealand she made the decision to change her way of life. She now appreciates the difficulties I have come up against these past two and half years, by that I mean re well meaning friends who make negative comments etc. I gave her the piece of advice that you gave me re being given food that you don't want to eat - accept it gracefully and give it to someone in need.
"I was also able to pass on advice re foods she needs to eat to keep healthy which pleased her. As I mentioned to you a week or so ago, healthy food has become my passion.
"Tomorrow we are having a get together here in the village. It is to be held out doors so hopefully, the weather will be kind. No doubt there will be lots of cakes, muffins and scones to eat plus wine to drink. I am going to make up some snacks of walnuts, raisins and blueberries. As I said to Marrianne, one has to harden up when people make rude comments re what one eats. I, personally, make no remarks re what others eat, I would like to think that others give me the same respect.
"Finally, over the past few weeks, on two separate occasions, women who I have not seen in over a year, have made remarks just how well I look. One of them said and I quote "Ivy, you exude health." This, of course, pleases me."
This e-mail arrived after the get-together:
April 5 "There were 27 residents at the get together and not one of them tried my walnuts and blueberries. Instead, they ate the pastries, cakes, pavlovas, desserts etc.. In saying that, I will say this "no wonder we have such a high obesity problem in this country." "Hugs Ivy"
Then this:
April 9 "I truly believe that I have beaten my addiction to chocolate. This morning I am feeling a little distressed re the news that my dear friend Joan who will be 87 in a couple of months time, had a fall. She will be fine, her only injuries being bruises plus a grazed elbow. One of my neighbours called by to give me a couple of chocolate cookies her words being, "You will be feeling upset about Joan and I know how much you love chocolate." I took your advice and thanked her then, (did not eat them).
"In the past, those cookies would have gone straight in my mouth. Even though I was tempted to eat chocolate cake a couple of weeks ago, I truly believe that I have the addiction under control, in fact, I am patting myself on the back. Just had to share my little story."
Fitness does not mean going to a gym, then going out slouching, smoking, to eat unhealthful food, and thinking unkind things about other people. Fitness means making the many aspects of your person clean and healthy. Don't harm yourself with bad thoughts, deeds, actions, and taking in unhealthy things in your body.
If you want self control, exercise it to become strong.
--- 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, get certifiedDrBookspan.com/Academy.
Feeling Better Than She Ever Has Part II - Fixing Herniated Disk and Reclaiming Active Life
Tuesday, April 15, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
Barbara lives in a little town of 300 people in Yukon Canada - map at right. Part I of Barbara's story last Wednesday described why it didn't take six weeks to fix Barbara's herniated discs and severe sciatic pain and numbness, but it was six weeks until the "light went on" and she did the things to stop the cause of the injury, so it could stop hurting and start to heal.
Here is an insider's peek behind the scenes week-by-week:
"Dear Dr. Bookspan, "This is a bit of a long one, and probably reaffirms everything you've ever received in hundred and hundreds of emails and stories, but I wanted to share this with you anyway. I can’t thank you enough for working hard and sharing all your knowledge. I am almost completely pain free!
"After 6 weeks of severe sciatic pain and numbness and weakness of my left leg and foot, something just clicked on Thursday night and I became more determined than ever that I could get rid of the pain. Through your website, the Fitness Fixer, and reading lots of personal stories (on your web site and book), I realized that I had to fix (the) causes. I know this might sound dramatic, but you’ve changed my way of life.
"Pre-sciatica lifestyle: "A cycle of: 1) a few months, everyday, of "power" exercising with all the unhealthful postures and movement habits you talk about, then sitting at the computer in all the unhealthy ways you talk about and drinking coffee and smoking, feeling like I’d accomplished something in my day; 2) followed by a few months of complete laziness (not even power exercising). Power exercising consisted of running (without stretching at all) with bad form, and Hatha Yoga (forcing myself into the stretches and tons of forward bending).
"Sciatica struck.
"First two weeks: "I did absolutely nothing about it. I read stuff on the internet and was convinced from the stories that I had some debilitating disease that would affect the rest of my life. I thought the cause was that I didn’t keep up with my "power" exercising. But, I continued to sit bent forward in a chair, hunched over, bending wrong, doing yoga forward bends, smoking and drinking coffee. I know, how sad."
How to avoid herniating forces on the lower back discs during yoga and fitness stretches for the hamstring:Healthier Hamstring Stretching
"Third week: "Had to go back to work in the morning, teaching 4 and 5 year olds in a kindergarten class; in the afternoon, teaching reading strategies to Grade 1 and 2's - sitting in a chair all afternoon. No longer could I hobble around the house holding my backside and leg - full on activity - and pain, tingling, numbness in my left foot, and total weakness in my left leg. Felt like I was walking around all day with a Charlie horse going down my entire left side. Amidst all my continued Internet searches, stumbled upon your website when a friend said that slight forward bending doing dishes and getting ready in the morning leaning over the sink might be a cause. Your website made so much sense to me - if a slight forward bend is a bad thing, how much more unhealthy would my Hatha yoga program be, with all its constant forward bends. I might add here that the two people at work who talk about slight forward bending being a bad thing continually hunch forward while sitting and exercise using forward bends. Just something I’ve begun to notice."
Major news stories quote physicians saying that back pain is often a mystery and that no one knows why stretching isn't working. My readers regularly report that once they understand the simple principles, they see the unhealthful positioning that causes pain frequently - at the gym, in fitness magazines, and in exercise videos and classes:
"I started with lying on the floor propped up, upper and lower back extensions, pec and trapezius stretches, isometric abs, being continually aware of my posture and not doing ANY bad forward bending. Tried to do the lunges and squats for daily good bending, but my muscles were so weak and I practiced them half-heartedly. I tried to apply them in daily life but life seemed so fast-paced at work and I was in so much pain constantly, that I would get _ way into it and then just try to lean to the side to pick things up - result, I was contorting my body in very odd ways! I ordered a support brace and special support backrest (now I know why I never needed them) and seat cushion for my chair from other web sites, but also ordered your book Fix Your Own Pain, along with a few of your other books."
"Fourth Week: "Limping and terrible pain, my boss told me to visit the nurses station -living in a town of 300 in the far north, we have one general store and a health centre, doctor visits once every two weeks - and take every afternoon off during this week to rest up. He still needed me at work in the mornings. Taking my new prescription of Naproxen and trying the lunges and squats and some stretches but not really trying to apply them to the rest of how I was moving and bending and sitting. I would be in quite a bit of pain coming home from my mornings at work. In the afternoons I would basically throw in some stretches, but generally read (sitting badly) and nap for an hour. A lot of the pain would dissipate after my stretches and a good nap - only to be set into full force the next morning at work.
"Your book came in on the Friday and I was very excited. I read through it and practiced the retraining stretches that show how to restore straighter positioning throughout the day. I felt much better by Sunday night with the stretching. Still only half-hearted attempts at lunges and squats."
"Fifth Week: "Decided to start my morning off by doing my full range of stretches instead of sitting in the computer chair smoking and drinking coffee. I felt pretty good when I left for work. People at work were starting to call me "feisty" saying that I seemed to be walking better (that was probably because of my better posture from applying your method instead of just doing stretches!) Sitting in a chair almost killed me - after 25 minutes in a chair the pain was almost unrecoverable - to be endured for the next hour and a half at work."
Barbara was getting the idea about healthy movement, but was sitting in the same way that causes discs to be pressured. She thought it was "taken care of" because she used a commercial lumbar support she purchased the first week. However she was still sitting in unhealthy ways, right over the support:
"I could manage the pain better with frequent relaxing on my stomach propped up on arms and stretching, but I never felt complete relief until I got home at night. I still didn't realize it was bad sitting position, so decided to get rid of my chair and stand to teach. This was better, but the pain still kicked in(especially in my left buttock!). Once my left buttock got hit with pain it went downhill - down my whole leg, followed by the numbness and severe tingling. Midway through the week I went to see our visiting doctor - quick visit and the prognosis that I had a herniated disc L5-S1. He said it would heal. I was feeling pretty positive about this, as it seemed to coincide with what you say about herniated discs. Meanwhile, the sciatica was taking it out of me. I felt I was always either in pain, or awaiting a painful episode. I made it through, relieved that the weekend was underway. I decided to trying walking - every couple of hours I'd walk on my treadmill for 20 minutes and then do my stretches. I did this two times in the day, and then went for a walk outside in the evening (-35 degree weather so I bundled up really well). My dog and I headed out for what was to be the most agonizing walk for me. Half hour into the walk I started to get that butt pain but I was only half way home. By the time I got home after an hour walk, I wanted to hit the roof and I although I could alleviate some of the pain through lying on my stomach propped up, and stretches, I could still barely sleep. I was also completely consumed by whether or not I had slacked in my posture somewhere along the line while I was walking, or whether I was too tight or loose (still missing the big picture)."
"Sixth Week: "Still determined. Began the week at an all-day staff meeting where I lay on a gym mat on my stomach, propped up on my elbows- all day. Stretching at lunch and a couple of other times I walked out of the meeting to stretch. It almost floored me to do a 20 minute standing stint that we had to do during our meeting. Followed by a 2 hour course via video-conferencing where I did the same thing. When I got home the pain was less and I didn’t want to "over-do" it again, so I gently did my stretches throughout the evening- I didn’t try to walk. Next day at work, the pain was pretty bad from the beginning, but it was -60 degrees F outside and not many kids came to school - more time out to stretch when I needed to. Wednesday - more of the same. I tried to walk at night but got discouraged when I couldn’t walk for more than about 10 minutes without pain. Thursday - same thing, but I almost ran out of the school at the end of the morning to go to the nurses station. (We both wrongly assumed that I had overdone walking, not just walked in injurious ways.) She prescribed more Naproxen and told me to make sure that I walked but more frequent intervals. She also told me to keep stretching, but that lunges and squats were simply out - don’t do them. I kept wondering about this advice as I reread Ivy’s story and looked at the pictures of her doing those amazing squats and lunges. I spent most of my evening on the internet reading and rereading stories."
Barbara was lying face down propped up on elbows for long periods in a way that hurt instead of help. Instead of letting the entire spine gently extend backward so that the upper back "unrounded," she was "folding" a crease at the lower back, increasing pinching in the lower back.
"Friday of the Sixth Week: True Awakening! "I took Friday off work and first thing in the morning while I was doing my usual morning stretch routine, it just hit me! I became so obsessed with my posture, thinking that stretches should magically make my pain disappear, but I wasn’t viewing my body as how I used it during regular activity; I was also very guilty of giving up on certain things when they got "too hard" (lunges, squats). My balance was bad (despite trying to practice it while putting on my socks and shoes), my walking gait was horrible, I wasn’t really trying to do anything that required some effort, and I was continuing my bad habits of resting for hours before I tried to get back up and stretch again. Having reread some of the personal stories, I worked on my walking: feet straight ahead, feet hip-distance apart, heel to ball of foot, using my whole foot to walk - I was so focused on posture that I was holding myself stiff while walking instead of walking naturally with a bit of rotation at the waist). When I thought I was using my muscles, I was really just tensing them right up instead of truly using them. Reading posts and walking also made me realize how tight my Achilles tendon, hamstrings, and hips are. I decided to work on this through my stretches too. Next hour I was back up and walking, and stretching those areas after (using a counter to hold onto while doing a full squat, doorway hamstring stretch, and stretching my hip sitting on a chair rather than lying on the floor). Every hour I walked and stretched, and every walking session was longer, every stretching session I could actually stretch farther! Halfway through the day - now it was time to really engage myself in those lunges and half-squats - just do them and do them properly - no excuses - I need them for everyday life and unless I go beyond what I think I can do, I’ll never get to that point. They’re definitely not just part of an exercise routine, but unless I could do them with strength and stability in my living room, I knew I couldn’t do them in a fast-paced setting when I needed them.
"Time to stop making excuses. I was up and about constantly all day, walking, lunges and squats, stretching. By the end of the day, I can’t even describe my feeling of elation when I went to bed completely pain free, with my left leg hardly stiff at all, and some of the numbness in my left foot gone! Actually having been rather lazy, and in fear of lunges and squats doing more damage, they turned out to be the best stretches and strengtheners...now why wouldn’t I want to use these in all situations to get a beautiful natural stretch during my day! The confidence and calmness that all using your principles, and truly using my muscles to engage in activities is giving me give is fabulous. Not to mention all the energy! This is a new way of life for me. And quitting smoking is not a different story...it’s the same story...and my next step is to look into my eating habits and to quit smoking. It’s my life and my body is a temple...I’m sick of mistreating this temple with lethargy and apathy. No more unhealthy exercises in "power" work-outs and yoga for me...strength, balance and flexibility will is every moment, every day. Now I'm ready for your Healthy Martial Arts book...
"Thank you! Thank you! You (and Ivy) are my inspiration! Wishing for you all joy and true happiness in life (which I know you already have :) ). "Fondly, Barbara
"I'm truly thankful for your hard work and great insight into pain and how to live healthy in every day life!!
"PS I was frightened when I was told I had a herniated disk at L5-S1, and this was great news to me as I know I'm healing and I won't need any physiotherapists, etc. to help me through this! Your book Fix Your Own Pain is amazing - I think I've almost memorized it; two people at work have borrowed it already (including my boss) - I think they're seeing how much it has helped me. I'm thinking about giving your book to people for Christmas."
Summary "take-home" message - Barbara found that she doesn't have to "do" any exercises. That is the difference with this method and others. Moving for daily activities using the retrained healthful positioning stops the source of the injury. At the same time, it just happens to give much built in functional healthful movement. That is how exercise is supposed to be - a natural part of your human life.
There is more good news to Barbara's story, but that's enough for now.
Feeling Better Than She Ever Has Part I - Fixing Herniated Disk and Reclaiming Active Life
Wednesday, April 09, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
Barbara's story came in over several weeks. Barbara thought she was healthy and active, and had done years of yoga. She had years of lower back pain, then a sudden onset of severe pain, leg weakness, and numbness. She couldn't push off effectively with her left foot, or stand on tiptoe. The heel of her left foot was completely numb, as well as the left side of that foot.
Barbara lives six hours from the nearest big town (there are 300 people in her little town in the Yukon and one general store).
Her doctor found that she had a herniated disc in her lower back, put her on anti-inflammatories. She was in continuing pain, and fearful of her future of pain and reduced activity, which would mean getting more out of shape and feeling worse. She was frightened that she had some "debilitating disease."
Barbara found my web site and this Fitness Fixer column with free information of how discs become pushed outward (herniated) through bad sitting and bending habits, and began trying some of the information. She wrote me excitedly the first week,
"I decided, after reading one of the many great patient stories you included in your book showing what to do, to lie on the floor on my stomach propped on my elbows to read your book. This felt amazing and when I got up again I could walk straight!"
Another e-mail followed that she was feeling worse again after that. I asked if she had gone back to all the injurious habits that cause the pain. She was surprised to realize that she had. Bad forward bending puts outward and eventually herniating forces on the discs. Barbara was bending badly all day at work when she need to pick things up, bending badly at home over the sink, counters, and while doing housework, then going to yoga class and spending much time bending over forward. Even in a yoga class, herniating forces occur from chronic forward bending, both sitting and standing bent over. It isn't magically good for the discs by calling it a stretch. Barbara also had been told by her health care providers not to do any lunges or squats. She later realized they were just the healthy bending she needed to do normal daily reaching and bending at work and around the house. Without them, she would only be doing the same bad bending that was contributing to the original problem.
Barbara wrote,
"I realized that part of my problem all week was that I had been half-heartedly doing "exercises" then going back to wrong bending while getting completely frustrated because it would seem things would start to feel better in the morning, but I'd feel like garbage by night. I wouldn't do all the things you recommended first thing in the morning, and I would get halfway through a lunge or squat to bend or pick something up and then bend forward out of frustration. So, I pampered myself yesterday - really, truly practicing and applying how to move in real life, especially concentrating on those lunges and squats when I needed to get something. It also finally clicked with me that while I was trying to concentrate on tucking the hip to neutral spine to walk, I was totally ignoring the forward bend of my upper back while standing and walking all week. I was walking all stooped over and feeling like an invalid."
I wish I could write that Barbara followed everything I said and was better the first day. What actually occurred was that it was six weeks until the "light bulb went on" and Barbara realized that "doing" a stretch or exercise doesn't magically erase the injury. Stopping the injurious bad movement habits that harms the disc is needed to let it heal. Using healthy movement in daily life for daily bending and reaching would improve strength and balance. Barbara said that reading the Fitness Fixer stories from Ivy sparked her "turning point" to understand. She then started feeling relief.
Barbara wrote.
"In short, I’ve come from having pain, and muscles completely unaccustomed to healthy movement lifestyle, to feeling stronger, more flexible and agile, pain free, along with a new attitude to everyday life and health, with fresh energy and a renewal of love of life. I know this might sound dramatic, but you’ve changed my way of life.
"Your website has been a godsend actually; especially when I surf the net and see "surgery" splattered everywhere.
"PS My principal just ordered your book - he borrowed Fix Your Own Pain for a week (I didn't think I'd get it back) and would like his own copy. That's saying a lot - he's doesn't take well to other people's advice."
It was six weeks of half-way recovery and recurring pain until Barbara got the idea that "doing exercises" doesn't heal an injury if you go back to bad movement habits the rest of the day. She also noticed how some of the most common exercises contribute to the original problem. Here are links to the information Barbara used:
Barbara generously wrote up her story to help readers see that they can fix pain sooner, rather than waiting six weeks. Coming next, Feeling Better Than She Ever Has Part II - a look behind the scenes.
--- 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. ---
Not long after, I saw Dennis running by at a fast clip, with beautiful neutral spine, good leg and foot alignment, and a light landing with each foot-fall. I asked him why he had asked about running lightly. He said he changed to running lightly after I worked with him on it. I asked if it made a difference and he laughed, "Of course. It used to hurt."
Dennis is muscular and squarely built. He used to leave an impression on the floor when he walked, and had knee, neck, and lower back pain after running.
Landing without jarring reduced pain. Dennis also did several things to stop injuring his joints during movement:
Stopped letting his arches flatten downward. Using his own leg and ankle muscles, Dennis held neutral foot position maintaining a good arch without needing any inserts or special running shoe - Arch Support Is Not From Shoes.
Stopped letting the knees bend inward toward each other when running, and held neutral foot position - Healthy Knees.
Using the information in my classes, Dennis fixed recurring ankle injuries, and various back neck and other joint pain and went on to win medals in wrestling. His stories and photos will follow in posts to come.
Reader Joe Blatt recently celebrated his 63rd wedding anniversary. He was a Broadway choreographer and dancer.
He demonstrates how to keep good flexibility and balance through the ordinary daily activity of standing to put on shoes and socks, and tying your shoes.
My student Leslie is 67 years old. She has been working with me for several years. Click the arrow of this 30 second movie to watch her knock off 30 pushups.
At around the 25 second mark of this short movie, enjoy the reaction of the student who will appear at right.
Leslie holds straight neutral spine position. She does not let her lower spine sag, or her head and neck sag downward. To see a movie to practice how to change overarched hyperlordotic sagging spine to neutral spine for pushups, click Fast Fitness - Strengthen by Changing Your Plank.
Leslie says hello to all the readers and that she is strong with such great positioning due to my classes and emphasis on being able to hold up your own body weight in healthful positioning for regular daily life. I hope to post more of Leslie's and other students' happiness and strength.
Bookmark this post. Open it every day and do your 30 pushups with Leslie.
Read inspiring success stories of these methods and send your own. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
Healthy Youth Parties - Fun Exercise, No Junk Food
Monday, February 25, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
Mike is a Fitness Fixer reader who fixed many injuries - impinged shoulder, hip pain, radiating pain down the leg, and bad nutrition from sports food that is really junk food in a sporty label. In December, he sent us his reader success story that I posted in A Whole Big Fix. In the comments of a follow-up post on the December 28 2007 Fast Fitness - Dynamic Partner Balance Challenge, Mike wrote,
"I'm going to use some of your partner exercises as breaks for my students. They will get blood moving, muscles exercising and coordinating, and they will probably giggle. These will be a nice break from sitting so long. Mike."
Mike kept his promise and sent this update:
"This whole year we have not had food at our class parties, with no complaints from students. We just play games involving social interaction. I have tried to have "healthy food parties." In the past, parents send boxes of food-like substances that say, "whole grains" on the sides but still are very processed, loaded with sugar, and have a lot of the nutrition processed out (like granola bars, sports drinks, and "fruit" roll-ups). So, it's easier just to not allow any food.
"The kids still have a blast instead of just sitting and stuffing their faces with cupcakes and cookies (I have 3 ten-year-olds who weigh over 135 lbs). We are taking exercise breaks. Mike"
Mike couldn't send photos of actual kids because of privacy and other issues, so I asked Mike if he would share some of the fun activities they do. He wrote:
"We just had our Valentine's Day party with cut up fruit. They were only allowed to put candy in the individual cards if they chose to, so we didn't have mounds of cup cakes and cookies. We had pineapple, apples, kiwi, two kinds of grapes, and oranges. No one complained. The kids played board games only, no electronic solitary games. They played games like Cranium, Jenga, Life, and Yahtzee, which encourage lots of dialog.
The same day we did an analysis of "Vitamin Water," which shows 13 g of sugar on the label. The whole bottle has 6.5 teaspoons of sugar in it, so I spooned 6.5 tsp. of sugar into a similar sized glass of water and dropped a multi-vitamin in it to show what they are paying for."
Readers, have fun getting ideas throughout the Fitness Fixer column, and send in your stories, and photos where appropriate.
--- 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.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.
Part II of Bernie's story looked behind the scenes of how we fixed the source of the pain, step-by-step.
The promised dance is at right.
The point of the two posts was that the key is to fix the source of pain and injury, not just have surgery, take medications, and do some exercises. The posts also showed things to do to fix the causes so that readers could do it too.
A reader wrote an opinion in the comments of Part II, that Bernie's signs and symptoms were of Cauda Equina Syndrome (CES), and felt cauda equina was important for readers to know about.
The problem is that cauda equina is not the cause of the collection of back and leg pain and numbness problems, but the result. The cauda equina is a group of nerve roots of your lower spine that go down toward your feet. The bundle of stringy nerves looks like the tail (cauda) of a horse (equina). If something hurts or presses on the area, pain and numbness can result. It is just saying something wrong has resulted in that location. The key is finding and stopping the cause of what is hurting or pressing on the area, not taking medicines or having treatments.
It is like saying someone has stomach pain, and prescribing pain medicines and support groups. The pain could be worms, a pregnancy, a lack of enough stomach acid to digest food. You need to know the cause to do the right treatment.
For example, if a herniated disc is compressing the cauda equina, you need to stop pushing your disc out of place, described in Disc Pain - Not a Mystery, Easy to Fix and use daily simple good body mechanics instead of the bad bending that gradually push discs outward - The Cause of Disc and Back Pain. Then the disc and nerves can heal and the pain will stop without drugs or back surgery.
The reader asked me to review a web site. The web site they recommended lists treatments of drugs such as narcotics and antidepressants, and epidural injections. It mentions exercise to maintaining muscle strength in leg areas that have weakness from nerves that are compressed. This is like trying to catch blood loss in a bucket instead of stopping the blood loss at the source. The web site says sufferers with foot drop can use a brace. Instead of using a brace, which can cause more atrophy, it is better to stop the cause of the foot drop, where possible.
Fitness Fixer reader Ivy from New Zealand had foot drop from nerve compression. She stopped the cause, detailed in Inspirational Ivy II - Beating Foot Drop and Sciatica, and Getting Healthier. By stopping the cause of the nerve compression, Ivy did not need the brace or cane. It is not healthy to allow nerve compression to continue. Muscles and nerves become more damaged over time. A brace or cane does not restore function. They can further cause bad gait and body mechanics.
Bernie had many injuries from the surgeries he had undergone for the purpose of relieving back pain. In addition, the back surgery deliberately resulted in some reduced movement of the spine. Many back surgeries do this on the premise that reducing movement will reduce pain. The reduced movement meant reduced function and mobility, resulting in more pain.
The cauda equina web site says, "We live with CES every day." The approach of The Fitness Fixer is not to live with an injury or take unhealthful drugs, but to find the cause and stop the cause so that you do not have to live with pain and drugs.
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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 and Academy.
"I would like to take this opportunity to tell you that after suffering for many years from back (scoliosis) and neck (arthritis) pain, it was my good fortune to happen upon your website. I read every word, tried the movements and postures and found an immediate measure of relief from the pain that no doctor, chiropractor, physical therapist or massage therapist has been able to help (I am 56). I immediately ordered a number of your books, read them from cover to cover, gave them to my daughter and son-in-law and then ordered more for my son.
"I took your books with me to New Orleans, where I worked for 10 days as a volunteer building houses, and am happy to report the exercises and stretches allowed me to climb ladders, wield heavy loads and hammer nails without further consequence to my back and neck.
"As mentioned by most people, I found instant relief upon simply correcting the positions of my neck and back. I took the books to New Orleans with me and did most of the stretches, especially the side bending, back extension, hip and hamstring ones. I also took great care with my positioning with the construction work and lifting. "Before I found you, because I was in so much pain, I had stepped up my go-to stretching routine gleaned from years of aerobics and some yoga, which always included toe touching with straight knees and plow and all those exercises you say not to do. I thought it was good that I could touch my toes on the floor behind my head in a plow or my palms to the floor bending forward. Ouch!
"I've also been doing many of the strength-building exercises, trying to work up from the elementary to the more difficult. It's fun stuff and it feels SO GOOD!
"Thank you for putting so much information out there for the long-suffering public! Sincerely, Marla Black"
"PS - my daughter is a triathlete and she and her husband have been doing all the bad stretching and wrong postures. Her neck and back were starting to hurt. I gave them the books and they are already onboard and feeling the difference!"
Fixing Leg Numbness, Back Pain, Flank Pain, Knee Pain, Nerve Pain, Three Unhealthy Surgeries, Part II
Thursday, January 17, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
In Part I of this post on Monday, photographer Bernie tells of fixing years of pain that doctors told him only surgery would fix, even after three surgeries. Here is a look "behind the scenes."
10 March 2005, Bernie e-mailed me:
"I've had this persistent paresthesias for 4+ years. I just learned about you yesterday. Where are your back & spine classes held. Tomorrow, I'm having lumbar myelogram & CT at (top name deleted here) Hospital. Before I consider anything else, I want to learn about your methods."
I wrote back with class information. I had two classes coming up. One was the next month. The second would be in early May and only a few blocks from where he lived. I told how we work to see change in pain right in class. I asked him to let me know the test results and that I hoped to see him in class.
20 March 2005 he wrote back:
"Thanks for asking, I never expected you to keep in touch. The myelogram and CT showed moderate central spinal stenosis at L4-L5. Severe facet joint arthropy & hypertrophy of ligamentum flaxa causing compression of the lateral recesses stenosis of L5 on both sides, kinking of L5 nerve root sleeves on both sides. I have a copy of the xray, showing the "hourglass" at L4-L5
"(name deleted) is the attending, 3-B Orthopaedics. He said the next step is surgery, by ( ), at ( ) Hosp. I asked if strengthening of my upper body would help support my spine. He said "try it" so I'll be at physical therapy next week to start.
"I have a commitment for the weekend of April 2-3 so can't attend that class, much as I'd like to. Since I live at (close to) your class at Temple CC is my best chance of attending. Cordially, Bernie Cleff"
I checked back in to make sure he was signed up for the May class and to ask what he was doing in Physical therapy. He wrote:
29March 2005 "The phys therapy that I'm getting concentrates on my core muscles. Thanks for getting in touch...very kind of you."
I wrote back saying that conventional core exercises were not the best thing. Usually they are forward bending actions that will further compress the discs, the nerves, and also do not retrain the abdominal muscles in the way they work when you go about daily life. Strengthening does not automatically support the spine. I wanted to make sure that he had my Ab Revolution book, which was then out in a training manual version. He said he had it with him for PT. I found out two years later that they had the book, but they were not using it, and were doing traditional forward bending abdominal exercises.
10 May 2005, the day after the Fix Your Own Back Pain workshop was held, Bernie wrote me,
"Hello, I did sign-up for your class at TUCC on Monday 5/9, but I was too tired to attend. On top of that, I am scheduled for spine surgery at ( ) on Wed 5/11/05, with ( ). After having 2 epidurals and physical therapy I decided to go for the surgery. My nerve that is pinched is in the shape of an hourglass (at L4- L5) and (the doctors told him) that no body position or exercise changes are going to help at this time. Both legs are numb and I am walking like a drunk. It is kind of you to keep in touch. I hope to meet you at your fall class."
Days later, Bernie had the surgery. He tells about it, and his next two years, in Part I of this story. The doctors all considered his surgery a "complete success." They said the surgery went completely according to plan, with no complications. His recovery was in line with expected results. The fact that his pain returned, was worse, and complicated by limited movement from his plates and screws and other surgical hardware not a factor to them. They felt the limited movement was beneficial and a goal of the surgery. The commonly held idea is to stop motion in the area to stop the pain.
In late October of 2007. I arrived to teach the Fix Your Own Back and Neck Pain Workshop. I had 16 people waiting for me. One was Mr. Bernie Cleff, a funny white-haired muscular man of 80, who was in much pain.
We had a fun, energetic class. One of the students was a young man from India. He sat unsmiling as I mentioned various yoga poses that can injure discs in the neck. I explained that I am not against all yoga, and studied years to become a teacher myself. He sat unsmiling. We did three specific techniques to stop the neck pain process and a beautiful smile radiated from the young man from India. He had three herniated discs in his neck from his yoga practice of the specific moves I had mentioned, together with sitting badly at a computer for his work. He already knew those yoga moves hurt his neck. He had just been worried the pain would never stop. When the pain stopped right there in class, he smiled.
Another of the students was a golf pro, who I consulted with afterward to test out my work on lower back pain and golf. More on this in Lower Back Pain and Golf.
Mr. Cleff did great in the first class. This class was done over two weeks. I gave the students things to try during the week before the second (last) class.
Oct 25 2007, he wrote me:
"Today (Thursday) is my class day at The Clay Studio, working over the wheel for 5 hours. I felt good with very little noticeable pain. Usually after walking the 5 blocks from my home to the studio both my legs would tingle badly and I would stop to rest halfway. Not today. When I told my classmates about you phoning me to ask how I was doing with your exercises & stretching, they could not get over your caring. None of us had ever had a Dr. call to check-up. You are one hellova person and I'm thankful that I've met you.
"I've had my spine problems with the pinched nerves for a long time - roughly 4-5 years - and I'm slowly getting better since you came into my life. There is no other way to say it. Thanks Jolie."
He was improved in one class, and he felt that he was "slowly" getting better. I like an empowered student who does not want to dawdle to get better. The day after the second of the two sessions, Bernie wrote:
28 Oct 2007
"Last night, I walked about 7 blocks to restaurant AQUA (great value, low cost & delicious) and back home another 7 blocks.
"Upper back extension causes no pain, lower back does. I can do plank on elbows, holding for 60 seconds now, no pain.
"If you want to make photos of a geriatric doing your things, it's OK with me. as you've seen, I'm not bashful or delicate. I will work at getting better, my daughter is getting married January 5 and I want to be able to dance with her and my wife."
Bernie went back to his doctors to ask about a small amount of remaining pain. They told him he should have more surgery and gave him prescriptions. He wrote to ask me:
"On Nov. 2 I have a follow up with the spine surgeon (same guy) and on Nov 14 a consult with a Neurologist ( ). Do you have any suggestions about a pain med FENTANYL, which was suggested by a doc at the V.A."
I wrote back that Fentanyl is a surgical grade narcotic. It is used "off-label" for back pain and there have been deaths. I asked him to tell me more about what hurt, and when, so we could stop it without any harmful medicine, and also what the neurologist said.
14 Nov 2007, he wrote:
"I had an office visit with the neurologist at ( ), he said my twisted nerve at L5 will never get better and I will always have pain."
They told him to have another spine surgery, and take Fentanyl, and he will always have pain? Then why did they put him though all that surgery?
He wrote:
"Hello, I still have some tingling in both knees...but much better than 2 weeks ago! There has always been pain in my left flank between spine & hip, never told you because the knees were my greatest problem… The lower back pain persists, but only left side. When I do the trap stretch leaning to left--puts much pressure on that pain. Leaning to the right feels like a good stretch. Any additional suggestions?"
I found that that he was still doing "their" exercises. Conventional exercises of bending forward to stretch the hamstrings are often prescribed for back pain. The assumption is that tight hamstrings have something to do with back pain. However, bending forward is one major contributor of this kind of back pain. I changed how he stretched his hamstrings to one of the ways we did in class.
He was also continuing to overarch his lower back when walking, which was a large source of the tingling pain. When he used the Trapezius stretch, he was also overarching, which makes pain when bending to that side. This kind of pain is often confused for spinal stenosis. One classic sign of stenosis is pain when bending toward one side. However, the narrowing is not true stenosis, but just overarching which narrows and pinches the area. For someone who has stenosis, not pinching the area further with overarching is frequently enough to stop pain.
What was complicating everything was his surgeries. They were considered "completely successful." The two knee replacements were "completely rehabbed" meaning he could bend his knees enough to sit in a chair. He could no longer stretch the front of his hip enough to prevent the kind of tightness that encourages standing and moving in overarched position. The back surgery put a plate in his back to prevent much movement. That meant that even small overarching movements were enough to pressure the newly immovable area. The back hurt, and the tight back and hip were compressing nerves going down both legs.
After we fixed these issues he wrote two mails:
"Jolie You hit on the spot. I will keep at it gently."
and
"Jolie, a quick note to tell you today I walked 12 blocks, stopping to stretch hamstrings.. often on steps or fireplug....as you suggested...also lunge stretch. I will dance at my daughter's wedding. Much thanks.
"There will not ever be more surgery on my body."
For the flank pain, he had been for many tests, and was even scheduled for a kidney evaluation. The muscles in the area were so tight, that I biked over to his home to do a sports medicine technique to stretch it out for him, and checked his other stretches. I went over how to stretch the front of the hip without overarching his lower back. His sweet funny wife made me lunch. We got some fun photos of things as gifts for you, of fun stretches and activities.
He wrote:
"I've had x-rays, MRI, bloodwork, surgery, injections, no Dr. had any solution. YOU HAD THE ANSWER. No wonder so many people have thanked you."
He did the work and gave me the credit. That's a good man.
Read success stories of these methods and send your own. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
Fixing Leg Numbness, Back Pain, Flank Pain, Knee Pain, Nerve Pain, Three Unhealthy Surgeries, Part I
Tuesday, January 15, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
In this post, Bernie, an 80 year old retired photographer tells how he was signed up to take my "fix your back pain" workshop in 2005, but was convinced by his doctors that nothing but surgery would help. After "completely successful" surgery, his pain returned and worsened. He returned two years later to me. December 2007, Bernie wrote:
"I was a professional photographer for over 53 years-freelance-meaning go any place, any where- for many varied clients and I am now 80 years old and retired from photography.
"Much of the time I carried a 40-pound camera bag on my shoulder when climbing a 75 ft radio tower, walking on railroad construction sites or climbing The Great Wall in China.
"When I was at my vacation home, I climbed ladders to paint, replace cedar shingles and install new windows.
"Both my knee joints were replaced (5/93 & 6/01). Sometime in 2003 I was aware of tingling in both of my lower limbs from the knees downward. That started my medical testing with EMG’s, MRI, CT Scan and X-rays. The diagnosis was spinal stenosis caused by age-related changes in my spine. Physical therapy was started and I had an epidural, which helped for about a year. Then a second epidural lasted for only 3 months.
"I had been volunteering in an E.R. for 7 years helping patients and I had to stop as it was impossible to walk or stand on my feet because of the strong tingling in both limbs. Then I was told that spine surgery was the answer, but continue P.T. with some changes of the therapy. So, two years later, with some relief… but not enough to continue, I stopped the P.T., had an MRI scan which showed further degeneration of L4 & L5 with kinking of nerve roots. All along there was a pain in my left flank, but that was overshadowed by the strong tingling in the knees. There had been suspicion of kidney stones or liver function but x-rays & all blood work proved negative. I was hurting more in both knees.
"The spring passed at my vacation home near Barnegat Bay with much pain and with me looking at my kayak that had remained in storage. I called for surgery to be scheduled.
"The lumbar myelogram & CT was done at Pennsylvania Hospital and surgery date was set.
"On March 10,2005 I found the website of Jolie Bookspan and e-mailed her with my “story” of pain. Her class to fix back pain was going to be held soon a few blocks from where I lived. She asked me to try the class first, (it was being held a week before the schedule surgery) but I told her that both legs are numb and I am walking like a drunk, the doctors said no amount of exercise or body mechanics would fix such structural problems, and am going thru with the surgery on May 11, 2005.
"Post-op recovery was hell. The summer was hell with pain killers and sleeping pills. At the follow-up exams, I was told “the surgery went well, no infection, you’ll be better in 6 to 8 months”. The laminectomy used a metal plate & 4 screws and a bone graft from my hip for the fusion of L4 & L5. The pain in my left flank remained throughout 77 physical therapy treatments. The surgeon prescribed Elavil and when I took it, I felt like a zombie. After I told him, I was told to try a half tablet. That made me feel like a half-zombie.
"No doctor had a solution except “try Tylenol, Advil, Fentanyl, and more”…a consult with a neurologist said that my twisted nerve would never get better. (So why all the surgery?) The pain in my left flank remained.
"Then I took Jolie's class on October 20, 2007 and she had the answer. My left flank pain was not a medical condition (I was put through every test including kidney function), but a muscle in spasm. I was doing the wrong exercises that I had learned in PT and they were making it worse. She taught me to do the exercises the correct way as shown in her books and articles in her websites.
"Five days later I reported to Jolie that I had been working at The Clay Studio, throwing clay on a wheel making pottery for 4 hours and felt good. Usually after walking the 5 blocks from my home to the studio both legs would tingle badly and I had to stop halfway to rest. Not today. When I told my classmates about you phoning me to ask how I was doing with your exercises & stretching, they could not get over your caring. None of us had ever had a Dr. call to checkup. You are one hellova person and I’m thankful that I’ve met you.
"I’ve had my back problems with the muscle spasm and damaged nerve for a long time…roughly 4-5 years…and I’m getting better since you came into my life. There is no other way to say it. Thanks Dr. Jolie for your passion for helping others.
"On your questionnaire in the first class I wrote that I wanted to be able to dance with my daughter at her wedding in January 2008. You have made it happen for me.
"By the way, I'm still doing well and have been referring many people to your website. In general, I've had much less tension in the shoulders and neck and for the first time in decades, feel like neck stiffness does not have to be chronic. One very useful suggestion you gave was to start observing others to see how problems can begin/continue to manifest themselves in real life. I actually feel bad for them as I witness them creating all of those problems. Thanks again - I will continue to be a testament to the great healing work you do. Rich Tarpinian"
Rich generously provided his websites - darlarich.com and www.myspace.com/darlarichjazz offering, "If someone wishes to ask me a question about my new found wisdom, they'll have an email address."
Reader Dennis, Olympic medalist in wrestling, says he notices his shadow for posture reminders when biking. His inspiring story of fixing injuries and improving training to Olympic levels will be posted (Dennis, get your photos finished :-)
This is the first part of a great reader story. Mike has been fixing many things. Pain started with a local radiating pain, then became much other pain. Mike looked for something to fix the first area, then ably used other techniques.
Mike writes,
"I'm sorry it's taken so long to write back. Along with teaching and family time I've been taking a graduate class and I've just finish my final project for the class. Now I have time. Here goes.
"Back in 1983 I developed a deep pain and spasms in my right buttock along with radiating pain down my leg. I had been running 40-90 miles per week as a high school and college cross-country/track/road runner. For the past 20+ years this pain has come and gone every week while lying down, walking, and mostly sitting, making it very difficult to work at a desk, sit at a class, and drive. I've assumed it was a type of sciatica and read and tried everything I could for relief.
"The only temporary relief I found was in cycling, which stopped the pain for up to 48 hrs after rides, so I ended up cycling for 20 years, including racing for a team for 2 years. All that cycling caused other problems including a slumped, impinged shoulder from a separated collarbone in a crash, tight hip flexors, allergies from all the car exhaust and desert riding, and too many close calls from SUVs with drivers calling, texting etc. in heavy traffic. I was eating far too many simple carbs for energy on these intense rides. I stopped cycling to improve my health, decrease my risks of collisions, and to save money on all that equipment.
"The pain and spasms in my rear and down my leg increased in frequency and duration. My shoulder was not improving despite a month of visits to a physical therapist. Through searching in the internet I came across Dr. Bookspan's Fitness Fixer and books in early 2007. The logical stretches and strengthening moves worked much better than anything I had tried before. One time during a long class my rear and leg were killing me, so I applied a stretch (I learned from one of the books) while sitting in the chair without anyone knowing. The pain went away for the rest of the class. (Since applying Dr. Bookspan's shoulder retraining) my shoulder rarely bothers me and I've gone months without any pain in my rear and down my leg.
"I've also been enjoying Jolie's books for the sections on nutrition, spirituality, mental focus and general health and exercise advice. Working on all the parts at once seems to help the individual parts even more. I'm now working on walking comfortably without orthotics (it's getting better) and figuring out why my left knee and right hip pop so much. I'm very fortunate that I'm without pain now though, thanks to Dr. Bookspan's advice.
"I've attached some photos of the (hip) moves and stretches that work for me. Thank you! Mike "
Just as I was uploading this post today, Mike wrote me:
"Just wanted to let you know that my wife had a lot of pain and tightness in her hip yesterday from squats without warming up enough and possibly poor technique. She was very uncomfortable in any position, even lying down. I showed her how to do the hip stretch that worked for me, from your book, and it IMMEDIATELY, stopped the pain and tightness and she still feels great the next day! Mike"
I asked Mike about his statement, "I stopped cycling to improve my health." His story will continue, I hope next week.
Rich Tarpinian, IT systems engineer, musician, hockey coach, and vegan, fixed grinding neck pain, back spasms, disc pain, and tension-type headaches. He had not been comfortable sleeping in any position. Rich said the neck grinding and discomfort, "felt like it was never going to go away."
Rich writes:
"Thanks again for your help! Here's my update. I stopped cranking my neck around and the grinding stopped within the 2 weeks or so that you had indicated.
"I am controlling my body positioning, more aware, and have eliminated lots of neck tension even though I work at a computer all day. The anxiety I was having about disc problems, etc., has mostly been replaced with good knowledge, a feeling of control, and an ability to heal.
"Every morning (instead of sitting on the bed) I get out of bed the way you have recommended - why? because it makes sense. I don't sit on the bed and then try to straighten my body as I start to walk. I get up from the face down position in the already standing position.
"I've always had an interest in the mechanical aspect of how the body moves and what the sources of problems can be which is why, when I was pouring over information on the internet, your information regarding cause/effect relationships instantly caught and held my attention.
"I eat a pretty good diet - vegan with a good amount of raw foods, but had not paid much attention to posture and movement. I will now.
"As a side note, I coached hockey for about 8 years and played up until about 4 years ago. I had an opportunity to get back into some coaching recently but was really worried about the neck issues that I had been having for weeks. I also used to get a lot of back spasms when I played/coached. After experiencing the progress from your recommendations, which came just in time, I stepped confidently back on the ice a couple of weeks ago and have felt good given some expected muscle soreness that is now gone. The hardest thing was lacing up the skates but, once I was on the ice, I felt great.
"What you have done effectively is to empower people with the knowledge of how to find and return to the correct answers in order to maintain their own bodies. You've done that by providing reasons where needed, presenting conflicting information to show contrast, and using repetition to help solidify the important concepts."
"The key is that I now understand the causes of the problem and can, for the most part, manage the process when things start going wrong. As I cruised the internet looking at information, my anxiety meter kept rising - until I found your article on fixing the neck grinding problem which prompted me to read your other articles on sitting, lifting, etc. The article was immediately positive with a no strings attached approach to fixing and preventing the problem. My overcoming the neck issues is directly attributable to you."
Rich first fixed his pain using my web site summary sheets. These Fitness Fixer posts also describe techniques used:
Two important stretches to do first thing in the morning and throughout the day to restore ability to sit, move, and stand without unhealthful neck position - Fixing Upper Back and Neck Pain and Nice Neck Stretch
Having muscles soreness is not bad, it means you're out having fun. Make sure there is no pain or soreness in the joint. That is the difference. See Teen Dies After Using Muscle Soreness Rub
I wrote Rich to congratulate him on his initiative and great work, and thank him for his story. He replied:
"Just when I've corrected the forward head problem, I'm going to need those neck exercises to treat "swelled head syndrome."
Smile and laugh. It's healthy too.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Thank you for the many e-mails. I am sorting through the piles. Readers are sending success stories, long and short, of improving their lives and fixing injuries and the moves that produced them. They changed their mindset so that exercise is not something you change clothes and go "do" - if you can make time - but all the ways you sit, bend, reach, lift, and move all day in real life, using muscles to hold the positioning that prevents body aches and joint wear and tear, and comfortable easy movement. They are now getting fresh air, sunshine, balance, and real exercise going to work or grocery shopping on a real bike or walking on real ground, instead of driving then rushing home or to the gym to "do" exercise, illogically spending money on an artificial machine, exercise cycle, or treadmill. Instead of thinking they have to lose weight first to try things, they are using daily movement to be able to exercise for the first time without injury. They are saving money and health, eating real food instead of processed unhealthful "sports food."
Yoga instructor David from Belgium first asked about fixing knee pain and fallen arches in the comments of the post Thank You Grand Rounds 3.51. Since then, he quickly applied the posts I recommended and fixed his pain, no longer needed shoe orthotics, sent photos of new progress, asked about other injuries from yoga, changed how he teaches yoga, given his students my techniques, started making short mpeg movies for us (see the first here), and is translating my work into Dutch for his web site and students. I look forward to more collaboration. Watch for wonderful posts to come.
There have been a small number of e-mails from readers applying techniques in ways so "unclear on the concept," that some posts may turn out to be Readers Inspiring Stories of What Not To Do. All for the greater good, learning, and health.
If I can't get to everything in the comments I will make posts for you, don't worry. I read and want to get to them all. The top number of requests for posts, so far, are how to stop shoulder injury from swimming, baseball and weight lifting; low back pain from swimming, baseball, and golf; separating truth from advertising in orthotics and shoe inserts; more healthy sports food; rowing; sports drugs; hamstring injuries (often from the usual bad stretches); plantar fasciitis; knee pain from rowing, yoga, and walking; wrist pain from pushups and handstands; healthy sitting; and many requests for martial arts and self defense for body and mind. If you have other requests, let me know. Until I post each specifically, start with:
Shoulder - use for all overhead reaching and lifting
Lower back - learn the concept and apply to all sports
Fitness has become unhealthy. Healthful natural, comfortable body movement has become foreign as more people think that exercise means artificial sets of repetitions on a machine or using equipment. How are you sitting right now reading this? Pull chin comfortably in, instead of jutting forward or down. Stand up, breathe a grateful breath, and walk away from the computer for a few minutes contemplating a new, healthy fun life of natural movement. Print out a post of something that will make your own situation happier. Lie face down on a comfortable surface, propped slightly on elbows to read it. If you can't lie comfortably that way, that signals tightness that makes daily movement unhealthy and uncomfortable. I will post about that too.
Happy Birthday to readers who celebrate their birthday today, October 31. Also those with birthdays yesterday and tomorrow. Everyday too.
One reader with a special birthday today is Ivy who turns 71 - Inspiring Ivy. Ivy has been generously sending in stories for all to benefit, giving ideas for healthy exercise as part of normal daily life.
"I hope I can look as great as Pearl does when I reach 97, she is amazing. You will smile when I tell you that I did this fun test on the internet whereby you have to answer 34 questions re your health, what you eat, if you take medication etc. etc. The answer came back that I really was 45.5 years of age and I was going to live until I was 106.5 years of age.
"I had already told my kids that I am going to live until I am 96 and that it would be pay back time. I have now changed it to 106.5 years of age - my very words being "May God help you." Of course they laughed - I reminded them of the old saying 'Words said in Jest.'"
Happy Birthday! We made everyone delicious Internet birthday party and Halloween party food. Everyone come celebrate.
Happy Halloween and everyday. "Boo unto others" with good happy food, activity, and spirit. Celebrate everyday, by eating, moving, and living with fun, happy, intelligent, good spirit. Here is a Halloween poem to laugh:
Don't yell at us Don't scream and shout 'Cause when we're scared Our eyes fall out!
Bill is now away on his current adventure, flying commercial cargo flights all over the world. He tells about it in Reader Successes Endure - Next Update From Bill. He took time to send some photos of how we changed simple wrist positioning to stop hand and wrist pain when biking:
Don't do this for too long. Hands may go numb and wrists may hurt.
The handshake grip, easy on elbows and wrists.
Alternate hand position, when sitting more upright.
Bill writes:
"I find it helpful to change hand position frequently. It minimizes discomfort and numbness. Ensure position does not put a lot of weight on your arms. Seat and feet should carry most of the weight.
"Labor day ride (September 2007) with a quick group of us old-timers (ages 55 to 66) rode 67 miles in 3hrs 30min. That's 19 mph! Best ride I've ever done. No pain or numbness. Your stuff sure helps."
Distribute weight over your entire hand and fingers.
Use forearm muscles to prevent the wrist from pinching back under all the weight.
The idea is to keep your weight up on your muscles, not just passively compressing the joints.
Use healthful positioning and muscle use to prevent wrist pain when cutting food, using a keyboard or data entry device, gardening, and all the fun exercises you can do. Future posts will give specifics for each, but you can apply the general concepts now to all you do. Confining the wrist to a splint does not stop the source of the problem and is not healthful in the long-run. Wrists need movement and loading to keep the joint healthy, the muscles strong, and bones dense. Just do it in a healthful way.
--- Read success stories of Fitness Fixer methods and readers, 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. See class schedules, get certified - DrBookspan.com/Academy. ---
"The water temp now (has risen to) 14 degrees Celsius (57F) and I had a robust swim this afternoon in Wellington Harbour (photo below right). Interestingly enough there was virtually no shivering. I'd swum for about an hour and a half in the pool earlier today.
"I was struck by the difference between pool and ocean swimming... technically I've improved tremendously in the pool over the past few weeks and my times have improved greatly. In the ocean it's much harder -- but I felt faster nonetheless.
"I am not a fast swimmer -- in fact, at this point I am still too slow to pass Phil's test -- but I can feel I'm making progress. I've been able to hold a pace of 2.5 km/hour for a few hours, and this has been an improvement from a measly 2 km/hour not very long ago. And I'll be up to 25 km/week by the end of this month (about 15.5 miles a week - longer and generally more work swimming than running).
"My plan is to increase weekly mileage to 40 km (approx 25 miles) per week by the end of November and then to make a push through to 50 km/week (about 31 miles) by the end of December -- the 'crunch' month. I'll attempt to renter the open waters by mid-November and begin reacclimatization to the cold. With luck and persistence, I'll be granted the privilege of attempting the Cook Strait swim.
"I met with Phil Rush -- the man who has crossed the Strait seven times (including a double-crossing) and who holds the world's record for a triple crossing of the English Channel. He will be piloting the support boat for my attempt, which will hopefully be in February 2008. His advice: swim, swim, swim… then be ready to take a 6-hour test in early January. In the test I will have to demonstrate that I can sustain at least a 3 km/hour pace for the 6 hours. He told me I'd have to figure out the kind of sustenance I'd need on my own, and he recommended that I not try to gain too much weight -- though he cautioned not to lose any from this point on. He also suggested that I procure the skills of a swim coach to refine technique (Fitness Fixer posts in progress on faster healthier stroke mechanics for swimming).
"Any advice on nutrition or cross-training would be appreciated. Because I also have a full-time job, time is tight and hours in the water are limited. I've experimented with a commercial product (name deleted) for multi-hour endurance activities that's easy on the stomach."
I am not a nutrient biochemistry or epidemiology researcher, so I can only report what I have read from others, which can inadvertently repeat and perpetuate wrong information incestuously (we all say so, it must be true). Following is a summary of what I believe and have seen from working with my patients and athletes:
In general, good nutrition all year will give more benefit than eating special foods for an event, race, or hike.
Processed packaged sports supplement foods cost far more than the ingredients, and you can get healthier ingredients, cheaper, and just as easily without commercial sports powders, bars, drinks, and other preparations.
Many nutrients need to work in the original food containing other components that make each part work better. Some do not work, or have even been found to increase health risks when concentrated in vitamin and mineral supplements.
In general, no commercial processed "sports food," no matter how engineered or marketed as effective for training, will give you the health of healthful real food. Whole foods, for example, a simple apple with the skin, contain combinations of nutritional and disease fighting chemicals that are not available in supplements.
"Energy food" technically means it has calories. Extra calories alone will not enable you to build muscle or win a race.
Increasingly, some "energy food" and drinks contain stimulant compounds. This practice is a foolhardy one to become accustomed to, building cycles of inability to focus, exercise, or feel well without them, and varying degrees of agitation with them, sleep difficulties, and various cardiovascular risks.
Products with soy are usually unfermented soy. Unfermented soy contains enzyme inhibitors which block digestion, goitrogens which inhibit thyroid function, phytic acid, which blocks minerals like zinc and calcium, and estrogen-promoting compounds. Anyone with tendency to estrogen-dependent tumors or cancer, fibroids, cystic ovary and breast, or endometriosis will be better to avoid unfermented soy.
Even if sugar water will extend endurance, it is still junk food, not healthy for the long term. Science Daily reports "Sports drinks face junk food label"
Protein and carbohydrate together work better for training than sugar alone, however commercial processed powdered mixtures are still not the healthy choice over the long term.
This is all good news. You can eat good tasting food, that is quick to make, and cheaper and better for you than expensive commercial "sports food."
Don't worry that you have to eat engineered products to be able to win. You will win better in the long run without them.
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."
Prevent Main Factor in Back Pain After Running and Walking
Thursday, October 11, 2007
Jolie Bookspan, M.Ed, PhD, FAWM
One of our readers, Nick, wrote me that he had had slowly increasing lower back pain despite exercising regularly. He ran, he stretched, he did abdominal exercises. Nick's doctor told Nick to give up running and take up low impact activity. Giving up running made Nick miserable but he did it. The pain came and went, but overall did not change. One day during a walk, his pain had spread into the back of his hip and was unendurable. He didn't feel able to make it back home, and wound up in the emergency room.
His x-rays were inconclusive and he was sent home with anti-inflammatory medicines, instructions to stretch his hamstrings, and rest or try other non-impact activity. This is a common story that readers mail me. It is unfortunate because:
The real cause of the pain was missed.
You do not need to give up running.
This kind of back pain is not inflammatory so does not benefit by anti-inflammatory medicine, which often causes its own problems.
Impact is not the problem. With a little common sense you can see if you clomp instead of walking or running lightly. Use leg muscles to step lightly instead of bashing down with no control. You should be able to run and jump with little impact. Many people walk with higher impact than a good runner lands during running. Future posts will cover this.
Most important was the missed cause - lower back pain during and following running, walking, lifting, and other upright activity is usually from allowing the lower spine to over arch. This hyperlordosis is not caused by an anatomic problem "condition." It is a bad posture, which is easily correctable. Hyperlordosis is one of the most commonly missed causes of lower back pain. Left drawing shows neutral spine. Right drawing shows one kind of hyperlordosis.
In the left neutral spine figure, the hip is level and horizontal from front (ASIS) to back (PSIS). The hip is also vertical from the top of the leg (greater trochanter) to the center crest of the hip. The right drawing shows allowing the front of the hip (pelvis) to tilt forward, which increases the lower spine angle. A small inward curve in the lower back is necessary for disc health and shock absorption. A high angle is as painful as any other pinching and pressuring of an area.
This is what I had Nick do. You can try it too. Check yourself these two ways to see if you stand in hyperlordosis:
Stand up and look sideways in a mirror. Your belt should be level-green line in left neutral drawing. The side seam in dress or trousers should be vertical from leg to waist - black arrow in left drawing, not tilted forward at the hip
Back up slowly and gently into a wall. If your backside touches first, it may be an indicator that you lean forward at the hip. If your upper back touches first it is usually a good indicator that you lean the upper body backward, which increases a second kind of hyperlordosis. See Neutral Spine or Not? for more.
Here is how to reduce an overly large arch:
Stand with your back against a wall, with heels, hips, upper back and back of your head touching.
Put your hands on your hips, thumbs facing the back.
Roll your hip under so that your thumbs come downward in back.
Feel the large space between lower back and the wall become a smaller space.
Keep your heels, hips, upper back and the back of your head touching the wall and stand tall and straight. Lower back pain that is caused by hyperlordosis should ease right away.
Keep the good new neutral spine when you walkaway from the wall, and all the time.
More step-by-step instructions and photos in the Ab Revolution manual.
Check back often. I am working on the next part of this post: Another Common Cause of Back Pain With Running.
Nick was quickly able to return to running by stopping hyperlordosis. So was Ted - Back Pain From Running. Recognize hyperlordosis. It will save office visits, even emergency room visits, tests, time, money, stress, and worry. Reduce hyperlordosis to neutral spine with a simple repositioning technique to stop and prevent much pain.
--- Questions come in by the hundreds. I make posts from fun ones. Before asking more, see if your answers are already here in the several replies to questions already here under this post. Get all posts on this topic by licking labels under posts and links in posts. Also check archives at right, the Fitness Fixer Index, and all the success stories of Fitness Fixer methods.
Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books. See class schedules, get certified - DrBookspan.com/Academy. ---
After reading about success with exercise and stretching over various posts including Monday's Getting More From a Hip Stretch, reader Dr. Alan, sent this photo at right of his mother Pearl, age 97, stretching her hip. The straighter upright you sit, and the farther toward the ankle the leg is placed over opposite knee, the greater the stretch. If you are at your desk, try putting ankle over opposite knee, keeping the lifted knee under the desk. More stretch when low desk height keeps your knee down. Pearl also does the "ankle over knee" hip stretch while standing.
Pearl gets regular leg exercise through good bending as she goes about her busy days - she bends well with one foot in front of the other - the lunge, and with feet side by side - the half-squat. This post tells why this kind of bending gives better exercise, maintains mobility, and prevents various knee problems.
This post tells the Hip Stretch story started with Inspirational Ivy in August. In that post, Ivy tells how she used healthful body mechanics to fix a serious and extended attack of sciatica and foot drop the year before. Several posts since, have given fun updates. Here is the fun that the Hip Stretch started:
Feb 2006, Ivy from New Zealand wrote to me,
"My hips are tight, particularly the right side that being the side I had the severe attack of sciatica. I have worked so hard on my hamstrings and my "dropped" foot, the bonus being that I am winning. Now it is time to put the same amount of work into my hips."
"I am jumping for joy. No, I haven't won a million dollars.
"After having been doing the posterior hip stretch lying down for the past 21 months twice a day, I can now do the same stretch sitting. My hips have always been so tight and there was no way that I could get my ankle across the knee - this has been my goal and I have done it. I have to be honest, I have not got it to perfection, that being my next goal. I wonder if that will take another 21 months. It just shows that a little persistence pays off in the end. I trust that all is well with you."
Twenty-one months - what a dedicated learner. It was a joy to work with enthusiastic Ivy. I wrote back saying it should not take so long, and asked if she did the stretch standing up to put on shoes and socks to make it real life, not an artificial stretch. Ivy wrote back,
"I have tried standing to put my sox on and cannot quite make it YET (note the yet), that will come. I do, however, ensure that I always stand to remove my sox, and the like. Also to put them on except for the sox. I also stand when I moisturize my legs and feet - I do this so as to improve my balance."
I wrote back encouraging putting socks and shoes on and off while standing. The point of stretching is healthy function, not to "do a stretch" just to have a greater range. The benefit is from applying the stretch to ability to stand steadily on one foot and have muscle stretch and length to put on shoes standing .
Four hours later Ivy wrote back:
"Wow, I did it. I have just returned from a 30 minute walk, did some lunges as a further warm up and thought I would give it a try. I cheated, instead of shoes, I used slippers - I thought it would be easier. Tomorrow I will try shoes.
"Dr Jolie, you are my inspiration, you asked if I could do it and that set me a challenge. I must NEVER SAY CAN'T. As you are probably aware, I am a very motivated woman, however, there is no one to spur me along - you have done that and again, I can only say a huge thank you."
The next day this arrived,
"I am very pleased with myself. I just needed that push. As I said yesterday, I must never say can't again.
"Again, all I can say is a huge thank you. A huge hug from me."
Readers, stand with safe balance to dress. Send me your fun photos, mpegs (short computer video) and stories of using healthful range of motion for daily life.
Ivy is a great-grandmother! (and a pretty great person too). She says,
"I guess I am very much like my late father who was a quiet achiever who used to tell me to 'stand tall and be proud of who you are' - I pass this advice on to my kids all the time."
One of my areas of injury research for both Army and Navy aeromedical systems was preventing back pain from running. Disease Non-Battle Injuries (DNBI) from exercising in the gym and doing PT is a huge military issue - grounding far more personnel than combat casualty.
I ran several studies and found that overarching (hyperlordosis) is a major overlooked cause of lower back pain - some examples are shown in the post Prevent Back Surgery.
I developed a simple method for people with this kind of back pain to understand and reverse the cause of pain themselves, with simple repositioning to neutral spine instead of overarching. It was unexpected news to some groups who have been taught to overarch, and who deliberately tilt the backside far out in back for exercise. But it was welcome relief for my guys who liked to joke that they were my STRACguys - combat slang for 'stupid troops running around in circles.'
I wrote a little training manual that went through several improvements to become the book, The Ab Revolution™ No More Crunches No More Back Pain. The book has two parts. The first shows how to stop back pain during various standing activity in daily life, both non-active and active, including running. The second part gives ways to exercise core muscles in healthier ways.
Reader Ted found the book and put it to immediate use to stop years of disabling back pain and return to running. Ted wrote:
"I am 57 years old and have weighed 175-lbs for the last 10-years (which drives my doctor nuts). I discovered running in 1969, after gaining weight when I entered college. The track at the University was fenced in, so we'd slide under the fence to run it. I jogged for six years, then raced for another ten years. I wasn't a fast runner, but I hit the legendary ''Second Wind'' on many occasions - you feel like you could Run Forever.......No Time....No Distance.....Just You and the Road.........it is a Mystical Experience....
"I tore out my ankle ligaments in 1980, and had to rehab for a year 'til I could start running again. I have run carrying 2 1/2-lb hand weights for the last 22 years. In 1989, I tore my back. It hurt, then the pain subsided, but flared up every so often."
The only way Ted had then to "cure the pain" was to stop running. Ted continued:
"In 2005 I REALLY hurt it, went into spasms (my wife had taken me shopping for eight hours, and I still blame this on being taken shopping), and the pain made me look back fondly on the Ligament Tear of 1980. After that, it was an All the Time Thing. Running dropped to twice a week (if that) and the slightest thing would trigger a back spasm. I accidentally came upon Dr Bookspan's ''Ab Revolution'' and 'mistakenly' bought it as an exercise book. It's more of a Way of Life, just like running.
"I have been pain-free (amazing) for 12-weeks and counting. I have increased my running to 4-5 days a week. Not having my back killing me is more than I could have hoped for. I thought my running days were over, and I would have missed them.......A LOT.
"The funny part was, I had gotten so used to the pain, it took about three DAYS for me to realize it WASN'T hurting. I cannot recommend the techniques in this book enough to other runners, If you can do The Thing You Love, why WOULDN'T you try this?"
What specifically did Ted do to fix the pain? He writes:
"The two techniques (in the book) I got the results from were the Standing Beginning Crunch with the hands facing each other, and the Where is My Belt Pointing? technique."
I will ask Ted what's going on with his knee in the photo he sent for this post, and what we can do to fix that up next. I will cover more on back pain after running, and also hope to post some other interesting work I did on the military running chants called jody calls or jodies, and their effect on perceived exertion during running. Click the label military fitness, below, to see my work on this. Check back often for more.
--- 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.
Farm Work, Lifestyle Exercise, and Preventing Overuse Pain
Tuesday, September 25, 2007
Jolie Bookspan, M.Ed, PhD, FAWM
Reader Ivy from New Zealand wrote me that she was house-sitting for friends on their farm. When you read her note, remember that Ivy is a great-grandmother,
"You were very much on my mind yesterday. My friends had arranged for someone to come onto the property to feed the stock. By 5pm no one had turned up so I decided that I would have to do it myself.
"Picture me pushing wheelbarrow loads of hay - carrying buckets of water to fill the troughs and so the list goes on. The paddocks were muddy so had to wear gumboots. I was terrified of falling over. Chickens to be fed, eggs to fetch, pony to be fed plus the sheep and cows. Two of the water troughs had to be filled by hand hence the buckets. I tried to crawl (yes crawl) through the bush to get the hose through to no avail. I can laugh now, however, it wasn't funny at the time.
"This is where you come in - I kept repeating these words to myself the whole time "Now do what Dr Jolie has taught you, use your abs, tuck your hip" (to neutral spine so that the lower spine does not overarch) - "Squat, Ivy, squat - don't bend over."
"The whole thing took me 2 hours - I really thought I would have back ache and that the sciatica would rear its ugly head, but no, I am fine (Jolie's note: Ivy stopped previous sciatica using these healthy techniques). My evening meal consisted of a slice of bread and some fruit - I was too tired to even think of cooking. After a hot shower, I fell into bed exhausted and slept through until 6.30am. I don't have any aches or pain.
"That was my day."
I mailed Ivy a few days later to check how she was feeling. Ivy was still great and wrote,
"The neighbours arrived to check the sheep which are ready to drop their lambs. Needless to say Dr Jolie, I am hoping that they hold off until Harriet and family arrive back home on Monday."
We will see if there will be a post about Ivy using good bending and sitting mechanics to tend birthing sheep and baby lambs.
Related Fitness Fixer articles to learn the skills Ivy used:
Readers have asked for posts on wrist strength and stopping wrist pain with use and exercise. It is in the works. I am also still working on the post I started with, where Ivy wrote of success doing a hip stretch, coming soon.
Readers, feel inspired, get out of the gym and have some fun lifestyle exercise, have fun taking photos, and send in your own success stories.
Better Stretches for Swimming - Cook Strait Update
Monday, September 24, 2007
Jolie Bookspan, M.Ed, PhD, FAWM
The September equinox was this weekend. At the moment of the equinox, the center of the disk of the sun crosses the equator. The northern hemisphere comes into Fall while the southern hemisphere begins Spring. For the day before and after that moment, the entire apparent disk of the sun passes the equator, and night and day are approximately equal length all over the world.
Japan celebrates three days before and after the equinox as a time for life reflection, looking forward and back. A Mid-Autumn Festival of the second of three fall harvests is celebrated in many East Asian communities around this time on a varying lunar calendar. The full moon closest to the Autumn equinox is the Harvest Moon, lighting long evenings of harvest work. The moon all during the month of the Autumn equinox is the Wine Moon, a good time for grape harvest, occurring (usually) around September in the northern hemisphere and March in the southern hemisphere.
With this equinox, the weather is warming in the Southern Hemisphere, meaning increased swim training for New Zealander 'Dr. Ernie' (blog name).
"This phase has been one of knuckling down. So here goes: "Cook Strait Swim: Phase II "Now it gets serious.....
"On June 6 I completed my last open water swim in Wellington Harbour in water temps of about 14 C: It felt really cold, the coldest I've experienced. The swim lasted 45 minutes and I noted that afterwards I didn't shiver at all -- a clear sign of acclimatization. I was advised by all to start serious swim technique and endurance preparation in the pool.
"I met with Phil Rush -- the man who has crossed the Strait seven times (including a double-crossing) and who holds the world's record for a triple crossing of the English Channel. He will be piloting the support boat for my attempt, which will hopefully be in February 2008. His advice: swim, swim, swim -- get up to 40 km/week by December (approx 25 statute miles or 21.6 nautical miles), and then be ready to take a 6-hour test in early January. In the test I will have to demonstrate that I can sustain at least a 3 km/hour pace for the 6 hours (a little under 2 miles per hour, a mid-training pace).
"Since July, I've been meeting with my coach, a former Olympian (I'll not mention his name until I've made it successfully across the Strait) and it's been hard going. But very necessary. What I assumed I could do on my own proved to be incorrect. For one, basic aspects of technique have been clarified and my entire stroke has been reworked in the past two months -- a good thing because I don't have a competitive swimming background and I've been doing lots of stuff to create drag. If' I' m to make it across the Strait I'll have to be extremely efficient. And I'll have to be able to keep up pace to stay warm. So my coach had done several important things: first, he's forced me to realign my body position, stressing posture, line and balance; second, he's pushed high-intensity sprint and interval training in addition to long distance swims. I plan to continue weekly lessons through the end of the year."
One of the things Dr. Ernie and I have been working on is better swim stretches.
Good shoulder range of motion helps swimming. Some experts regard the extra range as always destabilizing for the shoulder joints.
I investigated this over several years in the lab, and found that much of the problem is unhealthful stretches, not the range achieved.
You can have a mobile strong shoulder without developing instability or injuring the shoulder joints and surrounding cartilage and soft tissue.
One counterproductive stretch for most people is pulling one arm across the front of your body. It is usually The Stretch You Need The Least. Click the link for more about why.
A better way to stretch your shoulders is to stop doing this less healthful stretch and do three healthier ones:
Nice Neck Stretch. To make sure you get the stretch as intended and not lean or round forward, do the Nice Neck Stretch (trapezius stretch pictured at right) with your back and the back of your head against a wall so that you do not bring your head forward of the wall as you slide down to the side.
It is not true that back pain and weakness is normal with aging. It is not true that to stop the cause of back pain you must do special exercises to strengthen one specific muscle or group such as the multifidus or abdominal muscles. It is not true that you need to rest or cut back activity to stop back pain, or use special devices.
Doing specific exercises does not stop the cause of back pain. Consider the number of people who do their back exercises, then bend wrong to put down their exercise equipment and pick up their things, then spend their day sitting, walking, and bending in the injurious body mechanics that created the pain in the first place. Examples and what to do instead are in the posts: Leg Exercise That Helps Your Back and Prevent Back Surgery.
Last year, Ivy, a Fitness Fixer reader from New Zealand stopped a long disabling bout of sciatica by stopping the cause in her daily life and the exercises she was doing - Inspirational Ivy. Ivy was not sedentary. She faithfully exercised, so was surprised to wind up with sciatica so serious that she lost partial use of her leg. One of the positive changes she made was to stop doing crunches. Ivy wrote:
"I was one of these people who for years did 100 crunches a day thinking that they would strengthen my back and take away the pain. Not so. I have been following your Better Abdominal Muscles advice for a year now, it just being part of my every day life....the bonus being no more back pain."
Problems with crunches:
Most people already know that sitting rounded over the desk is unhealthy. Spinal discs are strong and withstand compression, but asymmetrical loading from chronic forward bending degenerates disc in front and bulges them outward, among other problems. The same problems occur with forward bending exercises like crunches, also called curl-ups, partial sit up, and abdominal flexes, among other names.
Crunches and other forward bending exercises do not work your abdominal muscles in the way they need to work in real life.
If you have tendency to a rounded upper back posture, have tight neck muscles, or already sit, bend, and walk around with your spine bent forward, adding to that with crunches is counterproductive.
Ivy did not have thinning bones, but for someone with osteoporosis, forward bending exercises add the possibility of promoting further kyphosis (upper back rounding) and crush fractures.
Ivy wrote me last week:
"Over that eleven-month period that it took to find your web site, I must have opened every web site there was that mentioned the word sciatica, some of which I took aboard and wondered why there was no improvement. I can smile now when I recall how a few days after following your advice, the pain had disappeared and I attended my great granddaughter's first birthday where I sat too terrified to move in case the pain resurrected its ugly head."
Ivy is a great-grandmother, and she is fitter now than when she started. She changed the way she exercised to make it functional instead of a list of arbitrary motions that did not relate to healthy movement in real life.
If you want to make one positive change for your health, stop doing abdominal crunches and use functional abdominal movement instead.
Inspirational Ivy II - Beating Foot Drop and Sciatica, and Getting Healthier
Wednesday, August 29, 2007
Jolie Bookspan, M.Ed, PhD, FAWM
Ivy had serious sciatica with foot drop. She had knee and other injuries. She was in awful pain. In this kind of foot drop, the nerve cannot serve the muscles enough to lift the foot to walk normally. The toes drag. The foot hangs limply and slaps the ground with each step.
Commonly, someone with foot drop is put in a leg brace for life. One surgery done for foot-drop fuses the ankle so the foot is rigid and doesn't hang. Other problems come over years from changes in walking mechanics. For the terrible pain, patients are often directed to drugs and surgery. These are not healthy.
We changed that:
Monday's post Inspirational Ivy told the essentials of stopping the cause of the sciatic pain and nerve impingement, rather than treat the results with unhealthy means. Links to specific methods are there.
Sciatica, disc damage, facet pain, and impingement are results, not the cause of pain. They are not a diagnosis. When you have them, find what is causing them. Then you can reverse the cause: The Cause of Disc and Back Pain
Ivy followed my directions exactly and used her brain to understand how to get the intended results, not just "do a bunch of exercises." When she first began, she wrote,
"Over the past few days, I have been very conscious of my movements and, hey presto, I have not experienced any tingling or pain. I have to take total responsibility for every movement I make. I am constantly telling myself 'Think before you go to the fridge or need to pick up something off the floor - think lunges.'"
I gave her simple gait retraining. Ivy quickly discarded the cane she had used for nearly 7 months.
Ivy went on to teach several neighbors in her community how to fix their own pain. One story is posted in Each One Teach One.
In April 2006, Ivy wrote,
"It is nearly 5 months since I started your wonderful programme so I thought it was time that I gave you an update. I am fit and well, the sciatica has disappeared, if I get a little niggle in that area, I ask myself as to what have I done wrong, my left knee (IT Band) is no longer a problem, my balance has improved immensely and the "dropped" foot is great, in fact, when I go for my daily walk, I no longer hear the plop, plop of which I hated. I can also now wear "normal" shoes.
"Without your help and support and putting me on the right road so to speak, I would still be in constant pain plus making the chiropractor richer. Please note, I no longer go to him for treatment - I DON'T NEED HIM."
At age 70, Ivy is steadily improving strength and range of motion using healthy movement for daily life. She is eating healthful vegetarian food. January 2007 brought this note:
"The reason for this e-mail being that I feel somewhat excited re a remark made by the son of one of my fellow villagers. His very words being, "How did you become the woman that you are now. I have watched you over the past couple of years - when I first met you, you were obviously in a lot of pain, what is your secret?"
"I also sent the photos to my son and daughter-in-law who live in the US, they too, could see the improvement - they thought I looked great. Mind you, over that 2 year period, I gradually lost 20 lbs."
--- 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. ---
Last October, Ivy from New Zealand left a comment on Fitness Fixer how she first found me while looking for relief from severe sciatica with foot drop. For 11 months, she had tried treatment and an exercise regimen from a chiropractor. Last week, she e-mailed me a funny update of improving mobility and health from a new stretch. I started writing this post just to tell of Ivy's stretch and how readers can have the same success.
I looked over my file of Ivy's comments on Fitness Fixer and her e-mails to me over the last two years - each story weaving to the next - of improving health, mobility, and joy of life for herself and people in her community. Reading them again was like sitting by a stream that sparkled over rocks on its way by, inspiring and lovely. Some are private, some I have her permission to tell.
Last October, Ivy wrote:
Ivy wrote, "I knew I should be feeling better than I was. During those months I was continually surfing the net looking for answers, then in November 2005, I discovered Dr Jolie Bookspan's "How to fix your own pain without drugs or surgery." Everything she described was ME, 69 years of bad habits had finally caught up with me.
"So began my journey to good health and freedom from pain. I began with the pec stretch, trapezius stretch, wall stand, sitting correctly at the computer without sticking out my chin, hamstring stretch, isometric abs (no more crunches), squats and lunges instead of bad bending.
You can imagine my joy when after 2 days I was free of pain. I was so excited that I contacted Dr Jolie, who in turn, took time out from her busy schedule to e-mail me giving me further advice and exercises which I might add, I follow religiously along with a daily 30 minute walk (weather permitting).
"Some months ago, I decided to follow a vegetarian diet. I feel so well and happy, in fact, I have loads of energy. I turn 70 at the end of this month (Oct 2006) and am looking forward to the next stage of my life feeling healthy and free of pain."
This year Ivy followed up when we were corresponding on making sure of healthy nutrition:
"This is the second winter that I have not had either a cold or 'flu. For someone who was always getting the 'flu, that is really something. I put it down to my healthy vegetarian diet."
Ivy used my free web site summary sheets on fixing pain, my books, and Fitness Fixer posts. Here are links to posts Ivy used:
Wall stand - this is a quick check of functional muscle tightness to see if you can use healthful positioning for normal activity. It is described in the first paragraph of the post Fixing Upper Back and Neck Pain, above.
Isometric abs (no more crunches) - this one isn't up on Fitness Fixer yet. It is in my book The Ab Revolution and Fix Your Own Pain, and on my web site summary on functional use of abs to stop overarching the lower spine. Ivy sent a photo of doing this exercise. I will post it when I post about this fun, different, functional abdominal exercise.
The posts on lunges, Doorway Hamstring Stretch, and Functional Achilles Stretch, feature photos that Ivy sent me. I had written Ivy earlier this year asking if she could send me photos demonstrating what she is doing. She invited a neighbor to visit and take the photos, had them developed, then mailed a pack of them to me from New Zealand. Ivy writes:
"My dear 86 year old friend took them and we certainly had a lot of fun doing what I will call a "photo shoot." Bear in mind her age when I tell you that while I was trying to hold the pose, she would press the incorrect button and would have to start all over again. I would lose what I would call the correct form and so it would go on... I can now sympathize with models who have to hold poses for what seems an eternity."
In February 2007 Ivy sent an update, signing it:
"I shudder to think where I would be if I had not found your web site over 15 months ago. I mean it when I say "Thank you for helping me get my life back." I am fit, I am healthy, what more can one want in this life. I have passion about what I do something that I haven't had in a very long time."
Inspiring Update from Jill - Celiac, Knees, Fasciitis, and Restoring Happy Life
Tuesday, August 21, 2007
Jolie Bookspan, M.Ed, PhD, FAWM
Reader Jill hasn't sent a photo yet, but her words are a beautiful picture. Her story can help many readers stop pain and improve strength and function for happier daily life.
In the post Lunges and Beans Jill commented on Celiac disorder, an immune reaction to foods with the gluten protein - principally wheat plus a few others. Symptoms can be baffling until identified as coming from gluten.
Jill writes: "I had bad and steadily worsening joint problems, especially in the knees, for ten years before I found out about my gluten sensitivity. By that time my legs were extremely weak from having been unable to put weight on a bent knee for so long.
"I let the knees heal without doing anything special for them until I hit a plateau, then started doing isometric exercise for the quads (the classic wall chair), then six months after that started running slowly on an elliptical trainer. Weightlifting exercises for quads, though, still left me hobbling.
"That's where I was when I found your blog, and since then I've been doing squats at every opportunity, which was very hard at first and got much easier. Along with the foot stretch you gave, the Achilles tendon stretch in the squats also caused tremendous improvement in my plantar fasciitis.
"After a few weeks of that you posted the stair climbing posts and now I'm having far less trouble on the large numbers of stairs I climb every day. I am shying away from lunges from long associating them with pain, but plan to get over that soon and try them (gently) according to your detailed suggestions.
"Your blog has given me an enormous number of ideas to help in rehabilitating my knees from the years of gluten, which has made an enormous improvement in my quality of life. Thank you for the care and skill you put into it."
Jill, thank you for your care and skill to write things that will help many, and to do empowered good work to shine again. I put the posts with their links. Everyone, add your favorites:
In May, blog reader Bill (Lieutenant William Slabonik) sent an inspiring story - Freed From Pain, He Rides Again. Bill had been told by several sources that surgery and disability retirement were his only options. He used Fitness Fixer information to change a future as damaged as x-rays of his spine, to the active life he loves, without pain. He used information from the upper back and shoulder posts, among others, to learn how neck discs, upper back muscles, and other structures are damaged with mal-positioning, and how to employ healthy muscle use so the discs can heal and arm numbness stops, even riding long bike trips, lifting heavy gear, and in his demanding work as a pilot. He fixed low back chronic pain with the simple neutral spine repositioning away from a hyperlordotic (over-arched lower spine) when standing, shown in Prevent Back Surgery and all the posts on neutral spine.
In the May update, Bill told how he fixed the injuries and rode the Pennsylvania State Police Memorial century ride. Last week Bill reported in:
"My goal of riding the 200 km night ride down the Jersey shore was a success. I rode from 10pm 'til 9am with no problems covering the distance of 125 miles. I actually felt like I could go on a lot further. I have also completed a 2-day 200-mile ride to visit my brother-in-law in Maryland. I now can get on my bike on any day and reasonably crank out a hundred mile ride. No serious pain or discomfort noted. Only the usual slight soreness in the rear end and hands and elbows that seems to come with any long ride. The neck, shoulders and back did incredibly well, - I constantly checked my position while on the bike and did some "Healthy Stretching" whenever I was off the bike. Mission accomplished."
Note to readers - I will cover hand and arm soreness with biking in posts to come. I already worked with Bill to prevent local hand numbness from compressive leaning on the wrists, which Bill put to immediate use. I asked Bill to take photos for you of his simple changes in biking positioning to change damaging neck, shoulder, arm, and hand use to healthy ones.
Bill says,
"My son has promised to help me with the photos. I must ride herd on this project and get back to you soon.
"My confidence and health have skyrocketed. My daughters are leaving for college and I am looking forward to an empty house soon. They have thanked me for being there when they needed me and asked me why I just don't go and do something I would love to do. I am applying for retirement this morning and have completed an interview for a job flying in mainland China. I have two other airlines trying to get me to interview. Wish me luck on my next amazing adventure. And thanks for your help and encouragement."
Bill - Free Man
Bill, all hats off to you. Keep flying high. More good things are still to come. Keep us posted.
Regular physical exercise is documented to reduce risk of cancer. Exercise has also been found to increase survival in those with existing cancer, (JAMA and J Clin Oncol.) improving both number of years and quality of life.
Until recently (sometimes currently), cancer patients, along with heart patients and back pain sufferers were told to rest and stop activity. Inactivity creates new health problems and worsens existing health problems. Lack of regular exercise decreases strength, endurance, energy, blood sugar regulation, cellular repair (lengthy list here) and increases fatigue. Cancer treatments of radiation and chemotherapy do the same, and worse. This is called iatrogenic harm, which means injury or illness brought on by medical treatment. One medical report found that debilitating tiredness and loss of energy from cancer treatments can be more disruptive to the patient than the original pain of cancer. Another report called fatigue, "The most important consideration for the patient with cancer." Cancer fatigue can be a problem for months, even years, after treatments end.
Reader Dr. Zoe E., cancer survivor with personal experience writes:
"I don't think I'm quite ready for prime-time yet - but if I can be a source of encouragement to those trashed by chemo, I'm happy to be displayed.
"Yes, exercise helps if you can do it. Lots of people are lucky to experience low toxicity during chemo and are able to keep up their exercise programs or active life through treatment. Others are laid low and must stop treatment or are just trying to recover enough between treatments to continue them.
"While the Lance Armstrongs and Tony Snows of the world are inspirational, it would be a bad thing if the general population thought that people should be able to work and function during cancer treatment. Many, maybe most, can't and they shouldn't feel bad about it. Chemotherapy is as close to killing you as modern medicine gets."
Dr Zoe sent an update the day before yesterday:
"I did the Relay for Life on Saturday (a fund raiser for the American Cancer Society). It's a 12-hour team event where you keep one person on the track for the full time. I did the Survivor's Lap and several more with lots of rest stops. I managed to hang out there for 4 hours before I got too pooped. No photos though, I'm even more camera shy than blog shy! You can draw a picture if you want."
One of the benefits of exercise is that your body produces more of an interesting compound called heat shock protein. Heat shock proteins (HSP) are families of proteins that do several things including accompanying and helping other proteins under stress (called chaperoning). Heat shock chaperones keep the other proteins neatly folded when they are being deformed by stress factors such as infection, ultraviolet light, starvation, heat, and other harsh conditions. Heat shock proteins help cell survival and are thought to mobilize immune function against infections and diseases. One of the big stressors of focus in heat shock study is cancer. Heat shock proteins have been investigated for their role in activating immune response to cancer, and in cancer vaccine research.
Molecular physiology isn't my research area, so I haven't done any work in it personally. I just read the work of others. Heat shock proteins are intensely fascinating to me for their role in exercise, in increasing tolerance to hot environments (interestingly, cold too), and other extreme challenges to the body. I hope to post more about it from the sports medicine meeting next week.
Getting enough exercise to improve strength and quality of life doesn't only mean exhausting yourself or stopping your day to change clothes and go "do exercises." Get exercise that is healthy and fun, and as a normal part of how you bend and position your body in healthful ways during your day.
Reader Bill Slabonik had sports injuries, motorcycle and bicycling accidents. He was a good exerciser and hard worker, doing all the conventional exercises and ways of lifting during his regular workouts, long hours sitting as a pilot, and vigorous work in the Coast Guard. I know these things because I've seen his x-ray and MRI reports.
Bill writes:
"After two years of waking every couple hours with extreme pain in my shoulders and both hands completely numb, I sought relief from the medical community. Thinking that something was wrong with my shoulders, I was very surprised to find out that I had degenerative disc disease in my neck and spine. I was scheduled for epidural injections and advised that if they did not help, surgery was the only alternative. I was advised that I might consider disability retirement.
Not being pleased with my choices, I was able to get a script from my family doctor for physical therapy. Two months of therapy gave encouraging if small improvements. Back spasms stopped and pain diminished somewhat. Encouraged by this I continued to search online for neck and back pain fixes until I was fortunate to find a website maintained by Dr. Jolie Bookspan. The articles made logical sense to me and I soon ordered her book "Fix Your Own Pain." I noticed rapid improvement as soon as I began to practice her methods. Encouraged by these results I chose to attend one of her clinics held at Temple U.
I have returned to an active, athletic life. Waking due to pain is a thing of the past. I am setting and achieving physical goals that seemed impossible only a year ago. I am hiking farther and riding faster than I could have dreamed of. I am using post-it notes in my car, at my desk and on my flight kit for the airplane as reminders to maintain good position.
The photo is my neighbor Ken and myself taking a break from the year's Pennsylvania State Police Memorial century ride. He is also putting your principals into good use. We rode 50 miles that Saturday morning without pain or discomfort. Ken is 61 years old and I'm 55. The amazing part is that I had over 180 miles for the week without pain. Ken and I have made a goal of riding together on each of our birthdays, the number of miles matching our age, i.e., a 62 mile ride this fall for Ken's birthday. Oh, the ride was from Hershey, PA to Mount Gretna, PA and back. A nice loop through the central PA farmlands. Thanks again for your encouragement and books. I am feeling fantastic today!
Your work has not only provided hope but is putting life into my years. I want people to know that there is help.
I normally shy away from putting myself out on display like this, but if it encourages others to fix their pain then it was worth it. Thanks again Doc. I'm out mowing the lawn by hand.. two hours..no pain...riding my bike to work tomorrow 42 mile round trip.. I'm not going to stop."
Sincerely, LT William M. Slabonik US Coast Guard (Retired)
Fun note: the surname Slabonik means "Free Man." Bill now signs his e-mail updates to me as Free Man
--- 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. Take classes, get certified - DrBookspan.com/Academy. ---
The Cook Strait, separating the north and south islands of New Zealand, is cold. Reader Dr. Ernie, 52 years old, is training to swim the 26 kilometers across the strait next February. Sixteen Miles of Cold Water started telling about it.
Cold water can be uncomfortable, even incapacitating. Scuba divers wear wet suits in cold water, and dry suits in very cold water, not only for comfort, but safety. According to International Swimming Federation rules (Fédération Internationale de Natation (FINA), marathon swimmers cannot use wet suits to stay warm. English Channel swimmer Ted Erikson is reported to have said that "wearing a wet suit in a marathon swim is like completing the Tour de France on a moped."
Unofficial swimmers can wear whatever they want, but the idea of training in the cold is to improve your fitness by training several body systems so you can generate more heat and better prevent heat loss. The process of increasing resistance to cold injury through regular cold exposure during real conditions is called cold acclimatization. The International Union of Physiological Sciences distinguishes acclimatization in actual conditions, from acclimation, which is change produced in a laboratory.
To be able to swim in the cold, you need to train in the cold water, not just swim in a pool. The idea is not supposed to be to make yourself sick and weak from cold, but to train to become healthier. Dr. Ernie writes:
"Last Saturday I did an 8 km swim: two and a half hours total, out to Somes Island in the middle of the harbour, fortunately dodging the big and small ships with the help of friends in an accompanying dinghy. It was a most gorgeous day. And though tired on the following Sunday, I felt ready to start up again on Monday. It was a tremendous confidence and stamina builder. Today (Sat) after about half an hour in the pool I ventured out and swam about 40 minutes -- water colder, rainy.... but exhilarating. Pretty much a sprint all the way (I have to stay warm enough). We are in our autumn here and will be easing into winter in a few months.
"I feel as if my best chance to make it across Cook Strait is not going to involve miles and miles in the pool, but lots of time in the ocean, hence I'm trying to maximize that, trying to become more and more familiar with its changing moods. I love it and am reaching a tremendous comfort with it even in rough conditions (as this past week). I'd really like to keep up sea swimming through winter without a wetsuit -- the water might get as low as 10 Celsius (50 degrees F).... we'll see."
A physician in New Zealand wrote that he is preparing to swim Cook Strait, the body of water separating the north and south islands of New Zealand, next February. The Strait is 26 km wide (16 statute miles). It may take him anywhere from 8 to 15 hours to swim, depending on tides and other factors. Temperatures range from 14 to 19 degrees Celsius (52-66 F). Body grease is allowed for the crossing, but no wetsuit, just a regular bathing suit. He asked me to call him "Ernie."
Dr. Ernie is 6'2", approx. 190 lbs, on the lean side. He shivers easily. He asked for suggestions about acclimatizing to cold water swimming.
Cold acclimatization means increasing your ability to tolerate cold. Cold acclimatization occurs through regular exposure to cold. People developing cold acclimatization don't need to shiver so soon, and generate more heat without shivering. They may develop ability to both increase and decrease skin temperatures. In some circumstances, skin blood flow increases to keep extremities warm. In other cases, it decreases to reduce heat loss.
Tolerance to cold improves with physical conditioning. A fit person can tolerate a colder external environment and lower internal body temperature than an unfit person before shivering begins, and they can generate more internal heat through shivering. Increased muscle through physical training increases their ability to produce and store heat. Being physically fitter allows you to exercise at a higher intensity to generate more heat. Cold tolerance increases more with exercise in the cold than from exercise alone. For that reason, you need to get out and exercise in the cold.
Dr. Ernie writes, "I've kept up my schedule of working on technique in the pool and have been in Wellington Harbour at least 4 times weekly for 30 minute swims: the temp is about 14-15 Celsius and I can feel myself slowly able to tolerate the cold better -- much less shivering after I'm finished."
A nice fat layer helps maintain warmth and buoyancy for cold water swims. You don't want so much fat that you are slower or unhealthy. I mentioned to Dr. Ernie, that maybe he can stay lean to make the training more effective (difficult) now, then gain the fat closer to time of the crossing when he will want an easier ride.
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Stuart will retrain participants' bending so that their exercise is healthy for themselves and the community
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