Anton, Alberto (farioreo), and others have asked how many "sets and reps" of exercises and stretches will help. The answer is in a story my Mother told me when I was small:
A young boy in school always made the same mistake in English. Instead of the proper, "I have gone…" he said, "I have went." The teacher told him to stay after school and write 100 times on the chalkboard, "I have gone, I have gone, I have gone…" The boy wrote "I have gone" the required 100 times. When he finished writing, he saw the teacher had stepped outside. He left her a note, "Dear Teacher, I wrote "I have gone" 100 times, and now I have went home."
The answer is that repetitions are not the entire answer - you have to understand and use the result. I am asked the question so many times of how many "reps" (repetitions) of a rehabilitation or training exercise are needed, that it has become a "light bulb" joke - How many (whatever) does it take to change a light bulb?
Readers ask:
Q. How many sets and reps of upper back exercises does it take to straighten rounded forward posture? A. None, you just straighten up right then and hold it. A2. Or you can say one repetition is enough. Then use that one all the time. A3. Or until you actually use it - Note the person slouching (photo right) to measure posture.
Q. How many sets and reps of back exercises does it take before my disc pain stops that I got from bending over wrong to pick up things. A. None if you stop bending wrong to remove the cause. A2. A whole lot more than if you stopped bending wrong.
Q. How many sets and reps of good squats with heels down does it take to get enough stretch in the Achilles tendon to be able to squat well? A. Doesn't matter, if you use good bending in your ordinary day, you will get hundreds of Achilles tendon stretches throughout the day and it will be built in for you. You aren't supposed to stop your day to do a number of repetitions, then go back to heel up squatting, or bending over wrong.
Q. How many sets and reps of squats does it take before I can squat right to bend right? A. Until you do it right.
Q. How many sets and reps of your exercises on Fitness Fixer should I do? A. Until you remember them.
--- Read success stories of these methods and send your own. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Subscribe to The Fitness Fixer, click "updates via e-mail"(under trumpet) upper right. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
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Photo of slouching while measuring posture by Neeta Lind
In the previous two weeks, I wrote about the Japanese diving women, the Ama. Readers asked about the divers of Korea. Although they are sometimes called Ama divers, "ama" is a Japanese word. The Korean diving women are the Hae-nyao. Both ama and haenyao mean "sea woman." The Korean divers are also called Jamsoo, or diving lady, and Jam-nyao, or diving woman.
The diving women are a respected profession of hard work to gather food for their communities. The work is difficult and cold. The numbers of both Ama and Haenyao are decreasing every year, as the daughters who would take their mother's roles go to other work in the cities.
The first recorded Korean diving (that I know of) is from the 400's A.D. around the Chechu (Jeju) Island area. It is likely that diving had gone on centuries before that. The Haenyao historically dived all year (even in winter), and without assistance of weights or ropes to ascend or descend. They made as many as 30 dives an hour, to depths from 10 to 30 meters, at temperatures in the winter as low as 10 C.
In the 1960s, many physiologic studies were carried out on the Ama and Haenyao to see what their lung volumes were before and after dives, their temperature regulation and tolerance to cold, their ability to tolerate strenuous work, changes in heart rate and blood distribution during breath hold diving, their physical characteristics compared to non-divers, how alveolar gases (oxygen and carbon dioxide in their body) changed during their breath hold dives, and other interesting topics. Some say that the sudden huge scientific interest was because they dived nearly naked.
Diving clothes varied by geographic area, with some divers wearing only a rope belt or loincloth. No fins were used to help swimming. Later when wet suits were developed, only male divers wore them. Women were prohibited protective suits by their cooperatives, since they were considered more cold tolerant to begin with, and the advantage of the suit would "accelerate over-harvesting" Later, the work became pretty much exclusive to women.
Taking many large breaths before a breath hold extends time because "overbreathing" lowers carbon dioxide in the body. Carbon dioxide signals you to breathe, so it is protective to have it build and make you want to return to the surface before you go unconscious from lack of oxygen. Hyperventilating (too many large breaths) before a dive can cause a drowning accident. The haenyao and ama practice a short hyperventilation with a distinctive whistling maneuver which was studied to find why it may not cause the problems of hyperventilation without the maneuver.
To call them "The haenyao women divers" is redundant. The word haenyao already refers to the female. I asked them what the males were called and the Haenyao laughed at me, saying that males cannot withstand the hard work or the cold, and it is known that women do better in the cold. Dr Suk Ki Hong, one of the best known researchers of immersion and the haenyao and Ama divers wrote, "The shivering threshold is elevated as compared to men, and thus women are distinctly in a better position than men to work in cold water. Undoubtedly there could be many other reasons. However these facts lead us to postulate that men could not compete successfully by virtue of their poor tolerance to cold."
Sadly, Western sport divers started writing articles and presenting lectures at dive conferences in the 1990s, mistakenly claiming women did not have better cold tolerance and had greater risk of cold injury. The myth was repeated in diving magazines, scuba classes, and textbooks of the era.
Are there male indigenous divers? Yes. I will write of them and their stories in the future. Stay tuned.
Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. Read success stories of Fitness Fixer methods and send your own. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy. ---
Fast Fitness - Built In Functional Achilles Tendon Stretch
Friday, July 31, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - get a free, built-in stretch for the Achilles tendon in the way your legs need to stretch during normal movement.
Every time you bend with the squat, keep both heels down on the floor (upper right drawing) instead of raising heels (left).
Every time you bend with a lunge, keep the front heel down, not lifted up and shifting forward to the toe.
When ascending stairs, step up on your entire foot including the heel, down on the step, not just the toes and ball of the foot.
Many people stretch their Achilles tendon holding still. Is it such a mystery to get a pull during movement? Prepare your body how to stretch during movement. This normal daily life activity practices lengthening under body weight during normal movement.
Why do a few seconds of Achilles stretch then go back to tight, shortened real life use. Get hundreds of free stretches built in to your day in a way that gives free muscle and bone building exercise too.
Good bending benefits your back, knees, and Achilles Tendon at the same time.
--- Questions come in by hundreds. I make posts from fun mail. Before asking more, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Why not try fun stuff, then contribute! Read success stories of these methods and send your own.
Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certified - DrBookspan.com/Academy.
Fast Fitness - 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.
Notice general good bending using the lunge and half squat
Notice all the times you can do good bending around the house, the gym, and for good deeds.
Functional exercise is how you bend and move all day. Exercise your legs and spirit while you prevent disc degeneration by stopping bending over for things, and instead, using good bending, for all you do.
--- 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.
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.
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.
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.
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
Readers Carol, Don, Teresa, AJ, and others asked about strength, and knee pain and placement when descending stairs.
Physical trainer Teresa wrote:
"Hello Dr. Bookspan, "The post on "Better Exercise on the Stairs" from July 2007 contains the following statement: 'When descending stairs or hills, bend your knees when landing for soft shock absorption. Don't step down on a straight, locked, knee.'
"Some clients I work with have the habit of descending stairs on one leg because they can land straight-legged on the "weak" leg. Pain or fear of pain keep them from having the confidence to bend that "weak" leg sufficiently to support themselves for a soft landing on the other leg, but the "strong" leg will let them land softly on the "weak" one. When I get them to practice it, they find the proper motor pattern that is pain-free, but end up falling back on the old motor pattern that creates pain.
"Do you have any ideas on this one since descending usually requires more use of the toes than climbing the stairs does?
"I keep recommending your site to loads of people because you are sooo right. It's about motor patterns of moving our bodies, not just "exercise." Thank you for your time and assistance!" Teresa Merrick, M.A. ACSM HFI, NSCA-CPT/CSCS, NASM CPT Master Trainer
Climbing stairs is a functional (real life) skill. Not having the strength to support your own body weight is serious weakness:
It is not healthy to land straight-legged with a locked knee on either a weak or strong leg. The functional life skill needed to descend the stairs is similar to what is needed for simple daily healthy bending (right drawing). Bending knees to retrieve and reach is something everyone needs to do many times a day. How many times a day do you think you bend for ordinary actions? Click How Good Would You Look From 400 Squats a Day - Just Stop Unhealthy Bending
Use the simple built-in life activity of healthy bending using the half squat (right drawing) to train your legs for the strength and mobility needed to descend stairs in a healthful way.
When you bend in the half squat, keep both heels down and your weight shifted back over the whole foot (right drawing), not just the toes (left-hand drawing). Pull back more to the heels if you slide forward.
No need to increase the inward curve, called hyperlordosis, or overarch (left). Hyperlordosis pinches the spine and can cause impingement and mystery back pain (Prevent Back Surgery). Overarching is sometimes taught to weightlifters because it shifts some of the effort onto the lower spine joints called facets, making the lift easier. It is healthier to keep the weight on the muscles and not overarch. Keep neutral spine (right drawing).
Keep heels down for bending using the half-squat, instead of lifting the heel. Keeping heels down shifts weight to the thigh and hip muscles and off the knee joint. Enjoy the free, built-in Achilles stretch with each bend. Specifics on this in the post Free Exercise and Free Back and Knee Pain Prevention - Healthy Bending.
Descending the stairs should not be a toe-intensive maneuver. Your body weight belongs on the strong muscles of the thigh and hip.
Once you have the idea of the healthy bending you need for daily life bending, transfer that healthy movement to the stairs:
Keep more weight on the leg on the upper stair, instead of flopping and stomping all weight down on the foot that is stepping down.
Keep your weight back more toward the heel on the upper leg.
Keep heel down longer on the upper leg, instead of lifting the heel right away. Get the free, built-in, functional Achilles stretch.
Bend knee slightly upon stepping down instead of landing straight-kneed. Remember this is the same strength and skill that you need and have been developing (or should have) for ordinary daily bending, which totals many dozens every day.
Use good shock absorption from the thigh muscles of the leg stepping down.
Instead of dong artificial leg exercises like leg raises, use legs for real life to get automatic built in exercise in the way you need to move. The movement gives built-in strengthening and stretch and movement patterns. The built-in strengthening and stretch and movement patterns directly improve daily function.
More will come in future posts. Have a real life of activity and fun, and enjoy.
Read success stories of these methods and send your own. Questions come in by the hundreds. I make posts from fun ones. Before asking more in the comments, see if your answers are already here by clicking labels under posts, links in posts, archives at right, or in the Fitness Fixer Index.
Subscribe, free by using "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books. Get certified - DrBookspan.com/Academy.
What Is The Difference Between A Leg Press and a Squat?
Monday, July 14, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
Is a leg press the same as a squat upside down? Both the squat and leg press bend and straighten the legs against resistance. But something special makes opposite forces on the joints.
The post Exercising With A Friend - Partner Leg Press showed a fun leg press without equipment using a friend for resistance, balance, and teamwork. Reader Nina left the comment on the post: "This could being done another way. Sit on a bench or sumthing (sp) else back-to-back with your partner. Interlock arms sitting straight with your backs pressed together. Rise up and down, and feel the pressure on your leg muscles."
What Nina describes is called a squat or half-squat. The exercise in the post is a leg press. Standing on your feet changes it to a squat.
The squat has opposite joint and muscle dynamics to the leg press. In the kind of leg press described in this post, your body is fixed, and the feet move away. In the squat, the feet are fixed and the body moves. The difference in which end is stationary creates different forces on the muscles and joints.
My students Lily and Biji demonstrate one way to do a fun partner leg press. Hold your body (and head) stable.
To do half-squats with or without a partner, it is usually better exercise and balance training without the bench. There is no need for equipment. Instead, use your own muscles to hold up body weight, rather than sitting or touching down to a bench between each raise. The squat is functional - meaning it uses your body the way muscles need for real life. The key is using the half squat for healthy daily bending instead of "bending wrong." Bending over forward unequally weights the discs of the spine. Over years of bad bending, you can accumulate enough small pushes on the discs to begin to break them down and push them outward toward the back. This is the process of disc herniation. It is not a mysterious situation or a disease process. It is simple mechanics. The resulting disc damage, slippage, herniation, is an injury that can heal, usually easily and quickly when you stop the injury process of bad bending during standing, sitting, and lifting.
Your body needs to practice both kinds of leg resistance to be good at both. Have fun building functional squatting into daily life instead of dong artificial squats in a gym, then bending wrong hurting your discs the rest of your day. Have fun doing leg presses balancing friends and family that move and squirm, instead of ignoring real humans to interact only with artificial stationary gym equipment. Get real fitness with real life.
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. ---
As you read this, we have been traveling for work and are again on several days of flights back to Asia, with a few errands on the way. For the next two months in Asia, I will check in and post from Internet cafes as we make our way through work and travel on overnight trains and ferries. Here is the link to the post and photos from last year on our way back.
I won't have access to Internet or e-mail for the next week. If you have questions, I won't be able to receive them until after that. Check for posts already here on Fitness Fixer. The post New Year's Resolutions Made Easy gave a list of labels that access all posts with each topic. I drafted a post on long sitting that Healthline staffer Jerry will post for you on Wednesday, thank you Jerry.
If you send photos, send small jpgs so that my e-mail does not fill, and so that I can directly upload them without finding a graphics program to resize them for posts.
Later this month, at the full moon, we hope to be learning more about wound healing at the Thaipusam. Then back to the north to the Muay Thai Monks on Horseback, and training at several places in Thai Boxing.
On our travels through Thailand we hope to see our friends, including an eagle who adopted me.
These ladies are in their 80's and 90's. Last year we all went to the King of Thailand's flower exposition. They wore their best clothes. When friends arrived with their truck, the ladies easily climbed up the tailgate over the side of the truck bed. I thought Paul and I should ride outside and let them sit inside. The daughter took my arm and said, "No. She stronger dan yooou!" They explained that the Grandmothers had sat outside all their lives, and walked before they had rides.
We will stay for some time at a school that has become a home to us. The cook there, named Ahn, escaped from desperate conditions in Myanmar (Burma). Earning a few dollars a day in Thailand, working long days without time off, is riches by comparison. One year I got her a children's ABC book to learn to read English. I was thrilled when she took the arm of another Burmese helper and sat with the book, writing in page after page. She worked on it for days. She proudly presented it to me - translated all in Burmese. She thought I wanted to learn Burmese and spent her only free time to do this as a present for me.
A few years ago, before leaving the US for Asia, some of my students asked if they could donate to help her. About 150 students enthusiastically agreed. They signed a card, that we translated into Burmese. They all put money in a hat, totaling strangely, only about $50. I matched it to make a $100 gift. This is more than a month's salary for Ahn. We could give her much, put her niece through school, with so little.
I put it in a drab little purse and wrapped it as a present. Ahn graciously received the gift of what she thought was an ugly cheap bag. She smiled and thanked us and bowed low. I told her, "Look inside later." The next year, we found that she donated the entire amount to the temple to ask for blessings - for us.
At the same school, the Grandmother there is a feisty funny lady. We came to love her quickly and look forward to seeing her every year. She is in her 90's. I am not sure exactly, but maybe more than 95. She loves to joke and tease. In the photo above she is sitting at lunch that Ahn brought. She sits easily in full squat and rises easily.
Once as we were entering the school, she squatted down fully to rummage through her purse to get her keys. I tried to get her photo. When she saw me raise a camera, she bolted up and ran to a table with Western style chairs, and sat there, upright, with legs crossed and hands on her knees. She said she didn't want her photo "sitting like a farmer." Nothing I could manage to ask in my best Thai convinced her to let me show the world how strong and great she is.
Last year, while visiting them, the subject of Muay Thai came up, a martial art which is the national sport. She once ran a Muay Thai school. The next thing we knew, she was giving us lessons. I trained and competed in Muay Thai in the Netherlands and Thailand, and know that she gave us all a tough training. Then she grabbed her friend, a lady in her late 80's and sat her on the floor for a lesson too. Look how easily they bend and sit on the floor in this photo.
Here is a short movie of the last 30 seconds of her giving a lesson. Click the arrow to play. Watch how easily they both rise to a stand at the end. We hope you feel happy and inspired by her, and try it too. Last summer, she passed away, strong to the last.
full squat for chores with feet facing the same direction as knees, and both heels down
A Thai villager sits straight, getting nice hip stretch, and keeps ankles straight - see Unhealthy Yoga Ankles
Our friend MomPon is relative to the abbot of the Muay Thai Monks on Horseback near the border of Myanmar (Burma). We stayed with her during the time we spent at the monastery. She sits straight and comfortably in full squat to get things for dinner from her garden, then to wash dishes in her kitchen. We do the same when we help. She stands straight with chin in to reach overhead to get tamarind fruit from her tree, see - Change Daily Reaching to Get Ab Exercise and Stop Back and Shoulder Pain.
Our friends, the elder Thai ladies, sit straight while they watch a parade - Healthy Sitting
A villager takes his children for a fun ride, while sitting straight. See how a reader fixed upper body pain from biking in Freed From Pain, He Rides Again
Sitting straight to wash the kids.
I gave these villagers soap bubbles for their baby. They played for hours. Enjoy life, laugh, and share good times.
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.
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."
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.
"Gardening requires lots of water - most of it in the form of perspiration." ~ Lou Erickson
Involve children in gardening at any level. Getting outside to dig, bend, stretch, think, and create in the fresh air is health as a lifestyle - improving physical skills, knowledge, confidence, cooperation, discipline, caretaking, and purposeful activity.
"What this country needs is dirtier fingernails and cleaner minds." ~ Will Rogers
A few weekends ago, the Philadelphia City Gardens Contest ran final judging. Husband Paul and I are judges. I don't know much about horticulture, but Paul does, and I am good at holding the clipboard and getting dirty.
Each judging team travels to gardens all over the city, grouped according to garden purpose. There might be community vegetable gardens in the city's most blighted areas, flower gardens grouped according to size, or mixed use individual or group gardens. Gardens are judged for many points including health and variety of plants, whether natural or inventive bug and weed control is used, and interesting use of materials. In past years we visited a garden in one of the most difficult areas of the city, which had made neat container gardens from tires dumped in the area. Another garden gleaned trash from the street to help clean the neighborhood, including a bathtub and vacuum cleaner, reborn in the garden with painted smiles, streaming vines of flowers, posed like characters at a tea party. We met 90-year-old ladies who tended their garden in dresses and church hats, teaching neighborhood children self-respect instead of vandalizing, and to reap what they sow, and share what they harvest for healthier neighborhoods.
"Wisdom is oftentimes nearer when we stoop than when we soar." ~ William Wordsworth
Last year we judged the city's Children's Community Gardens. Here are some of the stories to give ideas and inspiration for yourself or community:
Miss Vanoka Morris Smith and the kids of the Blaine School Strawberry Mansion were a shining example of showing kids how to be fit in body and mind, with teamwork and love. There were no treadmills or artificial exercise. All the kids involved got real fitness as a lifestyle. These inner city kids were well-behaved, disciplined, and educated. Each knew every plant, and information about them. The all-organic garden used heirloom seeds, vegetables, pollination by bees and butterflies, rotating beds to promote soil health, and complementary plantings to combat harmful bugs. They painted garden scenes on plant beds, picnic tables, and the tool shed. They learned discipline and got exercise and dignity by keeping all the areas clean.
"The highest reward for a person's toil is not what they get for it, but what they become by it." ~ John Ruskin
At the Urban Nutrition Initiative in West Philadelphia, Debbie Harris's high school students created a health and life-enhancing school-wide program of cooking and nutrition that they call "personal and social change through food." Students get to keep the proceeds from their Farmer's Market, learn healthy social structure, get a high amount of functional physical activity, and the educational message that "Vegetables are cool."
"The philosopher who said that work well done never needs doing over never weeded a garden." ~ Ray D. Everson
St Paul's Church on Stenton Avenue began reclaiming a garden from a neglected site to encourage children to have reflection and contemplation outdoors. The garden joins their columbarium (low wall containing parishioners ashes), along with physical activity – a "prayground." They plan to incorporate garden plants and themes with their Sunday school teachings: kids will plant their prayers, and they will build small climbing apparatus with 'eight fruits of the spirit' on each of the eight rungs. Like life, their garden space is a work in progress.
"There can be no other occupation like gardening in which, if you were to creep up behind someone at their work, you would find them smiling." ~ Mirabel Osler
At the Beacon Summer Program at St. Sulzberger School, Crystal Martin teaches 8th graders botany using the garden and microscopes to see leaves and bugs. Built in a flood prone area, the garden is divided into three distinct "watershed" systems - country, suburban, and city - with different drainage systems. The different drainage clearly teaches the effect on the garden – three distinct garden looks and conditions result. Corresponding wall murals teach the crucial message of balancing need for water and drainage.
"Gardening and laughing are two of the best things in life you can do to promote good health and a sense of well being." ~ David Hobson, The Mad Gardener
Get inspired and think how you might like to get started. Young children can learn responsibility by having their own area near your shared area. Babies can sit with you and play in the dirt. On a small level, children can start with sprouting mung beans on a plate (posts to come will show how) and plant a windowsill of seasoning herbs for healthier cooking. Older children can grow healthful chemical-free food and flowers for the table and instead of unhealthy offerings at bake sales. They can learn that good posture during movement is healthy, natural, and good exercise. Get library books on composting, small building projects, organic gardening, and beautiful use of space. Learn the simple elements of a Japanese rock garden or Zen garden, called karesansui. Use healthy bending with one foot in front of the other (how to lunge) and feet side by side (how to half-squat and why it is great). Breathe. Smile.
"We plant seeds that will flower as results in our lives, so best to remove the weeds of anger, avarice, envy and doubt, that peace and abundance may manifest for all." ~ Dorothy Day
--- 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.
---
Urban site before reclaiming photo 1 by jared CityGarden 2 photo by stu_spivack CityGarden 3 photo by davidsilver
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:
Strengthen Legs Without Knee Pain - Standing Lunge
Thursday, August 02, 2007
Jolie Bookspan, M.Ed, PhD, FAWM
Many people know they need to bend "right" but don't because it hurts their knees.
Bending right will not hurt knees. It will help fix one of the things that has been injuring them - bad bending habits which pressure and grind the joint.
Good bending will also give your knees the exercise they (and you) need.
Some knee patients are told to never "bend right" with a half-squat or lunge because it is bad for the knee. There are specific things about bending and straightening the knee that can increase certain kinds of pain, to be covered in future posts. Use your brain and try the following gently and safely. Done right, it should reduce knee pressure, not increase it.
How To Lunge:
Stand with one foot far in front of the other. Both feet face forward. (Left photo.)
Feet remain normal width from side-to-side, not directly in line front-to-back.
Lift your back heel. Don't turn the back toes outward. Look at your back foot and check.
Tuck your hip under (click "neutral spine" label for posts explaining how). You will feel a far better stretch and strengthener.
Bend both knees to lower straight downward. Don't touch back knee to the floor. Use leg muscles. Watch your front knee and keep it over your front heel, not sliding forward. (Right photo.)
Don't let your front knee sway inward.
Keep upper body upright and straight. (Right photo.)
Lower and rise several times, then switch legs. Keep feet still, not stepping forward and back.
Tips:
To keep healthy knee positioning for the front knee, peek downward to see your front knee and foot.
You should be able to see your front toes all the way through the bend.
If your knee slides forward covering your toes, you are shifting weight to your knee joint and off your leg muscles. This is one of two common ways to increase knee pain while bending. Letting the front knee sway inward is another.
Keep front knee steady over your front ankle, not sliding forward or inward. You will strengthen and stabilize your knees and legs instead of hurt them. You will feel more muscle use when you keep healthful positioning.
Lunge is a Lifestyle, not an Exercise to "do" 10 Times:
No need to go to a gym to do lunges. Use the lunge for daily bending around the house. It will add up to many lunges every day, built-in as fitness as a lifestyle. The posts How Often Should You Be Healthy? and Bending Right is Fitness as a Lifestyle give ideas of how to use healthy bending for normal daily life.
Benefits of the Standing Lunge:
Strengthen leg muscles
Strengthen the knee
Stop harmful forces on the knees from bad bending
Stretch the front of the hip of the rear leg
Stretch the Achilles tendon and foot of the back leg
Learn knee stabilization
Practice balance
Retrain healthful bending for daily life - transferring to function instead of just being an arbitrary exercise - free exercise all day
Retrain straight upper body position for bending - more functional exercise
Provide beneficial general exercise, warming which makes further movement easier, and healthful body movement.
Have fun practicing this now. You will need the standing lunge for tomorrow's Fast Fitness - Quick Warm Up. Enjoy.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For answers to personal medical questions - Replies to Medical Questions. Limited Class spaces for personal evaluation. Top students may apply to certify throughDrBookspan.com/Academy.See Dr. Bookspan's Books. ---
The cheerleaders in the photo at right are letting their lower spine overarch.
Their hip tilts forward in front and sticks out in back.
It is an unhealthy, pain-producing spine position.
Can you see it?
Can you see it better now with arrows showing the tilt of the hip?
Sticking the hip out in back creates a higher angle than normal in the normal inward curve of the lower spine.
It is an unhealthy spinal position called hyperlordosis, swayback, and overarching, among other terms.
Letting the lower spine overly-arch presses the weight of the upper body, plus the weight being lifted, downward onto the lower back, folding it backward and compressing it unevenly. Over years, the joints of the vertebrae, called facets, can degenerate under the compression. The surrounding soft tissue aches. The photographer of the photo labeled it "Ouch" in the Creative Commons collection where I found it.
Overarching and sticking out in back is unhealthy for the spine, and is a major overlooked cause of ongoing lower back pain after long standing and ambulating (walking and running, for example).
If the cheerleaders were standing in neutral spine, the yellow arrows would be vertical. In the drawing at right, the left drawing shows neutral spine, the right shows tilting the hip so that it sticks out in back.
Tucking the hip until neutral spine does not mean curling the spine forward (rounding the back), which can pressure the discs. In neutral spine, a small inward curve remains in the lower back, but not a big one, and the hip does not tilt outward in back.
Some exercisers are accustomed to stick far out in back when lifting weight overhead. It is now known that it is healthier over the long run to maintain neutral spine, not sticking out in back, when lifting overhead.
Another bonus of neutral spine is that the muscles that pull the spine away from overly arched position and into neutral position, are the abdominal muscles. Keeping neutral spine is a free, built-in abdominal exercise. There is no tightening of the abdomen to hold neutral spine - you should be able to inhale easily. It should be no great effort to move your spine from unhealthy to healthy position. Just move the spine, the same as moving your arm to scratch your head.
Click the label "neutral spine" below this post for all related posts. Neutral spine is fun, and looks healthier, stronger, and fitter. Enjoy.
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When you lunge to get a stretch, to strengthen, and to bend to reach or retrieve things, keep your hip vertical instead of tilting forward. You will feel a better strengthener for your legs and a wonderful stretch for the front of your hip.
Neither photo, above left, shows straight hip position. The left and right photos both show the hip tilted forward. The stripe in the pants tips forward between the top of the leg and the middle of the waist-band.
The photo below right shows straightening the hip. The moment you tuck the bottom of the hip under to straighten the hip, you will feel the stretch move to the front of the hip. If you use the lunge for bending and leg exercise, keep the hip tucked and vertical as you lower and you will feel a far better stretch and strengthener. One way to do the hip tuck:
Put your hands on each hip, thumbs in back, fingers in front.
Roll your hip down in back so that your thumbs roll down in back.
The front of the hip and upper leg will feel very good when you do this right. You will feel the large arch reduce and the front of the hip stretch. The front of the hip is an area often overly-maintained in bent and shortened position from hours of sitting, then exercising with the hip still bent, as in the top-left photos.
These two posts show the key to position your hip so that your lower spine returns to neutral position and the hip stops tilting. You get a nice stretch with the benefit of stopping one kind of lower back pain that comes from going around all day with your hip tilted forward.
Bending the legs with one foot in front of the other is one of two healthy ways to bend for all the daily bending around the house. Click here to see it. The half-squat with feet side by side is another. Click here to see it.
The lunge is not an exercise that you do ten times then bend wrong for the rest of the day. It is one of several ways to do healthy bending for all you do. Use the lunge, not as an exercise, but a retraining for healthy body function and easy fitness as a lifestyle.
A few weeks ago, I attended a lecture on forensic anthropology. In general, this is the study of things you can tell from human bones in a crime setting. How old was the person? Were they male or female? How big were they? What was their probable race or ancestry?
Why was I there when my work is with the living? Two main reasons. I am the science officer for the Vidocq Society, an international forensic society. I might evaluate data, for example in an aviation disaster, whether someone might have been conscious at each point when undergoing G-forces or different temperatures and amounts of oxygen after a depressurization at various altitudes. In a scuba death, I might advise on physical changes that occur with different situations. The second reason was to learn more about bones. Bones are remarkable. Your bones know a lot about you. What was your health like? Were you active? What kind of activity did you do? When I was small, I read about an archaeological dig in ancient Rome. The bones of a girl were recovered. The account stated they could tell she carried loads too heavy for her, and was therefore (in conjunction with other evidence) probably a servant or slave. I was riveted. How could they know that? I spent years after that learning more about telling how someone moved from looking at their bones.
Throughout your entire life, when you exercise you stimulate growth of new bone cells. The physical pull of muscles thickens your bones where the muscles attach. Using your arm muscles thickens arm bones. Using your legs strengthens leg bones, and so on. This is a main mechanism of how exercise prevents osteoporosis. Without exercise, you don't stimulate enough new cells to counter the normal loss as old ones break down. Your bones thin no matter how much calcium you eat. The post Exercise is More Important Than Calcium Supplements for Bones tells more about this. Bone demineralization is rapid and serious in astronauts in microgravity (Collapsing Astronaut Gives Healthy Reminder).
How you use your muscles causes them to pull differently, giving evidence about the kind of habitual motion. More interesting is that when you are active, your bones grow and shape themselves to facilitate your motion. An example of interest to readers following the posts on squatting is that people who habitually sit for normal daily life in full squat grow "squatting facets" on their lower leg bones. These are small areas on the bone that quickly grow to make squatting more comfortable. At one point, it was a debate in anthropology that squatting facets were a marker of someone of Asian ancestry, until it was found that others who squat also grow them, and that squatting facets disappear when the person adopts a Western sitting habit of chairs and no longer squats. Babies of all races can have them.
Someone who habitually slouches can change the shape of their bones, eventually deforming them. This can occur in the spine, knees, hips, ankles, shoulders, feet, toes - everywhere you pressure your bones. Changing positioning habits to healthier ones can, in many cases, reshape the bones back to healthier shape. Think of braces on your teeth. It's human bonsai. In cases of extreme dystrophies of the muscles, someone who sits without function of their trunk muscles to hold the spine upright, can eventually deform their spine until their ribs sit on their hip bones. How are you sitting right now? The recent post What Does Stretching Do? explained a bit of why stretching isn't reducing injuries. People are stretching, then exercising and going about daily life in bent over positions that rub and grind the joints and soft tissue.
You literally shape your own health. Use the articles throughout this Fitness Fixer blog to do healthy exercise in healthful positioning so that your bones will only tell good tales about you.
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Sitting in full squat with heels down can be healthful and useful. Squatting for daily life is a built-in Achilles stretch, more effective and functional than the standard "lunge and lean stretch" against the wall, or lowering one heel from a step or ledge. Better Achilles Tendon Stretch shows one Achilles tendon stretch that is effective and quick. Sitting in a full squat is another. Rising from the squat adds functional leg muscle strengthening and balance.
I took the photo, above left, in an airport in Asia. The man was easily sitting to work on his laptop during the hour before boarding. Others were similarly sitting with laptops and mobile devices to get work done. Elders squatted that way to rest.
Achilles Stretch in the Bathroom introduced the full squat as a functional normal daily action used in many countries for resting, washing, gardening, working, washing, toileting, chatting on the phone, and other activities, and gave an idea of how to try it. Save Knees When Squatting explains how keeping the heels down rather than lifting heels to rest on the ball of the foot is safer for the knees. Reader Mim supplied a wonderful link in the comments for a great little film of the Asia squat. More Fun Squatting tells a funny squatting story. People new to squatting may find their Achilles tendons are too tight to bend in this normal manner. Reader Ivy of New Zealand offered to demonstrate one easy way to practice this stretch in a safe way, and sent the photo at right.
Keep both heels down while holding something sturdy in front. Straighten your arms and lean back to shift weight away from the knee joints.
Squatting can be a nice stretch for your lower back too. I have been working, off and on, for some years on the interesting finding that slight forward spine rounding when just sitting on your heels in the squat (no weights) does not load the spine to the extent of sitting on your behind in a chair. Be smart about trying it or not if you already have damaged knees. When rising, make sure to keep knees back over your feet, not sliding forward, which loads the knee joint, or inward at an angle (narrower than your feet), which can twist the joint. Either action can grind against the meniscus and cartilage.
Done properly, it should feel good on the Achilles and calf, lower back, be good exercise, not hurt the knees, and become an option for a functional stretch and even normal sitting ability.
On April 1st, I covered some fun fitness myths and how to change myth into healthier exercise. Today continues with more fun ways to get more exercise and reduce injury at the same time:
Heart Health
Myth - Anger has no health effects. Instead, turn contempt and anger for others to healthy dialog with: Healthier Heart.
Understanding How "Sticking Out in Back" Isn't Neutral Spine:
Then try Using Abdominal Muscles is Not Tightening or Pressing Navel to Spine to visualize how you simply tuck enough to make the belt line level when standing, not tilted. A small inward curve in the lower back remains when you shift to neutral spine, but not large enough to cause degenerative pinching on the facet joints, the joints of the lower spine.
Myth - Pressing navel inwards to tighten abs is the way to strengthen your abs or fix your posture. Fact - tightening will not move your spine out of unhealthy position and it impedes normal fluid motion: Using Abdominal Muscles is Not Tightening or Pressing Navel to Spine.
Exercise Injuries
Myth - Exercise injuries are usually overuse and aging. Fact - Simple misuse is easily fixed: Why So Many Aerobics Injuries? and What is "Fitness as a Lifestyle?" A recent injury survey by US military revealed that 62% of American injuries in Iraq are occurring in the gym. Welcome to the Fitness Fixer tells more. Some top docs say the military press should be avoided. I think it is a functional exercise and can be done in ways without upper body injury: Safer Overhead Military Press.
Myth - surgery is necessary to avoid later problems. Fact - Studies have now found that is it not true that you necessarily risk future consequences if you do not have surgery. Surgery itself can be a source of later trouble: Fix Disc Pain Without Surgery and Studies Say Back Surgery Not Needed.
Myth - Vertebral discs just go bad without warning, from small provocations like a sneeze or reaching or from aging, so it doesn't matter what you do. The good news is that discs are not soft "jelly donuts" as often described. They are tough like truck tires. It takes years of the same, specific, problem to break them down and move them out of place. See the mechanism: Disc Pain - Not a Mystery, Easy to Fix
Myth - knocks to the head are funny and harmless. In reality, long-term damage may be common and serious. This has far reaching implication for law enforcement, domestic violence, full contact sports, and extreme entertainment: Rocky IV and Head Injury.
Sitting and Back Pain:
It made headlines when researchers seemed to say that sitting up straight was wrong. Here is what they really meant: Don't Fall for "Don't Sit Up Straight."
Aren't You Supposed To Stick Your Behind Out to Sit Down or Do Squats?
Monday, March 12, 2007
Jolie Bookspan, M.Ed, PhD, FAWM
A commonly repeated phrase in fitness training and programs is "neutral spine" and "tuck the tail" for healthier lower spine posture. Many people know this, repeat this, teach this, write articles about it, then jut their hip too far out in back and overly-arch their lower spine, doing just the opposite, when they squat, bend to pick things up, sit in a chair, and exercise (photo at left).
Tilting the hip too far outward in back overly-arches and hyperextends the lower spine - photo at left and left drawing below.
Hyperextrending the spine, creating too much lordosis (hyperlordosis) can result in unhealthful compression on the spine joints called facets, and on surrounding soft tissue.
Overarching shifts your body weight onto the spine joints and compresses them in a bent-backward position, eventually increasing back pain and joint damage.
Another issue is that if you cannot squat without sticking out in back or leaning your upper body far forward, it is a sign that your thighs are weak, your Achilles tendons are tight, you are not using your ab muscles, your balance is poor, or all four.
Why do so many programs teach to stick far out in back? It is well known that the opposite problem of tucking too much and rounding forward (lumbar flexion) contributes to back pain. People hear this and assume that the opposite, over-arching backward, will counteract that. They exaggerate the arch.
Overarching often initially seems to "work" because you can lift more since you shift some of the work from the muscles onto the lower spine (and sometimes knees).
The muscles do less, so it seems easier. Competition lifters use it to lift more, regardless of the pain and injuries it causes later on.
It is trend-breaking news to say don't stick your backside out too much to squat, and instead use neutral spine, shown in the right-hand drawing. I know. It goes against what fitness organizations and pop-science exercise books teach. I know. Try this to see for yourself:
Stand upright with feet side-by-side, comfortably apart.
Face both feet in the same direction as your knees.
Bend both knees, keeping both heels down on the floor and over your feet, not sinking inward or bowing outward.
Look down and see if your knees cover the sight of your toes.
If you can't see your toes because your knees are forward blocking the view, pull your knees back (keeping them bent) until you are still squatting but can see your toes.
Keep your upper body as upright as you can.
Now, here is the point about the lower back - notice if you tilt too far out in back, pinching your lower spine backward like a straw. Overarching may be habit, or that you don't have the leg strength or balance, or your Achilles tendon is so tight that your heels come up from the floor. Instead, tuck the bottom of the hip under, just enough to bring the spine to "neutral." A small inward curve remains when you have neutral spine, but not a large one - Right-hand drawing.
Raise your upper body to be more vertical, while staying in the squat.
Notice how you have to use far more leg and hip muscle, and the pressure of holding your body weight comes off the lower back and knee joints.
Use healthy bending for all bending. Neutral spine helps squats for exercise, to pick up clothes from the floor, to get pet dishes, look in the refrigerator, get the laundry, pick up the kids, to sit down in a chair, and so on. You will get a far better workout for your thighs, keep weight off the joints of your knees and spine. It is healthier to squat upright than bending over forward to pick things up. It is not healthier to cause the opposite problem by overly-arching and pinching the spine back (increasing swayback).
Another point in spine health and exercise is not to "tighten" or clench your abdominal muscles to squat or lift. It is not healthy or useful to tighten muscles for movement. It is trend-breaking news to say "don't tighten." I know. It goes against what fitness organizations and pop-science exercise books have been teaching. I know. Tightening is not what supports your back. Moving your spine out of unhealthy over-arched position, explained in this post, to a more neutral position is what "supports" (you hold your spine in place) preventing pain and injury. Using the muscles to stop unhealthy position, and hold healthful position is how you support your back - not by tightening.
Have fun being part of this big and healthy change in fitness.
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The New Year is beginning in many places around the world. Happy Lunar New Year on Feb 18th - Sheng Dan Kuai Le Xin Nian Yu Kuai. To my friends who prefer Cantonese Chinese - Sing Dan Fae Lok. Gung Hai Fat Choi. To family, readers, and friends in Thailand, Suk san wan pee mai. In India, the Maha Shivaratri fell on the night of February 16th this year. 'Ratri' is Sanskrit for night, and Shivarati is the night Shiva performed the Tandava Nrityathe, the dance of primordial creation.
Happy bending, lifting, dancing, stretching, and reaching for exercise as a lifestyle. Follow this blog for simple things, new with each post, to easily make this new year a year of health.
Don't forget to stretch your toes. You need mobile toes for balance, healthy walking mechanics, and foot health.
Every day, take your feet in your hands and stretch your toes apart side to side, easily and comfortably. Make sure all your toes can move apart from each other, and that each one moves up and down. It is not healthy for your toes to remain stuck together and not moving.
Sitting in various ways can be a built-in stretch for the toes. If you sit on your heels, as in the photo at left, or kneel on your hands and knees with toes curled under you, or when you are sitting in your chair right now, see if you can bend your foot behind you and still touch all your toes to the floor - even your little toes. Don't force toes to bend, just gently see if they all reach the floor. After stretching your toes back (toward the top of your foot) bend them all down toward the bottom of your foot. Many people, particularly people who wear heeled shoes wind up with toes that are bent upward all the time. The tendons on the top of the foot can shorten from keeping the toes bent up, and the toes can get stuck in a pulled-up position. Future posts will cover more on stretching your feet for mobility, pain control, and health.
When you sit, as in the photo above, see if you can rise to a stand without pushing off the floor with your hands or bracing your hands against your leg or knee. Just use your leg muscles and get a strength and balance exercise while you get a nice stretch on the bottom of your feet.
The photo was taken when I studied a medicine course in Cambodia. Before and after classes you practice respect, concentration, and self-discipline. While you do this, you get a lot of physical exercise - it is commonplace for people of any age to kneel without using hands for anything except to hold the candles, flowers, and incense, and to rise the same way. The photo was taken in the middle of bowing, so I am not fully straightened yet. The nun is laughing. My Cambodian is so bad that I made her laugh. I think that is good exercise and good medicine too.
American baseball catchers have the occupational risk of meniscus tears in their knees. Yoga practitioners of certain squatting moves like "the eagle" and the hindu squat are more likely to get the same meniscus cartilage tears and early joint wear and tear. Asians who routinely squat for so many activities of daily life don't get these injuries. The difference is keeping your heels down and your feet facing in the same direction as your knees.
Sitting in a full squat with your heels down and your weight back does not pressure the knees the way squatting with heels up does. Keep both heels down and keep your weight back on your heels.
People who are not accustomed to squatting often find that they are too tight in the Achilles tendon to sit all the way down. Many of these same people do Achilles tendon stretches every day, or at least they do a motion commonly taught as an Achilles stretch, but which barely stretches the Achilles. The "lunge and lean," is the least effective Achilles stretch. The post Better Achilles Tendon Stretch tells why and gives a better stretch to do instead. The squat is another good Achilles tendon stretch. It is a lifestyle stretch for the Achilles and lower back, and a hip, leg, and shin muscle strengthener. You get healthful natural exercise from regular daily life. Even if you can't get down to full sit, bend properly with both heels down for daily bending and you will get a free Achilles tendon stretch every time you bend, which is many many times a day. Holiday Leg and Abdominal Exercise tells more on this.
The trains here in Thailand have the luxury of a bathroom, including a squatting bowl. You can tell new tourists here. They are afraid of the bathroom. When we lived in Japan, even the gleaming modern Bullet train, the Shinkansen, had a spotlessly clean squat fixture. Train bathroomsgive you balance practice too, swaying with the train as it takes you to the next adventure.
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The previous post, Achilles Stretch in the Bathroom, explains how and why the squat is a functional lifestyle exercise, good to stretch the Achilles tendon and get strong, shapely leg muscles. By keeping both heels down and your weight off the front of your foot, it can be safe for the knees. The large amount of built-in leg exercise you get from routinely sitting and rising from sitting this way strengthens the hip, thigh, and knees.
At the left is a photo of a sign that is common here in Asia. The sign instructs people who are accustomed to squatting how to use the strange seat. The drawing marked with an X shows someone standing with both feet on the seat and squatting over the bowl. That is marked as incorrect use. The user is instructed to sit touching the seat. I asked some of the locals what they thought of the "sit and touch the seat" method. They shuddered, pointing out how silly that was.
Beside strengthening and stretching the legs, squatting is a cleaner way to sit, since only your feet touch the surface. It is common to see people waiting for a bus at the street curb, sitting, not with their behind on the curb, but sitting in a squat so that only their feet touch.
Squat toilets vary, but are often clean. You leave your shoes outside and wear bath shoes. Even some public toilets have public rubber shoes thoughtfully provided.
Western sit-down fixtures are becomming more common, as more wealthy tourists demand them and locals adopt less physical lifestyles. Our friends living here told us the story of a family who decided to convert their shining clean indoor squat facility to Western plumbing. They purchased a standard raised bowl and seat. They left on a short tip while a workman installed it. When they returned, the man was proud of his installation. He excitedly told the people it had been strange at first, but he did a fine job. He led the people to his finished work and said that at first he was puzzled by the height of it, but figured out to dig a deep hole. He buried the new, shiny toilet exactly up to the seat to become the familiar floor level.
In the airport, an obvious tourist arriving here in Asia proudly waved a travel pack of toilet seat covers and claimed to be ready for the germs of travel. Another tourist nearby announced that it was a problem for him that women couldn't go to the bathroom outdoors. I asked him why he thought they couldn't. He said it was because they can't stand up to go, and someone needed to invent a tray so that they could. I asked him if men sat to pass their bowels. He seemed surprised when he realized that everyone does natural things the same way. Both men and women have been sitting to "go" for thousands of years before plumbing and raised seats were invented.
All over Asia, Africa, India, the South Sea continents and islands, and even in places in Europe and the Americas, men, women, and children routinely and easily sit in full squat to eat, wait, talk on the phone, rest, relax, wash, and do other activities of life. The tourist with her seat covers may quickly find that squatting is cleaner than touching a seat. Many people who first encounter Western sit-down plumbing think it is unclean and barbaric. The squat is a functional and excellent leg strengthener and Achilles tendon stretch. People in their 80s and older who routinely squat have strong legs and healthy good knees, and can easily rise from the floor.
Would you like to try the squat? (Use your brain to be safe to try things or not, if you have damaged knees):
Keep both heels down (right drawing) as you bend both knees, which protects your knees.
One way to practice the squat if your Achilles tendons are too tight, is to hold something in front of you, like a counter or sink, and bend both knees as much as you can with both heels down.
While holding the support in front of you, lean back with both arms straight so that your weight stays over your whole foot and heels, which moves your weight off your knee joints and back onto your leg muscles.
Try to balance and sit without holding on. If you find yourself falling backward, or if your heels come up (left drawing), it is likely that your Achilles tendons are too tight for this normal activity. Put one or both hands behind you to lean on (not in the squat bathroom but just to practice).
Every time you bend around the house, use a small squat with both heels down, described in Bending Right is Fitness as a Lifestyle and Free Exercise and Free Back and Knee Pain Prevention - Healthy Bending. You will strengthen your thighs and hip, develop healthful bending that stops knee pain, strengthen your shins, and stretch your Achilles tendons each time. As this routing bending strengthens and stretches your legs, progress to lower and lower bending until you can comfortably sit in a squat. Have fun.
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Many people are taking down Christmas trees even as the Russian and other Eastern Orthodox families are putting theirs up for Christmas, coming this Saturday Jan 6th. The Russian Snow Girl (Snegurushka), and DedushMoros (Father Frost) have already come to visit. S nastupaiushchim Novym godom i s Rozhdestvom Khristovym - Happy New Year!
Here are two lifestyle strengtheners (and a free Achilles tendon stretch) to build into your fitness as a lifestyle for 2007:
If you would like to get strong legs for the New Year, don't bend over wrong to lift things (upper drawing, left). From now on, make all your bending the way that strengthens your thighs and at the same time prevents back and knee pain (upper drawing, right). Keep your upper body upright and bend your knees. Prevent knee pain and get better use of your leg muscles by keeping both knees down and back over your heels. Each time you keep both heels down while doing healthy bending, you will also get a built-in Achilles tendon stretch. The post How Often Should You Be Healthy? tells more on good bending.
If you want to stop "mystery" lower back pain for the New Year, check to see if you lean backward when you reach upward (lower drawing, left), carry things, or when you are just standing. Leaning back creates overarching of the lower back called hyperlordosis, which pinches and pressures the soft tissue and joints of your spine. People with this kind of pain feel they need to lean over forward or sit to relieve the pain. Instead of doing remedies for pain, it is smarter and healthier to stop the cause of the pain.
The "hip tuck" or "pelvic tilt" to reduce overarching and straighten the spine (lower drawing, right) is described in the post Throw a Stronger Punch (or Push a Car or Stroller) Using This Back Pain Reduction Technique. The muscles you use to move your spine out of unhealthy overly arched position and into straighter position are your abdominal muscles. By simply standing and moving with a healthier spine position, you get free exercise for your abdominal muscles. "Tightening" the abs is not what exercises the abs or prevents back pain. Tightening also does not let you breath or move properly. Tightening is not how to have healthy abdominal function. Instead, use the abdominal muscles to stop overarching and maintain healthy position while going about your daily life and exercise. The post, If Better Abdominal Muscles Are Your New Year's Resolution, Try This, shows how.
If your New Year's Resolution is to have a healthier low back, Achilles tendons, and abdominal muscles, you can do that all at once during your regular daily activities.
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The days are becoming longer and light is returning in the Northern Hemisphere. Native Americans, Shinto, Iranian Zorastrians, Buddhists, Christians, and non-faith based traditions all celebrate the winter return of light and life and enlightenment with trees, and lights, and cleaning the house, and giving presents, and lifting things.
In many of these traditions, is written that pain and darkness is high before the return of the light. The upper photo shows pain - unhealthy bending. The lower photo shows "seeing the light" - healthy bending.
For healthy holidays, check your bending for all the cleaning and lifting you do. Don't lean over. Keep your body upright and bend your knees. This bending gives healthful exercise and prevents straining back muscles and herniating (slipping) your lower back discs. Many people think that lifting bent over strengthens back muscles. The problem is that, over years, it also degenerates your discs. Bend right to strengthen without also damaging. Other people refuse to bend right because it hurts their knees. But, done properly with both knees back over your heels, and your weight back over your heels, not toes, you shift body weight off your knee joints and back to your thigh and hip muscles. You will feel the difference as soon as you try it. Healthy leg and hip strengthening without back or knee pain.
For all my friend readers in the Northern and Southern Hemispheres, make healthy bending a New Year's Resolution and part of your healthy holidays and stronger New Year.
Bad bending photo by subscription to Clipart.com Good Lifting photo (without halo) by iwona_kellie
I often hear from trainers, and read in exercise books, that you cannot get stronger without lifting weights. They say that body weight is not enough. Then I watch the trainers and read what the exercise books say to do to strengthen. Often the weights they teach to lift are far lighter than the resistance your muscles get from moving your own body during a real life activity.
I see women in exercise classes lifting little two and five pound hand weights, then bend over wrong to put the weights down and bend over wrong again to hoist up their 20-pound handbag. I see knee pain patients in rehab centers with two and three-pound weights strapped on their ankle, sitting down to do little leg raises. Or, they pull stretchy bands with their leg. Then they get up and walk away with injurious body mechanics, letting their knees and ankles sag inward because they are not using their leg muscles to stop it. The unhealthy sagging grinds away joint cartilage and prevents full use of the leg muscles. They don't understand why their knees, ankles, and feet still hurt even when they "Do their exercises."
Your body weight is the most important thing you need to lift. Following are things to start with, to strengthen without a gym or equipment. The main idea of these activities is not to "do" them as an exercise 10 times, but to use them to retrain your muscles how to hold your body in healthy position, then use that healthy positioning for all daily life:
1. Hold a pushup position, called the plank, described in the post Change Common Exercises to Get Better Ab Exercise and Stop Back Pain. Understand that the point of the plank is to learn how to hold your spine straight without sagging under your body weight. I see people doing the plank all the time in gyms and fitness classes, with their bottom hiked up in the air and their low back looking like a hammock, sinking under their body weight. That is not the normal lower back curve. It is injurious overarching. Done poorly this way, the plank does little to strengthen and just pressures your lower back. Done well, the plank is excellent to strengthen your wrist. The wrist is neglected in fitness, and the resulting weakness is a common source of injury. I will post more about wrists. Do the plank every day - that is how helpful and important it is. If you can't even hold up your own body weight, you may have serious weakness.
2. Use the squat for daily bending, described in the post How Good Would You Look From 400 Squats a Day - Just Stop Unhealthy Bending. The point is to use this healthy bending all the time instead of bending wrong. In posts to come, I will show another way for healthy bending using a lunge position with one leg in front and the other in back.
3. If you can't sit and rise from the floor without your hands, you are too weak and tight for ordinary daily life. Try Quick and Easy Strength and Balance Exercise. Also practice getting up from your chair (safely) without using your hands or leaning forward.
5. Hang from a chining bar, a branch, a pipe, a doorjamb, or any secure overhead. Don't worry if you cannot do full pull-ups, just hold on and hang. When you can do that, hang for as long as you can from a bent-arm position, and begin trying to raise yourself (do a pull-up). Maybe you will need to start by stepping up on a box to help raise yourself, and letting yourself slowly lower without using the box. Work up to full pull-ups. If that is easy, use fewer fingers to hold on.
When the above body weight activities become too easy, do them carrying functional weight, such packages, children, books, and other common things. It is crucial to health and independence to be able to lift and move your own body weight. In posts to come I will show you how to do more with these body weight activities for more strength and fun being active. Until then, do these every day and send your photos and stories of how you got stronger and happier.
Make it your New Year's Resolutions to be strong for real life in real ways.
I heard a radio program about yoga for senior citizens. The yoga program directors made the usual statements about yoga helping strength and balance. Then they said something that seemed at odds with their goal. They said, "If your balance is poor, do the moves sitting down or hold on to the wall." The very thing that you need to improve your balance is to practice standing and (safely) not holding the wall. If you sit and hold on, you prevent practicing balance.
Balance that helps your normal daily life is easy to improve at any age. All you need is to stand up and balance. Balance is quickly lost with sitting and disuse.
How does balance practice help you? You have receptors in all your joints that sense positioning. They can tell if you are about to fall. They tell your body to send signals to your muscles to steady you. If you don't use your balance sensors with balance practice, they become slow and unable to sense positioning well. You may tip over far enough to fall before your receptors sense it and can tell your muscles to pull you to upright position. Balance practice also improves your muscles. Without balance practice, your muscles become too slow and weak to prevent you from tipping over and falling. If you have let yourself become tight, brittle, and weak from lack of general exercise, you may strain, tear, or break something from a fall that would not have otherwise caused any harm.
Years ago when I left working in the hospital to go into private practice in sports medicine, I found that by making house calls you learn the reasons for people's pain and injuries that you will never see in a hospital or clinic exam setting. It was the first time I ever saw anyone have to sit to put on or take off their shoes. Here are a few quick, functional (real life) ways to improve balance:
Stand up when you put on your socks or hosiery.
Stand up to put on your pants. Lift one leg in front of you, keep your upper body comfortably straight and upright, and slide on each pant leg.
Stand up to put on your shoes. Try two ways: holding the foot in the air front of you to place the shoe, and by crossing the ankle on the opposite knee.
For more balance, after putting on one sock or shoe, remain standing on one foot and do a small squat on one leg to reach the other sock or shoe on the floor.
If you can't stand to dress yourself, and you have at least one working leg, you may be too tight and weak and unsteady for healthy normal life. To get started:
Practice standing on one foot without holding on to anything. If balance is poor stand near a wall for safety to get started and have a skilled friend help. Practice standing for 10 counts without holding on. Increase how long you can balance.
Stand on one foot and swing the other forward and back, side to side, without holding on or touching down. Safely.
If you use a cane, practice walking holding it off the ground. Use your brain to do this intelligently and safely to improve balance and reduce dependence on the cane.
Balance is "use or lose" and can be quickly improved with safe smart practice. You don't need to go to a gym or "do exercises." Use balance skills as part of your daily life.
Reader Dr. Zoe Eppley e-mailed, "I have been trying to apply your "bending right" approach to my daily activities. I find my tight leg and hip muscles seriously limit my ability to squat. Could you please recommend some stretches that will help?"
I receive this inquiry often. People are realizing that they are too tight to move in healthy ways for normal everyday life. I hear it from instructors of aerobics, yoga, Plates, personal trainers, and many others. This is an important epiphany. If you are too tight to move in healthy ways, then it is likely that you spend every day of your life moving in tight ways that create pain and perpetuate tightness.
The good news is you do not need to "do" stretches and exercises. Keep bending right and you will get exactly the stretch and strengthening you need. My most important message that I stress in all my work about exercise is not to "do exercises" but get crucial, functional, effective exercise by moving in healthy ways during normal everyday life.
People spend fortunes on treatments for pain, gadgets, potions, pills, prescriptions, adjustments, and ongoing medical scans and tests. Tightness and body pain is often made to be a mystery because it persists even after surgery and exercise programs. The reason is that they don't stop the cause. My successful techniques for fixing pain, even the most resistant back, neck, knee, and other musculoskeletal pain, emphasizes that you don't "do exercises" but simply stop the source of the injury by stopping unhealthy injurious movement patterns, and using healthy ones. Many people do ten repetitions of an exercise and hold each stretch for 30 seconds, then go back to unhealthy moving, sitting, bending, walking, exercising, and everything else that caused their pain and tightness in the first place.
If you are too tight to use your legs to bend down and get back up without using your hands or getting help, you need the hard realization that you lack normal function. It may be common in Western society to not be able to lift your own body, but it is dangerously unhealthy weakness.
Dr. Zoe e-mailed me a second time and mentioned watching an Indi-pop movie. She noticed the healthy posture and flexibility of the actors and how easily they squatted. She wisely reflected that she had probably lost much flexibility by not using normal bending and from "spending my life in chairs."
Keep bending right with your heels down, knees back, and your body upright. You will stretch your Achilles tendon and hip, and strengthen your thighs and knees hundreds of times a day - every time you bend.
One fun way to greatly help your bending is not a specific stretch or exercise but another normal daily activity: apply the same healthy positioning to ascending any set of stairs. I will post more about stairs, as it is interesting and enlightening. Until then, any time you go up stairs, notice if you tilt forward and let your heels lift. Instead:
keep your heel down as you step up,
keep your knee back over your ankle as you step up, instead of sliding your knee forward,
keep your body upright.
Use healthy positioning for both bending and stairs and you will quickly gain functional and healthy strength and flexibility.
Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Read success stories of these methods and send your own. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
Several readers sent e-mails about the last post, asking about being able to sit on the floor. Many said they are so tight and weak that it is hard for them to get down, and not comfortable to sit comfortably and straight, as in the photo at left. Others wrote applauding that I am getting the message out that sitting comfortably on the floor is a normal ability, not strange or extreme.
First, don't be shy about posting replies and comments on this blog instead of e-mailing me privately. Next, sitting comfortably on the ground or floor is not an advanced athletic contortion. It is an entry-level physical ability that is crucial for normal physical function of your body.
If you don't have the stretch, strength, and balance to do this most basic of movements, you have severe weakness and tightness. It is not just people who don't exercise. I have seen aerobics instructors and personal trainers who cannot sit comfortably straight on the floor. Their hip is so tight from all the forward bending exercises they do that their hip rolls and rounds under them, which shifts their body weight to their discs and lower back. They may do artificial gym exercises, but cannot easily get down to the floor without using their hands because they have not trained movement that is useful to daily life, called functional exercise.
For a quick exercise to improve strength and balance, try this:
Stand up.
Easily and lightly, sit down on the floor without using your hands to get down.
Sit by crossing your ankles and lowering into a cross-legged sit, or by squatting straight down, or lightly and softly kneeling on one knee then sitting. Experiment until you can do all three ways.
Don't thump down hard on the floor. Use your leg muscles to lower softly with shock absorption.
Sit straight without rounding your back forward or curling your hip under you.
Stand up again without using your hands to get up.
Do this "sit and rise" exercise several times in a row. It is more useful and effective than doing little leg raises or presses in a gym. Don't be put off if you can't do this right away. Practice (safely) and you will quickly get stronger and more flexible, with better balance. When your strength improves so much from practicing sitting and rising from the floor that your body weight is not enough to give you exercise, sit and rise from the floor holding children or packages.
You can sit and rise from the floor ten times a day as an isolated exercise then spend the rest of your day sitting in a chair, but it makes more sense to sit and rise from the floor for real life. Sitting on the floor is not a strange or rare thing only done in poor villages far away. It is done in a great part of the world's countries, even in developed cities, and in our home. When you come to eat with us, you will sit at a low table on the floor by the fire. It's nice.
Sitting and rising from the floor is one of the many ways that much of the world gets built-in leg exercise and protects their hip joints from stiffening, arthritis, and bone loss. You will see grandparents easily lifting grandchildren, and other loads. They get bone-building strength, flexibility, and balance every day through their real life, and don't need to buy little machines or go to trainers to do ten little repetitions of an artificial movement. So can you.
Conference on Aging Dec 2, 2006 in Midtown New York
Friday, November 24, 2006
Healthline
The Greater New York Chapter of the American College of Sports Medicine (ACSM) will hold a conference on aging on Saturday, December 2nd, 2006 at the Flatotel, 135 W. 52nd Street between 6th & 7th Avenue, in New York City.
In one fast moving day, there will be nine lectures by authorities on metabolic changes of aging, cardiovascular changes and the benefits of exercise, exercise in older patients with heart failure, neuromuscular training for the older population, psychosocial aspects, physical training for older clients with special conditions, and nutritional needs of older populations. I will be giving a lecture called "Three Quick Techniques for Three Musculoskeletal Problems Confused for Aging."
Many of the declines that come with doing less are often confused with aging. A stiff and rounded upper back, for example, is not necessarily aging, but practice. Are you sitting rounded forward reading this right now? Do you spend your day rounding over your desk and steering wheel, then go to the gym and bend forward for crunches, leg lifts, Pilates, and toe touches? Do you bend your neck down to do biceps curls? No wonder it's hard for you to straighten out. How long will you practice unhealthy bent forward position before you get stuck that way? There is no need to exercise in the very way that is not healthy when you do it sitting at your desk. There are better ways.
Much of the loss of strength and balance over the years is from disuse not aging. Many people do not use their legs for the hundreds of times each day they need to bend. They bend wrong, throwing their weight on their spine. Their back hurts and their legs and hips tighten and weaken. Eventually they find they are unable to sit comfortably on the floor, and more worryingly, cannot rise from the floor, or even from their chair without using their hands. This is debilitating weakness, and a dangerously unhealthy cycle of use or lose. It is not aging. In cultures where sitting and rising from the floor is a daily activity, people of 90 have the strength and balance to do it. They do not suffer the rates of falls, osteoporosis, arthritis, and cardiovascular disease of less active populations.
My lecture will cover three easy techniques to maintain and improve spine health and muscle strength. Come say hello. The meeting is designed for allied health practitioners, but is open to the public, with reduced registration fees for members of the American College of Sports Medicine (ACSM) New York Chapter. Contact Felicia D. Stoler, MS, RD (732) 946-4436, or e-mail fstoler@att.net
Readers asked for more pictures of healthy bending around the house and workplace during daily life. They've been getting excited about the idea that daily life is the way to physical ability and health, instead of stopping life to do a bunch of exercises. People spend time and money for endless treatments and gadgets for back and knee pain and tight Achilles tendon. Healthy bending prevents the commonest sources of all of these.
A major predisposing factor of knee and hip arthritis is weak thighs.
A major risk factor of hip osteoporosis is lack of weight bearing exercise.
A major risk factor of falls is weak legs and poor balance.
The Achilles tendon gets a natural stretch with each time you bend right with heels down, and loses this constant normal source of stretch without good bending.
The most important contributor to making a lumbar disc degenerate, or slip out of place (herniate), and press on nerves causing sciatica, is bad bending forward.
The biggest contributor to upper back and neck pain is keeping the upper body rounded and bent over forward.
If you would like to reduce risk of falls, osteoporosis, bad discs, sciatica, achy upper back, and arthritis, get a built-in Achilles tendon stretch, and get strong shapely legs all at the same time, just use your legs with good body position for daily healthy bending.
Why go to the gym or to physical therapy to do knee bends to strengthen your legs, then spend your "real life" weakening your legs and degenerating your lower back discs with bad bending, and say, "I don't have time to exercise."
You will get free built-in exercise just moving in life. My friends and family in Asia are astonished when I tell them I teach Americans how to bend to look in the refrigerator, and that Americans tell me it is too much work to bend right to load dishes in a machine that washes for them. Then they pay money to go to a gym or buy equipment to exercise their legs.
Here is a fun way to change mindset to exercise as a lifestyle:
Count how many times a day you bend and how many times you can choose to harm yourself or help yourself.
If you would like to try "fitness as a lifestyle," this is the best place to start. Think of it:
--- Read success stories and send your own of these methods. Before asking questions, see if your answers are already here by clicking labels and replies under posts, links in posts, archives at right, or in the Fitness Fixer Index. For personal medical questions - Replies to Medical Questions. Subscribe to Fitness Fixer Free - click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy. ---
A UK Times article featured a physician musing that as medical students they were not taught in school to identify the cause of medical problems, but to treat symptoms (and give electric shocks to decerebrate frogs). The cause of the problem would still remain.
He mentioned how you may go to the doctor with painful tonsils, and be given a "diagnosis" of tonsillitis. He educates the reader that "Tonsillitis, for example, is not a disease but a symptom - of something else that caused the tonsils to be infected." He continued with how you may go to the doctor with pain down your leg, and be given back a "diagnosis" of sciatica, which just means "pain down the leg" but not what is causing the sciatica. A disc may be pressing on the nerve, but what is making the disc press? The sciatica and the bad disc are the symptoms. They are not the cause. Unfortunately, he stopped there, and for treatment said to go back to your activities with light rest. Nothing about what caused the disc to degenerate (break down) or protrude (herniate or slip) in the first place.
Understand The Causes:
Bad sitting and bending are main causes of disc degeneration and herniation.
Rounded sitting (photo on left) compresses the space between vertebrae in front and opens the space between them in back and squeezes the disc gradually backward into that space.
Bad bending (right) levers the weight of your upper body plus whatever you are lifting onto your lower back discs, whether you keep your back straight or rounded.
Strengthening your back will not stop you from sitting and bending wrong. Stretches or massage that feel good for the moment will not stop you from sitting and bending in the way that rounds the spine forward, pushing and squeezing the discs until, finally, give break down and squeeze out to the back (herniate).
A bad disc is not the diagnosis. It is not the cause of the problem. It is the result of what is causing the disc go bad.
You can treat the disc pain with pills, exercises, massage, and shots, but not remove the cause. When you continue the cause, the pain often comes back. You can undergo surgery to remove the disc, but of you do not remove the cause and continue injurious sitting, lifting, and bending, you continue harming your other discs.
What to Do:
To stop the damage, stop the cause. Then it can heal.
It is easy to prevent and heal back pain when you simply stop the cause.
There is more help and information in my replies to many reader comments right under this post. Before asking more questions, see if your answers are already here.
--- Read and contribute your own success stories of fixing pain with these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books. Limited Class spaces for personal feedback. Top students may apply to get certifiedDrBookspan.com/Academy.
A reader thoughtfully sent in the photos at left to help readers recognize unhealthy bending, and asked, "What is your advice when someone is having to bend to put dishes in the dishwasher? It just seems so uncommon to think to squat while loading the dishes."
There is no better time to bend in healthy ways than your real life. The whole point of fitness as a lifestyle is that your daily life is healthy movement - not to change clothes to do squats at a gym three times a week, then change clothes again, go home, and bend wrong all day. Healthy bending is for every time you bend. How often is that? The post How Good Would You Look From 400 Squats a Day - Just Stop Unhealthy Bending showed how we estimated that you bend an average of 400 times every day for ordinary activities. Why harm your back and miss free exercise for your legs hundreds of times a day? Most people know and repeat, "bend your knees" if you quiz them on healthy bending. Bending knees slightly, as in the above photos, does not make bad bending healthy. Bending over forward pressures your lower back discs, whether your back is rounded (photo above left) or straighter (above right). You are still bending over and the leverage point is your lower spine. Bending right is simple:
With feet side-by-side, comfortably apart, bend knees, keeping your torso fairly upright - as if not wanting something to fall from a shirt pocket (right drawing).
Keep both heels down and shift your weight back to your heels.
Pull your knees back over your heels. Don't let them droop forward under your body weight. When you shift your knees back, you will feel the effort shift away from your knee joint to your thigh muscles.
Don't stick your backside out or exaggerate the lower back arch.
Unless you are moving in healthy ways for your real life, it is not a lifestyle and it is not healthy. Healthy bending is easy and life changing. It is free exercise and injury prevention. When should you do it? Each time you want your daily life to be healthy.
More photos and description of bad sitting and bending that causes back and disc damage and what to do instead - The Cause of Disc and Back Pain
Check the exercises you do for the same body positioning that would be recognized unhealthy if they were not renamed "exercise" - Are You Making Your Exercise Unhealthy?
--- Read success stories of these methods and send your own. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certified - DrBookspan.com/Academy. ---
Free Exercise and Free Back and Knee Pain Prevention - Healthy Bending
Monday, October 02, 2006
Healthline
If you think that not having time to exercise is the problem, here is good news. Thinking that your life and your health are two separate things is the problem. You don't have to stop your life to get exercise.
Look at the drawings, above left. The left-hand drawing shows bad bending - letting weight rock forward, heels lifting, and overly arching the lower back. The right-hand drawing shows healthy bending - keeping weight back, heels down, and the lower back in healthy position, not rounded and not overly arched. Look at the right-hand drawing and try it:
Keep your upper body as upright as you can, instead of rounding over forward
Keep both heels down as you bend your knees (right drawing).
If you find you lift your heels, use your leg muscles to deliberately pull your knees back so that your weight shifts back over your heels. Shifting your weight back keeps your weight on your leg muscles and off your knee joints. There should be no knee pain with good bending.
Keep your knees back toward your ankles. If you just let your weight flop, the knees will come forward past your toes. Don't allow your knees to shift forward.
Don't overarch the lower spine (overly sticking your behind out in back). Keep neutral spine. If you overarch, tuck your hip (tailbone) under you just enough to prevent having a too large arch (inward curve) in your lower back. Although it is often taught in exercise and weight lifting classes to stick far out and overarch, increasing the arch increases pressure on the joints of your vertebrae, called facet joints, and the soft tissue of your lower back. Overarching is a major hidden cause of lower back pain and injury.
Use good bending every time you bend - even to look in the refrigerator and get in and out of your chair. Don't use your arms to lean on the arm rests to sit down and get up; use leg muscles. If you need to use your arms, or you lean your body forward to sit or rise, you need to improve balance, Achilles tendon stretch, and leg strength. Bending properly does all that for you. (Practice safely. Don't fall down.)
Have a friend (or a camera set on timer) take photos of you from the side as you stand and bend, showing how you fixed your bending from unhealthy to healthy during whatever you do all day for work and at home. Write a fun summary and e-mail your photos and stories to me. If you can, put the photos on a photo sharing site. That is easier for me to retrieve and post on Fitness Fixer. I can put the best photos and most fun stories up in lights.
Realize that a big part of your health is the way you move in real life. Make a conscious decision to change your idea of exercise, fitness, and health from stopping life to "do exercise" to how you live. Have fun - the best health.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For answers to personal medical questions - Replies to Medical Questions. Limited Class spaces for personal evaluation. Top students may apply to certify throughDrBookspan.com/Academy.See Dr. Bookspan's Books. ---
How Good Would You Look From 400 Squats a Day - Just Stop Unhealthy Bending
Friday, September 29, 2006
Healthline
Imagine how good your legs would look if you did 400 squats and lunges a day, and how many calories you would burn. Using your legs would strengthen them and reduce risk of both osteoporosis and arthritis. It has been found that a major predisposing factor of knee arthritis is weak thighs.
Now remember how many times a day you bend for ordinary household and work activities. It is more than you think. Some time ago I did an intensive tracking of how many times a day the average person bends. I also put my graduate students on this as a formal study. This kind of counting is a grad student specialty. Many of my other students wanted to count also. We all found about the same thing. The average sedentary person bends an average of 100-200 times a day just getting things out of the refrigerator, dishwasher, closets, washing, and doing other little things around the house or workplace. The average nonsedentary (but still not active) person bends 200-400 times a day. The average fidgety and active person bends over 500 times a day.
Now realize how many times a day you are hurting your back and missing free exercise by bending over in unhealthy ways, as in the photo, above left. Leaning over all day is also a factor in neck pain. If you only burned half a calorie each time you bent properly, keeping your body upright, and bending knees, you would get a lot of exercise. You would not have to change clothes or go to a gym or pay a trainer. You would not have to take pills because you make your back ache. You would not have to do anything except live your life. You life is supposed to be healthy. You are not supposed to stop your life to go "do exercise." It is a sad thing to see people do squats and lunges in a gym, then bend over wrong to put their weights down, and bend wrong again to pick up their things to leave.
When you bend, keep your upper body upright. When you are bending with feet side by side (squat bend), keep both heels down and your weight back over your heels to keep your weight on your leg muscles and off your knee joints. Don't stick your behind far out in back. In these ways, healthy bending saves your back and gives much exercise without going to a gym, and helps, not hurts, your knees. Healthy bending is life changing.
Exercise is More Important Than Calcium Supplements for Bones
Monday, September 18, 2006
Healthline
A study making recent news concluded that taking calcium supplements does not do much to reduce bone fractures in childhood or later life. The study did not cover all reasons, but it does not stand alone. Studies over many years show that bone density depends on more than eating calcium. Calcium loss occurs through smoking, drinking too much alcohol and soda, lack of exercise, and eating animal protein. A young person can thin their bones through bad habits to the equivalent of an elderly person.
Bone density when you are older depends on what you are doing now. Sedentary lifestyle is a major risk for osteoporosis and fractures. Exercise thickens bones from the muscles pulling on them. Without exercise, you can lose bone density no matter how much calcium you eat. Without exercise, you "pee" the calcium you eat back out. You need to give calcium a reason to stick on your bones.
Even if you are a young man you need to build bone now. Osteoporotic hip and spine fractures are a major cause of illness and death for both women and men. One in eight men over age 50 will have an osteoporosis-related fracture, greater than his risk of prostate cancer. The death rate in the year following a hip fracture is nearly twice as high for men as for women.
Research in elder populations shows ability to increase bone density with exercise. Weightlifting is often mentioned as needed. People think they need to go to a gym or buy hand weights for home use. Weightlifting includes lifting groceries, children, and packages around the house. Weight-resisting activity includes moving, pulling, and lifting your own body weight. You can load your upper leg at the hip, a major site of osteoporosis, by bending right using your legs for all the many times you need to bend every day. Go to Disc Pain - Not a Mystery, Easy to Fix for tips. Future posts will show more bone building exercise from daily activities.
Several vitamins and minerals in fruit and vegetables help bone density. Calcium also needs vitamin D to work. Sunlight is an often forgotten source. Sunlight is necessary for your immune system, bones, mood, and overall health. There are some who say there is no safe sun exposure. Balance your time of exposure to reduce risk of cataracts and skin cancer. Get out of your chair and get outside in the sunshine for exercise every day.
Discs are tough cushions between your spine bones (left-hand drawing). They are living parts of your body. When you bend forward, the front of your vertebrae (back bones) squeeze closer together. The space between the back of each vertebrae opens. After many years of bad habits of sitting rounded forward, bad bending over forward, and stretching by bending over forward, the discs are forced backward, like squeezing the front of a water balloon (right drawing above). They begin to break down (degenerate) and move outward to the back, also called slip or herniate. Herniation can continue over years until it suddenly causes back pain with one more bad bend, until the disc moves backward enough to touch the nerves going down your leg causing sciatica and other nerve pain, or even press on your spinal cord. This is avoidable and easily reversed. Discs can quickly heal without surgery, if you change your bending and sitting habits in simple, healthy ways:
1. Sitting. When you sit, don’t round your back. You don’t need an expensive ergonomic chair. No chair makes you sit right. You just use your own muscles to sit right. Make sure you don’t tighten and strain to sit straight. Pull your chair in closer to the desk, and lean your upper back against the seat back. Don’t round forward or push your lower back against the seat. Many seat backs are rounded so that you have to sit poorly if you rest your back against them. Don't let this happen. I will write more about healthy sitting in future posts.
2. Bending. The average person bends hundreds of times every day for daily activities like laundry, kitchen, pets, gardening, children, household chores, and everything else. Check to see if you are bending badly each time, hurting your discs. Check at the gym if you add more forward bending for toe-touches, weight lifting, and exercise class. The post Are You Making Your Exercise Unhealthy? shows some easily missed sources. The post Common Exercises Teach Bad Bending shows more. Bad bending puts herniating forces on your discs hundreds of times every day. No wonder your back hurts.
Here is one way to get healthy built-in leg exercise and stop back pain by bending well for every time you bend to reach things very day:
Stand with feet side by side, comfortably apart.
Bend both knees. Keep both heels down touching the floor.
Keep your upper body upright, as if you don’t want something to fall out of your shirt pocket.
As you bend lower and lower, peek down and make sure you can see your toes. If you can't, that means you are letting your knees come forward, which shifts your weight to your knees.
Keep your knees back over your ankles to keep your weight on your leg muscles. Many people won't bend with their knees because it hurts their knees. This good bending stops knee pain too.
With healthy bending habits, you get free exercise hundreds of times a day, strengthen your legs, stop knee pain, and let your discs heal, all at the same time.
Many Fitness Fixer posts tell more about the large contribution of good daily bending, sitting, and moving habits to healthy lifestyle and stopping the source of disc injury. Click the links in this post for more examples and information. Click the labels under this post for all Fitness Fixer posts about that topic, for example, for good bending, click "squat" and "lunge," for healthy sitting, click the label "sitting." For all posts explaining discs or sciatica and how injury occurs and can heal, click those labels.
There is a large store of help and information right under this post in my replies to the many reader comments below this post. Before asking more questions, see if your answers are already here.
--- 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. ---
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In the 1960s, many physiologic studies were carried out on the Ama and Haenyao to see what their lung volumes were before and after dives, their temperature regulation and tolerance to cold, their ability to tolerate strenuous work, changes in heart rate and blood distribution during breath hold diving, their physical characteristics compared to non-divers, how alveolar gases (oxygen and carbon dioxide in their body) changed during their breath hold dives, and other interesting topics. Some say that the sudden huge scientific interest was because they dived nearly naked.
Diving clothes varied by geographic area, with some divers wearing only a rope belt or loincloth. No fins were used to help swimming. Later when wet suits were developed, only male divers wore them. Women were prohibited protective suits by their cooperatives, since they were considered more cold tolerant to begin with, and the advantage of the suit would "accelerate over-harvesting" Later, the work became pretty much exclusive to women.![Reblog this post [with Zemanta]](http://img.zemanta.com/reblog_e.png?x-id=52d1f1f2-7e37-46d7-8039-2c70a89fc982)
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