We planted a vegetable garden this Spring in my mother's field. Hard exercise changed a rocky ruined area into beautiful food. It's getting cold now. Readers asked how the garden turned out. Here are stories:
We are harvesting. By afternoon it is dark with a large orange moon overhead lightning our work. The hard work keeps us warm.
When we first cleared the area, we filled the wheelbarrow with concrete slabs, pried and dug from the patch. Paul bent to grasp the wooden handles. When he rose lifting the handles, the barrow was so heavy that both handles snapped, scattering everything. Paul is strong.
We sawed and attached new handles. Much good squatting, bending, rising, lifting, and reloading. Paul bent well (upper body fairly upright, knees bent over heels). At almost seven feet tall, he needed to bend low. When he rose, the wheelbarrow handles were so high in the air, the front of the barrow tipped forward so far that contents spilled everywhere.
Hoeing a field, breaking concrete, digging stumps and rocks, bending and reaching, lifting right, hauling bales of compost, and all the rest that gardening can involve, is more exercise than you can get in a gym. It combines hard natural movement using much of the body at once to give muscular and cardiovascular exercise. To pull weeds, you squat well, both heels down, loosen roots with a digging stick, grasp weeds at the roots, rise pulling slowly. Over and over. Rise and bend. Garden prayer.
We were amused that more grew outside than inside the garden. Outside, tall weedy grasses grew everywhere. Inside, small seedlings grew into low herbs and vegetables. Deer and other animals didn't eat our garden. We had built a 6-foot fence around it, but deer can easily jump that height, and small burrowing groundhogs and rabbits can wiggle through or under. What we had done is leave them a bushy meadow near the garden area, with plenty of food and hiding places. They didn't need to bother the garden. The municipality cited my mother for a violation of some kind for not mowing her "lawn." Sorry Mom! We paid it for her.
Large slabs of concrete lay buried, inches below the surface of much of the area we wanted to plant. We needed to break and remove them. I managed to lift Paul's huge sledgehammer, swinging it with both hands over my head. It came down on the slab and bounced. I tried a wider stronger swing. It was heavier to swing than it looked. It bounced off the concrete each time. I handed it to Paul. He swung it quickly with one arm, splintering the slab. We dug the dozens of new football-sized pieces and made a rock border for the flowers nearby.
We gardened without pesticides or chemicals. We hauled hundreds of pounds of compost that the municipality gives away free at the recycling centers. Thank you recycling center for all the good exercise, compost, and manure. Plants grew healthy and didn't need chemicals to fight insects. They could fight them from their own internal health - people can do the same much of the time from simple good health practices. Plants manufacture their own anti-inflammatories against disease. That is part of why eating vegetables and fruit is good for your own health against inflammation.
The work it took to eak out a few plates of vegetables for each meal reminded us of subsistence farmers - how worrisome it is to have to rely on what you can scratch out of your own soil. If we had to last the winter on what we grew, it would be a long thin winter. Much of the world does not sit around indulgently with fast food in the refrigerator. Many do not have refrigerators. Before spending money on junk food, then complaining you are too heavy, think. Save the money. Improve your health. Refraining from eating does not make anyone fat.
The tomatoes grew tall and long. They grew so much that we could not find the strawberries.
We are saving the seeds from the sweetest cantaloupe, the largest cabbages, and the most wonderful purple peppers and white eggplants for next year.
The wonderful Thai bamboo hoes we brought back with us have shrunk in our colder dryer climate, loosening the heavy metal shovel-heads so they tilt sideways with each overhead swing. We have been fixing them, then going back to hoeing. The ground will soon freeze. Hoeing is more upper back strengthening and work than anything in a gym, even more than all the pushups and handstands that I love. Bend knees, upper back upright, breathe in, swing up, breathe out, swing down. Over and over.
Saturday night was Halloween. The World Series was playing. Paul didn't want to disappoint me by not going out to see the fun going on for Halloween in the city, and would never have said anything. I put on a costume and sat with him to watch the game. It was a great evening. The next day I put on a scarecrow costume and we worked in the garden.
We were just two city kids, who grew up in urban slums. I didn't know about gardening, but we read, worked, learned from mistakes, and sweated under the hot sun and the cold evening air.
Read success stories of these methods and send your own. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
"I enjoy the all day exercises using squat and lunge for my daily activities. Thank you for sharing your philosophy.
"However, those exercises are mainly for lower body. I would like to ask if there are good all day exercises for upper body parts i.e., shoulder, neck.
"I found some stretches for shoulder and neck that you introduced.
"Thank you and best regards, Vietanh"
This is a great question and understanding that fitness is something that you do during real life. In gyms and health centers, even therapy settings where people are going there for the purpose of fixing and increasing function, they sit waiting in terrible unhealthful positioning - photo at right - waiting for a class or activity for health. I have read fitness books saying the posterior shoulder is "difficult to target." Hold your shoulders straight, rather than letting them slump forward. You will get built in upper body functional exercise. Apply this to exercise, to lifting, sitting, sewing, all you do.
Look at your many hours each day of real life - when you prevent round shoulders with retraction to neutral, you are getting upper back extension exercise. When you sit and bend and lift right instead of rounding forward, you get healthful, functional upper and mid range back extension. When you use neutral spine to walk, run, kick, and jump, by extending at the hip instead of allowing the lower spine to increase in arch passively into hyperlordosis, you get healthful lower back extension and abdominal exercise at the same time. It is the abdominal muscles that will flex you forward to straight, rather than overarched. They only do this when you deliberately use them. Strengthening alone does not create movement to healthful position. Healthful positioning strengthens and gives exercise. Look at the photo above again and see that how you really live, not a gym, is your exercise and health.
Apply upper body muscle use for function in daily life:
Using upper back muscles to prevent rounding forward in round shoulders gives continuous built in exercise. This is not forcing, just mobile, comfortable muscle use. How are you sitting while reading this?
There is more to this excellent question. Will come in future posts.
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Read success stories of these methods and send your own. Questions come in by the hundreds. I make posts from fun ones. Before asking more, see if your answers are already here by clicking labels under posts, links in posts, archives at right, or in the Fitness Fixer Index.
Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books. Get certified - DrBookspan.com/Academy.
--- 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. ---
For weightlifters who enjoy Olympic lifts, rows, cable cross-overs, curls, and all the other good stuff with endless heavy weight, you may like growing vegetables.
We have been tilling a vegetable garden from a rocky field at my Mom's. Seems her home was built on landfill. We had to sledge-hammer and pry concrete slabs - prodigious squatting, levering, clean-and-jerking, and hundred pound medicine ball throws over the just-built garden fence into a pile. Then lifting and hauling away the pile.
Carrying sand, earth, rocks, weed bales, tree branches as heavy as you can lift, over uneven rocky hilly earth back and forth from the truck, the field, and the new compost pile a hundred feet away for hours is functional weightlifting. Hours of repetition-maximum (RM) hoeing gives a harder abdominal, arm, and gluteal workout than it looks.
Healthline software still isn't uploading my own photos. At left above, a photo of a statue with too much lumbar curve/hyperlordosis to be healthy, but in general doing functional weightlifting. Use your muscles to prevent overarching like this when you swing a sledge, a kettlebell, or other weight. For Fitness Fixer posts on neutral spine and hyperlordosis, click the photo or here.
Over the winter while visiting home in Asia, my husband Paul and I went to a workman's shop. The store-keeps remembered us and smiled. The first time we went there years ago, they were so sure we were lost tourists, they took our shoulder and gestured at a restaurant. In the best Thai I could manage, I explained that Paul is a carpenter, has done forge metal work, and loves old-world tools, strong bamboo handles, and hand-hammered metal. They smile each year we return. In the US, we live in a crowded urban area with minimal bricked exterior in deep shade from surrounding buildings. Vegetable gardens don't grow. Paul wanted to plant my Mother's field - a brambled overgrown area.
In the Thai tool store, I explained with the words I knew that Paul was looking for a specific Thai tool, shaped like a backward shovel, that you use in overhead action, like a mattock (flat bladed pick).
Quickly, excitedly, word went from the store-keep, to her friend in the next shop, to the next, and next:
"Man who good to Mother of wife!"
The coconut telegraph was happy. We bought two heavy tools, called "job" in Thai. Both had thick lovely bamboo handles. One was giant sized for Paul, the other for me. Fun getting them through flights and US customs.
Mom had asked a local man what it would take to clear her field, and he told her a blowtorch, a machine plow, three men, and a week. Paul and I cleared it in one day in early April with a digging stick and the Thai hoe-shovels. The ground was half frozen. Six, or so hours massive exertion - first clearing brush and tall grasses, then hours of half-squats to seize handfuls of stalks, standing back up to pull them with grip strength. Then excavating slabs of concrete and discarded materials with a pry bar, the Thai digging tools, and bare armed weight lifting.
The packs of seeds we had scattered in assorted flowerpots, pans, shoeboxes, and containers sprouted over just a week into tiny plants - broccoli, cabbage, pea, hot and sweet peppers, strawberries, eggplants, and assorted spices. We have been learning about complementary planting - plants, just like people, who are better and healthier with specific other kinds of plants so that chemical fertilizer isn't needed. We are learning about plants that repel pests, instead of using insecticides.
We got a rain barrel to reduce water bills. We attached an old broken hose. The holes made it a natural soaker hose. We poked more holes and arranged it around the garden for drip irrigation. We don't know the water quality of either the rain or from the tap. We will send six dollars and a soil sample to an agricultural university for testing. Maybe other toxic things are in that landfill that we don't want the vegetables absorbing. Maybe commercial food factories have the same problem. Many things to learn.
Weeks pass squatting and sitting well to plant seedlings, still hitting buried rubble. More lifting and hauling. Each night we are too tired to worry or think anything bad. We are barely were able to lift hands and feet. I consider what people for thousands of years have been doing just for subsistence farming, day after day, year after year. I thought of Fitness Fixer success story Ivy and her story - Farm Work, Lifestyle Exercise, and Preventing Overuse Pain.
We thought we planted everything, then found a half pack of pea seeds left. Paul mentioned we didn't have one more container for them. I laughed, "we didn't have a pot to pea in."
Ideas:
If you're a tough vital strong person, or want to be, dig a garden.
If you don't have anywhere to dig one, hook up with some nice elder who wants one, a community group, Habitat for Humanity, or someone who doesn't want to exercise like this but still wants a garden.
Contact your community to see about organizing parents and children out in sunshine for functional exercise doing good for all.
If you only want one hour a day of hard total body fat burning muscle building exercise, only plant a small vegetable garden.
No need to buy fancy tools, use what's handy.
If you don't want to exercise so hard, try a single pack of seeds in some potting soil in almost any container on a sunny windowsill. A chance to get the vegetables you like.
Fancy individual peat pots and seed starters aren't essential; a simple pack of seeds can get you a pan full of fragrant oregano, said to be very healthful. It gives a gasp of wonder (to me) when seedlings actually sprout.
Before the 2008 election, a video appeared by Roger Doiron (I don't know him, just liked the video). He asked the next President to grow a garden. It did come true. Here is his viewpoint of getting your own garden started, showing various bending, occasionally good:
Read success stories of these methods and send your own. Questions come in by the hundreds. I make posts from fun ones. Before asking more, see if your answers are already here by clicking labels under posts, links in posts, archives at right, or in the Fitness Fixer Index.
Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books. Get certified - DrBookspan.com/Academy.
Fast Fitness - Double Arm Strength, Endurance, Balance, Stability, and Free Inversion Table
Friday, May 01, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness - build on the handstands you have already been doing with Fitness Fixer.
Do a handstand against a wall. An easy way is to stand with your back about a foot or so from a wall, crouch down and put one foot, then the other, high on the wall.
With feet still against the wall, begin to lean your weight until you are holding yourself up on only one arm.
Hold as long as you can. Breathe normally. Leave shoulders relaxed, not tight. Switch to the other arm.
"Sorry my video requires a lot of phone power so I had enough to snap a shot before I have to charge it. Angle is kinda odd as it is on a "tv" with my wallet ingeniously holding it in a position so it can see me instead of the floor lol. I need to go and buy a camera.."
If you like lifting weight overhead for upper body strength, you don't need to wait to go to a gym, or to get weights or equipment.
How to get started with a wall handstand - Wall Handstand Success With Liz. Use your brain before trying this. Be safe and careful, obviously.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For answers to personal medical questions - Replies to Medical Questions. Limited Class spaces for personal evaluation. Top students may apply to certify throughDrBookspan.com/Academy.See Dr. Bookspan's Books. ---
Here is the latest fun update from Robert Davis on losing fat and increasing strength and flexibility. He has been sending success after success using Fitness Fixer techniques:
"I have noticed a big improvement since I started in my flexibility. I noticed this the other day when I realized just how much farther I can stretch now. I could not lower completely into a sitting squat without tipping before. Now I can and it sure as heck makes working in really low areas for a longer time very easy without resorting to bending (bad weighted flexed) which I refuse to do at all now.
"I have seen increases in all areas of stretching. I see that it just takes time and consistency.
"Since I am a musician, I carry a guitar bag everywhere. I decided to make a "portable" gym. Got a pull-up bar that goes in doors (removes and mounts quickly) and my guitar bag. That is all I need. I fill the bag with random objects to add weight and strap it on (like a backpack) and do everything from the books with increased weight and also pull-ups of all kinds of grips/variations for more challenge. You mentioned the wall handstand pushups and this reminded me of that. I strap my weighted bag to my back and do those now too. No need to go to the gym =P
"PS my friends think the wall stand pushups are "nuts" and can barely hold themselves up in position when they try. Who needs the military press? I actually found this to be much harder because of all the stabilization. Unlike a machine or barbell, it feels like a lot more muscles are coming into play a bit more when doing them like that. Seems so with almost all the body weight exercises. No wonder aside from cosmetics, weight training has no functional use outside of the gym. Takes a bonehead like me to realize this!
"Oddly, since I had changed my diet from meats and animal to Vegan (inspired by the body builders you have shown on the Fitness fixer) I have had people comment that I seem to be getting bigger! This is kinda funny because I actually lost some mass and it is mostly body fat from the weightlifting diet (now changed to vegan) and doing these exercises in place of weight training. They often do not believe me when I say I have not touched the bench in 3 months or so now. =0"
Watch for Fast Fitness this Friday to see what Robert Davis will show you next.
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Read success stories of these methods and send your own. Questions come in by the hundreds. I make posts from cool ones. Before asking, see if your answers are already here by clicking labels under posts, links in posts, and archives at right.
Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. Become certified through the Academy - Dr.Bookspan.com/Academy BrowseDr. Jolie Bookspan's books on her website.
Fast Fitness - Add Balance, Stability, and Portability to Military Press - Handstand Pushups
Friday, April 17, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness - If you like lifting weight overhead for upper body strength, you don't need to wait to go to a gym, or to get weights or equipment.
Get more exercise, practice balance, and shoulder and arm stability, with handstand dips:
Do a handstand against a wall. An easy way is to stand with your back about a foot or so from a wall, crouch down and put one foot, then the other, high on the wall.
With good judgment, do upside down pushups (dips).
Vary the depth of each dip, speed of each, speed you can do a number of dips, and distance of your hands from the wall to vary the exercise.
Robert Davis sent in his video of how to do handstand pushups. Blogger is still having trouble uploading visuals. Click this link to watch it:
he writes, "I replaced the military press with this. It is portable for one! Ever notice how pronounced male gymnasts shoulders and arms are? They do things like this:) "
Robert was a weightlifter who hurt his back with conventional lifting (bad bending and overarching the lower spine). He rehabbed quickly with Fitness Fixer techniques and has been sending in his success stories one after the next. He writes:
"This was not a very problematic exercise as I had been used to destroying my shoulders with mega high weight LOL. But this is different because of the engagement of muscle groups that control stabilization.
"But yeah, I have been doing that in place of military press and see how it is more beneficial as the stabilizers have to kick in more then being benched or using a machine.
"Once again thank you and I think people should really listen to you. I am glad I did because I have no need to go in to get scanned or be told I need surgery or something silly ;)
"Like I said I am not into pro body building, I just did it to stay "fit" and look fit as I thought it was. But after going thru this, it is not all that functional to pound out reps of heavy weight and not be able to do a plank or walk/sit straight. I lifted enough just to have "lean muscle" but not to be huge. But I realize now this is easily done safely with your methods and I do not need a gym."
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For answers to personal medical questions - Replies to Medical Questions. Limited Class spaces for personal evaluation. Top students may apply to certify throughDrBookspan.com/Academy.See Dr. Bookspan's Books. ---
Fast Friday - Oblique Core Strength and Balance on the Ball
Friday, March 20, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - develop strong side abdominal and back muscles, and train balance at the same time:
Put both hands on the floor and step one foot up onto an exercise ball of any size
Step the other foot up to the ball and turn sideways. Hold straight (upper photo). Hold and feel all abdominal and back muscles working strongly to hold yourself straight.
Work up to raising one arm.
Don't let body sag (lower photo). The idea is to train your muscles to be able to hold straight against the resistance of your own body weight during daily life when walking and everything you do. If your muscles don't have the strength or endurance to hold you, then you will sag onto your joints.
At first, you may need help to steady the ball. Practice until you can steady it with your own muscles, balance, and stability.
Instead of sitting on an exercise ball, remember that you might already sit much of the day. Get up and use an exercise ball for more functional, active, and healthful things.
Send in your photos of your fun successes using the ball in ways that train function. Exercise ball success story already in progress from Robert Davis. See his first story - Fixed Injuries, Got Strong, With Functional Exercise.
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Read success stories of these methods and send your own. Questions come in by the hundreds. I make posts from selected ones. See if your answers are already here by clicking labels under posts, links in posts, and archives at right.
Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right.
Reader Robert Davis has been enthusiastically sending in success story after success story. He sent his first story of fixing a painful back injury from weightlifting - Fixed Injuries, Got Strong, With Functional Exercise.
Since getting the idea of using healthy daily movement instead of injurious movement during daily life and exercise, Robert stopped major causes of his injuries. He has rapidly been getting strong using fun functional exercise, and improving function. He has been taking ingenious photos using his camera phone. His stories and photos will be posted. He is sending them in fast and furiously. I enjoy hearing how he experiments with each thing, and sees and understands how they work so he can incorporate the concepts into daily movement, not just going thorough arbitrary motions and calling it exercise.
We are still having problems uploading photos and movies for you - since October. It has been a time-intensive and difficult process to get any photos at all uploaded for these posts. It has changed and delayed a few of the articles I wanted to write for you. When Healthline staff can help, they will. Robert generously made a page to store visuals so you can link and see them. Start with:
Watch how he uses a healthful squat for real life, not just 10 times in a gym.
Robert writes:
"Make a mess and pick up only one item at a time via a squat. If you need to clean the house only pick up one item at a time. The constant up/down motion of the squat etc should get the heart rate up for a good cardio workout. Why not kill two birds with one stone? Tired of the stationary bike? Do this for a half hour:)"
Good bending is natural built-in cardiovascular exercise, leg strength and stretch, Achilles tendon stretch, hip strengthener, warm-up for stretching, and back pain prevention, since it stop one major cause of back pain - bad bending (bent over at the waist or hip). Done properly, good bending strengthens knees and does not cause knee pain. The Related Posts below explain more. For all Fitness Fixer articles on each topic, click the labels under this post - for example, "Achilles stretch."
Read success stories of these methods and send your own. Questions come in by the hundreds. I make posts from fun ones. Before asking, see if your answers are already here by clicking labels under posts, links in posts, archives at right and the Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. SeeDr. Bookspan's books.
Fast Fitness - Even More Core With No Forward Bending
Friday, March 13, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness - build on a previous Fast Fitness for increased strength of body and core. Strengthen almost everything with this fun move.
Questions come in by the hundreds. I make posts from fun ones. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Read inspiring success stories of these methods and send your own.For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books. For personal evaluation take a Class. For top students, certification throughDrBookspan.com/Academy.
Hold a straight pushup position. Extend one leg 90 degrees out to the side. Your foot and knee point straight to the front.
Keep that leg and foot parallel to ground, not sagging downward to the floor.
Do pushups keeping the leg held straight out to the side and off the floor.
Keep your back straight (demonstrated center) in neutral spine. Don't allow lower spine or neck to droop under your weight, to prevent compressive spine sagging (gray t-shirt right foreground). See how in Fast Fitness - Strengthen by Changing Your Plank.
Readers - send in your mpeg movies of doing this and all your other successes.
--- 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. LimitedClass spaces for personal evaluation. Top students may apply for certification -DrBookspan.com/Academy. Learn more with Dr. Bookspan's Books,
Here is Friday Fast Fitness - learn how to use your abdominal muscles for what they need to do in real life - hold your spine in neutral position, even against resistance:
Lie flat, face up. Legs out straight, as if standing up. Hold a weight a few inches above the floor with arms outstretched, elbows by your ears.
Lift the weight a few inches up and down, using your abdominal muscles to prevent your ribs from lifting up and to keep your back from leaving neutral position.
Keep your lower back close to the floor. This is the key to making this into an effective and functional abdominal retraining exercise. Also prevent the weight from touching the floor (don't drop baby on head).
This video was made by David from Belgium with his baby Aiko, born one year ago today, Feb 27th 2008. Happy Birthday Aiko!
Click the arrow to run. If the video does not load, here is the URL: http://www.youtube.com/watch?v=8k4zDwce7bE
Watch how David bends well with heels down and upright body to pick up baby Aiko, and gets up again without using hands.
Press your lower back toward the floor and feel your abdominal muscles working strongly. The point of this retraining drill is to have fun learning to hold your spine stable against resistance, learn how to reduce an overly large lower back arch using the floor as a guide, then transfer that knowledge to standing and lifting overhead. This is how your abs are supposed to work in daily life when standing - to prevent the spine from overarching (overextending backward).
For more on using neutral spine in real life see the third expanded edition of The Ab Revolution™.
--- 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. ---
Partner 1 (white uniform) does biceps curls and other lifts using partner 2's weight.
Partner 2 uses core and whole body strength and endurance to hold straight positioning. Partner 2 can face up, down or sideways, in each case using appropriate muscles to maintain straight position. Breathe normally.
This Fast Fitness can be done with willing friends, children, pets, and furniture.
Partner 1 uses core and abdominal muscles to stand with neutral spine rather than leaning backward, and whole body strength to support weight of partner 2.
It is a myth that you must lean back to offset a carried load. You get intense and functional abdominal muscle workout by using them to pull you forward to neutral standing position.
I once used this exercise of holding straight horizontal position (partner 2's part) while helping out a friend who is a stage magician. I filled in for his absent assistant for the floating lady illusion. I was too tall for the apparatus. It usually holds your body out flat using struts reaching from head to thigh. It reached only to my midback. I wound up holding my weight myself, from hips to feet - high above the stage - while trying to look hypnotized. More on this, someday, in another post.
I make posts from fun mail. Before asking more questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. 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 Friday - Functional Oblique Abdominal Muscle Practice - Holding Straight
Friday, February 06, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - use your oblique abdominal muscles functionally - to hold yourself straight against resistance:
Stretch out on the floor. Turn to the side, standing on one hand and one foot
Hold straight as long as you can. Don't sag. Feel how to hold yourself straight and relaxed.
For more, raise the top leg. Keep body straight, instead of bending forward at the hip. Don't increase the inward curve at the lower spine when you raise the leg. Keep neutral spine.
Photo is of one of my students, Dr. Hanley Owen, a physician from Fairbanks Alaska, who took a workshop with me at the Wilderness Medical Society meeting 2008. Check my web site CLASS page for workshops this summer - DrBookspan.com/classes.
Instead of curling forward and sideways to exercise abdominal muscles, this drill retrains oblique abdominal the way you need them in real life - to keep you straight instead of slouching to the front or side when carrying shoulder bags and other loads, including yourself.
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Questions come in by the hundreds. I make posts from selected ones. See if your answers are already here by clicking links and archives. Read success stories of these methods and send your own.
Subscribe to The Fitness Fixer e-mailed to you. Click "updates via e-mail" - (trumpet icon).
Fast Fitness - High Core Strength For The New Year
Friday, January 02, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness - a quick fun one to fulfill New Year's Resolutions for increased strength of body and core. Strengthen almost everything with this fun move that my students affectionately call "peeing dog" -
Hold a straight pushup position. Keep elbows slightly bent, not locked.
Lift one leg straight out to the side, as if over a bicycle. Hold as long as you can. Jump to switch other leg out to the other side.
Hold neutral spine throughout (pictured at center). Don't let lower spine or neck droop under your weight (gray shirt second from right). This post shows how - Fast Fitness - Strengthen by Changing Your Plank.
Send your photos or short movies of your successes doing this. Coming soon - an even more fun and challenging maneuver once you can do this one.
Photo is from my workshop at the 2007 International Black Belt Hall of Fame.
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Questions come in by the hundreds. I make posts from selected ones. See if your answers are already here by clicking links and archives. Read success stories of these methods and send your own.
Subscribe to The Fitness Fixer -Click "updates via e-mail" - (trumpet icon) upper right.
Fast Fitness - Don't Shorten Hip When Stretching Hamstring
Friday, December 19, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness - Get a more functional hamstring stretch, and a built-in posturally helpful functional stretch to the front of the hip at the same time.
When lying on your back to stretch your hamstrings by lifting one leg:
Lie flat. Keep the leg you are not lifting flat on the ground, not bent at the knee and hip, or with upper body curled and neck craned, as pictured.
Don't let your pelvis and hip round under you. Don't let your backside curl up off the floor.
Keep your hip, leg, back, shoulders, and head relaxed, flat, straight, touching the ground.
It is a myth that you must bend your knee to protect your back. If you must bend your knee to protect your back, how are you supposed to stand on one leg and lift the other in real life to climb stairs, kick, and even run and walk, without curling into bent over, old-looking, tight, injury-producing position?
When stretching your hamstrings, remember function. Why practice a position that is rounded, tightening, and detrimental to how you move when you stand and extend your legs. Get stretch by lengthening you body enough to be able to straighten out.
Send me your photos of fixing this stretch. Doing is the best learning. I will publish the photos in a reader success post to come.
Questions come in by the hundreds. I make posts from selected ones. See if your answers are already here by clicking links and archives. Read success stories of these methods and send your own.
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Readers say they enjoy hearing how to do things, but often remain reluctant to try them. Here is a fun story of success trying a wall handstand for the first time.
Reader Liz first wrote how she fixed her lower back pain using Fitness Fixer methods. I enjoyed getting her organized intelligent e-mails showing how she paid attention to why things worked and how to apply them. I asked her if she did the wall handstand - for fun, and to strengthen in functional ways.
Liz wrote:
"I read your reassuring posts about this but it still looks scary. I'm just not used to being physical, being raised to be "Ladylike" although I'm trying all the time to push my boundaries. I liked your description of you leaping up from your desk and doing a handstand. That marvelous description has stuck in my mind. One day I shall try it, you are very inspiring."
"All you do is put your hands like a pushup on the floor and step your feet up on a chair or wall behind you. "The post has a short movie."
Liz replied:
"I shall try it! First I must visualize myself doing it a few times, and watch the video a bit more too. When I watched it I tried to feel my own arms and legs doing the same movements. I find that helps when I attempt something very new. Also I like the idea of trying it on a chair first, or perhaps I'll work my way up a wall, low at first.
"And after all that I just did it. Felt very odd, never felt like that before. My head full of blood, my arms wobbly (working on the upper body strength) all my tummy and thigh muscles working very hard to keep me straight. I had a few false starts and tried it with each leg, very badly. I'm not strong enough to do it very close to the wall, when I get better at it I expect I will be able to."
I was so happy. I wrote to Liz:
"I am thrilled with you (again).
"Thank you for your faith and trying this. Quick, just snap a photo - a camera phone photo e-mailed to me is fine - anything so that I can throw this up on the Fitness Fixer success stories.
"I never knew that so many people were just not trying the handstands. They write, and sigh, that it is for other people, not them. I am writing this all precisely for them - the very people who need it most - to build the strength, body knowledge, and self confidence that modern fitness removes.
"Enjoy this. Grab bunches of photos. I'll do the work of sorting them out."
Liz replied:
"Hello Dr Jolie, "I found a clear spot, in the hall, where my husband could get a clear shot of me doing a handstand. I was concentrating really hard, and my face was bright red from all my blood pooling in my head, so no smiling face for the photo I'm afraid! I did a downward facing dog first to get comfy with the top down bottom up feeling, then up I went and I held it for a good 25 seconds too!
"I'll work on the other photos.
"Hope you can use this, if it's the wrong size let me know and I'll resend. "Happiness, liz."
What a great handstand. Look at that great neutral spine. Feet so high up on the wall. So much so easily and quickly. What a success.
I wrote to Liz that I was proud of her for trying things that build the strength, body knowledge, and self confidence that modern fitness with arbitrary artificial movements and little sets and reps removes.
Liz replied:
"So true, I felt very proud of myself! I'm going to do it again right now!"
Click the label "handstand" under this post for all posts teaching how to learn various kinds of handstands.
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Questions come in by the hundreds. I make posts from selected ones. See if your answers are already here by clicking links and archives. Read success stories of these methods and send your own.
Have The Fitness Fixer e-mailed to you, free. Click "updates via e-mail" - Health Expert Updates (trumpet icon) upper right column.
Here is Friday Fast Fitness - Strengthen and increase endurance of hands, fingers, and forearms.
Farmers Carry - Hold a heavy briefcase, suitcase, bucket, grocery bags, or other weights with a handle. Hold arms down at your side (or out to the side to add shoulder exercise.) Babies and children love to be swung (safely) forward and back in slings and other inventive carriers held in farmers grip.
Finger Carry - Hold (non-living) items down at your side, to the front, and out to sides with four fingers, three, two, then each one. Don't tighten your hand. Learn to apply strength in relaxed manner. When lifting with one arm, stand straight and get built-in core stabilization exercise, instead of leaning to the other side. You don't need to lean to counter balance the weight - use your muscles instead.
Pinch grip - Increase different grip ability by holding the weight pinched between the pads of your fingers instead of resting the weight inside the curled fist. Hold a book or heavier weight down at your side with 'pinch grip.'
Photo uploads still not loading. Several posts and reader stories have been postponed. Grip techniques on today's Fast Fitness are (hopefully) easy to visualize. Click the photo credits to see them on Flickr.
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Questions come in by the hundreds. I make posts from selected ones. New questions will make their way to the top of the schedule in about 2 months. Check if your answers are already here by clicking links and archives. Read success stories of these methods and send your own.
Have The Fitness Fixer e-mailed to you, free. Click "updates via e-mail" - Health Expert Updates (trumpet icon) upper right column.
Sedentary Lifestyle Linked to Teen Emotional and Behavioral Problems
Wednesday, October 15, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
A study of physical activity in more than 7,000 teenagers found that inactivity is associated with emotional and behavioral problems.
Teens with less than one hour of moderate to vigorous physical activity a week had more symptoms of anxiety, withdrawal, depression, sleep problems, rule-breaking behaviors, attention problems, and somatic complaints (body pain).
Study author Marko T. Kantomaa stated in an American College of Sports Medicine news release, "Negative mental and emotional effects brought on by physical inactivity does not help young people ease into adulthood. Physical activity could be a highly effective and relatively easy way to help that transition and could, in addition, lead to establishment of lifelong healthy habits."
The study was published in the October issue of Medicine & Science in Sports & Exercise - Kantomaa MT, Tammelin TH, Ebeling HE, Taanila AM. Emotional and behavioral problems in relation to physical activity in youth. Med Sci Sports Exerc. 2008 Oct;40(10):1749-56.
Increase in physical activity is known to reduce incidence of depression and anxiety in both adolescents and adults.
This morning, the United States Department of Health and Human Services (HHS) released "The Physical Activity Guidelines for Americans." The guidelines describe, "the types and amounts of physical activity that offer substantial health benefits." In summary, adults need 30 minutes of moderate-intensity daily physical activity five days a week, and children should run and play at least an hour every day.
Regular exercise lowers the risk of heart disease, many cancers, osteoporosis, diabetes, Alzheimer's disease, depression, and other diseases. Health and Human Services Secretary Michael Leavitt said in a telephone interview, "More than 59 percent of adults don't get enough physical activity and a quarter of adults aren't active at all in their leisure time."
Guidelines for ages 6–17:
1 hour (60 minutes) or more of physical activity every day.
Most of the 1 hour or more a day should be either moderate- or vigorous-intensity aerobic physical activity.
Vigorous-intensity activity on at least 3 days per week.
Muscle-strengthening and bone-strengthening activity at least 3 days per week.
Guidelines for over age 18:
2 hours and 30 minutes a week of moderate-intensity, or 1 hour and 15 minutes (75 minutes) a week of vigorous-intensity aerobic physical activity, or an equivalent combination of moderate- and vigorous-intensity aerobic physical activity. Aerobic activity should be performed in episodes of at least 10 minutes, preferably spread throughout the week.
Additional health benefits are provided by increasing to 5 hours (300 minutes) a week of moderate-intensity aerobic physical activity, or 2 hours and 30 minutes a week of vigorous-intensity physical activity, or an equivalent combination of both.
Muscle-strengthening activities that involve all major muscle groups performed on 2 or more days per week.
Barry A. Franklin, PhD, national American Heart Association spokesperson and Director of Cardiac Rehabilitation and Exercise Laboratories at William Beaumont Hospital in Michigan, stated, "Numerous studies now suggest that if we can simply move people out of the lowest levels of cardiorespiratory fitness, it can have a profound (and beneficial) impact on public health." More information and downloads of federal guidelines - www.health.gov/PAGuidelines.
Use this Fitness Fixer column to see how to get healthful activity as part of daily life. You don't need a gym, a trainer, or equipment. Click the articles and archives in the list at right, use the search box at top right, and the Fitness Fixer Index. Read success stories of these methods and send your own.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books. For personal evaluation take a Class. Top students may apply to certify throughDrBookspan.com/Academy.
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Photo - Family meets guidelines on Morro Strand State Beach by mikebaird
Here is Friday Fast Fitness - rows to strengthen the upper body, practice balance and neutral spine, and avoid lower disc injury from bad forward bending.
Readers have been writing in, excited about doing handstands for the first time or improving the handstand they do to get whole body functional fun exercise. My student Danielle demonstrates:
Shift your weight to stand on one hand. Grasp a hand weight in the other hand
Do rows, and any variety of arm free-weight movements that you want to improve.
There is no need to bend over forward to do rows. It does not train functional posture, and unequally squeezes lower discs outward, which adds to degeneration and herniation forces that are common during bad daily sitting and unhealthy bending. You don't need more unhealthy things while exercising.
Here is Friday Fast Fitness - Dips upside down holding a handstand, for shoulder and arm strength, balance, agility, and fun.
Readers Dave, Nine-Volt Terry, and others asked about dips. You don't need weights and equipment to increase strength. Body weight can be used in many fun ways. Fitness Fixer has shown how to do an easy handstand, then last Friday featured a short movie to learn a regular handstand - Fast Fitness - Step Up To Handstand.
This week - use the handstand for more:
Hold a handstand the way you are safe and comfortable.
Bend your elbows to lower toward the floor like a pushup, then push to straighten.
Increase how deep you can dip and how many you can do and push back up again.
These dips are safer for the anterior (front) shoulder than conventional dips which are done by leaning or hanging on hands while upright, and bending elbows behind you to lower and raise. They can work like a Safer Overhead Military Press. Make sure you don't have glaucoma or uncontrolled high blood pressure before doing these. Breathe and stay relaxed instead of tightening.
To increase skills, work until you can do handstand dips without a wall.
Here is Friday Fast Fitness - learn to lift up to a full handstand, for shoulder, arm, and wrist strength, balance, agility, skill, and fun.
Previous posts showed how to step up to an easy handstand by putting one foot up high behind you on a wall or surface. Here is how to learn swinging up to full handstand:
Stand close to a secure surface.
Plop both hands on the floor about a foot from the wall and swing one leg upward
Use momentum of putting hands down and swinging leg up, to swing the other leg upward to the wall.
Click the arrow to run the short movie. Three of my students demonstrate three stages of learning this handstand:
Mr. Sosaku at right holds the finished stance.
Helen, center shows swinging up straight, bringing both feet to the wall.
Kimberly shows the beginning - placing hands and getting the idea of lifting legs upward.
Let your feet come to the wall and straighten your body, so that you do not curl your back against the wall. Work to increase strength and balance, so that you need the wall less and less, eventually holding straight handstand without the wall. Note the hand weight on the floor. Future posts will show weightlifting with one arm while in handstand on the other.
Fast Fitness - NoCost Hand Strength and Rehab Equipment
Friday, June 20, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness -hand exercise without rehabilitation equipment.
One of the exercises against repetitive strain syndrome is to exercise the muscles that open the hands. There are expensive commercial devices you can buy for this. One consists of a special glove with weights and pulleys to resist your ability to open your hand. Or you can:
Hold the fingers of one hand closed with your other hand
Open the hand against the resistance of the hand holding it closed
Do as many as comfortable. Repeat with the other hand. Vary intensity and number.
If you want to go high-tech, put a rubber band around the fingers instead of using your other hand. Push each finger in a variety of ways.
"My Yoga teachers uses that, but you hold you legs at a right degree angle to the floor. It forces your back to be straight. Seems to me it sets you up for more shoulder action. I don't think I'll ever be able to do a handstand without the wall."
The handstand against the wall can be done with legs straight or bent as Ginger describes, or a variety of other stretches. However bending the legs at right angle, or any angle, does not "force" a straight back. Rounded back can still occur. Many people with tight hamstrings wind up rounding the back doing this stretch as Ginger describes because the back is the only place they can get the stretch from and they do not know how to transfer the stretch to the hamstrings. The shoulders also can be in any posture or level of "action" from good to bad depending on how much you know about posture and allow to happen.
The photo at right shows five of my students demonstrating the easy wall handstand in both positions. First at right in the foreground is Diana who hold straight good neutral spine. Next, also in good neutral spine is 67 year old Leslie who starred in the post Are You Stronger Than A 67 Year Old Lady? Click the post to do your pushups with her every day. Third in the middle, Johanna demonstrates right angle (photo taken just before reaching parallel to floor). This can be a fun stretch for hamstrings without loading the lower back.
Most important, use a straight handstand position in neutral spine to train straight body position against resistance, then transfer that knowledge to daily life. If you use the right-angle pose alone you do not learn that.
All my exercises are developed to be more than exercise alone. Instead of just "doing a move" or "holding a pose" use them to train how to move out of bad positioning into healthy position for everything you do.
The post Fast Fitness - Fixing Your Handstand to Neutral Spine shows a short movie of letting spine sag in the handstand and how to fix it so that you can train what to do when you are walking around, running, lifting weights, and just enjoying life. Instead of "doing" exercise, restore real life.
For doing handstands without the wall, it’s just real life balance and stretch training - a post soon will cover how.
Mr. Jim Morris is the 1973 AAU Mr. America and 1996 Mr. Olympia Masters Over 60. He is now 72. Mr. Morris is a vegan bodybuilder who reminds people that body building involves selflessly looking outward to do good, rather than focusing only on appearance and commercialism. He urges real nutrition through healthy food, rather than artificial chemically produced supplements, and healthy movement rather than harming yourself to gain physical looks or heavier lifts.
Mr. Morris looked over my Ab Revolution book, and wrote to me that he wanted to order several copies for his clients. He wrote, "You are the first person I know of to finally get it right."
Later, after reading Health and Fitness in Plain English Third edition, he wrote, "I have a copy of "Health and Fitness in Plain English" I just received and every page I open to, I say, 'I wish I said that,' and then add, 'I have been saying it for years.' Glad someone finally put it all into print and in one volume. Thanks, Jim Morris."
During the part of the year that we live in the United States, we have a luxury - a washing machine. You put clothes in it, and it washes them for you. You come back later, hang out the clothes, and the Earth dries them for you. Luxury.
Recently the old washing machine could not wash any more. I always appreciated the machine, but I rediscovered something else. Washing clothes by rubbing them on a washboard, and wringing water from heavy canvas work jeans and martial arts uniforms is vigorous hand and arm exercise.
Occasionally, sources for arthritis information state that if you have arthritis of the hands or wrists, avoid wringing clothes and instead, purchase a tool that squeezes the cloth to remove the water for you. However, it is not use of the hands or a wringing action in itself that causes arthritis pain. Use of the hands improves function, improves joint health, improves the strength that allows you to accomplish more without strain, and is an important part of arthritis prevention and management.
Good use and exercise of the hands does not mean to move the area no matter how much it hurts. Misuse - bad movement habits - is often the culprit in wear and pressure on the area. Instead of craning the wrist and fingers back and levering the wringing action on the finger joints, wrist and base of the thumb, use the muscles of the hand and forearm, as well as the entire arms to power the wringing action. Start with fun gentle squeezing, let the hands warm through real life use, and continue to improve function through use.
There is no need to keep straight wrists or splint them to keep them straight. Splinting may temporarily reduce pain, but reduces strength and function which often leads to bigger problems. It is not a healthful or useful solution to, "limit the patient to limit the pain." Use your body, have fun, be active, and be able to move for normal daily function. Use healthful body mechanics and the actions will be far more likely to build you than injure.
More posts on strengthening the hands are on the way.
More on distributing weight on muscules of the arm and hand instead of compressing the joints:
Click the labels under each Fitness Fixer article for more on each topic.
--- 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.
Here is Friday Fast Fitness - get in shape with true fitness:
"For attractive lips, speak words of kindness. For lovely eyes, seek out the good in people. For a slim figure, share your food with the hungry. "
- Audrey Hepburn (1929-1993) British Actress
--- 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. ---
"Hello, I'm writing as someone who has incurred a training-related lower back injury and who has great interest in your words on hyperlordosis. I am hoping that you might shed some insight on how to achieve a neutral spine while doing "kettlebell swings." This is the exercise that has caused me back pain, and I would love to return to working out with kettlebells, but am not sure how to do so without creating too much lordosis. Any ideas? I appreciate any assistance you can provide and thank you for your contributions! Take care, Dan L"
Kettle bells (also called kettle balls and many other names) are usually ball-shaped weights with a handle. A variety of sizes is shown in the photo below, along with a medicine ball for comparison. Kettle bells were long used in various martial arts and cultural festivals and contests before being rediscovered for modern weight lifting. In general, you lift, swing, and move them to do various weight lifting exercises.
When lifting and swinging kettlebells (and any weights) overhead, don't lean your upper body backward (photo below left). Leaning backward is often mistakenly done to "balance the weight" and make the lift easier. Another common body movement to make lifting overhead easier is changing the tilt of the pelvis (hip) so that it juts forward in front and outward in back (same photo below left). Leaning the upper body back and tilting the pelvis are not necessary to balance a load - your own muscles can hold the load, and in fact, that is the point of lifting the weights. Not only are they not necessary, they increase the inward curve of the lower spine. Increasing the small normal small inward curve (lordosis) to a large curve (hyperlordosis) increases compression on the joints (facets) and soft tissue of the lower spine. The same overarching is the hidden cause of back pain in women who lean back and/or tilt the hip trying to offset the load of a pregnancy - Back Pain in Pregnancy - and Why Men Can Get It.
The photos of spine position swinging the heavy medicine ball are from the book Healthy Martial Arts. My black belt student Christopher demonstrates. This is a similar overhead motion as swinging kettle bells by the handle. In the left photo, Christopher allows the hip to tilt forward in front (and out in back) and his upper body is tilting backward relative to the lower spine. In the right photo, he holds neutral spine. In the right hand photo you can see the change to reduce the overarching to neutral spine. The belt line changes from tipped downward in front to level.
Leaning backward and overarching are not helpful adaptations as sometime thought, are not unavoidable, and are not limited to pregnant women. Overarching (hyperlordosis) is a common bad posture, and an often missed source of back pain. It can be easily prevented by using your muscles to hold neutral spine. The post Prevent Back Surgery shows photos of hyperlordosis compared to neutral spine during many activities.
Neutral spine while exercising with kettle bells is the same as neutral spine during anything else - just hold your spine position. Holding neutral spine is the same as not slouching your shoulders or not letting your mouth hang open. You just voluntarily move to and hold desired position.
Neutral spine is not done by tightening or clenching any muscles. It is done by moving your hip and lower spine the same way you move your arm to scratch your nose - without tightening, just moving it to where you want it.
Helpful posts to see and learn neutral spine while swinging kettlebells, babies, and all other fun weightlifting:
The book Healthy Martial Arts (www.DrBookspan.com/books) has a section on lifting and swinging kettlebells, medicine balls, and other weights. Keep breathing, smiling, and have fun. You can swing weights to be stronger and healthier, without injury.
Fast Fitness - Fixing Your Handstand to Neutral Spine
Friday, May 16, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
Last week's Fast Fitness showed a movie of how to step up into an easy handstand and get back down. This week shows a common pitfall - letting your lower spine sag under gravity - and how to fix it and hold neutral spine.
My student Dennis, Olympic medalist in wrestling, demonstrates:
Step your foot up behind you high onto a wall, then the other.
For the first 5 seconds of the movie, Dennis allows the lower spine to overarch (increase the inward curve) under the pull of gravity, a bad posture called hyperlordosis. It is not the normal inward curve, it is an easily changed bad posture.
At second 5 he changes the tilt of the hip and lower spine back to neutral spine. The action is like doing an abdominal crunch to bring the spine and torso just forward enough to be straight.
This technique practices the muscles and positioning for straight standing, making it better than just a handstand. If you want to gain abdominal strength, using neutral spine uses those muscles. An important difference in Fitness Fixer exercises is that they are not only exercises alone. All the techniques I developed are supposed to be used to train muscle function and positioning for when you stand up and walk away.
Use neutral spine, not only for handstands, but all you do. Examples are in Prevent Back Surgery.
Fast Fitness - Easy Handstand for Balance, Upper Body Strength -The Movie
Friday, May 09, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - a quick, safer way to try a handstand. Standing on hands has many health and strength benefits and can be easily practiced in this way.
My student Dennis, Olympic medalist in wrestling, demonstrates in this short movie. Click the arrow to watch the movie:
Stand with your back about a foot in front of a wall, and crouch to put your hands on the floor (avoid slippery surface)
Put one foot high up on the wall, then lift the other foot up too
To get down, step one foot back down, then the other
To see step by step still photos and more explanation, click the post Fast Fitness - Easy Handstand where David from Belgium shows the handstand plus how to add a nice overhead hamstring stretch.
Keep breathing. Smile. Relax. Send in your own photos of trying this. Be safe and have fun.
Readers have been writing in since the post How Strong Is Your Arm? They wanted me to know that they first thought they were strong because they lifted weights or went to exercise class, then realized for the first time that they thought they can't improve what they say, do, think, or eat, and were not strong as a human being.
Reader Dean e-mailed that he had previously thought that stress made him eat, and that it was "just natural." Then he realized that he was eating on purpose because he was angry, and thought it was his only way of showing he could do anything he wanted. Then he realized that doing that wasn't strength and control, but lack of it.
"Once again, I am back at the farm house/animal sitting for a few days. Little did I know that my "strong arm" was going to be put to the test. Last night while preparing my evening meal, I opened the pantry door and what do I see but a chocolate/rocky road cake covered in M & M's. I quickly shut the door then, after a few minutes, temptation took over. I decided that maybe I could have just a little wee bit, knowing full well that one piece would not suffice, I would want more - once a chocoholic, always a chocoholic. Who should come into my mind but you Dr Jolie and your post "How Strong is Your Arm" plus the fact that I had (replied to that post with a comment) telling the world that my arm is strong. Needless to say, the cake stayed where it was. On reflection, I still cannot believe that, after all this time, I would even consider eating such food. I would like to assure you and your readers, that should I have given in to temptation, I would be standing up and saying that my arm is not as strong as I thought."
Ivy had also written me in the past asking what to do when people insist that you should eat their unhealthful cooking at get togethers or give her gifts of unhealthy junk food. When Ivy politely refused bad food and explained she wanted to be healthy, the people were not understanding or enlightened, but disrespectful and insistent. I e-mailed Ivy that she could try accepting the bad food with a smile and a sincere thanks for caring to give a gift, and give it away to someone who wanted it. Ivy sent this update:
April 4 "I thought this little story might interest you. It is amazing how ones life can change.
"Marrianne, a friend of mine has just phoned to tell me that she has become a vegetarian. She is a little younger than me (note - Ivy is 71) and has not long returned from a trip to Nepal. She told me that while there she ate with the people and you would be aware that these people are vegetarian. Since returning to New Zealand she made the decision to change her way of life. She now appreciates the difficulties I have come up against these past two and half years, by that I mean re well meaning friends who make negative comments etc. I gave her the piece of advice that you gave me re being given food that you don't want to eat - accept it gracefully and give it to someone in need.
"I was also able to pass on advice re foods she needs to eat to keep healthy which pleased her. As I mentioned to you a week or so ago, healthy food has become my passion.
"Tomorrow we are having a get together here in the village. It is to be held out doors so hopefully, the weather will be kind. No doubt there will be lots of cakes, muffins and scones to eat plus wine to drink. I am going to make up some snacks of walnuts, raisins and blueberries. As I said to Marrianne, one has to harden up when people make rude comments re what one eats. I, personally, make no remarks re what others eat, I would like to think that others give me the same respect.
"Finally, over the past few weeks, on two separate occasions, women who I have not seen in over a year, have made remarks just how well I look. One of them said and I quote "Ivy, you exude health." This, of course, pleases me."
This e-mail arrived after the get-together:
April 5 "There were 27 residents at the get together and not one of them tried my walnuts and blueberries. Instead, they ate the pastries, cakes, pavlovas, desserts etc.. In saying that, I will say this "no wonder we have such a high obesity problem in this country." "Hugs Ivy"
Then this:
April 9 "I truly believe that I have beaten my addiction to chocolate. This morning I am feeling a little distressed re the news that my dear friend Joan who will be 87 in a couple of months time, had a fall. She will be fine, her only injuries being bruises plus a grazed elbow. One of my neighbours called by to give me a couple of chocolate cookies her words being, "You will be feeling upset about Joan and I know how much you love chocolate." I took your advice and thanked her then, (did not eat them).
"In the past, those cookies would have gone straight in my mouth. Even though I was tempted to eat chocolate cake a couple of weeks ago, I truly believe that I have the addiction under control, in fact, I am patting myself on the back. Just had to share my little story."
Fitness does not mean going to a gym, then going out slouching, smoking, to eat unhealthful food, and thinking unkind things about other people. Fitness means making the many aspects of your person clean and healthy. Don't harm yourself with bad thoughts, deeds, actions, and taking in unhealthy things in your body.
If you want self control, exercise it to become strong.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, get certifiedDrBookspan.com/Academy.
Here is Fast Friday Fitness - if you have been afraid to try a handstand, here is a quick easy way to have success. You will strengthen your hands, wrist, arms, shoulders, upper body, and core, practice balance, and get blood circulating.
Crouch down near a wall (avoid slippery floor)
Put one foot high up on the wall
Lift up the other foot
To add a nice stretch on the hamstrings, lift one leg away from the wall into a wide split position in the air, as below.
If you have uncontrolled glaucoma or high blood pressure, ask your care providers first.
Click here to see a quick video showing how to change sagging spine to neutral spine.
The post Spotting Back Pain During Running and Walking - What Do Abs Have To Do With It? showed the common and painful bad posture of standing with too much inward curve in the lower back, called swayback and hyperlordosis. A reader mailed me an article about gluteal muscles and asked what gluteal muscles have to do with it. The article shows one kind of hyperlordosis, with the hip pushed forward. The drawing at right shows that hip-forward hyperlordosis position (right figure) compared to neutral spine (left figure). The article stated that the hip-forward posture was due to weak gluteal muscles, and that strengthening the muscles would fix the bad posture. The article gave a strengthening exercise of lying on your back and squeezing the "cheeks" of the backside together as if squeezing a coin between them.
Knowing muscle action will help you know why it doesn't work that way:
Your gluteal muscles are muscles of your backside. One function is to pull your upper leg backward, for example, when walking, to pull each leg behind you. The distance between the back of your hip and the back of your upper leg shortens.
If you use your gluteal muscles while standing (not tighten them, just use them to bring about movement) your hip will push forward. That is the opposite of correcting a hip that is forward in bad posture.
Squeezing the "cheeks" of the gluteal muscles together is training a different movement direction than either pushing your hip and leg forward or back.
Another fallacy is that tight gluteal muscles pull the hip so that it pushes forward into bad posture. It is true that tight hip muscles in front will change the tilt of your hip. People with anterior tightness cannot easily bring the leg behind them, which hurts stance and gait. Gluteal muscles cannot get that tight unless you have tetanus. Gluteal tight enough to push the hip forward a few inches would be so tight that you would not be able to sit down. You would tear your backside like splitting your pants.
The key point is that strengthening a muscle does not make it move your body or change your position. If you strengthen your arm, for example, your arm does not automatically wave around or raise over your head. Your arm only moves when you make it move. Strengthening your gluteal muscles will not move your hip for you. Even if strengthening did make any body part move on its own, gluteal muscles would cause a forward hip, not correct it.
Think of asking a dog to shake hands with you. If you want the dog to move his paw up to shake your hand, you do not strengthen his leg and paw. You train the movement and the voluntary desire to bring about the action.
Standing, walking, and running in hyperlordosis is a major cause of lower back pain. Some people stick the backside out in back and others tilt the upper body back with the hip thrust forward. Both increase the inward curve of the lower back and painfully pinch the lower back structures. Although some fitness information and advertisements represent overarching as attractive, even something to deliberately do, it is an unhealthy and weak posture, making it unattractive and undesirable.
Strengthening muscles is good and helpful and fun and healthy, and so on. Strengthening gluteal muscles or any other muscles will not automatically make you stand in healthful position. Stronger muscles do not make you move. You can change to healthful position right now without strengthening. These posts show how:
When you hear that you need various strengthening exercises to correct posture, think of shaking a dog's paw.
--- 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 - Stronger Arms and Chest, and Core, Hip, and Leg Stability With A Friend
Friday, March 14, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - strengthen inner legs, thighs, arms, and core, while practicing neutral spine with a friend. More exercise than putting hands up on a bench or exercise ball.
My students Johanna (1) and Diana (2) demonstrate the beginning of this move. Description of how to progress follows the photos:
Partner 1 lies face up with bent knees
Partner 2 does pushups on Partner 1's knees while holding neutral spine, not letting the lower back sag and arch downward. Partner 1 gets entry-level exercise hip and core exercise by holding legs stable and does not let knees wobble. Higher-level exercise is described below the photos.
To increase core and hip stabilization training for both partners, Partner 1 tilts knees slightly to each side while Partner 2 continues pushups. Try both moving continuously side to side, and holding legs stable at an angle. Do not twist your spine.
My student Leslie is 67 years old. She has been working with me for several years. Click the arrow of this 30 second movie to watch her knock off 30 pushups.
At around the 25 second mark of this short movie, enjoy the reaction of the student who will appear at right.
Leslie holds straight neutral spine position. She does not let her lower spine sag, or her head and neck sag downward. To see a movie to practice how to change overarched hyperlordotic sagging spine to neutral spine for pushups, click Fast Fitness - Strengthen by Changing Your Plank.
Leslie says hello to all the readers and that she is strong with such great positioning due to my classes and emphasis on being able to hold up your own body weight in healthful positioning for regular daily life. I hope to post more of Leslie's and other students' happiness and strength.
Bookmark this post. Open it every day and do your 30 pushups with Leslie.
Fast Fitness - Plyometric Partner Bench Press for Valentine's Week
Friday, February 15, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - Have fun together as you strengthen arms, shoulders, chest, back, wrists, and core, while practicing neutral spine, speed, teamwork, and cooperation in a fun plyometric partner bench press.
Lie face up with both arms held upward (white karate uniform) to support partner (black karate uniform).
Partner (black uniform) rests shoulders on your hands and holds straight body position on toes. Partner (black uniform) uses abdominal muscles to hold neutral spine without letting the lower back sag.
Push your partner up and down with your hands in a bench press motion. To add plyometric training, push partner strongly and quickly into the air (right). Catch them lightly, bending your elbows upon contact. Switch places and repeat.
Use common sense and springy light touch to reduce unhealthful impact in both partners. You can improve strength and speed without hurting joints and connective tissue. I will post more on plyometrics in articles to come.
--- 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. ---
Valentines Day is for everyone, not just couples. It is healthy to have active fun with family and friends too.
Monday's post Valentine Partner Pushups gives a fun partner exercise idea. Here are more variations for active fun with children and friends of many ages.
Babies and children love to move. They can hold their body weight. Get them started early. Don't let them lose this strength by making them sit still and eat. Get up from the table and play. That is Valentines Day love.
Try these with friends
This man is doing a partner handstand with his young daughter. It is a lot of good exercise and balance for both:
I will cover how to do this partner handstand in a future post. Send in your own photos of fun exercise with family and friends.
Exercising in social ways is healthy. Valentine's Day is this week. This week I will post several ideas for fun active partner exercise. Start with this version of partner pushups, then have fun making up your own.
Pushups give full body physical benefit when done with neutral spine. Here are two posts that explain how to tell neutral spine while holding a pushup position and how to correct an overarching lower back (hyperlordosis) to neutral spine:
Fast Fitness - Prevent Wrist Pain During Pushups and Cooking
Friday, February 08, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - Learn to use strength and good joint positioning instead of compressing the wrist joint during activities that put weight on a bent wrist.
Good positioning and strength is more effective than splinting wrists straight and restricting activity:
While sitting or standing, press your right wrist and hand backward strongly using your left hand. Feel the right wrist compress under the weight of the other hand.
Now use your right hand and forearm muscles to press forward against the left hand. You should feel the compression come off the right wrist.
Hold a pushup position. Use this technique so that, regardless of your weight, instead of letting your weight compress your wrists, you use your hand and forearm muscles. Keep weight distributed across your hand, not just on the heel of the hand.
Use this whenever you use your wrists - for weightlifting, for standing on your hands, for typing, driving, biking, playing piano, and during cooking and cleaning.
--- 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. ---
"I would like to take this opportunity to tell you that after suffering for many years from back (scoliosis) and neck (arthritis) pain, it was my good fortune to happen upon your website. I read every word, tried the movements and postures and found an immediate measure of relief from the pain that no doctor, chiropractor, physical therapist or massage therapist has been able to help (I am 56). I immediately ordered a number of your books, read them from cover to cover, gave them to my daughter and son-in-law and then ordered more for my son.
"I took your books with me to New Orleans, where I worked for 10 days as a volunteer building houses, and am happy to report the exercises and stretches allowed me to climb ladders, wield heavy loads and hammer nails without further consequence to my back and neck.
"As mentioned by most people, I found instant relief upon simply correcting the positions of my neck and back. I took the books to New Orleans with me and did most of the stretches, especially the side bending, back extension, hip and hamstring ones. I also took great care with my positioning with the construction work and lifting. "Before I found you, because I was in so much pain, I had stepped up my go-to stretching routine gleaned from years of aerobics and some yoga, which always included toe touching with straight knees and plow and all those exercises you say not to do. I thought it was good that I could touch my toes on the floor behind my head in a plow or my palms to the floor bending forward. Ouch!
"I've also been doing many of the strength-building exercises, trying to work up from the elementary to the more difficult. It's fun stuff and it feels SO GOOD!
"Thank you for putting so much information out there for the long-suffering public! Sincerely, Marla Black"
"PS - my daughter is a triathlete and she and her husband have been doing all the bad stretching and wrong postures. Her neck and back were starting to hurt. I gave them the books and they are already onboard and feeling the difference!"
Here is Friday Fast Fitness - fun challenge for body stabilization, strength, speed, and balance with a friend.
Stand facing a partner
Stand on one foot, pressing the other against your partner's raised foot.
Push, pull, surprise your partner with unexpected movement change, all while remaining balanced. Change to push toe to toe and side to side.
Reader Bernie supplied this photo. His inspiring story will be posted in January. He registered for my back pain workshop two years ago, then skipped it to do surgery instead. His doctors told him that since his pain was from structural damage, that no exercise or repositioning would help. Bernie took my class two years later. Although much of the pain was from structural problems, several of which he didn't have until the surgery, we successfully fixed the worsened structural situation.
Click archives at right for more, links in the articles, and labels under each post. Have The Fitness Fixer e-mailed to you, free, using the button at top right (looks like a trumpet).
My mother is a Russian circus teacher. We recently went with her to a recital of a neighbor who teaches elementary trapeze arts. The performers, age about 10 to a women in her 50s, were having fun moving and pulling themselves up and down ropes, scarves, and hoops. It wasn't a polished performance or high technical ability. That wasn't the point. They were lifting their body weight, climbing, stretching, balancing, focusing, burning calories, learning safety and cooperation, exercising, developing arm, hand, wrist, and grip strength, and moving their bodies in functional ways.
Their over-dramatic costumes flopped over their faces when they hung upside down. One young performer wore fly-front long johns. They seemed to think they were great artists. True or not, they were moving, smiling, stretching, laughing, and exercising to do art and fun.
Check for fun safe programs near you of healthy movement of all kinds. Get the good they can provide of new fun ways to use your body and mind functionally. If they use traditional stretches and exercises to warm-up that are not healthful, change or skip them. These posts give ideas:
Here is Friday Fast Fitness - fix your plank (hold pushup position) to strengthen core and wrists, and train standing neutral spine posture. In yoga the plank is done in high and low positions called chaturunga.
A sagging inward curve to the lower back is not the normal curve, it is too much curve - pictured at the start of the MPEG movie below. Holding a plank with a sagging (overarched, hyperlordotic) lower spine "hammocks" body weight onto your spine joints called facets, adding to lower back pain, and does not use your core muscles. It is counterproductive as an exercise. Instead:
Hold a pushup position
Change sagging lower back to neutral by tucking the hip. Head up, neck as straight as standing.
Don't flop all weight on wrists. Press with hand and fingers, and use forearm muscles to reduce wrist compression and shift weight to surrounding muscles - see Stronger Pain-Free Wrists When Biking for ideas.
Reader David D. from Belgium sent this excellent movie. He pushes up into plank. You can also can start on hands and feet without pushing up. He first demonstrates badly overarched lower back, then changes to neutral spine in seconds 8-11 of the movie, then holds. When you do this you will immediately feel the effort shift to your abs. Use this instead of crunches for functional core training. If you push up from the floor, hold tucked neutral spine, not lifting upper body first.
(The exercise is not to do overarching and change to neutral - it is to hold neutral throughout.)
Grunting in the gym made recent news. A member was forcibly removed from a gym when others complained. The article told of factions arguing who was right if grunting and other loud vocalizations when exerting for exercise were helpful or needless annoyance.
Exercise is supposed to be healthy and build discipline of mind and body. Antagonism and disputes are not healthy for mind or body. Moreover, both sides have missed the point.
Breathing out, either quickly or slowly in coordination with effort can help. It can be done silently - by exhaling without vocalizing. You can have both, the exhale and the peace. This quiet but forceful exhalation practice is used in many high exertion fields from martial arts to warfare to meditation.
Fighting ninjas were legendary for both focused effort and silent tactics. No sense making a war cry until it was needed for its better purpose - to increase tendency to submission by the other party on the receiving end of the cry. In other words, to be scary.
For exercise, focused exhalation can increase acceleration at specific points of the move to increase power. For heavy moves, it can help lessen increases of pressure in the chest cavity and blood vessels, depending how it is done. Sometimes, people put so much pressure into the exhalation that they increase internal pressure instead of prevent problems. Done either quickly or slowly, it can be used to strengthen the move by including expiratory muscles. Often in martial arts and yoga classes, we (teachers) use noisy breathing just to remind students to breathe at all. It is a cue until they remember to breathe on their own (quietly) instead of holding their breath.
In the war dances and drumming in many countries, in martial arts, and in meditation arts, a concentrated exhalation coordinated with effort is variously called kiah, kiai, hihap, battle cry, and other terms. Each school is certain that their own different translation and beliefs about these terms is the "right one." The exhalation can be vocalized in a short yell, a loud breath, or silent. In group efforts, from martial arts to hauling sheets on tall ships, to chain gangs, to exercise classes, it helps unify mood or keep cadence. Done without coordinating effort, it is called yelling, and sometimes it is just vocalizing in corny ways.
More about breathing, the kiai exhalation, and exercise for any sport are in the book Healthy Martial Arts.
--- 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 personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, click "updates via e-mail"(under trumpet) upper right. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books. ---
Fast Fitness - Strength, Abs, Balance, and Ankle and Leg Stabilization
Friday, November 09, 2007
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - quickly increase functional stabilization of the knee, leg, and ankle while increasing overall strength and balance.
Anyone can lift weights, but can you do it balancing on a basketball? Get started by standing on one foot:
Do your regular lifts, curls, presses while standing on one foot (and then the other). Breathe.
Notice the leg you stand on. Don't let the arch of your foot flatten toward the floor, or knee roll inward toward the other leg. Hold knee, ankle, arch inline, using your muscles. See Arch Support Is Not From Shoes.
It reduces exercise to sit, even on a fitness ball. It is more exercise, more functional, and better balance training to stand on one foot than to sit. You sit all day already.
Be safe, be excited about having fun doing functional movement, be happy.
November 1 is World Vegan Day, and all of November is celebrated as Vegan month.
Vegans are vegetarians who don't eat, and often don't wear, any products from animals. The idea is no more unusual than not wanting to hurt, wear, or eat your pets. Vegan living can be healthier, and vegan diet can fuel both endurance and strength athletes.
Vegans and vegetarians have been found to have lower body fat on average than non-vegetarians, and lower risk of diabetes. A new study by The World Cancer Research Fund making big news as "a landmark study" found that keeping slim is one of the best ways of preventing cancer, and that evidence is stronger than previously realized that eating meat, and processed meats such as ham and bacon, increase risk of colorectal cancer. The report makes 10 recommendations including getting exercise every day, drinking water rather than sugary drinks, and eating fruit, vegetables, and fiber. There is no fiber in meat, dairy, or eggs. Vegan meals can provide enough calcium to prevent osteoporosis. See Exercise is More Important Than Calcium Supplements for Bones and Stomach Acid Drugs Increase Osteoporosis and Hip Fractures.
Vegans may promote farm sanctuaries and work for better ways than vivisection (hurtful testing on animals). The argument is not if you would rather that a child not get needed medicine rather than test on an animal, the quest is for neither to suffer, and find smarter, healthier ways for all. Significant examples exist of tests based on animal physiology that were ineffective or injurious when applied to humans in need.
Vegan bodybuilder Kenneth G. Williams is pictured above and at right. His web site is www.VeganMusclePower.org.
In the tradition of fighting monks, Chris Price is a vegan Muay Thai and mixed martial arts fighter. His web site is http://www.veganfighter.com/
Helpful Book: Healthy Martial Arts - Healthier training for all sports, featuring vegetarian and vegan athletes. Chapters on strength, endurance, speed, balance, nutrition, performance enhancement, injuries, building the spirit and the mind.
Diabetes causes such serious health problems that the risk of death is twice as high for someone with diabetes compared to someone of similar age without. More than 20 million people in the US have diabetes (colloquially called "the sugar" disease) with 2 million a year more cases diagnosed every year. Exercise has been found to be a top factor to prevent and treat diabetes.
Three main types of diabetes are type 1, type 2, and gestational.
Type 1 diabetes, where the body does not make enough insulin (in the body organ called the pancreas), is treated with injected or inhaled insulin, although nutrition and exercise changes are a fundamental part of management.
An estimated 90–95% of cases of diabetes in North American are type 2. Type 2 diabetes is also called non insulin-dependent diabetes and obesity-related diabetes. Type 2 was rare until modern sedentary habits combined with mass sales of unhealthful food.
Gestational diabetes is generally a form of type 2 during pregnancy.
In the recent past, type 2 diabetes developed only in adults as they gained weight, reduced activity, and increased packaged, commercial, unhealthful foods. An escalating phenomenon of type 2 diabetes in children is now occurring.
Approximately 85% percent of adults and children diagnosed with type 2 are overweight and less active than they could be. Type 2 is increasingly being found to be best treated with more fun movement and less bad food, a win-win situation.
Several studies have found that exercise and healthier diet are more effective than medicine for people with type 2 diabetes. A recent randomized controlled Canadian study published in the Annals of Internal Medicine found that people with type 2 diabetes who began exercising developed better blood sugar control, both from aerobic exercise and resistance training. Not exercising yielded no improvements in sugar control. People who combined aerobic exercise and also lifted weights had the biggest improvement. It is not known in this study if results occurred because of the type of exercise mattered, or because the duration of exercise was greater in the combined exercise training group. According to an editorial co-published with the study, "Doctors should prescribe exercise to all type 2 diabetes patients who are healthy enough to work out."
In the past people with diabetes and diabetes-related complications were discouraged from exercise. However, exercise has been known in the past, with recent substantiating studies, to be the top factor to prevent and reverse diabetic problems. According to William Kraus, MD, of Duke University Medical Center, "Failing to prescribe exercise to patients with diabetes is simply unacceptable practice."
Things To Help
You do not need a gym or special clothes or equipment to get aerobic or weight lifting exercise.
Go outdoors for a break every day that you can, for fresh air, sunshine, and fun movement.
For both active and resistance exercise indoors and out, remember that daily healthful movement easily accumulates from your healthy bending, balancing while dressing, taking the stairs, and other daily real life movement.
Have fun - skate, bowl, cycle, walk, go dancing, gardening, shoot hoops, take food to shut-ins and get them moving too, with improvised exercise of moving arms and legs, clapping, singing, and having fun.
For fun exercise-as-lifestyle ideas, check through lists of Fitness Fixer posts, linked at the right of each article.
My post Hyperbarics for Diabetic Foot Injury gives more information on preventing amputations from diabetic wounds, and lists some of the ways that exercise reverses the contributors and complications of diabetes.
There is great hope. Have fun making a new healthier life.
"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
It is not true that back pain and weakness is normal with aging. It is not true that to stop the cause of back pain you must do special exercises to strengthen one specific muscle or group such as the multifidus or abdominal muscles. It is not true that you need to rest or cut back activity to stop back pain, or use special devices.
Doing specific exercises does not stop the cause of back pain. Consider the number of people who do their back exercises, then bend wrong to put down their exercise equipment and pick up their things, then spend their day sitting, walking, and bending in the injurious body mechanics that created the pain in the first place. Examples and what to do instead are in the posts: Leg Exercise That Helps Your Back and Prevent Back Surgery.
Last year, Ivy, a Fitness Fixer reader from New Zealand stopped a long disabling bout of sciatica by stopping the cause in her daily life and the exercises she was doing - Inspirational Ivy. Ivy was not sedentary. She faithfully exercised, so was surprised to wind up with sciatica so serious that she lost partial use of her leg. One of the positive changes she made was to stop doing crunches. Ivy wrote:
"I was one of these people who for years did 100 crunches a day thinking that they would strengthen my back and take away the pain. Not so. I have been following your Better Abdominal Muscles advice for a year now, it just being part of my every day life....the bonus being no more back pain."
Problems with crunches:
Most people already know that sitting rounded over the desk is unhealthy. Spinal discs are strong and withstand compression, but asymmetrical loading from chronic forward bending degenerates disc in front and bulges them outward, among other problems. The same problems occur with forward bending exercises like crunches, also called curl-ups, partial sit up, and abdominal flexes, among other names.
Crunches and other forward bending exercises do not work your abdominal muscles in the way they need to work in real life.
If you have tendency to a rounded upper back posture, have tight neck muscles, or already sit, bend, and walk around with your spine bent forward, adding to that with crunches is counterproductive.
Ivy did not have thinning bones, but for someone with osteoporosis, forward bending exercises add the possibility of promoting further kyphosis (upper back rounding) and crush fractures.
Ivy wrote me last week:
"Over that eleven-month period that it took to find your web site, I must have opened every web site there was that mentioned the word sciatica, some of which I took aboard and wondered why there was no improvement. I can smile now when I recall how a few days after following your advice, the pain had disappeared and I attended my great granddaughter's first birthday where I sat too terrified to move in case the pain resurrected its ugly head."
Ivy is a great-grandmother, and she is fitter now than when she started. She changed the way she exercised to make it functional instead of a list of arbitrary motions that did not relate to healthy movement in real life.
If you want to make one positive change for your health, stop doing abdominal crunches and use functional abdominal movement instead.
Parcours is pronounced par-core. It is a French word meaning "course" or trail. A parcours is a path with obstacles at varied intervals. You navigate using your body and brain, similar to steeplechase. Some parcours are formally designed municipal parks. Some are impromptu collections of trees, walls, buildings, windows, and rocks. On a rainy day you can make your own in your house.
In ancient times, a course might involve days of travel. Today, several cities around the world have public courses used by people of all abilities and ages. Modern fitness programs use it, with names like freerunning and various brand names, but the idea is not new.
Stations may be a log to walk across, rings to swing on, various height and shape objects to stretch on and around, a place to see how far or high you can jump, something to balance on, a ladder or wall to climb over or under.
To get to the next station, you can walk, run, bike, skate, or whatever you can do. Parcours length varies from a block to miles. Some people make a day of it with picnics and rests between stations. Others go make a quick lunch run over part or all of the course.
In the early 1980s I was the first person to put exercise programs aboard cruise ships. Until then, cruises were associated only with deck chairs and food. I was told exercise would not catch on. I ran exercise, health education, and stretch classes, and led the scuba and snorkel trips. I also led a parcours, taking about an hour, all over the ship, from deck to deck, stem to stern, over and under tables, chairs, hatches, and railings, and through the cha-cha lessons. We ran, we walked, we balanced, we cha-cha'd, we tip-toed very fast to get away, we laughed.
Parcours uses the body in natural ways to build strength, spirit, and balance. It can be healthier, better training, and more fun than doing artificial repetitions of an isolated exercise.
More to come on keeping parcours safe for joints, and preventing injuries.
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Read success stories of these methods and send your own. See if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
Here is Friday Fast Fitness - quick strengthener for arms, shoulders, body, legs, hands, feet. Healthier than bending over for rows (hard on discs) and more functional strengthening than lying on a bench:
Lift with the other arm 10 times. Try various lifts - front, back, sides.
Want more? Add a pushup, lifting the weight on the way up. More? Lift one foot. More? Use an unwieldy barbell for balance challenge or pinch grip to strengthen hands.
Tuck your hip to straighten your lower spine to strengthen abdominal and back muscles too. Hold your head up with neck straight to strengthen neck and upper back muscles the way they need for healthy straight standing.
Strengthen Legs Without Knee Pain - Standing Lunge
Thursday, August 02, 2007
Jolie Bookspan, M.Ed, PhD, FAWM
Many people know they need to bend "right" but don't because it hurts their knees.
Bending right will not hurt knees. It will help fix one of the things that has been injuring them - bad bending habits which pressure and grind the joint.
Good bending will also give your knees the exercise they (and you) need.
Some knee patients are told to never "bend right" with a half-squat or lunge because it is bad for the knee. There are specific things about bending and straightening the knee that can increase certain kinds of pain, to be covered in future posts. Use your brain and try the following gently and safely. Done right, it should reduce knee pressure, not increase it.
How To Lunge:
Stand with one foot far in front of the other. Both feet face forward. (Left photo.)
Feet remain normal width from side-to-side, not directly in line front-to-back.
Lift your back heel. Don't turn the back toes outward. Look at your back foot and check.
Tuck your hip under (click "neutral spine" label for posts explaining how). You will feel a far better stretch and strengthener.
Bend both knees to lower straight downward. Don't touch back knee to the floor. Use leg muscles. Watch your front knee and keep it over your front heel, not sliding forward. (Right photo.)
Don't let your front knee sway inward.
Keep upper body upright and straight. (Right photo.)
Lower and rise several times, then switch legs. Keep feet still, not stepping forward and back.
Tips:
To keep healthy knee positioning for the front knee, peek downward to see your front knee and foot.
You should be able to see your front toes all the way through the bend.
If your knee slides forward covering your toes, you are shifting weight to your knee joint and off your leg muscles. This is one of two common ways to increase knee pain while bending. Letting the front knee sway inward is another.
Keep front knee steady over your front ankle, not sliding forward or inward. You will strengthen and stabilize your knees and legs instead of hurt them. You will feel more muscle use when you keep healthful positioning.
Lunge is a Lifestyle, not an Exercise to "do" 10 Times:
No need to go to a gym to do lunges. Use the lunge for daily bending around the house. It will add up to many lunges every day, built-in as fitness as a lifestyle. The posts How Often Should You Be Healthy? and Bending Right is Fitness as a Lifestyle give ideas of how to use healthy bending for normal daily life.
Benefits of the Standing Lunge:
Strengthen leg muscles
Strengthen the knee
Stop harmful forces on the knees from bad bending
Stretch the front of the hip of the rear leg
Stretch the Achilles tendon and foot of the back leg
Learn knee stabilization
Practice balance
Retrain healthful bending for daily life - transferring to function instead of just being an arbitrary exercise - free exercise all day
Retrain straight upper body position for bending - more functional exercise
Provide beneficial general exercise, warming which makes further movement easier, and healthful body movement.
Have fun practicing this now. You will need the standing lunge for tomorrow's Fast Fitness - Quick Warm Up. Enjoy.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For answers to personal medical questions - Replies to Medical Questions. Limited Class spaces for personal evaluation. Top students may apply to certify throughDrBookspan.com/Academy.See Dr. Bookspan's Books. ---
Respiratory Muscle Training for Swimming, Diving, and Running
Friday, July 06, 2007
Jolie Bookspan, M.Ed, PhD, FAWM
At the diving and hyperbaric conference three weeks ago, I attended sessions on respiratory muscle training for underwater operations. It is a topic of interest for those in charge of combat swimmers, and anyone doing physical training.
In one study, Researchers at the State University of Buffalo at New York found that respiratory muscle training improves swimming and respiratory performance at depth. As you go deeper, the work of breathing can increase, even using high performance breathing devices, because of higher gas density and other factors. They tested the effect of resistance respiratory muscle training on respiratory function and swimming endurance in divers at 55 fsw (~16 m). They found that respiratory muscles were less fatigued following training, breathing rate was lower during the swims, and that the training increased the duration they could swim by about 60%. They concluded that respiratory muscle fatigue limits swimming endurance at depth, and the increase in swimming endurance may result from reduced work of breathing or improved respiratory muscle ability.
The second study by the same group looked at the different benefits of training the endurance and strength of the respiratory muscles. Eighteen SCUBA-certified swimmers were randomly assigned to a placebo group who didn't train their breathing muscles, a respiratory endurance training group, or a respiratory strength training group. Each group used a breathing resistance device five days a week for 30 min over four weeks. The endurance trained group decreased heart rate and ventilation during underwater swims. Both the endurance and strength groups improved fin swimming endurance. The placebo group experienced no changes.
The researchers concluded that respiratory muscle training is effective in improving swimming endurance. They told me they found it is also effective for endurance running, but perhaps not as effective. They are working on finding out why. My friends who do long stints in submarines mentioned they like to use respiratory muscle training to help keep them in shape since they can't go out for a run while on sub duty.
Related:
The previous post on training breathing muscles -Respiratory Muscle Training for Better Health and Exercise - covers how breathing exercises help increase respiratory capacity in people with various diseases, and physical training in athletes.
Respiratory Muscle Training for Better Health and Exercise
Monday, July 02, 2007
Jolie Bookspan, M.Ed, PhD, FAWM
At the American College of Sports Medicine conference last month, I attended an entire session on effects of training respiratory muscle function. Back when I was in school, we learned that the ability to breathe harder, better, faster, could not be trained with exercise or other modality, that it was fixed from person to person, like eye color, except that it got worse with aging, and that it didn't matter much, since ventilation did not do much to limit exercise potential anyway.
Even though the lungs don't have any muscles of their own, it didn't seem right to me, as the diaphragm and muscles that move the rib cage to voluntarily breath in and out are muscles like any other. What if there are people whose respiratory muscles are not trained to work hard enough and add to the metabolic cost of exercise, increasing fatigue and so, limit exercise? It is also true that many people are not in good enough shape to use more oxygen, so breathe most of the oxygen back out with each breath, even when exercising strenuously. What about someone in great athletic shape who could use that oxygen. Why couldn't they be trained to move more air faster if they needed some?
Exercising the muscles that you use to breath in (inspiratory muscle training) is known to improve the endurance of the respiratory muscles in people with spinal cord injury and cystic fibrosis, and is shown to improve exercise capacity in patients with heart failure. What about for people without these conditions or for athletes?
Combat swimmers have long used various breathing training to get in shape for swims and other strenuous work. The diving medicine conference I attended two weeks ago had several studies that showed interesting and promising results with breathing training.
Respiratory muscle training in the above studies did not involve popping corks from your lips, as in the photo. To improve your breathing capacity and do training at home without respiratory training devices, see the Fitness Fixer post Do Breathing Exercises Work? and the book Healthy Martial Arts.
--- I make posts from fun mail and success stories. See if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Read success stories of these methods and send your own. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Leg Exercise That Helps Your Back - Why The Lunge?
Monday, June 25, 2007
Jolie Bookspan, M.Ed, PhD, FAWM
I receive the question often, "What exercises should I do to stop my back pain?" I stress that that the exercises you need to do are to simply change away from all the injurious movements that are causing all the pain in the first place (left drawing) and use good movement instead (right drawing). Then your back can heal. The pain will stop.
I see patients all the time who come to me after going through back pain exercise programs. They went through their eight or ten week program, then their pain came back. Every day they did their exercises, then bent over wrong to put down their weights (left drawing), bend over wrong to pick up their gym bag (same left), sat badly on the way home, then hunched over their computer to record their exercise session. It is no mystery.
The post Disc Pain - Not a Mystery, Easy to Fix shows the mechanism of how bad bending and sitting damages the spine and discs. It is a simple injury, not a disease or condition. You can easily stop the process yourself.
A lot of dollars are spent on the common assumption that you need to strengthen or stabilize the back or exercise a particular muscle set, for example the multifidus. That does not fix the source of the damage. At the gym I see trainers, students, and yoga and Pilates teachers doing their exercise classes week after week, saying they come because they have to because of their back pain. Even the exercises they are doing were contributing to the problem. Many things that are bad for you feel good at the time. The post Common Exercises Teach Bad Bending gives examples so that you can avoid this pitfall. The post Sitting Badly Isn't Magically Healthy by Calling It a Hamstring Stretch shows how the most common stretches done, even in back pain programs are contributing to the problem, and what to do instead.
The answer is easy. The post Bending Right is Fitness as a Lifestyle showed one of the most important exercises you need to do to stop back pain. It introduced the squat, which is not an exercise to do for 10 repetitions, but to use instead of bad bending for the hundreds of times every day you bend for things. Instead of hurting your back hundreds of times every day, you prevent hurting your back hundreds of times a day. Instead of hurting your back hundreds of times every day, you strengthen your legs hundreds of times a day. It is not the exercise of squatting that fixes your pain by strengthening, but by preventing the damage in the first place.
This post introduces the lunge as a second wonderful "exercise" to stop back pain. It is not something you do as an exercise for a number of repetitions. Instead, you use it, along with the squat, for the many times a day you need to bend for all the daily things around the house and workplace - the laundry, the pets, the things on the floor, the kids, the dishwasher and refrigerator, and everything else, all day, every day:
Stand upright with one foot far in front of the other (right drawing).
Feet apart comfortably, both facing ahead, not turned outward (right drawing).
Bend both knees
Don't let your front knee come forward. Keep it over the front ankle (right drawing).
Lower straight down.
Your back heel comes up. Keep the front heel down for better knee health. It's a free, built-in Achilles stretch too.
Don't touch your back knee to the floor.
Don't hold your hands on your front knee. Although common, you get better balance and strength without it.
Done properly, the lunge should not hurt your knees. If you are too weak to lower enough to pick up the mail on the floor and get back up, that is serious weakness. You need functional strength to do ordinary daily life. This isn't walking miles over rocks to the river and returning with heavy water jugs over your back just to cook with. This is getting the mail.
Bending right with the lunge burns more calories than bending over wrong. Good bending helps a weight loss program.
Click the labels under this post to see more on these topics. The next post Strengthen and Retrain Function With The Lunge shows a reader making good use of the lunge. Posts to come will cover more about how wonderful the lunge is to transform your life from weakness and pain into easy function. This is fitness as a lifestyle.
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Last week at the sports medicine conference, I talked to a researcher from Kuwait University. Dr. Jasem Ramadan presented a lovely little study called Bioenergetics of Islamic Prayers, measuring the amount of oxygen and calories the physical movements of the prayers burned.
Five standard prayers (Salat) are mandatory every day for every adult male and female Muslim. Each prayer has a continuous sequence of body movements (Rakkas) consisting of standing, bowing, kneeling and sitting. Each Rakka lasts between 3 and 6 minutes. Dr. Ramadan looked at the energy cost of two and four Rakka prayers in thirty-two male and female adults. He found that Salats have a positive effect on metabolic function. For an 80 kg person, energy cost of daily prayers was about 80 calories a day, and could be considered a form of physical activity that enhances fitness.
Dr. Ramadan told me, "The prayers have been done for thousands of years and no one thinks about it as physical exercise." I told him I think that often. I told him that Russian Orthodox prayer was pretty physical. A liturgy lasts hours, done standing and continuously crossing yourself from the floor in a squat to high overhead. Everyone including the oldest people do this, up and down, and up and down, and up and down, stretching and squatting, reaching and bending. I always thought it was group community health activity, probably found long ago to be protective against many ailments (and attributed divinely). The original yogas were the same, reaching upward to exalt the heavens, bowing, kneeling, prostrating, rising, over and over.
I told Dr. Ramadan that many Westerners aren't comfortably able to do the kneeling Rakka shown in Healthy Toe Stretches or rise to a stand without using their hands, as in the post Quick and Easy Strength and Balance Exercise, not only the elderly, but the rest of the population too.
He seemed surprised and interested. I told him I believed that this lack of basic human movement for real daily life was a major contributor to the epidemic numbers of people who are too weak and unstable to get up unassisted, to walk without canes and walkers, have trouble taking stairs, have poor balance, and for much knee and hip pain and degeneration. Dr. Ramadan said that elders in his country do not suffer knee and hip arthritis in high numbers, and can easily rise from the floor into their old age. I told him that many Westerners are familiar with a device that is worn, with a button to press for help if they cannot get up from the floor or chair. At this point, he was sure I was kidding.
If you cannot get up from the floor or low chair easily without using your hands, you likely have dangerously decreased leg strength and balance. Use good bending to strengthen your legs and knees many times a day and improve your fitness, explained in the post How Often Should You Be Healthy? Use healthy movement every day to sit, rise, bend right, clean, garden, give thanks, stretch, take stairs, and play to get healthy functional exercise, and prevent common joint pain. That is fitness as a lifestyle.
--- Read success stories of these methods and send your own. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Subscribe to The Fitness Fixer, click "updates via e-mail"(under trumpet) upper right. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
I am attending the annual meeting of the American College of Sports Medicine (ACSM). There are many hundreds of studies, seminars, clinics, workshops, lectures of all sorts, running concurrently. It is like drinking candy from a fire hose.
Dashing from one lecture to another in the enormous conference center trying to learn as much as possible from simultaneous sessions is exercise in itself.
Some of the "studies" predictably show glowing results. Studies funded or conducted by candy bar manufacturers show athletic gains from eating their candy bar. A study funded by the US Poultry Association concluded that dietary cholesterol may have a modest role in muscle mass and strength increases (and an "uncertain role on cardiovascular risk factors.") Studies from sugar water manufacturers, who are also major sponsors of this sports medicine conference, show high results in athletic events drinking their product. There is no doubt that hydration and blood sugar are enhanced from refined sugar products to complete athletic events with good results. Commenting professionally, I am not sold on these products for long-term health. Moreover, you can get the same results in most cases with healthier food. The post Is Your Health Food Unhealthful? gives some healthy food choice ideas. Click the label "nutrition" accompanying that post for all Fitness Fixer posts that give ideas for healthier sports nutrition.
One nice little study from University of Pittsburgh researchers showed that overweight adults who achieved higher levels of physical activity during a weight loss program also reported "adoption of eating behaviors recommended to improve weight loss." They also found that, "Failure to sustain physical activity reflects the failure to sustain recommended eating behaviors." The bottom line is still, "Stay active and eat right."
Another nice study from the Nutritional Interventions sessions found that, "Individuals at risk for developing cardiovascular disease (CVD) can reduce risk factors through diet and exercise before resorting to drug treatment," that, 'Ingesting vegetable versus animal protein has also been shown to have beneficial effects on various risk factors" and that "Participation in a 12 week resistance exercise training program significantly increased strength and decreased CVD risk factors in overweight, hypercholesterolemic men with no added benefit of protein supplementation." The bottom line is still, "Stay active and eat right."
Reuters News India reported that yesterday in the eastern state of Bihar, the driver of a stalled electric train asked passengers to help get it moving again. We call this a G.O.P. car (get out and push).
The train had stopped in an electrically neutral area between wires. Hundreds of passengers pushed for more than half an hour to move the train until it connected with the electric contact overhead to supply power again (different distances, time, and why the electric connection to overhead wires was lost, according to different news sources).
In the 1970s and 80s, I often worked as a scuba instructor and dive guide in the Caribbean Islands and Mexico. There were strange tides one day, and the boatman accidentally ran the old wooden dive boat (with no radio) aground, far from shore. It seemed reasonable enough (to me) to put everyone out in the waist deep water, decreasing the weight and draft (distance from the waterline to the bottom of the hull). All the paying passengers and I got to enjoy a yo-heave-ho of functional exercise in the water pushing the boat free under the shining sun. The boatman stayed onboard to steer. I also put the two children on the trip with us off the boat to help, although the shorter one rode on my shoulders, excitedly pushing with both hands and feet.
For many years, it has been an interesting question whether exercise will increase or decrease risk of decompression sickness after scuba diving. Exercise seems to affect evolution and dissolution of bubbles from the dissolved nitrogen absorbed and released during and after scuba dives. It is turning out that exercise can both increase and decrease risk, depending on the timing of the exercise, to be covered in future posts. It is a topic for divers from military operations to vacationers trying to adjust their risk factors, and divemasters and scuba instructors who haul anchors, gear, and passengers up and down boat ladders (and G.O.P. boats).
Going back to trains, at least 30 years ago, my mother and I came up with the idea that in addition to dining cars, rail lines should have an exercise car, instead of passengers being confined to long sitting. We envisioned stationary bicycles and other simulators hooked up to generators that would run lights (or television), or record the distance traveled, with windows or screens showing passing scenery like a nice bike trip or race. Participants could race with or against each other. (Originally, Mom thought the cyclists could power the entire train.) Ideas flowed, like having proceeds help set up exercise and health programs that develop body and spirit in poor neighborhoods passed though. We came up with several names like "Training" and other variations, and thought it would be a new exercise craze and sure-sell for the rail industry. We made inquiries and didn't hear much back. You heard it here first - now date-stamped in this blog as our fun idea.
I was one of the first people to develop fitness on cruise ships, back when cruises were thought of as only deck chairs and buffets. Let me know if you want stories (or to set up a fitness cruise). Rail lines, are you interested? I will develop it for you as a fun fitness "Training™" program.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
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Photo (unrelated to the Bihar train this week) by Prince Roy
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.
Today I took a break from a study we're doing, to do the Leg Stretch That Strengthens Arms in yesterday's post. It is a good exercise that you can do quickly.
A pile of assorted scientific utensils fell out of my pockets, along with pens, rulers, scribbled data notes, a telemetry battery, the roster for a new class starting tonight, and - strange for a scientist - an amount of money in the form of a few coins.
I have long taught to shift weight while holding a handstand to progressively strengthen arms until you can walk on your hands, and to stand balancing on one hand. The idea is to work so that you will be able to do it. Today I was reminded how practical it can be.
Here is a new fun exercise while standing upside down on your hands - shift weight to stand on one hand and retrieve objects on the floor with the other hand to stuff them back in your pocket.
Of course, everything will fall back out. Then you laugh upside down and pick them up again. This will last through a good exercise session. My hat also kept popping off, another good exercise to get back on while upside down. If you need to shoo pets away from your face, all the more exercise. Be safe. Have fun.
To get started doing handstands in a safe, controlled manner, see Quick and Fun Arm and Body Strengthener. It is an excellent upper body and core strengthener and balance trainer.
Readers have e-mailed for more upper body strengtheners.
Increasing upper body strength helps many things. The post Quick and Fun Arm and Body Strengthener listed several benefits to your health and daily activities, and gave a quick, fun upper body strengthener that needs no weights or equipment, no trip to the gym, can be done in the home or office, and improves balance at the same time. It is not as hard as it looks.
Consult the post link and exercise your brains and common sense first:
Crouch down in front of a wall (drawing 1).
Put one foot up high on the wall (drawing 2).
Raise the other so that both feet are on the wall (drawing 3) to produce a quick and easy to do handstand.
Hold yourself steady. Relax and breathe.
The above link explained how to use this easy handstand to do various other exercises to progressively strengthen.
To add an effective leg stretch:
While holding the wall handstand, gently, carefully, lower one foot on the wall, then lift the other foot far away from the wall
Open legs overhead into a wide split (drawing at left)
Hold, breathe, relax, enjoy
Switch legs to stretch the other side.
This stretch feels great and is fun to do. As far as I have been able to determine, it is good for the shoulder (as long as you don't fall on it or do something not intended in this stretch).
Hold weight on your hand and forearm muscles instead of only mashing your wrists back to keep this move a good strengthen for the wrist, which is often needed to prevent wrist pain.
This fun exercise improves balance and is effective to improve your ability to hold body positioning steady - two important skills for health. Use your muscles to hold your torso straight, without letting it sag and sway.
Have fun and develop fun healthy movement with this combination stretch, balance exercise, and strengthener. This stretch and others for all ability levels is in the book Stretching Smarter Stretching Healthier.
"The public has an insatiable curiosity to know everything, except which is worth knowing." - Oscar Wild
April 1 seems to be a day to notice, more than usual, if things in the news are not facts but April Fool. On other days, urban legends and other stories are still popular, sometimes more popular than what is really going on.
The observation that the Earth is flat seemed obviously true at one time until we had more information. It used to be a taught as a medical fact that the cause of epilepsy was masturbation. When I was in school, one of my medical books stated that you don't need to eat calcium since you can "get all you need from your bones." It is true that you pull calcium from your bones when you don't eat enough, although with unhealthy results.
The post Forensic Science told of two crime-science myths, often still taught in forensic books and popularized in television shows, which were never true. Following are more posts hoping to replace myth with information, so that you can get stronger and do more, without the injuries or restrictions in activity that are part of many fitness or injury rehab practices.
How many times do you get in and out of a chair everyday? It could be enough for a fair amount of exercise, if you use muscles instead of leaning forward (photo shows terrible sitting) and flopping down.
At a medical conference last year, a speaker droned endlessly about back surgery (even though Studies Say Back Surgery Not Needed, and you can Fix Disc Pain Without Surgery) and the usual tedious exercises that people must do three times a week (then they do unhealthy movement all day that causes the pain in the first place, or do their exercises in back damaging ways - Common Exercises Teach Bad Bending). An obese physician arriving late plodded to a chair next to me. She laboriously bent over, bending wrong to put her bag on the floor. She slowly bent over forward, bending wrong again to retrieve two cushions from the bag. She bent over wrong again to place one cushion on the chair seat, then again for the second cushion for the chair back. She turned her back to the chair, bent far forward, bent her knees a small amount, so slowly, then slammed her backside down to the chair with a WHUMP. She sat rounded for the rest of the lecture about surgery for disc herniation. Sitting and bending rounded forward is the major cause of disc "disease." To easily avoid disc pain and surgery see Disc Pain - Not a Mystery, Easy to Fix.
What to do instead? Any time you start to sit, check if you lean forward and stick your backside out. You shouldn't need to lean far forward to sit, or rise from sitting. If you have to lean, it is usually a sign of weak legs. If your heels come up as you bend your knees, your Achilles tendons are tight (or you have functional bad Achilles habits). You shouldn't (ordinarily) need to use your hands to sit or rise. Your balance and legs should do the work. Do you sit down heavily, not using leg and hip muscles to decelerate? Why jolt your spine and give up free calorie burning at the same time? Try this now to see:
Stand up, ready to sit -
Start to sit, keeping both heels down on the floor.
Don't lean forward. If you lean, correct it by tilting your hip under and raising your upper body to be straighter.
Keep both knees back over your heels. Don't let knees slide forward.
Keep knees parallel over your heels. Don't let knees sway inward.
Notice how you have to use far more leg and hip muscle, and the pressure of holding your body weight comes off the lower back and knee joints.
Notice if you reach for the arm rests, or other support, out of habit. Use your leg muscles instead.
Sit down lightly.
Start to rise from sitting -
Notice if you lean far forward or raise your heels or jut your chin forward.
Notice if you need to push off your hands.
Notice if your knees comes together. Don't let them.
Change how you rise to put both heels down on the floor, push off your whole foot including heels, and use your leg muscles to rise while holding your upper body more upright without jutting your neck and chin forward.
This is not a bunch of strange rules for sitting, or a weird, contrived exercise, it is just basic concepts for normal healthful daily movement.
The previous post explains why it is not healthy for your back or the best exercise to lean and stick out in back - Aren't You Supposed To Stick Your Behind Out to Sit Down or Do Squats? It covered good knee placement too, so check that if you avoid healthy movement because of knee pain.
Exercise is still thought of as something you go and "do" instead of moving in real life. It's silly to do 10 squats in a gym or using your chair and then go back to unhealthy movement each time you sit or bend during the day. Have comfortable healthful movement all day. Sit and rise easily. That is exercise as a lifestyle.
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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Using Abdominal Muscles is Not Tightening or Pressing Navel to Spine
Thursday, March 08, 2007
Jolie Bookspan, M.Ed, PhD, FAWM
Tighten your neck! Sound comfortable? Tighten your legs and walk around! Sound sensible? Yet, many popular exercise programs have insisted on the erroneous practice of tightening abs. I have written articles, posts, and books on why this is not beneficial and what works your abs better. At last, it is making headline news. The biggest name in spine research, Dr. Stuart McGill, has published that "drawing in" the abdominal muscles, also described as "press the navel to spine" is detrimental to health of the lower back, and that tightening the abs impedes normal movement. In Arch Phys Med Rehabil. 2007 Jan;88(1):54-62, authors Grenier and McGill conclude, "There seems to be no mechanical rationale for using an abdominal hollow, or the transversus abdominis, to enhance stability."
This week the headline news of British newspaper "The Daily Mail" followed up with inquiry into the incidence of back pain and injuries using the "drawing in" technique: Is Pilates bad for your back? (A minor note - they accompanied the otherwise good article with an incorrect photo depicting the opposite concept of back extension, not the unnecessary contracted abdominal tightening, which was the point of the article.) Pressing and tightening the abdominals has been an incorrect assumption made into ritual in the fitness industry for many years. However it is not the way your abdominal muscles work to do anything helpful to you.
When you bend your arm, you don't tighten your muscles to do it. In fact, you shouldn't want to. You just move your arm bones using your arm muscles. Abdominal muscles work the same way. You use them to move the body parts they attach to. Voluntarily. Strengthening or tightening won't make them move automatically. You may have a strong arm, but it isn't held up in the air automatically - only when you move it there. Strong, or even tight, abs will not automatically support your back. Moving your spine into healthful position will:
Abs attach from hips to ribs. When you don't use your abs, your ribs lift up and the front of your hip sinks down increasing the inward curve or arch in your lower spine (left-hand photo of the pair). This inward curve is called lordosis and also hyperlordosis and swayback.
Note how the belt line tips down in front (left-hand photo).
The lower back aches after long standing because you are letting the weight of your upper body slump down on your lower back. People with the bad habit of overarching often feel they need to lean over forward or sit to relieve the pain.
Instead, to correct the source of the pain, tuck the hip under (not push it forward) to lift up the beltline in front (right-hand photo). Lower the ribs to level. The action is like a thrust or pelvic tilt or crunch standing up just enough to straighten, not round forward.
The muscles that move the ribs and hip to healthier position happen to be your abdominal muscles. Standing properly (right drawing) gives a free built-in ab workout, with no tightening and no forward bending; just functional use of the abs to hold your spine in position during all you do.
Using your abdominal muscles to move your spine out of injurious over-arched position and hold healthy neutral position during ordinary daily life and during all the exercise you do is good exercise - without tightening. The book that started the sea-change in understanding abdominal use and functional exercise is The Ab Revolution™, No More Crunches No More Back Pain.
-- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels, links and replies in the articles, archives at right, and the Fitness Fixer Index. For personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy. ---
It's Valentine week. Each post this week will show a fun way to improve health with a friend.
The Partner Leg Press strengthens your legs, hips, and posture muscles, and practices balance and good body position. It can be safely done with children too.
Partner 1 lies face up on the floor with both feet raised.
Partner 2 positions themselves facing down, with Partner 1's feet on their chest or abdomen, and holding their body straight (photo 1).
Partner 1, on the floor, bends knees to lower and pushes legs almost straight, in a leg-press action.
Repeat the leg pressing many times, trying for at least 10 presses, then switch places.
Be careful. This one is so much fun that Partner 2 may drool on, or fall on Partner 1 by accident (or purpose). Have fun on Valentine's Day.
Then try the Partner Leg Press with Partner 2 face up (photo 2). Start by partially sitting with Partner 1's feet on your back, and "walk" your feet away for straight positioning. Do several presses, then switch places.
Why tell a loved one or child you can't spend time with them because you need to go exercise? Instead of making exercise isolating and separating, and something you have to stop your life and disrupt your family to do, make it unifying, friendly, and fun. That is health.
Often the simple act of breathing is made into a complicated ritual. People take classes to learn how to breathe in this nostril and out that nostril and four times slowly this way, and eight hundred times quickly that way. All you need is to remain simple. In. Out. Try a nice breath now. This is often more than many people do. Check yourself when at work, opening mail, putting things away. Do you hunch your shoulders and hold your breath, straining or breathing shallowly and quickly, just to hurry through and get it done? Keep breathing normally in and out.
It was previously thought that lung function declined steadily with each passing year after age 30. It also used to be thought by some in exercise science that respiratory muscles could not be trained, or that the highest amount of air moving in and out with exercise would not change except to diminish with aging. Now it is established that the breathing muscles of the chest and abdomen are muscles like any other. You need to exercise them. You can improve function at any age.
Exercising your respiratory system through healthy breathing is important to reduce many respiratory problems, and is part of staying in shape and able to do normal activities without getting out of breath. How do you do this? To exercise your respiratory system, following are three main things to try:
1. Exercise your whole body with biking, skating, skiing, running, skipping, hiking, dancing, and other fun ways to move.
2. You can exercise your breathing right now while sitting or standing:
Close or purse your lips loosely (draw them together at the sides) and breathe in against the resistance.
Breathe out slowly without resistance. Repeat several times.
Try the above, breathing in more and more quickly.
Allow enough time (a few seconds) between each resisted breath so that you do not become dizzy.
As you get better at this over time, increase resistance by how firmly you close your lips together.
You can buy expensive respiratory muscle trainers in fitness catalogs to provide resistance for breathing muscle training. You can also get the same effect yourself by breathing in through pursed lips or trying to breathe through your sleeve (pressing your mouth against your forearm). Resistance breathing exercises have been long practiced in the martial arts in exercises of "sanchin," yoga, and some forms of chi kung breathing, which tighten the throat (or hold the nose) for resistance instead of the lips. Some scuba-divers and breath-hold free divers practice various techniques, hoping to increase breathholding endurance and underwater time. Not all of these practices are a good idea for divers, to be covered in future posts.
3. Periodically see how much air you can breathe in and out in one breath, both with and without resistance:
See how quickly you can inhale fully.
Then how fast you can exhale fully.
Regularly exercise heavily so that you need to breathe hard for extended periods.
Don't "overbreathe" (hyperventilate) by taking huge breaths in and out while at rest. That changes your body chemistry, which can make you dizzy or cause temporary limb tingling. The dizziness from hyperventilation is often taught in yoga, martial arts, and meditation breathing classes as something healthful. However, it is not physically beneficial.
Healthful breathing patterns are important when not doing strenuous exercise. When chopping vegetables for dinner, do you hunch your shoulders and hold your breath during the knife stroke? Instead, make the rhythmic chopping a meditation and an easy exercise with healthful body positioning. When you hang up laundry or put away groceries, notice if you tense up and hold your breath? When you move during any action, check to see if you tighten muscles and hold your breath trying to get it done. Lower your shoulders. Untense your muscles. Enjoy the task. Breathe.
For healthful breathing during life activities, remember to let your belly expand to breathe in. Don't just raise your shoulders and chest. Don't pull your belly inward when breathing in; let it come outward as air fills your lungs. Take a full breath in now and try it. Relax and feel good.
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.
What Does It Look Like to Not Use Abdominal Muscles?
Sunday, January 21, 2007
Healthline
Readers have been e-mailing asking for more photos of what "the plank" and other exercises, or even daily life looks like if done in a way that doesn’t use the abdominal muscles as intended.
In the top photo at left, you can see the badly arched lower back at the junction of the t-shirt and beltline. Her back is sagging and "hammocking" under body weight. The hip tilts up in back. If she used her abdominal muscles to tilt her hip under, the spine would be held straight and prevented from sagging. The lower back would no longer pinch backward and compress under her weight. The joints that hold the vertebrae (spine) together are called the facet joints. They get hurt from overarching. Injections are not the answer. To stop the cause of the injury, you simply stop bashing your facet joints together by preventing overarching.
The lower photo shows not using abdominal muscles while standing and reaching overhead to learn how to twirl fire sticks, a common beach activity here in Southeast Asia. The lower arrow over the hip shows how the hip is tilting instead of straight. The hip tilts down in front and up in back.
Another way to understand the movement of tilting the hip under (pelvic tilt or tuck) to bring the spine into healthy straight position is to try this:
Stand with your heels, backside, shoulders, and the back of your head against a wall. Gently try to press the space in the lower back toward the wall.
You don't have to touch the wall, in fact, that is too much tilt. Just learn how to move the hip with a slight curl-under, so that the arch lessens until your hip is straight and no longer tilted forward and down in front.
Don't bring your head forward away from the wall.
Gently hold the tilt as you walk away from the wall.
Keep breathing. Don't tighten your abs. That is not how to use them for real life. Just use your muscles to reposition your spine, like moving your arm or leg - simply and easily and in relaxed manner.
The tilt is not an exercise to do 10 times. It is something you do once, the use, for better health, better use of abs, and better looks. Send in your own photos of your own successes. Have fun.
Read inspiring success stories of these methods and send your own. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. For personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
Abdominal Muscle Exercise - Better, Different, Not What You Think
Friday, January 19, 2007
Healthline
Many medical fitness programs, health and exercise classes, and kickboxing and martial arts practices have a complicated and ritualized belief structure that the abdominal muscles have some magic or central function. They try to fix back pain or improve posture through abdominal strengthening programs. Usually these strengthening programs use the same unhealthful rounding forward motions that cause high pressure on your lumbar discs, practice unhealthful bent-forward posture, and perpetuate several common pain syndromes.
Here in Thailand, the Muay Thai kick-boxers and training camps do not have any beliefs about the torng, or abdomen. Even so, the Thai boxers are among the world's best-conditioned fighters. You can swing a bat at their abdomen and it would not faze them. In fact, that is part of training in many training camps. Today I have an abdominal muscle training exercise for you that is more fun than that:
The post Change Common Exercises to Get Better Ab Exercise and Stop Back Pain showed how the pushup, or just holding a pushup position, called The Plank is often done allowing the lower back to overly arch and sag under body weight, as in the upper photo at left. This extra arching, called hyper-lordosis, pressures the lower back and means that you are not getting exercise because you are just resting your body weight on the joints of your lower back instead of holding up your body weight in a straighter, healthier position, shown in the lower photo. Try this:
As soon as you tuck the hip, you will immediately feel the load shift off your lower back and onto your abdominal muscles.
Once you can hold a good flat plank position, add lifting one arm as shown in the lower photo. Do not allow your lower back to sag, shown in the upper photo. Do not hunch or round your upper body, also shown in the upper photo. Rounding the upper body will get in the way of your shoulder joint being able to lift your arm.
"Unround" your upper back and lift your chest to straighten your back. This makes room for your shoulder to allow your arm to straighten in line with your body.
Once you can lift your arm, also lift your opposite leg (not the leg on the same side but the other one). You will feel your abdominal muscles working strongly.
Hold as long as you can.
Keep relaxed but straight, and keep breathing.
Work up to being able to jump to switch the arm and leg that is lifted.
This fun abdominal exercise trains you how to hold your body in the same straight neutral spine position you need for standing and walking and reaching overhead without arching the lower back. That means it is functional abdominal exercise. Many people who do hundreds of crunches a day cannot do this exercise at all because they have never trained their abdominal muscles in the way they really need to work – to hold your spine straight without sagging inward (overly arching).
Crunches are not functional, and train unhealthful, forward-bent posture, which you don't need after a day of sitting at your desk or over the steering wheel.
Instead of crunches, this is one of many fun abdominal-building exercise. You will get better more effective abdominal exercise in the way your body, and abs, work for real.
Read success stories of these methods and send your own. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
Many people are taking down Christmas trees even as the Russian and other Eastern Orthodox families are putting theirs up for Christmas, coming this Saturday Jan 6th. The Russian Snow Girl (Snegurushka), and DedushMoros (Father Frost) have already come to visit. S nastupaiushchim Novym godom i s Rozhdestvom Khristovym - Happy New Year!
Here are two lifestyle strengtheners (and a free Achilles tendon stretch) to build into your fitness as a lifestyle for 2007:
If you would like to get strong legs for the New Year, don't bend over wrong to lift things (upper drawing, left). From now on, make all your bending the way that strengthens your thighs and at the same time prevents back and knee pain (upper drawing, right). Keep your upper body upright and bend your knees. Prevent knee pain and get better use of your leg muscles by keeping both knees down and back over your heels. Each time you keep both heels down while doing healthy bending, you will also get a built-in Achilles tendon stretch. The post How Often Should You Be Healthy? tells more on good bending.
If you want to stop "mystery" lower back pain for the New Year, check to see if you lean backward when you reach upward (lower drawing, left), carry things, or when you are just standing. Leaning back creates overarching of the lower back called hyperlordosis, which pinches and pressures the soft tissue and joints of your spine. People with this kind of pain feel they need to lean over forward or sit to relieve the pain. Instead of doing remedies for pain, it is smarter and healthier to stop the cause of the pain.
The "hip tuck" or "pelvic tilt" to reduce overarching and straighten the spine (lower drawing, right) is described in the post Throw a Stronger Punch (or Push a Car or Stroller) Using This Back Pain Reduction Technique. The muscles you use to move your spine out of unhealthy overly arched position and into straighter position are your abdominal muscles. By simply standing and moving with a healthier spine position, you get free exercise for your abdominal muscles. "Tightening" the abs is not what exercises the abs or prevents back pain. Tightening also does not let you breath or move properly. Tightening is not how to have healthy abdominal function. Instead, use the abdominal muscles to stop overarching and maintain healthy position while going about your daily life and exercise. The post, If Better Abdominal Muscles Are Your New Year's Resolution, Try This, shows how.
If your New Year's Resolution is to have a healthier low back, Achilles tendons, and abdominal muscles, you can do that all at once during your regular daily activities.
--- Read success stories of these methods and send your own. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certified - DrBookspan.com/Academy. ---
If Better Abdominal Muscles Are Your New Year's Resolution, Try This
Sunday, December 31, 2006
Healthline
Readers have been writing to ask about the conflicting reports in fitness magazines on how often you should work your abs. Some sources cite research studies saying you should rest between resistance training. Other articles say to exercise them every day.
It's common to debate fiber type and fatigue and conclude whether to schedule your abs daily or intermittently. Then people "do" abdominal exercise based on that, and completely neglect what abdominal muscles really do when you stand up and go about your daily life.
Abdominal muscles have their main function when you are standing. They do not automatically do anything to support your back or prevent lower back pain. The 'support' comes from how you stand. It has nothing to do with strengthening or tightening. Those are common fallacies.
Abdominal muscles attach from your hips to your ribs. When you use abdominal muscles, you prevent the distance between ribs and hip from lengthening, which bends the lower back, pinching it back like a soda straw. The post Fixing the Commonest Source of Mystery Lower Back Pain shows how this works. Abdominal muscles are like a guy wire attached to the front of a tree, keeping the tree from bending backward. Your abdominal muscles do not prevent leaning backward automatically. If you are not using your abs when you stand, your upper body will lean backward and/or your hip will tilt downward in front. This is called slouching. Your lower back overly curves inward too much, and pinches and pressures the joints and soft tissue of your lower back. People who overly arch the lower back (hyperlordosis) usually notice their back pain after long standing, walking, and running. They feel they need to lean forward or sit to relieve it. The leaning forward is not a "fix" but it feels good at the moment because you stop the pinching backward that causes the pain. You can prevent the pain in the first place by not slouching backward. Then you will get built-in use of abs, and not need a temporary palliative stop-gap measure of bending over forward, or picking up one leg.
Using your abs doesn't mean sucking them in or making them "tight," it means not letting your lower back overly-arch. When you tilt or tuck your hip under you to straighten your lower spine and straighten your upper body so that it does not lean backward, the muscles that straighten your spine from overly arching are your abdominal muscles. That is how abdominal muscles support your back - only when you deliberately use them to stop slouching.
Plenty of people have 6-pack abs and have terrible posture and continuing back pain. In my practice, I treat patients with bulging muscles who hurt their back opening windows because they overly arch the lower back when they reach upward and lift overhead.
If "abs" are part of your New Year's Resolution, here is how to get functional healthy abdominal exercise:
Stop doing crunches. They are not functional, not healthy, and don't train your abs the way you really need them to work in real life.
Stand properly without overarching. That gives built-in abdominal muscles exercise all the time. Do not suck in or tighten. Just position your spine away from unhealthy overarching.
If you "worked" your abs all day all the time by controlling your spine and lower back positioning, you wouldn't need to go to a gym to do funny little crunches - neither every day, nor every few days.
Read inspiring success stories of these methods and send your own. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. For personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
Two weekends ago we were in Virginia on a medical consult with colleagues. One of the docs is an osteopath and collegiate team doc who really knows his orthopedics. I enjoy our discussions of the best techniques to retrain healthy muscle use. He mentioned that he discourages his team members from the overhead military press (lifting weight directly overhead with both arms). He mentioned the frequent, serious shoulder and neck injuries this exercise often produces. The numbers show that he is correct.
My colleague reminded me that the military press is not usually functional, which means that except in cases like my carpenter husband Paul who lifts substantial objects overhead all day at work, people do not lift overhead for daily life. Given the large number of injuries the overhead press causes, he'd rather people strengthen in other, more functional ways.
It is true that most lifting overhead is not directly over the shoulder, as in the military press. However, most people need to lift things overhead as part of daily life, and often use the overhead press during recreation, as in the photo, at right.
Here is how to do the overhead press in ways that I believe can keep it healthy, and how to transfer that healthy positioning to lifting laundry, groceries, babies, and other daily weights:
Keep your shoulders down and your chin in, then lift. By keeping head and shoulder position from drooping forward, you will prevent the shoulder bone from squashing your rotator cuff and other soft tissue when you lift your arm. Use the healthy shoulder, neck, and lower back, positioning in #1,2, and 3 (above) for every overhead lift, from pulling off a shirt, to putting away groceries, to lifting children, putting things on shelves or overhead racks, to lifting weights. You will get better exercise and prevent injury.
Readers have been asking what happened to the weekly reports of my martial arts classes. Others wanted to hear about my other classes including yoga. My martial arts students continued becoming skilled and disciplined. Next semester I will post some of the fun drills they do to build natural strength, discipline, and flexibility using themselves and each other instead of weights and equipment. In my yoga classes we learn that the poses themselves are not what gives good posture and focus. We learn what healthy positioning is, then apply it to how to move for daily life after walking out of the class.
In my sports medicine practice, I regularly see yoga teachers as patients for back, knee, and neck pain. That is because several yoga moves are not good for anyone - just as not all food is healthful. Many moves are fine, but other traditional poses injure joints, even when done "right" (or especially when done right), like bending over from a stand or a sitting position, whether the back is rounded or straight. We omit those moves and use others that are better stretches without the degenerating forces on the lower back and neck discs, for example, Healthier Hamstring Stretching. You don't have to injure yourself to get exercise. Fitness is supposed to be healthy.
This week in yoga we did a fun, effective hip stretch. We stood on one foot and reached for the other ankle crossed over the bent standing knee (drawing at left). When we do this, we practice the daily healthy position of keeping the upper body upright and straight, with the chin in, not craned forward. One new student was not happy with my class. She was used to sitting on the floor in classes she ordinarily took. She was peeved that we did so much standing. Although people call yoga "mind and body," she didn't like that we used the body. Although people frequently say that yoga is about understanding and light, she whined and complained and cursed me under her breath for most of the class. She wanted to know why I was making everyone do an extreme and bizarre movement.
I told the class it was healthy and happy to do this move every day. I pointed to my crossed foot and spoke the name of this ancient move - "Putting on shoe."
I hope you will try this too, to get a normal and healthy hip stretch and better balance everyday. Remember that most of the world stands to dress - the ones lucky enough to have shoes. Stand up now and try it. You will get free balance, healthy hip stretch, and leg strengthening every day from daily life. When you get good at this fun move, keep your ankle crossed and bend the standing leg enough for you to reach to the floor to retrieve your other shoe or sock. Keep your chest up and your back straight to prevent practicing unhealthful rounded position. Even though this one bends over, it does not transfer the pivot force to the lower discs for several reasons.
Have fun adding new healthy movement to your New Year. Write your stories and take photos of how you make your life better by fixing your fitness to be functional and healthy. Send link to your photo sharing site of your examples, and I can put you up in lights as a role model for healthier life.
--- I make posts from fun mail and success stories. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Why not try fun stuff, then contribute! Read success stories of these methods and send your own. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
The days are becoming longer and light is returning in the Northern Hemisphere. Native Americans, Shinto, Iranian Zorastrians, Buddhists, Christians, and non-faith based traditions all celebrate the winter return of light and life and enlightenment with trees, and lights, and cleaning the house, and giving presents, and lifting things.
In many of these traditions, is written that pain and darkness is high before the return of the light. The upper photo shows pain - unhealthy bending. The lower photo shows "seeing the light" - healthy bending.
For healthy holidays, check your bending for all the cleaning and lifting you do. Don't lean over. 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 received several e-mails from people who tried the Quick and Fun Arm and Body Strengthener in the previous post. Readers were happy with their new-found understanding that being able to hold up their own body weight is important, empowering, healthy, and fun. They wanted to know more about the benefits.
Strength training isn't just for big guys in a gym. You need strength to lift and carry things around the house and workplace, to lift packages, children, groceries, and yourself easily rather than struggle. By increasing strength, you can do daily activities more easily, and reduce your chance of injury while doing it. Strengthening is important to reduce, even reverse, many characteristics often mistaken for aging, Becoming weak, unsteady, and slow is not aging. Are you as active as previously? It is a simple example of "use or lose."
At the ACSM New York conference on aging earlier this month, experts explained how it used to be thought that rates of protein synthesis, meaning how much protein your body uses to rebuild itself, decline with aging. However, it is not aging, but disuse. When experimental groups of people in their 70s began being active again, their rates of protein synthesis became comparable to the groups of 30-year-olds.
In my lecture at the aging conference, I told how the common perception of not being able to get up from the floor is not aging; it is the need to regain the strength and balance to do it. Part of my lecture explained how elderly and debilitated people who could not previously lift themselves out of their chairs become more mobile from daily movement that strengthens, allowing them to get up and walk again. Everyone needs the strength to lift their own body weight up from the floor, from bed, and out of chairs. With strengthening, may people who previously needed walkers and canes, sometimes even wheelchairs, could walk unaided again, and stop needing many medicines.
Using muscles is a key part of osteoporosis prevention. The pull of muscle against bone thickens the bone. The stronger a muscle, the more it can pull on the bones it attaches to when you use it. Without exercise, you lose bone no matter how much calcium you eat. Even a young person in a cast loses bone from simple disuse.
Even people who don't do activities commonly regarded as needing strength, do daily activities like carrying grocery bags, a suitcase for travel, or a squirmy child. When your arms are weak, you are more likely to lean back to carry things on front of you, shifting the weight to your lower back. You should be able to carry everything you want without leaning back or to the side, no matter whether it is a child on one hip or grocery bags carried in front in both arms, or both. You should be able to carry a shoulder bag or knapsack on your back without leaning your body forward.
Strength is important for everyone. You don't need a gym or trainer to get stronger. You don't need to change clothes. You don't need to buy equipment. Several posts of this blog have shown how to move with healthy positioning. The next post will list several ways to use that healthy positioning to strengthen your body more each day.
Upper body strength is important for health, making daily activities easier, and other benefits including preventing osteoporosis of the upper back and wrist, two major sites of bone loss in both men and women. It is often said in gyms and fitness articles that body weight is not enough to strengthen, and that you need weights and equipment. Fortunately, that is not true.
Here is a quick, fun, upper body strengthener using your own body weight. It has the added advantages of also strengthening core muscles plus training a fair amount of balance. It also gives many benefits of a tilt table or inversion machine. You can use this fun exercise anywhere you have even a small wall space. It is fun and not as hard as it looks. Be brave, and (safely, carefully) try this:
Stand with your back about a foot in front of a wall (face away from the wall).
Crouch down and put both hands on the floor - drawing #1 at right.
Put the bottom of one foot high on the wall - drawing #2.
Lift your other leg to the wall so that you are standing on your hands with both feet up on the wall - drawing #3.
Hold as long as you can. Keep breathing.
When you want to come down, just step one, then both feet back down to the floor the way you started in drawing #1.
Avoid this one if you have uncontrolled high blood pressure or problems with pressure in your eyes or brain. To keep this exercise fun and safe, when you are upside down standing on your hands, don't let your lower back sag into an arch. Keep your hip tucked to straighten your back and you will get free core strengthening while you do this. Don't let your body weight pressure your shoulders. Use your upper body muscles to maintain shoulder position instead of letting your shoulder joints grind under your weight. Don't fall down on your face. Use your arm strength and hold yourself up. Keep breathing and don't tighten and strain, which increases blood pressure.
Don't think of this as an extreme exercise. It can be simple; don't be afraid to try it daily. My Grandmother "downgraded" to this one in her 90's from full handstands (without the wall), because it is easier and safer.
When this exercise becomes too easy, rock side to side so that you stand with weight first on one hand, then the other, as if walking on your hands. Keep your feet against the wall for balance, at first. When this becomes too easy, stand only on one hand for increasing periods. Start doing small dips, like upside-down pushups. Increase until you can dip your head almost to the floor, then push back up to a handstand again. Work until you no longer need the wall.
You do not need to lift big weights in a gym to strengthen. Your body weight provides fun, effective strengthening, with no machines, gyms, or extra weights needed.
Reader Tries This and Shows How To Get Started, Even if You Think You Can't:
Read success stories of these methods and send your own. See if your questions are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
Readers have been e-mailing me to ask what supplements to buy for holiday presents to get muscular and slim. This post will cover a bit about protein supplements for exercising.
Advertising for protein supplement products wants you to believe that eating more protein builds muscle and causes you to lose more fat. Neither is true. When you exercise more, you use a small amount more protein than when you are not exercising. It takes very little protein to build more muscle. Most of the rest of muscle weight is water. Drinking extra water also will not build more muscle. All you need to do is healthy exercise. On an average Western diet, you do not use all the protein you eat, even when exercising hard and lifting weights. You break down unused protein, excrete the byproducts, and store the extra calories eaten as fat.
Protein supplements made with whey, dairy, and unfermented soy are a major cause of a bloated uncomfortable gastrointestinal tract. (Unfermented soy also is also increasingly being found unhealthy, and recommended to be limited.) Many protein supplements have sweeteners like sorbital and corn syrup, which produce more painful gas. More serious, high protein diets contribute to several major health problems. Eating high protein is long known to be a contributing factor in reduced bone density and osteoporosis. Animal protein, including the animal protein in dairy, increases urinary calcium loss. New studies are showing that high protein diets may increase risk of cancer and shorten life span.
Good quality protein is available without meat, dairy, or supplement powders. Try oats, brown rice, beans, lentils, sesame seeds, nuts, chickpeas, muesli, peas, seaweed, kelp, brewers yeast, hummus, tahini, and spirulina. These have protein, antioxidants, many nutrients, and fiber. It is not true that you need to carefully mix specific foods in each meal to get complete proteins from vegetables, grains, and legumes. Proteins combine on their own in the body over the day of eating a variety. It is another food myth that you must avoid eating protein with starch (carbohydrate), or not eat one food group in combination with others. Nutrients usually work better together.
You can build much strength and muscle without eating any supplements or high protein diets. I will post more about "fitness" supplements. In short, save your money. Just do honest exercise in healthy ways. You will be healthier and wiser and look great. Take the money you save and make a real gift of the season by donating to impoverished areas or going to a shut-in neighbor and doing their vacuuming. That is the spirit of the season and fitness as a lifestyle together.
Photo model - Paul Plevakas, vegetarian athlete, who uses the natural exercise in my books and on this blog. This copyright photo is on the cover of the book Healthy Martial Arts.
Last weekend we were packing up to drive to the New York Chapter American College of Sports Medicine conference on aging. It was early and cold. At the corner where we parked, an elder woman waited at the bus stop. She stood straight as a penguin; her things hung over her walker. We were late getting on the highway. I had to get to the conference to give my lecture. I was already going to miss the first lecture given by an expert on metabolic changes of aging. This was an important conference where we would learn important ways to help older people.
She was standing alone. I thought that if she had family she would not be standing alone at a bus stop early in the morning. There was no telling where she needed to go. I wouldn't get all my required continuing education credits if I did not attend all of the meeting. We had to drive all the way to New York, and at this rate I was not even going to be on time for my own lecture. The answer was simple. We opened the door and asked her, "Where can we take you?"
We bundled her into the truck, and asked her name. "Dottie!" she said, pointing to a mole on her forehead. My husband held out his big hand and said, "I'm Paul." Dottie looked at Paul, nearly seven-feet tall, squashed in his seat with his long legs bowed around the steering wheel and his hair brushing the ceiling. She sang, "Tall Paul, he's my all…" and Paul replied, "Annette Funicello," recognizing the old song and singing it along with her. Dottie was on her way to religious services across town. We enjoyed lively conversation with her all the way there. We passed a Greek restaurant. Dottie said, "You won't believe this but I used to belly dance there." My own Grandmother studied belly dancing into her 90's so I believed Dottie. I said, "Belly dancing is good for the hips." Dottie winked, "Belly dancin' is good for lots of things."
We dropped Dottie off at her destination and made sure she had her hat and scarf and gloves and some of our food and a hug. We gave her our number and said, "We won't be passing by in time to take you back home. Call us to go somewhere else sometime."
We met heavy traffic getting to the Lincoln tunnel. I won't get all my continuing education credits from the conference that was supposed to teach us about how to help old people. In posts coming soon I will tell about the lecture I gave on improving musculoskeletal health for older people. Although it is a common misconception to think that ruinous losses of bone density, strength, balance, and flexibility are unavoidable with aging, it is not the case, and at any age, even advanced years, you can still get stronger, faster, more flexible, and better balance through easy daily activity. You can also improve the most important aspect of helping aging people - by helping.
I heard a radio program about yoga for senior citizens. The yoga program directors made the usual statements about yoga helping strength and balance. Then they said something that seemed at odds with their goal. They said, "If your balance is poor, do the moves sitting down or hold on to the wall." The very thing that you need to improve your balance is to practice standing and (safely) not holding the wall. If you sit and hold on, you prevent practicing balance.
Balance that helps your normal daily life is easy to improve at any age. All you need is to stand up and balance. Balance is quickly lost with sitting and disuse.
How does balance practice help you? You have receptors in all your joints that sense positioning. They can tell if you are about to fall. They tell your body to send signals to your muscles to steady you. If you don't use your balance sensors with balance practice, they become slow and unable to sense positioning well. You may tip over far enough to fall before your receptors sense it and can tell your muscles to pull you to upright position. Balance practice also improves your muscles. Without balance practice, your muscles become too slow and weak to prevent you from tipping over and falling. If you have let yourself become tight, brittle, and weak from lack of general exercise, you may strain, tear, or break something from a fall that would not have otherwise caused any harm.
Years ago when I left working in the hospital to go into private practice in sports medicine, I found that by making house calls you learn the reasons for people's pain and injuries that you will never see in a hospital or clinic exam setting. It was the first time I ever saw anyone have to sit to put on or take off their shoes. Here are a few quick, functional (real life) ways to improve balance:
Stand up when you put on your socks or hosiery.
Stand up to put on your pants. Lift one leg in front of you, keep your upper body comfortably straight and upright, and slide on each pant leg.
Stand up to put on your shoes. Try two ways: holding the foot in the air front of you to place the shoe, and by crossing the ankle on the opposite knee.
For more balance, after putting on one sock or shoe, remain standing on one foot and do a small squat on one leg to reach the other sock or shoe on the floor.
If you can't stand to dress yourself, and you have at least one working leg, you may be too tight and weak and unsteady for healthy normal life. To get started:
Practice standing on one foot without holding on to anything. If balance is poor stand near a wall for safety to get started and have a skilled friend help. Practice standing for 10 counts without holding on. Increase how long you can balance.
Stand on one foot and swing the other forward and back, side to side, without holding on or touching down. Safely.
If you use a cane, practice walking holding it off the ground. Use your brain to do this intelligently and safely to improve balance and reduce dependence on the cane.
Balance is "use or lose" and can be quickly improved with safe smart practice. You don't need to go to a gym or "do exercises." Use balance skills as part of your daily life.
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. ---
Change Daily Reaching to Get Ab Exercise and Stop Back and Shoulder Pain
Monday, November 13, 2006
Healthline
When you lift your arms, do you lean back and increase the arch of your lower back? It is unhealthy body mechanics if you do - photo at right.
Arching your back to raise your arms reduces the stretch and exercise on the shoulder, and increases loading on the lower spine joints and soft tissue.
Do you arch your back to raise your arms? Try this to tell:
Stand and reach as high as you can overhead.
Notice if you lift your ribs and lean your upper body backward.
Check if you stick your backside out in back, or do the opposite and push your hips forward. Both increase the lower back arch which increases load on the joints and soft tissue. You may feel a familiar pressure in the lower back.
Increasing lower back arching may occur automatically, and may seem "natural," but it is not healthy. Wetting your pants is natural too, but you have to learn to control it. To reduce the unhealthy overarching:
While standing arched, bring ribs back down to level, and tuck your "tailbone" under you to straighten your hip.
The motion is like doing an abdominal crunch standing up. Don't bend your upper body to the front, just "crunch" (or flex) the lower spine to reduce the overarching.
Your lower back moves backward, and your "tailbone" tucks straight under you so it is not tilted out in back.
Now reach up overhead again holding the new straighter position. Feel how the reach needs to come from your shoulder instead of your lower back. Keep shoulders relaxed downward, and don't crane or tense your neck.
Watch other people when they reach overhead for exercise and daily life, and notice fitness magazines picturing overhead moves. See how often they increase the arch of their lower back. It is important to be able to tell when positioning is unhealthy, not just follow a bunch of strange rules about how to stand and exercise.
The next time you are in the shower washing your head, notice if you are leaning backward, and remember this article and concept. Reduce the overly large lower back arch back to normal/neutral, using the tucking/tilting move described above. Feel how the pinching pressure is reduced in your lower back. The muscles that work to flex your lower spine forward enough to reduce over-arching are your abdominal muscles. By preventing unhealthy over-arching each time you reach up, you will get built-in abdominal exercise and better shoulder stretch, and stop the source of much "mystery" lower back pain.
Read success stories of these methods and send your own. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
My Tuesday night martial arts students worked hard last night on sweeps, falls, tumbling, and quick recovery to their feet. Each week they also learn a new jump rope technique. They have been getting good at fast skipping, crossing the rope in multiple spins to the front, sides, and overhead, and varied footwork during jumps.
When landing from jumps, it is important not to let your knees knock inward under your body weight (photo at left). It is important for knee health not only when jumping, but descending the stairs, bending for all daily needs, and even getting in and out of your chair.
Letting your weight fall to the inside of your knee joint, instead of holding your weight evenly on your knees using your own leg muscles, adds load and wear to the cartilage on the inner surface of the knee bones, stresses the anterior cruciate ligament (ACL) in the middle, overstretches the ligament on the inner side of the knee, and can damage a meniscus. A menscus is one of two small cushions in each knee between the knee bones. Letting knees sway inward more commonly damages the medial meniscus (the inner one) although either or both can be stretched or twisted by bad knee positioning. Letting your knees sway inward is not a "condition," and not unavoidable or something you are born to have. It is a posture you can control using your own muscles to hold your legs from swaying inward.
A while back I took a box-aerobics class because I had a coupon for a free week at a local club. The woman in front of me was stomping up and down as she swatted the air. Her knees bumped together every time her feet landed. Her feet were at least ten inches apart yet her knees bashed together, over and over, bending inward at the knee joint. It was alarming.
Don't let your knees (or ankles) sway inward under your weight. Use your muscles to hold knees in position, over your feet:
When landing, land lightly - softly. Don't pound. The only noise should be the whirring of the jump rope, not your feet slamming the ground, transmitting shock to your knees and hips, and up your spine.
Bend your knees lightly when you land. Don't land straight-legged.
When you bend your knees for landing, don't let them sway inward.
Keep kneecaps facing the same direction as toes, not twisting inward.
Land softly, on the ball of the foot first. Quickly bring heels down while bending knees to absorb impact.
Remember healthy knee positioning during all activities. Look at your own knees and other people's knees when they take the stairs, and when bending to reach or retrieve things for healthy bending at home and work. Notice knees when you get out of your chair and sit back down. Don't let knees sway inward. Hold them in line using your thigh muscles, not letting them angle sharply inward.
It is easy to control leg positioning for healthy knee joints while you stand, bend, take stairs, exercise, and jump so that your daily life and exercise is healthy.
Common Exercises Teach Hip Tightness When Kicking, Stretching, and on the Stairs
Wednesday, October 11, 2006
Healthline
Tuesday night my martial arts students showed they had improved. When I came in they were waiting in two neat rows. I still had to cue them to sit up straight.
In the post Is Bad Martial Arts Good Exercise? I mentioned showing the class not to let their neck, back, and hip round forward when kicking. By straightening, strength and stretch are built into regular movement.
Several readers e-mailed me that they noticed for the first time that they let one leg pull forward when lifting the other (notice the standing leg in the left-hand photo, at left). They said they felt a good difference when they straightened (right photo).
If the front muscles of your hip are tight, when you lift one leg high you may find that you round your back and bend the other leg. Watch for this during kicks in martial arts and aerobics, when lying on your back raising one leg overhead to stretch the hamstrings, and ascending stairs. The common practice of allowing the other leg to bend forward perpetuates a tight anterior hip, which in turn, contributes to walking bent forward and back pain.
In martial arts, you don't want your standing leg completely straight. That is an invitation for your opponent to kick your knee, snapping it backward. But for both health and effective martial movement, you don't want to bend the leg more than a small amount. Bending the back, hip, and leg when kicking decreases force of the kick, pressures your discs, and reduces stretch on the hip and hamstrings. The rounded-under hip position keeps the hip tight, a hidden cause of groin pulls. It also looks weak and unskilled. For lying hamstring stretches with one leg overhead, it is often taught to keep the second leg bent to "protect the back." However, keeping the leg (and body) flat on the floor give a far better stretch and is healthier for your back. Even in slow easy motions of stair climbing, leaning forward and allowing the second leg to pull forward reduces the normal hamstring and hip stretch, decreases the exercise on your hip and leg muscles, and reduces the back muscle activation for holding the straight position you need for health and back pain prevention.
It is said the martial arts gives you discipline and strength. It won't if you practice unhealthy habits. When raising one leg, hold your neck and back upright. Prevent the other leg from pulling forward. You will get a built-in hip stretch, one of the places you need to stretch most. You will get back and hip exercise in the way you need to move in real life, and prevent tightness and weakness that leads to poor movement and pain. You will change from kicking like a bent over old lady to a young strong athlete. Exercise as a lifestyle is not something done "for body parts." It is built into your normal movement to make it healthy movement.
Throw a Stronger Punch (or Push a Car or Stroller) Using This Back Pain Reduction Technique
Tuesday, October 03, 2006
Healthline
My Tuesday night martial arts students had another good class tonight. At the beginning of class, I showed them how to greatly strengthen their punch using a technique that also stops a common cause of lower back pain. The reason both benefits occur from one technique is that it changes body positioning to shift the effort and leverage of the punch off your lower back and onto the muscles of your abdomen and back. You can use this technique any time you punch, or push anything from a baby carriage to a piece of furniture to a car.
One of the commonest misconceptions in fitness is that you are supposed to stick your behind out in back. It is not cute or healthy. It is a major source of pressure on the joints and soft tissue of your lower spine.
There is supposed to be a small inward curve to the lower back for shock absorption and protection of the discs. (But only a small curve.) When people lose the needed small inward curve by rounded forward sitting, standing, and bending over wrong, it pressures the discs and eventually damages them (Disc Pain - Not a Mystery, Easy to Fix). The problem is that people hear they need a small inward curve, so they make a big one by tilting their hip and/or leaning their upper body backward. This overarches their lower back. You can see this silly-looking and unhealthy over-arching in many fitness classes and gyms, and fitness publications and videos.
By straightening your hip, you will have the healthy small curve without sticking your behind out in back. When standing, your hip should be vertical, not tilted, from the top of your upper leg bone to the middle-point of the crest of your hip. To reduce the large lower back arch, tilt your hip under you as if you are starting an abdominal crunch while standing up. Do not push your hip forward, just straighten your back by changing the hip angle. This is called a pelvic tilt. This is what we did in class. Try this:
Look at the double photo above left, and stand facing a wall as in the photo, with one arm outstretched. Put the knuckles of your curled fist against the wall as if you had just punched the wall. Elbow slightly bent.
Stand badly, as shown in the left-hand photo. Stick your behind out in back. Let your lower back arch inward. Let your upper back lean backward. Press your fist hard into the wall. You will probably feel pressure in your lower back.
Now, keep pressing your fist hard but stop the bad positioning by tucking your hip under you, shown in the right-hand photo. The movement is like a hip thrust or a standing crunch. The arch in your lower back reduces.
The first thing you will notice if you do this right is your back stops hurting. You should also notice a stronger push against the wall and new strength in your arm and upper body. You will feel the muscles in your trunk and abdomen working.
I developed this technique and called it The Ab Revolution, because it uses your ab muscles all the time for real life. Don't stick your behind out to lift weights, to exercise, or to stand and walk. Use your muscles to position your spine so that your weight does not sag on your lower back. You will get free built-in exercise and back pain prevention while doing all your normal activities. You will stop one of the commonest silly-looking mistakes in fitness. You will also be able to throw a surprisingly strong punch.
Free Exercise and Free Back and Knee Pain Prevention - Healthy Bending
Monday, October 02, 2006
Healthline
If you think that not having time to exercise is the problem, here is good news. Thinking that your life and your health are two separate things is the problem. You don't have to stop your life to get exercise.
Look at the drawings, above left. The left-hand drawing shows bad bending - letting weight rock forward, heels lifting, and overly arching the lower back. The right-hand drawing shows healthy bending - keeping weight back, heels down, and the lower back in healthy position, not rounded and not overly arched. Look at the right-hand drawing and try it:
Keep your upper body as upright as you can, instead of rounding over forward
Keep both heels down as you bend your knees (right drawing).
If you find you lift your heels, use your leg muscles to deliberately pull your knees back so that your weight shifts back over your heels. Shifting your weight back keeps your weight on your leg muscles and off your knee joints. There should be no knee pain with good bending.
Keep your knees back toward your ankles. If you just let your weight flop, the knees will come forward past your toes. Don't allow your knees to shift forward.
Don't overarch the lower spine (overly sticking your behind out in back). Keep neutral spine. If you overarch, tuck your hip (tailbone) under you just enough to prevent having a too large arch (inward curve) in your lower back. Although it is often taught in exercise and weight lifting classes to stick far out and overarch, increasing the arch increases pressure on the joints of your vertebrae, called facet joints, and the soft tissue of your lower back. Overarching is a major hidden cause of lower back pain and injury.
Use good bending every time you bend - even to look in the refrigerator and get in and out of your chair. Don't use your arms to lean on the arm rests to sit down and get up; use leg muscles. If you need to use your arms, or you lean your body forward to sit or rise, you need to improve balance, Achilles tendon stretch, and leg strength. Bending properly does all that for you. (Practice safely. Don't fall down.)
Have a friend (or a camera set on timer) take photos of you from the side as you stand and bend, showing how you fixed your bending from unhealthy to healthy during whatever you do all day for work and at home. Write a fun summary and e-mail your photos and stories to me. If you can, put the photos on a photo sharing site. That is easier for me to retrieve and post on Fitness Fixer. I can put the best photos and most fun stories up in lights.
Realize that a big part of your health is the way you move in real life. Make a conscious decision to change your idea of exercise, fitness, and health from stopping life to "do exercise" to how you live. Have fun - the best health.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For answers to personal medical questions - Replies to Medical Questions. Limited Class spaces for personal evaluation. Top students may apply to certify throughDrBookspan.com/Academy.See Dr. Bookspan's Books. ---
How Good Would You Look From 400 Squats a Day - Just Stop Unhealthy Bending
Friday, September 29, 2006
Healthline
Imagine how good your legs would look if you did 400 squats and lunges a day, and how many calories you would burn. Using your legs would strengthen them and reduce risk of both osteoporosis and arthritis. It has been found that a major predisposing factor of knee arthritis is weak thighs.
Now remember how many times a day you bend for ordinary household and work activities. It is more than you think. Some time ago I did an intensive tracking of how many times a day the average person bends. I also put my graduate students on this as a formal study. This kind of counting is a grad student specialty. Many of my other students wanted to count also. We all found about the same thing. The average sedentary person bends an average of 100-200 times a day just getting things out of the refrigerator, dishwasher, closets, washing, and doing other little things around the house or workplace. The average nonsedentary (but still not active) person bends 200-400 times a day. The average fidgety and active person bends over 500 times a day.
Now realize how many times a day you are hurting your back and missing free exercise by bending over in unhealthy ways, as in the photo, above left. Leaning over all day is also a factor in neck pain. If you only burned half a calorie each time you bent properly, keeping your body upright, and bending knees, you would get a lot of exercise. You would not have to change clothes or go to a gym or pay a trainer. You would not have to take pills because you make your back ache. You would not have to do anything except live your life. You life is supposed to be healthy. You are not supposed to stop your life to go "do exercise." It is a sad thing to see people do squats and lunges in a gym, then bend over wrong to put their weights down, and bend wrong again to pick up their things to leave.
When you bend, keep your upper body upright. When you are bending with feet side by side (squat bend), keep both heels down and your weight back over your heels to keep your weight on your leg muscles and off your knee joints. Don't stick your behind far out in back. In these ways, healthy bending saves your back and gives much exercise without going to a gym, and helps, not hurts, your knees. Healthy bending is life changing.
This week marked several beginnings. The equinox began the journey of the sun away from the northern hemisphere bringing longer nights. The festivals of Ramadan, St. Sophia, Navarati and others celebrate origins and understanding. The university semester began, including the full-to-capacity martial arts class I teach on Tuesday nights at Temple U's Center City campus.
When I arrived, students were sitting on the floor waiting. Some sat in bad rounded posture that you know is unhealthy at your desk. They straightened when I asked them to. In past semesters there were students who refused. Once, one stormed out shouting she didn't understand why she had to sit straight when class hadn't started yet. She didn't know that class is always in session.
Students got their equipment - bending wrong to yank weights out of bins. I told them, "Healthy bending. This class is for health." Some didn't understand the connection. Others tapped those still bending wrong, "Teacher says bend your legs." Several looked surprised. One said, "I'm getting leg exercise before class even begins." I told her that class is always in session. I reminded students to use healthy bending at home and work for every time they bend (Disc Pain - Not a Mystery, Easy to Fix). I showed them how to get more exercise by helping others who came in late.
We began stances. Students sometimes have a stereotyped idea, sometimes learned from aerobic boxing classes. They stand with shoulders hunched up, upper back rounded, head and chin jutting forward, and their behind tilted out in back. I mimicked them. They giggled at how bad it looks. I told them, "You don't look tough. You look ninety." It's true that you use shoulders to block some strikes, but you are not supposed to hunch. Don't do things to harm your neck in order to protect your neck. Overarching your lower back so that your behind tilts out in back is a frequent cause of back pain in daily life (Fixing the Commonest Source of "Mystery" Lower Back Pain) and injury when giving or receiving a blow. It's silly to go to boxing class and beat up yourself.
Look at the photo above. It shows terrible positioning that injures, and perpetuates the tightness that causes more troubles. When you lift one leg to kick (or stretch or take the stairs), notice if your other leg pulls forward. That shows tightness in the front of your hip. Instead, stand straight and keep the standing leg from pulling forward. Don't round your body to lift your leg. You will get built-in anterior hip stretch, one of the places you need to stretch most, and prevent several problems that I will cover soon.
The point of exercise is to improve life. It is missing the point to exercise in unhealthy ways, training unhealthy habits. If you are interested in learning how to retrain healthy movement in martial arts or aerobic boxing classes that you transfer to daily life, let me know and I will post more on what my students learn.
Book:
Healthy Martial Arts - www.DrBookspan.com/books. Winner of the Black Belt Hall of Fame Readers Choice Award.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For answers to personal medical questions - Replies to Medical Questions. Limited Class spaces for personal evaluation. Top students may apply to certify throughDrBookspan.com/Academy.See Dr. Bookspan's Books. ---
On Friday, a day after the shuttle Atlantis returned after 12 days at reduced gravity, one of the astronauts collapsed twice during the welcome home ceremony. The reasons are the same as what happens here on Earth.
When you stand and sit on Earth, some of your blood pools in the veins of your legs because of the pull of gravity. In space, the pull of gravity is weak so blood does not pool. Blood floats upward. Astronauts and mission control scientists refer to the upward shift of blood during space flight in a technical manner. They call it the "Fat-Face-Chicken-Legs-Effect."
Upon return to the gravity of Earth, blood is again pulled downward. More pooling than usual occurs and not enough blood may be able to get to the brain. It is not uncommon for astronauts to feel weak and dizzy.
You may notice the same venous pooling on land in several situations: Sometimes when you stand suddenly, the rush of pooling in legs briefly lowers blood supply and blood pressure to your head. You may feel light headed. When this happens you just need to bend over and get your head down. Lowering your head allows gravity to restore blood, relieving dizziness. Extreme pooling has caused occasional cases of fainting when standing suddenly, when standing long periods at attention, and when climbing out of the water, especially hot water in spas and hot tubs. Pooling has been fatal to beached whales.
In space, the human body quickly gets badly out of shape without the pull of gravity. Muscles do not have to work to pull bones and quickly weaken. Bones do not have the muscular pull they need to stay dense and lose much calcium and bone mineral. Astronauts lose bone in space no matter how much calcium they eat. The cardiovascular system does not have to work as much to pump blood. This is why astronauts must exercise so much during missions.
Here on Earth you need regular activity that contracts leg and other muscles to squeeze the vessels to keep blood moving. After sitting for long periods at work and on a plane, your feet may swell with pooling fluids. Contracting your leg muscles while sitting, and by getting up and moving around pumps blood upward, reducing pooling and your risk of clots. For daily life, you need activity to keep muscles and bones from weakening. Even if you are sick it is crucial to get up and out of bed every day to stop the huge health losses that occur. Being sedentary is so devastating to health that bed rest is used as a model in scientific studies for loss of many health benchmarks in the microgravity of space. Stand to exercise, get outside, and enjoy some fun activity every day. Smile - another way to exercise against gravity.
Gravity and activity are important for health. Thank the astronaut, Heidemarie Stefanyshyn-Piper, for reminding us.
Change Common Exercises to Get Better Ab Exercise and Stop Back Pain
Saturday, September 23, 2006
Healthline
Holding a straight pushup position is sometimes called "the plank." Holding a plank is often done in a way that reduces the exercise benefit, trains unhealthy habits, and increases compression on your spine.
Look at the photo at left. The first boy on the left is letting his lower back (and neck) sink and bow under his weight. So is the third and fourth from the left. This sagging is not healthy and is not a normal curve. The bad overarching makes the plank easier to do. That means you get far less exercise. More seriously, allowing your weight to “hammock” shifts your body weight off your muscles and onto your lower back, causing compressive force and bad positioning habits.
The second boy from the front (and left) is holding straight.
A major, often overlooked purpose of the plank is to train your muscles how to hold your back in straighter healthier position under the weight of your own body. If you can’t hold up your own body weight in a plank for a few moments without sagging, it is no wonder your spine sags painfully during the day. No matter how many planks or pushups you do, if you let your spine sag into an arch, you are missing the best benefit of the exercise - to train positioning habits for real life once you get back off the floor.
Holding a plank has so many benefits that even if you are not athletic this exercise is one to choose. To do it in a healthy way that is useful to your real life, move your spine posture to be straighter(second from left in the photo). To reduce an overly large arch while holding the plank, tuck your hip under you as if you were starting an abdominal crunch or thrusting movement. The muscles you use to reduce the inward curve (arch) are your abdominal muscles. As soon as you reduce the arch to straighten your spine, you will feel your abdominal muscles working strongly.
Use the plank as a functional exercise. That means to use it to train how to use (not tighten) your abdominal muscles during daily activity. Once you understand the hip tuck to reduce an overly large arch, use it during the day when standing to exercise your abs the way they are meant to be used – for real life to keep you standing in healthy ways.
I will teach a workshop this coming Saturday on The Ab Revolution™, the method of holding healthy spine position for life, and having fun while exercising. See the class schedule on my web site.
If you miss the workshop, you can get the Ab Revolution™ training manual. Make sure to get the current edition, presently Third expanded edition.
--- 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 space for personal evaluation. Top students may apply to certify throughDrBookspan.com/Academy.
What Abdominal Muscles Don't Do - The Missing Link
Thursday, September 21, 2006
Healthline
Did you know that your abdominal muscles have the most important function when you are standing?
The person in the photo is not using abdominal muscles to prevent a common overlooked cause of lower back pain. The upper body is leaning and sagging backward. The inward curve of the lower spine is exaggerated. It is not neutral spine, but overly arched in a bad posture called hyperlordosis.
Tightening abs does not fix the problem - using the abdominal muscles to change lower spine angle does.
Abdominal muscles connect your ribs to your hips along your front and sides. When you use your abs, they pull your ribs and hip closer in front, bending your spine forward. If you don't use your abdominal muscles when you are standing up, your ribs and hip can pull away from each under the weight of your upper body. Your lower back will arch. You can see the over arch in photo upper left, and the drawing below. Leaning back also shows not using upper back muscles, to be covered soon. The weight of your upper body arching backward presses on your lower back, making it ache after long standing and walking. That is how not using your abdominal muscles contributes to back pain. The answer is not in strengthening the abdominal muscles. Many muscular people stand arched. Just look at fitness magazines, where the weak, arched posture that causes so much back pain is common.
The answer is just to *use* your abdominal muscles to pull your spine enough forward to reduce the arch and stand upright - first figure in the drawing at left. Tuck your hip under just enough to reduce a too large arch, and pull your upper body forward to straighter position, like starting an abdominal crunch or pelvic tilt standing up. Don't round your upper body, just pull it to an upright position.
Don't "suck in" or tighten your abs. Just move your spine like moving any other body part. When you reduce the arch, your body weight shifts to your abdominal muscles and off your lower back.
Watch how other people stand and move, particularly in the gym. Are they using their abs to stand right when they get back off the floor from doing "abdominal exercise?" All the crunches in the world will not stop back pain if you do not know you need to voluntarily use your abs when standing so that you don't sag into a sloppy arch. That is the missing link - your abdominal muscles do not automatically support your back. You have to use them to move out of unhealthy position.
If you use your abdominal muscles to prevent your lower back from sagging into an arch, you will stop pain and get built-in, all-day, free abdominal exercise from all your standing, walking, and activities in an ordinary day.
Photos and descriptions of how and why preventing hyperlordosis prevents injury - Prevent Back Surgery.
Get all the information in one handy training manual - The Ab Revolution.
Send in your photos and success stories of how you corrected your spine positioning and stopped pain in daily life and in the gym. I post them in Fitness Fixer Reader Inspiring Stories. Prizes for the best ones.
Fixing the Commonest Source of Mystery Lower Back Pain
Wednesday, September 20, 2006
Healthline
Many people let their lower back curve inward (arch) too much when they stand, walk, exercise, and carry things (drawing on left). This is commonly called sway back, hollowback, arching, lordosis, or hyperlordosis. People who overarch this way get back pain after long standing and walking. They often feel they need to bend forward or sit to relieve it.
The pain is from overarching, which tilts the weight of your upper body downward onto your lower back, arching and pinching it inward (drawing on left). Think of the foot-rests in bars. The reason putting one foot up on the low foot-rest reduces back pain is that you unwittingly reduce the large lower back arch that so many people allow when standing.
It is not normal or "neutral spine" to have a large inward curve. A large curve is not "just the way you are made." Sticking your behind out is not cute or healthy, whether in daily life or exercise. It does not protect your back. It is bad posture that hurts, and that you can easily change. You don't need pills or injections or treatments for the pain. All you need to stop the pain forever is to stop allowing your back to sag, and simply move your back to straighter position while you go about ordinary life (drawing on right). Here is how:
Check yourself - Stand up and reach your arms high overhead. Do you lift your ribs, arch your back, or lean backward? Did the front of your belt or hip tilt downward? These are all indirect pointers to different kinds of hyperlordosis (drawing on left).
To reduce the arch, tuck your hip under you (drawing on right), like doing an abdominal crunch or pelvic tilt while standing. Don't round your upper body or hunch forward. Imagine wearing a belt buckle and tilting your hip to lift the buckle upward, closer to your ribs instead of hanging downward.
Reach up again and hold your straighter spine position. Your belt line should be level. Your ribs do not lift upward. Your upper body does not lean backward. Now the reach has to come from your shoulder where it belongs, not your lower back, an additional benefit. The post Throw a Stronger Punch (or Push a Car or Stroller) Using This Back Pain Reduction Technique shows more on how to do the tilt to correct the overarching. Future posts will show more about problems from overarching in exercises and daily life.
Yes, this is different from what we learned in the gym and in school, including medical school. It is simply stopping the source of this pain - stop pain from arching by voluntarily moving your back, like moving any other body part, so that you reduce arching.
I developed this method, called The Ab Revolution™ that you can apply to all your daily life to stop pain, and to get more abdominal exercise than through conventional methods. Posts to come will show more. I will teach The Ab Revolution™ in downtown Philadelphia, Saturday morning, September 30th, and a workshop on how to fix your own back pain will run Oct 7 & 14th. Info on my site, www.DrBookspan.com
--- 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. ---
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.
I teach martial arts, yoga, and other classes at gyms on evenings and Saturdays. This morning I watched the class before mine. The music was loud. I remembered the saying "If it's too loud, you're too old."
When you read the following, remember that you already know it injures to bend "wrong," as in the photo at left, with your upper body bent over instead of upright. You know not to pick up a suitcase or child like that. Previous posts explain how that gradually hurts your lower back and discs.
The class ran a circuit:
They bent wrong to pick up a barbell for ten deadlifts, staying bent over while lifting.
They put the barbell down wrong (bending over) and ran to do ten toe touches - more bad bending over.
They ran to do abdominal crunches, rounding their back forward over and over.
They got up and kicked a target baffle, rounding their back and pushing their chin forward like a pigeon with each kick so that each impact transmitted to their spine.
They ran across the room, each footfall landing heavily so that each impact transmitted to their knees, hip, and spine.
Then leg lifts, bending forward at the hip over and over.
Back to bent-over deadlifts, then alternate toe-touches - bending over and twisting side to side (more pressure on discs than just bending over), then sitting and bringing knees to chest, then deadlifts.
They bent over wrong to get dumbbells for bent over triceps curls (healthier when done standing upright.)
Then standing squats by bending the hip forward over and over. The instructor coached them to stick their behind far out in back. This pinches the lower back adding to a second kind of back pain. Posts coming soon will tell more.
They reclined with feet up, putting body weight on their rounded shoulders to bicycle their legs in the air, and so on, rounding, bending, and pressuring discs and lower back structures for the 45-minute class.
They bridged up on shoulder and feet, to "stretch the other way" even though it bent their neck forward.
They ended by hanging forward to stretch and bringing each arm across the front of their body to stretch the back of the shoulder. This is counter-productive. Most people are already round-shouldered from sitting and bending forward all day. The personal trainer outside the room was doing similar exercises.
One of the students said she comes to the class to strengthen because of back pain. The trainer said he also had back pain and that is why he exercises. Hopefully you can now see part of why.
I'm not just an Ivory-tower egghead who wants you to reduce activity, never lift heavy things, or never move quickly or through a full range of motion. Just the opposite. I'm a former full contact kickboxer (undefeated) in the US, the Netherlands, and Thailand. I want to show you how to have a healthier, more fun and active life, where you stop pain and injuries and do more. The exercises I learned in over 30 years of martial arts were all the usual but injurious ones. Many students dropped out with injuries. It was not the martial arts but some of the exercises. But which? I went back to the lab to study until I found why the injuries were occurring and what will train you better than what we were using. If it works better, I want to know and do it.
Watch other people exercising. It will remind you of many things to avoid. Start your way back to healthy movement by noticing what your exercises are really doing.
--- 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.
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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When we first cleared the area, we filled the wheelbarrow with concrete slabs, pried and dug from the patch. Paul bent to grasp the wooden handles. When he rose lifting the handles, the barrow was so heavy that both handles snapped, scattering everything. Paul is strong.
The wonderful Thai bamboo hoes we brought back with us have shrunk in our colder dryer climate, loosening the heavy metal shovel-heads so they tilt sideways with each overhead swing. We have been fixing them, then going back to hoeing. The ground will soon freeze. Hoeing is more upper back strengthening and work than anything in a gym, even more than all the pushups and handstands that I love. Bend knees, upper back upright, breathe in, swing up, breathe out, swing down. Over and over.
Saturday night was Halloween. The World Series was playing. Paul didn't want to disappoint me by not going out to see the fun going on for Halloween in the city, and would never have said anything. I put on a costume and sat with him to watch the game. It was a great evening. The next day I put on a scarecrow costume and we worked in the garden.
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