Here is Friday Fast Fitness for the intercalary year (Leap Year) - Leap to develop ankle and knee stability, leg power, and balance.
Leap to a point in front of you. Then leap back again:
Leap forward, landing on the other foot with soft shock absorption. Don't land hard, which jars joints.
"Stick" your landing, without wobbling or setting the first foot down.
Leap backward to the original foot and place. Hold your landing steady. Try several leaps forward and backward, then change the leading leg and repeat.
This skill is good fall reduction training, and ankle sprain prevention for many terrains.
When landing, keep ankle stable by preventing your foot from rolling to the outside. Info in the post No More Ankle Sprains Part II. Train knee and hip stability by preventing your knee from swaying inward upon landing - Healthy Knees.
--- 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, archives at right, and the Index. For answers to personal medical questions - Replies to Medical Questions. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Healthy Youth Parties - Fun Exercise, No Junk Food
Monday, February 25, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
Mike is a Fitness Fixer reader who fixed many injuries - impinged shoulder, hip pain, radiating pain down the leg, and bad nutrition from sports food that is really junk food in a sporty label. In December, he sent us his reader success story that I posted in A Whole Big Fix. In the comments of a follow-up post on the December 28 2007 Fast Fitness - Dynamic Partner Balance Challenge, Mike wrote,
"I'm going to use some of your partner exercises as breaks for my students. They will get blood moving, muscles exercising and coordinating, and they will probably giggle. These will be a nice break from sitting so long. Mike."
Mike kept his promise and sent this update:
"This whole year we have not had food at our class parties, with no complaints from students. We just play games involving social interaction. I have tried to have "healthy food parties." In the past, parents send boxes of food-like substances that say, "whole grains" on the sides but still are very processed, loaded with sugar, and have a lot of the nutrition processed out (like granola bars, sports drinks, and "fruit" roll-ups). So, it's easier just to not allow any food.
"The kids still have a blast instead of just sitting and stuffing their faces with cupcakes and cookies (I have 3 ten-year-olds who weigh over 135 lbs). We are taking exercise breaks. Mike"
Mike couldn't send photos of actual kids because of privacy and other issues, so I asked Mike if he would share some of the fun activities they do. He wrote:
"We just had our Valentine's Day party with cut up fruit. They were only allowed to put candy in the individual cards if they chose to, so we didn't have mounds of cup cakes and cookies. We had pineapple, apples, kiwi, two kinds of grapes, and oranges. No one complained. The kids played board games only, no electronic solitary games. They played games like Cranium, Jenga, Life, and Yahtzee, which encourage lots of dialog.
The same day we did an analysis of "Vitamin Water," which shows 13 g of sugar on the label. The whole bottle has 6.5 teaspoons of sugar in it, so I spooned 6.5 tsp. of sugar into a similar sized glass of water and dropped a multi-vitamin in it to show what they are paying for."
Readers, have fun getting ideas throughout the Fitness Fixer column, and send in your stories, and photos where appropriate.
--- I make posts from fun mail and success stories. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Why not try fun stuff, then contribute! Read success stories of these methods and send your own.For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Grand Rounds on the web is a lot of work for the person hosting, who compiles links to their vote for the best posts about medicine from that week.
Thank you also to Healthline's JC who writes the Healthline Connects blog. JC submitted my Cauda Equina post on my behalf for Grand Rounds because she knew I was away teaching at the medical school elective and I have no wireless computer.
Part II of Bernie's story looked behind the scenes of how we fixed the source of the pain, step-by-step.
The promised dance is at right.
The point of the two posts was that the key is to fix the source of pain and injury, not just have surgery, take medications, and do some exercises. The posts also showed things to do to fix the causes so that readers could do it too.
A reader wrote an opinion in the comments of Part II, that Bernie's signs and symptoms were of Cauda Equina Syndrome (CES), and felt cauda equina was important for readers to know about.
The problem is that cauda equina is not the cause of the collection of back and leg pain and numbness problems, but the result. The cauda equina is a group of nerve roots of your lower spine that go down toward your feet. The bundle of stringy nerves looks like the tail (cauda) of a horse (equina). If something hurts or presses on the area, pain and numbness can result. It is just saying something wrong has resulted in that location. The key is finding and stopping the cause of what is hurting or pressing on the area, not taking medicines or having treatments.
It is like saying someone has stomach pain, and prescribing pain medicines and support groups. The pain could be worms, a pregnancy, a lack of enough stomach acid to digest food. You need to know the cause to do the right treatment.
For example, if a herniated disc is compressing the cauda equina, you need to stop pushing your disc out of place, described in Disc Pain - Not a Mystery, Easy to Fix and use daily simple good body mechanics instead of the bad bending that gradually push discs outward - The Cause of Disc and Back Pain. Then the disc and nerves can heal and the pain will stop without drugs or back surgery.
The reader asked me to review a web site. The web site they recommended lists treatments of drugs such as narcotics and antidepressants, and epidural injections. It mentions exercise to maintaining muscle strength in leg areas that have weakness from nerves that are compressed. This is like trying to catch blood loss in a bucket instead of stopping the blood loss at the source. The web site says sufferers with foot drop can use a brace. Instead of using a brace, which can cause more atrophy, it is better to stop the cause of the foot drop, where possible.
Fitness Fixer reader Ivy from New Zealand had foot drop from nerve compression. She stopped the cause, detailed in Inspirational Ivy II - Beating Foot Drop and Sciatica, and Getting Healthier. By stopping the cause of the nerve compression, Ivy did not need the brace or cane. It is not healthy to allow nerve compression to continue. Muscles and nerves become more damaged over time. A brace or cane does not restore function. They can further cause bad gait and body mechanics.
Bernie had many injuries from the surgeries he had undergone for the purpose of relieving back pain. In addition, the back surgery deliberately resulted in some reduced movement of the spine. Many back surgeries do this on the premise that reducing movement will reduce pain. The reduced movement meant reduced function and mobility, resulting in more pain.
The cauda equina web site says, "We live with CES every day." The approach of The Fitness Fixer is not to live with an injury or take unhealthful drugs, but to find the cause and stop the cause so that you do not have to live with pain and drugs.
---
Read success stories of these methods and send your own. Questions come in by the hundreds. I make posts from fun ones. Before asking, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. SeeDr. Bookspan's books and Academy.
We have been traveling for the past 2 months in Asia and are on the way to the chilly Smokey Mountains of Tennessee USA to teach medical students for a week during their rotation elective in Wilderness Medicine. This is the third year I will teach there.
I will teach the entire curriculum of diving medicine and physiology, plus a workshop on why commonly prescribed stretches are not healthful, and what to do instead. Several members of the Knox County Sheriff's Office from Knoxville TN have requested to attend my lectures, and several readers made the effort to find the class information on my web site and make arrangements to travel to the camp to attend.
As a physiologist, I design the techniques that physicians use. I spent many years as a military and university researcher in environmental physiology, which is how the body functions in the heat and cold, at altitude and underwater, breathing different mixtures of gases, doing different forms and intensities of exercise. It's important to understand why things work. If you don't understand, then you can't think for yourself, and all you can do is repeat the mistakes of the generation before you, who also were just repeating what they learned in a book from teachers who just were repeating what they had heard.
This problem occurs with some of the exercises and stretches given as physical therapy. An introduction to the problem is in the post What Does Stretching Do? In the past two years teaching at the camp, we encountered young students who were not interested to change bad stretches, and made a point of showing me after my lectures that they will keep doing their rounded bent forward toe touches, since "everyone knows" that is how it is done. However, Sitting Badly Isn't Magically Healthy by Calling It a Hamstring Stretch.
The problem can occur with medical treatments that are in the books, even though wrong. In my diving physiology lectures, I try to show that if you understand the physiology, you will know why certain treatments do not work or are not needed. Immersion in water, for example, creates many interesting effects such as distributing blood volume more out of the limbs to the body. This is similar to the effect that occurs in space, described in Collapsing Astronaut Gives Healthy Reminder. Recently, during our travels, Paul wound up in the hospital with a swollen leg. The doctor who was Chief of Medicine of the hospital, announced that the treatment was bed rest. Paul was told he must lie flat in bed for at least three to fours days with the leg elevated to drain the fluid. We understand that bed rest is often listed in books as a treatment for this, but it is wrong. I asked the doctor if going in the water could help. The doctor said that standing in the water meant the leg would be "hanging down" and the leg needed to be elevated to drain. If you understand immersion, then you know why immersion can more effectively treat limb edema and water retention than medicines and lying in bed. Extended bed rest is unhealthy, and reduces muscle and bone health so much that it is used to study the damage to the body from floating around during space travel. We escaped the medical care and went into the water. I will post more on immersion, edema, and health soon.
I will not have Internet access for the next week to read or reply to comments. Enjoy the Fitness Fixer using the links in this article. Start taking and sending in fun photos of your successes using all the fun techniques.
Thank you David Harlow for hosting Grand Rounds this week on his site HealthBlawg, and also for contacting me personally that he selected my post Valentine Partner Pushups as one of the best medical posts of the week.
The personal e-mail was a healthy considerate touch since I am traveling. Internet café stops to check on my own are time intensive and expensive. Thank you.
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.
Thank you to Dr. Trent McBride for hosting Grand Rounds Vol 4., No. 16 on January 7 2008, at pathtalk.org, a weblog about pathology. The web version of Grand Rounds is a weekly medical web post that recommends notable medical posts of the week.
I have been traveling with limited and difficult Internet access, and was not aware that I was chosen that week for inclusion with the best posts of the week, let alone three times.
Thank you Dr. McBride for including three of my posts:
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.
These two Fitness Fixers explain how to tell neutral spine while holding a pushup position and how to correct an overarching lower back (hyperlordosis) to neutral spine:
Important festivals of new beginnings fall around this time of year. The Lunar New Year began this week. It is a big festival. It is New Year to many people. Lent began for Latin rite followers, and the Triodion that marks the Lenten start for Eastern Orthodox will fall on Feb 17 this year. This past week was marked by wearing ashes in several cultures. Ash is deeply symbolic of endings, transience, and transformation.
Ash begins black with substance and turns white with formlessness, a symbol explained last year in The Story of the Black Belt. Ashes are used to clean bodies and spirits. They symbolize wisdom that remains when all else is burned away. All things eventually become ash. Catholics wore ashes last Wednesday. Hindus used bhasma, the sacred ash, at the recent festival we attended to learn more about wound healing, told in this post - Thaipusam - Exercise of Body and Spirit.
In the North, February is a harsh month. Through the cold and dark, the first plants begin to bud and animals show growing signs of spring births to come. The first signs of returning life inspired the February 1st Imbolc festival of Brigid (the Bride) a Celtic goddess. The Church later replaced this festival with Candlemas on February 2, dedicated to the Virgin Mother Mary. Both festivals are marked by candles and fire, a mark of the coming end of winter and the return of crops. Shinto followers celebrate this as Setsubun Sai.
To help your New Years resolutions (or remind you to start) here is a link to a post with labels that will give all posts on the label topic: New Year's Resolutions Made Easy.
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. Learn to distribute weight across your whole hand:
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 entire hand, not just on the heel of the hand.
Use this to learn how to press with your whole hand 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. ---
Lower back pain is a common problem for golf players. Pain is sometimes attributed to twisting the torso during the swing. The "twisting theory" seemed reasonable, since that is when many people feel the pain. However, the main problem is not twisting. Beside the bad forward bending that is common for picking up golf shots and equipment, a major overlooked source of lower back pain is overarching the spine during the swing.
If you increase the inward curve in the lower back, you increase normal lordosis to hyperlordosis. When you do this during the swing while letting your upper body weight press down on the area, it compresses the facet joints and surrounding soft tissue. It is the same pain that occurs from overarching during walking and running.
A golf pro attended my last workshop on fixing back, neck, and hip pain. I was able to check with her to make sure that what I found to stop lower back pain with golf would not interfere with a good swing.
She stated:
"I do not think arching is essential, but I can imagine the older golfers and what their swings might look like...there are some ugly ones that would arch WAY too much and that is the source of many problems on the score card, as well as the back!"
In the following photo examples, look for too much inward curve in the lower back. Too much curve is not a normal lordosis, it is overarching, called hyperlordosis. Overarching is the reason for much unidentified pain during standing activities.
In the next two drawings, the lower spine is overarched (hyperlordotic) on the left and neutral on the right. Neutral spine keeps a small inward curve, but not a large one:
In these photos, see how the lower back is overarched:
These photos show the lower spine from the back:
In these three photos, see how the lower back is held in neutral spine: Preventing overarching and holding neutral spine does not mean that you do not get a full or strong swing. It is not the case that the only way to get full range of motion is by pivoting from the lower spine joints. By holding neutral spine you will shift the effort of the swing onto your abdominal muscles, giving you a more powerful swing.
To understand how bad forward bending (opposite problem from hyperlordosis) contributes to back pain click The Cause of Disc and Back Pain.
--- 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.
---
Golf cartoons by subscription to Clipart.com Golf arched 1 photo by jarrod job Golf arched 2 photo by subscription to ClipArt.com Golf arched 3 photo by MattFM Arched swing from the back photo by digital_image_fan Neutral swing from the back photo by mahalie Golf neutral 1 photo by dospaz Golf neutral 2 photo by minds-eye Golf neutral 3 photo by Jayel Aheram
Here is Friday Fast Fitness - make rowing good exercise, not bad sitting:
Don't round your spine forward (left). Rounding pushes discs outward. Left drawing shows disc pushing outward by bending the vertebrae to that they open in back. Rounded sitting with chin forward shown in 1st and 3rd rower in left photo.
Chin in.
Stay straight during the pull (right drawing and photo).
--- 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.
Leap to a point in front of you. Then leap back again:
