Here is Fast Friday Fitness - Encourage health, not disease on Halloween.
Instead of junk candy, what about:
Give "Pledge to be Drug Free" stickers. If you don't have preprinted stickers, easily make some with blank stickers or labels, colored markers, and help of children (yours or neighbors).
Give small toys, available inexpensively in bulk. One choice is small blocks of modeling clay with a list of suggestions what kids can make - sculpt your dream profession, favorite person, flower... Toy, office, and hobby stores sell pre-packaged boxes of small cans of clay at economical prices. (Use some to make your high tech balance trainer.).
If you don't distribute treats this year (or any year) put a sign on your gate or door to Trick or Treaters with a healthy message - "Be drug free," "Always say 'please and thank you,'" "Please look both ways before you cross the street," or other good message.
If nothing else, not giving junk candy may cut down on visitors to your house :-)
(Photo for this post is on the way as soon as we figure out the problem with uploads. Brain exercise.)
If you are dressed as something scary, show kids that even scary things act well and do good. Try healthy Halloween games to teach manners, such as, "You've Been Boo'd" with a good deed. In this game, you say something nice to someone or let someone in line ahead of you, tell them they have been "boo'd" and they are next to pass it on.
Questions come in by the hundreds. I make posts from selected ones. See if your answers are already here by clicking links, labels below, and archives at right. 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.
Fitness Fixer articles this week have been delayed. The blogging program is not accepting photo uploads to illustrate the posts.
Thanks for your patience. When things go wrong, smile and use the time for something good. In the meantime, See if your answers are already here by clicking links and archives. Read success stories of these methods and send your own.
Check back soon.
--- Have The Fitness Fixer e-mailed to you, free, whenever it comes out.
Click "updates via e-mail" - Health Expert Updates (trumpet icon) upper right column.
Thank you Emergiblog for including my post Fixing Foot Drop in this past week's edition of Grand Rounds.
Kim at Emergiblog wrote,
"Jolie Bookspan at The Fitness Fixer has written a wonderful post on Fixing Foot Drop. I always thought foot drop was a complication of bed rest, but there is much more to it. Great information!"
On the web, Grand Rounds is a collection of the best on-line medical posts from the past week. A different host works hard each week to find and list the articles. This is different from the Grand Rounds in a hospital, which is a lecture for doctors about a patient or topic.
Thank you to this week's host Kim at Emergiblog for doing the hard work of collecting and featuring our posts.
--- Have The Fitness Fixer e-mailed to you, free. Click "updates via e-mail" - Health Expert Updates (trumpet icon) upper right column.
The Anthropological Research Facility in Tennessee studies decomposition of human corpses. Their informal name is The Body Farm. The bodies are real and donated to forensic science by willing donors, or are bodies unclaimed at a medical examiner's office.
At a body farm, dead human bodies are left lying in various environments, such as a wooded area, a pool of water, in a garbage bag, a roll of carpet, the trunk of a car, or tied to a tree. They may be buried shallowly or deeply, entombed or left exposed. The purpose is to study key forensic identifiers as time of death, insect colonization changes with environment and temperature, interpretation of insect evidence, and various changes related to whether a body has been moved from one location to another. Information gained helps the science and technology of forensics, forensic anthropology, entomology (study of insects), law enforcement, and others.
Some of the research goes toward determining causes and time of death. Previous assumptions for determining time of death from cooling or insect colonization have been found to be in error and in need of restudy. Another line of study is to develop identification technology to "sniff" and find a concealed body, creating an electronic version of a cadaver dog. It has been found that different conditions and geographic locations create different decomposition chemicals. A dog or machine calibrated to one area may be ineffective in another
There are three facilities in the United States (so far) that study the science of changes in a body after death. The University of Tennessee facility is the first body farm. Another facility is part of the Forensic Anthropology Center at Texas State (F.A.C.T.S.) A third opened through the Western Carolina University Forensic Anthropology program in 2006.
Fast Fitness - Make Your Own Balance, Agility, and Leg and Ankle Retrainer
Friday, October 24, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - how to make your own device to get a high tech workout that retrains important motor skills, balance, and lower limb proprioception. Proprioception means to know where and how your body is moving.
Put a sturdy board on a rock or hard, fairly round object like a solid ball.
Step up on the board and balance. Do a variety of movements that mimic your sport, like tennis and golf swings, martial arts punches and kicks. Do daily life movements like reaching cabinets, and bending like squats and lunges. Try all the same on one leg.
For intensive training, place lengths of inexpensive putty or child's reusable clay to make chutes (channels) on the board. Control the motions of the board with your feet to direct the marble to the center target.
Good for kids and adults of most ages.
Be careful and use your brain. Remember the board can move suddenly and slide. That is the whole idea. Control movements with your strength and balance to prevent uncontrolled falls. Start with supervision and near a safety wall, not the stairs or the china closet. Know ahead of time how to fall safely.
--- Questions come in by the hundreds. I make posts from selected ones. See if your answers are already here by clicking links and archives. Read success stories of these methods and send your own.
Have The Fitness Fixer e-mailed to you, free. Click updates via e-mail - Health Expert Updates (trumpet icon) upper right column.
When is "quick fix" not a bad thing? When something is not right, there are times to make it right, then and there.
The health, injury prevention, and physical rehabilitation methods I developed are designed to quickly identify and stop sources of injury and poor health. The idea is to begin the benefits right then. It doesn't mean to substitute another problem, but put good practices to work intelligently and quickly.
Ivy from New Zealand first found The Fitness Fixer a few years ago when looking for information to fix serious sciatica and drop foot. Click Inspirational Ivy to see how she quickly stopped the pain, and how her neighbor took the photos used for that post and the updates Ivy has been sending since then. She wrote:
" You can imagine my joy when after 2 days I was free of pain. I was so excited that I contacted Dr Jolie, who in turn, took time out from her busy schedule to e-mail me giving me further advice and exercises which I might add, I follow religiously"
In a recent e-mail to me, Ivy brought up the idea of people wanting quick fixes. I am all for it. If something is wrong or bad, don't leave it that way. Mistakes become habit over time. It is quick to stop much pain and poor health by simple actions.
If something is causing injury or poor health, it makes no sense to allow it to linger. When medicine and fitness aren't healthy, fix it.
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For personal medical questions - Replies to Medical Questions. LimitedClass spaces for personal evaluation. Top students may apply to certify through DrBookspan.com/Academy. See Dr. Bookspan's Books.
On the web, Grand Rounds is a collection of the best on-line medical posts from the past week. A different host works hard each week to find and list the articles. This is different from the Grand Rounds in a hospital, which is a lecture for doctors about a patient or topic.
Thank you to this week's host Pallimed for doing the hard work of collecting and featuring our posts.
For someone with "foot drop," the front lower leg muscles are too weak to lift the foot upward at the ankle. The foot hangs downward instead of lifting upward to take each step. Gait is altered and the front of the foot may slap the ground with each step. Fixing foot drop involves fixing three things - stopping the original cause, strengthening the (several) secondary effects of the weakened and tightened muscles, and retraining gait to normal. Common treatment options of braces to hold the foot up, canes or walkers to steady walking, drugs for the pain of whatever is causing it, reductions in activity, and certain surgeries, may all interfere with recovery and create new, and even more serious problems. Healthy treatment can be done without surgery, drugs, inactivity, or bracing.
One common surgery fuses the ankle so that the foot can't hang down. The foot can't move any other way either, causing new gait disturbance, and limitations in moving for health or fun. When foot drop comes from a herniated disc reducing nerve conduction, surgeries may remove the disc. However, discs are needed for healthy spine dynamics. Surgical spine fusion, even more drastically limits healthful movement, and ultimately health itself.
Interchangeably called drop foot, it is not a disease by itself, but the result of something else. Foot drop can follow a herniated disc that presses on nerves that exit the lower spine. It may also come from an injury directly to the peroneal nerve behind the knee. Certain diseases of the nervous system such as multiple sclerosis, Parkinson's, and amyotrophic lateral sclerosis (ALS) may reduce signals to various nerves.
A disturbing and increasing number of foot drop cases come from back and knee surgery. Someone undergoing surgery for a herniated disc or a knee replacement may wake with foot drop when nearby nerves were damaged or accidentally cut during the surgery. Such "side effects" are regularly called unavoidable surgical risks. It is important to change understanding of medical practice so that it is understood that adding new problems is not healthy and so, isn't "health care." Tragically, surgery itself for disc trouble is nearly always unnecessary.
As foot drop continues, lack of stretching in back of the leg that would have naturally come with each step from lifting the foot results in Achilles tendon and other structural tightness. Tightness can increase until that alone restricts lifting the foot.
Reader Sylvia wrote me several notes of her success reversing the components of foot drop. She first wrote in August, after finding the post of Inspirational Ivy II - Beating Foot Drop and Sciatica, and Getting Healthier. Her photos walking with a cane and needing to ride in a golf cart are above, left.
In Sylvia's case, her physician told her that a herniated disc was preventing the nerve down the leg from conducting enough to the front lower leg muscles (usually the tibialis anterior), which lifts the foot. Sylvia wrote,
"The specialist orthopedic surgeon I was referred to fortunately said he would not operate and my subsequent follow up visit has resulted in him telling me to go away as I am no longer in pain although I still have no dorsiflexion (upward lift of the foot). If in a year I still have drop foot I should discuss again with my doctor. Not very helpful…Thankyou for the wonderful work you have done putting this web-site together Best Wishes from England.
Sylvia"
When a disc is involved, the first thing to do is to stop the reasons for discs pressing outward, such as bad bending and sitting, and use good bending and sitting instead. If it is slouching so that you have too much inward curve of the lower spine, and that is pressing on the nerve, or it pushes the disc which then pushes the nerve, then you stop that habit, so it can heal. Stop the source. Surgery is not necessary. This is explained more in the post Cauda Equina - Result Not Cause. Then you exercise the shin muscles that have weakened, and stretch the calf and Achilles and bottom of the foot, which has tightened. You also need to practice balance and gait.
Reader Ivy began corresponding in the comments of the post to tell Sylvia her specific events to first stop the disc herniation, which was pressing and constricting nerve conduction.
By October, Sylvia has done much to reserve several causes and results. She was walking without a cane (right) and wrote,
"Hi Jolie and Ivy "I really appreciate your support and enthusiasm. My badly herniated disc obviously impinged on the nerve causing the nerve damage. I know this is from years of bad posture. I have come a long way already but not too far in the lunging and balance areas yet.
"At the weekend I was seen to be dancing at my son's wedding and I realised that non-one would believe I am usually slapping along.
"Instead of wearing my usual flat shoes or bare feet I had some new ankle strap 2 inch heel sandals for the event. The strap helps to keep the shoe on and the height of the heel was just right to keep me on my toes ! So I have decided to find a dance class to supplement my pool and land exercises as I have rediscovered I love dancing !
"I am going to Florida for a couple of months and should be able to find some dance action there. I'm going to try and toe walk on the sandy beach too.
"In the meantime I will keep on trying to change my bad postural habits! Best wishes. Sylvia"
Sylvia and I also corresponded. She send a photo of her happy and healthy at her son's wedding (below, right), with this update:
"Dear Dr Jolie, "I have received the books today... Now I have no excuse for not stretching and correctly at that !
"I can't wait to get back in the water and see how my ankles are - they are probably quite stiff so will need some work.
"I have printed the Inspirational Ivy page with the pictures of her exercising and keep it in my purse as a constant reminder that my condition will improve. Everyone here whom I haven't seen for two months whilst in the UK, is telling me how much better I'm walking. I tell them what I'm doing and if they have any problems refer them to your web page. Best wishes for now." Sylvia
We will be hearing more wonderful things from Sylvia.
Disc Pain - Not a Mystery, Easy to Fix - When you stop bending wrong many times each day, which pushes discs outward many times each day, damaging forces will stop, and can heal.
Read success stories of these methods and send your own. Questions come in by hundreds. I make posts from fun ones. See if your answers are already here by clicking links and archives, and the Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Have The Fitness Fixer e-mailed to you, free. Click updates via e-mail "Health Expert Updates" (trumpet icon) upper right column. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Fast Fitness - Strengthen and Stabilize Upper Body and Core Without Increasing Neck Tension
Friday, October 17, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - learn how to use and strengthen arm, shoulder, upper body muscles, and abdominal and back muscles without hunching, tensing, and tightening:
Have a friend stand in front of you with arms crossed over their chest. Grasp their arms or elbows, like holding a steering wheel of a car or bike
While they resist, try to "drive" and turn the wheel right and left. Both of you keep the body upright and straight.
Notice if either of you hunch shoulders, tense the neck, or strain your breathing. Practice moving strongly without clenching. Keep breathing.
This can be fun to do with kids - they can "drive" you, then you can pick them in the air and "drive" them. To try this solo, hold a doorway, sturdy pole or pipe, or other hard to move object.
It is common to tense and hunch the shoulders and neck out of bad habit while doing arm strengthening exercises, and while using arms for daily life activities like driving, hanging up clothes and putting groceries on high shelves. Tightening leads to faulty muscle use, and increased blood pressure at the moment. These habits can contribute to headaches, bad postural and breathing habits, and poor mood.
Train relaxed habits instead of tightening muscles. Transfer relaxed good posture to daily movement.
More to train arms like these in the book Healthy Martial Arts - without special equipment or supplements.
Each week, the best on-line medical posts are collected in one place called Grand Rounds. A different host works hard each week to collect and list the articles. This is different from the Grand Rounds in a hospital, which is a lecture for doctors about a patient or topic.
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.
Do you have to spend money to be healthy? A look around typical food market carts shows much spent on unhealthy food and products (photo, right). This post is the start of a new Fitness Fixer feature of Fast Finance Fixes - saving money while being healthier. We need a good brand name so send in your votes. Until then, we'll call it Fiscal Fitness.
Reader Ivy writes:
"How often does one hear that eating healthy is too expensive? Yesterday on my return from shopping at my favourite shop, a friend asked me as to what I had bought. I showed her the organic brazil nuts, sunflower and sesame seeds as well as the green, red and brown lentils. She remarked that organic products are far too expensive. Later in the day, I decided to phone two friends who are in a similar age group, live alone and are also on a low income. We discussed living costs so with their permission, I did a little exercise.
"I choose to be a vegetarian, my friends are not - I do not eat dairy, cakes, cookies or junk food of any kind, plus I do not drink coffee or alcohol. My friends both eat out on a regular basis, I choose not to. I do not buy cleaning products, instead, I use baking soda and white vinegar. I also use a phosphate free laundry liquid which I buy in a 5 litre container through a friend who kindly gives me a 20% discount. I do not have a mobile phone I also turn off my hot water during the day - this can save me about $10 a month in electricity charges.
"I was the only one of us three who exercised on a regular basis. I found it interesting that I was the only one who seldom visited a doctor, also, unlike the others, I did not get a cold or 'flu this past winter.
"The result of this exercise being that our costs were approximately the same within a few dollars. We three respect each others difference - each of us making personal choices. Afterall, isn't that what life is all about.
"You, my dear Dr Jolie, have been a huge influence on my life in more ways than you realise - again I thank you. Your lovely little reminders re life are also an inspiration. Thank you for your support." Ivy
Ivy first found The Fitness Fixer a few years ago when looking for information to fix severe sciatica and drop foot. Click Inspirational Ivy to see how she quickly stopped sciatica, got rid of her cane, and how her neighbor took the photos for the post. Each post links to updates Ivy has been sending since then. Reader Sylvia has since been fixing her own drop foot with Ivy's help in post comments. Sylvia's success story is on the way.
Save plenty - don't buy things that are not healthy anyway. You don't need to be vegetarian or give up coffee and alcohol. With all the money you don't spend on junk food, commercial sports food and drink, and unnecessary fitness fad products, you can give to the poor and still have enough for good food and a vacation.
---
Questions come in by the hundreds. I make posts from selected ones. See if your answers are already here by clicking links and archives. Read success stories of these methods and send your own.
Have The Fitness Fixer e-mailed to you, free. Click Health Expert Updates (trumpet icon) "updates via e-mail" - upper right column.
Thank you M.D.O.D. for hosting Grand Rounds and including my post Living Under The Sea among the best medical posts of the week.
In a hospital, Grand Rounds is a lecture for doctors about a patient or topic. On the web, Grand Rounds is a weekly list of the best on-line medical writing.
The M.D.O.D. guys were first time hosts and did a great job. In the post descriptions, they wrote,
"… nice post about living under the sea. Really. During her studies in extreme human physiology she actually worked in a lab tethered to the bottom of the sea. I always wanted one of these... it rated much higher than having a tree house when I was a kid. Never did get to do it though. Lots of good links here regarding how the human body responds at extremes and even some fun stuff to do with your kids to introduce them to scientific concepts and the scientific method."
Here is Fast Friday Fitness - learn a long-known, little talked-about world crisis encompassing health, politics, economics, pollution, and human rights. See the movie Flow to quickly learn several global practices that improve your health to know:
Water is the third largest global corporate-profit industry after electricity and oil, leaving surprising pollution, disease, graft, and social destabilization in its wake. Corporations seize local waters for resale, leaving the world's poorest without access to unpolluted water to drink and bathe, and frequently without any water at all. Over 1 billion people do not have safe drinking water, resulting in millions of sicknesses and deaths per year, including several millions of children and infants. Even Westerners are affected. Possibly 116,000 human-made chemicals, pharmaceuticals, and hormones are already identified in public water supply, consumed in the West through drinking and through the skin in washing. Known health effects range from stomach illnesses frequently mistaken for "flu," food-poisoning, or bowel problems, and breathing difficulties.
Be aware that you can turn on a tap and get water. An average American uses 150 gallons of water per day. Billions in developing countries walk miles and still cannot get more than five gallons. Staggering numbers of people around the world have total income averaging $2 (two American dollars) a day, and are being charged to travel distances and lift and carry water that was once available to them without charge.
When you buy expensive bottled water know that it is frequently ordinary tap water resold in deception, various pretentious "fitness waters" are not as healthful as eating ordinary fruit, and the bottling results in avoidable large scale pollution.
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.
---
Photo - Family meets guidelines on Morro Strand State Beach by mikebaird
A study described in Medline news seemed to give mysterious theories about strangely different body composition distribution of people with rheumatoid arthritis. What is this mysterious change? The people with the hardest time getting around had "increasing amounts of fat and decreasing amounts of lean mass (skeletal muscle) on the arms and legs."
The authors of the study theorized that the difference altered the "normal range of motion of the arms and legs" or may, "biochemically interfere with muscular function" or even "may be infiltrating the muscles." Perhaps a less mysterious conclusion can be added. Anyone with or without arthritis will have more difficulty and discomfort getting around when they have high fat and low muscle. That is called being out of shape. Being out of shape makes movement difficult. It is not a mystery. Whether being out of shape is not your fault because of a condition does not matter. If someone has arthritis, that is even more reason that they need regular healthful exercise. The study reminded that people with higher fat and lower lean (muscle) can be normal weight. You can be out of shape and too weak to comfortably support body weight at any weight, not only if you are very heavy.
The study authors write," However, since one's body composition can be altered, there is hope to reduce the amount of disability and improve the quality of life of these patients." I have been tracking the topic of this particular study for a while now. Previous studies showing that rheumatoid arthritis patients improved body composition with arthritis drugs were done by people working with and receiving salaries from the drug manufacturer. An obvious and easy way to alter body composition is simple regular fun activity:
Regular exercise will make you able to get around more easily. You do not need exercise machines or expensive programs or therapies. Go walking, dancing, biking, or do whatever activities you love or used to love. If it's hard, remember that Olympic athletes gasp with effort. Top athletes have sore muscles the next day. Being mildly out of breath, and using muscles because of healthy exercise can be good, not bad. Use common sense starting something that will be both fun and healthy.
--- Read success stories and send your own. See if your answers are already here - click Fitness Fixer labels, links, archives, andIndex. Subscribe free - "updates via e-mail" upper right. For personal medical questions - Replies to Medical Questions. Limited Class space for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Get more in Dr. Bookspan's Books. ---
Fast Fitness - Prevent Death and Disfigurement, Save Lives and Property
Friday, October 03, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness - Make yourself and your community stronger with one practice:
See if you are strong enough to refuse the alcohol or the car keys.
It isn't as tough, or strong, or cool to "hold your liquor" as it is to turn it down before driving.
Strengthen your resolve, your self respect, your civics, your individuality, raise your status to hero, be a role model, show off your discipline, be cool.
Is your arm strong enough to put the drink down before driving? What about other bad habits?
The theme was posts concerning "Medicine and War."
In a hospital Grand Rounds is a lecture to instruct physicians. On the web, it is a post with a collection of the best medical blog posts of the week. Each week Grand Rounds is hosted by someone who goes to much work to find and create a post listing them.
Autumn Yard Work - Limiting the Person Instead of the Injury Again?
Wednesday, October 01, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
A Medline article on autumn yard and housework gives a list from the American Academy of Orthopaedic Surgeons, which they say will reduce injuries. Their list includes doing less, lifting lighter loads, not lifting overhead, or using turning action to the side.
The Orthopaedic Surgeons' list is another case of limiting the patient to limit the pain.
It is unfortunate to instruct patients to do less physical activity. It is no mystery that restricting activity reduces strength, flexibility, and balance. When patients become tight and weak, they are next sent to physical therapy to lift weights and stretch. Instead, go outside. Get free exercise, get stronger, increase balance, have some fun instead of being held back.
It is not a mystery that if you spend an afternoon bent wrong over a rake, lifting wrong, and hunching your shoulders, you will be achy. Have fun doing yard work in the fresh air in healthy, commonsense ways:
Carry Heavy Leaf Bags - check if you lean backward to hold and carry loads. Instead of leaning, which pinches the lower spine, stand upright, use neutral spine - Prevent Back Surgery
You Don't Need Expensive Ergonomic Rakes And Tools Or Fancy Padding. The majority of the world does far heavier work with far less. Bend right (links above) instead of bending over. To prevent hand irritation and blisters, don't clench your grip and be willing to toughen your hands and skin. Being too delicate means fragile skin. The soil has many substances beneficial to health and disease reduction, some documented to reduce depression. Post on this to come. Don't be too afraid to get dirty.
Doing less is a flawed approach to preventing injury in the short term, and over the long run, will undermine your health and abilities. Use your brain for healthy, fun ways to keep doing more of your favorite activities.
"You're never too old to become younger" -Mae West
--- Questions come in by the hundreds. I make posts from fun ones. See if your answers are already here by clicking links and archives and the Fitness Fixer Index. Read success stories of these methods and send your own. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy. ---
