Where To Continue with Fitness Fixer During Health... Stuart's Community Health As A Lifestyle Thank You Grand Rounds 6.31 Academy Developmental Ability and Special Olympics... Fast Fitness - Eighth Group Functional Training: S... Dr. Jolie Bookspan Earns Humanitarian Prize Shihan Chong Breaks 10 Blocks of Ice At Age 70 Arthritis, Hip Pain, and Success With Running Fast Fitness - Seventh Group Functional Training: ... Prevent Pain From Returning - Readers Successes August 2006 September 2006 October 2006 November 2006 December 2006 January 2007 February 2007 March 2007 April 2007 May 2007 June 2007 July 2007 August 2007 September 2007 October 2007 November 2007 December 2007 January 2008 February 2008 March 2008 April 2008 May 2008 June 2008 July 2008 August 2008 September 2008 October 2008 November 2008 December 2008 January 2009 February 2009 March 2009 April 2009 May 2009 June 2009 July 2009 August 2009 September 2009 October 2009 November 2009 December 2009 January 2010 February 2010 March 2010 April 2010

Fast Fitness - Easy Start to Mobilize Shoulder and Scapula

Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - an easy way to learn and feel how to use the often forgotten serratus anterior muscles, for better shoulder mobilization, first introduced in December:
  1. On any surface you are comfortable, go to hands and knees. Keep your arms straight at the elbow. Let your upper body sink under your weight so that your shoulder blades roll back and come towards each other. Your shoulder blades may stick out like wings, photo 1 below.

  2. Correct that problem by pulling your upper back to a straighter position, photo 2 below.

  3. Alternately sink and pull upward to correct the winging. Improve by increasing the number and speed you can correct. Use the hands-and-knees position to get the idea. As soon as you have the concept of how to move, use the full pushup position, called plank, to get off your knees and get real exercise.


The standing version of this drill is in my book Fix Your Own Pain Without Drugs or Surgery. Thank you to Dr. Johannes Ernst, who wrote in about using hands and knees to get started:
"I should mention I'm actually doing a variation of the scapular mobilization exercise which I have found to be more effective for me: basically like a push-up, but propped up on knees and elbows. That way I can extend the amplitude of the back and forth movement further than if standing up. That additional stretch does seem to make a difference, and it seems to work some muscles as I can do only about 30 or so before I run out of steam."

Related Fun Fitness Fixer:
Random Fun Fitness Fixer:

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Fast Fitness - New Understanding of Hyperlordosis and Disc Injury

Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - a new possible contributor to vertebral disc injury, and how to avoid it:
  1. In my previous studies, I found that overdoing the inward lower spine curve (hyperlordosis) pinches the lower spine like a soda straw. It forces the spine joints, called facets, backward against each other, eventually wearing them, and compresses surrounding soft tissue. After long periods of standing, exercise, and lifting with too much inward curve, lower back pain is not a big surprise or mysterious to fix.

  2. Hyperlordosis was not previously thought of as a direct herniating force on discs. The major factor was and still is too much forward bending. Weighted flexion (bending forward bearing your body weight) opens the space between vertebrae in back, and over years of slouched sitting and bad bending and lifting forward, presses discs outward through that space creating herniated discs (an injury, not a disease). In my previous work I found that for someone with a disc already herniated, hyperlordosis pinches it, adding pain to the separate problem of the disc. Showing people how to stop standing in hyperlordosis greatly reduced their disc pain. In recent work, I found that hyperlordosis exacerbates, and possibly initiates disc herniation itself.

  3. My new work is showing that hyperlordosis is a probable mechanism to directly shift disc position. I made a diagram showing the disc injury coming from overarching/ hyperlordosis/ hyperextending the spine that is so common in pop fitness.
Above, Left and center - Drawings of two ways you can stand in hyperlordosis, and the results over time, on the discs.
Above, Right - Actual MRI, comparable to center drawing, shows disc herniation and pinching between
lower vertebrae.


Hyperlordosis in both walkers, easily seen at right. Damaging sloppy posture.


Hyperlordosis (overarching the lower spine) is a spine damaging posture. Hyperlordosis and the pain from it can be changed as easily as moving your spine to a smaller, healthier degree of arch (neutral spine). It is not tightening your abs, just moving your spine, as simply as bending your elbow. Links below tell more.

Related Fun Fitness Fixer:
Random Fun Fitness Fixer:
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Drawing © copyright Dr. Jolie Bookspan. MRI courtesy of ChiroGeek
Walking hyperlordosis photo © by mikebaird

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Good Bending Strengthens Legs and Lifting Ability

Jolie Bookspan, M.Ed, PhD, FAWM
BikaBill, one of the winners of the How To Sit Up Straight Contest, writes,
"Ahhh, so good to be a winna!!!

"Another recent success:

"I'd bought a steel fire pit that weighs about 50 lbs, and when I got it last November I could barely move it more than a few feet and that was with some pain. I was going to ask someone to help me move it for use on New Years Eve. But I've been really watching and correcting my posture for the last couple months, and when I picked it up New Years Eve, it seemed really light. I just whisked it out to the front yard like it weighed nothing, and there was no pain!!!

Left drawing shows neutral spine and hip. Center and Right show two kinds of swayback (hyperlordosis) a slouching posture you can easily change to stop pain.



"I was amazed. I would never have guessed that good posture makes one so much stronger, but it does! I've also noticed a difference in my poise -- like forcing yourself to smile makes you feel happier, so does good posture make you feel more self confident. No surgeon could ever have given me that!

"Thanks, Dr. J.

"Happy 2010!
-Bill"

Good body mechanics are a powerful performance enhancing aid.

How To Do This Too


Good Bending:

Lifting Overhead:


Better Ergonomics for Carrying Loads:


Great Technique for Pushing and Punching
Throw a Stronger Punch (or Push a Car or Stroller) Using This Back Pain Reduction Technique

What Is Neutral Spine?

Another Reader Applies Good Bending:


Random Fun Fitness Fixer
:

Drawings of Backman!™ © copyright by Dr. Jolie Bookspan




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Contest Winners - How To Sit Up Straight

Jolie Bookspan, M.Ed, PhD, FAWM
What does it take to sit up straight? Is it possible that the numbers of physicians, surgeons, instructors, and trainers who entered did not know? We now have five winners:

Paul J was first to write in to the contest with understanding,
"Brains are required to think and correct bad posture."
Steve Rice knew it when he wrote in the hints that first in importance, above doing any strengthening or stretching is,
"1. Engage the brain to develop better postural habits. No matter how strong the elongated muscles get, and how long the contracted muscles get, if the brain says "slouch" that's what the body will do. The other steps (stretch/strength) are necessary but not sufficient to fix the posture problem.

He also correctly stated that you use back muscles (not abs) to pull your spine back to straighten from rounded forward.
Bika Bill, fellow rider, writes in contest comments,
1. Only the brain is required. I simply have to do it!
2. Name the muscles -- lean back by stretching the pectorals, and maintain neutral spine in the lower back. All these years I was just too ignorant to use them until Dr. Jolie said so!
3. I think it's 'cause their chest is too tight from rounded shoulders. Good pectoral stretching, and remembering to maintain good posture will correct.

It's that remembering thing that's the problem. Fortunately my back keeps reminding my brain to use what I've learned! :-D
BikaBill sent in these winning photos:
Slouching


Straightening
Nice bike, Bill!

If photos don't load, click
http://farm3.static.flickr.com/2795/4169252181_8008cb9670_m.jpg
and http://farm3.static.flickr.com/2713/4169252091_62c248afec_m.jpg


BikaBill continues:
"Thanks, again, especially for what I've learned from you. My back is getting much better and I don't need a doctor!!!"

I learned things from readers:
  1. Hopefully joking, were not one, but two surgeons who wrote that surgery is required to cut tight front (anterior) muscles.
  2. Readers think abdominal muscles do every motion of all your limbs whether they do or not.
  3. Readers think that somehow squeezing your abdominal muscles makes you move, and they think using one set of muscles magically makes you stop (inhibit) others. This is an often repeated bit of mythology, not true in all cases as previously thought. In fact, we couldn't move properly if it were true.
  4. Readers think abdominal muscles somehow stop you from rounding forward and make you sit straight if you just do something called "engage." I have no idea how or what that would be. Abdominal muscles are flexors (bend the spine forward - not the body as a whole). Fourth winner Mr. Georges Nakhlé, my Academy instructor and manager of the Middle Eastern division was one of the two entrants who knew that abdominal muscles do not straighten you from a rounded forward position. Your back muscles are needed to pull back enough to straighten you (only if you use them). He names them in the Hints. Abdominal muscles do not attach to your legs. They cannot pull your body closer to your leg (or leg closer to body) if you are sitting with your hip slouched back away from your leg.
  5. A helpful comment from Anonymous in Contest Hints enlightened me about a major source of the problem - readers honestly don't know what muscles do, and they feel like outsiders when hearing names of muscles and their actions. This is important. It opened a large door for me.
Thanks to these reader comments, I know to start writing articles explaining actual muscle use. No one should need any medical degree or training to know your body, names of parts, and how you move. Just like if you are not a mechanic, by knowing simple car parts, you can save much money and pain and being fooled by fancy sales talk.

Fifth winner was reader Sister Mary Smackham Witherstick of the Royal Order of Order,
"Quit yer sorry whining. Straighten up laddies!"
How hard was that?

Maybe our slogan for this contest could be the zombie cry from Return of the Living Dead,
"Brains Brains! Stops the Pain!"


Related Fun Fitness Fixer:

Fun Contests Still Open:
Random Fun Fitness Fixer:

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Fast Fitness - Mobilize and Strengthen With Serratus PushUps

Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - Strengthen and learn to use the often forgotten serratus anterior muscles and learn a good mobilization for your shoulders so that you don't get stiff, and become stuck round-shouldered when driving or typing.

"Serratus" muscles wrap your chest below your armpits. Their sections fan out like your fingers, looking serrated, giving the name. They wrap around your sides to the front, so are further described with the word "anterior." Muscle names are often descriptive, and can be easy and fun to understand. They are important for keeping your shoulder blades in place - but only when you use them to.

My student Yash demonstrates:
1. Hold a push up position with straight not locked arms. This is often called a plank position. Keeping your arms straight at the elbow, let your upper body sink under your weight so that your shoulder blades roll back and squeeze together - photo 1.
YashPushUpWingLR

    2. Correct that problem by pulling your upper back to a straighter position - photo 2
YashWingMoreFixLR

    3. Do as many repetitions of sinking and pulling upward to correct the winging that you can at once. Improve by increasing the number and speed you can correct.
Coming posts will describe the serratus more and what it does, more on winging scapula, more fixes for it, and more on understanding muscle names and uses. Understanding, rather than memorizing, will help you know if claims for exercise fads and machines will help or not, and to not feel like an outsider about your anatomy and health. No medical degrees needed to understand your own body.

Related Fun Fitness Fixer:
Random Fun Fitness Fixer:

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Contest To Sit Up Straight - A Hint

Jolie Bookspan, M.Ed, PhD, FAWM
In October, I offered readers a chance to show what they learned - a contest to tell "What do you need to do to go from sitting with a rounded spine to straightened?" Does it take strengthening? Stretching? Perhaps (hint) something else? Readers have been writing in.

We have three excellent answers so far that will be announced as contest winners along with reader BikaBill who sent in winning photos. There is still time to send in yours to be among the winners. About thirty to forty wrote claiming some vague involvement of abdominal muscles. Pop fitness throws around "abs" so much that odd ideas get ingrained that are not real anatomy.

To help with your contest and your real life, which is the idea of the contest:

Hint 1
  1. Abdominal muscles curl your spine forward.
  2. If you are already sitting rounded forward, you do not want to curl forward more. You need the opposite - back muscles to unround, not the abdominal muscles in front.
  3. Readers correctly noticing the tilted back pelvis that is part of rounded spine in the photo of bad sitting (note the stripes pointing back at the side of the hip instead of vertical) were correct that the top of the hip/pelvis needs to pull forward, to reduce the angle between pelvis and leg so that the pelvis can straighten to upright and vertical. Abdominal muscles do not that do that. Abdominal muscles do not connect to your leg, so cannot move your leg closer to your body or your body closer to your leg.
  4. Think what muscles may be the ones you need instead. Then, do strong muscles move all by themselves?

Hint 2


Mr. Georges Nakhlé is my director of the Lebanon office of The Academy of Functional Exercise Medicine (AFEM), the teaching arm of my practice. He instructs classes and wrote in to help readers:

Mr. Nakhlé writes:
My answer is: Muscles required to contract are : the paravertebrals (extension of vertebrae), trapezius inferior (adduction and lowering of scapula), the deltoideus posterior and latissimus dorsi (extension of arm) and the rhomboideus (for scapula stabilization)

Muscles required to stretch: pelvi-trochanters to ease the medial rotation of the pelvis on the femur and the pectoralis major

Muscles required to straighten the back: the major work goes for the Latissimus dorsi and a part for paravertebrals; the rhomboideus for scapula stabilization, the trapezius inferior for scapula lowering, the triceps brachii for arm extension.

Another contest question was:
>Explain why the same tightness or weakness does not show itself standing where people often hyperlordose instead of flex the lower spine.

Mr. Nakhlé writes:
Tightness when standing: When standing the psoas is stretched so it pulls the lumbar vertebrae, and if the rectus femoris is tight it will tilt the pelvis in an anterior pelvic tilt.
Weakness when standing: when standing we don't need muscle strength, just little adjustments.
Readers what do you think?


Here is the Contest. Send In Your Answers, Winners Announced Next Week:
Fun Contests Still Open:
Related Fun Fitness Fixer (More Hints):
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Thank you to djwhelan - Slouching and calling it fitness photo

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Fast Fitness - Contest: What Does It Take To Sit Upright?

Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness - a Contest!

Conventional beliefs about posture include that you must do certain exercises or stretches or strengthening to change your posture. Is that true?

Look at photo 1 and 2 and answer the simple question below:

Photo 1
















photo 2
sitting and waiting by magnusdigity.

Submit Your Answer:
  1. What muscle strengthening or stretch is required to change from first (unhealthy rounded) to second (upright) sitting?
  2. Name the muscle(s) and action needed - don't just name a muscle, say which way it needs to pull.
  3. Explain why the same people (with the same tightness or weakness) who sit with the lower spine rounded forward (flexion) often stand with the lower back overly curved inward (hyperlordosis) - just the opposite.
Disregard the leg position in the two photos - the question is not how to move the leg, those were just the two photos I could find. Focus on describing how to change yourself to upright sitting without moving the leg (why? if you need to move the leg, then you are too tight for basic health. This question is how to restore that basic).

Use your brain. Partial credit applies. I will post answers, explanations, and winners.

Hint for success:
More Hints, Related explanations and photos:
Need Another Hint?
Random Unrelated Fitness Fixer (or is it?):

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Photo 1 by djwhelan
Photo 2 by magnusdigity

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Fast Fitness - Push Ups with Neutral Spine

Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - how do abs help your back? Only when you use them to:
  1. Abdominal muscles don't help your back by themselves. Support is not automatic. They don't fix your back pain by being stronger. Strengthening abdominal muscles doesn't make you hold neutral position (support you). Holding neutral strengthens your abs.

  2. In the post Fast Fitness - Strengthen by Changing Your Plank Reader David from Belgium showed changing the plank from overarched lower spine to neutral spine. He pushes up from the floor into an arched position, then fixes it. Readers asked to see how to push up from the floor (or from the bottom of a pushup) with neutral spine.

  3. David made us another video. Click the > arrow to see the first 20 seconds show holding neutral - green check mark. Next 15 seconds repeat the same push up, but with over-arched spine, marked with a red X. Then he corrects spine angle until the end - green check again. Can you see the difference? Can you do the difference?

if the video does not load, try
http://www.youtube.com/watch?v=gYEe_XjamAo&feature=channel_page

Letting your lower spine cave inward (hyperextend) under your body weight means you are not using core muscles to prevent it. Hyper-extension, is also called hyperlordosis (too much lordosis) and swayback. Hyperlordosis bangs and abrades the joints, called facets, of the spine. Hyperlordosis can also pinch a disc that is already degenerating or bulging, making disc pain worse.


Related Fitness Fixer:
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Movie by David of Belgium - www.hierennu.be

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Fast Fitness - Somebody Please Do My Personal Responsibility For Me!

Jolie Bookspan, M.Ed, PhD, FAWM
A couple was buying a house. The real estate agent told them a problem with the house was that it was near the train, rumbling noisily by every night. It would take the first two weeks to be able to sleep through it. "No problem, said the couple, we'll spend the first two weeks in a hotel."

An opening line of last Friday's Fast Fitness was, "How long does it take to stop slouching, or stop herniating a disc, or stop paying money to eat food that is bad for your health? It takes as long as you want to continue injurious ways."

The letters came in. Some missed the whole point, hoping for magical externals to do it for them: " Can I use a posture brace until it works? … Is it until my shiatsu starts working? … My body worker says it takes 6 weeks for massage to make me aware of my body… My yoga teacher said the pain has to be worked through so I bend wrong to get used to it… OK, bending right does fix my pain, but every time I go back to bending wrong the pain comes back. I do the exercises 10 times. How long until the exercises work?... "

The "martyrs" blamed externals: " It is not possible to control how I stand or sit, I am fat/ weak/ large chested/ too thin to have muscles/ old/ young/ a person of privilege… You're wrong, the slouching just comes back by itself. … You're wrong I have gone to a chiropractor three times a week for years and I have to go or the pain comes back, that proves he is helping me and I can't change the pain…Another blog said to get a thousand dollar mattress and that will fix it… "

Some of the whining was comical: "You can't expect me to actually try to remember that… You're wrong, my body FORCES me to slouch… I have read all your posts and you didn't mention posture or answer readers when they asked (for new readers, you can fall over laughing at that)… Don't you know that it hurts my back to sit at a desk to read your book on fixing pain?..."

Excellent readers sent the brains: "You expect me to actually get free exercise using my muscles to make my own life better?? Congress will hear about this!… I can move my own body? Shocking!… Burn more calories, free, and be healthier and stop disc pain by sitting so that my back does not hurt? I won't, I won't, I WON'T!!!..."

  1. The moment you bend right, you will stop injurious forces on the discs and knees. Keep good habits, and they can heal. Stop tensing your body and it will not be tight and tense any longer. Relax does not mean slouch. The moment you change to healthier sitting habits, you will be able to sit more comfortably.

  2. No exercises, no séances, no pills, no mattresses make you bend right and stand in the kitchen preparing meals with healthful stance, breathing not grunting, shoulders back, not hunched, smiling and contented instead of poisoning your body with stress chemicals that you generate yourself through hurtful behaviors.

  3. The method you choose to fix your injuries depends on your view. If you don't like to have it free, quickly, and in a way that uses your own body to get exercise as part of your life, then of course go to another method and comment there about your pain. It seems to be a 'sign of the times' to do pills and blame. Time for change to something healthier (if you want). This Fitness Fixer and all my other methods are for people who would be embarrassed to whine, and want direct, intelligent ways to get their own life back. Be prepared to have fun and use your brain.


Where to Start (if you want to, no one is making you):

Fitness Myths:


Helpful easy reminders to sit, bend, move well (you don't have to sit at a desk and read anything to use them):

Get all information in one place:


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For answers to personal medical questions - Replies to Medical Questions. Limited Class spaces for personal evaluation. Top students may apply for certification - DrBookspan.com/Academy.
Learn more with Dr. Bookspan's Books,
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Personality responsibility photo by kd7irj

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Upper Body Built in Functional Fitness

Jolie Bookspan, M.Ed, PhD, FAWM
Reader Vietanh asks:
"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:
Prevent Neck Pain and Get Upper Back Exercise Carrying Backpacks
Upper Back Exercise and Neck Pain Prevention Too
Common Exercises Teach Upper Back and Neck Pain
Fast Fitness - Prevent Back Pain When Rowing
Overhead Lifting, Reaching, and Throwing - More Part I
Fast Fitness - Built in Upper Body and Core Exercise Carrying Children


Use arm and hand muscles instead of compressing wrist joints:
Fast Fitness - Prevent Wrist Pain During Pushups and Cooking
Forearm, Upper Body and Hand Exercise


Have daily active upper body fun:

Fast Fitness - Make Your Own Device to Strengthen Arms, Upper Body, Balance, and Core Stability
Fast Fitness - Easy Handstand for Balance, Upper Body Strength -The Movie
Pushups and rows at the same time - Strengthen Many Places at Once
Handstand and rows at the same time - Fast Fitness - Handstand Rows

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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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.
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Photo by djwhelan

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Pectoral (Chest) Stretch - The Most Common Mistake in the Best Shoulder Stretch

Jolie Bookspan, M.Ed, PhD, FAWM
Mike Benson has sent several Fitness Fixer inspiring stories. In response to reader requests, he made us this photo set showing, "The most common mistake in the best stretch - How to not get any stretch from the pectoral stretch." I asked him to demonstrate this, because I see this mistake so often. People often "do" a stretch without "getting" a stretch.

Why is this stretch so good? Round-shouldered posture is a main contributor to neck and upper body pain and rotator cuff injury. Round-shouldered posture feels comfortable and natural when the front chest muscles are tight. A common mistake is to stretch the shoulder joint, which does not address this problem.

The purpose of the pectoral stretch is to lengthen chest muscles so that healthier positioning feels natural and comfortable. If you merely hold your elbow to the side, little lengthening can occur - shown in first photo:




Second photo below - changing the position to get the purpose - lengthening anterior (front) muscles that go across the chest. One way is to use a wall to help you press your elbow back.


Related:
Fix One Pain, Don't Cause Another
What Does Stretching Do?
The Stretch You Need The Least

More to Stretch the Anterior Chest:
Stretching With a Friend - Partner Pectoral Stretch
Pectoral Stretch was first introduced in Fixing Upper Back and Neck Pain
Quick, Feel-Good Upper Back and Chest Stretch

Mike Benson's Success Stories:

A Whole Big Fix
Fast Fitness - Core Hip & Body, Posture Strength & Balance
Flasher Exercises Not Best for Shoulder Pain
Healthy Youth Parties - Fun Exercise, No Junk Food

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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.

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Headache From Head Position

Jolie Bookspan, M.Ed, PhD, FAWM

Muscles connecting the upper extremity to the ...

Certain headaches can be initiated or aggravated by tense facial muscles (squinting, scowling, furrowing brow), and by tight, tense, overstretched muscles in back of the head, neck, and shoulders, common with letting the upper body slouch forward. Headaches from tight muscles were formerly categorized as tension headaches. A growing theory includes upper body muscle use among triggers of a different kind of headache, the migraine, previously thought of as only a vascular event.

The wide range of kinds of headache is not my major field of study. I had previously had results with patients retraining upper body position to stop tension headache. I was not aware my own research would be useful to people with other kinds of headache, so I am learning from my patients who frequently report stories just like this one recently in from engineer Johannes Ernst:

Dr. Ernst writes:
"Some mindblowing ideas one might come across by accident instantly convert you into a new missionary because they are so clearly and obviously true, no further check required. Your particular religion ;-) of fitness is one of them.

"I would summarize it as follows: if our ancestors, over 10's of thousands of years, had had as many ailments as we have today, the human race would have died out a long time ago. No ergonomic chairs but only rocks and logs to sit on? No exercise equipment? Not even one pill a day? Just leaves and furs instead of expensive mattresses and beds? Humans clearly had no chance.

"Well, but here we are nevertheless. So given how many ailments we have, something that we are doing these days must be much worse than what our ancestors did in the forests. Jolie's mindbogglingly straightforward answer: instead of using ever-more complicated medical and fitness tools and regimens, whose benefits, never mind costs, often are marginal or doubtful, what about we use our bodies how they were meant to be used? Duh!!

"The shameful thing is that medicine, as a profession, does not necessarily nudge anybody in that direction. Often, its leading practitioners seem totally oblivious to what should be a "Duh".

"What is wrong with this picture?

"In my case, over the course of 25 years of headaches, healthcare professionals on two continents, etc. etc., nobody, never, not once, suggested, that I could improve my posture. I got all the drugs, regardless of how expensive, few of which would make much difference other than to put me out cold.

"Last week, for the first time, about 6 weeks since I got a few of Jolie's books, I managed to extinguish an immobilizing headache through some rather simple exercises, completely without drugs. I totally expect that I will be able to do it again. (I did! This morning!)

"In case you ask, I do:
Pec stretch and trapezius stretch
Scapular mobilization exercise (in book Fix Your Own Pain Without Drugs or Surgery)
Upper and lower back extension (Fix Pain book)
Push-ups until I am sweating profusely or can't go any further; usually that happens at the same time ;-) (neutral spine for pushups covered in Fast Fitness - Strengthen by Changing Your Plank)
A concentrated effort to keep my shoulders back and down 24 hours a day, including at night, and my chin in.
"Not exactly hard, is it.

"Well, just had to get this off my chest.

"Cheer,
Johannes"


Dr. Ernst has more to report. To be continued in future posts.
I asked if he had a photo for us. He wrote:
"I didn't think I was quite bargaining for a photo. If you must, use this one, preferably unedited. It reflects my aspirations I think ;-)

"P.S. two out of three RSS/Atom feeds on your blog are broken."
http://netmesh.info/jernst-files/pushing-the-big-tree.jpg
if photo does not load, try - http://netmesh.info/jernst-files/pushing-the-big-tree.jpg


Healthline tells me they are trying to fix the feeds, which continue to go down after each fix. Use the "subscribe by e-mail" option for convenience.

Related:
Other Contributors:
  • There is more to headache than muscles and posture. Many causes can be controlled without unhealthful pills. The book Health & Fitness in Plain English THIRD edition has an entire chapter devoted to known ways to prevent and end a headache.

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Mothers Day and New Parents Back and Neck Savers

Jolie Bookspan, M.Ed, PhD, FAWM
Readers, patients, and students have asked me for years to write down for them about good lifting and bending over babies and children. I wrote articles and books. I did experiments in the lab. They still said they couldn't remember. So I made something for all of you. You can give these to everyone in need for Mothers and Fathers days, coming up, and all year.

Here it is, quicker and easier than reading the books:
If the photo does not appear (blogger is having troubles) click this link.


I designed singlets and one-piece suits for infants, T-shirts for toddlers and children, various sizes and colors.

One student had asked me to write down and hang the information around her neck so she would have an easy way to remember all the time. So I made a bib too - for the baby - so she could see it each time she bent to feed and lift.

I was surprised people wouldn't just remember on their own to live in a way so important to their health. But they kept coming back asking for me to tell them again. I am drawing the various concepts and putting them on daily items as funny reminders. I will show them in future posts if readers are interested.

Click the photo or go to this site for all the educational gifts designed so far - http://www.cafepress.com/AcademyGifts. Send your requests for other ways to have fun health built in to daily memory.

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Read success stories of Fitness Fixer 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 labels under posts, links in posts, archives at right, or in the Fitness Fixer Index.

Subscribe to The Fitness Fixer, free. RSS feed currently not working, so click "updates via e-mail" (under trumpet) upper right.
See Dr. Bookspan's Books. Get certified
- DrBookspan.com/Academy.
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Clothing Drawings of Backman!™ © copyright Dr. Jolie Bookspan

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Fast Fitness - Straighten and Stretch Hip While Strengthening Core, Arms, Legs, and Balance

Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - Increase strength and muscular endurance of your body working as a whole, and learn to keep neutral spine and good hip position against resistance.

  1. From a pushup position, turn to the side, raising one arm overhead, holding legs and body straight.

  2. Raise your top leg. Notice if you increase the inward curve of your lower back (overarch to hyperlordosis) and if you bring the leg forward - demonstrated in the upper photo.

  3. Instead, hold straight. To feel position, practice against a wall - demonstrated in the lower photo. Bring the back of the raised leg against the wall. Press your lower back closer toward the wall instead of letting it overarch from the weight of your leg pulling the spine.




The idea is to use the wall as a guide to learn positioning, then use your muscles and sense of positioning to hold straight without the wall from then onward.

More Fitness Fixer on Side Plank:


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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. 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.

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Photos by Dr. Jolie Bookspan of students Marianne and Dennis

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Fast Friday - Valentine's Day Partner Weightlifting

Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - don't leave your love to do weight lifting alone, lift your love:
  1. Partner 1 (white uniform) stands straight and lifts partner 2 (black uniform) onto forearms.
  2. Partner 1 (white uniform) does biceps curls and other lifts using partner 2's weight.
  3. 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.

Related Posts:


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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.
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Photo of Paul curling Jolie, © copyright Dr. Jolie Bookspan

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Fast Friday - Functional Oblique Abdominal Muscle Practice - Holding Straight

Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - use your oblique abdominal muscles functionally - to hold yourself straight against resistance:
  1. Stretch out on the floor. Turn to the side, standing on one hand and one foot
  2. Hold straight as long as you can. Don't sag. Feel how to hold yourself straight and relaxed.
  3. 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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Fast Fitness - Hip Stretch and Spine Stability Training When Stretching Legs

Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness - Retrain your standing leg stretches to hold your spine and hip in healthful position, get more stretch to the front of the hip, use your back muscles, practice balance, and learn functional stretching - the way your body needs to move in real life in a healthy way.

When you raise one leg to stretch when standing:
  1. Keep your standing leg straight. Don't bend at the knee and hip, as pictured.
  2. Don't round your back or let your pelvis and hip round under you, as pictured.
  3. Stand straight. Relaxed. Don't force or strain. Breathe.

When stretching, remember function. Why practice a position that is rounded, tight, and detrimental to how you move in real life when you lift your legs. It would look silly and unhealthy to stand up that way. Why stretch that way?

Get functional stretch by lengthening your body enough to be able to straighten out. That is the purpose of the stretch.

Use the new length and your brain to stand straight. Transfer the positioning to real life when you are standing and lift one leg to take stairs, kick, dance, play sports, climb over things, and other life activities. Standing without being so tight that you round your body forward, or just round from habit, is healthier, better looking, burns more calories, and stops many sources of chronic aches and pains.

Send me your photos of fixing this stretch. Doing is the best learning. I will post the photos in a reader success story.


See how to retrain this same stretch lying down:


See photos of fixing this same stretch for kicking and stairs:


Related posts:


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Questions come in by the hundreds. I make posts from selected ones. See if your answers are already here by clicking labels below posts, and links and archives. Read success stories of these methods and send your own.

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