Giuliano is a young Romanian boy living in Italy, trained by his gymnast father. Thank you reader Paul J for telling me about him.
Below is a link to the short video clip where I captured the above photos. I was not able to embed this movie, by request at the source. Click to watch 5 year old Giuliano do air pushups:
I used to teach air pushups in my yoga classes. Every class gave opportunity to see, try, and learn. I'd coach, encourage, even lift the students personally if it helped them try it, or feel the leverages needed. Were students excited? Inspired? Did they get strong and focused?
They might have if they tried it. They whine, stall, pout, refuse, and complain to management that my class is haaaard, and they had to connnnnnn-centrate. They didn't want any of that.
Each week new students arrive in my yoga class, holding expensive yoga equipment. Some are yoga instructors. They explain to me that yoga cures all back pain. I ask why they have come and they tell me all about their back pain that they have for 4 years and they do yoga every day (not curing anything evidently). They say they do yoga all the time and know all about it and how it gives you peace and love and concentration and good posture and strength and balance. Then they sit in terrible posture waiting for class. They get indignant when I tell them to sit well. They correct me that "class hasn't started yet." In the first minutes of class I teach standing on one leg. They topple over and refuse to try again. I have them stand on the other foot and they are flabbergasted that we are doing it again when they just spent all that time insisting to me that they can't (instead of trying). We do simple planks and they sag their back and lock their elbows. When we start hand balancing to learn the basics of air pushups, some of these yoginis have thrown full-out tantrums.
Then the next week, a new crop comes to class explaining to me that yoga gives you love and acceptance and peace and good posture. So I teach them air pushups.
Giuliano also does The Flag - To be covered in the future.
Ivy from New Zealand continues making her community healthier, one neighbor at a time. What does she do that helps so many? Here are just a few stories from her many updates:
"Yesterday, I was talking to a 64 year old woman who is a new resident to this country and she told me that she was experiencing back pain. I told her that I could help her - she was most insistent that she hated exercise so I promised that I would not have her exercising that what I would show her would be what she could do as she went about her daily life. I showed her how to lie on the floor and lift herself up on her elbows. She marveled at the instant relief. I then showed her how to squat and do lunges which she was most receptive to. I showed her how to sit up straight, shoulders back and suggested that she lift her ribs (to learn to unround the upper back instead of forcing the straightening from the shoulders or neck). I was most amused she put her hands over her rather ample breasts and lifted them up. It looked so funny. It is the first time I have had someone do that to lift her ribs."
In January 2010, this update came:
"Just the other day when I spoke to Jean she remarked how young I look. (Jean is the lady who I helped re back pain) She said that she felt envious when she compared herself at 62 with me at 73. I remarked that I could not help but be surprised as all I see are the wrinkles when I look in the mirror. No, she replied, we all get wrinkles, it is your slim, fit body plus the fact that you walk so fast. So........., there is hope for me yet!!!!! Smile, "Hugs to you both "Ivy"
In January, Ivy sent me a happy e-mail. The large-chested neighbor who thought pain was due to her size was able to stop upper back pain with healthy techniques, and holding her weight in healthy positioning on her muscle, rather than letting shoulders round and slouch in painful position:
"Jean tells me that she is now free of back pain. She is lying down on her stomach lifting herself up on her elbows on a daily basis. Needless to say she is very happy with the results.
"Re the trapezius and pectoral stretch - she will be visiting me over the next few days (to check good positioning learned from it).
"Re: Merlene (Strengthen a Neighbor, Strengthen a Community) - I did not have to telephone Merlene, she called me to ask if I could vist her. She showed me how well she was doing re her balance. Also, she was delighted re her weight loss. I checked her posture and it was perfect. No longer any back pain.
"She asked if I could help re strengthening her legs. I showed her how to do lunges.
"Merlene is always a pleasure to work with. She is a delightful lady. Love and hugs to you both Ivy"
At the end of January Ivy wrote again:
"Jean: I visited her at home this morning to show her both the Pectoral and Trapezius stretch. She tells me that she no longer has any pain in her back and hip. She also tells me that she has shown her daughter the back stretch and she, too, no longer has any back pain. So.........two very happy women.
"Merlene: I also contacted Merlene this morning to see how her lunges are going. She, too, is happy with her progress.
"Jean did make a comment as to how much I could help people here in the village. I replied that I do try, however, the request has to come from them personally. It is all a matter of choices. Some choose to take medicines, others do not (and use healthy ways to fix the pain without needing medicines).
"Love and hugs to you both Ivy"
February brought this:
"Over the weekend, I received an e-mail from a friend who lives in Australia, telling me that she had back ache. She had had it for a week and had decided that once the weekend was over, she would go to the doctor to get some pain relief.
"I wrote back and told her to lie on the floor or bed and lift herself up on elbows. I have just received a reply saying that the pain has gone.
"Today while shopping in my local organic shop I got talking to a lady who had decided that she would shop for healthy foods instead of the usual junk food. She explained that her family had minor health problems and thought that perhaps if she changed their diet, the health of the family would improve. She noticed what I had in my shopping trolley so asked if I would mind helping her. Actually, I must admit that I did enjoy doing so. She could not believe the knowledge that I was able to pass on and was most grateful. One of the things she asked was how to make sprouts. Not a problem I replied and explained how I, personally, do sprouts. I hope I see her again soon so I can catch up on their progress.
"My shopping which usually takes 20-30 minutes took more like an hour and a half. I assure you, it was time not wasted.
"Hugs Ivy"
Does Ivy meet people who work against themselves? Last October she wrote me about one:
"Thank you for the post re helping oneself. I must have missed your post "Somebody Please Do My Personal Responsibility For Me." (my computer would have been out of action) To be honest, I could not help but burst out laughing at some of the excuses, as I, too, hear these same words time and time again.
"As an example, about 3 years ago, a lady approached me for help re her weight. I might add that she was morbidly obese.
"I wrote her out what I believed to be a balanced diet with plenty of food so that she would not feel hungry. She was thrilled to see that she had lost 16 lbs when I weighed her the following week. For the next few weeks there were no weight losses at all. I asked her if she was following the diet. No, was her reply, you allow me too much food, so I cut down on the quantities. I then get hungry and eat what I shouldn't. This went on for 6 weeks.
"Needless to say, I gave up on her.
"This same lady now lies in bed all day. She does no exercise what so ever. Her husband does everything for her. Once in awhile I see her go out with her husband in the car.
"It is so sad. I did but try. No doubt you can tell many similar stories.
"Have a great day "Hugs, Ivy"
Wisely, Ivy has focused her energy on others since.
Here is Fast Friday Fitness - Fun rows to strengthen your back, chest, arms, grip, and torso muscles, without bending over or forward, using commonly available objects, no gym needed:
To start, leave both feet on the ground. Hold a low study pipe, branch, or overhead handle. Lean far back, body straight. Bend both elbows to pull up and lower down as many times as you can. Improve by increasing the number of times, and how fast you can pull up.
Once you can hold on and pull up, increase strength and balance by lifting your feet to the overhead support. Hold on whatever way you want that is safe. Pull up and down.
Hold your body straight, not rounded as pictured. You will work your muscles harder, involve core muscles, and train knowledge and use of healthier positioning.
Rows are great and useful exercise. Instead of standing or sitting bent over, you can strengthen the same and more muscles without loading the lumbar discs. These incline rows are fun and useful for climbing, and building ability to do pull-ups.
Readers send in your straightened photo to be featured as the Fix for this Fitness.
When you send me your photos of fixing this and other fun things, send a photo sharing link of web-size, not high resolution, instead of e-mailing photos to me. Blogger isn't letting me upload directly, and when on the road, I don't have programs to resize. Have fun.
--- Read success stories of these methods and send your own. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Subscribe to The Fitness Fixer, click "updates via e-mail"(under trumpet) upper right. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
"Jolie Bookspan, the Fitness Fixer, brings us a detailed post about how to look upward without placing strain on our necks. I like the part about how our necks are not Pez dispensers – good visual image. The article is a good reminder that we need to use proper form in all of our daily activities, not just while we’re at the gym."
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 for doing the hard work of collecting and featuring our information.
--- Read success stories of Fitness Fixer methods and send your own. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Subscribe to The Fitness Fixer, click "updates via e-mail"(under trumpet) upper right. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
We planted a vegetable garden this Spring in my mother's field. Hard exercise changed a rocky ruined area into beautiful food. It's getting cold now. Readers asked how the garden turned out. Here are stories:
We are harvesting. By afternoon it is dark with a large orange moon overhead lightning our work. The hard work keeps us warm.
When we first cleared the area, we filled the wheelbarrow with concrete slabs, pried and dug from the patch. Paul bent to grasp the wooden handles. When he rose lifting the handles, the barrow was so heavy that both handles snapped, scattering everything. Paul is strong.
We sawed and attached new handles. Much good squatting, bending, rising, lifting, and reloading. Paul bent well (upper body fairly upright, knees bent over heels). At almost seven feet tall, he needed to bend low. When he rose, the wheelbarrow handles were so high in the air, the front of the barrow tipped forward so far that contents spilled everywhere.
Hoeing a field, breaking concrete, digging stumps and rocks, bending and reaching, lifting right, hauling bales of compost, and all the rest that gardening can involve, is more exercise than you can get in a gym. It combines hard natural movement using much of the body at once to give muscular and cardiovascular exercise. To pull weeds, you squat well, both heels down, loosen roots with a digging stick, grasp weeds at the roots, rise pulling slowly. Over and over. Rise and bend. Garden prayer.
We were amused that more grew outside than inside the garden. Outside, tall weedy grasses grew everywhere. Inside, small seedlings grew into low herbs and vegetables. Deer and other animals didn't eat our garden. We had built a 6-foot fence around it, but deer can easily jump that height, and small burrowing groundhogs and rabbits can wiggle through or under. What we had done is leave them a bushy meadow near the garden area, with plenty of food and hiding places. They didn't need to bother the garden. The municipality cited my mother for a violation of some kind for not mowing her "lawn." Sorry Mom! We paid it for her.
Large slabs of concrete lay buried, inches below the surface of much of the area we wanted to plant. We needed to break and remove them. I managed to lift Paul's huge sledgehammer, swinging it with both hands over my head. It came down on the slab and bounced. I tried a wider stronger swing. It was heavier to swing than it looked. It bounced off the concrete each time. I handed it to Paul. He swung it quickly with one arm, splintering the slab. We dug the dozens of new football-sized pieces and made a rock border for the flowers nearby.
We gardened without pesticides or chemicals. We hauled hundreds of pounds of compost that the municipality gives away free at the recycling centers. Thank you recycling center for all the good exercise, compost, and manure. Plants grew healthy and didn't need chemicals to fight insects. They could fight them from their own internal health - people can do the same much of the time from simple good health practices. Plants manufacture their own anti-inflammatories against disease. That is part of why eating vegetables and fruit is good for your own health against inflammation.
The work it took to eak out a few plates of vegetables for each meal reminded us of subsistence farmers - how worrisome it is to have to rely on what you can scratch out of your own soil. If we had to last the winter on what we grew, it would be a long thin winter. Much of the world does not sit around indulgently with fast food in the refrigerator. Many do not have refrigerators. Before spending money on junk food, then complaining you are too heavy, think. Save the money. Improve your health. Refraining from eating does not make anyone fat.
The tomatoes grew tall and long. They grew so much that we could not find the strawberries.
We are saving the seeds from the sweetest cantaloupe, the largest cabbages, and the most wonderful purple peppers and white eggplants for next year.
The wonderful Thai bamboo hoes we brought back with us have shrunk in our colder dryer climate, loosening the heavy metal shovel-heads so they tilt sideways with each overhead swing. We have been fixing them, then going back to hoeing. The ground will soon freeze. Hoeing is more upper back strengthening and work than anything in a gym, even more than all the pushups and handstands that I love. Bend knees, upper back upright, breathe in, swing up, breathe out, swing down. Over and over.
Saturday night was Halloween. The World Series was playing. Paul didn't want to disappoint me by not going out to see the fun going on for Halloween in the city, and would never have said anything. I put on a costume and sat with him to watch the game. It was a great evening. The next day I put on a scarecrow costume and we worked in the garden.
We were just two city kids, who grew up in urban slums. I didn't know about gardening, but we read, worked, learned from mistakes, and sweated under the hot sun and the cold evening air.
Read success stories of these methods and send your own. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For personal medical questions - Replies to Medical Questions. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
Here is Friday Fast Fitness - Save your neck while biking, while drinking from a water bottle while biking, and get a needed upper back stretch at the same time:
Main concept - your neck is not a Pez dispenser. Don't tip and pinch back at the neck to look upward to drink or look forward while riding.
Notice if you jut your chin forward and upward to drink or ride.
Instead, extend upward through your entire upper back. Keep your chin fairly still and see how much upward range you can get from your upper back. Instead of rounding the upper back forward, you get a nice straightening stretch.
Craning the neck (pinching backward at one joint) and pushing the chin forward, pinches and compresses your discs, joints of the neck bones, the soft tissue, and nerves.
To help remember good biking form, I put a reminder on a healthy water bottle. Keep your exercise healthy. Click AcademyGifts or the image to order.
--- I make posts from fun mail and success stories. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Why not try fun stuff, then contribute! Read success stories of these methods and send your own. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books, take a Class, get certifiedDrBookspan.com/Academy.
Fast Fitness - Better Standing Hamstring, Achilles, and Inside Leg Stretch
Friday, June 12, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness - get a better stretch for the hamstring of the standing leg when stretching the other leg to the side:
When you stand with one leg stretching to the side, notice the leg you are standing on. It is common to stand with the foot turned outward and the hip rounded under you.
Instead, turn the standing leg to face directly ahead. Knee and toes straight forward. Not turned out, not even a small amount. Stand straight.
Notice the stretch move to the back of your leg.
My student Leslie is pictured above at age 68. I snapped this shot of her while she was waiting for one of my classes. The position of the foot on the standing leg isn't visible, but she is straight ahead. I had to snap the photo quickly before the club manager told us to stop.
Stand straight without leaning over, rounding your upper body, or letting your hip round under you. This is different from the way most people are used to.
The straighter you stand, the more stretch, while training the function of healthy posture - a functional stretch. You need to be able to lift one leg without being so tight that your back rounds and your hip rolls under. Think of stairs, kicks for dancing, aerobics, martial arts, stepping over things, stairs, much real life. If you are not only using bad mechanics for daily life, but training unhealthful tight mechanics with conventional bent over stretching, what are you accomplishing?
If you can't stand straight, lower your leg to where you can. There is little point stretching for health while practicing unhealthful ways.
What has happened in a year? She can now do 40 push-ups. We just don't have a video camera. While we get one, click the link to do your push-ups with her each morning while it is still only 30.
Read success stories of these methods and send your own. Questions come in by the hundreds. I make posts from fun ones. Before asking more, see if your answers are already here by clicking labels under posts, links in posts, archives at right, or in the Fitness Fixer Index.
Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books. Get certified - DrBookspan.com/Academy.
"I enjoy the all day exercises using squat and lunge for my daily activities. Thank you for sharing your philosophy.
"However, those exercises are mainly for lower body. I would like to ask if there are good all day exercises for upper body parts i.e., shoulder, neck.
"I found some stretches for shoulder and neck that you introduced.
"Thank you and best regards, Vietanh"
This is a great question and understanding that fitness is something that you do during real life. In gyms and health centers, even therapy settings where people are going there for the purpose of fixing and increasing function, they sit waiting in terrible unhealthful positioning - photo at right - waiting for a class or activity for health. I have read fitness books saying the posterior shoulder is "difficult to target." Hold your shoulders straight, rather than letting them slump forward. You will get built in upper body functional exercise. Apply this to exercise, to lifting, sitting, sewing, all you do.
Look at your many hours each day of real life - when you prevent round shoulders with retraction to neutral, you are getting upper back extension exercise. When you sit and bend and lift right instead of rounding forward, you get healthful, functional upper and mid range back extension. When you use neutral spine to walk, run, kick, and jump, by extending at the hip instead of allowing the lower spine to increase in arch passively into hyperlordosis, you get healthful lower back extension and abdominal exercise at the same time. It is the abdominal muscles that will flex you forward to straight, rather than overarched. They only do this when you deliberately use them. Strengthening alone does not create movement to healthful position. Healthful positioning strengthens and gives exercise. Look at the photo above again and see that how you really live, not a gym, is your exercise and health.
Apply upper body muscle use for function in daily life:
Using upper back muscles to prevent rounding forward in round shoulders gives continuous built in exercise. This is not forcing, just mobile, comfortable muscle use. How are you sitting while reading this?
There is more to this excellent question. Will come in future posts.
---
Read success stories of these methods and send your own. Questions come in by the hundreds. I make posts from fun ones. Before asking more, see if your answers are already here by clicking labels under posts, links in posts, archives at right, or in the Fitness Fixer Index.
Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books. Get certified - DrBookspan.com/Academy.
Fast Fitness - Built in Upper Body and Core Exercise Carrying Children
Friday, May 29, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - get better exercise and stop aching back and shoulders when carrying children (or anything else) in backpack carriers or by piggyback:
Put on the carrier (and baby for a fun practice ride or use groceries, etc). Look sideways in a mirror.
See if you round your upper and or lower back forward. See if you lean your upper body backward under the weight. Notice if you increase your lower spine inward curve, are tilting the hip out in back to hold up the carrier.
Straighten upper and lower body segments. You will feel a strong pull on your abdominal muscles when you reduce overarching in the lower spine and prevent leaning the upper body backward. You will feel an upper back workout when you don't lean or round forward.
Use straighter positioning all you can:
It may be "natural" to try to offset loads by hunching and contorting your body, but it still hurts.
Overarching the lower spine makes carrying feel easier because it shifts weight to the spine joints (facets) and surrounding soft tissue, and off the ab muscles. Rounding forward feels easier as it shifts weight to the discs and off the back muscles.
Get more exercise and less joint trauma with neutral posture.
Looking downward with good neck dynamics: Holding healthful position does not mean never look up or down to see where you are going. It means to get natural, built-in upper body exercise, burn calories, and enjoy your time going places with the kids - Tax Preparation Health
Read success stories of these methods and send your own. Questions come in by the hundreds. I make posts from fun ones. Before asking more, see if your answers are already here by clicking labels under posts, links in posts, archives at right, or in the Fitness Fixer Index.
RSS feeds are still going down - Click "updates via e-mail"(under trumpet) upper right. See Dr. Bookspan's Books. Get certified - DrBookspan.com/Academy.
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.
---
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.
Fast Fitness - Add Balance, Stability, and Portability to Military Press - Handstand Pushups
Friday, April 17, 2009
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Fast Friday Fitness - If you like lifting weight overhead for upper body strength, you don't need to wait to go to a gym, or to get weights or equipment.
Get more exercise, practice balance, and shoulder and arm stability, with handstand dips:
Do a handstand against a wall. An easy way is to stand with your back about a foot or so from a wall, crouch down and put one foot, then the other, high on the wall.
With good judgment, do upside down pushups (dips).
Vary the depth of each dip, speed of each, speed you can do a number of dips, and distance of your hands from the wall to vary the exercise.
Robert Davis sent in his video of how to do handstand pushups. Blogger is still having trouble uploading visuals. Click this link to watch it:
he writes, "I replaced the military press with this. It is portable for one! Ever notice how pronounced male gymnasts shoulders and arms are? They do things like this:) "
Robert was a weightlifter who hurt his back with conventional lifting (bad bending and overarching the lower spine). He rehabbed quickly with Fitness Fixer techniques and has been sending in his success stories one after the next. He writes:
"This was not a very problematic exercise as I had been used to destroying my shoulders with mega high weight LOL. But this is different because of the engagement of muscle groups that control stabilization.
"But yeah, I have been doing that in place of military press and see how it is more beneficial as the stabilizers have to kick in more then being benched or using a machine.
"Once again thank you and I think people should really listen to you. I am glad I did because I have no need to go in to get scanned or be told I need surgery or something silly ;)
"Like I said I am not into pro body building, I just did it to stay "fit" and look fit as I thought it was. But after going thru this, it is not all that functional to pound out reps of heavy weight and not be able to do a plank or walk/sit straight. I lifted enough just to have "lean muscle" but not to be huge. But I realize now this is easily done safely with your methods and I do not need a gym."
--- Read and contribute your own success stories of these methods. Before asking questions, see if your answers are already here - click labels under posts, links in posts, archives at right, and the Fitness Fixer Index. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. For answers to personal medical questions - Replies to Medical Questions. Limited Class spaces for personal evaluation. Top students may apply to certify throughDrBookspan.com/Academy.See Dr. Bookspan's Books. ---
Fast Fitness - Hip Stretch and Spine Stability Training When Stretching Legs
Friday, January 16, 2009
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:
Keep your standing leg straight. Don't bend at the knee and hip, as pictured.
Don't round your back or let your pelvis and hip round under you, as pictured.
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.
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.
Have The Fitness Fixer e-mailed to you, free. Click "updates via e-mail" - Health Expert Updates (trumpet icon) upper right column.
FDA Orders Suicide Risk Warning for Common Back Pain and Migraine Drugs, and Others
Tuesday, December 16, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
The FDA issued a public health alert today based on their review of 199 clinical trials. Specific drugs for epilepsy and psychiatric disorders are often prescribed to patients with migraine, back and body pain. The FDA review was released last January, and showed that patients taking those drugs had "almost twice the risk of suicidal behavior or thoughts than patients taking a placebo."
One of the drugs on the warning list is Neurontin (Gabapentin). Patients with back and various nerve and diabetic pain are commonly prescribed this drug. More drugs on the list are frequently prescribed for fibromyalgia and other pain: Lyrica (Pregabalin), Topamax (Topiramate), Celontin (Methosuximide), Felbatol (Felbamate), Zarontin (Ethosuximide) and others.
Here is a list of the medications required to add the warning:
* Carbamazepine (marketed as Carbatrol, Equetro, Tegretol, Tegretol XR) * Clonazepam (marketed as Klonopin) * Clorazepate (marketed as Tranxene) * Divalproex sodium (marketed as Depakote, Depakote ER, Depakene) * Ethosuximide (marketed as Zarontin) * Ethotoin (marketed as Peganone) * Felbamate (marketed as Felbatol) * Gabapentin (marketed as Neurontin) * Lamotrigine (marketed as Lamictal) * Lacosamide (marketed as Vimpat) * Levetiracetam (marketed as Keppra) * Mephenytoin (marketed as Mesantoin) * Methosuximide (marketed as Celontin) * Oxcarbazepine (marketed as Trileptal) * Phenytoin (marketed as Dilantin Suspension) * Pregabalin (marketed as Lyrica) * Primidone (marketed as Mysoline) * Tiagabine (marketed as Gabitril) * Topiramate (marketed as Topamax) * Trimethadione (marketed as Tridione) * Zonisamide (marketed as Zonegran) Some of these drugs are also sold generically.
I will be covering migraine and other headache in the future. Instead of drugs to mask back pain, neck pain and various musculoskeletal and nerve pain, fixing the cause is healthier than drugs. By no longer injuring the area, the pain will stop and the area can heal. It is not matter of choosing between pain and often worse problems from the treatment.
To stop common causes of pain, and the need for drugs, start with these:
Health&Fitness - How To Be Healthy Happy and Fit For The Rest of Your Life. THIRD edition.
The Ab Revolution - No More Crunches No More Back Pain THIRD edition.
---
Questions come in by the hundreds. I make posts from selected ones.
See if your answers are already here - click Fitness Fixer labels, links, archives, andIndex. For personal medical questions - Replies to Medical Questions. Read success stories of getting off pain medicine using healthy methods instead. Limited Class space for personal feedback. Certification for top students throughDrBookspan.com/Academy. More in Dr. Bookspan's Books.
Vertebral Artery Compression, Dizziness, Discs, and the Forward Head
Tuesday, December 02, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
I received an e-mail from Serbia. Miroslav had suffered eight years of dizziness from compression of the vasculature and nerves of his neck. Then he found how to prevent the bad position called "forward head" using my methods. Miroslav had previously read various sources promoting the often-repeated bad advice to bend the neck forward as a the way to make space for the nerves that exit the back of spine. A little knowledge is a dangerous thing. That kind of forward bending is not a healthy way over the long term.
Bending the spine forward pinches vertebrae closer in front and farther apart in back, creating unequal pressure that over time, wedges and squeezes discs rearward and outward, like squeezing a tube of toothpaste. A disc nearly always bulges (herniates/moves/slips/migrates/extrudes) toward the back of the spine out the enlarged space, from years of the bad posture of sitting and standing with a rounded/bent forward spine.
Sitting and standing straight would make more space for the nerves without the herniating force. Miroslav also had a forward head as a regular posture, also called "straightening the cervical lordosis." He had been flexing his neck (bending forward) trying to fix his various numbness and pain, and wound up compressing verves, blood vessels and other structures.
Miroslav wrote in one of his blog posts that he was practicing Alexander technique for the previous few weeks, "as specified in Richard Brennan's book /head up and forward." After getting worse and trying various doctors and cures, Miroslav found my web site. He wrote:
"Dear Dr Bookspan, "I have found Your articles online and they have been extremely helpful. I just wanted to say that I appreciate Your work immensely. Few last articles I wrote on http://cvelee.blogspot.com/2008/11/quick-solutions.html regarding my problem and how You have helped me. If You have time, you can catch a glimpse of them. "With respects, "Miroslav Cvetinov"
Here is the post from his blog:
"Q u i c k s o l u t i o n s
"I am strong opponent to quick solutions to many of our everyday problem, whether money or health related. In such manner, I didn't expect my dizziness to disappear over night without trace.
"I had it since 2000. So 8 years before, they did everything necessary to rule out other diseases : EEG, Dopler, Blink reflexes, Evoked potentials... everything clean.
"In 2007. dizziness worsened so neurologist sent me to do endocranium MRI/MRA. Totally clean: no lesions whether white MS or atherosclerotic, balanced blood flow...
"2008. I have found article from Dr Jolie Bookspan, describing forward head posture and neurological deficits. I did have extremely straightened cervical lordosis, so I qualify for FHP. I started practicing healthy head postures : head back and FLEXION.
"I always thought that neck flexion was the key to healthy disc, because it opens neuroforamen, and that that degree of neck flexion wasn't possible without FHP. But, guys, I am physics scientist, I do not know how did it miss me : head-neck system has 5 degrees of freedom. I could pull it back, yet keep healthy degree of flexion. Just think of extending back of the neck while shortening front portion of it. That compulsive strengthening of SCM muscles I did, didn't do me any good, but...
"Anyway, MY TREMENDOUS DIZZINESS DISAPPEARED IN A MOMENT!! MOMENT, not day, not week, immediately. How? I do not know! I do not care! Thanks Dr Jolie.
"I can look over my shoulder while walking now. Easily without dizziness, loss of balance and lightheadedness. This it totally new.
"I have to give credit to 2 doctors more: 1. Dear ENT Vukoja Novak - he was the first one out of many doctors to tell me that if I consider it real, organic disease and not anxiety/panic related, I should check out carotid arteries on Doppler and cervical spine on roentgen. Latter revealed disk degeneration and straightened lordosis. He was the first to point to the spine. 2. Dr Mijanović - While doing EMG, he told me that tongue is clear except huge amount of hyperexcitability and asked me to check out something serious and real. I suggested left arm, with disesthesia running in C6 dermatome. He asked me about dizziness, I told him " I do have it, a lot of it, but dear doctor, I have panic disorder and somatoform disorder. It is due to this.". After poked me with a needle in left deltoid he immediately said "I can assure you, your dizziness are due to your spine."
"So, now I know. Not that it was spine, it can be cured in a moment:)"
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.
Photos are still not loading. We didn't expect the problem to persist this long. I have been working extra to write posts not relying on images to explain concepts and techniques. Click the October link to see the photo of the board that loaded before this problem began:
Take the board you made, or make one now.
Hold a pushup position with feet on the floor and both hands on the board.
Balance the board and hold your pushup position. Then try pushups. Then try deliberately tilting the board to each direction while you hold your body stable. If you built the chutes with clay strips (or other creative ideas) use your hands to rock the board to direct the marble while holding your body stable in plank (pushup position). Work up to doing push ups that way.
Hold neutral spine instead of letting your lower back arch and sag:
Want more? Prop feet up on a bench or wall or other height, and both hands on the board. Want lots more? Use one device for your arms, and one for your feet.
---
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.
Fast Fitness - Easy Handstand for Balance, Upper Body Strength -The Movie
Friday, May 09, 2008
Jolie Bookspan, M.Ed, PhD, FAWM
Here is Friday Fast Fitness - a quick, safer way to try a handstand. Standing on hands has many health and strength benefits and can be easily practiced in this way.
My student Dennis, Olympic medalist in wrestling, demonstrates in this short movie. Click the arrow to watch the movie:
Stand with your back about a foot in front of a wall, and crouch to put your hands on the floor (avoid slippery surface)
Put one foot high up on the wall, then lift the other foot up too
To get down, step one foot back down, then the other
Keep breathing. Smile. Relax. Send in your own photos of trying this. Be safe and have fun.
When you stretch and exercise, especially if you stretch and exercise to improve your health, remember that the purpose is not to recreate unhealthy movement habits.
Two similar letters came in recently.
Reader Tina wrote:
"Thanks so much for your posts on stopping upper back pain. I have stopped my upper back pain. But, when I pull my neck and shoulders back, I get pain in my lower back. Which stretches should I do to stop this pain?"
Alicia wrote:
"I recently stumbled upon your articles on the Internet about how to reduce back pain. Thanks so much for providing this information! I am experiencing less pain for sure already… but I have a question. When I am keeping my neck back and shoulders back and correcting the lower back arch, I get a pinching sensation in the middle of my back. What am I doing wrong?"
Tina was doing a common unhealthy movement habit. She didn't need stretches to fix the pain; she needed to stop old injurious movement habits. Tina was leaning her upper body backward thinking she was pulling her shoulders back. Leaning backward is not correcting rounded forward shoulders, even if it seems to move the shoulders rearward. The shoulders have not moved at all just stayed rounded while the upper body pinched backward at the lower spine.
The photo at left is a performer who had just finished a trapeze performance. All the exercise and stretching she did every day didn't change her bad positioning habits.
Leaning the upper body backward (shown in the photo, left) increases the inward curve of the lower back, making a sharper angle between the pelvis and the lower spine. That increases the normal lordosis (inward lumbar curve) to hyperlordosis (too much inward curve as in the photo), which put painful pinching compression on the area. Look at the strip on her leotard. It tilts forward at the front hip and back at the back of the hip. It should be straight up and down, which is part of holding neutral spine.
The photo also shows shoulders and upper back rounded forward, and the neck and head jutting forward.
Slipping into familiar unhealthy ways of moving may be habits that occur without thinking. You need to think a bit.
Alicia was just pulling back so tightly that she pinched the area between the shoulder blades. There are sources that say that you should squeeze shoulder blades as if holding a penny between them to fix posture, but of course, that is painful and too tight.
Alicia wrote back:
"Thanks! That helps actually. The pinching was in my upper back, but it's gone now! Thanks so much for responding to me. I look forward to your class in July. Alicia"
Pinching back does not fix posture or stop upper back pain. Instead, stop the causes of the rounded shoulders and the pain.
What To Do
Three short articles show how to understand and fix the causes:
Prevent Back Surgery shows several photos of how people learn the upper body back or tilt the hip out in back during several common exercises, stretches, and daily activities. Both increase the pinching compression on the lumbar spine.
Remember to think and watch for causes instead of going through the motions of exercises and stretches.
--- 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 or RSS, upper right. For personal medical questions - Replies to Medical Questions. Limited Class space for personal feedback. Top students may earn certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
Taxes are due April 15th. Piles of papers, forms, schedules, receipts. Readers have asked how to be healthier while working at the desk, and how to keep their cool during tax preparation.
Several readers asked how to stop neck pain when looking down over deskwork. Reader John M, specifically asked "How do you suggest someone look down (to look at a chart etc at work) without pushing the (herniated neck) disc out more (or aggravating symptoms)?
Three photos above show tilting the neck forward and/or jutting the chin forward. Holding the head forward of the neck and body is a major source of upper back and neck pain. The "forward head" is hard on the soft tissues, the joints of the vertebrae called facets, and the discs of the neck, and is a major overlooked cause of "upper crossed syndrome." The forward head is just a bad posture, and easy to stop. It is not necessary to jut the neck or chin forward to look downward.
Check how you are sitting right now. Are you letting your neck hang forward, are you jutting your chin forward, or are you pushing or rounding your neck and upper body forward? Instead, keep chin in, loosely and gently. If needed, bring your chair closer in closer to the desk and lean the upper body back instead of rounding your lower back against the chair back and leaning the upper body forwad.
To look down comfortably - tip chin down in relaxed straight position instead of jutting the head and neck forward. That is healthy positioning for everyone - injured or not. No need to lean or hang the head or neck forward, or round your upper back to look downward.
More Fitness Fixer with quick techniques to feel better during desk work:
Read inspiring success stories of these methods and send your own. Before asking questions, see if your answers are already here by clicking labels under posts, links in posts, archives at right, and The Fitness Fixer Index. For answers to personal medical questions - Replies to Medical Questions. Subscribe to The Fitness Fixer, free. Click "updates via e-mail"(under trumpet) upper right. Limited Class spaces for personal feedback. Top students may apply for certification throughDrBookspan.com/Academy. Learn more in Dr. Bookspan's Books.
---
Forward head photo 1 by Kevin K. Luu Forward head silhouette photo 2 by äÁǻǵ Forward head writing at desk photo 3 by My Hobo Soul Straight good cooking posture photo by Presta
How many of you caught that the photo in the Fast Fitness post - Fix Positioning by Watching Others is of terrible body positioning that is a common source of upper body pain and injury?
I received letters asking about the photo. Several readers did not catch that the reason for the photo was that both people were standing in terrible rounded forward posture. Some readers thought the photo was not of bad posture, but showed people with interest in the game or that they way they were standing was a needed position to see the ball.
It is a harmful body position called forward head and round shoulders.
The rounded and tilted forward position of the upper back, neck and head is a bad positioning that is a major cause of:
Upper back pain sometimes called Upper crossed syndrome
Look in your fitness magazines and videos and look around during fitness classes and the gym to see if you can see the forward head and a rounded upper body. It's a handy reminder that it is not healthy, and to exercise in better, healthier ways.
If the above photos don't load, try:
