Tag Archives: low back pain

Fitness Guru : Spare your spine with smart core core work

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Plank with shoulder abduction- an example of a smart core exercise that spares the spine and creates “core stiffness”.

When you’re working on your core, choose exercises that enhance spine control and increase muscle endurance. Don’t make the mistake of using only exercises that move the spine, like sit-ups or roll-downs.

Social media is loaded with core workouts, but are mostly concerned with having ripped abs, and often ignore the real role of the core. Consider training the core differently than you might have been coached or are used to, in that you want to limit spine motion.

Your spine is very different from every other joint in your body, as it allows both movement and stability. The spine allows for tremendous mobility, as it has 33 individually stacked bones, each separated by a disc. But the spine is not a free-standing pillar. Rather, it is more like a radio tower composed of guy wires to stabilize it. The function of these guy wires is similar to that of the numerous muscles and ligaments that wrap around our spinal column: They provide tremendous strength and support, notes Dr. Stuart McGill, one of the most widely acclaimed spine researchers in the world.

Each muscle of your core, all 29 of them, must provide a certain amount of tension and stiffness for the spine to remain strong and resilient. It’s not that spine movement is bad, but we want to limit it when lifting or loading a flexed back. You’ll diminish chances of your spine buckling or getting injured by incorporating spine stiffness in your core work.

I’ve worked with numerous athletes who appear strong, yet when it comes to performing functional strength moves, their core foundation is actually quite weak. Elite athletes all over the world all rely on core stiffness as the center of power. Enhance your overall core strength and posture by sparing excess bending of the back, in your core work, and throughout the day.

Pallof Press with isometric hold

The Pallof Press starts with a load held isometrically at arm’s length. In this move, using a cable machine, the arms extend and retract throughout the movement, gradually changing the length of the lever arm, then adds a 2- or 3-second isometric hold. A top-notch move, this exercise increases the involvement of the stabilizers of both the shoulders and the core. The Pallof press is an excellent example of multiplanar core movement, unlike the days of only training muscle isolation.

  • Preset the cable’s line of pull to shoulder’s height and set the weight to a reasonable resistance.
  • Stand on one leg, perpendicular to the cable line of pull.
  • Grasp the handle with both hands and hold in front of the chest.
  • Brace the core , depress the shoulders, and extend the hands in front of the body and back toward the body. 8-12 reps; adding a 2- to 3-second hold at full arm extension.
Pallof Press, using a cable machine; standing on one leg. There are many variables in this move, such as performing it in a kneeling position, or in a neutral stance.

Stir the Pot

  • Start in a plank position, with your forearms securely resting on a physioball, hands flat.
  • Brace the core, and extend the arms out and away from you, and back again, as if you were stirring a big spoon in a pot.
  • Circle the ball in one direction for 30 seconds,
  • Rest, and circle the ball in the other direction for 30 seconds.
Stir the pot. Variables include making bigger circles with your arm drive, or “shaking” the ball back and forth.

Published in The Idaho Mountain Express, November 15, 2024

https://www.mtexpress.com/wood_river_journal/features/fitness-guru-spare-your-spine-with-smart-core-work/article_9970b89c-a208-11ef-a9be-5f37a072142a.html

Break old habits to fix an achy back

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Healing a sore back requires breaking some old habits and forming some new ones, says Dr. Stuart McGill. If you’re living with an achy back, getting your swagger back, as McGill, the most recognized spine researcher in the world, states, is different from a knee or shoulder problem. The knee and shoulder, particularly in the early stages of rehab, both do well with full range of motion exercises—think of arm circles. Fixing your low back pain is different and more nuanced, as your spine needs stability, not excess motion. This means that you don’t want excess curves in the spine. A goal for a healthy back is to maintain a neutral spine position during your prescribed program, as well as in daily activities.

The emphasis throughout the day and during workouts is to focus on proper spine stability, rather than more movement in the lower back. Do you slouch when you sit or have too much curve in your lower back while standing? Do you bend over to lift a large object, which is problematic for the posterior back disks? Poor movement habits, repeated throughout the day, can result in a sore back. Stretching and strengthening are important, but not the whole answer. A key to a healthy back is retraining how you position your back during activities, lessening excess spine curves.

Move mindfully with the abdominal brace

McGill likens the abdominal brace as a mild contraction of the abdominals as though you are preparing to get punched in the belly. But it’s not in extremes, like “sucking them in.” Like a dimmer switch gradually adjusts light levels in a room, the abdominal stiffness during your activities isn’t an on/off switch, but works in relationship to what you are doing. You would use less ab bracing during walking and more for lifting a heavy object, for example.

Wall test for excess low back curve

Photo by Connie Aronson
Try the wall test to check for excessive lumbar curve

The abdominal muscles connect your ribs to hips along the front and sides. When you use your abs, they pull the ribs and hips closer. When you stand up, for example, and don’t use your abs, you allow your ribs and hips to be too far apart, creating back sway. Over time, this can contribute to movement flaws, soft tissue stress, or disc problems.

If you can’t stand back with your back against a wall with your heels, hips, upper back and the back of your head lightly touching, without arching your back, you probably have weak abdominal muscles. Remember, our goal is to reduce the excess curves of the spine. Try this test at home.

• Stand with your back to a wall, with heels, butt, shoulders, and head comfortably touching the wall.

• Keep your feet in a neutral position and legs straight.

• Have a friend place a hand behind your low back, or use your hand.

Results: If you can put your whole hand behind the space in the lower back, you have too much back sway.

Ideally, if you know how to brace your core, you wouldn’t be able to put your hand behind lower back !

If you can only get the first knuckle in your hand behind the lower back, congratulations, you have excellent abdominal bracing skills!

https://www.mtexpress.com/wood_river_journal/features/fitness-guru-break-old-habits-to-fix-your-achy-back/article_b0a8b022-b336-11ed-9db5-5b0e14ef4dc1.html: Break old habits to fix an achy back

Five everyday movements you need

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Good habits contribute to optimum health. When it comes to your health, preventing injuries in any sport or activity you enjoy is crucial. No one likes being injured. With a New Year fast approaching, here are five injury-preventing moves to help you get fit without getting hurt. Whether you are a seasoned athlete, or just want to stay in shape, incorporate these moves into your day.

Activate the Core

Include daily core exercises! The core muscles help stabilize the spine and support movement. The following 2 core exercises activate the core in different ways to help initiate all movement, and contribute to strength capacity.

Side Lying Hip Lift

Side Lying Hip Lift -The core muscles help stabilize the spine and support movement.

• Lying on your right side with knees bent (or straight for advanced variation), place right elbow under right shoulder. Push shoulder away from ear to engage shoulder girdle ) .

• Avoid letting rib cage slump toward floor; maintain natural curve of spine.

• Exhale and lift right hip off of floor, and hold for 3 counts.

• Slowly lower to start. 10-12 reps. Switch sides

Heel-on-Toe Crunch

• Begin with your legs straight, left heel on top of right foot.

• Bring left hand behind your head for support, and lift right arm straight up from shoulder.

• Curl up, raising head, neck and shoulders blades off mat, tightening abdominals.

• Slowly return to start position. 10 reps. Switch sides.

Stretch tight hamstrings

Stretch tight hamstrings -Photo by Connie Aronson

Tightness in the back of your legs may be a sign of instability in your core, causing the leg muscles to overwork and shorten. As well, hamstrings are an important muscle to stretch if you have back pain, as they attach to the pelvis, which attaches to the back. An excellent move to ease the tension and strengthen your torso is the inverted hamstring stretch. This move engages your core muscles to help keep you balanced.

• Stand on your left leg with your arms extended to the sides.

• Extend your right leg behind you while hinging your torso forward, keeping your back straight, and slowly return to standing.

• Do 5 reps each side

Foam Roller Alignment

Foam Roller Alignment- Photo by Connie Aronson

We’re all guilty of bending forward while scrolling on our phones, resulting in a “forward head.” For every inch that your head is forward there’s 10 more pounds of pressure on the neck. Reset your alignment by lying on a foam roller.  Lengthening the lumbar erector spinal muscles helps encourage neutral alignment.

• With your knees bent, lie on a roller, head supported and neck in a neutral position.

• Tighten the abdominals.

• Gently roll side to side for 20-30 seconds

The Sock Test

Losing your balance as you get older is no joke. Research has shown that the ability to stand on one foot drastically decreases after the age of 60, along with a rapid increase of falls and injury. The ability to stand on one leg is imperative for gait and function.

The sock test takes the move a step further, and is a fun challenge to build strength capacity and balance.

• Holding a sock, stand on one leg, knee slightly bent.

• Bring your leg up towards you as you put your sock on

• Lower the leg to the floor and repeat with your left foot.

Include these movements, everyday, if you can, to stay fit and supple. Happy healthy New Year!

https://www.mtexpress.com/wood_river_journal/features/fitness-guru-five-everyday-movements-you-need/article_35aaaaf4-86d3-11ed-83e5-6b842192aaff.html

Why you need to stretch your hamstrings

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Tight hamstrings are all too common, as is forgetting to stretch

Does it feel awful when you bend over to touch your toes? Many of us also become acutely aware of tight hamstrings when they cramp, hurt or when we experience back pain. Tight hamstrings are all too common, as is forgetting to stretch. Even if you are devoted to daily hamstring stretching, you still feel as if you’ve made little progress. Quite often the culprit can be attributed to weak gluteals, or “gluteal amnesia.” Gluteal amnesia is when your glutes aren’t firing, and the hamstrings have to work overtime, causing further cramps or strains. Any weakness in the gluteus max can contribute to common dysfunctions such as lower back pain along with knee pain.

Use a two-part plan in stretching your hamstrings. First, strengthen your glutes, followed by stretching your hamstrings. The hamstring group (semimembranosus, semitendinosus, and the biceps femoris) starts at the butt bone and runs down the outside and inside of the leg and attach to the lower leg. These muscles have two important real life functions. First, they help side-to-side alignment of the knee, as these muscles are like a guyline from the base of your pelvis, down the back of the leg, and knee. When you touch your toes, the hamstrings stretch, but more specifically, the lengthening under tension controls the inward or outward rolling of the knee. The hamstrings also act as a big crane to slow down your trunk as you lean forward to touch your toes, thus sparing compression forces on your lower back.

Incorporating both glute strengthening exercises, and isolated hamstring stretching into your routine can help make the way down to touching your toes feel good, as well as combating pain and cramping issues. Here is a daily sequence to incorporate:

Butt lift over ball- a great gluteal strengthener
Standing hamstring stretch. Place your right leg up on a chair or bench, keeping your leg straight and both feet aligned straight. Pull the right side of your pelvis back and away from the right foot. Flex your foot. Rotate the torso to the right by reaching the left hand over the right knee, and vice versa when stretching the left leg. Tip: Actively contract the quadriceps throughout this stretch to release the hamstrings. Hold for 20-30 seconds. Repeat 3-4 times.
Doorway stretch. This is a great home stretch, as you perform it lying on the back, even as you watch TV. Place your foot up on the corner of a wall or on a door- frame. While in this stretch aim to keep the leg straight.
This is a great home stretch for your hamstrings
PNF stretch with strap. Lying on your back, place a yoga strap or stretch strap around your leg. Straighten your leg up toward the ceiling. While in this position contract the hamstring by attempting to lower the leg back toward the ground as the strap resists the motion. Then relax the hamstrings and apply a 10-second stretch by using the strap to pull the leg closer toward the chest. Repeat three times and end with a 30-second static stretch. Tip: Ideally, your leg should go vertically upwards without pain for good flexibility.
PNF hamstring stretch with strap

Published in The Idaho Mountain Express 9/9/2022

https://www.mtexpress.com/wood_river_journal/features/fitness-guru-why-you-need-to-stretch-your-hamstrings/article_9bee2960-2f05-11ed-8cc5-3729101fea72.html

Fix your low back pain with better body mechanics

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Too much sitting is hard on our bodies and can add to the prevalence of low back pain. Twenty-six bones make up the spinal column with three gentle curves from top to bottom. For many with low back pain, the cumulative effects of constant or repeated small stresses over time, like sitting, result in back pain. Too much sitting, combined with faulty posture, can flatten these curves over time. The spine is designed to function best as a weight-bearing structure, with the lumbar curve in a neutral position. Sitting rounded, or slumped in a seat, multiplies damaging pressure on lower back discs and soft tissues. Another concern is that prolonged sitting chronically shortens the hip flexors. Once again, too much sitting, prevalent in our modern age, has other drawbacks and can cause secondary health concerns, such as high blood pressure and increased risk for diseases like diabetes, obesity and cardiovascular disorders.

The good news is that low back pain can dissipate. Body composition, strength of the core musculature and faulty movement patterns are all potential cause of low back pain. Most back pain is easy to reverse; the secret is addressing common musculature imbalances. Too much sway or arch in the lower back, too much bending, weak or overstretched muscles, or poor posture are contributing factors that can be corrected to ensure a healthy back.

If you are in pain, but not dealing with diagnosed or undiagnosed medical issues, nerve impingement, or traumatic injury, you fall into the category of mechanical low-back pain.

Faulty Movement Patterns

The easiest way to fix your own pain is to correct faulty body mechanics. We know we shouldn’t bend wrong, but we do. We bend over wrong picking up laundry, petting the dog, making the bed, or looking at a phone. We work over our desks, drive and ride bent forward every day. Look around the gym and it’s a minefield of bent backs. You’ll see people lifting weights bent over, and bend over wrong to place them back on racks.

Integrated Core

The spine is at its strongest, most resilient and most supported position when it is in a state of muscular and skeletal balance, and in a neutral position.

The abdominal brace is an important way to use the core to find neutral position. Bracing, says Dr. Stuart McGill, a leading spine researcher, is a different concept than that of simply holding in your stomach, or “pulling your belly to your spine.” Rather, it’s mild contraction of the abdominal muscles, as though you are preparing for a punch in the mid-section. In his book “Back Mechanic,” he asks his back patients to gradually adjust the amount of contraction to find the optimal stiffness, much like how a dimmer switch gradually adjusts light in a room. Whether you are sitting, walking, or are a high-performance athlete, all movement is orchestrated from this fine-tuned control of the core.

Next time you pick up a package, try to brace your core, hip hinge, and use your gluteus muscles, which help extend the hips to assist in standing up, sparing the lower back from over-use.

Self-Test

Here’s a simple test to see if you have neutral spine alignment, or back sway. Stand barefoot with your back to the wall, with heels, butt and shoulders against the wall. Then try to place one hand, palm down, behind your lower back. If the space is up to and in-line with your second knuckle, you have neutral pelvis. Normally the pelvis is rotated approximately 10 degrees. But if the space is large enough for your whole hand, you have a deviation, an anterior tilt of the pelvis called lumbar lordosis. Tilt the pelvis posteriorly by bringing the front of your waistband up to learn neutral, engaging the core.

Connie Aronson is an ACSM Exercise Physiologist and Corrective Movement Specialist (TBBM-CES) Visit her at www.conniearonson.com and

Instagram @conniearon

https://www.mtexpress.com/wood_river_journal/features/fitness-guru/article_9e3c776e-e5b7-11eb-a0ba-5730f013cbf7.html

Fix your pain with self-myofascial release

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Tennis ball rolling can improve flexibility and restore movement function

If you feel sore and stiff, you might want to consider foam or ball rolling. Whether you’ve skied too hard, or overdone any activity, you can fix your post-exercise pain with a technique called self-myofascial release. Rolling can improve flexibility, restore movement function and help with delayed onset muscle soreness. The technique also relaxes stored tension in the muscle and releases endorphins to help reduce pain.

Combining rolling an area of muscle with an immediate stretch for that particular muscle is the best strategy for fixing tight, sore muscles. Research shows a greater improvement in joint range of motion compared to stretching or foam rolling alone.

It may sound technical, but self-myofascial release is really a simple concept. Myofascial refers to muscles and fascia; the prefix myo means “muscle.” Self-myofascial release is basically massage, where external pressure is applied to sensitive areas in the muscle, which are either tight, inflexible, knotted or contain scar tissue. The sustained pressure stimulates circulation to the area and increases flexibility.

There’s a reason muscles feel tired and tight either from doing too much or doing too little exercise. The benefits of exercise are myriad, but there is a downside of repeated loads on the body: microscopic damage in muscle and fascia. That typically results in sore or tight muscles, or diminished movement quality. Massage and trigger point therapies by clinicians can help, but you can also fix your own pain at home with a roller or balls.

There are two kinds of self -myofascial release techniques: general and specific. General involves using a foam roller for larger muscles, such as the front thighs. More specific would mean working on your calf or foot, where tennis balls, golf balls, baseballs, or other massage tools can pinpoint a precise area of muscle. The specificity of using a tennis ball is also practical if you’re traveling and can’t take a foam roller along with you.

Rolling and athletic performance

The influence of rolling on athletic performance remains unclear. A review of nine studies reported no change in vertical jumps or multi-directional sprints. In another study of 24 athletes published in the Journal of Strength and Conditioning Research, joint range of motion increased but power and agility declined after five minutes of rolling. For pre-event warm-ups, the recommendations are not to roll for more than a minute to prevent power loss.

How to roll

For the rest of us, at present there is little concern regarding how long you roll. Research suggests five seconds to three minutes, or three sets of thirty seconds on each area in need. Once you find an area in the muscle that’s restricted and tight, take your time to explore the tight spots with either a roller or a ball. Try to relax to allow the hormones to release into your body to encourage further relaxation.

Watch the link for an example of neck myofascial release combined with a neck stretch at

vimeo.com/516004574.

https://www.mtexpress.com/wood_river_journal/community/fitness-guru/article_ac72a5dc-77bd-11eb-8267-ebbc34eee6d4.html

The Dead Bug, aka Happy Baby, is a core move you should be doing

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The Dead Bug helps train the core muscles to be strong and enhance spinal stability.

Obtaining a strong core can be surprisingly easy. Even better, there are excellent exercises that you can do lying on your back, using a simple band as a progression. One of the best exercises taught by strength and team coaches, yoga teachers, Pilates instructors and the sports medicine community is the Dead Bug, also known as Happy Baby. The base move is an isometric bracing action, as if you’re readying to take a punch to the belly, which promotes core stability and strength in your torso. Progressions or regressions are then tailored to your abilities and fitness level.

In Dead Bug, the reciprocal arm and leg patterns, like a dying bug on the ground, resemble motor skills like walking, running and swimming. (Or a happy baby lying in a crib, arms and legs akimbo)

The key muscles you work during the Dead Bug primarily focus on the core musculature, the powerhouse of the body. Picture the muscles forming its structure of floor, walls and ceiling. This includes the erector spinae, the deep low back muscle known as multifidus, hip adductors, rectus abdominus and the internal and external obliques. Exercises like this enhance spinal stability by training the deep postural muscles that protect you while you play the sports that you enjoy. Core stability, or trunk stiffness, allows you to transfer force to your limbs so that you throw, strike, kick, push, swing or run better. In other words, all motions are generated from the core and are translated to the extremities.

Our nervous system prefers to move with the most efficiency at all times. If your core is weak, most likely your brain will want to make it easy for you, and compensate. But over time, the compensation will create greater degrees of wear and tear. For example, slouching and leaning on handles on a stair climber or treadmill will make it much easier. But the wear and tear is more likely to be around your neck and shoulders. This can result in even worse posture, as a weak core encourages slumping, which tips you forward and off balance.

It’s often thought that repetitive flexion and extension exercise, like the good old sit-up, are a good way to train the core. But these muscles are rarely used in this way because they are more often used to brace while stopping motion. Researchers found that disc injuries can develop through even low-compressive forces with excessive bending and extending. An isometric exercise like the Dead Bug helps train the core muscles to brace under heavy loads, which helps stabilize the spine and in turn prevents buckling.

Dead Bug/Happy Baby

Start by lying on your back. Your spine should not be arched or flattened. Draw the abdominals in to assume the neutral position.

Reach your arms up. Lift your legs off the floor, holding a 90-degree angle at your hips and knees.

Move your arms back and forth (like a baby reaching up to play with a mobile) Duration: 30 seconds. Progression: Extend your arms and legs towards the floor, creating longer levers to increase the level of difficulty. Click on the video to see more progressions: vimeo.com/389162099.

https://www.mtexpress.com/wood_river_journal/features/fitness-guru/article_9d47b746-490b-11ea-8988-9fc27539e035.html

Connie Aronson is an ACSM-certified exercise physiologist at the YMCA in Ketchum. Learn more at www.conniearonson.com.

Fix your back pain; don’t forget your glutes

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Through proper exercise, movement, and posture, you can help low back pain.

Kevin Mullins, a master instructor for Equinox Sports Club in Washington, D.C. understands low-level chronic back pain and found three recurring issues that personal trainers can address with their clients. Excess bodyweight, sedentary lifestyles, and improper exercise selection, are areas a trainer can help a client with, all factors having a correlation to low back pain. It is estimated that over 84 % of the population will experience an episode of LBP, from children to the elderly, at some time during life.

As well, age, stress, occupational factors, lack of flexibility or hyper-mobility, sports, postural habits, and smoking are other contributing factors.

Recovering from low back pain is a long complex road. If you are in pain, but not dealing with any diagnosed or diagnosed medical issue, you fall into the category of mechanical low back pain, or LBP.

Unlike a car, says Dr. McGill, one of the most widely respected spine researchers in the world, where you change one thing and it’s fixed, fixing a back is different. Back pain is more complicated and is much more than just fixing one part. Because, McGill notes, it comes down to cold hard science.

How the  spine functions and it’s relationship the rest of the body is the key to being free of back pain. Through proper exercise, movement, and posture, even disc bulges can be made less painful, and usually pain-free, he notes. 

Of course it’s hard to stick to a program if you are in pain. You lose the very conditioning that could help treat LBP, or even more frustrating, gain unwanted weight.That extra weight is the number one reason clients turn to a trainer, with or without low back pain. Healing starts to occur when you keep the bigger picture in mind; a good diet,adequate sleep, and a matched activity/ training program.

Tip #1 The Big Picture 

A traditional strength training can improve strength and muscle mass. Overall body strength as well as a daily walking regime are important part of a client’s program to become free of back pain.

Tip #2  Bend at the hips, rather than the spine 

There is a direct correlation between posture and pain. You can reduce episodes of back pain by reminding yourself to bend at the hips, which is a ball and socket joint, not the back. The spine does bend, but repeated spine bending, whether it’s picking up a weight in the gym, or swinging a kettlebell, could eventually lead to delaminations in the layers of the discs. Someone swinging a kettlebell, along with their back, instead of stabilizing the spine while doing so, to protect the spine, risks further trauma to an already sensitive back. When you’re performing squats, for example, sink your hips back towards your heels, like sitting onto a low park bench. Keep your eyes forward. Use your hips rather than round your back.

Tip #3  Rethink the core 

To enhance back fitness, you need a strong focus on core strength, as theses muscles play a protective role. The internal and external obliques, transverse and rectus abdominals, and the erector spinae are arranged around the spine and act as guy wires to allow the spine to control movement, bear loads  and facilitate breathing. But all too often you see good athletes and gym members entirely focused on just the rectus abdominis, commonly known as the “6 pack”. If we go back to our car analogy, focusing on only one part won’t solve back pain.

The core musculature extends to the entire body,  from the upper back down to the pelvis, not just the 6 pack.The lats, trapezius, the gluteals, hamstrings, hip flexors and inner and outer thighs all have an impact on the spine. 

Typically what happens with someone experiencing low back pain, is that that pain hasn’t allowed them to adequately train. The outcome is weaker core and gluteal muscles. This is where science comes in.

To see how important the glutes are for strength, try this exercise; Stand on one leg and balance. Then sink your hips back slightly, behind your heel, and see how much more stable standing on one leg feels. This is a great demonstration of the role the gluteals play regarding core strength.

Your progression, with an awareness on good movement patterns, including planks, back rows, squats and bridges, for example, should be aimed at strengthening more and more of your whole body, back to health.

( edited )https://www.mtexpress.com/wood_river_journal/features/fitness-guru/article_d44c4e26-d581-11e9-bddf-b7175436d170.html
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Modernize your workout. Lose a few old popular exercises

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Modernize your workout with safe new moves

You may already lift weights, but is your workout working? What if you modernize a few moves? With the growing prevalence of chronic and overuse injuries, particularly in the middle- age population, you might be ready for safer alternative exercises. In 2013, there were more than 10 million doctor’s office visits for both lower back pain and shoulder symptoms. The shoulder joint and the back are two important areas where the combination of previous injuries and inappropriate exercises can initiate injury, damage soft tissue or exacerbate an existing injury. Behind-the-neck pulldowns and loaded lateral flexion (e.g. dumbbell side bends), once fitness standards, are two examples. Choosing newer, evidence-based alternative exercises can save you time visiting doctors and physical therapists and help you reap better training results.

Be kind to your shoulders

    A traditional exercise is behind-the-neck pulldowns. Forget your old high school training and don’t put the shoulder and cervical spine at risk of injury. It is estimated that up to 70 percent of people have a shoulder injury in their lifetime. Shoulders need the strength and flexibility that allow you to reach, hold, lift, carry, press and pull, pretty much what you do daily. It’s the most movable joint, and very shallow at that. The shoulder joint is a ball-and-socket joint, with the ball—the head of the upper arm—attaching into a small shallow socket (glenoid fossa), giving the joint inherent instability, often described as a golf ball sitting on a tee. The shoulder is also held together with an elaborate system of muscles, tendons and ligaments, including the rotator cuff muscles, which stabilize the joint during all the pushing and pulling activities that you do. Pulling a bar down behind your neck can lead to rotator cuff instability, suprascapular neuropathy and an increased risk of anterior capsule instability.

The same is true of behind-the-neck shoulder presses, with their risk of repetitive stresses on the joint because of the extreme range of motion. Bringing weights down behind the cervical spine causes excessive forward head tilt, or flexion, and has risk, as it could lead to transient upper-extremity paralysis or transient nerve injury. Aim for having your arms 30 degrees in front of you to allow your weights to be positioned in your body’s center of gravity throughout the lifts instead. You’ll have a better mechanical advantage, and better sports specificity.

Best abs ever

    What is the right workout that will preserve your back instead of destroying it? Dr. Stuart McGill, professor of spine biomechanics at the University of Waterloo, thinks that often the causes of back troubles are replicated in the exercises. When it comes to core work, often the public and even personal trainers focus on moves like sit-ups, often loaded with weight, or back hyperextension called ” Superman,” an extended posture that results in intervertebral disk loading. Similar exercises such as Pilates roll-ups or Russian twists, for strong abs, says McGill in his book “Back Mechanic,” put unnecessary loads, compression and strain on the discs. The loaded dumbbell side bend, for example, increases the likelihood of disc herniation.

  Planks and exercises like the framer’s carry improve core stiffness and trunk endurance—much better predictors of low back health. Super stiffness builds whole body stability, while sparing the joints. Splitting wood with an axe is an example that McGill uses as an analogy:  At the instant of impact, a total body “stiffness” is generated by a rapid contraction of all your core muscles, and spares your back. Check out link for safe alternative exercises~ /vimeo.com/251402324
Published in the Idaho Mt. Express January 19, 2018.

Extend your spine~ The Roman Chair for back health

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Our spines need to be subtle and strong

When it comes to musculoskeletal pain, the lower back reigns as king. About 80 to 85 percent of people will experience some sort of low back pain in their life. According to the National Health Statistics Survey in 2012, more than 28 percent of Americans live with lower back pain. Back troubles are the No. 1 reason people under age 45 miss out on activities.

Ironically, most people with low back pain overuse their backs, exacerbating the trouble even more. It’s better to use your legs to bend or squat down, or to use your hips in rotational sports like golf or yoga to spare stresses on your lower back.

Our spines need to be supple and strong, as daily tasks demand that the vertebrae bend, flex, rotate and side bend. The spine does an amazing job of handling loads straight down the back, but over time, poor mechanics repeated hundreds of times in daily life and activities can cause low back pain. Even more problematic is our forward bending posture, especially with aging. It seems we’re all forgetting to stand up and extend our spines. Our preference for slumping, sitting or driving is very hard on our back ligaments, and at worst, it becomes structural, resulting in bad posture or back problems. The end result is that greater compressive forces are placed on the intervertebral discs.

If you go to a gym, there is an overlooked piece of gym equipment to help strengthen your back. Typically used as a place to hang your gym towel, the Roman chair, looking somewhat like a stand, can isolate and strengthen the spine extensor muscles.

Exercises such as squats and deadlifts help strengthen your back, but the larger hip extensor muscles do much of the work. The lumbar extensors, multifidi (the deepest muscles near your spine) and the quadratus lumborum are the important muscles for spine health, as they help provide stability in the area of the spine most prone to injury. Think of your spine as two stacked boxes, called the vertebrae, with lots of padding between them—the discs, where most back problems begin. The natural curves of your spine help the discs cushion compressive forces.

Any exercises you do should keep spine stability in mind, and be done with muscle control rather than momentum. Avoid excessive range-of-motion movements that damage spinal ligaments or discs. End-range extension, or forceful hyperextension, places the posterior elements of the spine at risk of damage, especially with spinal stenosis or sports hernia.

 To use the Roman chair, you lie face-down, with the back of your ankles supported, and your navel in line with the edge of the pad. Round your back over the pad, slowly extend your torso parallel to the floor so that you are horizontal from your heels to head, hold for one second and lower for three seconds.  ( View video IMG_3055 )
Published in the Idaho Mountain Express June 30, 2017