WHY IS STRETCHING AFTER WORKING OUT IMPORTANT?

A: This is a great question because it addresses the importance not only of practicing stretching but also the best and safest technique for performing this valuable type of exercise.

Why stretch? Stretching increases flexibility, a key component of physical fitness that is often neglected. A greater degree of flexibility is believed to help prevent injury (and low back pain) and improve sports performance. We lose flexibility as we age, so practicing a regular program of stretching the major muscle groups can help prevent loss of flexibility and its associated negative impact on quality of life in our golden years.

Stretching properly involves a slow, steady elongation of the muscles and tendons to the point of tightness—never pain—and holding the stretch for several seconds. (Never use bouncing or ballistic-type stretching, which can cause injury.) It is best to stretch muscles that have been warmed up internally from exercise as opposed to cold muscles. In fact, stretching cold muscles can actually increase risk of injury, as a cold muscle is more prone to strains! Think of a muscle as if it were a rubber band. If you stretch cold rubber, it snaps and breaks; however, if you warm the rubber first, it stretches more elastically and fluidly, like taffy.

Stretching is different from “warming up.” A warm-up is what you do before you begin a bout of exercise and generally consists of a low-intensity version of the exercise you are planning on engaging in (such as a fast walk before a jog). A good exercise routine would be to warm up (work up a light sweat and raise the internal temperature of your muscles), followed by a series of brief stretches, then perform your exercise bout, warm down and end with another series of stretches. Practice this plan and you will have a well-rounded fitness routine.

Posted by Dr. Janet Brill

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SHOULD I DO STRENGTH TRAINING IF I HAVE CHRONIC BACK PAIN?

Is it a good idea to do strength training when you have lower back pain? Certain exercises may be beneficial to optimize movement and range of motion. Come see us at San Diego Sports Physical Therapy if you experience any of this pain.

Bruce Kelly

“I believe that there are always ways to train around injury short of being bedridden. And low back pain is no exception having had it myself off and on for over 40 years. The key is in finding what movements and exercises don’t aggravate it or cause pain. There is no one cause of back pain nor is there one solution. It could be due to muscular imbalances, motor control issues, structural issues or some combination of these.

“We train and have trained clients with a variety of injuries and orthopedic issues from joint replacements to low back pain to shin splints to broken feet. This is where the knowledge, experience and empathy of a good trainer can pay dividends.”

Sue Teoli
FT New Canaan

“One of the best things you can do to reduce back pain is to do strength training. Building up the muscles of your back will help to prevent further injury. Most back pain comes from a muscle strain or ligament strain. Having a strong core can stabilize and brace the spine to reduce injury. Exercises such as straight leg raises, wall squats, and bridges are a few examples of strength training while stabilizing the core.”

Stacy Adams
FT Central Georgetown

“Many of our clients come in with chronic back pain. This is probably one of the most common complaints. After analyzing the client, the problem often originates from a weak core, tight hamstrings and other postural imbalances. Once we begin working on correcting these imbalances, the majority of our clients’ back pain is significantly reduced or goes away. If you’re dealing with back pain or any other injury, it is important to engage in safe and effective exercise. This is the perfect opportunity to invest in your health and hire a professional trainer to assist you with your individual needs!”

Billy Pratt
FT Avon

“Everyone should do some form of strength training whether or not they have chronic back pain. The extent to which strength training can help ease or eliminate back pain depends on the causes of that pain. Low back painc aused by weak lumbar vertebrae and tight hamstrings may largely be helped by a progressive strength training program, while such a program may not be as effective at decreasing pain if there is a severely ruptured disc that requires surgery to correct.

“Strength training always carries at least some benefit — and more often, a lot of benefit — to those who suffer from chronic back pain. But like anything else it really depends on what is causing the pain and how the program is designed and administered. Making sure your plan is tailored to your specific needs is always the most important factor in how effective a strength training regimen can be, with or without the presence of chronic back pain.”

Billy Beyer
FT Basking Ridge

“Here in Basking Ridge we strongly advise strengthening the core to alleviate further back pain and problems. We also advise working on flexibility of the hip flexors and hamstrings. Anyone with chronic lower back pain should always start off slow and gradually graduate to more complex exercises. Keep it simple and safe!”

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EXERCISING WITH OSTEOPOROSIS: BUILD BONES, STAY STRONG

It’s still possible to train even if you have osteoporosis. Read this article from Fitness Together to see how you should train with this condition safely. Then come see us at San Diego Sports Physical Therapy for all of your training and therapy needs! 619-756-7500

When you think about what your body’s bone structure looks like, flashbacks of the lanky skeleton hanging lifelessly in your science class are probably the first thoughts that come to mind. The bones in your body, however, are much livelier than their classroom counterparts as they are made up of living and growing tissue that continues to get denser as you become a young adult. As you age into adulthood, you can begin to lose more bone mass than your body produces, putting you at a higher risk of bone breakage and osteoporosis.

Reports from the National Osteoporosis Foundation (NOF) earlier this year indicated that 57 million Americans are affected by low bone density conditions or osteoporosis. By 2020, the NOF estimates that half of all Americans over the age of 50 are expected to have low bone density or osteoporosis. Whether you have osteoporosis now or at risk of developing this common condition, there are steps you can start taking today to help reduce the rate of bone loss in your body.

Feed Your Bones, Build Strength

If you are one of the millions of Americans suffering from osteoporosis, it’s important to be proactive about reducing the loss of bone density by adopting healthy exercise and nutrition habits. A diet rich in Vitamin D and calcium can help make bones harder and stronger, while a well-balanced nutrition approach that includes a mix of dairy, lean protein, fruits, vegetables and healthy fats can feed your body’s framework with the nutrients and minerals it needs to support weak bone areas and reduce the risk of bone loss.

To enhance the flexibility and strength of your body’s foundation, it also is important to keep the bones moving with a combination of weight-bearing cardio, muscle strengthening and core balance exercises, says Sue Teoli, personal trainer and studio owner at Fitness Together New Canaan. The NOF recommends 30 minutes of weight-bearing exercises daily (walking, elliptical, swimming, stair climbing), a combination of upper body and lower body muscle strengthening exercises (using body weight or resistance equipment) two to three days per week, and a variation of balance, posture and functional exercises each day depending on the area you are the weakest.

“It’s imperative to keep exercising if you have osteoporosis,” Teoli advises. “Anytime you improve your muscle strength, it’s good for your body. But, when you have osteoporosis, exercising can strengthen your bones first and foremost, while helping to slow down and prevent your bones from deteriorating.”

Break Out of the Cycle of Bone Loss by Getting Active Safely

Many people with osteoporosis may be reluctant to exercise as they may be afraid of getting hurt, breaking a bone or making their condition worse. While it’s recommended to consult with your doctor before starting any fitness routine, it can be very beneficial to the health of your skeletal and muscular systems when you focus on improving your physical fitness strength, balance and mobility.

“I tell all my clients, but especially my older ones, that strength in the lower back, abs and core is one of the most important things for your body,” says Teoli. “When you balance, you engage every muscle in your body. I think it’s important to focus on core strength and balance whether you have osteoporosis or not.”

It’s always important to think safety first when starting any workout routine by being aware of the inherent risks and staying in tune with how your body feels before, during and after you work out. Teoli advises her clients with osteoporosis to be aware of the following precautions before they start working out:

Refrain from high-intensity interval training as the jarring, jumping and high joint impact typically associated with these types of workouts increases the risk of bone damage and breakage.
Never flex your spine forward like when doing a traditional sit-up as this movement puts too much strain on the vulnerable sections of your spine and mid-section. Instead, opt for other less forward-bending core movements such as the plank.
Be careful with bending and twisting your body in different directions, as these movements can increase the risk of compression fractures in the spine.
“My philosophy is to start out slowly and progress slowly,” says Teoli. “If you start out with vigorous exercises, you run the risk of injury. I believe in taking baby steps with my clients and working on a movement until they master it.”

If you have osteoporosis and are ready to start an exercise program to build your bone strength and physical fitness levels, Teoli suggests going back to the basics. A sample workout plan that she would suggest for her clients with osteoporosis includes the following elements.

Upper body strength movement like a modified push up.
Lower body strength movement like a body weight squat while leaning against a fitness ball along the wall or straight leg lifts if you have knee issues.
Core exercises such as planks or balance exercises using a BOSU ball.
Weight-bearing cardio movements such as walking, stair climbing or elliptical.
You can choose to do each exercise either for a set amount of time like 30 seconds each or for a certain number of repetitions such as 10-15 reps. Either way, the focus of your fitness plan when you have osteoporosis should be on working out your body and supporting healthy bone structure.

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