Currently viewing the category: "stretching"

Piriformis Stretches: Relieving and Preventing Low Back Syndromes

By On · Add Comment · In gait abnormalities, hip pain, low back pain, piriformis stretches, sciatica, sports chiropractor, stretching, tight piriformis

Low back pain, hip pain, butt pain, sciatica–these are all conditions that can occur as a result of a tight piriformis muscle.  But it doesn’t stop there.  Gait abnormalities, hip bursitis and knee pain can also result as secondary disorders related to a tight piriformis muscle.

Stretching a tight piriformis is imperative to prevent these conditions from plaguing you.  And if you’ve already got some of these problems, after you see your friendly neighborhood sports chiropractor, you’ll probably need to stretch your piriformis to bring length to the muscle and help open your hips sufficiently.

In the video, I demonstrate three excellent stretches (really two, with one version having two variants).  Start with the first one–lying on your back–if you are very tight OR you could even do that same stretch while sitting in a chair (although I don’t demonstrate that version in the video).  You can try the other two variants if you have a little more flexibility.

Play with all three to see where you currently are, and then work at that level for two to three weeks.  Once you’ve mastered your current level, you can move on to the next.  Have fun and happy stretching.

Is That Belly Really A Belly?

By On · Add Comment · In belly, flexibility, gravity, hip flexors, hyperlordosis, liposuction, low back pain, musculoskeletal, physical structure, sports chiropractor, stretching, tight psoas, tummy tuck

Summer is my favorite time of year.  I love nothing better than a summer day at the pool–swimming, sunning, staring.  Staring?  Yes staring.  As somebody who spends most of his time looking at bodies, I simply can’t help but notice–and be intrigued by–the variety of differences and similarities among people when it comes to physical structure.  No better place than the pool for a little weekend science.

One thing I’ve noticed is that, as people age, the gravity-induced musculoskeletal stresses that shape their bodies do so in predictable ways.  For instance, I notice that both men and women are prone to developing excessive low back arch, which could easily be mistaken (by them) for a belly (beer belly, immaculate conception, etc).

During my career as a sports chiropractor, and probably no less a result of the city in which I’ve chosen to practice, I have met numerous people that look into, and undergo, tummy tuck procedures, usually done in an attempt to free themselves of this suspected baggage.  On more than one occasion, I’ve actually gotten to observe post-vacuumed mid-sections, and I must say…I haven’t always seen much of a difference.

Excessive arch (hyperlordosis)       Normal Arch

So being naturally curious, I always feel compelled to ask why.  As I mentally compare these bodies–of both the liposuctioned, yet belly-retained, and of the people that I observe poolside–I notice the downward projection of the belly button, which is more a consequence of hyperlordosis–or excessive arch–than it is of belliness (see photo to right to get better picture of what I’m talking about).

Having a reference point is a must, because I have to be sure that it’s simply not normal posture (which would then, in fact, implicate the bulge as being a belly, after all–still following me?).  Fortunately, the pool where I live has a wide variety of people of every race, creed, color, size, ethnicity, sex and age.  A researchers dream!

Compared to younger people (yes, a purely subjective categorization…but I’m calling this observation, not fact), I find that older people tend to have more arch, which I ascribe to tight hip flexors.  Listen, I evaluate enough people to know that many of us, especially those with low back pain, have tight hip flexors.  I also know that a hyper-arched low back is the postural consequence of tight psoas muscles (part of the hip flexor complex)…so it’s not rocket science.

Here’s the point: If you find that the ‘belly’ you see when looking in the mirror doesn’t go away no matter how many sit-ups you do, or how little you eat, and you’ve even been contemplating surgical enhancement, why not start by stretching?  Regular flexibility work, particularly focused on the hip flexors–psoas major, iliacus, quadriceps femoris (quads)–might just be the answer.

Gravity affects us all.  We can let it do it’s thing over time (and try to counter with a tummy tuck, which is often only negligibly successful) or we can invest the energy NOW (it’s never too late) to stretch the tight, short muscles that have been deformed by gravity, and return to the youthful posture we’ve all once had (and some still have).  It’s your choice, but I think if you try the latter you’ll be pleasantly surprised.

Hamstring Injuries Rampant in NFL Preseason

By On · Add Comment · In athletic trainers, back pain, chiropractic, hamstring tears, Jerry Rice, massage, National Football League (NFL), NFL Injury Surveillance System, preseason, pulled hamstring, stretching

Hamstring pulls, strains and tears can be debilitating, and they are a common injuries in professional American football.  A recent study showed that more than half the hamstring injuries in the National Football League (NFL) were caused in the preseason, and not surprisingly, positions requiring the most sprinting activity were also the most often injured.

A ten year review (1989-1998) of injury data were prospectively collected by athletic trainers for every NFL team and recorded in the NFL’s Injury Surveillance System.  Over the ten years, 1716 hamstring strains were reported with more than half (51.3%) of hamstring strains occurred during the 7-week preseason.  The most commonly injured positions were the defensive secondary, accounting for 23.1% of the injuries; the wide receivers, accounting for 20.8%; and special teams, constituting 13.0% of the injuries in the study.

This study has a few implications: First, professional athletes that require significant sprinting in their sports–baseball outfielders, track and field, soccer, etc–would be wise to adopt a preliminary warming-up period even before the preseason (typically training camp) starts.  Perhaps a structured regimen over a period of one week where physical activity is started slowly, and combined with light stretching (yoga?), chiropractic and massage to decrease the amount of ‘colder’ full-on workouts that might precede the preseason. 

Second, the athletes themselves might want to take a half page or so from the off-season training book of NFL Hall of Fame receiver, Jerry Rice.  Rice was well known for his strenuous workouts between seasons, which likely kept him in the great shape that led to his playing in 189 consecutive games.  Now his regimen might be a little much for the average NFL player, but no doubt his dedication to his body kept him injury free–along with regular chiropractic care–for 12 years!  In the NFL?  Wow!

Finally, for the non-athlete or the weekend warrior–this study should show the importance of warming up before a run, a friendly softball game, or any other activity that includes sprinting of any sort.  Hamstring injuries are not fun–and they can be stubborn healers.  Be smart and warm up right, and hopefully you’ll avoid the unpleasant experience of the strained hamstring.

*Symptoms of a pulled hamstring:

  • Sudden sharp pain at the back of the leg during exercise–most likely during sprinting or high velocity movement
  • Pain on stretching the muscle (bending forward with straight knees)
  • Pain on contracting the muscle against resistance
  • Swelling and bruising
  • If the rupture is severe a gap in the muscle may be felt

Aerobitexting

By On · Add Comment · In aerobitexting, exercise, gym, smartphones, stretching, technology, texting, working out

I have seen the future of exercise, and I can’t say I like it.  Aerobitexting seems to be all the rage.  Tonight, I observed 50% of the people in the gym playing with their smartphones while doing something that resembled working out.  Gawd…am I the only one who finds this dorky?

I don’t know, maybe I’m just from the old school, but…doesn’t exercise warrant…focus???  OK, if watching a YouTube video demonstrating stretching, an exercise or something like that, then I get it.  Useful technology making life more productive…yeah, I’m all for it.

But texting…reading e-mails…facebooking?   D’-or-key…with a capital D!  And dangerous, too: exercise does require focus; in fact, if want to increase your risk of injury in the gym, just lose focus–it’s almost guaranteed.

Listen, this ain’t new.  People have been doing distracted workouts for years.  Boob-tubes attached to cardio equipment, computers on stationary bikes, and my all-time favorite: reading a novel while huffing on the treadmill.  Whatever.

WTF is so important that you can’t sweat your nards off without checking the latest tweets?  (Puff, puff) Oh boy, Justin Bieber’s trending right now!

Yep, I’m from the old school: When I go to the gym, I work out–that’s it.  Go figure.

*If you’re reading this while on the treadmill, pump your fist in the aiy-er.  Oops…sorry.

Yoga Helps Older Women Maintain Balance

By On · Add Comment · In balance, chiropractic, elderly, health, physical fitness, stretching, yoga

Every year thousands of elderly women (and men) fall and break a hip. Many of these women die as a result. Balance, or the loss thereof, is a serious health issue. I find it so important that I do lots of balance training with my clients, old or young. And now some great research out of Temple University in Philadelphia is showing that yoga–yes, my favorite form of physical fitness–is stupendous for bringing back one’s state of balance.

In the study, 24 women aged 65 and older were taken through an hour and a half yoga session two times per week for nine weeks. The intensity of the sessions increased gradually over time. They found that after the program, the women walked faster, used longer strides, and could stand for a longer time on one leg. The women also felt more confident in their ability to balance while standing and walking.

One other incredible result is that the women increased one centimeter in height on average following the program. Wow! Researchers seemed perplexed in finding a reason for this and concluded that “The only explanation may be that they are standing more upright, not so much crouching,” said study chief Dr. Jinsup Song. This seems obvious to me. Stretching tight muscles and strengthening weak ones will lead to a more upright posture. Throw in a little chiropractic care to open up stuck joints and you might even get two centimeters.

It’s great–I love to see real health measures being researched. Yoga is an all encompassing health and fitness practice. If you haven’t tried it, you’re missing out. Take a class or two every week for an entire year and I promise that your life will change. Don’t take my word for it–just do it.

Tango Leads to Graceful Aging

By On · Add Comment · In balance, biomechanics, cerebellum, chiropractic, dancing, elderly, exercise, footwork, hip fractures, mobility, Parkinson's, proprioception, stretching, tango

Tango anyone? How about a Jitterbug, Cabbage Patch, or a little Roger Rabbit? No, really–dancing is a great way to keep yourself young. Just ask anyone who cuts it up regularly, and they’ll tell you how much dancing helps them keep their youth.

But we now know that dancing–especially the tango–can also help people with Parkinson’s Disease stay mobile and maintain balance. So say new findings out of Washington University of St. Louis medical school. According to the study, although dance in general is good therapy for Parkinson’s patients, tango specifically helps with balance and mobility due to the nature of the dance, specifically its dynamic balance, turning, initiation of movement, moving at different speeds, and walking backwards.

The study looked at two groups of Parkinson’s patients: one that was led through exercise classes, and the other was given tango lessons. The exercise group was given strength and conditioning exercises routine for Parkinson’s patients and the elderly, while the tango group was taken through exercises which included stretching, balance exercises, tango-style walking, footwork patterns, experimenting of timing of steps, and dance with and without a partner. The exercise classes included 40 minutes of seated exercise, followed by standing exercises supported by a chair, core strengthening and stretching. Although both groups showed improvement, the tango group showed greater improvement with balance.

Great news and wonderful confirmation for the power of balance work. In the chiropractic profession, we know how crucial balance is to the overall health and well-being of the body. Our sense of balance is integral in many functions including our biomechanics or whether we’ll suffer chronic pain or not. Also, having proper balance, especially for the elderly, is essential for preventing falls, which can lead to hip fractures and even death if vital arteries are severed during the break. Many systems contribute to the balance function including the cerebellum and proprioceptive receptors, but it all starts in the feet–and good footwork can only help us keep our balance intact–thus the power of tango.

So everybody, get up to get down…and tango.

Final Fitness Update…Ever

By On · Add Comment · In blood test, body fat, bodywork, chiropractic, cholesterol, energy, exercise, fitness, handstands, HDL, LDL, optimal health, posture, shoulders, sleep, stretching, triglycerides, weight loss, yoga
OK, this is it; my final fitness update. It couldn’t come at a more opportune time as I have just turned 40 today. Woohoo! As my brother told me, I have officially entered an age where each year will seem to pass in six month increments. Woosh…

I made my proclamation to become Fit in 90 Days on September 5th, so officially, my run should have ended December 5th. I was vacationing in Palm Beach at that time, so I actually needed another 14 days; which is probably the amount of time throughout the whole endeavor that I did nothing. No worries, 90 days, 100 days, it’s all the same.

As I’ve been reporting, I tried to exercise (gym) three times a week. I did several private yoga sessions with an instructor, and fined tuned my practice, which I carried out faithfully every day (OK, nearly every day). That was huge. I resolved some fairly irritating muscular imbalances that were causing low back discomfort, and I also did quite a bit of work on my shoulders. My new yoga routine improved my posture. I feel the difference.

I kept a regular chiropractic regimen–very important with all the moving and stretching and lifting and hiking. A combination of yoga and chiropractic is powerful, indeed.

I followed a pretty solid nutritional program–ate more fresh fruits and vegetables, drank lots of water, and took my daily vitamins. As usual, I was diligent about taking my essential fatty acids and alpha lipoic acid, the powerful anti-oxidant.

I think the most profound health habit I adopted through all of this, though, was seriously minimizing my consumption of refined sugar (started November 8th). As I described in an earlier post, I had a brief roller coaster ride with regard to my energy levels, but that evened out. Once I got over that withdrawal stage, my energy skyrocketed. And I lost weight as a result. Before “no sugar,” I lost four pounds (to 163 lbs.); afterward, eight pounds (to 155 lbs.). Nice. So in total, I’ve lost twelve pounds. Twelve pounds in twelve weeks. Very healthy.

Let’s review my goals: I wanted to lower my weight by seven pounds–I beat that. I wanted to lower my body fat. Oops, forgot to check it for this update. Sorry. I wanted to do unassisted handstands–didn’t do it (remember what the Yogi said?) Wanted to run Runyon Canyon. Nope, didn’t do that either.

So, you might wonder, what did I accomplish then? In my mind, I just made my routine a regular habit; I really am happy with that. It’s not a cop out. What I want from a health regimen is improved or maintained health. What I really want is optimal health. Without a doubt, I’ve accomplished that. I know with complete certainty that by putting this kind of consistent and careful attention into my body, there is no other possible outcome to be had. But as serendipity has it, I happened to take a blood test as a part of a life insurance policy I was pursuing, and they were kind enough to send me the results. I normally don’t put too much stock into these tests, because, as I’ve said, I know that if I do the right things, I’ll have a good functioning and healthy body. But hey, I was happy to check it out; I mean, it is my physiology. Here are the results:

  • Cholesterol–217 mg/dl. Between 200-239 is considered borderline high.
  • Triglycerides–58 mg/dl. Anything under 150 is normal. Hmmm.
  • HDLs–68 mg/dl. Anything above 40 is desirable, above 60, very good.
  • LDLs–137 mg/dl. Should be under 160 if have only zero or one risk factors.
  • Chol/HDL ratio–3.20. A desirable ratio is under 5; optimum under 3.5. Booyah.

Remember, the amount of cholesterol is not nearly as important as the amount of HDLs in your blood, and even less important than the cholesterol/HDL ratio (read the post, here). So, as to not bore you, all the other test were good to optimal too. Yes, I love tests, especially when they work in my favor.

So what did I accomplish? I motivated myself to exercise, eat well, get regular bodywork, sleep, and focus on my health in a proactive manner. I feel better, have more energy, feel more rested, look better, and have less physical discomfort all around. And, hopefully, I’ve shown you that with a little planning, and a large commitment, you can create a better place for yourself physically. You can achieve optimal health if you want it.

October Fitness Plan Update

By On · Add Comment · In exercise, lifestyle habit, metabolism, stretching

OK, I’m baa-aaack. Vacation and illness out of the way–it’s Hammer Time…

Back to the gym tonight for the first time in two weeks. While in New York, stretching was the limit to my regimen. I did it every day, though. When I returned home, I got sick immediately, and I pretty much just focused on work and rest.

It’s cool–no problem. I don’t stress out in these moments because I know I’ll be back, so no need to guilt trip myself. I just go into it knowing that my first session back will have to be scheduled, and then I’ll have to stick to it no matter what. No “playing it by ear” crap.

And get this: I lost a pound of weight. How do you like that? I got to rest, and I didn’t gain any weight–I actually lost weight! Chuckle. That’s what happens when you work out regularly. You can get by for a week or two without having to worry about slowing down your metabolism. However, when it gets to be three or four weeks…or a month! you better not count on maintaining your metabolism. Anyway, when you make exercise a lifestyle habit, you won’t have to trip if you miss some time because–you’ll be back–it’s what you do.

Not much more to report. Ready for the soreness.

Copyright © 2013 Dr. Nick Campos - All Rights Reserved.