The Schroth Method is best known as a conservative exercise which uses a three dimensional approach to correct spinal misalignments, or subluxations, such as scoliosis, by elongating the trunk. The goal of this specific method of treatment is to naturally develop the inner muscles of the rib cage in order to alter the shape of the upper trunk and to correct spinal imbalances. Chiropractors or physical therapists who perform the Schroth Method will instruct the patient on specific exercises to help straighten, centralize and re-align the spine utilizing corrective breathing techniques.
The Schroth Method exercises aims to achieve: the stabilization of the body’s natural curves; the mobilization of stiff body parts; the improvement of postural alignment; teaching daily living activities; promoting corrections; enhancing neuromuscular control; increasing muscle strength and endurance; reducing pain; and the improvement of cardio-pulmonary function.
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Who Can Benefit from the Schroth Method?
The Schroth Method can be utilized to treat people of all ages with scoliosis and it can also be used to treat all stages of scoliosis, including cases of scoliosis where the individual has received surgery.
Schroth Method Exercises
The Schroth Method exercises which are specifically utilized for scoliosis are based on the individual’s curve patterns and severity as well as their specific function and mobility. The goal of each exercise is to achieve a proper alignment with an improved and correct posture through specific positions, repetitions and breathing techniques. Each exercise is designed to reduce a flat back posture and rib prominence, also helping to restore the alignment of the pelvis. The Schroth Method exercises can be modified in order to create the optimal posture for each individual.
A chiropractor or physical therapist who specializes on the Schroth Method for scoliosis will help guide a patient using tactile stimulus. This way, the individual can begin to understand where they need to breathe and elongate to create the proper muscle activation they need to correct the misalignment.
The reduction of the spinal misalignment, or subluxation, caused by the individual’s scoliosis will depend on the length of time they had the spinal condition. The primary focus of the technique is to reduce the abnormal curvature of the spine bur overall to halt the progression of this misalignment.
How Long are Schroth Method Exercise Therapies?
First of all, a chiropractor or physical therapist will individually evaluate a patient’s level of scoliosis. Subsequently, the healthcare specialist will base the Schroth Method program exercises depending on the results of the exams. Treatment sessions generally range from 45 to 55 minutes in length and can vary from up to 5 sessions up to 20 sessions. It’s also important for patients to continue their home exercise programs. Fitness should be a lifetime commitment and it can be vital towards maintaining a proper postural correction. It’s often recommended for patients to receive evaluations every 2 to 3 months after being discharged from the program. Make sure to speak to a healthcare professional regarding this.
Schroth Method Exercises for Scoliosis
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
By Dr. Alex Jimenez
Additional Topics: Neck Pain and Auto Injury
After being involved in an automobile accident, the sheer force of the impact can often cause whiplash, a common type of neck injury resulting from the sudden, back-and-forth motion of the head against the body due to a car wreck, or other incident. Because of this, many of the complex structures found within the neck, including the spine, ligaments and muscles, can be stretched beyond their normal range, causing injury and painful symptoms.
Isaiah Delgado�became involved with Push-as-Rx � to become stronger. Isaiah�began training at Push-as-Rx and with the help of Danny Alvarado and the other trainers, the strengthening routines he practiced greatly improved his performance in wrestling. Isaiah�continues to come to Push-as-Rx �.
PUSH-as-Rx � is leading the field with laser focus supporting our youth sport programs.� The�PUSH-as-Rx � System is a sport specific athletic program designed by a strength-agility coach and physiology doctor with a combined 40 years of experience working with extreme athletes. At its core, the program is the multidisciplinary study of reactive agility, body mechanics and extreme motion dynamics. Through continuous and detailed assessments of the athletes in motion and while under direct supervised stress loads, a clear quantitative picture of body dynamics emerges. Exposure to the biomechanical vulnerabilities are presented to our team. �Immediately,�we adjust our methods for our athletes in order to optimize performance.� This highly adaptive system with continual�dynamic adjustments has helped many of our athletes come back faster, stronger, and ready post injury while safely minimizing recovery times. Results demonstrate clear improved agility, speed, decreased reaction time with greatly improved postural-torque mechanics.��PUSH-as-Rx � offers specialized extreme performance enhancements to our athletes no matter the age.
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Chiropractor, Dr. Alexander Jimenez�Finds Prescription Painkillers Most Common Treatment for Patients Seeking Care for Back Pain More than half of Americans suffer from back pain, as well as for those that seek treatment, doctors turn most often to prescription drugs
Ann Arbor, MI, May 19, 2017 � Many Americans (51 percent) have experienced back pain in the last 12 months, and of the 58% of those who sought treatment from a medical professional, 40 percent said they were recommended prescription painkillers, according to the Truven Health Analytics-NPR Health Poll.
Truven Health Analytics�, element of the IBM Watson Health business, and NPR run a national poll that is bimonthly to gauge opinions and attitudes on a broad variety of health�issues.
Following Are The Poll�s Findings:
Back Pain Plagues�Americans: Fifty one percent of Americans said they’ve endured from back pain in the last 12 months, and 46 percent of people who experienced pain said they are still in distress. Over half (58 percent) of back pain sufferers sought attention, with 70 percent visiting a medical doctor and 14 percent seeing a chiropractor.
Prescription Pain Killers are the Most Common Treatment: Of the 70 percent of back pain sufferers who sought care from a medical doctor, 40 percent were prescribed prescription pain killers, a rate that tended to decrease with increasing age of the patient. Other treatments prescribed were exercise/physical therapy (31 percent), shots (20 percent), massage (17 percent), steroids (17 percent), over-the-counter painkillers (13 percent), operation (12 percent), or another form of treatment (37 percent).
Almost a Third Stay in Pain with Treatment: Among all respondents, 25 percent said their back pain remained the same and five percent said their pain got worse. Forty-five percent said their pain improved, and 25 percent said it went away entirely.
�Experiencing back pain is extremely common among Americans, and there are a number of factors that may contribute to it, some of which are treatable without prescription pain killers, � said Anil Jain, MD, Vice-President and Chief Health Informatics Officer, Value-Based Care, IBM Watson Health. �These data reveal that when care is sought by the patients, they are generally prescribed painkillers. Compounding this challenge, back pain sufferers that are prescribed opioids for pain may be particularly at risk for dependency and addiction. Checking inappropriate opioid prescriptions for long-term pain is a focus of efforts by suppliers to fight the current opioid epidemic.�
To date, the Truven Health Analytics-NPR Health Survey has investigated numerous health topics, including vaccines generic drugs, data privacy, narcotic painkillers, and sports-related concussions. NPR archives reports on the surveys online in the Photos health blog here. Truven Health keeps a library of survey results here.
The Truven Health Analytics-NPR Health Poll is powered by the Truven Health PULSE� survey, an independently funded, nationally representative, multimodal poll that collects information about health-related behaviours and approaches and healthcare use from 80, 000 U.S. homes annually.
The results represent responses from 3, 002 survey participants interviewed from March 1 � 16 , 2017. The margin of error is /- 1.8 percentage points.
About NPR
NPR is an award winning, multimedia news organization and an influential force in American life. In collaboration with more than 900 independent public radio stations nationwide, NPR strives to generate a more educated public�one challenged and invigorated by way of a deeper understanding and grasp of ideas, events and cultures.
About Truven Health Analytics, section of the IBM Watson Health Company
Truven Health Analytics�, a part of the IBM Watson Health� company, supplies market-leading performance development solutions built on advanced analytics, data integrity and domain expertise. For over 40 years, our insights and alternatives have already been providing hospitals and clinicians, employers and health plans, state and government services, life sciences companies and policymakers, the facts they must make confident choices that directly alter the health and well-being of people and organizations in america and around the world. The firm was acquired by IBM in 2016 to help form a new business, Watson Health. Watson Health aspires to improve lives and give expectation by presenting innovation to deal with the world�s most pressing health challenges through cognitive insights and data.
When you get whiplash, you’ll understand what caused it. But you may not sense the indications of it until later. Symptoms can appear as soon following your auto accident or other injury as two hours, but you may experience symptoms that begin slightly and gradually become worse. Symptoms can sometimes grow days, weeks, or even months after the first injury.
The primary symptom of whiplash is neck or upper back pain. It’s also possible to experience other symptoms, like:
Shoulder and arm pain
Tenderness or stiffness
Numbness and/or tingling
Headaches
Dizziness
Nausea
Blurry vision
Most just described, whiplash is caused by a movement or force that makes your neck move beyond its normal range of motion. Cervical spine, or your neck, has an incredible range of movement. It is the moveable part of your spine, but still, the neck to go beyond its normal range can be caused by whiplash.
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What Causes Whiplash Associated Diseases?
There is one major cause of whiplash that most everyone thinks of instantly: car accidents. Even rates as low as 15 miles per hour can create enough energy to cause whiplash�whether or not you’re wearing a seatbelt. (Nevertheless, if you’re not properly held along with your seatbelt, your head may strike the steering wheel or windshield, causing a concussion in addition to whiplash. You should definitely always wear your seatbelt.)
A 8 miles per hour car crash generates two times the force of gravity (or a 2-G) deceleration of the car, and a 5-G deceleration of the head. This unnatural and forceful movement impacts the muscles and ligaments in the neck, stretching and possibly ripping them. The discs involving the vertebrae can bulge, tear, or rupture, and vertebrae can be forced from their normal location, lowering your range of movement. The spinal cord and nerve roots could get extended, irritated, and “choked.”
Athletic actions, falls, roller coasters can also causes whiplash, or from shaken or being punched.
Aging also makes us more susceptible to whiplash. People who have neck issues like arthritis, and mature individuals, may experience whiplash that is more serious than the usual younger man. As people get older, their movement is more limited, their muscles lose flexibility and strength, and their disks and ligaments aren’t elastic (stretchy). Thus, when their neck whips back and forth, it’s more potential for damage.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
By Dr. Alex Jimenez
Additional Topics: Neck Pain and Auto Injury
After being involved in an automobile accident, the sheer force of the impact can often cause whiplash, a common type of neck injury resulting from the sudden, back-and-forth motion of the head against the body due to a car wreck, or other incident. Because of this, many of the complex structures found within the neck, including the spine, ligaments and muscles, can be stretched beyond their normal range, causing injury and painful symptoms.
Osteoporosis and low bone mass, which puts folks at increased risk of this debilitating disease, affects a whopping 54 million people in the United States. Ten million actually have the condition while another 44 million have low bone density which puts them at greater risk.
This means that half of all adults over the age of 50 are at risk of breaking a bone and should be concerned about bone health, says the National Osteoporosis Foundation.
“We have our blood pressure checked regularly, and our cholesterol levels measured, but too many of us ignore screening for bone health,” says Dr. E. Michael Lewiecki, director of the New Mexico Clinical Research and Osteoporosis Center.
“Elevated blood pressure can lead to a stroke while elevated cholesterol levels may lead to a heart attack. Low bone density can lead to hip fractures which can also be deadly. “
Studies show that approximately one in two women and up to one in four men age 50 or older will break a bone due to osteoporosis.
“This can seriously affect your independence and lifestyle,” Lewiecki tells Newsmax Health.
May is Osteoporosis Awareness and Prevention Month and the National Osteoporosis Foundation, www.nof.org, has compiled a list of tips and information on how you can prevent, manage, and even reverse the potentially debilitating disease.
Here’s a primer for action, including five steps you can take to protect yourself:
Know your risk factors: Some factors that put people at increased risk uncontrollable, but others involve lifestyle behaviors that can be modified.
Uncontrollable risk factors include:
Being over the age of 50
Being female
Menopause
Family history of osteoporosis
Low body weight or being too thin
Broken bones or height loss
Controllable risk factors include:
Not getting enough calcium or vitamin D
Not eating enough fruits and vegetables
Getting too much protein, sodium, and caffeine
Having an inactive lifestyle
Smoking
Drinking too much alcohol
Losing weight
“It’s important to note that osteoporosis and the broken bones it can cause are NOT part of normal aging,” Claire Gill, chief marketing officer of NOF, tells Newsmax Health.
“There is a lot you can do you protect your bones throughout life. Osteoporosis prevention should begin in childhood, but it doesn’t stop there. Whatever your age, the habits you adopt now can affect your bone health for the rest of your life.”
Take action now: Lewiecki says it’s important to act to prevent osteoporosis before you have a problem with bone loss.
“Although there is a genetic predisposition that affects 80 percent of the people who develop osteoporosis, there is a lot you can do with proper diet, exercise, and supplementation that can optimize your genetics,” he says.
“Making sure that you are getting enough calcium and vitamin D, exercising against gravity, and checking bone density regularly are just a few ways to protect and maintain good bone health.”
Get screened: Lewiecki recommends that all women over the age of 65 and men over the age of 70 get screened annually.
“And if you’ve suffered previous bone fractures, screening should begin at age 50,” he says.
There are medications used to treat osteoporosis. One type helps rebuild new bone, while another slows down bone cells to allow more calcium absorption and prevent more loss.
“”It’s kind of a one-two punch,” notes Lewiecki.
Osteoporosis usually has no symptoms until the person fractures a bone, which is why it is nicknamed “the silent disease.”
“We see people who have lost height or are slumped over and take an X-ray of the spine and sure enough there is a fracture,” says Lewiecki. “Two thirds of people with spinal fracture don’t even know they have them. That’s why it is so important to discuss bone health with your doctor.”
Boost your nutrition: Diet can play an important role in managing osteoporosis says Dr. Gabe Mirkin, who is board certified in sports medicine. A 2010 Rotterdam study of 14,926 people 45 or older, who were followed for 20 years, found that a diet based on vegetables, fruits, dairy, and fish was associated with:
Markedly reduced risk of bone fractures
Higher bone density as seen on x-rays
Stronger bones measured by bending strength tests
“Diets that included a lot of sweets, processed meats or alcohol were associated with increased risk for fracture and weaker, more unstable bones,” Mirkin tells Newsmax Health.
Harvard Medical School researchers noted that calcium is an important nutrient for building bone and slowing the pace of bone loss but it’s not a “magic bullet.” It needs its indispensable assistant, vitamin D, to help the body absorb calcium.
Experts recommend taking 1,000 milligrams (mg) of calcium daily for adults up to age 50 and 1,200 milligrams for people aged 51 and older when bone loss accelerates.
Fortified foods can help provide the vitamin D your need to absorb calcium efficiently or you can manufacture your own by spending 5 to 30 minutes in the sun daily, making sure arms and legs are exposed.
Get moving: Exercise is also an important component of bone health. But always check with your health care provider to ensure you embark upon a safe program.
“You may want to avoid high impact weight bearing exercises like jogging, running, or jumping rope if you are increased risk of fracture,” notes Gill. “Low-impact weight bearing exercises can also help keep bones strong and are a safe alternative. Elliptical machines and fast walking on a treadmill or outdoors are two examples.”
In addition, she recommends lifting weights or using exercise bands to offer resistance against gravity and build stronger bones.
“Osteoporosis is manageable,” she says. “Although there is no cure, there are steps you can take to prevent, slow down or stop its progress. In some cases, you may even be able to improve bone density and reverse the disorder to some degree.”
Ever find yourself going about your day, not even thinking about food, when all of a sudden your appetite kicks in, and you’re at the drive-thru or rummaging through your pantry, looking for whatever it is you crave?
That’s because feeling hungry often has little to do with whether your system really needs food and a lot more to do with some sneaky cues and behaviors you encounter without realizing it. These 6 are among the biggest offenders tricking you into thinking you’re hungry when you really aren’t.
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Cooking Shows
There may be a downside to turning to TV for recipe inspiration. A new study found that people who cook from scratch based on recipes they got off a cooking show weighed 11 pounds more than those who watched these shows but didn�t cook very often. The authors of the study, from Cornell University�s Food and Brand Lab, think the extra pounds might have to do with how indulgent TV recipes are. When people make them at home and consume them, they think it’s okay to take in all the extra calories.
Orange and Red-Colored Foods
From a biological perspective, humans �tend to seek out vibrant colored foods, as these contain the most vitamins and minerals,� says Susan Albers, PsyD, clinical psychologist at the Cleveland Clinic and author of 50 More Ways to Soothe Yourself Without Food. �The response is subconscious�think about a time when you’ve walked through a grocery store and found yourself picking up a sack of oranges or bag of red peppers.� But that instinct works against you when you’re face to face with a plate of mac and cheese or gooey nachos. These dishes share a similar hue as oranges do, but they have way more fat and calories.
Food Packages on Kitchen Counter
You know the saying, out of sight is out of mind? That definitely applies to food as well, and it sums up the dangers of not putting your groceries away as soon as you come back from the supermarket or leaving out half-eaten boxes of takeout pizza. When you see these items, even in their containers, your appetite gets going, and it�s hard to resist consuming them.
�People tend to reach automatically for foods that are within arm�s reach,� Dr. Albers says. �If it�s there, you�re likely to eat it.� One study shows that people who keep soda and cereal on their counters weigh a startling 26 pounds more than those who opt to tuck them away in a pantry.
Other People Eating
You�re having drinks with friends when someone orders a round of apps. You weren�t hungry at all before the order was placed, so why did you dig in when the food arrived at the table? We automatically match the pace at which people around us eat and �mirror� their behavior, Dr. Albers explains, and that�s true even if they�re at another table and you don�t know them. You could also blame a little social anxiety. �We�re simply trying to fit in and make a situation more comfortable,� she adds.
Large Plates
If you�re served a heaping pile of food on a large plate, you�ll likely try to finish it, even after you�re already full. �We naturally eat more off of large plates and bowls,� says Dr. Albers. It�s a mean trick your eyes play on you. Larger plates cause us to think a serving of food is smaller than it actually appears. One study showed that people scarfed down 16% more cereal than usual when it was served to them in a bigger bowl.
A Happy Mood
You know about stress eating: tough day of work = pint of ice cream. But it’s not just negative emotions that lead us to dive into our kitchens. Positive emotions like joy, excitement, and even love can crank your appetite as well. It has to do with the fact that certain foods, like chocolate, trigger satisfying neurochemical responses in the brain. �We want to hold onto [those happy emotions], and another creamy bar of chocolate or crispy bag of chips promises to keep the good feelings rolling,� says Dr. Albers.
Also, when life is going well and you feel good, you�re more relaxed and less vigilant about your calorie intake. �People actually eat more when they�re in a happy relationship,� Dr. Albers notes.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Additional Topics: Whole Body Wellness
Maintaining overall health and wellness of the body can be achieved through a balanced nutrition, regular physical activity and/or exercise, as well as by getting plenty of rest. Along with these basic principles, its important to receive whole body maintenance, especially making sure the spine is properly aligned, ensuring the nervous system is functioning to its fullest capabilities. Chiropractic care is an alternative treatment option which focuses on musculoskeletal and nervous system conditions and injuries, helping to maintain spinal health.
The first sign was itchy skin. My thighs itched. My belly itched. Everything itched. I couldn’t see any rashes or dry skin, but after two months, the sensation got so bad that it distracted me at work.
I finally went to a dermatologist in December 2007. We considered potential explanations. Could it be eczema? Probably not; I showed none of the classic markers of the disorder. At the end of the appointment, I mentioned that I had a lump above my collarbone. It might be getting bigger, I told her, but I wasn’t sure.
She examined the bump and told me it was an enlarged lymph node, a gland that helps the body fight off infections. She advised me to see a general practitioner for a full checkup. She even called me a few times the following week to remind me.
So I went to a general physician to have blood work done and take a chest x-ray. Then came additional tests, including a tissue biopsy of the lump. That biopsy confirmed the last thing I expected: I had stage 2A Hodgkin’s lymphoma, a blood cancer that often strikes adults in their 20s and 30s. Itchy skin, it turns out, can be a symptom.
I collapsed into my mom’s arms when I got the diagnosis. “I just don’t want to die,” I told her. I was 23, and I had so much more life to live.
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The battle begins
I started chemotherapy two weeks later in my doctor’s office, enduring 12 treatments over six months. I’d get the drugs every other Thursday and take off work the following Monday, when the steroids that were supposed to ease side effects like nausea and pain wore off. Apart from that—and the wig I wore to conceal my bald head—I kept my life normal. I went my job as a fundraising event planner and met friends for dinner.
By summer, I was in remission. Yet I wasn’t feeling like my old self, and I knew I wanted to get strong again. When two friends told me they were running the Nike Women’s Marathon in San Francisco in my honor (fundraising for the Leukemia & Lymphoma Society), I was moved and motivated. With my doctor’s okay, I started to train for the Disney Half Marathon in Orlando in January 2009.
I admit it was a little crazy. I’d been a runner pre-cancer, but I had never attempted a race longer than 10K. Still, I did it—I ran the half in two hours and eight minutes. Victory, right? Not quite. The weekend of my half-marathon, I noticed a familiar feeling near my collarbone. Could the lump be coming back?
Returning to normal life in remission
I should mention that coincidentally, I’d recently started working in the fundraising department at Memorial Sloan Kettering Cancer Center (MSKCC), a top cancer hospital that my doctor was affiliated with. I wore my wig when I interviewed at Memorial in September 2008, but I didn’t mention that I had been diagnosed with cancer less than a year earlier. I wanted to be hired because I had the skills they were looking for, not my health history. Luckily, I got the job. But right after I ran my half in January, my doctor confirmed that my Hodgkin’s lymphoma was back.
Lauren vs. cancer: round two
My doctors told me that treatment would be more aggressive the second time around, and I had to be admitted into the hospital for most of it: two preconditioning chemotherapy treatments were followed by two weeks of radiation followed by four-day rounds of high-dose chemo. “Uncomfortable” doesn’t begin to describe the high fevers I struggled with and such severe throat pain that it hurt to eat.
I also underwent a stem cell transplant: a catheter transfers my own cells, collected by medical staffers weeks earlier, back into my body. The hope was that the newly transferred cells would prompt my system to produce healthy new blood cells. It’s a milestone; people in the medical world call the date of your stem cell transplant your second birthday. I celebrated my 25th birthday in the hospital on April 17. A week later, I had my ‘second birthday’ when I got my transplant.
A life dedicated to fitness
I left the hospital in May and focused my life on recovery and getting strong again. I’ve always loved trying new classes and getting better at old ones. After all I’d been through, working out felt even more rewarding. Nearly every Saturday for the next five years, I’d be at Core Fusion Barre class at Exhale or sweating it out at SoulCycle.
My teachers inspired me to develop a level of strength I didn’t know I had, and the thrill I felt when I realized I was getting better motivated me. With time, I made the decision to devote my life to inspiring others through fitness. In fall 2014, I signed up for barre teacher training with Exhale. Two hundred hours later, I was certified.
In January 2015, I left the security of a full-time job and founded Chi Chi Life. This is my way of pursuing fitness while keeping up my love for fundraising, event planning, and cancer advocacy. I teach barre at Exhale and Pilates and TRX classes at Flex Studios in New York City while also working with clients to plan philanthropic events.
For me, fitness is all about community and connection. I’ve run several half marathons since my cancer’s been in remission, raising more than $75,000 for causes I’m passionate about. I even ran the New York City Marathon, which took me past the Memorial Sloan Kettering Cancer Center building. I wish there were words to capture what it felt like to run past the place that saved my life—and helped me discover my life’s mission.
Meditation continues to become more and more popular, and for good reason. Research shows it can help with everything from getting a good night’s sleep to reducing stress to even easing pain.
However, many people are under the impression that in order to meditate properly, you need to be sitting still for an extended period of time in a perfectly zen setting. But that doesn’t have to be the case. In fact, you can meditate anywhere, says wellness expert and founder of BexLife, Rebekah Borucki. That could mean while you’re commuting, during your lunch break, right before bed, or in any other setting that works with your schedule and lifestyle.
However, if you can, it does help to find a place you where you feel comfortable, she says. This way, you can enter a state of mediation without feeling distracted by the position of your body.
There are also plenty of options for what to focus on during your meditation—positive affirmations, a peaceful visualization, or simply quieting all the commotion in your mind. In this video, Borucki guides us through a meditation for self-acceptance, which is meant to quiet your inner critic and ease self-doubt. To try out this meditation for yourself, play the video and get ready to focus on yourself for ten minutes. From here, all that’s left to do is to close your eyes, connect with yourself, check in with your body, tune in to your breathing, and do your best to keep all distractions at bay. Then, just pay attention to her calming words—you’ll be working towards a more kind, loving relationship with yourself in no time.
Sure, spin class feels killer, but outdoor cycling may require you to work even harder, according to a study in Journal of Strength and Conditioning Research. Plus, “there’s something really nice about covering distance and being in the fresh air and sunshine,” says Jim Rutberg, a cycling expert for Carmichael Training Systems and Strava in Colorado Springs, Colorado. He created the 30-minute interval workout below. If you’re a beginner, try doing the workout in a loop first so you can log the distance without getting too far from home. Once you feel comfortable, turn it into an out-and-back ride and explore some new terrain.
• Six 30-second speed intervals separated by 30 seconds of easy recovery. Rev your cadence and power as you accelerate for 30 seconds, then pedal very lightly as you slow down for 30 seconds before starting the next effort. These aren’t really sprints so much as hard, seated accelerations.
• 3 1⁄2 minutes easy recovery
• 8-minute tempo interval. Effort should be a 6 on a rate of perceived exertion scale of 1 to 10, with 10 being as hard as you can go. Your breathing should be deep and controlled, nowhere near panting.
• Cool down with an easy pace for 5 minutes.
This workout burns approximately 285 calories (for a 30-minute ride at 12 to 14 mph for a 150-pound person).
Not sure how to tell if you’re biking at “easy” or “fast”? There are a lot of ways to gauge your intensity level, but you won’t always have a heart rate monitor handy. Instead, you can use a “talk test” to track your efforts.
• Talking casually: recovery pace/easy • 1 to 2 sentences at a time: endurance pace/moderate • 2 to 3 words at a time: labored breathing/hard
For timed intervals, look at a watch, or you can time the distance between landmarks, like phone poles, and use those as your markers.
In October of my junior year of high school, I was at the top of my cross-country game. I was running five to six days a week, knocking more and more time off my mile split, and gearing up for a big race that would finally prove I had what it took to hit varsity status. So when opportunities arose to run a few extra miles and push myself harder, I took them without a second thought.
Then came the day of the race. I’d been noticing some pain and throbbing in my shins for a few days, but assumed I just had shin splints—something I’d dealt with many times in the past. So before my event, I popped a couple of Ibuprofen and visualized myself totally dominating the race. Spoiler: That’s not what happened.
When the race started, I took off and headed to the front of the pack. I kept up my pace as I wove through the trail, adrenaline surging through my body. That is, until about mile 1, when my runner’s high was interrupted by an excruciating pain in my left shin.
I tried to ignore it, unwilling to give up just yet. But the pain only got worse, and soon I was limping. Girls passed me left and right, but I kept hobbling my way across the grassy path until I reached the finish line and collapsed.
Fast forward through two doctor’s visits, an X-ray, and a bone scan. The verdict was that I had seven small stress fractures in my left shin.
My case is certainly nothing out of the ordinary. In fact, ABPM-certified podiatrist Melissa Lockwood, DPM, says nearly one in five runners she sees is for a stress fracture. But why do young, healthy people end up with this injury? Here, she explains what causes stress fractures, and shares tips for preventing and treating them.
Stress fractures are characterized as “overuse injuries.” They occur when a bone experiences repeated, unusual force, says Dr. Lockwood, who’s based in Bloomington, Illinois: “For example, when runners increase their distance and speed—basically anything that changes the amount of pressure they’re putting on the body.”
Dr. Lockwood typically sees these injuries happen in the metatarsals, which are the small bones right behind your toes, and the lower leg (as in my case). According to the American Academy of Orthopedic Surgeons, more than 50% occur in the lower leg.
While stress fractures are associated with running, “they can also be caused by regular force, if the bones are weakened by other problems, such as osteoporosis or another systematic problem like an eating disorder,” adds Dr. Lockwood. Research suggests women are more susceptible, possibly because they’re more prone to the above-mentioned conditions.
But really, stress fractures can affect anyone. Dr. Lockwood got one in her foot after walking around Disney World all day. (See her X-rays below.)
“The biggest thing is to watch for increased pain with increased activity,” says Dr. Lockwood. “Meaning it doesn’t hurt so badly first thing in the morning, but then the more you’re on it throughout the day, or after you go for a run, the pain gets worse, even excruciating.”
Unlike a strain or pull, the ache associated with stress fractures doesn’t tend to resolve itself after a couple of days, or go away with rest. So if you still feel a throbbing pain after sitting down, that’s also pretty good indicator.
But diagnosing a stress fracture can get a bit tricky: “Typically you can’t see a stress fracture on an X-ray until two weeks after the initial injury.” For that reason doctors often order other tests, like an MRI or bone scan, to identify the injury.
If a patient describes stress fracture symptoms, Dr. Lockwood always treats it as one, she says, unless she figures out an alternative explanation.
Once you’ve had one stress fracture, it puts you at greater risk for another, says Dr. Lockwood. [Insert un-amused emoji here] But luckily, there are a number of smart strategies you can use to keep your bones healthy.
For starters, invest in solid sneakers. If you’re a runner, head to a running store and find a pair that works optimally for your stride and foot type.
It’s also crucial to retire your shoes after a certain amount of use, Dr. Lockwood warns. Either toss them based on time (no more than 6 months) or miles (no more than 300).
And whether you’re an athlete or not, if you’ve suffered a stress fracture in the past, you may want to consider getting custom orthotics to make sure you’re moving with the right biomechanics, says Dr. Lockwood.
At the time of my own injury, I was stupidly wearing a pair of sneakers that were past their expiration date. So please, don’t make the same mistake, and actually pay attention to your shoes!
Don’t get discouraged
After my injury, I felt really down. I worried that my body wasn’t cut out for running, and that this was a sign I needed to throw in the towel.
But as Dr. Lockwood puts it, “having stress fractures does not mean your running career is over.” It may mean you need to change how you’re training, whether that’s adjusting the distance or frequency of your runs, or running on softer surfaces (think grass vs. concrete).
For me, getting back into running entailed everything Dr. Lockwood mentioned: scaling back my runs, paying better attention to my form, and regularly swapping out my shoes. Today running is still a huge part of my lifestyle. I even run-commute to work sometimes. But I’m much better about listening to my body now, and taking notice when it needs a break.
If you sense that something is off with your body, “don’t sit and wait to get it checked,” says Dr. Lockwood. “Or rather, don’t run and wait.”
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