Back Clinic Mobility & Flexibility: The human body retains a natural level to ensure all its structures are functioning properly. The bones, muscles, ligaments, tendons, and other tissues work together to allow a range of movement and maintaining proper fitness and balanced nutrition can help keep the body functioning properly. Great mobility means executing functional movements with no restrictions in the range of motion (ROM).
Remember that flexibility is a mobility component, but extreme flexibility really is not required to perform functional movements. A flexible person can have core strength, balance, or coordination but cannot perform the same functional movements as a person with great mobility. According to Dr. Alex Jimenez’s compilation of articles on mobility and flexibility, individuals who don’t stretch their body often can experience shortened or stiffened muscles, decreasing their ability to move effectively.
Low vitamin D levels are common among football players and may put them at increased risk for injuries, a new study suggests.
“Vitamin D has been shown to play a role in muscle function and strength,” said senior study author Dr. Scott Rodeo, co-chief emeritus of the sports medicine and shoulder service at the Hospital for Special Surgery in New York City.
“While most prior studies have focused on the aging population as the group most likely to experience the harmful effects of inadequate vitamin D, few reports have looked at the impact on muscle injury and function in the high-performance athlete,” he said in a hospital news release.
In the study, Rodeo’s team assessed 214 college football players, average age 22. The investigators found that nearly 60 percent had low levels of vitamin D, including 10 percent with a severe deficiency.
Those players with low vitamin D levels had higher rates of lower extremity muscle strain and core muscle injury than those with normal levels. Of the 14 players who missed at least one game due to a strain injury, 86 percent had low vitamin D levels.
LOW VITAMIN D CHANGES TISSUE COMPOSITION
Low levels may cause changes in muscle composition that increase the risk of injury, according to the researchers. But the study only found an association, rather than a cause-and-effect link, between levels and injury.
“Awareness of the potential for vitamin D inadequacy could lead to early recognition of the problem in certain athletes. This could allow for supplementation to bring levels up to normal and potentially prevent future injury,” Rodeo said.
“Although our study looked at high-performance athletes, it’s probably a good idea for anyone engaging in athletic activities to give some thought.” Rodeo said.
Adequate vitamin D is essential for musculoskeletal structure, function and strength, Rodeo explained. However, more than 40 percent of the U.S. population is vitamin D-deficient, he said.
Often called the “sunshine vitamin,” it is produced by the skin when exposed to sunlight. Milk and fortified foods, including orange juice and some cereals, can also provide nutrients. Supplements are usually prescribed for�deficiency, the researchers said.
The study was to be presented Thursday at the annual meeting of the American Academy of Orthopaedic Surgeons, in San Diego. Research presented at meetings is viewed as preliminary until published in a peer-reviewed journal.
SOURCE: Hospital for Special Surgery, news release, March 16, 2017
Looking healthy and being physically fit can get anyone’s attention and for those being a part of a summertime social event, such as a wedding, being the center of attention is enough motivation to maintain overall wellness.
During this wedding season, engaging in the proper form of exercise and performing a variety of physical activities can help tone up some of the most difficult areas of the body. For women looking to increase or maintain the physical condition of their buttocks, Nike trainer and Chisel Club founder Lauren Williams demonstrates the top five exercises for sculpting your booty.
1.Step ups with knee drive: From standing, step onto a bench on your right foot, bringing your left knee into your chest. Step down and repeat on opposite side.
2.Single-leg squat to bench: Sit down on a step with your right leg extended in front of your body. From sitting, lift up to stand on your left leg, then lower back down keeping your right leg extended the whole time. Repeat on opposite side, with your left leg extended out in front of you. Stand up onto your right leg, lower back down.
3.Circle side lunges with dumbbell: Stand tall with legs in a wide straddle stance. Hold dumbbells in front of your chest, with elbows at at 90-degree angle. Hold the weights here as you sink into a side lunge on the right leg, staying low as you move through a squat and shift into a side lunge on the left side. Stand up, return to center, and repeat the circle in the other direction.
4.Split stance single-legdeadlift: From standing, place your right leg a few inches behind your left leg and raise your heel so your weight is on the ball of your right foot. Holding a dumbbell in each hand, lower the upper body toward the floor with the arms extending down, so the dumbbells almost touch the ground. Raise the upper body back up to stand and repeat movement with the left leg back and the right leg forward.
5.All-four rainbow leg raises: From all fours, raise your left leg off the ground and extend it out behind you. Tap the left toes to the ground on the right side of your body, then tap the toes on the ground on the left side of your body, as if you�re drawing a semicircle with your leg. Repeat movement on the right leg.
Maintaining as well as improving your body’s overall health and wellness doesn’t just enhance your physical look, you can also benefit from an improved physical conditioning. Before attempting any of the above exercises, however, be sure to consult a healthcare professional and make sure these are proper for you.
If you have an injury or condition which may be aggravated as a result of these injuries, your medical specialist can recommend a different variety to these exercises to avoid further complications.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Chiropractic and Athletic Performance
Many athletes who are injured performing their specific sport or physical activity, frequently seek treatment from chiropractors. Chiropractic care focuses on the prevention, diagnosis and treatment of injuries and conditions affecting the musculoskeletal and nervous system. While chiropractic is a safe and effective form of conservative care for a variety of ailments, chiropractic can also be utilized to enhance athletic performance.
“Runners need an incredible amount of nourishment to stay healthy, since running puts stress on not only muscles but every system in our body,” notes Elyse Kopecky, a chef, nutrition coach, and coauthor (with four-time Olympian Shalane Flanagan) of Run Fast. Eat Slow. “We often obsess about having the right amount of protein, carbs, and fat in our diet while forgetting about important micronutrients, including vitamins and minerals like iron, magnesium, potassium, and calcium, all of which can become depleted from distance training.”
Her post-run smoothie to replenish muscle stores and restock nutrients: whole-milk yogurt, frozen blueberries and banana, peeled carrot, a handful of kale, ginger, coconut water (or regular water), and coconut oil.
When you think of a ballerina body, you may picture a petite, slender�physique. But many dancers have rejected that rigid idea of what a ballerina is supposed to�look like�and instead, they’ve led a shift towards�embracing a diverse range of�athletic ballerina bodies. One woman who’s played a major role in that movement is none other than Misty Copeland, the iconic principle dancer at the American Ballet Theater.
�We are real women and ballerinas, muscular, feminine but also strong, lithe but also curvaceous,� Copeland writes in her new book, Ballerina Body: Dancing and Eating Your Way to a Leaner, Stronger, and More Graceful You�($30, amazon.com).�But Copeland doesn�t pretend she always felt so confident in her skin. �None of it was easy. Not my climb in the ballet world, not my arrival at a place of personal contentment and peace, not my journey to the body I stand in.�
Her book is her way of helping other women reach the same state of body confidence that she now exudes to the world. �I dream of sharing what I�ve learned�of showing women everywhere how to reach their body goals and achieve what they see as their best selves,” she says.
For Copeland, that has meant prioritizing exercise, as an integral and positive element of her day.��Working out, so essential to our mental and physical well-being, can and should be woven through every part of our lives,� Copeland says.
Below are four exercises that she incorporates in�her cross-training routine, to help maintain her ideal ballerina body��one that is lean but sinewy, with muscles that are long, sculpted, and toned.� But you certainly don’t have to be a dancer to reap the benefits of these challenging moves. Try them out to�get toned from head to (pointed)�toe.
Relev�
�Relev� means �raised,� or lifted, and describes the position when you rise onto the balls of your feet (demi-pointe) or onto the toes (pointe) of one or both feet.
a. Begin in first position. Demi-pli�, then stretch your knees and rise onto demi-pointe (relev�). Repeat this three times and old on the count of four. When done to music, the counts are to the timing of the music.
b. Repeat once. When you get stronger, you may do four repetitions.
Remember to hold your posture. The flexing and pointing also prepare and strengthen your ankles to allow you to stand on demi-pointe (or en pointe, if you are an advanced dancer).
Balancing Adagio
�Adagio� refers to the slow movement in the ballet technique. As much as the adagio is about flexibility, strength, and fluidity in the movement, learning this exercise on the floor will give you an advantage before approaching it standing. On the floor you acquire a sense of balance and where your weight should be in order to leverage it to make you legs appear higher and more extended in opposition to our upper body.
This exercise should be done slowly to improve balance, alignment, abdominal strength, and stamina.
a. Start by sitting with your legs together on the floor in front of you.
b. Lift your legs into the air by bending your knees, holding the backs of your things with your hands with your legs still bent and parallel to each other.
c. Leaning back, with your back straight and the backs of your thighs (hamstrings) leaning into your hands, slowly lengthen both legs into the air until they are fully straight, making you into a V shape. Bend your knees so the tips of your toes touch the floor. Now do the same with each leg, alone, keeping the tips of the toes of your other leg posed on the floor.
d. Repeat the sequence, beginning with the other leg, when doing the single-leg section.
Seaweed
This exercise is great for freeing and lengthening the spine and for centering and strengthening the core.
a. Begin lying on your back, your legs together and parallel and your feet pointed.
b. Bend your legs slowly, bringing them off the floor, still bent, and lifting your feet off the floor as well, while your back hugs the ground.
c. Keeping your lower back on the floor and your shoulder blades drawn down toward your waist, curl your upper back off the floor, around your lower abs. Your arms should act like seaweed being moved by the motion of the tides, around and behind your lifted legs.
d. Float your upper back and arms down to the floor, legs still bent, body still energized.
e. Repeat four times, bringing your legs gently toward your head as your core and upper body lift, igniting the lower abdominal muscles.
f. After the last time, hold one hand or wrist (depending on the length of your arms) with the other, behind your thighs.
g. Lengthen your legs straight into the air, pressing the backs of your legs into your arms.
h. Propel your legs to the floor, arms still around them, until you get close to the floor. Then open your arms to the sides and move them forward toward your feet, over your head.
i. Your upper back should bend forward over your legs as you transition from lying to sitting, with the backs of your hands on the floor to help stabilize and keep the backs of your legs on the floor.
j. Roll down through your spine until your back is on the floor and you are in the starting position, with your shoulders relaxed. Repeat two to four times.
D�gag�
�D�gag� means �disengaged.� When preparing for d�gag�s in particular, but whenever you�re lying on the floor, you should feel like you are standing or jumping�not lying on the sand at the beach!
This exercise is good for length, strength, and alignment. Be sure to press the parts of your back and body that are touching the surface of the floor to the floor, allowing your working leg to float up, initiating the movement with your inner thighs and the backs of the legs rather than the top of your thighs (quadriceps).
a. Begin lying on your back with your feet in first position (heels together and toes apart, feet pointed).
b. Place your arms at your sides with your palms facing down; you can vary the positioning of your arms depending on what makes you comfortable, as long as your arms don�t go above your shoulders.
c. Keep your legs elongated, straight on the floor.
d. Use your palms and arms by pressing them to the floor. This will help to strengthen ?your core and align the spine.
e. Lift one leg two or three inches from the floor, with your toes still pointed out, by pressing the standing leg (again, whether you�re standing or lying on the floor, the standing leg is the one that is not moving; it helps to maintain balance), your arms, and your head into the floor. This will help you to lift the working leg while maintaining stability throughout your body. Do four d�gag�s with one leg front, then switch legs and do four with the other leg front.
f. Now do four d�gag�s to each side. For these, your working leg stays on the floor, brushing along the floor as it extends to the side. Do not disturb the balance of the pelvis or the back as you move the working leg.
Excerpted from the book BALLERINA BODY by Misty Copeland. Copyright 2017 by Misty Copeland. Reprinted with permission of Grand Central Life & Style. All rights reserved.
�If you’ve ever heard a loud pop as you bent down to pick something up, you’ll be relieved to know that it’s normal for your joints to make popping and cracking noises.
These sounds can be caused by a number of things, including when soft tissues — such as tendons and ligaments — rub or snap over other tissues and bones, explained Dr. Aman Dhawan. He is an orthopedic sports medicine specialist at Penn State Health’s Milton Hershey Medical Center.
“Our joints are mobile, so there are a lot of things that slide over or run past each other. When they move, there is the potential for anatomy to intersect,” he said in a Penn State news release.
The sounds can also be caused by pockets of nitrogen gas within the fluid that helps lubricate joints and provides nutrition to cartilage, Dhawan added.
Cracking Your Knuckles Is Bad… Or is it ok?
According to Dr. Robert Gallo, another orthopedic sports medicine specialist at Hershey Medical Center, the only time you need to be concerned about noisy joints is if you also have swelling or pain.
There’s no link between joint sounds and arthritis, both doctors agreed. And cracking your joints does not make them swell up or become arthritic, they added.
“Joint sounds are not really an indicator of health or lack of health,” Dhawan said. He pointed out that the cracking or popping sounds “may be irritating to the listener, but that’s a separate issue. There is really no evidence that it causes any damage.”
Some people believe chondroitin and glucosamine supplements or injections help lubricate joints. But there is little evidence to prove they are effective, Gallo said.
Your joints can benefit from stretching and strengthening exercises, low-impact workouts (such as swimming and bicycling), maintaining a healthy weight and not smoking, the doctors advised.
“There is good data to support getting rid of excess weight because it does improve pain in the joints of the lower extremities, as well as decreases your risk of getting arthritis or of having it progress,” Dhawan said. “The joints carry the weight of our bodies, so the less stress you put on them, the longer they will stay healthy.”
Exercise is crucial if you have arthritis. But knowing just how much activity to do when you�re hurting can be tricky. After all, research has shown that moderate activity can help prevent the progression of arthritis and improve overall function.
But while mild muscle soreness after a workout is normal, sharp pain during or immediately after can signal injury. And sometimes simply the fear of pain can keep you from wanting to do any kind of exercise at all.According to a new study, however, just a little physical activity seems to go a long way toward helping older adults with arthritis remain able to do daily tasks.
Arthritis Symptom Relief with Exercise
Scientific studies have shown that participation in moderate-intensity, low-impact physical activity improves pain, function, mood, and quality of life without worsening symptoms or disease severity. Being physically active can also delay the onset of disability if you have arthritis. But people with arthritis may have a difficult time being physically active because of symptoms (e.g., pain, stiffness), their lack of confidence in knowing how much and what to do, and unclear expectations of when they will see benefits. Both aerobic and muscle strengthening activities are proven to work well, and both are recommended for people with arthritis.
Older adults with arthritis-related joint pain and stiffness need to keep moving to remain functionally independent. But only 10 percent of older Americans with arthritis in their knees meet federal guidelines of at least 150 minutes of moderate activity a week, the researchers said. This Northwestern University study found that doing even about one-third of that amount is still beneficial. The study involved more than 1,600 adults 49 or older who had arthritic pain or stiffness in their hips, knees or feet.
Those who did a minimum of 45 minutes of moderate activity — such as brisk walking — a week were 80 percent more likely to improve or sustain physical function and gait speed over two years, compared with those who did less activity, the researchers found.
“Even a little activity is better than none,” said study first author Dorothy Dunlop. “For those older people suffering from arthritis who are minimally active, a 45-minute minimum might feel more realistic,” said Dunlop, a professor of rheumatology and preventive medicine at Northwestern’s School of Medicine in Chicago.
She said the federal guidelines are important because the more you do, the better you’ll feel and the greater the health benefits. “But even achieving this less rigorous goal will promote the ability to function and may be a feasible starting point for older adults dealing with discomfort in their joints,” Dunlop said in a university news release.
Some mild pain or discomfort is typical when you first start to move, but after a few minutes you�ll usually start to feel better, says A. Lynn Millar, PhD, a professor of physical therapy at Winston Salem State University in Winston-Salem, N.C. �Our joints and muscles get nutrition through movement,� she explains. �Once you start to move around a little you�ll improve the lubrication and circulation around that joint.� Start with some gentle, active range of motion movements and if that feels OK, progress to some low-impact activity like walking, she advises.
Stretches and Physical Activity for Arthritis
In addition to the activities recommended above, flexibility exercises are also important. Many people with arthritis have joint stiffness that makes daily tasks such as bathing and fixing meals difficult. Doing daily flexibility exercises for all upper (e.g., neck, shoulder, elbow, wrist, and finger) and lower (e.g., low back, hip, knee, ankle, and toes) joints of the body helps maintain essential range of motion. Some activities take more effort for older adults and those with low fitness or poor function. For example, walking at a brisk pace for a 23-year-old healthy male is moderate intensity, but the same activity may be vigorous activity for a 77-year-old male with diabetes. You should adjust the level of effort during activity so that it is comfortable for you.
Talk to your doctor. If you have arthritis or another chronic health condition, you should already be under the care of a doctor or other health care provider. Health care providers and certified exercise professionals can answer your questions about how much and what types of activity are right for you.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Whole Body Wellness
Overall health and wellness can be achieved by following a proper nutrition and engaging in regular exercise and/or physical activities. While these are some of the most common ways to ensure whole body health and wellness, visiting a qualified and experienced healthcare professional can also grant your body additional benefits. Chiropractic care, for instance, is a safe and effective alternative treatment option utilized by people to maintain well-being.
A common soccer move — bouncing the ball off of the head — may not be as harmless to the brain as has been thought, new research suggests.
A study of more than 200 adult amateur soccer players of both genders found that regularly “heading” the ball, as well as suffering accidental hits to the head, significantly boosted a player’s risk of concussion.”The prevailing wisdom is that routine heading in soccer is innocuous and we need only worry about players when they have unintentional head collisions,” study leader Dr. Michael Lipton, of the Albert Einstein College of Medicine in New York City, said in a college news release.”But our study suggests that you don’t need an overt collision to warrant this type of concern,” said Lipton. He is professor of radiology, psychiatry and behavioral sciences at Einstein.Another concussion expert who reviewed the findings agreed.Soccer Athletes at Risk
The study “seems to provide additional evidence that such practices within the game of soccer can put athletes at risk for traumatic brain injury,” said Dr. Jamie Ullman. She directs neurotrauma at North Shore University Hospital in Manhasset, N.Y.Much of the research into sports-related concussions has concentrated on high-impact sports, such as football or hockey. But head trauma experts have long known that other sports — including soccer and rugby — might carry risks, too.In prior studies, Lipton said his team found that “30 percent of soccer players who’d had more than 1,000 headings per year had a higher risk of microstructural changes in the brain’s white matter, typical of traumatic brain injury, and worse cognitive performance.”Exploring the issue further, the new study focused on online questionnaires answered by 222 adult amateur soccer club players in the New York City area, both male and female. All had played soccer at least six months during the prior year.Men averaged 44 headers in two weeks, the survey found, while women averaged 27. One or more accidental head impacts, such as a ball hitting the back of the head or a head colliding with another player’s knee, were reported by 43 percent of women and 37 percent of men.Players who regularly headed the ball were three times more likely to have concussion symptoms than those who didn’t head the ball often, Lipton’s team reported.Players who suffered accidental head impacts two or more times within a two-week span were six times more likely to have concussion symptoms than those without accidental head impacts, the findings showed.Of those who headed the ball or reported accidental head impacts, 20 percent had moderate to severe concussion symptoms, according to the report.Of the seven players with very severe symptoms, six had two or more unintentional head impacts over two weeks, four were among those who headed the ball the most, and three were in the group that headed the ball second-most.Lipton stressed that the findings cannot be generalized to child, teen or professional soccer players.Still, “our findings certainly indicate that heading is more than just a ‘sub-concussive’ impact, and that heading-related concussions are common,” Lipton said. “We need to give people who have these injuries proper care and make efforts to prevent multiple head impacts, which are particularly dangerous.”That means watching out for symptoms, he added.”Many players who head the ball frequently are experiencing classic concussion symptoms — such as headache, confusion and dizziness — during games and practice, even though they are not actually diagnosed with concussion,” Lipton explained.”Concussion sufferers should avoid additional collisions or head impacts during the following days or weeks, when their risk of incurring a second concussion is extremely high,” he said. “Because these injuries go unrecognized and unmanaged, there may be important clinical consequences for the short and long term.”Dr. Salman Azhar is a neurologist and director of stroke services at Lenox Hill Hospital in New York City. He said the new findings are in accordance with prior studies, and the odds for concussion appeared to rise along with the frequency of head impacts.”The chance of having moderate-to-severe symptoms increased when the unintentional heading went from just one per two-week period to two per two-week period,” Azhar noted.The study was initially published online Feb. 1 in the journal Neurology.
For more information, ask Dr. Jimenez or contact us at 915-850-0900
Presented By:
Dr. Alex Jimenez D.C.,C.C.S.T
Spinal Trauma Specialist
IFM's Find A Practitioner tool is the largest referral network in Functional Medicine, created to help patients locate Functional Medicine practitioners anywhere in the world. IFM Certified Practitioners are listed first in the search results, given their extensive education in Functional Medicine
2017 by Misty Copeland. Reprinted with permission of Grand Central Life & Style. All rights reserved.
