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Athletes

Sports Spine Specialist Chiropractic Team: Athletes strive to achieve their body’s maximum performance by participating in numerous training regimens consisting of strenuous exercises and physical activity and ensuring they meet all of their body’s nutritional requirements. Through proper fitness and nutrition, many individuals can condition themselves to excel in their specific sport. Our training programs are designed for athletes that look to gain a competitive edge in their sport.

We provide sport-specific services to help increase an athlete’s performance through mobility, strength, and endurance. Occasionally, however, the excess workouts can lead many to suffer injuries or develop underlying conditions. Dr. Alex Jimenez’s chronicle of articles for athletes displays in detail the many forms of complications affecting these professionals while focusing on the possible solutions and treatments to follow to achieve overall well-being.


Exercises To Help Digestion: El Paso Back Clinic

Exercises To Help Digestion: El Paso Back Clinic

Regular exercise and physical activity help with cardiovascular health, improved mood, better management of chronic conditions, and can help digestion. For individuals with any GI distress or inflammatory bowel disease that has caused digestive enzyme deficiencies, exercise, and physical movement have been found to provide digestive aid. Here we look at activities to help digestion.

Exercises To Help Digestion: EP Chiropractic Team

Exercises To Help Digestion

When exercising the body, the cardiac output/volume of blood the heart pumps every minute increases as the demand for oxygenated blood throughout the body increases, particularly in the working muscles. During exercise, the same increase in blood circulation happens within the digestive system’s muscle groups. The blood flow to digestive organs causes peristalsis, which is involuntary constriction and relaxation of the muscles in the digestive tract. This process helps move food efficiently through the gastrointestinal tract. Exercise supports the growth of beneficial gut bacteria to maintain a healthy digestive system.

  • Exercise helps relieves stress which means lower amounts of cortisol.
  • Research has found that elevated cortisol levels are associated with compromised digestive function.
  • Chronic cortisol production can cause:
  • Increased intestinal permeability.
  • Impaired absorption of micronutrients.
  • Abdominal pain or discomfort.

Types of Exercise

  • Sticking to moderate-intensity workouts supports a healthy gut microbiome and reduces inflammation.
  • Whereas high-intensity exercise sends blood away from the core and toward the extremities to power the muscles, which does not help digestion.
  • High-intensity exercise may trigger an inflammatory response, leading to abdominal pain or discomfort, diarrhea, and cramps.

Moderate-intensity exercise activities to try include:

Yoga

  • Yoga is a great stress reduction tool, helping to reduce inflammation that can lead to various gut issues, including constipation and stomach pain.
  • Left untreated, chronic inflammation can cause inflammatory bowel disease symptoms to flare.
  • Yoga places mild pressure on the digestive organs in certain positions, which can help digestion.

Walking

  • Walking 30 to 40 minutes three to four times a week can make a digestive difference.
  • Walking stimulates blood flow to the intestinal muscles, which helps activate the lymphatic system.
  • The gut’s lymphatic system helps to absorb and transport lipids and other nutrients throughout the body during digestion.
  • The system activates through walking or manual lymphatic massage can improve constipation.

Tai Chi

  • Tai chi has been shown to improve immune function and inflammation of the gut and is a helpful tool for maintaining homeostasis/gut balance.
  • This is a form of moderate-intensity exercise and meditative practice.
  • The emphasis is on slow controlled movements and deep breathing.
  • This makes it recommended for individuals looking to improve digestion and those with gastrointestinal conditions.

Pilates

  • Pilates is the practice that targets abdominal muscles and utilizes diaphragmatic breathing to help individuals perform a series of movements to strengthen and elongate the body’s muscles.
  • Individuals who perform this exercise often report relief from bloating and gas.
  • Exercises like rolling like a ball or the swan dive are great for the digestive organs.

Digestion Goals

Whether new to exercise or returning, a plan can help you get there. Meeting with a fitness trainer or sports chiropractor is a great place to begin if you have limited knowledge about what works best for your body and schedule.

  • A certified trainer can help guide you toward an achievable program that focuses on gut health.
  • Individuals with a GI disorder should talk with their doctors before starting a new exercise plan.
  • This does not mean you can’t do intense exercises like running; you’ll want to work with a doctor to set up a program that doesn’t cause flare-ups.
  • Aim for roughly three hours of moderate-intensity weekly exercise to support a healthy digestive system.
  • Sit less and move more.
  • Do at least two or more muscle-strengthening activities of moderate intensity every week.
  • An anti-inflammatory diet may aid digestion.

Benefits of Stretching


References

Cherpak, Christine E. “Mindful Eating: A Review Of How The Stress-Digestion-Mindfulness Triad May Modulate And Improve Gastrointestinal And Digestive Function.” Integrative medicine (Encinitas, Calif.) vol. 18,4 (2019): 48-53.

Drouin, Jacqueline S et al. “Comparisons between Manual Lymph Drainage, Abdominal Massage, and Electrical Stimulation on Functional Constipation Outcomes: A Randomized, Controlled Trial.” International Journal of environmental research and public health vol. 17,11 3924. June 1. 2020, doi:10.3390/ijerph17113924

Hamasaki, Hidetaka. “Exercise and gut microbiota: clinical implications for the feasibility of Tai Chi.” Journal of integrative medicine vol. 15,4 (2017): 270-281. doi:10.1016/S2095-4964(17)60342-X

Joyner, Michael J, and Darren P Casey. “Regulation of increased blood flow (hyperemia) to muscles during exercise: a hierarchy of competing physiological needs.” Physiological Reviews vol. 95,2 (2015): 549-601. doi:10.1152/physrev.00035.2013

LeBouef T, Yaker Z, Whited L. Physiology, Autonomic Nervous System. [Updated 2023 May 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK538516/

Singhal, Rashi, and Yatrik M Shah. “Oxygen battle in the gut: Hypoxia and hypoxia-inducible factors in metabolic and inflammatory responses in the intestine.” The Journal of biological chemistry vol. 295,30 (2020): 10493-10505. doi:10.1074/jbc.REV120.011188

van Wijck, Kim, et al. “Physiology and pathophysiology of splanchnic hypoperfusion and intestinal injury during exercise: strategies for evaluation and prevention.” American Journal of Physiology. Gastrointestinal and liver physiology vol. 303,2 (2012): G155-68. doi:10.1152/ajpgi.00066.2012

Body Stiffness: El Paso Back Clinic

Body Stiffness: El Paso Back Clinic

Body stiffness is common, especially as the body ages. Stiffness can result from intense work, lack of physical exercise, or specific conditions. The reasons vary from individual to individual. Some feel stiff when they wake up, while others become stiff after stopping physical activity. For others, stiffness can result from practicing unhealthy postures, intense workouts, or something new that the body is beginning to get used to. There are several ways to prevent and treat stiffness, no matter the cause, including targeted physical movements, posture corrections, body decompression, chiropractic realignment, stretches, and therapeutic massage.

Body Stiffness: EP's Chiropractic Injury Specialists

Body Stiffness

Knowing the cause of body stiffness and how to relieve it can help prevent and treat the condition so the body can function better. It’s vital to see a health care professional immediately if stiffness results from an injury, accompanied by pain, it does not go away with home treatments, or if an insect bite or infection could be the cause.

  • Individuals should speak to a healthcare professional for frequent stiffness that interferes with their quality of life.
  • Most of the time, stiffness can be treated at home and reduced through preventative measures.
  • Stay active but not too hard until the body gets used to the activity.
  • Various relief methods include a warm bath, massage shower, or self-massage.

Intense Work or Exercise

  • The muscles incur tiny tears when exercising or performing heavy labor, especially when the body is not used to the intensity or duration.
  • These tears are normal and help build larger and stronger muscles.
  • Individuals may feel stiff and sore for 24-72 hours as the body repairs itself.
  • Inflammation surrounding the joints/synovial fluid after heavy activity or repetitive movements is another cause.

Inactivity

  • Moving around generates the synovial fluid that lubricates the joints.
  • When body movement stops, like going to sleep or long periods spent sitting, working, or watching tv, fluid production slows down, resulting in body stiffness.
  • The lack of fluid after movement can make the body feel stiff when returning to activity.

Unhealthy Posture

  • The body can become stiff and sore when routinely holding the body in a way that strains the muscles, tendons, and ligaments.
  • Sitting or standing incorrectly from an unhealthy workstation setup or postural habits contributes to stiffness and musculoskeletal problems.

Medical Conditions

  • Medical conditions can cause stiffness like rheumatoid arthritis, Lyme disease, thyroid disease, strains and sprains, and low vitamin D levels.
  • See medical attention if you suspect any medical causes are behind the body stiffness.

Prevention

Depending on the reason behind body stiffness, there are ways to prevent it.

Warm-Up

  • Warming up before any physical activity loosens up the muscles before fully engaging.
  • Soreness will present and is part of the muscle repair process.
  • Properly warming up can help the repair go faster.

Mobility and Flexibility Breaks

  • Taking breaks from inactivity by getting up and moving around, walking, or performing mobility movements could increase the secretions of joint fluid, prevent stiffness, and relieve the effects of poor postural habits you may have been making.
  • Set a timer to break up periods of inactivity and move around.
  • Get up for 5 minutes every hour to move the muscles and get the blood flowing.

Stay Aware of Posture and Form

  • Postural awareness can help prevent muscle strain that leads to stiffness.
  • Adjusting the workspace and posture can help prevent stiffness.
  • The posterior chain: head, neck, torso, and legs are aligned with the feet flat on the floor and back supported.

Stay Active

  • Maintaining muscle movement maintains blood circulation, which can help reduce stiffness.
  • Exercise helps reduce inflammation, increases synovial fluid production, and helps strengthen the muscles.

Active Recovery

  • Participating in active recovery can help bring blood flow to the muscles and prevent inflammation.
  • Light cardiovascular activities include swimming, cycling, walking, or bodyweight movements.

Anti-Inflammatory Nutrition

  • Anti-inflammation nutrition like the Mediterranean diet, which includes healthy fats, plenty of fruits and vegetables, lean proteins, seafood, and whole grains, can help reduce aches and stiffness.
  • Getting enough vitamin D can reduce stiffness.

Chiropractic Flexibility Restoration

Chiropractic adjustments, decompression, MET, and therapeutic massage techniques can relieve muscle soreness and stiffness and restore body function. The chiropractic team will evaluate the individual, diagnose the cause/s, and develop a personalized treatment plan. The team will provide posture training, stretching the body, using a percussive massager or foam roller to break tight, stiff muscles and release adhesions of tissues.


Enhance Your Lifestyle


References

Mailey, Emily L et al. “Comparing the effects of two different break strategies on occupational sedentary behavior in a real-world setting: A randomized trial.” Preventive medicine reports vol. 4 423-8. 9 Aug. 2016, doi:10.1016/j.pmedr.2016.08.010

Schleip, Robert, and Werner Klingler. “Active contractile properties of fascia.” Clinical Anatomy (New York, N.Y.) vol. 32,7 (2019): 891-895. doi:10.1002/ca.23391

Shimoyama, Daisuke, et al. “Reliability of shoulder muscle stiffness measurement using strain ultrasound elastography and an acoustic coupler.” Journal of medical ultrasonics (2001) vol. 48,1 (2021): 91-96. doi:10.1007/s10396-020-01056-0

Trube, Niclas, et al. “How muscle stiffness affects human body model behavior.” Biomedical engineering online vol. 20,1 53. 2 Jun. 2021, doi:10.1186/s12938-021-00876-6

Weerapong, Pornratshanee, et al. “The mechanisms of massage and effects on performance, muscle recovery, and injury prevention.” Sports medicine (Auckland, N.Z.) vol. 35,3 (2005): 235-56. doi:10.2165/00007256-200535030-00004

Finding A Sports Injury Specialist: El Paso Back Clinic

Finding A Sports Injury Specialist: El Paso Back Clinic

Sports activities will result in aches, pains, and injuries that need to be examined by a doctor or specialist for proper diagnosis and treatment. Finding the right sports injury specialist can be one of the most difficult parts of dealing with an injury. The following may help when deciding if a sports chiropractic specialist can help.

Finding A Sports Injury Specialist: EP Chiropractic Team

Sports Injury Specialist

Sports medicine is the study and practice of medical principles related to the science of sports:

  • Injury prevention
  • Injury diagnosis and treatment
  • Nutrition
  • Psychology

Sports medicine focuses on the medical and therapeutic aspects of sports physical activity. These individuals can be physicians, surgeons, chiropractors, physical therapists, or providers who regularly work with athletes. Athletes often prefer providers with athletic treatment experience.

Doctor To See First for a Sports Injury

  • Individuals that belong to an HMO or PPO may find that their primary care physician is the first doctor to see for injury.
  • A family doctor may not be a sports medicine specialist but may have the expertise to deal with the injury.
  • Minor musculoskeletal injuries like acute sprains and strains respond well to immediate standard treatments like rest, ice, compression, and elevation.
  • Individuals with complicated overuse or training injuries, chronic conditions such as tendonitis, or who require surgery will be referred to a specialist.

Family Doctor Treatment

  • Nearly all family practice physicians can diagnose and treat various sports-related injuries.
  • They will refer the individual to a doctor with additional training in sports medicine or an orthopedic sports surgeon if necessary.

When to See a Surgeon

  • If the injury will likely require surgery and the insurance allows self-referral, individuals may choose to see an orthopedic surgeon first.
  • Primary care or sports medicine physicians can treat most sports injuries and fractures.
  • A  primary care doctor can recommend an orthopedic surgeon if surgery is required.

Specialists to Consider

After diagnosis, other providers may be involved in caring for sports-related injuries.

Athletic Trainers

  • Certified athletic trainers are trained professionals that work exclusively with athletes.
  • Many work with high school and college sports teams, but also work in health clubs and medical clinics.
  • A certified trainer can help decide which injuries require a specialist and can make the referral.

Physical Therapists

  • Physical therapists treat injuries based on a doctor’s clinical diagnosis.
  • Physical therapy integrates training and rehabilitation principles into recovery.
  • Therapists often subspecialize in sports medicine and orthopedic injuries.

Chiropractors

  • Chiropractors perform treatments that relieve pressure on various areas of the body.
  • Many athletes prefer chiropractic care first because the treatment is done without prescription medications or surgery.
  • Chiropractors often work in conjunction with massage therapists to treat various musculoskeletal conditions.

Podiatrists

  • A podiatrist is recommended for problems with the foot.
  • These clinicians have several years of residency, exclusively studying foot and ankle musculoskeletal problems.
  • Podiatrists who focus on sports medicine injuries often work with runners and athletes prone to foot and ankle injuries.
  • They also perform biomechanical analysis, assess gait, and make customized foot orthotics.

Holistic Practitioners

Holistic healthcare practitioners use non-invasive, non-pharmaceutical techniques and therapies that include:

  • Acupuncture
  • Medical herbalism
  • Homeopathy
  • Other non-traditional methods to treat conditions and illnesses.
  • Some may have specific experience in treating sports-related injuries.

Finding the Right Specialist

It is important to find a doctor who can design a treatment plan to heal and rehabilitate the injury properly and get the athlete back to their sport quickly and safely. Medicine is science and art, and injury treatment should be personalized to specific goals of healing and performance. When selecting a healthcare provider to treat injuries or provide advice, personal recommendations from trusted sources are recommended to screen providers. As well as asking other athletes, local teams, gyms, athletic clubs, and healthcare organizations can direct individuals in the right direction. If you can’t find a confident recommendation, look for a certified sports medicine physician online or call the clinic. When calling the office, questions to think about include:

  • What is your treatment specialty?
  • What experience do you have treating athletes?
  • What special training do you have in sports injury care?
  • What degrees and certifications do you have?

How I Tore My ACL


References

Bowyer, B L et al. “Sports medicine. 2. Upper extremity injuries.” Archives of physical medicine and Rehabilitation vol. 74,5-S (1993): S433-7.

Chang, Thomas J. “Sports Medicine.” Clinics in podiatric medicine and surgery vol. 40,1 (2023): xiii-xiv. doi:10.1016/j.cpm.2022.10.001

Ellen, M I, and J Smith. “Musculoskeletal rehabilitation and sports medicine. 2. Shoulder and upper extremity injuries.” Archives of physical medicine and Rehabilitation vol. 80,5 Suppl 1 (1999): S50-8. doi:10.1016/s0003-9993(99)90103-x

Haskell, William L et al. “Physical activity and public health: updated recommendation for adults from the American College of Sports Medicine and the American Heart Association.” Medicine and science in sports and exercise vol. 39,8 (2007): 1423-34. doi:10.1249/mss.0b013e3180616b27

Sherman, A L, and J L Young. “Musculoskeletal rehabilitation and sports medicine. 1. Head and spine injuries.” Archives of physical medicine and Rehabilitation vol. 80,5 Suppl 1 (1999): S40-9. doi:10.1016/s0003-9993(99)90102-8

Zwolski, Christin, et al. “Resistance Training in Youth: Laying the Foundation for Injury Prevention and Physical Literacy.” Sports Health vol. 9,5 (2017): 436-443. doi:10.1177/1941738117704153

Improve Range of Motion: El Paso Back Clinic

Improve Range of Motion: El Paso Back Clinic

Range of motion – ROM measures the movement around a joint or body part. When stretching or moving certain body parts, like a muscle or joint, the range of motion is how far it can move. Individuals with a limited range of motion cannot move a specific body part or joint through its normal range. Measurements are different for everybody, but there are ranges that individuals should be able to achieve for proper function. The Injury Medical Chiropractic and Functional Medicine Team can address issues/problems with ROM through a personalized treatment plan to alleviate symptoms and restore mobility and flexibility.

Improve Range of Motion: EP's Chiropractic Specialist Team

Improve Range of Motion

Over 250 joints in the body move from extension to flexion and are responsible for all of the body’s movements. These include the ankles, hips, elbows, knees, and shoulders. Tightness in the hips and ankles can decrease ROM when lifting an object, limiting the muscles’ ability. Form and strength potential becomes limited and suffers from an inadequate ROM. When form and posture are compromised, pain and injuries can result. There are many reasons why this can occur, including:

  • Tight and stiff muscles.
  • Trying to use these muscles can worsen the condition, limiting ROM further.
  • A limited ROM in the back, neck, or shoulders may be due to the body being out of natural alignment.
  • Repetitive motions, injuries, and everyday wear and tear can shift proper alignment and limit movement.
  • Inflammation and swelling around the joints.
  • Pain symptoms that are causing mobility issues.
  • Joint disorders.

These symptoms can come from:

  • Injuries
  • Infections
  • Conditions like arthritis, brain, nerve, and/or muscle disorders.
  • A mild to moderate range reduction may be caused by a sedentary lifestyle or insufficient physical activity.

Daily Living

Decreased range of motion and poor mobility can hinder the body from lifting objects, job occupation performance, and household tasks. A healthy physical ability is what determines independent aging and optimal function.

  • Restoring a healthy range of motion can improve physical performance during work, home, and sports activities.
  • An improved range of motion allows the affected muscles to work at longer lengths, build strength and relieve tension.
  • A stronger muscle capable of contracting efficiently through larger ranges prevents and decreases the risk of injury.

Chiropractic Restoration

Chiropractic care can realign the body and improve range of motion to optimal levels.

Therapeutic and Percussive Massage

  • Massage therapy will release the tightness, keep the muscles loose, and increase circulation.
  • This prepares the body for chiropractic adjustments and spinal decompression.

Decompression and Adjustments

  • Non-surgical mechanical decompression realigns the body to a pliable state.
  • Chiropractic adjustments will reset any misalignments, restoring flexibility and mobility.

Exercises

  • A chiropractor will provide physical therapy-type exercises and stretches to mobilize the joints.
  • Targeted exercises and stretches will help to maintain the adjustments and strengthen the body to prevent ROM worsening and future injuries.

Secrets of Optimal Wellness


References

Behm, David G et al. “Acute effects of muscle stretching on physical performance, range of motion, and injury incidence in healthy active individuals: a systematic review.” Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme vol. 41,1 (2016): 1-11. doi:10.1139/apnm-2015-0235

Calixtre, L B et al. “Manual therapy for the management of pain and limited range of motion in subjects with signs and symptoms of temporomandibular disorder: a systematic review of randomized controlled trials.” Journal of oral rehabilitation vol. 42,11 (2015): 847-61. doi:10.1111/joor.12321

Fishman, Loren M. “Yoga and Bone Health.” Orthopedic nursing vol. 40,3 (2021): 169-179. doi:10.1097/NOR.0000000000000757

Lea, R D, and J J Gerhardt. “Range-of-motion measurements.” The Journal of Bone and joint surgery. American Volume vol. 77,5 (1995): 784-98. doi:10.2106/00004623-199505000-00017

Thomas, Ewan, et al. “The Relation Between Stretching Typology and Stretching Duration: The Effects on Range of Motion.” International Journal of sports medicine vol. 39,4 (2018): 243-254. doi:10.1055/s-0044-101146

Athletic Training Checklist: El Paso Back Clinic

Athletic Training Checklist: El Paso Back Clinic

For individuals starting an exercise program and professional athletes, training must be well-spent to develop fitness and specific sports skills. It is important to remember basic athletic training concepts to ensure you are making the most of the workouts. Working one-on-one with a sports medicine doctor, chiropractor, physical therapist, or personal trainer can help individuals achieve fitness goals.

Athletic Training Checklist: EP's Chiropractic Team

Athletic Training Checklist

Abilities and Interests

  • Individuals need to enjoy the training to stick with the program long enough to see results.
  • Rather than picking a generic program or doing what everyone else is doing, adjust workout time and intensity to fit your lifestyle, current fitness level, and ability to push when needed.
  • Choose a workout routine that meets your personal goals.
  • Working with a trainer is highly recommended if you don’t know where to begin.
  • For more advanced individuals, a personal trainer is a great way to fine-tune a fitness plan.

Keep It Simple

  • Athletic training involves consistency and focus.
  • Simplify the training by alternating hard, easy, long, and short workouts and sports skills practice.
  • Remember to enjoy the workouts and listen to your body.

Be Mindful of Overtraining

  • The body does not get stronger by constantly training.
  • The body needs to rest and be allowed to recover to develop.
  • Fitness is built by alternating workouts with recovery.
  • The best way to avoid overtraining is to listen to your body.
  • If your heart rate remains elevated after sleeping, or the legs feel heavy, and if motivation fades, more rest may be needed.
  • For individuals who train year-round, taking a week off every three months is recommended, and it is also the time to change the training routine.

Variation

  • Vary the workouts and intensity to enjoy a well-rounded routine that can help avoid burnout or plateauing.
  • Alternate training intensity and workout time.
  • Even training programs you enjoy can gradually lose physical efficiency if not changed.
  • To improve, variation is needed to challenge the body in different ways.
  • Workouts should be modified every month.
  • Cross-training is another great way to vary a routine and improve fitness.

Training Flexibility

  • Training consistency is what matters.
  • Don’t worry if you have to miss a day.
  • Continue with the training plan.

Realistic Goals

  • Finding a balance when setting goals between what you want to achieve and what you can do.
  • Be honest about fitness levels and potential.
  • If you are new to a sport or fitness routine, take it slow until you know what your body can accomplish to decrease the risk of injury.

Patience

  • It takes time and consistency to build up fitness and performance.
  • Avoid falling into the mindset that more is better.
  • This can result in injuries and loss of motivation.

Consistency

  • Even when starting with short workouts, doing them regularly is important.
  • Avoid falling victim to working out hard only on weekends and doing nothing during the week.
  • Injuries are much more common when exercise is inconsistent.

Nutrition

  • Sports nutrition and hydration go are vital to improving your ability to exercise and train.
  • Individuals on a regular exercise routine should reassess their nutrition plan.

Proper Equipment

  • Sports injury prevention begins by using the right equipment.
  • Whatever sport or exercise routine, ensure the equipment and footwear work and fit properly.
  • Pads, helmets, and mouthguards are made to help protect athletes and should be utilized.

Becoming An Olympic Athlete


References

American Dietetic Association, Dietitians of Canada, American College of Sports Medicine, Rodriguez NR, DiMarco NM, Langley S. American College of Sports Medicine Position Stand: Nutrition and Athletic Performance. Medicine & Science in Sports & Exercise. 2009;41(3):709-731. doi:10.1249/mss.0b013e31890eb86.

Beaupre, Justin, et al. “Athletic Training and Population Health Science.” Journal of athletic training vol. 57,2 (2022): 136-139. doi:10.4085/314-19

Garber CE, Blissmer B, Deschenes MR, et al. Quantity and Quality of Exercise for Developing and Maintaining Cardiorespiratory, Musculoskeletal, and Neuromotor Fitness in Apparently Healthy Adults. Medicine & Science in Sports & Exercise. 2011;43(7):1334-1359. doi:10.1249/mss.0b013e318213fefb.

Halson, Shona L, and Laura E Juliff. “Sleep, sport, and the brain.” Progress in brain research vol. 234 (2017): 13-31. doi:10.1016/bs.pbr.2017.06.006

Jeukendrup, Asker E. “Periodized Nutrition for Athletes.” Sports medicine (Auckland, N.Z.) vol. 47, Suppl 1 (2017): 51-63. doi:10.1007/s40279-017-0694-2

Kreher JB, Schwartz JB. Overtraining Syndrome: A Practical Guide. Sports Health. 2012;4(2):128-138. doi:10.1177/1941738111434406.

Mujika, Iñigo. “Quantification of Training and Competition Loads in Endurance Sports: Methods and Applications.” International Journal of sports physiology and Performance vol. 12, Suppl 2 (2017): S29-S217. doi:10.1123/ijspp.2016-0403

Treadmill Walking Exercise Errors: El Paso Back Clinic

Treadmill Walking Exercise Errors: El Paso Back Clinic

Working out on a treadmill is a great way to get cardiovascular exercise when unable to go outside or to change things up. However, it’s not just about getting on the machine and walking or running. Like anything, proper form and posture are important in preventing injuries. This allows the individual to walk smoother and faster, burn more calories, and get the full benefits. Individuals with a medical condition that impacts posture or makes it difficult to walk on a treadmill should speak to a healthcare provider for recommendations to ensure they can work out without aggravating the condition or putting themselves at risk. There is an option of working with a physical or occupational therapist to address any concerns individuals may have about using a treadmill.

Treadmill Walking Exercise Errors: EP Chiropractic Team

Treadmill Walking Exercise Errors

Safety

A common error is getting on a treadmill with the belt already running. This may seem unnecessary, but many accidents happen when individuals just jump on. To avoid injuries, it is recommended to follow these safety tips.

  • Make sure the machine is off.
  • Know where the emergency stop switch is.
  • Stand next to the base/running deck.
  • Clip the safety key to your body to stop the treadmill if you slip or stumble.
  • Start the treadmill and set it to slow speed.
  • Look at the speed and carefully get onto the moving tread.
  • Gradually increase the speed once comfortably on board.

Wrong Shoes

A healthy step is to strike with the heel in front with the forward foot slightly off the surface. The foot then rolls from heel to toe; by the time the toe is on the ground, the individual is halfway into the next step, and the forward foot is now the rear foot and ready for the toes to push off to take the next step.

  • This sequence is only possible with flexible shoes.
  • Wearing stiff shoes may not allow for the roll-through.
  • Stiff shoes force the foot to slap down.
  • The body and walking stride become a flat-footed stomp.
  • Take a few minutes during a walking session to think about what the feet are doing.
  • Ensure they strike with the heel, roll through the step, and the rear foot provides an adequate push-off.
  • If you cannot do this in your present shoes, then it’s time to look at other flexible walking/running shoes.

Holding The Handrails

  • The handrails provide stability, but natural walking posture or natural movement involves a healthy stride and arm motion.
  • Constantly holding onto the handrails doesn’t allow for this motion.
  • Walking or running at a slower pace is recommended without using the handrails.
  • Individuals will get a better workout at a slower pace than they would at a faster rate holding on to the rails.
  • Individuals with a disability or balance issues may need the handrails and should consult a trainer or physical therapist for healthy workout recommendations.

Leaning Forward

Proper walking posture means the body is upright, not leaning forward or backward.

  • Before stepping onto the treadmill, check and readjust your posture.
  • Engage the abdominals and maintain a neutral spine.
  • Give the shoulders a backward roll so they are not hunched up.
  • Get on the treadmill and walk.
  • Remind yourself to maintain this upright posture.
  • When changing pace or incline, check your posture again.

Looking Down and Not Ahead

  • A healthy walking posture means the head is up and the eyes forward.
  • An unhealthy walking posture can lead to neck, shoulder, and low back pain.
  • Improper posture doesn’t allow the body to take full, complete breaths.
  • It also reinforces unhealthy sitting postures.
  • Check the shoulders and do a backward roll every few minutes to ensure they aren’t hunching forward.

Overstriding

  • Overstriding means the front heel hits the ground too far in front of the body.
  • Many individuals do this to walk faster.
  • An overstride can result in the foot slipping, which can cause a trip and/or a fall.
  • A healthy walking stride means the front heel strikes close to the body while the back foot stays on the ground longer to provide a powerful push-off.
  • This push-off provides more speed and power and works the muscles better to burn more calories.
  • You may need to shorten the stride and take shorter steps when beginning.
  • Then focus on feeling the back foot and getting a thorough push with each step.
  • Focus on this for a few minutes each session until it becomes familiar and walking becomes faster and easier.

No Arm Movement

  • If the handrails are not necessary, the arms should be moving during the workout.
  • Proper arm motion allows the body to go faster and burn more calories.
  • The swinging motion can help shoulder and neck problems developed from unhealthy postures.
  • The legs only move as fast as the arms do.
  • To speed up the legs, speed up the arms.

Going Too Fast

  • Go only as fast as the body can go while maintaining proper walking posture and form.
  • If overstriding, leaning forward, or hunching shoulders begin to present, slow down until a comfortable/maintainable speed that allows the body to walk correctly is found.
  • If the workout doesn’t feel like it’s helping
  • Individuals with a bad walking form at high speeds may consider adding running intervals.
  • Running will create quick bursts of higher heart rate and change form.

Running Intervals

  • Warm up at a slow speed for 3 to 5 minutes.
  • Increase walking speed to a fast pace that can maintain proper walking form.
  • Start a jog and increase the speed to match the jogging pace.
  • Jog for 1 to 3 minutes.
  • Return to the fast walking pace for 3 to 5 minutes.
  • Jog for 1 to 3 minutes.
  • Repeat until the end of the workout.
  • Finish with 3 to 5 minutes at an easy walking pace to cool down.

Challenge Yourself

When the body has fully adapted to a workout, it’s time to challenge the body to achieve greater fitness and stay motivated. This is where workout variation intensity, duration, frequency, and/or mode come into play.

Intensity

  • Add intensity by increasing the incline or the speed.

Duration

  • Increase the time spent on the treadmill.
  • If spending 30 minutes for several weeks, increase to 45 minutes for at least one weekly session.
  • After a couple of weeks, increase to 60 minutes.

Frequency

  • Once the body is used to treadmill walking, try to incorporate a session every day or every other day.
  • Walk at a brisk pace for 30 to 60 minutes, going for a total of 150 to 300 minutes per week.

Type of Exercise

  • Try jogging or running.
  • Alternate using the exercise bike, rowing machine, or stair climber.
  • Add weight training, circuit training, or anything enjoyable that gets the body moving in different ways.

Set goals and get into the habit of using the treadmill regularly to reap all the benefits. Avoid common treadmill errors, stay safe, and make the most out of walking and running workouts.


Move Better, Live Better


References

Centers for Disease Control and Prevention. Benefits of Physical Activity.

Donlin, Margo C et al. “Adaptive treadmill walking encourages persistent propulsion.” Gait & Posture vol. 93 (2022): 246-251. doi:10.1016/j.gaitpost.2022.02.017

Donlin, Margo C et al. “User-driven treadmill walking promotes healthy step width after stroke.” Gait & Posture vol. 86 (2021): 256-259. doi:10.1016/j.gaitpost.2021.03.031

Hashiba, M. “Transient change in standing posture after linear treadmill locomotion.” The Japanese Journal of Physiology vol. 48,6 (1998): 499-504. doi:10.2170/jjphysiol.48.499

Liang, Junjie et al. “The effect of anti-gravity treadmill training for knee osteoarthritis rehabilitation on joint pain, gait, and EMG: Case report.” Medicine vol. 98,18 (2019): e15386. doi:10.1097/MD.0000000000015386

MacEwen, Brittany T et al. “A systematic review of standing and treadmill desks in the workplace.” Preventive medicine vol. 70 (2015): 50-8. doi:10.1016/j.ypmed.2014.11.011

Improving Walking Posture: El Paso Back Clinic

Improving Walking Posture: El Paso Back Clinic

For individuals with aches and pains after walking, the first thing to check is posture. How an individual holds their body is important in walking effortlessly and comfortably. Improving walking posture will make it easier to breathe and walk farther and faster. Injury Medical Chiropractic and Functional Medicine Clinic can treat back problems, restore mobility, and retrain individuals on achieving and maintaining healthy posture.

Improving Walking Posture: EP's Chiropractic Injury Specialists

Walking Posture

Sitting for extended periods weakens neck and back muscles and decreases spinal mobility, making it more difficult to maintain a healthy walking posture. Improving and maintaining healthy walking posture can go a long way regarding the body’s health.

Benefits

The benefits include:

  • Strengthened core, back, leg, and buttock muscles.
  • Improved balance and stability.
  • Easier breathing.
  • Increased energy levels.
  • Improved walking speed, distance, and gait.
  • Back and hip discomfort symptoms prevention.
  • Decreased risk of injury and falling.

Set Up Posture

  • Stand up straight.
  • Engage the core.
  • Relax shoulders.
  • Keep the chin parallel to the ground.
  • Eyes forward.
  • Minimize leaning forward or backward.
  • Spend the first 15 seconds of walking focusing on posture.
  • Once a rhythm is achieved, periodically check yourself to ensure you stay consistent with proper posture until it becomes normal.

Stand up Straight

  • Visualize standing tall and straight.
  • Resist the temptation to slouch or arch the back.

Control Leaning Forward or Back

  • Leaning strains the back muscles when sitting, standing, and walking.
  • Leaning slightly forward from the ankles when walking up a hill.
  • Going downhill, leaning slightly forward, or maintaining a straight back is okay.

Keep Eyes Forward

  • Avoid looking down.
  • The focus should be about 20 feet ahead.
  • Maintaining a forward visual path allows individuals to see anything from the side.

Keep Chin Parallel to the Ground

  • This reduces strain on the neck and back.
  • A proper chin position maintains forward focus rather than down.

Shoulders Back and Relaxed

  • Shrug and allow the shoulders to fall and relax slightly back.
  • Loosening up the shoulders helps relieve tension and…
  • Positions the shoulders to use healthy arm motion while walking.
  • Shrug and re-loosen at intervals during the walk to ensure the shoulders stay relaxed.

Engage Core Muscles

  • The core muscles help resist slouching and leaning.
  • Keep the stomach pulled in slightly.
  • Take deep, full breaths to maintain a healthy walking posture.

Maintain Neutral Pelvis

  • Ensure the hips are not tilting forward or back while walking.
  • Practice sticking out the buttocks, tucking them in, and finding a natural middle.
  • The middle is the healthy balance that will keep you from arching the back muscles and spine.

Devices

  • Resist the urge to engage with the phone or activity monitor while walking and looking down.
  • Only look when necessary and then mindfully regain posture.
  • Some activity monitors have vibration alerts to reduce the need to look down.
  • Utilize earbuds or headphones for making and taking calls and other tasks.
  • Certain earbuds or headphones allow for voice commands, so you don’t have to look at the phone.

Chiropractic Realignment and Retraining

Maintaining proper posture is a gradual process. A chiropractor can correct years of practicing unhealthy postures like forward head issues or chronic slouching and realign the spine to restore optimal function.

  • A chiropractic therapy team will work on bones and muscles in specific body regions.
  • Massage will relax the muscle tissues to restore correct balance.
  • Chiropractic techniques will realign the neck, spine, hips, and pelvis.
  • Decompression therapy may be used to stretch the body.
  • Strengthening and stretching exercises will maintain adjustments.
  • Posture retraining will teach individuals to stay aware of their spinal position and help create healthy habits.

Regular posture checks, whether at work, school, just walking around doing errands, or exercising, will help the body learn proper positioning until it becomes second nature.


Revitalize and Rebuild


References

Buldt, Andrew K et al. “The relationship between foot posture and plantar pressure during walking in adults: A systematic review.” Gait & Posture vol. 62 (2018): 56-67. doi:10.1016/j.gaitpost.2018.02.026

Hackford, Jessie, et al. “The effects of walking posture on affective and physiological states during stress.” Journal of behavior therapy and experimental psychiatry vol. 62 (2019): 80-87. doi:10.1016/j.jbtep.2018.09.004

Lin, Guohao, et al. “The relationship between forward head posture, postural control, and gait: A systematic review.” Gait & Posture vol. 98 (2022): 316-329. doi:10.1016/j.gaitpost.2022.10.008

Suh, Jee Hyun, et al. “The effect of lumbar stabilization and walking exercises on chronic low back pain: A randomized controlled trial.” Medicine vol. 98,26 (2019): e16173. doi:10.1097/MD.0000000000016173

Woollacott, Marjorie, and Anne Shumway-Cook. “Attention and the control of posture and gait: a review of an emerging area of research.” Gait & Posture vol. 16,1 (2002): 1-14. doi:10.1016/s0966-6362(01)00156-4