Back Clinic Health Team. The level of functional and metabolic efficiency of a living organism. In humans, it is the ability of individuals or communities to adapt and self-manage when facing physical, mental, psychological, and social changes in an environment. Dr.Alex Jimenez D.C., C.C.S.T, a clinical pain doctor who uses cutting-edge therapies and rehabilitation procedures focused on total health, strength training, and complete conditioning. We take a global functional fitness treatment approach to regain complete functional health.
Dr. Jimenez presents articles both from his own experience and from a variety of sources that pertain to a healthy lifestyle or general health issues. I have spent over 30+ years researching and testing methods with thousands of patients and understand what truly works. We strive to create fitness and better the body through researched methods and total health programs.
These programs and methods are natural and use the body’s own ability to achieve improvement goals, rather than introducing harmful chemicals, controversial hormone replacement, surgery, or addictive drugs. As a result, individuals live a fulfilled life with more energy, a positive attitude, better sleep, less pain, proper body weight, and education on maintaining this way of life.
The exercises you do before your workout may matter just as much as the main event. That’s why we tapped David Reavy, founder of React Physical Therapy in Chicago, to show us the best exercises to become a better runner. According to Reavy, getting the body warmed up pre-run is key, since “your muscles aren’t elastic.” By easing into exercise, you reduce your likelihood of injury and prime your body for the activity head. The four exercises in the video above will prep your muscles so you have a better (and safer!) run.
Watch the clip above to see Reavy demo the key exercises every runner should be doing regularly, or read up on the important moves below.
Hip flexor release: Start with your stomach on the mat, using your elbows and forearms to prop the upper body up so your chest is lifted off the floor. Bend your right leg at a 90-degree angle at your side and extend your left leg long on the floor behind you. Bend the left leg at the knee, bringing the foot toward the glutes 30 times. Switch the positioning of the legs and repeat the movement 30 times on the opposite side.
Lateral quad release: Start with your stomach on the mat and use your elbows and forearms to prop the upper body up, so your chest is lifted off the floor. Place a foam roller underneath the left quad with the right leg bent at a 90-degree angle to the right side of your body on the floor. Bend the left leg at the knee, driving the foot from the floor toward the glutes 30 times. Switch the positioning of the legs and foam roller and repeat the movement 30 times on the opposite side.
Four-way lunges: Start in a lunge position with your left leg in front. First, continuously move your hands from chest-height toward the mat, moving your torso back and forth slightly with the movement. Return to a regular lunge. Next, continuously twist your torso from left to right. Return to a regular lunge. After that, raise your hands up, bending the elbows at 90-degree angles on each side. Continuously lower each elbow toward your waistline one at a time to stretch your side body on the left and right. Return to a regular lunge. Do 10 to 15 reps of a standard lunge. Repeat all four exercises in a lunge on the other side, with the right leg in front.
Inner thigh squat: From standing, complete 10 to 15 deep squats with the toes turned slightly out to target the inner thighs.
When celebrity trainer Anna Kaiser calls and invites you to do a 5-day intensive workshop with her that mimics the exact workout she does on her famous clients, you don�t say no. At least�I�don�t say no. Because Kaiser, founder of�AKT In Motion, is one of the most motivating, positive, brilliant minds in the fitness industry. And she kicks major ass. This worked out perfectly since I was in the mood for a major ass-kicking.
So I said a resounding YES and shortly after found myself waiting patiently inside her Nomad studio one Monday morning a few weeks ago for day�numero uno�of the aforementioned workshop. On the agenda: 5 days of intensive classes, all led by Kaiser, that would give me a taste of the full scope of the concept behind her workout. (Her method, by the way, is an exercise routine rooted in functional movement combining circuit training with HIIT, strength, toning, dance cardio, Pilates, and yoga.) Oh, and PS,�Kelly Ripa,�Karlie Kloss,�Shakira, and other beautiful bods in Hollywood all call her on the reg to whip them into shape.
Day 1:�Happy Hour, her signature dance cardio class (below). We start with a warm up before we start rocking out to a beast of a playlist that gets us through an hour + of sweat drenching cardio. Anna (who by the way just had a baby), is working harder than any other person in the room, as revealed by all of our heart rate monitors that are displayed on a screen at the front of the studio. Her energy is palpable, and I leave the class feeling incredibly inspired and excited for the week of classes ahead of me.
Day 2:�I leap out of bed in the morning without hesitation (this is rare. Unheard of, actually) and make my way to the studio for Sweat Dream, a cardio-strength combo class using resistance bands hung from the ceiling. This class is no joke. By the end of the hour I can barely move my arms. But just like yesterday, Anna�s energy gets me through it, no problemo.
Day 3:�I wake up this morning extremely sore, as anticipated. But I feel great. Today�s class is called Tone, which consists of 45 minutes of total body toning followed by 15 minutes of foam rolling and deep stretching. This is actually the perfect day for this class because I am in desperate need of stretching. I am 10 minutes late which puts me in a state of panic the whole subway ride uptown, but I finally make it. Bonus: My heart rate is already through the roof and I�m sweating, and I haven�t even started the workout. The first 45 minutes are a challenge (think Pilates and barre-inspired strength moves) but it�s the cool down that really throws me over the edge. Yes, the cool down. We work our fatigued muscles out on the torture device known as the foam roller and suddenly I�ve never been so desperate to get back to toning. It hurts. BAD. The best kind of pain that is so brutal yet you know is doing your body so much good. By the time 15 minutes has ended I feel like I just had a 90-minute massage. I leave class and head immediately to Paragon Sports to pick up a foam roller for my apartment. I�ve used it every day, ever since. It�s changed my life.
Day 4:�Due to the aforementioned foam rolling, I feel pretty good. I am sore from head to toe but oddly also feel refreshed and renewed. I head to day 4 of class, known as 4Play. (4 exercises x 4 circuits, done through a combination of HIIT intervals and functional strength training, using weights, bands, balls, and anything else you can think of). This. Is. Hard. SO hard. I think about quitting, but then I look over at bright-eyed bushy-tailed Anna, and I instantly erase that thought from memory. As a plow through a series of weighted squats, I ponder how it is that she is pouring sweat and exerting more energy than all of us, yet doesn�t look tired in the least bit. Then I think about how she has a newborn at home and begin to wonder how many hours of sleep she got last night (Two? Three, maybe?) I decide to squat lower and suck it up because I literally have zero excuses not to.
Day 5:�The last day of the workshop! One would think I would be thrilled to be done with this journey of torture, but in actuality, I woke up this morning feeling sad. For the entire week, I committed to something that was doing my body, mind, and soul an incredible amount of good. I started each morning with one of the most positive, upbeat, inspiring woman I know. I tested my body to its limit. And I feel incredible. I go to class (a combination mixer of all of AKT�s offerings) and give it my all. I collapse into a sweaty fetal position on my mat at the end.
What did I do after? Go directly to the spa? Throw my gym shoes in the trash on the way out the door? No. I immediately went to the front desk and signed up for a double class for the next morning. Crazy? Yes. True story? Double yes.
I�ve been addicted ever since. And my body has never felt better. Karlie, I understand your obsession.
We may know Amy Schumer as the funny girl who can crack a joke on command, but there is one thing that the star of the new movie Snatched takes seriously: her workouts.
The proof in this video, which shows�Schumer�sweating it out under the watchful eye of her trainer Harley Pasternak. Pasternak�recently posted this clip of the comedienne�performing a two-minute cardio burst on a Helix. (More on that later.)
RELATED: 24 Fat-Burning Ab Exercises (No Crunches!)
�First of all, Amy’s naturally an athlete,� notes Pasternak who says Schumer has an effortless humor that lights up the room� and makes everyone around her smile. �She played sports at a high-level through high school and college, and was an aerobics instructor. So she’s very coordinated, and easy to push in the gym.�
So how exactly does Pasternak help keep Schumer looking her best? The simple seven, he says�that is, a circuit of seven strength moves that target the entire body. �The exercises sometimes vary, but I usually pick one exercise for each of the seven major body parts,� explains Pasternak who offered up the skater lunge, dumbbell stiff-leg deadlift, dumbbell curl press, single arm dumbbell row, lying dumbbell triceps extension with hip thrust, spider plank and Superman. �Sometimes I have her just pick one of these exercises and do anywhere from three to five sets with 15 to 30 reps. Other times I’ll have her do all seven exercises, doing one to three sets of 15 to 20 reps.�
Pasternak also has Schumer hit the Helix, a gym machine that works the body on a lateral plane. �Most of what we do is forward and back, so to find something that works us more side to side I think is really helpful for those under-worked muscles like the abductors and obliques, while still hitting the glutes and quads,� he says. �I mainly use the Helix as a cardio burst when doing a circuit, but it can easily be used for more prolonged bouts of cardio.� Don�t have access to a Helix? No worries. Pasternak, says you can put two towels underneath your feet and slide side to side on a hardwood floor to mimic the movement of the machine.
For overall wellness, though, Pasternak reminds us that walking is essential. �This is by far the most important thing that I can ever tell someone to do,� he says. �Get a Fitbit, set a daily step goal of at least 10,000, and keep moving.�
Now that you�re armed with Pasternak’s A-list tips, give Schumer�s simple seven a try:
1. Skater Lunge
Stand with feet shoulder-width apart and knees slightly bent. Hinge forward at waist as you raise left foot. Push off right foot and explode toward the left, landing on left foot with knees slightly bent; touch right toes to the ground behind left foot. Push off left foot and explode back toward the right, landing on right foot with left toes touching behind it. Continue, alternating back and forth. (Click here to see a photo.)
2. Dumbbell Stiff Leg Deadlift
Stand with feet hip-width apart and a dumbbell in each hand, palms face thighs. Brace core, and keeping weight in heels, hinge at hips and lower torso as you slide dumbbells down the front of thighs. Weights should only go down as far as hamstrings will allow without your back rounding. Slowly rise to standing, and then repeat.
3. Dumbbell Curl Press
Stand holding a dumbbell in each hand, palms facing out, with� hands shoulder-width apart and arms hanging in front of you. Curl the weight toward shoulders and then press weights up directly over shoulders until arms are straight. Lower back to start and then repeat.
4. Single Arm Dumbbell Row
Start from a lunge position with left leg forward and�left elbow resting on�knee. (Or, place left knee and left palm on a bench.) Grab a dumbbell with your right hand. Row the dumbbell up along your ribs, squeezing the right shoulder blade. Lower back to start and then repeat. When you switch sides, switch legs so that the right is forward.
5. Lying Dumbbell Triceps Extension With Hip Thrust
Lie faceup with knees bent, feet flat and a dumbbell in each hand. Extend arms straight up; palms face each other. Hinge arms at elbows, and lower dumbbells back toward ears. Contract triceps and extend arms back up as you simultaneously engage glutes and push hips up as high as possible. As you lower hips, lower dumbbells back towards ears again; repeat.
6. Superman
Lie facedown with arms and legs fully extended and shoulder-width apart. Simultaneously lift legs and arms at least 6 inches off the floor; hold for 5 seconds, lower and then repeat.
7. Spider Plank
Get into the �up� part of a pushup. Lift right foot, bending right knee and brining it toward the outside of right elbow. Return to start, switch legs and repeat on the left side. (Click here to see a photo.)
A new season means it’s time for a fresh new pair of kicks. And what better option to transition to spring in style than some bright white sneakers? Not only are they totally trendy right now, but this neutral footwear also matches (nearly) everything in your wardrobe. Plus, sneakers are the ultimate travel shoe—you can walk around in them all day without having to stop and deal with blisters or sore arches. (These comfortable ballet flats, stylish flats with arch support, and podiatrist-approved comfortable sandals are also great options for spring and summer travel, as well as everyday wear.) So whether you need sneaks to wear to work or to sport post-gym with your mesh-paneled leggings and cool hoodies, we’ve found nine fashionable white sneakers for women that will help you conquer the new season with a little extra pep in your step.
Converse Jack Purcell CP Canvas Low Top ($65; zappos.com)
If you’re looking for that quintessential pair of casual kicks, white Converse will do the trick. These classic sneakers are a super versatile choice—you can wear them on the weekends while running errands or rock them at the office for a cool, business-casual look.
Take your style game to a whole new level with these killer high-tops. You can rock them with rolled up jeans, shorts, or even a skirt for a truly on-point look.
Remember these? Keds are making a comeback and we’re definitely not mad about it—we love the versatility of these cute, simple sneaks. Plus, when they get scuffed, you can easily throw them in the wash—a major bonus when it comes to keeping white footwear fresh and clean.
These Adidas may be an old-school style, but modern-vintage sneakers are coming back in a big way. Plus, wearing them with stylish athleisure gives these sneakers an upgraded, hip look. Let them take you from a Saturday morning workout to brunch and beyond by pairing the sleek shoes with some bright, bold leggings.
New Balance 576 Made in UK Animal ($250; newbalance.com)
Mix up your wardrobe with a little dose of texture. These stylish monochromatic New Balance shoes, featuring an embossed leather upper, can easily be dressed up or down for any occasion.
Looking for pair of shoes to easily throw on as you rush out the door? These slip-ons make getting dressed in the morning a total breeze. Not to mention, they look white-hot with skinny jeans, capris, shorts, dresses, and more.
This classic aerobics shoe has been updated for 2017 with breathable uppers and a terry lining designed to absorb moisture. They bring a preppy vibe to any active outfit.
The Adidas Originals Superstar is still a must-have after 48 years. Pair it with your basic leggings or even with a maxi skirt for a celeb status outfit.
A subtle shine makes the Reebok Classic Leather Pearlized that much more luxe. Padded foam sockliners keeps blisters at bay when you are working the no sock look.
Oversize laces—a nod to the 80s—give the Puma Basket Heart Patent a retro feel. This style was originally introduced in the 60s as a basketball warm-up shoe, so they’re great for hitting the courts too.
Pilates is known for building strength in your core—but that doesn’t mean it only works the abs. This popular workout can also lengthen your limbs and sculpt lean muscle all over. Take it from Julie Erickson, founder of the Endurance Pilates and Yoga studio in Boston. A certified Pilates instructor who’s trained pro athletes and dancers, Julie knows exactly how to use this workout to target each part of the body so you stay strong, no matter what type of activity you’re into (football, ballet, you name it!). In this video, Julie demonstrates six Pilates exercises that are specifically intended to help tone you from the waist up. Don’t have time to watch? Here are the six sculpting moves she shows us:
Shoulder opener: On a mat, rest on your knees holding a weight (or water bottle!) in each hand. Raise your arms out slightly behind the body, keeping them straight and pulsing your hands in towards your midsection behind the back for 45 seconds.
Shave: On a mat, rest on your knees with your arms raised straight above your head. Create a diamond shape with hands above the head. With hands still in a diamond shape, bend at the elbows to lower the arms behind the head, then extend straight again. Continue this bend-and-extend movement for 45 seconds.
Arms wide: Standing tall with your back against a wall, slowly raise arms out to your sides until they create a wide “V” shape above your head. Return them down to the starting position and repeat this movement for 45 seconds.
Goal: Standing tall with your back against a wall, raise your arms to a goal post position with each elbow creating a 90-degree angle at shoulder height. Keep arms raised and slowly shrug your shoulders up and down for 45 seconds.
Chest expansion: On a mat, rest on your knees with a weight in each hand. Slowly raise your arms straight out to chest height in front of you, then lower them back down. Turn your head to the right, then left, then return to center and repeat this sequence for 45 seconds.
Overhead side stretch: Standing tall, raise your right arm up overhead and lean your torso toward the left to stretch the side body. Return to center and repeat with the left arm raised, leaning your torso to the right to stretch the other side. Continue to switch off stretching to each side for 45 seconds.
Taking care of your mind and body can take tons of different forms, from settling in for a scented bubble bath to getting your heart rate sky-high in spin class. It all depends on what works best for you.
But if you ask us, practicing self-care while you stay active is the best of both worlds. That�s just what we�re doing in this eight-minute flow with body-positive yogi and Every Body Yoga author Jessamyn Stanley.
�This sequence is all about getting into your own body, finding your strength within, and remembering that you are self-confident all the time, no matter what obstacle, no matter where you are,� says Jessamyn. Preach.
There�s science to back up yoga�s mind-body benefits as well. The ancient activity comes with a wide range of healthy side effects, from lower stress levels to a stronger core, better sex, and fewer headaches (you know, just to name a few). Not to mention yoga is accessible for pretty much every body, as Jessamyn�s book demonstrates. RELATED:This Invigorating Yoga Flow is the Best Way to Get Energized
In the video above, she�ll show you how to strengthen and lengthen your body using classic poses like Warrior I, Warrior II, Triangle, and more. You�ll also work on building better balance and eventually take time at the end of the practice to sit still, breathe, and appreciate all the amazing work your body has just allowed you to do.
Nervous because you�re a yoga novice? There�s no need. Jessamyn caters the flow to beginner and advanced yogis alike. Follow the yoga routine in the clip above to practice self-love and exercise at the same time. It�s really a win-win. And if you want to keep the self-love coming post-workout, go ahead and treat yourself to a DIY spa day. Because you deserve it.
Your physician may suggest taking drugs to help deal with the pain from degenerative disk disease, or DDD. The severity of your symptoms ascertains what drugs you might need, plus, it makes a difference if your pain is acute or long-term.
Severe pain is, in addition, called a flare up; a sudden onset of pain.
Chronic pain is long-term, and you’re prone to possess long-term pain than intense pain as degenerative disc disease advances.
As with any drugs or medicines, you should not take anything without first consulting with your healthcare professional to see if it’s the best option for you. Most likely, you will proceed through a progression of drugs, first attempting over the counter medicines. Stronger drugs may be prescribed by a healthcare specialist if those don’t work. You may need spinal injections that send a stronger medicine, if those don’t help.
Over-the-Counter Medications for Degenerative Disc Disease
Acetaminophen: Tylenol is an example of acetaminophen, a sort of drug that’s turned out to be an excellent pain reliever. Your physician may call this an analgesic, but most people refer as a painkiller to acetaminophen medications. It doesn’t help reduce inflammation, though. By essentially blocking the perception of pain of your brain, acetaminophen works, plus it may help pain flare-ups that may come with DDD.
Over the counter non-steroidal anti-inflammatory drugs (NSAIDs): These will reduce swelling (or inflammation) while relieving your pain; that’s how NSAIDs differ from acetaminophen. If an over the counter NSAID is a choice for you, you’ve lots to select from. You can use ibuprofen (eg, Advil), aspirin, or aproxen (eg, Aleve).
By taking an NSAID, you are really building up an anti-inflammatory effect in the body, therefore it’s required to take it for awhile. If you take them just when you’ve pain that is certainly, NSAIDs won’t be as powerful. Because they build up in your own body and work to limit inflammation, NSAIDs are better for chronic pain sufferers.
Prescription Drugs for Degenerative Disc Disease
Anti-depressants: Antidepressants may be effective drugs for treating pain since they block pain messages on their strategy to mental performance as astonishing as it might seem. They could also help increase your body’s production of endorphins, an all-natural painkiller. Finally, antidepressants can also assist you to sleep better, which can be a major headache for people in persistent pain.
Muscle relaxants: If you have chronic back pain caused by muscle spasms, a muscle relaxant, which should help prevent the spasms may be needed by you. Muscle relaxants could also help you sleep.
Agents that are neuropathic: If you have nerve pain, your physician may prescribe a drug that especially targets the nerves. Neurontin (gabapentin) is a good example.
Opioids (narcotics): In only under careful supervision, and the most extraordinary cases, your doctor may prescribe an opioid. Vicodin is an example of a narcotic.
Prescription NSAIDs: NSAIDs that are more powerful can be taken by you than the over-the-counter variety, if your doctor believes this is best for your pain.
Medication/Drug Precautions
As with all medicines, your doctor’s guidance must be followed by you exactly. Never blend over the counter and prescribed drugs without first consulting with your physician. Also, as your physician determines things to prescribe, if you are using any herbal nutritional supplements make sure to tell him or her, as well as every other prescription medications you’re taking.
Spinal Injections for Degenerative Disc Disease
Epidural steroid injection: That is only one of the very common shots. In lots of people, an epidural steroid injection is successful to reduce low back pain caused by a herniated disc; among the affiliated conditions with DDD. An epidural steroid injection (ESI) targets the epidural space, which will be the space enclosing the membrane that covers the back and nerve roots.An epidural steroid injection sends steroids�very powerful anti-inflammatories�right to the nerve root(s) that is inflamed. This is really a pain management treatment, therefore it’s best to have an injection-trained pain management specialist perform the injection under fluoroscopy (real time xray). You could need two or three injections; generally, you need to not have that because of the possible side effects of the steroids.
Facet joint injection: Also referred to as a facet block, facet joint injections are useful if one (or maybe more) of your facet joints are causing pain. A steroid drugs (powerful anti inflammatory) is injected into the joint’s protective capsule. Reduce joint pain and the medication works to ease inflammation.
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: Whole Body Wellness
Maintaining overall health and wellness through a balanced nutrition, regular physical activity and proper sleep is essential for your whole body�s well-being. While these are some of the most important contributing factors for staying healthy, seeking care and preventing injuries or the development of conditions through natural alternatives can also guarantee overall health and wellness. Chiropractic care is a safe and effective treatment option utilized by many individuals to ensure whole body wellness.
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
