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Alexander Technique

Alexander Technique

Improving posture can be challenging. Poor posture is often the source of various musculoskeletal issues like chronic pain throughout the body. Poor posture can be so ingrained in the brain that it becomes an unconscious positioning reflex that feels right but could be worsening spinal, hip, and leg problems. The Alexander Technique could be a treatment option that could help long-term.

Alexander Technique

Alexander Technique

The approach focuses on learning mind-body awareness. It is an educational process to teach individuals to become aware of their body positioning and change unhealthy posture/movement habits into healthy ones. The objective is learning to utilize sufficient levels of muscle tension for everyday activities, like sitting, standing up, and walking in a healthy way to maintain optimal health of the musculoskeletal system.

  • The theory is that less tension minimizes wear and tear on the muscles and structures of the spine vulnerable to compression.
  • The fundamental goal of the Alexander Technique is to undo all the unhealthy tension habits to decompress the spine and retrain the mind and body to approach movement and body positioning in a new and healthy way.

Teachings

The technique can be done in a class setting or one-on-one teaching because everyone’s postural and movement habits are unique. A teacher helps identify the tension-inducing postures and educates the individual on how to correct them. Human touch is an integral part of the Alexander Technique. Using their hands gently to adjust the individual to a proper upright position, a teacher helps release pressure from the head, neck, shoulders, and upper back. The individual learns to release the tension throughout their body. The Alexander Technique is a type of hands-on therapy; it is not manipulation or massage. It uses a light touch with no risk of injury to the spine, allowing anyone to participate. However, individuals must be willing to participate/engage in the process to get the benefits. Most individuals can tell if it’s right for them during the first lesson. A typical program teaches:

  • Comfortably sitting up straight.
  • Reducing overuse of superficial musculature.
  • Increasing proprioceptive awareness.
  • Staying alert to the body’s warning of tension and compression.

Tension Build Up

Individuals usually don’t even realize they’re constantly placing pressure on their spine from unhealthy postural habits, building up muscular tension they never knew they created. For example, unhealthy neck position habits include:

  • Pushing the head forward
  • Slumping over
  • Pinning the shoulders back
  • These postures generate/build pressure and tension that radiates outward and down to the large muscles of the spine.
  • Habitual downward pressure can pull and change the spine’s shape, leading to degenerative forms of spinal deformity in severe cases.
  • When the tension is released, the neck and body begin to stand upright comfortably, without pulling down or pulling back.

Frederick Matthias Alexander

Developed the technique in the 1890s to help his muscle tension problems affecting his acting career. When performing, he would stiffen his neck and pull his head back and up, building tension that caused him to tighten his throat and lose his voice. He did not know he was doing this until he performed in front of a mirror and saw his awkward positioning. He realized this and retrained himself to pose naturally, stay relaxed, and be aware of any tension building in the muscles to release it immediately. Alexander Technique educators/practitioners practice all over the world. The American Society for the Alexander Technique or AmSAT website has a Find A Teacher Tool that connects individuals to AmSAT-approved teachers.


Body Composition


Practicing Mindfulness

Developing a mindfulness practice can help identify triggers of negative behavior or thoughts. Just like diet and exercise, practicing mindfulness is unique to everyone. It is recommended to try different things like:

  • Journaling is another way to tune into oneself. Grab a pen and paper, a computer, tablet, or phone, and take a few minutes to write every day.
  • Write one thing that makes you happy.
  • One thing you want to improve.
  • One goal you want to accomplish that day or that week.

Mindful music listening can help reduce stress by allowing the individual to focus their attention when their mind is going in all directions.

  • Instead of turning to the news or email when waking up, grab a cup of coffee or tea and listen to a favorite podcast or music.
  • Put the phone away and listen to your mind and self.

Try to meditate in the morning when waking up. This helps set the day’s goals/plans. Goal-setting mindfulness has been shown to reduce stress levels and anxiety. However, if the morning is not possible then at night before bed can be used to reflect on the day’s activities, what went well, what didn’t, how to improve something, whatever the case, the point is to make time for yourself to reflect, set goals, and develop a plan to achieve those goals.

References

Becker, Jordan J et al. “Preliminary evidence for feasibility, efficacy, and mechanisms of Alexander technique group classes for chronic neck pain.” Complementary therapies in medicine vol. 39 (2018): 80-86. doi:10.1016/j.ctim.2018.05.012

Cacciatore et al., Improvement in automatic postural coordination following Alexander technique lessons in a person with low back pain. Physical Therapy Journal, 2005; 85:565-578. Accessed January 5, 2011

Chin, Brian et al. “Psychological mechanisms driving stress resilience in mindfulness training: A randomized controlled trial.” Health psychology: official journal of the Division of Health Psychology, American Psychological Association vol. 38,8 (2019): 759-768. doi:10.1037/hea0000763

Little P, Lewith G, Webley F, et al. Randomised controlled trial of Alexander technique lessons, exercise, and massage (ATEAM) for chronic and recurrent back pain. The BMJ. 2008;337:a884. doi: doi.org/10.1136/bmj.a884.

Paolucci, Teresa et al. “Chronic low back pain and postural rehabilitation exercise: a literature review.” Journal of pain research vol. 12 95-107. December 20 2018, doi:10.2147/JPR.S171729

Flexibility and Range of Motion

Flexibility and Range of Motion

Flexibility and range of motion are essential elements for an individual’s overall health, physical fitness, and quality of life. Healthy flexibility helps the body:

  • Maintain a physically active lifestyle.
  • Maintain strength.
  • Improve endurance.
  • Prevent injury.

Flexibility and Range of Motion

Flexibility and Range of Motion

Joint stiffness and pain can make it challenging to engage in everyday activities and maintain mobile, physical, emotional, and internal health. To keep the body flexible and moving, individuals need to use their entire body and range of movement. Becoming sedentary affects the body’s flexibility, leading to slowed/blocked blood circulation, nerve energy signal disruption, and sickness. To improve flexibility and range of motion, it is recommended to include:

  • Stretching the body
  • Regular exercise and physical activity
  • Yoga
  • Healthy diet
  • Healthy weight
  • Proper sleep

For individuals with stiffened muscles and joints, chiropractic medicine can increase the body’s flexibility, improving the range of motion in the joints. Chiropractic optimizes the function of the joints, improving mobility with less pain. When living with arthritis, chiropractic is an excellent therapy to decrease pain and activate the body’s natural healing abilities. Chiropractic adjustments align the spine and improve nervous system function.

Nerve Pressure

Nerve pressure can cause pain or tingling sensations that can become difficult to manage. A shifted misaligned spine can compress nerve endings, causing pain that presents with or without movement. Getting the body in motion and moving around is essential to treat stiffness and joint pain. The objective of chiropractic is to align the spine and body and relieve pressure on the nerves helping the body gain back its flexibility and range of motion. Once the body is adjusted, the nerve endings are no longer irritated, relieving the pain. Chiropractic uses various techniques to deal with areas of compression, including stretching, percussive massage, low-laser therapy, ultrasound, and strengthening exercises.

  • Chiropractic adjustments relieve pain and improve mobility.
  • Strengthening exercises to keep the spine in proper alignment.
  • Exercising keeps the adjustments in place.

A careful assessment of the condition will determine the cause of stiffness and joint immobility. Chiropractic can treat the joints, bones, and muscles to improve flexibility manage muscle spasms and soft tissue tenderness to alleviate symptoms restoring and improving range of motion. Chiropractic adjustments are combined with therapeutically designed stretches and exercises to perform at home, along with an anti-inflammation diet and supplements.


Body Composition


Zinc

Zinc is an essential nutrient that provides overall immune function. It is a powerful antioxidant that helps prevent and reduce oxidative stress and inflammation responses. Various bodily chemical reactions require Zinc. Zinc is necessary for muscle protein synthesis and hormone regulation. Zinc deficiency is common in older individuals and has been connected with degenerative diseases that include:

Sources of Zinc include:

  • Nuts
  • Legumes
  • Chicken
  • Red meat
  • Oysters
References

Green, S et al. “Physiotherapy interventions for shoulder pain.” The Cochrane database of systematic reviews vol. 2003,2 (2003): CD004258. doi:10.1002/14651858.CD004258

Hartvigsen, Jan et al. “What low back pain is and why we need to pay attention.” Lancet (London, England) vol. 391,10137 (2018): 2356-2367. doi:10.1016/S0140-6736(18)30480-X

Kavuncu, Vural, and Deniz Evcik. “Physiotherapy in rheumatoid arthritis.” MedGenMed: Medscape general medicine vol. 6,2 3. 17 May. 2004

Page, Carolyn J et al. “Physiotherapy management of knee osteoarthritis.” International journal of rheumatic diseases vol. 14,2 (2011): 145-51. doi:10.1111/j.1756-185X.2011.01612.x

Wessels, Inga et al. “Zinc as a Gatekeeper of Immune Function.” Nutrients vol. 9,12 1286. 25 Nov. 2017, doi:10.3390/nu9121286

Exercising To Detoxify and Cleanse The Body

Exercising To Detoxify and Cleanse The Body

Detoxifying does not necessarily mean juicing and going on a diet. Detoxing is about cleansing the whole body of environmental pollutants, food waste, bacteria, and toxins. Things like medications and alcohol also need to be flushed from the body. When the body becomes unhealthy and overweight, it can put its systems in a chronically stressed state, leading to nerve energy production failure, fatigue, a weakened immune system, and disease. The body constantly works to cleanse itself. Exercise helps expedite the process.

Exercising To Detoxify and Cleanse The Body

Exercise To Detoxify

Exercise removes harmful toxins by getting the lungs and the blood pumping and increasing sweat production, which encourages detoxification. More blood circulating throughout the body allows the liver and the lymph nodes to flush out toxins properly. With exercise, fluid intake increases, allowing more sweat production to release toxins. Drinking more water during workouts also helps the kidneys function at optimal levels to flush out toxins, fats, and waste.

Aerobics

Any low-intensity aerobic exercise that increases heart rate and increases heavier breathing is recommended as long as the breathing is within the fat-burning heart rate. Exercises can be anything from:

Bouncing/Rebounding

Bouncing on a mini-trampoline, also known as rebounding, is another form of exercise that promotes toxin release. The low-impact motion stimulates the lymphatic system. Lymph nodes filter substances and fight off infections by attacking bacteria/germs that travel into the lymph fluid. Twenty minutes on the trampoline two or three times a week to detoxify.

Yoga

There are yoga poses that help to detoxify specific organs. Yoga can help the body cleanse inside and generate more energy.

Revolved Chair Pose

This pose stimulates the liver, spleen, digestive system, improves spinal alignment, and tones the abdominals.

  • Start with the feet together or hip-width apart, depending on what is most comfortable.
  • Bend the knees as if sitting in a chair.
  • The knees should be aligned with the center of the feet.
  • Place the palms of the hands together in a prayer position at the center of the heart.
  • Bring the elbow to the opposite knee.
  • Squeeze the shoulder blades together.
  • Allow the chest to open up.

Wide-Legged Forward Bend

This pose improves circulation, stretches, and strengthens the low back, hips, hamstrings, and calves.

  • Step with the feet 3 to 4 feet apart.
  • Hands-on hips.
  • Lift tall through the whole torso.
  • Fold slowly over the legs.
  • Bend from the hip joints without rounding the lower back.
  • If the back starts to round, stop folding forward.

Sweating and Detoxing

Sweat is one of the body’s primary ways of eliminating toxins. However, more sweat does not mean more toxins are being flushed. Excess sweat could be caused by the body overheating and can lead to dehydration. This is why it’s vital to maintain the body’s hydration levels while working out. Fluids like juice and sports drinks can help maintain hydration, but they contain sugar and other ingredients that could interfere with thorough detoxifying.


Body Composition


Before Starting A Detox Diet

Individuals are recommended to talk with their doctor, nutritionist, health coach about detox diet methods to lose and maintain weight.

Talk with a doctor

  • Seek consultation with a physician before starting any body detox cleanse, especially if there are underlying medical conditions like diabetes or kidney disease.
  • For individuals struggling with obesity, a physician can recommend alternative diet approaches and exercise programs.

Realistic expectations

  • Detox diets work primarily through caloric restriction like a conventional diet.
  • Individuals could feel better from a body cleanse because they will likely be avoiding processed foods and empty calories.

Adopt a long-term frame of mind

  • Diet and exercise to achieve and maintain a healthy weight is a lifelong journey.
  • Detox diets can be a helpful tool to get going in the right direction.
References

Ernst, E. “Alternative detox.” British medical bulletin vol. 101 (2012): 33-8. doi:10.1093/bmb/lds002

Klein, A V, and H Kiat. “Detox diets for toxin elimination and weight management: a critical review of the evidence.” Journal of human nutrition and dietetics: the official journal of the British Dietetic Association vol. 28,6 (2015): 675-86. doi:10.1111/jhn.12286

Obert, Jonathan et al. “Popular Weight Loss Strategies: a Review of Four Weight Loss Techniques.” Current gastroenterology reports vol. 19,12 61. 9 Nov. 2017, doi:10.1007/s11894-017-0603-8

Taking It Slow After Spine Surgery

Taking It Slow After Spine Surgery

Taking it slow after spinal surgery is recommended to optimize a full recovery. What usually happens is that an individual starts feeling normal/better, so they begin to engage in a few daily activities. Then pain presents, letting the individual know that they have done too much too soon. The pain does not necessarily signal re-injuring the area, but recovery should be treated seriously. More than 50% of patients have successful spine surgery, but repeat surgeries do not tend to be quite as effective. Doing too much too early during recovery can result in severe re-injury or creating new injuries. So when can an individual get back to everyday life?

Taking It Slow After Spine Surgery

Surgery Recovery

Recovery after back surgery is different for everyone. Low back lumbar fusion surgeries usually require more recovery time than lumbar non-fusion surgeries, like:

  • Laminectomy – when the lamina portion of a vertebra is removed.
  • Microdiscectomy – the removal of abnormal disc material
  • Cervical spine surgeries.

Individuals who have undergone a procedure where two or more vertebrae have been surgically fused should expect a longer recovery. A typical timeline for lumbar fusion usually involves around three months. What happens is individuals want to get up and move, doing household activities almost immediately because they feel so good, but this is because of the pain medications. Strong pain medication use ends by four to six weeks. It is not until after 12 weeks or three months with post-operative chiropractic rehabilitation and physical therapy that individuals are encouraged to engage in specific physical activities that will optimize the healing process.

Taking It Slow With Certain Activities

Specific activities should not be engaged in after lumbar fusion surgery, as it requires a higher level of caution during recovery.

No Bending, Lifting, and Twisting

Bending, lifting, and twisting all require the direct use of the back muscles. Performing these movements can cause serious damage and hinder proper healing. Therefore it is recommended not to bend, lift, or twist for six weeks.

No Taking Baths or Swimming

Taking showers can be done right away with protective plastic or a sponge bath for a few days after surgery, but it is advised not to take baths or go swimming for three weeks.

No Cardiovascular Exercise

While the back may be feeling better after the spine surgery, cardiovascular exercise is not recommended for at least six to 12 weeks as it is too strenuous on the back. Light walking is fine, but the doctor and a chiropractor and physical therapist will develop a controlled, progressive exercise program for the individual. The program usually starts between 6 weeks and three months after surgery. This can include working out on an elliptical machine, a stationary bike, or easy treadmill walking.

Listening to The Body

The doctor will be clear about what can and can’t be done immediately following back surgery. Therefore it is crucial to follow the instructions to avoid any complications and listen to the body. Don’t push through activity or try taking on too much. Give the body and spine time to heal, taking it slow. There is time to get back to normal activities, but if re-injury or new injuries occur, rehabilitation/recovery could become the regular activity.


Body Composition


Malnutrition

Malnutrition is defined as deficiencies, excesses, or imbalances in an individual’s energy intake and/or nutrients. Protein-energy deficiency is one of the most common forms of malnutrition, and this health condition has an immediate and negative impact on body composition. The deficit wreaks havoc on skeletal muscle mass as the body progressively goes into starvation mode, breaking down the protein stored in the muscle for fuel.

Micronutrient deficiency is a lack of minerals and vitamins that support vital bodily processes like cell regeneration, immune system health, and eyesight. Common examples include iron or calcium deficiencies. Micronutrient deficiency has the most significant impact on normal physiological functions, processes and can happen in conjunction with a lack of protein-energy. This is because most micronutrients are obtained from food. Nutritional deficiencies of specific micronutrients can affect processes like building and repairing muscle; protein deficiency has a more pronounced effect on body composition because lowered protein intake can lead to muscle mass loss. Malnutrition and nutritional deficiencies in adults include:

  • Not enough energy to get through the day.
  • Unintended weight loss.
  • Physical function, including handgrip strength and physical performance, diminishes.
  • Serious medical conditions can result from fluid accumulation like edema.
References

Daniell, James R, and Orso L Osti. “Failed Back Surgery Syndrome: A Review Article.” Asian spine journal vol. 12,2 (2018): 372-379. doi:10.4184/asj.2018.12.2.372

Exercises For An Aching Back

Exercises For An Aching Back

Reaching, twisting, walking, and driving are everyday activities that require upper and lower back strength. An aching back can easily affect daily activities, generate frustration, anger, and affect all-around health. The more back muscle strength an individual has, the more they can accomplish far more without injury. Immense power is not required to protect the body from a back injury. All that is needed is regular, consistent physical activity and exercise. A balance of body strength is vital for preventing injury. However, overdoing one fitness exercise or physical activity can imbalance musculature, leading to injury. Because the back/spine is the central part of the body, complete and proper care is necessary for optimal health and wellness. For individuals experiencing sore, aching, and tired muscles, here are some exercises that will help in the process.

Exercises For An Aching Back

Alternating Arm and Leg Extensions

Alternating extensions help build strength and coordination in the core areas. The back muscles increase their efficiency by creating muscle memory that supports the work shared by all the torso muscles. Upper and lower back muscles must work together to maintain a healthy balance and not overwork each other, causing strain and fatigue.

  • Start by placing hands and knees on the floor with the head directly between shoulders and facing toward the floor.
  • Feet are directly in line behind the buttocks and resting on the floor.
  • Hips and shoulders rest above the knees and hands.
  • Raise the right hand straight ahead with the arm at full length.
  • At the time same time, raise the left leg straight behind the body.
  • Try to keep the arm and leg as straight as possible.
  • Hold for 10 seconds.
  • Switch sides.
  • Repeat three to eight times, depending on strength level.
  • If it is difficult, a modified option is to raise the arm and leg separately.

Plank Hold

These can help build back muscles and strengthen the arms, legs, and the front torso area. Plank holds are a recommended starting point. Plank holds can be done on the elbows, palms of the hands, or closed fist hands. The key is to keep the shoulders, hips, and ankles straight like a wood plank parallel to the floor.

  • Place hands and feet directly on the floor like doing a push–up.
  • Toes should be on the floor.
  • Keep the abdominals tight and buttocks lifted to prevent straining the lower back.
  • Face straight down.
  • Hold for a count of 10.
  • Repeat three times.
  • For those with an aching back, keeping the hips level with the shoulders could be challenging at the beginning.
  • With practice, it will become easier; then, the individual is recommended to increase the length of time until 30 seconds is achieved.
  • Then increase the challenge to try more than three repetitions.
  • A modification for beginners is to start with the body resting on the floor, stomach down.
  • Then raise the body into the start position from the floor.

Hip Raises

Hip raises help to strengthen the lower back muscles to unite and support the lower half of the body. Training the body to work cooperatively is critical for reducing the aching and pain from muscle imbalance.

  • Rest the body flat on the floor, facing upward.
  • Place the hands flat at the body’s sides.
  • Knees should be about shoulder-width apart.
  • Keep the feet flat on the floor
  • Pull the feet toward the buttocks.
  • Look straight up.
  • Raise the hips as high as possible while pressing down with the hands.
  • Hold for 10 seconds.
  • Complete five to eight reps.

Cross Body Standing Lateral Arm Raises

Lateral raises or side lateral raises help strengthen and tone the shoulder muscles and the upper back muscles.

  • Begin with a single one-pound weight.
  • Face forward.
  • Stand with the feet shoulder-width apart.
  • Bring the weight to rest near the left hip bone.
  • Gently raise the weight across the body to arrive just above the right side with the arm at full length.
  • Make sure that shoulders and hips are stationary and that only the arms move. Do not twist.
  • Hold for 10 seconds.
  • Repeat three to eight times.
  • Switch sides.
  • Modification can be done by sitting in a comfortable chair with proper posture in a chair instead of standing.
  • If weights are too challenging to work with initially, complete the exercise with only the hands placed with the palms flat and together.

Aerobic Activity

This helps circulate blood throughout the body, helping to reduce muscle soreness. A few gentle and aerobic activities can include:

  • Brisk walking.
  • Stair climbing.
  • Bicycling, elliptical, or rowing machine workout.
  • Physical activity that keeps blood moving throughout the body. Examples include yoga, gardening, and dancing.

While the back is healing, go at a gentle even pace for any activity. Jerking and quickly stopping can be hard on joints and discs. When injured, the other muscles try to compensate to avoid causing a flare-up that could worsen the injury and/or create a new injury.

Aching Back Muscles

Strength-building exercises are great for preventing injury and avoiding re-injury. However, avoid overreaching or overstretching with any of the activities. Continuous aching or painful back muscles could indicate something else is occurring that could be:

  • A pinched nerve.
  • Shifted/misaligned discs.
  • Disc herniation.
  • The beginning of an arthritic condition causing inflammation.
  • Back muscle tear/s.
  • Pregnancy.

Body Composition


Sarcopenia – Loss of Skeletal Muscle Mass and Strenght Causes

Decreased Physical Activity

  • Physical inactivity is one of the primary contributors to sarcopenia.
  • Sedentariness can exacerbate the effects of sarcopenia.
  • Regular resistance exercise can help maintain muscle mass and build muscular strength.

Decrease in motor neurons

  • Aging is accompanied by a loss of motor neurons caused by cell death.
  • This can lead to a decrease in muscle fibers and size.
  • This decrease leads to:
  • Impaired performance
  • Reduced functional capacity
  • Decreased ability to perform everyday tasks.

Increase in Pro-inflammatory Cytokines

  • Poor diet and exercise also promote the storage of visceral fat.
  • This type of fat tissue produces pro-inflammatory cytokines.
  • This can accelerate muscle breakdown.
  • Obesity and muscle weakness are associated with high levels of pro-inflammatory cytokines.
References

Alfuth, M, and D Cornely. “Chronischer lumbaler Rückenschmerz : Vergleich zwischen Mobilisationstraining und Training der rumpfstabilisierenden Muskulatur” [Chronic low back pain : Comparison of mobilization and core stability exercises]. Der Orthopade vol. 45,7 (2016): 579-90. doi:10.1007/s00132-016-3233-1

Kim, Beomryong, and Jongeun Yim. “Core Stability and Hip Exercises Improve Physical Function and Activity in Patients with Non-Specific Low Back Pain: A Randomized Controlled Trial.” The Tohoku journal of experimental medicine vol. 251,3 (2020): 193-206. doi:10.1620/tjem.251.193

Smith, Benjamin E et al. “An update of stabilization exercises for low back pain: a systematic review with meta-analysis.” BMC musculoskeletal disorders vol. 15 416. 9 Dec. 2014, doi:10.1186/1471-2474-15-416

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

Kettlebell Strengthening For Back Pain Safety

Kettlebell Strengthening For Back Pain Safety

Kettlebell training for the back muscles and back pain prevention can be part of a recommended treatment plan. When experiencing low back pain, many sports medicine experts recommend kettlebell exercise to strengthen the core and posterior chain. However, if not used correctly, kettlebell exercises can worsen back pain.

Kettlebell Strengthening For Back Pain Safety

Kettlebell

They are made of cast iron or steel and are named for resembling a tea kettle with an oversized handle. They can be used in one and two-handed movements.

Exercises and Movements for Back Pain

For individuals that are not experiencing back pain, kettlebell training can be excellent for maintenance and injury prevention. They strengthen the core and back muscles.

  • The kettlebell swing is an essential exercise and is one of the most important exercises when dealing with back pain issues.
  • A kettlebell is placed on the floor about 12 inches in front while standing with the feet a little wider than hip-distance.
  • The hips become the hinge.
  • Extend the arms down to the bell and grip it.
  • Begin swinging it up and down through the legs and then upward and outward to chest level.
  • The shoulders are to stay relaxed.
  • The hips are used to thrust and create momentum to swing the kettlebell.
  • Keep the spine neutral throughout the exercise to prevent injury.
  • The arms are to hold the bell only.
  • Don’t swing with the arms or shoulders, but push through with the hips.
  • The exercise can be swung up over the head but is not recommended for those with back pain.

Benefits

  • They are portable and don’t require a lot of space.
  • With kettlebells, an individual can train more easily than with barbells.
  • Kettlebell workouts provide strength training and cardiovascular fitness.
  • Once the proper technique is learned, individuals can set up a regular regimen at home.

Proper Form and Mistakes

Proper form is crucial. The primary movement most individuals have difficulty with is getting the proper hinging motion at the hip. Most individuals flex at the lower back and place increased pressure on the discs. Proper hip hinge motion means:

  • Keeping the low back straight
  • Flexing at the hip
  • Pushing back out with the buttocks when performing the swing motion.
  • When done correctly, an individual should be able to stop at any stage and hold that position.

Posture Form Tips

Form issues with kettlebells include:

Hip Hinge

  • When picking up the kettlebell, remember to hip hinge instead of squatting to maintain the back in a neutral position.
  • Drive the hips back in the same way when sitting down on a low chair.

Arching the back

  • If the pelvis is tilted too far forward, the back arches a lot.
  • This can narrow where the nerves leave the spine in the low back.
  • Keep the abdominals tight to prevent the pelvis from tilting forward.

Using the incorrect weight can also cause problems; this could be going too heavy or too light.

  • Too heavy increases the risk of straining the body and back.
  • A kettlebell that is too light does not provide the correct resistance to strengthen the muscles.
  • Another common mistake is overtraining. Specifically, individuals over 50 whose bodies don’t recover as quickly.
  • Individuals over 50 are recommended to spread out the workout days with more than one rest day.

Common Injuries

Proper training before working with kettlebells is highly recommended, especially for those already dealing with back pain. Individuals are encouraged to work with a physical therapist, sports chiropractor, or personal trainer who can teach proper techniques and specific exercises, observe the individual’s process, and make corrections. Improper technique can lead to:

  • Muscle strains.
  • Muscle spasms.
  • Compressed or pinched nerves.
  • Added stress to pre-existing low back conditions.
  • Impact injuries to the wrist and forearm.

Body Composition


Exercise Ball Pikes

Exercise ball pikes are an advanced total body workout. Muscle groups worked out include:

  • Deep abdominals
  • Hip abductors
  • Quadriceps
  • Deltoids
  • Scapula stabilizers
  • Pectoralis major/minor

To do the exercise:

  • Start in a pushup position with the arms on the floor in front.
  • Lift the legs, so the tops of the feet rest on the exercise/stability ball.
  • Knees should be bent to start the movement.
  • Extend the legs out as straight as possible.
  • Hold the position for a few seconds.
  • Return to the starting position.
References

Common Injuries Associated with Kettlebells: ACSM’s Health & Fitness Journal (March/April 2017) “Managing Risks of Training with Kettlebells to Achieve Optimum Benefits.” journals.lww.com/acsm healthfitness/Fulltext/2017/03000/MANAGING_RISKS_OF_TRAINING_WITH_KETTLEBELLS_TO.6.aspx

Posture Exercises To Do At Work

Posture Exercises To Do At Work

Posture exercises: It is easy to get into the bad habit of poor/improper posture, especially at work where an individual gets into a groove and continues without thinking about their posture. Not until discomfort and pain begin to present do individuals start thinking about what is causing the issues. This usually includes:

  • Back pain
  • Shoulder pain
  • Neck pain
  • Tight/Compressed spine

They don’t realize that all these issues are brought on by prolonged sitting and practicing improper posture.  Individuals that practice proper posture:

  • Sleep better
  • Move better
  • Have reduced to no aches and pains
  • Digestion improves
  • Organ function improves
  • Have better overall health

Being aware of proper posture is the first step in being able to maintain it. When you feel the spine starting to curve, shoulders hunching, or the back sway, stop and take a moment to reposition the body back into proper alignment.

Posture Exercises To Do At Work

Seated Posture

Proper posture means sitting, standing, or walking in a position with little to no strain on the body’s muscles and ligaments. Good seated position means:

  • Sitting with the back straight and shoulders back.
  • Having all of the natural curves of the spine in alignment.
  • Keeping the knees bent at a right angle with the feet flat on the floor.
  • The weight is distributed evenly to both hips.
  • Keep the arms at 90 degrees to the torso, using the armrests or on a desk.
  • When looking at a computer monitor, keep it at a position where you are looking straightforward.
  • Use a chair with lower back support.
  • Even when sitting with good posture, it’s important to avoid sitting in the same position for more than 30 minutes.
  • Regularly stand up, walk around, and stretch out.

Posture Exercises

Posture exercises will help to strengthen the back, neck, and shoulders. They also help as a reminder for maintaining good posture throughout the day.

Shoulder Lift and Release

When sitting down for long periods, individuals tend to develop hunched shoulders. It is caused by an imbalance of muscles in the neck and upper back. Specific muscles in the neck, specifically the pectoralis major and minor, become shortened and tight. The other muscles in the upper back, the trapezius,latissimus dorsi, and rhomboids, weaken and stretch out. These muscles can be stimulated by stretching throughout the day.

  • Sit in your chair with your feet flat on the floor and spine straight.
  • Pull the shoulders up towards the ceiling.
  • Hold them there for three to five seconds.
  • Let the shoulders drop.
  • It is recommended to repeat 5 to 6 times every hour.

Shoulder rolls

Another exercise for avoiding rounded/hunched shoulders.

  • Sit in your chair with your feet flat on the floor and spine straight.
  • Take a breath in.
  • Lift the shoulders towards the ears.
  • Move the shoulders back.
  • Squeeze the shoulder blades together.
  • On the exhale, finish the rotation by dropping the shoulders back to a neutral position.
  • Repeat 5 to 6 times every hour.
  • The exercise can be done in the opposite direction.

Neck rolls

Forward head posture, aka text neck, can develop. Neck rolls are recommended throughout the day.

  • Lean your head towards the right shoulder.
  • Relax the neck and let your head roll towards your chest.
  • Continue rolling your head towards the left and up and around back to the starting position.
  • Perform at least 3-4 neck rolls every few hours.
  • Repeat the exercise and change direction.

Trapezius stretch

The trapezius is a major muscle group in the upper-middle section of the back and the neck. The trapezius is responsible for moving the shoulder blades and extending the neck. Stretching these muscles regularly will help maintain good posture.

  • Sit in your chair with the spine straight and feet flat on the ground.
  • Place the right hand over the top of your head.
  • Gently pull your head towards the right shoulder.
  • Perform one to three times for each side.
  • Hold the pose for 30 to 60 seconds.

Arm rotations

This exercise can help maintain back and shoulder alignment. This can be performed sitting or standing.

  • Stretch out the arms to the sides with palms facing downward.
  • While keeping the spine straight, move the arms in small circles.
  • Perform ten repetitions rotating the arms forward, then backward.
  • Perform 3-4 sets.

Doing these posture exercises at your workstation regularly will help improve and maintain proper posture and minimize the risk of back, neck, and shoulder pain.


Body Composition


Fitness for Long-Term Health

Muscle building isn’t only for bodybuilders and athletes. Everyone can benefit from building their Lean Body Mass for long-term health. It is crucial to monitor Lean Body Mass changes by having body composition measured. Body composition analysis divides the body’s weight into various components.

  • Fat Mass
  • Lean Body Mass
  • Basal Metabolic Rate
  • This will give a clearer picture of overall fitness and health.

Building Lean Body Mass is an investment in the body’s future. The more LBM that is built, the more is in reserve when the body needs it. But before adding protein shakes and resistance workouts to the daily regimen, there needs to be a plan. The first step to building healthy lean body mass is to measure how much there is with a body composition analysis.

References

Biswas A, Oh PI, Faulkner GE, et al. Sedentary Time and Its Association With Risk for Disease Incidence, Mortality, and Hospitalization in Adults. Ann Intern Med. 2015;162:123-132. doi:10.7326/M14-1651. Accessed January 7, 2017.

Ergonomics for Prolonged Sitting. UCLA Spine Center Web site. spinecenter.ucla.edu/ergonomics-prolonged-sitting. Accessed January 7, 2017.

Florido R, Michos E. Sitting Disease: Moving Your Way to a Healthier Heart. U.S. News & World Report. health.usnews.com/health-news/patient-advice/articles/2015/09/14/sitting-disease-moving-your-way-to-a-healthier-heart. Published September 14, 2015. Accessed January 7, 2017.

Fortner, Miles O et al. “Treating ‘slouchy’ (hyperkyphosis) posture with chiropractic biophysics®: a case report utilizing a multimodal mirror image® rehabilitation program.” Journal of physical therapy science vol. 29,8 (2017): 1475-1480. doi:10.1589/jpts.29.1475

Levine JA. What are the risks of sitting too much? Mayo Clinic Web site. www.mayoclinic.org/healthy-lifestyle/adult-health/expert-answers/sitting/faq-20058005. Published September 4, 2015. Accessed January 7, 2017.

O’Connor B. Sitting Disease: The New Health Epidemic. The Chopra Center Web site. www.chopra.com/articles/sitting-disease-the-new-health-epidemic. Accessed January 7, 2017.

Wolfe, Robert R. “The underappreciated role of muscle in health and disease.” The American journal of clinical nutrition vol. 84,3 (2006): 475-82. doi:10.1093/ajcn/84.3.475