My Top 5 Most Popular Posts of 2016!

As 2016 comes to a close, more and more people are realizing the value of taking control of their health care and personal well-being.  In today’s health care environment, we all need to learn how to treat common aches and pains proactively instead of reactively.  We must get to the root of the issue instead of placing a Band-Aid over it.  Our present health care system in America is not designed to help you optimize your health–that is your job!

2016 marks the first time that the media started to wake up to America’s prescription opioid addiction.  The news and many research articles discussed America’s opioid addiction including their disastrous consequences on one’s health and the nation’s health care system in general.  Not to mention, how poorly opioids actually are in managing long term pain.

The purpose of The Physical Therapy Advisor is to help people like you to take control of your health and to save money by learning how to safely self-treat and manage common musculoskeletal, neurological, and mobility related conditions safely and effectively without opioid use.

My Top 5 Most Popular Posts of 2016:

  1. How to Use Shoulder Pulleys to Regain Shoulder Motion – Maintaining adequate shoulder mobility is critical after surgery and/or avoiding osteoarthritis of the shoulders.  The shoulder pulley is often one of the first exercises initiated after surgery or injury. However, it’s often performed incorrectly.  In this video, I demonstrate the proper way to utilize a shoulder pulley.
  2. Exercise as Medicine – Too often, people look towards pharmaceuticals in order to help manage medical conditions.  Exercise is a highly effective and often underutilized method to treat many common, yet serious, medical conditions such as diabetes, heart disease, and osteoporosis.  Exercise is medicine when prescribed and performed correctly.
  3. 3 Simple Exercises to Help You Age Well – Maintaining functional mobility as we age is critical.  First, you need to maintain the ability to stand up.  This insures that you can get up from a chair or a commode/toilet.  Second, you need to maintain your ability to ambulate to insure that you can perform the other needed activities of daily living more easily.  Lastly, you need the balance to safely perform these tasks.  Walking, squatting, and improving your balance will help you to age well.
  4. 5 Strategies to Train Smarter for your next Obstacle Course Race – Obstacle course racing (OCR) is one of the hottest new sports around for all fitness levels (including the novice to expert thrill seekers).  This post highlights the five lessons I learned from my training seminar on OCR races with Ben Greenfield from www.Bengreenfieldfitness.com and Michael Caron from www.Getburly.com.
  5. Got Text Neck? – Have you noticed that wherever you go nowadays that you constantly see people walking and looking down at their cell phones?  No wonder that the term “text neck” is now being used to describe chronically poor posture!  This post explores the role of poor posture related to neck and headache pain along with tips for prevention and treatment.

2016 has been a wonderful year!  I successfully launched my first eBook and video package, Treating Low Back Pain (LBP) during Exercise and Athletics.  I share very specific strategies for LBP prevention among athletes such as sport enthusiasts, CrossFitters, weightlifters, and runners.  These principles are helpful for anyone participating in athletics as well as those implementing a healthy lifestyle.  This eBook addresses the specific causes of LBP as well as the best practices on how to prevent and self-treat when you experience an episode of LBP.  A 7-part series of instructional videos is also available and includes nearly 60 minutes of actionable advice to prevent and treat LBP.

CLICK TO LEARN MORE!

In addition to my new eBook, I have continued to feature reader submitted Q & A’s as well as many exercise and training posts including posts written for the Marathon Training Academy.

This past fall, I featured a six part series on headache pain which includes prevention and treatment tips.  An important focus continues to be on longevity and healthy aging.  This includes ongoing guest posts on healthy senior living for the Seniors Blue Book.  (Check out my top 3 recommended daily fall prevention exercises as featured in the latest Seniors Blue Book!)

Looking toward 2017, I will continue to offer free self-treatment advice to help YOU manage common musculoskeletal, neurological, and mobility related conditions in a timely manner.  Together, we can all learn to age well and reach our optimal health!

Don’t forget subscribe to my e-mail newsletter!  I will send you my blog posts on how to maximize your health, self-treat those annoying orthopaedic injuries, and gracefully age.  To thank you for subscribing, you will automatically gain access to my FREE resources, including a FREE CHAPTER from my eBook, Treating Low Back Pain During Exercise and Athletics.

Thank you for supporting The Physical Therapy Advisor! I look forward to serving you in 2017!  If you have a question that you would like featured in an upcoming blog post, please comment below or submit your question to contact@thePhysicalTherapyAdvisor.com.  Be sure to join our growing community on Facebook by liking The Physical Therapy Advisor!

How to Recover Quickly from a Quadriceps Strain

mta_quadstrain

http://marathontrainingacademy.com/quadriceps-strain

Marathon Training Academy

November 15, 2016

After straining your quadriceps, you remain at a higher risk of injury. In this guest post for Marathon Training Academy, you will learn which strategies to implement as you work through your rehabilitation and your return to activity.

Muscle injury. Man with sprain thigh muscles

A quadriceps strain, also known as a quad pull or thigh strain, is a relatively common running injury.

Strains can range from a mild discomfort to a full blown tear of most of the muscle which can result in severe pain and the inability to run or walk. The injury typically happens when one or more of the quadriceps muscles become overloaded.

In this pose you will discover the factors that increase your risk of straining your quadriceps, and learn specific strategies to implement during your rehabilitation and return to activity. Continue Reading

How to Self-Treat IT Band Pain with a Mini Plunger

Pain in the lateral (outside) leg or knee is commonly associated with a condition known as Iliotibial Band Syndrome (ITBS).  (Iliotibial Band Syndrome is also known as IT Band Syndrome, ITB Syndrome, or IT Band Friction Syndrome.)  Pain can range from the lateral side of the leg up toward the hip area to just below the lateral side of the knee joint (where the head of the fibula bone begins).  The pain can be very debilitating to the point that running or hiking activities have to be stopped.  Even walking can be difficult.

Although ITBS can be very painful, it can be easily self-treated if you handle your pain and symptoms quickly.  For many years, I have taught people how to use a mini plunger as a method to provide a suction force for self-treatment.  In this video, I demonstrate how to utilize a mini plunger as a “cupping” technique to self-treat IT Band Syndrome.

Cupping is a method or technique to massage and mobilize tissues such as muscles, skin, fascia, and tendons.  The exact treatment effect is unclear, but presently the research indicates that it helps to reset neural pain receptors and stretch receptors.  Thus, reducing pain and allowing for improved movement.

Cupping has been around as a treatment technique for thousands of years.  The research on cupping is interesting and for the most part, concludes that cupping is helpful in pain management.  There are some indications that the “suction” may lead to improved blood flow to an injured area which could speed up healing times.  Other health claims of the benefits of cupping haven’t been adequately proven in current research.

Traditionally, cupping has been performed with glass cups by using a flammable paper to quickly “burn” the oxygen in the cup which causes a suction force.  There are now many types of plastic or silicon cups that can easily be purchased online.  CupEDGE Massage Tools are what I use and recommend.  Fancy cups are not necessary.  The cups can be more convenient, but even a small sink plunger will do.

Have you tried cupping to treat ITBS?  If so, what was your experience like?  Additional discussion can help others to manage this condition more effectively.  Please leave your comments below.

For more information on how to self-treat ITBS, please refer to the following:

Looking for that exercise or book I mentioned in a post?  Forgot the name of a product or supplement that you’re interested in?  It’s all listed in the Resource Guide.  Check it out today!

If you have a question that you would like featured in an upcoming blog post, please comment below or submit your question to contact@thePhysicalTherapyAdvisor.com.  Be sure to join our growing community on Facebook by liking The Physical Therapy Advisor!

Cupping, Should Runners Try it Too?

mta_cupping

http://marathontrainingacademy.com/cupping

Marathon Training Academy

October 17, 2016

In this guest post for Marathon Training Academy, you will discover what cupping actually is and how to use it to massage and mobilize tissues in order to reduce pain and improve movement.

calfactivemobilizationusingacup

The 2016 Rio Olympics brought new light to an old treatment–cupping.  The world stared as athletes like Michael Phelps proudly displayed his petechia for the world to see.

Petechia is the medical term for the purplish bruise that can form with certain types of cupping techniques.

After seeing so many Olympic athletes with bruises this year, the rest of us were left wondering about this trend of using cupping as a medical treatment or sports enhancement treatment.  Does cupping really work?  Can I utilize cupping as a self-treatment method for common running related pains?  Continue Reading

When to Return to Running after Experiencing Low Back Pain

mta_returntorunning

http://marathontrainingacademy.com/return-running-experiencing-low-back-pain

Marathon Training Academy

September 13, 2016

In this guest post for Marathon Training Academy, you will learn why initial activity and exercise are critical when treating low back pain (LBP) and how to determine if you are ready to return to running after experiencing an episode of LBP.

WomanWithLowBackPain

Low back pain (LBP) can be so severe and debilitating that it can completely derailing your training. It’s hard to run if your back, buttocks or leg hurts. You either won’t try to do it or you try to suffer through it only to be rewarded with worsening symptoms later on. However, initial activity and exercise are critical when treating LBP. Continue Reading

5 Strategies to Train Smarter for your next Obstacle Course Race (OCR)

I recently spent time training with Ben Greenfield, a renowned triathlete, obstacle course racer, health guru, author, and Internet health celebrity.  He organized an eight hour obstacle course race training program recently in Spokane, Washington.  Participants trained together and were taught the best practices to compete at a higher level in the sport of obstacle course racing.

BenShatto_BenGreenfield

The interesting thing about obstacle course racing is the diversity found within the sport.  There are athletes who compete at the highest level and capacity as well as those who are just beginners.  If you are a beginner, a coach can help to insure that your improvement is not hampered by poor training techniques that will ultimately lead to injury.  If you perform at an elite level, a coach can help fine tune your training and get you on the winner’s podium.

Regardless of your fitness level, a good coach can help you take your training to the next level.  The following five strategies that I learned from Greenfield will help me to both train and compete at a higher level.

5 Strategies to Train Smarter for your next Obstacle Course Race (OCR):

1. Improve your grip strength.

Proper grip strength is important when competing in an OCR.  In most cases, the number one reason to fail or not complete an obstacle is due to poor grip strength.  Easy exercises to train grip strength include: dead lifts, pull ups, and farmers carries.  Greenfield recommends hanging from a pull up bar for time as a way to judge your fitness while gaining strength and endurance in your grip.

He also highly recommends working on wrist and finger extension strength.  In my physical therapy practice, I have concluded that it’s critical for clients to keep the appropriate balance between wrist flexors and wrist and finger extensors strength to lessen the risk of certain wrist and elbow overuse injuries (such as tennis elbow or golfer’s elbow).

Your grip strength will improve more rapidly as your wrist and hand muscles find their optimal length tension relationship (which allows for maximum strength production).  Like Greenfield, I often recommend using a thick rubber band as a way to improve finger extension strength (as demonstrated below).  Work on extending each finger equally when performing two sets of 10-15 repetitions multiple times per week.

GripStrengthCollage

If you want to be more precise and have the ability to exercise one finger at a time, try a device such as the CanDo® Digi-Extend® Hand Exerciser.  This is an excellent tool to improve finger extension strength.  It allows you to work the fingers in multiple ways including individually for rehabilitation purposes and as an important hack to improve overall grip strength (as described above).  It also allows for customization of resistance so you can track progress.

2. Work on your running.

Greenfield and I both agree that obstacle course races are still primarily a running event.  You run, perform an obstacle, and run some more. In order to better prepare for any OCR event, a good portion of your running should contain a heavy dose of trail running with a focus on hills.  For further information, please refer to Are Obstacle Course Race (OCR) Athletes Finally Getting It?

3. Implement High Intensity Training (HIT) or High Intensity Interval Training (HIIT) into your exercise routine.

Research continues to develop in support of the importance of High Intensity Interval Training (HIIT) for athletes.  The ability to perform short bursts of high intensity activities has a significant positive effect on many of the body’s major systems.  HIIT is a superior approach to increase cardiovascular fitness and improve hormonal regulation.  When performed properly, one to three HIIT style workouts per week will be sufficient to see improvements.

CrossFit workouts are often an effective and relevant form of high intensity training (HIT).  It’s an excellent method to train your legs and body to handle the hilly and variable terrain.  The constantly varying movements and exercises performed in CrossFit can help you prepare for the varying types of obstacles.

4. Use sport specific training.

This is a concept that is often confusing.  Every athlete needs to spend time training.  Training is performing an activity, such as weight lifting, for the expressed purpose of making the body stronger.

The importance of sport specific training is different.  This is training in your specific sport or activity with the expressed purpose of improving that activity.  Training for a runner may also include very specific running drills designed to work on specific components of running.

In order to improve in the sport of obstacle course racing, you need to practice performing the different obstacles such as the following:

  • Picking up heavy objects and carrying them either in front or sometimes on your shoulders
  • Pulling sleds
  • Scaling walls
  • Swinging and climbing along monkey bars
  • Rope climbing
  • Crawling in mud

This training would be separate from your actual running training.  However, you would combine both performing the obstacles with running as sport specific training.  The take home message from training with Greenfield is that if you want to improve, then you will need to practice.  There is nothing better than having a coach who is an expert at the sport.

5. Learn how to recover properly.

The eight hour obstacle course race training program was a long time for me to stay active and exercise.  Just like any hard work out or race, it’s important to implement proper recovery strategies.  When possible, avoid traveling a long distance right after an event or race.

By implementing many of the following strategies outlined in 14 Tips and Strategies to Self-Treat Muscle Pain and Muscle Cramping & Spasms – Treatment Options, I was able to quickly return back to my training and preparation for my next event.

As with any exercise and activity, obstacle course racing is not without risk.  With proper training and recovery strategies, a majority of the risks can be eliminated.  If an injury occurs, it’s important to take care of it quickly to avoid worsening symptoms and prolonging your recovery.  Please consult with your coach or physical therapist so you don’t lose time on your training.

Which strategy can you implement in order to take your obstacle course race training to the next level?  Please share your comments below.

A special thank you to Ben Greenfield for sponsoring a fantastic event!  I highly recommend that you check out his popular fitness, nutrition and wellness website BenGreenfieldFitness, which features blogs, podcasts, and product reviews.

If you have a question that you would like featured in an upcoming blog post, please comment below or submit your question to contact@thePhysicalTherapyAdvisor.com.  Be sure to join our growing community on Facebook by liking The Physical Therapy Advisor!

Why Your Upper Back Hurts When You Run

WhyYourUpperBackHurtsWhenYouRun

http://running.competitor.com/2016/06/injury-prevention/upper-back-hurts-run_151708

Competitor

June 13, 2016

As featured in this post for Competitor, I explain how poor technique or weak back muscles can contribute to upper back pain while running.  You’ll learn why it’s important to get your body to do the opposite of hunching forward and to stretch out the neck and upper back muscles in order to eliminate pain when running.  I also recommend a series of exercises to strengthen the lower and mid trapezius muscles, and the rhomboid muscles, along the spine at the base of the neck.

At the end of a long hard run, you expect your legs and lungs to be burning, but your upper back? No way.

Unfortunately, “it’s a very common thing,” said Nick Studholme, a sports chiropractor in Colorado.  As the intensity and length of a run increases, many runners will often experience a worsening sharp pain in their upper back, in between or under the shoulder blades.  It’s not quite debilitating, but it sure is painful and annoying.

It’s particularly common in novice runners, said physical therapist Ben Shatto, but it can happen to anyone with poor technique or weak back muscles.  And that’s most of us.  Continue Reading

Are Obstacle Course Race (OCR) Athletes Finally Getting It?

Obstacle course racing (OCR) is gaining in popularity as a sport.  There are more and more organizations offering events like the Spartan Sprint, the Tough Mudder Mud Run, the BattleFrog OCR, and the Warrior Dash.  As the sport evolves, there are notable trends and skill sets that OCR athletes should take note of to be successful.

I recently competed in the Boise Spartan Sprint.  Although the field of racers was significantly smaller for the open registration group compared to last year, I chose to compete in the even smaller competitive group.  Watching the other athletes and comparing the event to last year I noticed a few trends.

Running

Regardless of the organization hosting the event, the gist of the event remains the same.  Run, perform an obstacle, and run some more.  These OCR events are still primarily running events.  The obstacles are the reason why many people participate in these types of events.  They are fun and challenging, but the event still includes running.  The most successful OCR athletes will also be proficient at running on trails.

Most events are set in more rugged outdoor terrain.  To be successful, you must be comfortable running on uneven surfaces.  In the case of the Boise Spartan Sprint, you must also be comfortable running hills.

BoiseSpartanSprint_Hills

To better prepare for any OCR event, I would recommend a heavy dose of trail running with a focus on hills.  From my prospective, Boise Spartan Sprint participants seemed more comfortable running this year.  Maybe the word is getting out that these events still require running as a skill set.

I recommend that you are capable of running whatever the expected distance you would be competing in (plus a couple of miles) on a similar terrain in order to insure your body has the endurance needed for both the running and the obstacles.

High Intensity Interval Training (HIIT)

The format of many OCR events is to run, perform an obstacle, and then run.  This means there are times when your intensity will be high and times when you can lower the intensity during the event.  Performing high intensity interval training (HIIT) or high intensity training (HIT) should be a mainstay in your exercise training.  It will be particularly useful during an OCR event.

The amount of HIIT in preparation for your race will vary and is dependent on the distance.  If the race course will be a shorter distance (under 5 miles), then a majority of your running could be HIIT and shorter distance recovery runs.

If you will be competing in longer distances (10 miles or more), then I would still incorporate a weekly longer run just so your body will be prepared for the mileage and time on your feet.  I highly recommend that you run outside–preferably on a trail or uneven terrain to prepare your legs adequately.  You will need to feel comfortable running downhill and on uneven terrain.  Dominate the hills, and you will dominate the race.  Please refer to my Training Plan that I used for Race to Robie Creek, a very steep half marathon 8.5 miles uphill and 4.6 miles downhill.

CrossFit

CrossFit as a form of high intensity training (HIT) is an excellent method to train your legs to handle the hilly and variable terrain.  The constantly varying movements and exercises performed in CrossFit will also help you prepare to handle the following varying types of obstacles:

  • Picking up heavy objects and carrying them either in front or sometimes on your shoulders
  • Pulling sleds
  • Scaling walls
  • Swinging and climbing along monkey bars
  • Rope climbing
  • Crawling in mud
Spartan_Barbwire

(Courtesy of Reebok Spartan Race)

Performing CrossFit style workouts is an excellent way to help to prepare for an OCR event.  CrossFit teaches you how to prepare for these different obstacles by refining the skill sets necessary to tackle them.  It also prepared me to perform the obstacles when fatigued.

Weight Training

Weight training (in particular, barbell training) is a critical component in physical resiliency.  Lifting appropriately heavy weights is applicable for almost everyone regardless of age and/or present health status.  Weight training has positive benefits on the following:

  • Muscle strength
  • Bone density
  • Cardiovascular performance
  • Neurologic performance and adaptability
  • Mental and cognitive function
  • Proper hormonal regulation

In the case of OCR racing, being stronger will always better prepare you for the terrain you will run on and the obstacles performed.  Weight training will also help to increase your body’s margin for error when illness or injury occurs.  To quote Mark Rippetoe, “Stronger people are harder to kill than weak people and more useful in general.”

Spartan_Sandbag

(Courtesy of Reebok Spartan Race)

The key to all training (including weight training) is that the system must be properly overloaded to produce the desired effect.  Too little, and you will not receive a positive benefit.  Too much, and you risk injury.  This overload principle must guide all exercise routines if there is to be actual success and benefit from the training.  Although any properly dosed/prescribed form of resistive exercise would be beneficial, the most effective exercises to help you prepare include squats, lunges, dead lifts, and the overhead press.

Grip Strength

Many of the obstacles (rope climbing, monkey bars, bucket carries, and climbing walls) require adequate grip strength.  Current research on successful aging has found a correlation to poor grip strength and frailty, so developing adequate grip strength is a good idea either way.

In prior years many athletes would fail an obstacle solely because of their grip giving way.  Although this still occurs frequently, I didn’t see nearly as many failed obstacles this year during the Boise Spartan Sprint versus last year.

Spartan_RopeClimbs

In order to perform at a high level, you must develop proper grip strength.  Recommended exercises to train grip strength include dead lifts, pull ups, and farmers carries.

When working on grip strength, nearly everyone always focuses on finger and wrist flexion strength.  If you remember to also work on your wrist and finger extension strength, you will find your grip strength will improve more rapidly.  You will also lessen your risk of certain wrist and elbow overuse injuries.

Recovery Strategies

Once you complete the OCR, enjoy your accomplishment, but don’t forget to implement proper recovery strategies!  Be sure to properly cool down after the race.  Don’t sit!  Stretch and continue to move.  You will need to make sure that any scratches or wounds are properly cleaned and covered.  Hydrate appropriately and begin working through your recovery process.  For more information on how to quickly recover, please refer to the following posts:  14 Tips and Strategies to Self-Treat Muscle Pain and Muscle Cramping & Spasms – Treatment Options.

OCR events are a fun way to stay fit and promote general resiliency.  The variety of skills needed to be successful is what makes it so fun.  If you have the opportunity in your area to work out in a gym that is geared toward OCR racing, such regular practice on obstacles will be particularly effective when training for the more technical obstacles.  Keep in mind that the most important skill sets are sometimes the ones most overlooked.  Focus on your running; implement HIIT and HIT; weight train; and work on your grip strength.

Have you competed in an OCR before? Please share your experience by leaving a comment below.

If you have a question that you would like featured in an upcoming blog post, please comment below or submit your question to contact@thePhysicalTherapyAdvisor.com. Be sure to join our growing community on Facebook by liking The Physical Therapy Advisor!

The Number One Reason Why You Won’t Reach Your Training Goals

MTA_NumberOneReason

http://marathontrainingacademy.com/number-one-reason

Marathon Training Academy

June 6, 2016

In this guest post for Marathon Training Academy, you will learn how to effectively exercise and work the core muscles in order to prevent or treat low back pain (LBP) as well as other common running injuries affected by weakness in the core and pelvic muscles.

The number one reason why runners won’t reach their goals is also one of the most preventable reasons: injury!  Nothing derails a perfectly developed training plan like an injury.

The most common injury to runners is also the most common injury for those in the western world: low back pain (LBP).  LBP is estimated to affect nearly 80% of the U.S. population at one time or another.  And worse yet, once you have experienced an episode of LBP you have a 90% chance of having a reoccurrence.  Continue Reading

The 3 Most Common Mistakes Runners make that can cause Low Back Pain

MTA_3Mistakes

http://marathontrainingacademy.com/low-back-pain-2

Marathon Training Academy

May 25, 2016

In this guest post for Marathon Training Academy, you will discover the three most common mistakes runners make that can lead to low back pain (LBP), and you will learn prevention tips in order to avoid injury.

Low back pain (LBP) is one of the most prevalent medical conditions treated in the United States and throughout the western world.  Avoiding the following most common mistakes can save you from costly medical visits, prescriptions, chiropractic visits, and physical therapy services.  More importantly, avoiding injury and LBP insures that you can keep training and racing to your heart’s content!  Continue Reading