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7 Strategies to Renew Your Health in the New Year

I often hear others comment, “It’s too late to make a change now. I’m too old!” Worse yet, so many people actually believe that, but I don’t! I believe that it is never too late to change. You are never too old or out of shape to make improvements and renew your life. Being healthy and aging well is not a single choice to be made once and then never re-visited. It is a series of constant choices that add up to a way of living and constant renewal.

Aging well encompasses all of the following aspects of our being: physical, mental, emotional, and spiritual. It also includes the community around us. This year, choose to make small consistent choices to renew these areas of your life. This will make all of the difference in aging well. Each person’s physical journey as he/she ages is different. Taking consistent and appropriate action now can vastly change future outcomes.

7 Strategies to Renew Your Health in the New Year: 

Walk more!

Walking is one of the most fundamental activities we perform as humans. Research is very clear that frequent movements (like walking) are the key to avoiding many chronic conditions. Walking lowers your risk of Alzheimer’s disease, heart disease, stroke, and diabetes. It can lower blood sugar levels when performed directly after meals. Elevated blood sugar levels are a major contributing factor to excessive internal inflammation which is associated with most chronic illnesses. Walking can also be an essential component in psychological well-being. Walking as exercise and generally walking more during the day should be considered the first line defense in slowing the aging process and maintaining functional independence.

Embrace fashion.

The first step in adopting a new healthy behavior is to envision and feel what it would be like as if you had already adopted that new behavior. This allows your brain an opportunity to already feel what it would be like to make a change without fully doing so. This can be very motivating. Investing in gadgets or new work out attire, including new walking shoes, can be both motivating and fun. Get in the mindset of adopting the new behavior. Envision how you will look and feel once you have made the changes. Then go for it!

Take control.

There is nothing more important than your health. You have control over most of the aspects in your life that affect your health and well-being. Take charge, and empower yourself. You must be your greatest advocate. Western medicine is designed to keep you alive, not to help you thrive. Taking a passive role in your health is not a wise choice in America’s current health care environment. Only you are responsible for your health. Decisions now will determine how successful you age in the future.

Make the decision.

Research on willpower has shown that it is a finite resource. We actually use up our willpower during the day and have to replenish it daily. This is why you are more likely to “fall off the wagon” later in the day rather than earlier. Decide on the change and commit to the decision. Then implement structure to your day that causes the behavior to be more automatic. Therefore, eliminating the need to rely solely on willpower.

Maintain your strength.

Although all muscle fibers decline some as you age, the fast twitch (Type II) fibers show the most declines. Some loss of strength is anticipated as you age. Losing strength to the point of complete debility or loss of mobility and independence is not a normal aging process.

Strength training is a critical component to maintaining and growing additional Type II muscle fibers. The stronger you are, the more resistant to injury you are. You are more likely to maintain proper functional mobility. Also, strengthening of the core area (the abdominals and back extensors) helps to manage low back pain.

Perform high intensity training (HIT).

The research on the effectiveness of HIT continues to grow. Even more impressive are the findings that HIT can be safely performed at any age and with almost every medical condition. It is now even being implemented in many progressive Cardiopulmonary Rehabilitation Programs, where people are recovering from all kinds of cardiac and pulmonary disorders such as COPD, heart attacks, and heart valve replacements.

Perform your cardio activity in short bursts (ranging from 30-60 seconds at a time) followed by a one to two minute recovery. The 30-60 seconds should be at a high intensity, meaning your rate of perceived exertion (RPE) is high. You should be breathing heavy. Accommodations can be made for almost any type of medical condition. For example, HIT may be performed while using a stationary bicycle, an upper body only bicycle, a rowing machine or in the pool. You can also walk uphill at a quick pace, then stop and rest. The point is to get your heart rate up, and then bring it back down for a full recovery prior to repeating.

If you feel unsure as to how to safely perform this type of training, please seek the help of a competent cardiopulmonary trained physical therapist or exercise physiologist.

Get started!

Make 2021 your year to renew your commitment to make the necessary changes that will empower you to age well. Most importantly, just get started! It’s never too late to maximize your health and well-being in 2021 by implementing these 7 strategies.

Which strategy can you implement in order to age well in 2021? Please leave your comments below.

Thank you for supporting The Physical Therapy Advisor! I look forward to serving you in 2021! 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. In case you haven’t already, be sure to subscribe to my e-mail list and YouTube channel as well as join our community on Facebook by liking The Physical Therapy Advisor!

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My Top 3 Most Popular Posts of 2019!

As 2019 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. We must realize that our individual health is our responsibility. We cannot rely on others to make decisions for us. Our present health care system in America is not designed to help you optimize your health–that is your job!   

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.

My Top 3 Most Popular Posts of 2019:

5 Tips to Ease Neck and Shoulder Pain – Neck and shoulder pain are one the most common ailments faced by people these days. That having been said, it can be mysterious, too. Pinpointing the exact cause for shoulder or neck problems can be particularly tricky as the underlying cause of the pain may be due to many differing factors. Discover the most common causes of neck and shoulder pain and tips on how to prevent and eliminate the pain.

Aging Well is Aging Gracefully – Aging gracefully is possible and will be different for everyone. You must be your greatest advocate. You have control over most of the aspects in your life that affect your ability to age well and gracefully. Start today by implementing these 4 tips to help you stay active and age gracefully!

An Easy Exercise to Prevent and Treat Shoulder Pain and Instability – Proper rotator cuff and scapular muscle strength is critical to preventing and treating shoulder pain. In this video post, I demonstrate one of my favorite rotator cuff and scapular stabilizing exercises using an exercise band. It works the lower trapezius, deltoid and rotator cuff muscles.

2019 has been an exciting year! Thank you for supporting The Physical Therapy Advisor!  I look forward to serving you in 2020! 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. In case you haven’t already, be sure to subscribe to my e-mail list and YouTube channel as well as join our community on Facebook by liking The Physical Therapy Advisor!

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Autoimmune Disease and Physical Therapy

Autoimmune conditions and physical therapy are two topics not often mentioned in the same sentence. However, as incidences of autoimmune conditions continue to rise, it’s only natural that physical therapy treatment and practice would evolve to help address an ever increasing cohort of patients. With a list of over 100 known autoimmune diseases and more illnesses being associated with some form of autoimmunity, the chances that either you or a loved one will be affected by an autoimmune condition is quite high.

I was honored to be interviewed in a recent PT in Motion article, Treating Patients with Autoimmune Conditions, by Greg Gargiulo. He highlights many autoimmune conditions treated by physical therapists and explains how physical therapists are in a unique position to help patients manage and thrive in spite of his/her illness.

During my interview, I specifically spoke with him about the importance of knowing and understanding how autoimmune disease can affect physical therapy treatment.

Physical therapists must understand all types of autoimmune conditions in order to help patients understand that his/her condition may impact the physical therapy plan of care and the duration it takes for a complete recovery. For example, conditions such as Crohn’s Disease can affect nutrient absorption which ultimately will affect a person’s ability to heal.

To read the entire article, please click: Treating Patients with Autoimmune Conditions. A special thanks to Greg Gargiulo for his excellent article and for spreading the word on physical therapy and autoimmune conditions!

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5 Tips for Living a Long and Blessed Life

As we approach the holiday season, it’s important to take the time to remember the truly important things in life. Aging well is a blessing we all hope for.  Successful aging is a lifelong ever evolving process. It’s a process that can begin at any time regardless of your age or health status.

Demands and expectations of what it means to age successfully are different now compared to past generations. This presents an interesting dichotomy between the old and the new way of thinking with the desire to live longer, stay active, and age in place. Living longer and healthier is definitely a blessing. When planned for, aging well is a blessing we all can experience.

We are all capable of successfully aging if we are intentional about the process. Successful aging has a different meaning for each of us, but commonalities exist in most scenarios. In order to live safely, independently, and comfortably, consider your physical, mental, and emotional health as well as your community and any financial implications.  Continue Reading for 5 tips for living a long and blessed life.

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An Easy Exercise to Prevent and Treat Shoulder Pain and Instability

Proper rotator cuff and scapular muscle strength is critical to preventing and treating shoulder pain.  In this video, I demonstrate one of my favorite rotator cuff and scapular stabilizing exercises using an exercise band.  It works the lower trapezius, deltoid and rotator cuff muscles.

The rotator cuff is a critical component to shoulder mobility.  It’s made up of four different muscles whose job is to make sure that the ball of the humerus (arm bone) rotates, slides, and glides properly in the socket, which is made up of the scapula.  The rotator cuff allows the other major muscles of the arm, such as the deltoid and Latissimus dorsi (lats), to properly perform their movements.

The scapulothoracic muscles are the lower trapezius, middle trapezius and rhomboids primarily and proper strength and function in these muscles is critical to insuring proper shoulder blade movement and general shoulder mechanics.  Weakness in these muscles is often associated with shoulder impingement syndrome.

Weakness in the rotator cuff or scapulothoracic muscles can lead to rubbing of the rotator cuff tendon on the bone or impingement of the bursa within the shoulder leading to impingement syndrome (which can eventually lead to fraying and tearing).  With proper muscle strength and balance, you can help reduce the risk of this occurring.

Shoulder impingement or a partial rotator cuff tear can be very painful and may take many weeks to recover.  Many different causative factors can lead to these conditions.  In most cases, shoulder impingement (or even small partial tears) can be completely rehabilitated and should (when treated properly) leave no residual effects once a person has recovered.

For more information on how to address shoulder impingement, please refer to How Should I Treat Shoulder Pain and Impingement?

For an example of another shoulder exercise that can be helpful in improving rotator cuff and scapulothoracic strength, check out my video on How to Treat Shoulder Pain with an Exercise Band.

In addition to proper rotator cuff strength, it’s important to address adequate shoulder and thoracic (upper back) mobility.  Be sure to check out My Top 8 Stretches to Eliminate Neck, Upper Back, and Shoulder Pain.  Subscribe and you will automatically gain access to this FREE resource.  Download the .pdf file, which is full of photos and exercise instructions, to get started!

Shoulder pain can be debilitating by limiting your ability to exercise and perform daily tasks.  Be proactive in your care and management.  If you continue to experience pain, seek additional help.  Don’t let the pain linger.  The longer a condition is left untreated, the more potential for harm and damage which potentially could lead to a longer recovery.  The American Physical Therapy Association (APTA) is an excellent resource for learning more about physical therapy as well as locating a physical therapist in your area.

Which treatments have you found to be the most effective in dealing with shoulder pain?  Please leave your comments 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!

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Aging Well is Aging Gracefully

What it means to each generation to age well has changed throughout the decades. As societal norms change, expectations for how people should feel or act also change. The goal of successful aging is always to age gracefully.

So what does it mean to age well or gracefully? Aging gracefully is finding the optimal balance between the physical, social (friendships), mental (cognitive), psychological, and spiritual aspects of aging. Each aspect of aging is important and interacts with the other.

We must be intentional in how we grow, develop, and maintain these five aspects of aging because of the multifaceted nature of our beings. Each aspect will likely be a focus at different times and seasons. Like a garden, our lives (and specifically these five basic attributes to graceful aging) go through the necessary seasons and cycles.

As a physical therapist, my primary role is to help older adults improve their physical abilities so they can continue to participate in the other aspects of living a full and graceful life. Daily activity and maintaining strength are vital components to aging well. Continue reading for tips for staying active and aging gracefully.

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Do I Have a Pulled Muscle or Something Else?

Unless you’re gifted with extraordinary medical abilities, you probably can’t immediately tell the difference between a pulled muscles or something else. Hey, let’s face it, most people aren’t doctors. Not everyone can instinctively tell where their pains are coming from. And, if you’re reading this post, my guess is that you might be one the ones who struggle a little. The good news is, though, it’s absolutely normal not to know the cause of your pain; both people who suffer from sudden, fleeting pain, as well as those who experience ongoing, chronic pain, are often dumbfounded as to its cause. More often than not, though, people jump to the conclusion that they’ve pulled muscles. The effects of this type of ill-informed opinion can be life-changing, and that is why we’re about to expose the hidden answers behind what it means to have a pulled muscles, and whether or not something completely different might be going on.

What are pulled muscles, actually?

This is a good question, and it is the best place to start on your journey to discovering the true source of your pain. Remember, if you have an informed understanding of your ailment, you’ll be able to heal the source and permanently eradicated the pain. With that in mind, here is some information about what pulled muscles actually are and whether or not you have one of them, or, something completely different:

  • Pulled muscles are muscles which are forcibly stretched and pulled beyond their capabilities. In other words, a pulled muscle is the result of a forceful movement exerted on that muscle. Take an elastic band as an example: as the band is stretched beyond its elastic means, it will eventually knot up or snap. This is exactly what happens to a muscle under the same conditions; a pulled muscle is the painful result of forced overextension.
  • Alright, so how do you damage your muscles in this way? The most common activities leading up to pulled muscles include overuse, improper form during workouts, a failure to warm up and down before and after exercise, and skipping over stretching routines. Muscles need to be primed for exercise, and if this crucial step is neglected, they tend to be less flexible and more prone to damage and pain.
  • That’s all good and well, but how can you then tell if you pulled a muscle or if you’ve done something else? Well, the biggest distinction between a pulled muscle and a different source of pain is the fact that your flexibility is limited after you hurt yourself. Essentially, this means you struggle to bend, stretch, or generally move the muscle. The muscle is tight and sore. In addition, you may experience swelling in the pulled area. You’ll most likely also experience stiffness and weakness in the muscle following the damage and, eventually, (if you don’t receive treatment for the correct diagnosis) you’ll become ‘knotted up’ in the area around the muscle as a greater amount of muscular tissue succumbs to stiffness and overuse.

Here’s the problem, though: you may be experiencing all this and yet you’re still unsure whether you have a pulled muscle, or something else like, for example, a structural issue or pinched nerve.

Luckily, there is a way to tell. Pinched nerves, in particular, effect different areas of the body and produce different sensations. Take a look:

What is a pinched nerve?

  • Unlike a pulled muscle, a pinched nerve occurs when the body tissue around a nerve applies too much pressure to it. In other words, a pinched nerve has nothing to do with stretching or pulling: it is, in fact, the restriction of the nerve by its surrounding tissues and muscles. Let’s use another metaphor: a garden hose. Running through the garden hose is water vital for the plants in the garden. In the same way, your nerves carry vital information about the condition of your body to your brain. Let’s take it a step further: when the garden hose bends or is pinched, the water runs out and the plants suffer. Similarly, when the tissues around a nerve impede its ability to function correctly, the body is effected and you feel pain.
  • Now, you may be thinking, ‘sure, but how is this pain different from a pulled muscle?’ First of all, the origin of the pain is different: discomfort from a pulled nerve is traced back to the nerves themselves, all of which are found inside the cartilage, tendons, bones, and muscles of the body. It is not the muscle which is sore, it is the actual nerve. Furthermore, the symptoms of a pulled nerve are different from pulled muscles, in that one may experience tingling, numbness, sudden bouts of weakness, burning sensations, and an increase of discomfort when trying to sleep.

Both pulled muscles and pinched nerves are painful; they both decrease mobility and increase suffering, yet it is absolutely vital to understand that these two problems are treated very differently. The biggest mistake most people make is that they muddle the two, thereby exacerbating the pain and prolonging the healing process.

The thing is, if your discomfort goes untreated – or is treated incorrectly – you risk prolonged bed rest, extended periods off of work, a decrease in activity and mobility, weight gain, muscle weakness, and daily, extreme discomfort. None of these sound particularly appealing and, if you’re reading this, it’s most likely that you’ve already experienced one or more of these results. It’s time to take action.

So, if you’re unsure why you are experiencing pain or you feel as though you’re not getting any better, it’s time to get help. Physical therapy offers you the chance to find and heal the true cause of your pain, thereby allowing you to access the pain-free life you deserve.

Physical therapists can help you improve, restore or maintain your ability to move and function in your daily life. To learn more about physical therapists, visit the American Physical Therapy Association (APTA).

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. In case you haven’t already, be sure to subscribe to my e-mail list and YouTube channel as well as join our community on Facebook by liking The Physical Therapy Advisor!

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Battling Athletic Overuse Pain in the Knee

There are many different types of lower extremity injuries that could affect a person throughout his or her lifetime.  Common among runners and sports enthusiast may include knee sprains, patellar tendinitis, and patellofemoral pain syndrome.

Frustrating for Patients and Providers

A knee sprain could affect one or many ligaments.  Ligaments that could be affected with a knee sprain include:  the medial collateral ligament (MCL); the lateral collateral ligament (LCL); the anterior cruciate ligament (ACL); and the posterior cruciate ligament (PCL).  A ligamentous sprain can be from either direct contact or via non-contact injury.  Meniscal injuries within the knee are also very common and can be via direct contact or non-contact.

Patellar tendon pain (often called patellar tendinitis or patellar tendinosis) occurs when the tendon connecting your knee cap (patella) to your shinbone becomes inflamed and irritated.  Patellar tendinitis is often called “jumper’s knee” because it occurs so frequently in sports like basketball and volleyball.  It also affects runners, primarily due to poor lower extremity biomechanics during running, which can lead to an overuse syndrome affecting the patellar tendon.  Continue Reading to learn about treatment options for knee pain.

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How to Fit a Work Out Into Your Busy Schedule

By now I’m sure you’re well aware of the benefits related to daily cardio, stretching, and resistance activities. Not only does your heart get a massive health-boost, but your entire body feels more supple and strong; your immune system is strengthened and you generally feel better. So, if you know all this, and have most likely experienced the positive effects of a daily workout routine yourself, why is it so hard to stick to a healthy pattern? Why is a daily exercise regime so difficult to maintain? The truth is, the reason we don’t stick to our guns is usually because of a busy work schedule; alternately, it could be because we can’t fit time into a hectic – and often delicate – work/family balance. We understand this predicament, and that’s why we’re offering you some useful tips on how to fit that much-needed exercise into your life, no matter the time constraints or pressures you face. Take a look!

As with most things in life, when it comes to implementing a regular, consistent daily exercise routine, perseverance is key. We know it can become difficult, that it can be tedious at times, and that you may feel like throwing in the towel, but making a commitment and sticking to it is absolutely vital. Just as you may be having a hard day at work, yet persevere because you know you need to, so too do you need to approach your workouts. Remove thoughts that tell you they’re not a priority… they are. And that’s really important to understand: your health is a priority, so treat it as such.

Now, we’re not suggesting this is by any means an easy thing to do. Sometimes these types of mind-shifts are difficult to make, but we know you can do it. Think of your workouts as a way to push your daily boundaries, to expand your skills, and as opportunities to better yourself both mentally and physically. Yes, you may be tired, you may be feeling groggy, and you may think you lack the energy to drive yourself on, but we promise that, once you start, your workout will be exceptionally rewarding both in the short term and long run. Keep at it! Here’s how:

6 Ways to Fit a Workout into Your Daily Schedule:

It’s competition time!

Whether at home or in the office, igniting your competitive spirit goes a long way in pushing you to do some exercise. Why not set up little goals to achieve? You can even challenge friends or family members to see if you can beat their times. If you really want to get creative, give yourself prizes when you finish within time or beat an opponent. It becomes a whole lot more fun to do workouts if you know that there is some sort of competitive spirit about them.

Consistency is key!

There’s a reason for the hype around habit-creation. When you are consistent in your activities, they become much easier to do and, eventually, they become part-and-parcel of your daily routine. It is no different when it comes to working out. Make a point of picking a specific time either in the morning or in the evening to do your daily exercise. Also, make sure you hold yourself accountable – stick to the chosen time and make it a constant, daily element of your day. Soon you’ll find that it has become a lot more engrained and natural; you’ll actually start missing it if you skip a day!

Personal Trainers Work

If you’re the type of person who needs a little extra motivation in order to stay on the right path, it might be worth your while to consider hiring a personal trainer. Doing so will ensure that someone other than yourself keeps an eye on your progress. If you’re not keen on a one-on-one situation, your local fitness center most likely offers community classes which will also incentivize you to exercise.

Plan Ahead

Plan your workout ahead of time. Make sure you have a detailed description of the activities you’ll be doing that week. In addition, include the foods you will be eating. It would be a mistake to assume that a workout alone will benefit you: diet plays a very important role in your health. Make sure to include more vegetables, healthy oils, fruits, and nuts into your everyday cuisine.

Workout Charts

Remember when you were at school and you were over the moon when you received gold stars? This is the same concept. Keep track of your progress, activities, workouts, and weight goals by using a chart. Achieving milestones will keep you motivated, determined, and focused.

Choose Something over Nothing

At the end of the day, choosing even small changes for a healthier body is a win-win. You really can’t lose by choosing a healthier snack, foregoing the car for a cycle or walking instead. In fact, making these small changes will boost your confidence and commitment. You’ll get rid of that feeling of guilt and regret, and you’ll start making even bigger changes down the line.

Make your health a priority and start developing a consistent, fun, daily workout routine – the above 6 tips give you the best chance of success. Even so, though, it can be difficult to get going. Knowing which exercises to do, how to do them, how much to push yourself, or even where to start, can be a tricky and frustrating place to be in. That’s why visiting a qualified, professional, hands-on physical therapist is the best decision to make.

A physical therapist will not only give you invaluable advice, help you with designing a workout schedule, and show you proper techniques, but he/she will also give you tailor-made exercises and stretches designed to support you throughout your workouts. You’ll get the answers you need in order to get going on the right foot. To learn more about physical therapists or find one in your area, visit the American Physical Therapy Association (APTA).

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. In case you haven’t already, be sure to subscribe to my e-mail list and YouTube channel as well as join our community on Facebook by liking The Physical Therapy Advisor!

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A Life with Purpose Can Help You Age Well

In the United States and throughout the world, we have more centenarians (people who are one hundred or more years old) than ever before.  There are a host of factors that have led to this trend including the largest aging population the world has ever known in combination with improved hygiene, healthcare, and food resources.  Of course, one cannot count out variables such as good luck and good genetics.

But what if healthy aging was more than the luck of the draw or having superior genetics?  We all come from different backgrounds and have different health histories.  While there are many different possible ways to live a healthy long life, one of the most important elements to aging well is to live a life of purpose!

Living a life of purpose means taking control of facets of your health that will directly impact your ability to age well while letting go of the worries and cares that you have no control over.  It is important to realize that each person’s journey is different, and aging well will be different for everyone.

Living a purposeful life allows you to take control and make choices now which will impact your future.  Continue reading for some helpful tips to help you be purposeful in your journey to aging well.