Category: Chronic Pain
Lessons Learned – Experience Shadowing a Rural Physician By: Logan Brennan
Part I – Life of a Rural Physician
This past week I had the incredible opportunity to shadow Dr. Reid Hosford and Dr. Megan Cook at the Pincher Creek Hospital in Southern Alberta. Dr. Hosford is a General Practitioner Anesthesiologist (GPA) and Dr. Megan Cook is a Resident Family Physician working with Dr. Hosford. I was introduced to Dr. Hosford through a family friend who suggested I contact him to better understand the life of a rural family physician and to help me determine and understand if this is my ultimate career goal in life. After observing two clinical shifts, one surgery, one colonoscopy and an overnight emergency room shift, I have a significantly greater understanding of the life of a rural physician and a greater appreciation for the entire health care system. As a practicing Athletic Therapist and Community Outreach Coordinator for Integrative Movement I walked away with many Lessons Learned which I hope to share with our followers as well as apply to my current practice and future endeavours.
Demands and Life of a Rural GPA
There is no doubt physicians have a career which demands an exceptional quantity of time and commitment. As most of you know, physicians generally work long hours, are on call both weekends and nights, have massive patient loads and function in multiple roles and capacities depending on the needs of the organization and community (clinical, emergency, in patients etc).
Dr. Hosford demonstrates the importance of achieving a healthy work life harmony. I chose the term work life harmony because I believe Jeff Bezos explained it best. “Having a work life balance is a debilitating phrase which implies a strict trade off.” The term work life balance creates competing interest rather than emphasizing the interrelatedness of your occupation and life. In order to achieve work life harmony you must recognize this as a continuum rather than a balancing act. Dr. Hosford demonstrates these skills well by maintaining an active lifestyle and prioritizing his young family amidst just recently beginning his career as a practicing physician.
Teamwork and Breadth of Knowledge
Rural physicians epitomize being a career generalist. The demands and problems which a rural physician faces are diverse to say the least. From ingrown toe nails and strep throat, to drug overdoses and surgeries, rural physicians truly have an incredible breadth of knowledge and skills. Because of this variability in practice, the entire healthcare team must work seamlessly and expect exceptional teamwork from all members.
During shadowing, I was continually impressed with the level of communication, respect and accountability which every member of the team demonstrated. From administrators, surgeons, nurses, students, homecare workers and physiotherapists, every member demonstrated professionalism and was appreciative and understanding of each member’s role to achieve the collective team goal. My take away from this experience is that with the right leaders and the right mindset, teams can accomplish and solve exceptionally variable and complex problems.
Although I have always recognized the societal responsibility of physicians, after shadowing Dr. Hosford I acquired an even greater appreciation for the responsibility they bear. Rural physicians are not only Doctors. They are life savers, community leaders, policy makers, counsellors and above all genuine and caring human beings. From delivering babies and completing one-year old check-ups, to treating patients with terminal cancer and writing death certificates, rural physicals interact with the community at every level. These individuals bear massive responsibility for the health, welfare and future of the communities in which they practice and call home.
Part II – Applications to Athletic Therapy and Professional Take Away.
Critical Need to Proactively Address Diabetes and Hypertension
One of the greatest lessons learned from my experience is that our society and specifically our profession as Athletic Therapists needs to address the critical need to proactively prevent and treat individuals at risk for Prediabetes, Type II Diabetes and Hypertension.
Over the course of my shadowing shifts it was shocking to see how many patients required medication to control hypertension and regulate blood glucose levels. Now to clarify, I am not saying every patient can control their situation by other means (ie exercise, nutrition, meditation etc.) however I do believe many individuals, who if provided with appropriate resources and confidence, could take control of their health and overcome these conditions in the early phases through simple lifestyle adaptations.
In Manitoba alone, 50% of those with prediabetes will be diagnosed with Type II Diabetes by the end of 2019. Secondly, Hypertension is proven to be directly correlated with sedentary behavior. Rather than prescribing a patient basic blood pressure medications or diabetes medications which can become a crutch and create a mindset of hopelessness, we as Athletic Therapists can drastically change a patient’s outlook on these conditions and give them responsibility and control of their personal health.
Furthermore, these two conditions are direct risk factors for Cardiovascular Disease (CVD) and therefore Doctors are very quick to treat these conditions with medication. By treating these conditions immediately, they reduce the risk of CVD which is ultimately the greatest health concern facing Canadians. I believe prescribing medication for conditions which are directly correlated to lifestyle is a short term and largely ineffective means to providing meaningful lifelong changes. Furthermore, this is not the Doctors responsibility but rather our responsibility as Athletic Therapists to build relationships with Physicians and healthcare officials so that appropriate referrals and protocols exist to make long term and sustainable changes to our approach on healthcare.
Smoking and Alcohol
Although both of these are the subject of constant discussion, I believe I need to give my two cents on these issues and communicate why they are important for Physicians and ATs. After spending approximately 36 hours with patients in both a clinical and emergency environment, it is shocking to me how many people still choose to drink and smoke excessively. As a society we all recognize the dangers of these activities and yet as a society we also accept and even encourage them. To everyone reading this, I challenge you to have the difficult conversation of addressing smoking and alcohol use with your loved ones, co-workers and your friends. As Jordan Peterson put it, your success as an individual, family, organization, team, or society is based on the number of constructive uncomfortable conversations you are willing to have. Have that uncomfortable conversation sooner rather than later.
Reliance on Healthcare and Hospitals
As briefly touched on above, our society’s reliance on healthcare is sobering. I am not going to sugar cote this or downplay it. The extent to which our society relies on the healthcare system to save, fix and help them on a moment’s notice is alarming. Because of technology and health care advances, the system has done an exceptional job looking after people. Yet, it has done a disservice to every individual who now believes they do not have control of their own health and that they require a doctor and or medication to stay healthy. As an Athletic Therapist I truly believe we need to emphasize the importance of patients taking accountability for their health by providing them the guidance, confidence and the basic support to do so.
Future Role of Athletic Therapists
The values, principles and scope of practice of Athletic Therapy will provide the essential framework for our profession to adapt, grow and progress to become a valuable contributor in the Canadian Health Care System. The most important component of success will be adaptation. Each one of us must learn and act on improving our recognition with other healthcare providers and prove value. Without creating and demonstrating value we will continue to be overlooked and undervalued in the health care field that can desperately use our support and expertise. There is significant opportunity for us to make a major impact in providing treatment and value to those with orthopaedic and lifestyle implicated conditions. We must strive to provide value and expect nothing short of excellence in our respective field. If we are able to do this there is no doubt in my mind that the relationship between Physicians and Athletic Therapists will not only prosper but will address and make an impact on many of the significant and current health care issues facing Canadians today.
Have a wonderful week everyone!
Let er buck,
Is Running Bad For You?
Out of all the fitness rumors and fads, the statement “running isn’t good for you” is one that I actually understand. At least, I understand why it’s come up time and time again (though this rumor may have been started by someone forced to run in a PE class somewhere (me.. Circa 2007)…).
There’s a few things I will add to this as we go, but in short.. No. Running is not bad for you.
Using running as your only form of cross training has the potential to do you harm, yes.
Running without a planned out strategy (see above) will likely end in burn out and pain.
Running with uncorrected muscle imbalances will indeed lead to injury. Most runners I meet are in this situation!!
However- running at its purest form is an excellent and age old way to get cardio work in. The truth is- as with pretty much everything else- if you correct any postural imbalances you have, run appropriately for your goals, and do appropriate mobility/strength training alongside your running program.. There is no way running should cause you issue, or impact your health/performance negatively.
Injuries and pain arise in running when our biomechanics aren’t on our side. Just the same as they do in our rides, or other training. With running, the most common imbalances to see are decreased hip stability, poor foot activation (we will talk about footwear in a second), and poor breathing technique.
When our hips aren’t stable, this means that other muscles around the hips will attempt to take over pelvic stability. With this we see a tightening of the hamstrings, glutes, and hip flexors. There also tends to be an increase in knee pain (think runner’s knee). On top of this, most of us buy into the fad of either highly cushioned and supportive shoes OR jump right into minimalist/barefoot trends.
Neither are necessarily great. Shoes are designed to protect our feet- but in this day and age, they are marketed to do much more. The painful (often literally) truth behind this is that the more “supportive” and cushioned a shoe is advertised as, the more likely it is to just turn off your foot’s natural activation and cause postural issues elsewhere.
But what about my flat feet, you ask? Well.. with a little bit of effort you can correct most foot postural issues (like flat feet) yourself, for free. This doesn’t mean that you should be ditching all footwear and running barefoot, either. While running in minimalist style footwear is something I typically will suggest for some people- it is only after we’ve gone through a rigorous postural correction program to find and fix any imbalances they have, and then slowly worked them down to a minimalist level of footwear for their training (both running, and otherwise). If you choose to go cold turkey on cushioned footwear- you will likely be extremely sore, and want to never use your calves again.
When we start running, it’s important to take time to do some hip stability work (I’ve given many of these moves in previous articles.. Look for clamshells, hip circuits, balance work, side bridges!), foot reactivation (think toe curls with a towel, spreading the toes out as wide as you can (harder than you think!), and utilizing products like toe spreaders in your down time.
As humans – it’s important for us to maintain cardio, and running offers us a great way to build in that training. It is of course not the only option for cardio, and needs to be done with intelligent preparation. If you have doubts as to you running technique, many gyms/therapy clinics offer gait analysis to runners to help them spot and correct major postural dysfunction.
If you’re new to running, start with low distance/intensity and build up to tolerance. Unless your goals include marathons, running a few days a week is all most of us need in our training program.
Want to know if your running form is up to snuff? Book a consult with one of our certified Athletic Therapists or Kinesiologists this winter, and we can help you figure it all out.
Have you been cursed with sciatica?
The last few months I’ve seen what seems like a plague of clients coming in saying they’ve been diagnosed with sciatica. They way they tell me about their diagnosis it sounds like they’ve been diagnosed with a terminal condition never to be reversed. This is far from the reality when it comes to sciatica.
While sciatica is a common complaint, it is often overdiagnosed. Unfortunately it seems to now be a catch all for physicians to diagnose Sciatica when there is any complaint of pain in the hip and leg, without giving any true solutions outside of pain masking.
Sciatica symptoms include shooting pain or numbness/tingling down the leg stemming from deep in the hip. It is often combined with low back pain. The sciatic nerve runs deep in our hip, and sciatica symptoms often begin when muscles in the same area tighten, or the area become compressed due to poor movement patterns and muscle deactivation (this is why symptoms often begin during long periods of sitting or standing, and are common in manual labourers and desk workers alike).
The root cause behind sciatica is quite simple (in my mind, anyway). It is usually a manifestation of less noticeable messages from our body adding up over years- finally reaching a point where the body is sending us a message we can not ignore.
More importantly, with some consistency and effort, sciatica should not be a long term problem for people. When a client sees me for sciatica, our first step is to calm the nervous system down in the area. This is done through a combination of soft tissue work (massage/tissue release) and movement prescription. Many people with sciatica often present with pelvic misalignments. Soft tissue work can help to correct the baseline alignment passively- but if we are going to make this correction long lasting we need to layer some activation tactics on top of that. This is where patient participation comes in!
My favourite movements to prescribe for sciatica are similar to those I would give for low back pain. Here are three of my top ones for the beginning stages of treating sciatica.
- Bridges- laying on the floor, placing both feet below the knees and inline with the hips. Activate through the butt muscles to press the hips up towards the ceiling, forming a diagonal line through your body. Make sure the entire foot is pressing into the ground, and both hips are active so that the back is not arching in this movement. Hold at the top for 5-10seconds, slowly lower down, and repeat for three sets of ten.
- Figure 4 Stretch: Laying on the floor, your bed, or seated, cross one ankle over the opposite thigh. Grip behind the non-crossed leg (if laying) and pull the thigh towards your chest for a stretch in the hip of the crossed leg. If seated, gently press down on the crossed leg for a stretch through the hip. Hold for 20 deep breaths, repeat on each side for 4-5 rounds/day.
- Clamshells- Laying on your side with knees bent to approx. 90deg, hips and ankles stacked- clamshell the knee open lifting from the hip. Do not let your hips fall backwards, they should remain stacked and level throughout the movement. Hold the clam at the top range of motion (wherever you can raise to without your hip sliding back!) for 10seconds, slowly return back to the start position.Repeat 3 sets of 10-15 routinely in your day. The more you activate the muscles properly, the more the brain makes it automatic.
If sciatica symptoms are something you’re currently stuck with, remember that anything that prevents you from living pain free is not a normal part of life. Checking in with your movement based professional to find out what’s causing the root of the problem can be a valuable asset to regaining pain free function!
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With spring in full swing I’m hearing and seeing a lot of you complain about headaches. Just like everything else regarding pain and dysfunction in our society- headaches are something that we’ve come to normalize.
Not only do I hear routine complaints about headaches and migraines- I’ve also had people get defensive as if it’s a negative thing that I”m telling them headaches are often very relievable.
I get it. Whenever someone who has been in pain for years, especially suffering from something like a migraine, is told that that suffering isn’t necessary- it seems like their pain is being minimized. Humans don’t love when they feel that way.
However- I’m going to say this again and again… pain of any kind, even something as normalized as a headache, IS NOT NORMAL nor is there any need for it to be a routine part of your life!
Here are some of the “hacks” I hand out for clients dealing with headaches.
Our lymphatic system holds about 15L of fluid (YEP), and our circulatory system is another 6L of fluid.. our entire body relies on so much water to stay functioning and healthy.
Most people who walk in our doors at Integrative Movement are drinking under 4 glasses of water a day. That fact along makes many of their complaints make sense. Muscle pain, joint pain, chronic pain, headaches, energy troubles…. if we aren’t lubricating our body how can we blame it for complaining?
A optimally functioning adult should be drinking 2-3L of water/day at a minimum. If you have pain, headaches, or other stuff going on… check in with your hydration.
Yes, that thing I talk about so much… that we all do. Another basic life process that is highly underrated when it comes to how we function.
Let’s pause on the word “function” for a hot minute. Unfortunately, these days, “normal function” is another term for “not very functional”. Everyday people are constantly in some sort of discomfort or dysfunction when it comes to their health (which includes mind, body, and emotions).
I’ve written and spoke about breathing a lot. The nitty gritty is that if we are breathing in correctly (aka using large postural muscles in our upper body) we will see an increase in tension around the neck and fascial changes in the body perpetuating tension. Tension around the neck leads to trigger points being activated and headaches all over the place. Think “tension” headaches at the base of the skull, forehead, and behind the eyes. Often migraine symptoms are caused by this as well- auras, trouble focusing, nausea, pain in standing or moving positions, dizziness.
Migraines can be classified in a few ways, one of them being ischemic (code for restricted circulation).. meaning something is causing a decrease in circulation to the brain or soft tissue around the skull. One of these causes can and often is connective and soft tissue tension in the upper body closing in on arteries and lymphatic vessels in the area.
Working on breathing mechanism and the “simple” act of taking some time to lay on your back or stomach with your head resting in your palms and doing some deep diaphragmatic breathing can make a GINORMOUS difference in symptoms of headaches and migraines.
Check this post and podcast out on the hows of breathing…
I mean, this isn’t news.. right?
None of us move enough and even those who do move enough don’t get enough variety in their movements.
Repetitive movements will just perpetuate the issues listed above. You get 10,000 steps in? Awesome… but how much did you bend over, twist, roll around, squat, wiggle your toes, etc?
Movement helps circulate lymphatic fluid which is a huge factor in inflammation and pain (if it isn’t moved around). Movement also increases circulation to those tense muscles and helps to relieve undue tension.
This post by Dr. Perry Nicholson sums it up some excellent ideas for adding variety in.
Pain in movement?! Pain will stop you from moving.. and that is not okay. Find a professional who knows how to get you moving painfree again…
Nutrition (also kinda duh?)
Nobody knows what is going on with healthy eating anymore. Why? Because everywhere you turn there is a new diet fad. Run away from anything telling you its the new best way to get healthy. Whether it does have benefits or not isn’t the issue… the issue is that health shouldn’t need anything more then common sense to figure out.
We are designed to eat a variable diet of whole foods. Does that mean there isn’t a place for certain styles of eating? Nope.. actually certain ways of eating can be very beneficial to help alleviate symptoms of many complaints. Including headaches and body pain.. as both these can connect back into general inflammation somewhere in the system. That’s where finding the help of someone who understands health as a whole and using food as medicine can be hugely beneficial.
I recommend looking into different options of Registered Dieticians, Holistic Nutritionists, or Functional Medicine practitioners and do your own research. Try things. Experiment with the types of foods you eat, and don’t be afraid of experimenting. As questions of yourself and others. We are ever-changing creatures and no diet should be a forever solution.
Headaches OFTEN come from neck tension, postural dysfunction, lack of hydration, and sometimes inflammatory conditions in other ares of the body causing a chain effect.
Don’t get stuck in a negative pain loop around your pain/headaches. Never stop looking for a solution. Do stop sourcing quick fixes. Believe that there are ways to break the pain cycle- there always is!
FYI: Myofascial Cupping 101
Myofascial cupping is a therapeutic technique derived from ancient chinese therapeutics used thousands of years ago.
It also resembles someone post octopus attack, and has been spotted (no pun intended) on many high level athletes. Similarly to how Kinesiotape (we’ll discuss this next time!) became mainstream after it was seen on a few olympic athletes, cupping has become increasingly popular in the therapeutics realm.
How does it work?
Cupping works in a “negative pressure” style. When we think of most therapeutic treatments or modalities, the goal is generally to increase (or decrease) circulation, change tissue temperature, use friction, pressure, or tissue movement to do the first two things, realign soft tissues, and change the nervous system’s perception of an area. One of the most common modalities, massage, works in a positive pressure style. That being, the practitioner is applying pressure to the area to increase circulation, temperature, create soft tissue change and affect the brain’s perception of the area.
In cupping, cups are applied with suction to draw the layers of tissue apart, allowing circulation to rise from the bottom up through the different layers of tissues (think muscle, lymphatic vessels, facial tissue and connective tissues). The suction helps to create heat, and is a modality that has been shown to be effective in releasing fascial and tissue tightness, scar tissue, and increasing lymphatic drainage.
As a practitioner, I find that myofasical cupping will get deeper than my hands can when it comes to releasing certain types of tissue trauma and tightness. I use cupping to assist in the treatment of arthritis, all sorts of soft tissue injuries, back pain, and chronic injuries (that broken rib you had years ago that still bugs you, or that ankle that just doesn’t move right, or the knee that you tore a ligament in years ago and still have issues with). I also have body builder clients who love cupping as it relaxes the fascial binding around muscle groups, which allow their muscles to “pop” more. Of course, like all modalities, it comes with some risk. Those with vericose veins should avoid cupping directly over the area, and it should be used with caution (and by an experienced professional) with individuals dealing with an acute stage injury, spinal injuries, and those with hypermobility disorders.
In the clinic I find it extremely beneficial with clients working with arthritic joints. Knees and shoulders specifically seem to respond very well to the addition of myofascial cupping to their rehab plan, and many with back pain often find it helps to calm down the acute levels of pain. Myofascial Cupping can also be used to stimulate acupressure points for a more holistic style of treatment, if the practitioners is trained in the meridians of the body. I have seen it used to treat digestion troubles, menstrual cramping/pain (which is not normal!!!), stress and anxiety, and insomnia. More often then not, the structural release will also help with some of these conditions- as the body is all one big dynamic system. It is important to take a big picture approach when treating any condition, physical or otherwise.
As with any modality- it is a tool to be used in the process of returning someone to being able to move without pain- and a stepping stone on the pain to rehabilitative and preventative movement and lifestyle practices. It should not be used as a bandaid or a quick fix for pain/dysfunction.
Clients are often put off by the circular bruise like marks cupping leaves, but majority of the time those marks are not painful nor are they technically bruises. Rather they are titled “ecchymosis”, which is basically the technical term for a hickey. Another common misconception is that cupping breaks blood vessels. Cupping does not break blood vessels, in most cases, the marks are left because the circulation is drawn to the surface underneath the circular cup. Rarely are vessels actually damaged or broken. If we look at the ancient chinese style of cupping, some pracitioners still provide “wet cupping” which involves blood letting, as well as hot cupping or fire cupping- in which the practitioner creates suction by heating hte cup with a flame before it is applied. Majority of soft tissue practitioners will use a suction gun to suck the air out of the cup, and wet cupping and fire cupping aren’t as common.
Cupping is an effective modality for a variety of conditions, and from someone in the industry I can tell you that it is worth the hickeys. As always, cupping isn’t a one stop fix. All treatments or modalities should be accompanied by a preventative exercise and wellness program. Before attempting cupping, check in with the practitioner about the risks and where they took their certification.
Knee pain: It’s not complicated (usually)
After seeing an older woman in the clinic the other day a few weeks into her post-knee replacement rehabilitation- her daughter approached me stating she knew she was headed in the same direction as here mom (aka, was already having knee and hip pain in her life) and wanted to know if there was anything she could do to prevent the process.. or if it was just inherent that she too would eventually have to replace a joint or two.
If there is one thing I want to get across to people it’s that nothing to do with our health is guaranteed.
What I mean by that is.. just because you have a family history of something does not mean it can’t be prevented or course corrected. ESPECIALLY when it comes to our movement health!
When it comes to the knees.. generally the actual problem is coming from the hips and/or feet. I refer to the knee as a bridge joint. It is designed to improve efficiency of transit, absorb and transfer force. If the lines of force get messed with (aka you lack stability in the joints above and below), then the efficiency of that joint and it’s movement go right out the window. Stress builds up and that leads to warning signs (pain), inflammation, stiffening, and of course eventually degeneration of the structures within the joint. This can present via tendonopathies, osteoarthritis, runner’s knee/jumper’s knee (both tendonopathies), patellofemoral syndrome or patellar chondromalacia, and even increase your risk of ACL/MCL and meniscal injuries.
Barring external trauma (but yes postural dysfunction can even contribute to the risk of this), pain and issues in the knee generally are coming from above or below.
This is why I always recommend those passionate about running or other repetitive movement based activities get their gait screened by a professional. Catching dysfunction early and prescribing appropriate corrective movements is key in preventing problems down the chain.
Here are 4 “simple” exercises I prescribe routinely to clients experiencing knee/hip/back pain or rehabbing a joint replacement.
You’ve probably seen these before. Designed to activate the lateral stabilizers in the hip, you should feel the burn on the top side of your hip as that is where the activation should come from. Laying on your side with knees bent to approx. 90deg, hips and ankles stacked- clamshell the knee open lifting from the hip. Do not let your hips fall backwards, they should remain stacked and level throughout the movement. Hold the clam at the top range of motion (wherever you can raise to without your hip sliding back!) for 10seconds, slowly return back to the start position.
Repeat 3 sets of 10-15 routinely in your day. The more you activate the muscles properly, the more the brain makes it automatic.
2. Gait Activation
Laying on your stomach, tuck your chin to lift your head (nose should remain pointed down to the ground!), and squeeze your butt cheeks together. Holding and maintaining this position, press opposite arm and leg to the ground while lifting the other opposite limbs off the floor. Hold for 4seconds, switch and repeat process.
This activates Deep postural muscles and connects the brain to a proper gait transfer pattern. It also cues butt activation and neck stabilizers.
Repeat 3-5round of 20 a day.
3. Single Leg Bridging
If you struggle with regular bridging, this is a advanced progression- so work towards it with holds before movements. Glute activation is key here!
Finding your bridge, lift one leg off the ground maintaining your glute activation. Lower the pelvis down half way and then push back up to full bridge on the one leg. Your hips should be the pivot point, not your low back! Core should remain strong, and glutes should be the main push to full hip extension. Drive up through the supporting heel to help engage the back half of the body/butt.
Repeat 6-10/leg for 3 – 5 rounds.
4. Side Bridges
Classic hip hinging activation exercise. All these movements also double as releases for the front of the hip (tight hip flexors anyone??).
On your side, supported by your elbow, shoulder, and core activation, pivoting from the knees- use glutes to actively push hips up and forward through a hinge motion. Hold at the top for 5-10seconds, then sit back and down through the hip hinge.
Common mistakes here: slouching into the shoulder (push UP through the ground/elbow and squeeze shoulder blades together), lack of core activation/bracing allowing for the spine to hinge instead of the hips (think of a squat motion at the hips!), lifting up THEN forwards.. try and make this simultaneous, as if your hips are moving up and down a ramp.
Repeat 6-12x for rounds of 3-5. Great used as a warm-up to other activities.
You would also do well to add in some foot exercises! @thefootcollective on instagram is one of my fav resources- but you can also refer to our existing post about old person feet here!
Struggling to figure these out? We offer complimentary movement assessments and consults to new clients. Prevention and rehab programs for all sorts of clients are available. Have questions? Leave a comment or find us directly at email@example.com. We’re always happy to help you get your movement right!
Have fun kids!
At your age…
Here’s a fun tidbit I hear OFTEN second hand from clients after their friends/family/peers find out what their training and therapy plans consist of…
“At your age, should you really be lifting weights?”
“Isn’t weight training dangerous for your joints? Does that really help you feel better?”
“Aren’t you worried about getting injured again?”
“I heard that weight training is bad for you- doesn’t it cause arthritis”
First off.. I’m honestly not sure where people are finding that last bit of information from, at this point in our history. Secondly I’m also endlessly grateful that I’ve stopped frequently hearing that weight training will make women bulky- at last that myth has been put out of it’s misery. Third off- weight training is highly effective for arthritis rehabilitation and management- WHEN IT IS DONE CORRECTLY. The only time it’s going to cause arthritis is if you don’t do it in good form. This is why having the guidance of a trained professional is imperative when starting any new program. At the very least get a movement assessment and see where you need to work!
Would I tell someone of ANY age to just go and start lifting weights (no matter how much)? NOPE.
Do I prescribe and coach programs for ALL ages (yes, all the way up to 90-somethings- seriously) that involve various amounts of loaded movements, functional movements, dynamic movements, and stability training? You bet I do!
Here’s the neat things about the body.. it works on an adaptation based system. Which means- invariably- to IMPROVE our systems we have to STRESS our systems.
Here’s the feedback I get from my dedicated clients:
“I don’t wake up at 3am anymore with back pain”
“I sleep through the night and don’t wake up stiff in the mornings anymore”
“I don’t get tired during the day”
“My joints aren’t bugging me as much since I started training”
“I’m making healthier choices elsewhere in my life since starting this training routine.”
“I FEEL GOOD”
When we apply GOOD, healthy stress to our system- things change for the better. We also develop a higher tolerance for negative stressors, which means we function just overall more kick ass.
It no longer new information that the mind and the body are one coordinating unit.
Exercise, movement- of any kind- is the BEST and most EFFECTIVE medicine. The stats support it. Check these out.
According to the Conference Board of Canada, if we were to decrease the number of inactive Canadians by even 10%, we’d see a 30% reduction in all-cause mortality and major savings in health care. It is in fact estimated that more than $2.4 billion, or 3.7 per cent of all healthcare costs, were attributed to the direct cost of treating illness and disease due to physical inactivity1. The financial impact of poor health amounts to a loss of more than $4.3 billion to the Canadian economy, and the negative repercussions of inactivity cost the healthcare system $89 billion per year in Canada2. According to several studies, properly structured and supported exercise program, designed and delivered by a kinesiologist can, among other benefits:
- Reduce the risk of high blood pressure and heart disease by 40%;
- Reduce the incidence of type 2 diabetes by 50% and be twice as effective as standard insulin in treating the condition;
- Help the function of muscles for people affected by Parkinson’s disease and Multiple Sclerosis;
- Decrease depression as effectively as pharmacological or behavioural therapy;5
- Reduce the risk of stroke by 27%;
- Reduce the risk of colon cancer by 60%;
- Reduce mortality and risk of recurrent cancer by 50%;
(Based on year 2009. Jansen et al., 2012 2 Based on year 2013. 3 Cardiorespiratory fitness is an independent predictor of hypertension incidence among initially normotensive healthy women.
Barlow CE et al. Am J Epidemiol 2006; 163:142-50. 4 Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. DPP Research Group. New England Journal of Medicine 2002; 346:393-403. 5 Exercise treatment for depression: efficacy and dose response.
Dunn A et al. American Journal of Preventive Medicine 2005. 6 Physical activity and colon cancer: confounding or interaction? Medicine & Science in Sports & Exercise:
June 2002 – Volume 34 – Issue 6 – pp 913-919)
Weight training- when done intelligently for each individual- is just as effective as other types of exercise in improving health. It has it’s own set of extra benefits and of course risk factors. Just like that Tylenol you like to pop for your back pain.
There is no one way to utilize the benefits of movement. Some people to pick things up and put them down.. others like to yoga.. some like to do step classes, and others just like to go for regular walks and stretch. IT’S ALL GOOD.
The biggest emphasis I am trying to make is that adding weight to your routine when you’re doing it correctly for YOUR SYSTEM (this is where the help of a trained professional often comes in), you’re looking at more resilience throughout your body and mind.
Don’t knock it til you try it 😉
(With the correct prescription and educated advice, of course!)
If it ain’t broke.. The right way to move
Is there a correct way to move?
This is a question that has plagued therapists, trainers, and clients since the age of time.
Actually.. probably not that long.
The evolution of health and movement is one to be admired- in that, we’ve gone from quadruped beings, to walking, running, bipedal masterpieces, to what we are now.
We’re at an interesting point in movement science. We’ve somewhat regressed in our movement ability. While yes, we are still bipedal, upright beings- we no longer spend much of our time moving around in a variety of ways.
Now we move from point a-b-c-d in condensed timeframes, spending majority of our time between 3 positions (or variations of..): standing, seated, and laying down.
The author of Sapiens, Yuval Noah Harari, points out that the Agricultural and Industrial Revolutions not only may have ended our movement ability, but also may have birthed the beginnings of the various chronic illnesses and pain that affects us today.
Modern Day practitioners have been preaching alignment for decades already, and certainly our posture and ability to move has a huge impact on our overall wellbeing.. but is there such a thing as the “perfect” posture or alignment? Is there one optimal way to move?
The truth is yes, but also.. no.
There is certainly a most efficient way to move- in that, we will put minimal stressors on our structure and expend the least amount of energy to create that movement. There is a general textbook answer to this optimal alignment.
As an aside- it’s common to hear practitioners saying that one of your legs is longer then the other, or your pelvis is out of alignment.. when often the truth is some asymmetries are NORMAL to a certain degree.
We all have one shoulder that will be slightly depressed based on our hand dominance. We all have slight differences in how our rib cage sits, because of our anatomy (the left side has less lung in it to account for the heart- causing a shift between left and right), and where the rib cage goes the hips follow. Our body works in a chain like system- one link compensates for the next.. and while many compensations cause other problems, not all asymmetries are bad or abnormal. This will also change based on the mental health and perception an individual holds on pain, stress, and their systemic health. The debates on these fuel many research articles and books already. Stay tuned for more discussion on those topics and how movement relates to them.
When it really comes down to it, our movement is as unique as we are- and what is the best way to move for one person may not always mirror the best way to move for another person. We’re designed to be adaptable beings, and our postures should be just as adaptable.
Wait.. haven’t you been preaching posture and biomechanics your whole career?
Yes.. and while there may be differences across our spectrum of movement- majority of us inherit similar postural dysfunctions.. it’s very rare to find someone who moves well, even though there is no set checklist for what exactly moving well means.
Moving poorly in relation to your body can create a vicious cycle of degeneration, causing pain, causing less movement, causing more negative health outcomes. You can get enough movement, but if you don’t move well- you can actually do harm to your body which results in less movement.
For that reason *usually the first step with clients is to assess and correct how they move. From there we build a foundation of efficient movement, and build their movement habits on top of that foundation.
While I can’t say there is one right way to move, I can say that it is very rare to find someone with obviously inefficient movement without some sort of history of pain. The thing about pain is that it may not even present as physical pain.. it may be present in the form of gastrointestinal issues, or undue mental states. Our structure represents our internal framework too- and that can be a chicken or the egg scenario.
Many movement based practitioners will offer within their consult with you a movement screen. If you’re looking for an assist with your health, this is one of the things you should look to your professional to do. Cookie-cutter exercise programs, apps, and group fitness classes are convenient and cost effective- but the grain of salt there is if you get injured or develop pain because you’re movement wasn’t properly screened before starting a program- they cost you more in the long term.
We routinely see clients at their wits end come into our care. They’ve tried everything and nothing works- they are even hesitant to try anything else. They can’t move enough because of pain, or- they’ve never been taught healthy habits around their lifestyle (including movement and nutritional practices). This is what plagues our healthcare system today, and the message I keep putting out there to clients and peers is that none of this is a difficult fix- it just requires a shift from expecting a quick, cheap fix, to some quality time spent investing in our own health and getting educated guidance.
If you have questions about your movement today- send us an email and we’d be happy to help. Consults are always free.
5 Reasons Why Integrative Movement is Different
We pride ourselves in providing a simple, affordable solution to health and lifestyle services. We also offer services out of four satellite locations covering South Winnipeg, the Pembina Valley, Charleswood, and Selkirk region. All our locations are partnerships with other likeminded health facilities. From full functioning gyms to yoga studios – we do the groundwork to develop a health focused community feel wherever we go.
How many of us have bought into a health program, rehab, or gym membership only to under utilize it and later feel like we’ve just wasted the money? Our job is to support you in whatever your health goals require. Whether it’s developing healthy habits in the gym or at home, recovering from an injury, or pushing yourself to a new level of health and fitness, we work hard to provide highly skilled and knowledgable support. As a bonus, new members at our Selkirk and Charleswood locations automatically get 6 weeks of coaching alongside their memberships. No longer will you be stuck not knowing what to do with your gym membership! Your health is an investment, and we believe that navigating those investments is best with accessible, individualized support.
It’s all about YOU- At IM we are different then your average rehabilitation facility or personal training sales pitch. We take the time to figure out what makes you tick. From consult to regular sessions, you can expect to spend 45min-1hr with us in either dedicated one on one therapy, consult, or training sessions or in a small group of likeminded individuals working at a common goal. Keeping things personal allows us to make sure you’re getting all the resources YOU need to reach your full health potential.
4. Diverse Experience
We are a team of Kinesiologists and Athletic Therapists with years of education and a growing experience base. Each of us enters our practice with our own personalities, history, and interests. For that reason, we pride ourselves in working as a team to meet our clients where they are at- and when appropriate work as a team with other professionals you deem valuable to your healthcare team.
5. We get it.
Life happens. Injuries are tough. Pain messes with our heads. Taking the steps towards lifestyle change seems impossible some days. We have been there, and we understand. Even on the days where you think it’s never going to change, the pain will never leave, or you’ll never get your old energy back.. we’ve got you. We won’t give up even when you don’t know where you stand. As the therapists and coaches we are, we hold out hope even when all hope seems lost. We’re all in the same boat, us humans, and we approach your care on your side every single day.