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Sunday, January 31, 2010

Getting to the Core of Reducing Back Pain

Statistic show that 80% of us will experience some type of back pain during our lifetime. As Kinesiologists a large part of our practice is developing programs for clients seeking some type of relief that is non-medicated and exercise based.

Back pain shows up for a number of reasons, the root cause is what we try to address at Lifemoves by having our clients go through a posture and movement assessment and working together with other health professionals involved in their treatment.

One difficulty I have come across in clients several times this past weak is the inability to properly activate the bigger core stabilizers (there are smaller ones between each vertebrae) the pelvic floor, transverse abdominus and multifidus.

These muscles are postural, which means that they should always be turned on to some level to maintain proper posture and spine stability when lifting. They work together in what is called "segmental stabilization." The postural muscles are always active while the phasic or movement based ones, such as obliques and rectus abdominus (the six pack one) are more on/off.

The first stage of a back-pain program is core activation. In this stage we get the above muscles to fire in the proper manner and sequence without moving the spine (there are other muscles that move the spine, such as when sitting up from bed).

Transverse wraps around the body, much like corset. Multifidus is the only muscle to cross the pelvis and the sacrum (triangular bone where are vertebrae fused) and attach to the spine. Women know of contracting the pelvic floor as doing keigels or stopping from unrinating and men think of stepping into waste deep cold water and have your testicles draw up.

All need to "turn on" at the same time to keep the teeter totter of the pelvis stable and balanced. When all are working properly the abdomen will be flat instead of hollowed out. If, you are hollowed your spine will be flexed and no longer in neutral.

In clients with back pain, multifidus on one side is often weak and the other side over active and tight. Place your fingers in your lower spine, glide it to the side until you feel the muscle. Our role through feedback and touching is to re-awaken it. Think of it as as a cable that gently tightens up as it contracts - when done properly it feels as though it is swelling a little without moving your pelvis.

Start by laying on your back with legs bent, shoulders relaxed. Try to get all three gently tightening as you exhale in a sequence - pelvic floor, multifidus and transverse, then release them in the reverse order. One tip is to place a pillow between your legs to get assist the pelvic floor to tighten.

If, you want more information and guidance contact Lifemoves today to book your assessment.


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Sunday, January 10, 2010

Simple Tips to Get Moving With Knee Osteoarthritis


Osteoarthritis can be a real pain in the knee. We are seeing more and more clients in their mid 40's to 60's coming to us complaining of knee pain or even on the waiting list for total knee replacements because the cartilage has completely worn down.

They want to stay active, but knee pain limits their ability to walk, hike, bike, play golf or doother activities they enjoy including work.

Often the quadriceps (front of the thigh) are tight and weak compared to the hamstrings (back of the thighs). As well, with our clients we generally find an imbalance between the outer and inner quadriceps. Both of these problems misalign the petella and knee joint which results in wear and tear of the cartilage (joint cushion) in specific areas. Without this cushion the bones push into each other resulting in joint pain, weakness and instability.

Osteoarthritis is a degenerative joint disease that progresses over many years. Since, bones go where muscles pull it is necessary to re balance the strength and length of the muscles surrounding the knee, hip and ankle to get back to being active.

Stretching properly, on a daily basis combined with appropriate strength training exercises will gradually improve your ability to stand and walk for long periods time while reducing the frequency, intensity and duration of knee pain.

Here some basic guidelines:
  • Always let pain be your guide. Stop, if you are feeling pain in the joint DURING an exercise.
  • Some discomfort is ok. Delayed On Set Muscle Soreness (DOMS) is when you feel an ache in the muscle that lasts about 24-48 hours after you exercise. Any pain in the joint indicates that you probably over-did it.
  • Quadriceps to Hamstring Strength = 3:2, people with knee pain it is often reversed. Focus on gradually increasing quadriceps strength, while maintaining hamstring strength.
  • Limit the Range of Motion to Pain FREE when doing Leg Extensions, Hamstring Curls and Leg Presses, Lunges and other exercises using your lower-body. The most pressure on the joint is when your leg is straight and bent past 80 degrees.
  • Try low-impact cardiovascular activities such as snowshoeing, walking, elliptical, slow-moderate paced walking on gentle hills, swimming or aquatic exercise classes, cross-country skiing.
  • Add traction during each stretch. Traction opens the joint space instead of compressing it which wears it down and increases pain even more (think of a grinding coffee).
  • Reduce the amount of sugars in your diet to reduce inflammation.
  • Follow your Doctor's guidelines: Limitations are those you set yourself; restrictions are those the Doctor, Kinesiologist or Physiotherapist sets for you.
  • Follow your Doctor's guidelines when taking taking any prescription/non-prescription anti-inflammatory medication.
  • Use crushed ICE wrapped in a wet towel on the knee joint for 10-20 min to reduce inflammation.
Kinesiologists understand that the body is interconnected. What is going on the ankle and hip affect the knee. There are several phases to a knee rehabilitation program. To have your posture and movement patterns assessed contact Lifemoves today.

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