
Mosaic wall, Old City, Jerusalem

Mosaic wall, Old City, Jerusalem
With your hectic schedule, it can be tempting to jump right into exercise rather than taking a few minutes to warm up and stretch before working out. Beginning a workout cold puts you at greater risk for injury- particularly if you are someone who exercises in the morning- the time of day you are most likely to sprain or strain your back.
Prehydrate before exercise, and continue to hydrate throughout your workout. Before you start, take a brief, brisk walk (10-15 minutes) then take a moment to stretch each of your large muscle groups. This will significantly reduce the likelihood of injuring your back or neck.
Be well,
Andy

Yesterday, I had a great time being interviewed by Terri Trespicio on Martha Stewart Radio. We covered all sorts of different topics on back & neck pain from callers all around the country. I was also the butt of some pretty hardcore ribbing about the tatami mat I sleep on- but I digress. It really was a lot of fun. Terri is a great host, and the callers all had interesting questions and comments. If you missed it, it will be rebroadcast this weekend- check out the Whole Living website for more info.
Following the show, I had the chance to speak with Terri about some of the lifestyle issues which can contribute to back pain. Ironically, Terri had been dealing with some back pain this past week, and was headed to her physician’s office right after the show.
Here’s the clip:
Thanks for stopping by, and be well!
-Andy
Today, I answer one of the most frequently asked questions in my practice: After all of the treatments, adjustments, therapy- why am I still in pain?
Some helpful tips follow the video. Enjoy!
Here are some things to pay attention to in your spine lifestyle. Addressing these few things may go a long way towards helping you to find relief. Take a look at these:
1) Make sure your workspace is as ergonomically optimized as possible. Good chair, good organization of work related materials, etc…
2) Get regular sleep. Optimize your sleep environment- supportive mattress, dark room, quiet. Don’t consume caffeine within several hours of your bedtime.
3) Get regular exercise, and exercise properly- maintaining an optimal body composition will help take the strain off of your back. Good form will ensure that you are working the correct muscle groups, and prevent you from harming yourself further.
4) Minimize the weight of the items you carry with your. Dump out the contents of your purse or briefcase and get rid of everything you don’t really need.
5) Make sure your car is as spine friendly as possible; Adjust seating and controls for easy, unstrained reach. Add a lumbar support (a rolled up t-shirt will do.) Set your mirrors so you aren’t cocking your head one way or another.
6) Consume plenty of water daily. This helps to eliminate cellular waste from your system, and allows you to heal and function more efficiently. Take a few minutes, several times a day to do some relaxing, restorative deep breathing exercises.
7) And as always, use a headset while you are on the phone- Cradling your phone between your ear & shoulder is one sure way to wreck your neck!
A good place to start is to pay attention to those areas where you spend the most time. Invite your partner to pay attention as well- sometimes an objective second party set of eyes will notice things you will not.
Be well!
-Andy
I am so pleased to hear everyone’s stories as we are going through the fitness challenge. This past week, I did not lose or gain anything, but I am not discouraged- this isn’t about week to week. It’s about the rest of our lives!
I have been working with an outstanding nutritionist, Sarah Barts for some time now. Her approach to weight control is based on simple, common sense principles which help you not to just lose weight, but to maintain a nutritionally healthy lifestyle which will help you for the rest of your life. Recently, she has been doing some additional work as a personal chef. You should definitely check out her website here.
I asked her to contribute her top ten list of tips for helping to lose weight and maintain it. Check it out…..
As a registered dietitian certified in weight management and a personal chef, I’ve worked with multiple individuals wanting to eat healthier, enjoy food, and lose or maintain a healthy comfortable weight. Through the years of working with multiple weight loss programs and countless hours of research, I have been able to see what works best for people. Below is what I would consider the top 10 ways to eat healthier for prevention of chronic disease, help with weight loss, and overall improve relationships with food.
Focus on eating foods that are nutritious, enjoy meals, eat slowly and moving more.
Brought to you by: Sarah Barts, RD, LDN
Certified in Weight Management
Personal Chef for Mindful Gourmet
484-744-1429
Following the Olympics:
I subscribe to google alerts for different stories relating to back and neck pain. This week, I have read about a hundred stories about olympic athletes and their back and neck injuries. If I hear one more interviewer ask the question ‘why do you think so many olympic athletes are having injuries?’ I will blow a cork! Aren’t there better questions they could ask? How about questions about their love lives? What kind of car are they drivin’?
Olympic and professional athletes are training at a much higher level than most of us ever will. Now, I know you are saying to yourself ”Aren’t they in peak condition? Shouldn’t they have less injuries?” Well, sure they are in peak condition- but if you look, pretty much all competitive sports (save for maybe curling?) have become ‘extreme sports.’ The overall stats for lifting, jumping, running, endurance- most metrics used to rank athletic performance- have all jumped by leaps and bounds. There are records from Olympic games earlier in the 20th century, where commentators essentially declared that we were approaching the limits of human performance. WOW- how wrong they were! Virtually every major record has been beaten in the past 2 sets of Olympic games. The technology to make us all faster, stronger, better nourished for endurance, and with better performance psychology has advanced so far- but in the end we are all limited by the laws of physiology, and ultimately gravity. As you reach the higher echelons of performance, you are more likely to be injured, regardless of conditioning. Now that being said- the Olympic athletes have access to training and knowledge to help minimize their likelihood of injury- but there is only so much you can do.
Chiropractors, Osteopaths, Physical Therapists, and all the rest- are all a waste of your money!
You may have read my ‘coming Monday’ post earlier in the week. I suppose the search engines latched onto the tag line- because I have gotten a ream of hate mail, primarily from Chiropractors and Physical Therapist. ‘How dare you call my work a waste of money- I help a hundred people a week with their back pain!’
Have you ever been on this blog before? If you read back a few posts and see what I am about you will know that I am not here to bash anybody. How about reading the post first? I am not calling any body a quack- and I am certainly not about to tout my work as any better than yours- wait and give it a read.
Fitness Challenge Update
People must have thought I dropped the ball on the fitness challenge until they read the post yesterday. Thanks for the updates some of you sent in. I am so glad you are choosing to do this along with me, and hope we can all talk at the beginning of 2011 about how we met the challenge, and lived up to our New Years Resolutions!
Have a great remainder of your weekend.
Andy
Well, I have been working on this for a little more than four weeks, and I will be honest and say that it has not been easy- I have slipped up on my diet more than a couple of times- but overall I have been doing a pretty good job.
My workout regimen has been pretty consistent since I started- I have been doing cardiovascular exercises about 5 times a week. Due to the incredible amounts of snow we have had, I have had to limit my cardio to indoor activity- my Nordic Track Skier has seen a lot of action these past few weeks. I have been lifting with free weights about 3 times a week, and using my Gyrotonic Transformer in the office.
I can say that my sleep is better, I feel less exhausted as a result, and as of yesterday I have lost 4 pounds. That winds up being about a pound a week, which is not fast- but here I am going for long term results, not a quick fix.
I have been getting nice updates from some of the folks who are working out with me (virtually.)
I shared a story sent in by Michael M. when I first initiated the challenge- he has been doing fantastically- he has taken steps to modify his diet, and has been working very hard to find exercises which do not exacerbate his pain. I have really enjoyed speaking with him about his efforts over the past several weeks.
I have convinced a few patients to join me on my quest to get back into shape. I have had a couple of people who are working to lower their cholesterol and the fitness challenge is providing them a great opportunity to work toward that goal.
I wil say this- putting this out there: my fitness challenge to myself- has placed a lot of pressure on me. After all, I don’t want to look like a chump, so perhaps talking about it in a public forum is just what I needed for motivation. Folks in my office have been watching out for me, as well as people in my local Starbucks. All I can say is, I better show some results, huh?
I wish any of you joining me in their quest for fitness, the best of luck. If you are doing this for health reasons, the reward will be better health and a better quality of life. If you are doing it in hopes of reducing your back & neck pain- you are likely to reap those benefits as well.
Please continue to share your stories and experiences, and thanks for visiting!
-Andy
As I have been focusing more and more on the Fitness Challenge (look for my update this week!) I have been paying closer attention to what other people are doing; seeing what is working for them and what is not. In discussing back pain with patients, I will often review their exercise routines, and focus on the strength training they do. Of all of the exercises I see out there- the deadlift is clearly the most dangerous and destructive.
The geometry of the deadlift places the greatest amount of stress on the lowest vertebrae of the spine, putting them at serious risk for herniation. A useful alternative for the muscles of the lower back is to perform a seated row using a horizontal cable pull. When you start the rep, begin in a controlled. slightly leaned forward position, and extend your spine slowly before bringing your arms and shoulders back. This will strengthen the muscles of the lumbar spine without putting you at undo risk.
Thanks for checking in!
-Andy