Posts Tagged ‘stretching’

The Value of Stretching

Tuesday, November 29th, 2011

Sometimes, things happen for a reason. Last week, I was working with a patient who had been dealing with low back pain for over a year. She had been to 2 physicians and a chiropractor before coming to my office, and had found no relief. It took me about 5 minutes to figure out what was wrong with her, and about 10 minutes to fix it. Now, it’s not always that easy, but this woman’s pain was from an obvious, easy source.

I mention that things happen for a reason because for the past several months, I’ve been increasing the use of stretching in my practice, and I have been generally pleased with the results, as have my patients, and as such, I had planned to do a post on stretching. This patient was a perfect example for me to start this series: In spite of all types of complex interventions which failed to produce results, this woman’s pain was alleviated by giving her a simple self-stretch- and I got to look like a superhero..

It was not the previous physicians fault that they could not diagnose this pain- the truth is this: we use what we know, and stretching is just not one of the modalities doctors frequently use (although, I was a little surprised that her chiropractor didn’t catch this- but in the end, it just made me look smarter!!)

From time to time, studies come out which either validate or invalidate the value of stretching as it pertains to injury prevention or performance- and while I generally give value to studies, I often look to what my own clinical experience tells me, and that is this: stretching helps.

For several years, I’ve had the good fortune to work with several folks who are gifted in the area of stretching. My good friend, Jorden Gold, founder of The Stretch Zone in Miami, has been working with professional athletes and the general public for about a dozen years- and his experience mirrors my own. A good stretching routine will improve performance, prevent workout related soreness, improve range-of-motion, improve general body awareness, and yes- most likely prevent injury and reduce pain.

Tip o’ the Day: Even if you have no pain at all, take five to ten minutes at the beginning of your day to stretch!

Enjoy,

Andy

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You know what you know…

Monday, February 28th, 2011

Last week, I worked with a woman who had been experiencing low back pain for over a year. She had been to two M.D.s, a D.O., and a chiropractor with no relief. Upon examining her and reviewing her history, it took me all of 5 minutes to figure out what was wrong with her and about 10 more to treat it. Her pain is gone. GONE.

Now it isn’t that I’m so smart- her problem was pretty straight forward. The other doctors should have seen what was wrong with her, but it boils down to the fact that people know what they know, and they do what they do. This is true for physicians and patients.

I am working on my second book, which is largely about the lifestyle factors which can either cause or relieve back pain, and in researching what has worked and what hasn’t worked for patients it has become really clear that for all of this rhetoric about ‘thinking outside the box’, no one really does. We learn things throughout all of our lives which cause us to behave and respond in certain ways- and those are the things we stick with. They become part of our identiy.

The woman I told you about only needed a pretty simple stretch to fix her problem. In medical school, we talked about stretching for about 15 minutes- so it clearly wasn’t a priority. Stretching wasn’t to become part of what we as physicians know. I probably wouldn’t have understood how straight forward this patient’s pain was had I not been open to understanding the role of stretching in helping to relieve back pain. This only came about because a friend of mine, Jorden Gold, is a stretching coach- really rammed it down my throat. Now, stretching is a regular part of my treatment plans. I increased my knowledge base, and expanded what I know, and what I do- and I am a better physician as a result.

I truly believe that most back pain is the cumulative effect of a ton of lifestyle factors- many of which are based upon things we know- and behaviors we may have been doing for a really long time. As you take your journey through recovery- try to be ok with the fact that you know what you know, and sometimes what you know may be wrong, or simply not enough. Be open to new ideas methods- who knows what you might learn?

Tomorrow- the three mistakes most back pain sufferers make.

Thanks for stopping by,

Andy

Spring is coming soon!

Guest Author, Competitive Skater Jen Kimbrough on the Benefits of Stretching

Tuesday, July 13th, 2010

Regular readers know I am big on stretching. The benefits of regularly taking each of your joints and muscles through their respective ranges of motion are well understood, and yet most people don’t even take the few minutes a day to stretch their large muscle groups, let alone all of them. Jen Kimbrough is both a talented skater and an up and coming author (I will post a link to her book as soon as it becomes available.) Today, she shares her experiences with how regular stretching made her more comfortable and competitive. You don’t have to be a competitive athlete to reap the benefits of stretching- just set aside a few minutes each day do it. In just a few weeks you will notice improved mobility, less soreness, and an overall improvement in your sense of well being. For those of you unsure what stretches to do, I have asked stretching expert Jorden Gold of the Stretch Zone to put together his top 5 stretches for day to day activities. Look for that post Monday.

Jen Kimbrough performing part of her regular stretching routine.

“It is said that figure skating requires the elegance of a royal court, the grace of a ballerina, the speed of a sprinter, the balance of a tightrope walker, the agility of a high diver, the endurance of a marathon runner, the coordination of a juggler, strength of a high jumper, the rhythm of a dancer, and the performance of a mime.” –Unknown

I began figure skating as a hyperactive nine year old; I would throw myself around and hope for the best. It did not matter if I fell; I just got right back up without any consequences. However, after two years of skating, this was not proving to be the best method. I had not stretched a day in my life and I found myself with an aching back, knees, and ankles. I was jumping higher, attempting more difficult jumps, and therefore falling harder. I was also required to do progressively more difficult spin and spiral positions. I found myself waking up every morning feeling stiff. My ankles, knees, and back would crack as I walked around.  I finally realized that stretching was essential to both my success as a figure skater and my well-being.

I began with simple stretches and I realized for the first time how tight, and inflexible I was. I started stretching for just ten minutes before I skated each day and within a few days, I felt a drastic improvement. My back no longer hurt when I would fall in an awkward position. My spirals were improving and I knew that if I continued I would be able to attempt those spins that always seemed so daunting. With the motivation of earning more points in competition, I also began to stretch after skating. It definitely helped that I was only eleven years old, but in a relatively short period of time my flexibility drastically improved. In particular, I found that back-bends helped me the most to gain flexibility in my back. I would walk my hands down the wall and my back quickly became more and more flexible. This helped my layback spin and even the worst falls were no longer an issue.

I now find myself seven years later, after hundreds of falls from double and triple jumps, and I feel good. I have much stronger jumps, much more flexibility, and I am a much better skater. I stretch for just ten to fifteen minutes everyday before I skate and I am ready for anything. I can pull my leg over my head into a Beilman position with ease and I earn high levels in competitions. Stretching is essential for everyone whether a recreational walker or a marathon runner. Stretching increases your range of motion so if you trip or end up in an awkward position there will be no consequences. It is sometimes hard to find the time to incorporate stretching into your daily routine, but the benefits are worth making the effort.

Thanks for your submission Jen, and thank you readers for stopping by.

Be well!

-Andy

B.T.T.o.D: Take no shortcuts- warm up and stretch before exercise!

Wednesday, June 16th, 2010

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

Matt Dubrow, D.O. presents his ‘One Thing’….For low back pain, stretch!

Friday, April 30th, 2010

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Today, Matt Dubrow, D.O. presents his ‘One Thing.’ His recommendation, to stretch first thing in the morning, is a great one. You are far more likely to injure your back in the morning before you have adequately warmed up, than at any other time during the day. You would be surprised how many people throw their backs out while sitting on the edge of their bed putting on a pair of socks! Thank you again Matt!

I have asked stretching expert Jorden Gold to provide a follow up to this post, and give us his 3 best first-thing-in-the-morning stretches. Look for that post early next week.

Thanks for visiting,

Andy

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B.T.T.o.D: Follow a round of golf with a ‘recovery period’ as though you were weightlifting.

Wednesday, February 24th, 2010

If you do not play golf, you probably don’t recognize how strenuous it can actually be. The lumbar spine and shoulders are subjected to tremendous torque, and the whole ‘drive’ portion of the game is a ‘ballistic’ exercise-  meaning there is instantaneous generation of enormous energy.

Be sure to hydrate before hitting the links, and take a few minutes to stretch.

Follow a round of golf with good hydration (not the cocktails you may be tempted to have) a good, high protein meal, and adequate rest to give your body the opportunity to recover (the length of time needed to recover varies from person to person- the simple rule is to wait until most of your muscle soreness has resolved.) This will ensure that you will be able to play throughout the season.

As the weather warms up here in the Northern Hemisphere, look for more tips and articles on getting the most pain-free experience out of Spring-Summer sports.

Enjoy,

Andy

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Viewer Question: Children’s Soccer & Neck Injuries….

Tuesday, December 8th, 2009

I received a viewer question from Nahid:

“My son wants to play soccer at his middle school next year, and initially I had no problem with it. My neighbor then scared me by telling me about how all young soccer players wind up having neck injuries and concussions. Now I am really nervous about letting him play. Is there any way to make it safe?”

Thanks for your question Nahid.

First of all, let me preface my response with this statement: No sport is 100% safe. Virtually any sport your child wishes to participate in could result in injury. That being said, I would rather encourage kids to participate in sports and remain active, as this makes it more likely that they will develop good habits which will last a lifetime.

Until recently, soccer was thought of as a relatively benign sport, with less risk involved than football or hockey. However, in the past decade, physicians and sports physiologists have come to recognize the inherent risks in soccer- particularly those associated with ‘heading’ the ball. Heading is when a player uses the top of their forehead to slow down a ball, or to redirect it towards another player.

Multiple studies have shown that there is significant risk associated with heading, specifically relating to neck injuries and concussions. This risk has been well documented in studies from the American Academy of Pediatrics, The American Journal of Sports Medicine, and many others. Of course, concussions have become the subject of chatter here in Philadelphia, as two prominent Philadelphia Eagle players have recently sustained concussions.

Now I have two daughters, and I am hoping both of them will play soccer.

WHAT!?!?!

Well, as I stated- almost any sport has a potential for risk. Basically, I will instruct them not to ‘head’ the ball- there are alternative moves, such as slowing the ball down with your chest, letting it slide down the body and redirecting it with their feet. Additionally, being sure that your child is adequately warmed up, and has taken several minutes to stretch prior to a game or practice can do much to help prevent injury.

Several of my patients have children who play soccer, and have instructed the team coaches to not allow their kids to head. Again, I think it is more important that children remain active, and develop the confidence and skills they can only get by participating in a team sport. As parents, we just need to pay attention.

I hope this is helpful. Be well,

-Andy

Back Pain & Stretching- Interview with Stretching Expert Jorden Gold.

Tuesday, May 19th, 2009

Jorden Interview

Jorden Gold is an internationally recognized expert on stretching, and is the founder/creator of the Stretch Zone in Miami Florida. His link is always included in my recommended sites. Here I present the first in my series of experts in the fields of fitness & wellness, and see how their expertise can be extended into the world of back pain.

Thanks for your time Jorden.

Be Well!