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Fit Body Sports Medicine~~5 Necessities for a strong, healthy & fun season

Posted on August 14, 2018 at 3:05 PM Comments comments (0)

Fall sports are officially underway! It is so exciting starting fresh and getting back to the grind. But fall sports can bring some risks as well. Regardless of your athletic level, you need to make sure you are prepared. This season can bring rugby, football, soccer, golf, volleyball and others. Many outdoor sports and some indoor as well. Here is what needs to be on your list to have a healthy, strong and fun season.


1. Make sure your physical is updated with your physician. You may feel this is only for youth athletes, but getting a physical can prevent many difficulties before they are an issue and many times before you realize there may be a problem. Everything from heart issues and kidney function to diabetes. It has saved lives.


2. Drink water and stay hydrated. Regardless if you are practicing indoors or out, a minimum of 8 glasses of water a day is needed to be consumed. This is pretty general and needs to be tweaked individually by location and how much you sweat. Your best bet is to ( in addition to the 8 glasses) weigh yourself before and after each workout. Drink one cup of water for each pound lost. This will prevent dehydration during warm weather, prevent heat illness and keep your body ready the next day’s workout.

 

3. Know when to also drink electrolytes. Water keeps you hydrated and is very important especially if you have been in the heat or working out for less than an hour. However, if you have been working out in practice or competition for more than an hour at one time you need to replenish electrolytes. There are several drinks to choose from and each is formulated just a bit different. Some can cause stomach upset, so there could be some trial and error till you find a drink that meets your need. Or just drink what your athletic trainer is serving that day!


4. Timing of meals can be important. I am not talking about what you should eat right before competition but making sure you are refueling for the next day. By eating within an hour after your workout you can replenish your energy stores for your workout the next day. This allows you to perform with the same effort each day. In addition this also allows your body to make sure there are enough building blocks available to repair any damage (microtears) from your workout. This can prevent overuse injury.


5. 7 hours of consecutive sleep. This is an average of what most people need and for competing athletes it is very important. Having a set sleep schedule puts your body in a functioning rhythm and allows your body to reset, refresh and heal from the the day before. It helps the brain to function properly. When we get out of the proper rhythm, fatigue can set in at the most inappropriate times. This especially important for those athletes that travel long distances, across times zones or have long flights that can also cause jet lag.


I hope everyone is ready for their upcoming season. Stay healthy! Be Strong & have FUN:)


Fit Body Sport Medicine~~ To Ice Or Not To Ice

Posted on February 19, 2018 at 4:00 PM Comments comments (0)

I have been seeing much chatter about the topic of icing injury lately. Being an athletic trainer for several years, I am probably pro icing as well as the whole R.I.C.E. principle. I have blogged about R.I.C.E. in the past for acute care. But of all the things I have seen, I will always remember being a student athletic trainer at the high school level. One of the boys basketball athletes had a moderate ankle sprain. Our protocol was R.I.C.E., but as I have his swollen ankle elevated and activated the Cryocuff, the coach comes in and tells this athlete to “put a warm sock on it and walk it off!” All I could think at the time was “Man is he off his rocker! Good thing the trained ATs are here!”



So am I (or you) practicing evidence based medicine? Was the coach off his rocker or smarter than the medical professionals I learned from? Here’s the scoop!


I first learned of the inflammation process (and the histology of it) in college. Every place I have ever studied, has emphasized to enhance the body’s own healing process, create a positive environment for your body to heal itself. Inflammation is the first response your body produces when something is wrong and healing needs to begin. It is generally marked by redness, swelling and pain. It has two main purposes 1) to tell you to stop (so you do not cause any further damage and inflammation) and 2) to send healing chemicals your body needs to begin repair. No one wants to stop this process, nor can we.


Cryotherapy is a modality of cooling the body using various forms of water ( and ice).    It causes vasoconstriction as well as acts as an analgesic.  Just like any other modality, it is best to understand how it works as well as indications vs contraindications.  Using different forms requires different variables.  Different forms can consist of an icebath, real ice vs chemical ice or a machine like the Game Ready or Cryocuff.  Timing of each will depend on the body part being treated, the stage of the injury and the form of cryotherapy being used.


I have not personally seen any athlete directly harmed from this modality, but you do need to be cautious as I have heard of athletes that have had cold placed over superficial nerves. That is not really a good idea. I have also heard of cases where tissue damage was avoided due to the use of cold modalities.

Ice is not a cure and does not prevent injury. It reduces symptoms so that we can break the pain/swelling cycle and move forward in the therapy and healing process. I don’t doubt that ice can be overused in a busy athletic training room, but we all know that the inflammation will not resolve until the source of the inflammation is removed regardless if it is trauma, allergy or poor mechanics.


Use ice as needed to relieve the symptoms of inflammation. I was not able to find any modality that stops the inflammation process and I do feel that managing a situation to relieve pain or excessive swelling is treating an injury responsibly. While the body is amazing, we do need to be responsible and not let inflammation get into small extremities/digits due to gravity, enhancing further soft tissue damage. When treating an injury or working on increasing your performance do not be afraid to find the science of that particular modality. See what the research says. Most modalities need to be used responsibly and as a tool to assist recovery. These modalities on their own or not within the specified parameters for the timing and injury type will not be as productive. Balance is always necessary.

 

Fit Body Sports Medicine ~New Techniques To Reach Your Goal

Posted on February 16, 2018 at 12:30 AM Comments comments (0)

It is no secret, movement is my favorite. I have been studying it for 20 years. Movement is amazing. It can be easy. It can be difficult. It can cause pain or completely relieve it. Through the study of motion, I have seen connections, that while staring me in the face, I couldn’t always understand.

My most recent adventure has taken me to California. It's been so long since I have traveled much, that this was a wonderful journey for me. I have been watching health care, sport performance and the general art of human movement evolve. Our vision seems to be starting to expand in a positive way. I have been on a path of investigating better methods of reducing pain, promoting proper mobility and just having better outcomes regardless of goal. Some of this comes from working with my son, who has seen several doctors that were stumped, stuck and were completely unsure, unable to help him to reach his goals. It's just hard to hammer in a nail when all you have is a screwdriver. I then came across thehttps://www.anatbanielmethod.com/about-abm/neuromovement-2" target="_blank"> Anat Baniel Method Neuromovent®. She is able to use her techniques for special needs children, elite athletes, aging adults and those with pain. Getting the chance to meet her and learn from her was amazing.



I always find it interesting how disconnected we all are. Disconnected from others, but also from ourselves. As I work with clients I bring about awareness to their body and oftentimes remind them that they are one body, one person, one unit. Just as I remind my clients that you cannot separate your joints and extremities from the rest of your body, Anat reminds us the same is true for the brain. You cannot separate your brain from your body or vice versa. One cannot exist without the other.


When I work with clients, a great place to start is getting in your 10,000 steps a day. I remind them it is not just about the steps and random uncontrolled movement. As I take my client around the track, we focus on movement with purpose. We pull our head to the ceiling, putting our ears in alignment with our shoulders. We hold our shoulders back so the weight of the world does not hold us back. We focus on our core, making sure that it is engaged. Ensure the back is not painful and that we are propelling our bodies from our core and hips, then through the extremities. We are always so focused on the world around us, that we often put the motion of our body on autopilot. I will have a client perform a movement and require them to feel it. Simple motion to bring everything back in from the universe. My clients want to stretch or use certain mechanics ( which can be important) but at this moment I want them to feel the movement. To feel their spine, their ribs, their scapula and their breathing. This is and has been very challenging for many of my clients. As we focus on our motion we can provide information to our brains as to what is going on inside our body. The outcome has the potential to be incredible!


These movements are different from exercise because their purpose is different. Therefore it can also be integrated into any program you are currently using. Certain forms of manual therapy will help with this awareness and help to bring about improved, more efficient motion. Once the brain has become aware of pain/dysfunction that should not be disregarded, it can be easily changed. This healing power is found within us, by treating our body as one whole unit.  The way we choose to move, to exercise, to train and how we integrate it all together will create how our goals fall into place.


Fit Body Shop ~~Specializing in Athletic Health Care

Posted on October 9, 2017 at 2:10 PM Comments comments (2)

Fit Body Shop promotes mechanics, fuel and sport performance.  Athletic health care can really mean a variety of things, as I have worked in several different platforms of sport.  When I work with youth, I love to teach.  Kids are learning what it feels like to be competitive.  Differences between bumps and bruises and actually having an injury.  Most importantly I hope they are learning to take care of their body.  Address those bumps and bruises before they become tendonitis, strains, spurs, calcifications etc.  It may also mean to rest from full participation to heal.  At the youth level they are not paying their bills or earning their next job, but need to maintain their health so that they can pay their bills and find thier next job. 

I have found that the higher the level of competition the higher the break down of the body.  I know that sounds intense, but its true.  Working harder with less recovery time results in dyfunction occuring more frequently.  However, always remember that exercise and sport are supposed to keep you healthy and feeling your best.  So always make sure you focus on mechanics, fuel and sport performance to minimize your chance of injury and keep you performing at your optimal potential.  Here is a breakdown of how I treat the body as a whole unit to make sure you can compete at high levels, while keeping away from the dreaded dysfunction.

Mechanics is top on the list.  How your body moves is highly important to improve and maintain strength, speed and agility.  Most importantly, having good biomechanics is what prevents us from having pain and keeps us injury free.  While movement assessments are a great place to start, treatment and maintenance with bodywork to nervous, fascial and muscular systems is essential!

Fuel.  Always fuel for success!  There is nothing more important to properly recover, rebuild, maintain bodyweight,  and to stay focused and energized.  Always choose a wide variety of whole fresh foods.  While I don't like to ever cut out specific food groups or macronutrients, I do believe that the more specific the goal, the more specific the program.  To fill in any gaps, make sure you find supplements that are third party tested such as dotFIT NSF Certified For Sport products.  These products are tested to be free of both contaminants as well as banned substances, as stated by the world anti doping agency, NFL, NHL, MLB and the NCAA.

Sport Performance is everyone's favorite, right?  Who doesn't want that extra edge over their competitor?  My sport performance not only covers sport specific aspects but also cardio for sport.  This is specialized training designed just for you.  We take your goals and events and add in training that will have you peak at the right time for your goals and events.   I also provide athletic training and injury recovery to bring you back safely and quickly to full participation status.  Always making sure that you are performing at your optimal potential!

Fit Body Shop ~Your one stop, head to toe, body shop.  Specializing in athletic health care.

Do Powerlifters Need Massage Therapy & Bodywork

Posted on July 9, 2017 at 9:00 PM Comments comments (0)

Do powerlifters need massage and bodywork?  This is a question that does not get visited often and definitely has many view points. I have worked with a large variety of competitive athletes. Some seem to like it and could never go without, while some just don’t seem to prefer it. So here are my personal thoughts on how massage and bodywork affect powerlifting performance.


Every person, everybody needs a starting point. Most people can agree that a healthy point would be that of neutral posture. We should be able to stack our kinetic chain as building blocks, in this case, knees over toes, hips over knees, shoulders over hips, and ears over shoulders in the sagittal plane. While in the coronal and transverse planes making sure the knees track between the 2nd and 3rd toes and shoulders are rotated to turn the thumb out. So while static posture is all great and wonderful we (especially competitive athletes) are very dynamic in nature. Not only that, but everything we do all day long is in front of us. We can ergonomically make things better, but we cannot change this. Take into account that some powerlifters have jobs and may be lifting when they are working too. Now we are combating activities of daily living and the possibility of sitting for long periods possibly being at a computer, life stress and followed by the trauma of a workout. Poor posture and myofascial considerations will lead to the cumulative injury cycle. This cycle needs to be broken to keep all points of the kinetic chain working in harmony (joints, muscles & nervous systems).



There are many techniques that can be used by your practitioner. These techniques are designed to restore fascia, inhibit overactive muscles, stimulate underactive muscles, restore muscle balance, improve circulation, decrease pain and improve recovery. Overall leading to improved performance. I could probably tell you massage is good for everything. So why would someone not utilize this precious tool?


First time trial and error. Unfortunately, I don’t know a great way around this but you have to find someone you trust and can have great communication with. They need to understand your goals for each session. Also, a first session is a starting point for the therapist to just find where the deep issues are and how you respond. So first times are kind of a learning curve for everyone.

Timing. Massage and bodywork needs to be scheduled around workouts and competition. Never get a deep massage right before heavy lifting or competition. This will break down tissues as well as make receptors less responsive, possibly leading to a feeling of weakness or even increased chance of injury. You can still get in a session, just make sure that you both are on the same page so that proper techniques can be used. A pre-event massage can be very helpful,effective and keep you focused, but it won’t be deep.

Touch. Some people do not like to be touched for so many reasons from sensitivity, trauma, vulnerability, to being apprehensive of a healing injury. Always communicate with your practitioner what your goals and concerns are and treatment will be adjusted. Consider options like reiki or strain-counter strain, as they are very non-aggressive and work even if you do not like to be touched. If things cannot be adjusted to your level, try a foam roller.



So think of your body as an important tool. This tool is what wins competitions. It needs to be properly used and taken care of. Proper exercise, nutrition, sleep & rest and bodywork are needed to maintain optimum performance. Just as you need the right exercise prescription, healthy nutrients and the proper balance of rest, you also need bodywork that will promote performance in your phase of training. This is why so many athletes take advantage of the massage therapy at the OTC. Because they need it:)


How to improve agility

Posted on February 6, 2017 at 6:20 PM Comments comments (0)

Many sports require impressive agility. “Agility is the ability to accelerate, decelerate, stabilize and change direction quickly while maintaining proper posture.” Some of the top agile sports include American football, handball, gymnastics & boxing just to name a few. I love watching sports that require high levels of agility. The NFL tests agility during their combine to determine explosive power and ability to change direction with 3 cone drill and shuttle run (5-10-5). This is what allows football receivers to catch a football anywhere along the average distance of a two car garage, a gymnast to hurl through space with twists, turns and back again.


 

So how do you begin to make your agility noteworthy? This is going to start in exactly the same place as all my other posts--- posture and great muscle balance. Great motion and movement patterns always come from posture and core. When starting a warm up program always include a foam roller plan. Some athletes feel this is a tedious process. Foam rolling large muscle groups, especially those that sit in a short position for long periods of time restores neuromuscular activity to normal. In order to be your best, keep those muscles balanced. If you find a tender spot while using the foam roller hold that spot on the roller for at least 30 seconds or until the tender spot releases. By doing this before your workout you will be able to train with your muscles in better, proper balance, creating healthy movement patterns. Now you are ready to stand tall. Use good posture pulling your head toward the ceiling and pulling your belly button gently toward your spine.


 

Now that you have properly prepared your body, we are well on our way! Exercises that will enhance agility will include cone drills and ladder drills. Drills like this will begin to provide repetition and body awareness. When starting these drills it can be easy to watch your feet and make sure you are not tripping on the ladder. However, as you gain awareness of your feet, as well as the ladder you can look ahead to where you are going, just as you would in actual competition. It’s not as much about watching the foot placement as it is having the confidence of knowing where you are going before you get there. Foot placement is important, making sure you are not crossing (and tripping over) your own feet. All motion needs to come from the core. This means keeping the core engaged and directing the body with the lumbopelvic hip complex. By guiding your body with the core, your extremities will become much more explosive.


 

For those who keep their feet on the ground with running type sports, drills such as: LEFT Drill, M-Drill, 5-10-5 Drill and the 4 cone drill.  Adding in ladder combinations will be helpful as well including in/in/out/out, side shuffle and backwards in/in/out.  


 

However, some sports don’t keep their feet firmly planted such as swimming, gymnastics or pole vaulting. Other drills may need to be included such as tumbling or suspended trampoline tasks that safely reproduce the required movement.


 

When acquiring improved agility for sport, nothing reproduces the movements you need like playing your sport. However, a few drills can help progress you from beginner to more advanced work. If you are not sure what drills to start with always work on posture and core. Without posture and core your body will not be working at its fullest potential and eventually slow you down.


 

Make sure to sign in and start your enhanced program today!

 

Fuel Your Athletic Demands

Posted on January 15, 2017 at 6:20 PM Comments comments (0)

Time to fuel your athletic development!  How do you know how much energy you burn each day?  How do you know if you are matching this with your food intake?  Nutrition is what drives our energy and repairs our body to keep competing.   Poor nutrition can bring down any athlete.

It takes much energy to train, compete and rebuild.  It is important to know how well you are refueling your systems to rebuild damaged tissues as well as maintain energy stores for the following day.  When you register on my dotFIT platform, we can accurately calculate your calorie demands.  By logging your food daily, accounting for timing and amount of food intake, we can clearly see what may need to be modified to keep your calories, protein, carbs and fats working for you and not against you.

In addition to seeing your calories, protein, carb and fat ratios, you will also have access to menus, shakes, protein bars and boosters that are NSF Certified for sport.  This means that a third party tester comes in and tests every batch to make sure there are no banned substances in these products.  When you are an athlete who is competing at top level, taking a product that is not tested can contain banned substances and you will not be allowed to compete.  In order to maintain your status, it is always a good idea to check any supplement label to make sure that it is third party tested as NSF Certified for Sport.

Many college athletes tend to fall short on nutrition requirements due to so many changes.  Tracking your food is a great way to make sure you are staying on the right path.

Start your program today!





2017 Starting Fresh

Posted on January 2, 2017 at 1:35 PM Comments comments (0)

I know that starting fresh is always a state of mind, but ringing in the new year feels so good.  I have been working to clear out the old clutter from last year to start 2017 as simple as possible.  I definately have things I wish to accomplish this coming year and setting these goals now can be very important.

You don't have to be big into setting a new year's resolution, but taking some time to reflect on where you have been, where you are and where you would like to be is always a good place to start.  Once you decide on the direction you need to go, get out that pencil and paper.  Let's go old school and write down those goals.  This makes it official and much more real.  Once you have specified a goal for the year, then write down why this goal is important to you.  Why is this your goal and what does it mean for you?  Next, decide how you are going to meet this goal.  I know this seems like a lot of writing, but it IS worth it!  You may need some help with this part as it helps determine the path you will need to follow in order to meet your goals a year from now.  It will include smaller goal setting, how to overcome daily challenges and creates an actual plan for you to follow.  At this point, don't be afraid to ask questions, may be even debunk some myths that may be holding you back.

Place this paper in a place where you will see it everyday.  These are goals that should not be placed on the back burner, but focused on everyday.  If habits need to be changed in order to reach these goals then you will need these reminders.  Reminders that there is a point and something bigger than just this moment.

I recently heard a quote that I quite like. "Don't worry about what you eat between Thanksgiving and Christmas.  Worry about what you eat between Christmas and Thanksgiving."  I find this to be so relavant and important not just for eating but for most anything we need to accomplish.  We are not going to have perfect days and things come up to throw us for a loop sometimes.  Its really not a big deal.  However, during the long haul, for the majority of the time stay focused, see your goal and go get it!  You are the change you wish to see.

Soost Outdoor Fit Biz wishes everyone a safe and healthy holiday season.  If you have any questions on how to set your goal for the upcoming year regarding weight loss, health, fitness or sport performance do not hesitate to contact me.

Movement Series #1 Posture

Posted on August 11, 2016 at 4:25 PM Comments comments (0)

I have already had a few blog posts regarding posture. But with this new movement series, I strongly feel that it's the best place to start. Everything begins and ends with posture resulting in overall strength, range of motion, joint mechanics and possible injury (or injury prevention). Initially when thinking about posture, think of being stacked like blocks. Head held high, ear over shoulder, shoulder over hip, hip over knee, knee over ankle. Basically one big straight line. At rest this allows even tension on each joint as well as the muscles firing synergistically and working well together.

 

 

So this is all well and good, but what happens when you add in life? Sitting at the computer, fixing vehicles, washing dishes, caring for children and even sports all put people in a position of repetition in the same motions causing some muscles to over time become over stimulated while others are under stimulated. In addition, our bodies are created for motion. So if our day does not require much motion such as sitting at a desk all day, driving for long periods, etc. trigger points (and other tender points) set into the muscles causing pain and dysfunction.

 

 

Try to create an awareness in your environment. Place things further away in your office space so that you have to get up to get supplies /throw away trash or adjust your rear view mirror in your vehicle so that you can only see out of it when you are sitting in good posture. When starting a walking program, make sure you add in posture walking. Pull your head up high, stack your major joints and do not forget to engage your core. This is always the best starting place and I don’t think that everyone realizes how much our everyday lives factor into our posture and that in a domino effect poor posture can result in dysfunction, pain and injury. How are you stacking up?

To Tape Or Not To Tape

Posted on February 16, 2016 at 2:25 PM Comments comments (0)

To tape or not to tape? That is the question. Athletes come in preparing for competition and want a magical tape job on the joint of choice. There was a time I even taped the water boy’s wrist only because it made him feel included, part of the team. And while circumstance made that o.k., there are several taping requests that I have denied. So here is the scoop.

 

Just for clarity, there are several kinds of tape, all with separate purposes and techniques. This particular article is specifically on the use of athletic tape, its purpose and best use. So many athletes, coaches and parents are under the impression that athletic tape is for stability. It sort of is, indirectly. Those asking for the tape usually feel the tighter the better and that if they can’t move, then they have a much smaller chance of injury or reinjury. This is completely untrue. Injury prevention is specifically about maintaining proper joint mobility, joint arthrokinematics (function) and muscle balance/recruitment. If any joint has been stretched beyond its normal limit and become lax, athletic taping may be an option. However, not because the tape is tight and restricts normal motion.

 

Athletic tape is cotton tape that has a strong adhesive on the back. There is no elastic quality about this tape. Several studies have been done regarding the stability and how exactly this technique works. When regarding the ankle, it has been shown that athletic tape does not provide stability, as in lack of range of motion. The tape, however, does provide some kinesthetic awareness. It allows receptors to determine where our body is in space, reducing the chance of the joint to go beyond its normal motion. Plus the actual feeling on the skin, gives a feeling of support, which many people like. This tape, when worn will loosen with motion and possibly when warmed with body heat.

The criteria I use when choosing to use athletic tape:


It must be a small joint. This seems a little restrictive, but I do not tape for knee ACL, PCL or MCL, shoulder dysfunction and elbows are iffy. Our muscles are strong, long and mobile. Joint dysfunction or powerful trauma is often the cause of injury. These joints are more powerful than a bit of tape. Often times even using a strong metal brace is not enough to prevent a ligamentous injury in these larger joints. Tape just is no match. I will tape fingers, wrists, hands, feet and ankles.


It must be able to maintain normal motion.  While we hope to reduce excessive motion, we do still need to maintain normal motion.  Running or jumping would be hindered if you could not plantar flex your ankle.  Taping a finger into extension without having any flexion is an injury waiting to happen because it would leave the joint(s) vulnerable not only to possibly poking someone or  getting jammed, but if it got caught on anything you may not only end up with a finger injury, but a hand injury as well.  Everything needs to remain functional.


It must be a joint. Now of course if I need to I will use it to cover a wound/bandaid so that play can continue without blood. In this case I use it loosely. Often only half way around the extremity at a time, until it is secure. There was a time when we were taught to use athletic tape (or other barbaric methods such as plastic wrap) to prevent the pulling away of muscle from the bone during medial shin splints. This, however, causes a physiological issue for the muscle tissue (and other soft tissues), as it does not stop the muscle from pulling away from the bone. Now the muscle does not have the space it needs to contract, but gets compressed (athletic tape is does not have an elastic componet to it), often times causing more damage to the muscle tissue.


The joint must be ready for competition. Swelling, bruising, range of motion, strength and balance must all be in check. The athlete needs to be able to show that athletic tasks can be performed without compensation (such as limping, for example).  Please note that applying athletic tape does not provide healing or reduce the injury you have already sustained.  It just helps keep things in check, a little protection.

 

If you are covering a game and not regularly working with the team everyday, taping of the smaller joints probably won’t hurt anyone. However, when you have a team that is getting consistent treatment, it is very important to treat the dysfunction. Injury prevention is about maintaining normal joint motion, proper muscle recruitment and improved posture of every joint.  Please feel free to check out these studies regarding ankle tape for stability.