Understanding Postural Fatigue

OK, here goes a difficult and mostly misunderstood concept, POSTURAL FATIGUE. When exercising, assuming that you have achieved the ability to maintain 'normal' posture, there is a point you may/should reach that your body simply says 'no more'. This 'no more' threshold is much easier to reach when rehabilitating an injury or beginning a fitness regimen, the more fit you become the longer it takes to reach. The fatigue point is reached when you loose control, and I don't mean emotionally. When you can no longer maintain proper technique, hold your breath, shake, twist or lean...you are done. Let's take a common spine/AB exercise an an example, the plank. When your head falls, you shrug your shoulders, back drops, glutes relax you have reached fatigue and need to stop. This premise holds true for all exercises, there is a threshold that you body will reach and anything past that point merely transfers strain to the joints and supporting soft tissue structures. Try performing just about any exercise in a mirror, can you maintain neutral, do you sway or round/arch your back?
A basic rule I teach is that when you can no longer maintain your postural check points (chin tucked-ab's braced-neutral posture) try to re-find it, if you are unable to re-establish Neutral than stop. The is no benefit in training past the point of postural fatigue.
As you can tell this can go on and on, I will elaborate further later...stay tuned.

Exercise induced whiplash

I understand that the majority of folks reading this are not "the gym guy" you know the one, weight belt, gloves, elbow wraps. They must lift HEAVY ALL THE TIME. They have poor posture (rounding of the shoulders, foreward head position, sway back and little tiny legs. Bad form and bad body, no pain no gain!. The other day in the gym I watched a guy, in horror, do what I believe was a dumbell row. He leaned on the bench (with all the above mentioned gear, including wrist straps because the weight was too heavy to hold) and pulled so fast and hard that the weight, which moved only a few inches, forced him into a self induced whiplash. His neck moved so violently that when he was finished he was dizzy. The strain was so severe that a limp developed tht got progressively worse as he completed all 3 sets, with a 130lb dumbell.

So, what is my point. If you used to be that person, or played sports in school or you were just a normal kid, you have pain and stiffness for a reason. Please understand that proper exercise needs control, you can not have control without stability, and if you have no stability you will have pain from lack of the above. As I explained to a physician the other day about the books we have published, there is a sequence that needs to be followed to re-program the body, you did not get this way overnite and fixing it will take some time as well. Muscles have memory and are quite stubborn, if you reinforce the bad patterns/memory through poor posture or continually exercising wrong you will never acheive a permanent resolution to your pain or lack of performance.

Are you responsible for your pain

Laying in bed last night I was reading a Biomechanics journal (light reading) and there was an article than talked about pain. The basic premise was that many people that suffer from pain either have caused their pain or continue to reinforce the pain that they have from a previous injury. I was glad to have read that, the author was a Physical Therapist, and many PT's still treat just the symptoms with a lack of time to explore where the biomechanical cause has come from. For those of you that have had PT / Corrective Exercise / Chiropractic and you feel worse after the first few sessions or your pain has changed this is what should happen. Yes, you should get worse before you get better. If someone tells you that you will be pain free after just a few sessions they are probably lying. Once a pain cycle has begun it takes TIME to ease, that means Fascial tissue, Muscle, Nerve and joint tissue must have time to return to normal, the question is are you still reinforcing the pain?
Poor posture, lack of exercise, sedentary lifestyle, poor diet and stress all contribute to pain, when you add in repetitive strain, and yes a computer causes repetitive strain, it is very difficult to reduce your pain.

Joining The inmates in the Asylum?

08' is here, and like everyone else it's new years resolution time. Time to make the same old promises to yourself year after year of eating better making better choices exercising. Unfortunately, these so-called resolutions fail year after year.
Insanity is defined as doing the same thing again and again expecting a different result. Waking up January 1 and making the same resolutions year after year and going about achieving them the same way year after year is plain insanity.
Over the past 15 plus years of clinical practice and personal training I've seen people make the same mistakes over and over again. Mistakes that, with a little bit of education, should never have been made! Now, I don't blame these people that set out with lofty goals to make positive and proactive changes in the new year. I blame the misinformation and the lack of scientific data that the public is exposed to when it comes to exercise, fitness, nutrition and wellness.
So, it only seems appropriate that education, debunking myths and exposure to safe and effective exercise is the only way to avoid insanity. What if I told you that the only good thing about the bench press exercise is that without any doubt it will destroy your shoulders. Last time I checked in playing sports and the game of life if you are laying flat on your back staring at the sky you lost. What if I also told you that leg raises, an exercise that most people think strengthens you're ab's, actually only serves to create a muscle imbalance so severe that it will not only inhibit your ability to move but, it will permanently damage your spine never mind doing nothing for your ab's. When was the last time that you sat on a bench and pushed or pulled something behind your head? When you think of it in that context it really doesn't seem like a good exercise does it? So my point is simple, what we know we may very well no wrong. Hopefully we are all smart enough to realize at some point that what we are doing and what we have done has not or is not working. Change, especially for the body, is essential to attaining consistent fitness and wellness-based goals.
Now, for the big question, where does one go to get this information? There are a host of websites and magazines that will provide you with some of this information. There are also countless books, manuals, and programs that you can buy that can help you on your quest. But, and there is always a but, many of these books websites and magazines are also trying to sell you something. So, be careful in your choices.Over the years it has become very frustrating as a fitness and wellness professional that there are very few websites or books that I can recommend in good conscience to my clients. So, on a challenge from a client and friend who just happens to be a physician I went ahead, stepped up, and wrote a book. Now, I know what you're thinking, here comes another plug to buy something. But, in my humble and hopefully professional opinion this book is different from what is on the market. It is truly research-based, safe, effective clinically based exercises designed to bridge the gap between knowledge and application of good exercise science. The exercises and programs that "Back to Feeling Great a proactive approach to combating back pain and stiffness" contains will help you create proper flexibility, balance, effective posture and most importantly spine and pelvic stability.
Now, you may be wondering why those are important. It is usually the lack of stabilization in the spine, pelvis and core that prevents you from ever achieving your exercise goals. So what I did was create a program based on over 16 years of clinical rehabilitative experience that will help you to move better, be more stable, and have better posture which will in turn allow you to move more efficiently. If you are able to move more efficiently while maintaining good effective posture your muscles fire better. And very simply, if they fire better than you will get more out of your exercise. Sounds pretty good do less and get more!, and that is really the secret to a good and effective exercise, and wellness-based fitness routine.
Most people work way too hard when they're in the gym, the "Back to Feeling Great" book will teach you how to work smarter not harder on your road to achieving your fitness and wellness goals. Since the book came out numerous Physicians and Chiropractors have begun to recommend the book to their patients as a safe, effective and easy program that will actually do what it says it will do. I sincerely hope that with some education and exposure to proper exercise and not 'gym' exercises you will find your New Year goals to be effective and lasting without the risk of making the same mistakes over and over again, no sense joining the inmates in the asylum.
The book is available on Amazon.com and BarnesandNoble.com
www.backtofeelinggreat.com
www.backtofeelinggreat.blogspot.com

Are you making it worse?

Anyone I meet who exercises and is striving to live a healthy lifestyle is OK in my book. But, and there is always a but, there is a chance that some of the exercises that you are doing may be hurting you. Case in point, yesterday a very nice person came in for a biomechanmical evaluation, he has a severe forward head posture accompanied with pronounced rounding of the shoulders. This gentleman travels a lot and has been doing a lot of push ups and crunches. The unfortunate fact is that both of those exercises actually make his postural distortions worse and actually encourages the faulty patterns in his body. So, the catch 22 is that he is exercising but in doing so he is placing a sick amount of strain on his neck and taking years off his shoulders, specifically his Rotator Cuff. As I always say, please know what you don't know, and when in doubt let a QUALIFIED fitness professional get you started.

A bowling ball on your shoulders

Many people that enter our facilities have at some time or currently are experiencing neck pain and or headaches. Today’s sedentary lifestyle, computers, phones, travel all force the head and shoulders forward of the bodies center of gravity. The average weight of the head is 10-12 pounds, for each inch that the head leans forward double the weight of the head, that’s right, 20-24 pounds. That’s a lot of extra strain that the posterior stabilizers of the neck and back must deal with.

Add to the equation car accidents, falls, and sporting injuries and there can be some major damage to the muscles of the neck. One thing that many people do not take into account is that many of the shoulder blade muscles have direct attachments into the cervical and upper thoracic spine. If these muscles are weak, the shoulders slump further and the cycle of poor posture and weak shoulder muscles continues.

For every reaction there is an equal and opposite reaction. As the body rounds forward the anterior musculature becomes very tight and overactive. This means the chest, frontal neck and upper abdominal muscles get very tight and will not relax. As a result the shoulder blade muscles we discussed get weak and lengthen from the unrelenting pull of the frontal muscles. We must stretch the frontal muscles and strengthen the posterior muscles to have any chance of success. This means no chest presses, bicep curls or crunches for the first few weeks of exercise. Often the Trigger Points that develop need to be addressed through soft tissue techniques to ‘shut down’ some of the overactive muscles and painful movement patterns that can develop. So your mom was correct, sit up and do not slouch.

When exercising try to never shrug your shoulders, keep your head up and chin slightly retracted/tucked. Perform pulling exercises more than you push and as always never be afraid to seek the advice of an exercise professional.