“No Pain, No Gain” Theory

When working out, it is normal to feel fatigue and muscle burn with strength/endurance training. But you should be aware of the difference between muscle fatigue versus pain. If you experience pain while working out, you should stop the activity you are doing. Pain can develop from inflammation, bad form with exercise, and overuse of a specific muscle. Pushing yourself too far could lead to an injury that can prevent you from doing the sports or exercises you enjoy. Use ice to decrease the pain developed from the exercise. If your symptoms do not lessen with ice and rest, visit your local physician or physical therapist.

X-ray vs. MRI

An x-ray determines the alignment and condition of your bones. Examples of things x-rays can display are deformities of the spine, fractures, bone spurs, tumors, spaces between the discs of the spine, and infections.

MRI stands for magnetic resonance imaging. MRI’s will determine the condition of your muscles/ligaments and the discs in your spine.  Your doctor may not order an MRI initially. Typically no matter what is displayed on the MRI, a physician would recommend physical therapy as the first form of conservative treatment.  An MRI will help the doctor determine if surgery is required for your injury.

Food Safety in the Summer

Food can spoil easily on hot summer days; follow these tips to prevent spoiling your fun with food borne illness. 

  • Plan picnics to include foods that don’t require refrigeration: fruit salad vs. pasta salad (mayo can spoil), PB and J vs. meat sandwiches
  • If the temperature outside is above 90 degrees, food cannot stay out for longer than 1 hour

 Practice Safe Food Handling Techniques:

  • Wash hands, utensils, and food preparation surfaces – moist towelettes are a quick and easy choice for your hands when playing outdoors
  • Rinse fresh fruits and vegetables with water before packing
  • Serve safely keeping cold foods cold (<40 degrees) and hot foods hot (>140 degrees)
  • Don’t cross-contaminate: wash all surfaces very well that have touched raw meats and juices.  Keep raw meats wrapped so that juices don’t touch other foods
  • When preparing salads, chill ingredients before combining (even canned tuna should be chilled before mixing in the mayo!)

Transport Foods Safely:

  • Transport perishables as quickly as possible, and cook immediately or refrigerate
  • Keep perishables refrigerated until just before leaving
  • Consider packing beverages in a separate cooler from perishables
  • Meat, poultry, and seafood may be packed frozen so it stays colder longer
  • Plan food portions to avoid leftovers; place condiments in small containers
  • Place cold foods in an insulated cooler with ice packs and don’t pack up until you’re almost ready to leave. You can also nest perishables in bowls of ice to stay chilled
  • Carry your cooler in an air-conditioned car and place in the shade; keep the lid closed as much as possible
  • Discard leftovers if they have been out of the cooler for longer than 1 hour; if you have to question it – throw it out!

Written by Julie Katz Registered Dietitian- Baltimore, MD

Swimming

If you are planning on swimming for exercise, you should warm up before you begin your workout. 

 A warm up:

            – Increases blood flow to the muscles in your body.

            – Increases your heart rate to prepare your body for exercise.

            – Decreases stiffness in your joints.

            – Increases range of motion of your shoulders and legs.

 Warm up ideas prior to swimming:

            – Jumping rope

            – Squats

            – Arm Swings

            – Lunges

After your swimming workout, you should perform stretching exercises to prevent muscles soreness.

 Important muscles to stretch for swimmers:

            – Hamstring

            – Pectoralis                                                           

            – Rhomboid

Rhomboid Stretch

Stretching Principles

Stretching after you workout is more beneficial to prevent muscle soreness and injury.  If you stretch before you workout, there is more potential to tear a muscle.  This is due to the lack of blood flow at the muscle. 

To get the most benefit out of stretching, make sure you hold the stretch at a point you feel a pull within the muscle. Stretching should be held between 15-60 seconds.  Perform 2-3 repetitions of each stretch on both sides of your body. If a stretch is painful, you should decrease the range of motion of the stretch.   

Hamstring stretch

Tips to Decrease the Likelihood of an Injury at the Gym

  1. Do a balanced program. Work your whole body; don’t concentrate on just a few muscles.
  2. Use good form and technique. Don’t hyperextend the knee with the leg press, don’t let your knee go past your toes with squats or lunges, and don’t use momentum to lift heavy weight.
  3. Exercise through the entire range of motion to get optimal results.
  4. Do not lift weights too often or increase the intensity too quickly. Increase at a consistent gradual progression to avoid injury.
  5. Cross train so your body does not get used to the workout.
  6. Work on your core muscles. Strengthening your abdominals can help prevent back injuries.
  7. If you have back pain, avoid excess loads on the spine.  Such as, squats with weight, the lumbar extension machine, and twisting exercises.
  8. If you have shoulder pain, avoid overhead weighted exercises and any exercise where the arms lift out to the side.

If you experience pain while you are working out, you should stop and apply ice.  If you continue to have discomfort with exercise, contact Harbor Physical Therapy to decrease your pain with exercise and find out how to avoid pain with exercise.

Top 10 Summer Sports with the Most Injuries

As reported by the American Academy of Orthopaedic Surgeons (AAOS), listed below is the top 10 list of summer sports that statisically have resulted in the most reported injuries.  

If you have suffered from any injuries playing a sport or would like to learn how to prevent an injury during sport, please make an appointment at Harbor Physical Therapy.

Sports

Injuries

Cost

Basketball

1,633,905

$19.7 billion

Bicycles

1,498,252

$28.6 billion

Baseball

492,832

$6.6 billion

Soccer

477,647

$6.7 billion

Softball

406,381

$5.1 billion

Trampolines

246,875

$4.1 billion

Inline Skating

233,806

$4.2 billion

Horseback riding

196,260

$4.9 billion

Weightlifting

189,942

$2.7 billion

Volleyball

187,391

$2.1 billion

Fall Prevention

The risk of falling increases with age and is greater for women than men.  There are many causes for falls such as medication side effects, environmental hazards in the home, poor vision, and decreased muscle strength. Being too sedentary can result in poor muscle tone, decreased strength, and a loss of bone mass. Listed below are tips to lessen your risk of falling. 

  1. Repair cracks in sidewalks/steps or raised thresholds in doorways.
  2. Make sure there are handrails on both sides of steps.
  3. Trim shrubs next to walkways.
  4. Have adequate lighting in each room and the hallways.
  5. Don’t wax floors.
  6. Don’t climb stools or ladders.
  7. Change the color of the transitions into different rooms and on the steps.
  8. Put nonskid pads under rugs so they won’t slide.
  9. Get rid of throw rugs.
  10. Use a raised toilet seat and make sure there are grab bars in the bathroom.
  11. Use nightlights.
  12. Use a walker or cane if the doctor advised you to and make sure you are using it properly.
  13. Sit on the edge of the bed for a few minutes before standing to avoid dizziness.
  14. Get regular eye checkups.
  15. Wear supportive shoes.
  16. Make sure you are taking enough calcium and vitamin D.
  17. Make sure you are doing some weight bearing exercises.

Weight bearing exercises build bone mass. If you are not sure which exercises to do, Harbor Physical Therapy can instruct you in a home exercise program to help decrease the likelihood of falling.

What is good posture and which exercises can I do at the gym to improve my posture?

While standing, if you can draw an imaginary straight line through your earlobe, the tip of your shoulder, through your knee, and the middle of your ankle, you have good posture. Standing with good posture usually involves doing a slight chin tuck so your head is over your shoulders, pulling your shoulders back and tucking in your stomach.

Good posture lends to less stress on your joints and muscles resulting in less discomfort and risk for injury.  At first, maintaining good posture may be tiring. Eventually, you will build up the endurance in your muscles and it will come more naturally.

Here are some examples of stretches that you can perform to help achieve good posture. 

Pectoralis muscle stretch– Just put your hands up on a doorway and gently step through with one foot until you feel a stretch. All stretches should be held between 15-60 seconds.

Corner Stretch

Hamstring stretch– You can sit or stand. Put one foot up on a step or the coffee table and lean toward your foot.

Hamstring stretch

Shoulder blade squeezes– You can just squeeze your shoulder blades together or use an exercise band to row your shoulder blades together.

Rest position

Scapular Retraction

Good posture involves training the body to be in a position that results in less strain on your muscles and joints. If you are looking to improve your posture or decrease your neck/back pain with long-term sitting or standing, make an appointment at Harbor Physical Therapy for an individualized treatment program.

The Benefits of Balance Training

Balance exercises help to rehabilitate, restore, and prevent ankle and knee injuries. They work to increase the stability of the joints in the lower extremity. Balance training can also help to prevent falls in the elderly population. Balance training improves proprioception, which is the ability to know where your joints are in relation to one another.

An example of a basic balance exercise is standing on one leg and trying to maintain the position for a certain period of time.  To progress this exercise, it can be performed on an unsteady surface to increase the amount of strength/stability required for the exercise.   If you have a chronic ankle or knee injury, you would benefit from physical therapy using balance training to improve the strength/stability of your joints.

single leg stancesingle leg stance on an uneven surface