Overuse injury: How to prevent training injuries

Thinking of starting a new physical activity program or ramping up your current training routine? If so, you may be at risk of an overuse injury — which could ultimately prevent you from being active. Find out what can cause an overuse injury and how to safely increase your activity level.

Common causes of overuse injury

An overuse injury is any type of muscle or joint injury, such as tendinitis or a stress fracture, that's caused by repetitive trauma. An overuse injury typically stems from:

• Training errors. Training errors can occur when you enthusiastically take on too much physical activity too quickly. Going too fast, exercising for too long or simply doing too much of one type of activity can strain your muscles and lead to an overuse injury.
• Technique errors. Improper technique can also take its toll on your body. If you use poor form as you do a set of strength training exercises, swing a golf club or throw a baseball, for example, you may overload certain muscles and cause an overuse injury.

Risk factors for overuse injury

Although an overuse injury can happen to anyone, you may be more prone to this type of injury if you have certain medical conditions. Overuse injuries are also more likely to occur as you get older — especially if you don't recognize the impact aging can have on your body and modify your routine accordingly.

For these reasons, it's a good idea to talk to your doctor ((*and health care team)) before starting a new activity or ramping up your current routine. Your doctor may offer tips to help make physical activity safer for you. If you have a muscle weakness in your hip, for example, your doctor may show you exercises to address the problem and prevent knee pain.

Avoiding overuse injury

Most overuse injuries are avoidable. To prevent an overuse injury:

• Use proper form and gear. Whether you're starting a new activity or you've been playing a sport for a long time, consider taking lessons. Using the correct technique is crucial to preventing overuse injuries. Also make sure you wear proper shoes for the activity. Consider replacing your shoes for every 300 miles you walk or run — or at least twice a year if you regularly exercise.
• Pace yourself. If you're starting a new fitness program, avoid becoming a weekend warrior. Compressing your physical activity for the week into two days can lead to an overuse injury. Instead, aim for at least 150 minutes of moderate aerobic activity or 75 minutes of vigorous aerobic activity — preferably spread throughout the week. It's also a good idea to take time to warm up before physical activity and cool down afterward.
• Gradually increase your activity level. When changing the intensity or duration of a physical activity, do so gradually. For example, if you want to increase the amount of weight you're using while strength training, increase it by no more than 10 percent each week until you reach your new goal.
• Mix up your routine. Instead of focusing on one type of exercise, build variety into your fitness program. Doing a variety of low-impact activities — such as walking, biking, swimming and water jogging — in moderation can help prevent overuse injuries by allowing your body to use different muscle groups. And be sure to do some type of strength training at least twice a week.

Recovering from overuse injury

If you suspect that you have an overuse injury, consult your doctor. He or she will likely ask you to take a break from the activity that caused the injury and recommend medication for any pain and inflammation.

Be sure to tell your doctor if you've recently made changes in your workout technique, intensity, duration, frequency or types of exercises. Identifying the cause of your overuse injury will help you correct the problem and avoid repeating it.

When you think the overuse injury has healed, ask your doctor to check that you've completely regained strength, motion, flexibility and balance before beginning the activity again. When you return to your activity, pay special attention to proper technique to avoid future injuries.

Playing it safe

Don't allow an overuse injury to prevent you from being physically active. By working with your doctor, listening to your body and pacing yourself, you can avoid this common setback and safely increase your activity level.


This article originally appeared on Drugs.com

Osteopathy and Arthritis

Arthritis is an inflammation of any joint. There are two types of arthritis: osteoarthritis and rheumatoid arthritis.

Osteoarthritis is often described as a wear and tear of the joints caused by age, repetitive actions, and obesity and also altered postural and biomechanics (movements of the body) such as a past trauma, growth of the body, and a traumatic experience such as birth, or a vehicle accident.

Rheumatoid Arthritis

Rheumatoid arthritis is described as an autoimmune condition in which the body’s immune system attacks the body’s own tissue. Rheumatoid arthritis usually affects the entire body with the most often affected joints being the ankles, feet, hands, knees and wrists.

The joints can be warm, tender and swollen. Typically there is a discoloration of the skin over the joint that looks purplish. Joint deformities of the hands and feet as the disease progresses are quite common.

The symptoms of arthritis center on the joints due to inflammation so specific movements and treatment techniques are used by the osteopathy medicine clinicians to encourage the movement of fluid around the joints and tissues to help in the removal of the inflammatory substances from the joints. The techniques used also reduce the pain of arthritis. Diet and lifestyle can also help to reduce symptoms of arthritis.

Diagnosis

X-rays, blood tests, and MRI scans may be used to help assess the extent of the arthritic condition. Even though nothing can be done to undo the damage already done by arthritis osteopathic treatment can help to reduce the pain, swelling, and improve mobility and range of motion of each joint involved. Osteopathic treatment can help with neck pain, low back pain and swelling, hip pain and lack of mobility, and early morning stiffness.

The treatment’s goal is to improve the mobility and to reduce the swelling by using gentle, manual osteopathic techniques on each of the affected joints, on muscles, and also on ligaments. Exercises at home in warm water or salt baths may be suggested as well as other exercises and lifestyle changes designed to improve function and reduce pain.

You Can Do It

No patient needs to accept the advice that there is nothing that can be done about the pain and suffering of arthritis. Exercise, diet changes and lifestyle changes along with osteopathic treatment can over time reduce the pain, and increase mobility. No patient is too young or too old to receive osteopathic treatment and care by those who are dedicated to helping your body to heal itself.

No person should suffer needlessly. It is possible for your body to heal itself once osteopathic treatment has better aligned the body and allowed the various body parts to work in harmony to help the body to better function, and to restore health to the body parts as well as to heal tissue as the body reduces pain and inflammation.

This article originally appeared on Science Beta.

Boost Heart Health With Yoga

Yogis know the poses that “open” the heart, but did you know that regular practice can also help protect your ticker over the long term?


In honor of National Wear Red Day, the American Heart Association’s campaign to raise awareness of heart disease (the#1 killer of women), here are 5 ways that yoga keeps your heart going strong.

And don’t forget to wear red yoga pants on Friday to spread the word!

1. Love how you feel after class? That’s your stress melting away.

Stress may affect behaviors and factors that are proven to increase heart disease risk: high blood pressure and cholesterol levels, smoking, physical inactivity and overeating, according to the American Heart Association. Chronic stress may also cause some people to drink too much alcohol, which can increase your blood pressure and may damage the artery walls. A regular yoga practice, on the other hand, is likely to calm you down, making you less likely to lean on caffeine, sugar, fatty foods or alcohol to “numb out,” says Hazel Patterson, Urban Zen Integrative Yoga Therapist and teacher trainer at YogaWorks in Los Angeles.

“Moving with the breath, in other words linking expanding movements with the inhales, and contracting or softening movements with the exhales, starts to create a dynamic which calms the nerves and moves that stress energy out of the body,” she explains.

For your go-to bliss-out pose, Terrence Monte, a Managing Teacher at Pure Yoga in New York City, recommends the Seated Forward Bend. To make it even more delicious, place a rolled blanket or towel under your knees, and rest your forehead on a block or other prop placed on your shins.

2. It’s a feel-good workout.

Maintaining a normal BMI (body mass index) can help your heart, according to the CDC, and regular physical activity can help you maintain a healthy weight. Yoga, Monte says, is the “best resistance workout on the planet” —meaning it’s easy on the joints and uses your own body weight to build strength. Become a fat-burning machine by building long lean muscle—Monte suggests Plank Pose as all-over strengthener that does double-duty by targeting your core and shoring up your back.

3. It blasts belly fat.

Excess abdominal fat has been linked to increased risk for heart disease. By strengthening the large muscle groups in the body, such as the gluteals and quadriceps, yoga gets your body burning more calories, meaning you are less likely to store them as fat around your middle, Patterson says. “Standing poses like Warrior II held for a little longer than the mind is comfortable with is a great way to build these powerhouse muscles,” she says.

4. It “opens” the heart.

What does it mean to “open” your heart mean anyway? “Asana is the practice of putting your body in challenging shapes. Yoga, on the other hand, is the practice of integrating what you learn on the mat with what you do off of it,” Monte explains. “As you become more mindful about your body, your breath, your language in challenging poses, you become more aware about your own perceptions (read: misperceptions) of the world.”

Rather than the obvious heart-openers (Fish, Camel, Locust ), Monte suggests a pose that’s really challenging to stay vulnerable in, like Chair Pose. “Sit as low as you can with your lumbar spine as long as possible for as long as you can. Notice how your mind, your language, your perceptions change as the intensity increases,” he says.

5. It changes your diet.

A healthy diet (heavy on colorful fruits and veggies, fiber and heart-healthy fish and light on red meat, saturated fat, sodium, sugar and processed foods) is critical to heart health, and studies have linked regular yoga practice to mindful eating.

“As you connect to your body, breath and perspectives in challenging shapes on the mat, you connect more to what you do to it off the mat,” Monte says. “Suddenly, if you have to do yoga in the morning, it gets much harder to have that fourth martini, that fried whatever, that extra serving of needless sugar. You develop a sense of respect for this absurdly miraculous body that has developed over millions of years of evolution.”

Article originally appeared on The Yoga Journal. 
http://www.yogajournal.com/article/health/5-ways-yoga-opens-supports-heart/

Piriformis Syndrome

Piriformis syndrome is an uncommon neuromuscular disorder that is caused when the piriformis muscle compresses the sciatic nerve. The piriformis muscle is a flat, band-like muscle located in the buttocks near the top of the hip joint. This muscle is important in lower body movement because it stabilizes the hip joint and lifts and rotates the thigh away from the body. This enables us to walk, shift our weight from one foot to another, and maintain balance. It is also used in sports that involve lifting and rotating the thighs -- in short, in almost every motion of the hips and legs.

The sciatic nerve is a thick and long nerve in the body. It passes alongside or goes through the piriformis muscle, goes down the back of the leg, and eventually branches off into smaller nerves that end in the feet. Nerve compression can be caused by spasm of the piriformis muscle.

Piriformis Syndrome Signs and Symptoms

Piriformis syndrome usually starts with pain, tingling, or numbness in the buttocks. Pain can be severe and extend down the length of the sciatic nerve (called sciatica). The pain is due to the piriformis muscle compressing the sciatic nerve, such as while sitting on a car seat or running. Pain may also be triggered while climbing stairs, applying firm pressure directly over the piriformis muscle, or sitting for long periods of time. Most cases of sciatica, however, are not due to piriformis syndrome.

Piriformis Syndrome Diagnosis

There is no definitive test for piriformis syndrome. In many cases, there is a history of trauma to the area, repetitive, vigorous activity such as long-distance running, or prolonged sitting. Diagnosis of piriformis syndrome is made by the patient’s report of symptoms and by physical exam using a variety of movements to elicit pain to the piriformis muscle. In some cases, a contracted or tender piriformis muscle can be found on physical exam.

Because symptoms can be similar in other conditions, radiologic tests such as MRIs may be required to rule out other causes of sciatic nerve compression, such as a herniated disc.

Piriformis Syndrome Treatment

If pain is caused by sitting or certain activities, try to avoid positions that trigger pain. Rest, ice, and heat may help relieve symptoms. A doctor or physical therapist can suggest a program of exercises and stretches to help reduce sciatic nerve compression. Osteopathic manipulative treatment has been used to help relieve pain and increase range of motion. Some health care providers may recommend anti-inflammatory medications, muscle relaxants, or injections with a corticosteroid or anesthetic. Other therapies such as iontophoresis, which uses a mild electric current, and injection with botulinum toxin (botox) have been tried by some doctors. Using the paralytic properties of the botulinum toxin, botox injections is thought by some to relieve muscle tightness and sciatic nerve compression to minimize pain.

Surgery may be recommended as a last resort.

Prevention of Piriformis Syndrome

Since piriformis syndrome is usually caused by sports or movement that repeatedly stresses the piriformis muscle, such as running or lunging, prevention is often related to good form. Avoid running or exercising on hills or uneven surfaces. Warm up properly before activity and increase intensity gradually. Use good posture while running, walking, or exercising. If pain occurs, stop the activity and rest until pain subsides. See a health care provider as needed.

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