Tag Archives: theraband

Arthritis, Be Well health tips, Health and Fitness, Keep Moving: Managing Arthritis

Oh, my aching hamstrings

February 21, 2013 betsyjbell

Gentle Reader,

What a ski season it is here in the Northwest. The snow conditions surprise us every Wednesday as my band of 16-24 friends head up to the pass on a big bus (potty included). It’s a good thing to use this bus company for January and February when the road conditions are dicey and icy. The bus drivers have gotten stuck twice! The ladies who ski are mostly over 65. Yesterday I learned that one companion, a tall, slim brunette with impeccable make up and style is 80. We are still climbing logging roads and snow plowing down, but we have become partial to the groomed Nordic tracks, of which there are a few. One of oldest members skis with the blind across the US and Canada. We do have a special club here with a pair of set tracks for the blind skier and her companion guide. We often see dog teams, although mid-week is a quiet time to ski. People-watching happens on Saturday and Sunday. Yesterday the only viable skiing was on the reclaimed rail road track which snakes its way up from Seattle, through the pass and on East. Long ago this track was pulled up and remaining bed has become a favorite mountain bike and Nordic ski trail.

Pushing and gliding for 3 hours and 8 miles along this relatively flat track awakened muscles I had not used so strenuously. This morning I have been on the floor getting the creaks and groans out of my joints-back and hip and knee pain are no fun, nor are arthritis flare-ups. Several techniques work well.

1. tie a strong flexible tubing around your thighs, squat and walk to the left 20 steps and then to the right. In the picture, the tubing is around the ankles. I find the tubing stays put better at the thigh.

2. Lying on your side with your knees pulls up part way, lift one knee up and then back down in a clam-shell move. Several reps on each side.

3. Put one end of the flexible tubing in the door jam and loop the other around your foot. Stand side ways to the door and take the outside foot, lifting straight legged 10 reps. Turn and draw the foot away from the door across the body. This is a classic standing Pilates move. Change legs and repeat. Years ago I bought a heavy steel foot stool off Ebay to use for this exercise as it works better if you are standing a few inches off the floor. Gyms have portable durable plastic steps that can be used. Personally, my little upholstered foot stool would never be taken for an exercise prop as it sits by the front door. This is the best picture I could find. Imagine the end of the theraband as a knotted tube in the door jab, the bottom around your shoe.

4. face the door and, with the foot in the loop of the tubing, push it away from the door while standing erect, in perfect posture, on the other foot. Several reps on both legs will help.

I am glad I climb stairs every week (200), going up and down sideways with the grape vine step. I found yesterday that straight way skiing tired the knees. Most women have slightly knock-knees and prolonged straight walking, hiking or skiing stressed them. Whenever you have the opportunity to go up or down stairs side-ways, one foot behind, then in front, do it. Your knees will not stress on the straight-away as much. I am going to get someone to film me doing this. There are no pictures on the web that I can find.

Avoiding arthritis pain in the knees, back and hips can be challenging, and fun. Get out there and enjoy the winter weather if you are lucky enough to have snow. Don’t let the diagnosis of osteoarthritis or spinal stenosis keep you from moving. Browse the techniques I have offered in my blog postings and try some of them. Better still, leave a comment about the techniques you have found work well.

Fondly,

Be Well, Do Well, Keep Moving

Betsy

Injured at 52. Diagnosed and sentenced to a wheelchair at 55. Hiking, skiing, dancing and walking at 75. Read my story.

206 933 1889 betsy@HiHoHealth.com www.GrandmaBetsyBell.com

Arthritis, Be Well health tips, Health and Fitness, Keep Moving: Managing Arthritis, travel

Hiking the Engadine: Avoid arthritis pain

October 11, 2012 betsyjbell 8 Comments

Gentle Reader,

I am back safe and sound from my hike through the Engadine Valley in the Alps in Switzerland and the Writers Workshop in Villa Lina north of Rome. And my body is not suffering from arthritis! Sitting in the airplane for the long flight to Amsterdam, the first stop of my journey, I actually slept with the help of medication, Lunesta is my sleeping aid of choice, a prescription only drug that costs plenty. I used it twice on the trip to help me get into the European hemisphere and the first night back home. Otherwise, Gentle Sleep Complex, an herbal combination of Valerian, passion flower and chamomile. It works like a dream to take 3 before going to bed, no matter what hotel I found myself in.

The real challenge to a body with a lot of spinal stenosis and potential joint discomfort is hauling suitcases and loading the heavy hiking pack up onto my shoulders. Paying close attention to all the good advice I have posted over the past 1 ½, and asking for help getting in and out of trains—“you’re looking strong. Can you help me with my suitcase, please?”—I managed to arrived back home without pulling a muscle from lifting suitcases. Read on to see what a silly thing I did to pull a muscle badly.

I’d like to share my challenges with you in case you ever encounter similar problems. You might avoid the same pitfalls.

First, a little back ground. I am in a hiking group that hits the trails in the Pacific Northwest every Wednesday, rain or shine, except for January and February when we cross country ski. Keep moving to keep arthritis at bay, is our motto. Of all the gals in our group, Pedie took me up on taking a hike in Switzerland. Jaco, our friend and fellow hiker who has returned to her homeland in the Netherlands to live out her life, was eager to join us as she missed our weekly hiking and friendship. She, Pedie and I all celebrate our 75^th birthdays this year, so this was an added incentive. Our fourth hiker was Chris, already 83 yrs old. May I just add here that we met plenty of older people hiking as this sort of trekking is not unusual in Europe. Jaco and I took an overnight train to Zurich and then a train to the southeast part of Switzerland to join the other two. You’ll recognize the place names St. Moritz and Davos if you follow the rich and famous. We stuck to smaller, less glitzy places.

Our first stop in the Engadine valley was a town called Scuol. It is famous in Europe for its mineral baths and the modern spa is worth the trip. I had so much luggage that I had exploded into a collapsible cloth bag to make my back pack as light as possible and still not leave anything behind that I might need on the trail. We were walking from one village to the next, up over the mountains and needed to be ready for any change in the weather. Ryder/Walker, our self guided tour company, arranged for our luggage to be taken to the next hotel along the way, arriving in our rooms well ahead of us.

Helping with jet lag and pounding our muscle into jelly, we spent a luxurious afternoon soaking in the mineral baths, going from super hot indoors, through the watery opening into the sun, blue sky and swirling outdoor pool with its jets and waterfall showers. By the time I got back to the hotel, I was a noodle.

Here’s the trouble #1. I spent half an hour bent over my luggage rearranging things to begin hiking the next day. When I tried to stand up, all the muscles in my lower back had stretched out and refused to budge. Here I was, pain shooting through my body, unable to catch my breath or stand and walk to dinner. I got out my theraband and hit the floor with stretches and exersizes; filled the ice bag I had brought just in case and took a couple Pain Relief Complex herbal Cox 2 and 5 Loc inhibitors, pain pills that don’t hurt your stomach. I’m the one who put this great hiking experience together and I wasn’t going to be able to walk a mile, much less carry a pack.

After a fabulous 8 course dinner and a bottle of Swiss wine between us, more ice and Pain Relief Complex, a good night’s sleep, and a ice bag tucked into my hiking pants, I was ready to walk it out this next morning. It worked. Walking is the best thing for lower back pain. After about a half hour, I was ready to dump the ice and the rest of the 6 days I was free of lower back difficulties.

The take away from this is

1. Never do any extreme movements after a hot tub, deep tissue massage or the pummeling pleasure of a mineral springs spa. I should not have bent over rearranging my luggage, and a little voice told me that at the time, to which I paid no attention.

2. Don’t give up on yourself when you do pull a muscle. Ice, stretch and do your best to walk it out. This idea of lying flat on your back and taking muscle relaxants, in my opinion and long time experience, is not the way to handle lower back pain. I have loosened up sciatica several times in the past by icing, stretching and walking.

Now, Please, tell us your methods for dealing with this kind of muscle pain, how you got yourself into the mess in the first place and how you got out of it. We all want to learn from each other. So go ahead, leave a comment, and sign up to get notification of my next posting which will take you on down the trail in the Engadine to the next near calamity on our great adventure.

Fondly, Betsy

Be Well, Do Well and Keep Moving

BetsyBell’s Health4u

www.GrandmaBetsyBell.com

206 933 1889 1 888 283 2077

betsy@hihohealth.com

Arthritis, Health and Fitness, travel

Yoga and arthritis

February 17, 2012 betsyjbell 11 Comments

Gentle Reader,

My morning routine of lying on the floor, legs over the Back2Life machine, followed by several gentle yoga poses gets my body functioning. I am then ready for the chair chi gong exercises, free weight lifting both standing and the lying on an ethafoam bolster and more stretches with a theraband, emphasizing the IT band with the leg slightly drawn high across the body.

Yoga, what I call the essence of Yoga, is at the core of all this early morning routine. Mary Sue Corrado, my Pilates instructor, worried that I would overdue yoga and increase the damage to the L5 disc, that I would exacerbate the osteoarthritis slowly worsening at age 68. I was training to climb Mt. Shasta, the 14000 ft peak in northern California. I was part of a team climbing to raise money for The Breast Cancer fund, whose aim is to prevent breast cancer by advocating for the elimination of human causes of environmental pollution. All the training materials recommended yoga for core strength.

If you would like to climb mt. Shasta with the best support you could imagine, get in touch with Connie George at the Breast Cancer Fund today and GO FOR IT! It was a top experience of mine and could be yours.

I asked for a private appointment with an instructor at the 8 Limbs yoga studio, only a 1 mile walk from my house in West Seattle. I needed a private lesson and assessment because I required guidance on how to modify any program to take care of my weaknesses and physical vulnerabilities. The early morning class led by Amelia Gailey taught me how to center with my breathing, gently move to wake up the body and slowly build to a strong powerful series of poses. Over the next 5 years, I practiced at 8 Limbs and gained tremendous core strength. Pain management took care of itself.

A couple years ago, pain increased with a full yoga session involving all the asanas and I had to discontinue a full practice session. I know that it would be beneficial for me to find a gentle class. Instead I found Jennifer Kreis’s Hot Body/Cool Mind DVD and use her yoga routine, and seated chi gong for a morning workout.

My own exploration resulted in using yoga for pain management. A recent study conducted by the Arthritis Foundation found that arthritis patients who maintained a regular routine of range-of-motion and low-resistance exercises (like yoga) showed less pain and better mood over the long term. Studies also show that people who start a regular routine of gentle yoga exercises are less likely to drop out than people who start other kinds of exercises for arthritis. Over 50% of people who start other kinds of arthritis exercise programs drop out after six months. Studies show that because yoga is more fun and more pleasurable, people are more likely to stick with it as an exercise for arthritis.

Whether you go to a studio (the very best) or learn a few moves you can do at home, yoga is an outstanding over all mind, body and spirit healer.

The following comes from the study.

Health benefits in general

“Yoga is more than an arthritis exercise. Yoga, which comes from a Sanskrit word that literally means ‘yoke’, is designed to bring all body systems into proper alignment so that the entire system functions correctly. Health benefits of regular yoga practice include increased energy, better posture, weight loss, deeper relaxation, an ongoing sense of well being and calm, greater flexibility, lower blood pressure, healthier diet, and increased alertness and mental functioning.”

“All yoga practice includes deep relaxation techniques and an emphasis on proper breathing, both of which have been shown to improve mood and reduce pain and anxiety. Many types of yoga teach healthy diet as well. Regular yoga practice is often recommended for heart and cancer patients because of its usefulness in a healing aid and an aid to relaxation.”

Benefits for arthritis

“Yoga is one of the very best exercises for arthritis because it directly treats the main problems arthritis sufferers face: pain, swelling, joint stiffness and lack or flexibility, depression, and anxiety. Yoga is very gentle, so arthritis patients can learn the stretches and poses at their own pace, making very gradual progress that improves well-being rather than causes pain. The long term effect is increased flexibility and reduced or eliminated pain in the joints, as well as better general health and mental functioning, and better, healthier sleep and positive mood.”

Finding a yoga class

“Yoga classes are widely offered across the U.S. at YMCAs and YWCAs, through hospitals and community centers, at health clubs, and at senior centers. The websitewww.yogaalliance.org maintains a list of yoga teachers and yoga centers where classes are offered. Arthritis sufferers will probably be able to locate a class specifically for people with disabilities or for older students, as these are becoming more and more popular as yoga becomes a more and more popular arthritis exercise.”

There is so much variety in the classes offered and you want a teacher who will understand your limitations and goals and help you not over due. If you are a type “A” person, like me, you have to be careful not to overdo. Not all instructors and classes are equal. I have tried a lot of them and for my body’s problems; I need the slow, gentle routine with held poses rather than the faster movement of Ashtanga Vinyasa Yoga. Above all, if you have arthritis, please get a private consultation first before launching into a full scale yoga practice. Learn what helps your particular condition and gently pursue it.

The Arthritis foundation of course recommends discussing with your doctor the use of yoga as an exercise.

“Your doctor probably has a list of resources and an opinion about where your needs would be best met. Ask for a note describing your physical limitation that you can give to the yoga instructor before starting your first class. Yoga instructors are trained to take disabilities and limitations into account and work individually with students at their own level, not matter how limited that may be.

“No matter how disabled you may from arthritis, or how much pain you may be experiencing, you will be able to start a gentle yoga routine based on your abilities and begin to move forward. That is why many yoga classes specifically for older and disabled persons are springing up through hospitals and wellness centers. Yoga is one of the few exercises for arthritis that absolutely anyone can do.”

A Happy Downward Facing Dog to you!

Be Well, Do Well and Keep Moving. Betsy

PS: I’ll be traveling in Nicaragua for the next 2 weeks. Watch for a new posting after March 1st.

Arthritis, Health and Fitness

Pain free flying

December 19, 2011 betsyjbell 6 Comments

Avoiding increased pain when on vacation.

This is the first of a series of posts on staying pain free while traveling.

I just spent 10 days in Mexico with 4 friends, enjoying my time share and a few extra days in Isla Mujeres, a tiny island off the coast of the Yucatan as 25 minute ferry ride from Cancun. It was wonderful. I had my herbal pain killers at the ready, and took a couple every 4 -5 hours.

Plane rides are the worst for osteoarthritis and spinal stenosis and the 4 plus hours from Seattle to Houston were challenging. I am reminded of the many long plane rides I have taken and the technique I have learned for staying comfortable.

Back in 1992, right after my husband died, I took a trip to San Francisco for some R & R. We sat in the plane on the runway for 6 hours waiting for the fog to clear in SF so we could leave Seattle and land 2 1/2 hours later. If you’ve been following along, you’ll remember that the traumatic injury to my L5 happened only 3 years earlier, and while I had rehabilitated enough to do 3/4 of the Wonderland Trail around Mt. Rainier in 1990, I was still at risk. Slouching in a chair, especially an airplane seat, is the worse possible thing to do for a potentially unstable back. As Moshe Feldenkrais would say, you are either sitting (sits bones directly under your erect back) or you are lying down (any tilted back position on down to prone). I was lying down in the most unsupported manner. When we finally landed in San Francisco, I could hardly walk. My left leg had extreme sciatica pain from the pinching at L5. What I learned from that experience has saved me from ever repeating it. It may help you.

I drink a lot of water and a rehydrating drink called Performance which I carry in a zip lock bag and mix with the water they offer, or in the bottle I carry on. Do you know that you lose a cup of water every hour you are in the air? You do not excrete only water, but minerals that you must have for proper balance in your system. These are the electrolytes you add with a high quality hydrating drink like Performance. (If you want to know more about the products I mention, go to www.HiHoHealth dot com.)

Drinking a lot forces me to get up and down to use the rest room. Moving prevents prolonged slouching from setting in. While sitting, I do isometric exercises. I seldom tilt my chair back but try to stay upright. On long flights to Asia and Africa, the TV monitor w shows isometric exercises that are helpful. Here are several that I have used.

Isometric Leg Exercises

Isometric exercises are an effective way to exercise during a flight. Also called static tension, isometric exercise involves a contraction of a muscle without a change in the length of the muscle. Bodybuilding.com recommends doing an isometric thigh exercise while sitting on your seat. Make a fist with your hands and place them under your knees. Squeeze your thigh and calve “around” your fist, and hold for five to 10 seconds.

Knee Exercises

Knee flexions and extensions are other simple exercises to do during your flight. Knee flexion involves lifting your knee toward your chest while sitting on your seat with your back against the back rest. Lower your leg, and repeat with the opposite leg. Knee extension involves straightening your leg as far as you can while sitting with your back against the rest. This is crazy making in steerage where I sit. Do these exercises as many times as desired.

Calf Exercises

Deep vein clots are common in the lower leg or thigh, according to the National Heart, Lung and Blood Institute. Improve the blood flow in your lower leg by contracting your muscles. To do a calf raise, place your tiptoes on the floor. Thrust your heels upward as high as you can until you feel a contraction in your calves. Hold for five to 10 seconds, and lower your heals, or repeat continuously with a pumping motion. Repeat as often as you can to improve blood flow in your veins. This is a really good one.

Arms

Exercise your arms with a wrist roller workout. Cross your fingers and do a rolling motion with your wrists for 10 to 20 seconds. Improve blood flow in your arms by making a fist with each hand and flexing your forearms toward the floor. Hold for 10 seconds, release and repeat. Optionally, raise your fists toward your chest and down to your thighs for 10 to 20 times to also target your biceps.

Shoulders and Chest

Shoulder shrugs are a way to relieve tension in your upper body. Hold the shrug for 10 seconds and release. Exercise both the chest and shoulders by doing a rope climb. Imagine a rope hanging over your head, and “grasp” it with your hands as to climb it. With each motion, reach from over your head and pull down until your arms touch your thighs. Repeat 20 times with each hand.

Back and Abs

Stretch your back by bending at your waist until your chest reaches your upper thighs. Hold for a few seconds and slowly return to an upright position. Keep your back straight throughout the stretch. Target your abdominal muscles sitting upright and exhaling completely. Without inhaling, suck in your stomach as deeply as you can and hold for few seconds. Release and repeat.

Do not worry about what other people think. After all, your body needs this and their bodies could probably use it to. You might have the whole row exercising. You will have much less jet lag and arrive ready to walk and pull your suit case.

I would love to hear your techniques for keeping aches and pains under control while flying. Next week I will share my away-from-home morning routine before setting off for a day of site seeing.

Be Well, Do Well and Keep Moving.

Betsy

www.HiHoHealth dot com

Arthritis, Health and Fitness

Pilates for back pain?

November 8, 2011 betsyjbell 1 Comment

Pilates for back pain?

Becci announced that after 6 months of attentive Feldenkrais sessions, I was now ready to see Mary Sue Corrado. Like Becci, Mary Sue is a former dancer and turned to Pilates as a path to help increase body awareness, find pain free exercise movements and improve posture. After several private lessons in her Bodies in Balance studio, I joined others in her semi-private classes. The hour and a half sessions were serious business. For 8 ½ years I showed up, mostly on time, took off my shoes, gathered my tools—ethafoam, blocks, triangular cushion, theraband, little foam roles for my neck, wrists, knees—and began my routine under her watchful eye. (In Seattle, we have http://friendlyfoam.com/ store that sells all sorts of therapeutic foam).

There was no side talk amongst the other students. “Make a coffee date to talk about that,” she would instruct if we fell to gossiping. Mary Sue was free to talk about what was on her mind, however. We just turned to Pacific Standard Time and I can hear her voice complaining about moving toward the dark of the year and fussing with the clock to hasten it. Mary Sue would describe walkers she had observed as she did Green Lake and exclaim that she wanted to go up to people and indicate ways to improve their stride, back position, swing of the arms. It is no wonder that her nickname is the “Posture Police.”

I loved and hated those sessions. They saved my life. With Feldenkrais, Becci had moved me. Our effort on her table was to gentle my tendency to push my body; to learn to listen to it and use all supportive muscles to lift, twist, bend for natural flow. My graduation to Mary Sue’s brand of Pilates meant bringing effort to the work. She showed me how to place a gentle finger on my abs as I lifted a bent knee leg inches off the floor so that I could be sure they—the abs were doing the work and not some other muscle. I was to isolate the working part and its tendons and muscles and teach the particular mechanism to do the job without engaging non-essential parts.

One particularly difficult lesson for me was lying on the mat face down, arms out-stretched over my head, and lifting one arm and the opposite leg barely off the ground. I was instructed by her gentle hand on the muscle below the shoulder wings to lift from way down, the erector spinae, not the trapezius. Of course, my shoulder muscles wanted to scrunch up around my ears to help. She would lightly touch the big triangular muscle below. I gradually learned to engage it and leave my traps lying quietly along side the upper spine.

Do you know where your multifidi muscles are? Lying under the erector spinae. This ropy length of muscles on either side of the spinal column are primarily responsible for holding you up. Mary Sue was helping me re-discover these essential muscles. I needed them to function if I was going to carry a heavy pack for 12 days on the Wonderland Trail.

I call this blog NoWheelChair for a reason. When Dr. Herring, the UW Sports Medicine Neurologist

looked at my Magnetic Resonance Imaging—MRI, he declared my bones to be poor candidates for surgery. They already looked worn out at age 53.

“You are going to have to build strong supportive muscles. Your bones are no good. If I didn’t know you and with only your pictures to go by, I’d think you should be in a wheel chair.”

Pilates was my ticket to strong muscles.

Let me add here that not all Pilates is the same. Mary Sue had more than one client refugee from improper Pilates technique. In a large class with no personal, hands-on supervision, one can easily over-strain the back, especially in the 100’s, a Pilates exercise where you form an inverted triangle with your bottom at the base, your torso and legs extended to form the sides. With your arms held tight and straight, you pulse forward engaging the abs as you breathlessly count to 100. Mary Sue did not approve this posture although her students did plenty of ab strengthening V shaped exercises as we progressed to that level. I confess that I have never attended any other Pilates classes. You see, I am such an energetic learner that I will attempt anything the instructor calls out and end up over doing and hurting myself. Remember in my first post when I described following Jack LaLanne as he performed doggy leg lifts, even though it hurt like the blazes. I figured pushing through the pain would cure the pain.

“Nothing should ever hurt,” was Mary Sue’s mantra. Since my daily activities often produced aches and pains, I showed up in her studio once too often hurting in the tiniest beginning exercises and she made me start all over at baby steps. It was the always having to begin again that made me search for something else after eight and a half years. Happily I still begin most days with her voice in my ear, my index finger lightly touching my abs as I do my tiny leg lifts, pelvic tilts, and controlled crunches. I bought a strong iron footstool on Ebay to use for the standing exercise where one foot is placed in a length of sports tubing, the other end of which is held tight over the top of a closed door. Standing on one foot, the other swings back and forth across the erect, perfectly postured body. This exercise particularly helps with balance and strengthens each leg’s abductors and adductors.

I have not found a Pilates instruction You Tube for you. Everything I looked at is geared to athletic strengthening, does not use any of the foam pillows and blocks designed to help an injured body isolate the muscles that need to be recovered while the others rest. We learn so many compensatory strategies to help us avoid pain and keep us moving. Quite often, these strategies exacerbate the painful condition rather than help it. Therapeutic Pilates may be necessary before Pilates itself, in the normal studio for normal people, will be beneficial for someone like me. I found one website that advertises a therapeutic approach to Pilates. If you have plenty of money and time, you can check it out. I was lucky enough to have a couple former dancers bring my back to life again right here in Seattle.

Next week I will tell you about the hike. We nearly made it all the way around Mt. Rainier. It was one of the greatest adventures of my lifetime.

Be well. Do well. Keep Moving.

Betsy

BetsyBell’s Health4U

www.HiHoHealth.com

Betsy@HiHoHealth.com