Thoughts on Hip Flexors and Health

Hip Flexors for Your Healthy Lower Back: There are two big muscles that you’ve never heard about until you develop excruciating, throbbing, and wicked low back pain. They let you know about their existence immediately. They’re called the hip flexors. They’re two big muscle groups located deep behind the lower abdomen. The top of the muscles are attached to the lumbar spine and the bottom of the muscles are attached all the way to the femur below the hip.

They’re huge muscles. Their sole purpose is to support your back and keep you upright. As we evolved from four-legged crawling creatures to two-legged human beings, the hip flexors became the muscles of choice to keep us upright. The problem is that we sit all day in front of a desk doing computer work or watching TV or whatever, and the hip flexors become tight and contracted. So when we bend over to pick something up or twist in the wrong way, we develop sudden onset pain in the lower back shooting down the leg and sometimes all the way to the big toe. We can’t get up and can’t sit down, but surprisingly we can walk standing straight and tall. It’s not the spine or the lumbar vertebra – they’re solid. It’s those pesky hip flexors. They were tight and suddenly became tight to the extreme by going into uncontrolled spasm. And, they don’t let up. They cause all types of collateral damage – firing peripheral muscle groups, and worse, pulling and inflaming nearby spinal nerves causing the local back pain and the referred lower leg pain. Stretching, deep muscle therapy, and physical therapy can help by gradually relieving the muscle spasm. You must be patient as there are many muscles and nerves involved so it will take several days. And it will recur again because sitting all day will result in the tight hip flexors that go into spasmodic contraction at the smallest hint of stress. Prevention is the ultimate answer. Keep the back straight. Keep those hip flexors loose and strong. This is done by taking standing and walking breaks and a ceiling stretch at least once an hour or preferable every half hour. There are several hip flexor body core exercises that you can do, and it can be part of your routine daily work out. Manage those hip flexors properly, and you will banish low back pain from your life. Visit www.eplerhealth.com for ongoing news about exercise and managing your health.

 

5 Steps to dealing with your osteoarthritis

5 STEPS TO DEALING WITH YOUR OSTEOARTHRITIS

Joint pain and stiffness of arthritis may worsen with age. But that doesn’t mean there aren’t treatment options or helpful changes you can make in your life.

Osteoarthritis, caused by years of normal wear and tear, is no fun. Its aching, stiffness and swelling can be painful, frustrating and sap your mood. And although there aremedical therapies – pills, rubs and injections – many times they only offer temporary or limited benefits and may cause side effects.

That’s why it’s best to learn all you can about your options and consider combining treatments. “Learn everything you can learn,” says Dr. Epler. “And keep learning. The information will help you to control the situation and make decisions that are best for you.”    

Weight Control.  Carrying excess weight puts added stress on joints, especially your knees, hip and spine. Two-thirds of all obese adults will develop arthritic knees during their lifetime. And shedding just 10 pounds of this excess weight is enough to rid the knees of about 40 pounds of pressure; dropping 15 pounds will cut your knee pain almost in half.

Exercise. A recent Cochrane review of 32 studies found that exercise relieved the pain of knee arthritis as effectively as medication. Regular exercise can help keep your joints flexible and lubricated. Added to aerobic activity, strength training will aid in building the supporting muscles. Aim for at least 30 minutes of aerobic exercise a day, five days a week, plus two days of strength training each week.

Heat and cold. Heating pads or ice packs can be helpful in relieving arthritis pain. Try a moist, hot pad or a warm, damp towel; or relax in a warm bath or shower. Ice packs may help reduce the acute pain and swelling associated with arthritis.

Assistive devices. To improve your ability to perform daily tasks and help protect your joints, canes, walkers or crutches can help take the load off painful hips or knees. Orthotic shoe inserts can help arthritic knees in some cases.

Tap into the power of your mind. A positive attitude goes a long way toward easing pain and discomfort and moving on with your life. Instead of focusing on your disabilities, focus on what you can do. If a task seems overwhelming, break it down into smaller, more manageable tasks. Balance your activity with adequate rest. And rely on the kindness of friends and family; a emotionally supportive social group can help relieve stress and has far-reaching benefits for your health.

You may also want to read:

Exercise Your Way to Health http://epler.com/blog/exercise-your-way-health

Five Steps for Staying Strong http://epler.com/blog/five-steps-staying-strong

 

 

Nutrition Management: 5 Steps to portion Control

NUTRITION MANAGEMENT: 5 STEPS TO PORTION CONTROL

How many times have you marveled or envied someone who has a healthy weight and seems to eat whatever they want?

Oh, they’re just lucky, you think. Or they have the right genes or a fast metabolism.

My suspicion? It’s not luck, they work at it. They pay attention. No one can really eat whatever and whenever they want. It’s not healthy. People need to eat the highest quality, healthy food in the right amount and at the right time.

A big part of paying attention is in the amount of food they eat, and this translates into calories consumed. In You’re the Boss: Manage Your Disease, Dr. Epler writes that “increasing portion sizes have resulted in increased calorie intake. The number of calories in many prepared foods have doubled or quadrupled during the past 20 years. A typical muffin used to have 100 calories, and now the gigantic and inviting tasty muffin can have 400 calories or more. It’s an old concept, but paying attention to calories is still useful for maintaining a healthy weight.”

It’s important not to confuse the words portions and servings. A portion is the amount of food you put on your plate. A serving? That’s the specific amount of food defined by common measurements (like cups or tablespoons). But if you regularly take large portions, you may be getting more than you bargain for: the serving size climbs (sometimes to unknown and unexpected levels), resulting in too many calories and too much fat. The end result is unwanted weight gain.

Simply put, portion control is limiting what you eat; being aware of how much food you are actually consuming. With a little practice, it’s easy to do. So we came up with 5 Steps to Portion Control.

  1. Measure accurately. Keep your measuring cups, tablespoon and teaspoons handy – and use them.
  2. Learn what sizes mean. Associate common objects with serving sizes: a deck of cards is approximately a 3-ounce serving of cooked meat, fish or poultry; a half-cup is the size of an ice cream scoop; one cup is the size of a tennis ball; a 1-ounce piece of cheese is the size of a domino; one vegetable serving is about the size of a baseball.
  3. When eating out, take out. Restaurants are notorious for serving large amounts of food that go way over the recommended serving sizes. To prevent temptation to eat it all, ask for a container when your food comes, then scoop half of it into the container and take it home. Not only will you be eating a more reasonable portion size, you won’t have to cook the following night! Or if you like, order one entre for two of you, share it with your spouse or friend. Many restaurants will bring the entre on two plates already split in half for you, and these days, it’s usually plenty of food.
  4. Watch your plate (size). It’s easy to fill up a plate and eat mindlessly. Instead of filling up a standard 12-inch dinner plate, swap it for a smaller, 8-or-9-inch plate. Or, if you don’t have a smaller plate available, divide your large plate in half, filling up one half with vegetables; then divide the other half in half again and use one-half for your protein source and the other half for your starchy foods or carbohydrates.
  5. Don’t eat out of the bag. Rather than sitting with that bag of popcorn (it’s low-fat, you think, so it’s safe, right?), measure out a serving and put it in a pretty bowl, then dig in and enjoy. You won’t eat until the bag is empty; chances are you’ll slow down and savor what’s in the bowl and be satisfied to leave the bag in the pantry for tomorrow’s treat.

You might also want to read:

Take Control of Your Sodium (Salt) Intake http://epler.com/blog/diet

Exercise Your Way to Health http://epler.com/blog/exercise

3 Tips to Boost Your Energy

3 Tips to Boost Your Energy

Fatigue can really get you down, not only physically, but emotionally, too. Not only does a lack of energy sap your body of any forward motion, it can impair your performance by making you feel depressed and unmotivated.

Fatigue can have many different causes, among them chronic infections, anemia, kidney disease, congestive heart failure, hormonal disorders and cancer; overexertion, certain medications, and stress or lack of sleep. Some are serious, underlying problems that require medical attention, while others can be due to physical changes that go along with aging, or a result of a habit or routine.

But take heart: once you face the problem and get treatment your energy level will rebound. So, We came up with 3 tips to boost your energy:

  1. Get off the couch. Exhaustion may be a good excuse – or a good reason – for heading straight for the couch. But according to studies, light exercise – as little as 10 minutes a day – can replenish energy levels and help beat the “blahs” more than taking it easy can. Rather than making you more fatigued, a leisurely stroll is oftentimes enough to boost energy levels.
  2. Examine your sleep habits. By some estimates, people sleep 20% less now than they did a century ago. Mental stresses, insomnia, obstructive sleep apnea all can contribute to restless nights, leaving you feeling worn out the next day. Evaluating your habits (do you snore or have breathing pauses during sleep?), ensuring you get enough sleep (most adults require between 7 and 8 hours per night) and examining your personal habits (do you drink too much caffeine? Use a computer right before bedtime?) will help you come up with a useful strategy toward increased energy.
  3. De-Stress. A busy, stressful day can create enough tension in your body to use up a lot of energy. And rare (and lucky!) is the person who doesn’t have multiple days of endless demands put upon their minds and bodies. Deep breathing, yoga, meditation, listening to music or doing something you love can help you relax and break the pattern.