The Fitness Fixer

Fast Fitness - Fixing Your Handstand to Neutral Spine

2008-05-16T00:02:00.000-07:00

Last week's Fast Fitness showed a movie of how to step up into an easy handstand and get back down. This week shows a common pitfall - letting your lower spine sag under gravity - and how to fix it and hold neutral spine.

My student Dennis, Olympic medalist in wrestling, demonstrates:

Step your foot up behind you high onto a wall, then the other.
For the first 5 seconds of the movie, Dennis allows the lower spine to overarch (increase the inward curve) under the pull of gravity, a bad posture called hyperlordosis. It is not the normal inward curve, it is an easily changed bad posture.
At second 5 he changes the tilt of the hip and lower spine back to neutral spine. The action is like doing an abdominal crunch to bring the spine and torso just forward enough to be straight.

This technique practices the muscles and positioning for straight standing, making it better than just a handstand. If you want to gain abdominal strength, using neutral spine uses those muscles. An important difference in Fitness Fixer exercises is that they are not only exercises alone. All the techniques I developed are supposed to be used to train muscle function and positioning for when you stand up and walk away.

Use neutral spine, not only for handstands, but all you do. Examples are in Prevent Back Surgery.

Health Can Occur on Weekends Too

2008-05-14T10:45:00.000-07:00

The post How Strong Is Your Arm? - Readers Find Out tells how true fitness does not mean doing a bunch of exercises, then returning to slouching, criticizing, smoking, harming others, and putting damaging things in your body. Fitness is making the many aspects of your life clean and healthy. A reader (who I know to be a good person) wrote:

"Something that I find helpful for people around me and for myself, is to start with setting a milder goal. Like promising yourself you'll only eat sweets during weekends. Many who plan to stop cold turkey can't live up to that and end up feeling bad about themselves all of the time. That's not healthy either. ;-)"

I would not say the same about heroin or binge drinking or hurting the weak. I would not teach a child that it is ok to have unsafe sex or drive drunk, as long as it is "only a little" or only on weekends. Doing something you know is damaging or wrong (not just eating some sweet fruit or small amounts of jaggery, or honey if you are not vegetarian, but junk food that is damaging to body and environment) is not solved by limiting it to weekends.

"Feeling bad 'all the time'" because of it is also not a healthful strategy. Knowing something is not right is useful to change your behavior. If you feel bad and do not change your behavior what are you accomplishing? Don't use it as an excuse to continue unhealthful things just so you don't feel badly.

A useful plan is to think. We teach children not to drink automobile coolant, no matter how sweet it tastes. Pools of coolant on the ground have poisoned many animals who come to drink the sweet stuff. It is sweet as a sugary drink, but damaging to put in your body.

Posts on how to strengthen your health as daily mindset:

A book to learn healthy ways for all activities, from meals to exercise to daily life - Healthy Martial Arts.

Photo by Ctd 2005

Thank You Grand Rounds 4.34

2008-05-14T09:21:00.000-07:00

Thank you Grand Rounds 4.34 for including my post Fix One Pain, Don't Cause Another among the best medical posts of the week.

In a hospital, Grand Rounds is a lecture for doctors about a patient or topic. On the web, the weekly Grand Rounds is an electronic post that lists its vote for the best the best in online medical writing. Thank you David Williams at Health Business Blog for hosting this week. He called my post "mindful" movement, but Fitness Fixers know it is just common sense.

Fixing Pain and Golf Easier With Real Life Movement Than Isolated Exercises

2008-05-12T11:15:00.000-07:00

Jeff is a Silicon Valley executive, and coach of Next Stage. He found that a lifestyle of unhealthy exercise habits can accumulate, until one day of golf becomes "the Camel's Last Straw."

Jeff writes:

"There is life after back pain – even the kind where you can’t walk, sit, lie down, or sleep.

"The weekend before Thanksgiving (2007), I was out golfing, and I made a pretty bad swing at a ball that was buried in deep rough. My club got stopped by the deep grass, my back and arms kept going. I immediately felt a sharp pain in my lower back – so much in fact that I could no longer make a normal swing or even get down into a putting stance.

"I had to give it up after 6 holes and head home. I could still walk, but I couldn’t crouch and I had a hard time getting up out of a chair.

"Three days later feeling a little better, I headed out to the fitness center to do some treadmill running - NOT a good decision. After about 10 minutes, as I was cranking up the speed to a fast jog, I felt a searing pain in my lower back and down through my left thigh. From then on, I was toast.

"By the next morning I could barely walk. I had so much pain in my lower back and left leg I needed to support myself with a cane. I could barely walk or stand with the cane. There was no comfortable position for me, and I couldn’t sleep more than an hour at a time – even on pain killers and over the counter sleeping pills. Two trips to the chiropractor changed nothing.

"I did a web search, found Dr. Bookspan's web site, bought "Fix Your Own Pain Without Drugs or Surgery" and then even sent her an email telling what had happened. To my amazement, I got a personal answer (then another then another as I wrote with more questions and my progress). Dr. Bookspan referred me to the lower back pain part of her site, and I started doing the retraining exercises daily – and more importantly I started “living” the exercises, i.e., using them to get good body positioning and healthy movement into my day.

"In the beginning I could barely do the exercises, my pain was so extreme I couldn’t lie flat on my stomach or back without pain, not to mention doing upper or lower back extensions. (I wrote to Dr. Bookspan who found that I was overarching the lower back, when I was thinking I was straight. Wow! Consciously tucking the hip more reduced the pain significantly.)

"After a few days, things improved so I could perform the exercises better. I started to walk again – albeit with discomfort. (I wrote again and once again got the encouragement I needed, and realized the specific things I was not yet getting right. I was still overarching the lower back and that was preventing healthful motion.)

"Today, it is 5 weeks since worst of the pain. Thanks so much for your support. I am orders of magnitude better! I am walking without a limp – pretty much normal gait. I played 9 holes of golf this morning, walking a very hilly course, carrying my clubs. Yesterday I was on the treadmill doing some light jogging. All signs of discomfort are gone and I am gradually working myself back into shape. I am not taking any medications of any kind, and I am doing just great.

"I am working hard to incorporate the things I learned from Dr. Bookspan about movement, posture, and exercise into my daily life. It makes total sense to me that the positions you are in for most of the day have far more impact than 10 minutes of exercise. I feel like I have been to hell and back, and I definitely don’t want to make another visit."

Links used:

Fix Your Own Pain without Drugs or Surgery
Also recommended - Health & Fitness THIRD edition, How to be Healthy Happy and Fit for the Rest of your Life
Understanding the hip tuck to neutral spine - Using Abdominal Muscles is Not Tightening or Pressing Navel to Spine
Fast Fitness - First Morning Stretch
Lower Back Pain and Golf
Web site Back Pain Article.

Photo by aurelian

Happy Mothers Day

2008-05-10T00:02:00.000-07:00

Wishing everyone a Happy Mothers Day, for your mother, a mother, yourself, and Mother Earth.

Click Healthy Mothers Day for health and fun.

Photo by Araleya

Fast Fitness - Easy Handstand for Balance, Upper Body Strength -The Movie

2008-05-09T00:18:00.000-07:00

Here is Friday Fast Fitness - a quick, safer way to try a handstand. Standing on hands has many health and strength benefits and can be easily practiced in this way.

My student Dennis, Olympic medalist in wrestling, demonstrates in this short movie. Click the arrow to watch the movie:

Stand with your back about a foot in front of a wall, and crouch to put your hands on the floor (avoid slippery surface)
Put one foot high up on the wall, then lift the other foot up too
To get down, step one foot back down, then the other

To see step by step still photos and more explanation, click the post Fast Fitness - Easy Handstand where David from Belgium shows the handstand plus how to add a nice overhead hamstring stretch.

Keep breathing. Smile. Relax. Send in your own photos of trying this. Be safe and have fun.

Movie © by Jolie

Replies to Medical Questions

2008-05-08T11:01:00.000-07:00

Dr. Auerbach of the Wilderness Medicine blog wrote an important post for the many requests we get for personalized medical replies. It was so well said, I echo it here for readers of Fitness Fixer:

A fair number of comments from readers of this blog come in the form of clinical questions, in which someone asks for a response to a personal medical question. While I would like to be able to answer most of these, it is difficult to do that without more complete information, and in the absence of being able to examine the patient(s).

When a question or comment raises an issue or point of interest that is important for everyone, then I will try to address the topic in a separate post, rather than as an isolated answer to a question. In this way, more people can benefit.

Thanks for being a reader, and for your understanding.

Fix One Pain, Don't Cause Another

2008-05-07T09:51:00.000-07:00

When you stretch and exercise, especially if you stretch and exercise to improve your health, remember that the purpose is not to recreate unhealthy movement habits.

Two similar letters came in recently.

Reader Tina wrote:

"Thanks so much for your posts on stopping upper back pain. I have stopped my upper back pain. But, when I pull my neck and shoulders back, I get pain in my lower back. Which stretches should I do to stop this pain?"

Alicia wrote:

"I recently stumbled upon your articles on the Internet about how to reduce back pain. Thanks so much for providing this information! I am experiencing less pain for sure already… but I have a question. When I am keeping my neck back and shoulders back and correcting the lower back arch, I get a pinching sensation in the middle of my back. What am I doing wrong?"

Tina was doing a common unhealthy movement habit. She didn't need stretches to fix the pain; she needed to stop old injurious movement habits. Tina was leaning her upper body backward thinking she was pulling her shoulders back. Leaning backward is not correcting rounded forward shoulders, even if it seems to move the shoulders rearward. The shoulders have not moved at all just stayed rounded while the upper body pinched backward at the lower spine.

Leaning the upper body backward increases the inward curve of the lower back, making a sharper angle between the pelvis and the lower spine. That increases the normal lordosis (inward lumbar curve) to hyperlordosis, which put painful pinching compression on the area. The shoulders may even still be rounded forward, as in the photo at left. The two segments are different. The photo is a performer who had just finished a trapeze performance. All the exercise and stretching she did every day didn't change her bad positioning habits.

Slipping into familiar unhealthy ways of moving may be habits that occur without thinking. You need to think a bit.

Alicia was just pulling back so tightly that she pinched the area between the shoulder blades. There are sources that say that you should squeeze shoulder blades as if holding a penny between them to fix posture, but of course, that is painful and too tight.

Alicia wrote back:

"Thanks! That helps actually. The pinching was in my upper back, but it's gone now! Thanks so much for responding to me. I look forward to your class in July.
Alicia"

Pinching back does not fix posture or stop upper back pain. Instead, stop the causes of the rounded shoulders and the pain. These three posts help understand and fix the causes: First read and try Fixing Upper Back and Neck Pain. Then the second stretch is Nice Neck Stretch. The third stretch to help restore upper body positioning is Friday Fast Fitness - Better Shoulder and Triceps Stretch.

Don't exercise one area and hurt the next:

The post Change Daily Reaching to Get Ab Exercise and Stop Back and Shoulder Pain shows a photo of the common bad habit of leaning the upper body backward when raising the arms.
The post Prevent Back Surgery shows several photos of how people learn the upper body back or tilt the hip out in back during several common exercises, stretches, and daily activities. Both increase the pinching compression on the lumbar spine.

Remember to think and watch for causes instead of just *doing* exercises and stretches.

Photo taken by Jolie

Runner Fixes More Pain With Straighter Push-Off

2008-05-05T19:38:00.000-07:00

Last year, reader Ted fixed back pain by learning to use neutral spine during running and daily life. This week he checked in to say the back is still fine, and that he went on to fix other painful sites.

Fixing pain and injuries by doing some exercises may temporarily ease symptoms. Instead, you can stop the source of injury by making movement habits healthy while exercising and moving through daily life, so that you can get exercise at the same time that the area can heal, and the pain not return.

Ted writes:

"Dr Bookspan, last summer, you helped me return to running, and did an article on me and how the neutral spine fixed my back problem with running.

"The back is a NON ISSUE. Thank you so much.

"Currently, I am working on hip/hammy/knee issues (probably due to over-training). Just thought I would share a thought on the ''Duck Foot'' issue you had talked about (I read the Fitness Fixer religiously). While running on the padded infield of the Stadium Football Field, I was still noticing pains in my hip (caught my foot on the ''upswing'' during a run, hip has hurt off and on since October).

"I focused on my feet, specifically, how I pushed off after the foot-strike (very soft, I often scare other runners because they can't hear me coming up on them). A straight push off after the foot-strike made the pain go away (probably because it aligned my foot/knee/hip during the movement). Also, when the knee pain flared, tensing my quads made it go away.

"I have enjoyed reading your ''Running Articles' please keep 'em coming.
AND
Thank you for fixing my Back.
Much Appreciated,
Ted H"

"Ps. I got your new book (Health & Fitness THIRD edition). VERY good info, I'm trying to use it everyday."

To fix the source of pain, it works best to understand healthful movement retraining and not just "do" a series of rules. One important example is keeping feet parallel or facing forward. The idea is to understand that a straight push-off comes from keeping all the joints in the kinetic chain from feet to hip and spine from twisting in unhealthful ways, not just straighten one segment by twisting another. Yanking or forcing the feet straight is not the point of good positioning.

Ted has more helpful stories to come in future posts. Click these posts for more:

Photo supplied by Ted H

Fast Fitness - How to Feel Change to Neutral Spine

2008-05-02T00:10:00.000-07:00

Here is Friday Fast Fitness - Use a wall to learn neutral spine while standing, to know how to stop a major source lower back pain during standing, walking, and running.

Many people learn pelvic tilts lying on their back in physical therapy or fitness classes. What does that do? Little. The purpose of learning the pelvic tilt is to know how to do it during real daily life so that you do not overarch (hyperlordosis) and create back pain. My student Dennis, Olympic medalist in wrestling, demonstrates learning a functional pelvic tilt (he is holding his shirt away with hand so you can see better - you can relax your arms at your sides):

Stand with your back against a wall. Touch heels, hips, shoulders, and the back of your head.
If you allow a large arch in the lower spine there will be a large space between lower back and the wall. Press your lower back toward the wall.
Don't touch or force your lower back to the wall. Just learn how to tilt the hip so that the lower spine comes closer to it and reduces in arch.

Use a wall often to practice, then the idea is to hold neutral spine without the wall during the rest of your day.

Reducing a large arch back to neutral stops the painful lower spine compression on soft tissue and facet joints during standing activities (and bad pushups and handstands).

Another short movie that shows the same idea, without the wall - Friday Fast Fitness - Neutral Spine in 5 Seconds
Another short movie - changing hyperlordosis to neutral spine while holding a pushup position - Fast Fitness - Strengthen by Changing Your Plank
To learn why hyperlordosis causes lower back pain - Neutral Spine or Not?
Still to come - changing hyperlordosis to neutral spine during handstands.

Plantar Fasciitis Part I

2008-05-01T10:17:00.000-07:00

Raina and several other readers asked about plantar fasciitis.

On a house, a fascia is a flat horizontal surface just under the roof. In your body, a fascia is flat fibrous tissue that wraps your muscles and soft structures. You have fascia in several places. One is across the bottom of your feet. "Plantar” means the bottom of your foot that you "plant" on the ground. Your plantar fascia is the fascia on the bottom of your foot. Plantar fasciitis is an inflammation (-itis) of the fascia on the bottom of your foot.

Normal Plantar Fascia Action
When you walk or run with your feet facing straight ahead, the line of bending of the foot is straight from front to back. Each step gives you a nice, built-in small stretch across the bottom of your foot. As you walk, run, jump, and move, your plantar fascia transmits body weight across your foot. It is part of shock absorption for your entire leg.

How Bad Movement Mechanics Hurts
Several things can make the fascia tighten and hurt. Here are three. More to come in future posts:

1. When you walk or run with feet facing outward, the fascia loses the normal stretch. Over years of not getting its normal stretch, it becomes tight. Walking with feet facing outward also puts sideways forces on the fascia with each step. Over years, your foot can get strained. Walking with poor shock absorption, banging down heavily with each step can amplify strain forces on a tight fascia. Every step you take on a tight fascia yanks on the heel where it attaches. Eventually the heel and bottom of the foot get irritated from the yanking and start to hurt.

The tighter your Achilles and foot fascia, the more "normal" it feels to walk toe-out. In a circular problem, walking toe-outward is a common fascial tightener. It may be "natural" with tightness, but can increase tightness over time.

2. Letting ankles pronate (arches flatten) is another fascial strain. Keep your body weight evenly around the sole of your foot, not sagging inward on your arches, pressing them downward. Reader David from Belgium has made us a great short video of easily changing from rolling in on the arches to holding straight in Fast Fitness - Fix Flat Feet, Pronation, and Fallen Arches.

3. Hard sole shoes and some fasciitis braces stop the sole from getting the normal lengthening while walking, therefore stopping the pain from the stretch, giving the false impression that the injury is lessening. It is a negative cycle of shortening and continuing the source of the injury. Injections briefly make the area more prone to injury. Pain pills allow you to continue the injury process without pain telling you that it is wrong. Several kinds of anti-inflammatory and pain medicines interfere with healing. Wearing high heeled shoes raises the heel, shortening the length of the Achilles tendon, putting less stretch on the tendon, the lower leg muscles, and the fascia of the foot.

Fasciitis can be quickly stopped. It does not have to be chronic. "Doing" a few stretches does not undo a lifestyle of shortening, tightening, and straining. Use good body movement for all movement to allow it to heal and be functional.

Helpful links to move in healthy ways to stop plantar fasciitis:

Fast Fitness - Fix Flat Feet, Pronation, and Fallen Arches
Which Shoes Help Exercise, Fall Prevention, and Ankles?
Arch Support Is Not From Shoes
Better Achilles Tendon Stretch
The book Fix Your Own Pain Without Drugs or Surgery has a section on fasciitis, the many unhealthful lifestyle contributors, and simple lifestyle fixes to build into daily life and your exercise classes.

Photo by sergiok

How Strong Is Your Arm? - Readers Find Out

2008-04-28T14:17:00.000-07:00

Readers have been writing in since the post How Strong Is Your Arm? They wanted me to know that they first thought they were strong because they lifted weights or went to exercise class, then realized for the first time that they thought they can't improve what they say, do, think, or eat, and were not strong as a human being.

Reader Dean e-mailed that he had previously thought that stress made him eat, and that it was "just natural." Then he realized that he was eating on purpose because he was angry, and thought it was his only way of showing he could do anything he wanted. Then he realized that doing that wasn't strength and control, but lack of it.

Reader Ivy wrote:

"Once again, I am back at the farm house/animal sitting for a few days. Little did I know that my "strong arm" was going to be put to the test. Last night while preparing my evening meal, I opened the pantry door and what do I see but a chocolate/rocky road cake covered in M & M's. I quickly shut the door then, after a few minutes, temptation took over. I decided that maybe I could have just a little wee bit, knowing full well that one piece would not suffice, I would want more - once a chocoholic, always a chocoholic. Who should come into my mind but you Dr Jolie and your post "How Strong is Your Arm" plus the fact that I had (replied to that post with a comment) telling the world that my arm is strong. Needless to say, the cake stayed where it was. On reflection, I still cannot believe that, after all this time, I would even consider eating such food. I would like to assure you and your readers, that should I have given in to temptation, I would be standing up and saying that my arm is not as strong as I thought."

Ivy had also written me in the past asking what to do when people insist that you should eat their unhealthful cooking at get togethers or give her gifts of unhealthy junk food. When Ivy politely refused bad food and explained she wanted to be healthy, the people were not understanding or enlightened, but disrespectful and insistent. I e-mailed Ivy that she could try accepting the bad food with a smile and a sincere thanks for caring to give a gift, and give it away to someone who wanted it. Ivy sent this update:

April 4
"I thought this little story might interest you. It is amazing how ones life can change.

"Marrianne, a friend of mine has just phoned to tell me that she has become a vegetarian. She is a little younger than me (note - Ivy is 71) and has not long returned from a trip to Nepal. She told me that while there she ate with the people and you would be aware that these people are vegetarian. Since returning to New Zealand she made the decision to change her way of life. She now appreciates the difficulties I have come up against these past two and half years, by that I mean re well meaning friends who make negative comments etc. I gave her the piece of advice that you gave me re being given food that you don't want to eat - accept it gracefully and give it to someone in need.

"I was also able to pass on advice re foods she needs to eat to keep healthy which pleased her. As I mentioned to you a week or so ago, healthy food has become my passion.

"Tomorrow we are having a get together here in the village. It is to be held out doors so hopefully, the weather will be kind. No doubt there will be lots of cakes, muffins and scones to eat plus wine to drink. I am going to make up some snacks of walnuts, raisins and blueberries. As I said to Marrianne, one has to harden up when people make rude comments re what one eats. I, personally, make no remarks re what others eat, I would like to think that others give me the same respect.

"Finally, over the past few weeks, on two separate occasions, women who I have not seen in over a year, have made remarks just how well I look. One of them said and I quote "Ivy, you exude health." This, of course, pleases me."

This e-mail arrived after the get-together:

April 5
"There were 27 residents at the get together and not one of them tried my walnuts and blueberries. Instead, they ate the pastries, cakes, pavlovas, desserts etc.. In saying that, I will say this "no wonder we have such a high obesity problem in this country."
"Hugs Ivy"

Then this:

April 9
"I truly believe that I have beaten my addiction to chocolate. This morning I am feeling a little distressed re the news that my dear friend Joan who will be 87 in a couple of months time, had a fall. She will be fine, her only injuries being bruises plus a grazed elbow. One of my neighbours called by to give me a couple of chocolate cookies her words being, "You will be feeling upset about Joan and I know how much you love chocolate." I took your advice and thanked her then, (did not eat them).

"In the past, those cookies would have gone straight in my mouth. Even though I was tempted to eat chocolate cake a couple of weeks ago, I truly believe that I have the addiction under control, in fact, I am patting myself on the back. Just had to share my little story."

Fitness does not mean going to a gym, then going out slouching, smoking, to eat unhealthful food, and thinking unkind things about other people. Fitness means making the many aspects of your person clean and healthy. Don't harm yourself with bad thoughts, deeds, actions, and taking in unhealthy things in your body.

If you want self control, exercise it to become strong.

Photo by dperdue

Fast Fitness - One-Legged Party Trick for Strength, Flexibility, Balance

2008-04-25T07:44:00.000-07:00

Here is Friday Fast Fitness - have fun while building balance, flexibility, coordination, concentration, and leg strength.

Stand on one foot with a can or other small container on the floor in front of you
While balancing on one leg, bend to lower yourself toward the floor
Retrieve something fun from the floor with your mouth - no hands.

This is a fun one for kids and adults, for parties, or simple physical training.

Ideas: retrieve a paper cup from the floor filled with something good to drink, or a healthy treat, coins, notes, or small gifts.

Think first and do it safely. Keep back leg lifted, not both feet on the floor, to reduce outward force on discs. Switch legs to practice both sides.

Photos by Jolie

Voting Is This Week - Healthline for Webby Award

2008-04-24T09:12:00.000-07:00

Healthline has been nominated for Best Health Website for 2008. The "Webby" Awards are called the "Oscars of the Internet." Readers decide winners through on-line voting. Voting is only open until the end of April. Healthline has asked us (the Health Expert columnists) to mention it. Here is what and how:

To win the People's Voice Webby, cast your vote for your favorite health site (hopefully Healthline):

Go to People's Voice Webby Awards http://peoplesvoice.webbyawards.com/
You need to register. Registration is free.
Once logged in as a registered member, choose Healthline from the drop down menu "Select a nominee" at the top right hand side of the page.

Voting is only open until the end of April. Vote now while you are thinking about it.

Webby Award winners will be announced May 6, 2008, and honored at The 12th Annual Webby Awards in New York City on June 10th.

According to Wikipedia, the Webbys are famous for limiting recipients to five word speeches. In 2006 Cute Overload said, "Not bad for posting kittens" and TripAdvisor said, "Because some hotels really suck." At the 2007 awards, David Bowie's speech was, "I only get five words?

What should be ours?

The Webby Award nomination and voting is for all of Healthline, not just the Fitness Fixer.
Vote: People's Voice Webby Awards

Thank You Grand Rounds 4.31

2008-04-24T09:06:00.000-07:00

Thank you Grand Rounds 4.31 for including my post Feeling Better Than She Ever Has Part I - Fixing Herniated Disk and Reclaiming Active Life among this week's selections for the best medical posts of the week.

In a hospital, Grand Rounds is a lecture for doctors about a patient or topic. On the web, the weekly Grand Rounds is a collection of the best in online medical writing. Thank you Val Jones for hosting this week.

Junk Food Through Your Skin?

2008-04-21T12:46:00.000-07:00

We live part of each year in Asia. For a few months, I was posting articles for you from various villages. The town shower of one is pictured at right. Imagine what the Internet café was like.

On the flights over, our only bag was lost. US transportation security required us to check our sole knapsack, since it had a small gift for friends containing liquid. It never reappeared. We don't need "things" and it was just as easy to make our own soap, comb, and toothbrushes as carry them.

In Western stores, I am astonished by the number of "personal care items." Not just shelves full, but aisles. Each promising better hair, skin, nails, and other parts, but with ingredients that are not healthy for your body, produced in ways that pollute the world, and packaged in plastics that are unhealthy to produce, pollute when discarded, and which apparently leak chemicals into the product that can be absorbed through your skin - see Green Water. A study commissioned by the Organic Consumers Association found that even shampoos, body washes, and lotions labeled "natural" and "organic" can contain unhealthful, even carcinogenic compounds.

I feel high maintenance just carrying a toothbrush. Then we arrived without even that. What freedom.

We made simple hand sanitizer from coarse salt, rubbed between the palms.

For body, face, and hair, we picked aloe leaves, squeezed out the gel inside, and rubbed directly on - see Fast Fitness - Aloe Inside and Out. It dries non-sticky, and makes your hair shiny, clean, and healthy. We used the rest of the gel in food and drink for healthy digestion.

Bamboo is easily made into cooking pots (photo above left). We also visit our favorite bean sprout PadThai restaurant - an outdoor wok on wheels run by a friend. Paul is always popular when we travel (photo at right).

Baking soda and salt makes clean toothpaste. Even without them, a short branch called a neem stick with one end mashed until fibrous, makes a soft, effective bristled toothbrush. Neem extract is said to be a good antiseptic, and effective against various health ills and germs.

After a long day at work and after hard training, instead of hand lotion, you can rub sesame or other light healthy cooking oil onto your hands and feet. You can scent it with mint leaves, citrus peels, spices, and flowers. More ideas in Healthy Mother's Day.

I don't use sunblock, even in the tropics. I do use something to stop some of the unwanted effects of too much sun, but I do not want to block the Vitamin D and other helpful effects of sunlight. Vitamin D deficiency can lead to osteoporosis (thin, brittle bones) and osteomalacia (rubbery, demineralized bones). Vitamin D deficiency is associated with increased risk of a few types of cancer, including lung cancer. Studies find that people with low blood levels of vitamin D were more likely to have high blood pressure, cardiovascular disease, and type 2 diabetes. Another study found that a number of patients with aches and weakness were vitamin D deficient and concluded, "A lot of 'fibromyalgia' may be D deficiency."

Instead of blocking or deflecting UV rays using chemical sunblocks that may contain chemicals that I am not sure are healthy, I mix my own, that I hope stops the oxidizing effects and makes my own body better able to stop skin cancer mechanisms. I mash together fresh coconut pulp, green tea, vegetable sprouts, mashed turmeric root, and aloe gel.

A study by Johns Hopkins researchers, reported in the Proceedings of the National Academy of Sciences (October 30, 2007, vol. 104, no. 44, 17500-17505) found that rubbing an extract made from broccoli sprouts on your skin may help prevent skin cancer from high levels of ultraviolet (UV) radiation. Broccoli, and the sprouts in particular, contain a chemical called sulphoraphane, which is found to activate cancer-fighting enzymes in your own cells throughout your body, not only skin cells.

Instead of chemical anti-mosquito products, we try various things. Marigold flowers rubbed on the skin seem to work for us. I don't seem to be "sweet," and mosquitoes often ignore me while going after Paul. We have heard various theories from locals. One is that he eats sweet rice while I eat more garlic. Various grasses rubbed on the skin also work well for us. There are vines growing in Thailand with beautiful purple flowers. When you rub them on wet hair, it leaves your hair soft and shiny and sweet smelling, but the bugs do not like it. There are other vines that, when mashed with water made effective gentle soap and mosquito control combined.

In Asia, martial arts training is often more rigorous and disciplined than is common in the states. After hard evenings of training, I would sit by a candle made from oil and tightly wrapped bamboo leaves, and rub salt and oil into my, and Paul's, tired feet. Bliss.

You can exercise for your health. Why undo that by eating junk food - Is Your Health Food Unhealthful
or by adding junk food to your brain through thinking unhealthful thoughts - Healthier Heart
or with junk food directly through your skin.

The biggest worry for Paul is just ducking the doorways.

Fast Fitness - Sprain Prevention and Rehab Training

2008-04-18T05:44:00.000-07:00

Here is Fast Friday Fitness - feel how your own muscles work to hold ankle position, so that you can have stable ankles without artificial shoe supports or bracing, which weaken the supporting muscles from disuse:

Stand with feet parallel and look in a mirror where you can see your feet, or just look down.
Rise to toe and hold
Keep body weight over big and second toe with straight ankle position as you remain on tip-toe. Don't let your weight shift over the small toes, allowing ankle to bend outward.

Click the arrow to see this short movie of my student Diana's feet, as she first allows rolling the ankle outward when rising to toe, then at second 3 in the movie, she uses ankle, foot and leg muscles to pull to straight neutral ankle position. She prevents outward rolling as she again rises to toes three more times.

Prevent rolling outward whenever you rise on toe or push off or land from a jump or step.

Developing positioning sense in the receptors of your ankles prevents the sprain-promoting position called inversion, and gains built-in foot and ankle muscle strength and stability. Nice foot stretch too. Practice balancing on tip-toe, and rising up and down without rolling outward every day.

Non-Plastic Non-Aluminum Sports and Fitness Food Carriers

2008-04-16T08:51:00.000-07:00

Readers were excited by the post Green Water which tells some of why the fitness craze of bottled water isn't healthy or necessary. You don't need that much water, and the containers are unhealthy in themselves in many ways. My student Lily found a site for us - KleanKanteen.com with stainless steel containers. This is an alternative to aluminum containers.

See what you can do to reduce litter and unhealthful packaging. It's cleaner for your spirit and the world. For travel, lunch, healthy things to eat after work and exercise, I pack everyone food wrapped in grape and banana leaves, and make edible little transportation boxes easily out of large leafy greens, sealed with a toothpick or just folded.

See Lily demonstrate healthier hip positioning for lunges and anterior hip stretch in the post Lunges and Beans, and see her quick healthy good tasting recipe for beans.

Thank You Grand Rounds 4.30

2008-04-16T08:42:00.000-07:00

Thank you Grand Rounds 4.30 for including my post Tax Preparation Health among this week's votes for the best medical posts of the week.

In a hospital, Grand Rounds is a lecture for doctors about a patient or topic. On the web, the weekly Grand Rounds is a collection of the best in online medical writing. It is a lot of work for the person hosting. Thank you to Womans Health News from a medical librarian, for hosting this week.

Feeling Better Than She Ever Has Part II - Fixing Herniated Disk and Reclaiming Active Life

2008-04-15T11:15:00.000-07:00

Barbara lives in a little town of 300 people in Yukon Canada - map at right. Part I of Barbara's story last Wednesday described why it didn't take six weeks to fix Barbara's herniated discs and severe sciatic pain and numbness, but it was six weeks until the "light went on" and she did the things to stop the cause of the injury, so it could stop hurting and start to heal.

Here is an insider's peek behind the scenes week-by-week:

"Dear Dr. Bookspan,
"This is a bit of a long one, and probably reaffirms everything you've ever received in hundred and hundreds of emails and stories, but I wanted to share this with you anyway. I can’t thank you enough for working hard and sharing all your knowledge. I am almost completely pain free!

"After 6 weeks of severe sciatic pain and numbness and weakness of my left leg and foot, something just clicked on Thursday night and I became more determined than ever that I could get rid of the pain. Through your website, the Fitness Fixer, and reading lots of personal stories (on your web site and book), I realized that I had to fix (the) causes. I know this might sound dramatic, but you’ve changed my way of life.

"Pre-sciatica lifestyle:
"A cycle of: 1) a few months, everyday, of "power" exercising with all the unhealthful postures and movement habits you talk about, then sitting at the computer in all the unhealthy ways you talk about and drinking coffee and smoking, feeling like I’d accomplished something in my day; 2) followed by a few months of complete laziness (not even power exercising). Power exercising consisted of running (without stretching at all) with bad form, and Hatha Yoga (forcing myself into the stretches and tons of forward bending).

"Sciatica struck.

"First two weeks:
"I did absolutely nothing about it. I read stuff on the internet and was convinced from the stories that I had some debilitating disease that would affect the rest of my life. I thought the cause was that I didn’t keep up with my "power" exercising. But, I continued to sit bent forward in a chair, hunched over, bending wrong, doing yoga forward bends, smoking and drinking coffee. I know, how sad."

Here are posts and information Barbara used:

Why bad forward bending is a major mechanism in disc degeneration and eventual bulging and herniation: Disc Pain - Not a Mystery, Easy to Fix
Avoidable sources of bad bending that go unnoticed in common exercises: Common Exercises Teach Bad Bending
How to avoid herniating forces on the lower back discs during yoga and fitness stretches for the hamstring:Healthier Hamstring Stretching

"Third week:
"Had to go back to work in the morning, teaching 4 and 5 year olds in a kindergarten class; in the afternoon, teaching reading strategies to Grade 1 and 2's - sitting in a chair all afternoon. No longer could I hobble around the house holding my backside and leg - full on activity - and pain, tingling, numbness in my left foot, and total weakness in my left leg. Felt like I was walking around all day with a Charlie horse going down my entire left side. Amidst all my continued Internet searches, stumbled upon your website when a friend said that slight forward bending doing dishes and getting ready in the morning leaning over the sink might be a cause. Your website made so much sense to me - if a slight forward bend is a bad thing, how much more unhealthy would my Hatha yoga program be, with all its constant forward bends. I might add here that the two people at work who talk about slight forward bending being a bad thing continually hunch forward while sitting and exercise using forward bends. Just something I’ve begun to notice."

Major news stories quote physicians saying that back pain is often a mystery and that no one knows why stretching isn't working. My readers regularly report that once they understand the simple principles, they see the unhealthful positioning that causes pain frequently - at the gym, in fitness magazines, and in exercise videos and classes:

Barbara continues:

"I started with lying on the floor propped up, upper and lower back extensions, pec and trapezius stretches, isometric abs, being continually aware of my posture and not doing ANY bad forward bending. Tried to do the lunges and squats for daily good bending, but my muscles were so weak and I practiced them half-heartedly. I tried to apply them in daily life but life seemed so fast-paced at work and I was in so much pain constantly, that I would get _ way into it and then just try to lean to the side to pick things up - result, I was contorting my body in very odd ways! I ordered a support brace and special support backrest (now I know why I never needed them) and seat cushion for my chair from other web sites, but also ordered your book Fix Your Own Pain, along with a few of your other books."

These are some techniques used above:

Lie on floor propped on elbows - Fast Fitness - First Morning Stretch
Pectoral stretch - Fixing Upper Back and Neck Pain
Trapezius stretch - Nice Neck Stretch
Lunge for daily good bending - Strengthen Legs Without Knee Pain - Standing Lunge
Half squat for daily good bending - Free Exercise and Free Back and Knee Pain Prevention - Healthy Bending.

"Fourth Week:
"Limping and terrible pain, my boss told me to visit the nurses station -living in a town of 300 in the far north, we have one general store and a health centre, doctor visits once every two weeks - and take every afternoon off during this week to rest up. He still needed me at work in the mornings. Taking my new prescription of Naproxen and trying the lunges and squats and some stretches but not really trying to apply them to the rest of how I was moving and bending and sitting. I would be in quite a bit of pain coming home from my mornings at work. In the afternoons I would basically throw in some stretches, but generally read (sitting badly) and nap for an hour. A lot of the pain would dissipate after my stretches and a good nap - only to be set into full force the next morning at work.

"Your book came in on the Friday and I was very excited. I read through it and practiced the retraining stretches that show how to restore straighter positioning throughout the day. I felt much better by Sunday night with the stretching. Still only half-hearted attempts at lunges and squats."

"Fifth Week:
"Decided to start my morning off by doing my full range of stretches instead of sitting in the computer chair smoking and drinking coffee. I felt pretty good when I left for work. People at work were starting to call me "feisty" saying that I seemed to be walking better (that was probably because of my better posture from applying your method instead of just doing stretches!) Sitting in a chair almost killed me - after 25 minutes in a chair the pain was almost unrecoverable - to be endured for the next hour and a half at work."

Barbara was getting the idea about healthy movement, but was sitting in the same way that causes discs to be pressured. She thought it was "taken care of" because she used a commercial lumbar support she purchased the first week. However she was still sitting in unhealthy ways, right over the support:

Barbara continues:

"I could manage the pain better with frequent relaxing on my stomach propped up on arms and stretching, but I never felt complete relief until I got home at night. I still didn't realize it was bad sitting position, so decided to get rid of my chair and stand to teach. This was better, but the pain still kicked in(especially in my left buttock!). Once my left buttock got hit with pain it went downhill - down my whole leg, followed by the numbness and severe tingling. Midway through the week I went to see our visiting doctor - quick visit and the prognosis that I had a herniated disc L5-S1. He said it would heal. I was feeling pretty positive about this, as it seemed to coincide with what you say about herniated discs. Meanwhile, the sciatica was taking it out of me. I felt I was always either in pain, or awaiting a painful episode. I made it through, relieved that the weekend was underway. I decided to trying walking - every couple of hours I'd walk on my treadmill for 20 minutes and then do my stretches. I did this two times in the day, and then went for a walk outside in the evening (-35 degree weather so I bundled up really well). My dog and I headed out for what was to be the most agonizing walk for me. Half hour into the walk I started to get that butt pain but I was only half way home. By the time I got home after an hour walk, I wanted to hit the roof and I although I could alleviate some of the pain through lying on my stomach propped up, and stretches, I could still barely sleep. I was also completely consumed by whether or not I had slacked in my posture somewhere along the line while I was walking, or whether I was too tight or loose (still missing the big picture)."

"Sixth Week:
"Still determined. Began the week at an all-day staff meeting where I lay on a gym mat on my stomach, propped up on my elbows- all day. Stretching at lunch and a couple of other times I walked out of the meeting to stretch. It almost floored me to do a 20 minute standing stint that we had to do during our meeting. Followed by a 2 hour course via video-conferencing where I did the same thing. When I got home the pain was less and I didn’t want to "over-do" it again, so I gently did my stretches throughout the evening- I didn’t try to walk. Next day at work, the pain was pretty bad from the beginning, but it was -60 degrees F outside and not many kids came to school - more time out to stretch when I needed to. Wednesday - more of the same. I tried to walk at night but got discouraged when I couldn’t walk for more than about 10 minutes without pain. Thursday - same thing, but I almost ran out of the school at the end of the morning to go to the nurses station. (We both wrongly assumed that I had overdone walking, not just walked in injurious ways.) She prescribed more Naproxen and told me to make sure that I walked but more frequent intervals. She also told me to keep stretching, but that lunges and squats were simply out - don’t do them. I kept wondering about this advice as I reread Ivy’s story and looked at the pictures of her doing those amazing squats and lunges. I spent most of my evening on the internet reading and rereading stories."

Walking wasn't Barbara's problem. She was overarching the lower spine while walking, making a hidden problem - Spotting Back Pain During Running and Walking - What Do Abs Have To Do With It?
Barbara was lying face down propped up on elbows for long periods in a way that hurt instead of help. Instead of letting the entire spine gently extend backward so that the upper back "unrounded," she was "folding" a crease at the lower back, increasing pinching in the lower back.
Posts about how reader Ivy stopped the same sciatica problem: Inspirational Ivy and Inspirational Ivy II - Beating Foot Drop and Sciatica, and Getting Healthier

"Friday of the Sixth Week: True Awakening!
"I took Friday off work and first thing in the morning while I was doing my usual morning stretch routine, it just hit me! I became so obsessed with my posture, thinking that stretches should magically make my pain disappear, but I wasn’t viewing my body as how I used it during regular activity; I was also very guilty of giving up on certain things when they got "too hard" (lunges, squats). My balance was bad (despite trying to practice it while putting on my socks and shoes), my walking gait was horrible, I wasn’t really trying to do anything that required some effort, and I was continuing my bad habits of resting for hours before I tried to get back up and stretch again. Having reread some of the personal stories, I worked on my walking: feet straight ahead, feet hip-distance apart, heel to ball of foot, using my whole foot to walk - I was so focused on posture that I was holding myself stiff while walking instead of walking naturally with a bit of rotation at the waist). When I thought I was using my muscles, I was really just tensing them right up instead of truly using them. Reading posts and walking also made me realize how tight my Achilles tendon, hamstrings, and hips are. I decided to work on this through my stretches too. Next hour I was back up and walking, and stretching those areas after (using a counter to hold onto while doing a full squat, doorway hamstring stretch, and stretching my hip sitting on a chair rather than lying on the floor). Every hour I walked and stretched, and every walking session was longer, every stretching session I could actually stretch farther! Halfway through the day - now it was time to really engage myself in those lunges and half-squats - just do them and do them properly - no excuses - I need them for everyday life and unless I go beyond what I think I can do, I’ll never get to that point. They’re definitely not just part of an exercise routine, but unless I could do them with strength and stability in my living room, I knew I couldn’t do them in a fast-paced setting when I needed them.

"Time to stop making excuses. I was up and about constantly all day, walking, lunges and squats, stretching. By the end of the day, I can’t even describe my feeling of elation when I went to bed completely pain free, with my left leg hardly stiff at all, and some of the numbness in my left foot gone! Actually having been rather lazy, and in fear of lunges and squats doing more damage, they turned out to be the best stretches and strengtheners...now why wouldn’t I want to use these in all situations to get a beautiful natural stretch during my day! The confidence and calmness that all using your principles, and truly using my muscles to engage in activities is giving me give is fabulous. Not to mention all the energy! This is a new way of life for me. And quitting smoking is not a different story...it’s the same story...and my next step is to look into my eating habits and to quit smoking. It’s my life and my body is a temple...I’m sick of mistreating this temple with lethargy and apathy. No more unhealthy exercises in "power" work-outs and yoga for me...strength, balance and flexibility will is every moment, every day. Now I'm ready for your Healthy Martial Arts book...

"Thank you! Thank you! You (and Ivy) are my inspiration!
Wishing for you all joy and true happiness in life (which I know you already have :) ).
"Fondly, Barbara

"I'm truly thankful for your hard work and great insight into pain and how to live healthy in every day life!!

"PS I was frightened when I was told I had a herniated disk at L5-S1, and this was great news to me as I know I'm healing and I won't need any physiotherapists, etc. to help me through this! Your book Fix Your Own Pain is amazing - I think I've almost memorized it; two people at work have borrowed it already (including my boss) - I think they're seeing how much it has helped me. I'm thinking about giving your book to people for Christmas."

Summary "take-home" message - Barbara found that she doesn't have to "do" any exercises. That is the difference with this method and others. Moving for daily activities using the retrained healthful positioning stops the source of the injury. At the same time, it just happens to give much built in functional healthful movement. That is how exercise is supposed to be - a natural part of your human life.

There is more good news to Barbara's story, but that's enough for now.

Barbara's book source www.DrBookspan.com/books

Fast Fitness - First Morning Stretch

2008-04-11T14:07:00.000-07:00

Here is Fast Friday Fitness - straighten out first thing in the morning and help your back feel good.

Instead of sitting on the bed first thing in the morning, which loads the discs, try this:

Before getting out of bed, turn face down propped gently on elbows
Hold briefly
Get out of bed without sitting.

Don't droop your head downward, jut your neck or chin forward, hunch your shoulders, or fold back sharply at the lower spine. Find a low gentle position that makes your whole back feel good. The idea is to feel better and straighter, not strain, force, or make your posture worse. That would be silly.

For most people this first morning stretch works well. If it hurts your lower back, go to a lower position. If you flatten completely straight and still feel pain or pinching in the lower back, then how can you stand up straight without the same problem? Don't use this First Morning Stretch until you find why it is not comfortable. One common reason is front hip tightness. Try the Quick Relaxing Hip Stretch.

Photo by David from Belgium

Tax Preparation Health

2008-04-10T09:25:00.000-07:00

Taxes are due April 15th. Piles of papers, forms, schedules, receipts. Readers have asked how to be healthier while working at the desk, and how to keep their cool during tax preparation.

Several readers asked how to stop neck pain when looking down over deskwork. Reader John M, specifically asked "How do you suggest someone look down (to look at a chart etc at work) without pushing the (herniated neck) disc out more (or aggravating symptoms)?

Three photos above show tilting the neck forward and/or jutting the chin forward. Holding the head forward of the neck and body is a major source of upper back and neck pain. The "forward head" is hard on the soft tissues, the joints of the vertebrae called facets, and the discs of the neck, and is a major overlooked cause of "upper crossed syndrome." The forward head is just a bad posture, and easy to stop. It is not necessary to jut the neck or chin forward to look downward.

Check how you are sitting right now. Are you letting your neck hang forward, are you jutting your chin forward, or are you pushing or rounding your neck and upper body forward? Instead, keep chin in, loosely and gently. If needed, bring your chair closer in closer to the desk and lean the upper body back instead of rounding your lower back against the chair back and leaning the upper body forwad.

To look down comfortably - tip chin down in relaxed straight position instead of jutting the head and neck forward. That is healthy positioning for everyone - injured or not. No need to lean or hang the head or neck forward, or round your upper back to look downward.

More posts with quick techniques to feel better during desk work:

Stretch upper body in your chair - Tax Stretch
Stretch and relax upper body - Quick, Feel-Good Upper Back and Chest Stretch
Stretch and relax lower body - Quick Relaxing Hip Stretch
Stretch and relax your breathing - Do Breathing Exercises Work?
Stretch and relax your spirit - Fast Fitness Friday - Strong Spirit.

Forward head photo 1 by Kevin K. Luu
Forward head silhouette photo 2 by äÁÇ»Çµ
Forward head writing at desk photo 3 by My Hobo Soul
Straight good cooking posture photo by Presta