exercise

On: Tendons and Ligaments

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Tendons tether muscle, ligaments link bone.

But both can be damaged, become weakened, or scarred.

So how can we, both as practitioners and people, prevent this, or at least minimise its impact?

Prevention is always better than a cure, and therefore ensuring the tendons (when reading tendons, assume ligaments as well, although there are differences in all sorts of subtle ways) remain strong is vital.

Note – If you are currently taking medications, especially certain antibiotics, check with the pharmacy regarding soft tissue effects. For example, Fluoroquinolone antibiotics have a rare side effect with regards to soft tissue, so if you are prescribed those, it may be sensible to reduce training load during and after the treatment.

Tendons can be trained, like any other tissue, and research indicates that they respond best to cycles of isometric tension, of approx 10 – 30 seconds, with 30 – 50 seconds rest. Initially, it doesn’t even matter what joint position you are in, as long as the tendon is under tension, and pain free. Over time, you can increase the load and the number of cycles you carry out, to ensure continued development.

There is also some evidence that longditudinal supplementation with collagen (preferably from biologically similar connective tissue) is beneficial, especially when consumed with vitamin C.

Once you have a stable, platform, you can work on repairing any scarring or weaknesses in the tissue by using long duration concentric / isometric / eccentric training movements, through the pain free range of motion. For example, a squat under light load, with all three phases taking 10 seconds, although this time is individual.

Finally, there is also some evidence that early, and safe return to loading after injury can help reduce the time to competition, since the stimulus causes the scar tissue to form beneficially, rather than scattered.

TLDR: tendons can be strengthed, healthy tendons can increase your overall performance, isometric exercises are beneficial to tendon health.

The big secret the fitness industry doesn’t want you to know.

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They’re lying to you. They have been for years and maybe even they’re lying to themselves.

They’re selling you all these messages and machines and plans and regimes. And they’re not going to work, leaving you disappointed and looking for the next big secret. The next short cut.

So, what is the secret they don’t want you to know?

Exercise won’t make you lose weight. Diet won’t get you fitter.

All the booty classes and HIIT training and smoothies and shakes don’t work alone.

Maybe if you’re running 5-6 hours plus a week then yes. You may lose some weight. You are going to create a significant enough caloric deficit to see a difference. But not much and not for a sustained period. If you don’t back it up with a solid refuelling and recovery strategy.

You’ve got to do both, in the correct proportions.

Look at a visually super fit person, that influencer, gym bunny. Not only are they exercising frequently, they’re looking after their nutrition. They’re not completing the circuit class and immediately down the coffee shop for a syrupy latte. The inside is reflected on the outside.

Exercise is for fitness, nutrition is for weight management. The combination leads to improved health. Which is reflected in your physique.

You don’t need their latest method or protocol or supplement. It’s been said before but you don’t like it because it’s hard and slow and repetitive and dull.

  • Eat to sustain activity, refuel and recover.
  • Eat occasionally for pleasure.
  • Exercise to improve muscle mass
  • Exercise to improve cardiovascular health
  • Exercise to maintain balance and skill
  • Exercise because it’s fun
  • Do it regularly and seek healthcare advice when something seems wrong for a while.

Simple is not the same as easy. But consistency and iteration works.

On: Simple

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Simple is not easy.

Its simple to do the right thing in any situation, but most of the time it is neither easy to discern, nor to act on.

The discernment is the first and possibly most challenging step. This requires much reflection and patience.

Once you have identified the overall goal, it is easier to understand the steps to progressing.

To simplify, and once you have removed the obviously superfluous, you can also:

  • Delegate
  • Habituate
  • Automate

If there is something that you do daily, can you automate it? Is there a way of making technology support you, so you don’t need to worry about it?

If you can afford it and have no love for it, or no skill for it, can you delegate it?

If you have to do it yourself, can you make it a habit so that it is an unconsious process?

Looking at 2 common goals, weight loss and fitness.

Very broad brush and one reason why most people fail is that there is no end point, and therefore no positive feedback or marker of success.

Rather than weight loss, focus on improving a marker for health thats pertinent to your, whether that is HbA1c (a long term marker of blood sugar), cholesterol, blood pressure and so forth. The changes you will make to improve those will often have a positive side effect of improving your weight as well. Or, improve your height to waist ratio, which will have the same outcome.

How? Simplify – remove the things from your cupboards that you know tempt you, or ask people to reduce your access to them. Delegate: See input from a qualified professional who can provide both motivation and expert guidance towards your goal, not just an internet celebrity. Automate: Set up reminders,

With fitness, choose an event you wish to complete. Then tell people about it. By putting a public commitment up, you will have more drive to do the work necessary to succeed. And you will improve your fitness almost as a side effect.

Admin and organisation

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Most truly successful people have one secret.

A very simple one.

Not a ritual, or protocol or supplement.

Its a practice that they have either had thrust upon them or is inately part of who they are.

Good personal administration.

Making sure the correct item is where it needs to be when its needed. Making sure the correct paperwork has been filed.
Making sure they have kept up their contact network efficiently.
Making sure they have prepared to be on time the majority of the time.
Making sure they have the support network they need.

Some of us are better than others, many achieve fantastic things in spite of thier percieved inability to be “organised”.

More of us are discovering that we are neurodiverse and have been fighting an uphill battle against our own unique pyschology.

That feeling that we are pushing water all the time, while others are gliding smoothly ahead.

They are simply swans. Paddling furiously against the current while looking effortless.

For the rest of us, good admin means finding the correct tool. The unique system that allows you to remember where to be, when, and with what.

Not lots of them, as that adds layers of chaos, but one, or maybe two.

For me, it starts with mind maps and spider diagrams. this allows me to get the noise in my head onto a screen. Ideas are recorded in a notebook. Appointments are on a big wall planner. Family information goes on a white board in the kitchen. It all builds constructively and allows for good communication.

I like the pocket notebooks from Kurzgesagt (https://shop-eu.kurzgesagt.org/collections/pocket-notebooks) as I am a supporter of their channel, but you can find lot of others ways.

What has this to do with fitness, health and being a better human?

Everything.

If you find it challenging to exercise, as there is not enough time, find a tool that helps you choose. If you find meals and nutrition a barrier, look for a way of planning ahead and removing those blocks. If you’re under stress due to constant tardiness, take a few moments to look ahead.

For me, I am always slightly late for things as I remember a hundred other things that need to be done just as I’m heading out, underestimate the time taken to complete that task, constantly believe I can time travel, and can never find the kit and keys i need.

I’m working on it, and so can you.

Good admin can save the world, just a tiny bit.

Distraction

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What’s stopping you from making progress?

How do you even know if you are?

Far too many of us turn up to a gym environment, do random things, post about it on a social media channel, and leave again, thinking we are training.

That’s not training bro, that’s messing around.

If you’re mid way through a long cardio session, where you simply have to keep moving for a prescribed time or distance then perhaps letting your mind wander is no bad thing. Especially if it’s getting tough and listening to something else allows you to continue.

But for the rest of us, get your mind out of your phone and into your muscles.

Focusing on your form, the load, the way your muscles are moving has been shown to improve performance significantly, so why throw a free benefit away?

No one on Facebook is going to change your body, only you can. No one on instagram really cares about your latest posed bicep shot.

Stop distracting, start performing.

On: Inputs

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You are the sum of your inputs.

Obvious, really. But go deeper. Look in a mirror. What you see is the cumulative effect of your past.

You. Are. The. Sum. Of. Your. Inputs.

Everything you consumed, whether that is food, fluid or information. The external influences surrounding you. The choices you made.

Sometimes we cannot change our external influences. Whatever some 20 something instagram influencer may say, you always don’t get the choice about where you currently work, where you live or the demands placed upon you by life.

But you do get to choose the nutritional quality of what you eat, what you drink, the activity you do and how much time you spend on specific activities.

If you don’t like what you see in the mirror, start to change it.

Look hard. Not at the superficial aesthetics, but at your root health, fitness and attitude and work on those.

Less time idly scrolling through your phone, more time reading real books. Less pizza, more fresh food. Less sitting on your sofa, more activity.

Small positive changes can accumulate.

And of course, if you have any concerns with regards to your fitness, aches and pains and if you would appreciate professional support, we are here to help.

On: scheduling

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There are 5 main barriers to exercise and lifestyle change.

  • Enjoyment
  • Access
  • Convenience
  • Affordability
  • Environment

Enjoyment: if you don’t enjoy the activity you aren’t going to be able to sustain it. This is not the same as not enjoying it during, when it’s challenging and perhaps painful, but whether it provides a sustainable level of enjoyment that reinforces its benefits over the discomfort.

Access: if you can’t access the appropriate facilities to support the activity then you aren’t going to participate. For example, if you like swimming but the nearest pool is 15 miles away then you are not going do it. Similarly, if the only gym is in a building with stairs and you are less mobile then you won’t go.

Convenience: you’ve found an activity you enjoy and a place to do it. But the timing is wrong, the only available slots or classes are when you are at work, or putting the kids to bed then you aren’t going to make it work.

Affordability: even if the location is good, it’s an activity you enjoy, and the timings are convenient. Another block is affordability. If you cannot afford it you simply won’t be able to do it.

Environment: you’ve got the activity, you’ve got the access, you’ve got the convenience. You can even afford it. The last one is environment. If it feels wrong, or doesn’t allow you to feel right then you won’t do it. From dark streets in the ending preventing you in feeling confident running, gym bros laughing and filming everything, to a crowded and cluttered family lounge preventing a home workout, the environmental barriers can be quite subtle but significant.

Simply being aware of these potential barriers can help all concerned, from health and exercise professionals to patients and clients, plan and adapt their goals to better serve their outcomes.

On: Bowls

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Imagine, if you will, 3 bowls. These bowls are inside you, one stacked above the other.

The first is your pelvis. Already described as a bowl, it supports and holds all above it.

The second is your diaphragm. Separating the organs in your chest from the organs in your abdomen, it forms the top of the abdominal cylinder and should move gently as you breathe.

The third is in your upper chest, at the top of your lungs and about the same level as your collarbones.

This being a conceptual experiment, fill them with water. Then, think about the way you are standing or sitting. Are those bowls going to overflow? Is the water going to run out of the front, the back, even the sides?

Stand easily if you can, weight distributed in the centre of your feet. Soften your knees and ankles.

Then, come up to the pelvic bowl. Tilt it forwards and backwards, until you find the centre, neutral position.

For the diaphragm, you can feel if it is forward or backward and correct.

Ditto the shoulders. Allow them to open, don’t force, allow. A subtle external rotation and lengthening of the clavicle.

Once reflected and considered individually, check in again with all three.

This is probably one of the quickest ways of achieving optimal posture smoothly, balance the bowls, check how they move when you breathe and then, get on with the business in hand.

Of course, if you need help balancing the bowls, can’t find a neutral position or are struggling to fix it in any other way, please book in, we are happy to help.

On: Heat

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The UK and much of Europe is currently experiencing a heat wave (mid July 2022).

We are, by and large, not used to this although I fear that we may need to adapt, due to climate instability.

For those of us who enjoy activity, being active in the heat is a challenge and can be a medical risk for many.

Because not only do we have to take into consideration the temperature on a thermometer, but we also need to account for the humidity, since this has an impact on the body’s ability to lose heat. It is possible to run marathons in the desert more safely than a humid summers day.

Hydration status, electrolyte balance and other physiological conditions also have a role.

So how do we develop flight rules for exercise in the heat?

Firstly, know your body, and pay attention to it. Getting off the aircraft from a cool region and plunging straight into a desert marathon is asking for trouble. Allowing time to adapt and preferably having mimicked the conditions previously is a much smarter idea.

Secondly, understand your hydration and physiological status. Medically, you should expect a fluid balance of approximately 30ml per kilo per day. This does include the water in vegetables and fruit so is not just liquid water. You will also need to maintain a good electrolyte balance for yourself. If you are a ‘salty sweater’ (your t shirt develops white stains as the sweat evaporates or your lips taste salty) then you will need to replace more of both sodium and potassium in the correct proportions. Most sports electrolyte supplements cover this and advertising aside (we are not sponsored) Succeed caps, SIS electrolyte tabs and High Five electrolyte tabs have always done well during my endurance training career. Others are available and you don’t need the sugary sweetness of most sports drinks for anything under an hour anyway.

The other, under reported element to track during activity is heart rate. In general, if your heart rate is higher than you would expect for a specific workload, then you are possibly dehydrated and certainly accumulating heat stress, with your body finding it hard to stay cool enough. If it is dropping and you are struggling to elevate it to the target ranges then you may be suffering with cardiac fatigue. In either case, back off, drink, reflect and wait for it to settle before making the decision to go or no go. A personal rule is to take off 10 beats from my target heart in non acclimatised heat as a safety margin.

Summary:

  • Heat is a stressor
  • Acclimatise and adapt if possible
  • Hydrate using electrolytes if indicated
  • Monitor heart rate if possible and set yourself safety limits

Onwards and stay cool.

And of course, if you need more detailed input on optimising your training, resolving injuries and improving your health span, contact us.

Note: this article is a generic guide and not specific advice. If you have any health concerns or underlying conditions, seek support from your registered medical professional and care providers.

On: Gravity

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We exist in a gravitational field. You may not appreciate it for the most part but it has influenced your evolution for the past few billion years.

What we don’t tend to do it treat clients or patients in the appropriate gravitational plane. We barely even consider it.

And yet we wonder why we sometimes don’t have the success that we want when resolving issues.

We assess and examine while the patient stands or sits, then lie them down for our convenience.

Instead, why not examine and treat them in the plane that leads to dysfunction. This may lead to insights and interventions apparently disconnected from the presentation but linked and required.

Swimming problems? Standing exam is fine, but clarified in prone, sidelying or supine. Running issues? Listen to the body then treat sitting at the very least. Lower back pain? Get the patient to demonstrate relieving and exacerbating positions and listen, then apply your skill.

Want to create a relaxing outcome, then perhaps removing gravity is a good thing, unloading the heart and helping the lymphatic and venour drainage systems work effectively. But for more active therapies, it may be that following the gravitational field is a good idea.

Using gravity may well offer that differnce that can improve your practice.

Using gravity to change the relationship of the patient can pay dividends.