The Power of Suggestion
I’m not known for quoting Buddha, but I do like his statement, “We are shaped by our thoughts. We become what we think.” People really do underestimate the power of their mind. What we think will happen tends to be what actually does happen. We call these “self-fulfilling prophecies,” but in the medical world, they’re known as the “placebo effect” and the “nocebo effect.”
Exercise Myths
One of the definitions of a myth, according to Merriam-Webster, is “an unfounded or false notion.” Despite being inherently false, it seems like myths take on a life of their own, circulating for years, even decades after being disproven. Remember being told that if you sneezed with your eyes open, your eye balls would pop out? Or that if you drank soda while you ate Pop Rocks, your stomach would explode? And don’t forget the popular “drink a cup of coffee to sober up” line of thinking (sorry, this just creates a caffeinated drunk, but the person is no less drunk for it).
5 Things That Make Us Old
Yesterday I was out making a purchase when I noticed a sign advertising the store’s senior discount. I asked the cashier what age qualified you for the price cut. Good news: I’m not there yet, but it did get me thinking about getting older. It’s happening to all of us, continually, and there’s nothing we can do about it. Yet why do some people seem to age better than others? Genetics surely has something to do with it, but are there other factors besides the clock and our genes? The answer is…yes!
Another PT Christmas
Happy Friday and Happy Holidays, everyone! Last year, I posted some physical therapist-approved gifts to get that hard-to-buy-for person on your list. I’ve decided to continue the tradition. Here are five more physical therapist-approved gifts. And the best part? Each of these items has a low price, and one only costs your creativity and time!
Sport Specific Injuries: Volleyball
While my girls were in high school (three girls over the course of eight years), our household lived and breathed volleyball. They played on their school team (which twice was the Idaho state champion and another year was the runner-up) from August through October, then began the club volleyball season, which lasted from November until July. Between practices, games, and traveling to out-of-state tournaments, it was truly a year-round commitment for the entire family, but it was so much fun, we rarely thought of it that way.
Good Muscle Memories
What did you do this morning? Maybe you buttoned your shirt and tied yours shoes while getting dressed. Perhaps you walked the dog. After scrambling eggs or flipping pancakes for breakfast, you probably brushed your teeth. Although you may not have realized it at the time, your muscle memory has been busy from the moment you woke up.
Muscle memory (also called motor learning) is a type of procedural learning wherein an action is repeated until the movements required for it can be performed with little conscious effort or attention. Despite its name, muscle memory doesn’t reside in the muscles themselves, but rather in the complex neural pathways that are formed in our brains when the task is learned. The more the task is repeated, the more well-formed and efficient that pathway becomes.
Sport Specific Injuries: Football
Even though I have four daughters, football is a big deal in my family. We love to watch college teams (of course, our favorite is BSU), and while I admit I’m not a huge fan of the NFL, I do like to cheer for the Packers (I’m a shareholder, after all). I have been an assistant varsity football coach, and Idaho Physical Therapy used to provide the training services for the Idaho Stallions. Because of the sport’s high injury rate, we were kept pretty busy during the season. It’s the nature of the game.
Sport Specific Injuries: Golf
Although we have very mild winters here in the Treasure Valley, sometimes it seems that the cold, damp months go on forever. When the sun finally returns, what better way to celebrate than with a round of golf? By this point in the summer, I hope you’ve enjoyed many great games with friends and have avoided the injuries commonly experienced by golfers.
Sport Specific Injuries: Bowling
I love it when my kids and I can have something in common. When I was growing up, I enjoyed watching the 1960s cartoon The Flintstones. Twenty or so years later, I watched the syndicated reruns with my girls. One of the more memorable things about the show was the way Fred Flintstone bowled. He would run on his toes, the rest of his body motionless, ball held in outstretched arm behind him. Then he would fling it, almost side arm, as effortlessly as if it were a golf ball. Try as we might, none of us could ever quite duplicate his approach. The truth of the matter is, despite how easy Fred might make it look, bowling is a complex activity that often leads to injury.
One Year Anniversary
Well, today marks the one year anniversary of the day I started this blog. The time has really flown (they say it does when you have fun); it seems like just the other day I sat down to write my very first post. I want to thank everyone who has taken time to read my advice, opinions, and random thoughts. I never have to worry about writers’ block because it’s easy to figure out what to say to your friends!
Maybe It Will Just Go Away…
For life’s problems, there are pretty much two ways to respond – you can ignore the problem or you can address it. Deciding the appropriate response depends on the particular issue at hand. For example, fenced dogs who growl as you go by should be ignored. That way you don’t cause their bad behavior to escalate, and perhaps one day, the dog will learn you aren’t a threat that needs barked at. However, if you find your house has a rodent problem, ignoring it will only exacerbate the issue. You have to address the predicament before you’re overrun with furry, little home wreckers.
Sport Specific Injuries: Swimming
As a farm boy growing up in Canyon County, I never had much reason to know how to swim. We might go wading in a ditch on hot summer days, but that was pretty much the extent of my aquatic experience. Then years later in college, I had an epiphany – what if my child was drowning? Would I be able to save them? I had aspirations of being a father someday, and that thought brought me to a cold sweat. Immediately I sought help from a friend who worked as a lifeguard. Three days a week for several months, we met before classes, and he taught me every stroke he knew. In learning to swim, I felt I’d taken an important step in my journey towards fatherhood. And I’m proud to say that when I finally did become a father, each of my kids learned to swim at a young age.
Sleep On It
I’ve never been a good sleeper. When I was in high school, I had a paper route that got me up at 3:30am, seven days a week, in addition to after-school sports and working on my family’s mint farm. In graduate school, I survived on three hours of sleep a night as I balanced my studies with a full-time job and three kids. Now I do a little better; I average about five or six hours of shut eye. In the mornings, I always tell myself I need to get to bed earlier, but fast forward 18 hours or so and it’s easy for me to find excuses why I can stay up a little later.
Barefoot Running: Part 2
In my last blog post, I discussed some of the history behind the barefoot running movement, as well as the biomechanics behind why many think it’s a good idea. This week, I’ll talk about what it takes to transition to a workout without shoes.
Barefoot Running: Part 1
During the original running boom of the 1960s and 70s, barefoot running was made popular by such athletic giants as Abebe Bikila (an Olympic gold medalist marathoner) and Zola Budd (a world class 5k racer). In 2009, the movement experienced a resurgence thanks largely to the release of Christopher McDougall’s book Born to Run, an exploration of barefoot running via the Tarahumara people of northern Mexico (natural runners who regularly cover hundreds of desert miles barefoot). Today, barefoot running has a small, but cult-like following of enthusiasts, most of whom claim it has changed their life by allowing them to be active in ways they never could in their shoe-wearing days.
Sport Specific Injuries: Soccer
Officially it’s about 150 years old, though its roots are much more long-standing. It’s the most popular sport in the world, and fans can participate through youth and amateur leagues, at the professional level, and even in video games. The passion surrounding this sport has been known to cause riots and even wars. I’m of course talking about association football – or as it’s more commonly called here in America, soccer.
Sport Specific Injuries: Track & Field
When you look at the huge mass of events held in modern Olympic competitions, it’s a little surprising to think that for the first dozen or so Olympics (hosted in ancient Greece in the original stadium in Olympia) the only event was the “stadion” run – the equivalent of a 200 meter sprint. Today’s track and field events can be as short as an indoor 50 meter dash or as long as a marathon. Athletes can be as specialized as a world-class shot putter or as versatile as a decathlete. But despite the variety of events, the basic mechanics of running, jumping, and throwing involved in every track and field competition can lead to injury if athletes do not take the necessary precautions.
A Solid Investment
The housing market crash, the stock market controversies, and the resulting economic slump have changed the way many people now think about investing in their future. Are banks still a safe place for my money? What if my social security is not there? With inflation on the rise, what if my savings aren’t enough? I wish I had the answers. But there is one thing I do know – if you want to make a foolproof, no-fail investment that will return rewards to you in spades, invest in your own health.
Sport Specific Injuries: Baseball & Softball
Known as the “all-American pastime,” baseball often appears in nostalgic montages alongside fireworks, apple pie, and the statue of Liberty. The sport’s heroes, such as Babe Ruth and Jackie Robinson, seem larger than life, propelling themselves and their sport into legendary status. And yet baseball has always been accessible to the Everyman. Anyone can play just about anywhere – all you need is a stick and a ball. From tee ball to the Special Olympics, from rec leagues to the MLB, just about everyone can find a game to participate in. That’s the greatness of baseball.
Pronation or Supination?
One of the wonderful design features of the human body is that we can do nearly any kind of activity without having to think about the functions in our body that must coordinate to make that activity happen. Even something as simple as walking or running is a complicated ballet of several structures – the muscular, nervous, skeletal, respiratory, and cardiac systems all must work together for you to keep your balance as you transfer your weight from one foot to the other.
Sport Specific Injuries: Ice Hockey
It seems like humans have been chasing a ball with a stick over ice almost as long as they can remember. Historical evidence shows that hockey-like games were played as far back as the middle ages and were spread between several continents. Today this popular pastime can be enjoyed on a variety of levels (youth, collegiate, semi-pro, professional, and even Olympic), and it’s also one of the few hard-hitting sports that is widely available to women.
Sport Specific Injuries: Wrestling
Wrestling is a sport that reaches back to antiquity. It’s written about in The Iliad and The Epic of Gilgamesh. It was made famous by the Greeks and Romans. The Pilgrims brought it with them to the New World – and discovered the Native Americans already knew it. Today wrestling can be as local as a youth wrestling club, as global as the Olympics, or as flamboyant as the WWE. Despite the varying ages and abilities of the world’s wrestlers, there are several common injuries that every wrestling athlete needs to be aware of.
Do I Need PT?
This week I was talking with a gentleman who was facing his second total hip replacement. He asked my opinion on physical therapy after such a surgery. “My doctor says I don’t need physical therapy, and that all I have to do to get better is walk,” he said. “But I want to get the best results I can from all this.”
I will never tell anyone to go against the advice of their doctor, but I do like to educate people on what physical therapy is, who it’s for, and when it’s appropriate.
Sports Specific Injuries: Basketball
In 1891, Dr. James Naismith invented a game to keep his P.E. students fit during the winter months. It involved a simple ball and a peach basket nailed to a gymnasium wall. In the almost 120 years since, basketball’s popularity has exploded. The sport’s influence ranges from basketball baby toys up to the NBA and even the Olympics, and it’s almost impossible to find someone who doesn’t know at least the basics of how to play.
A PT Christmas
My kids say my wife and I are hard to shop for. They don’t want to get me “just another piece of sports memorabilia” for our clinic walls, and they don’t want to get my wife “just another book” for her extensive fiction collection. But I think I’m pretty easily satisfied, gift-wise. In fact, here’s a list of physical therapist-approved gifts that I think are both thoughtful and useful – perfect for that hard-to-buy-for person on your list:
One Change
In a past post, I’ve warned against products that claim to produce lightning-quick fitness or weight-loss results (sorry to say, most are scams or dangerously unhealthy). Today, however, I’m going to contradict myself a little.
Active Therapy
When people come to physical therapy for the first time, they’re often surprised to learn that they will be exercising throughout their treatment (and hopefully beyond). Nearly all of the healthcare we experience in our lives requires little more of us than to simply show up and receive treatment; it’s a passive experience. But unlike a trip to the dentist, chiropractor, acupuncturist, masseuse, or various types of doctors, physical therapy is an active experience. I sometimes think it should be renamed active therapy.
Pain or Pills?
Unless you’re one of the 17 people in the US who suffers from CIPA (congenital insensitivity to pain with anhidrosis, also called the “no pain disease”), pain is a sometimes nasty fact of life. It’s alternately a gift and a curse; pain provides us with invaluable feedback for self-preservation (such as “don’t touch that burner, it’s hot”), but sometimes it stays beyond the helpful stage, becoming a chronic challenge.
D.I.Y. Pain Management
It may sound weird coming from someone in my profession, but you don’t always need to visit a medical professional every time something hurts. Though I cannot stress enough the importance of having experienced medical professionals on your healthcare team, believe it or not, the vast majority of everyday aches and pains are completely manageable without the aid of injections, prescriptions drugs, surgery, or other medical intervention.
Exercising with Issues
If you’re like most people (myself included), it’s really easy to find excuses why you should skip your workout. I overslept, I didn’t sleep enough, I’m hungry, I ate too much, my favorite show is on, there’s nothing good to watch while I’m on the treadmill – the list goes on and on. But when you combine these everyday distractions with real physical ailments, it can be even tougher to convince yourself to lace up your sneakers and get going. The good news is that with a few precautions and some common sense, it’s possible for almost everyone to be physically active.
