9 Rules to Returning to Exercise after Injury

So many of us get injured and have questions and concerns about how we should approach ramping up our activity levels to pre-injury levels after we start feeling better.  So I thought I'd make some general rules to follow.  Trainers, I'd suggesting posting this on your gym wall so your client have some future reference.

Rules to Return to Activity After Injury

Rule #1 - Get yourself checked out by a sports medicine professional.  This is their expertise, you don't want to end up hurting yourself further or again.  This will significantly speed up the process.

Rule #2 - If you feel pain, don't do it.  Don't even do a movement in which you even 'feel' the affected area, without  pain.  I think you know what I'm talking about.  When you exercise in pain, you will automatically compensate.  Why is that a bad thing?  I'll explain later.

Rule #3 - Start with non-weight bearing, non-painful exercises.  This might include rowing, or swimming, walking, cycling, or elliptical.  Getting some serious blood flow to a recently injured area can do great things as far as speeding up this whole process.

Rule #4 - Next step, body weight exercises.  This could include push ups, or air squats, lunges, pull ups, etc.  Make sure you're doing full range of motion.  Don't move on to the next step until you have full range of motion.

Rule #5 - Don't add weight until you perform the most provocative movement (if it hurts to squat, squatting would be the provocative movement) with just bodyweight, pain-free without any asymmetries of any kind.  Ask your local trainer or a gym friend that you know has a great deal of knowledge of exercise and technique.  Have them evaluate your movement from all angles.

Rule #6 - Work the opposite extremity - If the injury is to your right foot, workout the left foot while you're recovering.  This works for the upper extremity as well.  Studies show that the more this is done, the less atrophy and muscle wasting occur of the injured extremity.

Rule #7 - DON'T COMPENSATE!!!!! - This is the biggest one.  It should be number one.  "I can run if I just step towards the outside of my foot" or "I have to extend one arm before the other".  This is huge.  When you compensate you rapidly start wearing down other parts of your body.  Don't do it.  That's why you want a trainer to make sure that your exercise movement is completely symmetrical.

Rule #8 - Perform other exercise/activity.  This is a great time to do some kind of cross training.  Performing exercises you wouldn't normally perform (as long as they are completely pain and compensation free) is a great way to workout and diversify your program.  I.e. if it hurts to swim, then jog...or if it hurts to do cleans, do snatches.  Explore some yoga!

Rule #9 - Don't wear braces.  Now take this with a grain of salt.  Sometimes they are necessary in the short term.  However, braces create stability for joints which is good for acute injuries, however it creates 2 things that we don't want.  #1- dependence on the brace.  Since it's creating stability in that joint, your muscles don't have to stabilize and the stronger you get, the more dependent you will become leaving the door open to future injury.  #2 - Braces limit your flexibility in that joint which, in the long term, will create more compensation in surrounding body parts.

I hope this is helpful.  For anyone wanting to know if they are ready to return to exercise, please call my office at 561.997.8898 or email me at drscotthoar@gmail.com.  To check out more visit www.Mobility-4Life.com

Can Kettle Bells save your shoulder?

Have you ever seen one of these?

In our clinic we heavily utilize kettle bells in the treatment/rehabilitation of shoulder pain.  We do this for several reasons:

1) It teaches your shoulder how to stabilize as a group.  You have 4 rotators cuff muscles.  When we need control in our shoulder, we need all 4 cuff muscles to work together.  So why have we grown up doing those tired old band exercises for our shoulders?

2) Working your grip helps rehab the shoulder.  A kettle bell naturally utilizes grip strength, otherwise you'd drop the weight.  In the medical field we measure grip strength as an indicator of overall neurological health of your shoulder and arm.  So working your grip is working your shoulders,  especially when you can't raise your arm overhead due to pain.

3)  Kettle bells teach you the best way to use your shoulder.  When you fall out of ideal alignment while holding a kettle bell, your arm automatically starts shaking.  So without thinking about it, it teaches you how to realign your shoulder and minimize the stress on your body.

QUICK TIP

Here's a quick trick I like using to warm up my shoulders before exercise (or as a rehab exercise on it's own).  Pick up the heaviest kettle bell (or dumbell if you don't have one) that you can handle.  Hold the kettle bell by your side (the way it naturally hangs) and rotate your arm left and right as far as it will go in either direction.  This utilizes all of the strategies above to help rehab your shoulder by improving alignment and control of the rotator cuff.  Hold for 30 seconds.

To have you shoulder checked out, please contact me at drscotthoar@gmail.com or dial 561.997.8898.  To check out more visit www.Mobility-4Life.com

The Best Exercise to take away your Neck, Back and Shoulder Pain

This is my favorite exercise to do on my own to keep my low back and shoulders feeling good.  I teach it to a bunch of my patients that are experiencing similar conditions.  It's fantastic for increasing the flexibility in the upper back to relieve stress on the neck, shoulders and low back. They're called:

Can Openers

To perform this:

• Lay in the side-lying position with your top knee bent and in front, with the knee higher than parallel to the hip
• Extend both arms in front of the body with the hands together, even with the shoulders.  
• Rotate the arm, head and eyes to look behind you as far as possible without the knee coming off the ground.  NOTE - keep your eyes fixed on your thumbnail as you reach behind you.
•  SECRET - Press into the ground with the top knee and stationary arm.  This will provide stability and allow for increased flexibility of the upper back without involving the hips or lower back.
• Once you've gone as far as you can go, return to the starting position.  That's one rep.  Perform 6-12 reps on each side.

This is a perfect warm-up before doing other more strenuous exercises.  This will result in decreased stress on the shoulders, neck, and low back.

For any questions or to schedule a personal appointment in Boca Raton please email me at drscotthoar@gmail.com or dial 561.997.8898.  Keep moving!!!!  To check out more visit www.Mobility-4Life.com