What Every Runner Needs to Know About Inflammation

woman running

Have you experienced inflammation as a runner?

It is a shared human experience, because if you have had a papercut you have seen inflammation first hand. It is a normal part of life and a normal part of endurance training and it’s not all bad.  It naturally occurs to help our body heal from a stressor – maybe a hard training session, a new training plan, or race day. So, here is what every runner needs to know about inflammation before their next race.

We want a certain amount of inflammation, but we don’t want too much or for it to hang around longer than it is making itself useful. An unruly inflammatory response can be a result of poor nutrition, inadequate recovery, ongoing injury, poor sleep, or genetic predisposition.

Why is too much inflammation bad for a runner?

In the short term it negatively impacts performance, compromises the immune system, increases aches and pains, causes hormone dysregulation, and can even result in weight gain.  Long term, chronic inflammation can lead to increased risk for cardiovascular disease, diabetes, osteoporosis, dementia, skin conditions, and autoimmune disease.

What is unique about inflammation for the endurance athlete?

To perform your training and complete your race, you rely on oxygen use in skeletal muscle.  The oxidative nature of this training increases the production of free radicals and results in an inflammatory response to help protect your bodies tissues. This is a really good thing – temporarily.

In fact, you don’t want to load up on antioxidants or anti-inflammatories during or immediately following training. You want the inflammation to do its jobs so you don’t end up with an injury or tissue damage. But then, you want the inflammation to get out of there ASAP.

Anyone experienced upper respiratory symptoms post-race? It was thought to be an increased susceptibility to infection, but this is only about 5% of cases, 40% are actually caused by inflammation (the other 55% are asthma or allergies which can have connection to inflammation as well).

So we should probably take NSAIDS and knock out that inflammation right?   

NSAIDS like ibuprofen can decrease inflammation & pain, but cause gut damage, impair recovery, and harm performance. If you are a few weeks out from a race, using these medications could be one of the worse things you can do in order to get yourself to the starting line successfully or the finish line with a PR.

What should we do instead to overcome inflammation?

Take care of the main causes of prolonged inflammation. There will be tremendous health benefits long term, but also performance benefits as early as your next race.

1. Sleep

When you are in deep sleep, your body repairs, recovers, and removes excess inflammation.  The harder you train, you more rest you will need to recover.  If you are having trouble sleeping, reach out to our Integrative Health Coach for simple strategies.

2.Remove Inflammatory Foods

Foods can trigger our body to hold onto more inflammation.  The universal culprits are sugar and artificial colors, flavors, and sweeteners.  The biggest culprits among runners are energy and hydration drinks.  Be sure yours is clear of the fake stuff.

3.Add Anti Inflammatory Foods

Incorporate real foods like berries, leafy greens, nuts, seeds, and cruciferous vegetables to fight inflammation caused by your training.  An anti inflammatory supplement like vitamin C or turmeric should be taken at least 1 hour before or after training so you don’t disrupt the natural healing response.

4. Supplement for Nutritional Gaps

Probiotics, prebiotics, green tea, and omega 3 fish oil are all supplements that will support the inflammatory response and immune system when you are asking your body to work overtime.  Inquire at the link below to learn more our personalized supplementation programs to dial in exactly what your body needs more of.

5. Take Care of Injuries

Don’t let a nagging injury or flare up perpetuate inflammation in your body.  Our doctors of physical therapy can quickly help calm the discomfort and keep you on your training schedule.  In addition to our traditional hands on treatment techniques, we have modalities that help decrease localized inflammation and support lymphatic flush to keep it moving on out.

Expert Tip . . . Know your Genetics

Some of us have a genetic predisposition to increased levels of inflammation.  Knowing where you stand genetically lets you know how much you need to dial in each of these areas to prevent inflammation from limiting your performance.

In addition, not getting enough of what your body needs in terms of vitamins, minerals, and macronutrients results in increased stress hormones and decreased energy production making your body unable to fight inflammation. Nutrition genetic testing allows us to dial in exactly what your body needs to thrive, most effectively produce energy, and conquer your race day goals.

Have questions about your inflammatory response, maximizing recovery, or fitness and nutrition genetic test? Click HERE to visit our website or just send an email directly to amanda@peakpotentialpt.com

 

Healthier Together with Fall Family Fitness

10 ideas for fun fall family fitness

In these days of grab and go meals, hours spent sitting at desks, and full schedules of extracurricular activities, families need to work at being healthier together. This tends to hit especially hard in the back to school and fall season in our home.  But as parents, it is our responsibility to teach our kids the importance of taking care of our bodies and making fall family fitness a priority.

Exercising together as a family is proven in research to develop children who will grow up with this healthy practice deeply ingrained. In addition, when your family shares time together, regardless of the activity, it also secures and reinforces emotional bonds that yield endless health benefits.

Family fitness is always going to more effective if it is fun, so be creative and resourceful when it comes to the activities you plan.  The number one key though is planning.  We have to be intentional about making movement a non negotiable habit for our families.

Here are 10 ways you can have fun staying healthier together with fall family fitness.

1. Bike Riding

If your bicycles are gathering dust in the garage or shed, get them cleaned and tuned up. Then, plan a family bike ride twice each week. Mornings may be best for hot days, or after dinner may be a more convenient time for you.

2. Alternate Walking and Running

Sure, a family walk is a nice, leisurely activity. But what if you changed it up a bit and alternated walking 3 minutes with a 1 minute run. Most kids love a race and will happily run to the next light post if it’s a competition.

3. Yoga or Tai Chi

It’s nice to have some ideas for indoor fitness activities in case of a rainy day. You Tube provides an endless supply of yoga and tai chi options for a variety of skill levels. Start with short sessions to keep the interest of young kids.

4. Dance Party

One of the most enjoyable fitness activities to do with your kids is dancing. After all, who doesn’t love a party? Turn up the music and get moving in the kitchen or while cleaning up. Older kids may even be interested in trying some salsa lessons or a hip hop dance class together.

5. Rake Leaves

Grab your rakes and get active right in your own backyard. To make it feel like less of a chore, rake leaves into a maze to follow or piles to jump in before bagging them up.  Perhaps you even have a prize for the family member who rakes the tallest pile.

6. Join a Community Fun Run

Check city Facebook pages for an upcoming 5k run or 1 mile walk. Train together, set some goals, and join in the theme of the event – Halloween and Thanksgiving both provide fun opportunities to dress up.

7. Family Zoo Trip

An afternoon spent walking the The Memphis Zoo or attending Zoo Boo is a great way to do more moving and less sitting. Give your kids the map and to navigate to their favorite animals.  You can even throw in a few “I’ll race you to the giraffes” to get the heart rate up.

8. Visit a Local Hiking Trail

Detox from the electronics by enjoying the outdoors together. Hike a new trail and explore the new environment. Take it to the next level with a nature scavenger hunt with a list of leaves, plants, bugs, or wildlife you may spot on the way.

9. Outdoor Obstacle Course

Build a backyard fitness challenge with simple objects like hula hoops, cones, ladders, chalk, or rope. No equipment is required for crab walks or bear crawls that may be a bigger challenge for the adults.  Time each other to see who completes the course the fastest.

10. Play Ball

Whether it’s soccer, baseball, football, or dodgeball, outdoor games involving a ball require extra skill. Make the game a friendly competition, make up your own family rules, or invite neighbors to join in to make this a fun Sunday afternoon or after dinner tradition.

The goal is to demonstrate that fitness is fun, challenging and invigorating. We all know forcing our kids to exercise would result in resistance, so help them develop their own real excitement about staying active. The younger they are the better!

When you educate your children from a young age about fitness and the advantages of staying in shape, these lessons will endure for their whole lives. We know this can be challenging when discomfort in your body or fatigue keep you from participating in many of these activities yourself.  What better gift to give your family than to get help to feel your best so you can stay active with them.

Speak with a Doctor of Physical Therapy about your health and fitness goals today for free by clicking HERE. Our Functional Nutrition Specialist and Integrative Health Coach may be a good resource for you as well.  You can find more about those services at www.amandainspires.com.

8 Steps to Prevent Overuse Injuries this Summer

prevent overuse injuries

Summertime is prime time to get your fitness routine in gear – either formally at the gym, around the local track, or recreationally at the golf course. We love to see it each year because exercise is one of the best things you can do for your body and mind. However, with that can come complications. We want to help you prevent summer overuse injuries.

There are two main types of fitness injuries we see as physical therapists. Their are traumatic injuries like a dislocated shoulder or broken bone.  The other is an injury that comes from damage that builds up over time.  A stiff back or sore elbow could be an overuse injury that comes from working too frequently or too intensely a particular area.  You may not see any visible signs, but your muscles and surrounding tissues still need to recover.

Try these tips that will help you stay active and prevent an overuse injury from creeping up this summer.

1. Schedule Rest Time

Your body grows stronger when you give it adequate time to heal between workouts or strenuous activities. Summer is peak season for many sports, so people often overtrain.  An overuse injury is often a forced break when you aren’t choosing to schedule adequate recovery time. If your training schedule leaves little time for rest, discuss additional strategies with a sports performance expert.

2. Vary Your Activities

Repetitive movements put more stress on your body because you keep using the same parts in the same way.  Try alternating exercises or work the body in a different way. For example, work your legs with box jumps for explosive power alternating with squats for muscle growth other days. Or alternate long runs with short sprints or strength training days.

3. Use Nutrition to Support Recovery

If you are fueling your body with the nutrients it needs to repair muscle, build new bone, and decrease inflammation you aren’t as likely to experience an injury.  Most of us need more protein and omega 3’s, but I can’t give you a specific prescription because you are unique. That is why we use Fitness & Nutrition DNA Testing to dial in exactly what your body needs to optimize your health and recover like a pro!

4. Refresh Your Equipment

Is your gear still the right size for you? Do your running shoes have holes? Are your flat feet asking for orthotics in your golf shoes? Has the grip on your racket seen better days? Be sure your equipment is in good working order, not worn down too much, offers proper support, and is the right size for your body.

5. Drink More Water

The heat of the summer can easily lead to dehydration.  What does this have to do with injury? Hydrated tissues (like muscles, tendons, and ligaments) are less likely to be injured.  So drink enough water and electrolytes to keep your tissues supple.

6. Build Up Gradually

Avoid pushing for too much too soon, especially in group settings. Respect where your body is starting out (were you a couch potato all winter and just now getting back to the gym?) and know you have time to get where you want to be.  Adding about 10% a week to your weight, distance, or speed works best for the average adult.

7. Avoid Popping Pain Medication

Pain medication can keep you from being able to listen to your body.  It masks symptoms that are trying to tell you that damage is occurring.  Of course, take medication when appropriate but don’t use it in order to keep exercising and cause further damage.

8. Listen to Your Body

Fun summer sports like pickleball or a game of pick up basketball can distract us from listening to our body.  If muscle tightness and soreness, or joint aches and stiffness, creep up during or after play consider that a signal that your body needs help.  Get your movement assessed by a professional before an injury occurs.  You won’t miss a beat on the court!

Sports and fitness activities should not leave you in pain and unable to walk for days.  The good news is that most overuse injuries can be prevented if you know the signs and take action promptly.

Do you feel like you already have an injury creeping up? Let’s not wait until your sidelined in a boot or sling.  Take action now to stay strong and fit with proper recovery. Talk to one of our orthopedic experts today to get a personalized prevention or recovery plan for your overuse injuries.  REQUEST A CALL by clicking HERE!

Natural Relief for Arthritis Pain

Natural Relief for Arthritis Pain

For the millions of adults who struggle with arthritis, new and natural relief for arthritis pain is always welcome news.  While traditional treatments such as pain medication and injections tend to be temporary and long term use result in unwanted side effects, natural treatments remain safe and effective for long term use.

We could provide you story after story of people who are traveling Europe with arthritis in their knees and toting grandbabies through Disney World with hip arthritis because they have cracked this code of arthritis pain relief – naturally.

To be clear, osteoarthritis is a condition of degeneration or breaking down of cartilage. This means that none of the treatments we are going to discuss will be a “cure” for arthritis.  However, most of the patients we talk to see surgery as a last resort and avoid the side effects of medication when at all possible.  They are also generally very happy when a natural solution decreases their discomfort and improves their quality of life.

Here are treatments that require no prescription, are non invasive, and have been shown in research to provide relief for arthritis pain.

1. Increase Anti inflammatory Foods

Choosing meals that include fish, nuts, seeds, olive oil, leafy greens, and berries will help the body decrease inflammation in the joints and surrounding tissues.

2. Decrease Inflammatory Foods in the Diet

In the same way that we increase anti inflammatory foods, we want to decrease foods that cause more inflammation (and thus pain) in the body. This includes highly processed foods – especially those with added sugar and hydrogenated oils.

3. Drink Herbal Teas

The polyphenols in tea can reduce symptoms of arthritis and are a simple addition to your routine.  Smart choices include ginger, chamomile, and green tea. We know these top 3 nutrition strategies can be “easier said than done” so we have a Functional Nutrition Specialist on our team to support you in implementing an anti inflammatory diet.

4. Maintain a Healthy Body Weight

Carrying around extra body fat adds extra stress to your joints.  For example, losing 10 pounds can take up to 30 pounds of pressure off of the knee joints.  If this is a concern for you, reach out to our Integrative Health Coach for guidance.

5. Exercise Regularly

When it hurts to move, we tend to move less. Unfortunately, that makes our muscles weaker and our joints weaker.  Frequent movement or any form of exercise is shown to improve function and mobility in patient’s with osteoarthritis. Low impact activities like walking, biking, weight lifting, or Pilates for example do not cause more damage.

6. Incorporate More Relaxation

Stress is inflammatory, so any way that we can increase relaxation and decrease the stress hormones our body produces will be beneficial.  Research shows relaxation techniques like deep breathing, mindfulness practices, or even laughing with friends improve current symptoms and outlook for patients with both arthritis and other chronic pain conditions.

7. Add in Anti Inflammatory Supplements

The most exciting research that has emerged recently is the use of natural supplements in significantly decreasing arthritis pain and improving mobility in patients.  The two that stand out among the rest are turmeric and fish oil. In fact, research shows that these supplements when taken regularly were as effective as the anti inflammatory medication that patient’s were taking without the negative side effects.

The take away . . .

The overarching theme of all these natural remedies is decreasing inflammation in the body.  We must dial down the inflammatory factors that are weighing on our joints – processed food, stress, extra body weight. In addition, well within our control is dialing up choices that flight inflammation – healthy fats, quality supplements, adequate sleep, and strong social connections.

If you have tried everything you know to do for your arthritis concerns – or you just want to prevent mild aches and stiffness from getting worse – contact us for a Free Discovery Visit with one of our Doctor’s of Physical Therapy.  They can review what has and has not worked for you and help you take the next best step in living your most active life free of pain.

We don’t want you to survive with arthritis, we want to see you THRIVE!

 

The Secret to Comfortable Healthy Joints Even When It’s Cold

Woman running in the winter.

Earlier this month, the groundhog saw his shadow. This means we have a few more weeks of winter weather coming our way. While you may enjoy more time by the fireplace, we know many of you are concerned about your aches and pains.  Let’s learn how to have comfortable, healthy joints even in the cold weather.

Some experts believe that decreasing barometric pressure increases inflammation in the joints. This is still up for debate, but many adults find that arthritis symptoms and discomfort from old injuries tend to progress through the winter months. The good news is that no matter the cause, you can feel comfortable in your body and enjoy your favorite activities year-round.

Say goodbye to sore hands and stiff knees with these simple lifestyle changes. They will soothe your joints even when the temperature drops.

1. Dress in Layers.

Break out the thermal underwear, gloves, and scarves to keep you joints and muscles warm. This prevents stiffness and layering allows you to make adjustments if it gets warmer later in the day.

2. Exercise Indoors.

Most healthy adults can safely exercise outside in cold weather if they are dressed appropriately. However, if your joints give you more trouble when you are outside, consider visiting an indoor track or heated pool. Our trainer provides winter workouts right inside our Collierville, Tennessee clinic.

3. Limit Comfort Foods.

Cold weather dishes are often loaded with sugar, salt, and unhealthy fats that increase inflammation.  Discover new favorites like soups, stews, and chilis made with lean proteins and lots of winter vegetables.

4. Stay Active.

Some of the joint trouble that occurs during winter is due to inactivity. The less we move, the stiffer we get, the less we want to move.  Stay as active as possible with at home fitness, seasonal gym memberships, a community yoga class, or work with a trainer for personalized exercise.

5. Massage Muscles.

Studies show that massage can provide significant relief for arthritis symptoms.  That could mean treating yourself to a session with a licensed massage therapist, purchasing a massage gun, or using a foam roller at home.

6. Support Bone Health.

Don’t forget the importance of bone health when you have achy joints and muscles.  Your skeleton is holding that all together! Load up on bone building nutrients and participate in resistance training exercise to keep them strong.

7. Eat Anti Inflammatory Foods.

Salads may look less appetizing this time of year, but there is a wide variety of anti inflammatory foods that are in season. Consider eating more salmon, broccoli, leeks, and mushrooms.  Drizzle roasted vegetables with olive oil and sip on a cup of green tea.

8. Manage Stress.

Daily tension and hormones released in the body when stressed can make physical discomfort more severe. Address this problem by making sleep a priority and finding relaxation practices that work for you.

9. Supplement for Joint Health.

This may include omega 3 fats, vitamin D, glucosamine, or a quality collagen supplement. Work with an expert to be sure you are supplementing to meet the needs of your individual body and not taking products that could interact negatively with medications or prior medical conditions.

10. Work with a Professional.

If pain is limiting your ability to enjoy this season, an orthopedic physical therapist has the expertise and tools to assess and treat your concerns. Even if you have seen a physical therapist or chiropractor in the past, it’s worth a second opinion at an Integrative Clinic. Your whole body will be taken into account and not just the achy joint.

In summary, by reducing inflammation and preventing winter weight gain you can prevent joint aches and pains during cold weather. If you need more help managing your arthritis symptoms, talk with one of our experts today.

At Peak Potential Physiotherapy & Wellness we help clients work on all of these areas of health – it’s called Lifestyle Medicine. If a practitioner in the past has only looked at your knee when considering your joint or arthritis pain, it’s time to revisit physiotherapy as an option for you. We currently offer in person Free Discovery Visits at our Collierville location (East Memphis sessions coming soon) and telehealth services are also an option.

If you are looking for an expert in the areas of personalized nutrition or supplementation, we are happy to offer our Integrative Health Coaching Services as well.  We can guide you to bone building foods, teach you how to make anti inflammatory choices, and help you evaluate the carbohydrate or healthy fat ratios to optimize your health.

If you are interested in a Free Discovery Session with a Doctor of Physical Therapy, Functional Nutrition Specialist, or Certified Exercise Physiologist call us today at 901-316-5456 or email admin@peakpotentialpt.com.

 

How to do Strength Training Without Joint Pain

Strength training plays an important part in your health and fitness, but you may be concerned about injury or painful joints. By concentrating on proper technique, you can tone your muscles, enhance your posture, and actually reduce discomfort and stiffness in your joints.

From people who strength train, we often hear the following:

“I can’t lift anything overhead because of my shoulder pain”

“I stopped squatting because of my bad knee”

“I have been living on pain killers for weeks now because of this hip”

Moving around and building up supporting muscles slows down the deterioration of your joints that often comes with age. A sound exercise program may even enable you to postpone or avoid joint replacement surgery and other invasive procedures.

Try these guidelines for protecting your joints and staying safe while lifting weights.

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Is Your Youth Athlete At Risk For Injury? 5 Simple Self Tests

Is Your Youth Athlete at Risk for Injury

Do you have wonderful memories as a youth athlete?

Maybe it was church T-ball, Collierville Rec soccer, the first tackle football game, cheering on your classmates, or trying out for a varsity team.

We want our own children to experience this same joy and excitement. The physical, emotional, and social benefits of participating in organized sports.

There are many reasons to encourage our children to get involved in athletics, but it’s wise to also help them be both prepared and safe. A study from August 2013 found that every 25 seconds a youth athlete suffers an injury severe enough to require an emergency room visit. As parents, this shouldn’t scare us but move us to be proactive.

What about the sports physical?

The medical clearance your child’s school or organization may require rules out health risk only.  It’s important for preventing life threatening medical emergencies, but will not determine risk for injury of the soft tissue (muscles, tendons, ligaments).  Furthermore, these types of injuries or faulty movement patterns in our children can have lasting effects appearing as pain, injury, and arthritis in adulthood.

The good news is we can measure risk and take action now instead of waiting for problem to arise. When we identify the faulty repetitive movement patterns that lead to injury early, a correction is often simple. This not only improves performance in the present, it prevents a future of degenerative joints, ligaments and spinal discs.

How can we help them perform at their absolute best, while also protecting them from damage to their growing bodies?

Fortunately, there are some quick tests you can perform at home to see if their strength, agility, and movement is ready for their athletic season.

1. Squat

Start by standing with feet shoulder width apart.  Squat down as far as possible.  The upper legs should be parallel to the floor and the heels should be able to remain flat on the ground.

2. Balance with Eyes Closed

Stand on one foot with your hands on your hips.  Close your eyes and hold this position for 30 seconds on each side. This should be done without leaning or loss of balance.

3. Toe Touch

To see if lower body muscles are ready for quick starts and heavy lifting, hamstring length should be tested. Start by putting your feet together, then bend over and touch your toes. You should be able to do this without rounding your back.

4. Push Up

Start by lying face down on the floor.  The hands are placed beside each shoulder.  As you push up, the back, hips, and knees need to be in a straight line.

5. Overhead Reach

With your head, back and heels against a wall and arms straight in front, lift your arms overhead and touch the wall with your thumbs. If your lower back arches or you can’t reach the wall, there are likely movement restrictions in the back or shoulders.

Further testing is indicated if the athlete is unable to complete any of these tests correctly (or if discomfort or stiffness is present). The next step is a functional movement screen. Our specialty trained therapists use this tool to identify risk factors for ankle, knee, hip and shoulder injuries. In addition, if they identify an increase in risk factors, corrective exercises can be prescribed to mitigate the risk.

Is all of this really necessary for my healthy child?

According to a 2016 review of the literature, youth athletes especially, due to their developing musculoskeletal and neuromuscular systems should undergo pre-participation musculoskeletal screening for identification of movement limitations.

The amazing thing with children is the corrective strategies we implement tend to clean up the problem FAST. Generally, no time is lost from their sports training program or competition. In addition, they can continue on stronger and performing at a higher level than before.

To inquire about a functional movement screen with a Doctor of Physical Therapy for you or your child, click HERE to fill out a short form. You will hear from us soon or you can call our office at 901-316-5456 to get your questions answered.

*Functional Movement Screens for Youth Athletes are performed in person at our Collierville location, as well as via telehealth.