8 Expert Tips for Exercise Post COVID

expert tips for exercising post COVID

There is still so much that we don’t know about the impact of the coronavirus. One thing is certain, from the research and our first hand experience, millions of adults have had to change the way they exercise post COVID.

If you currently have COVID-19, the general recommendation is to wait two weeks before exercising.  This period of rest will allow your body to fight the infection and reduce your risk of complications such as myocarditis (inflammation in the heart).

What do you do after two weeks have passed? I hate to say it, but it depends.  Many people can resume their usual activities with no problem.  Others require more time and additional precautions.  And we see many people still struggling months later.

Lingering symptoms, including coughing, fatigue, an irregular heart rate, shortness of breath, aches, or pains can indicate long COVID (or long haulers) syndrome. If this is you, it’s time to discuss with your healthcare provider what the most safe and effective strategy is for you.  As doctors of physical therapy, we are qualified to make these recommendations and guide you on this journey.

In general, the best place to start is with walking.  It’s low impact and you are completely in control in how hard you push or how often you rest.  It will begin to strengthen your muscles, including your heart. However, just a walk around the block can be a struggle for many so let’s get more specific about the safest way to get back to moving.

Tips to resume exercise post COVID:
  1. Access Your Risk. The effects of COVID-19 vary widely, but are likely at low risk of exercise complications if you’re under 50 with no chronic conditions and had a mild case. Otherwise, check in with your healthcare provider to access if further testing is necessary.
  2. Start out small. Once you’re able to resume your daily activities, start with a walk on a flat surface. Give yourself a break and allow your body to rest if you feel fatigued or short of breath.  If you have difficulty making progress from this point, a post COVID rehab program is the next best step.
  3. Check your posture. Working on postural strength and efficient movement allows you to maximize energy and protect yourself from injuries. During walking or exercise, keep your head up and firm through your core muscles. Keep yourself in a position that allows you to breathe easily.
  4. Practice Breathing. Use your lungs and reduce stress with pursed lip and diaphragmatic breathing exercises. This increases oxygen transport to your muscles for increased endurance and decreased soreness. Consider hyperbaric oxygen therapy if fatigue or endurance is problematic for you.
  5. Spend time outdoors. Time outside allows you to get moving, increase vitamin D, and enhances mental health. Do not underestimate the power of mental health in the process of recovery and performance. Pick a scenic route where you can enjoy fresh air, and green spaces.
  6. Pace Yourself. Allow yourself to ease back into physical activity. Divide your workout into brief sessions of just 10 minutes. Try riding a bike or a rowing machine if weight bearing activities cause too much fatigue.  Yoga and Pilates can be ideal movement practices if endurance is low.
  7. Set goals. Increase your speed or distance a little each week working toward a larger goal. When you’re ready, climb up hills, or pump your arms more. If you hit a plateau in your progress and are unable to return to your prior level of fitness it’s time to get some expert guidance.
  8. Seek out support. Listen to your body, so you can avoid pushing yourself too hard. Most people will be able to slowly progress back into their fitness routine, but some will find long COVID symptoms continue to limit them for months or even years.

When it comes to exercise post COVID, and goals to regain your fitness, it is not a matter of working harder but working smarter.  Nutritional strategies, breathing techniques, postural training, supplementation, compression therapy, and oxygen treatments can set you up for success.  That may sound like a lot of effort, but the results will be worth it.

We have a team of experts here to support you when you feel stuck.  Even when the doctor doesn’t have a clear answer to why you still don’t feel well so long after recovery from your initial COVID illness, you can maximize your changes of a full recovery. A well researched and personalized rehab plan will protect your long term health and the lifestyle you love.

Visit the Long COVID Rehab page on our website or schedule a phone consult for more information.

If you have had a setback from an illness or injury, consider Integrative Health Coaching as your next best step.  Learn more HERE.

8 Rules for Exercising with Back Pain

Woman getting help with back pain

There was a time – not so long ago – that doctors recommended bed rest for patients with low back pain. We now know that may be the worst thing you can do for your back in the long run. If you follow current research you know it’s important to continue exercising with back pain.

Numerous studies have found that activities such as yoga, walking, or strength training can reduce back pain and disability dramatically. On the other hand, if it hurts to move, you could be afraid to even bend over to lace up your gym shoes.

Clients often tell us they feel trapped. They know that becoming stronger and more flexible will eventually provide relief, but it’s difficult to begin the healing process. Additionally, there is fear that they will cause further injury or another flare up when exercising with back pain.

The good news – you can learn how to shape up without aggravating your aching back. Yes, this is even true if you an MRI has shown a “bulging disc” or a doctor has diagnosed you with “degenerative disc disease”. You may be surprised at all the safe activities you can choose from and the modifications you can make to achieve your goals without pain.

As experts on back mobility and injury recovery we have 8 rules you need to following when exercising with back pain.

  1. Strengthen Your Core

    When you’re ready to work out, it’s essential to firm up your abdominals and other muscles in your torso that support your low back and stabilize your entire body. You’ll enhance your posture and lessen the strain on your back muscles and spine.

  2. Target Your Back

    When you are at a point that your back is less severe, you can begin exercises that will strengthen your back. Training for flexibility and strength will speed up your recovery and prevent a back injury from reoccurring.

  3. Stretch Your Hips

    Tightness in your hips often contributes to low back pain and can be a sign of pinched nerves. To open up that area and relieve the pressure, try gentle low lunges or rock back and forth while sitting on a foam roller. You can do this as part of your warm up routine.

  4. Improve Circulation

    Blocked arteries or poor blood flow can cause discomfort in your lower back. To improve circulation to your healing back muscles, add cardiovascular training to your strengthening routine. A short brisk walk or 20 minutes on the elliptical machine will increase blood flow to prime your body for the strengthening exercises that will follow.

  5. Go Low Impact

    Perhaps your exercise routine has always been a high impact aerobics class or running on the treadmill. In this case, you may want to consider going low impact for awhile to allow your body to fully heal before returning to these activities. Low impact exercise includes walking, Pilates, strength training, and cycling. You don’t have to pound the pavement to see results from exercise.

  6. Stay Hydrated

    A dehydrated body is much more prone to injury. Fluids help cushion our joints and allow our muscles to move with ease. Stay hydrated, not only during a workout but through the day to prevent pain.

  7. Talk with Your Physical Therapist

    Back pain comes in many different forms, from a pulled muscle to a sprained ligament to sciatica. A physical therapist that specializes in low back pain can help you identify the root cause of your back pain and advise you on whether you on the right amount of rest and the appropriate exercise.

  8. Change Your Mindset

Changing your mindset makes any recovery process easier, especially if you’ve been sedentary up until now. We can’t think of exercise as an all or nothing thing. Distinguish between moderate exertion and overdoing it. It’s best to get moving (your body isn’t a fragile as it might feel) as long as you feel no acute strain.

If you feel stuck in the rut of back pain, please know that you can lead an active life without increasing your back pain. How can we be so sure exercising with back pain is a good idea? We see it EVERY SINGLE DAY in our clinic.

In fact, strong muscles and good posture will lessen your symptoms and reduce future flare-ups. With regular exercise, you’ll be able to manage your condition and resume doing the things you love.

The good news is that you don’t have to go it alone. A back pain specialist can help you naturally reduce your pain to allow you to move more. We then help you stretch and strengthen the right muscles to keep you going strong for years to come.

The first step to working out without back pain is reaching out to one of our back experts. We can help you decide if you are ready to jump in on your own or if you would benefit from some expert guidance to reach your goals without further injury. Click HERE to schedule a Free Call with a Doctor of Physical Therapy.

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.

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!

 

Increasing Protein to Meet Spring Health Goals

Preparing protein

As winter comes to an end, we want to move more and feel renewed in our body.  That makes spring an ideal time to focus on optimizing your fitness, performance, and health. No matter your age, stage, or season of life, we are going to challenge you in increasing protein to meet your spring health goals.

If you are like most of our clients, you want to get stronger, move better, lose body fat. Your goal may be to say good-bye to a nagging health condition (perhaps an autoimmune disease, osteoporosis, pre diabetes, or long COVID). When we sit down to discuss these goals, we often find that clients are not meeting their minimum protein requirements. Increasing protein is necessary to fuel the body in achieving these goals.

Why do we care about protein intake as physical therapists?

Protein is required for muscle growth and repair.  Subsequently, healthy muscle mass is required for a healthy metabolism, bone mass, blood pressure and more. In addition, a lack of protein can result in an impaired immune system and increased inflammation.

You may be low on protein because you just don’t consume enough quality protein.  It may be that your need is higher than average because you are healing or under a lot of physical stress. Or you may not be able to break down or absorb the protein you are consuming adequately. In any of these cases, the result will be a difficult time healing from injury, illness or workouts.  You may have not have levels of hormones and neurotransmitters necessary to feel your best, produce energy, stabilize your mood, build muscle, and lose body fat.

Can we agree that one of your spring goals should be meeting your body’s protein needs? Now, let’s figure out how to do that in the midst of a busy schedule.

1. Start Your Day with Protein.

Your first meal of the day is important for your metabolism, sustained energy, and to curb cravings for less healthy foods later in the day.  A well balanced meal also sets the stage mentally for making healthy choices as the day goes on.

2. Space your intake throughout the day.

The body can only process so much protein at one time, so there is no reason to eat your days worth of protein at dinner. Instead of focusing only on your daily protein goal, be sure you are getting adequate amounts at each meal.  For most people this will be 20-30 grams.

3. Drink plenty of water, but not with your meals.

Hydration is important to keeping the body – especially digestion and detoxification – running well.  However, drinking too much water with your high protein meals can decrease the digestive enzymes in your stomach necessary to break down the food properly for absorption.

4. Be mindful with your protein.

Hitting macronutrient targets is important but if you aren’t absorbing the nutrients you are consuming it doesn’t do you much good.  The biggest trigger for gut health issues and poor absorption is stress.  So focus on enjoying your food and take a few deep breaths before your meal if you feel like your mind is racing.

5. Read food labels.

Marketers know that “protein” is a buzzword, but you must check the label for quantity and quality.  That protein bar with 5 grams of protein is not a “high protein” snack.  In addition, you should avoid poorly absorbable or highly inflammatory proteins like casein and soy.

6. Supplement with protein powders.

When you need a quick protein boost a shake may be your best option.  Check labels for artificial ingredients, flavorings, and sweeteners that can cause more harm than good.  Be sure the product has at least 20 grams of quality protein (from multiple sources like hemp and rice if vegan and grass fed if a whey protein).

These are six simple ways you can optimize your protein intake and better absorb it.  Remember, if you are recovering from an illness or injury, training hard, or over the age of 40, you may need more protein than you think.  The RDA (recommended daily allowance) does not take into account these instances of increased need or situations where absorption may be altered.

If you are interested in identifying your unique protein targets to meet your health goals, Integrative Health Coaching may be your next best step. Schedule a Free Discovery Visit to find out if a personalized plan and support through coaching is the solution you are searching for.  Click HERE to reserve your spot.

10 Tips to Easily Maximize Exercise Recovery

What you do after the gym matters just as much as what you did during your workout. That’s because the post workout recovery period is a time when your body builds lean muscle mass and repairs any damage.

If you shortchange yourself, you could wind up decreasing performance, increasing injury risk, or even gaining body fat. And all these things are counterproductive to the reason you exercise in the first place.

The good news it, you can ensure your workouts deliver the results you want without causing any collateral damage. Add in a few of these suggestions after you exercise to encourage maximum recovery and restoration.

Continue reading

Do I Really Need to Stretch After My Workout?

I know we are all short on time and taking 10 minutes to stretch at the end of a gym session, long walk, or tennis game can seem like a waste.
We believe the gains made to improve our cardiovascular system, muscular strength, and agility are during the workout . . . right?
The truth is, strength and performance gains are made during recovery as your body rebuilds what was broken down during your workout.
And stretching is an integral part of the recovery process.
It improves blood circulation to deliver nutrients to the muscles that “feed” them as they recover.

Continue reading

How to Enjoy Exercise More This Year

Women at Gym on Exercise Bikes

Some of us love a tough workout, and others dread any activity that will keep them from heading directly to the couch after work. Unfortunately, new guidelines indicate most of us fall into the second category. Research shows that 80% of Americans fail to meet the government recommended minimum for weekly exercise.
Whether you are making a new years goal to get fit or are just continuing your long time fitness routine, I think it would be easier to get done consistently if we found a way to make it more enjoyable.
Good news . . . a new study out of Germany suggests that just 2 changes can make you enjoy exercise more. The participants with similar fitness levels were asked to ride a stationary bicycle for the same amount of time – a pretty boring exercise in my opinion. Those who considered themselves to be athletic and knew how they were benefiting from the activity said it was more enjoyable, and even required less effort.
The researchers concluded that personal expectations made the difference.
The secret is to believe in your athletic abilities and the benefits of exercising.
Think how much easier it would be for you to stick to a workout program if you really enjoyed doing it. Try these tips for building up confidence in your athletic abilities and knowledge of it’s benefits.

Continue reading

14 Ways to Be Kind to Your Body this Valentines Day

Woman Hugging Heart Balloon

When you think about your body, do you spend more time focusing on the negative or the positive?

It is easy to complain about the inches we would like to lose, or limitations that came with an injury, or how our body moves slower than it did a few years ago.

Or maybe you are focused on other areas of your life and don’t even notice your physical condition until you get the flu or throw your back out.

With so many responsibilities at home and work, it’s easy to overlook our body’s most basic needs. Despite the distractions, let’s not forget to be grateful for the amazing things our body does for us each day.

Valentines Day seems like the perfect time to show your body some love.

It’s important to take care of your body if you want to be able to rely on it – to be sure its keeps showing up for your for decades to come.

Continue reading