Stretching Exercise

What is good posture and which exercises can I do at the gym to improve my posture?

While standing, if you can draw an imaginary straight line through your earlobe, the tip of your shoulder, through your knee, and the middle of your ankle, you have good posture. Standing with good posture usually involves doing a slight chin tuck so your head is over your shoulders, pulling your shoulders back and tucking in your stomach.

Good posture lends to less stress on your joints and muscles resulting in less discomfort and risk for injury.  At first, maintaining good posture may be tiring. Eventually, you will build up the endurance in your muscles and it will come more naturally.

Here are some examples of stretches that you can perform to help achieve good posture. 

Pectoralis muscle stretch– Just put your hands up on a doorway and gently step through with one foot until you feel a stretch. All stretches should be held between 15-60 seconds.

Corner Stretch

Hamstring stretch– You can sit or stand. Put one foot up on a step or the coffee table and lean toward your foot.

Hamstring stretch

Shoulder blade squeezes– You can just squeeze your shoulder blades together or use an exercise band to row your shoulder blades together.

Rest position

Scapular Retraction

Good posture involves training the body to be in a position that results in less strain on your muscles and joints. If you are looking to improve your posture or decrease your neck/back pain with long-term sitting or standing, make an appointment at Harbor Physical Therapy for an individualized treatment program.

Plantar Fasciitis

What is Plantar Fasciitis?

Plantar Fasciitis is an irritation of the thick ligamentous connective tissue on the bottom of the foot. This band of tissue runs from the heel to the ball of the foot providing support for the arch of the foot.  Plantar fasciitis is common in runners.

Causes of Plantar Fasciitis

1. Over pronating with walking/running– pronation is where the inside of the foot touches the ground more than the outside.

2.  Wearing old shoes– shoes lose their support after approximately 500 miles of wear.

3.  Excessive walking with improper foot support– shoes that do not provide arch support.   An orthotic might be needed to provide increase support to the arch of the foot.

4.  Tight calf muscles

Symptoms:

Pain is felt at the bottom of the heel.  Pain is usually worse in the morning and improves throughout the day.  Pain increases with prolonged standing or sitting.

Treatment:

1.  Rest

2.  Ice

3.  Massage to the bottom of the foot

4.  Stretching– refer to the previous blog topic on Why does my calf cramp?  How do I relieve it?

5.  Night splinting

If the pain is still present, physical therapy can help with Plantar Faciitis.  Consult with your physician or physical therapist to determine the next step for you.    If you have any questions about Plantar Fasciitis, please contact Harbor Physical Therapy.

 

Cause and Treatment for Calf Cramps

Muscle cramps can occur from overexertion, dehydration, an electrolyte imbalance, and inactivity. During a muscle cramp, the muscle shortens causing sudden severe pain. Muscle cramps can develop from pointing your toes in bed.  Also, it is common in women who are pregnant.

If you experience a muscle cramp in your calf, try to walk it off.  If that does not work, massage and apply heat to your calf.  Then, stretch the calf to loosen the muscle and prevent further muscle cramping.

Calf Stretches

  1. Runner’s Stretch– Stand with your hands against the wall, with your feet staggered, lunge towards the wall. The calf you are trying to stretch should be in the back.
  2. Calf Stretch with Strap– sit with your legs in front of you and pull your toes toward your knee.
  3. Calf Stretch on Step– Stand on a step, lower the heel of the cramping leg to get a stretch.  Hold onto a railing for support.

If you are prone to calf cramps, you should stretch regularly.

Runner's Stretch
Calf Stretch with StrapCalf Stretch on Step

Sitting Posture at the Computer

How to Maintain Good Sitting Posture at the Computer

We spend a lot of time sitting in front of the computer. Sitting at the computer improperly can lead to injuries at the neck, back, wrist and elbow.  Below are guidelines to help maintain good posture while sitting in front of your computer.

  • To support the low back while sitting, make sure to sit with your back touching the back of the chair and use a lumbar support.  The lumbar support should fill the space in the curve of the low back to avoid pressure on your spine and reduce muscle fatigue in the low back muscles.
  • Your feet should sit comfortably, flat on the floor.  If they don’t reach the floor, use a footstool. Your hips should be slightly higher that your knees.
  • Do not twist or reach while you are using the computer and make sure your work is in front of your body.  Your wrists should be straight and avoid using a wrist rest.  A wrist rest tends to put a strain on the neck and shoulders because it elevates the height of your wrist from the table surface.  Your keyboard should be at elbow level and you want your elbows and upper arms resting close to your body.
  • The computer monitor should be an arms length distance away from you (about 20 inches). Your eyes should be in line with a point on the screen 2-3 inches below the top of the monitor.  Research suggests that having the center of the screen 17.5 degrees below eye level is optimal for neck alignment and for reducing glare.
  • Try to take breaks from sitting because being in one position for too long can stiffen muscles.  A couple of exercises you can do during the day to prevent neck stiffness includes: rolling the shoulders forward and backward, gently rotating your head, and side bending your head to stretch the neck muscles.

Clinical Question – Tendinitis

What is Tendinitis?

Tendinitis is an inflammation of a tendon.  This is most often caused by overuse.  Common areas that develop tendinitis are at the elbow, back of the ankle, knee, and shoulder.  Symptoms of tendinitis are tenderness to touch over the tendon, pain with movement, decrease range of motion, decrease strength, and swelling of the tendon.  Physical Therapy is beneficial for patients with tendinitis because it decreases symptoms and strengthens/stretches the injured area to prevent re-injury.

Exercise Guidelines

There are many different opinions on the frequency and duration a person should exercise in a given week.  Therefore, in 2007, The American College of Sports Medicine (ACSM) revised their guidelines for exercise to achieve a healthy lifestyle.  These guidelines are good principles to think about when planning an exercise regimen.  They are as follows:
<ol>
<li>Do fairly intense cardio 30 minutes a day, five days a week or do energetically intense cardio 20 minutes a day, 3 days a week.</li>
<li>Do eight to 10 strength-training exercises with 8 to 12 repetitions of each exercise twice a week.</li>
</ol>
<h3>Tips for following the guidelines:</h3>
Life gets busy so sometimes it is difficult to fit exercise into our schedules.  Here are some tips to help include exercise into your life.
<ul>
<li>Mix it up:
<ul>
<li>To meet the guidelines, you can vary the cardiovascular exercise you perform. Such as, you can walk vigorously for 30 minutes twice a week, ride a bike at a moderate intensity for 20-30 minutes twice a week, and jog/run at a higher intensity one-two days a week.</li>
<li>Do it several times a day in shorter time frames:</li>
<li>If you are too busy to do 30 minutes of consecutive exercise, you can perform intense 10-minute bouts of exercise 3 times a day, equaling 30 minutes.</li>
</ul>
</li>
<li>Work out with friends/family:
<ul>
<li>To motivate you to continue your exercise routine, it is helpful to bring friends and family in on the fun!  Therefore, you can motivate each other to continue exercising.  It is also helpful to get involved in exercise classes.  You will find that it is very motivating to have an instructor pushing you to make it through your workout class.</li>
</ul>
</li>
<li>Set your schedule:
<ul>
<li>Just like you schedule a meeting with work or friends, schedule exercise!  By scheduling exercise, it helps you keep up with your routine and stay healthy.</li>
</ul>
</li>
<li>Starting an exercise program:
<ul>
<li>Some people find starting an exercise program very intimidating.  If you fall in this category, there are some options out there for you.  Harbor Physical Therapy offers <span style=”text-decoration: underline;”><strong>wellness evaluation</strong></span>.  This entails a session with Dr. Amanda working on whatever aspect of your body you feel needs expert attention.  Dr. Amanda can provide you with a workout regimen that gets you started on your healthy lifestyle.  Also, if you get bored with your routine or want to try something different, Dr. Amanda can continue providing you guidance.  <strong>Please give us a call at 443-524-0442 for details.</strong></li>

There are many different opinions on the frequency and duration a person should exercise in a given week.  Therefore, in 2007, The American College of Sports Medicine (ACSM) revised their guidelines for exercise to achieve a healthy lifestyle.  These guidelines are good principles to think about when planning an exercise regimen.  They are as follows:

  • Do fairly intense cardio 30 minutes a day, five days a week or do energetically intense cardio 20 minutes a day, 3 days a week.
  • Do eight to 10 strength-training exercises with 8 to 12 repetitions of each exercise twice a week.

Tips for following the guidelines:

Life gets busy so sometimes it is difficult to fit exercise into our schedules.  Here are some tips to help include exercise into your life.

Mix it up:

  • To meet the guidelines, you can vary the cardiovascular exercise you perform. Such as, you can walk vigorously for 30 minutes twice a week, ride a bike at a moderate intensity for 20-30 minutes twice a week, and jog/run at a higher intensity one-two days a week.

Do it several tmes a day in shorter time frames:

  • If you are too busy to do 30 minutes of consecutive exercise, you can perform intense 10-minute bouts of exercise 3 times a day, equaling 30 minutes.

Work out with friends/family:

  • To motivate you to continue your exercise routine, it is helpful to bring friends and family in on the fun!  Therefore, you can motivate each other to continue exercising.  It is also helpful to get involved in exercise classes.  You will find that it is very motivating to have an instructor pushing you to make it through your workout class.

Set your schedule:

  • Just like you schedule a meeting with work or friends, schedule exercise!  By scheduling exercise, it helps you keep up with your routine and stay healthy.

Starting an exercise program:

  • Some people find starting an exercise program very intimidating.  If you fall in this category, there are some options out there for you.  Harbor Physical Therapy offers wellness evaluation.  This entails a session with Dr. Amanda working on whatever aspect of your body you feel needs expert attention. Dr. Amanda can provide you with a workout regimen that gets you started on your healthy lifestyle.  Also, if you get bored with your routine or want to try something different, Dr. Amanda can continue providing you guidance.  Please give us a call at 443-524-0442 for details.

Can sport injuries be prevented?

There are several measures you can take throughout your day to reduce the likelihood of sport-related injuries.

  1. Before playing any sport, be sure to warm up the muscles you will be using.
  2. If you are playing a sport that requires all of your body’s muscles, it is recommended that you take a 5 minute walk, while moving your arms in circular motions to the front and side of your body.
  3. While playing any sport, be sure to start slowly and work up to 100% of your effort.  For example, if playing tennis, start by playing at half the court distance with less effort per swing.  Then, progress to the baseline with your shots as you increase your effort of hitting the tennis ball.
  4. Make sure you drink plenty of fluids; dehydration can lead to muscle cramping, lethargy and dizziness.
  5. Wear proper footwear; do not play sports in sandals or bare feet unless specific to that sport.
  6. Stretch after your sporting activity.  Studies have shown that it is beneficial to stretch afterwards to prevent injury.

Examples of Basic Stretching Exercises

(To find out which muscle the below exercise is targeting, simply drag your mouse over the image)

Shoulder_Stretch Wrist_Flexion_Extension hamstring_stretch Quadricep_Stretch calf-stretch