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Health and Wellness: Five reasons to ditch the pills and embrace exercise as medicine

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Health and Wellness: Five reasons to ditch the pills and embrace exercise as medicine

Our bodies are built for movement, yet modern life has us sitting far more than we should. Compared to our ancestors, we’re moving less and sitting more – sometimes for over half the day. While fitness trackers and smartwatches encourage us to stand and get more steps in, it still doesn’t seem to be enough to counteract the effects of a sedentary lifestyle.

Physical inactivity has now become a major health issue, and the consequences are clear: less movement leads to more musculoskeletal issues and chronic pain (among other things). And the unfortunate reality is that most folks turn to pain medication for relief, despite research increasingly pointing to regular exercise being just as effective and far healthier.

Here are five reasons to ditch the pills – and embrace exercise instead – as a powerful form of medicine to manage musculoskeletal pain naturally.

Exercise mediates pain

The way we perceive pain is complex. Many assume it’s a direct response to physical damage or injury – but it’s not that simple. The perception of pain involves numerous physiological and psychological factors that the brain must interpret. Depending on your general health, past experiences, and mental health condition, this can vary quite drastically from person to person. In other words – it’s your brain that decides how much or how little pain you experience.

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Because of this complexity, external factors like exercise (and also pain medication) can alter how we perceive these signals. When we exercise, our bodies exhibit an increased tolerance towards pain, and a lower perception of pain intensity. This phenomenon is called “exercise-induced hypoalgesia” – and it works by closing down the gateways that allow pain signals to enter the brain. Certain medications can do this too, but when you exercise, you’re doing it naturally.

Exercise helps inflammation

Inflammation is a normal part of your body’s healing process, and it occurs when inflammatory cells travel to a place of injury. However, if inflammatory cells stick around too long, it can result in chronic pain and irritation. This is where exercise can really help.

When you exercise, your body experiences minor physiological stress, which triggers your body’s natural inflammatory reaction. During the inflammatory process, certain proteins called anti-inflammatory cytokines are produced. These protein chemicals help to modulate the body’s inflammatory response – ultimately reducing the level of inflammation associated with your pain. Inflammation can be both good and bad. When you exercise, you are creating “good” inflammation, which will naturally help to ease your pain.

Exercise stimulates endorphins

Ever wonder why a quick walk outside or a strenuous gym workout magically makes you feel better? It’s not your imagination. It’s something called endorphins – neurotransmitters released by your brain to alleviate pain and promote pleasure.

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Endorphins are considered your body’s natural “opioids” because they interact with the same pain-inhibiting receptors in your brain that drugs like morphine do. But unlike morphine, endorphins are triggered naturally and don’t come with harmful side effects like addiction, drowsiness, or mental fog. Exercise stimulates the production of endorphins, boosting your mood, reducing stress, and giving you access to your very own stash of natural, healthy painkillers.

Exercise improves your mental health

Exercise and mental health share a powerful connection. It’s virtually impossible to influence one without the other.

Regular exercise stimulates the production of various mood-boosting chemicals, including endorphins (that we just spoke about) along with serotonin and norepinephrine. Aside from helping to control pain, endorphins are also considered a “feel-good hormone”.

They trigger feelings of positivity that, once again, are similar to morphine. Serotonin and norepinephrine are instrumental in alleviating symptoms of depression and anxiety. Therefore – when you exercise – it’s virtually impossible not to feel better. And since we know that pain is controlled by your brian – anything that improves mental health is going to contribute positively to your relationship with pain.

Exercise as a prescription

OK – so we’ve discussed the multitude of positive effects that exercise has on pain perception, inflammation, and mental health. But what if you’re currently suffering from an injury? Is it possible to still use exercise as a pain reliever? The short answer is yes. But it’s challenging to do on your own. You can’t just google “best exercises for back pain” and expect good results.

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When it comes to using movement or exercise to rehab an already existing injury – it needs to be carefully prescribed.

For all the reasons already discussed, physical activity will still help you modulate pain – but you must consider the role exercise is going to have on any potential tissue damage. With weakened or damaged tissue, exercise is still an effective pain reliever, but it has to be prescribed or you risk worsening your injury.

For these reasons, I always recommend working with a movement expert who truly understands the nature of musculoskeletal pain and tissue healing. If you start a general exercise routine because you want to feel better  – I applaud you – just make sure you’re getting your desired result.

But if you start exercising to help with pain and don’t experience any noticeable improvement – or you catch yourself modifying to work around your pain – then it’s time to enlist the help of an expert. Otherwise, you risk ending up on pain pills, which is exactly what we want to avoid.

Dr. Carrie Jose, Physical Therapist and Mechanical Pain Expert, owns CJ Physical Therapy & Pilates in Portsmouth and writes for Seacoast Media Group. To get in touch – or to request a free Discovery Visit to explore a solution for your pain or injury with a mechanical pain expert – visit www.cjphysicaltherapy.com or call 603-380-7902.

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Prepare for Ski Season With These Workouts

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Prepare for Ski Season With These Workouts

Skiing can be a whole lot of fun when the snow starts flying. But your body can take a beating on the slopes if it’s not properly prepared.

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Sports medicine specialist Molly McDermott, DO, shares how to get ready for ski season with some workouts and strategies.

Ski training routine

Some elite skiers start training at the tail end of spring — about six months before they ever hit the slopes. Others may need less time. In general, Dr. McDermott recommends training at least six to eight weeks before your first outdoor adventure.

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As part of your routine, you’ll want to focus on ski workouts that build:

  • Strength
  • Endurance
  • Flexibility
  • Neuromuscular control (also known as muscular coordination)

Trying to jump into a sport when you haven’t intentionally trained is difficult and challenging, says Dr. McDermott. That’s especially true given the physical demands that come with skiing.

“You want to train your brain, nerves and muscles to really build stability and balance so you can have more control over how you jump and land,” she notes.

Ski exercises

Ski-focused training puts a strong emphasis on lower-body exercises, targeting everything from your glutes to your ankles. But you’ll want to take a full-body approach to ski exercises, which means working on your core and upper body as well.

“You’re going to have to make real-time decisions when you’re out on the slopes,” stresses Dr. McDermott. “You’ll need to strengthen your whole body to be able to do things like pivot or change direction, keep your balance, propel yourself forward and withstand the impact of skiing.”

Dr. McDermott recommends starting with just bodyweight exercises if this is your first go at it. More experienced athletes can focus on higher weights or machines. In general, she recommends doing three sets of 10 to 15 reps each. Then, as you work through your training, you can progressively load your weight, sets, reps or how long you exercise to continue building strength and endurance.

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Here are some workouts that lend themselves to skiing.

Dynamic warm-up

Warming up before any workout is key, especially right before you hit the slopes. The International Ski and Snowboard Federation agrees. Dynamic warm-ups and cool-downs are highly effective for preventing injury and improving performance.

Consider starting and ending your ski workout with five to 10 minutes of:

  • Jogging
  • Using an elliptical
  • Walking on a treadmill

“You’re warming up your muscles and then stretching them, as opposed to static, cold stretching,” explains Dr. McDermott.

Squats

“Squat maneuvers help make sure you have the coordination of your nerves and your muscles working together so your muscles are strong and keep your body aligned — in particular, keeping your knees from turning in,” says Dr. McDermott. “As squats become easier, you can progress to squat jumps.”

  1. Stand with your feet shoulder-width apart with your toes pointed slightly outward.
  2. Hinge at your hips, bend your knees and slowly lower your body (as if sinking into a chair).
  3. Lower until your thighs are parallel to the ground, keeping your knees in line with your toes and your weight on your heels.
  4. Hold the position for three to five seconds.
  5. Shoot up quickly to your starting position by pushing through your heels.
  6. Repeat this process for 10 to 15 reps.

Side-lying hip abductors

Hip abductor exercises help with skiing because they focus on balance, control and building strength in your hips, glutes and thighs.

  1. Lie down on your side with your legs extended straight. Your right leg should be on top of the other and you should rest your head on your left arm.
  2. Keeping your hips steady, lift your right leg so your knees are no longer touching. You should feel a stretch in your upper thigh and hip.
  3. Slowly lower your right leg.
  4. Repeat for 10 to 15 reps, then switch sides and continue.

Calf raises

Calf raises help improve ankle mobility and calf strength — all needed for those quick turns while skiing.

  1. Stand with your feet hip-width apart, with your arms hanging at your sides.
  2. Slowly lift the back of your heels until you’re standing on the balls of your feet.
  3. Hold this position for one to two seconds before lowering back down.
  4. Repeat for 10 to 15 reps.

Skater hops

“Skater hops are single-leg hops from side-to-side,” describes Dr. McDermott. “These are really going to help you in certain ski maneuvers.”

  1. Stand with your feet hip-width apart and your hips and knees bent at a 45-degree angle.
  2. Push off the floor with your left leg so that you jump to the side, landing on your right leg.
  3. Keep your knees bent and your left leg crossed behind your right (as if you’re skating).
  4. Then, jump back to the opposite side, crossing your right leg behind your left.
  5. Repeat this process in quick succession for 10 to 15 reps, jumping as fast and far as you’re able.
  6. To maintain momentum, it helps to swing your left arm forward as you’re pushing off with your left leg and vice versa.

Shoulder shrugs

“Shoulder shrugs are a good ski exercise because they help build the upper trapezius muscles that connect with your neck,” says Dr. McDermott. “They really work on your posture.”

  1. Start by standing tall, feet hip-width apart.
  2. While looking straight ahead, lift both of your shoulders and slowly roll them backward in a circle for 10 seconds.
  3. Repeat the process by circling your shoulders in the opposite direction for 10 seconds.

Chin tucks

Chin tucks involve a gentle range of motion to improve posture and strengthen neck muscles.

  1. While sitting or standing in a relaxed position, look straight ahead and lightly touch the bottom of your chin with your index finger.
  2. Gently pull your head and neck back so your chin moves away from your finger.
  3. Hold this tucked-chin position for up to 10 seconds before slowly extending your head and neck forward to the starting chin position.
  4. Repeat this process for 10 to 15 reps.

Push-ups

“Push-ups are good for strengthening your shoulders, chest and core, which helps with balance and stability when you’re skiing,” says Dr. McDermott.

  1. Kneel on all fours with your palms flat on the floor in front of you and your fingers facing forward. Hands should be shoulder-width apart and directly below your shoulders.
  2. Lift your knees off the floor and straighten your legs.
  3. Bend your elbows and tuck them to your sides as you slowly lower your chest and chin to the floor.
  4. Push through your palms until your arms are fully extended. Don’t let your hips or back dip to the ground — your head, spine and butt should all be aligned.
  5. Repeat this process for 10 to 15 reps.

Planks

This exercise targets your wrists, forearms, core and upper body — all areas that promote stability and strength while skiing.

  1. Get into a push-up position, with your legs extended and your elbows directly beneath your shoulders.
  2. Hold this upright push-up position for 10 to 15 seconds, with your abs engaged and butt and back aligned.
  3. For a modified challenge, you can lower your knees to the floor while holding this position.
  4. For a deeper stretch, you can rock your hips back and forth, or lower down to your elbows for a low plank.

Bridges

Bridges help strengthen your glutes, which help guide and direct your skis.

  1. Lie on your back with your knees bent, feet on the floor and arms at your sides.
  2. Squeezing your butt and abdominal muscles, push through your heels to slowly lift your hips toward the ceiling.
  3. Keep your back straight and your arms pressed into the floor at your sides.
  4. Hold this position for a few seconds, before slowly lowering your hips to the floor.
  5. Repeat this process for 10 to 15 reps.

Oblique twists

Also known as a Russian twist, this exercise focuses on your abdominal muscles and core strength. It helps with skiing because it supports your ability to rotate, turn and move quickly.

  1. Sit on the floor with your knees bent and your feet flat.
  2. Lean back at a 45-degree angle and squeeze your abdominal muscles.
  3. Extend your arms out straight in front of you and clasp your hands together.
  4. Engage your core as you twist slowly to the right as far as you feel comfortable, moving your arms in the direction you’re turning.
  5. Return back to center, pause and then twist to the left side.
  6. Repeat this process for 10 to 15 reps.

Cardio exercises

Skiers can also benefit from cardio exercises that get their blood flowing and build aerobic endurance, like:

  • Cycling
  • Running
  • Swimming
  • Rowing

“Build cardiovascular and low-impact activities into your training routine to help improve your performance and increase your endurance,” advises Dr. McDermott. “Some days you can break it up into sets or you can do 30 minutes straight.”

A note before hitting the slopes

A big part of ski training is getting your body acclimated to cold-weather exercises. For athletes who live in areas where winter runs strong, it helps to train early and get that outdoor exposure as temperatures begin to drop during the fall.

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Others who live in warmer climates might benefit from taking cold showers, ice baths or lowering indoor temperatures weeks before heading out on a ski trip.

Once ski season begins, make sure you warm up before heading outdoors, stay hydrated and keep moving to keep your body warm.

“When you’re skiing, a lot of unexpected things happen,” cautions Dr. McDermott. “The weather changes and things happen really fast. So, you want to be physically and mentally prepared before you hit the slopes, making sure you’ve got the right equipment, the right clothing and you’re prepared in case of injury.”

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Forget the gym — you just need 20 minutes and 2 dumbbells to strengthen your whole body with this workout

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Forget the gym — you just need 20 minutes and 2 dumbbells to strengthen your whole body with this workout

One of the harder parts of committing to a training routine is knowing where to start, and that’s true of those who have never trained regularly before as well as more experienced people coming back after a break.

This 20-minute workout from fitness trainer Lindsey Bomgren, founder of Nourish Move Love on YouTube, is perfect for easing your way into a training routine, especially if you’re coming back from a break because of illness or any other reason.

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Ditch sit-ups and crunches — this 5-move standing abs workout will help you build a stronger and more sculpted core

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Ditch sit-ups and crunches — this 5-move standing abs workout will help you build a stronger and more sculpted core

The beauty of a standing abs workout is that you do not need a mat, much space, or to get down on the ground for any of the exercises. That makes it easy to fit into a busy day, whether you are working out at home, short on space, or prefer to stay off the floor altogether.

None of that means it is easier or delivers fewer results. Pilates instructor and Balance Body Educator Portia Page built this five-move, all-standing core workout to show that you can still challenge your abs effectively without a mat or traditional floor exercises.

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