Fitness
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.
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.
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.
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.
Fitness
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Fitness
Alexandra Daddario, 40, relies on this underrated crunch upgrade for strong abs – here’s how to do it properly
From enduring some serious physical prep for Baywatch to working consistently with elite trainer Patrick Murphy, Alexanda Daddario’s dedication to fitness is well-documented. She often shares insights on social media, and in a recent Instagram post, the White Lotus star gave an insight into how she trains her core with one powerhouse movement: the reverse crunch into shoulder stand.
Why is it so good? Most traditional ab exercises require repetitive spinal flexion – the process of pulling your chest down toward your knees, like in a standard crunch. This isolates only the upper section of your abs, and for women who spend hours sitting at a desk, it can reinforce a slouched, rounded posture.
Daddario’s movement flips the mechanics entirely since you actively curl your pelvis up toward your chest. In doing so, you target not only your upper abs, but the lower portion and your obliques (the sides) simultaneously, all while keeping your chest open and your neck unstrained. This translates into a much stronger core, better posture and crucial lower back protection. Research also shows that a controlled posterior tilt – the lower-body curl that initiates Daddario’s move – recruits a significantly higher percentage of deep core muscle fibres than traditional crunches.
Daddario then drives her hips directly up into a vertical shoulder stand. This completely removes momentum from the equation (meaning you can’t “cheat”) and forces your abs – particularly your obliques – to balance your body and prevent you from tipping sideways.
She then takes it one step further into a Pilates plow position with her legs overhead, before reversing the movement and, again, using her abs to control the lowering of her entire lower body as she slowly unrolls her spine down onto the mat. The plow portion is optional (and super advanced); the slow, controlled, lowering phase, which happens whether you move into plow or not, is where the magic happens, challenging your core through both lifting and resisting gravity. Inspired? Here’s exactly how to do the move with good form, and how many reps and sets to aim for.
How to do a reverse crunch into shoulder stand
- Lie on your back (either on a mat, or on a reformer Pilates machine, like Daddario, with your arms anchored tightly to the floor.
- Engage your core to curl your knees toward your chest, then fluidly press your feet straight up toward the ceiling, lifting your hips and lower back off the floor.
- Slowly lower down, one vertebra at a time. Aim for 3 sets of 6-8 controlled reps.
Optional progression:
- As you reach shoulder stand with your legs extended to the ceiling, slowly start to lower your toes toward the floor over your head. Your weight should rest entirely on your shoulders and upper back – not your neck.
- Keeping your legs straight, use your core to extend them straight back up to the ceiling, then control the descent by rolling your spine down one vertebra at a time, with your legs remaining straight.
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As Women’s Health UK’s fitness director and a qualified Pilates and yoga instructor, Bridie Wilkins has been passionately reporting on exercise, health and nutrition since the start of her decade-long career in journalism.
After earning a first-class degree in journalism and NCTJ accreditation, she secured her first role at Look Magazine, where she launched the magazine’s health and fitness column, Look Fit, before going on to become Health and Fitness writer at HELLO!
Since, she has written for Stylist, Glamour, Cosmopolitan, Marie Claire, Elle, The Metro, Runner’s World and Red. Today, she oversees all fitness content across Women’s Health online and in print, spearheading leading cross-platform franchises, such as ‘Fit At Any Age’, which showcases the women proving that age is no barrier to exercise.
She has also represented the brand on BBC Radio London, plus various podcasts and Substacks – all with the aim to encourage more women to exercise and show them how. Outside of work, find her trying the latest Pilates studio, testing her VO2 max for fun (TY, Oura), or posting workouts on Instagram.
Fitness
Built Strong: Fitness forges unbreakable father-son bond
Fathers often share special bonds with their children. For 80-year-old Chanka Ramrattan, that bond is a shared love for fitness and exercise with his 46-year-old son Nari.
The Rousillac resident recalled that he began exercising at the age of 14, lifting weights and taking long walks, a passion that remains with him today. During his time working as a clerk at Texaco, he said he would walk from Forest Reserve to his Rousillac home, a distance of approximately 12 kilometres.
“I have done every marathon in Trinidad; you name a marathon, I could tell you. Miami Marathon, Tobago Sea-to-Sea, which is the most difficult marathon that I’ve ever done. I even have a trophy where I got the fastest speed walking man, and I have all my medals,” he recounted.
Chanka’s last marathon was a virtual one in 2021. Since then, his doctor has advised him to slow down because of his age. Now, he spends his time at the Health and Fitness Gym in Debe and South Oropouche about three times a week, walking marathons of his own on the treadmill.
“I do cardio walking for one hour, and I do weight training for one hour. Then, I go in the sea and I swim and dive for one hour,” he noted.
Chanka firmly believes regular exercise has contributed to his longevity and said he plans to keep going.
“Exercise is very important, and I like exercise. You go to Miami, and you’ll see 90-year-olds and 100-year-olds in the gym, walking, and even going to marathons. That’s because if you don’t exercise, you feel lethargic, you feel down. And you also have to read a lot. So, you exercise the brain, and you exercise the body,” Chanka advised.
His son Nari believes that perseverance was one of the most important lessons his father passed on to his children, along with a love of fitness and exercise.
“When you are looking at your dad, and your mom, and you are seeing them exercising and you are seeing them fit, why would you not want to do the same thing? So, it was instilled in all of us, myself and my two siblings. That exercising became a routine. My bigger sister, she would run, and my smaller sister would do cardio,” Nari explained.
The engineer and businessman recalled starting to exercise and lift weights with his father and uncle from a young age, crediting the experience with shaping the discipline and fitness mindset he still follows today.
However, in 2016, he faced a big obstacle after he hit his head during a diving accident, damaging his C6 and C7 vertebrae and spinal cord.
“I was 37 at the time when I got into the accident. I lost all feeling in my body. The person that you see in front of you now is not the person I was three years ago. I actually couldn’t move at all; I could only move my toe. It took a lot of hard work and will, to come out of that situation. Eventually, I started to transfer from my wheelchair to a bed, to a car. I even built a machine for me to stand up with a harness, and it pulls me up in the air so I can stand up straight. So, I used that for two years to get my body back to where it is,” Nari explained.
Nari, who is currently a quadriplegic, said he was only able to make progress through persistence and support from his loved ones. Chanka admitted that period was one of the most difficult experiences of his life as a parent.
“I wouldn’t like to explain that, that is a different thing altogether. He was in Mount Hope for six months, we had to go every day. It was a real trying thing, but you know, he is on the way to recovery. His mother wants to see everything good for him. For me, she will treat me second class and she will treat them first class, and she is right. Because the ones that are able to walk, you give them less attention because they are tending to themselves. You have to give more attention to the one that needs attention,” he acknowledged.
But their bond through exercising didn’t change. During COVID-19, Nari said his father returned to weightlifting under his son’s guidance.
“When my dad was trapped in the house and he couldn’t go anywhere, he was very miserable. So, we had a schedule where he and I would use the weights that I have at home, and I would tell him what to do. He actually got a six-pack during COVID. So, we stayed home and exercised with my wife and all too. After, I realised now I could start back to go to gym,” Nari reflected.
Chanka said his son’s determination continues to inspire him.
“When you see somebody who is a bit incapacitated and they’re exercising, they give you inspiration. Like if that man could do that, I could do that too. I wish Nari all the best. He is adhering to all his exercises, and he has a will that you won’t get in your next life. It’s probably my genes passed on to him,” Chanka shared.
Nari said none of that would have been possible without his father’s influence.
“Dad, I just want to tell you, thank you very much for being in our lives. You give us the encouragement to go day to day, and just keep being who you are, because you have a strong will, strong mind, and that is what keeps us going every day,” he said.
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