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Sean McCawley, Fit for Life in Napa Valley: Exercise adherence to mitigate hip pain

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Sean McCawley, Fit for Life in Napa Valley: Exercise adherence to mitigate hip pain





Sean McCawley

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Relatively simple movements one would think we should be able to do every day without even thinking about it include squatting down to pick objects off from the ground, standing up from a seated position, or ascending stairs. These everyday functional movements depend on optimally conditioned hip joints. Consisting of a ball and socket joint granting the ability to move forward, backward, side-to-side, and rotate close to a full circular range of motion, the hip joint allows the body to execute advanced functions throughout our everyday lives. The ability to decrease the elevation of the hips throughout squatting movements, hinge over from the hip joint to pick up objects, go up and down stairs, walk, hike, or jog rely on a structurally sound and strong infrastructure of the hip. Impediments to our normal functionality can become significantly threatened if there is a disruption to the hip’s structural integrity. For the readers who experience hip pain, one could appreciate how a seemingly simple movement such as walking, getting in and out of the car, or stepping up onto a curb can seem like gearing up to walk over 10 yards of hot coals while barefoot. Discomfort and pain are a part of life that we don’t wish upon anyone. However, while hip pain conditions might appear like a plague that lingers like the scent of a dog freshly sprayed by a skunk, we can practice consistent exercise to support hip health.

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To understand how to alleviate hip pain, it’s worthwhile to enlighten ourselves on the composition of the hip and a few basic functions. Centrally located in the body next to the spine and abdomen, the hip joint consists of the head of the femur, which inserts into a concave-shaped socket of fused pelvic bones. The head of the femur is a rounded, convex-shaped portion of bone that fits congruently into the hip socket. The labrum is a large suction-cup-like ligament originating from the inside of the hip socket. It articulates around the head of the femur, providing significant structural support that keeps the hip from traveling out of the socket and allows for a substantial rotational range of motion. An intricate yet organized network of muscles originating from the sacrum, pelvic bones, anterior portion of the spine, and tendonous sheaths of the abdomen assist in adhering the hip fit snuggly into the hip socket. Depending on the message the human in charge of the hip joints sends from the brain, through the spinal cord, out toward the motor nerves, and to the muscles. Each muscle has a unique function that abducts, adducts, flexes, extends, and rotates the hip joint. Furthermore, along the bony prominence of bones include bursae, which are fluid-filled sacks that allow for the smooth gliding of tendons over the pointier portion of bones during muscle contraction.

Inflamed, strained, and stressed hip muscles occur from multiple presentations, including prolonged sedentary periods, overuse injuries, traumatic physical injuries, or the advancement of age-related degenerative bone disease. Connective tissue absent of sufficient physical activity and exercise is threatened by inadequate supplies of blood to the site of muscles, tendons, and ligaments that produce large movements and endure substantial stress. As a result, inflammation can occur in the bursae sacks, ligaments, and tendons, leading to tendonitis, bursitis, and the potential for arthritis at the end of the hip bone. If lack of exercise is causing a decrease of oxygenated blood flow to the muscles, tendon, and ligaments holding the hip joint together, a solution to relieving pain and decreasing the likelihood of future pain increasing is to practice consistent adherence to hip injury prevention exercises.

A few exercises we conduct with our personal training clients every time they arrive for their training sessions include a hip movement preparation routine. No matter what specific exercises we have in line for them, they will always rehearse a hip movement prep. routine that activates the hip muscles before entering into any compound and compressive resistance training tactics. Here is an example of an exercise we include to activate the gluteal muscles, adductors, and abductors of the hip:

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Supine Isometric Single Leg Hip Extension: To perform the supine isometric single leg hip extension, start by positioning yourself flat on the ground with your arms extended and your knees bent. Keep one leg bent and the foot of the supporting leg flat on the ground, and extend the opposite knee toward the front of the body. Press your stabilizing foot into the ground and lift the hips upward until a brief muscular sensation is experienced in the hamstrings and glutes. Once your hips are extended upward, hold this position utilizing your glutes and hamstrings to stabilize the hips in an extended position for 10 to 30 seconds. Repeat this movement on the opposite leg.

Similar to taking your vitamins every morning to improve the immune system and fend off illness, movement prep. exercises for the hip should be rehearsed in a similar ritual when preparing the body for exercise. Not only will movement prep. exercises prevent injuries to the hip, but the compounding effects of practicing these tactics before every training session have the potential to significantly impact avoiding hip strains, decreasing the onset of arthritis, and alleviating nagging hip pain.

Sean McCawley, the founder and owner of Napa Tenacious Fitness in Napa, welcomes questions and comments. Reach him at 707-287-2727, napatenacious@gmail.com, or visit the website napatenaciousfitness.com.

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Yoga coach shares no 1 exercise everyone over 40 should add to their fitness routine to stay strong and steady

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Yoga coach shares no 1 exercise everyone over 40 should add to their fitness routine to stay strong and steady

Many people think turning 40 means avoiding jumping, fast movements, or anything that feels ‘too intense’. But avoiding these exercises might be holding you back from staying strong and energetic. According to Jelena Lieberberg, yoga and movement coach, plyometrics is one of the most effective ways to build power and protect your joints as you age. In her November 11 Instagram post, she shares a practical plan to get started. (Also read: Anant Ambani’s fitness trainer Vinod Channa shares how he rebuilt his back after a slip-disk injury: ‘I learned slowly…’ )

Over 40? Embrace plyometrics for better strength and mobility. (Freepik)

Why plyometrics matter after 40

In her post, Jelena highlights why including jumps, fast transitions, and power-based exercises becomes more important with age. She explains, “Ageing naturally brings a decline in muscular strength, bone density, and neuromuscular function. This can lead to an increased risk of falls, fractures, and a general loss of independence. However, engaging in plyometric training can help mitigate these effects and even reverse some age-related declines. Some studies have shown that if you’re unable or unwilling to jump, you’re at a higher risk of falling.”

Benefits of plyometric training

✔️ Improves muscle power and strength

✔️ Enhances bone density

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✔️ Boosts balance and coordination

✔️ Promotes cardiovascular health

✔️ Increases muscle mass, which reduces the risk of sarcopenia.

Jelena’s message challenges the widespread fear around high-impact training for older adults. Instead of avoiding jumps, she says the smarter approach is learning how to land safely, build power gradually, and move explosively within one’s capacity.

A scalable start for everyone over 40

To make plyometrics accessible, Jelena recommends beginning with low-impact variations:

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  • Step jumps instead of full jumps
  • Soft-landing squats
  • Lateral shuffles
  • Slow-to-fast transitions
  • Mini hops before full jumps

Once form and confidence improve, movements can gradually increase in height, speed, and intensity.

Note to readers: This report is based on user-generated content from social media. HT.com has not independently verified the claims and does not endorse them.

This article is for informational purposes only and not a substitute for professional medical advice.

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A Trainer on the 1 Trendy Piece of Fitness Equipment She’d Never Use

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A Trainer on the 1 Trendy Piece of Fitness Equipment She’d Never Use

TODAY’s Never Have I Ever series offers guidance about procedures and practices our trusted health experts would never participate in. Discover why they should be avoided and which healthy practices you should turn to instead.

Maybe you saw it tucked away in the corner of your gym, or perhaps it caught your eye when an impressively toned influencer used it on social media.

The allure of this particular piece of fitness equipment isn’t new — but it also hasn’t gone away. In an age when people are rightly focused on building core strength, a tool that claims to work multiple muscles at once is certainly tempting.

But certified personal trainer and TODAY fitness contributor Stephanie Mansour is staying far away from this one, she says.

Never Have I Ever: Used an Ab Wheel

An ab wheel, sometimes called an ab roller, is a small, relatively inexpensive and deceptively simple piece of fitness equipment.

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To use one, you’ll hold on to either side of a wheel, get into a plank position, and hold that position while you roll the wheel back and forth in front of you.

“It’s a positive in that it is meant to help you engage all of your ab muscles,” Mansour tells TODAY.com, including the rectus abdominus, internal and external obliques, as well as the deeper transverse abdominus muscles.

If that sounds challenging, it is, Mansour says. And that’s why she’ll never use one.

An ab wheel might be an appropriate challenge for someone who already has a “super, super strong core,” Mansour says, on top of expert balance and muscle control.

“If you’re an experienced exerciser, you could probably do this the right way,” she explains. “But for someone just starting out, or even someone like me who is experienced, this isn’t my first choice for how to work my abs.”

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The problem is that many people who try to use ab wheels aren’t advanced enough in their fitness journey to use them correctly. And, as Mansour found out firsthand, using them incorrectly can put you at risk for injury.

Over a decade ago, Manosur tried using an ab wheel. “And I threw my back out trying to use this thing,” she says.

“You can easily do it incorrectly because you’re only using your hands to hold on to a very small surface area,” Mansour explains. “It’s very easy to go too far, to go too fast and to be kind of jerky with it,” she says.

If you don’t have the strength, control and balance to keep yourself up, you could find yourself in a tricky situation with your arms outstretched and no way to pull them back. “There’s really no checks and balances,” she adds.

What to Do Instead

For people who are interested in using an ab wheel but aren’t advanced enough, Mansour recommends working on other core exercises first — including those that engage multiple muscles at once, like the roller.

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Start by working on core exercises that challenge you to hold yourself up with fewer points of contact on the ground, like holding a plank with one arm or one leg outstretched, Mansour suggests.

You could also work on shoulder taps in a high plank position, which similarly “mimic what you’ll be doing with the ab roller,” she says. Try alternating side planks as well, which challenge your balance and engage the obliques.

Consider using sliders under your hands or feet to add some additional balance work to your core moves.

If you are really intent on using an ab roller, Mansour suggests starting by just rolling it out and back an inch at a time to get used to the movements and to gauge your strength. She also recommends starting out on your knees in a modified plank rather than in a fully outstretched plank.

“If you’re really curious, don’t let me scare you,” she says. “But just know that you’ve got to be cautious as you’re starting off.”

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Personally, though, with so many other effective ways to work your core, Mansour isn’t looking to get back to the ab wheel anytime soon.

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Can exercise snacking really level up your fitness and heart health? New study

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Can exercise snacking really level up your fitness and heart health? New study

Does microdosing exercise really work? Is it enough to level up your fitness and make any kind of beneficial impact on your health? I’ve covered previous studies on how exercise snacking can improve cardiorespiratory fitness and cardiometabolic health, but what about physically inactive individuals with little experience with exercise? Do they still achieve benefits from these short bouts of movement? Let’s delve into the research.

The meta-analysis

In a meta-analysis published in the British Journal of Sports Medicine, the researchers evaluated the effects of brief bouts of exercise spread throughout the day, known as exercise snacks, on muscular and cardiorespiratory fitness and cardiometabolic health outcomes. The study authors were especially interested in the impact on the following factors:

  • Muscle strength
  • Fitness
  • Heart health
  • Blood pressure
  • Body fat
  • Cholesterol

The study involved 414 physically inactive adults of varying ages. In this case, the researchers considered exercise snacks to be five-minute workouts performed at least twice per day, at least three times a week, for at least two weeks, rather than longer sessions in single blocks. The meta-analysis included randomised controlled trials of adults and older adults comparing those who did exercise snacking with those who didn’t exercise at all. Exercise snacking lasted for 4-12 weeks in the studies. The workouts varied in intensity from moderate-to-vigorous to near-maximal.

The results

Here are the results of the meta-analysis:

  • Exercise snacking enhances heart and lung fitness. The adults who stayed committed to these shorter workouts had better endurance.
  • Exercise snacking helped older adults enhance their muscular endurance and become tired less quickly, though more studies are needed specifically on this.
  • These shorter exercise bursts didn’t improve muscle strength or the ability to produce force. Typically, building strength requires using heavier loads or committing to longer training sessions. However, the studies in this analysis ended after 12 weeks.
  • These mini workouts scattered throughout the day didn’t change medical markers over those 4-12 weeks, such as body fat, cholesterol, metabolic health, and blood pressure.
  • 91% of participants completed their exercise sessions, and 83% stuck to their program requirements, showing high compliance with exercise snacking.

The bottom line

It’s important to note that this research involved adults who were physically inactive and had little to no experience with exercise, and the studies ended after 12 weeks. The bottom line is that if you’re physically inactive now, several short bursts of movement throughout the day over 4-12 weeks can definitely improve your fitness. You’ll be making strides, or shall we say movements in the right direction, but it might not be enough to make significant metabolic changes in your health, such as your blood pressure, body composition, or cholesterol.

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