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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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Do you have sore hips? I asked a pain specialist why this happens and how to improve it

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Do you have sore hips? I asked a pain specialist why this happens and how to improve it

Hip soreness is a terribly common issue—it’s something that I certainly suffer with—so I’m always trying to get to the bottom of where this soreness originates from and what you can do about it.

According to Dr Shady Hassan, MD, an interventional pain and sports medicine physician and the founder of NefraHealth, immobility is the root cause of this discomfort.

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“No Pain No Gain” May Be Wrong: Science Says Slow Eccentric Exercise Builds Stronger Muscles

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“No Pain No Gain” May Be Wrong: Science Says Slow Eccentric Exercise Builds Stronger Muscles

Modern exercise culture has spent years glorifying exhaustion. The harder a workout feels, the more effective people assume it must be. Sore muscles became badges of honor, while gentle movements were often dismissed as ‘not real exercise.’ 

A man lifting a dumbbell. Image credits: Andres Ayrton/Pexels

However, according to a new study, some of the most efficient ways to build muscle strength may happen during the slow, controlled moments people usually ignore—walking downstairs, lowering weights, or carefully sitting into a chair. 

Study author Kazunori Nosaka, who is the director of exercise and sports science at Edith Cowan University, argues that eccentric exercise—a type of muscle action that occurs while muscles lengthen under tension, may offer a more practical alternative. Its opposite, concentric exercise, is the shortening (lifting) phase where muscles produce force to overcome resistance.

Instead of demanding maximum effort, these movements appear to train muscles while placing less stress on the body.  

“The idea that exercise must be exhausting or painful is holding people back. Instead, we should be focusing on eccentric exercises which can deliver stronger results with far less effort than traditional exercise – and you don’t even need a gym,” Nosaka said.

Muscles work differently on the way down

The study examines decades of earlier research on eccentric exercise rather than presenting a single laboratory experiment. It focuses on a simple but often overlooked detail of human movement, which is how muscles behave differently depending on whether they are shortening or lengthening.

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When someone lifts a dumbbell, climbs stairs, or rises from a chair, muscles shorten as they generate force. Scientists call this a concentric contraction. Eccentric contractions happen during the opposite phase—when the muscle stays active while stretching. 

Examples include lowering the dumbbell back down, descending stairs, or slowly lowering the body into a seated position. According to the review, muscles can tolerate and produce greater force during eccentric actions while using comparatively less energy and oxygen. 

“Eccentric contractions are distinguished by their ability to generate greater force than concentric or isometric contractions, while requiring less metabolic cost,” Nosaka notes.

Researchers believe this happens because muscles act more like controlled braking systems during lengthening movements, resisting gravity rather than directly overpowering it. As a result, people may gain strength without putting the same level of demand on the cardiovascular system. 

This difference could make eccentric exercise especially useful for individuals who find traditional workouts physically overwhelming.

“Eccentric exercise training provides numerous benefits for physical fitness and overall health, making it suitable for a wide range of individuals from children to older adults, clinical populations to athletes, and sedentary to highly active people,” Nosaka added.

Gravity may be doing more training than we realized

To support this argument, the study brings together findings from several earlier research works. For instance, one study from 2017 tracked elderly women with obesity who repeatedly walked either upstairs or downstairs over a 12-week period. 

While climbing stairs is normally considered the tougher workout, the women assigned to walk downstairs showed stronger improvements in measures including blood pressure, heart rate, and physical fitness. The results suggested that resisting gravity during downward movement may provide a surprisingly powerful training effect.

YouTube videoYouTube video

The review also discusses eccentric cycling, where participants resist pedals driven backward by a motor instead of pushing them forward in the usual way. 

Although the movement feels unusual and requires concentration, earlier studies found it improved muscle power, balance, and cardiovascular health while feeling less exhausting than standard cycling workouts.

Another important part of the review addresses muscle soreness, one of the main reasons eccentric exercise never became widely popular outside rehabilitation settings. People often experience delayed onset muscle soreness, or DOMS, after unfamiliar eccentric workouts. 

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“Unaccustomed eccentric exercise is often associated with muscle damage characterized by delayed onset muscle soreness (DOMS) and a reduction in muscle force-generating capacity lasting more than a day. However, this effect diminishes or at least is attenuated when the same eccentric exercise is repeated (known as the repeated bout effect),” Nosaka explained

Many eccentric exercises require little or no equipment. Slow squats into a chair, heel-lowering movements, controlled wall push-ups, or even maintaining posture against gravity can activate eccentric muscle work. 

Moreover, some studies referenced in Nosaka’s review suggest that just a few minutes of these exercises each day can still produce measurable improvements in health and strength.

The future of fitness may feel less punishing

The findings challenge the mindset surrounding fitness itself. Many people abandon exercise routines because they associate physical activity with pain, fatigue, or lack of time. Eccentric exercise suggests that effective movement does not always need to feel extreme. 

If future research continues to support these findings, eccentric exercise could influence far more than gym routines. It may reshape physical rehabilitation, elderly care, injury recovery programs, and public-health recommendations aimed at increasing physical activity among sedentary populations. 

These exercises also place lower demands on the heart and lungs while still strengthening muscles. They could help people who are unable or unwilling to follow intense training programs.

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Nosaka suggests that “we should establish eccentric exercise as standard practice, and make it common, accessible, and widely accepted as the ‘new normal’ of exercise to improve life performance and high (athletic) performance.”

However, this does not mean eccentric exercise is a universal replacement for all forms of physical activity. The current paper is a review of previous studies, and its findings still need to be validated through experiments and large-scale clinical trials.

Nosaka also notes that “Future studies should investigate mechanisms underpinning the effects of eccentric exercises in comparison to other types of exercises (e.g., isometric exercises, concentric exercises, aerobic exercises),”  

This could help scientists design safer and more personalized exercise programs for different age groups and health conditions.

The study is published in the Journal of Sport and Health Science.

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Flexibility expert recommends doing this for three minutes daily to improve mobility

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Flexibility expert recommends doing this for three minutes daily to improve mobility

Longevity is something of a buzzword right now, and the idea of living better for longer is undoubtedly appealing. Mobility is a key component of this.

By definition, mobility is the ability to move freely, something that tends to deteriorate as we age. But there are simple things we can do to maintain it.

One of them is “joint flossing”, a daily practice recommended by experienced coach and mobility specialist Darren Ellis.

“Mobility is a conflation of strength and flexibility,” he says. “I always used to believe that strength was the foundation of everything in exercise. But if you’re strong and you can’t move through a decent range of motion at certain joints, you’re still suffering.

“When you reach down to pick something up from the floor and it seems further away than it used to be, you suddenly realise how crucial mobility is.”

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Below, Ellis explains how to use his three-minute joint flossing protocol to help ease stiff joints and improve your ability to move.

How to try joint flossing

The body works on a rough “use it or lose it” basis. If you rarely move a joint through its full range of motion, the tissues around it can become tight, stiff and sore. The natural remedy for this is gradually reintroducing movement in the affected areas.

“The easiest place to start when improving mobility is to get the joints moving more freely with some simple joint circles,” says Ellis. “I sometimes call it joint flossing because, firstly, you are flossing nutrients through the joint by promoting blood flow in this area, and secondly, it’s something you should do regularly.”

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You start with neck circles then work your way down your body from your head to your toes, as shown in the video above – if something can move, you move it.

Ellis recommends doing five to 10 repetitions per body part, using a controlled tempo and a range of motion that feels safe and comfortable for you.

“There’s no need to force anything,” he says. “You’re just giving your body a chance to move again.”

Doing this consistently will improve your physical capacity and mobility, allowing you to return to other movements and exercises over time.

Read more: Five stretches you should be doing every day, according to a flexibility expert

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