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Sean McCawley, Fit for Life in Napa Valley: Recover from injuries by slowing down your exercises with eccentric exercise

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Sean McCawley, Fit for Life in Napa Valley: Recover from injuries by slowing down your exercises with eccentric exercise





Sean McCawley

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“I’m not sure I should come in for my training session today. I might have lifted something the wrong way when I was bending down to prune my roses. Now, I have some tightness and pain in my lower back and right side of my hip. What do you recommend?” read one of the emails from Revy in my inbox on a Monday morning a few weeks ago.

Revy is one of our personal training clients who frequents our fitness center twice a week. Her attendance is among the upper percentile in terms of showing up ready to go for her twice-weekly training sessions. Fueled by a light pre-workout meal, a bottle of water, and the assurance that she would show up 15 minutes early to complete her dynamic stretching routine that has been etched into her memory banks, one could say Revy is the ideal personal training client. The coaches fight over who trains Revy because she listens and comprehends the exercise tactics we cue her to perform with intense concentration, purpose, and an eagerness to receive positive feedback.

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As a woman just entering her 60s and embracing a life of retirement, Revy has embraced a fit and active lifestyle as the key to paving a path of adventure and fun to fuel the aspirations of traveling, hanging out with her friends and family, and recreational activities she’s always wanted to delve into. However, after training for over 18 months, Revy experienced something unusual she hadn’t felt after the positive outcomes she garnered from consistently adhering to her fitness routine. Following two hours of pruning rose bushes, raking up leaves, and filling up her brown compost bin, she woke up with back pain that severely disrupted her daily activities the next day.

After reading Revy’s email, I felt sympathetic toward her discomfort. She has worked diligently to ensure the condition of her body is nurtured and operating at full capacity thanks to her efforts to eat healthy and exercise regularly. However, I understand that certain events are out of our control, and outliers in the course of everyday life can present a shift in the normal rhythm we’re accustomed to.

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I trusted Revy’s intuition that exercise might make things worse. I told Revy I was confident we could adjust her training regimen to avoid exacerbating the injury. Furthermore, her program would be revised in an effort to alleviate her pain and rehab the site of her injury. This meant the coaching team knew to incorporate lower back injury prevention, stretching, and less compressive movements in her exercise prescription. As a productive intervention, we incorporate isometric and eccentric modes of exercise when participants report an onset of pain from an unlikely event in which they endured a musculoskeletal injury.

Isometric exercise can be defined as a mode of exercise in which the surrounding joints aren’t moving but are still under tension. A common example is the straight-arm plank. This position is commonly understood as positioning oneself in the starting position of a push-up and maintaining that position for a specific period of time. We usually instruct our personal training clients to hold a plank for 20 to 30 seconds to start.

Once planks can be maintained for a proficient amount of time, about 45 seconds to a minute, we progress to the next mode of exercise, eccentric movements. Commonly understood as a slow-lowered or “negative” portion of an exercise, eccentric muscle contractions can be identified as the lengthening of a muscle fiber.

A commonly perceived normal exercise routine consists of a one-to-one ratio of lifting a load and lowering it at the same speed. Performing this mode of a normal one-to-one ratio of time in the accent and descent of the push-up is commonly understood as the traditional way of exercising. This isn’t what we wanted to do for Revy.

We knew that Revy’s body was in a state of distress. Instructing her to perform three sets of 10 repetitions for her compound lower and upper body movements might exacerbate the injured area because the rate of muscular contraction and physical exertion could potentially overstress an already stressed area. Therefore, performing three sets of four repetitions of slow-lowered descent exercises would be beneficial and avoid the risk of pushing past Revy’s limitations. We put Revy in a successful situation by reducing her repetition count but lengthening the duration of the repetition. This way, she would still be performing exercise but in a modified style that decreased the mechanical movements of her joints yet still applied productive stress to her muscles. The likelihood of straining the area further decreased by reducing the amount of movement on the joints in her back and hip. Most importantly, Revy could still attend her beloved training sessions to stay consistent in her journey to be fit and strong for her everyday life activities.

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It’s worthwhile to refine one’s fitness habits when an injury occurs. The last thing we want to do is either “push through the pain” and make things worse or just quit exercising altogether. We can still keep moving when an injury presents itself. After an unexpected injury occurs, take a step back, reassess what we can do, and keep pressing forward by consistently adhering to a ritual of regular exercise.

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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Short workouts can be beneficial — but keep these exercise tips in mind

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Short workouts can be beneficial — but keep these exercise tips in mind

The U.S. Department of Health and Human Services recommends getting 150 minutes of moderate-intensity aerobic activity or 75 minutes of vigorous-intensity aerobic activity each week, plus two days of strength training. How you break that up depends on your personal preferences: While some people love a long run or a sweaty hourlong boot camp class, others prefer their sweat sessions to be short and sweet — and the data says that these micro-workouts are all the rage right now. According to fitness app Strava’s annual Year in Sport report, more than 20% of all activity tracked by users was under 20 minutes long.

It’s not surprising that shorter workouts are popular. The rise in at-home workouts — sparked by the COVID-19 pandemic — meant more people were sneaking in a fitness break between work meetings and tasks. Online exercise classes reflect this: pandemic-favorite Peloton, Cacti Wellness and the Sculpt Society, for example, all offer short workout videos as options.

Fitness experts — and science — say there are plenty of reasons to love short workouts. Here’s why.

Short workouts break up your sedentary time

There’s substantial research that says the more movement you do in your day, the better. This is especially true when that movement replaces the time you would have otherwise spent sitting down.

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Too much sedentary time is linked with a slew of health risks, including heart disease and diabetes. Experts say breaking up this time with movement (not just standing, which comes with its own health issues, including blood pressure problems) is crucial to one’s well-being.

Short workouts are one way to combat this sedentary time, as they’re easier to squeeze into your day. Consider “exercise snacks,” for example. These short bouts of exercise help break up the time when you’re not moving, can easily be incorporated into your regular routine. That may look like getting your heart pumping by climbing a few extra flights of stairs to your office, taking a 10-minute walk around the block after lunch or even doing some push-ups or squats while watching TV.

Short workouts can keep you consistent

Consistency is key when it comes to receiving the health benefits of working out. Regular exercise is linked to positive health outcomes including stronger bones, better cardiovascular health, improved mental health and increased brain function, immunity and sleep.

Keeping up with exercise involves finding a routine that works for you and your schedule. If you force yourself into a routine that doesn’t align with your priorities — like booking a lengthy barre class that takes up your entire lunch break — you may find yourself bailing more often than not, says personal trainer and fit pregnancy coach Kim Perry. She notes that for many people (including busy parents), it “feels daunting to set up an hour’s worth of time to work out.”

Pilates instructor Lesley Logan tells Yahoo Life that many people find shorter sessions more “approachable” overall, which allows them to “integrate fitness into their busy lives more seamlessly.” In today’s fast-paced world, she explains, “shorter workouts can fit into tight schedules, reducing the stress often associated with finding time to exercise.” And any exercise is better than none at all.

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Short workouts may mean more intense exercise

Studies have shown that vigorous exercise may be especially beneficial for our health, particularly for people who sit for long periods of time. The good news for short-workout fans? The shorter the workout, the more energy you have to really go all in — and research says that the health benefits of going harder in less time is just as good as doing a lower-intensity workout for longer.

“HIIT, or high-intensity interval training, is one of the most effective workouts to do in short bursts, while also seeing strong results,” fitness instructor and Passion Fit founder Reena Vokoun tells Yahoo Life. That’s because HIIT (like doing mountain climbers or burpees for 30 seconds, followed by a short rest) causes your heart rate to go up quickly and come down for recovery, before it goes “right back up and comes right back down again.” It’s also a workout that “will help with your strength, energy, endurance and stamina,” Vokoun adds.

While a five-minute walk on a treadmill is beneficial because any movement is better than none, it’s less effective for quickly improving fitness or burning calories, notes Vokoun.

Are there any drawbacks to short workouts?

You can reach your fitness goals by sticking to shorter workouts — but you do need to do some planning. If you’re not making time for a full-body strength training session, for example, think about what you can achieve in a short time. Maybe that means doing squats one day, arms the next and so on, so that every muscle group gets attention.

Then there’s the risk of injury from more intense, short workouts. For one thing, people who focus on exercising quickly may rush through their workouts and risk injury by not taking the time to properly warm up or stretch afterward.

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Doing lots of short, intense workouts can also be hard on your body. When it comes to HIIT, experts say to aim for just two or three sessions per week and to recover for at least 48 hours between these workouts in order to avoid overuse and injury.

Lastly, it’s important to keep in mind that your short workouts do need to add up throughout the week; a couple of mini workouts won’t make much dent in your weekly exercise goals. Make sure that each week you’re still getting 150 minutes of moderate exercise or 75 minutes of vigorous exercise.

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Somatic Exercises for Weight Loss: Do They Actually Work?

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Somatic Exercises for Weight Loss: Do They Actually Work?

You power through high-stakes meetings at work, balance an overpacked schedule at home, and deliver maximum effort during high-intensity workouts at the gym. Your body is in a constant state of go. Sound familiar? If you’re looking to lose weight, operating in overdrive isn’t helping your weight-loss efforts. 

One technique worth considering: somatic exercise. 

Activities and exercises that often include somatic elements, like yoga and Pilates, are “designed to remind the body of its natural, integrated way of moving—with fluidity, ease, and coordination,” says Lisa Cary, a certified Somatic Integration Coach. Studies suggest that somatic exercise helps with chronic pain relief, relaxation, and stress reduction (1, 2, 3), which may factor into whether you’re successfully able to lose weight. 

Could somatic exercise be the key to breaking the stress-weight gain cycle? Before you push even harder at your next workout, here’s what you need to know.


About the Experts

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Sarah Warren is a Certified Clinical Somatic Educator (CCSE), Registered Somatic Movement Educator (RSME), owner of the Somatic Movement Center, and author of The Pain Relief Secret.

Lisa Cary is a Certified Somatic Integration Coach and Movement Therapist.


What Is Somatic Exercise?

Somatic exercise involves slow, mindful movements that promote the mind-body connection and inner awareness. It can include a range of practices, such as breathing exercises, body scans, progressive muscle relaxation, yoga, Pilates, Tai Chi, and dance. 

“Technically, any movement can be somatic if you focus on what you’re feeling in your body as you move,” explains Sarah Warren, a certified clinical somatic education practitioner. For example, yoga and Pilates can be described as somatic or not somatic, depending on how they are practiced. 

Focusing on the internal experience of the movement (rather than external appearance) is what makes an exercise somatic. A traditional exercise class tends to focus on form and specific outcomes or goals. With somatic exercise, touching your toes, running faster, or lifting heavier is not the goal. The primary aim is to tune in to how your body, muscles, and organs feel as you move and explore those sensations. 

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Can Somatic Exercise Help You Lose Weight?

The mindful movements of somatic exercise won’t alone cause the scale to budge. However, it may positively affect weight loss by reducing stress and improving movement quality. 

That said, the scientific evidence linking somatic exercise to weight loss is indirect (less pain leads to better movement which may lead to more effective traditional workouts). “Weight loss needs a holistic approach in my opinion,” says Cary. 

Still, here’s how somatic exercise might help: 

It reduces stress

“Somatic movement reduces stress, which can cause people to gain and retain extra weight. Stress can also cause people to overeat and potentially overindulge in foods that cause weight gain, like sugar and alcohol,” explains Warren.

Chronic stress can cause an overproduction of the hormone cortisol, which has been linked to weight gain (4, 5). These prolonged periods of high cortisol levels put your body into a seemingly never-ending “fight or flight” response, which contributes to the storage of more visceral fat, according to the Cleveland Clinic. What makes visceral fat dangerous is that it surrounds your organs. High levels of it have been linked to an increased risk of heart disease, diabetes, and metabolic syndrome.

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Somatic exercise may work to combat this stress-weight gain cycle by managing stress and lowering cortisol levels. One small study found that an eight-week program involving somatic techniques like diaphragmatic breathing, progressive muscle relaxation, and guided visualization boosted weight loss and improved stress management (6). 

It increases mobility

Since somatic exercise has been shown to help relieve chronic pain and muscle tension (1), it may also help you lose weight by increasing your mobility and ability to work out.

Two methods of mindful somatic exercise, the Feldenkrais Method and the Alexander Technique, have specifically been shown to improve balance, walking patterns, and posture (1). While not directly linked to losing weight, moving better with ease may make you more likely to stick with the rest of your fitness routine. 

Simply put, somatic exercise makes “physical exercise much more comfortable and enjoyable,” says Warren.

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How to Do Somatic Exercise

Start small

Try 15 to 30 minutes of somatic movement a day, suggests Warren. “Though you might want to practice longer because the movements feel so good.”

Work with a certified practitioner

There are many great online resources for learning somatic exercises, but Cary recommends working with a certified practitioner, particularly in the beginning. “A good somatic teacher will guide students to sense, feel, and notice the changing, shifting sensations in the body.” This will help you develop a deeper connection with your body’s internal language. 

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Do what’s accessible 

Widely available somatic practices such as yoga, Tai Chi, and dance are great places to start. Just remember that not every class you walk into will be designed with a somatic focus. “It’s the consciousness with which we do the movement, not what the movement is that makes it somatic,” explains Cary. 

You can bring somatics into any classroom by tuning inward, listening to your body, and moving in the ways it needs throughout a class. For instance, you can take the suggested modification when you know it’s what you need rather than letting your competitive side win.

Focus on pain points

If you struggle with chronic pain, Clinical Somatics is a somatic practice that aims specifically to reduce chronic muscle tension. “We use a technique called pandiculation that retrains the nervous system to reduce the baseline level of tension in muscles. By releasing chronic muscle tension, chronic musculoskeletal pain is typically relieved as well,” explains Warren.

A 2022 study found that a somatic program consisting of pandiculation (a slow contraction, then the release of a muscle) reduced pain in the lower back and neck (7). For lower back tightness, Warren recommends a somatic exercise called the Arch & Flatten: 

  • Start by standing with your eyes closed and arms by your side and take a few moments to bring awareness to how your lower back feels. 
  • Then move to the floor and lie flat on your back with feet flat and knees bent. 
  • Breathe deeply and imagine your pelvis slowly and gently rocking forward and back to create the arching and flattening sensation.

Avoid making weight loss the goal

“If a person approaches somatics as a methodology for losing weight by doing certain exercises, it won’t work,” warns Cary. Emphasize an “inside-out” approach that focuses on moving in a more sustainable way. 

Other Ways to Lose Weight

Losing weight with slow, intentional movements might sound better than pushing your body to the limit with high-intensity intervals. However, somatic exercises aren’t the only thing you’ll want to do to lose weight. Once you’ve got your stress levels under control, diet and exercise should be square one for weight loss:  

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Diet

A calorie deficit (eating fewer calories than you burn) is the most important factor in whether or not you lose weight (8). But what you eat can also make a difference.

Nutrient-rich, whole foods give your body energy and help you feel fuller longer. Getting enough protein in a calorie deficit can boost fat loss, help maintain muscle mass, and support your metabolism, which may make it easier to lose weight and keep it off long-term. 

Exercise

Studies consistently link exercise to better weight loss outcomes. For example, one study found that focusing on both diet and exercise was more likely to result in weight loss than one or the other (9).

A balanced fitness routine includes intense exercises that elevate your heart rate, strength training to build muscle, and low-intensity workouts that focus on recovery and mobility, such as walking. So, while somatic exercise might help, it’s worth getting back to a varied routine when you can.

The Bottom Line

A healthy diet and consistent physical activity remain the cornerstones of a successful weight loss plan. But if you’re chronically stressed, or are dealing with aches and pains that make regular exercise challenging, somatic exercise may help support weight loss efforts by relieving stress and chronic pain and helping you find comfortable ways to move.

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References

About the author

Bari Goldberg is a fitness and wellness journalist has been featured in SELF, Refinery29, Prevention, Men’s Health, Glamour, and more.

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How to make friends with the plank exercise for core strength | CNN

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How to make friends with the plank exercise for core strength | CNN

Editor’s note: Before beginning any new exercise program, consult your doctor. Stop immediately if you experience pain.



CNN
 — 

Planks are widely considered by fitness experts to be a fantastic exercise to strengthen the muscles in your core and elsewhere, no matter your age or physical fitness level.

There are numerous versions of the plank, but its basic form involves balancing on your toes and forearms while holding your body off the ground.

A plank may seem daunting, especially if you are not a fitness fanatic. But it can be modified to be more accessible — or much more difficult.

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No one knows for sure who invented the plank, but some credit Joseph Pilates, who created the Pilates exercise regimen in the early 1900s. What is clear, however, is that the plank became the favored core exercise a decade or so ago, eclipsing the crunch and sit-up. The latter two exercises can put strain on your spine and hip flexors, while planks do not.

But there are other reasons for the plank’s popularity besides going easy on your spine and hip flexors. One is that planking strengthens numerous muscles in your body at once, said Dr. Claire Morrow, a physical therapist in San Francisco who works with digital clinic Hinge Health.

“The plank can activate your postural muscles, shoulders, back of the neck, elbows, triceps, hips and quads,” Morrow said. “It is a pretty efficient exercise in terms of the muscle groups activated while doing it.”

Planks are also great at improving your functional fitness, said Julie Logue, director of programming operations for SilverSneakers, a fitness program for adults 65 years and older that’s included with many Medicare Advantage plans.

“If you do planks regularly, they will improve your posture and help you do everyday activities more easily,” Logue said. “They also have a lot of value because they’re body weight based, so you can plank anytime, anywhere.”

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Finally, planks can help with a wide variety of issues outside of strength, posture and balance. For example, they have been found to help combat urinary incontinence, according to a December 2021 study published in the journal Healthcare. Your golf swing can also benefit from planking, concluded another study published in the June issue of The Journal of Strength and Conditioning Research.

Plank newbies should begin in a standing position, placing their hands on a wall or the edge of a countertop, Morrow said. Walk your feet backward until you’re leaning into the surface. Hold this position for 10 seconds, then repeat four times.

“The position is the first place to start,” Morrow said. “Next is how long to hold it. Once you work up to holding a wall plank for 30 seconds at a time, you can continue to increase the time or change your position.”

Changing positions might mean moving to a lower surface, such as the edge of your couch or a step, or to the floor. Once on the floor, you can do a plank on your knees and hands, or knees and forearms if you have wrist issues, Logue said.

“I also love the bird dog exercise as a way to get started,” she said. “Get on your hands and knees, then extend one arm forward and the opposite leg back. This gets you ready to do body-weight exercises and helps create core strength.”

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No matter which position you begin with, planks require attention to form. You should always tighten your core muscles while planking, along with your glutes and quadriceps, the Morrow and Logue said. Your shoulders and hips shouldn’t be sagging, and your butt shouldn’t be sticking up in the air. When in doubt, consult an expert, such as a physical therapist or personal trainer.

Paying attention to your breath is also important.

“Many people hold their breath during planks, which can be dangerous,” Logue said. “Remember to think about your breathing.”

Once you’ve got the hang of planking on the floor, consider adding some variations. There are many. Side planks involve balancing on one forearm with your feet stacked and your body sideways.

“Side planks work more of your side body and hip abductors,” Morrow said. “They’re good at strengthening your hips for good balance.”

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A side plank involves balancing on one forearm with your feet stacked and body sideways.

To do mountain climbers, start in the push-up position. From there, you employ a marching motion, bringing your right knee to your right elbow, then left knee to left elbow. You can also bring your right knee to your left elbow, and vice versa, an exercise known as a cross-body mountain climber.

Climbing planks require you to start on your forearms, with toes on the ground, then “climb” up on your hands. From there, you keep alternating climbing down to your forearms with climbing up to your hands.

Ideally, Logue said, you can create a plank regimen that incorporates both traditional planking and several variations, which will help reduce your risk of muscle overuse and create a more balanced body.

The key takeaway is to give planking a try by starting slowly and easily.

“There isn’t a point in any exercise program, whether you’re planking or walking or squatting, where you’re too old or out of shape to try,” Morrow said. “There is always a point of entry. Yours just might be different than someone else’s.”

Sign up for CNN’s Fitness, But Better newsletter series. Our seven-part guide will help you ease into a healthy routine, backed by experts.

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Melanie Radzicki McManus is a freelance writer who specializes in hiking, travel and fitness.

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