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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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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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