Tag: bad knees

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New York

Physical therapy for my torn meniscus

I’m back to physical therapy for my knee.  There’s been a lot of progress.  Today’s routine was very similar to what i had to do when dealing with my other knee’s Patella Femoral Syndrome and included:

  • On the Pilates Reformer machine:
    • basic one leg pushing exercises
    • bridges
    • leg extensions
  • Using the resistance band:
    • walking side squats
      • How to Do It:Squat-Walk
        Step 1: Attach a resistance band to each ankle.

        Step 2: Stand with your feet a little more than shoulder-width apart. You may need to shorten the band in order to get the right resistance.

        Step 3: Get into a squat position, knees at roughly a 45-degree angle, and walk sideways. Take 5 to 10 steps to the left, then right, keeping your knees bent and maintaining resistance on the band throughout. Repeat. Try keeping your arms outstretched in front of you, which will provide balance as you do the exercise. “Slower and better quality is more important than attempting to do this fast with poor quality,”

    • clam shell exercises
    • side leg raise
      • How to Do It:side legLie on your right side and lift your left leg to 45 degrees in a controlled manner, then lower it back down to the starting position. Make sure your pelvis remains in a neutral position. A more advanced version includes a loop of rubber tubing around your ankles for added resistance. Perform 20-30 reps.
  • back leg lifts, lying down
    • How to Do It:back leg lift
    • Lie face down, head rest­ing on the backs of your hands, elbows out at your sides
    • Gently pull in your lower abs, then squeeze your but­tock muscle tightly on one leg and lift that leg off the ground
    • As you lift, take care not to tip your body over to the other side, as that’s cheat­ing
      Hold your leg briefly in the air, then lower.
    • Now do the same with the other leg.

The knee is getting stronger and the only sharp pains occurred during the walking side squats.  I think it was because my feet were not always in the correct position.

The therapist said the mild burning discomfort in my knee while walking on the beach was normal and caused by the uneven surface.  As long as I don’t overdo it, the knee should improve fairly quickly.  Yes!  Hopefully, I can get to a point where I can do some of the resistance band exercises I had previously tried.

Categories
New York

Torn Meniscus

I’ve been dealing with a torn meniscus since late November.  My poor knee got a tad banged up: I overextended it when my side kick missed the Century B.O.B. (body opponent bag) ; continued to play tennis; and, finally, twisted it on a Christmas hike.  My MRI showed it was a clean break with a Bakers cyst; some arthritis and a sprain.

I basically didn’t do any exercise for a couple of months and babied myself.  We went on a cruise to the Western Caribbean and visited Mexico, Honduras and Belize – very nice.  After returning, I decided against any immediate surgery and opted for physical therapy and a knee brace with struts.  The brace is only necessary when playing tennis or practicing on B.O.B.  I am only punching at this point as kicking seems to just make my knee burn, brace or not.

I’ve been using an iPhone app called Fight Trainer.  It costs $4.99 and it is not perfect but it seems better than some of the others.  I can use it with my wireless headphones and listen to my music.  You can also speed up or slow down the time between instructions.  It keeps you honest when the sun is beating down on you and it seems like you’ve been working out forever.

Sadly, I have some minor surgery coming up to repair a tendon on my right hand so I doubt I will be punching for a while.  On the up side, we will be visiting Ireland in May so i can keep my mind off my troubles.

Categories
Exercise Fitness New York

Patella Femoral Syndrome

from: http://www.patellafemoralsyndrome.net/
from: http://www.patellafemoralsyndrome.net/

It looks like I have Patella Femoral Syndrome.  I thought this overview of the problem was pretty good.

Typically patients will complain of localized anterior knee pain which is exacerbated by sports, walking, stair climbing, or sitting for a long time, often called the “Theater Sign” or “Movie-Goers Sign.” The pain from prolonged sitting is thought to occur because of the constant pull of the quadriceps muscle on the knee cap while sitting, which causes its impaction against the hard and unyielding surfaces of the bones of knee joint. Descending stairs may be worse than ascending. Unless there is an underlying pathology in the knee, swelling is usually mild to nil.

Causes

Patella femoral pain syndrome may be caused by overuse, injury, excess weight, a kneecap that is not properly aligned (patellar tracking disorder), or changes under the kneecap.

My physical therapist says my knee cap is not correctly aligned.  I will have to do physical therapy twice a week and have 4 home exercises to do.

Exercises

Straight Leg Raise – Straight leg raising exercises help develop muscles of your lower body, including your hips, glutes and thighs.

Sit on the floor with your injured leg straight and the other leg bent with foot flat on floor. Pull the toes of your injured leg towards you while tightening the muscles on top of your thigh. Raise your leg 6 inches off the floor. Hold for 5 seconds and slowly lower your leg. Repeat this 5 times.

Patella Femoral Syndrome

Band Resisted Clam shell – The band resisted clam shell exercise is great for strengthening and mobilizing the external hip rotators.

side-lying-leg-lifts

Side Leg Lifts – Side leg lifts work the abs, especially the hard to get at obliques, as well as the inner thigh.

Lie on your side with your legs stacked and your head resting on your arm. Tighten the muscle in the front of the top thigh and lift that leg into the air. Hold for one count, lower to touch the bottom leg and then lift again.

Wall Squat with Yoga Block – The quadriceps, or front of thigh, are the targeted muscles during this exercise but many other muscles get a workout also. The butt, hip, calf, back of thigh, low back, abs, and side abs are all used during this move.

Standing, place an exercise ball against a wall and align it in the small of your back. Position your feet a step, to a step and a half in front of your body such that when you squat down your knees will not protrude past your toes. Place a yoga block between your knees and squeeze.   Hold yourself in this position while actively squeezing the block between your thighs.  Maintain the pose as long as you can, allowing yourself to come in and out of the pose when you have to, working your way up to being able to hold the position for 1-2 minutes.

 

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Calories Diet Exercise Fitness Injuries Kickboxing New York sports Weight

Light Kickboxing and Strength Session with John Salgado

Sadly, I weighed in this morning a half pound heavier than yesterday.  Yes, I know I’ve already written that a person should not weigh herself on a daily basis but I can’t help myself.  I’m not sure why it happened but I think it may relate to under-eating again.  The Fat2FitRadio.com pod casts repeated noted that under-eating would result in the body going into starvation mode and holding on to calories.   For the second time this week, I dropped under the calorie limits suggested by the Calories and Basal Metabolic Rate (BMR) calculator.  I ate a little over 1600 calories yesterday, so I consumed at least my BMR of 1430 calories.  However, I didn’t eat enough.  🙁  According to the calculator, I should eat between 1907 calories for a Lightly Active woman (light exercise/sports 1-3 days/wk) to 2150 calories for a Moderately Active (moderate exercise/sports 3-5 days/wk).

Today’s workout with John was lighter in deference to my knee and because I am fighting off a flu.  We spent a lot of time doing kickboxing strength exercises and drills.  I was still soaked in sweat but happy.

 I found this video on how to do a Back Leg Roundhouse Kick on the ehow.com site.


Women’s Kickboxing: Back Leg Roundhouse Kick — powered by ehow.com
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Calories Diet Exercise Fitness Injuries Kickboxing sports Weight

Another Excellent Kickboxing Workout

Despite coming down with a bug, I worked out with John Salgado today and did pretty well.  Because we’re still working around my cranky knee, we started out doing some drill on the Bosu Ball: jogging on it, Dome Toe Taps [you can watch the video below but I can say she’s a lot better at it than I am LOL],  side squats [again, very small movements because of my knee], and squat thrusts.

Other exercises for today included wall squats with a stability ball and a 10 lb ball.  A new item for today was assisted dips.  We rounded out the work out with punching and kicking combinations on the bag.

Wall Squat with Stability Ball by http://www.workoutz.com

The good news on weight loss and nutrition is that I am still within my recommended calorie intake for my BMR.  I must confess that I had vanilla ice cream with blueberries last night [yes, I entered it into the SparkPeople.com Nutrition Tracker and I remain in calorie range :-)]  I’m down another half pound but that could be just water weight.

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Calories Diet Exercise Fitness New York sports Weight

Light Strength Training at Crunch Gym

It’s been raining but I still made it to Crunch to work out with Frank.  We had another light strength workout in deference to my bad knee.  My warm ups comprised running sideways back and forth.  We then did a series of modified inchworms; modified planks, leg extensions [using the wall]; and standing abductions.  As I enter my workouts into the SparkPeople.com fitness tracker, I can see how much less I do at Crunch but I don’t mind as I’m feeling really tired and it’s about as much as I want to do today.  It’s still 100 percent more than I would do without Frank. 🙂

Nutritionally, I am staying within the recommended calorie range for my BMR.  Breakfast included my favorite fruit protein shake.  Dinner included a lovely spinach and feta cheese salad.  My weight continues to creep down.  Hooray! 

 

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Calories Diet Exercise Fitness Injuries New York sports Weight

Kickboxing with John Salgado

Despite the rain, I made it to the gym this afternoon. My knee was especially creaky today so we tried some modified one-leg-squat exercises. I did the easiest variation:  John had me sit on a chair, extend one leg and arms in front and stand up on one leg.  I then sat down on the chair while standing on one leg.  I still had to support the weak knee but it’s a start to try to rebuild leg strength.

Here’s a video link demonstrating the modified one-leg-squat exercises from eHow.com:


How to Do a Chair Pistol Lower Body Exercise — powered by ehow
 
 

Other exercises with the resistance bands for today included:

You can find other Resistance Band exercise suggestions at:

We rounded out today with punching and kicking combos on the bag.

I’ve tried to continue eating healthily- breakfast included a fruit protein shake so I had a kick start with protein and fiber;  other meals included vegetables.

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Calories Diet Exercise Fitness Kickboxing New York sports

Finishing the Week with Core Exercises and Kick Boxing

I’ve gone to the gym 5 days in a row!!! It’s been years since that’s happened [as I’ve explained to my husband, I’m much better about researching exercise than doing exercise.]

Lots of stability ball exercises today, including:

  1. Crunches with Stability Ball
  2. Bridges on Stability Ball
  3. Push Ups on the Stability Ball
  4. Back Extension with Stability Ball
  5. Pendulum with Stability Ball
  6. Crunches on Stability Ball While Tossing Medicine Ball
  7. Superman on the Stability Ball

We finished up with:

  1. Punching Drills on the Bag
  2. Stretching After Strength Training

You can find descriptions of the Stability Ball exercises on SparkPeople.com’s Fitness Pages.

So, it’s the end of a successful week. Where does that leave us?  I want to go back to basics.  The pod-casts [see my Nutrition and Weight Loss Guidance page] that I enjoy so much and SparkPeople.com agree that setting real and measurable goals is very important to losing weight.  Both advise that you write down why you want to lose weight or get fit, and why the hard work and effort to accomplish your goal is worth it. Fat2FitRadio.com especially stress coming up with realistic weight loss goals.

Here’s an excerpt from the Fat2FitRadio.com Goal Setting Page:

Here are some ballpark figures that I worked out for a weight loss of 50 lbs.

5’5″ woman, 30 years old who exercises lightly (BMR x 1.375)

175 lbs – 2165 calories per day
125 lbs – 1850 calories per day

…

5’10″ man, 30 years old who exercises lightly (BMR x 1.375)

225 lbs – 2950 calories per day
175 lbs – 2550 calories per day

…

 

It is clear that diets don’t work because as soon as people go off of a diet, they start eating like they did before the diet. The best approach is to know your goal weight and then figure out how many calories per day you will need to eat to maintain that goal weight.

Start to eat your “maintenance” calories at the start of your weight loss. If you eat like a thinner person, you become that thinner person. You will gradually lose the weight and never feel deprived along the way. It’s not a sexy weight loss plan, but it works in the long term.

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Calories Diet Exercise Fitness Injuries Kickboxing New York Reference Links sports

Walk Around the Park and Torn Pinky Tendon

My knee is still cranky so I took a walk around the park instead of doing kickboxing.  With the added errands after the loop, I clocked approximately 4 miles.  Woo hoo!!!  That’s about 443 calories burned according to the on-line calories calculator I found at: http://www.healthstatus.com/cgi-bin/calc/calculator.cgi.  Despite wearing a knee brace, it was still uncomfortable walking.  I think I may pick up a new pair of sneakers. 🙂

I had the pinky looked at by a Dr. Andrew J. Weiland, MD, a hand specialist at the Hospital for Special Surgery.  The consultation didn’t take very long but they took x-rays and everyone there was especially nice and professional.  I did, indeed, tear a tendon but there is nothing that can be done at this point.  It will always be a little sore and sensitive when I do kickboxing.  The X-ray showed  a small mallet fracture as well.  It’s probably a good thing that I tried to address the very crooked pinky finger with duct tape and paper clips a la McGiver. 🙂  Otherwise, the pinky would have been really askew!

Next, I will visit my regular doctor and see how my cholesterol level is doing.

 

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Calories Diet Exercise Fitness Kickboxing New York sports

Trying Tabura

So after a few days of visiting family and throwing toys for the dog to fetch, I’m ready to start exercising again. I tried the Tabura class at Crunch gym yesterday morning and found it fairly good.  The official description off the Crunch gym site is:

  • Tabura is a Swahili name for training used in improving military endurance and strength in Africa. This intensely fun class uses kickboxing combinations and basic West African dance moves set to hot Tribal House music and a live drummer. Get ready to burn massive calories and become a true powerhouse warrior.

I had to stop a number of times because my knees were unhappy [they’d been unhappy all week so I wasn’t surprised] but overall, the class went well and I didn’t give up.  After admitting that I hadn’t eaten breakfast, the instructor made me do an additional 10 push ups…. something to remember in the future.

 I should begin kickboxing training again on Monday in Manhattan.