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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 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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Diet Exercise Fitness Kickboxing New York sports

Kickboxing Session Gets Tougher – Bosu Ball, Free Weights and Stability Ball

I met with John Salgado this afternoon for my kickboxing training session.  4 days in a row of exercise!  I’m proud of myself. 🙂

Bosu Ball:  We did warm ups on the Bosu Ball– running in place and front kicks.  Then a series of Bosu Ball exercises combining side lunges, side kicks and squats.  There are a couple of useful online videos available.

Bosu Ball available at Amazon.comHere are a couple of online videos from eHow.com:

Stability Ball:  We followed the Bosu Ball exercises with tucks and push ups with the stability ball.  Strength exercises for today used 15 lb. weights doing triceps exercises and biceps curls using the stability ball. John also had me begin wall squats with the balance ball.stability ball availale at Amazon.com

Here is a website called Ball-Exercises.com that lists a number of exercises for the Stability Ball.

Free Weights Continued:  Also John had me sit and stand while doing bicep curls and  dumb bell shoulder presses.

Cardio Rounds:  Clearly, the worst thing about returning to the gym after a long absence is the lack of stamina.  I couldn’t finish a whole round because I simply couldn’t breathe and felt nauseous.  I guess that’s my newest most important goal. 😉

To develop stamina, Livestrong.com suggests:

  • running  [can’t do it because of my knees right now]
  • sparring/training bouts) [yeah, I don’t appreciate people hitting me]
  • circuit training  Yes!
  • jumping rope [see bad knees excuse above 🙂 ]
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Exercise Fitness Kickboxing New York sports

Strength Training at Crunch Gym

Looking at yesterday’s workout, it is clear that I haven’t been working as hard as I should when I am at Crunch. I felt ashamed at the amount of my whining. 🙁  So, this morning I told Frank that I needed to be pushed harder.woman lifting weights cartoon

Taking it to heart, Frank had me doing lateral pull-downs, rows, and bicep exercises with much heavier weights.  I had to do knuckle push ups [modified because I was on my knees] and modified jumping jacks [no jumping] with two pound weights.  The knuckle push ups are supposed to help strengthen my wrists and my forearms –  both of which should help with kickboxing as well.

All in all, I think we accomplished a great deal more today.  Excellent!

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Calories Diet Exercise Fitness Injuries Kickboxing New York sports

Back Strengtheners With Resistance Bands and Kickboxing Cardio

I met with John Salgado this afternoon for my kickboxing session.  We’re going to ease into strengthening my legs so we focused primarily on arms and back.  The session  began with mobility exercises to try to get the kinks out of my legs. We then proceeded to do a series of slow front kicks. By isolating each part of the kick, John says that we work on our core strength, balance and technique.  [I found a related article on the benefit of isolation exercises called “How to Front Kick“.]

Then we moved onto Back Exercises [3 sets] using the Stability Ball:

Using the Resistance Bands and seated on a balance ball:

  • Lateral Rowskickboxing woman
  • Seated Rows
  • Bicep Curls

Also on the Balance Ball [3 sets]:

  • Push ups on the Stability Ball Reps: 12-15
  • Knee Tucks on the Stability Ball Reps: 12-15
  • Dumbbell Chest Press on Ball [15, 20, 25 lb weights]
  • Dumbbell Triceps Extensions on Ball [15, 20, 25 lb weights]
  • Sit ups [last set with light weights]

We also did a couple of rounds doing punches, slips and kicks with the punching bag. We finished with 3 minutes of elbow-to-knees sit ups.

After stretching my legs and back, we ended our session today with some QiGong outside.

We picked up a couple of Mango and Green Teas with Tapioca at CoCo Fresh Tea and Juice.  According to Livingstrong.com, tapioca bubble tea combines tea, milk, honey and cooked tapioca pearls to form a frothy beverage that should be treated as a dessert in your caloric count. The large drink probably contained more than 300 calories. I’d always thought tapioca was good for you but I think I will pass on these next time.

 

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Calories Diet Exercise Fitness Kickboxing New York sports

Calorie Goals – Which Calculator To Follow?

Which BMR calculator?I  dutifully logged my food intake for the day on SparkPeople.com.  According to the SparkPeople site, I should be eating 1,380 to 1,730 calories per day.  It’s difficult for me to stay within this range. I like to eat and tend to eat out a lot.  I also tend to go to sporting events so the food that I buy is often greasy… [Yes, there’s room for improvement.] In my defense, I have begun to make fruit protein shakes for breakfast with Chocolate Flavored Optimum Nutrition 100% Natural Oats and Whey Protein.  It is made with whole grain oats and all-whey protein; has no artificial flavors and no synthetic colors.  It does contain honey powder and evaporated cane juice powder but that’s better than High-Fructose Corn Syrup….  I throw the protein powder in the blender with some milk and frozen fruit and it tastes great.

Anyway, if I compare the SparkPeople.com calorie suggestion with the Calories and Basal Metabolic Rate (BMR) calculator on Fat2FitRadio.com,  it looks as if the SparkPeople.com guideline would be correct only if I were very sedentary.  Giving myself credit for working out 3-5 times a week, I should be considered “Moderately Active” and can consume 2,150 calories on a daily basis!  That would mean that, although incredibly unhealthy, the 2 bags of potato chips I consumed today were OK. [2 oz. for a total of 304 calories] How funny is that?  Somehow, I don’t believe either of my trainers would be pleased to hear it.

I’ll be seeing John tomorrow for Kickboxing…I’ll ask him. LOL

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Calories Exercise Fitness Injuries sports

Limited Strength Training at Crunch Gym

I went to see Frank, my trainer at the local Crunch gym, this morning to restart my training program.  Because of my knee issues and the time I’ve been away, we took it really easy.

  • Warm up was 5 sets of lateral runs and some stretches

My work out comprised 3 sets of the following:

  • 1 minute of rope pulley machine – pulling down
  • 1 minute of rope pulley machine – pulling up
  • 20 modified inchworm exercises [just going forward and going back to stand up]
  • traditional lateral pull down machine
  • traditional row machine
  • Dumbbell Lateral Raises [to the side, moving across to the front and then back down to hips; reverse order for next set]
  • side leg raises

I’m incapable of moving my knee to a 90 degree angle with any weight so squats and lunges are out of the question for the time being.

Here’s a good video example:


I tried the SparkPeople.com Trivia game – it asks about health and exercise questions.

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Calories Diet Exercise Fitness Injuries Kickboxing New York Reference Links sports

Kickboxing Training with John Salgado

I thought I should say that John Salgado is my trainer and has been with me for years.  John is great– he never yells at me but always pushes me past my whining.  🙂

John Salgado, CPT, Kickboxing Trainer, Inner G Training
John Salgado, professional MMA Fighter, CPT, Kickboxing Trainer, Inner G Training

John is a professional MMA Fighter and runs Inner G Training in New York.  He also trains other professional MMA fighters.  I’ve never attended any of his actual classes [let’s face it, I don’t like group activities] but they look impressive.  We tend to do strength exercises using the Tabata method and then some cardio kickboxing with pads and punching bags.  I’m guessing that my workouts most closely resemble his Cardio Combat classes but I ‘ve never asked him.  Our cool downs focus on QiGong.  [I’ve included links to some QiGong videos and exercises you can try on my Weight Loss and Nutrition Guidance/Exercises page.] All together, it makes for a high calorie workout.

John always recommends rolling my legs out with a foam roller to help alleviate my knee issues.

Qigong is an ancient Eastern practice of whole-body healing, accomplished by way of postures, movement, and breathing rituals intended to release the bodies flow of chi.  The Livestrong.com site has some QiGong exercises you can try.  Read more: http://www.livestrong.com/article/19110-qigong-breathing-exercises/

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Calories Diet Entertainment Exercise Fitness New York sports Staten Island Yankees

Diet Club With Self Magazine

Icing and some trigger point massage seems to have helped a bit with the sore forearms.  I will continue tonight to see if I can get back to a pain free state.

I signed up for the Self.com Diet Club.  They provide a possible 16 strength and plyometric exercises and a cardio plan. You’re supposed to do the exercises three times a week.  The trainer on the online videos is from SparkPeople.com.  The idea is to exercise as part of a community and to track it online everyday so that you are more aware of your daily food and exercise decisions as well as more accountable.  I’m not that community minded but am giving it a go.

The exercises I did today were:

Hotdog
Regular Hotdog w. ketchup, roll, no mayo – 315 calories
  • Rotating Sculptor- 5 lb weights
  • Bottoms Up- 3 lb weights
  • Reshaping Reach – 10 lb weights
  • Biceps Balancer – 10 lb weights
  • Step Off It – 3 lb weights
  • Rear Raiser
  • Wide High Knee

As I am careful of my knees, I decided to avoid the plyometric exercises for the time being.

 We are heading off to the Staten Island Yankees game tonight with All-You-Can-Eat tickets again.  I’m pretty sure that I saw an article saying hot dogs are a better junk food choice.

I will try to at some without the bun… That should save some calories. LOL

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Calories Diet Entertainment Exercise Fitness Kickboxing New York sports Staten Island Yankees

Trigger Point Massage for Forearm Pain From Overuse

My husband and I walked a bit in the park today [he went to the gym without me as my knees are still achy.]  My issue for the day relates to sore forearms from my kickboxing work out on Thursday afternoon.

I haven’t done a kickboxing session since the end of March when I hurt my hand and began a serious bout of traveling!  While it was great fun to be back [and a serious surprise that I was still conscious at the end of the hour] I have been incredibly sore.  My shoulders and forearms have not recovered from my trainer’s tabata rounds of push up and pull up exercises.

All the podcasts I’ve listened to so far agree that strength exercises are best.  Of course they also agree that 90 percent of weight loss is determined by diet and nutrition rather than exercise.  I am easing my way into better nutrition.  As I mentioned previously, I will start by avoiding high fructose corn syrup. 🙂   That’s harder than you’d think as we are attending a Staten Island Yankees game with All-You-Can-Eat tickets.

In the interim, I have just ordered Clair Davies’ The Trigger Point Therapy Workbook: Your Self-Treatment Guide for Pain Relief, Second Edition from Amazon.com.  I hope that I can begin to work on getting the kinks out of my legs and arms without having to go to a massage therapist.  I decided to use a small racquetball rather than purchasing any massage equipment; the foot log that I purchased a while ago may also come in handy.

I found an article online called Trigger Point Massage. Simple Self-Help for Chronic Pain  by Christian Lemburg, that seems to cover the basic points. 

Trigger Point Rules
1. Trigger points are small, localized muscle cramps that feel like hard lumps or knots in your muscles.
2. Trigger points arise at predictable places in the muscle and cause predictable patterns of referred pain.
3. Trigger points hurt like hell when pressed, and referred pain may be felt, according to the characteristic pattern for that trigger point.
4. Trigger points can be treated by massage.
5. Massage with short, slow strokes in one direction, applying deep pressure.
6. When massaging, use your elbow, your knee, your knuckles, or a ball instead of your fingers. Use a ball between your body and a wall or the floor to reach hard spots.

Read the entire article:  http://www.crossfit.com/journal/library/37_05_trigger_points.pdf