Categories
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

Fitbit Blaze

I just received a Fitbit Blaze as a present from my husband!  It’s great fun so far although I don’t rack up nearly as many steps as he does.

Fitbit Blaze Smart Fitness Watch, Black, Silver, Large

I decided that i didn’t need the GPS capability built into the watch.  Someday, I will read through the instructions and figure out how to pair it to the GPS in my phone.  There are only rare occasions when I venture out without the phone anyway.

What I needed was:

  • a large screen that was easy to read
  • an accurate heart rate monitor without the need for chest strap, and,
  • something that automatically tracks steps and sleep,

It’s nice that the Fitbit Blaze does all of that without having to remember to manually set something up or change watches or put on a chest strap.

Also nice is the ability to link the calorie and activity tracking from the SparkPeople Mobile App to the Fitbit App.   So I have a constant and visual reminder of how many calories I’ve used and how many I have taken in.  Cool right?  Also having the connection with the Sparkpeople site means that I don’t have to re-enter any of the activity information I’ve been tracking all along.

I think the little badges that you earn for walking are cheesy but cute.  It’s fun to add friends to the Fitbit app so that you have a little community of Type A personalities cheering each other on. 🙂  It’s a terrific incentive.

Anyway, this is my first day and the shiny newness is still with me.

Categories
Exercise Hawaii Home Injuries

Fixing my Feet

Along the way, my Plantar Fasciitis seems to have flared up again.  Plantar fasciitis is caused because the tough, fibrous band of tissue (fascia) connecting the heel bone to the base of the toes has become inflamed.  Overweight women, like myself, are more likely to develop the condition.  Walking a lot on hard surfaces makes it worse, so our long walks into town were making it worse.  The pain classically occurs right after getting up in the morning and after a period of sitting. The excruciating pain in my heel bone was often felt worse after (not during) exercise.

According to my research, stretching is the best treatment for plantar fasciitis.  I found this exercise to be the most helpful:

  • Plantar fascia stretch: Stand with the ball of your injured foot on a stair. Reach for the bottom step with your heel >until you feel a stretch in the arch of your foot. Hold this position for 15 to 30 seconds and then relax. Repeat 3 times. After you have stretched the bottom muscles of your foot, you can begin strengthening the top muscles of your foot.

FootCareMD suggests the following

  • Lean forward against a wall with one knee straight and heel on the ground. Your other knee is bent. Your heel cord and foot arch stretch as you lean. Hold for 10 seconds, relax and straighten up. Repeat 20 times for each sore heel. It is important to keep the knee fully extended on the side being stretched.
  • Lean forward onto a countertop, spreading your feet apart with one foot in front of the other. Flex your knees and squat down, keeping your heels on the ground as long as possible. Your heel cords and foot arches will stretch as the heels come up in the stretch. Hold for 10 seconds, relax and straighten up. Repeat 20 times.
  • Plantar Fascia-Specific Stretching Program
    From American Orthopaedic Foot & Ankle Society (AOFAS) http://www.aofas.org/footcaremd/Pages/footcaremd.aspx
      1. Cross your affected leg over your other leg.
      2. Using the hand on your affected side, take hold of your affected foot and pull your toes back towards shin. This creates tension/stretch in the arch of the foot/plantar fascia.
      3. Check for the appropriate stretch position by gently rubbing the thumb of your unaffected side left to right over the arch of the affected foot. The plantar fascia should feel firm, like a guitar string.
      4. Hold the stretch for a count of 10. A set is 10 repetitions.

The good news is that my foot feels so much better!  We have even begun playing tennis in the mornings.

Here is a great list of exercises that you can follow. Plantar Fascitis Exercises-1.  Stick to it if you have problems with foot pain, plantar fasciitis, and or heel pain.

I also use the Active Ankle Dns Dorsal Night Splint Active Ankle Dns Dorsal Night Splint when I go to bed.  It’s been very helpful too.

 

Categories
Travel

The Lanikai Pillbox Trail

We did the Lanikai Pillbox Hike on the Ka’iwa Ridge Trail in Oahu with Liz and Becca. The beginning of the trail is steep but the views of Lanikai and Kailua beaches are great. Currently, the state owns 4.07 acres of Lanikai Pillboxes trail, but it does not maintain the trail or put up signs on it. It is deemed an “unimproved trail.” That means it is not designated for public use or maintenance.
More information on Hawaiian walking trails can be found here:
http://alltrails.com/trail/us/hawaii/kaiwa-ridge-pillbox-trail

Desciption of the Lanikai ‘Pillbox’ Trail:

Kaiwa Ridge (Pillbox) Trail  by Randy Rodriguez
Kaiwa Ridge (Pillbox) Trail by Randy Rodriguez
  • The short, steep hike to the pillboxes offers breathtaking views of the Mokulua Islands and Koolua Mountains.   While it is unclear how many were actually constructed, we do know that both the Lanikai and Diamond Head pillboxes were part of the island’s defensive system. They reportedly were observation posts built between World Wars I and II, which could alert shore artillery batteries to any approaching enemy ships. Eventually they were stripped out and left abandoned by the military. [The Kailua Chamber of Commerce]
  • The two famed Lanikai  “pillboxes” on the trail are misnamed. In military terms, a pillbox means a defensive site such as a machine gun pillbox. The two concrete structures on Kaiwai Ridge were built to be observation stations, not sites for defensive armaments. Military historian John D. Bennett says the observation stations were constructed in 1943 and equipped with high-powered telescopes to fix positions of possible enemy ships. The job of the soldiers working in the structures was to transmit target information to artillery batteries on the Mokapu Peninsula, and later to serve batteries at the Kaneohe Bay Naval Air Station and Puu Papaa.   [Denby Fawcett]
  • Part of network of coastal artillery, Fire-control station “Podmore” was built in 1942 to direct fire from the 3 and 5 inch guns of former Battery Wailea.  Each held optical range finding equipment to target the artillery in the event of a Japanese landing during WWII. [XP Not So Great Hiking Blog ]

 

Categories
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! 

 

Categories
Fitness

Short Walk Today

I didn’t make it to the gym this morning but went for a short 1 mile stroll.  I’m looking forward to kickboxing tomorrow.  I am down another pound!  Woo hoo!

I’ve read that people over 50 have a slower metabolism so it’s harder to lose weight.  Strength exercises help increase metabolism and muscle mass so your body burns more calories even while at rest.  Livestrong.com adds to that and says that:

the frequency and amount of food eaten affects how quickly the food is converted to energy. Skipping breakfast gets the metabolism off to a slow start. Eating large, infrequent meals causes metabolic rates to slow down, keeping the food longer, as if in a starvation mode. Eating smaller, more frequent meals allows calories to be converted more quickly to energy and increases metabolism. Proper nutrition habits include following food pyramid guidelines. Focus on nutrient-rich, and fiber-rich fruits, vegetables and whole grains.

I’m trying to not skip breakfast and will eat smaller meals.  🙂

Categories
Calories Diet Exercise Fitness Kickboxing New York sports

Healthy Eating and Walking

So the thought for today is to eat better and continue exercising.  It’s a lovely day so I did a 3.7 mile loop of the park this afternoon.  As for healthy eating, I like the advice of: Prospect Park Preserve

  • cutting out junk food, processed foods, sugars…[including the dreaded High Fructose Corn Syrup]
  • eating more colorful and fresh foods
  • eating in moderation [drinking more water as I might be thirsty rather than hungry]

I found a nice web page called Healthy Eating Easy Tips for Planning a Healthy Diet and Sticking To It from Helpguide.com that provides some common sense advice.

I had a weird diet day today.  I slept in this morning so ate fewer meals.  I’m not sure how that ranks in the BMR [Basal Metabolic Rate] calculation.  Given my 3-5 days/week of moderate exercise activity, I can eat about 2150 calories each day.  The Fat2FitRadio.com calculation is described as:

The chart shows the number of calories that you should eat on a daily basis to reach your goal weight. At Fat 2 Fit Radio we advocate eating like the thin, healthy person that you want to become. The calorie levels …create that all important caloric deficit that is required to get you to your goal weight in a safe manner. Once you reach your goal weight, you will continue eating the same number of calories for the rest of your life to maintain that weight. You’ll never be on a diet again.

Based on how much activity you do on an average day, the [calculation provides] the number of calories that you will be able to eat at your goal weight. If you start eating those calories right now (eating like the thinner you), you will eventually become that thinner person.

Given that I woke up late today, I only ate 2 meals and consumed approximately 650  calories today….. is that bad? I don’t know….

Optimum Nutrition - 100% Nat Oats & Whey ChocolateAlso,  the Helpguide.com article mentioned that we should avoid sugars in any form.  My breakfast this morning comprised a fruit shake made from frozen mangoes, Zico Coconut Water, and Optimum Nutrition – 100% Natural Oats & Whey Chocolate.  The Optimum Nutrition protein drink is very tasty.  The label says, however, that it contains 8 g of Sugars in the form of honey powder and evaporated cane juice powder.  I’m guessing that is not good news but I’m very fond of it.  The Livestrong.com site has an article titled Health Risks of High Fructose Corn Syrup that sums up many of the concerns about High Fructose Corn Syrup [HFCS].  Among other things, it notes that the human body process regular sugars differently than HFCS.

A couple of excerpts from the Health Risks of High Fructose Corn Syrup article:

The human body does not process HFCS the same way it processes sugar. Fructose requires a different metabolic pathway than other carbohydrates because it skips glycolysis, or normal carbohydrate metabolism. Because of this, fructose is an unregulated source of “acetyl CoA,” or the starting material for fatty acid synthesis. Furthermore, by ingesting HFCS, a vicious cycle can ensue. This is because eating HFCS can increase the feelings of hunger.

Liver Disease & Metabolic Syndrome
Metabolic syndrome is a combination of conditions that increase the risk of heart disease, stroke and diabetes. Metabolic syndrome includes elevated insulin levels, excess body fat, abnormal cholesterol levels and increased blood pressure. The journal, “Hepatology” noted in June 2010, “The rising incidence of obesity and diabetes coincides with a marked increase in fructose consumption and is higher in individuals with nonalcoholic fatty liver disease.” Furthermore, fructose consumption is a contributing environmental risk factor for increased fibrosis of the liver.

Read the entire article at: http://www.livestrong.com/article/259181-heath-risks-of-high-fructose-corn-syrup/?utm_source=popslideshow&utm_medium=a1

..and, yes, I remembered to log my nutrition and exercise into SparkPeople.com site .  I’ve been less consistent about logging into the Self.com Diet Club as it’s more cumbersome.

 

Categories
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

Categories
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.