posture

Six Revelations Towards a Solution for Elbow Pain

There is a lot of confusion in regards to elbow pain. Every purveyor of health products and services  has a different perspective. Don’t be confounded by all the clamour. Read the following six revelations and get on the path to clarity.

1.  The primary cause of most elbow pain is muscular overuse. Muscular overuse causes muscles to get tight. Tight muscles are vulnerable to inflammation (known as tendonitis or golfer’s/tennis elbow), cramps, strains and tears. Tension also pulls the skeleton out of alignment which can cause arthritis and/or neuropathy.

NOTE: While your case of elbow pain is most likely the result of overused muscles, always get a proper diagnosis from a medical doctor!

2.  Overuse injuries are caused by weakness.  Working muscles assist each other to create movement. Should some muscles within a group become weak, their lack of work has to be  assumed by those which remain strong. The burden of compensating for weak muscles causes strong muscles to become overused!

3.  Strength is the most powerful solution for overuse injuries:  End the burden of compensation by strengthening weak muscles and overused muscles recover. Recovery is fast and profound! Most people will feel an immediate reduction of pain and tightness. Often only two or three strengthening sessions are required for complete resolution. Strengthening weak muscles also increases tone helping to balance tension around joints. Improving skeletal alignment with strength is critical when managing arthritis, pinched nerves and ligament health. Strength is more powerful than stretching, myofascial release or rest! (however, the ultimate intervention combines all four).

4.  Weak muscles lie adjacent to the strong. If you have an overused elbow flexor its weak partner will also be found within the elbow flexor group. Likewise, if you have an overused elbow extensor the muscle you need to strengthen will also belong to the elbow extensor group. No need to venture far from overused muscles to find weak partners or synergists.

5.  Your left side must be trained in a manner opposite to your right side: If you are unlucky enough to have pain in both elbows – what you stretch on the left must be strengthened on the right and vice-versa. For example, if your extensor carpi radials is tight on your left it will be weak on your right! It does not matter if the pain feels identical. Only a very precise assessment can determine the exact needs of individual muscle fibres. Tarodo stretching actually isolates the individual heads within a muscle. The muscular needs of your body vary from front to back as well as side to side.

6.   Blame posture: Posture is the placement of bones to compensate for the effects of gravity. For a bone to move (and remain in position) some muscles need to be active while others need to be inhibited. Active muscles become strong muscles and inhibited muscles become weak. Stop blaming yesterdays workout for your pain! Postural stress is relentless – continuing even as we sleep. Gravity never ceases – victimizing our backs, necks, shoulders, hips, knees, elbows, hands and feet.

Five Revelations Toward a Knee Pain Solution

Knee pain is the achilles heel of many sport, work, exercise and armchair warriors. Typical (and often unsuccessful) treatment consists of the big three: strengthening the vastus medialis, prescribing orthotics and taking anti-inflammatory medications. When they fail, consider the revelations listed below.

  1. Weak muscles cause most cases of knee pain! Weak muscles require strong muscles to compensate for their lack of function. This extra work causes strong muscles to become tight. Tight muscles can be painful and their tension changes joint alignment. Misaligned knees are prone to ligament and meniscus damage as well as arthritis.If your medial knee pain is being caused by a tight vastus medialis, the solution is to find out which of the remaining three quadriceps heads are weak and strengthen them. The vastus medialis will recover and lengthen once the burden of compensation is removed. Furthermore, strengthening weak muscles counters the pull of strong muscles and alignment improves.
  2. Your knee pain may be caused by tight hamstrings. Tight hamstrings, wrongfully associated with back pain, are too often overlooked in regards to knee health. An overworked lateral head of the hamstrings (biceps femoris) is often the origin of lateral knee pain. Tight hamstrings also shut down opposing muscles within the quadriceps and hips. This initiates the cascade of issues associated with compensation. Again, strengthening the weak heads (without affecting the strong heads) within the hamstrings group will reduce pain and dysfunction. As an aside, stretching the hamstrings as a group is a waste of time – each head must be isolated. The heads of the hamstring have very distinct functions!

3) Knee pain can originate at the hips. Their distance from the knees often precludes the hips from consideration in issues regarding knee health. However, a tight gluteus minimus or tensor fasciae latae can radiate pain far from their origins – extending all the way down the leg to the knee. Strengthening weak weak synergists as well as corrective loading restores hip balance and alignment. Using the foam roller on the IT band is a (less than) half-assed solution. Strength is the key!

 

4) The calves are a major key to knee health! Somehow health practitioners have forgotten that gastrocnemius crosses the knee joint. The calves directly affect knee health! Tight gastrocs alter knee alignment and reciprocally shut off heads within the quadriceps muscle group. Try stretching your medial and lateral gastrocs prior to squats or leg extensions and you will notice a significant improvement in strength – this practice alone can eliminate knee pain.

 

5) The look of your legs lends clues. Postural tendencies such as bow legs or knocked knees are part of the knee health puzzle. From the shape of your legs you can deduce which muscles will be strong and which will be weak. Ligament and meniscus stress is also predictable. Legs that tend to be knock kneed, for example, will feature a weak vastus medialis (a chief “anti-valgus” muscle) and will be prone to ACL and lateral meniscus injury. Postural tendencies are the result of the body balancing itself over its base. Corrective loading, which moves our centre of gravity, is crucial to the management of leg appearance.

 

The above revelations have their basis in very simple logic. What is obvious is very often overlooked. However, with fundamental knowledge in functional anatomy anyone can start to see the connections. If you want to learn more stay tuned to tarodo.com or connect with me via tarokurita@hotmail.com. Seminars and certifications are coming soon!

Six Tips For Preventing Injuries and Staying Fit For Life

Len At Nearly Seventy

Len At Nearly Seventy

1. Periodize

Legitimate fitness programs are periodized. Periodization, quite simply, is change. Fitness programs must change to rotate stress. Continually stressing the same joints, muscles and physiology leads to injury. Make a plan that regularly changes your short-term goals, exercises, rest intervals, volume and intensity. Periodized exercise programs cannot be created haphazardly – too much change and you will lose sight of long-term goals.

2. Manage Your Posture and Muscular Balance

The foundation of musculoskeletal wellness is posture and muscular balance. A well aligned body with balanced strength will evenly distribute stress. This resilience is lost when the body shifts alignment to compensate for gravity. For example, when a load is held in front of the body the spine will curve toward the front. When a load is held to the right side of the body the spine will curve toward the right. A load to the left side of the body shifts the curve to the left. Finally, a load held behind the body results in the spine curving towards the rear. Spine movement is controlled by the coordinated action of muscles – some becoming tight while others relax. Unfortunately, shifts in alignment tend to persist causing a host of problems. Tight muscles become overused and injured. Uneven wear occurs on bony surfaces and joints become either too narrow or spread apart. A return to good alignment and muscular balance requires the introduction of corrective loads as well as a system of stretching tight muscles and activating relaxed muscles. Simple postural cuing (such as “keep your chest up with shoulders back”) will accomplish very little. Tarodo Gravity is the cutting-edge system for managing posture and muscular balance. Stay tuned to this website for seminars, videos and future articles.

3. Warm-up properly

The most effective warm-up rehearses target movements while activating weak muscles. For example, progressive squatting (multiple sets of squats which get incrementally heavier ) is the best way to prepare your body for high-intensity squatting. With each warm-up set, improve strain distribution by activating weak muscles (those that are specific to your posture). Warming up in this manner can turn a brutal squatting session into a workout that actually helps heal!

4. Eat Well

We all know eating well is essential for losing fat, gaining muscle and performing intensely. However, I believe many people fail to make the association between nutrition and injury prevention. A prudent diet should include quality whole-foods from both animal and vegetarian sources. Eat whole eggs, organic red meat, fish, dark greens and berries to ensure a vigorous quality of life! Specific foods and nutrients that have shown up in research regarding soreness and recovery include: tart cherry juice, caffeine, blue berries, curcumin and tomato. Cycle foods and nutrients into and out of your diet to discover which works best for you.

5. Find a Great Soft Tissue Practitioner

Not all soft tissue techniques are created equal and practitioner ability varies tremendously. Personally, I have found Active Release Techniques, as developed by Dr. Leahy, to be a great tool. Find a master of ART and stick with him/her. Combined with the concepts above, no soft tissue issue will be insurmountable!

6. Be Patient

Know when to delay striving for a goal in favour of rest and recovery. Value your longevity above all else. A planned short-term layoff is always better than an unplanned long-term layoff!

Fallacies in Fitness – Episode III

1. The chin-up is a great exercise for the biceps.

Contemporary fitness articles are continuing to promote the chinup as a great exercise for building the biceps. This fallacy contradicts basic functional anatomy – the biceps are muscles which flex the shoulder joint, the chinup is an exercise which extends the shoulder! Every year, I set asisde a couple of months to target my pulling ability and devote myself to chinups and pullups. During this period of specialization I eliminate or greatly reduce all other upper body exercises, including biceps curls. Although my chin up performance improves, my upper arm girth always shrinks (by at least half an inch!). For further proof consider an independent study the next time you have biceps tendinitis (not brachialis or brachioradialis tendinitis). Despite the biceps soreness, performimg chinups and pullups will be tolerable. On the other hand, proper dumbbell curls will be excruciating (due to the superior level of biceps recruitment). Choose biceps curls if you want biceps development!

2. Compound movements are more functional than isolation exercises

This blanket statement drives me nuts for three reasons:

First, no exercise is universaly functional! Functionality is limited to a specific goal; that is, an exercise which improves one type of physical task may be irrelevent or even detrimental to another physical task. The chin-up, for example, is an invaluable tool for grapplers – strengthening sport-specific muscles, reinforcing key movements and serving as a tool for managing injuries. For boxers, however, the chin-up is largely irrelevent – it does not strengthen key muscles or reinforce any pertinent movements. In fact, weight gained from dedicated pulling would be detrimental to endurance and making weight.

Second, isolating and strengthening an individual muscle can unleash enormous potential in complex movements. Most clinicians (countless times I am sure!) have observed marked improvement in strength, power and efficiency when a single, performance limiting muscle has been activated. If your isolation exercises are not improving a specific ability you are probably not strengthening the correct muscle.

Finally, many people confuse complexity with function. An exercise is not automatically “functional” just because it requires inspiring skills. Physical tasks are made distinct by the muscles used, the physiology that is engaged, balance type, timing, co-ordination, environmental cues, state of mind etc. etc. Most flashy attempts at functional training are completely irrelevent to any goal.

3. Quadriceps to hamstring strength ratio is crucial for injury prevention

Incorrect notions in regards to muscular balance are often used to explain the occurence of injuries. Most often, it is the strength relationship between angonist and antagonist that is blamed. In truth, the strength relationship between synergists is much more important. The vast majority of muscular injuries (that are not the result of violent trauma) are the result of strain born from compensation. The hamstring has four heads – each reliant on the other to help with functions at the knee and hip. A weak or inhibited head (caused by postural issues) forces the active heads to pick up the slack. Overtime, the active muscle fibres become overstressed and tight. When the final straw imposes its stress the vulnerable heads are either strained or torn. Balance the strength amongst synergists and the incidence of injury will go down!

4. Just About Anything Overly Esoteric

Esoteric health and fitness trends often prove to be fallacies. When promised effects cannot be readily observed, experienced or logically validated there is good reason for strong skepticism. I am not sure where the threshold for skepticism exists for some followers of esoteric ideas but it seems to be way too high. Novel ideas are great (I hope to share a few!) and certainly don’t require published, peer reviewed data to at least be contemplated. However, reality tends to be grounded in the fundamental sciences of anatomy, physics, chemistry and biology. Some fitness and health trends that should provoke healthy skepticism:

  • breathing interventions
  • cold exposure (I would bet 20 minutes of sun exposure is more beneficial)
  • bowel interventions
  • physical therapies which don’t feature physical contact at the affected area
  • mostly anything that requires batteries or is made of plastic

5. Some types of exercise build long and lean muscles

Another fallacy that drives me nuts every time I hear it. Leaness is forever determined by the balance between caloric ingestion vs expression! No exercise will build a “lean muscle” in a fat environment. If special exercise classes built long muscles then the instructors would have muscles that exceed the length of their bones! Their muscular system would drag behind their skeleton like an oversized sweater or fallen socks. If I had a special power it would be to evoke a world-wide reflex to think twice before adopting any notion as a belief!