I’ve known a lot of people through the years that have physical challenges. Maybe you need or have had a joint replacement, or you have a “bad back”, or arthritis, or…. the list goes on. Too often people let these conditions keep them from doing things that they would like to be doing. Too often they think that they should be avoiding using the effected area and, in fact, many doctors will say the same thing, “Don’t do ________.” It’s actually something that constantly frustrates personal trainers. The doctor says , “Don’t squat.” Well, squatting includes standing up from a chair (or the toilet). Are you supposed to avoid that? There are a million ways to do any exercise. Modifications in effort and range of motion can be made to fit your individual needs. Doing something is almost always better than doing nothing. When you do nothing the muscles surrounding the joint or area get weaker and less flexible. This means that you will be able to do less. You also burn fewer calories and, unless you adapt the amount of calories that you are eating, you will end up gaining weight. It’s potentially a spiral of disability.
Now, don’t get me wrong. There are times that you need to just rest and heal, but it’s not as often as you may think. It’s also not usually a total body thing, even if you had a shoulder replacement (I have), you can leave your shoulder alone to heal while working the rest of your body out (I did).
If you’re dealing with a chronic condition that is not going to just go away, or if it’s an injury that you can work around, you should be finding ways to strengthen, gain mobility, and become more fit. Don’t just give in to inactivity. Go to a physical therapist, and, when cleared by them, see a certified personal trainer with experience working with individuals in your situation and get started on a health and fitness program as soon as you can.
Change is hard. Change can be risky. Trying to change means you risk failing. It’s easier to stay on the same path. You know that path, and there’s a certain amount of safety on it. But, is that direction the one that will take you where you want to be?
To change where we are, we need to change what we are doing. Before you make changes, however, you need to clearly define where it is that you want to be, what you want to accomplish. This vision quest, or clearly defined vision of the future you, dictates what needs to be done to get you there. This could be a task like completing a hike or a competition, or it could be getting off/staying off medications.
Next, you need to believe two things.
- First, you need to believe the change is possible. Obviously, if you think that it’s impossible you won’t work for it. This is like saying you want to levitate (I think that would be very cool, btw). How hard are you going to work toward that?
- The second belief is that the change is worth the amount of work it takes to achieve it. Here again is the question, if it’s not worth all of the work required to achieve it, how hard will you work?
Now, if you’ve attempted to reach this goal before, and failed, identify the obstacles that you encountered last time and pre-think solutions for them, because they are likely to show up again.
Lastly, you need to have a plan and it starts with what initial step is required. That may be researching your options for a place to work out, or a shopping list for healthy foods to buy and have at your home or office, but determine that first step and take it.
Change can happen for all of us. What’s holding you back?
I remember when I first overheard a couple of guys talking about shingles. Of course once I got beyond the fact that they weren’t talking about shingles for your house, then my reaction was to think that they must be talking about some old person disease or condition that couldn’t possibly be relevant to me. You know… like gout.
What is shingles anyway? And, should we be concerned about it as we get older?
Shingles is a viral infection that is caused by the same virus that causes chickenpox. If you’ve had chickenpox before (and most older adults have because they hadn’t yet started widespread vaccinating for it), the virus may still remain, dormant in your nerve tissues and could reemerge as shingles. Symptoms include:
- Pain, burning, or tingling
- Sensitive to the touch
- A red rash that appears a couple of days after the pain (oddly, it’s usually on one side of the body)
- Fluid-filled blisters that break open and crust over (you are contagious until these crust over)
- Possible fever
Now, not everyone that has had chickenpox will get shingles, although some speculate that 50% of those over 80 years old will get them. To date, there doesn’t seem to be a definitive reason for this reemergence. One thought is that it can be caused by a compromised immune system, which can happen as we age, (see, we are more likely to get it when we’re older), or with certain diseases, or medications.
According to the Mayo Clinic, you should see a doctor if you suspect you have shingles and especially when:
- The pain and rash occur near an eye. If left untreated, this infection can lead to permanent eye damage.
- You’re 60 or older, because age significantly increases your risk of complications.
- You or someone in your family has a weakened immune system (due to cancer, medications or chronic illness).
- The rash is widespread and painful.
So, all that said… not fun. There are vaccines for it, though. Two different kinds, in fact. While these vaccines have been found to be consistently safe (minor possible side effects), they also don’t guarantee that you won’t get shingles.
Should we worry about shingles? No, but if it sets your mind at ease, a vaccine is an option. Otherwise, just stay as strong and healthy as you can.