Working Out With Osteoarthritis

Osteoarthritis is when articular cartilage, the cartilage that covers the bone at a joint and acts like a cushion Osteoarthritis-of-Knee-Jointand helps it glide through movement, wears down and/or is damaged, it leaves the joint with bone grinding against bone. This can cause pain, swelling and problems moving the joint. This is osteoarthritis. There are many of us that will experience osteoarthritis as we get older. It is a degenerative condition that can be caused or made worse by aging, injury, or pressure from excess body weight. Needless to say, when our joints hurt, we move less. That used to be the recommendation from the medical community as well. If it hurts to do something, then don’t do it. Unfortunately, that’s not what current research shows. The less we move the joint, the weaker the surrounding muscles become and, the weaker they become, the more stress is on the joint. This ongoing stress only makes the pain and discomfort worse.


In general, we all know that we should be exercising. You should be exercising your whole body in general, and particularly the effect joint(s). The current guideline is to gradually build your strength routine until you are working the effected joint(s) as hard as you can tolerate, through as great a range of motion as you can tolerate. This helps maximize the strength gains and maintain your joint flexibility.

Another benefit to exercising with osteoarthritis is that exercise helps to control weight. Excess body weight adds pressure to the joints and can create and/or accelerate joint damage.

Exercising may be the last thing you want to do when your joints are stiff and achy. But it’s crucial for easing pain and staying active.Harvard Health Publications. Osteoarthritis doesn’t need to be a sentence to an inactive lifestyle. Find guidance from a health and fitness professional who can create a gradually progressive program that is appropriate for your individual needs, and you can lessen the pain and discomfort that osteoarthritis causes you.

Ain’t Nobody Got Time For That

One of the most common reasons for delaying the start of an exercise program is the perception of not having enough time. I say perception because, in reality, we could all have the time.

I know that at least some of you reacted to that statement with a, no time ?

“NO, really, I don’t!” Maybe that is true for a very few, but let’s look at how we could, if we really wanted to, carve out the time to fit in some exercise.

Let’s start with how much time we need to find. Workouts don’t need to take hours each day. I’ve put together 15 minute workouts for some of my clients that can be quite effective. The Tabata protocol is effective and its only 4 minutes long (and who can’t fit in 4 minutes). So, fitting in your workout becomes more about what time can you dedicate to a workout and then choosing the most “bang for your buck” exercises to perform in that time.

Here are a few ways to find or make the time you need.

Get up earlier – Let’s face it, if you get up a little bit earlier, you can fit some exercise in. Initially it may not be easy to roll out of bed sooner than you normally do, but it can quickly become a habit.

Chunk it up – You can break up your workout into smaller segments. Do a few minutes here, a few minutes there.

Schedule an appointment – You know that if you needed to set a meeting with your boss or one of your employees, you would find the time, book it, and stick to it. So, with the same commitment, book an appointment with yourself for exercise and stick to it.

Exercise before dinner – For most people, once you eat dinner and get into that relaxed mode, exercise just isn’t going to happen. Commit to doing some kind of exercise before you sit down to eat.

Obviously, these are just a few of the possibilities, but, hopefully they give you some ideas about how you can find/make the time to fit exercise in. After all, isn’t taking care of yourself worth a little schedule manipulation?

In Search of… Perfection?

I recently read two things that prompted this post. The first was a New York Times article about Chantal Bacon, a “lifestyle guru” who produces and sells some very expensive, supposed wellness enhancing, products. The second thing I read was the book, The Subtle Art of Not Giving a F*ck: A Counterintuitive Approach to Living a Good Life by Mark Manson.

Wellness guru

So, what is it that drives us to spend outrageous amounts of money on products that promise to make us…what? Become one of the beautiful people? What are we really seeking? The problem, according to Manson, is that we set our reference points at unrealistic levels. Then, we constantly compare ourselves to those levels and end up unhappy about our looks, our bodies, our lives.

graybeardI’m slowly but surely losing my hair. I have a few more wrinkles every year. I have a few more aches and pains as time passes. I’m not thrilled by any of these changes. I could obsess about them. I could take every product known to counteract them, but I know I will never be as good looking or even have the hair of George Clooney. Well, George Clooney should not be who I benchmark myself against, and yet, the media and businesses trying to sell us products hold those unrealistic icons up to us and try to convince us that this is perfection and we should be trying to achieve this too.

The real take away note for us is that perfection is unattainable and the more we measure ourselves against perfection, the more unhappy we will be with where we are. Don’t let others tell you what or who you should be. There’s a saying, “Don’t let perfection get in the way of good.” Our search should be for a better us. Celebrate the successes and enjoy the journey of improvement. Learn, love, live life and be happy.


I Think You’re MythTaken (1)

The health and fitness world is full of misinformation and mythology. Part of this is that those trying to capitalize on the misinformation and sell their products, continue to push it into the consumers’ minds as if it were fact. I think the other part of the story is that those same consumers are desperate to find some short cut or miracle that will save them from having to put in the time and/or hard work that it might really take. mythexercise

There are myths aplenty, so, in a series of posts I’ll start to address a few of them each post. Today, let’s start with one of the big ones,

No pain, no gain.

If you’re an athlete or former athlete, you may have had practices that left you so sore that you could barely walk. (I know I have.) Usually, this is because when you were supposed to be doing your off-season workouts, you weren’t. Then you come into pre-season workouts that are high intensity, ramping you up for the season, but your body wasn’t ready and, in the sports world, the coaches just keep pushing you spouting, “No pain, no gain.” Pain is not weakness leaving the body no matter what anybody says. Pain (and let’s stick to muscular pain, not injury pain.) is telling you that you did more than your body was ready for. The smart plan is to ease into a program, starting at a point that doesn’t make you sore and gradually ramping up the intensity at a pace that you never get sore. Pain, for most, is a reason to not exercise and, if it’s not necessary, why go there?no pain

You can spot reduce fat (lose from one particular area)Spot-Reduction

This is absolutely one myth that is perpetuated by those wishing to cash in at your expense. (Just Google “lose belly fat” to see the ads.) The fact is when we exercise, we burn more calories. We don’t burn calories from any one area, not even the working area. We burn them systemically, taking from all over the body. It’s like you have an inflatable fat suit. You open the spigot and air is let out from the whole suit. Doing sit ups doesn’t burn the fat from your waist. Doing triceps extensions doesn’t burn the fat off the back of your arms. They burn calories systemically and can build the muscle under the fat, but that’s it. Your “trouble areas” will be the last places to get lean because that’s where you carry more fat cells. Concentrate on your diet, a well-rounded exercise program and give it time.

The final myth for this post is

The more you sweat, the more fat you burn.

Sweating is simply a way for your body to cool off. You sweat, the sweat evaporates and that helps to cool you down. Now sometimes you will have a great workout and you are drenched in sweat. Sweet-Sweat-Waist-Trimmer-with-Sample-of-Sweet-Sweat-Workout-Enhancer-gel-Medium-0-4Don’t let it fool you. You had a great workout and your body is trying to cool itself, but, the high heat, high humidity, or lack of air circulation is the real reason you’re sweating so profusely. Let’s face it, haven’t you ever just been sitting and just couldn’t stop sweating? Does that mean you’re burning fat with no effort? Nope. What about swimming in the ocean? If the water temperature is lower than body temperature, you’re not going to sweat. Obviously, if you’re working hard at it, you’re burning those calories whether you sweat or not.

Of course companies are still trying to sell you on the myth. The old sauna suits are still being sold and still touting “Lose weight and burn calories quickly with this sauna suit.” The thermal waist wrap pictured, is actually playing two myths at once, spot reduction through sweating.

There is ever more research being done in the health and fitness industry and it’s by knowing what the current science says that we can steer clear of the myths and misinformation that surround us. Please, ask me any questions in the comment section below.




Should I Go Vegan to Get Healthy?

Should you become vegan in order to become healthier? In a word, No! This came up a couple of times recently and I wanted to talk about the idea that being a vegan is somehow healthier than being an omnivore. Let me be clear in what I am and what I am not saying. I am saying that choosing to follow a vegan diet because it is healthier than the alternatives is a misinformed choice, because it is not inherently healthier. I am not saying that it is wrong to be vegan and I am not saying that you can’t be healthy on a vegan diet. I am not debating what diet you are choosing. I am debating why you are choosing it.

Vegan vs omniLet’s start with the major category definitions.

Omnivore = Eats all food source categories

Vegetarian = Eats no meat or animal products

Pescetarian= Eats no meat or animal products, but includes fish, mollusks, and crustaceans

Lacto-vegetarian= Eats no meat or animal products, but may include dairy products

Ovo-vegetarian = Eats eggs, but dairy and meat are still restricted

Vegan = Eats only plant sourced foods

So, there are many steps in-between being an omnivore and a vegan. It’s not always an either/or question. The first problem with comparison is that most often people are comparing the worst omnivore (eats fried meat all day and no fruits or veggies) with the best vegan (is careful to get all of the nutrients they are missing by cutting out many food sources). Most individuals on these diets are neither of these extremes.

Some of the most heart healthy diets, such as the DASH Diet and the Mediterranean Diet are omnivorous ones. Some vegan (plant-based) choices are less than healthy, like processed faux meats (actually there are many vegan options that are processed) and sugar.

If you want to choose to be vegan for ethical reasons or even if you just want to try it, great. Go for it, but don’t do it to become healthier. Make sure that you get all the nutrients that you need and may be missing by having cut out food groups. Also, pay particular attention to getting enough complete protein in your day (soy and quinoa are great sources).

If you want to be a healthy omnivore, add more fruits and vegetables into your diet (most Americans don’t eat enough), eat as many whole foods as possible and keep your protein sources lean and cook them in a lean manner.

Ultimately, both an omnivore diet and a vegan diets can be either healthy or not. Being vegan and meeting all of your dietary needs can be difficult, but omnivores have plenty of their own challenges. Of course, in any of these, you can overeat and that can lead to weight gain. So, manage your calories as well.

Good luck in whatever you choose. Let me know your thoughts in the comments.

Older Americans Month?

I was just tracking down some information for a later article when I happened on to this. May is Older Americans Month (OAM), and, as I start to consider myself “older”, I had to find out what this is all about. It seems that the Administration for Community Living (ACL) has been leading the charge in celebrating OAM. ACL also created the theme for 2017. The theme is “Age Out Loud”, sort of a “Loud and Proud” for the aging adult. Frankly the theme could easily have been “Age Out Loud and Proud” because the point is to give the aging population the recognition that they (well… we) deserve.   Logos2

The older adult population continues to grow and with that, their desire to stay healthy, fit, active, and, as OAM states, “live their lives with boldness, confidence, and passion while serving as an inspiration to people of all ages.” In other words, to continue to kick butt and take names. I’m certainly all for that.

They have some fun ideas for things that you can do in your own community to celebrate Aging Out Loud and have links to some great resources from other organizations for the aging adult. See resources.

Age Out Loud is also meant to keep older adults engaged in the issues going on around us. Getting out and being heard on issues from city planning to healthcare. No retreating from the world here. Always active, always moving forward. #AgeOutLoud

Summer is Coming. What’s Your Workout Plan?

About this time of year, I start hearing people talking about how they’re going to stop going to the gym because they will be active outdoors all summer. I get it, active inside or active outside, it doesn’t really matter, does it? Well, I have to tell you. It’s not the same.


First, let me say that exercising or being active outside can have some significant emotional/psychological benefits. Even five minutes of “green exercise” can enhance your mood and feeling of well-being. So, yea for being outside! There are, however, a few cautionary notes to dropping out of your regular full body workout program.

Whether we are gardening or playing tennis, activities are never symmetrical. We always favor one arm or leg. Raking, digging, planting are one side dominant. We even get up or down on the ground favoring one leg. Tennis is essentially a one-armed sport. In golf, you always swing to one side. These asymmetries can create strength and flexibility imbalances that may cause injuries in time. kayak

Another issue is that these activities rarely take us through the full ranges of motion that we would (or should) be getting with our  gym workout. Full movement at the knees, hips, shoulders, elbows, etc. doesn’t come without planning for it. Walking, running, hiking, canoeing, kayaking, and biking do not promote joint mobility (or certainly not full-body joint mobility).

trx chest press

TRX (suspension device) for outdoor workouts

There are some solutions that are pretty simple. One option is to just keep doing your regular gym workout. If you don’t seem to have time and want to spend more time outside you can modify your workout to be shorter and/or go to the gym less frequently. In example, you could cut back to a 30 minute, twice a week. Another answer is to do your full body workout outdoors. There are a number of ways to make that happen. You can do bodyweight workouts, use a suspension device such as the TRX, or you could use elastic tubing that is very portable and very effective.

What you can’t do is go from a structured, full body workout program to summer “activities” and expect to maintain the benefits. You’ll come back in the fall having to start up at a much reduced level to reflect what you have lost. So, plan ahead and decide how you can continue your strength and mobility training throughout the summer.


What Do My Lipid Numbers Mean?

I just had my blood lipid panel taken. The results made me want to share some thoughts on this assessment. Let’s start with what cholesterol is and why we should care. According to the Mayo Clinic, “Cholesterol is a waxy substance that’s found in the fats (lipids) in your blood. While your body needs cholesterol to continue building healthy cells, having high cholesterol can increase your risk of heart disease.” The standard guideline when having a lipid panel done, is to have your total cholesterol reading as less than 200 mg.dL, but, total cholesterol is just an overall quick look. So, if your’s is over 200, don’t panic yet. It’s more accurate to look at the three other major components of your lipid panel. These are LDL (low density lipoproteins), HDL (high density lipoproteins), and triglycerides. You can think of LDL as the “bad cholesterol”, leaving garbage (plaque) to build up in your arteries. HDL is the “good cholesterol”, cleaning up the mess left by LDL. Finally, there’s triglycerides, which is not cholesterol, but fat in the blood and another potentially “bad” component. High triglyceride levels are also associated with increased risk of heart disease.


Back to my test. My total cholesterol is 226 mg/dL, 26 points higher than you would typically like to see. However, let’s look at the component breakdown. My LDL is 110 mg/dL with a desired standard of less than 150 mg/dL. Great… I’m under. HDL should be above 40 mg/dL and mine falls in at… drum roll….. 105 mg/dL. (above 60 is actually considered an anti-risk factor). Top that off with my triglycerides coming in at 53 mg/dL with a desired standard of less than 150 mg/dL and you can see that my high total cholesterol becomes less important.

So, if your numbers are not what they should be, what non-medication steps can you take to improve them?

  1. Exercise.
  2. Get to a healthy body weight.
  3. Quit smoking.
  4. Avoid eating trans fats. (Check you food labels)
  5. Eat food that are high in Omega 3. (i.e. fish, olive oil, and nuts)
  6. Eat foods that are high in fiber. (i.e. whole grains, beans, fruits and veggies)
  7. Limit your added sugar intake.
  8. Drink alcohol in moderation.

While these are great steps to take for many health benefits, there are times when medication is necessary to manage your cholesterol and triglyceride levels. Make sure you discuss your options with your doctor.


I Get By With a Little Help From My Friends

This classic line from the Beatles’ Sgt. Pepper’s Lonely Hearts Club Band album, can also set the stage for how we can have better success in approaching our health and fitness. Here are 5 reasons to recruit your friends to join you in your workouts.

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MOSSA Group Power class

  1. You’re more likely to push yourself. Generally, people find that they challenge themselves more when they are with friends. This includes working at a higher level as well as going longer before needing to take a break.
  2. You’re more likely to show up. When people feel accountable to others, it becomes just a little bit harder to blow off a work out.
  3. You’re more likely to try new things when you’re with a friend. This can help keep you interested in working out. Explore new classes or types of training with friends.
  4. You can share your progress and results. Having someone who understands the work that you’ve put in and appreciates the results you’ve accomplished makes your gains that much sweeter.
  5. You will enjoy the workout more. Whether it’s because misery loves company or just that everything seems better when shared with friends, working out with friends definitely increases the fun value.

Working out with friends can raise the ante in your workouts. With a little help from your friends, you can do more than get by, you can thrive. Find someone to share your workouts with today.


Squat Until You Die!

You’ve probably heard from the hardcore exercisers that squatting is one of those basic exercises that everyone should be doing. At the same time, I often hear some in the medical field say, “Oh no. You should avoid squatting. It’s too dangerous.” Let me cut to the chase and say… yes, everyone should be squatting and should continue to squat until you are too weak to get out of bed (which won’t happen until later in life because, well… you’re squatting).


I know, that does sound like an outrageous statement, but I believe the controversy lies in the misunderstanding of what a squat really is. Squatting is dropping your center of gravity by flexing (bending) your hips, knees, and ankles and usually involves the hip moving backward and the torso tipping forward (although to what degree depends on the squat variation and differences in body structure). It is something we every day. If you get up and down from a chair (or toilet) you’re squatting.

squat variations

Some squat variations (L-R, T-B): Chair Squat, Goblet Squat, Front Squat, Sumo Squat, Dumbbell Squat, Overhead Squat, Prisoner Squat, One-Legged Bench Squat, Bulgarian Split Squat.

There are many varieties of squats, and while not every variation works for every body, there is at least one that will work for you. You can also make modifications to make squats more accessible to you. Adjusting the weight, from partial body weight (such as assisted body weight squats, i.e. holding on to something.) to adding weight with dumbbells, barbells, etc. is one modification. Adjusting the range of motion is another (start with small, top end range of motion and go deeper as you get stronger).

So, the notion that someone shouldn’t squat because of age, or arthritis, or low bone mineral density, or whatever… is not taking into consideration that we need to be able to do this movement and there are endless ways to begin.

Let me know if you have any questions and, if not, squat away, my friend.