Author: Encore Rehabilitation, Inc.

As the largest privately-owned rehabilitation company in the Southeast, Encore Rehabilitation, Inc. helps people get back to their lives through physical therapy, occupational therapy, speech therapy, aquatic therapy, vestibular rehab, pediatric rehab, industrial rehab, sports medicine, and other orthopedic rehabilitation programs. Rehabilitation services are provided at Encore Rehabilitation Centers in Alabama, Mississippi, Florida, and Tennessee, as well as on-site at healthcare facilities, schools, companies, sporting events, and other locations.

“10 Timeless Fitness Laws” by Pam Foxx

“In the not-so-distant past, your food grew on a farm. Meals were home-cooked (on an actual fire, in an actual stove). The outdoors was your gym. Watches? They tracked time, not activity. Blue light, texting neck, and the masses getting supersized by McDonald’s were issues for a future generation.

Yet somewhere along the way, conventional wisdom got muddled with modern mechanisms. And the results weren’t pretty. We became much more sedentary and got fatter. And slower. And weaker (seriously). At the table, our food began to look less and less like it ever came from the ground.

“Western society is the most overfed but malnourished, sick society due to the imbalance of physical activity and real nourishment, says Stacy Sims, MSc, Ph.D., co-founder of Osmo Nutrition. “The body is designed to move all the time and use food that supports health, not quick hits of ‘feel good’ sugar and fat.”

So how do we go back? By homing in on the fundamentals and returning to the principles that have stood the test of time. Here, 10 laws of fitness your grandfather would approve of.

 

#1: Perfect the Pushup

When Charles Atlas promised the men of America that he’d transform them from weaklings into masses of muscle, the fitness industry was forever changed. But “Dynamic Tension”—for all its faults—also had its strengths. It was a program based on the basics: bodyweight. As the legend goes, Atlas studied lions, noticing that animals had no exercise equipment. They had no gyms. Instead, they pitted one muscle against another. And dropping down and giving 10—or 20 or 50—should still have its place in your routine. “With proper form, your pushups and pull-ups are still the best exercises you can do. They engage your core with a functional push-pull action,” says Sims.

 

#2: Do It Right—or Stop Doing It

Focus on form. If your technique is all wrong, you might be doing more harm than good. Why? Misalignment means the biomechanics of movement are out of whack.  The result: increased stress in different joints and potential muscle imbalances—the perfect setup for overuse, chronic pain, and injury, Sims says.

But mastering the “how to” isn’t all about taking preventative measures. “The other aspect of proper form is that you end up using the smaller, stabilizing muscles giving you core stability for daily movement,” Sims explains. And if you’re engaging your muscles all day—with good posture (yes, you really should pull your shoulders back), or by perfecting a pushup—you’re building core strength without realizing it. Slouched over, resting on your elbows, back twisted? It should be no surprise that you make grandpa noises when getting up from your chair.

 

#3: Drink, Baby, Drink

Athletes have been around far longer than Gatorade and the new class of beverages strewn across supermarket shelves (ones that promise to replenish, hydrate, and boost performance). And when a run was no more than a run, athletes didn’t swear by high-concentration sugary liquids.

When a workout isn’t long enough or intense enough to result in severe fatigue, plain old water works, says Matt Fitzgerald, sports nutritionist, and author of thebook Diet Cults. “In fact, it’s not necessary to drink anything in most workouts lasting less than an hour,” he adds. That’s not to say that drink scientists aren’t onto something: “You need a small amount of sodium to actually pull water into the body,” says Sims. That’s why low-concentration approaches (Nuun, SOS, and Sims’ OSMO) have become popular.

 

#4: Eat a Quality Breakfast

Rising with the sun means more hours to move and more hours to eat well. “One of the overlooked benefits of eating breakfast is that it provides an early and additional opportunity to make progress toward meeting daily quotas for high-quality food types such as vegetables and fruit,” says Fitzgerald.

It’s not hard to start knocking out nutritional requirements before your day begins either—one serving of vegetables or fresh berries added to whole-grain cereal—can make all the difference, says Fitzgerald.

Just remember composition, says Sims. A croissant and a coffee won’t cut it: “You wake up with high levels of cortisol (the belly fat hormone), and adding sugar and caffeine will perpetuate cortisol’s actions,” she says.

 

#5: Repeat After Us (One More Time): I Will Eat Real Food

You won’t find the recipe for a healthy diet on the back of a package. Change the way a food naturally exists, and you change the way your body absorbs it. “There is a disconnect between the marketing claims of pre-packaged food and real food made from scratch. And food can’t just be reduced to single compounds,” says says Allen Lim, Ph.D., founder of Skratch Labs.

To that extent, Fitzgerald has spent time analyzing world-class endurance athletes—a group as fit and healthy as any population on earth—finding a simple trend: “what I call ‘agnostic healthy eating,’” he says. What that means: eating inculturally normal ways, but not avoiding food groups entirely; filling meals with vegetables, fruit, nuts and seeds, fish and high-quality meat, whole grains, and dairy; and only sparingly eating low-quality refined grains, processed meat, and sweets. “If this formula is good enough for athletes who place tremendous demands on their bodies, it’s good enough for us,” he says.

 

#6: Feel Your Way to Faster

The most sophisticated and reliable fitness monitoring device that exists—or will ever exist—isn’t a device at all: it’s your brain, says Fitzgerald. “If your body needs rest, your brain will communicate that to your conscious awareness in the form of feelings of fatigue and low motivation,” he explains. The symptom: a greater perceived effort: “If the body is fatigued or if its performance capacity is compromised, the brain will have to work harder to get the same level of output, and the greater the effort the exerciser will perceive.”

On the other hand? If your body is responding well to your training and is ready for more hard work, your brain will let you know that too in no uncertain terms, Fitzgerald says.

 

#7: Lighten Up and Have Some Fun

“The more you enjoy your training, the more you’ll put into it,” says Fitzgerald. “And the more you put into it, the more you’ll get out of it.” The research agrees: Your best efforts will likely come when you’re having the most fun, a 2012 study by Alan St. Clair Gibson of the University of Worcester found. Find something you like and the addiction will come naturally: “Research indicates that the association of ‘fun’ with things you do perpetuates stress release, making you want to go back for more,” says Sims.

 

#8: Recover. No, Really: RECOVER.

One of the problems with the evolution of cross-training is that you can go hard every day. The problem: That’s not what your body needs. The key is finding an easy-hard cycle you can give into, says Michael Joyner, M.D., and physiologist and anesthesiologist at the Mayo Clinic. “People have forgotten to make the hard days harder and the easy days easier.” Think in terms of “active rest”—a 3- or 4-mile run for a distance runner, calisthenics, jumping rope, or classic conditioning drills, Joyner says. “That’s really important.”

 

#9: It’s Not All About the Bike, the Shoes, or the Compression Underwear

Aerodynamics, biomechanics, breathability—they’re words that get a lot of ink (on labels, in magazines, and in the scripts of gear salespeople across the world). And yeah, tech has its perks. Breathable fabrics make long and hot hikes more bearable. But will your gear always make the difference?

A recent University of North Carolina-Chapel Hill study found only 14 percent of runners who laced up in lightweight kicks reported injury in a year’s time; almost half of runners in traditional sneakers did. So plus one for minimalism? Not so fast. The same University of North Carolina research revealed that people who chose traditional shoes landed differently from those who donned the minimalist shoes (on their heel or mid-foot versus on their forefoot).

The point: Everyone is different. And gear that works is subjective. “Good gear makes things more enjoyable, and most importantly prevents injury,” says Sims. So don’t skimp on no-brainers: proper bike fit, shoes, and protective items—but don’t become slaves to them.

 

#10: Never Stop Moving

Take this in the most expansive and philosophical way: Build movement into all aspects of your life—work, home, play—and throughout your life. You name the disease and exercise is the cure. “It’s proven to reduce the likelihood of weight gain, diabetes, heart disease, stroke, liver disease, cancer, Alzheimer’s, osteoporosis,sexual dysfunction, and a host of infectious diseases,” says Fitzgerald. Work out, and not only will you be healthier, but happier, more confident, and (bonus!) smarter, Fitzgerald adds.”

 

Source: http://www.outsideonline.com/fitness/bodywork/the-fit-list/10-Timeless-Fitness-Laws.html

 

“10 easy tips for eating healthy while on the road or on vacation this summer.” by AL.com

Laura Newton, an assistant professor in the Department of Nutrition Sciences at The University of Alabama at Birmingham (UAB), offers these 10 suggestions:

Plan ahead: “Choose foods to take in the car, eat before arriving at the airport and consider the options available upon arrival at the destination,” Newton said in a UAB news release this week.

Keep it on ice: Put a cooler in the car and pack it with such healthy treats as fruit, yogurt, water, cut-up vegetables and sandwiches on whole-grain bread.

Eat this, not that: Make the best food choices you can when you’re on the road. At convenience stores, go for yogurt, fresh fruit, fruit cups or nuts (which are good in moderation.) At burger joints, the most simply prepared items are the healthiest choices, according to Newton. She suggests a plain hamburger with lettuce and tomatoes or a grilled chicken sandwich with lettuce and tomatoes. You can also hold the mayo and dressing and choose kid-size portions.

Don’t eat out all the time: If possible, rent a hotel room or vacation home with a refrigerator and stock it with good food. “It can be easier to eat healthful meals when cooking yourself,” Newton said.

Moderation, moderation: Try not to miss meals, because this can cause you to overeat at the next meal. “Pack a cooler for the beach and take water, fruit, maybe some nuts and string cheese,” Newton said. “This type of mini-meal is easily portable and can help tide people over until they can have a regular meal.”

Go ahead, be good to yourself: Don’t feel you have to completely give up favorite vacation foods. “You should definitely indulge, but in moderation, maybe one small treat a day or one splurge day during the week,” Newton said. “Ask for a small portion of the regional favorite or order from the appetizer menu.”

Start restaurant meals with salad or veggies: “This will help fill you up so you don’t eat more of a higher-calorie item,” Newton said. “Ask for extra vegetables or substitute another vegetable in place of a starch.”

Search the web: Look online for restaurants in the area you’re visiting. Review the menus in advance and decide what to eat before you go.

Drink lots of water: People often mistake dehydration for hunger, according to Newton.

Stay active! “This doesn’t need to be strenuous exercise, such as running or lifting weights, but do go sightseeing on foot or take a hike, swim in the pool or at the beach,” Newton said.”

Source: http://blog.al.com/spotnews/2014/05/post_1150.html

 

Congratulations to Sara Long, Fayette Clinic Athlete of the Month.

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Congratulations to the Fayette Clinic Athlete of the Month, Sara Long.  Sara is a Junior at South Lamar High School and played on the high school’s volleyball team, as well as the club volleyball team.  She plans to attend Bevill State for two years and then transfer to the University of Alabama to major in Criminology.  Sara is the daughter of Jeff and Mary Long. 

Stiff back? Here are some stretches you can do to help relieve the pain.

“General Tips for Stretching to Relieve Back Pain

Keep the following in mind when starting a stretching routine as part of a program of back exercises:

  • Wear comfortable clothes that won’t bind
  • Stretching should be pain free; do not force the body into difficult positions
  • Move into the stretch slowly and avoid bouncing, which may actually tear muscles
  • Stretch on a clean, flat surface that is large enough to move freely
  • Hold stretches long enough (20-30 seconds) to allow muscles or joints to become loose
  • Repeat the stretch, generally 5-10 times

If one already has low back pain or neck pain, it is best to check with a physician or physical therapist to discuss whether the following neck, shoulder, and lower back pain exercises should be done.

Back Exercise Stretches

Many back pain patients know the feeling of tension in the back, especially first thing in the morning. These stretching back exercises can help bring back some suppleness and increase mobility, decreasing back pain and discomfort.

Back Flexion Exercise
While lying on one’s back, pull both knees to the chest while simultaneously flexing the head forward until a comfortable stretch is felt in a balled-up position. (See left Figure 8)

Knee to Chest Stretch
While lying on the back with the knees bent and both heels on the floor, place both hands behind one knee and bring it to the chest. (See right Figure 21)”

Source: Ulrich Jr., P. (2999, September 8). Stretching for Back Pain Relief. Retrieved , from http://www.spine-health.com/wellness/exercise/exercise-and-back-pain

Congratulations to Sam Riley, the Winfield Clinic Athlete of the Month!

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Congratulations to Sam Riley, a Senior at Winfield City High School who just recently won a state championship with the Winfield Softball team! Sam is planning on attending Wallace State Community College on a Softball scholarship and is pursuing a degree in Physical Therapy and Ultrasound. Sam is the daughter of Andy and Bobby Riley.

A few at home remedies for mild Carpal Tunnel syndrome.

Carpal tunnel syndrome is numbness, tingling, weakness, and other problems in your hand because of pressure on the median nerve in your wrist.  The median nerve and several tendons run from your forearm to your hand through a small space in your wrist called the carpal tunnel. The median nerve controls movement and feeling in your thumb and first three fingers (not your little finger).

Symptoms most often occur in the thumb, index finger, middle finger, and half of the ring finger. If you have problems with your other fingers but your little finger is fine, this may be a sign that you have carpal tunnel syndrome. A different nerve gives feeling to the little finger.”

Mild symptoms usually can be treated with home care. You can:

  • Stop activities that cause numbness and pain. Rest your wrist longer between activities.
  • Ice your wrist for 10 to 15 minutes 1 or 2 times an hour.
  • Try taking nonsteroidal anti-inflammatory drugs (NSAIDs) to relieve pain and reduce swelling.
  • Wear a wrist splint at night. This takes pressure off your median nerve.

“The sooner you start treatment, the better your chances of stopping symptoms and preventing long-term damage to the nerve.”

You can also try to take good care of your wrists and hands:

  • Try to keep your wrist in a neutral position.
  • Use your whole hand—not just your fingers—to hold objects.
  • When you type, keep your wrists straight, with your hands a little higher than your wrists. Relax your shoulders when your arms are at your sides.
  • If you can, switch hands often when you repeat movements

Source: Carpal Tunnel Syndrome – Topic Overview. (2012, October 2). . Retrieved May 21, 2014, from http://www.webmd.com/pain-management/carpal-tunnel/carpal-tunnel-syndrome-topic-overview

Pictures from Day 1 of the State Softball games in Montgomery, AL!

Hartselle High School

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West Morgan High School

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Winfield High School

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Athens High School

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Addison High School

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Falkville High School

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What is a Torn Rotator Cuff and what to expect after Surgery.

“The rotator cuff is a group of four tendons and the related muscles that stabilize the shoulder joint and allow you to raise and rotate your arm. The shoulder is a ball-and-socket joint with three main bones: the upper arm bone (humerus), the collarbone (clavicle), and the shoulder blade (scapula). These bones are held together by muscles, tendons, ligaments, and the joint capsule. The rotator cuff helps keep the ball of the arm bone seated into the socket of the shoulder blade.

Surgery to repair a torn rotator cuff tendon usually involves:

  • Removing loose fragments of tendon, bursa, and other debris from the space in the shoulder where the rotator cuff moves (debridement).
  • Making more room for the rotator cuff tendon so it is not pinched or irritated. If needed, this includes shaving bone or removing bone spurs from the point of the shoulder blade (subacromial smoothing).
  • Sewing the torn edges of the supraspinatus tendon together and to the top of the upper arm bone (humerus).

In open shoulder surgery, a surgeon makes an incision [2 in. (5 cm) to 3 in. (7.6 cm)] in the shoulder to open it and view the shoulder directly while repairing it. A smaller incision can be done with a mini-open procedure that allows the surgeon to reach the affected tendon by splitting the deltoid muscle. This method may reduce your chances of problems from a deltoid injury.

Open-shoulder surgery often requires a short stay in the hospital.

General anesthesia or a nerve block may be used for these types of surgical repair.

Rotator cuff tears can sometimes be repaired with arthroscopic surgery.

Surgery to repair a torn rotator cuff tendon usually involves:

Discomfort after surgery may decrease with taking pain medicines prescribed by your doctor.

The arm will be protected in a sling for a defined period of time, especially when at risk of additional injury.

*Physical therapy after surgery is crucial to a successful recovery. A rehabilitation program may include the following:

  • As soon as you awake from anesthesia, you may start doing exercises that flex and extend the elbow, wrist, and hand.
  • The day after surgery, if your doctor allows, passive exercises that move your arm may be done about 3 times a day (a machine or physical therapist may help the joint through its range of motion).
  • Active exercise (you move your arm yourself) and stretches, with the assistance of a physical therapist, may start 6 to 8 weeks after surgery. This depends on how bad your tear was and how complex the surgical repair was.
  • Strengthening exercises, beginning with light weights and progressing to heavier weights, can start a few months after surgery.”

Source: 

William, B., & Timothy, B. (2011, November 11). Rotator Cuff Repair. Retrieved from                                                 http://www.webmd.com/a-to-z-guides/rotator-cuff-repair