Cancer Prevention and the Copenhagen Male Study

We have heard for years that exercise prevents breast cancer, but it is not until recently that it has been absolutely and definitively been proven by researchers that this is true!  We know exercise helps but scientific proof about this has always been a bit dodgy because in order to be accurate the research had to be conducted over a couple of decades. The impact of exercising was never as clear as the impact of something like smoking.

However last year a very important study, called the Copenhagen Male Study found that regular cancer exercise can help prevent intestinal cancer.  This was an important study because it studied the exercise habits of over 5000 men over a period of 23 years. These men were divided into four different levels of exercisers – from those who never worked out to those who worked out a lot.

The study turned up some interesting results about the relationship between exercise and the development of cancer. First of all it was found that those who exercised moderately had a stronger resistance to developing the disease later in life. The head of the study, Dr. Inge Haunstrup Clemmensen from the Cancer Foundation in Denmark believe that the moderate physical activity appeared to strengthen the immune center.

The study revealed that moderate physical activity played an important part in preventing all cancers of the digestive tract, but especially intestinal cancer and esoophagal cancers. It also showed that exercise was effective against prostrate and lung cancer.

One of the explanations for this was the exercise stimulated the intestinal tract to move it’s contents through the bowels further. You have probably heard the phrase “Death begins in the colon.”  That refers to cancers that happen because of putrefied old food and impacted feces that are never moved out of the body. The idea is that if you keep moving it speeds up the digestive process and cancer causing agents are not allowed to fester and cause problems.

Experts estimate that one third of deaths can be attributed to sedentary habits and bad diet. This is why it is so important to get into a regular regimen.  A conditioned and fit body is much less prone to disease of all kind.

It is also not a good idea to work out too hard.  If you exercise every day in a way that requires a great deal of exertion you can actually cause the immune system to be lowered. If you are any kind of athlete, you have probably already noticed that you sometimes seem to detoxify or not feel well after a big workout. This can be partly due to picking up viruses because your immune system is not as efficient.

The good news is that you do not have to be a bodybuilder or spend exhaustive hours in the gym to prevent esophageal and colon cancers. All you need to do is walk or cycle two or three times a week and then also do some kind of weight bearing exercise twice a week.  This will keep your body a little more resistant to the poisons in our environment that can cause cancer.

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Common Scapular Stability Exercise Mistakes

I was reviewing some scapular stability exercises with a client.

I was re-enforcing the importance of scapular stability.

As I was talking with him, I mentioned to him common scapular stability exercise mistakes.

I thought it would be a great idea to share with you some of the mistakes that I see.

#1 – Thinking You are Using the Right Muscles

You maybe doing scapular exercises but in fact you maybe using the upper trapezius (upper traps) and the lumbar errectors (lower back).

This is very common.  I see this when I check client’s muscle development and you can see their is a muscle imbalance because they have been making this mistake.

Either have someone look at your technique or record yourself and critically look at what you are doing.

The focus on the movement should be your scaplula (shoulder blades).

If you see your upper back or lower back moving, then you are not hitting the scapular muscles.

#2 – Not Enough Push Ups

Let me explain what I mean.

The scapular muscles catch the head of the humerus (shoulder joint).  When you get into a four point position or a push up position, this activates the shoulder blade muscles even move.

Make sure to try that out.

You can get someone to put their hand on your shoulder blade in order see if they feel the shoulder blade muscles turn on or you can use a digital camera to record it.

Before I got work with my next client, I got a video for you.

Below, you will find a great scapular stability exercise that I give my clients, called the scapular clock.

If you are looking for an exercise program that targets the scapular muscles, I would suggest checking out the Scapular Stabilization Exercise Program.

That is it, have a great day.

Rick Kaselj, MS

 

 

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Knee Injuries and Ankle Movement

This might be shocking to you but a knee injuries could be caused by your ankle movement.

Let me share with you how.

#1 – The Foot Flattens Out

If you do not have good support in your feet, this could lead to your feet flattening out.  This flattening out affects the shin and could lead to the shin rotating inwards.

This rotation inwards puts greater stress on the knee and this greater stress increase your risk of a knee injury especially an ACL injury.

#2 – Knee Comes Forward and In

If the ankle is stiff, this forces the knee to come in.  When the knee comes in, this leads to greater stress on the knee.  With this increased stress, it could lead to a knee injury.

Let me touch on one thing.  It is not just about it leading to a knee injury.  If you are recovering from a knee injury, poor ankle movement could slow down the recovery from a knee injury or lead to re-injury.

#3 – Knee Comes In

If the ankle is not strong side to side, this will force the knee to collapse in.

This is often an issue with female athletes and leads to their greater risk of ACL injuries.

Summing it All Up

If you do have a knee injury, make sure to have a look at the ankle.

Addressing stability, rigidity and movement in the ankle will help decrease the stress on the knee and decrease the risk of a knee injury.

Plus it will help in the recovery and prevention of a knee injury.

This video below of me will give you a little more info to help you out:

Thanks for reading, we will talk to you soon.

If you do have a knee injury, what will help you out is an ACL exercise program and you can get on HERE.

Rick Kaselj, MS

 

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Guest Blog Posts from Rick Kaselj

I just wanted to list of some of the guest blog posts that I have done.

Muscle Imbalances

Muscle Pain Relief – 3 Things Overlooked in Muscle Imbalances posted on The Personal Trainer Development Center

Muscle Imbalances Revealed: IT’S HERE!! IT’S HERE!!! post on Dean Somerset

Exercises to Avoid Injury

Move It or Lose It - Troy Pesola of Cube Dweller Fitness

If Your Goal is to Build Muscle or Gain Strength, Then Prehab is a Necessity – Project Swole

4 Tips to Avoiding Injury when Starting a Weight Loss Program on Turbulence Training

Rotator Cuff

3 Common Rotator Cuff Training Mistakes posted on Body Synergy Training

3 Common Rotator Cuff Mistakes Q&A posted on Body Synergy Training

Knee Injuries

High Heel Could Be Causing Your Knee Pain – Working Mom Workouts

Rick Kaselj, MS

 

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Achilles Tendinitis Exercise Mistakes

3 Achilles Tendinitis Exercise Mistakes

With it being summer, you and other will be heading out to be more active.

It is great to get out there, into the fresh air and doing fun things.

One thing that happens with many people is they end up getting an injury with the increase activity they have in the summer.

One of the common injuries, is Achilles tendinitis.

Achilles tendonitis is an inflammation of tendon that connects the calf to the heel.  With a drastic increase in activity, this tendon can get inflamed, painful and sore.

One of the keys to help recover from Achilles tendinitis is to do exercises.

Let me go through a few common Achilles Tendinitis Exercise Mistakes

Achilles Tendinitis Exercise Mistake #1 – Not Doing Massage

A big thing that happens with Achilles tendinitis is the calf muscle tightness up.

This ends up putting more stress and pull on the Achilles tendon.  It is important to massage the calf.

This can be done by a therapist, yourself or someone else.

I find it is easy to do my self.

Just simply massaging the calf muscle a few times to help it relax.

Achilles Tendinitis Exercise Mistake #2 – Too Strong of a Stretch

One of the first things that you should do after you get Achilles tendonitis is to do some stretching.

The specific muscles you should be stretching are the soleus and gastrocs.

This is a video that shows you how to stretch the gastrocs.

An important thing to remember is to stretch lightly.

The focus should be on stretching the calf.  The stretch should be light in order to not make your Achilles tendinitis injury worse.

Achilles Tendonitis Exercise Mistake #3 – Not Doing Any Strengthening

If you do get Achilles tendonitis, it is important to do some strengthening of the calf muscle.

The reason why is the calf muscle ends up have a decrease in strength if you get Achilles tendonitis so you need to build the strength back up.

Plus, the Achilles tendon needs a light force through it in order for the tendon to heel better.

Summing it All Up

So make sure to head out there and enjoy the summer but if you do get Achilles tendonitis.  Remember the three tips I gave you about exercises for it.

It is really simple – massage, light stretch and light strengthening.

That is it.

If you would like to see the exercise program that I give my clients that are recovering from Achilles tendonitis, you can check it out here.

 

Rick Kaselj, MS

 

 

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Ankle Sprain Exercises

I had an high school friend ask me about ankle sprain exercises.

Speaking of high school, this year is my 20 year high school re-union, WoW.

Back to the ankle sprain exercises.

This is the Facebook message he sent me.

Hey Rick,

Two weeks ago I ended up in emergency with a “severe” sprained ankle. I can walk on it now and it doesn’t pain me too much, but I want to get back to bike riding and walking more than 20 feet. Can you suggest any exercises to speed up the healing process? Thanks!! Pete

- Pete

I followed up with this question:

What degree sprain do you have? Do you need surgery?

His reply:

No surgery, the doctor never gave a degree, but said to stay off of it for 2 to 4 weeks. There was swelling for about a week (and still swells a bit if I stay on it too long) I can get around quite comfortably walking for a bit, no pain meds. Bruising just under the ankle on both sides of the foot, but the sprain was on the “knuckle” I would go back to the doctor for a follow up, but that’s a 3 to 4 week waiting list.

- Pete

This would be my advice.

#1 – Keep the Ankle Moving

Move the ankle in all ranges of motion.

Here is one ankle sprain exercise:

 

You can get a bunch more at this blog post – CLICK HERE.

Some will be sore.

When sitting down or lying down on the ground, move your ankle in all ranges of motion.

#2 – control Inflammation

Ice it a lot.

Keep the inflammation under control will help with healing.

For the first few weeks, I would ice and elevate it 2 to 3 times a day.  This will help with recovery.

After you stand on it for a long time or do a lot of movement with it, ice it.

#3 – Standing on One Leg

I would work towards standing on one leg.

Be in a safe and controlled environment and start standing on one leg.

Often times, your balances goes when you sprain your ankle and you need to get it back.

Start with 5 seconds and progress to 1 minutes.

#4 – Come Onto Your Toes

A few times during the day, come onto your toes.

Start with both legs and move to one leg.

This will work on your balance, range of motion and strength.

#5 – Don’t Go Crazy

You should feel like you have done something but you should not be so sore that you can not do anything.

I think that is it.

I hope this helps Pete.

Rick Kaselj, MS

 

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What is Scapular Stability?

I am often asked what is scapular stability.

Scapular stability involves the shoulder blade and the muscles that attached to the shoulder blade.

Specifically what shoulder stability is the combination of the shoulder blade and the muscles that are attached to it to do their job.

The key job of the shoulder blade and its muscle are:

#1 – Stabilize the Shoulder Blade

The muscles of the shoulder blade need to have the activation, endurance and strength to keep the shoulder blade in place.

If the muscles of the scapula do not have the activation, endurance and strength to do their job of stabilizing the shoulder blade, this will lead the shoulder blade lifting off the middle of the back which can lead to all kinds of shoulder injuries.

#2 – Reaching Overhead

The muscle of the shoulder blade are key in helping you reach overhead.  For example if you do a pressing exercise overhead or if you reach for something high on a shelf, you scapular muscles play a key roll in doing this.

The muscles of the shoulder blade move the shoulder blade so it opens up more space in the shoulder so you can reach overhead.

If the shoulder blade muscles did not rotate the shoulder back up because it has poor activation, endurance and strength; it would lead to more shoulder injuries and it could lead to you not being able to reach for something high up.

#3 – Movement of the Shoulder Blade

One other function of the shoulder blade muscle is movement of the shoulder.  We talked about how the scapular muscles help rotate the shoulder blade but they also help move the shoulder blade up, down, in and out.

These movements allow our arms to pull and push things.  Just like the above two points, if the shoulder blade muscles lack the activation, endurance and strength to do their job; you end up having poor movement of the shoulder which leads to less efficient movement of the upper back and increases the risk of injury to the shoulder.

If you are doing any shoulder exercises, make sure to spend some time working on your scapular muscles.

If you have a shoulder injury, it is vital for you to spend some time working on your scapular muscles in order to help you overcome your injury.

I know I talked a lot about activation, endurance and strength.  I will expand on this more in another blog post.

Rick Kaselj, MS

If you are looking for scapular stability exercises, I would check out this.

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Patellofemoral Pain Syndrome Avoidance at Work

I am continuing on with part two of my tips on avoiding patellofemoral pain syndrome at work.

If you missed part one, you can check it out here:

==> Avoiding Patellofemoral Pain Syndrome at Work

Now lets get to two more ways you can avoid patellofemoral pain syndrome at work.

#3 – Getting Up and Down

Most of us have sitting jobs.  When we move from sitting to standing, this puts a lot of stress on the knee joint specifically the knee cap against the knee.

The most common way people get up out of a chair is they put most of their weight on their toes and stand up.  Getting up this way, can be irritating on your knees.

You can try this to decrease the irritation.  When you get up from sitting, you can have more of your weight on your heels when you get out of the chair.  This will put less stress on the knees and force the hamstrings and gluteus maximus to do more of

#4 – Don’t Let Your Knees Collapse

Often times when people move from standing to sitting, their knees collapse in.

When this happens, it forces the knee cap to move in a way it is not use to move which is outside it groove.   When the knee cap is pushed outside its grove, it puts greater stress on the edges of the groove.  This leads to irritation of the knee and can lead to patellofemoral pain syndrome symptoms.

When moving some standing to sitting, work hard to have your legs hip with apart and have the knees smoothly go over your toes.  Your knees will be happier and you will decrease the pain you get in your knees.

I hope this helps decrease you knee pain especially from patellofemoral pain syndrome.

I know they have helped me with my knees and knee pain.

If you are looking for specific exercises for patellofemoral pain syndrome, check this out:

==>  PFPS Exercises

Rick Kaselj, MS

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Plantar Fasciitis Strengthening Exercises


Strengthening Exercises for Plantar Fasciitis

An exercise regimen for plantar fasciitis must include strengthening exercises for the foot muscles. Strong intrinsic foot and lower leg muscles are necessary to sufficiently support the foot, which is constantly exposed to stress, and to maintain a healthy arch. It is suggested that strengthening exercises should be initiated once the affected foot demonstrates improved flexibility during stretching exercises, without experiencing pain.

A tight calf muscle can put additional stress on the injured plantar fascia, which may aggravate the condition or further slow down the healing process. The calf is located on the posterior (or back) leg, just below the thigh. This powerful and large muscle group is involved in most lower leg activities, such as standing, walking, jumping, and running.

Using your toes to pull a towel or pick-up marbles conditions the foot’s intrinsic muscles and the toe flexors that support the arch. Wall lunges, toe pulls, toe walking with opposite-ankle dorsiflexion, and toe tapping are only few of the most recommended strengthening exercises.

Towel stretch

Sit tall as you place the affected foot on a towel on the floor. Using your toes, tuck or pull the towel towards you. Afterwards, push the towel away, also through your toes. Repeat the exercise until fatigued. As your strength improves, place a weighted object, such as a can of soda, on the other end of the towel.

Marble pick-ups

For this exercise, marbles are placed next to an empty cup on the floor. Sit tall and using your toes, pick-up one marble at a time and put it into a cup.

Exercises You Should Not Do If You Have Plantar Fasciitis

In general, any exercise that causes pain should be avoided. During acute pain, it is recommended to rest the affected foot and avoid high-trauma sports activities, which involve repetitive running, jumping, and landing. Exercising on hard or uneven surfaces must be avoided.

If a prescribed exercise causes pain, it must be stopped at once. It is recommended to consult your physician or physical therapist for a possible change of exercise regimen. Decrease your distance when walking and avoid walking toward the top of a slope.

Rick Kaselj, MS
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What Can You Do About Plantar Fasciitis? Part 2

Icing

Ice should be used as an adjunct therapy, as it is known to decrease pain, swelling, and inflammation of tissues. Ice can be applied to the sore area for 15 to 20 minutes, four times daily, to relieve the pain. You may also roll the bottom of your foot on a frozen cylinder for five minutes after periods of activity and before sleeping. Ice cylinders are made by freezing water in plastic bottles or cups. You may also massage the heel of the foot by applying water frozen in Styrofoam cups in circular motions for five to ten minutes.

Non-steroidal Anti-Inflammatory Medications and Corticosteroid Injections

During the acute phase of plantar fasciitis, oral intake of non-steroidal medications in conjunction with stretching exercises may be useful to reduce inflammation. Ibuprofen, ketoprofen, or fluribiprofen are prescribed to relieve mild to moderate pain. These drugs are known to inhibit the synthesis of prostaglandins, which activate the inflammatory and pain responses in the body.
Steroid injections are administered if the pain occurring due to plantar fasciitis fails to respond to customary conservative measures. Corticosteroids are successful in controlling the pain, but it is recommended that a patient must not have more than three steroid injections within a year. Repeated steroid use can cause fat pad atrophy and plantar facial rupture.

Shoe Modification

Footwear plays a critical role in preventing and treating plantar fasciitis. It is best to use shoes with excellent shock-absorbing qualities. The shoes must feel comfortable and should foster good foot postures.

Orthotics

Overpronation, a condition in which the foot arches roll excessively inward, can cause excessive plantar fascia tension – a significant factor in plantar fasciitis development. Orthoses are mainly used to control and reduce this dysfunction by maintaining the foot in its neutral position. In addition to the reduction of plantar fascia tension, over-the-counter and custom-made orthoses increase stability in stance and gait and provide passive plantar fascia stretch.

Night Splints

Use of dorsiflexion (Top of the foot towards the shin.) night splints during sleep maintains the ankle joint in neutral position, keeping the plantar fascia and Achilles tendon constantly stretched throughout the night. This is helpful in decreasing the plantar fascia pain and microtrauma during weight bearing in the morning.

Rick Kaselj, MS
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