Brenda DeKoker Goodman Archives - ºÚÁϳԹÏÍø Online /byline/brenda-dekoker-goodman/ Live Bravely Sat, 26 Jun 2021 18:21:50 +0000 en-US hourly 1 https://wordpress.org/?v=6.7.1 https://cdn.outsideonline.com/wp-content/uploads/2021/07/favicon-194x194-1.png Brenda DeKoker Goodman Archives - ºÚÁϳԹÏÍø Online /byline/brenda-dekoker-goodman/ 32 32 Foot Faults /health/training-performance/foot-faults/ Mon, 01 Jun 1998 00:00:00 +0000 /uncategorized/foot-faults/ As often as we use them, we can't help but abuse them. Or can we?

The post Foot Faults appeared first on ºÚÁϳԹÏÍø Online.

]]>

By all accounts, 1997 was to be the year Bob Kennedy’s face found its way onto a Wheaties box. The year before, at 26, he’d broken an 11-year-old U.S. record in the 5,000 meters, becoming the first person not from Africa to run the event in under 13 minutes. In an all-out effort to close in on the event’s top dog, Kenyan Daniel Komen, he upped his mileage and shed some weight by switching to lighter shoes. Then came the pain. At first it felt like little more than a bruise — understandable, given that his feet pounded 100 miles of pavement each week. After several months more of training, he could hardly walk at all.

Kennedy had strained his left plantar fascia, a band of tissue that runs along the bottom of the foot, and would be sidelined until it healed. “I think athletes can be really stupid about their own bodies,” says Kennedy, somewhat sheepishly. “If a friend had come to me and said, ‘I’m having a little heel pain,’ I would have told him to get it checked out. But it was me — I guess I thought I could run through it.” Ten months would pass before he could run without pain, and it wasn’t until last fall that he was back up to full speed.

Perhaps it’s surprising that such an inglorious ailment sneaked up on a professional athlete like Kennedy. But it doesn’t bode well for the rest of us, who pay even less attention to our crucial yet oh-so-vulnerable feet. Indeed, they are the athlete’s most commonly injured anatomical feature, with roughly 3,000 things that can, and often do, go wrong. And that’s not counting ramifications for the legs, hips, and back. The most prevalent problem is injuries of overuse, which can manifest themselves in a host of debilitating ways, such as shinsplints, stress fractures, Achilles tendinitis, and yes, plantar fasciitis.

The good news, however, is that such injuries unfold gradually, so if you nip them in the bud, you can easily get back on track. “Most people pooh-pooh foot pain,” says William Olson, a podiatrist who treats players for the San Francisco Giants. “I’m always surprised when someone shows up in my office and they’ve only had pain for two weeks. But the length of time you’ve been in pain is directly proportional to the amount of time it’s going to take to heal.”

The Underlying Problem

Despite their propensity to undermine our most lofty athletic ambitions, the lowly feet are an engineering marvel. Possessing 56 bones, 66 joints, 214 ligaments, 38 muscles, and six arches, our two humble locomotors do a considerable amount of work as part of their daily routine. The average person takes nearly 10,000 steps a day — enough to chalk up four laps around the globe over the course of an average lifetime. And when running, the force of each step can equal four times your body weight. Yet cruel as the joke may seem, the same intricate architecture that makes our pedestals so sturdy leaves them unduly prone to injury.

For Kennedy, trouble started innocently enough, with an overly cushiony pair of new running shoes that changed the angle of his footfalls ever so slightly. His case gets at the core of all overuse injuries of the foot: biomechanics. A normal foot will strike on the outside of the heel; roll in, or pronate, about five degrees; and then roll back out slightly for the toe-off. If your foot is aligned as it should be during the toe-off, the bones and ligaments tighten as if they were conducting an electric current and provide an unfalteringly firm platform. But any misalignment at this moment shifts the burden of support to the muscles, tendons, and ligaments along your lower legs and knees, sending strain rippling up toward your lower back.

Like 75 percent of us, Kennedy’s feet roll too far toward the centerline of his body — a biomechanical misstep called overpronation. “If you overpronate, it basically unlocks your foot so you have to recruit all the structures on the inside of your leg to compensate,” says Perry Julien, podiatry coordinator for the 1996 Atlanta Olympic Games. The nastiest upshot of this is plantar fasciitis. If the foot’s rolling causes the arch to collapse, the band simply gets stretched too far and tears where it connects to the heel bone. At first you’ll get the bruising feeling that Kennedy ignored; later, you’ll get larger problems. Treated promptly, plantar fasciitis can be a slight annoyance rather than a crippling malady. The best advice, says Julien, is to slip on a pair of athletic shoes before you hop out of bed in the morning: The plantar fasciae tighten at night, so if you step flat on the floor first thing, you run the risk of re-straining them. As for treatment, try gently rolling your heel on a golf ball for a few minutes every day.

If you don’t overpronate, you might have the opposite problem: oversupination, the foot’s inability to rotate enough. These unlucky few — 4 percent of the population — have arches so high that they’re virtually incapable of absorbing shock. Aside from plantar fasciitis, oversupinators suffer the same host of problems as overpronators — tendinitis, stress fractures, strains — but in different areas of the feet. There’s little the medical world can do for these ailments, so the first-resort treatment is to follow the old rule of rest, ice, compression, and elevation (RICE). Give your feet a week of TLC, and if you’re still hurting, see a doctor.

Diagnose Thyself

Whatever the origin of your biomechanical woes, it’s crucial to know what you’re dealing with. So take a closer look at your trotters. To find out whether you overpronate or oversupinate, self-administer something called the wet test. Douse the bottoms of your feet and tread on a grocery bag (paper, not plastic) or a section of newspaper. If your footprint shows the full-width outline of your paw, you overpronate. If the print looks like it’s had a bite taken out at the arch, you have a normal foot. And if your footprint leaves an archipelagolike impression, with the ball and the heel separated like two distinct islands, or with only a thin isthmus connecting the two, you oversupinate.

Your best defense is to get the right shoes. Overpronators should bypass any shoe with a significantly curved last in favor of a straighter-soled, stable model with “motion control” features. You want dual-density midsoles (with soft rubber at the outside and firmer stuff under the arch), reinforced heel cups, firm carbon-rubber outsoles, and a last that’s either full- or three-quarter-length fiberboard. Beware of extra cushioning as well, for as great as it may feel, it can cause your feet to slop around. Oversupinators, however, need all the cushioning they can get, since their problem is dead shocks. And regardless of what problems your feet have, you need to make sure your athletic footwear fits properly (see sidebar at left).

While it’s always worthwhile to invest in good shoes, some people will need orthotics to correct their biomechanics. “It doesn’t hurt to start with the orthotics they sell at the drugstore,” says Julien. For an over-the-counter fix, he suggests that overpronators buy full-length arch supports made of neoprene or some other soft material. Oversupinators can go with any style, the only requirement being cushioning. “If you find that you still have pain,” he says, “you probably need to get a custom pair made.”

As for Kennedy, sturdy new shoes eased his affliction — but only after squandering an entire season. “Mentally it was very hard,” he says. “The rest of me was ready to train, but my feet were down — which meant that everything else was down, too.”

Ìý

Legwork for Sturdier Feet

Conditioning your lowest extremities requires that you pay heed to muscles beyond those that fit into your socks — namely, the hamstrings, calves, and their siblings in the legs, which are connected to points around the heels via powerful tendons. “You can’t think of your feet as separate entities,” says Lisa Schoene, a noted Chicago-area trainer and podiatrist who treats professional athletes at events such as the Chicago Triathlon. “They’re like puppets, and all the muscles in your legs are pulling their strings.” If those muscles are too tight or too weak, your feet don’t stand a chance. Tight calves and hamstrings, for instance, inhibit the feet’s range of motion and may cause them to overpronate. And if the leg muscles aren’t strong enough to absorb the shock from the heel strike, the feet’s smaller muscles and bones take the stress instead.

Thus a vigilant plan to fortify your feet includes stretching and strengthening the tiny, hard-working muscles of the feet as well as those that extend up the legs. The following set of exercises provides a complete regimen that you can do three times a week. Warm up for five minutes first — and of course, you’ll have to remove your shoes.Ìý

Stretches

The Mountain
This move asks a lot of both your hamstrings and calves. Stand with your feet spread at hip-width and keep your legs straight but not locked. Fold at the waist and place your palms down about three feet in front of you, just wider than your shoulders. Now, work to push your heels to the ground and drop your head. Hold for 30 seconds; repeat twice.

Calf Stretch
Sitting on the floor with both legs extended and your back straight, loop a rope around one foot. Flex the foot toward you, using the rope for gentle assistance at the finish of the stretch. Hold it for four seconds and then release; repeat 12 times with each leg.

Toe Squash
Kneel on the floor with the tops of your feet flat against the ground and sit back on them. Using your hands, push against the floor to lift your knees and balance your weight on the tops of your feet to stretch the muscles within. Hold for 30 seconds; repeat twice.

Strengtheners

Inch Worm
Sitting in a chair, spread a towel in front of one foot. Using only your toes, scrunch the towel up under your foot, drawing it in toward you until you’ve reached its end. Now reverse the process, pushing it out from under your foot. Do three sets of 12 repetitions with each foot.

Ankles Away
Sitting on the edge of a counter with your legs together, tie an exercise band around the tops of your feet (the tighter you tie it, the harder the exercise). Keeping your heels together, spread your forefeet apart, and then relax them. Next, tie the band around your feet with your ankles crossed. Push one foot out to the side, relax, and then repeat with the other foot. Do each exercise ten times.

Toe Raises
Wearing shoes and standing at a table for balance, slowly raise up on your toes. Ease yourself slowly back to the floor. Work up to one set of 100 repetitions.

Brenda DeKoker Goodman is an oversupinator and an avid runner and swimmer.

Sure the Shoe Fits — But How Well?

A guide to choosing footwear that’ll keep problems at bay

Probably 15 percent of the injuries that I see are directly related to ill-fitting, improper, or worn-out shoes,” says Perry Julien, the Atlanta podiatrist who was in charge of athletes’ foot care for the 1996 Olympic Games. “The right shoe is critical to optimizing performance and preventing injury.” Short of taking Julien along with you, the way to ensure that you choose proper-fitting hiking boots and running shoes is to follow these guidelines:

1. Forget what you know. Strange as it sounds, figuring your size can be dicey, says Phil Oren, internationally known master boot fitter. Start by standing on a Brannock device (that cold metal gizmo found in shoe stores) with your full weight. Take one measurement from the heel to the longest toe. Then take a second based on the alternative method that uses the doodad that snugs to the ball of your foot. Go with the longer of the two sizes.”It’s the proportions of your foot that will ultimately effect what size you buy,” notes Oren. “You need a boot or shoe to bend where your foot bends.”

2. And forget again. Do the above every time you buy a new pair of shoes. Why? The ligaments and tendons in your feet relax as you age, causing them, in effect, to grow.

3. Buy fat. Head to the store late in the day, when your feet are at their pudgiest. “With boots, consider buying an even bigger pair if you’re going to be wearing them most often at elevation or carrying a heavy load,” says Julien, noting that high altitude and the weight of a pack can also cause your feet to swell.

4. Take stock of your socks. First, settle on the type of hosiery your feet need. “Most people just stick with the cotton tube sock they use for everything,” says Oren. “It’s a bad habit.” If you’re prone to blisters, you may need a silk liner; if you sweat a lot, you’ll want an acrylic or polypropylene sock to wick moisture; if your feet are forever cold, try wool.

5. Be flexible. Before you slip on your prospective purchase, make sure it isn’t too stiff. “Hiking boots and running shoes should bend without too much pressure,” says Phyllis Ragley, president of the American Academy of Podiatric Sports Medicine. Holding the shoe firmly by its heel, push up on the toe with two fingers. If it doesn’t bend easily, it may well strain your foot muscles.

Fat Test? Pass.

Trends

Feign interest in joining the climate-controlled confines of your local health club, and you’ll soon be snowed under by a blizzard of value-added incentives. A complimentary session with a personal trainer. Logo-emblazoned fanny pack. Even a free body-fat test. Our advice? Opt for the trainer and skip the test — it won’t tell you much.

That is, at least not according to a study of 16 competitive bodybuilders — folks who live and die by their body-fat percentages — in which Loren Cordain, an exercise physiologist at Colorado State University, found that results from three different body-fat testing methods commonly used at health clubs varied so widely as to be useless. When pinched by calipers, the pump-you-uppers’ body fat averaged 10.4 percent; when dunked in an underwater weighing tank, it rose to 12.5 percent; and when zapped by electricity (fat offers more resistance to electrical currents than muscle, bone, or fluid), it shot up to 16.7 percent. Even retesting using the same technique yields troubling inconsistencies: In a University of Arizona study, researchers deployed four different brands of calipers on the same subject and came up with four different measurements. “Short of carcass analysis,” says Cordain, “there are no absolute ways to test body-fat composition.”

Besides, there’s new proof that body-fat percentage is hardly the be-all and end-all of fitness. A soon-to-be-released study performed at the acclaimed Cooper Institute for Aerobics Research, which monitored 22,000 men, showed that clinically overweight yet clinically fit men had one-third the risk of dying early from cardiovascular disease as men considered to be of normal weight but who fared poorer on a treadmill test. Food for thought, as it were.

The Skater’s Edge

Routines

Tony Meibock has legs that are bigger than most folks’ waists. And he doesn’t spend the bulk of his days fighting to keep them. Since his retirement after the ’92 Games, the 31-year-old former Olympic speed skater has focused most of his energy designing in-line skates for K2 and refining the skating technique of professional hockey players from the Toronto Maple Leafs and the Calgary Flames — leaving him time for little more than the following routine. Though the rest of us may aspire to less gargantuan limbs, we can all make good use of Meibock’s working stiff’s leg plan. To power up your gams for everything from cycling to a pickup game of soccer, Meibock suggests adding this set of exercises to your normal weight regimen twice a week. Perform each move in succession for 30 seconds, followed by five minutes of running or walking, and then repeat the circuit. The routine will take under 20 minutes.

Dry Skate Stand in a skating position: feet together, legs bent as if you’re about to sit down, lower back slightly bent, and hands resting on the small of your back. Now simulate skating in place: Leading with your hip, glide to the left until you’re crouching over your left leg, right leg fully extended to the side. Drag your right foot in to meet your left foot — but don’t stand upright. Think of your hips moving sideways along a lateral plane while you switch legs and continue.

Duck Walk On a grassy field or lawn, position yourself as if at the end of a lunge: back slightly bent, right foot forward, knee bent at 90 degrees, left knee grazing the ground. Fold one arm at the small of your back and leave the other free to swing like a speed skater’s. Now simply walk forward, low to the ground, scuffing your toes to keep your balance.

Forward Leg Switch Start in a “scissor stance,” with your right leg forward, knee bent 90 degrees, and your left leg back and bent slightly. Now jump straight up and switch legs, before landing in the mirror position. Explode up again as soon as you touch ground.

Single-Leg Squats With your upper body in the skating position, balance your weight on your left leg, holding your right foot just above the ground behind you. Drop into a squat position, bending your left leg until your thigh is parallel to the ground, and come all the way up. Go down and up in smooth, one-second repetitions.

Stronger Arms from an Old Standby

Classics

When skimming face-first down a head-high roller, a bodyboarder’s steering apparatus has to be dependably strong. This makes the venerable dip the exercise of choice for devotees of recumbent wave-riding and, by extension, for any other athlete who wants to power up his triceps and outer chest. “To steer across a wave, you rely almost entirely on your shoulders and arms,” says Guilherme Tamega, four-time world-champion bodyboarder and globe-trotting wave- chaser. “And the dip is portable.” Indeed, the move requires nothing more than a couple of chairs or benches to work its muscular magic. Sit on the floor, legs extended in front of you, and position two stable chairs at either side, slightly more than shoulder-width apart. Put your hands on the seats and push up, lifting your keister — but not your heels — off the ground. Next, lower yourself to within a couple inches of the floor, and then press back up. Repeat the dip 15 times, working up to four sets three times a week, or at least as often as your bodyboarding schedule permits.

The post Foot Faults appeared first on ºÚÁϳԹÏÍø Online.

]]>
Juice Up Your Joints /health/training-performance/juice-your-joints/ Mon, 01 Dec 1997 00:00:00 +0000 /uncategorized/juice-your-joints/ Heed those rusty hinges now, and they'll work more smoothly when it really counts

The post Juice Up Your Joints appeared first on ºÚÁϳԹÏÍø Online.

]]>

Go ahead — enjoy the season. relish the feel of those parabolics on the rare occasions when you do manage to lift yourself from the sofa. Make a few tracks with the snowshoes after stuffing yourself into catatonia. Just don’t get so swept away by holiday decadence that you forget the sports you’ll resume come spring. To ignore some crucial maintenance now could be to court injury later — injury, more
often than not, to one of your joints.

Marvelous as they are, these functional junctions of muscle, bone, ligament, tendon, and such are biomechanical accidents waiting to happen, accounting for 60 to 70 percent of athletic injuries, according to trainers. Tending to them, for an athlete, is something like tipping for a smart traveler: A show of consideration along the way keeps things running smoothly. Your joints undergo incredible forces — a 160-pound runner places up to 1,776 pounds of force on his knee with each stride — and they tempt other indignities as well. Poorly balanced muscle groups throw joints out of alignment, leading to inflammation and torn ligaments. Shoddy athletic technique and overuse beget tendinitis. And the inevitable klutzy move can harvest a sprain. What’s worse, a fluke injury can leave a joint permanently loose and interrupt nerve signals to the brain. Once your fitness starts unraveling at the joints, patching it back together becomes an all-encompassing task.

But not all is grim, despite a dusty nugget of sports-club wisdom that says you can’t strengthen joints. It’s true of ligaments, which tie bone to bone, but you can strengthen the muscles surrounding your hinges and bolster the tendons that connect those muscles to bone. To that end, we’ve provided a guide to shoring up your weak links. The joint-specific workouts that follow can easily be tacked onto an existing routine; mix and match to suit your sport. And in case your range of athletic interests leaves you wondering where to start, we’ve ordered the joints according to vulnerability. We’ve made sure to include exercises that work opposing muscle groups — quadriceps and hamstrings, for instance — which are especially important for joints. That way you’ll avoid muscle imbalances that can make all your efforts backfire.

Ankles

The ankle’s lot is not an easy one, what with all that teetering weight above and shifty ground below. Like an empty beer can supporting a great weight, it’ll hold up fine until it’s tweaked ever so slightly. Small wonder that ankle injuries — 85 percent of which are sprains, with most of the rest resulting from overuse — are the most common in sports. It’s a shame, too, says Dr. John C. Cianca, assistant professor of physical medicine and rehabilitation at Baylor College of Medicine: “Protecting the ankle is very simple.”

Begin by working the various muscles of your shin to guard against sprains and overuse injuries. “Many people are strong in the calves and weak in the front, an imbalance that often leads to a tight Achilles tendon,” Cianca explains. “That forces the anterior tibialis [at the front of the shin bone] to work harder, which can cause shinsplints.” Four simple exercises cover the bases: ankle inversion and eversion (twist your foot to either side against the tension of an exercise band), the toe raise (lie on the floor and cock your toes toward your shin, using the band as resistance), and the basic calf raise (with light weights).

Knees

The knee almost equals the ankle in first- to-crumple honors. Knee problems often stem from overuse, and consequently, any muscle imbalances in the knee will haunt you. Burly quads may be the grail of most any self-respecting outdoor athlete, but if you neglect your glutes and hamstrings, the stronger muscles will tug unevenly at the kneecap. The result? The biomechanical efficacy of the joint breaks down, creating pain that might lead you to favor your other leg, which overburdens its muscles and joints and breeds even thornier problems.

Classic leg extensions and leg curls balance each other well, but as concentric exercises they’re only half the story. They shorten muscles to build strength, but to brace your joints under pressure you’ll need muscle-lengthening eccentric work too, says Dr. Richard Simon, orthopedic surgeon and consultant to everything from U.S. Diving to the Red Clay Tennis Championships. “Eccentric strength is meant to slow down the joint and prevent too much motion,” he says. So the ideal leg workout requires you to do exercises in which you propel yourself in a controlled motion, such as the squat, lunge, vertical leap (jump onto a 12-inch-high box and then hop down), and jumping rope.

Shoulders

As the most mobile joint of the body, the shoulder is alarmingly vulnerable. Despite what you may have heard, the much-ballyhooed rotator cuff deserves little of the blame. “The rotator cuff is sort of a victim,” Cianca says. “It’s composed of small muscles in the shoulder joint, and it gets dumped on by muscles that aren’t doing their job.” A stronger cuff wards off dislocated shoulders, but building up the tangle of muscles surrounding your shoulder blade — the rhomboid, trapezius, subscapularis, and serratus anterior, if you’re taking notes — delivers better results. To strengthen those muscles around the shoulder blade, start with the classic push-up. The seated row, lateral arm raise, and military press help, too. But the most streamlined program includes the wall push-up (precisely what it sounds like), internal and external rotation (fold your forearm across or away from your torso while holding a taut band for resistance), and baby rattle (see photo, opposite bottom).

Elbows and Wrists

Elbow and wrist injuries slow down many a climber. Unlike the shoulder, no amount of strength training will protect your forearms in a fall. Nor will working out stop the wrist numbness that cyclists suffer, a result of gripping the handlebars, which compresses both the median (aka carpal tunnel) and ulnar nerves. But you can reduce the chance of an overuse injury here.

With some 26 intertwining elbow and wrist muscles, when one falters, others have to compensate, leading to muscle strain and inflammation of the joints. Tennis elbow, for instance, which can strike climbers as readily as Sampras wannabes, results from overloading muscles in your wrists. “Conveniently,” says athletic trainer Kevin Brown, a consultant to the American Sport Climbing Federation, “the forearm muscles support the wrists and the elbows.” So strengthening those muscles does double good. For your lower arms, combine the hand grip (squeeze a wad of sports putty), wrist curl, dumbbell rotation (twist the weight counterclockwise as you curl it), and triceps press-down (see photos, opposite top).

Hips

“The hip is a great joint because of its deep socket,” says osteopath Dave Jenkinson, team doctor for the U.S. Canoe and Kayak Team. “It’s very muscular and well protected.” Still, as the central link in the kinetic chain between the torso and legs, the hip warrants some attention. Underdeveloped or overtight hip muscles often lead to hamstring injuries, because if they tire, your body calls for backup from above and below. To target hip flexors, extensors, adductors, and abductors, try a regimen of bounding (leaping across a field in 50-yard stretches), hip flexion (see photo, left), and combinations of the adductor and abductor (stand and sweep your straight leg to either side, like a pendulum, against a taut band).

L O G I S T I C S

Adding a joint tune-up to your existing workout should barely cost you ten minutes apiece, two or three times a week. (We’re assuming you’ve already stretched). Focus on your weakest link. Just as when you pony up an extra few bucks for insurance on a rental car, if all goes well you’ll never fully appreciate the value of your forethought.

Ankle. Start with the ankle inversion and eversion: Hold each contraction for ten seconds, and for each set, complete 20 repetitions per leg. Then do 20 reps each of toe raises and calf raises. Two sets of each exercise should suffice.

Knee. Jumping rope for two minutes can serve as a warm-up; add two-minute spurts after each set of other exercises. Do three sets of squats and lunges, 15 reps each. Then do a continuous set of vertical leaps until fatigue sets in.

Shoulder. Do 20 reps each of the push-up, wall push-up, and baby rattle. For internal and external rotations, 15 reps is good. Do two sets of each exercise.

Wrist/elbow. For the hand grip, wrist curl, dumbbell rotation, and triceps press-down, choose weights that will allow you to do two sets of 30 reps apiece.

Hip. To complete a good bounding session, alternate 50 yards of leaping strides with 50 yards of walking, and repeat the sequence four times. Then do two sets of 20 reps of the hip flexion, hip abduction, hip adduction, and diagonal hip abduction.

Matthew Segal, a Los Angeles-based writer, is rehabilitating a knee he sprained snowboarding.

The Knee Farm

Get your fresh-grown cartilage

Picture a hard-boiled egg with the top scraped off: The exposed yolk is bone, the white is the remaining cartilage,” says cell biologist Ross Tubo. He’s describing the damage done to articular cartilage — that precious layer of rubbery tissue that serves as your knee’s shock absorber — in the event of a bad ski accident or other ugly impact. Painful, yes, but no longer career-ending for athletes, thanks to Carticel, a new procedure in which your own cartilage is reproduced and surgically replanted into your knee.

Given the dubious alternatives of risking disease by freeloading off a cadaver’s cartilage or doing without the cushion altogether and relying on scar tissue, Carticel offers hope to hobbled athletes. Pioneered by two Swedish scientists who sold their research to Genzyme Tissue Repair in 1992, and awarded FDA approval last August, the procedure entails using a crumb-size biopsy of undamaged tissue to spawn healthy cells. “We mix it with a Kool-Aid-like cocktail of amino acids and sugar, and let it reproduce like mad in a plastic flask for three weeks,” cackles Tubo, Genzyme’s cell biology director. Then it’s a matter of open-knee surgery to inject the fledgling cells, followed by a year of rehabilitation. “It’s like plugging a hole with putty,” Tubo says, citing Carticel’s 70 percent success rate. “Only we’re using the real thing.”

The kicker is that to date only a handful of insurance companies will cover the procedure’s $26,000 tab, thanks in part to medical establishment folks such as Dr. Bill Grana, sports-medicine committee chairman for the American Academy of Orthopedic Surgeons. “I don’t object to patients subjecting themselves to it, but it’s going to take a good five to ten years to gauge its success,” he says. “Show me some science that says you’re really healing the joint.”

Taking Up That Slopeside Slack Time

Routines

Fifteen years as a human shock absorber haven’t hindered the health of moguls guru Liz McIntyre, a silver medalist at the 1994 Winter Olympics. She attributes her relatively injury-free career to diligently maintaining warm and limber muscles in her idle time, when cold clamps down on unwitting hamstrings. “A lot of skiers think they can do a few toe touches before their first run and they’re set for the day,” McIntyre says. “What they don’t realize is that between runs the muscles tighten again. Staying flexible is something you work at constantly while on the slopes.” Or wherever your winter pursuits may take you.

McIntyre’s secret is to take the leg muscles through their full range of motion by employing a series of fluid, controlled stretches. After a brief warm-up — skiers can take a few mellow runs — find a level area, take off your skis, snowboard, snowshoes, or whatever, and do ten repetitions of each of the following exercises over ten minutes. They’re deceptively simple, but quite effective. Repeat every so often, depending on how far the mercury has fallen, and odds are you’ll have the same good fortune as McIntyre.

Pendulum swing (hamstrings): Simply stand with your hips and shoulders square and your weight on your left leg. Keeping your foot flexed at a 90-degree angle and your leg straight, slowly raise your leg in front of you to a 45-degree angle, then lower it back to standing position. Raise your leg higher on each successive lift, being careful not to pull the hamstring or lock your knee. Switch legs after a set.

Bent leg swing (quadriceps): Begin in the same position as above, but bend your leg at a 90-degree angle and swing it behind you. Go until you feel tension in your quadriceps; push a little farther with each swing. Do a full set with one leg; then repeat with the other.

The scythe (abductors, adductors): Keeping your knees slightly bent and your pelvis tilted forward to prevent your back from arching, stand with your feet hip-width apart. Now extend your right leg about a foot in front of your body and, keeping the motion slow and steady, move the leg across to the left until you feel resistance. Then swing it to the right to the same point of tension. After a set, switch legs and repeat.

Calf stretch (calves): Standing at arm’s length from a tree and with your feet hip-width apart, place your palms against the tree and lean into it. Bending your left knee slightly, slide your right leg away from the tree, making sure to maintain heel contact with the ground (skiers will want to loosen their boots). When you feel a tug in your calf, hold the position for about 25 seconds; then switch legs and repeat.

The Tuck Jump

Standards

Long gone are the days of cramming for that spur-of-the-moment ski trip by knocking off a few wall sits, where you brace yourself against a wall until your quads catch fire. Credit the tuck jump, a move of extraordinary efficiency. Besides strengthening the hip flexors and honing balance, this number develops explosive power. “It’s an especially good exercise for skiers because it mimics exactly what they do on the slopes,” says Ron Kipp, director of athletic preparation for the U.S. Ski Team.

The tuck jump, which you can slip into your normal strengthening program, is as simple as it sounds. Stand straight, with your feet just a few inches apart and your arms at your sides. Jump up, bringing your knees toward your chest in the spirit of your splashiest cannonball, touch them for a brief instant, and replant your feet on the floor. Start by doing two sets of five, build up to 15 per set, and eventually work up to five sets of 15.

A Positive Impact

Prescriptions

So you’ve swapped your running shoes for swim goggles and a life membership at the pool, thinking that no-impact sports mean no physical wear and tear. Not so fast. Contrary to popular fitness wisdom, such a move might undermine your health down the road. A recent study clinched what a few researchers already guessed: Since bone tissue breaks down and rebuilds itself not unlike muscle tissue, stress from high-impact sports involving running, and load-bearing activities like backpacking and weight-lifting, can actually strengthen bones.

In the broadest study yet of bone density, conducted at Australia’s Edith Cowan University, doctors surveyed 60 female athletes and found that those who had engaged in high-impact sports for 20 years had much stronger bones than those who swam. “This should alert men and women in their twenties and thirties to start now,” says Barbara Drinkwater, a Seattle-based physiologist and one of the country’s leading bone density experts. “A lifetime of running and jumping exercises is crucial to bone strength.”

That doesn’t mean enter a marathon tomorrow. While stronger bones guard against injury, repetitive impact can predispose athletes to stress fractures. So it’s wise to ease into any new high-impact sport. Start off slowly and increase your duration and intensity by no more than 10 percent each week. “If you tend to overdo everything, running 80 miles a week, you’ll have problems,” Drinkwater says. “Run three miles a day and you’ll be fine.”

The post Juice Up Your Joints appeared first on ºÚÁϳԹÏÍø Online.

]]>