KettleBell Olympia

A Better Body With Bells!™

Browsing Posts tagged back pain

HIPS

Oh, our poor hips. They are meant for movement yet they mostly get sat on during the day. No wonder they get cranky. I wouldn’t want to be sat on either. Are you aware that sciatica (leg pain), buttock pain, lower back pain, knee and ankle pain can be caused from hip dysfunction?

The hip is a ball and socket joint so it can move in all directions – forward, back, side to side and in circles. The muscles of the leg and pelvis attach to the hip. It is the chicken and the egg to what causes the problems. Does the hip lock up then the muscles tighten or do the muscles tighten which causes the hip to lose motion? Either way it ends up with pain and loss of flexibility.

The key to the hip is catching it before the pain becomes severe. Trying to get sciatic or hip pain to calm down is tough. Sitting and lying on your side worsens the problem as it aggravates the muscles and nerves. Many of my patients say they are fine during the day while they are up and about but will get pain that wakes them up when they sleep on their side.

So what do you do for your hips?

Get it checked by your chiropractor to see if there is a loss of joint motion that is causing the pain.

If the pain is acute you will need to sit on ice. Literally sit on it – for 20-25 minutes. 2-3 times per day.

Stretch your hip flexors and your buttocks at least three times per day (video coming). Stretch for at least 30 seconds per stretch.

When the pain has reduced, start doing buttock strengthening exercises. (lunges, squats, bridges)

Don’t sit for longer than one hour at a time. Get up and walk. Prolonged sitting is a killer for the hips.

Some hip pain resolves with this basic program but others require the help of massage therapists, acupuncturists and/or physical therapists.

Yours In Health!

Dr. Wendy

I have been a chiropractor for almost 20 years.  From day one I realized how I fit into a person’s health care team.  I didn’t have all the answers and I wasn’t the end-all.  Chiropractic adjustments were necessary to improve spinal function, reduce nerve irritation, and reduce muscle tightness at the spine. 
 
I have referred my patients for massage, acupuncture and physical therapy to help get them out of pain.  Early on in my career, if the Team couldn’t get a patient out of pain in their lower back we knew they would have the pain for their lifetime.  Unfortunately, there were a lot of patients we couldn’t help. 
 
Thank goodness for research.  Studies have correlated lower back pain with atrophy of the multifidus.  Even more than disc herniations and degeneration.  The multifidus is a small muscle that attaches one spinal bone to another.  It is one of the primary stabilizers of the spine and is the only muscle that crosses the sacroiliac joint.   You can see atrophy on an MRI – the muscle shows up dark and fat(atrophied muscle) shows up as white.  I started looking at the MRI’s I already had on patients and out of the 35 I looked at all had atrophy.  Some were severe, which matched their pain complaints and my findings.
 
As we move the small ligaments of the spine get stretched.  As they are stretched they begin to fire, which tells the multifidii to contract and stabilize.  If the multifidii are weak and atrophied they are unable to contract appropriately.  This leads to microtearing of the small ligaments that attach spinous process to spinous process and transverse process to transverse process.  Over time this leads to a loss of stability.  Think of running on a sprained ankle, same idea.  The ligaments are overstretched and there is no muscular support.  This microscopic damage also leads to chronic inflammation at the spine. 
 
The multifidus is supposed to kick in with the first 5-15 degrees of forward bending.  A person gets back pain with the bending of the muscles are not functioning.  Many of my patients complain of back pain when they are brushing their teeth, chopping vegetables and doing the dishes. All of these occur within the first 15 degrees of bending.  These are the patients that have to do multifidus retraining. 
 
The multifidus and the transverse abdominus contract before any other muscles when we move. 
Isolation exercises are no longer recommended for stability retraining.  Functional full body motions which incorporate the multifidus, transverse abdominus, arms and legs are recommended.  Bracing your abdominals, as if you were going to take a punch, while you exercise gives you the functional stability you need.
 
Strength is the ability of a muscle to generate a force.  Power is the ability to rapidly generate a maximum force.  Endurance is the ability to maintain a sustained submaximal contraction or repetitive cyclic contraction.  It is endurance we are looking for with multifidus stability.  It doesn’t matter if the muscle is strong for one contraction, it needs to have endurance.  It needs to be able to have staying power to support the spine under continuous loads.
 
One of the best exercises I know to improve strength and endurance in the multifidus is the kettlebell swing.  The swing is extremely stabilizing for the lower back.  It was the first exercise I learned when I started kettlebell training and it was the one that got me out of my chronic lower back pain.  The swing is initiated from the hips, the abdominals are braced and the back is kept flat so the back is protected at all times.  As the kettlebell swings between the legs the glutes then contract, the knees pull up and your hips jut forward.
 
I have had many emails saying kettlebell workouts look too intense for people with lower back pain.  If done correctly it is only stabilizing and strengthening.  I have seen many videos that scare me. The technique is wrong.  The motion comes from the lower back and not the hips.  Doing this move over and over incorrectly can cause strain on the lower back leading to injury.  I recommend all people who are interested in starting kettlbell training get several sessions of personal training with a RKC trainer.  The RKC system is the only system that understands the importance of hip initiation, bracing and endurance.
 
Yours In Health!
 
Dr. Wendy

After 18 years as a successful chiropractor I have finally discovered what I believe to be the very best tool for improving the back-strength and overall health of my patients.  That tool is the kettlebell – something I had never heard of until a few years ago.  I have to admit that initially they intimidated me…until I needed them for my own injury.

The Doctor Becomes a Patient

Growing up I was always extremely athletic in high school and college.  I lettered in volleyball, softball, and basketball, and I became a Doctor of Chiropractic because I knew firsthand how important a strong and well-aligned body is for physical activity.

As an athlete and a doctor I never experienced any problems with back pain – until about 8 years ago.  I was adjusting a very large male patient (6′3″ 300lbs), something I never had a problem with in the past because of my use of proper techniques.

Somehow this time was different.  When I applied my force into this patient’s body to adjust his hips – nothing moved.  I felt like I had just attempted to pass my hands through a pillar of marble.  The resulting wave of resistance immediately reverberated through my entire spine. At that moment I knew I was injured.

I did everything I tell my injured patients to do.  I stretched, iced, went for massage, received chiropractic care, physical therapy, and acupuncture treatments.  Being in the healthcare profession, the treatment I received was the best available.  At times I was in the offices of other providers 5-6 times per week.

Frustration with Traditional Methods

The treatments kept my back functioning so that I could do my job but the repair and healing of my body did not progress.  If I sneezed it would throw my back into spasms.  If I slept wrong I would have to wear a back support for a week.  This was more than pain and inconvenience – my very livelihood was at stake!  Nobody wants to put their trust in a chiropractor who clearly has a bad back herself.  So I did everything I could to hide and mask my pain from my patients.

Two years into this constant pain I knew I had to try something different.  I hired a personal trainer (a former N.F.L. player) who I hoped would whip me into shape.  After 6 months, although I gained arm and leg strength, my body did not tone up the way I expected and my back pain did not improve.  In fact it got worse.  There would be times when I would spend half an hour on the treadmill in the evening and not be able to get out of bed the next morning.

Impressing A Skeptic

About this time I came across a book titled Beyond Stretching, by Pavel Tsatsouline.  There was something different here.  There were stretches in this book that I had never seen before.  Even my physical therapy associates were impressed with this new and cutting-edge material.  I had a feeling that Pavel could help me with my back, and hoped this might be the answer to restore my health and the future of my practice.

Fortunately I live close to Seattle because at that time Pavel was visiting the city twice each year.  I took his stretching, strengthening and abdominal class.  I was impressed – not something easily accomplished because I do body work myself, but also because I had experienced so many disappointments.

After attending Pavel’s classes my stretching improved and my pain was decreasing.  In fact, I was so impressed that I encouraged all of my patients and colleagues to attend Pavel’s seminars.  I had patients drive 70-80 miles one-way to attend Pavel’s seminars, and I would bring no fewer than 10 people with me each time.  I always made sure to bring my most acute patients – the ones I knew would experience the most benefit by attending.

When Pavel witnessed my third trek to Seattle with patients in tow, he was impressed with my commitment and suggested that I train with kettlebells – round cast-iron weights, like cannonballs with handles.  He even implied that I should become certified as a kettlebell trainer to assist my patients.  Well, I was more than slightly intimidated – in my mind there was no way I could throw around this big piece of iron without inflicting further injury.  But everything Pavel had showed me so far was helping, and I was intrigued.  I ended up purchasing a kettlebell, but picked it up maybe five times before it began to gather dust at home. I was so out of shape that I would get winded swinging the kettlebell only twenty times. Being an athlete, I think it hurt my ego more than anything else!

One Demonstration Makes All the Difference

Then in October 2004 I was fortunate enough to attend another one of Pavels stretching and strengthening seminars that included a quick kettlebell demonstration.  One of the people who spoke was Dave Werner, RKC.  He related his experience with severe lower back pain, nerve damage in his leg, and using a cane to walk.

I couldn’t believe it – this man had recovered and looked like an Olympic athlete!  Right then I knew I had to give kettlebells another chance.  I not only needed to try them for myself, but for the benefit of all my patients that were in the same predicament as me.

I hired Dave to show me what to do, and one month into my training I sneezed — and had NO PAIN!!  For almost five years I had been in pain from the slightest movement, and after one month of training with kettlebells I was able to sneeze and not have pain.  That may not seem like much to you, but for me it was a miracle.  I started training harder and signed up for the April 2005 RKC.  People must have thought I was crazy because I hadn’t exercised in well over a year due to my pain and now I wanted to go and subject myself to three days of Russian boot camp!

The more I trained in preparation for the RKC the more my fitness improved, and my back pain quickly became a thing of the past.  I made it to the RKC and survived – believe me, I had lots of sore muscles, but never a twinge in my lower back.  I had been given my life back!

Sharing the Secret

When I returned from the training I soon began working with one of my worst back injury patients.  The type of patient I see has extreme back pain and most of them have such poor body mechanics and muscle tone that they can’t even do a squat correctly.  They’re afraid to move their body, believing they can prevent spasms by not moving, so I start them out slowly. This particular patient had constant pain and couldn’t do even simple household chores such as vacuuming or cleaning dishes.

I started her out with the 4 Kg. bell, doing squats and swings in 5 sets of 5 reps each.  If you’ve ever lifted the 4 Kg. bell, it weighs almost nothing, but it was heavy enough for her body and started improving her strength.  We continued her chiropractic adjustments twice per week to control her pain and prevent spasms.  After three weeks I introduced an 8 Kg. bell for one of the five sets, and her spine was starting to hold so I reduced her office visits to once per week.  After training her for five weeks she had only minimal pain.  Soon after this she vacuumed her whole house without assistance – something she had not done in three years.  You’ve never seen someone so excited about being able to vacuum the floor! 

Soon after she was able to go almost two weeks before she needed an adjustment and I then added a figure eight with the 8 Kg. bell to expand her range of motion.  It’s important for those with chronic back pain to expand their abilities so they don’t give in to the fear of triggering a back spasm.  Kettlebells allow this incremental increase, and it builds confidence in patients like nothing I’ve seen before.

Kettlebells – the Missing Ingredient?

I’ve seen the kettlebell workout help one of my associates with his asthma.  Another eliminated her wrist and knee pain after 6 weeks of doing kettlebells.  Like me, she was very worried about her career as a chiropractor because her wrists kept giving out.  Now she is stronger and more confident that she can do her job for years to come.

I’m still amazed at the improvement in back stability that comes with kettlebell training.  I feel like a kid again!  I can honestly say I started getting in the best shape of my life – after only 8 months of training!  I now work a full day in my practice and then train people with kettlebells one-on-one and in groups 4-5 nights a week.

I now believe kettlebells to be the single most important tool that can be added to a recovery training schedule.  There are too many people out there who cannot enjoy life, who are merely existing because of their back pain.  Their abdominals and back muscles are so weak from repeated spasms that they fall apart with any activity.  I believe all of them can be helped with kettlebells.

It’s important to start slowly, primarily because of the weakness and lost muscle tone that develops from repeated muscle spasms, but also because of the mental block created by the fear of pain.  Kettlebells allow you to do this.  I know, because I’ve been there.  But at 44 years old I now feel better than I did in my twenty’s, and I can’t wait to see how I will be a year from now.  I give a huge thanks to Pavel Tsatsouline  for giving me my life back!

Benefits of the Kettlebell Swing

First off, what in the world is a kettlebell?  The kettlebell is a piece of exercise equipment that looks like a bowling ball with a handle. By using it in a particular way you will get your cardio and strength all in one.

The foundation for all kettlebell movements is the swing. The swing is a superior exercise move for the following reasons:

1. It strengthens the gluteals/buns – research shows that people with lower back dysfunction and pain have “gluteal amnesia”. Basically the rear end muscles have forgotten how to work.

2. It stretches the hip flexors – for those of you who sit all day, I guarantee your hip flexors/groin muscles are extremely tight. These muscles attach to the front of the spine and the front of the hip. Tightness in these muscles can also cause lower back pain.

3. The kettlebell develops back endurance – it isn’t back strength that is important it is back endurance. Endurance is how long can your back work under a load/weight and stay in good posture.

4. It reduces the odds of arthritis –there are studies that show when joints are subjected to a heavy impact they are relatively free of osteoarthritis in old age. The cartilage subjected to heavy loading are stiffer and better able to adapt to force.

5. It strengthens the multifidus – research shows that multifidus atrophy is a bigger cause of lower back pain than disc herniations and arthritis.

6. The kettlebell causes fat loss – Tracy Reifkind is a certified kettlebell instructor in California that lost over 100 pounds doing the kettlebell swing. You can read her blog at www.giryastrength.com.

In early 2000 I had a back injury that I couldn’t rehab. It was almost career ending. Within four months of doing kettlebell swings I was pain free. A year later I was no longer stiff and sore and was able to do my job without pain. I just completed an intense kettlebell training certification where I was exercising 4-5 hours per day for three days straight. I am stronger at 44 than I was at 20 and it just started with a couple of swings.

At KettleBell Olympia aka Abundant Fitness Center, Inc., we are now offering a kettlebell swing class Monday, Wednesday, and Fridays at 5:30 pm. The class lasts 30 minutes. Call us at 360-705-4412 for more details.  We are located at 2968 Limited Lane N.W., Suite B, Olympia, WA 98502.

Yours In Health!

Dr. Wendy Schauer, D.C., R.K.C.

Slouched Posture

I have a quick test for you. Sit in a chair in a slumped/slouched posture. Reach under the sides of the chair with both hands and pull up. Feel where there is pressure on the spine (hint: you will feel it in the lower back). Now sit upright (sit on your sit bones), reach hands under the chair and pull up. Now where do you feel the pressure? You should only feel it in your sits bones but shouldn’t feel pain.

When you sit all day in a slumped posture, research shows your back muscles become quickly deconditioned. The multifidii (primary stabilizers of the spine) turn off and begin to atrophy. This slouched posture causes your pelvis to rotate backwards and your shoulders and upper back to rotate forward.

This posture causes:

1. Sustained stretch on the back muscles and ligaments, causing microtears and scar tissue.

2. A loss of motion in the spinal joints, which leads to degeneration, arthritis and pain.

3. Inflammation in the muscles and joints.

How do you tolerate sitting all day? You must make little changes to protect the health of your spine.

1. Wiggle – every hour wiggle (roll shoulders back and forth) for 20 seconds.

2. Get up every 45 minutes-every hour. Walk to a co-workers cubicle, go to the bathroom, walk up and
down the halls.

3. Sit upright – use your sits bones to keep you upright. When you are starting to slouch it means
it is time to get up and move.

4. Exercise regularly to keep your muscles strong.

5. Get intermittent chiropractic adjustments to keep the function in your spine.

Yours In Health!

Dr. Wendy Schauer, D.C., R.K.C.