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18/Aug/2014

Carlsbad, Healthy Life Style.  A sedentary lifestyle is not necessarily orthopedics but I feel it is sufficiently relevant to the values of healthy living, which I certainly promote.  Research concerning the impacts of sedentary behavior suggests that inactive seniors are more vulnerable to obesity, diabetes, cardiovascular disease and possibly other conditions. Such patients are at increased risk of premature death.

Adults 60 years of age and older tend to get insufficient exercise. Most of their activities involve sitting. The ever-growing senior population is expected to make up 22% of the world’s population by 2050; this will have a substantial effect on health-care needs.

The World Health Organization has issued many recommendations regarding lifestyle changes for seniors. Authorities are convinced that physical activity helps prevent disability and chronic diseases. Sedentary seniors are more susceptible to metabolic syndromes, which can include diabetes, heart disease and increased waist size. They also are prone to musculoskeletal diseases and accidental falls.

No single clinical trial has measured the health effects of sedentary lifestyles on the elderly population. However, researchers recently obtained some insight by reviewing studies published by Medline, Excerpta Medica, Web of Science, SPORTDiscus, PsycINFO, the Cumulative Index to Nursing and Allied Health Literature, Literatura Latino-Americana e do Caribe em Ciencias da Sa˙de, and the Sedentary Behavior Research Database.

A recent publication by Rezende et al in BMC Public Health showed that researchers in the United States and Europe confirmed that sedentary time increases with age.  They found that people over the age of 60 are inactive 80 percent of the time they are awake:

  • A study involving subjects from more than 60 countries indicated that the elderly had the most sitting time.
  • People who spent less than eight hours per day sitting had a lower risk of all-cause mortality than those who were sedentary for longer periods.
  • For each hour per day spent sitting, the risk of all-cause mortality increased 3 percent.
  • Patients classified as “newly” or “formerly” sedentary were less vulnerable to all-cause mortality than those rated as “consistently” sedentary.
  • Among survivors of colorectal cancer, those who spent more than six hours a day sitting had a higher risk of all-cause mortality than those who sat fewer than three hours.
  • People who sat more than three hours per day were more susceptible to metabolic syndromes. Women taking part in the trial who watched the most television had a 42% greater risk.
  • Patients who watched TV more than seven hours per day were much more vulnerable to metabolic syndromes than those who clocked less than an hour. For each hour of TV watching, there was an increase of 19% in the odds.  Bankoski et al reached similar conclusions.
  • Excessive sitting time increased the risk of abdominal obesity by 80%.  Gennuso et al, Stamatakis et al and Gao et al also linked sedentary behavior with expanded waist circumference.
  • Six other studies have revealed a link between sedentary behavior and high blood pressure and cholesterol levels.

Some studies have suggested that inactivity also adversely affects mental health and could increase the risk of certain cancers. However, authorities say more research, featuring higher methodological quality, is needed to fully assess the effects of sedentary behavior on seniors.


18/Aug/2014

Avoid Knee pain and injury by optimizing your training technique.  Jogging or running is a popular exercise and often recommended for cardiovascular health. Sprinting, the big brother of those two, is usually a bout of running at maximum pace and speed. Sprinting has proven to be more beneficial than jogging/running, with respect to body composition and lean mass. Next time there’s a sprinting event on TV, check out the bodies of the sprinters and compare them with the average runner.  It is clear that sprinters tend to be more lean.

Like with any other sport, there are exercise regimens meant for beginners and then there are those for the elite. This article will show you a variety of “workouts” to help you create some variety in your cardiovascular routines.

Protocol 1: an eight second sprint, 12 second rest, repeated for 20 minutes.

According to the Journal of Obesity, this type of exercise usually referred to as interval training, was found to lower insulin resistance, reduce fat and improve lean body mass. (1)

It is no surprise that I would recommend you initiate your interval training with a more modest goal of maybe 5 or 10 minutes. 20 minutes might be a little difficult to achieve for the novice. Keep working towards that goal and once you can hit that 20 minute mark easily, you should start aiming for more.

Protocol 2: Tabata training (4 minutes total)

This training program targets those Type A executives out there that “don’t have time to exercise”.   This routine is short and focused.  It is for those who want to get maximum efficiency from a short workout. This type of training will ramp up your metabolism; improve cardiovascular health, and insulin sensitivity.

This protocol, meant for intermediate level sprinters is very simple: a 20 second intense activity followed by 10 seconds of rest. Keeping this up for 4 minutes is not as easy as it seems, you need to be mentally prepared for the physical effort that’s required. The benefits from this type of exercise will be definitely worth it though.

Protocol 3: The famous Wingate protocol

This is extremely beneficial for fat loss, improved athletic endurance, and overall cardiovascular health. The Wingate protocol is also directed towards intermediate level sprinters; it helps to get you back in shape quickly after a set-back or exercise hiatus. The resulting benefits of this routine are lean muscle mass.  It is a good and steady calorie burner.  It consists of a 30 second maximum interval; this routine is completed 4 to 6 times in a timeframe of choice (the shorter, the better). (2)

Protocol 4:  

Pyramid training starts with low intensity then slowly surges the intensity to maximum level and gradually returns back to the initial warm up intensity. This gradual advancement requires a strong endurance capability. This type of training can induce maximal oxygen intake and improve stamina and work capacity significantly.pyramid-training

Protocol 5: Long intervals with 1:1 ratio

To increase your endurance, this should be your exercise of choice. Like it’s name implies, you will be doing long intervals (85% of your maximum strength for 2-3 minutes) followed by a similar period of rest.

Great for weight loss and overall well-being.

 

References:

1) http://www.hindawi.com/journals/jobe/2011/868305/abs/

2) http://www.nature.com/ijo/journal/vaop/ncurrent/full/0803781a.html


18/Aug/2014

Strontium ranelate has been proven effective as a treatment for osteoporosis. Now, it appears that the compound also is helpful for some knee osteoarthritis sufferers.

Medscape.com reported that researchers spent three years tracking the progress of 1,371 people diagnosed with Grade 2 or Grade 3 knee osteoarthritis. The patients received daily treatments of strontium ranelate. Many of them experienced reduced narrowing of joint space, less pain and better health. There was evidence of enhanced bone strength and cartilage growth. Researchers cautioned, however, that the benefits were “moderate” in most cases.strontium-ranelate

Patients involved in the double-blind, randomized, placebo-controlled study (called SEKOIA) began with joint space widths between 2.5 and 5 millimeters. Strontium ranelate treatments, at daily doses of 1 or 2 grams, were “associated with a significant reduction in progression of radiographic joint space width,” the researchers wrote. The therapy also reportedly had a positive effect on “overall health associated with knee osteoarthritis.”

Though allergic reactions and thrombosis sometimes result from strontium treatments, the study found little difference in such outcomes between the patients who received the therapy and those in the control group.

Knee Osteoarthritis is the most common form of arthritis and a leading cause of disability. Early treatment typically involves physical therapy and nonsteroidal anti-inflammatory drugs. Joint replacement and surgery are options in more advanced cases. The SEKIOA study offers hope that strontium ranelate might provide the first disease-modifying therapy for knee osteoarthritis.

Further research is necessary before authorities endorse widespread use of the compound. While the study detected bone and cartilage improvements, strontium ranelate is not known to reduce pain in muscles and tendons around the joints. That means the substance may not benefit some patients, including those in advanced stages of the disease. Strontium ranelate seems to have the greatest effect when it is administered before a joint sustains substantial damage.


06/Aug/2014

sean-marshall-injuryOver the last decade, there has been a tremendous amount of controversy over the research and the use of stem cells in medicine. While there is still some debate about it, the world of modern medicine has begun to embrace the potential healing powers of stem cells—right or wrong. Stem cells are essentially non-specialized cells capable of giving rise to new cells to replace degenerated cells. By non-specialized we mean that stem cells can give rise to any number of specialized cell types such as brain, ligaments, bone, and many more types. This, in theory, means that injection or infusion of stem cells into a damaged ligament, tendon or bone can actually result in more effective and efficient healing.

Stem cell injections are different from PRP injections.  Please see some of my prior blogs for details of PRP.  However, simply said, PRP is a concentrated volume of platelets that normally circulate in our blood.  Platelets contain factors that initiate a healing response.  So when I inject PRP into a tendon, I am initiating a healing response.  Stem cells are different.  Stem cell injections try to infuse the area with baby cells that we try to get to grow up into the mature cells in the area, to recreate the desired tissue.

The debate over stem cells very well could be over as new procedures to harvest stem cells have come to fruition. Previously there were ethical questions regarding the harvesting of stem cells from embryos. Now, stem cells are acquired from an internal source (the patient) that has bountiful reserves of stem cells. The location: the marrow cavity of bones, skin (Aesthetic Pittsburgh), the fat below the skin, etc.  The most useful and easiest place to harvest stem cells is from the back of the hip (iliac bone). Stem cells are harvested by removing bone marrow blood with a specialized needle. This procedure is considered painless and non-threatening and can be done in just a few minutes. Once the blood is acquired it is taken to the lab to be separated to leave a concentrated amount of stem cells. In addition growth factors are gathered through this process in order to allow for stem cell activation.ilium-bone

Above: The Iliac bone is utilized to harvest stem cells from bone marrow blood.

Stem cell injections have taken on a particularly large roll in sports-related injuries. Professional athletes rely on their bodies for their livelihood. So when an injury does occur, the typical goal is to have the most efficient recovery, one that is both fast and thorough. In theory, the use of stem cells can help assure the efficiency of recovery and that is why so many athletes are opting for this relatively controversial treatment option. One such athlete who has recently opted for this procedure is Cincinnati Reds relief pitcher Sean Marshall. Marshall had been struggling with pain and inflammation for the better part of two years and has witnessed an epic drop in his performance. Non-surgical treatment such as shoulder strengthening exercises had shown little benefit, so Marshall opted for surgery to clean out his shoulder; this procedure is called an arthroscopic subacromial decompression and glenohumeral debridement. Marshall was also given stem cell infusions to aid in the healing process. Marshall is scheduled to miss the rest of the season so the hope is that he can return to form as soon as next year, and with the use of stem cell infusions he could be ahead of schedule.

The use of stem cells in medicine and especially sports medicine has taken a large spike over the last few years. The reason behind this spike is that new procedures have discredited arguments on the ethicality of stem cells. It is reasonable to expect that stem cell treatment will continue to become more predominant in medical facilities around the world.


06/Aug/2014

ryan-jimmo-broken-armIt is safe to say that most people have at least some vague understanding of what constitutes a broken arm, but just case you don’t, mixed martial arts (MMA) and ultimate fighting championship (UFC) light heavyweight Ryan Jimmo has vowed to enlighten us on the matter. Midway through the second round of his most recent MMA bout, Jimmo began crying out to officials that his arm had been broken.  He later told officials that he could literally feel his bone moving in his arm.  As it turns out, Jimmo was right, his ulna (inner forearm bone) had a fairly clean break in it.

This is pre-surgery X-ray was posted on Ryan Jimmo’s twitterryan-jimmo-broken-arm-xray

The arm consists of three main bones, the upper arm bone (humerus), outer forearm bone (radius), and inner forearm bone (ulna). A fracture to any of these bones would be considered a broken arm. There are many different types of fractures such as compound and simple fractures. A compound fracture is one in which the bone can actually shatters and results in multiple fragments. A simple fracture is one in which the bone is broken into two parts. Other classifications of fractures include greenstick, transverse, oblique, and spiral. Greenstick fractures are incomplete fractures in which the bone is not completely separated. Transverse fractures are fractures in which the break forms a straight line across the bone. Oblique fractures are fractures in which the break forms a diagonal break across the bone. Spiral fractures look similar to oblique fractures but are caused by a rotational force. In Jimmo’s case it appears that he is dealing with a transverse fracture. An arm fracture can be associated with symptoms such as pain, swelling, bruising. In addition there may be deformity and inability to rotate forearm.  Its interesting because Jimmo’s fracture type is referred to as a ‘night stick’ injury.  This is the fracture pattern seen when someone uses their forearm to defend against a police baton or nightstick!  It is important for a trauma doctor to pay attention and not get lulled into complacency, because there are variation that look similar but can be disastrous if missed.  A Monteggia fracture looks like a night stick type fracture but the elbow joint comes out of place.

Treatment for a broken forearm typically involves a sequence of realigning the bones followed by immobilization and therapy. When surgically realigning bones fixtures such as plates, wires, and screws are used to hold bones in proper position.This is the post-surgery X-ray posted on Ryan Jimmo’s twitter

ryan-jimmo-after-surgery

As you can see, Jimmo opted for surgery and was suited with a fixture consisting of a plate and a set of screws.   One of the screws is outside the plate…its okay- this is intentional.  It is called a lag screw.  After realignment, comes the immobilization stage’ this is minimal since the fracture is stabilized with the plate and screws. During the immobilization stage it is recommended that light, elbow, forearm and wrist range of motion exercises be completed in order to prevent stiffness. Once the splint  is removed, physical therapy can be utilized to regain strength in the arm. All in all the entire healing and recovery process takes around three to six months.   I level athlete will push to return closer to three months.

As for Ryan Jimmo, his successful surgery took place in the middle of June so it would be surprising if he weren’t back in the cage and ready to rumble before the end of the year.


06/Aug/2014

While injuries can be devastating, there is something gratifying about getting injured while making a game saving play for your team. Unfortunately, for Toronto Blue Jay second baseman Macier Izturis there is no such saving grace. Isturiz was getting set to bat next when he tripped climbing up the dugout steps. He claimed that he felt two pops in his knee as he tripped. He was later diagnosed with a complete lateral collateral ligament (LCL) tear and has been placed on the long-term disabled list, likely unable to return this season.

The LCL is one of four major ligaments that help to align and stabilize the knee joint. The knee joint is the point at which thighbone (femur), shinbone (tibia), and kneecap (patella) meet. The LCL connects the thighbone and shinbone along the outer side of the knee. The function of the LCL is to provide to stability to the outer portion of the knee joint. The symptoms of an LCL tear include knee joint instability, pain or soreness on outside of knee, stiffness, and swelling. The intensity of these symptoms is dependent on the severity of the injury. Likewise, LCL injuries are diagnosed based off of severity. A grade 1 LCL sprain classification is used when only a few ligament fibers are damaged. A grade 2 LCL sprain is used when more ligament fibers are damaged but the ligament itself still remains intact. A grade 3 LCL sprain is used when the LCL is completely torn into two separate pieces making the outside of the knee joint very unstable.

Treatment options for an LCL injury can range from rest and physical therapy all the way to surgical reconstruction. For grade 1 LCL sprains the recovery period ranges three to six weeks and requires rest and progressive light strength and balance exercises. For grade 2 LCL sprains the recovery period ranges from six to eight weeks and requires more intense physical therapy than that of a grade 1 sprain. For grade 3 sprains, the optimal solution is surgery. The surgery for grade 3 sprains can include suturing or stitching the torn ends, or complete LCL reconstruction via a tendon graft such as the hamstring or quadriceps tendon. The post-surgery recovery time for grade 3 sprains is three to six months.

The LCL will generally return to close to its pre-injury form assuming that rehabilitation and/or surgical reconstruction. However, it is important to note than injuries involving the LCL tear often involve another one of the major ligaments in the knee joint. One such injury that comes to mind is current NFL running back Marcus Lattimore; who two years ago had a gruesome knee injury that ended with a torn ACL (anterior cruciate ligament), torn PCL (posterior cruciate ligament), and a torn LCL. Injuries that cause damage to multiple ligaments can be very damaging and make a return-to-form unlikely. Luckily for Macier Izturis he came away with damage to just his LCL He is expected to miss the rest of this season but he should be able to come back and continue his career in 2015.


06/Aug/2014

One of the most common sports related injuries is a torn ACL (Anterior Cruciate Ligament). Many people think that ACL injuries happen mostly in contact sports but the truth is that a majority of ACL injuries occur without contact. One example of a non-contact ACL injury was during a recent major league baseball game. Los Angeles Dodgers pitcher Paul Maholm ran to cover first base on a relatively routine ground ball. Maholm arrived at first, planted the toes of his right foot on the edge of the bag and then went down riving in pain and reaching for his right knee. After watching the replay about a dozen times it is still hard to say that anything even truly happened. However, within a day it was confirmed that Maholm had a complete ACL tear. A simple misstep and his whole season is over.

The ACL is one of four major ligaments that help to align and stabilize the knee. The knee is the point at which thighbone (femur), shinbone (tibia), and kneecap (patella) meet. The ACL attaches the center of the kneecap to the front of the shinbone. The function of the ACL is to assure proper alignment of the shinbone and thighbone. In addition, the ACL provides very important rotational stability. Like many other ligament injuries, ACL injuries can be diagnosed by severity. Grade 1 ACL sprains are considered mild and involve the ACL being stretched but not detached. With grade 1 ACL sprains, the ACL is still capable of stabilizing the knee joint. Grade 2 ACL sprains are moderate or partial tears and occurs when the ACL is stretched to the point of becoming loose. Grade 3 ACL sprains are the most severe of the ACL injuries. Grade 3 ACL sprains occur when the ACL is completely torn into two separate pieces making the knee joint very unstable.

Grade 1 and some grade 2 ACL sprains can often be treated without surgery as long as instability symptoms are at a minimum. The process of healing involves a heavy regimen of progressive physical therapy but can often restore the ACL close to its pre-injury form. For a more severe tear or what is called a ‘complete tear’, surgical reconstruction is the only way to achieve pre-injury form if there are symptoms of instability. Instability is when the knee gives away or buckles. The ACL is replaced using a tendon graft typically from the patient’s patellar tendon, hamstring tendon, quadriceps tendon, or from various cadaver tendons. The success rate of ACL replacement is tremendous and many athletes come back after surgery and rehabilitation to perform similar to their pre-injury performance. One such example of this was Minnesota Vikings running back Adrian Peterson. Peterson nearly broke the NFL rushing record just one year after suffering a complete tear of his ACL and MCL.

As for the case of Paul Maholm, his surgery has not yet been scheduled, but should be scheduled soon. Given the recent success of professional athletes on surgically replaced ACLs, I have no doubt that we will see Paul Maholm on the mound for the start of the 2015 season.


06/Aug/2014

Some people wonder what happened to the Tennessee Titans RB Chris Johnson (CJ2K)Did you know that CJ2K played a majority of the season on a torn meniscus last year? Yup, it’s true, since week 3 on the NFL season, CJ2K played on a meniscus tear. If his silver-plated teeth weren’t a dead give away, then playing on a symptomatic torn meniscus does Mr. Johnson is the real deal…he is as tough as they come.

To understand toughness that it would take to play on a torn meniscus, you must first understand the meniscus itself. The meniscus is essentially a wedge of cartilage in your knee. This tough and rubbery meniscus acts as a shock absorber between the femur and the tibia. In layman’s terms, the meniscus is a cushion between the thighbone and the leg bone. An intact meniscus is essential for proper cushioning and stability. When the meniscus is torn, there will be significant pain and swelling.  It can cause a sharp searing pain that will bring you to your knees…literally.  It can cause instability which can lead an athlete to fall. One of the worst feelings when dealing with a torn meniscus is the feeling you get when you place the brunt of your weight on that knee. It almost instantaneously does one of two things, locks up or gives out. Now imagine running for 1,000 yards and 6 touchdowns against an NFL defense on one of those bad boys. Gives you a new respect for CJ2K, doesn’t it?

 

There are two real ways to treat a torn meniscus and neither of them involves continuing to use your knee the way that Chris Johnson did. Non-surgical treatment involves the age-old acronym RICE. Rest, ice, compression, and elevation. This is pretty standard protocol for any inflammatory process.  Measures like these can work for what is called a “degenerative tear”.  Much of the scientific studies today talking about how arthroscopies aren’t helpful are targeting treatment of degenerative tears.  However, acute meniscal tears that occurs in relatively younger athletes usually happens as a result of a twisting or pivoting maneuver.  The tears usually require an arthroscopy for symptom relief. Knee arthroscopy is one of the most common orthopedic procedures involves the use of miniature cameras and surgical instruments to repair and/or clean away the tear. After a successful surgery comes a tremendous amount of rehabilitation.  Rarely, meniscus tears are actually repairable.  This is a special kind of tear that can actually be repaired.  We can use platelet rich plasma (PRP) clots to augment the healing.  The rehabilitation process for repairs takes longer but is well worth it.  After a meniscus repair, the athlete will need a month on crutches followed by range of motion and strength exercises. The total rehabilitation time is approximately 3 to 4 months.

 

So what does this all mean for our 2009 fantasy football MVP, Chris Johnson? He had a successful meniscus repair surgery at the end of January and was completely rehabilitated by training camp.  He gets a change of scenery as he heads to the run-happy New York Jets. To expect another 2,000-yard season would be foolish, but to think that he will bounce back to be the back we all thought he was, is not completely out the realm of possibilities

 


04/Aug/2014

Shoulder pain.  It can plague us all, even the great ones!  There is very little debate over who the NFL’s greatest wide receiver of all time is. Jerry Rice is the best there ever was. But did you know that Jerry’s football DNA has been passed on to a son, Jerry Rice Jr.? That is correct. He is an incoming rookie wide receiver.  With some experience at my old alma mater, UCLA.   He was set to potentially follow in his father’s footsteps until an unfortunate injury. Jerry Rice Jr. suffered a significant shoulder injury when he landed awkwardly on it during practice. The diagnosis: a labrum tear.

The labrum is a fibrous cartilage that is located in the shoulder joint. The shoulder joint is one of the most common examples of a ball and socket joint. This joint is where the shoulder blade cavity (glenoid cavity) and upper arm bone (humerus) meet and form the respective ball and socket. The labrum acts as a joint stabilizer that both deepens the socket and sucks the humerus into the socket.

If the labrum tears, the shoulder can become unstable. Labrum tear causes decreased range of motion, decreased strength, and pain. In addition, severe labrum tears tend to cause abnormal shoulder joint interactions such as grinding, locking, popping, and catching. While these interactions sound like a set of trendy new dance moves, they can be painful and quite discomforting.

There are a number of different types of labrum tear; the main types are SLAP tears and bankart tears, but these also has a set of sub-categorizations based on the severity of the tear. A SLAP (Superior Labrum Anterior and Posterior) tear involves the top of the shoulder and essentially involves the disconnection of the labrum from its ball and socket attachment points. A SLAP tear is usually diagnosed in terms of severities from type 1 to type 4. Type 1 is a partial tear where the edges of the labrum fray but do not become completely detached. Type 2 is the most common and does involve a complete detachment of the upper labrum from the socket. Type 3 is where the tear from the socket causes the labrum to actually folds over itself between the ball and socket. Type 4 is where the tear actually extends to the bicep tendon. The bankart tear involves the front of the shoulder. The reverse bankart tear involves the back of the shoulder.

Treatment can involve anything from rest followed by rehabilitation to arthroscopic surgery.  In the case of type 1 SLAP labrum tears the typical treatment would just be rest, anti-inflammatory medications, and rehabilitation if needed. Most large tears will require surgery, which will involves trimming, repair or reattachment. After successful surgery, recovery time involves using a sling for approximately a month followed by anywhere from a month to three months of rehabilitation to regain complete strength and range of motion.

In the case of Jerry Rice Jr., his torn labrum did require surgery and it is considered season ending. But if he has half of the heart that his father had, you can bet that Jerry Rice Jr. will have a bright future in the NFL.


01/Aug/2014

Like Santa, bones know when you’ve been sleeping, and they know when you’re awake.  They know when you’ve behaved or misbehaved.  They know when you’ve been exercising–so go out and walk!  In all seriousness, bones are aware of what is happening in your body (not Skynet aware, but more like The Sixth Sense aware).  What’s truly amazing is that the bones adjust accordingly, based on your exercise routine.   When you exercise, your bones help retain minerals and will be there like a good friend supporting you through your activities into maturity. If you do not exercise, your bones stop caring about minerals and will hang out on the couch with you eating potato chips. Your bones do as you do, not as you say.

What Exercises Help the Bones?

Impact activities are the most successful at strengthening the bones. Sports like soccer, track, volleyball and other sports that require a significant amount of running and jumping will give the best results. Weight-lifting is also useful when used in conjunction with other impact activities. All of the fun stuff you used to do around the neighborhood as a kid: tag, football, racing, jump rope, and toilet papering the neighbor’s house at night (after all, one must jump to get the proper paper placement in the tree) are great for strengthening the bones.

“I’m Too Old to Play Those Games!”

No, you’re not. It is never too late to get your body up and moving. It may sound counterproductive, but even if you have problems such as osteoporosis or weak bones, it is better for your body to stay mobile rather than stay at rest. Luckily, the older you are, the less impact you need to do to strengthen your bones.  In fact, a brisk walk a few times a week can be all you need to start getting stronger. You can become stronger still by throwing in a hip shake and a side step while you’re walking. This type of movement can also help prevent falls in the elderly.

Shake It Up

If walking briskly while thrusting out the glutei seems daunting, there are other ways to help strengthen bones.  While not for everyone, there are vibrating platforms one can use to build bone. According to Dr. Keith DeOrio, your entire skeletal structure is affected by vibration platforms and “Your muscle spindles fire secondary to the mechanical stimulation produced by the vibrating plate, and this rapid firing of the muscle spindle causes a neuromuscular response that leads to physiological changes in your brain as well as your entire body.”

The studies on the vibration platforms are few for now, but there have been no downsides to using it. People 65 and older seem to benefit from just 12 minutes a day a few times a week. It is even suggested that doing squats while standing on the platform can increase speed and agility. While helpful, be mindful that it isn’t such a significant amount you will be begged to participate in the summer Olympics, but chances are your bones and body will feel better and stronger.

 


© 2023 Dr. Robert Afra – San Diego Orthopedic Surgery Shoulder – Knee – Elbow