physical therapy for seniors

"No Pain, No Gain"…. Right?

Have you ever heard the phrase “No Pain No Gain”? I’ve worked with thousands of patients over the years and have heard many comment to me “You know what they say, no pain no gain… right?” The truth is I cringe every time I hear this comment as it actually only applies in very specific circumstances.

I often tell people if it “hurts so good”, or is uncomfortable but tolerable and you’re not holding your breath, then what you are doing is most likely safe to proceed with. But, in my experience, if someone is holding their breath and counting the seconds until the exercise, stretch, or motion is over, then it is too intense! Holding our breath because something hurts can lead to tensing of muscles you want to relax or not use during an exercise, injury and other situations including passing out!

So the next time you are working out, doing something physical or working with a trainer, physical therapist, etc., remember that many times “No Pain, No Gain” can actually lead to “More Pain, Less Gain”. Listen to your body. If you are unsure if you should be feeling what you are feeling, ask the person you are working with or seek out a consultation to learn more about if what you are doing is safe and how to be effective, efficient and successful in your exercise routine! 

Have a wonderful weekend!

Brandis

Exciting Announcement!

Baker To Bay is excited to announce that services will now be offered at Joy of Pilates, 2130 Grant Street in Bellingham! Services will continue to be offered at your location of choice and I look forward to serving you, be it in your home or a relaxing treatment environment. Call or email today to schedule your visit!

Have a wonderful day!

Brandis

How does my breathing affect my shoulder?!​

Did you know one of the top 5 most common injuries for people with active, outdoor lifestyles is to the shoulder? Have you ever wondered how to build stability while maintaining mobility in your shoulder to prevent or treat injury?  Keep reading for not so common answers to very common questions!

Everyday we move our shoulders repeatedly in multiple directions. Movement occurs not only at your shoulder itself, but also at many joints throughout the shoulder complex as well as into your rib cage and spine. A person's shoulder is built for mobility based on the orientation of your true shoulder joint, so it is important to make sure that you build strength in your rotator cuff muscles. These are the primary muscles that support your shoulder, in addition to the surrounding tissues that also attach in and around that area.

 Although the shoulder has a significant amount of movement, any restriction throughout the shoulder joints can lead to injury of the muscles or jointThere is also an important piece of the puzzle that often gets missed. If your rib cage and spine are tight, then this can directly affect your shoulder mobility which in turn affects your ability to build strength. 

Our bodies are meant to function in an optimal position with good posture and alignment. Every time you move your arm overhead, you naturally should have trunk movement. If the tissues that surround your rib cage or the rib cage itself is tight, then that restriction can lead to problems elsewhere including your shoulder.

If you have limited shoulder motion in any direction, the first place to look is at how you're breathing. Are you breathing with your neck muscles or are you able to take slow deep breaths, which result in expansion and collapsing of your rib cage? Breathing with your neck muscles can lead to tightness and pain not only in your neck, but also down into your shoulder. The action of taking slow, deep breaths and feeling your lower rib cage collapse and expand allows for good rib cage mobility and prevention of tightness. Can you blow up a balloon? The only way you can blow up a balloon is to use your diaphragm! The use of your diaphragm, which attaches at the lower part of your rib cage is what keeps your trunk mobile, contributing to optimal movement in your shoulder. Once you have this, performing exercises that stabilize your shoulder complex will result in better outcomes and optimal strength!

Have a great day and take a moment to breath deeply. Your body will thank you for it!

Brandis Gunderson, MPT

Pedaling For Parkinson's

I am so excited to blog today about the Pedaling For Parkinson's Program, recently started at the local Whatcom YMCA. For those who haven't heard of Pedaling For Parkinsons (PFP), I'm going to take this opportunity to give you more information about the program and also tell you where you can find additional info, should you want to learn more or participate and find a program near you. 

In 2003, Dr. Jay Alberts, a neuroscientist at the Cleveland Clinic, was biking across Iowa in RAGBRAI with several friends and one of their wives who has PD. The couple started out biking on a tandem, which proved to be a disaster. So, Dr. Alberts took his friends' place at the front of the tandem bike, cycling at his usual cadence of 80-90 revolutions per minute.  After several days, his friends' wife stated she no longer felt as if she had PD and had noticed a significant improvement in her handwriting which had been affected by Parkinson's. At that moment, Dr. Alberts decided to research why, after intense cycling, this woman had a significant decrease in her PD symptoms.

In his research, he found that biking for 1 hour a day (10 minutes warm up, 40 minutes cycling at cadence, and 10 minutes cool down), 3 times per week at a cadence of 80-90 revolutions per minute can significantly decrease a PD patient's symptoms by 35%!  Hence, the PFP Program was founded and is hosted at YMCA's and other facilities throughout the country. 

When I climbed Mt. Kilimanjaro in 2011, I had the privilege of meeting Nan Little and John Carlin, both with PD and active participants in the PFP Program. Both have seen and felt the results of participating in this program consistently. They told me stories of how this exercise regime helped them to manage their symptoms and keep them active in their lives. 

After learning about this program, I contacted the local YMCA to see if they had a program, such as this because so many know nothing of this valuable form of exercise that can give hope to so many who are diagnosed with PD and feel so hopeless. 

I spoke with Tammy Bennett, Healthy Living Director at the YMCA who stated at that time they did not have a program. However, Tammy pursued finding out more about it and as of May 1, 2014 there is officially a PFP at the local YMCA! I encourage you or if someone you know has Parkinson's to look into participating in this program. PFP is typically done on a stationary or tandem bike, inside or outside, with a goal of achieving a consistent 80-90 revolutions per minute. Have no fear though if you are unable to start at this rate! The goal is to start and get moving. As you increase your strength and endurance, you will also be able to increase the cadence to a sustainable level of the 80-90rpms. I guarantee that you will see improvements! Exercise is so good for you, so get moving! If for some reason you are having difficulty getting on the bike or to comfortably cycle for that period of time, physical therapy may be able to help you so that you can begin to participate in the exercise program. 

I hope this information is helpful and if you have any questions or want to learn more information, please see the links below (also located in the Links and Resources section) or feel free to contact me at: bakertobaypt@gmail.com

Have a wonderful, active and fun day!

Brandis

Important Links:

Pedaling For Parkinsons: http://www.pedalingforparkinsons.org

Local Pedaling For Parkinson's Program located at the Whatcom YMCA:  http://www.whatcomymca.org

Information specifically about the Whatcom PFP Program: http://www.whatcomymca.org/uploads/flyers/FT_PEDALING_FOR_PARKINSONS_blue.pdf

A great article about RAGBRAI and PFP:  http://carrollspaper.com/