Fire up the glutes!
I really don’t mean to keep picking on Men’s Health Magazine, but I just can’t help it. I guess it’s because it’s the only fitness magazine that comes to my house, and I really enjoy reading it. So, as I was perusing the December 2009 issue, I came across an article entitled “Work Your Buns Off”. My heart started to pound. Yes, an article about firing the glutes! Under the title, it reads, “Too much junk in the trunk? Here’s how to make your gluteus or maximus”. Clever and inviting!
It’s actually a very good article describing how most people’s glutes “forget how to fire”. So true! We see that every day. When I got to the exercise portion, it left me a little flat (like a lot of peoples’ butts). Anyway, the article describes nine different exercises. SEVEN of them are in the sagittal plane and the other two in the frontal plane. All of the exercises are good for getting the glute max to initially fire, however, they need to be trained how they are used. Since our bodies move in THREE planes of motion, with the transverse plane being the most used in normal movement, you would think there would be at least one exercise in that plane. Plus, when you train in the sagittal and frontal plane and then move and play in the transverse plane, you are setting yourself up for an injury.
A great exercise to work the glute max in the tranverse plane is a simple lunge with a twist. To do this exercise, stand with your feet shoulders width apart with your toes pointed straight ahead. Step forward and slightly out to the side with your right foot into the lunge position. Be sure that your knee does not move forward over your toes and does not “fall in or out”. Keep your back straight. As you lunge, twist your torso to the right as you reach with your left hand toward your right foot. Push up from the right foot back to the starting position. Repeat this motion ten times and then do it on the left leg.

Make sure you feel the glutes (butt muscles) working, because you know, “it’s almost always about the butt!” (Sherry McLaughlin, MSPT)
'til next time......
Is it Really Carpal Tunnel Syndrome?
MoveWell is an exciting wellness program designed by the MIHP Think Tank to decrease workplace injuries. So far, we have been working with the corporate sector doing providing topics of “lunch and learns” on various topics, along with 5-minute screenings and 15-minute biomechanical assessments.
A majority of the clients have been “office” workers complaining of low back, shoulder, and neck pain. I’ve had at least five people just today that complained of neck or shoulder pain, numbness, and tingling in their dominant hand. That’s not too surprising when your job requires you to sit at a desk/computer with your hand on a mouse most of the day.
While researching this problem, I found some staggering statistics:
"According to the U.S. Department of Labor, Occupational Safety and Health Administration (OSHA), repetitive strain injuries are the nation's most common and costly occupational health problem, affecting hundreds of thousands of American workers, and costing more than $20 billion a year in workers compensation.”
That’s a lot of moolah!
“According to the U.S. Bureau of Labor Statistics, nearly two-thirds of all occupational illnesses reported, were caused by exposure to repeated trauma to workers upper body (the wrist, elbow or shoulder ). One common example of such an injury is carpal tunnel syndrome.”
In our findings, symptoms of carpal tunnel syndrome can be the same as a pinched nerve, which can be caused by tight muscles in the neck, shoulder and/or upper back. That makes the next statistic even more horrifying:
“849,000 new cases of carpal tunnel syndrome occurred in 1994.-National Center for Health Statistics.
Approximately 260,000 carpal tunnel release operations are performed each year, with 47% of the cases considered to be work related.-National Center for Health Statistics.
Carpal tunnel syndrome results in the highest number of days lost among all work related injuries. Almost half of the carpal tunnel cases result in 31 days or more of work loss.-National Center for Health Statistics.
Carpal tunnel surgery has about a 57% failure rate following patients from 1-day to 6-years. At least one of the following symptoms re-occurred during this time: Pain, Numbness, Tingling sensations. Source: Nancollas, et al, 1995. J. Hand Surgery.”
Those are staggering numbers!!! 57% failure rate??? 31 days or more of work loss?? How can that happen? That is outrageous! Maybe the cause of carpal tunnel syndrome is not in the carpal tunnel!! Maybe a knife is not the answer!
If you, or anyone you know, are experiencing this type of pain, do this simple exercise first to see if it lessens your symptoms. It worked with all five people I saw today.
It’s called STEMs (Sitting Thoracic Extension Movements) and it simply restores movement in the closest key rotational spot of your body, the thoracic spine. This is how you do it:
Sit tall on the edge of a chair with both feel firmly planted on the ground. Fold your arms across your chest and lift them straight overhead and down 6 times. Next, lift your arms (still folded) overhead and move side to side so you feel a good stretch down your side. Do this 6 times on each side. Lastly, twist right and left as far as you can go, again 6 times on each side. Be sure to keep your back straight, chest lifted, and neck in neutral position. See diagram below:



This exercise opens the chest/thoracic spine in three planes of motion and many times will get rid of or at least lessen pain in the neck, wrist and hand. This exercise can be done every day.
“More” Isn’t Always Better
Assessing the running shoe our athletes are using is an important part of our biomechanical assessment. We first evaluate movement at the hip, ankles and thoracic spine, then assess the strength of the hip in functional weight bearing positions. We analyze any weak links in their gait pattern and then assess the wear pattern on their shoes. During this assessment of the shoes, we often get the statement that "these are good running shoes because I paid over $100 for them."
Shoe companies are a business and they are out there to make money. If increasing the amount of material they put in the shoe, such as cushion or stability, justifies increasing the price of the shoe, then they have made their sell. However I want to tell you that in this case "more is not better". Unfortunately the quick fix has become the American way to cure pain, or make things easier for us. Lets just find a way to crutch a weakness or tightness instead of investing the time to correct the path that got us there in the first place.
If you have shopped for running shoes, you have probably become familiar with the terms supination and pronation. Neither of these terms are "bad", the challenge is when you are an over- pronator or excessive supinator. I have seen both of these scenarios put into stability and motion- control shoes, being told that they needed to "stop pronation" or "fill in the high arch" of a supinated foot. Lets analyze each one of these scenarios.
The over pronator:
Over -pronation is not necessarily a result of a flat foot or hypermobile foot, it is due to a weakness of the hip stabilizers. These muscles do not have the strength to pull you out of the pronation phase of gait, resulting in stress placed on the arch of the foot or medial structures of the lower leg. The subtalar joint (ankle) was designed to pronate (evert), if you decide to crutch this movement at the foot with a stability or motion control shoe, you have stopped the motion where is is designed to occur, and unfortunately this needed motion which absorbs shock and loads our next step, moves north to the next joints in line ... the knee and the then hip and low back.
The excessive supinator:
This is the individual that may present with a high arch and who spends the majority of their gait on the outsides of their feet. They wear down the lateral (outside line) of their shoes. This is also an individual who can often generate great speed and is very agile, due to the fact that they literally skip an entire phase of gait, pronation. However in the long run, this is also the individual who's lack of shock absorption (which occurs with pronation), results in hip pain, SI joint dysfunction, low back pain and high hamstring strains. If you wedge this individuals foot with a shoe that controls motion or stabilizes the inside of the foot, you will only assist them in getting to the above listed injuries much sooner. This person needs a shoe with cushion or a flat shoe that will allow them to fall into pronation (eversion) and lengthen muscles.
Conclusion
We need to get back to the basics by putting our foot back to the position it was designed to function in. Do away with the artificial "stabilization" and direct your body to the correct path, by strengthening what has become weak and mobilizing what has become tight. It may require a little more work and time, but in the long-run it is the path that will keep you out on the road. And you may even save a few dollars on your next shoe purchase.

