Return to Fitness 2011: Sticking to the Plan

By Rich Baudry, PT, DPT, OCS

The busy holiday season is almost over, leaving most of us a little run down and maybe even with a little extra weight.  For me, the end of the year represents a time to reflect, to make resolutions, and to start a new beginning. One of my resolutions for 2011 is to inspire and support our clients to keep their own resolutions in 2011, to really make a change. So I ask you, what are your resolutions for the new year? How do you plan to keep them? Making change is difficult. Statistics suggest that up to 80% of our resolutions FAIL within 90 days. If you usually fall off track somewhere between New Year’s Day and King Cake season, read on, and let’s make them stick!

Whether it’s to get back in shape, lose weight, stop smoking, or start running–how do you stay on track for 2011 and really keep your New Year’s resolutions?  First, let’s look at a few potential obstacles. What keeps you from sticking with your resolutions?

1.  Lack of commitment or a focused goal:

  • Am I truly ready to change?
  • Can I handle this change emotionally and psychologically?

2.  Lack of Knowledge:

  • What types of foods do I eat to support a healthy lifestyle?
  • How do I deal with my cravings and bad habits?
  • What’s the best exercise for me?
  • How do I exercise without hurting myself?

3.  Lack of Support:

  • Do I have people around me that support this process?
  • Do I have professionals to rely on and guide me through?

4.  Physical Conditions or Issues:

  • How are my medical conditions affecting my weight, my condition, my ability to exercise?
  • What are the best foods and most appropriate activities to help me look and feel better, based on my current condition?
  • What purpose do my habits serve and how can I replace them?

5.  Lack of Time:

  • Refer to obstacle 1.
  • How important is my health and wellness to me and my family?

Any of these obstacles can sabotage your efforts for change. Overcome these obstacles and you will greatly increase your chances for success. To help you, here are a few steps I rely on, that you might also want to utilize.

  1. Set SMART (Specific, Measurable, Attainable, Results-oriented, Timely) goals . Write them down. Keep them visible and refer back to them often. Set interim goals that will lead you to the final goal by the end of 2011.
  2. Make a plan for success. Set some time aside to plan every day.  If daily planning isn’t a realistic goal, make it once a week. Specify the number of times you will exercise and what each session will look like.  Schedule it! If you have to cancel, reschedule it. Your health should be top priority.
  3. Log your activities. Create a log of your food intake and exercise routine.  Creating a log and keeping up with it is a great way to hold yourself accountable. You’ll be surprised what you will and won’t do if you have to write it down!
  4. Enlist support. You need the support of your family and friends to help you along the way.  Ask a friend or family member if they are willing to take on the same goals and challenges as yourself.  Having a partner is an instant motivator, especially for the competitive natured personality.
  5. Consult with professionals to lead you and to provide the best options in order to help you attain your goals, whatever they may be. You are not expected to face the challenge you’ve set for yourself alone. Statistics show that people who seek personal assistance have an 85% SUCCESS rate. Everyone can use a coach. Professionals can help you find the most efficient and effective ways to reach your goals. They can help keep you focused on your plan. Otherwise, you may be wasting a lot of time doing things that really are not beneficial to your end result.
  6. Be nice to yourself. This is probably the most important step.  It is impossible to maintain a strict program 24/7. Allow for breaks from the program or for an occasional indulgence. But make sure the breaks are short lived,  1-2 days only. Then get right back to your planned schedule.

Following these steps will provide you with a clear road to success.  In the end you will have created a healthy new habit. A lifestyle change that can carry you into 2012 and beyond! Don’t settle for status quo. GO FOR IT! You will be surprised how well you can do.

Self Assessment: Muscle and Tendon Strains

By Rich Baudry, PT, DPT, OCS

We recently received an inquiry asking how to tell if you have pulled a muscle or torn a tendon without having to undergo an MRI.

First of all, let me begin with a basic description of the relationship between muscles, tendons and joints. Tendons attach muscles to the bones. A muscle/tendon unit crosses a joint to enable movement around the joint. Contraction of a muscle pulls on the bone through it’s tendon in order to create movement of a joint. As such, when someone suffers a muscle or tendon tear they will have difficulty generating pull or force to move the joint.

When an injury occurs to a muscle or tendon, pain will be felt when it is stretched and/or when resistance is applied to that structure. When stretching and resisted testing elicits pain in the tested muscle/tendon unit, you most likely have suffered an injury to the involved muscle or tendon. The severity of the injury will be known by how much pain and weakness are noted with testing. If you have no ability to resist or contract a certain muscle action you may have a complete rupture of a tendon.

If you have pain in or around a joint that hurts when you are in certain positions but does not necessarily hurt with resistance to the muscle, you may have a joint, ligament, or other structural problem.

This understanding of muscle and tendon testing can be applied to muscles throughout the body. However, please note that this is an over simplified example of muscle/tendon testing. If you think you have had a muscle/tendon injury–or any other injury–you should  have it checked by a medical professional early on. Your medical professional will be able to clearly identify the source of the injury and establish an action plan to promote a speedy recovery. When taken care of promptly, most muscle/tendon injuries respond well, getting you back in the game quickly.

Conversely, while waiting it out sometimes works, it often delays healing and leads to unnecessary residual limitations that can come back to haunt you later on. These limitations become harder to treat and take care of the longer it goes unattended. So be sure to treat your injuries as soon as possible in order to avoid long-term consequences.

Thanks so much for your questions. We value your feedback and please keep them coming!