Brian Schiff’s Blog

It is no secret that Americans are trying to stay more active well into their baby boomer years and beyond.  The million dollar question is how will what you do today affect your joints down the road. 

Scholars, scientists and medical experts do not seem to agree 100% on what is too much, but most tend to agree that excessive running, obesity, irregular or unusually intense activity (think weekend warriors here), muscular weakness and even decreased flexibility may all contribute to arthritis.

The New York Times recently ran a story about the cost of total joint replacement and suggestions on how people can be proactive to reduce the risk and debilitating effects of arthritis.  Click here to read the article.

I think one of the most amusing yet ironic things about science is that it often contradicts itself.  Obviously, we know being overweight increases stress on the load bearing joints.  Most people would also knowingly acknowledge that improved strength and flexibility would make for healthier knees and hips. 

The big question mark for me is impact loading, or simply the argument of whether to run or not to run.  Some docs say no way.  Others say yes.  Yet others offer more ambiguous words on the subject.  So, what do I think?

I honestly believe there may be no absolute answer.  I am not convinced running on a treadmill is all that much better for you as some would suggest either.  My body tells me blacktop surfaces are better than cement sidewalks, while the soft earth is better yet still.  I use the treadmill in the winter and for speed work but if you run events too much treadmill work will let you down on race day as the body is ill prepared. 

Much like exercise prescription, I think joint loading and tolerance is a very individual matter indeed.  Biomechanics, posture, training history, medical history, repetitive movements, footwear, nutrition, body type, recovery, etc are just a few of the variables one must consider when passing judgment on exercise prescription and limits.

Beyond that, the best indication to reduce or remove an activity for a short bit or long term is obviously pain.  But before doing so, one must correctly identify the source of the pain.  At times, the pain may seem like a joint issue when in fact it could simply stem from poor muscle recruitment, lack of mobility or faulty movement patterns thereby subjecting joints to undue stress.

I say all this to say we must be careful in saying one should not do something definitively.  Some folks run well into their 80’s without issues.  Others break down after one endurance event.  In the end, we must face facts.  The human body is complex and no two people are exactly alike.  I had left hip pain years ago that felt like arthritis.  My orthopd told me the x-ray showed a few mild bone spurs and mild hip dysplasia. 

His advice?  Quit running.  I did for 6 months and the pain did not subside.  So, I began a progressive running program and changed up my strength training to more single leg based work.  Guess what?  My pain went away 100%.  This tells me the impact itself was not likely the cause of my pain, but more likely a muscle imbalance that I overcame through more efficient strength training.

We must look at science, anecdotal findings and clinical experience to pull out general patterns and thoughts all the while continuing to use assessment, feedback and results to lead us to the best conclusion for each client, patient or athlete.  You must use all this information to make the best decision for your situation as well.

So, I have made part of my living the past several years helping people overcome shoulder pain.  I often laugh when I hear people say “how hard can putting together an exercise program really be?  It’s not rocket science or anything.”  Well, maybe not, but getting it just right may mean the difference between a healthy shoulder and really hurting.

There is a new study soon to be released saying weight training injuries are on the rise (especially in males).  In fact, injuries are up 50% from the period between 1990 and 2007.  The majority of these injuries involved free weights.  Many of the upper body injuries I see almost always involve the rotator cuff and/or labrum.  Why?  There are some primary reasons such as:

1. Improper form
2. Poor or absent spotting
3. Exceedingly high loads in what I term the “high risk” soft tissue zones
4. Too much volume/frequency
5. Lack of posterior chain strength due to pressing dominance
6. Too little recovery
7. Pushing through pain

What most people fail to understand is that the high repetition associated with weightlifting coupled with unfavorable biomechanical stress through long lever arms leads to eventual mechanical breakdowns/failure.  The basic translation = fraying, degeneration, tendinitis, tendinosis and tears.

This pattern equates to lost time in the gym and in some cases surgery.  The ironic part is the damage is often done in the early lifting years but not seen or felt for a decade or two later.  This is why the young twenty somethings like to debate me on the modifications I suggest for bench presses and such.  Yet, read what one former power lifter recently emailed me below: 

Yes you can count me as another one of your satisfied customers.  I followed your 6 week injured series religiously and have recently moved on the your healthy shoulder series.

My main concern at this point is to avoid injuring the shoulder again and I will follow your advice on the 7 bonus exercises listed.  My background fits the profile mentioned in your manual – 46 years old, former power lifter, injured dominant shoulder doing barbell presses about 6 months ago.  I have been doing presses for over 30 years and unfortunately never read about the scapular plane.

The take home message is that modifying the load and adjusting the arc of movement with certain lifting exercises will indeed prevent common shoulder injuries and keep you in the gym for many years to come without the fear of a lifting injury.

While the hard core lifters and competitors may scoff at my application of the science and my suggestions now, they may also suddenly come to realize the potential consequences of their ways when a debilitating shoulder injury hits.  Am I saying full range of motion and heavy loads are absolutely forbidden?  No, but I do think you should ask yourself how often and for what purpose am I doing certain lifts in certain ranges of motion.

Additionally, I am saying that insufficient muscular balance coupled with repetitive load to near failure will over time result in acquired laxity, accelerated tendon degeneration and potential mechanical failure.  Gravity and friction are two forces that will tear a shoulder down over time with exercises such as pressing, flies, dips, upright rows, side raises and push-ups to name a few. 

So, the next time you feel a “twinge” in the shoulder with lifting, it may be time to consider backing off and making some changes in your routine as time and experience has taught me the rotator cuff and A-C joint will eventually say "enough is enough."  If you want more information on my exercise modifications, check out my shoulder book at www.rotatorcufftraining.com.

So, do you own a TRX? I honestly think it may be one of the best fitness training pieces around for the money. It is versatile, travels well and builds strength, stamina, balance and stability.

I use the TRX to train clients of all ages and abilities from my elite swimmer to the middle age woman with knee arthritis.  Some of the biggest objections to getting in shape I hear are:

• No time
• Hate the crowded gym scene
• No money for personal training

So, my solution is to buy a TRX.  In this short video, I outline a continuous sequence of 7 exercises.  They are not intense, but they can be made more challenging by altering the body vector (moving your body in relation to the attachment point) and adding more time and sets within the circuit all with very little rest.  The sequence of exercises in the video are:

1. Single Leg Squats
2. Rows
3. Push-ups
4. Biceps Curls
5. Triceps Press
6. Saw Plank
7. Hamstring Bridges

I demo 5 reps of each exercise in the video to show you how to do it, but in reality you crank through each exercise for at least 30 seconds.  Using the TRX over the door anchor you can do this workout at home or on the road (and far more advanced exercises as well) in less than 20 minutes and see results.

So, say goodbye to all the objections and get yourself a TRX and door anchor if you don’t have one yet.  I am 100% confident you will love the workouts and add a new dimension to your fitness routine. 

From now until March 11, all my readers can save 15% on the TRX door anchor by visiting my OpenSky shop and using the promo code ANCHOR15.  Click here to visit my shop.  In addition to this discount, you are eligible to receive 10% off any of the spring promo items at OpenSky.   

To see the entire collection of items in the Spring promotion click here.

So, if you know me well at all, you know my first “law of exercise” is to ALWAYS know why you do what you do.  I read a newsletter by Mike Boyle yesterday.  He talked about being a cook or chef when it comes to exercise.  He advises those with less than 5 years of expereicne not to mess with the recipe much so to speak.  Since I have been doing this for 12 years, I consider myself to be much more of a chef.

I am constantly creating and tweaking my programming to deliver the best results.  So, when I decide to use a training aid or piece of equipment, I have to believe in it 100%.  My athletes and adult clinets alike love bands, vests, balls and training toys if you will.

But, I have to remind them (and myself at times) that the training aid exists only to further advance the original exercise or its desired outcome.  Using these things just for variety is not really a sound plan.  Today, I have a short video for you that reveals four progressive ways to use the Thera-band stability trainer.

I have used this in the rehab setting and in my fitness programs with great success.  Please note – all of the exercises I show you should be mastered on flat ground first.  After that, the stability trainer adds a great new dimension to the exercises and provides a very natural disturbance to balance and stability throuhg the kinetic chain that exists in sport and life.

Now, these are a just a small sampling of some of my favorite Thera-band trainer drills.  The cool thing about this item is that it comes in three different levels of difficulty moving from green (easiest) to black (hardest).  I tend to prefer the blue as it is middle of the road, making it easy enough for those without the skill of an Olympian and yet challenging enough for even the more advanced athletes.  However, starting with the green may be necessary for those with ankle/knee instability or limited experience with stability training.

You can grab your very own blue Thera-Band trainer in my OpenSky Shop.  Click the image below to head on over and get free shipping for a limited time as well.

Lately, I have been working with an elite swimmer hoping to make it to the 2012 Olympics in London.  It has been blast training her since she is so fit, driven and willing to embrace training with a smile each session.  I mean seriously, how many 16 year olds do you know that swim 5 hours per day, go to school, and train with someone like me 3x/week?

While I utilize many common exercises in her program, I definitely pepper in several ones aimed at maximizing core and shoulder strength/stability.  One of the exercises I use from time to time with her is a shoulder glide exercise.  I thought I would share this little gem today.

This is NOT an exercise I recommend for people with shoulder impingement, recurrent instability, poor shoulder mobility or those lacking a high level of fitness to begin with.  In other words, this is no sissy exercise and it can be dangerous if used improperly.

To start with, I had my swimmer do it with both hands.  Once she demonstrated the right form with ease, we progressed to this version in the video below:

So, if you are looking for a great way to challenge and improve shoulder and core strength, this is one to add to your arsenal.  Be wary of gliding out too fast as this is a sign your upper body and/or core is not strong enough to decelerate the motion effectively.  The pull back motion is a great way to strengthen the lats and swimming muscles as well, all the while exposing and resolving any single sided deficiencies.