{"id":54934,"date":"2017-01-17T09:58:08","date_gmt":"2017-01-17T14:58:08","guid":{"rendered":"https:\/\/www.ou.org\/life\/?p=54934"},"modified":"2017-04-27T09:32:54","modified_gmt":"2017-04-27T14:32:54","slug":"pain-little-get-rid-lot","status":"publish","type":"post","link":"https:\/\/www.ou.org\/life\/health\/pain-little-get-rid-lot\/","title":{"rendered":"Pain: A Little to Get Rid of a Lot"},"content":{"rendered":"<p class=\"p1\"><span class=\"s1\">Being in pain, especially chronic pain is just no fun.<span class=\"Apple-converted-space\">\u00a0 <\/span>All of us have had some pain at some time in our life.<span class=\"Apple-converted-space\">\u00a0 <\/span>Sometimes it can be just a bump, bruise or minor burn, but sometimes, it can be chronic lower back pain, arthritis or other causes of severe pain that just doesn\u2019t seem to go away.<span class=\"Apple-converted-space\">\u00a0 <\/span>Many times, pain killers of various types and strengths can help, but other times, only the strongest pain killers with the side-effects that come with them and their addictive properties can make a dent.<span class=\"Apple-converted-space\">\u00a0 <\/span>And one of the things that many people in pain stay away from is activity and exercise.<span class=\"Apple-converted-space\">\u00a0 <\/span>The question is does exercise help or hinder people in pain.<span class=\"Apple-converted-space\">\u00a0 <\/span>Obviously, each case has to be examined on its own merit, but in fact, different types of exercise tend to help people with chronic pain.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">About a year ago, Moshe Chaim, a Yeshiva Bochur aged 19 came to see me and enrolled in our 10 Week weight loss program.<span class=\"Apple-converted-space\">\u00a0 <\/span>He was not only overweight, but at this young age had high cholesterol and very elevated triglycerides.<span class=\"Apple-converted-space\">\u00a0 <\/span>His eating was not healthy and there was a lot of overconsumption. What complicated this particular case was that Moshe Chaim also suffered from Psoriatic Arthritis.<span class=\"Apple-converted-space\">\u00a0 <\/span>Psoriatic arthritis is an inflammatory arthritis that is seen in association with skin psoriasis. It causes joint pain and swelling that can lead to damage of the joint if the inflammation is not controlled. (Joint damage can be prevented or controlled with the appropriate medications).<span class=\"Apple-converted-space\">\u00a0 <\/span>This complicated our program because Moshe Chaim could usually only walk 10-15 minutes before pain would kick in.<span class=\"Apple-converted-space\">\u00a0 <\/span>Sometimes, even less.<span class=\"Apple-converted-space\">\u00a0 <\/span>Naturally, his response was to avoid walking.\u00a0<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Recently, Rivka Sarah came into our program and although she would like to lose some weight, her main goal was to gain energy and function.<span class=\"Apple-converted-space\">\u00a0 <\/span>Rivka Sarah has osteoarthritis. Osteoarthritis is the most common form of arthritis, affecting millions of people worldwide. It occurs when the protective cartilage on the ends of your bones wears down over time.<span class=\"Apple-converted-space\">\u00a0 <\/span>Rivka Sarah used to love walking, but because of pain in her knees and ankles as a result of the arthritis, she was also limiting herself and using public transportation and taxis almost all the time.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Pain can be a terrible thing and the effects of pain go well beyond just what hurts.<span class=\"Apple-converted-space\">\u00a0 <\/span>It can be very physically difficult to get out of bed in the morning and sleeping can become a major issue which just exacerbates the pain.<span class=\"Apple-converted-space\">\u00a0 <\/span>People with chronic pain feel unproductive and can fall into depression and even major depressive disorder.<span class=\"Apple-converted-space\">\u00a0 <\/span>Focusing on any particular tasks\u2014whether at work or at school can become difficult and almost impossible for some.<span class=\"Apple-converted-space\">\u00a0 <\/span>For some, just doing regular every-day chores can be challenging and can cause you to become very fatigued.<span class=\"Apple-converted-space\">\u00a0 <\/span>General demoralization is also very common when pain goes on for a long time.<span class=\"Apple-converted-space\">\u00a0 <\/span>And also devastating to one\u2019s health is the weakening of the immune system as a result of long-term pain. <\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">People in pain try many types of remedies.<span class=\"Apple-converted-space\">\u00a0 <\/span>That can include standard over the counter drugs like ibuprofen, aspirin, or Acamol, or prescribed medication which tends to be stronger.<span class=\"Apple-converted-space\">\u00a0 <\/span>Some try either acupuncture or manipulation such as osteopathy or chiropractic. Nerve blocking using local anesthetic or trigger point injections are often used by pain doctors at specialized pain clinics. <span class=\"Apple-converted-space\">\u00a0 <\/span>Bioelectric treatment and surgery are also used successfully to treat pain.\u00a0<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">But what about exercise to treat pain?<span class=\"Apple-converted-space\">\u00a0 <\/span>Most of the aches and pains we experience are caused by old injuries, repetitive motions in our workplace or doing sport, posture problems, osteoarthritis, aging, and general inactivity.<span class=\"Apple-converted-space\">\u00a0 <\/span>According to the Harvard School for Public Medicine, ignoring the pain won\u2019t make it go away. Nor will avoiding all motions that spark discomfort. In fact, limiting your movements can weaken muscles, compounding joint trouble, and affect your posture, setting off a cascade of further problems. And while pain relievers and cold or hot packs may offer quick relief, fixes like these are merely temporary.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">By contrast, the right set of exercises can be a long-lasting way to tame ankle, knee, hip, or shoulder pain. Practiced regularly, joint pain relief workouts might permit you to postpone \u2014 or even avoid \u2014 surgery on a problem joint that has been worsening for years by strengthening key supportive muscles and restoring flexibility. Over time, you may find limitations you\u2019ve learned to work around will begin to ease. Tasks and opportunities that might have seemed impossible may become doable again.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Using exercise to help alleviate pain is one of the cases where it is advised to see a personal trainer who has expertise in this area or an exercise-knowledgeable physical therapist.<span class=\"Apple-converted-space\">\u00a0 <\/span>Trying to do this on your own might bring the opposite effect.<span class=\"Apple-converted-space\">\u00a0 <\/span>Start by having a postural assessment so the possible cause of your pain can be spotted and then dealt with. I have found very often that minor corrections in exercise or walking form, or obtaining an good, functional orthotic to correct your biomechanics will more often than not help to relieve knee, hip, ankle and lower back pain.<span class=\"Apple-converted-space\">\u00a0 <\/span>Many times, it is only a centimeter or two in your feet that is off and the cause of pain.<span class=\"Apple-converted-space\">\u00a0 <\/span>WEARING PROPER FITTING AND GOOD QUALITY SHOES IS ESSENTIAL.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Aside from staying active and walking, the exercise that might be the most helpful for joint and muscle pains is stretching.<span class=\"Apple-converted-space\">\u00a0 <\/span>This aspect of exercise is too often overlooked but is so important to both prevents pain and to help relieve it.<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Moshe Chaim was a very successful client.<span class=\"Apple-converted-space\">\u00a0 <\/span>In our 10 weeks together, all the issues that we expected to resolve with his new good health habits did indeed resolve.<span class=\"Apple-converted-space\">\u00a0 <\/span>His cholesterol and very high triglycerides fell to perfectly normal levels.<span class=\"Apple-converted-space\">\u00a0 <\/span>He lost 12 kilograms.<span class=\"Apple-converted-space\">\u00a0 <\/span>But the biggest surprise was that he now became far more functional.<span class=\"Apple-converted-space\">\u00a0 <\/span>He was now walking up to 45 minutes without pain and had less discomfort in general.<span class=\"Apple-converted-space\">\u00a0 <\/span>He was walking and stretching every day with some muscle building exercises 3 times per week.\u00a0<\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">Rivka Sarah is still amazed every time she comes into the office.<span class=\"Apple-converted-space\">\u00a0 <\/span>Simply by pushing herself to do more, she is doing more.<span class=\"Apple-converted-space\">\u00a0 <\/span>Her walks are now 35 minutes at least.<span class=\"Apple-converted-space\">\u00a0 <\/span>She also is also stretching and like Moshe Chaim, she has also made certain dietary changes.<span class=\"Apple-converted-space\">\u00a0 <\/span>Her husband keeps saying \u201cYou\u2019re walking again, you\u2019re walking again\u201d. Her entire demeanor and mood have changed.<span class=\"Apple-converted-space\">\u00a0 <\/span>And the pain has been greatly reduced. <\/span><\/p>\n<p class=\"p1\"><span class=\"s1\">There are times where certain types of injuries do require a period of rest, but laying around in bed day after day usually caused more problems than it helps.<span class=\"Apple-converted-space\">\u00a0 <\/span>Always listen to your body when exercising so you don\u2019t overdo it either. We need to move and be active for our overall health and certainly to help our pains heal.<span class=\"Apple-converted-space\">\u00a0 <\/span>Some aches here and there may be inevitable, but many if not most of the daily pains we experience can be reduced or eliminated with the right kind of movement and exercise.<span class=\"Apple-converted-space\">\u00a0 <\/span>Taking the necessary steps to keep yourself pain-free can <strong>\u201cadd hours to their days, days to their years, and years to their lives.\u201d<\/strong><\/span><\/p>\n<p class=\"p1\">\n<hr \/>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" src=\"https:\/\/s3.amazonaws.com\/ou-images\/content\/alans_fitness.JPG\" alt=\"image\" width=\"126\" height=\"126\" border=\"0\" \/><\/p>\n<p><em><strong>Alan Freishtat<\/strong> is an A.C.E. CERTIFIED PERSONAL TRAINER and a BEHAVIORAL CHANGE and WELLNESS COACH with over 19 years of professional experience. Alan is the creator and director of the \u201c10 Weeks to Health\u201d program for weight loss. He is available for private coaching sessions, consultations, assessments and personalized workout programs both in his office and by telephone and skype. Alan also lectures and gives seminars and workshops. He can be reached at\u00a0<a href=\"tel:02-651-8502\">02-651-8502<\/a> or <a href=\"tel:050-555-7175\">050-555-7175<\/a>, or by email at\u00a0<a href=\"mailto:alan@alanfitness.com\">alan@alanfitness.com<\/a> Check out the his web site \u2013<a href=\"http:\/\/www.alanfitness.com\/\" data-saferedirecturl=\"https:\/\/www.google.com\/url?hl=en&amp;q=http:\/\/www.alanfitness.com&amp;source=gmail&amp;ust=1493381969635000&amp;usg=AFQjCNE-D7k1ng56nGzC7bQDJ55nvE1vOA\">www.alanfitness.com<\/a> US Line: <a href=\"tel:516-568-5027\">516-568-5027<\/a>.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Being in pain, especially chronic pain is just no fun.\u00a0 All of us have had some pain at some time in our life.\u00a0 Sometimes it can be just a bump, bruise or minor burn, but sometimes, it can be chronic lower back pain, arthritis or other causes of severe pain that just doesn\u2019t seem to<\/p>\n","protected":false},"author":469,"featured_media":55029,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[14],"tags":[],"class_list":["post-54934","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-health"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Pain: A Little to Get Rid of a Lot - OU Life<\/title>\n<meta name=\"description\" content=\"Many people suffering from chronic pain stay away from activity and exercise. 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