A while ago, I stopped doing the Five Tibetans. I really liked the short routine that got me fit. But it also got me lower back pain. I tried some adjustments, but the pain wouldn’t leave. So, I started a new routine.
My new routine doesn’t have a fancy name, nor can it serve you a wonderful story of its presumed discovery – old Tibetan wisdom unearthed by a stiff British officer desperate to regain his youth – but it works for me.
And it needs about ten minutes of your daily time; nobody can claim they don’t have those ten minutes! If the Five Tibetans work for you – by all means, stay with them! Because I believe in wisdom handed down by generations.
If the Five Tibetans don’t work for you, here is Alexa’s Alternative:
• Bending: This exercise works on your upper back and your posture without putting undue strain on your lower back. You roll your upper back backward over a big yoga ball twenty-one times, each time lifting your arms over your head, then lowering them. Lacking a yoga ball (which I don’t have here in my Namibia hotel room), you can do this exercise also by hanging backward over the edge of a bed. Make sure that your lower back stays securely on the bed, and that you don’t slip from the bed and hit your head.
• Grounding: These are really knee bends but I call this exercise grounding because it strengthens your legs, and really grounds you. Do twenty-one knee bends. If initially that seems too hard, do less. Try five. Or try one. If that is impossible, try a half one. Daily try will soon make you stronger, and able to do more.
• Hanging: Hanging your spine out, that is. This exercise can be done from a bar. Pull yourself up twenty-one times. I really can’t pull myself up, and I can only count to ten, but even this small effort lengthens my spine, re-aligns it and strengthen my arms. When I travel, I bend forward and touch a table with my hands, pulling slightly down and back (without bending my knees). You feel that this also lengthens your spine, taking the kinks out; unfortunately it doesn’t do much for your arms strength.
• Reaching: This is the exercise that I find most fun. Take a heavy ball (I use a six-pound ball at home, and a book or a filled water bottle on the road), and stem it up twenty-one times as high as you can reach . You’ll feel your whole side lengthening. This slims your waist, strengthens your arms and let the arm flab vanish. Then do the other arm twenty-one times. Don’t do this exercise with two balls, lifting them simultaneously – you wouldn’t get the effect on your sides (but would still exercise your arms). But stretching your sides gives the exhilarating effect.
• Swinging: Take the heavy ball and move it from one hand to the other in a smooth swing twenty-one times. Don’t twist sharply in your waist, machine-like – let it be a graceful dance.
You notice, I kept the number twenty-one from the Five Tibetans. Twenty-five repetitions seem to give enough of a workout without putting undue stress on the muscles and joints.
Don’t do more than twenty-one in a single session. You are allowed one repetition during the day, not more. You will see that even with one cycle per day your legs plant you stronger on this Earth, your back is straighter, your bingo wings melt away.
For better memorizing, I put the exercises alphabetically: bending, grounding, hanging, reaching, swinging. Read More
Blog: On Health. On Writing. On Life. On Everything.
The Role of Your Neck in Urge Incontinence
February 21, 2011
As a physician I sometimes make observations that strike me as plausible – but I don’t have the wherewithal or time to scientifically check on them. Writing a blog might be one method to test an idea, and find out if others made similar observations.
So, here is my first one, pertaining to urge incontinence.
Wikipedia defines urge incontinence as “involuntary loss of urine occurring for no apparent reason while suddenly feeling the need or urge to urinate.” What really happens is the patient makes it to the stall but then goes before she has a chance to pull down her pants. Or she hears water tinkling, and tinkles herself.
The two other forms of urinary incontinence are stress incontinence and overflow incontinence. Stress incontinence comes from weak pelvic floor muscles – when you sneeze or run or laugh, you suddenly can’t hold your urine. Overflow incontinence is a constant dribbling of urine – as if the faucet can’t be shut off. All three forms are common in people of a certain age – therefore the hilarious TV ads for adult diapers. But according to my patients, incontinence is no laughing matter. People thus afflicted (women are in the majority here, probably because of what childbirth can do to one’s organs) are on the constant lookout for the nearest restroom.
The interesting part of Wikipedia’s definition of urge incontinence is “for no apparent reason.” Urge incontinence has been linked to stroke, Alzheimer’s, spina bifida, multiple sclerosis (MS), Parkinson’s – they all can lead to urge incontinence. All are neurogenic causes (stemming from the brain and the nerves) – we lump them in one group, but still they are poorly understood. And then there is “idiopathic” urge incontinence. Idiopathic means: Doctors have no clue at all. But they think it has to do with local inflammation around the bladder.
Years ago a patient with urge incontinence told me that she could make the urge disappear (at least long enough to make it to the bathroom), if she stretched her neck. For a while I was not sure if any sudden distraction – like clapping your hands or hopping up and down – would do the same. But lately I returned to my first hypothesis, namely that the stretching of the neck works best. Because I have observed that the condition occurs more often in people with less than stellar posture, especially the ones whose head is slightly bent most of the time. Standing tall and erect, at least for a moment, seems to release the urge.
As for the mechanism – are certain spinal nerve fibers pinched when the head is bent? We need more research on that.
Poor posture is more common in people with gluten intolerance and food allergies – it seems as if they don’t have the muscular strength to keep their heads straight on their shoulders – perhaps on the basis of poorly functioning mitochondria (this is all speculation on my part; I would be happily disproved).
If urge incontinence is your problem, try this out – nod a bit, stretch your neck - and write me if it works for you! Perhaps one day a peer-reviewed study will be done. Read More
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Fats Are Bad – And a Few Other Medical Myths I Am Not Sure I Still Believe In
September 7, 2010
1. Fats are bad for us. - Even at that time when I felt I was giving best medical advice to my patient (“Cut down on fat”), I myself never was really able to cut out fats much. I get so incredibly hungry without! But I am still at the weight I had at age twelve … and have slowly come to the conclusion that I probably gave bad advice to my patients. (Sorry!). What I advise now: Olive oil for salads, coconut oil for frying, occasionally a bit of European-style cultured butter (very occasionally!).
2. Exercise hard. – The Centenarian Study has shown that people who live to a ripe old age usually are not strong on exercise. They have friends, putter around house and garden and live for a worthwhile cause. Plus they have good genes. – I am not saying don’t exercise – but like everything else: Do it in moderation! – A minute here and there on your yoga ball, daily, will give you better health than the gym once a week (my guess – no studies done).
3. Eat a snack before you go to bed. – Diabetics are taught this, and usually crackers and milk are recommended, both of which I think are really bad ideas. That dairy is unhealthy I have said before; crackers are nothing else than cardboard “food” – devoid of any nutritional value.
4. Snacks, in general. – Bad idea. Few people fare well on the “more meals but smaller meals” advice. Most people do “more meals and more and more calories.” I never snack – and I never try my own food when I am cooking – I just smell out if more salt is needed. And healthy snacks like celery sticks without the dip? They really make me hungry. - Forget snacks! Think of something more important!
5. Oh, and carrying water with you wherever you go. – Don’t! We got two hands to do really interesting stuff with them like fixing a car or playing the cello – NOT for lugging a water bottle or a coffee pot around. You don’t have to drink in the middle of your exercise or yoga class – before and after is plenty. Except if you are crossing a desert, don’t be seen with a bottle/cup in your hand. And drinks with calories in them? Also a no-no: Water and teas are all what is needed. Because drinks with calories are not drinks – they are meals.
6. Take a Tylenol or an Aspirin for fever. – Now, the body makes a fever to kill the germs that invaded you. It’s usually not a good idea to interfere with your body’s action. Go to bed early, drink hot herbal teas and sleep it out is usually the better response to a beginning cold.
7. Take a painkiller against pain. - If a simple Tylenol, etc. will do the trick, the pain is probably not so bad that you cannot tough it out (which is easier on your body – all the pain medications have unwanted side effects). Also: Better think why you got the pain in the first place: Hangover? Too much sun? Too much computer? Too little movement? Bad posture? Too little sleep?
To be continued, I guess. Read More