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Tuesday, November, 24, 2009
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Question of the Week: Your Great Ideas for Weight Bearing Exercises

Pam Flores
Pam Flores
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Pam Flores is a wife, paralegal, friend, advocate, and caregiver
a wife, paralegal, friend, advocate, and caregiver

I graduated from the University of West L.A. School of Paralegal...

Pam Flores

Tuesday, July 28, 2009
View All of Pam Flores's Posts
      According to the National Osteoporosis Foundation, weight bearing exercises are activities that make you move against gravity while staying upright. The NOF recommends 2 ½ hours a week, or more, of this type of exercise to help build strong bones and slow bone l...
  1. Weight bearing exercise ideas
    Pam Flores
    Tuesday, July 28, 2009 at 05:00 PM

    Hi everyone!!  I'm going to start off the discussion this week because I have problems with weight bearing exercise, as many of you do who have pre-existing structural problems in the spine, hips, knees and feet.

     

    If you have one of these problems, or an existing fracture that hasn't healed, what do you do to modify your routine to lessen the pain it can cause?

     

    I've tried breaking up my walking routine to 10 minutes 3 times a day or using weights that aren't as heavy as what's recommended, to name a few.  However, I've run out of ideas for modifications to exercise that will prevent increased pain.  If you have this problem please tell us what you've discovered that doesn't make your physical ailment worse.

     

    I know you all have some great suggestions for me and for those with similar problems.  Tell us about your routine first and then if you have any suggestions for those with injuries or permanent structural problems, tell us those as well.

     

    Thanks for your ideas!!

    Reply
  2. An exercise program for my bones
    Anonymous
    Tuesday, July 28, 2009 at 09:14 PM

    When diagnosed with osteoporosis, besides seeking medical treatment , I set out on a journey to develop a safe exercise program. What has helped me the most was cobbling together a program from 2 books by Miriam Nelson Ph.D.--Strong Women, Strong Bones and Strong Women , Strong Backs. Between these two books I worked out a list of exercises that I would do each day, and those I would do every other day.

    The everyday includes a walking program , resistance band work, and back strenthening exercises . The every other day includes weight lifting and wall squats with an exercise ball. I have checked out the ex. program with a phys. ther. to make sure that all exercises  safe for me.

     

    To keep this plan going over the past several years, I have developed in chart format a weekly sheet . If you look at Miriam   books , she has some chart samples . When I finish an ex. I put a checkmark on the list. For some this may seem overly regimented , for me it is perfect motivation and gives me a record . I also list on the chart the amount of weight lifted and the reps/sets that I am doing. Finally after nearly 3 years, I am seeing the results of my effort. I have some muscular definition happening which tells me I am also strengthening my bones.

     

    Being diagnosed with osteoporosis was a real wake up call to get moving . I can only encourage others that while you can do ..do it! Of course you want to make it fun for yourself in whatever manner that takes, but it is also serious and very important for our long term health and independence.

    Best wishes

    Reply
    re: An exercise program for my bones
    Pam Flores
    Tuesday, July 28, 2009 at 10:18 PM

    Dear Anonymous, welcome and thanks for your very detailed explanation of your weight bearing routine that is working for you and keeping you interested and motivated in continuing it by rotating your routine to keep if fresh.

     

    Your idea of a log of what you do is fantastic, and an idea many of us should consider, so we can easily see what we've accomplished, on a particular day or month, that should keep us motivated.

     

    You've obvioulsy done a lot of reading on this and it has to be paying off.  I hope I and the community can be so dedicated.

     

    Thanks again for all your wonderfully productive exercises!!  Join us anytime to help us with our particular physical struggles.

     

     

    Reply
    re: re: An exercise program for my bones
    Pam Flores
    Tuesday, July 28, 2009 at 10:57 PM

    Anonymous, I just wanted to add I will be checking out those books you mentioned for possible modifications.  Thanks for the names of them, I'm sure we'll all get good safe info from them.

    Reply
  3. Untitled Comment
    phyllis
    Wednesday, July 29, 2009 at 12:16 PM

     

     

    Another great question Pam...I am fortunate that i like to exercise.  For me its not a chore so its easy to keep it up.  I enjoy doing a variety of things.  Walking is something i try to do everyday either in the form or going outside or doing in home walking videos.  My husband and i also enjoy hiking and do that when we can.  Weight training is so important for not only your bones but for all of you.  I try to do it at least 2 times a week and sometimes more.  Many things we do daily count as exercse so don't count housework  as just work.  Carrying laundry or grocery bags, sweeping and mopping floors, gardening, picking up, going up and down stairs...its all exercise whether we see it as that or not.  And best of all, its functional fitness..the things we do everyday.

     

    I think the key to sticking with any exercise program is to keep it fun and not get into the "gotta do it"  frame of mind. Some days i do more exercise, some less.  Nothing is written in stone and its not worth getting stressed over. Everything balances out in the end.  When i go for walks i have fun along the way..sometimes i march, do leg lifts, side step down the road and walk backwards.  It's likethe saying "dance like nobody is looking"...well,i walk the same way some of the time. It does help that i walk on country roads so there isn't much traffic or people to see me being silly.  Listening to music while you walk is also helpful.

     

    Its also ok to do exercises and activites that aren't bone building specific.  I like to go for bike rides and even its not that great for the bones its great for the heart.  I have a collection of fitness videos that i do for variety...some are  bone friendly and some aren't.  I don't always follow the osteo does and don't..i do it all and modify if i think something isn't safe to do.  There is more than one way to do the same things.

     

    An important thing to remember is to work balance exercises and good posture into your routines.  Good balance keeps us on our feet..if you don't fall don't break anything and good posture keeps us aligned so we don't develope bad habits like slouching. The main thing is to just keep moving and staying active.  take care...phyllis

    Reply
    re: Untitled Comment
    Pam Flores
    Wednesday, July 29, 2009 at 07:03 PM

    Hi Phyllis, thanks for reminding us about functional exercise and how we do it everyday even if we don't think about it, and how important it is for balance and strength.

     

    I also think it's important to do other things besides weight bearing exercise since this will help with the monotony that sometimes happens.  I like to swim and even though it's not weight bearing it's good for my heart, lungs, mind and enjoyable, plus it doesn't hurt.

     

    I'll have to try some of your walking suggestions and see if I can walk like no ones watchingLaughing

     

    I try so hard on my posture, but sometimes it's a hopeless cause.  I'll just have to constantly remind myself like my mother used to do, to stand up straight, keep your shoulders back and chin level.

     

    Music really does help, but again it's something I forget to include so thanks for reminding me.

     

    Thanks for all your wonderful "keeping it simple ideas," for exercise!!

     

     

     

     

    Reply
    Safety first, last and in the middle too
    Anonymous
    Wednesday, July 29, 2009 at 07:34 PM

    Pam---

     

     As they alway say, before starting any exercise program check with your doctor. Plus, anyone with established osteoporosis  and  especially those with any injury should have an appointment with  a physical therapist to develop a safe  exercise program.  Physical therapists are experts at tailoring programs to an individual's specific  physical needs.

    For anyone starting a program, especially those with established osteoporosis and/or injuries, realize that getting started is really a wonderful thing that you are doing for yourself, and celebrate that! While it may seem that there is so much you cannot do, there are things that you will be able to do. And, while advancement  may  seem slow, keep your spirits up and note your small successes. A day with baby steps towards your fitness goals is better than a day with no steps taken at all.

    Reply
    re: Safety first, last and in the middle too
    Pam Flores
    Thursday, July 30, 2009 at 04:47 PM

    Hi thanks so much for reminded us about the virtues of baby steps, and checking in with a Physical Therapist to help design a program of exercise that fits in with your particular medical problems that could interfere with exercise.

     

    As you said, it's also a good idea to see the progress in what we do even if that happens at a slower pace; at least it's still happening and we *are* accomplishing something for our bones and health.

     

    Join us anytime, we'd love to hear more from you!!

    Reply
  4. Untitled Comment
    Monica
    Thursday, July 30, 2009 at 04:21 PM

    Hi, I'm from Uruguay, South America and subscribed to this web.  My problem is that I DO NOT LIKE MAKING ANY EXERCISES!!!! Embarassed I tried starting walking at least 3 times a week and this lasted for 4 weeks or less.  What happens if you do not do any exercises? Does it worsen the osteoporosis?  I do some things at home before going to the office.  I mean, washing the dishes, sweeping a bit, making the bed, laundry, etc.  Furthermore, its winter down here and the cold doesn't "invite" you to do anything!!!!

     

    Reply
    re: Optional exercise ideas
    Pam Flores
    Thursday, July 30, 2009 at 04:56 PM

    Hi Monica thanks for joining us.  I know how hard it is to get motivated with exercise since some of us aren't so easily inclined to put in the work, especially if you have to deal with weather problems or pain and injury.

     

    Have you tried to find an exercise video that would be something you'd like to do?  I know there are so many available it's just a matter of finding the right one for you.  Check you local library for them so you don't have to spend money on videos in the searching stage.  This way you could check out several and then watch and eliminate those you don't like and then continue till you find something.  I'm sure you'll find something that you like.

     

    Unfortunately if we don't exercise we will get worse.  Our bones/muscles really need the exercise to build new bone and slow bone loss.  So you really need to find something that you like and will stick with.  If you find something and then get tired of it, just look for something else there's so many things to choose from.

     

    Good luck and maybe some of the other members who have specific recommendations for videos that can be done indoors, away from the cold, will pop in and give you some ideas.

     

     

    Reply
    re: re: Optional exercise ideas
    Monica
    Friday, July 31, 2009 at 10:47 AM

    Thanks for your reply.  I'll try to do something.... and hope to stick with it.  Please note that English is not my native language and therefore I would like you, if at all possible, to explain what precisely does "weight bearing exercises" mean.  Is simply walking that kind of exercise or does it mean that you have to put some weights in your arms or legs?

    Just for you to know, I have osteoporosis in my hips, for the time being no fractures and taking Bonviva (trademark in Uruguay) calcium 1500 mg per day and vitamin D 1000mg per day.  In addition to drinking yogurt, about 250 ml a day.  I'm 51 years old.

    Thanks

    Monica

     

     

    Reply
    re: re: re: Optional exercise ideas
    Pam Flores
    Friday, July 31, 2009 at 11:10 AM

    Hi Monica, here's some examples of weight bearing exercises that may help to explain it. 

     

    High impact weight bearing:

     

    * Dancing
    * High-impact aerobics
    * Hiking
    * Jogging/running
    * Jumping Rope
    * Stair climbing
    * Tennis

     

    Low impact weight bearing:

     

    * Elliptical training machines
    * Low impact aerobics
    * Stair-step machines
    * Walking (treadmill/outside)  (source: National Osteoporosis Foundation)

     

    If you click on the link above it will take you to the NOF where they explain these exercises, and others.  Notice that all these exercises are done while standing on your feet and bearing your own body weight.  If you like to dance Phyllis' idea is great and fun too.

     

    Good luck finding something you like!!

     

    Reply
    re: Untitled Comment
    phyllis
    Friday, July 31, 2009 at 10:33 AM

    Hi Monica...don't feel bad that you don't like to exercise, you're not alone.  the trick is to find an activity that you do enjoy doing.  Sometimes when you start to exercise you find that you do enjoy it more than you thought you would.  I do have one idea....do you like to dance?  Putting on good music and dancing around the house can be fun and also give you a good workout. Dancing is weight bearing, so its good for your bones, it gets your whole body moving so its also areobic and if it puts a big smile on your face its good for spirit.  It's a win win activity.  Do you have a dog? If so and you take it for walks, thats exercise to.  Have a good weekend..take care..phyllis

    Reply
    re: re: Untitled Comment
    Monica
    Friday, July 31, 2009 at 10:53 AM

    Hi, thanks a lot for your comments that I'm not alone!!!!! and there are other people that DO NOT LIKE EXERCISING!!!!  I'll try my best to do something!!!!  The worst of all is that my husband is always encouraging me to do something and telling me that he does it with me, but... nothing...

    I don't promise to start something immediately but as soon as I do I will let you know!!!Smile

    Reply
  5. Untitled Comment
    golfergal
    Thursday, July 30, 2009 at 04:38 PM

    I do yoga two days a week, have yoga videos I use, and a tread mill.  In addition I play golf -- and all these are OK with my doctor.  In addition I take calcium, and a one a day vitamin every day.

    Reply
    re: Untitled Comment
    Pam Flores
    Thursday, July 30, 2009 at 05:06 PM

    Hi golfergal, thanks for joining our discussion.  I'm assuming you've never had a fracture is that correct?  If you had, your Dr. might have a different opinion on some types of yoga (forward/backward bending) since that's really hard on the spine and can be quite dangerous.  The treadmill is great, but the twisting motion you do when you play golf can also be bad, if your t-scores are really low.  I realize you will do what you want to, so these are just the normal recommendations we give everyone so you know that some of these things can be dangerous.

     

    Your supplements sound good, what type of yoga are you doing?  Does it have a lot of spinal twisting, forward and backward bends, touching toes that sort of thing, bending from the waist?  Just be really careful with all these movements since they can cause a compression fracture when you least expect it.  You may want to get a yoga tape that is designed for those with osteoporosis and see if you like that.  I kinda freak out when I hear people are doing forward or backward bends with osteoporosis.  I've had many spinal fractures and you don't want one of those.  I also did yoga for years, and don't know if it was a contributing factor to any of the frax's (6) in the spine.  I absolutely can't do that sort of thing now since I have rods/screws in my spine and wouldn't try to anyway it hurts too much.

     

    Good luck and look into a safe yoga tape for osteo-ok?

    Reply
    re: re:Yoga for Osteoporosis
    Pam Flores
    Thursday, July 30, 2009 at 05:25 PM

    Hi Golfergal, I wanted to mention something about the yoga if you're interested.  If you could contact me through the private email here at OsteoporosisConnection I can hook you up with a really good yoga instructor that works specifically with osteo patients.  She has a web site and is very active at the National Osteoporosis Foundation, and you could find out about recommended types of yoga classes/tapes for us osteo guys and gals.

     

    It's up to you. I just thought I'd mention it in case you are interested.

     

    Good luck...

    Reply
    re: re: re:Yoga for Osteoporosis
    Anonymous
    Thursday, July 30, 2009 at 07:49 PM

    Sure, I'm always interested in a "good" yoga instructor.  I've taken yoga off and on since I was in my 20's.  Stopped after adopting two kids because I couldn't find one I thought was a "real" yoga instructor.

    Reply
    re: re: re: re:Yoga for Osteoporosis
    Pam Flores
    Thursday, July 30, 2009 at 08:18 PM

    Hi Annon, I can't post the website since it's a commercial site, but if you want to look up the authors name I suppose that's ok, so here's her name and then you can go from there, or email me and I'll give you the web address.  Instructor and Author of Yoga books etc., featured at the NOF: Suza Francina-Iyengar Yoga.

     

    Good luck...Smile

    Reply
    re: re: Untitled Comment
    golfergal
    Thursday, July 30, 2009 at 07:47 PM

    I was on 50,000 units a week of Vitamin D for several weeks.  Then told by the doctor, that everything looks good.  I still get about 1500 units of Vitamin D a day in the calcium and vitamin pill I take.  In the lipid clinic that I attended with my husband, we were told Kansan, Nebraskans, etc.  don't get enough Vitamin D through the Fall and Winter.  So they told us to take vitamin D in everything (food, etc) we could.

    I am under a Reumatologists care, and he belongs to the same Country Club that we belong to.  I see him frequently, in office, and on the golf course, and he feels what I am doing is just fine.

    But I appreciate your concern.  The yoga I do is entitled "Gentle Yoga", but we do a lot of gentle stretching.  I don't do back bends, or head stands, nothing like that.  And I see, according to my receipts that I started with this yoga teacher, after searching for one for years, two years ago this July. 
    I also had open heart surgery, a new Aorta

    valve.  So I am trying to stay active for that reason also.

    golfergal

    Reply
    re: re: re:Yoga Golf comments
    Pam Flores
    Thursday, July 30, 2009 at 08:11 PM

    Hi Golfergal, I'm sure you are very careful and glad you aren't doing any head stands or back bends.  As long as you feel comfortable with what you're doing then you should follow your gut.  We just mention the precautions because safety in exercise is very important with osteoporosis, so it was just added for reference since I know everyone will make their own decisions anyway and do what they feel best within their heart and gut.

     

    Have fun with the golf and yoga, just be aware that being safe can be incorporated in what you do with exercise modifications.

     

    I hope your D level goes up and good luck on the therapeutic dose of it, since it's sooo important with the low level D epidemic we have.Smile

    Reply
    re: re: re: re:Yoga Golf comments
    Anonymous
    Thursday, July 30, 2009 at 10:39 PM

    Thanks.  We are going to Mississippi in October to play golf Phildelphia, MS.  The Choctaw Indian Nation has two wonderful hotels connected by a walkway over the highway (with casino's) and two beautiful 18 hole golf holes that we are going to play.

    I'll keep up my Vitamin D and other vitamins and practice some yoga while we are away.  And, oh yes, also my medicines concerning my heart so I won't have any problems.  My heart surgeon was a Dr. Ghandi, here in Topeka, and he is a grandson of Mahatma Ghandi (sp)?.  I fell in love with him (although he has a very nice  english wife!).

    Reply
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