Should Kids Play Multiple Sports or Not?
One of subjects that is getting to be a hot topic is looking at our kids in playing sports. The debate is whether or not they should just play one or play multiple sports. TOPS opinion would be to play multiple sports and here is why:
- Potentially reduce the risk of overuse injuries.
Playing the same sport year-round trains the same movement patterns which leads to muscular imbalances and asymmetries. Take a pitcher or a thrower for example and have them throw year-round at high level. Their shoulder or elbow takes on maximal torque and then eventually the soft tissue and/or ligaments wear down and become injured. - Playing multiple sports keeps kids drive and passion up longer.
Kids lose their drive they grow tired of things quickly (because they are kids) when they play only one sport. Playing multiple sports allows them to play a sport for a period time and then get an opportunity to hit the reset button and begin something else. Not only does it shift gears completely it allows them to get hungry again for the sport they just finished because they will probably get tired of their next sport. - Can actually become an “Athlete.”
You can make an argument for a person who plays one specific position year-round that they are not really athletes. They are only good at their one specific sport and even further, one specific position. Playing multiple sports allows you to train different movement patterns, which will constantly challenge your body. This will allow your body to become stronger and more athletic.
These are just a few reasons as to why we strongly believe kids should play multiple sports as long as they can.
Benefits of Yoga
Many of you are probably familiar with yoga or have seen it available at different gyms and studios. This blog will explain a little about the history, types and benefits of yoga. We will also introduce a few of our favorite stretching poses for the back. Stay tuned for additional blogs addressing poses for strength and balance.
First, a little history. Yoga is a 4,000 year old practice developed to enhance physical and emotional balance by tying breath with movement. The breathing techniques are called pranayamas and the movements or poses are called asanas. Typical types of yoga you might see around town are Vinyasa yoga, Power yoga, Hot yoga and Iyengar yoga. The fundamentals of these different types are developed from Hatha yoga. The core components of Hatha yoga include postures, breathing and meditation. The subtypes mentioned above, typically have specific focuses. For instance, Vinyasa follows a particular sequence of poses coordinated with an inhalation and exhalation. Iyengar yoga is a practice of precision where proper alignment is the main focus. Hot yoga is practiced in a heated and humidified environment usually involving a specific sequence of poses. These are only a few of the numerous subtypes, but you can be certain no matter the type, you will reap the benefits.
What are the benefits of yoga? Yoga improves postural control and balance. Yoga has also been shown to increase strength and endurance. Let’s not forget those psychological benefits like decreasing pain and depression. With all these benefits, let’s try some yoga!
Rabbit Pose
- Begin sitting on heels with thumbs on outside of feet. Feet can be extended or flexed.
- Roll the spine forward bringing the crown of the head as close as possible to the knees. If you are unable to hold the heels you can utilize a strap.
- Pull on the heels to lift the hips, rounding into the spine, gently pressing into the crown of the head.
- Hold for 5 slow inhalations and exhalations. With each inhalation lift the hips. With each exhalation pull on the heels to round the spine even more.
Benefits: Improves mobility of spine and back, decreases pressure of the neck and back, decreases depression and insomnia
Child’s Pose
- Kneel on the floor, big toes together
- Sit back on your heels and separate knees to hip-width apart
- Exhale bringing your forehead to the floor in front of you.
- Place the hands outstretched in front of you or down by your sides.
- Hold for 5 slow inhalations and exhalations. With each inhalation reach forward with your fingertips. With each exhalation push back with your hips, bringing your seat closer to your heels.
Benefits: stretches low back, hips and thighs, increased blood circulation to head, calms mind and body, helps reduce fatigue
Supported Bridge Pose
- Lie on your back, feet flat with a yoga block nearby.
- Extend your arms down to your sides.
- With feet parallel, press down into the soles of the feet and lift the hips off the floor.
- Place the block underneath the sacrum in a comfortable position.
- Stay in this position for several minutes. Come out of the pose if you experience any discomfort.
- When finished, press into the feet and lift the hips to remove the block and slowly lower to the floor.
Benefits: Reduces anxiety, fatigue, low back pain, headache, insomnia, decreases menstrual discomfort
Astym® Therapy Shown Effective in the Treatment of Tennis Elbow
OFFICIALLY SAY GOOD-BYE TO YOUR TENNIS ELBOW!
“A controlled clinical trial showing the effectiveness of Astym (R) treatment for tennis elbow was presented at the American Society for Surgery of the Hand’s annual meeting. The study showed that Astym treatment was an effective tennis elbow therapy by resolving 78.3% of chronic lateral epicondylitis (tennis elbow) cases. This figure is consistent with the 80.9% resolution rate for chronic lateral epicondylitis (tennis elbow) that was contemporaneously reported in the national outcomes database for Astym treatment. This correlation demonstrates the reliability of the Astym outcomes database.”
More support for Astym therapy has just been published. A large, randomized clinical trial showing Astym therapy to be highly effective for tennis elbow, and also demonstrating Astym therapy’s impressive efficacy on recalcitrant tennis elbow, has just been published in a peer-reviewed journal.
This large scale clinical trial demonstrating the effectiveness and safety of Astym therapy gives even more reason for referral sources and patients to seek out certified Astym providers. Large controlled clinical trials are very important contributions to the literature, and we are pleased that Astym therapy has joined the rare, elite rank of treatments that have quality clinical trials supporting effectiveness and safety.
Please feel free to download and share this clinical trial: https://peerj.com/articles/967.pdf
You don’t have to live with chronic pain! WE CAN HELP!
ASK US ABOUT OUR ASTYM THERAPY AND GET SET UP WITH AN
ASSESSMENT AT: www.TOPSPhysicalTherapy.com OR Call: 602-826-0037
Pregnancy & Physical Therapy 101 – Week 4
Don’t just take our word for it! Here are some success stories from new mommies who have utilized our services and have had improved symptoms, both during and after pregnancy. If you are feeling pain, discomfort, or are afraid to start working out, please do not hesitate to reach out to us! We are here to help 🙂
Pregnancy PT recommendation – I’ve been going to TOPS since its inception, the staff and I have been through a few surgeries, This time we took on pregnancy. Having had 2 shoulders, double mastectomy with reconstruction and a back surgery, I knew my body would need help on this 9 month journey. I didn’t want to do any damage to my joints or have undue stress on my back. As an avid swimmer gaining 30 plus pounds is a whole change and shock to my body. I would go in 1-2 times per week for maintenance therapy. As my weight increased and belly grew my pain and tightening of muscles would shift too. Amy and Chad were able to keep my pelvis in alignment, and break up my tightening fascia to allow me to continue to exercise at a high level. They also had programs designed to adjust with my progress. A very strong core and pelvic floor is key to a healthy pregnancy. I wanted to maintain these key muscle groups to reduce unnecessary stress on my low back, shoulders, and hips. Furthermore, pregnancy is full of leg cramps! Add working out on top and you are primed for the worst cramps of your life. As a pharmacist, I was taking my full vitamin regimen with extra calcium and magnesium to help with these cramps. You also can’t do too much salt when pregnant or you will swell. Again, my weekly PT sessions worked on my legs and the cramping was reduced. I can’t say enough about the staff at TOPS. I love them!
-Lindsey B.
At the beginning of my second trimester I started to have pain in my back and hips. Thinking this was normal pregnancy pain I just dealt with it for a few months. Finally, it got to the point where my belly brace was no longer helping and I went to see Amy at TOPS. She did a few manipulations, re-positioned my hips, and showed me some stretches which my husband could help with at home. This one appointment saved me lots of pain throughout my third trimester and I wish I would have gone in sooner. They even helped me after my C-section, with some strengthening moves, to build my core and pelvic floor back up. I defiantly recommend them to all of my pregnant friends now!!
-Ruth P.
To all of the new and soon-to-be-moms, hope this article helps! I’ve been working with my therapist to strengthen my core postpartum, but have been surprised that many women just jump into a workout routine without any help. Who knew crunches can be bad postpartum?? I didn’t, until I spoke with my therapist. Here is another article that supports and breaks down the benefits of physical therapy for new moms!
-Jenny B.
Abdominal Rehab article from Baby Center:
https://www.babycenter.com/0_abdominal-rehab-tone-your-postpartum-belly_10419294.bc
Pregnancy & Physical Therapy 101- Week 3
Based on these previously mentioned tips, here is first-hand experience from anew mommy, and her road back to running! Her story tells it all…
As a new Mom and runner, I was excited and anxious to get back to running. I knew I was in no physical shape to compete after giving birth to my son but I was anxious to use running as an outlet to have some “Mommy” time alone. I can vividly remember my first run. I knew it was not going to be pretty and only set my goal to complete two miles. Little did I know that that was a lofty goal! I made it half way and was ready for a walking “break.” Since my first run postpartum, I have gradually increased my mileage.
Here are some of her helpful tips that have helped her back out on the road (and treadmill)! You’re missing the road, the trail, the exhilaration and the freedom of going for a run. You’ve spent several months off from this activity due to your pregnancy and delivery. It’s time to return to running but where do you start?
- First thing first, get your physician’s permission. Typically, you will follow up with your doctor 6-8 weeks postpartum. At this visit, ask your physician if it is okay to begin running again.
- Start slow, run a short distance, and remember… it is okay to walk! Did you run or workout during your pregnancy? If you did, you may have a better base than someone who did not, but you should still take it slow as your body has gone through several changes. It only takes 48-hours of inactivity or decreased activity to start losing muscle so you most likely have lost muscle mass, strength, and cardiovascular endurance. Walking is ok! You can also do 1-minute on/off of run/walk. Cycle through 5-10 times based on how you are feeling.
- Your body will feel different. While pregnant your body produced increased hormones: estrogen, progesterone, relaxin along with several others, which lead to ligament laxity. And if you breast feed you may continue to experience increased ligament laxity due to increased levels of progesterone. This laxity creates more mobility in the joints, especially in the pelvis, which may lead to pain in the lower back, glutes, pelvis, or pubic bones. Physical therapy can help you through these dysfunctions should they arise.
- Once you begin running you may experience urinary incontinence or leaking. Do not be afraid to talk to your physician or physical therapist about this! While this is very common among new Moms it is not normal and can be addressed with exercise and/or physical therapy. Kegel exercises are a good place to start to strengthen the pelvic floor muscles to address the incontinence (see last week for detailed instructions on how to do this).
- Talk to your pediatrician about running with your little one in a jogging stroller. Generally, you are able to start jogging with your little one when they have good head control, which is anytime between 4-6 months. Try to stay on a smooth surface and minimize bumps as your baby’s head control is still developing.
- Remember to hydrate! Hydration is very important, especially if you are breastfeeding your little one. Many jogging strollers have a place for you to put a water bottle or if you don’t carry one then plan your route so there is a water fountain available.
- Last but not least, enjoy this time!
Pregnancy & Physical Therapy 101 – Week 2
As promised, this week’s pregnancy blog focuses on exercises that are safe to perform while pregnant, and the week’s following the birth of your little gem. **Please check with your doctor before performing these exercises!
Regular exercise after having a baby can help decrease stress levels, increase energy, and improve quality of sleep. The American Congress of Obstetricians and Gynecologists recommends 150 minutes of moderate intensity exercise weekly.
Most physicians and physical therapists recommend waiting six weeks before starting a formal exercise program if you had an uncomplicated vaginal delivery, or eight weeks if you had a C-section.
Over the course of pregnancy, abdominal muscles and the surrounding connective tissue stretch to accommodate your growing baby. Unfortunately, they don’t magically snap back into shape a few weeks after you give birth. In fact, it can take months to recover and you may need some guidance along the way.
Abdominal rehab is a type of physical therapy to strengthen and tone weak stomach and pelvic muscles to help postpartum women regain core strength and return to their pre-pregnancy body.
The following are a group of exercises you can perform in the comfort of your own home:
Kegels
- Contract your pelvic floor muscles (those that you would use to stop urinating) by pulling them in. Act is if you were sitting on a cold block of ice pull your pelvic muscles away from it.
- This is a subtle motion so keep all other muscles relaxed, including your buttocks, legs, and abdominal muscles
- Don’t forget to keep breathing
- Practice short, quick contractions as well as longer, sustained contractions
- As you feel more comfortable try doing kegels in different positions such as sitting/standing and eventually walking/hiking.
Pelvic Tilts
- Lie on your back with both legs bent, feet flat on the floor, and tighten your stomach. Tilt your pelvis backwards to flatten your back on the floor. Repeat sets of 10 repetitions.
- When this feels easy, advance by performing the tilt, then slowly lifting one foot a few inches off the ground, place your foot back down and repeat with the other leg, maintaining the pelvic tilt
- Further advance by straightening one leg, sliding along the table and slowly returning to your staring position, repeat with the other leg, maintaining pelvic tilt.
Bridging
- Begin lying on your back, both knees bent, feet flat on the floor
- Contract your glutes, lifting your hips off the floor towards the ceiling
- Hold for 5 seconds, slowly lower hips back down to the floor
- Repeat 10 times, perform 2-3 sets
Side Planks
- Start lying on your side with your body in a straight line.
- Prop up on your elbow, lifting your hips, so that you maintain a straight line from your nose to your toes.
- Hold 30 seconds, repeat 2-3 sets each side
Chest Press
- Start lying on your back, both knees bent, feet flat on the floor.
- Hold your baby right above your chest, elbows bent
- Contract your abdominals, performing the pelvic tilt from above, slowly straighten your arms, lifting baby up toward the ceiling and slowly lower back down to starting position
- Repeat 10 repetitions for 2-3 sets.
Shoulder Press
- Start standing with feet about shoulder width apart, hold your baby so you are face to face.
- Contract your stomach and lift your baby up toward the ceiling, pause and slowly lower back down to starting position
- Repeat 10 repetitions for 2-3 sets.
Squats
- Start: standing with feet shoulder width apart, wearing your baby in their favorite carrier.
- Lower your hips down and back, like you are sitting in a chair, making sure to push your knees out so that they stay aligned over your feet.
- Tip: perform these in front of a mirror to make sure your knees are in alignment.
- Repeat 10 repetitions for 2-3 sets.
- Variation: Wall Squats – squat to 90 degree knee bend with your back against the wall and hold 3 x 30 seconds.
Lunges
- Stand up tall, wearing your baby in his/her favorite carrier
- Step one foot forward, bending both knees
- Make sure your front knee doesn’t go forward past your toes, ideally both knees will be at 90 degrees
- Return to your starting position
- Repeat 10 times, perform 2-3 sets each leg
Walking
- Often overlooked, walking can by a simple yet effective form of exercise.
- Take your baby with you in the stroller starting with 10-15 minutes and gradually increasing.
Exercises to avoid – forward planks, crunches/sit-ups, leg lifts
Crunches won’t fix the problem and will likely make it worse.
Why don’t crunches help?
Traditional sit-ups and crunches target the rectus abdominis (6-pack muscle). But after pregnancy, the connective tissue between these bands of muscle is stretched out, causing each side to pull apart and no longer support your core. Doing regular crunches tends to make the muscles tighter, pushing them further apart and stretching the connective tissue even more so that it grows thinner and weaker.
It may be beneficial for you to see a professional prior to starting exercise. Dysfunctions that may develop and require treatment after pregnancy/delivery include:
- Diastasis Recti – As mentioned above, the rectus abdominis gets stretched out during pregnancy. If it stretches enough the muscle may separate, leaving a vertical gap that allows your belly to sag through.
- Low back/Pelvic Pain – Experts estimate that anywhere from 24% to 90% of women experience low back or pelvic-region pain when they are pregnant. Many women find that this pain goes away when the baby is born. However, more than a third of women still have pain 1 year after giving birth.
Damage to the pelvic floor muscles during pregnancy or delivery may cause:
- Pelvic Organ Prolapse – This occurs when the organs of the pelvis are not well supported against gravity and cushioned against pressure, causing them to literally begin to drop.
- Dyspareunia – or pain with intercourse. This can occur when the pelvic floor muscles spasm and/or if scar tissue is present following an episiotomy.
- Incontinence – difficulty evacuating or retaining the contents of the bladder or bowel. This occurs if the superficial sphincter muscles grow weak or are impaired by labor and delivery.
In many cases, insurance will cover the cost of evaluation and treatment for these dysfunctions. Check with your insurance provider to see if you need a physician’s referral to visit a physical therapist.
Pregnancy & Physical Therapy 101 – Week 1
Our next blog series has been inspired by one of our former bada$$ employees! She decided to start a family, which many of you may remember, because she worked through much of her pregnancy!
Carolyn brings an amazing perspective because she understands the physical therapy side and can bring that knowledge, as well as personal experience, to these entries. We hope you find these as informative and helpful as many other pregnant and new moms have!
From Carolyn: 10 months ago I did not feel like I would ever get my abs back. I had diastasis recti, separation of the abdominal wall. After having two babies so close together, my stomach still looked pregnant months after giving birth. Finally it is going away because I modified my workouts. If you have diastasis recti make sure that you do NOT do traditional sit-ups or planks as they will make it worse. You need to strengthen your core from the inside out.
There is a test you can do to check to see if you have it so you can heal yourself without doing any further damage. The test is: Lie on your back with your knees bent, and the soles of your feet on the floor. Place one hand behind your head and the other hand on your abdomen, with your fingertips across your midline – parallel with your waistline – at the level of your belly button. With your abdominal wall relaxed, gently press your fingertips into your abdomen. Roll your upper body off the floor into a “crunch”, making sure that your ribcage moves closer to your pelvis.
Move your fingertips back and forth across your midline, feeling for the right and left sides of your rectus abdominis muscle. Test for separation at, above, and below your belly button.
If you suspect that you have it, come talk to us at TOPS to see how to best manage this situation. You can also talk to your health care provider on how to proceed further.
Take care of yourself first!!!
Next week we will be posting about safe exercises to perform, and in the future, we will post on a safe return-to-run program.
*For more information and constant updates/inspiration, please follow Carolyn Frye on Facebook. Also check back in with our blog, as we will be doing a series of information regarding this topic!
**Disclaimer: these posts are meant to be informative, but not diagnostic. If you have any further concerns, you can reach out to us, or to your medical provider. We will do our best to help.
25 Questions To Get To Know Chad
25 Questions to get to know our staff
- Who is your personal hero? My dad.
- What are you most grateful for? My family.
- Why did you choose your profession? I started working with an outreach ATC in high school.
- If you could travel anywhere in the world, where would it be? Turks and Caicos.
- What is your favorite color? Blue.
- What is your favorite sport? Football.
- If you could master one skill you don’t have right now, what would it be? Playing Guitar.
- What would be your “perfect” day? On a beach with a beer.
- What is your dream car? GMC Sierra Denali.
- What is your fondest childhood memory? Family trip to Alexandria, MN.
- What is your favorite food? Pizza.
- What is your favorite state or city that you have either lived in or visited? South Dakota, the motherland.
- If you could have one superpower, what would it be and how would you use it? MRI eyes.
- What’s your favorite holiday and why? Christmas, because of family time.
- What is your favorite movie? Dumb and Dumber.
- What is your greatest achievement and how has it shaped you? My wife and children, they have taught me to be unselfish.
- What is your favorite song? Record Year – Eric Church.
- What fad do you wish would come back? Rolling your jeans.
- Who has influenced you the most in your life? My parents.
- If you could take only three items with you to a deserted island, what would they be?
- My wife
- My son Colter
- My daughter Raegan
- If you could be one musician, who would it be and why? Sam Hunt.
- If you could live in a book, TV Show or Movie, what would it be? Dumb and Dumber.
- What animal best represents you and why? An ostrich, I am built like one.
- In what ways are you the same as your childhood self? I sometimes lack patience.
- What is your favorite clothing item? A good pair of Under Armour underwear.
25 Questions To Get To Know Amy
25 Questions to get to know our staff
- Who is your personal hero? My parents
- What are you most grateful for? Everyone who has supported me in my life and, more recently, my dream and passion.
- Why did you choose your profession? My mother and I both had ACL surgeries that I was able to participate in the PT. I was inspired by their work and I also felt a natural affinity for their work.
- If you could travel anywhere in the world, where would it be? All of those places you see on Facebook of “Top 20 places in the world to travel”! I want to go to them all!!
- What is your favorite color? Teal.
- What is your favorite sport? I like to watch football, but I like to play softball. Competitively only.
- If you could master one skill you don’t have right now, what would it be? I’d love to be able to run as fast as the wind! Since that’s not happening…maybe learn another language while I’m sleeeeeeping!
- What would be your “perfect” day? Wake up to a gorgeous sunrise on the beach, run on the beach, make a delicious breakfast…then boogie board, snorkel, jet pack, jet ski, whale watch, etc all day. A gorgeous sunset walk on the beach. An early dinner…and early to bed! haha.
- What is your dream car? A luxury SUV.
- What is your fondest childhood memory? All of our fun family get togethers and vacations. I also love the beach (if you don’t already know that) and Raging Waters!
- What is your favorite food? Mexican for sure.
- What is your favorite state or city that you have either lived in or visited? I love me some good ole Cali-for-nia! And appreciate it now, more than when I lived there!
- If you could have one superpower, what would it be and how would you use it? To be invincible on command! Ummmm…using it goes without saying…this could be super beneficial on many levels! Lol. I would LOVE to have that pill in Limitless…that would also be utilized to it’s fullest extent!
- What’s your favorite holiday and why? I looooove 4th of July; Christmas is a close second though!
- What is your favorite movie? Eh……don’t really care for movies that much to have a favorite one. I guess since I referenced Limitless, I’d have to say I like that one. Otherwise, I like a good non-fiction movie. Preferably a war movie.
- What is your favorite song? I just love me some good ole 90’s R&B baby!
- What fad do you wish would come back? Hypercolor! Or fanny packs!
- Who has influenced you the most in your life? My parents.
- If you could take only three items with you to a deserted island, what would they be? Welllllll, we all know I’d die if I had to live off of the land, so probably some type of energy bar, a friend to help entertain me and build stuff, and…hmmmm…a survival kit!
- If you could be one musician, who would it be and why? Huh? I want to be a rich anonymous person! I don’t want all of that attention…so of course, I don’t know which musician that is…since they are poorly known, but highly paid!
- If you could live in a book, TV show, or movie, what would it be? There are too many questions about TV, Movies and books…I don’t know… I want to live inside the Magic School Bus stories…cuz that’s all I can think about right now.
- What animal best represents you and why? A lion…roar! Cuz I’m a Leo…and my hair is crazy.
- In what ways are you the same as your childhood self? Have you seen me?? I darn near look the same…pictures prove it! And I still really don’t like to sit still much…squirrel!
- How do you want to be remembered? A kind person who helped those who were looking for guidance to help improve themselves.
- What is your favorite clothing item? SHOES!!!