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1DayBetter

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Food is Medicine!

Posted by dr. denny on June 9, 2015 at 3:00 PM Comments comments (0)



Odds are at one point or another you have either asked someone or researched some of the most ubiquitous questions for athletes & laymen: “Which supplements should I take?… What foods should I eat/avoid?… Is taking a multi-vitamin worth it?... What is a good whey protein shake to take?... What should I eat to gain/lose weight?”

The answers are as related as peanut butter and jelly and have everything to do with your own unique physiology vs. marketing, opinions or talking heads (not to be confused with the band). The initial answer starts off the SAME for EVERYBODY, yet the detailed answers you’re searching for are highly individualized to you.

The road to your health, be it weight-loss, maximizing athletic performance, promoting health, warding off disease, or just living so long you make your social security contributions back, starts with a complete food allergy blood panel. The panel should include testing both IgE and IgG antibodies. IgE measures the immediate reactions & IgG measures the delayed (i.e., hours to days) reactions. How else do you really know what works for you & what works against you?

Say the following picture was part of your food panel report:





Now answer the following questions:

1. What is the best source of protein for you?
a. whey protein
b. eggs
c. beef
d. halibut
e. all the above
f. c & d

2. When eating out, what is the best side dish for you?
a. pasta
b. whole wheat bread & olive oil
c. white rice
d. yogurt
e. whatever tickles your taste buds

3. What nutrient may you need to supplement if you follow the blood panel results?
a. calcium
b. fish oil
c. vitamin D
d. glucosamine/chondroitan sulfate
e. whatever GNC or vitacost.com has a special on
f. a & c

4. Which food(s) are most likely to cause weight gain & adversely affect your health?
a. cod
b. yogurt
c. veggie omelet
d. bagel w/ sunflower seed butter
e. b, c, & d
f. I don’t care, I hope I die before I get old (apologies to The Who)

Please put down your pencils… the answers are: f, c, d, & f respectively.

Imagine the immediate & down-stream impact this information has on your life? Food is (or at least should be) medicine. Perseverate on this: Food is medicine, yet what happens if I take medication prescribed for someone else? In other words, would you swallow pills prescribed for your Aunt Betty’s IBS to help with your headaches? Of course not, yet how many of us eat the wrong foods unwittingly because we think: “it’s suppose to be good for me?”

Have you ever wondered why your urine was neon yellow or why your bowel movement was anything but a floating brown log?

The effects of eating what you should & supplementing what you don’t get but need are compounded over time, just like the money you’ll save on needless supplements & meals, health-care costs, internet specials, etc.

The road to a sound mind in a sound body starts with knowing thyself. Ask your physician for a complete food allergy blood panel & be prepared to stand your ground & explain why you want it. An orthopedic doctor once shared with me some frustration in getting their physician to order this test… took two tries & a pledge to go somewhere else for it.

Take-Home:

• You’re just guessing what you should be eating or supplementing with until you get a complete food allergy blood panel procedure which includes both IgE & IgG4.

• Your health & well-being, be it athletic performance, absence of disease, weight-loss, weight-gain (e.g., the “Hard-Gainer”;), longevity, or just putting your best foot forward everyday will maximize with the “right foods & supplements.”

“Investing in yourself is the best thing you can do… you’ll get back ten-fold.”

~Warren Buffett 

57 Maxims for a Healthy Epic Athletic Life!

Posted by dr. denny on April 30, 2015 at 11:35 PM Comments comments (0)



Nutrition:





1. Before embarking on the latest cult of personality diet and supplement strategy, you need to know where you’re starting from. Get a complete blood chemistry work-up including food sensitivities and find someone doing live blood analysis—oh the things you’ll learn!


2. Before deciding you’re a “high-protein” or “vegetarian” eater, go find out your blood type and check into Dr. Peter D’Adamo’s Blood Type Strategies.


3. Protein has become a panacea Holy Grail endeavor nowadays for athletes. How much do you really need? Think .5-1.0 grams per lean pound of muscle mass—sorry Charlie, but you’re not all muscle!


4. Perhaps “gluten-free” has become overblown. Know what isn’t? Being healthy.


5. Traditional dairy sources for calcium and protein are overrated at best and potentially self-sabotaging at worse. Almond, rice, hemp and flaxseed milk are better alternatives… if you need to drink milk.


6. Stop buying whey protein! Doesn’t matter in what form or laboratory it comes from.


7. You can’t train your way out of a poor nutritional foundation or a weekend of debauchery.


8. For those in shock to #6, what are better options? Grass-fed beef/bison/lamb; plant-based proteins like hemp seed; rice protein; free-range eggs; pumpkin seeds, chia seeds, and nuts; EPIC Bars.


9. Algorithm for buying food: 


      Step 1, was it once alive? 


      Step 2, was it free of hormones, pesticides, pollution and           antibiotics? 


      Step 3, was it free to either move around, grow without a          geneticist or chemist, and corn-free?


      If yes, then get-it!


10. There are actually four macronutrients: Protein, Fat, Carbs and Water. Know which ones you need more of? Water and Fat.


11. Fats are like the Force… or the wizarding world… or people in general: there’s a good side and a dark side. Embrace the light side and shun the dark side.


12. Carb Loading is a theory. The reality is your better off without this theory.


13. Most athletes need more healthy fats and less preconceived protein/carb notions.


14. What are healthy carbs? Veggies—perhaps fermented—fruits, sweet potatoes, plantains, sprouted seeds, and Ezekiel bread. Not so sure about rice, legumes and grains. Pasta is out.


15. Your gut flora—good bacteria—has a role to play in your food digestion and assimilation, immune system, and perhaps emotional/mental health. So stop using antibacterial soap and start getting fermented foods and probiotics into your system!



Training






16. Go. Do. Something.


17. Odds are you are suffering right now from D.B.S. Dormant Butt Syndrome aka, Gluteus No Workus. Learn how to hip hinge and get your posterior chain on!


18. Runners and weightlifters need to learn the same thing: how to engage their diaphragm.


19. You may be able to lift more weight when holding your breath; sacrificing form or otherwise getting caddy whompass. You might even be able to get away with it a few times. Sooner or later though you’ll be complaining about a shoulder, knee, neck or back. Guaranteed.


20. Runners and weightlifters need to learn the same thing: how to progressively ramp up and de-load their training volumes and intensities.


21. Pulling or pushing behind your neck is like playing with gas and matches around fireworks. Something’s going to go BOOM!


22. Running before doing dynamic prep work is like driving your car with the parking brake still on.


23. Bench pressing isn’t the worse thing to come out of the 60’s…I think.


24. If in doubt, don’t.


25. On the sixth day God created bear-crawling, skipping, pull-ups, suitcase carries, pistol squats, perfect push-ups, medball throws and jumping. Honor God’s creations.


26. Runners and weightlifters need to learn the same thing: they both need a little of the other’s training techniques.


27. Unilateral exercises and mobility work aren’t considered as sexy as other traditional “get strong” lifts, but I’ve yet to see an athlete in rehab who has done both.


28. Daniel-son needed to paint a lot of fences, wax a few cars and sand the deck to get his martial arts skills down. Don’t be in a hurry to skip the fundamentals or you risk getting your butt kicked!


29. Lifting heavy and near max levels too frequently is like holding down the sander on your wood project.


30. Have a plan, but don’t be married to it.


31. Running on a treadmill may be worse than not running at all.


32. The minute you think you have all the answers is when life plays Jeopardy with you.


33. Goldilocks had it right. It’s up to you to find the right balance. Oh, by the way, it’s going to change… constantly.


34. What works for her, may not work for you. To thine own self be true.


35. Variety is the spice of life and lifelong training.


36. Fall in love with your best friend, not an exercise!



Physical Therapy Potpourri






37. There’s 168 hours in a week. Are you using the majority to your advantage or hoping one to two hours a week will overcome the other 166?


38. Sitting for more than 30 minutes is like drinking hemlock in minute quantities.


39. Your hip flexors have a bigger influence on your breathing, glute function, back, knees and shoulders than you can possibly imagine!


40. Everything has a time and place. Don’t skip the Airex pads, Bosu and Swiss balls because they’re not hardcore, and don’t use them in everything like a damn circus show.


41. If in doubt, crawl it out.


42. Ankle, Hip and T-spine mobility in combination with diaphragmatic breathing may just be a panacea for everything…including Ebola.


43. Ice belongs in a glass, not on your skin.


44. If your physical therapist isn’t using his/her hands, get a new one.


45. Life is a series of choices. You decide what professionals you want to see or where you want to go.


46. Foam Rollers are best used to find trigger-points. Once you find them, stop rolling!


47. Motion is Lotion.


48. Exercise is medicine and medicine is a side effect.


49. Pain can play Jedi mind tricks on you. Practice deep breathing and having a short-term memory.


50. Life is a combination of art and science. So is medicine.


51. Your headaches are NOT caused by an aspirin or ibuprofen deficiency!


52. Listen to your body, it knows more than you think.


53. If you constantly need to drive a lacrosse ball into a painful muscle, you may need to see a PT.


54. Inflammation in the early stages of a tweak/injury is a GOOD thing. Would you call 911 and refuse to tell them where you are?


55. Your hips are the window to your athletic soul.


56. Nobody is more motivated to get better than a runner with a painful tweak!


57. Want to be a champ? Learn and practice how to move cleanly and efficiently. Class is in session daily.

Ice is NOT Nice!

Posted by dr. denny on March 26, 2015 at 3:20 PM Comments comments (0)




Since the 1960’s the medical and healthcare communities have suggested ice for the relief of pain, prevention of swelling and for the “healing” of tweaked muscles and joints.


You may have also heard of the “R.I.C.E.”strategy for dealing with your sprains and pains: Rest. Ice. Compress. Elevate. You can find this suggestion repeated from Dr. Google, to clinics and gym rooms everywhere.


What if this common sage advice isn't in your best interests?





Why isn’t ice nice?


Ice dramatically slows the amount of blood flow to the injured tissue, which inhibits the amount of “good guys” whose job it is to clean up the injured area, lay down new tissue and make new blood vessels. Imagine calling 911, but not telling them where to go!


But what about inflammation? Contrary to popular opinion, inflammation isn’t always a bad thing when it comes to acute muscle and joint injuries. Inflammation signals cells to come to the injured tissue, facilitates transmission of fluids and sets the stage for growing of new blood vessels and tissue fibers.


 At a glance, the effects of icing your tissues that have issues:





What Should I Do Instead?


“To live is to move. To move is to live.”

~Unknown


“Motion is Lotion!”

~Dr Denny Kolkebeck, DPT


Movement allows your lymphatic system to drain built up fluids, transport white-blood cells and decrease pressure at the injured site.


Movement also keeps local and global muscles “turned-on” and providing support to the injured area. Muscle activation provides dynamic support and also helps minimize pain. How? Your nerves deliver more information on activity to your brain then pain—surely you’ve cut yourself and noticed it only after you stopped what you were doing?


In fact, Dr. Ross Hauser has a better suggestion than R.I.C.E. for healing sports injuries. Say hello to M.E.A.T.! Move. Exercise. Analgesics. Therapy.


Movement and Exercise go hand-in hand like peanut butter and jelly—the sum is greater than the parts. In fact the Academy College of Sports Medicine officially decreed: Exercise is Medicine!


Analgesics will reduce pain, which will allow you to move more—see above—without inhibiting the inflammatory cycle like anti-inflammatories and ice do.


Therapy can get to the underlying problems and imbalances that predisposed you to your tweak in the first place and get you doing exercises appropriate for your unique condition.


In a nutshell from Dr Hauser’s book:





So instead of icing and popping Vitamin I (ibuprofen), get yourself moving and exercising your tissues with issues; try over the counter or natural pain-relievers and consider a little physical therapy.


Feel free to reach out to Dr Denny Kolkebeck, DPT if you think you need a little physical therapy for your tweaks and pains.


His contact information is here.



Bibliography:


Hauser, Ross A., and Marion A. Hauser. Prolo Your Sports Injuries Away!: Curing Sports Injuries and Enhancing Athletic Performance with Prolotherapy! Oak Park, IL: Beulah Land, 2001. Print.


Kolkebeck, Denny, 2014 “Scrape and Tape: How to use soft-tissue mobilization with tools and kinesiology taping techniques to accelerate your client’s goals.” Rehab Connections, Homer Glen, IL


“The Use of Crotherapy in Sports Injuries.” Sports Medicine 3 (1986), 398-414.


"What If I Told You Everything You Know Is Wrong?" Quickmeme. N.p., n.d. Web. 26 Mar. 2015.

Are you Irish?

Posted by dr. denny on March 17, 2015 at 9:05 AM Comments comments (0)

Imagine walking into St Christopher's Church on St Patrick's Day weekend and reading from the church bulletin a post called, Erin Go-Bragh." A post which describes you down to your very core!


Perhaps it resonates with you too?


Erin Go-Bragh




What shall I say about the Irish…?

The utterly impractical, never predictable,

sometimes irascible, quite inexplicable Irish?

Strange blend of shyness, pride and conceit.

And stubborn refusal to bow in defeat.

He's spoiling and ready to argue and fight.


Yet the smile of a child fills his soul with delight.

His eyes are the quickest to well up in tears.

Yet his strength is the strongest to banish your fears.

His hate is as fierce as his devotion is grand.

And there's no middle ground on which he will stand.

He's wild and he's gentle, he's good and he's bad.


He's proud and he's humble, he's happy and sad.


He's in love with the ocean, the earth and the skies.

He's enamored with beauty wherever it lies.

He's victor and victim, a star and a clod,

But mostly he's Irish in love with his God.

Do You Eat Like a Super-Hero?

Posted by dr. denny on March 12, 2015 at 1:15 PM Comments comments (0)

You live a hectic, fast-paced life with little time for making and eating something that will vanquish your hunger, promote your health and satisfy your sweet tooth.

With very few exceptions, the fast-food industry is glorified, chemically produced crap you eat because of time and addiction…literally!


The food that goes, “pass your lips and over your gums,” should meet these criteria:


1. Be real food

2. Facilitate achieving your athletic goals

3. Assist in optimizing strength-weight ratio (i.e., fat loss)

4. Promote your health and well-being


So what can you do in five to ten minutes to meet this list of requirements?


Step 1: Buy some nutritionally dense Super-hero foods!


Pictured clockwise from left to right: banana-sunflower seed butter-broccoli-flaxseed-chia seeds-hemp seeds-kale-pepitas-blueberries.



Step 2: Get a blender you feel will work best for you—personally I use a NutriBullet.



Step 3: Combine and blend—this may take two blending runs to allow room for all of the food you’ll be combining together. Exact serving sizes used is listed below. Add water and or ice cubes to taste.


Step 4: Drink to your health and prosperity!



What is the nutritional value of this nectar of the gods?



Don’t be freaked out by the total fat coming in at 57.2g. This is high in omega-3 fatty acids that help to reduce your body’s inflammation, lower triglycerides, provide energy, satisfy hunger, help with cognition, and makes up the membrane in every cell in your body.


You can also throw away your protein powders since at nearly 45g, you’ll have plenty to stimulate muscle development, repair and maintenance for your training and aesthetic needs. In fact, if you’re a 180# male at 15% body-fat, this is 1/3 of your daily needs. If you’re a 140# female at 20% body-fat, this is roughly 50% of your daily protein needs!


The total carbohydrates are equal to two cans of pop, but what a difference in nutritional offerings! This is a perfect post training meal if you’re looking to replenish energy stores or a pre-game meal if you want to be ready for the fight! If you have insulin sensitivity concerns or prefer fewer carbs, you can drop the banana and reduce the blueberries to ½ cup.


The choice is yours.

Why waste your money and time on eating foods that offer little return on your health and bigger dents in your wallet in both the short and long-term?


Be a Super-hero in your choices!

Isn't it time to delete the bench press?

Posted by dr. denny on February 25, 2015 at 12:00 AM Comments comments (0)

Heretic: [noun, her-i-tik] 

• anyone who does not conform to an established attitude, doctrine, or principle.

 

History has shown us that heretics who do not peddle the “known truths” or company line tend to meet considerable head winds.

 

For example:

 

• Galileo thought the sun was the center of the universe as opposed to the earth, which was the established truth at the time. He escaped being burned at the stake for heresy, but remained under house arrest for the rest of his life.

 

• Doctors Robin Warren and Barry Marshall presented research showing bacteria caused peptic ulcers and not spicy food and stress as the rest of the medical community believed. They encountered ridicule and opposition from colleagues for years until other heretics started verifying their results.

 

• Mike Boyle posited that doing back squats posed an unnecessary risky exercise compared to other alternatives. He encountered an Internet maelstrom not seen since Google announced it was indexing copyrighted books!

 

The German philosopher Arthur Schopenhauer said it best, “All truth goes through three steps. First, it is ridiculed. Second, it is violently opposed. Finally, it is accepted as self-evident.”

 

While the following will probably draw fire from strength coaches, athletes and “gym-rats,” it needs to be said: it’s time to hold down the control, alt and delete buttons on the bench press.



 

The bench press was invented in the 1960s when “odd lifting” clubs (the precursor to power lifting associations) whittled their repertoire of 42 exercises down to three: squat, dead-lift and bench press. The popularity of the bench press grew in the 1970s after the Olympic weightlifting program decided to remove the overhead press in order to focus on the snatch and clean and jerk lifts. Up to this point if you had asked a 14-25 year old male, “How much do you press?” The answer (inflated by 15 pounds) would have been with the understanding you were referring to the overhead press. 

 

Contrast that with what Dr. Ken Kinankin had to say regarding the bench press in a T-Nation article, “… most individuals measure their strength, and perhaps their manhood, by how much weight they can bench press.” In the words of a famous poet from across the pond, “methinks they hold their manhood cheap.” Isn’t manhood about doing the right thing for the right reasons regardless of consequences?...Taking responsibility for your actions and those in your sphere of influence?... Keeping the wolves at bay? How did our young athletes psyche get warped by one exercise?


How does golfing have anything to do with bench-pressing?


Coming at this from a different angle, think of your shoulder as a golf ball and your shoulder blade as a golf tee. Imagine a very thin bead of caulk around the edge of the golf tee... this is called your labrum. Now imagine four rubber bands tied around the golf ball and tee to provide support ... your rotator cuff. The goal of the labrum and rotator cuff is to provide stability for your shoulder while it moves and to keep your shoulder securely attached to the shoulder blade.


Now imagine what happens to that golf ball sitting “securely” on the golf tee when Joe Bruiser pulls out his Big Bertha club and starts whacking away at it a-la bench pressing?

 

A study by Drs Provencher, Bell et al published in the American Journal of Sports Medicine reported the successful surgical repair of the shoulders of 19-25 year olds, due in part to, “Multiple traumas to the shoulder joint caused by repetitive injuries such as performing heavy bench pressing.”

 

What was the take-home message from a study published in the American Journal of Roentgenology? Bench-pressing heavy weights can contribute to labrum injuries, which increases 15 fold if you are also a football player!

 

Another study in the American Journal of Sports Medicine looked at both weight-lifters and power-lifters comparing injury rates and which musculoskeletal areas experience the most risk. Power-lifters were found to have a higher risk of reported shoulder injuries compared to Olympic weight-lifters.

 

A growing pattern has emerged in the sports medicine research, yet are you listening or repeating the mistake made by the medical community when they ostracized Drs Warren and Marshall for suggesting bacteria caused ulcers?

 

Notable strength and conditioning coach Eric Cressey, whose niche is training both future and current baseball stars, commented that he saw no direct association between a respectable bench press and throwing velocity among his pitchers.

 

Finally, what exactly is the carry-over and benefit of the bench press? When did the Specific Adaptations to Imposed Demands (S.A.I.D.) Principle get tossed out the window? If athletes need to train their nerves, muscles, joints, energy systems and equilibrium to the demands imposed on them by their sport, which sport are athletes preparing for when they lie on their back, arch it up like a viaduct, perform a valsalva maneuver and push towards the sky? Powerlifters excluded of course.

 

What are some alternatives that offer a better return on investment with less risk?

 

• Push-Ups. They require the core and glutes to resist lumbar extension and to stabilize the shoulder blades while they move along the rib cage. Push-Ups also requires basic foot-ankle and forearm-wrist flexibility.


 

• Ring/TRX push-ups. These require higher levels of core activation for stabilization of the trunk and also allows the hands to be free to move in space further increasing shoulder stabilization and reducing stress on the shoulder joint by avoiding end-range internal rotation--hands can face each other.


  

• Vehicle or Prowler Presses. Incorporates everything from the big toe up to the eyes and all points in between. Consider which athlete wins "the battle": the one who bench-presses or the one doing Vehicle or Prowler presses?

 

 

 

• Medicine Ball chest passes. What is the point of strength if it doesn’t translate into power? Rapidly accelerating a medicine ball towards a wall or partner generates a quick explosive movement which activate fast-twitch muscle fibers needed in the game of life.

 

 

 

The examples given require contributions and integration of the lower extremities, core and upper extremities to perform the activities with control and finesse. Think back to the shoulder-golf ball metaphor. Imagine Joe Bruiser trying to hit the ball off of the tee, but now picture what happens when the grass (i.e., your core muscles) and dirt (i.e., your leg muscles) grow around the ball and tee and move it while J.B. tries to hit it!

 

Additionally, the athlete’s whole body benefits from working through movement patterns which come closer to the real world (i.e., S.A.I.D. Principle) and move away from isolated muscle routines which speaking anecdotally, increase visits to doctors and physical therapists.

 

Finally, if Dr Kinakin is correct and most athletes correlate their manhood with their strength in one exercise. Consider the improved sense of manhood the average athlete will get when he gets to answer the question, “How much can you press?” with a straight faced answer of, “A Ford F-150.”

 

References:

Bhatia, Deepak, J Beer, K S van Rooyen, F Lam, & D Toit. The "Bench-Presser's Shoulder:" An Overuse Insertional Tendinopathy of the Pectoralis Minor. The British Journal of Sports Medicine. 2007; 41:1136


Cressey, Eric. "Should Pitchers Bench Press?" ericcressey.com. Cressey Performance, Feb 11, 2010. Web. November 15, 2011.


Escobedo, Eva, M Richardson, Y Shultz, J Hunter, J Green, & K Messick. Increased Risk of Posterior Glenoid Labrum Tears in Football Players. American Journal of Roentgeneology. 2007; 188: 193-197


Gross, Michael, S. Brenner, I Esformes, & J Sonzogni. Anterior Shoulder Instability in Weightlifters. American Journal of Sports Medicine. 1993; 21: 599-603


Kinakin, Ken. "Bench Press Blow-Outs: Prevention and Treatment." t-nation.com. T-Nation LLC, March 2, 2000. Web. November 15, 2011. 


"Powerlifting." Wikipeida, The Free Encyclopedia. Wikimedia Foundation Inc. Web. November 15, 2011 


Provencher, Matthew, SJ Bell, KA Menzel & T Menzel. Arthroscopic Treatment of Posterior Shoulder Instability Results in 33 Patients. Americal Journal of Sports Medicine. 2005; 33:1463-1471 


Raske, Ase, & R. Norlin. Injury Incidence and Prevalence Among Elite Weight and Power Lifters. American Journal of Sports Medicine. 2002; 30: 248-256

 



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