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Fitness Question: neck Surgery, can I still exercise?

I just had a procedure done ( a herniated disc between the sixth and seventh vertebrae.) The bulge has been removed at the back of the neck. I had nerve failure in my left arm because the nerve was blocked by the herniation. Now I have one problem: I walked an hour two or three times a week, but according to the GP that is not so good for my neck, because I have osteoarthritis between my sixth and sixth cervical vertebrae (strongly narrowed intervertebral space with slight disc herniation and the other neck vertebrae have a small disc protrusion).

My question now is, whether it is wise to buy a cross trainer and keep my fitness level, or are other sports suitable? I mainly did fat burning and endurance. I am 50 years old and still want to be active.

-Christine

Mark Chen, Physiotherapist

I think it is certainly a good idea to keep the condition maintained with a cross trainer. I would also put the advice of the GP to the test. The idea that osteoarthritis should be a reason to be careful is very old-fashioned.

Recent scientific research has tested the causal relationship between abnormal findings and pain by allowing people without symptoms to take an MRI scan. These studies show that there is a huge percentage of deviations that in these cases are totally unpaired with pain or discomfort. For example, for a disc protrusion or a “bulging” as you describe, 87 percent. For degenerative changes of the discus, such as dehydration / narrowing, as many as 96 percent of the older population. This group, please note, does not experience any complaints.

This should be a reassurance. The findings in your neck are normal, and not necessarily responsible for any complaints. Of course, from my position, I can not determine whether there is actually a connection!

My advice would be to find a passionate sports physiotherapist who can help with this process. The neck must be tested calmly to see what is and is not possible!

That way you will probably be surprised at what is possible. The idea to reduce a basic activity such as walking at such a young age (provided there is a good reason for this) does not seem sensible to me.

I hope this helps!

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Step #6 of the Ketogenic Diet guide: 30 Snack options

What’s up #KetoCorporal.

This assignment is as pleasant as it is practical :  Snack options.

Goal:

Having snack options for every situation of the day. On the road, at the office, before the gym.

What to do:

Take a look at the list below and then check the fridge. See which 5 snacks you can prepare for the next couple of days

easy.

Show me your commitment and inspire me by posting your 5 snacks right here 

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Step #5 of the Ketogenic Diet Guide : Breakfast (+Options)

What’s up #KetoCorporal.

Here’s a new assignment: Breakfast options.

Goal:

Prepare a Ketobreakfast and come up with 3 other options for the week

What to make:

This is an all-time favorite when it comes to Keto breakfasts. And what’s not to love?

We’ve got eggs, bacon, tomatoes, and maybe a bit of cheese thrown in?

Delicious.

The site I’ve directed you to is awesome because it’s like a google specifically for Keto Meals. Just note what the main ingredients to a dish should be, click “keto only” and BOOM. Plenty of options.

What to do : Use the link provided to come up with 3 meals to make over the week.

 

Show me your commitment and inspire me by posting your favorite recipe on the page here

 

 

 

https://www.dietdoctor.com/recipes/classic-bacon-and-eggs

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Keto Diet Step by Step guide step 4: Start Strong with Keto Coffee

Goal:

Make yourself a batch of Bulletproof Keto Coffee and start the day right

Why:

This delicious coffee packs a meal-worthy  300 calories and combines the power of caffeine with healthy brain-assisting fats and vitamins from the grass-fed butter

How:

  • brew a strong black coffee
  • Put 2 tablespoons of Grassfed butter in a blender
  • add 1 tablespoon of MCT oil (I use coconut oil)
  • Pour coffee in
  • Blend until thick and cream
  • Enjoy!

Additional Assignment:

Start burning some fat on a cardio machine of choice and watch this video

 

Show me your commitment by posting 1 thing you’ve learned from the video on the Facebook Page with the tag #KetoCoffee

 

Ready for the next Challenge? Click here

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Keto Diet Guide Step 3 : Shopping

Hi there #KetoCorporal .

If you’re reading this, you’ve probably come from step two of the Keto Diet Guide.

*If not, please go here first. It’s important before moving on.

Shopping Assignment “Preparation is key”

Goal: Making sure you have the right foods to eat

The Why:

If you only have Ketogenic foods, chances of you reaching out to something out of habit, or “not having anything Keto” is extremely diminished.

What do to: 

Go Shopping! Use the list below to get enough foods for the entire week. Don’t worry about recipes too much yet. As long as you have the right items, we’re good.

I’d say the following are eggssential 😉

  • eggs
  • bacon
  • ham
  • cheese
  • milk
  • full fat cream
  • lettuce
  • broccoli
  • garlic
  • onion
  • cooking cream
  • butter (grass fed)
  • tomatoes
  • almonds

Let me know what you bought with a photo of your bought items on the Facebook Page

By the way, have you checked out the Patreon Page? There are Daily workout challenges over there for just 1$ per month, while supporting a person in need. Come check it out

 

 

And when you’re ready to move on and learn about how to make your morning coffee Keto and awesome, click here

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Keto Diet Guide Step 2 : Elimination Assignment

If you’re reading this, you’ve probably come from step one of the Keto Diet Guide.

*If not, please go here first. It’s important before moving on

Assignment: Elimination

 

Goal: Target and Eliminate all Carbs

The Why:

The point of the Keto Diet is getting into a “Ketogenic State”. A situation in which the body is forced to use fat is a primary and only use of fuel.

What do to: 

I need you to go into the fridge and make note of everything you can not eat during the Ketogenic diet. Look for products like the following

  • Bread
  • Rice
  • Grains
  • Pasta
  • Fruit*
  • Juices/Soda’s

All of these (and many more) are heavy carbohydrate-based and will need to be completely eliminated before attempting the diet.

Choose to either discard of it all / give it away / eat it before starting the diet.

 

Let me know your decision below in the comment box or on the Facebook Page

By the way, the page has a bunch of free workouts also, so keep up to date by liking it!

 

Ready to continue? Click here for the next assignment

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What to do with a torn Meniscus

knee pain fixed

“I am 64 years old and heard a ‘crack’ in my knee when my upper body turned to the left. My knee stopped and locked. I’m worried that I may have torn my meniscus, or maybe my cruciate ligament.  I read on the internet that surgery is not done beyond a certain age. Is this correct? Which exercises do you recommend to have my thigh muscles take over the function of the cruciate ligament?”

The diagnosis has not yet been made, this is based on my own assumption. I lead a quiet life without sport, but I do cycle.

What should I do with a torn meniscus? My outer meniscus was removed forty years ago.”

Sent by: Ineke

Mark Chen,  Physiotherapist:

Whether or not the operation is done depends more on the general health and functioning of the knee rather than on age. In order to know this for sure, you could briefly consult with the GP or the orthopedic surgeon, or who would be the designated person to perform any procedure.

You indicate that the diagnosis has not yet been made. It seems like a good idea to at least have the knee examined by a specialist and have the cruciate ligament tested. If they turn out positive then there is a considerable chance that there is actually a tear. In the case of a “crack” or a hairline tear, an intervention is probably not necessary.

The cruciate ligaments are mainly needed for fast movements and when we change direction. Think for example of tennis or football. When cycling and walking cover the largest part of your exercise activities, there is a big chance that you can continue to function completely without problems, even without a cruciate ligament.

I recommend visiting the physiotherapist to at least have the knee examined. He/she can immediately give exercises to strengthen the knee if necessary.

I hope this helps!

 

 

Ps. we have a team of experts that can help out with almost any questions related to health and fitness. Have a question? Send it in!

https://www.gezondheidsnet.nl/experts

 

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Fitness Question: Neck Surgery, now what?

Neck Pain

I just got operated for a herniated disc between the 6th and 7th vertebra along the back of the neck. A part has been removed. I had a nerve failure in my left arm because the nerve was compressed by the herniation. Now I have one problem; I walked 2 or 3 times a week for 1 hour but according to the doctor that is not very good for my neck because I have osteoarthritis between my 5th and 6th cervical vertebrae (strongly narrowed intervertebral space with slight disc herniation) and the other cervical vertebrae have small disc protrusions)

My question now is whether it is wise to buy a cross trainer and to maintain my fitness level that way. I mainly did fat burning and endurance.

I am 50 years old and still want to be active and have no overweight bmi = 21

Christine

 

 

Mark Chen, Physiotherapist:

 

Hi Christine,

I think it is certainly a good idea to keep the condition up to date via a cross trainer. I would certainly also put the advice of the GP to the test.
The idea that osteoarthritis should be a reason to be careful is very old-fashioned. To get an idea of what I mean, take a look at the next image.

 

Recent scientific research has tested the causal relationship between abnormal findings and pain by allowing people to take an MRI scan without any symptoms.
These studies show that there are a huge percentage of deviations that in these cases are totally unpaired with pain.
For example, for a disc “bulging” as you describe, 87% !!!
For degenerative changes of the discus, such as dehydration/desiccation, as many as 96%!!! of the older population.
This group, again, does not experience any pain.

This should be a reassurance. The findings in your neck are normal, and not necessarily responsible for any pain.
Of course, from my position I can, not determine whether there is actually a connection!

My advice would be to find a sporty physiotherapist who can help with this process. The neck must be tested slowly to see what is and is not possible!

In this way you will probably be surprised at what is possible. The idea to reduce a basic activity such as walking at such a young age (provided there is a good reason) does not seem sensible to me.

I hope this helps!

Mark Chen

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Fitness Question: Shoulder pain

“I suffer from a bursitis in my shoulder. Now I have heard that an injection does not always work. Can I benefit from physiotherapy?”

-Astrid

Mark Chen, Physiotherapist

How annoying that you have bursitis: They can, especially in the shoulder, be very persistent.

Injections are an often used treatment for bursitis and other inflammatory issues. The results are variable, but generally very good. With such an injection, corticosteroids are injected into the joint, with the intention of reaching the bursa, or whichever structure is the problem. A good placement of the injection is, therefore, very important.

The cortisone that is used is a variant of a hormone that the body itself makes to combat inflammation. When cortisone is administered from the outside, the immune system is suppressed and the body temporarily stops with production. In the short term, so with a single injection, that is generally not a problem. But the use of cortisone in the long term can have adverse effects, such as atrophy (decrease) of muscle tissue, decrease in bone quality and susceptibility to infections.

Physiotherapy

If you opt for treatment by a physiotherapist, you will probably look at the underlying cause. When the bursitis in your shoulder is not caused by a trauma, there is often a reason to find in the mechanics of the shoulder, posture or behavior. You can identify and solve these types of causes together with a therapist. In many cases, an injection is not required.

I myself always advise people to take a close look at the immune system. Are there ways, for example in your diet, to support the body in its own abilities to heal? When the shoulder is relieved, the body is well hydrated and provided with sufficient building materials, then you are often perfectly able to solve an inflammation by yourself.

Of course, one does not have to exclude the other. The physical therapist can inform you if and when it is wise to choose an injection.

 

Hope this helps!

 

-Mark Chen

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Fitness Question: Exercising with worn joints?

I have lost cartilage in my knee and a little bit in the hips, can I still do spinning? I’ve been doing it for years.

-Diny

Mark Chen, physiotherapist

The advantage of spinning is that it is not a weight-bearing activity (except the standing parts , of course). That makes it a ‘safer’ option than, for example, running, in which your knees and hips have to endure huge impact for miles. So if you look at it purely from a mechanical perspective, no problem at all.

You indicate that you have been doing spinning for years.

Could it be that the amount of years and intensity have contributed to the amount of wear?
Ultimately, spinning is  a very one-dimensional and repetitive form of sport. Do you clearly have more issues immediately after spinning, or the morning after? In that case you can question how beneficial spinning is for your body.

I am personally in favor of variety, not only because I like to do different things myself but also not to stress my body too much in one way. I also recommend this to the majority of my clients. Ask yourself the above questions and if spinning does indeed cause issues to you, then consider reducing or varying with a different sport.

 

Mark Chen

Physiotherapist / Personal Trainer / Nutritionist