Arthritis, Be Well health tips, Health and Fitness, Keep Moving: Managing Arthritis

It comes down to what we eat

Gentle Reader,

A friend sent me a TED talk by Dr.Terry Wahls  on MS this past week.  In the 5 minute screening she recounts her productive life as a research scientist up to the debilitating onset of MS.  Seeking the best care medical professionals had to offer, her condition worsened.  Driven by her inquiring mind to know as much as she could about her disease, she began to experiment with different foods and supplements.  As her condition improved, she increased her dependence on whole plant foods, greens, reds, yellows, blues, purples and lessened or stopped eating altogether all refined foods, meats, dairy, sugars, grains.  Exercise became possible.  Brain function and mobility returned to better than normal.  All drug intake stopped.  Take a minute to watch. http://www.youtube.com/watch?v=KLjgBLwH3Wc

Arthritis caused by spinal stenosis and osteoarthritis is not Multiple Sclerosis.  I realize this. I would challenge anyone suffering from the pain and loss of mobility caused by arthritis to eat the diet Dr. Wahls describes and discover how much this pain lessens and mobility increases.  Every other system in the body improves with this diet.

Now, most people will not be able to eat this way day in and day out.  I don’t. For instance, yesterday I ate 1 meal on the run, getting off for choir practice with a protein shake in my car.  The next two meals I ate in the company of church members, lunch with a homeless community meal; dinner with the group of people I traveled with to Nicaragua in February.  My defense is supplementation.  The Carotanoids, Flavonoids, the Liver Cleanse, the pre and pro biotic do their best to take the place of the diet Dr. Wahls recommends.  When I am home, like today, I will eat this way.

You may have decided this blog is becoming too much of a harangue about diet and lose interest in following my Monday posts.  Before you go, just think outside the box, if you will, and consider the value to your health of a diet of fresh fruits and vegetables, natural oils and proteins from plant sources.  Think of the future you dream of with your children and grandchildren, of travel and gardening, of skiing and hiking, of knitting and sewing without pain well into your 80’s and even your 90’s.  What is the price you are willing to pay for a pain free future?  We pay for our health sooner or later.  A wholesome diet and supplementation put the money up front and could lessen the cost of healthcare in our later years.  Think about it.

I am too harsh and unforgiving.  I love you just the way you are and would gladly listen to your stories about ways you have found to alleviate your arthritis pain.  If you do experiment with the Dr. Wahls diet, let me know how it goes.  If you want to fill in the gaps with “foodlet” supplements that are guaranteed to make you feel better or your money back, let me know that, too.

Be well, Do Well and Keep Moving.

Betsy

BetsyBell’s Health4U

206 933-1889

Seattle, WA 98116

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Arthritis, Health and Fitness, travel

Nicaragua: How it went from the body perspective

Dear Reader,

From yoga to Central America and back.  I am happy to report that I needed very few of my Shaklee herbal Pain Relief tablets.  I packed about 18 in my little emergency pill-box, plus 6 Aleve.  In the airport back here in Seattle after sitting on the airplane for 10 hours and hauling the 2 rolling suit cases along miles of hall ways, I swallowed the last herbal remedy.  There are still 4 Aleve in my box!  I was amazed.

Exercise: practically impossible to get the usual exercise.  Unconventional exercise opportunities came along frequently.  In Managua, we all stayed in various homes clustered around the Cultural Center in the barrio of Batahola.  After a 36 hour trip (we missed our plane leaving Seattle and had to re-book 18 hours later), Alicia (my granddaughter of 13) and I joined our group for tours of two collectives in which Nicaraguans produce products from local materials for sale locally.  From there we headed for our home stays where, after meeting the family and unpacking my suitcase, I showered and washed the clothes I had on so long. This is the first exercise.  One washes standing over a double sink, the washing side of which has an old-fashioned rubbing surface.  You wet the clothes by dipping water from the larger of the two tubs and splashing it over the clothes and then scrubbing.  Of course my delicate ExOfficio sports clothing wouldn’t tolerate that kind of treatment.  I used my laundry soap from home and gently got the sweat and grime out, rinsed over and over with dips from the water tub and finally hung the clothes on the lines strung in the patio over the concrete floor and potted plants all around the edge.  Open to the sky, everything was dry in the morning.

There was no early to bed for us.  Around 8:15 after dinner of rice and beans, fried bananas and steamed beets and a strange new root vegetable that had been boiled and mashed with butter (yummy), the family announced they were going to a concert.  Would we like to come?  Exhausted as we were, we chose to go along.  We walked–three children, grandma and grandpa and daughter–to the main road (about 1/2 mile) and hailed a cab.  Four adults and 3 children sat in the back seat with Don Encarnacion Nicaragua in front with the taxi driver.  What a ride!  The concert was a first gig for a talented young group with a clear, warm tenor; a rich sultry contralto and our family’s friend, Ana, the back up singer, violinist, flute player, castanet shaking beauty.  The rhythm section included every sort of Latin drum and vibs, acoustic and electric guitars.  The music rocked.  The audience knew the words of all the popular songs from the Misa Campesina and their original tunes were haunting and worthy of a CD.  The place was an outdoor bar, tables and people filling the concrete slab just below the stage area which was right in front of the serving bar.  We were a bit late at 8:45 and sat at a table on the dirt slightly sloping floor along side the stage and right in front of the powerful sound system.  No chance of nodding off.  Huge bottles of Tona, the Nica beer, fried cheese and fried bananas and coke for the kids arrived.  By mid-night I pleaded total exhaustion and the mother and children took us home in a cab while the seniors, Mr. and Mrs. Nicaragua stayed to the end.  Amazing.

The next day, real exercise presented itself in a dance lesson at the cultural center led by probably one of the best group class exercise leaders I have had.  We practiced the salsa, merengue, and several other steps I can’t name.  She had us stretching.  Washing out those clothes and showering all over was a necessity after that work out.  And no pain.

Was it the heat?  Was it the vacation?  Was it the clean diet of corn, beans, rice, vegetables and no wheat at all?  Who knows.  I was grateful.

Not to give you an entire travel log, but I want to mention a couple more exercise moments.  We stayed a night in the lovely hill city of Matagalpa, where like Seattle, to get anywhere you have to walk up and down.  At one moment I was able to take off alone and walk up hill.  We would never permit that steep an incline for normal driving.  On my way back down from a high point in front of a lovely house, I passed a woman about my age carrying 2 sacks of groceries, her face contorted in pain, breathing hard and resting often.  I thought how fortunate I am to have all the self-care and practitioners to keep me in such good shape.  I can elect to walk the hills of Matagalpa.  She cannot.

Our group of 10 from Saint Mark’s Cathedral was organized through Matagalpa tours.  We spent two nights in the campo, staying with farm people, members of the fair trade coffee collective, Cecocafen.  Two from our group and I walked over a mile to get to our farm stay, again on gravel/dirt road that rolled with the hills up and down.  At the house, visiting the bathroom was an athletic even.  At night the doors were bolted with heavy iron bars which I had to lift and move, then removing a heavy beam holding the upper half of the door shut.  Then I had to navigate a steep stone stair case down to a dirt slope that descended to the outhouse, being careful to duck under the clothes wire set to smack me right in the eye balls.  A few stone steps up to the heavy wooden door to the two hole latrine.  I scoped out the outhouse trip during the day light and wore my head lamp.  Oh, did I forget to mention that going down the outside stone steps included trying not to disturb a pile of dogs who slept there.

I was glad I had tucked in a therma-rest mattress to help me sleep on the 2 inch thick foam pad on a ply wood sheet on 4×4 legs of a bed.

Several in our group climbed an active volcano outside Leon, the colonial city in the western part of the country.  I chose a city tour with two of the other older participants and we got to climb to the roof of the cathedral, a classic Spanish structure.  The ring of fire around Leon is impressive and most residents have experienced ash in their homes and on their faces.  It makes for very fertile soil and beautiful vegetables and fruits are produced on the mountain farms.  We learned about the complex mixed farming of shade grown, organic coffee, tucked in with bananas, fruit trees as the upper story.  Beans were ready for harvest, pineapple had just been planted, corn was bagged and carried by a yoke of oxen to a high place for winnowing the chaff.  A little mechanical help from a small John Deer tractor would ease the hardship of these farmers’ lives.  They rise at 4 to shower in the dark, make tortillas and get their children ready in their blue trousers or shirts and spotless white shirts to walk the 1 1/2 miles to school by 7:30.  What a pleasure to watch the children gather from the scattered farms to form a river of blue and white, each with their back pack, the 5 year olds holding hands with the older sisters and brothers.

At night, returning from our day exploring the area as a group, we walked home to our farm on a moonless clear night. Seldom have I seen such stars, the Milky Way so brilliant as to light our way with Orion leading to the south.  Everyone was in bed by 8:30.

Our Saint Mark’s group returned to Seattle last Monday and Alicia and I stayed another 6 days, she with her father and his family; I with a welcoming couple and their 40-year-old son living in Batahola, across from the Cultural Center.  Here is a link in English where you can read about this remarkable place.  I signed up for more of Carla’s dance classes and met a great group of women who come twice a week to learn about nutrition, health (mini lectures between the merengue and salsa) and exercise.  They were very welcoming and chatted me up with questions about the US and plenty of sharing about their work, families and home life.  My Spanish was up to it, I am pleased to say.

My host mother is interested in prevention and nutrition and we had wonderful long conversations about herbs and vitamins and foods that help with her aches and pains.  She is 61 and not taking any medications.  She was #5 in a family of 12 and her parents both lived into their 90’s.  Her grandmother lived in the mountainous countryside until her death at the age of 115.  Besides keeping visitors for a small sum (room and 3 meals $20 a day), Dona Cony made helado, a fresh popsicle sort of fruit ice cream.  She made 5 flavors: one, chopped mango, banana, watermelon, cantaloupe, and something else, vanilla and cinnamon poured into 1/2 cup sized plastic bags and tied by hand and frozen. Other flavors are coconut, cocoa, cherries ground fine and mixed with milk, and a slightly fermented concoction of pineapple and some other fruits that she first cooks to get the acid out and then skims, added a bit of rum and other flavors and largish pieces of banana.  I didn’t get to try this one and had to content myself with helping.  They sold for 5 cordobas.  23 cordabas = $1.  She doesn’t advertise.  There is no sign.  People come from all over the neighborhood and beyond to buy one or a dozen at a time.  I explained that such cottage industry would require an enormous amount of red tape here in the States.  They let the buyer beware and the seller maintains a spotless kitchen. One bad batch and she’d be out of business.  News travels fast, especially when it is bad.

I’ll get back to the wonderful topic of preventing and managing arthritis next Monday.

Be well and Do well and most of all, keep moving!

Betsy

BetsyBell’s Health4U

206 933 1889

www.hihohealth.com

Arthritis, Health and Fitness, travel

Yoga and arthritis

Gentle Reader,

My morning routine of lying on the floor, legs over the Back2Life machine, followed by several gentle yoga poses gets my body functioning.  I am then ready for the chair chi gong exercises, free weight lifting both standing and the lying on an ethafoam bolster and more stretches with a theraband, emphasizing the IT band with the leg slightly drawn high across the body.

Yoga, what I call the essence of Yoga, is at the core of all this early morning routine.  Mary Sue Corrado, my Pilates instructor, worried that I would overdue yoga and increase the damage to the L5 disc, that I would exacerbate the osteoarthritis slowly worsening at age 68.  I was training to climb Mt. Shasta, the 14000 ft peak in northern California.  I was part of a team climbing to raise money for The Breast Cancer fund, whose aim is to prevent breast cancer by advocating for the elimination of human causes of environmental pollution.  All the training materials recommended yoga for core strength.

If you would like to climb mt. Shasta with the best support you could imagine, get in touch with Connie George at the Breast Cancer Fund today and GO FOR IT!  It was a top experience of mine and could be yours.

I asked for a private appointment with an instructor at the 8 Limbs yoga studio, only a 1 mile walk from my house in West Seattle.  I needed a private lesson and assessment because I required guidance on how to modify any program to take care of my weaknesses and physical vulnerabilities.  The early morning class led by Amelia Gailey taught me how to center with my breathing, gently move to wake up the body and slowly build to a strong powerful series of poses.  Over the next 5 years, I practiced at 8 Limbs and gained tremendous core strength.  Pain management took care of itself.

A couple years ago, pain increased with a full yoga session involving all the asanas and I had to discontinue a full practice session.  I know that it would be beneficial for me to find a gentle class.  Instead I found Jennifer Kreis’s Hot Body/Cool Mind DVD and use her yoga routine, and seated chi gong for a morning workout.

My own exploration resulted in using yoga for pain management.  A recent study conducted by the Arthritis Foundation found that arthritis patients who maintained a regular routine of range-of-motion and low-resistance exercises (like yoga) showed less pain and better mood over the long term. Studies also show that people who start a regular routine of gentle yoga exercises are less likely to drop out than people who start other kinds of exercises for arthritis. Over 50% of people who start other kinds of arthritis exercise programs drop out after six months. Studies show that because yoga is more fun and more pleasurable, people are more likely to stick with it as an exercise for arthritis.

Whether you go to a studio (the very best) or learn a few moves you can do at home, yoga is an outstanding over all mind, body and spirit healer.

The following comes from the study.

Health benefits in general

“Yoga is more than an arthritis exercise. Yoga, which comes from a Sanskrit word that literally means ‘yoke’, is designed to bring all body systems into proper alignment so that the entire system functions correctly. Health benefits of regular yoga practice include increased energy, better posture, weight loss, deeper relaxation, an ongoing sense of well being and calm, greater flexibility, lower blood pressure, healthier diet, and increased alertness and mental functioning.”

“All yoga practice includes deep relaxation techniques and an emphasis on proper breathing, both of which have been shown to improve mood and reduce pain and anxiety. Many types of yoga teach healthy diet as well. Regular yoga practice is often recommended for heart and cancer patients because of its usefulness in a healing aid and an aid to relaxation.”


Benefits for arthritis

“Yoga is one of the very best exercises for arthritis because it directly treats the main problems arthritis sufferers face: pain, swelling, joint stiffness and lack or flexibility, depression, and anxiety. Yoga is very gentle, so arthritis patients can learn the stretches and poses at their own pace, making very gradual progress that improves well-being rather than causes pain. The long term effect is increased flexibility and reduced or eliminated pain in the joints, as well as better general health and mental functioning, and better, healthier sleep and positive mood.”

Finding a yoga class

“Yoga classes are widely offered across the U.S. at YMCAs and YWCAs, through hospitals and community centers, at health clubs, and at senior centers. The websitewww.yogaalliance.org maintains a list of yoga teachers and yoga centers where classes are offered. Arthritis sufferers will probably be able to locate a class specifically for people with disabilities or for older students, as these are becoming more and more popular as yoga becomes a more and more popular arthritis exercise.”

There is so much variety in the classes offered and you want a teacher who will understand your limitations and goals and help you not over due.  If you are a type “A” person, like me, you have to be careful not to overdo.  Not all instructors and classes are equal.  I have tried a lot of them and for my body’s problems; I need the slow, gentle routine with held poses rather than the faster movement of Ashtanga Vinyasa Yoga.  Above all, if you have arthritis, please get a private consultation first before launching into a full scale yoga practice.  Learn what helps your particular condition and gently pursue it.

The Arthritis foundation of course recommends discussing with your doctor the use of yoga as an exercise.

“Your doctor probably has a list of resources and an opinion about where your needs would be best met. Ask for a note describing your physical limitation that you can give to the yoga instructor before starting your first class. Yoga instructors are trained to take disabilities and limitations into account and work individually with students at their own level, not matter how limited that may be.

“No matter how disabled you may from arthritis, or how much pain you may be experiencing, you will be able to start a gentle yoga routine based on your abilities and begin to move forward. That is why many yoga classes specifically for older and disabled persons are springing up through hospitals and wellness centers. Yoga is one of the few exercises for arthritis that absolutely anyone can do.”

A Happy Downward Facing Dog to you!

Be Well, Do Well and Keep Moving.  Betsy

PS:  I’ll be traveling in Nicaragua for the next 2 weeks.  Watch for a new posting after March 1st.

Arthritis, Health and Fitness

The 2nd most popular New Year’s resolution and the power of excuses: guess writer Lisa Stubing

Dear Reader,  I have mentioned this energetic trainer, Lisa Stuebing in a former blog post. She and I walked the 3 miles around Greenlake at a quick pace.  I was impressed with Lisa’s own story of sitting at a desk most of her professional life and slowed putting on weight and losing mobility.  You should see her now.  She’s slim and agile.  I asked her to write a post to share with all my readers.  Here it is:

The Second Most Popular New Year’s Resolution and the Positive Power of Excuses

Adapted from a speech given at the 12th Annual World Arthritis Day in Redmond, WA.  October 2011.

Lisa Stuebing, Certified Personal Trainer and Senior Fitness Specialist, Owner, Mud Puddle Fitness, LLC

Did you know that the Second-Most-Popular -New-Year’s-Resolution-Of-All-Time is to become more fit?  And yet, we often make the same resolution the following year.  If you have arthritis, you have an extra challenge to keeping this resolution.  Fortunately, you also have ready access to a powerful resource to ensure your success.

This essay is about the positive power of making excuses.  Excuses are important.  Now is the time to recognize that your excuses have strength and depth and validity.

Researchers find that three barriers to success recur over and over. 1.) Embarrassment, 2.) Procrastination,  and 3.) Fear of injury.  These well-funded longitudinal studies have included thousands of participants who in turn represent millions of excuse makers.  They were conducted by reputable institutions like the Mayo Clinic, the American College of Sports Medicine, the National Institute of Health.

  1. EMBARASSMENT

Do you put off going to the pool until after you look good?  Have you walked into a gym tried out some equipment and goose-stepped out of there because you didn’t want people you didn’t really know how to use it?  Discouragement is a powerful inhibitor.  Which leads us to the second big excuse honest people have for not getting regular exercise.

 

  1. PROCRASTINATION

“Procrastination is the art of keeping up with yesterday.”
– Don Marquis

 

What keeps you inside?

In a London study, 64% of the participants simply did not know what a good work out was supposed to feel like.  So, they avoided it.  Learning what is normal and what’s not normal takes time.    It takes practice.  When you are getting the right amount of exercise, during the best part of your day – you will build up your stamina.  You will feel better and even energized at some level.  And, yes, you will feel a little tired.

Finally, there is another big reason people tend to stay away from exercise.

 

  1. FEAR OF INJURY

People worry that because they are not athletes already that they will hurt themselves. 

If you have arthritis, be a careful consumer of information.  There is still a lot of bad information out there.  You can still find literature that will tell you that exercise is not good for you.  The old thinking is that physical activity will damage joints and make arthritis worse.

In reality, multiple studies have clearly shown that appropriate exercise for people with arthritis leads to better flexibility, strength and endurance.  It also leads to less pain, fatigue and depression.

ACKNOWLEGE YOUR EXCUSES AND THEN TACKLE THEM ONE BY ONE

Find people who are doing fun stuff and do it with them.   Laughing together is the best antidote for embarrassment.

Build up your knowledge and stamina one day at a time.  The key is to start small and pace yourself — If you are going to take up cross country skiing – start with a small country.

Finally, if you have arthritis, know that hurt does not always equal harm.  Take an Arthritis Foundation “Walk with Ease” class and learn to reduce your pain while getting fit.

Enroll in an Arthritis Foundation, “Walk with Ease” class

Take an Arthritis Foundation “Walk with Ease” class and you will learn how to set realistic goals.  You will learn how to measure your progress.  You will feel more energized because you will know the best time to exercise and how much exercise is right for you.  You’ll meet new people and have tons of fun.

The Walk with Ease Course was developed by the Stanford University Patient Education Research Center.

The efficacy of the program was tested, studied and reviewed by the University of North Carolina in collaboration with the Thurston Arthritis Research Center and the University’s Institute on Aging.

The program’s published materials were made possible, in part, with funds from the Center for Disease Control.

In my professional opinion, the most important thing the Walk with Ease program teaches is an understanding of your pain.  Hurt does not always equal harm.  Sometimes, moving when you didn’t really want to, results in actually feeling better.  This isn’t all hocus pocus – this is about focus.  Focusing on you, testing yourself and then understanding the result.  I think this takes the entire six weeks to learn and apply the program.  And the bonus is, by the end of all 18 class sessions – you will have made a pleasant habit of joining friends for a little fun exercise.  Some classmates get together long after the class had ended.

CONCLUSION

In conclusion, there are three steps to take.  1.)  Work with yourself, understand your reluctance to plunge into a planned exercise routine and give yourself a break.  Your concerns are real and based on a lifetime of personal observations.  Be honest with yourself and then take the next step.  2.)  Educate yourself; take the Arthritis Foundation’s “Walk with Ease”. Learn when exercise will reduce your pain and how to make that happen.  Finally,  3.) Include yourself – join others for group activities.  Invite friends out for a walk.  Having fun with friends is your best chance of sticking with and enjoying a lifelong habit of exercise.

Whatever you can do or dream you can, begin it. Boldness has genius, power and magic in it.” – Johann Wolfgang van Goethe

Let me know how you do!  Please do not hesitate to contact me if you have any questions.

Coach Lisa

Lisa Stuebing
Owner, Mud Puddle Fitness, LLC
Nationally Certified Personal Trainer and Senior Fitness Specialist

www.MudPuddleFitness.com

CoachLisa@MudPuddleFitness.com

206-524-6788