The Importance of Stretching


The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

How Does Yoga Work?

Article featured on MedicalNewsToday

Yoga is a mind and body practice that can build strength and flexibility. It may also help manage pain and reduce stress. Various styles of yoga combine physical postures, breathing techniques, and meditation.

Yoga is an ancient practice that may have originated in India. It involves movement, meditation, and breathing techniques to promote mental and physical well-being.

There are several types of yoga and many disciplines within the practice.

This article explores the history, philosophy, health and wellness benefits, and various branches of yoga.

What is yoga?

Yoga is an ancient practice that involves physical poses, concentration, and deep breathing.

A regular yoga practice can promote endurance, strength, calmness, flexibility, and well-being.

Yoga is now a popular form of exercise around the world. According to a 2017 national survey, one in seven adults in the United States practiced yoga in the past 12 months.

History

The first mention of the word “yoga” appears in Rig Veda, a collection of ancient texts. Yoga comes from the Sanskrit word “yuj,” which means “union” or “to join.”

Yoga can be traced back to northern India over 5,000 years ago.

Indian monks spread their knowledge of yoga in the West during the late 1890s. Modern yoga teachings became widely popular in Western countries by the 1970s.

Philosophy

The overall philosophy of yoga is about connecting the mind, body, and spirit.

There are six branches of yoga. Each branch represents a different focus and set of characteristics.

The six branches are:

  • Hatha yoga: This is the physical and mental branch that aims to prime the body and mind.
  • Raja yoga: This branch involves meditation and strict adherence to a series of disciplinary steps known as the eight limbs of yoga.
  • Karma yoga: This is a path of service that aims to create a future free from negativity and selfishness.
  • Bhakti yoga: This aims to establish the path of devotion, a positive way to channel emotions and cultivate acceptance and tolerance.
  • Jnana yoga: This branch of yoga is about wisdom, the path of the scholar, and developing the intellect through study.
  • Tantra yoga: This is the pathway of ritual, ceremony, or consummation of a relationship.

Chakras

The word “chakra” means “spinning wheel.”

Yoga maintains that chakras are center points of energy, thoughts, feelings, and the physical body. According to yogic teachers, chakras determine how people experience reality through emotional reactions, desires or aversions, levels of confidence or fear, and even physical symptoms and effects.

When energy becomes blocked in a chakra, it triggers physical, mental, or emotional imbalances that manifest in symptoms such as anxiety, lethargy, or poor digestion.

Asanas are the many physical poses in Hatha yoga. People who practice yoga use asanas to free energy and stimulate an imbalanced chakra.

There are seven major chakras, each with its own focus:

  • Sahasrara: The crown chakra, which is at the crown of the head, symbolizes spiritual connection.
  • Ajna: Located between the eyebrows, the third eye chakra has to do with intuition.
  • Vishuddha: The throat chakra corresponds to immunity and verbal communication.
  • Anahata: The heart chakra, which is in the center of the chest, influences professional and personal relationships. Any imbalances in this chakra will affect oxygen, hormones, tissue, and organ control.
  • Manipura: The solar plexus chakra is in the stomach area. It corresponds to self-confidence, wisdom, and self-discipline.
  • Svadhishthana: The sacral chakra, which is beneath the belly button, connects pleasure, well-being, and vitality.
  • Muladhara: The root chakra, which is at the base of the spine, connects the mind and body to the earth to keep a person grounded. It controls the sciatic nerves and the parasympathetic nervous system.

Benefits of yoga

According to a 2012 survey, 94% of adults who practice yoga do so for wellness reasons.

Yoga has many physical and mental benefits, including:

  • building muscle strength
  • enhancing flexibility
  • promoting better breathing
  • supporting heart health
  • helping with treatment for addiction
  • reducing stress, anxiety, depression, and chronic pain
  • improving sleep
  • enhancing overall well-being and quality of life
  • It is advisable to consult a medical professional, if possible, before starting a yoga practice.

Risks and side effects

Many types of yoga are relatively mild and therefore safe for people when a well-trained instructor is guiding the practice.

It is rare to incur a serious injury when doing yoga. The most common injuries among people practicing yoga are sprains and strains.

However, people may wish to consider a few risk factors before starting a yoga practice.

A person who is pregnant or has an ongoing medical condition, such as bone loss, glaucoma, or sciatica, should consult a healthcare professional, if possible, before taking up yoga.

Some people may need to modify or avoid some yoga poses that could be risky given their specific condition.

Beginners should avoid advanced poses and difficult techniques, such as Headstand, Lotus Pose, and forceful breathing.

When managing a condition, people should not replace conventional medical care with yoga or postpone seeing a healthcare professional about pain or any other medical problem.

Summary

Yoga is an ancient practice that has changed over time.

Modern yoga focuses on poses designed to stimulate inner peace and physical energy. Ancient yoga did not place as much emphasis on fitness. Instead, it revolved around cultivating mental focus and expanding spiritual energy.

There are many different types of yoga available. The style a person chooses will depend on their expectations and level of physical agility.

People with certain health conditions, such as sciatica, should approach yoga slowly and with caution.

Yoga can help support a balanced, active lifestyle.


The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

The Best Sports for a Great Workout

Article featured on Verwellfit

Let’s face it, spending hours in the gym can sometimes feel like a real grind, especially if you prefer competitive or recreational sports over traditional cardio and resistance training workouts. But if you’re trying to get fit or maintain a certain level of health, committing to a consistent workout schedule is likely toward the top of your to-do list.

The good news is, you don’t have to set foot in the gym to get be competitive or boost your overall fitness. In fact, you can get all of that, and much more, by participating in your favorite sports several days a week. Here are some sports that will help improve your fitness.

Road Cycling and Mountain Biking

Roads or trails, fast or slow, cycling is one of the best sports you can do for overall fitness. Not only do you get a fantastic aerobic workout, but your leg muscles—more specifically the quads, glutes, and hamstrings—will also feel the burn after putting in a few miles. Plus, research has shown that for cyclists, especially those with diabetes, cycling can lower risk of premature mortality.

There are also bikes appropriate for all ages and stages. Intermediate to advanced levels can participate in road cycling and mountain biking, while beginners can start with paved trails. If you’re looking to satisfy your competitive side, consider entering a road or mountain bike race.

Squash, Racquetball or Tennis

It’s not uncommon to see squash and racquetball courts full of people of all ages and fitness levels. That’s because a game of squash or racquetball can range from an entry-level sport to a highly competitive, intense workout. The key to making these fast-paced activities approachable for a beginner is to slow down the pace of the game.

Squash, racquetball, and even tennis target the muscles in your back, shoulders, arms, chest, quads, glutes, and hamstrings, while also working your core. Racquet sports have also been shown to lower the risk of cardiovascular disease mortality.

Combine that with the endurance, speed, balance, and agility, required to compete and you will quickly see how these two sports can give you a phenomenal workout while also burning a ton of calories.

18 Holes of Golf

Contrary to what you might think, you don’t need an expensive set of clubs to head out on the course. But, what you do need is a supportive pair of shoes.

In order for golf to make the list of best sports for fitness, you need to walk all 18 holes while carrying or pushing your clubs. When walking the course, golf can have multiple health benefits, including in cardiovascular and respiratory health. Plus, golf is a sport you can participate in at any life stage.

Water Sports—Rowing, Kayaking, Paddle Boarding, Canoeing 

Rowing, kayaking, canoeing, and paddle boarding offer a fun fitness solution for anyone who enjoys being outdoors. These sports all increase your heart rate, boost your muscular endurance and strength, and turn your body into a calorie-burning machine. If you’re looking to compete in a sport that requires rowing, consider joining an outrigger team.

Swimming

Activities that require your upper and lower body muscles to work together rank high on the “best sports for fitness” list. Swimming is the perfect full-body workout for anyone looking for an intense and competitive outlet that requires both strength and endurance. It’s also a smart solution for anyone needing a sport or activity that is easy on the joints.

Plus, swimming is a year-round sport with various levels of competition, so you always have something to work toward. If you’re interested in signing up for organized, competitive swim events, consider joining U.S. Masters Swimming.

Triathlon

Whether you’re a lifelong athlete looking to test your endurance and strength, or an exercise beginner needing a goal to work toward, training for a triathlon is the ultimate sport for fitness.

The combination of running, biking, and swimming will challenge every muscle in your body and boost your aerobic and anaerobic fitness.6 With distances ranging from the shorter sprint competition all the way up to a full Ironman event, there’s something for every fitness level.

Basketball and Volleyball

Basketball and volleyball offer the physical benefits of a great workout while giving you the chance to let your competitive side shine. These sports require you to perform sprints, pivots, jumps, and slams, which tax the cardiovascular system and strengthen every muscle in your body. Plus, if you are playing volleyball in the sand, your muscles will have to work harder.

While both sports are appropriate for most levels, it’s important to note that beginners should start with a skills and drills class, practicing with balls, before moving to games or matches. There is a lot of movement required for both sports, so the risk of injury is high, especially if you have never played either sport before.

 

While some of these activities require an organized team, special equipment, or a designated space to play, others just require time, energy, suitable apparel, such as a tracksuit, and your willingness to work hard and have fun.

You don’t need to spend a lot of money to get started in any one of these sports. Many recreational programs provide the space and the equipment, while a quick Google search can produce thousands of used items for sale. Just be sure to talk to a healthcare provider before adding a new activity to your exercise regimen.


The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

How Can I Prevent Common Exercise Injuries?


The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

People Who Exercise in Groups Get More Health Benefits

Article featured on Healthline

Any kind of exercise is good for you, but working out in groups may give you a little extra boost.

Do you like to hit the gym, road, or trail by yourself?

Or do you thrive in a crowded group fitness class with everyone breathing, moving, and toning in sync?

No matter what kind of exercise you gravitate toward, there’s no downside to staying physically active — especially with so many Americans falling shortTrusted Source of national exercise guidelines.

But research suggests that if you’re a loner when it comes to exercise, you might be missing out on some health benefits from group workouts.

Group versus solo workouts

Exercise is already known to have many benefits for mental healthTrusted Source, including improving sleep and mood, boosting sex drive, and increasing energy levels and mental alertness.

In a new study, researchers looked at whether group exercise could help medical students, a high-stress group that could probably use regular workouts.

For the research, 69 medical students joined one of three exercise groups.

One group did a 30-minute group core strengthening and functional fitness training program at least once a week, along with extra exercise if they wanted.

Another group were solo exercisers, who worked out on their own or with up to two partners at least twice a week.

In the final group, students didn’t do any exercise other than walking or biking to get where they needed to go.

The researchers measured students’ perceived stress levels and quality of life — mental, physical, and emotional — at the start of the study and every four weeks.

All of the students started the study at about the same level for these mental health measures.

After 12 weeks, group exercisers saw improvements in all three types of quality of life, as well as a drop in their stress levels.

In comparison, solo exercisers only improved on mental quality of life — even though they exercised about an hour more each week than the group exercisers.

For the control group, neither stress level nor quality of life changed that much by the end of the study.

The study has some limitations, including its small size and inclusion of only medical students.

Students were also allowed to choose their own exercise group, so there may be physical or personality differences between group and solo exercisers that could affect the results.

So, the results should be viewed with caution. But the research hints at the power of working out together.

The study was published in the November issue of The Journal of the American Osteopathic Association.

Working out in sync

Other research has focused on the impact of group exercise — specifically working out in sync — on social bonding, pain tolerance, and athletic performance.

In a 2013 study in the International Journal of Sport and Exercise Psychology, researchers recruited people to work out for 45 minutes on rowing machines.

After the session, people who had rowed in groups — and synchronized their movements — had a higher pain tolerance compared to solo rowers. Pain tolerance increased whether people were rowing with teammates or with strangers.

Researchers think the increased tolerance to pain may stem from a greater release of endorphins — the “feel good” hormones — due to people getting in sync with one another while exercising.

This kind of coordinated movement is known as behavioral synchrony. It can also occur during other group activities, such as play, religious rituals, and dance.

It may also boost your performance, especially if you’re already close to other people in the group.

In a 2015 studyTrusted Source in PLoS ONE, researchers found that rugby players who coordinated their movements while warming up performed better on a follow-up endurance test.

These athletes were already part of a close-knit rugby team. Researchers think the synchronized movements during the warm-up reinforced the existing social bonds between them.

The researchers write that this “may have changed athlete’s perception of the pain and discomfort associated with fatigue … This allowed participants to push harder and perform better.”

So when you’re surrounded by other cyclists spinning in sync to steady beats, or CXWORXing like it’s a coordinated dance, you may be able to tap into the power of synchrony.

Or not.

Not all group classes created equal

Paul Estabrooks, PhD, a behavioral health professor at the University of Nebraska Medical Center, found that “exercise context” shapes how much effect exercise has on quality of life, social interactions, physical benefits, and people sticking with their workouts.

In a 2006 review in Sport and Exercise Psychology Review, Estabrooks and his colleagues looked at 44 previous studies that compared the benefits from different exercise contexts.

The contexts included the following: home workouts, either alone or with contact from a health professional; standard exercise classes; and “true group” classes, where special techniques were used to increase social bonding among people in the class.

True group classes provided the most benefits.

Standard exercise classes — without the added bonding — were similar to at-home exercise with help.

Working out alone at home came in last.

In general, the more contact or social support that people had during exercise — from researchers, health professionals, or other exercise participants — the greater the benefits.

Estabrooks told Healthline that “group-based fitness classes are typically only more effective when they use group dynamics strategies.”

This includes setting group goals, sharing feedback, talking with other people in the class, using friendly competition, and incorporating “activities to help people feel like they are part of something — a sense of distinctiveness.”

You may not find this in every exercise class.

“This usually isn’t the case in most group-based fitness classes,” said Estabrooks, “where folks show up, follow an instructor, don’t talk much to one another, and then leave.”

Although group fitness classes may offer extra benefits, not everyone is a spin, body sculpt, or power yoga class kind of person.

One study found that extraverts were more likely to prefer group-based and high-intensity physical activities, compared to introverts.

No big shock there.

I’m an introvert and teach group yoga classes. But I almost never take group classes myself.

I prefer to practice on my own at home. For me, yoga is about solitude and going inward — spoken like a true introvert.

For others, though, yoga could be more about community and social bonding.

In the end, staying active is better for you than being sedentary.

So find some physical activity that you love to do and stick with it — whether it’s packing yourself into a sweaty fitness class or backpacking solo in the wilderness.


The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

How to Avoid Shin Splints When Running

Article featured on Summit Ortho

You’ve finally done it — you’re off the couch and out on the running trail. You’re excited to begin your running journey, and the first few days feel pretty good. But then, you start to notice pain on the front of your shin. Your shins begin to feel more and more uncomfortable, and it’s really hard to run. You have developed shin splints, one of running’s most common injuries. Read on to learn how to avoid shin splints when running.

What are shin splints?

Shin splints are caused by inflammation in the muscles and tendons of the lower leg. They often happen to new runners because their bodies are not used to the increased stress in this area. In their enthusiasm, new runners do too much too soon and develop shin splints from overuse.

It’s important to differentiate shin splints from stress injuries, and they can present with similar types of pain. If you’ve had shin splint pain for more than a few weeks and it continues to worsen, you should see a sports medicine provider for evaluation.

Can I still run with shin splints?

Yes, you can still run with shin splints, but you should be careful. You can ice the area after running to help with the inflammation. It’s also a good idea to slow down a bit and not go for longer distances just yet. Your body will begin to adjust and strengthen the area in response to the increased stress, but it does take time.

Shin splints can also be caused, or made worse, by running in shoes without enough cushioning. The best running shoes for shin splints have good cushioning, shock absorption, and structure. If you’re feeling shin splint pain, it may be (past) time for a new pair.

Tips to avoid shin splints when running

To avoid shin splints, don’t increase the volume and intensity of running at the same time. If you’re adding distance to your weekly mileage, try not to add speed work at the same time.

Here are some other tips:

  1. Increase your running distance slowly.
  2. Make sure your shoes are in good condition — Shoes can wear out after just a few hundred miles of use.
  3. Change up your running surface — Running on a hard surface makes a high-impact exercise even higher impact. Try a softer surface, like a dirt trail or a treadmill rather than a concrete sidewalk.
  4. Rest — Running is wonderful exercise, but it also puts stress on the body. Take time to rest and recover.
  5. Vary your routine — Mix it up with some low-impact exercise days. You could swim or cycle, for example, and get good cardiovascular exercise without the pavement-pounding stress.

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

What to Know About Muscle Soreness

Article featured on MedicalNewsToday

Any physical activity that places too much or unusual strain on the muscles can lead to soreness. Everyone can experience muscle soreness, even people who exercise regularly and have good physical fitness.

Muscle soreness can be uncomfortable and disruptive. However, the pain typically disappears within a few days.

This article outlines the causes of muscle soreness and the typical duration of symptoms. We also list the treatments that may help to relieve muscle soreness, along with research into their effectiveness.

Causes

During physical activity, the body’s muscles extend and contract to support movement. Prolonged or repetitive physical activity can overexert the muscles. This activity can lead to muscle soreness.

Overexertion and muscle soreness are more likely to occur after physical activity that differs from normal. This could be due to:

  • exercising more often than usual
  • doing higher intensity workouts
  • performing longer workouts
  • introducing new exercises to a routine

Muscle soreness usually occurs several hours after physical activity. For this reason, doctors refer to the condition as delayed onset muscle soreness (DOMS). Most people experience DOMS at some point, regardless of their physical fitness.

The exact cause of DOMS is still unclear. Some experts believe it may be due to microscopic tears in the muscle fibers, which can develop during exercise. They believe that muscle soreness is the result of the body healing these tears. DOMS is not due to a buildup of lactic acid in the muscles.

How Long Does it Last?

According to the American College of Sports Medicine (ACSM), muscle soreness usually begins 12–24 hours following exercise. The muscle soreness then tends to peak around 24–72 hours after the exercise. After this time, the pain should start to go away.

The level of soreness a person feels during DOMS depends on the type, duration, and frequency of the activity that caused the pain.

It is possible to continue exercising with muscle soreness, but it can be uncomfortable.

Sharp pains that occur immediately after activity could be a sign of injuries, such as strains or sprains. These injuries are the result of a muscle, tendon, or ligament becoming stretched or torn and are more severe than DOMS, possibly requiring medical attention.

Relieving Muscle Soreness

Muscle soreness is normal and rarely requires medical attention. In most cases, symptoms go away on their own within a few days. In the meantime, it is best to avoid putting too much strain on the injured muscles.

People sometimes recommend the following treatments to alleviate muscle soreness following exercise:

Massage: A qualified sports massage therapist or physiotherapist can provide massages for alleviating muscle soreness. Massages increase blood flow to the injured area, which may promote healing and help to relieve the pain.

Heat therapy: Taking a warm bath or applying heat pads can also stimulate blood flow to the injured muscles. Heat therapy tends to offer only temporary symptom relief.

Cold therapy: Cold packs or immersion in cold water can reduce inflammation and swelling in the muscles. Cold therapy is, therefore, useful as a longer-term treatment for muscle injuries.

Light exercise: Keeping the muscles active may help to reduce pain. It is important to keep the intensity light and avoid movements that put too much strain on injured muscles. Examples of light exercises include walking and gentle stretching.

Pain medication: Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) can help to reduce muscle inflammation and associated pain.

What the Research Says

A 2012 meta-analysis investigated the effectiveness of four popular DOMS treatments. The meta-analysis included 35 studies, each of which investigated one of the following treatments:

  • massage
  • cold therapy, or “cryotherapy“
  • stretching
  • light exercise

The meta-analysis revealed that massage was effective in treating the signs and symptoms of DOMS in some people. However, the effect was small and was not significant across the group as a whole. There was no evidence to support the use of cryotherapy, stretching, or light exercise in treating DOMS.

A 2011 meta-analysis also found that stretching before or after exercise does not lead to a noticeable reduction in DOMS.

A 2016 meta-analysis investigated whether a type of cryotherapy called cold water immersion (CWI) helps to alleviate muscle soreness. The results showed that CWI was slightly more effective than no treatment. Bathing in water temperatures between 11°C–15°C for 11–15 minutes provided the best results.

Overall, these studies indicate that there are few scientifically proven treatments for DOMS. Those that are effective appear to provide only a slight benefit. Nonetheless, some people may find the treatments helpful.

Importantly, while a treatment may help to alleviate pain, it will not undo the underlying muscle damage or improve muscle function.

Prevention

While it is not possible to completely prevent DOMS, a person can take steps to reduce the severity of symptoms.

According to the ACSM, the best way to do this is to build up slowly to any changes in exercise routines. This cautious approach will give the muscles time to adapt to the changes they are experiencing.

Summary

Physical activity can sometimes lead to DOMS. The symptoms of DOMS usually appear several hours after physical activity and may last up to 72 hours.

While DOMS can be uncomfortable, it does not require medical attention. People sometimes recommend home remedies to alleviate the symptoms, but there is little scientific evidence to support this. It may be necessary to try multiple treatments before finding one that helps in some way.

People may experience a sharp pain during or immediately after physical activity. This sensation could signal a more serious injury, such as a strain or sprain. People should see a doctor if the pain persists or worsens.


The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

Common Overuse Injuries in Fall Sports

Article featured on TheCenter

Fall sports are here and with that comes overuse injuries and burnout especially in adolescent athletes. An overuse injury develops slowly over time due to repetitive stress on tendons, muscles, bones, or joints. It is important to be aware and pay attention to any minor aches and pains to prevent a more serious injury down the road. Here are a few of the most common overuse injuries during the fall season.

SHIN SPLINTS

Shin splints are an inflammation of the muscles, tendons, and bone tissue around your shinbone (tibia). Typically, this develops when the muscle and bone tissue become overworked by repetitive or sudden change in activity, such as increasing the intensity or amount that you exercise. Runners are at the highest risk for developing shin splints.

It might be time to take a break and rest if you start to experience these symptoms:

  • Sharp, dull, or throbbing pain
  • Pain during and after exercise
  • Sore to touch and mild swelling

Sometimes, other problems exist that can have an impact on healing. If the pain persists, contact one of our orthopedic surgeons for an examination.

PLANTAR FASCIITIS

Plantar fasciitis is the most common cause of foot pain, radiating from the bottom of the heel throughout the foot. The plantar fascia is the strong band of tissue in the arch of your foot that runs from your heel to toe, and absorbs strains and stress placed on the foot each time it is in use. Plantar fasciitis occurs when that supporting tissue becomes irritated and inflamed.

Common causes and risk factors include:

Tight calf muscles
Repetitive activity (sports/running)
New or increased activity
Obesity
Diagnosis and treatment are important with this painful condition and healing can begin quickly once diagnosed. Your doctor will most likely recommend rest and possibly frequent icing on the area. Anti-inflammatories may also help symptoms subside combined with light stretching of your feet and calves. If pain continues to linger, your orthopedic surgeon may recommend a partial release procedure.

ACHILLES TENDINITIS

The Achilles tendon is the largest tendon in the body, connecting the calf muscles to the heel bone. Although it can withstand a lot of stress, it is also prone to tendinitis, which is when the tendon becomes inflamed causing swelling, pain, or irritation. This condition is caused by repetitive stress to the tendon, such as pushing our bodies too far or too soon from walking, running, jumping, etc.

Common symptoms of Achilles Tendinitis include:

  • Pain on the back of the heel that worsens with activity
  • Pain or stiffness along the tendon in the morning
  • Pain the day after exercising
  • Swelling

The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

Does running cause arthritis?

Mounting evidence suggests the answer is no.
When I took up running in college, a friend of mine scoffed at the idea. He hated running and was convinced runners were “wearing out” their joints. He liked to say he was saving his knees for his old age.

So, was he onto something? Does running really ruin your joints, as many people believe?

Runners can get arthritis, but is running the cause?

You may think the answer is obvious. Surely, years of running (pounding pavements, or even softer surfaces) could wear out your joints, much like tires wear out after you put enough miles on them. And osteoarthritis, the most common type of arthritis, usually affects older adults. In fact, it’s often described as age-related and degenerative. That sounds like a wear-and-tear sort of situation, right?

Maybe not. Sure, it’s easy to blame running when a person who runs regularly develops arthritis. But that blame may be misguided. The questions to ask are:

  • Does running damage the joints and lead to arthritis?
  • Does arthritis develop first and become more noticeable while running?
  • Is the connection more complicated? Perhaps there’s no connection between running and arthritis for most people. But maybe those destined to develop arthritis (due to their genes, for example) get it sooner if they take up running.

Extensive research over the last several decades has investigated these questions. While the answers are still not entirely clear, we’re moving closer.

What is the relationship between running and arthritis?

Mounting evidence suggests that that running does not cause osteoarthritis, or any other joint disease.

  • A study published in 2017 found that recreational runners had lower rates of hip and knee osteoarthritis (3.5%) compared with competitive runners (13.3%) and nonrunners (10.2%).
  • According to a 2018 study, the rate of hip or knee arthritis among 675 marathon runners was half the rate expected within the US population.
  • A 2022 analysis of 24 studies found no evidence of significant harm to the cartilage lining the knee joints on MRIs taken just after running.

These are just a few of the published medical studies on the subject. Overall, research suggests that running is an unlikely cause of arthritis — and might even be protective.

Why is it hard to study running and arthritis?

  • Osteoarthritis takes many years to develop. Convincing research would require a long time, perhaps a decade or more.
  • It’s impossible to perform an ideal study. The most powerful type of research study is a double-blind, randomized, controlled trial. Participants in these studies are assigned to a treatment group (perhaps taking a new drug) or a control group (often taking a placebo). Double-blind means neither researchers nor participants know which people are in the treatment group and which people are getting a placebo. When the treatment being studied is running, there’s no way to conduct this kind of trial.
  • Beware the confounders. A confounder is a factor or variable you can’t account for in a study. There may be important differences between people who run and those who don’t that have nothing to do with running. For example, runners may follow a healthier diet, maintain a healthier weight, or smoke less than nonrunners. They may differ with respect to how their joints are aligned, the strength of their ligaments, or genes that direct development of the musculoskeletal system. These factors could affect the risk of arthritis and make study results hard to interpret clearly. In fact, they may explain why some studies find that running is protective.
  • The effect of running may vary between people. For example, it’s possible, though not proven, that people with obesity who run regularly are at increased risk of arthritis due to the stress of excess weight on the joints.

The bottom line

Trends in recent research suggest that running does not wear out your joints. That should be reassuring for those of us who enjoy running. And if you don’t like to run, that’s fine: try to find forms of exercise that you enjoy more. Just don’t base your decision — or excuse — for not running on the idea that it will ruin your joints.


The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm

Staying Safe While Exercising in the Heat

Article featured on Mass General Brigham
Whether you exercise indoors, on a trail, on a field, or at any other location, your body can overheat. Everyone who exercises—even high-level athletes in prime condition—should have a plan to prevent heat-related illness and be aware of the signs.

Hot weather workouts can lead to heat-related illness

“Heat-related illness is your body’s response to excessive heat, excessive sweating, and the associated dehydration and loss of salt. Your body is basically telling you that you need to cool off,” Dr. Eby says. “When you develop symptoms of heat-related illness, your internal body temperature could be rising. That affects cellular and organ function, and it can damage internal tissues.”

Heat-related illness is a continuum, Dr. Eby says, from mild and reversible symptoms to a medical emergency. The stages are:

  1. Heat cramps, which cause muscle cramps, often in your legs or stomach
  2. Heat exhaustion, which can cause exceptionally heavy sweating, clammy skin, dizziness, weakness, and nausea
  3. Heatstroke, a life-threatening condition that can happen when your body temperature is over 104°F (40°C)

What to do when you’re overheated while exercising

The moment you notice any early signs of heat-related illness:

  • Get out of the heat or sun immediately.
  • Remove extra clothing.
  • Rest.
  • Drink water or a sports drink (but don’t take salt tablets—they can make you more dehydrated).
  • Sponge yourself with water and fan your skin (don’t drench yourself with large amounts of cold water).

You should seek immediate medical attention if you:

  • Have a fever
  • Pass out
  • Throw up
  • Don’t feel any better after resting and cooling yourself for an hour

How to prevent heat exhaustion while exercising

Hydration: the best way to prevent heat exhaustion while exercising

It’s essential to drink plenty of fluids before, during, and after a workout—even if you don’t feel thirsty.

“Hydrate, hydrate, hydrate,” Dr. Eby says. “Many athletes may say, ‘I don’t need anything.’ But it’s so important to make sure that you’re maintaining hydration for your health and your performance. Coaches, trainers, and parents can help. Make sure you have hydration available for athletes, and normalize that athletes need to be drinking.”

Dr. Eby and the American Council on Exercise suggest the following plan for hydration while you exercise:

  • Several hours before exercise: 17 to 20 ounces of water
  • 20 to 30 minutes before exercise or during warm-up: 8 ounces of water
  • Every 15 to 20 minutes during exercise: 4 to 8 ounces of fluid

Other tips to prevent heat exhaustion

When exercising in the heat, you should:

  • Limit training on very hot days, especially in the middle of the day. Get your workouts in during the morning or evening hours.
  • Dress in light-colored, loose, moisture-wicking clothing. The right clothes can help your body’s natural cooling mechanism function at its best.
  • Pace yourself. Don’t start with high-intensity activity. Instead, take your time, build intensity slowly, and back off if your body tells you to.
  • Find a buddy, such as a teammate or a running partner. Remind each other to drink fluids, and monitor each other for any symptoms.
  • Rest often in shady areas. For example, plan your running route to make sure it includes some shade. Or bring a pop-up tent for the sidelines on gameday.
  • Wear sunscreen, because sunburn can affect your body’s ability to cool itself.

What heat index is dangerous for sports?

Heat index is a way of characterizing what the temperature outside actually feels like to the human body. It’s also sometimes called “apparent temperature” or “real feel.” Heat index takes into account relative humidity in addition to air temperature. Athletes, parents, coaches, and team administrators can use the heat index for sports decisions, to set heat guidelines for sports and other activities.

The National Weather Service offers a heat index calculator and chart. You can use the tools to calculate the heat index and determine whether it’s safe to be exercising in the heat.

There are general heat index guidelines for youth sports and other people in high-risk groups, such as older people. Those guidelines indicate that you should begin to use caution at a heat index of 80. When the heat index is 90 or higher, athletes can be at risk for heat-related illness.


The Orthopedic & Sports Medicine Center of Oregon is an award-winning, board-certified orthopedic group located in downtown Portland Oregon. We utilize both surgical and nonsurgical means to treat musculoskeletal trauma, spine diseases, foot and ankle conditions, sports injuries, degenerative diseases, infections, tumors and congenital disorders.

Our mission is to return our patients back to pain-free mobility and full strength as quickly and painlessly as possible using both surgical and non-surgical orthopedic procedures.

Our expert physicians provide leading-edge, comprehensive care in the diagnosis and treatment of orthopedic conditions, including total joint replacement and sports medicine. We apply the latest state-of-the-art techniques in order to return our patients to their active lifestyle.

If you’re looking for compassionate, expert orthopedic and podiatric surgeons in Portland Oregon, contact OSM today.

Phone:

503-224-8399

Address
1515 NW 18th Ave, 3rd Floor
Portland, OR 97209

Hours
Monday–Friday
8:00am – 4:30pm