How Does Exercising Keep the Brain Young?

Article featured on MedicalNewsToday

Exercise greatly benefits brain health, improving cognition, mood and reducing the risk of neurodegenerative diseases. Several new studies have demonstrated the profound impact of exercise on various biological systems, further explaining its ability to enhance health and fight disease. In this Special Feature, we explore the most recent research on how exercise can protect brain health as we age.

Exercise is linked to increased muscle strength, improved heart health, lower blood sugar and numerous other health benefits.

Activities such as running on a treadmill, biking up a steep hill, lifting weights or taking a brisk lunchtime walk offer a wide range of advantages that go beyond enhancing physical appearance or stamina.

Evidence from studies suggests that regular physical activity could boost mood, alleviate stress, and sharpen cognitive function, underscoring the deep connection between body and mind.

However, different people can respond quite differently to various forms of exercise, such as aerobic workouts or strength training.

While it is well-known that regular exercise is crucial for a healthy lifestyle, some older research has suggested that intense exercise might have negative effects.

More recent research, however, showed that elite athletes experienced slightly extended life expectancies over the decades.

Exercise significantly enhances brain health by improving cognition, mood and by reducing the risk of neurodegenerative diseases through promoting neurogenesis and synaptic plasticity.

What does the latest evidence and expert opinion have to say about the ways in which regular physical activity helps maintain brain, as well as general, health as we age?

How exercise affects the body at the molecular level

In a new collaborative effort led by Stanford Medicine, researchers have explored the underlying mechanisms through which exercise promotes overall health, particularly brain health.

By understanding how exercise affects different organs at the molecular level, health care providers could tailor exercise recommendations more effectively.

This knowledge could also pave the way for developing drug therapies that mimic the benefits of exercise for those who are unable to engage in physical activity.

The study — whose findings appear in Nature — involved nearly 10,000 measurements across almost 20 types of tissues to examine the impact of 8 weeks of endurance exercise in lab rats trained to run on tiny treadmills.

Its conclusion reveals remarkable effects of exercise on the immune system, stress response, energy production and metabolism.

The researchers identified significant connections between exercise and molecules and genes that are already known to be involved in numerous human diseases and tissue recovery.

How endurance training affects the body

The Nature study examined the effects of 8 weeks of endurance training on various biological systems, including gene expression (the transcriptome), proteins (the proteome), fats (the lipidome), metabolites (the metabolome), DNA chemical tags (the epigenome) and the immune system.

The researchers conducted analyses on different tissues in rats trained to run increasing distances and compared these with the tissues of sedentary rats.

They focused on mitochondria in the leg muscles, the heart, liver, kidney, white adipose tissue — which accumulates as body fat — as well as lungs, brain, and brown adipose tissue — a metabolically active fat that burns calories.

This comprehensive approach generated hundreds of thousands of results for non-epigenetic changes and over 2 million distinct epigenetic changes in the mitochondria, providing a rich database for future research.

Alongside the primary goal of creating a database, some notable findings emerged. For instance, the expression of mitochondrial genes changed with exercise across different tissues.

Researchers found that training upregulated genes in the mitochondria of skeletal muscle of rats that are downregulated in the mitochondria in the skeletal muscle of individuals with type 2 diabetes.

They also showed that training upregulated genes in the mitochondria in the livers of rats, that are down regulated in people with cirrhosis.

These two findings suggest that endurance training may help improve muscular function in diabetes, as well as boost liver health.

Does biological sex affect how we respond to exercise?

Finally, the researchers identified sex differences in how male and female rats’ tissues responded to exercise.

After 8 weeks, male rats lost about 5% of their body fat, while female rats did not lose a significant amount. However, the female rats maintained their initial fat percentage, whereas sedentary females gained an additional 4% body fat during the study.

The most dynamic difference was in mitochondrial gene expression after exercise in rats was in the adrenal glands.

The study authors propose that differences observed due to exercise are largely due to changes in mitochondrial genetic expression in organs and tissues responsible for maintaining energy balance.

Exercise’s rejuvenating effect on immune cells

Another study, this time completed by a research group from The University of Queensland in Australia, and published in Aging CellTrusted Source, demonstrated how exercise might deter or decelerate cognitive decline as individuals age.

Researchers examined gene expression in individual brain cells of mice, discovering that exercise profoundly influences gene expression in microglia, the immune cells supporting brain function in the central nervous system.

Specifically, exercise reverted the gene expression patterns of aged microglia to patterns akin to those seen in young microglia.

Experiments depleting microglia demonstrated their necessity for the beneficial effects of exercise on the creation of new neurons in the hippocampus, a brain region vital for memory, learning and emotion.

This study also revealed that providing mice access to a running wheel prevented or reduced the presence of T cells in the hippocampus as they aged.

These immune cells are typically absent in the youthful brain but increase with age.

Co-corresponding author Jana Vukovic, PhD, assistant professor and head of the neuroimmunology and cognition laboratory at The University of Queensland, explained the key findings to Medical News Today.

Vukovic explained that: “[T]he aging process affects all of the different cell types in the brain with the greatest impact on the resident immune cells: microglia. Importantly, exercise reverts the microglial gene profile back to their youthful state.”

Understanding how exercise supports brain health “is a key question for many scientists globally,” Vukovic noted, adding that she and her colleagues “propose that exercise alters the immune landscape in the ageing brain and therefore enables the immune cells to continue to support nerve cell function.”

Exercise strengthens brain cell connections

Ryan Glatt, CPT, NBC-HWC, senior brain health coach and director of the FitBrain Program at Pacific Neuroscience Institute in Santa Monica, not involved in these studies, told MNT they “underscore the multifaceted benefits of exercise on brain health, particularly through gene regulation, mitochondrial function, and immune response.”

“They offer valuable insights by merging molecular biology with practical health interventions for aging populations,” he added.

For example, “exercise enhances synaptic plasticity and blood flow while reducing inflammation and increasing the expression of neurotrophic factors like BDNFTrusted Source,” Glatt explained. “These effects can synergistically improve memory, learning, and overall brain health.”

The best forms of exercise for a healthy aging brain

Vukovic noted that “there are ongoing studies to optimise exercise programs for elderly; however, Pilates is a good starting point for those who are looking to engage their muscles.”

Glatt agreed, adding that “aerobic exercises like cardiovascular exercise, strength training, and balance exercises are particularly beneficial to brain health, in both shared and unique ways.”

“Activities combining physical and cognitive challenges, like dance or tai chi, can be especially effective for certain aspects of brain health,” Glatt said.

Nevertheless, he cautioned that: “While exercise benefits brain health, individual variability due to genetics and baseline health can affect outcomes. Further research is needed to determine the long-term sustainability and optimal exercise types and intensities for different populations.”


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

Cycling Vs. Walking: Which is the Better Workout for You?


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 Train for a Marathon

Article featured on Summit Ortho

It’s one of those big, audacious goals that people sometimes dream of achieving: running a marathon. It’s easy to envision crossing the finish line and raising your arms in victory, having accomplished something that few people dare to try. But how do you learn how to train for a marathon?

“Training for a marathon requires consistency, dedication, and patience. You want to find ways to consistently train, which means planning your runs ahead of time and making sure you prioritize them in your daily schedule. It helps to find other runners who are training for a similar race, so you have people to keep you accountable and help you stay motivated,” Dr. Voight said. “Most importantly, you want to be patient with your training, so you don’t increase too quickly and end up with an injury.”

How long does it take to train for a marathon?

A marathon is a long race — 26.2 miles, to be exact. How do you get started, and how long does it take? How do you know how long to train for a marathon? The general answer is that it takes about 16 to 20 weeks to train for a marathon. This is true whether you’re new to running or are a regular runner already.

Your training plan should include three to five running sessions a week, with low-impact exercise, strength training, and rest on the other days. Keep in mind that you may need to adjust your training schedule if you get sick, have scheduling conflicts, or are battling an injury, so it’s good for your schedule to be flexible.

It’s important to keep your expectations realistic as you train. If you are new to running altogether, your goal should be to complete the race, not to finish in a certain time. You may not be able to run for the whole 26.2 miles, and that’s okay.

Marathon training tips

  1. Consult your doctor — Before embarking on marathon training, check with your doctor to make sure you’re managing any chronic conditions you have (diabetes or asthma, for example) while you’re training.
  2. Find a marathon training plan — There are lots of great options online, for everyone from couch potatoes to seasoned runners with a couple of half-marathons under their belts. Search “marathon training plan” to find a good starting point, and then customize it as needed for your life.
  3. Start slowly — The number-one mistake prospective marathon runners make is to go too fast and too far, too soon. That’s a recipe for injuries, which could derail your training overall. Although starting is exciting, it’s important to remember the old adage: slow and steady wins the race.
  4. Add strength — We think about marathon running as an endurance sport, which it certainly is. But don’t overlook the importance of strength training in helping you prevent injury and build muscle.
  5. Listen to your body — The most important marathon training tip isn’t really about running. It’s to listen to your body. If you’re feeling fatigued, take a day off. If something isn’t right, pay attention to your instincts and give your body what it needs.

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 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