As all real estate brokers know, a fresh coat of paint will make any property look good. Whether your home is a row house in Baltimore, a Paris atelier, or even a Winnebago, a new coat of paint will bring a shine to the interior and put a smile on the faces of both residents and guests. You may find that a similar smile will appear on your face and the faces of your friends and family members when you engage in activities that provide you with a metaphorical fresh coat of paint. Specifically, you'll obtain your "new look" by incorporating a healthy diet and regular, vigorous exercise in your daily routine.1,2
But what exactly is "a healthy diet," and what is really meant by "regular, vigorous exercise"? A healthy diet consists in a daily practice of consuming food from all five food groups: fruits, vegetables, grains, proteins, and dairy. Importantly, a healthy diet includes at least five daily servings of fresh fruits and vegetables. Overall, the more colors on your plate, the better. If you're consistently eating yellow, green, red, blue, orange, and purple foods such as squash, corn, grapefruit, kale, broccoli, apples, peppers, blueberries, carrots, oranges, potatoes, and eggplant, you're well on your way toward a lifelong healthy diet.
The grains food group contains whole grains such as whole wheat, brown rice, bulgur, and barley. For those who require gluten-free whole grains, the numerous choices include amaranth, buckwheat, quinoa, brown rice, and teff. The protein food group includes beef, lamb, chicken, eggs, fish, beans and peas, and nuts and seeds. There are plenty of protein sources for vegetarians and others who don't eat meat or other foods derived from animals such as eggs and milk. The dairy group is included to provide sources of calcium.3 These foods include low-fat and fat-free choices such as milk, yoghurt, and cheese. If you're a vegetarian or have allergies to dairy products, other sources of calcium include kale, collard greens, spinach, salmon, sardines, blackstrap molasses, and beans. For men and women aged 19 to 50, the recommended daily requirement for calcium is 1000mg. For women over age 50 and men over age 70, the recommended daily requirement for calcium is 1200mg.
Regular, vigorous exercise means doing at least 30 minutes of exercise five days a week. Walking, running, bike riding, swimming, using an elliptical machine or treadmill, and weight training are all good choices. Lifting weights three times a week and doing some form of aerobic exercise two times a week is one example of such a program of vigorous daily exercise. For some people, walking five days a week for at least 30 minutes each day represents an optimal program. Find out what works best for you and do that consistently. Change your program every few months to keep both your mind and body challenged. Again, the specific form of exercise is not critical. What works for one person will not work for another. The key is consistency. Five days a week, at least 30 minutes a day.
Your fresh coat of paint is not merely metaphorical. Once your new lifestyle changes take effect, probably within three to six weeks, you'll begin to develop an inner glow and an outer glow that will be visible for all to see.
1King DE, et al: Impact of healthy lifestyle on mortality in people with normal blood pressure, LDL cholesterol, and C-reactive protein. Eur J Prev Cardiol 20(1):73-79, 2013
2Lopresti AL, et al: A review of lifestyle factors that contribute to important pathways associated with major depression: diet, sleep and exercise. J Affect Disord 148(1):12-27, 2013
3Nachtigall MJ, et al: Osteoporosis risk factors and early life-style modifications to decrease disease burden in women. Clin Obstet Gynecol 56(4):650-653, 2013
Wouldn't it be great if your body came with an owner's manual? You'd probably begin reading it around the age of seven or eight, and right away you would be able to start taking better care of your precious body. You would learn how you can use your body efficiently and effectively. By learning how to use your body correctly, you'd be ensuring a lifetime of good health and peak performance. You wouldn't have to play catch up when, after years and decades of uninformed abuse, your once-perfect physical machinery began to systematically break down. In fact, by taking the time to learn sound practices, habits, and techniques now, you could avoid what, for many, turns out to be years or even decades of unnecessary physical pain and mental or emotional suffering. Fortunately, it's never too late to start improving your life and maximizing your health, and the sooner you get started, the sooner you will start experiencing the benefits.
So, what topics would such an owner's manual cover? The manual would discuss and describe the usual suspects - good posture1, exercise2, nutrition3, and proper rest - that everyone knows about but almost no one puts into regular, or even irregular, practice. The single greatest benefit of having your own personal instruction guide is that you would be able to learn about these processes without trial and error. The metaphorical horse of good health would not yet have left the barn. Rather than shutting the stable doors after the stalls had emptied - the way most of us pay attention to our health - you would be empowered as to how to actually take care of yourself.
So what can you do? Without the benefit of such an owner's manual or the lucky acquisition of teachers and coaches who really know what they're doing, most of us struggle along. Our posture gets worse and worse, our muscles and joints get tighter and tighter, and sooner or later (usually sooner) we develop pain that quickly becomes chronic. Fortunately our bodies are resilient and reparable. Once we find the right person (such as a chiropractor) who can teach us about good posture and healthful exercise, it's possible to start feeling better. A chiropractor is intimately familiar with the spine and can help you figure out the secrets to your own body, so that you get all the benefits of having an owner's manual without having to do all the legwork yourself.
Using posture as an example, a chiropractor can teach you the secrets that many mentors and coaches impart to dancers, gymnasts, and all other highly trained competitive athletes. You can learn how to balance your weight over the balls of your feet. You can learn how to stand erect and straight, but not rigid. You can learn how to open your chest without straining your chest muscles, allowing your lungs to take in all the air you need to function at your peak. You can learn how to let your shoulder girdles relax, resting them on your rib cage, sitting or standing straight and tall without tightening and fatiguing your neck and upper back muscles. You can learn how to activate and properly use your core abdominal musculature, providing a firm and secure foundation for all your body's activities. A chiropractor is an expert of the human spine, and has an intimate understanding of how your spine and posture affects how you feel, as well as what you need to do to take care of this precious part of the human anatomy.
High serum glucose. High cholesterol. High blood pressure. This is a trifecta you definitely don't want to have. This combination of laboratory findings is known as metabolic syndrome, a new medical term that has been in existence for less than ten years. It's well-known that there is an epidemic of obesity in America. Two-thirds of Americans are overweight or obese. Thirty percent of American children are overweight or obese. The numbers continue to increase. The United States is also in the midst of an epidemic in diabetes. Eight percent of Americans over age 20 have diabetes - one in twelve people. Again, the numbers are increasing.
Recently, public health researchers discovered that people who were overweight and had diabetes also had high blood pressure - the combination of findings was termed metabolic syndrome. The implication is that if a person has one or more of these abnormal findings, he is at risk for the others.1,2,3 If a person has high blood glucose she is at risk for high blood pressure and elevated cholesterol. Being overweight increases the risk of developing diabetes and developing cardiovascular disease - heart attack and stroke.
The statistics and medical conclusions are sobering, and yet there is good news. Each of these serious disorders - diabetes, obesity, and high blood pressure - is a lifestyle disease. Lifestyle contributes significantly to developing any and all of these conditions. Making long-lasting changes in the way we live has long-lasting effects on our health and well-being. Lifestyle recommendations are not breaking news. Everyone knows about the benefits of healthy nutrition and regular vigorous exercise. Research has consistently shown that diet, exercise, and proper rest significantly improve one's health. The great challenge is to cause people to engage in these activities which are in their own interest.
An additional important lifestyle change is to engage in regular chiropractic care. Chiropractic care ensures optimal functioning of the nerve system which ensures optimal functioning of all other body systems. If the nerve system is over- or understimulated, physiology will break down in various ways and disease will result. Chiropractic care balances nerve system activity via gentle manipulation of spinal joints. Proper function of the spine results, with normalization of nerve activity. Chiropractic care enhances all other lifestyle activities. Healthy nutrition and regular exercise can have maximum benefit when your spine and nerve system are functioning properly.
1McNaughton SA, et al: Dietary patterns, insulin resistance, and incidence of type 2 diabetes in the Whitehall II Study. Diabetes Care 31(7):1343-1348, 2008
2Brunner EJ, et al: Dietary patterns and 15-y risks of major coronary events, diabetes, and mortality. Am J Clin Nutr 87(5):1414-1421, 2008
3Roman B, et al: Effectiveness of the Mediterranean diet in the elderly. Clin Interv Aging 3(1):97-109, 2008
Everyone wants to grow their bank account. We know our financial health is usually estimated by the level of our resources. The more money in the bank, figuratively speaking, the more secure we feel. If our resources include stocks, bonds, and property, we are even more secure.
We can use such fiscal accounting as a metaphor for our physical health and well-being. The more resources we can accumulate in our "health account" the healthier we'll be. And if we're able to diversify the "holdings" in our health accounts, as we'd like to be doing with our financial accounts, we'll enjoy more and better long-term health from many points of view.
Whether we're paying attention or not, our physical resources fluctuate as regularly as do our financial resources. And as in financial accounting, health accounting involves income and expenses. If income exceeds expenses, you enjoy higher levels of relative health. The converse is also true - when expenses exceed income, health deteriorates.
What kinds of things can go into our health accounts? We can easily list the most crucial of these - food,1 exercise 2 and rest.3 But we're not interested in quantity. We're much more interested in quality. We're interested in maximizing value. For example, focusing on quantity with respect to food causes a person to become overweight. Focusing on quality - high-quality protein and high-quality complex carbohydrates, with plenty of fresh fruits and vegetables - causes a person to become leaner and fitter. We don't want to fill our health accounts with coins made of lead and copper. We want to fill them with coins made of gold.
As far as rest is concerned, it's important to get, on average, the rest we need. Most people require 7 to 8 hours of sleep each night. There are exceptions, of course. For the average person, getting 6 or less hours of sleep on a long-term basis will deplete their health account. But getting too much sleep also has a negative impact. Again, quality is more important than quantity.
There are many additional sources of "income" that enrich our health accounts. Loving relationships with our family, fulfilling relationships with our friends, stimulating and challenging activities and interests, learning new skills, and exploring new environments all grow our health accounts and enhance our long-term health and well-being.
Chiropractic care is another source of "income" for our health accounts. Regular chiropractic care helps a person maximize the value - on a physiological basis - of the food, exercise, and rest she is getting. Chiropractic care helps people get the most out of their health resources, becoming more efficient and effective in terms of physiology, health, and well-being.
1Greenwald P, Dunn BK: Do we make optimal use of the potential of cancer prevention? Recent Results Cancer Res 181:3-17, 2009
2Jackson AS, et al: Role of lifestyle and aging on the longitudinal change in cardiorespiratory fitness. Arch Intern Med 169(19):1781-1787, 2009
3Smaldone A, et al: Sleepless in America: inadequate sleep and relationships to health and well-being of our nation's children. Pediatrics 119(Suppl 1):S29-S37, 2007
What does the future hold in store? None of us can know with certainty, although some predictions are possible. Stock market indexes will rise. Then they'll fall. Then everyone will hope that the indexes will rise again. Hemlines will fall. Then they'll rise. Then in two or three years they'll fall again.
The French have a saying for all this - plus ça change, plus c'est la même chose. The more things change, the more they stay the same. In fact, things have changed a lot in 10 years. The Internet exploded. Cell phones are everywhere. In the United States an African-American man was elected president. Longstanding dictatorships were toppled in the Middle East.
The next ten years have the possibility of being even more gloriously impactful.1,2,3 Things do not necessarily remain the same. The actress Betty White has reinvigorated her career at age 89. Jeff Bridges won a Best Actor Academy Award at age 61, highlighting a 40-year career. The 2010 Best Original Screenplay Academy Award went to the 73-year-old first-time winner David Seidler. Leon Russell, the beloved musician/songwriter, was recently inducted into the Rock and Roll Hall of Fame. Well into his 60s, Russell observed that he had been "lying in a ditch on the side of the highway of life" when he his career was suddenly, unexpectedly resurrected by Elton John.
In the next ten years, for us, anything is possible. But in order to move beyond the "same old, same old" we are required to make a choice. Another old saying, "if it's going to be, it's up to me", remains true today. We need to make choices on our own behalf, choices that will further our growth and development and the growth and development of our loved ones. We can create a spectacular next ten years.
In general most people pay close attention to auto maintenance. Whether the concern is tires, brakes, transmission, or windshield status, people make sure that their cars do what they need them to do. People count on their cars to perform effectively. No one wants a surprise, especially in a critical situation. But in stark contrast, people often give much less consideration to their own physical functioning and capacity than they do to several critical performance factors related to their own automobiles.
The metaphor of machine upkeep standing in for health maintenance is commonplace but apt. To prove the point, most of us allow our physical conditioning to deteriorate far beyond that which we would ever tolerate relative to our cars or even our power lawnmowers. The immediate consequences of such neglect are the developed world epidemic in diabetes, the United States–based epidemic in obesity, and the ongoing high levels of cardiovascular disease worldwide.
What redress is required with respect to our physical health and welfare? As with our cars, the long view is needed. If we lease a new car every year, upkeep is not an issue beyond an oil and filter change or two. But if we want our car to continue to perform reliably for three, five, or ten years, regularly scheduled service is necessary. Our cars need check-ups every 12 months or so. As flesh-and-blood organisms, we require a similar schedule of maintenance.
Importantly, feeling fine is not necessarily a good guide to how we're doing from a health perspective. High blood pressure, for example, is known as the "silent killer." There are no fully recognizable signs and symptoms of hypertension, until it's too late.1 By the time a person has had a debilitating heart attack or stroke, high blood pressure has probably been in place for years. Similarly, the early symptoms and signs of diabetes are subtle and seemingly harmless. Fatigue and an inability to focus may be ignored or interpreted as mere symptoms of an overly stressed lifestyle. Frequent thirst and frequent urination might be conveniently explained away as side effects of poor eating habits. Again, serious damage may be done, possibly involving one's kidneys and one's vision, as a result of undiagnosed and untreated diabetes.2
The solution to helping prevent such potentially serious health problems is to make sure you have regular check-ups. Operating on the long view, rather than operating as the proverbial ostrich (with his head buried in the sand) or the proverbial grasshopper (who fiddled all day), we will have annual or biannual blood pressure readings and blood tests. Appropriate scheduling for such check-ups will be specific to the individual, based upon age, past medical history, and family history. The critical takeaway is to practice preventive health care based on the long view.3 Perform personal maintenance and service checks as needed.
1Kumar N, et al: Management of patients with resistant hypertension: current treatment options. Integr Blood Press Control 6:139-151, 20132
2Adebayo O, Willis GC: Changing Face of Diabetes in America. Emerg Med Clin North Am 32(2):319-327, 2014
3Lynch EB, et al: A self-management intervention for african americans with comorbid diabetes and hypertension: a pilot randomized controlled trial. Prev Chronic Dis 2014 May 29;11:E90. doi: 10.5888/pcd11.130349
Driving fast is not necessarily a good thing. We want to get where we're going as quickly as possible, but we also want to arrive safely. If we drive too fast, we may encounter all sorts of problems. If we drive too slow, we're wasting time and may be causing traffic problems behind us. These competing considerations will both be fulfilled by maintaining an average velocity that is at or close to the posted speed limit. We want to find the "sweet spot," the happy medium that both saves time and helps keep us safe.
The same principles may also be applied when we're exercising. We want to improve, get stronger, and build more endurance as soon as we can, while simultaneously avoiding injury and staying healthy. Very often, these goals may conflict. It's important to ensure that we're exercising efficiently and making certain we're deriving the greatest benefit from our exercise time. These benefits are obtained by a steady approach, one that focuses on incremental gains accomplished over time.1
It's natural to want to arrive at a desired outcome quickly. But as with any other form of training, whether learning to play the piano or becoming a competent chess player, substantial time is required to produce long lasting results. In the case of exercise, trying to hurry the process will usually cause an injury. You'll be set back at least weeks, if not months, and you'll have to start over, pretty much from the beginning.
For almost all of us the "tortoise" approach, rather than that of the "hare" in the well-known fable, will produce the health benefits we're hoping to achieve from our daily exercise. If you've never walked before and want to incorporate this aerobic activity as part of your exercise routine, start with a 10-minute walk. This doesn't sound like much, but that is precisely the point. Start by doing a little and build up gradually and consistently. Within 6 or 8 weeks you'll be doing 30-40 minute brisk walks several times a week, which will represent a very good aerobic exercise program. Incorporating strength training into your routine will employ a similar method. For each of your exercises (such as bench press, one-arm row, squat, toe raise, shoulder press, biceps curl, and lying triceps press), begin with a weight with which you can comfortably do 10 repetitions. If you can't do 10 reps, the weight is too heavy. Start with that weight and do 3 sets per exercise. Build up gradually by increasing the weight by 5%, if possible, each week or every 2 weeks. After 10 to 12 weeks you'll be noticeably stronger and your metabolism will begin to be more efficient.2,3
By progressing slowly and steadily, you will build a solid base and make consistent and possibly substantial gains in your exercise routine. You will get where you want to get safely and effectively. The long-term outcome will be enhanced health, wellness, and well-being.
1Marongiu E, Crisafulli A: Cardioprotection acquired through exercise: the role of ischemic preconditioning. Curr Cardiol Rev 10(4):336-348, 2014
2Huxel Bliven KC, Anderson BE: Core stability training for injury prevention. Sports Health 5(6):514-522, 2013
3Granacher U, et al: The importance of trunk muscle strength for balance, functional performance, and fall prevention in seniors: a systematic review. Sports Med 43(7):627-641, 2013
We all know someone who has suffered a serious driving-related injury that had nothing to do with being involved in a motor vehicle accident. For example, turning your head suddenly and swiftly for a last minute check of your "blind spot" before changing lanes on the interstate could result in a painful neck sprain. Getting out your car in a crowded shopping center parking lot can often be awkward and may even result in a low back injury. Bending over to lift a grocery bag out of your back seat or trunk can even cause a herniated lumbar disc with very painful consequences. Thus, driving can be dangerous, even without taking account of your innumerable fellow drivers who are talking on their cell phones, texting, combing their hair, putting on makeup, or even shaving when they should be 100% focused on the road. Even if you're a highly skilled, appropriately defensive driver, doing driving-related things can cause real physical injury.
Why do such injuries happen? The cause is the same as for the person who, while getting dressed in the morning, bends over to put on his or her socks, stockings, or tights and experiences a sudden, sharp pain in the low back. Later on, that pain may worsen and radiate down one leg, and a likely diagnosis of a herniated disc may ensue. "But I wasn't doing anything wrong," the person exclaims to his chiropractor. "All I was doing was putting on my socks." But the chiropractor knows that the movement that apparently caused the injury was merely the last physical insult in a long chain of musculoskeletal and biomechanical deficiencies.
As with the person who injures his or her neck or back at home while engaged in innocuous activities of daily living such as housecleaning or taking out the trash, driving-related injuries that are not the result of an actual accident are caused by being deconditioned or out-of-shape. If your neck and back muscles, ligaments, and joints are not used to doing physical work while engaged in a full range of motion, suddenly putting them in mechanically stressful situations will very likely lead to injury. For such persons, the primary missing fitness factor involves the core muscles, the body's group of central, deep, sheath-like muscles that provide the base for almost all movement and motion.
Lack of core fitness is the culprit for most neck and back injuries that happen when you "weren't doing anything". The good news is that core training is readily available. You are training your core muscles whenever you do strength training or yoga. You are doing core training when you walk, run, bike, or swim, provided you are doing these activities effectively and efficiently. You don't need special equipment. All that is required is the willingness and persistence to engage in regular vigorous exercise. The many benefits are broad and longlasting, including getting more enjoyment out of the time you spend in your car.
1Rietveld AB: Dancers' and musicians' injuries. Clin Rheumatol 32(4):425-434, 2013
2Micheo W, et al: Basic principles regarding strength, flexibility, and stability exercises. PM R 4(11):805-811, 2012
3Steele J, et al: A review of the specificity of exercises designed for conditioning the lumbar extensors. Br J Sports Med October 2013: doi: 10.1136/bjsports-2013-092197. [Epub ahead of print]
Even experienced exercisers sometimes find it difficult to know how much to do. For the beginner this uncertainty represents a significant stumbling block. Fortunately well-established guidelines and protocols exist to provide assistance to all exercisers, regardless of your skill level.
In general, the beginning exerciser requires the most instruction. The key is to build up strength and endurance slowly and not do too much too soon. In terms of strength training, the best plan is to determine at what weight you can comfortably perform three sets of eight repetitions. If you can't do three sets of eight reps at the weight you've selected, it's too heavy. If doing three sets of eight reps with the weight you've chosen doesn't feel like anything at all, then the weight is too light. Overall, of course, too light is better than too heavy. The majority of strength training injuries occur when you're attempting to train with an inappropriately heavy weight.
For example, you've selected 15-pound dumbbells with which to perform your bench press routine. You can comfortably do three sets of eight reps. Fifteen pounds is not too light and not too heavy. During the course of your next several weight training sessions, build up to three sets of 12 reps using the 15-pound dumbbells. When you can do three sets of 12 reps successfully, the next time you do your bench press routine you'll increase the weight by approximately 10%. In other words, you'll use the next heaviest weight, which is usually 17.5 pounds in a well-equipped gym. Begin with three sets of eight reps with the 17.5-pound dumbbells, and progress over the next several sessions to three sets of 12 reps. Then you'll repeat the sequence with 20-pound dumbbells, starting at three sets of eight reps and building up to three sets of 12 reps. You'll follow this formula with all of your strength training exercises. In this way, using a safe, smart, and graduated program, you'll consistently build lean muscle mass, gain improved strength and efficiency of your cardiovascular system, and most likely lose several pounds as stored fat is converted to muscle.1
The same principles apply to cardiovascular exercises such as walking, running, biking, and swimming. If you haven't exercised in a very long time, walking is a good method with which to begin.2,3 On your first day, go for a normally paced 10- or 15-minute walk. Don't be concerned that your walk feels like it's over only a few minutes after it's begun. Your main focus should be on getting started, not on how much or how little you're doing in the first few sessions. Over the course of four to six weeks, build up a minute or two each session until you're able to comfortably walk for 30 minutes at a moderate pace. At this point you can begin to increase your pace gradually, building up to a 30- or 40-minute walk at a brisk pace. At this level, you're going a very good, vigorous cardiovascular workout and your heart, lungs, and other components of your cardiorespiratory system are becoming stronger, healthier, and more efficient.
In this gradual, steady, measured way, all exercisers, of whatever age, prior experience, and skill level, can gain a lifetime of benefit from their fitness programs and minimize the likelihood of setbacks or injury.
1Hawkins M, et al: Impact of an exercise intervention on physical activity during pregnancy: the behaviors affecting baby and you study. Am J Public Health 2014 Oct;104(10):e74-81. doi: 10.2105/AJPH.2014.302072. Epub 2014 Aug 14
2Hanson S, Jones A: Is there evidence that walking groups have health benefits? A systematic review and meta-analysis. Br J Sports Med 2015 Jan 19. pii: bjsports-2014-094157. doi: 10.1136/bjsports-2014-094157. [Epub ahead of print]
3Varma VR, et al: Low-intensity daily walking activity is associated with hippocampal volume in older adults. Hippocampus 2014 Dec 7. doi: 10.1002/hipo.22397. [Epub ahead of print]
All of us who’ve experienced a back injury of one sort or another have been told at some point to “avoid heavy lifting.” That type of advice appears to be a no-brainer or at least redundant, as no one whose back is hurting is going to try to pick up an air conditioner or even a 100-foot reel of garden hose. In this context, it’s important to remember the words of Shakespeare’s Cassius: “The fault, dear Brutus, is not in our stars, but in ourselves”. The problem isn’t the heavy lifting, as such. The real problem is in us, that is, in our overall level of conditioning or physical fitness.
Most back injuries don’t occur as a result of heavy lifting, but rather are caused by a seemingly innocuous event such as bending over in the shower to retrieve a bar of soap that has fallen to the floor. Other likely pain-producing scenarios are bending over to place a bag of groceries in the trunk of a car bending over to tie a loose shoelace. None of these circumstances involved lifting extraordinary weight. Rather, the common elements are lack of flexibility and lack of appropriate muscle tone and strength to support the weight of your body in a forward flexed position.
The problem isn’t lack of big muscles. Picking up a bar of soap or positioning a 15-pound grocery bag doesn’t require bulging biceps or massive lats. The problem is lack of conditioning. Most of us no longer do actual physical work on a regular basis. We spend the large majority of our day sitting, either working, reading, or watching entertainment on television or other devices. The result of such lack of activity is twofold. Muscles lose strength and muscle fibers are replaced by fat. Additionally, tendons and ligaments contract and become tight, losing their necessary composition of elastic fibers. The functional loss associated with these physiological changes is profound. We experience these change every time we feel a twinge, or worse, in our backs.
The fix is easy and primarily focuses on building up core muscle strength.1,2 Core training is directed toward your deep abdominal muscles. The main such muscle is the transverses abdominis, which surrounds your entire waist, protecting and supporting your lower back. You can think of this critically important structure as your internal weight belt. Activation of the core muscles is required for all effective physical activity.3 Without this essential foundation, any minor attempt at work, even bending over to pick up a pencil, can lead to disaster in the form of excruciating back pain.
Core training includes exercises such as the scorpion, lying windmill with bent legs, pushups, squats, and the plank. Many good books and numerous online videos are available to provide instruction in the performance of core exercises. Your chiropractor is experienced in rehabilitative exercise and will help guide you to the training methods that are best for you.
1Inani SB, Selkar SP: Effect of core stabilization exercises versus conventional exercises on pain and functional status in patients with non-specific low back pain: a randomized clinical trial. J Back Musculoskel Rehabil 26(1):37-43, 2014
2Brumitt J, et al: Core stabilization exercise prescription, part 2: a systematic review of motor control and general (global) exercise rehabilitation approaches for patients with low back pain. Sports Health 5(6):510-3, 2013
3Wang XQ, et al: A meta-analysis of core stability exercise versus general exercise for chronic low back pain. PLoS One 2012;7(12):e52082. doi: 10.1371/journal.pone.0052082. Epub 2012 Dec 17
