SHIN SPLINTS: Can They Be Prevented?

Photo: by jpo.ct (Creative Commons)

If you are a runner and have experienced SHIN SPLINTS, you know how painful they can be and how much they can inhibit your running. The good news is that they can be prevented, and it is actually much easier than treating them once they occur.

How To Prevent Shin Splints:

1. Warm up well before running. This may include walking, stretching, and/or slow jogging.

2. Stretch your lower legs well before running. Stretch your calf muscle, soleus muscle (lower part of calf), and the front of your ankle (by pointing your toes downward/inward and downward/outward). Hold each stretch longer (30 seconds) if prior stretching routines have not been effective.

3. Avoid running on hard surfaces. Find trails, sand, grass, or a padded track to run on.

4. Be sure to wear proper shoes. Replace running shoes every 300 miles.

5. Consider using orthotics (over-the-counter or custom-made).

6. Slowly increase your training schedule, especially if you are new to running or returning after an extended time away.

7. Slowly progress to running on hills.

8. Do not run through shin splint pain!  

9. Do regular ankle Range of Motion and ankle strengthening exercises.

10. Cross train from the beginning of your jogging or running program.

Source: Brotzman SB, Wilk KE. Clinical Orthopaedic Rehabilitation, 2nd ed. 2003: Mosby. "Shin Splints in Runners" (Casillas MA, Jacobs M), pages 522-526.

Great-Tasting Salad from Zaxby's

Yesterday I went to Zaxby's for lunch, hoping to find something both healthy and flavorful. Typically salads can get boring if you eat them often, and some really do not taste that great (even health nuts will admit it). I saw a new "zalad" on the menu, so I ordered it even though I had no idea what was on it. Some fast food restaurants do not have good descriptions of their food on the drive-through menu, which makes it hard to make a healthy choice! But I ordered the Roadhouse Salad, hoping it would have some new and different ingredients, and I was happy with the result!

The Roadhouse Salad has your typical healthy ingredients plus a few surprises, such as black beans, corn, and some crunchy potato sticks. The Roadhouse salad dressing has a southwest flavor that is not spicy. It also has some shredded cheese, which is a must for a good-tasting salad (even though it adds a few calories). It is served with grilled chicken (you will not be asked if you want it grilled or fried), which is well-seasoned. And, of course, you get a slice of heavily-buttered Texas Toast.

It may not be the healthiest salad out there, but it will satisfy your hunger, and it has some various flavors that make it stand out from your usual Grilled Caesar Salad. Zaxby's is one fast-food chain where you can always find a decent-tasting salad. 

Protein Bars: Are They Really That Good For You?

The other day as I was leaving the gym, my 3-year-old spotted a box of free goodies on the front desk, so he ran straight to it to, somehow knowing the ingredients included chocolate. They were chocolate mint "Builder's" protein bars. Having never tasted a protein bar before, I was curious to try it and was sure to steal a bite from each of my toddlers. To my surprise, it looked and tasted like a chocolate bar. Had I eaten it without seeing the wrapper, I would have assumed it was some form of candy. Only later did I look at the ingredients and nutrition info to see if it was healthy at all.

You would assume protein bars are healthy, right? While they are packed full of protein and vitamins, I would not consider them healthy for most of us, and here is why. The biggest rules of healthy eating are to eat fresh and lean: fresh fruits and vegetables, lean meats, lean dairy, and whole grains with minimal sweets and fats. The only things from this list that fill protein bars are sweets and fats. Processed foods are full of preservatives and a ton of questionable ingredients that you have never heard of. So if you are new to eating and cooking fresh, the first step is to shop around the perimeter of the grocery store (fresh breads, fresh produce, fresh meats, fresh dairy). A strict, fresh diet would exclude all processed foods and pre-made frozen meals. So, unfortunately for chocolate-lovers, protein bars should probably not be a regular part of your diet. Instead, get your protein from lean meats, legumes, nuts and dairy. And get your vitamins and minerals from a fiber-filled, balanced diet.

There are a few groups of people that could likely benefit from regularly indulging in protein bars. These tasty  bars could be a decent meal replacement for those who are extremely busy. They provide protein, vitamins, calories and fat to hold you over until your next meal. Protein bars also may be a good addition to the diet of someone who is calorie-deficient, such as an elderly person who does not eat well. Obviously hard-core athletes could benefit from the extra protein and calories. Athletes trying to gain weight might want to add protein bars to their high-calorie diets.

In many ways, a protein bar is similar to an "Ensure" shake or a "Slim Fast" shake if it is used as a meal supplement or replacement. But if you are using meal replacements (such as a protein bar or protein shake) to lose weight, you may need to consider which weight loss program will be most effective long-term. I would argue that a healthy, balanced diet and regular exercise will more likely help you to lose weight and keep it off than eating a protein bar every day for lunch. Likely you may enjoy the taste of a protein bar as I did, but I recommend you spend your grocery money on salmon and avocados.

10 Most Effective Strategies To Boost Your Workouts!

Do you do the same exercise routine every week? Do you go to the same machines every gym session? If so, this may be why you are not seeing the dramatic results you want from your weight loss program. So here are some suggestions to increase the intensity of your next workout! Not only will these boost your metabolism but they will make your gym time much more interesting and fun.

10 Most Effective Strategies to Boost Your Workouts:

1. Increase your speed. What is your present exercise pace? If you are not sweating profusely 5-10 minutes into your workout, then you may simply be exercising too slowly. Know your body and your fitness level before you turn up the speed too high (which could risk injury). If you have never increased your pace before, simply increase it in small increments. For example, if you walk at 3 miles per hour, try 3.5 miles per hour next time. Of if you jog at 6 miles per hour, try to increase to 7 mph in the next 2 weeks. Another example is the stair climber (one of my favorites). Try to increase your steps per minute so that you are not at the same pace for more than 1-2 weeks. You may start at 60 or 70, but work up to 100 or more in the next 1-2 months. If you cannot tolerate a faster pace for the entire workout, then do some faster intervals between bouts of your normal pace.

2. Increase your intensity level. A good example is riding the stationary bike. I commonly see fellow gym-goers pedaling slowly at level 1. And after 30 minutes, they have not even broken a sweat. If you are 80 years old, and both your knees have been replaced, then you have my blessing to stay at level 1. For everyone else, steadily increase your intensity by one level at a time. You likely can tolerate a higher level than you think. When was the last time you increased your weight amount for biceps curls or overhead press? Do you always do 3 sets of 8 on your leg weights? Each of these needs to increase periodically for maximum results.

3. Add a new form of cardio. Cross training helps to strengthen various muscle groups, provides rest for stressed tissues and boosts your overall fitness. So even if you are training to run a race, you should not run every day. Do another form of exercise that builds your endurance but that has less strain on your knees or feet. Or if you usually do the elliptical machine, try the stationary bike or stair climber next time. Do not do the same form of cardio every day unless you have no other options. For example, if you do not belong to a gym but walk in the neighborhood every morning, then continue to do so as you have been. To spice up a walking program, add more hills, a faster pace or walk-jog intervals.

4. Add strength training. I hate to say it, but there are some stairmaster hogs at our gym. There are only 3 stair machines, and they are almost always full. And I often see the same people on the same machines for a full hour. If you normally do cardio for an hour and then go home, then add strength training to your workouts. Here are some options. Do your normal cardio, then do 20 minutes of strengthening. Decrease your cardio to 45 minutes, then do 15 minutes of strengthening. Do 10 minute cardio intervals with 10 minute strength intervals (alternate back and forth). Do 30-40 minutes of cardio and 30-40 minutes of strengthening. Do all strengthening with high intensity cardio intervals (1 minute fast cardio for every 5 minutes of strengthening). If you belong to a gym and don't know what strengthening to do, try the machine weights or a strength class (such as body pump). A personal trainer can really help in this area (if you can afford it). Otherwise, do your own research to find websites, books or resources to give you new and various strength exercises. Building muscle tone increases your metabolism because muscles burn calories even when you are not exercising.

5. Work toward a goal. The type of goal depends on your reason for exercising. If you joined the gym in order to lose weight, then you should have some short-term and long-term weight goals. If you exercise for the cardiovascular benefits, then your goal may be to decrease your blood pressure or cholesterol levels. If your exercise is training for a race, then set a completion time goal. Without a goal, you can easily get into a workout rut. Any goal is appropriate as long as it challenges you to get the most out of every workout minute!

6. Find a challenging exercise partner. Do you find yourself clueless as to how to exercise? You don't know which machines to use or even how to use them. The easiest person to help you is a family member or friend that exercises regularly at a location close to you. The next option is asking someone at the gym to guide you.  Most gym members are happy to help a newcomer. Of course a personal trainer is the ideal person to give you 1 on 1 attention and to really challenge you to reach and exceed your goals.

7. Join a new exercise class. If you only do Zumba or step aerobics, then try a new class sometime. You may love it even more than your present workout. Spinning class is likely one of the most challenging gym classes available. If you usually do a water aerobics class and do not have any injury, then you should progress to out-of-water classes to steadily improve your fitness level. This is especially true for young or middle-aged individuals. Join a class where the other students look fit and thin; there is likely something about their workouts that is effective! I also highly recommend body pump/body bar classes, which incorporate both cardio and strength training together.

8. Check your 1 rep max. This takes me back to high school weightlifting class with Coach Mac (Go Capitals)! To determine how much weight to lift on each strength exercise, first find out your 1 rep max. How much weight can you lift only once? If you can do it more than once, keep increasing until you know your maximum. For muscle bulking, you will do 70-80% of your 1 rep max and perform 3 sets of 10. For muscle toning, do 50-70% of your 1 rep max and perform 3-4 sets of 12-15.

9. Increase your gym time per session. If you normally exercise for 30 minutes, then increase it by 5-10 minutes or more! 30 minutes is the minimum recommended amount, but doing the minimum will likely produce less results. To achieve greater weight loss, increase your workout time! I recommend 60 minutes, 5-7x/week. Just be sure to increase it slowly. If you have not exercised in 10 years, start with 10-20 minutes. Then slowly work up to 30, then 45, then 60 minutes.

10. Increase your weekly gym sessions. Exercising 1-2x/week will not produce the benefits you seek, so increase your frequency! Depending on your schedule, see which day(s) you can add a workout. It is important to exercise daily if possible. Build it into your weekly routine so that you will not neglect it. Otherwise, it will easily fall off your to-do list. If you cannot exercise 5-6x/week, then do 4-5x/week. Every time you do, you are investing in your own body, which is the only one you have. So make it a priority because no one else can do it for you.

The Best Deli In Northeast Columbia: A Healthy Review

Crossings Deli!!!  I highly recommend this little deli located in Northeast Columbia near Providence Hospital Northeast. If you live or work in the area, try it the next time you eat out for lunch!

There are a ton of healthy options, which is what I always look for. Of course, there are various not-so-healthy sandwiches too (Crossings Special is a known favorite). For those of you looking for a tasty, nutritious meal, try the minestrone soup, full of vegetables and a variety of beans. It has an exceptional flavor, perfect thickness and stocked full of good-for-you ingredients! Or you can always find a good salad, whether traditional or Greek. Another favorite of mine is the Vegetarian Platter! I have also tried the veggie burger, which I always like more than beef. For those of you with larger appetites, try a club sandwich on wheat bread (3 slices).

Some sandwiches are served on pita bread, or you can order a side of warm pita to accompany your soup or salad. There are also great wraps! So whatever kind of deli food you like, you are sure to be pleased here. It is family-owned and open for lunch only (weekdays only as well). To avoid the lines, I usually call in my order and pick it up within 10 minutes.

What can be better for a weekday lunch than a fast, fresh meal from a local deli? It far outweighs your fast food options (Wendy's, Sonic, Bojangles).