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Therapy Time: My hamstrings are tight…or are they?

Greg Roskovensky • Jul 31, 2015

If I had a penny for every time someone told me (insert something here), my bank account would be happy.

Every person I have ever seen has told me that they have a high tolerance for pain.  Okay, maybe not every single one but at least 80% of them.  I hear the exact same thing about tight hamstrings.   They say…..wait for it……”I have tight hamstrings.”

The fascinating part of this is that most of the time, 75% or more, when I take a look at the person in front of me they, in fact, do not have tight hamstrings.

Shall we start with a task?

Take your shoes off, stand with your feet close together, bend down and try to touch your toes.

This is about as far as most people go when determining the tightness of their hamstrings.  Can you do it?  If so, you likely don’t have tight hamstrings.

No, you can’t do it?  Alright let’s move on.   Lay flat on your back with both feet together.  Keeping both knees straight, do a straight leg raise as far as you can.

Is your leg close to perpendicular with the ceiling (80 degrees of hip flexion if you’re having someone else look)?  You’re definitely not tight in the hamstrings.

Not at that much straight leg raise?   Have a super friend help you.  Did you improve quite a bit and get to 80 degrees?  Yes you say…you’re not tight in the hamstrings.

At this point, if you were still unable to get towards that 80 degree mark, you may very well actually be tight in the hamstrings.

If you’re an athlete and you find that you can’t touch your toes but you have a full straight leg raise, it is certainly worth figuring out why?  Tight hip flexors, weak abs, poor glute control, neural components and guarding can all play a part.  Any of these things should be addressed to round out your total training program.

Taking the test and find the opposite is true?  That you can touch your palms to the floor?  Particularly for the youth athletes if you have hypermobility, aka an laxity in your joints which allows you to have greater end ranges of motion, this is something you also want to get a handle on right now.  Those who are unable to control their own joints in space are also more likely to wind up on the side lines.  The weird thing is that many people with hypermobility report that they feel stiff and that they need to stretch all the time.

If you’re an athlete and you feel stiff all the time or are already in pain, come in and get an assessment.  No doctor’s presciption is needed (though if you submit for reimburement through you and your parents insurance, you should contact the insurance company to ask).  On your first visit with me, you get a full hour of one on one time.  We talk about your situation and take a look at everything, head to toe in a systematic approach to make sure we don’t leave any stone un-turned.  We then give you an approach to help get things in order, communicate directly with your strength coach, and return you to proper training as soon as possible.  If you have questions, feel free to contact me, Greg, at [email protected]

29 Mar, 2022
So far I’ve introduced a little about the “non-diet” approach , as well as the Diet Cycle , which many people find themselves stuck in when using a restrictive “diet” approach to food and health. For some of those people, the idea of eating what they love and “giving up” on diet or weight loss doesn’t seem like an option, understandably. We face a LOT of pressure, day after day, to eat “clean” and lose weight. That pressure may come from well-intentioned family, friends, and healthcare professionals who are concerned about our health (more on that later); or from fear-inducing headlines that compare sugar to poison; or from photo-shopped & face-tuned ads on Instagram of celebrities selling their flat tummy tea or shapewear. We are surrounded by Diet Culture, and are forced to engage with it- no matter if it’s coming from our loved ones, acquaintances, coworkers, or even strangers. What exactly is Diet Culture? You might have an idea just from the sound of it... Messaging that promotes diet & weight loss. Right? It’s actually more than that. Here’s a definition from Aubrey Gordon, author of “What We Don’t Talk About When We Talk About Fat”: Diet Culture: “A system of cultural beliefs and practices that equates thinness not just with health, but with moral virtue, and which advocates for weight loss at any cost. Diet culture isn’t just a matter of being on a diet, but of the social forces that make dieting (or lifestyle changes or wellness) culturally mandatory for so many of us.” The key phrases are “moral virtue” and “weight loss at any cost”. Diet culture doesn’t only convince us that weight loss is necessary (to be beautiful, to demonstrate our worth, or to be healthy); but it creates this pressure that we are MORALLY obligated to do so. In order to be perceived as good, responsible people, Diet Culture urges us to pursue weight loss at any cost- which could mean sacrificing our social life, a significant amount of money on supplements or meal replacements or programs, our emotional wellbeing, and even our physical wellbeing. Maybe diet and weight loss aren’t so healthy after all… And while this may not be everyone’s experience, we have research that demonstrates the following emotional impacts of restrictive dieting: Dieting is associated with higher anxiety levels (Kwasnicka, 2020) Dieting is associated with poorer emotional and mental quality of life (Burns etal, 2001) Dieting is linked with reduced life satisfaction (Esch and Zullig, 2013) Further, restrictive dieting has actually been found to cause weight GAIN. To be clear, weight gain is nothing to be ashamed about (bodies change!); but if the multibillion dollar diet industry is selling a diet plan for weight loss, they’re not exactly being honest about the likely outcomes. 1⁄3 to 2⁄3 regained weight within 1 year, with almost all weight regained within 5 years (1992 NIH Consensus) Most weight is gained back within 2 years and most gained back all the weight by 5 years (2013 Australian Research Council) A team of UCLA researchers reviewed 31 long term studies on the effectiveness of dieting and concluded that dieting is a consistent predictor of weight gain —up to two-thirds of the people regained more weight than they lost (Mann 2007) This quote from Weight Watchers former Finance Director sums it up pretty well:
07 Mar, 2022
Good morning! Thank you to everyone who came out to Break the Diet Cycle presentation. I hope you’re starting today feeling curious about Intuitive Eating and eager to rediscover your favorite foods in a fresh, positive way. I attached the PDFs of the presentation for you to reference, as well as the “HAES (Health at Every Size) Manifesto”, by Dr. Lindo Bacon, author of Health at Every Size. This provides a snapshot of the science behind the weight neutral approach, Health at Every Size, which Intuitive Eating is aligned with. For those of you who couldn’t attend, you may be wondering- what exactly is Intuitive Eating? As I mentioned in an earlier newsletter, Intuitive Eating is a non-diet approach to food and health. The framework consists of 10 principles to help you examine and reevaluate your beliefs & attitudes about your body, your food, physical activity, health, and more. While practicing Intuitive Eating, individuals relearn how to eat in accordance to their natural hunger and fullness cues; food cravings; energy needs, and so on. They begin to trust their body to tell them when to eat, what to eat, and how much to eat. The Ten Principles of Intuitive Eating are: 1. Reject the Diet Mentality 2. Honor Your Hunger 3. Make Peace with Food 4. Challenge the Food Police 5. Feel Your Fullness 6. Discover the Satisfaction actor 7. Cope with Your Feelings without Using Food 8. Respect Your Body 9. Exercise to Feel the Difference 10. Honor Your Health with Gentle Nutrition Intuitive Eating may seem like a straightforward concept, but in a culture that heavily promotes dieting and weight loss as a path to health, happiness, and even moral virtue, it can be hard to break out of the Diet Cycle (seen below). Also known as the “Restrict-Binge Cycle”, this eating pattern is typically kicked off by some diet thought, like “I need to lose weight” or “I need to start eating better”.
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Snack Break with Mary Registered Dietitian-Nutritionist & Certified Intuitive Eating Counselor at Advantage Strength
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