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Excruciating Knee Pain- can’t workout? Here are some dos and don’ts

knee_pain

India is rapidly getting on the fitness path. However, many who have been active have suddenly become inactive due to injuries and largely these injuries pertain to leg or back. Knee pain and back pain being the most common among the young adults.

Knee pain today has become one of the most common orthopedic pain ailment among people of all age groups. What was earlier considered to affect people after about 60 years of age is now striking people earlier, reason being wrong foot wear, injury, bad and sedentary lifestyle, body weight, etc.

Let me cite my own example: I had injured my knee during the rainy season due to wrong shoes while performing an adventure activity. I couldn’t walk for few days as I had ruptured my ligament. It was a ligament strain. Thereafter, my knee became a hindrance for my workout. Doctor suggested rest and no workout.

I had to skip everything, right from running, working out, playing a sport. And I felt miserable and helpless that an injury stopped me from so many things. This is exactly the scenario with many of the people I consult. Most come up with the same issue of Knee injury so exercise is a NO NO, which is necessary for being fit.

First and foremost one needs to understand there are different kinds of Knee pain, it can be an injury, strained past injury, excessive weight, high uric acid, joint pain, arthritis. Depending upon what it is exactly that is giving the pain; there are different or similar solutions to it. In my case too, I spoke to different experts like Physiotherapist or My Trainer and I figured out that I need not stop exercising. I need to work on the strengthening of the knee and avoiding exercises that would worsen it.

In cases like High Uric acid and joint pain, of course dietary changes play a major role but exercises also need to be a part of recovery.

Things that would bother it more is exercises like Squats, that is why your doctor says start using western toilet and don’t sit down, as that motion would impact more on your knee and give pain.

Also avoid lunges, a form of exercise. Jumping moments as it would give shock to your joints especially the knees.

How do we still continue to be active with the knee pain?

What can be done? 

1. Exercise to strengthen it: Sit on a chair and raise your leg up and put it down again, repeat this for 10 times in a set of two. After few weeks, repeat the same exercise with little ankle weights, if you can manage.

2. Roll up a towel or a cloth: to form a cylindrical type format and keep that under your knee with the leg extended, try to press that with the knee and then release, repeat this for 4-5 times.

You can follow these two exercises for a better and stronger knee muscles.

3. Avoid running, squats, jumping movements

4. Eat foods that make your knee stronger Walnuts, Almonds, Milk and Milk products

5. In certain cases physiotherapy exercises will be needed.

6. Strengthen the supporting muscles like glutes( hip muscle), core muscles and leg muscles.

7. Stretching the leg muscles will also help as the stiffness in this part of muscle can cause difficulty in movement of the knee leading to pain.

8. Anti inflammatory and high antioxidants food like fruits, vegetables, fish, nuts.

9. Have food rich on Omega 3 like flaxseed and fish

10. Home made ghee of cow’s milk.

11. Maintain body weight.

12. Warm up well before any type of activity.

13. Opt for swimming as it helps a lot in knee issue.

14. Wear proper fitting shoes

15. Do not increase or decrease your activity. Keep it moderate.

16. Increase your Calcium & D3 uptake. Sources can be Milk, cheese, cottage cheese, egg yolk

( avoid for people have high cholesterol/ triglycerides), Ragi, Broccoli, Nuts, Fish.

All these points can make your knee pain better and make it more stronger and don’t stop yourself from workout if there is knee pain.

 

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Protein importance for muscles strength

protein-foods

Sometimes we wonder how to build up protein, one very important thing that crops up in every human’s mind in terms of muscle development is “weight training” which is in a way correct, weight training is very important to build those muscles but diet is equally important. Wight training — creates microscopic tears in your muscles.

The nutrients you eat determine how well your muscles repair these tears and, in turn, how much strength you gain. Apart from eating healthful food, you must get enough sleep and eat frequent meals for the greatest muscular strength. Do you know that your fitness is 70% of your diet and 30% of your workouts?

For an example you have your vehicle, a car but you don’t have its key… Will you be able to drive the car? Absolutely not… Similarly, here the weight training is the car, and the key is your diet, a perfect amount of protein is very necessary for your muscle development. The most important nutrient in muscle repair, which allows your muscles to become stronger, is protein.

The Amount of protein for a sedentary person would be Approx 0.5 to 0.8 Grams, and for a active person who do rigorous activities, he needs at least 1.5 to 1 gram of protein for 1Kg. Protein is a macro nutrient necessary for the proper growth and function of the human body.. Any excess protein is turned into energy by the body. A deficiency in protein leads to muscle atrophy, and impaired functioning of the human body in general.

Ideal sources for building strength are complete protein sources, rather than incomplete proteins, states the National Strength and Conditioning Association. Complete proteins contain each of the nine essential amino acids. Sources include milk, yogurt, eggs, cheese, soy products, poultry, fish and meat. For the best benefit to your strength, consume a source of complete protein within 30 minutes of finishing your workout

Some of the good protein options are:-

1-Turkey and chicken breast

2-Fish ( tuna, salmon, halibut )

3-Cheese ( Non-fat mozzarella )

4-Lean beef ( Low fat )

5-Tofu

6-Beans ( Mature soy  beans )

7-Eggs ( Egg whites specially )

8-Yougurt, milk and soy milk

9-Nuts and seeds (Pumpkin and watermelon seeds, peanuts and almond )

So the next time you are going to prepare for your muscle build up, try to keep these things in mind. And keeping these things on track doesn’t mean that you avoid the other nutrients. They are equally important.

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CARBOHYDRATES’- Seven Engines of POWER SUPPLY

carbohydrates

Carbohydrates is the first source of energy to the body. It is one of the most important major nutrients, which also means we need it in major quantity. Thus, recommended to have about 60% in our daily food intake. It has one of the best advantages to our overall health.

  1. Provides Energy: Our body requires energy to do even simple activity like moving from one place to another and carbohydrates helps us in that. So whichever the activity is walking, running, playing a sport, working in office or writing a blog –all require energy.
  2. Elevates mood: Carbohydrates help you release Serotonin in our body which in turn will elevate your mood and give you the feel good factor. Remember the feeling when you have a spoonful of Dal rice or Hot phulka with vegetable when you are super hungry, exactly the same feeling. You feel relaxed and calm.
  3. Muscle Recovery: Talking about muscle doesn’t mean only sports person require them. We all have muscles in our body that go through wear and tear with our daily activities too. Thus, we all need this wonder nutrient to recover our muscles, as they need to restore their deposits in form of Glycogen( stored form of glucose)
  4. Helps prevent disease: The fibre that comes with this carbohydrates help us prevent many diseases like Diabetes, Hypertension, Heart problems , Constipation and many more.
  5. Weight loss: This point may grab your attention, as it really helps in losing your weight indirectly. When we have the much needed carbohydrates, the body will not take up protein as a source of energy to work, thus avoiding muscle loss and in turn keeping the body’ metabolism high.

Carbohydrate intake-> Protein Sparing-> Muscle intact-> Metabolism high-> Burn more fat -> Weight loss.

One more reason being, the slow release carbohydrates helps in slow release of insulin in body, which in turn can avoid weight gain.

  1. Good Memory: Glucose is the key brain fuel, which comes from carbohydrates and various studies have also shown that people who have a regular intake of carbohydrates have a better memory than the ones who avoid it.
  2. Fuel for fitness: Sports person, runners, people doing regular exercises, they all need carbohydrates as the first source of fuel before, during and after the activity. As the body will use it the most and they can’t afford to lose muscle as a source of energy. If the body loses a lot of muscle, the joint strengthening is compromised leading to injury.

There are various such benefits of carbohydrates which we miss by avoiding them in our daily intake. Carbohydrates have a bad name in weight loss industry, as they say excess of it will make you put on fat, well anything of that sort happens.

So my suggestion is do not avoid carbs. It has such an important role to play in our healthy and fitter lifestyle.

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5 Lessons learnt from 100 km Trail walk

trail-walker

What has been more precious to me than completing the 100km Oxfam Mumbai Trail walk, 2014, in 37 hours? 

In the cool winter evening of 6 th December 2014, I along with a team of 3, completed the 4 th toughest Oxfam Trailwalk in the world, in 37 Hours. We had embarked on the trail at 6 am on the 5 th of December, 2014, and barring 3 hours of sleep between 3.30 am to 6.30 am on Saturday, 6 th December, kept trudging along. We trudged along mountains, fields and lakesides, in the blazing afternoon sun, through treacherous climbs and tricky descents.

But that’s not what this piece is all about, this is more about the lessons I learnt while on this mission. These lessons are going to stand by me as I get on to my work, in a competitive, challenging, at times unreasonable and unfair landscape that the Asset Management firm operates in, and I am sure it will resonate with each one of us in our work area.  

  1. Past Failures make for uncomfortable memories, but they also energise you to keep trying

I had attempted the trail walk in 2013. The daunting trail took me by surprise; it was less of trail and more of treks. Every little injury and exhaustion seemed to be the perfect excuse to give up and that’s what I did, with just about 30km completed. Even signing up for the 2014 Trail walk was a debate with self, fearing failure, questioning the rationale for putting myself through the gruelling ordeal again. Am glad I overcame those doubts, and triumphed at the end of it.

  1. The Temptation to Quit will be greatest just before you are about to succeed

At the end of 33km, my feet had busted, my toes were puffing up, the heat had exhausted me completely, and I declared I wanted to quit. My husband, who was my support crew for the trek, reminded me that it was the same place where I had quit the last year, and prodded me to be better than the last year. I decided to step along, and that was the last time I ever contemplated quitting the trail.

  1. It is good to be adequately resourced, but your hunger to succeed dwarfs all resource constraints

The trail demanded customised gear to navigate the tricky terrain. My kit bag had Merrell trekking shoes and Nike Pegasus shoes as a backup. I couldn’t think of not having the right shoes to support me through the 100 km. It so turned out my toes started blistering and swelling from 30km onwards, and I couldn’t fit into either of my shoes. Out came my bald Reebok floaters to the rescue, with absolutely no grip to speak of, looking like they were ill suited even for concrete road walk, let alone a daunting trek/trail path. With a bit of trepidation, but a burning resolve to hit the final check point, I completed the remaining 70 km in those Reebok floaters. It is something of a historic feat that I completed 70km of the 100 km in a nondescript floater.  

  1. You attract your victories, and the Universe conspires to deliver to you what your mind resolves to get

The ghost of the previous year, an exhausted body at 30km, a nagging stomach infection over the last 2 years, just the wrong days of the month biologically, just a month’s practice over the weekends before the event,  and yet, once I overcame the ‘WALL’ at 30 km, a calm prescience set over me, that all would be well, that nothing would come in the way between me and the final Check Point, that the body was just a willing ally, taking the mind’s orders to carry on, to shut out the aches, and reach the goal.

  1. The team consists of people of all shapes and sizes, but the team is ONE

As a team of 4, we were all very different. There was a trained mountaineer amongst us, an avid Himalayan explorer, part of the various rescue crews in the Uttarakhand and Kashmir natural disasters. There was a marathoner, with unending energy and enthusiasm, and there were the 2 of us, moms of 2 kids each, fitness conscious women, with the right intent, but maybe not as evolved in fitness as the rest of the two.  What could have been a 24 hour effort for the mountaineer or a 30 hour effort for the marathoner, turned out to be a 37 hour effort for our team. A trail of 100 km sheds the façade and brings out the best and worst of each of us, and it is commendable that the team walked as one, alert and sensitive to each of us, and a full team completion of the trail is by itself a commendable feat. Not many full teams complete the trail.

This has been a personality altering, life changing experience for me, and has been a means to prove to myself that someone who had nothing to do with fitness /physical activity as a child can end up being called an Ultra Marathoner if you want it badly enough.

The next Oxfam Trail walker is a year away, ample time for all of us to prepare and conquer, any takers ?

Mother of two kids, Vandana Trivedi is a GOQii player and full time professional heading sales at IDFC AMC. 2 years ago she got into the fitness mode and outdoor physical activities   and since then has been a regular trekker in the sahyadris

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