Tag Archives: injuries

Stupid F@#!ing Injuries

Medic!

If you’ve done any sort of exercise for any length of time you’ve probably experienced some sort of pain or injury.  I know.  I feel ya.  I’ve experienced injuries of many shapes and sizes and they all, unequivocally suck.  But of all injuries I’ve faced, I have to admit that I’ve had the hardest time coping with the stupid f*$%ing injuries.

If you’re wondering what I mean, let me explain.  There are injuries that sound justified or even tough.  Like, “I got a stress fracture training for that Ironman race”.  Then there are stupid f##$ing injureis like, “I tripped over my own shoelace and now I’m going to be in traction for a month.”  It doesn’t sound sexy.  Nobody’s thinking, “wow what dedication and stuff, the guy walked in SHOES, with LACES.  And they came untied and he just KEPT GOING!”  Nobody is making YouTube videos with inspiring music behind them documenting your “tripping over your shoelaces” comeback.  Like I said, it just sucks.  Because as much as your knee or your back or your shoulder is hurting, you also have to deal with the agonizing blow to your pride.

I had a reminder of this just this past week.  I hurt my back, working on the remodel of our house.  Okay, that doesn’t sound too bad, right.  Oh, did I mention I was SWEEPING at the time?  Yup, all I was doing was sweeping and my external obliques let out a rebel yell:

OMG it was so embarassing.  My husband asked me what was wrong.  And I replied that I had just experienced the dumbest injury in history.  He told me to take some Advil and go lay down.  At first I told him, no–that I didn’t have time to lay down.  And in his infinite awesomeness he replied,

“Jeanette, tweaking your back is not the dumbest injury in history.  That kind of stuff happens to everybody.  But if you don’t take the time now to lay down and you make this worse and you allow a little injury to become a massive, got to lay in back for a week injury, now THAT would be pretty dumb.”

God, I love my husband–that is when I’m not trying to kill him for being annoyingly correct all the time.  But you know what?  He had a point.  I wish I could say that the injuries I suffered were some sort of sexy battle scars from the hard core exercise wars, but the truth is, the worst injuries I’ve ever had have been stupid !@#$ing injuries.  Including:

1.  Meniscus tear from jumping up on some exercise mats to get some exercise equipment for one of my classes.  Result: 4 weeks on crutches, massive physical therapy.

2. Torn ligament in the sole of my foot from catching my sandal on a single cement step at my parents house.  Result: 6 weeks on crutches, massive physical therapy.

3.  Tweaking my back from sweeping.  AAAAARGH!

Look there’s a point to all this and here it is.  We alllllllllll experience stupid f!$%ing injuries from time to time.  It happens to everybody.  Get over it.  The only thing that you can control is how you cope with it after it happens.  You can rest, get diagnosis, and get treatment OR you can ignore it and allow a small f#$%ing injury to become a MASSIVE f!#$%ing injury.  And as my husband says, that’s the dumbest kind of injury of all.

Hang in there!

Love,

Jeanette DePatie (AKA The Fat Chick)

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Working Out in High Heeled Shoes and Other Forms of Insanity

shoes

When  I came across this in my facebook feed, I thought surely this is a joke.  Clearly this is some sort of Onion-esque wry statement on the deep link between fitness and soft porn.  Alas I was wrong.  Apparently there are exercise classes out there designed to be done by women in high-heeled shoes.

I’m not kidding.  There are exercise classes available here in Los Angeles designed to be done in high heeled shoes.  Why, you ask?  Well one of the websites (that I refuse to provide links for) features a buff fitness instructor in some strappy stilettos saying that this workout is for women who want to have it all.  And since far to many of us have become resigned to the fact that beauty equals pain, she’s going to help us with this workout designed to help us wear and walk in high heels the right way.  She says we can work out and feel sexy.  She says we can wear high heels without being in agony.  Which leads me to a few questions…

Naturally, the video promos on these sites feature slinky women, undulating around to soft porn sound tracks.  But somehow I can’t envision myself feeling sexy in that class.  I imagine myself calling 911.  And while it’s possible that I would meet a super sexy EMT in the back of the ambulance, I probably wouldn’t enjoy it because of the you know, agonizing pain of whatever foot, ankle, knee, hip or shoulder (choose your point in the kinetic chain) injury I was sporting.  And even if I wanted to, I wouldn’t be able to take any more of those super high-heeled sexy classes after settling my massive insurance co-pay.  Look, I’m for whatever makes you feel hot in the bedroom, but I have to admit Ben Gay, crutches, splints, braces, and the like don’t work for me as aphrodisiacs.  I’ve experienced all of the above apparatus, and I can tell you, regardless of how much I glittered and bedazzled, they did not work for me as sex toys.

I wonder, why does working out have to be like a low-budget soft-porn production anyways?  Can’t I just dance and swim and lift and sweat?  I was reminded of this question by this excellent blog post from Caitlin on Fit and Feminist.  She talks about the reasons that personal trainer Nia Shanks gives for not feeling the need to post pictures of herself in a bikini.  Here’s some hints: 1) There are videos on Nia’s site showing her sumo deadlifting 300 lbs. over three times in a row and 2) You’re kidding, you don’t really need a second reason do you?  I don’t think I need to ask either Caitlin or Nia how they would feel about working out in 4-inch high heeled shoes, do you?

Look, a big part of the reason I call myself The Fat Chick is that I’ve had just about enough of the fallacy that if you work out regularly, you will look like a super celebrity, red carpet-ready, porn star rock singer.  Now, I don’t have anything against anybody who looks like that.  But that look is simply unattainable for a great many of us.  As  points out in her terrific blog post on the subject, yoga is not necessarily going to lead to what we’ve come to accept as the “yoga body”.  And I think the notion that working out a few hours per week is going to give everybody the exact same body with thin muscular arms, flat and prominent six-pack or eight-pack abs, a round perky butt and thin muscular legs with no visible cellulite is patently ridiculous.  And equally ridiculous is the notion that we all need to look like that to be considered successful or even acceptable.  Bull cookies!  Work out because it feels good while you’re doing it.  Work out because it feels good after you’re done doing it.  In my opinion, at all times before, during and after exercise, lipstick is freaking optional!  As I’ve previously mentioned, one of the major selling points in turning my career towards fitness is the fact that I can wear sweat pants, sports bras and athletic shoes to work nearly every single day.  If I have to wear spike heels with my spandex pants I am out of here!

But I before I leave, I have to ask just one more question.  If wearing high heels causes agonizing pain, couldn’t you simply choose not to wear them?  I mean, maybe I’m being completely unreasonable here, but doesn’t that seem a little simpler than sumo lifting in spike heels?  I guess not (sigh…)  Better dim the lights, cue up the oom chicka mow mow music, and pass the body oil; I’m gonna go work out.

Love,

The Fat Chick.

By the way, if you want to work out with me at home wearing whatever you darn well please, there are a few options.   You can pick up a copy of my DVD, “The Fat Chick Works Out!” which features a safe, easy and fun workout for beginners or you can join me for my FREE live streaming classes on Tuesdays, Thursdays and Saturdays at 8:30 AM  PST.  Workout in sweats, jammies or even totally nude, I don’t care!  Just join us and have fun!

Biggest Loser: Part Two Corrective Guide Based on Exercise Science

screamer

If you are doing as the advertising suggests and watching the latest season of The Biggest Loser with your family, you may have seen some stuff that is pretty disturbing.  In the first episode, we’ve got folks falling off treadmills, needing emergency medical attention and the usual Biggest Loser Barf Fest.  We’ve also got trainers yelling, screaming, insulting and bullying contestants in the hopes of helping them get in shape.  But as I suggested yesterday, this is “reality” television.  And a lot of the techniques you see on this show are the exact opposite of what we are taught as fitness professionals.   A lot of that stuff is just plain wrong.  And some of it is downright dangerous.

As I mentioned in yesterday’s post, there is just so much misinformation about health and fitness on this season of The Biggest Loser, I just can’t fit it all into one blog post.  So here on Thursday Theater day, I bring you part two.  (Click on the photo above to see a short YouTube clip for this week’s Thursday Theater).  Let’s talk just a little bit more about what you and your kids might have “learned” on the show and why it’s a really bad idea to make it part of your fitness practice.

4.  The best way to motivate somebody to get fit is to yell, scream, curse at them, and bully them.

There’s an awful lot of evidence out there that bullying, yelling, screaming, shaming, cursing at and frightening people is a terrible long term strategy for motivating them to get and stay in shape.   People tend to be drawn to things that give them pleasure and shy away from things that cause them pain.  Being publicly shamed is extremely painful for most people.  In addition, there is ample evidence that people stick to exercise longer if they are intrinsically (internally) motivated rather than those who are extrinsically (outwardly) motivated.  So a person who identifies herself as an exerciser and works out because of the benefits she sees for herself (and also happens to enjoy the workout) is far more likely stick to exercise than someone who is motivated by shame and fear, especially if that shame and fear is applied by someone outside of themselves.  After all, what are you going to do when there isn’t a crazy mean lady who gets paid millions of dollars to scream at you every day.  Eventually you have to do it by yourself.  And you’ll have a much better chance of doing it yourself if you’ve built up the inner strength and self-esteem to be your own cheerleader.

And lest you be tempted to bully your kids into losing weight, let me tell you right now that this is likely to backfire.  Recent evidence indicates that kids being bullied from any source, be it school playgrounds, teachers, coaches and parents is likely to make kids engage in healthy behaviors and may make them gain more weight in the long run.  Not to mention the fact that kids who are bullied tend to have lower grades and poorer school attendance.  Being bullied frankly messes kids up, sometimes permanently.  If your kid is being bullied at school because he is fat, the last thing you should do is be another bully in his life.

5.  It is normal, feasible and desirable for a person to lose 10, 15 or over 20 pounds in one week.

When I was studying to be a personal trainer, I learned that there are two ways to lose 20 pounds in one week–dehydration and decapitation.  The weight loss levels on the Biggest Loser are not reasonable or sustainable by most people.  Furthermore there have been some suggestions that the length of a “week” (as long as 15 days) as well as hydration levels (including dehydrating contestants to the point of urinating blood) are manipulated to make it look like contestants are losing more weight.  The U.S. Department of Health and Human Services and the National Institutes of Health, suggests losing no more than 1/2 to 2 pounds per week. They suggest you may lose a few more pounds in the first 3 weeks of a program, but should not try to sustain weight losses at that level for more than two or three weeks without serious medical supervision.

Rapid weight loss can lead to a variety of health problems including gallstones, dehydration, dizziness, depression, and loss of lean muscle including heart muscle.  If you goal is health, the last thing in the world you want to do is lose lean muscle mass.  And losing muscle mass in your heart can be seriously dangerous.

Long story short, it’s not really safe or sustainable to lose more than two pounds per week at home.

To sum up, The Biggest Loser is a commercial television show on a for-profit network.  Press releases, promotional video and pompous rhetoric aside, their main goal is to make money.  Television shows make money by having better ratings.  Losing 1/2 pound per week in a rational sustainable way may be the healthiest option, but it makes for lousy TV.  Please take these facts into consideration as you watch the show, and decide whether or not to use anything on that show as a guide for your own health practice.  Because what makes for good TV may not make for a healthy body.  Please let common sense be your guide.

Love,

The Fat Chick

P.S.  If you are upset that The Biggest Loser has chosen to take on “childhood obesity” this season, consider signing our petition here.

If you’re looking for sensible and rational assistance for your exercise efforts, consider joining The Fat Chick’s Personal Training Programs.  If you sign up before January 14, you can try any of my training programs for just $25.  We’re also offering special training groups on the Fit Fatties Forum starting at just $10 per month!

There is a lot of very detailed and specific information about how to build a safe and pleasurable exercise regime found in my book The Fat Chick Works Out! (Fitness that is Fun and Feasible for Folks of all Ages, Shapes, Sizes and Abilities).  You can pick up an autographed copy for just $16.95 (plus S+H) on my website.

Also remember that a little exercise adds up to a lot over time.  And exercise is more fun when you do it together.  So you might want to consider adding your exercise totals to our Fit Fatties Across America program.  We’re pooling all of our exercise minutes and miles as we make our way across the country.  We went 167 miles in the first few days of the program, and we’re hoping to reach St. Louis this week!  Make sure to enter your exercise data by noon on Friday to count towards this week’s totals!

Biggest Loser: A Corrective Guide Based on Exercise Science Part 1

screaming

If you were unfortunate enough to have watched the season opener for The Biggest Loser this year, you saw some very frightening and confusing things.  You saw people vomiting.  You saw people falling off treadmills.  You saw kids on the show with accompanying tinkly happy music being told that they should stand up to people who bully them.  You saw not one but three “fitness coaches” screaming at, hollering at, spitting at, disparaging and yes, bullying the adult contestants.  You saw a contestant being home for losing a “measly 15 pounds” in one week.   You saw paramedics coming to pick one of the contestants up.  All in one episode.

When it comes to the modern Roman Coliseum, this season opener takes the cake!  One was thrown to the lions.  One was carried off on a stretcher.  And several fell during battle.  And while this makes absolutely delicious material for snark, I want to take a moment out and do a little damage control here.  Because this year, the producers claim to be taking on the “challenge of childhood obesity”.  This year, they want you and your kids to watch the show together to learn about a healthy lifestyle.  And that, my dear friends, is a big, BIG problem.  Because a lot of what they depict on that show, is the exact opposite of what we are taught as fitness professionals.  A lot of the stuff on that show is just plain wrong.  And some of it is seriously dangerous.  So let’s talk a little bit about what you and your family may have “learned” on that show and why it’s not a good idea to apply those ideas to your own fitness practice.

1.  It’s a good idea for folks who are completely sedentary to start with exercise sessions that are several hours long, provided there are fitness trainers there to scream at them.

Exercise science seems pretty clear on the fact that accelerating rapidly from no physical activity to a lot of physical activity is a bad idea.  Starting out with sessions of several hours puts a person at greater risk for injury, burnout and sudden death.  So where should sedentary adults begin?  Here’s what the U.S. Department of Health and Human Services has to say:

Therefore, for a person who has been sedentary for some time for whatever reason, the initial dose of activity should be at a relatively low intensity, of limited duration, with the sessions (also called bouts) spread throughout the week. An example of this approach would be a walking program with sessions of 5 minutes of slow walking, 5 to 6 days per week, with the bouts performed at various times throughout the day (e.g., 3 times per day). As the person adapts to this amount of activity, the bout duration could be slowly increased to 10 minutes, and as exercise capacity begins to increase, the walking speed could be increased…

The US Department of Health and Human Services also cites various studies that indicate “when individuals increase their usual amount of physical activity the risk of injury is related to the size of the increase. ”  So starting out with several hours of exercise at a time, can increase chances for musculoskeletal injury.  Furthermore moving exercisers from a completely sedentary life to long bouts of vigorous exercise can be very hard on the heart.  Moderate, gradually increasing exercise programs are generally quite safe.  Yet each year about 75,000 Americans suffer heart attacks during or immediately after exercise.  Studies show that these victims are most often sedentary men over age 35 who were either at risk for heart disease or had heart disease and then exercised too hard and too fast for their fitness levels. (American College of Sports Medicine 2006).  So if you are sedentary and haven’t exercised in a while, be safe.  Start of slowly and don’t ramp your fitness levels more than 10% per week.

2.  In order to get a really good workout, you should ignore pain, dizziness and other symptoms that are normally associated with distress in your body.

On the show, contestants are told to “push through” physical symptoms like pain, dizziness, and weakness.  However, sports science indicates that these symptoms are important messages that can warn of a serious problem before it occurs.  According to the Mayo Clinic, shortness of breath, coughing and wheezing are possible signs of an asthma attack, and light-headedness, irritability, dizziness and confusion are possible symptoms of heatstroke, a potentially fatal condition.  Other causes for irritability, dizziness and confusion could be dehydration, a dangerous dip in blood sugar or even the onset of a coronary event.  For those of us exercising alone or at home, exercise danger signs are an important early warning system that should not be ignored.  Here are some of the generally accepted exercise warning signs:

1.  Feelings of dizziness or light-headedness

2.  Feeling tightness in chest, trunk, back or jaw

3.  Extreme breathlessness

4.  Unusual fatigue

5.  Nausea

6.  Loss of muscle control

7.  Allergic reactions–hives or rash

8.  Blurred vision or changes in consciousness

If you are exercising and experience any of these symptoms, it means you should stop exercising.  If these symptoms persist, it is important to seek medical attention.

3.  Vomiting is a normal part of any vigorous exercise routine.

Actually exercise induced nausea is a fairly common complaint, but there’s no reason to see it as a badge of honor.  In the past when questioned about this issue, Biggest Loser trainers suggested that the extremely high percentage of episodes of vomiting on the show are because the exercisers have a lot of toxins in their bodies.  I can find no research to back this assertion.  It appears the most common cause of exercise induced nausea (and vomiting) is again related to doing too much exercise at too high an intensity level too soon in an exercise program.  There are other potential causes for exercise-induced nausea.  A 4% drop in body weight from dehydration is enough to cause nausea and vomiting (a possible cause of the Biggest Loser Barf Fests).  While eating large fatty meals close to exercise sessions can trigger this nausea, the severely restricted diets of Biggest Loser contestants make this an unlikely cause.  In any case, exercisers should not see nausea and vomiting during workouts as a sign they are working hard enough, but rather as an opportunity to “fix” something in their training program that isn’t quite right.  Try an even more gradual increase in exercise intensity and levels from week to week.  Be sure to maintain a proper level of hydration.  Try not to eat large meals before workouts.  And consider changing your exercise mode (runners tend to have this problem more often than walkers or cyclists).

Frankly there’s too much misinformation and bad ideas in the Biggest Loser to detail them all in one post.  So, I’ll take up this topic again in another blog post.  In the mean time, please remember to let common sense into your exercise regime.  And also keep in mind that exercise does not have to make you miserable. You can reap physical, emotional and spiritual benefits while engaging in exercise that’s fun, pleasurable and reasonable.

Love,

The Fat Chick

P.S.  If you are upset that The Biggest Loser has chosen to take on “childhood obesity” this season, consider signing our petition here.

If you’re looking for sensible and rational assistance for your exercise efforts, consider joining The Fat Chick’s Personal Training Programs.  If you sign up before January 14, you can try any of my training programs for just $25.  We’re also offering special training groups on the Fit Fatties Forum starting at just $10 per month!

There is a lot of very detailed and specific information about how to build a safe and pleasurable exercise regime found in my book The Fat Chick Works Out! (Fitness that is Fun and Feasible for Folks of all Ages, Shapes, Sizes and Abilities).  You can pick up an autographed copy for just $16.95 (plus S+H) on my website.

Also remember that a little exercise adds up to a lot over time.  And exercise is more fun when you do it together.  So you might want to consider adding your exercise totals to our Fit Fatties Across America program.  We’re pooling all of our exercise minutes and miles as we make our way across the country.  We went 167 miles in the first few days of the program, and we’re hoping to reach St. Louis this week!  Make sure to enter your exercise data by noon on Friday to count towards this week’s totals!