CrossFit Open WOD 13.3 – Advice and Injury Prevention Tips

So, the CrossFit open WOD 13.3 is actually the same as CrossFit Open WOD 12.4 – in other words, you get a chance to see if you have gotten any better!

I have outlined some of my initial impressions and ideas concerning advice for the elite athletes and “enthusiasts” (aka the rest of the world). Otherwise, please take care and if you are new to CrossFit, find someone to help you sit on the toilet!

In case you don’t know what 13.3 is…

As Many Repetitions/Rounds (!) As Possible in 12 minutes of:

150 Wall-ball shots

90 Double Unders (skipping)

30 Muscle-Ups

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Single Leg Squat / Pistols – Why bother? Because they are AWESOME for you!!

Jason Haywood shows us how a Single leg squat / Pistol is done

Jason Haywood from Crossfit BodyM doing a Pistol at CFX

The humble single leg squat. Feared and revered. Done by so many people around the world as a test of strength and a strength exercise. I have been teaching my patients variations of this for years – it is such a good exercise…but it isn’t for everyone.

The aims of this blog post are to:

1. Highlight the benefits of doing a single leg squat (but referred to as pistols from here on in)

2. Common pitfalls in doing this exercise

3. Safe progressions you can use so you can pistol with the best of them!

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Squatting – An Essential Movement for Life – Can You Do It Right?

Squats – you used to do it right…what about now?

As soon as babies can stand, they start to learn how to squat. I remember my kids standing and then squatting so they don’t topple over. Babies have fantastic flexibility and their brain is eager to learn new motor patterns…where did it all go wrong for most people?

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High Heels – A Blessing from God or a Curse?

High heels, good looking legs, great posture and pain-free - can you have it all?

A great set of high heels which makes your outfit “complete” does wonders for a woman’s confidence. Right or wrong, shoes can change the way a woman (and a man) feels about themselves. They lengthen the appearance of your legs, accentuate the calves, make you taller, and make you gently sway your hips when you walk.

But what are the physical ramifications?

There are plenty of health professionals who would be quick to say high heels are “bad” for you. And it would be the safe thing to do – High heels have been linked with and increase in the number of ankle injuries, falls and pain in the feet, legs, back and neck.

So is it a dilemma? Do you have to choose between your favourite set of heels or a pain free life? Well, that is the point of this article – to find out what the real story is.

The Good:

Here are 10 reasons I found on Google at a site called High Heels For You – I have reproduced their words here…I thought it accurately portrays what many women tell me :)

10 reasons why you must wear high heels

1. High heels make you tall
This is the weakest reason, though. Heels add height, and it helps in case a lady is short in built.2. High heels make you look slim
This too is a slightly weak argument, but it is true. When you wear high heels, the added height gives you a slightly better height:girth ratio. The upright posture helps you look slimmer in two more ways: by giving you the right curves when you stand or walk and by increasing your height.3. High heels complement most outfits
High heels usually add to the overall get up. Many garments, especially the tight fitting legwear, look gorgeous in high heels. By slightly pushing the chest forward, they also make the skirt / blouse look more eye-catching.4. High heels accentuate your legs’ beauty
When legs are of the right shape, their beauty increases manifold on high heels. Uncovered or tightly dressed legs look very sexy with high heels.

5. High heels are an object of desire
High heels are traditionally worn during parties and not at home and in offices. They are also worn by beauty queens, models and film stars and not by house maids. As a small girl, you had seen high heeled ladies around you or on TV / films / etc, you developed a craving for high heels and it satisfies you when you have a new pair of heels and you can flaunt them. So, wearing quality high heel gives a high just because you have such an object of desire.

6. High heels are works of art
Will you feel great if you put just a piece of concrete under your heel and stand on it? No. High heels of good brands and design are truly works of art. Irrespective of what else you wear, beautifully crafted high heels in themselves are worth putting on.

7. High heels draw attention
What fun is fashion if it is not noticed and complimented? What fun is it if men’s eyes are not fixed on them? Beautiful high heels cannot remain without being noticed. In addition, the sound high heels make when you walk in them also seems to subconsciously arouse feminine attraction in men.

8. High heels make you feel powerful
Getting noticed and complimented not only makes you feel beautiful, it makes you feel important and powerful.

9. Wear high heels because most others are wearing them
Except in situations that don’t welcome flashy high heels for health / comfort or social reasons [outing in hills and sea beaches, when pregnant, at funerals, etc], wear high heels because most other ladies would be wearing them.

10. High heels make you look and feel sexy
This is the most important, and an all-inclusive, reason: a pair of sexy high heels makes you look and feel sexy. Part of it is because you are conscious that your heels are being notices, part because you are being appreciated for the heels, part because you get a sexy posture by wearing them.

Hmm, probably shouldn't be wearing heels

The Bad:

Back pain, foot pain, heel pain, shortened calves, increased risk of falls/fractures/sprains, bunions, nerve damage to toes, etc

Need I go on?

The point is that there are lots of different aches, pains and injuries that high heels can cause.

So now what? Do I or Don’t I?

Good question!

You see, it is too easy for me to condemn them in a wholesale kind of way. I think it is a lazy way to give advice. If we all did what was “best” for us, we wouldn’t lead very fun lives.

By the same token, I wouldn’t be doing my job as a health professional properly if I didn’t point out all the risks and problems associated with wearing high heels.

Still, I believe you can wear high heels and still be relatively safe…but you have to be careful.

The Physiodetective Way:

The way I prefer to look at this issue is to ask the following questions (among others of course!)

1. Are you strong enough to walk around on your toes all day?

2. Do you spend enough time out of your heels so you don’t get shortened calves?

3. Can you maintain good posture in your heels?

4. Can you maintain good posture out of your heels?

5. Does your body move properly in heels?

You see, it all depends on Y O U.

If you have good posture, the strength to maintain it, good calf length and your body is able to efficiently bear all the load you give it, then I would argue you can wear high heels safely.

There are definitely increased risks of ankle injuries, falls and pain but these usually occur because your body can’t cope in the heels.

You need a thorough assessment for a proper answer:

Get yourself a proper assessment. This should be from the toes all the way to the head and neck. It should look at every joint in the “kinetic chain” to see if there is a failure in your body of accepting the loads in high heels.

Perfect Posture in Heels

Are there people strong enough?

Yes there are!

Far too many people should not wear high heels – I would prefer to educate them and get them stronger through our specialized and individual exercise classes we conduct at the clinic.

But there are plenty of people who can. I see them at the clinic all the time.

The most famous recent example is Pippa Middleton – she was wearing that gorgeous white dress in heels and had perfect posture. From a physiotherapy point of view, it was beautiful.

Do you want to know if you can wear high heels?

I am happy to see anyone who wants their posture checked in their high heels. If you want to know if you can wear your heels safely, then book an appointment by calling me on +61 410 440 506

If you don’t live in Sydney, that’s ok. Comment on this blog about where you live and I can send you a message with the details of someone near you. Alternatively, you can see someone in your local area…just make sure they are of the open minded variety and can assess you from top to toe.

Until then, be careful in your heels!

Ankle Sprain / Injuries – “What Should I Do”??

Ah, of the weekend sports injuries, the Ankle sprain is one of the most common.

We all know that we should RICE the injury and avoid HARM…but exactly what does that mean?

1. R = Rest – the idea here is NOT to make things worse. Playing through your pain is not the wisest thing to do. It is best to come off straight away. Try to walk as normally as possible without limping otherwise get some crutches. If it really is a ligament sprain, then you shouldn’t be thinking of doing much, especially in the first week.

2. I – Ice – I love the ice bucket bath the best. A mop bucket filled with water and LOTS of ice to cover the whole surface of the water. 10mins in, 10mins out then 10mins in again every 2 hours has been shown to be more effective than just 20mins straight icing. I don’t particularly like those blue ice gel packs as they get warm too fast…the ones that set like ice are ok. Real ice in a wet ice bag or plastic bag and glad-wrapped onto the ankle is good too. You can combine your icing with elevation (see below).

3. C – Compression – This is to keep the swelling to a minimum. A nice compression bandage from the toes to the calf is best. Too many people just do the ankle and then find their toes end up bruised – the swelling will flow so start from the toes and bandage up!

4. E = Elevate – this is to help the swelling. The ankle should be above the level of the knee which should be above the height of the hip. It is best NOT to have compression on when elevating your leg. You should sleep with a pillow under your ankle in bed – maybe sort the blankets out so there isn’t too much pressure on your ankle

You should also avoid HARM for 48 hours – these things make our life harder and your ankle more sore…

H= Heat – too many people like to have a hot bath, sauna, heat cream etc to feel good. Whilst it might feel nice straight away, it promotes more swelling into the joint which then means you will get more stiffness and pain!

A = Alcohol – Having a beer at the end of a game means you put your ankle injury at risk of taking longer to heal – Alcohol will make fluid drain out of your blood meaning you will have more swelling and so more pain and soreness.

R = Running – Any exercise will promote increased bloodflow – this will bring more fluid into the injured joint and it will be sorer for longer

M – Massage – in the first 48 hours, this will make more fluid go into the injury and as described above, this will make your life harder and sorer.

Do I need an X=Ray??

There are some simple clinical rules called the Ottawa Ankle Rules. If you have an ankle fracture, these rules will pick most of them up (It is a very sensitive test) . However, there are a high number of positive tests which don’t have any problems in them (Not a very specific test). There is a great poster explaining the rules…you can find it here…otherwise, here is the summary of the rules for the ankle…

If you have tenderness along the back of the outside ankle bone for 6m from the tip of the outside ankle bone (lateral malleolus of the fibula), or 6cm of the inside ankle bone (medial malleolus of the tibia) or you can’t walk straight away and in the emergency department, then you will NEED an X-Ray. Remember that most people with a positive test won’t have a fracture!

What should I do now?

We recommend that you call your physiotherapist’s office – even if it is at night or a weekend – and leave a message to organise an appointment. The sooner we can help you understand what is wrong and get you moving better, the quicker you can recover.

What will my physio do?

We will assess what is injured and why you have pain. We will then work out the best way to help you recover as soon as possible. We try keep you as active as possible – we love our sports and expect that you do too!

We might use use things like taping, manual therapy and exercises to help things get better faster.

Remember, sticking to the advice above will help you maximise your chances of recovering faster…but you will still need to be careful for about 6-8 weeks after the injury – even if there is no pain. That is because the tissues are still healing and are a bit more brittle than normal tissue. In fact, the first week will see a 90% improvement in a lot of patients but the injury scar is so brittle that it won’t take much to injure it again – so BE CAREFUL!!!

We look forward to hearing from you – tell us your story – leave a comment here or on our Facebook page at http://www.facebook.com/penshurstphysio

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