Side to Side Lunges for Hip and Spinal Health

November 8th, 2024

The Side to Side Lunge is an exercise within the Pain-Free Movement Specialist sequencing as a B/C exercise. A B/C exercise will generally fall in the middle or toward the end of a Function First corrective exercise program. We use this exercise to help create some disassociation between the pelvis and spine as we load the hips independently. The nuances of this exercise make a big difference. Be sure to pay attention to all of the details to get the most out of this exercise.

Pain and Context-Choose Your Suffering

September 23rd, 2024

Pain isn’t just a physical sensation—it’s deeply influenced by context. Every situation triggers a unique response, and understanding why is key to helping our clients.

In this captivating clip from a live educational session, Anthony takes a deep dive into how the brain processes pain under extreme conditions. Imagine a surfer surviving a shark attack or a hiker stranded with a broken leg—how do their brains handle pain in the midst of danger? Anthony breaks down the brain’s ability to prioritize survival over discomfort, offering powerful insights into why pain can feel so different in life-threatening moments. These intense, real-world examples make for compelling metaphors that can transform the way we explain pain to our clients.

Movement Snacks for Better Health

August 29th, 2024

The full original post by the American Council on Exercise can be found HERE

From the invention of the wheel to the advent of smartphones, one of the primary goals of advancing technology has been to reduce human labor and improve efficiency. And that’s almost always a good thing. But it seems we’ve reached a turning point, where we’ve gone too far, become too sedentary, and are now trying to find ways to reengineer our lives to add some of that lost movement back into our days.

The reduced physical activity trend was only accelerated by the pandemic, as more and more jobs shifted to being done remotely from the comfort of our homes, eliminating the walk to and from our cars, walking meetings at lunch time and even strolls around the office to pop into coworkers’ cubicles. Now, instead of those walking meetings, we’re positioning treadmills below our standing desks and setting phone alerts to remind us to move.
older female doing bicep curls at home
Many of your clients likely work in sedentary jobs, whether at home or in the office. In addition, they’re also hearing pretty alarming phrases out there in the health and wellness ether, like “We’re in a comfort crisis,” and “Sitting is the new smoking.” Your role is to not only give clients tools to disrupt their sedentary lifestyles, but also to put their minds at ease and help them avoid getting so discouraged that they throw in the towel.

This article unpacks the benefits of short bouts of physical activity and provides strategies you can share with clients to help them break up their sedentary days with some much-needed movement.

The Value of “Movement Snacks”

There is great benefit from the accumulation of short exercise bouts, or “movement snacks,” both physiologically and psychologically. “The Physical Activity Guidelines for Americans and the WHO Guidelines on Physical Activity and Sedentary Behaviour are clear that doing some physical activity is better than doing none and bouts of physical activity of any duration contribute to the health benefits associated with the total accumulated volume,” explains Chris Gagliardi, MS, Scientific Education Content Manager at ACE and an ACE Certified Personal Trainer, Health Coach, Group Fitness Instructor and Medical Exercise Specialist. “In other words, everything counts.”

Lance Dalleck, PhD, professor of Exercise and Sport Science at Western Colorado University, explains the physiological side of things: “If we remember back to high school biology, the molecule adenosine triphosphate (ATP) is the form of energy your body cells use to do their work, including to support muscle contraction. The reason why sedentary behavior is unhealthy can be explained in large part by ATP. Two of the primary fuels used to regenerate ATP in skeletal muscle cells are blood glucose (i.e., a carbohydrate) and blood triglycerides (i.e., a fat). When we move regularly, we create an increased demand for ATP, which in turn uses high levels of carbohydrate and fats. However, when we are sedentary for large parts of the day, there is a diminished need for ATP and, consequently, these metabolic fuels are not used.

Both elevated levels of blood glucose and blood triglycerides are well-established risk factors for various chronic conditions, including metabolic syndrome, type 2 diabetes and cardiovascular disease.”
Some evidence-supported benefits of taking short activity breaks include:

• Increased positive emotions
• Decreased fatigue
• Improved vascular health
• Improved cardiorespiratory fitness, when performed at a vigorous intensity
• Increased dietary amino acid utilization to promote protein synthesis
• Enhanced postprandial glycemic control

Overcoming an Emotional Obstacle

One potential issue when trying to get buy-in from clients on the need for movement snacks is the understandable feeling that going to the gym a few days a week for cardio and strength training should be enough. Many people have likely spent a lifetime hearing about the need to do cardio, lift weights and maybe go for walks after dinner a few days a week. Now, you’re introducing the need for another form of movement to their lives, and there may be some reluctance at first.

As Dalleck explains, physical inactivity and a sedentary lifestyle are two distinct things, and they require two different approaches. Physical inactivity is remedied by those gym visits and after-dinner walks, but a client can meet the Physical Activity Guidelines and still be sitting too much throughout the day—and suffering the health-related consequences of doing so. Therefore, he says, it’s important to encourage both regular physical activity and reduced sedentary time and to establish plans and set goals around both of those outcomes.

To be clear, short bouts of movement are not meant to replace workouts, but complement them. Structured workouts are about being physically active in an effort to pursue health and fitness goals, while movement snacks are about countering a sedentary lifestyle and preserving one’s health.

Jen Kates, an ACE Certified Health Coach and the owner of Shift Human Performance, reminds her clients that movement snacks are an opportunity to “refresh their eyes, their bodies and their mindset.” She will often ask her clients, “How do you feel after a workout?” and they typically respond positively, saying they feel great, both mentally and physically. Movement snacks, Kates explains, allow a person to experience that feeling throughout their day. It’s a means of breaking up the stagnation of a long workday.

“I think it is helpful to work with clients to change their perspective about being physically active from an attitude of ‘I have to do more’ to ‘I get to do more’ or ‘I am able to do more,’” says Gagliardi. This change in mentality, he says, can take time, but if the activity is viewed as a reward or privilege instead of a chore or task, clients may begin to look forward to the opportunity to step away from their work and move around a bit.

While movement breaks are not meant to replace a client’s workouts, the reality is that there are going to be times when life gets in the way, making a trip to the gym impossible. On those days, Kates suggests having clients review their planned workouts and perform modified versions of them over the course of the day. For example, they might make their first movement break a five-minute warm-up mobility routine. During other movement breaks, they can perform sets of body-weight exercises such as squats, push-ups and lunges. These breaks may not yield the full benefits of the planned workout, but they allow the client to adapt to their circumstances and do the best they can that day.

Another creative way a client can add movement to their routine is something called habit stacking, which involves adding a “should” between a “have to” and a “want to.” For example, after dinner, a client may “have to” load the dishwasher and “want to” start binging a new TV show. Between those two events, they can insert something they “should” do, like go for a walk or do some stretching. Eventually, that chain of events may become a habit.

During the workday, habit stacking can take on another form and be an effective way to achieve multiple objectives during a single, short movement break. For example, if a client who works remotely has established two goals for their movement snacking routine—climbing stairs and staying hydrated—they can identify times during their workday when they can stack those new habits. If they have three meetings on a particular day, immediately after each meeting they might walk a few flights of stairs in their apartment building or walk from their second-floor home office down to their basement, and then stop to drink a glass of water on their way back to their desk.

Consider these other strategies offered by Kates and Gagliardi that you can share with your clients:

• Set alarms in your phone to remind yourself of the need to step away from your desk. And don’t ignore those reminders!
• Hold “movement meetings,” where you either meet a colleague outside the office for a 15-minute walk around the building or through a local park. Or, if it’s a phone meeting, head outside and walk as you talk.
• If you work from home, make things a little less convenient. Use the bathroom farthest from your desk or keep your water bottle on a separate floor so you have to climb a flight of stairs each time you want a drink.
• Keep some exercise equipment in your office, such as dumbbells, resistance bands or a yoga mat. This will make transitioning to a movement snack a bit easier.
• Have healthy snacks prepared before you start your day, such as pre-washed fruits and veggies. And, again, store them somewhere that requires you to get up and move to go get them.
• Combine simple movements with events that naturally occur during your workday. For example, do 30 seconds of jumping jacks every time you hang up the phone or a set of push-ups at the end of each meeting. Or celebrate the completion of a task with a movement break you particularly enjoy.

Another vital component of mental health that was negatively impacted by the pandemic was social connection. So many people struggled, and continue to struggle, with maintaining those core relationships that sustain us during tough times. Share the following tips with your clients who are looking for ways to add a social component to their physical activity:
• Schedule breaks with a friend, neighbor or coworker. For example, ask if they’d like to meet you for a short walk before they begin their workday and again after lunch. If you have a home gym, even it’s just a set of dumbbells and a stability ball, invite a friend or neighbor over to join you for one or two movement snacks each day.
• If walking or exercising with a partner isn’t possible, call a friend or family member during one movement snack each day.
• If working from home, make movement a family affair by inviting your spouse or children to join you. A 15-minute break to kick the soccer ball around with your kids can do wonders for your mood.
• Add a destination to your walks. You might walk to a local coffee shop each morning to meet a friend or chat with people in the community.

In Conclusion

The need for all this movement can feel overwhelming, particularly for clients who already struggle to complete their structured exercise consistently, so remind clients not to be too hard on themselves. Encourage them to do the best they can each day and give themselves some grace and compassion if they can’t adhere to the plan at times. No one is perfect and life always seems to find a way to disrupt even the best-laid plans. Your role as a health coach or exercise professional is to empower clients with the tools and strategies they need to be successful and perhaps with the education showing that this is an evidence-based approach to better health and wellness.

The NASM Random Fit Podcast with Anthony Carey

July 24th, 2024

This was very enjoyable for me, because Ken Miller and I go back so far. Ken came to one of my very first mentorships back in the late 90’s and is one of only a handful of PFMS Level 4 practitioners.

Both Ken and Wendy are NASM Master Trainers and have made significant contributions to our industry in their own right.

The short clip we are sharing here is very relevant to you, our Function First professional community. We discuss some of the evolution of our views on the functional anatomy. We also talk about why it is not only OK, but imperative that fitness professionals work with clients in pain within our scope of practice.

Relax the Lower Back with Both Versions of the 90-90

July 17th, 2024

Have you ever been standing at a cocktail party, or Christmas shopping and your back just starts to get achey and tired? Or, after awkwardly lifting your baggage from the overhead compartment, your back tightened up?

Sometimes the muscles of the lower back just need a break NOW. And sometimes lying down is not an option. Using the infamous Wall Sit as an option when your back is not cooperating may be the short term reprieve your lower back needs.

In this brief video, Anthony shares why and how this could be your “break glass in emergency” option. Taken from his book, The Pain Free Program: A Proven Method to Relieve Back, Neck, Shoulder and Joint Pain, you’ll quickly understand the value of these two options.

Insights into Pain and the Brain

June 4th, 2024

I just recently came across this video even though it is a couple of years old. It is a great summary of the mysteries around chronic pain. I often suggest to many of my clients that they view Lorimer Moseley’s TED talk, because he is such an entertaining AND knowledgeable speaker. I’ll start recommending this one too.

It was interesting for me to see in this video that two of the examples he uses to help explain pain are two examples that I have used for years in my professional presentations. The construction worker’s boot and the blue/red cold study are the two that have helped me communicate these concepts.

The animation below is entertaining, and the content is scientifically accurate. Enjoy!

Single Leg Stance Assessment and Lumbar Instability

May 17th, 2024

The couch potato takes 2-3000 steps per day. That’s a lot of repetition. Imagine the repetition for those who get their 10,000 steps per day?

Since the majority of our clients walk, the Single Stance is an insightful way to see how the body responds to the forces acting on it during midstance in the gait cycle.

In this video, we are going to dive deeper into what we can observe from the back view of this assessment, particularly as it relates to the coupled relationship of the pelvis and lumbar spine in the transverse plane.

I’ll show you a quick review of the key points, and then share some actual client assessments of what we found. It will make sense why this assessment can be so insightful.

Walking Pose for Upper Back Postural Relief

May 10th, 2024

Sometimes fighting the direction that our spine is challenged the most can often be ineffective, fatiguing and even painful. Using other motions that challenge the body indirectly can be extremely helpful. Such is the case with the classic rounding or “hunchback”, kyphotic posture.

The Walking Pose offers a lot of convenience and benefits without the need for equipment, getting on the floor or even needing to be in comfortable clothes.

It might surprise you that a rotational exercise has direct benefits to the rounding associated with upper back/neck issues. Anthony explains “why” and demonstrates the simple execution.

Watch how we can use this great exercise just about anywhere to give the upper back some love.

Stacking the Deck for Long Term Health Benefits

March 28th, 2024

A couple of weeks ago I worked with a close friend of mine who has been experiencing a bout of lower back pain. The lower back was not only painful, but it was starting to interfere with his work and his ability to earn a living.

This was not his first rodeo. He has seen me at various times in the past and he has been a close friend for about 25 years and is in his mid-fifties. Because of our friendship, I felt compelled to do something differently with him that smacked of “tough love”.

After getting an update on his situation, pain levels, provocative movements, interventions to date, etc., I handed him a blank piece of paper. On the piece of paper, I asked him to write all the proactive steps he is taking toward his overall health. Not his back, but his overall health.

He handed me back the piece of paper with what he wrote. I read his answers and placed his handwritten list back in his file. The list included:

• Walking 30-60 minutes, 3 to 4 times per week
• Intermittent fasting
• Jacuzzi 2-3 times per week

After we finished his session and he felt 95% better (thankfully), I pulled out his handwritten list and gave it back to him. He looked at me in bewilderment, wondering why I was returning his list. I looked him in the eyes and said, “you decide if this list is long enough”.

We both paused for a second. And I could see in his eyes, as he stood there without saying a word, that he got my point.

This is a guy who has been successful all his life in business and who has friends that would die for him. He has been happily married for 20 years and together they have raised a son that any parent would be proud of. But when it comes to his health, I would grade him a “C” student.

We all must decide if we are going to continue to put out fires or instead be proactive. And for anyone in their forties and above, much of what we are and will encounter is not an acute event. It is a product of cumulative degradation to our metabolic, cardiovascular, musculoskeletal, neurological and cognitive health.

I am now fifty-seven years old, and my week involves the following in some combinations. I do not do all of it every day, but I do all of it every week:

• Function First corrective exercises (6-7x/week)
• Heavy weight training (2x week)
• Functional full body resistance training (3x/week)
• Zone 2 cardio (2-3x/week)
• Sustained cardio 20-30 minutes at approximately 80-85% of my max heart rate (1-2x/week)
• Whole body vibration with Power Plate (4-5x/week)
• Full body mobility work with Core-Tex (6-7x/week)
• Foam rolling and/or percussion gun (4-6x/week)
• Cold plunge (1-2x/week)
• Cold shower 2-3 minutes (7x/week)
• Infrared light panel (7x/week)
• Intermittent fasting (7x/week)
• My version of Bulletproof coffee (7x/week)
• Meditation/theta state using BrainTap headset (7x/week)
• Daily gratitude
Core-Tex Sit for hip and lumbar variability 2-3 hours per day (7x/week)
• Pescatarian, high fiber diet (7x/week)
• Heat and massage back wrap (Hyperice Venom) 2-3x/week
• Nutritional supplementation7x/week
• Early morning sunlight in my eyes within 30 minutes of waking (7x/week)
• Spend 40% of any television time prone and on my elbows to extend the spine (5-6x/week)

What do I strive for this year?

• Time in an infrared or traditional sauna (3-5x/week)
• Massage/body work (1-2x/month)
• Less mouth breathing, more nasal breathing (continuous)
• Improve body composition with reduced body fat by 3%

This is not a list to boast or make anyone feel overwhelmed. And you might also be asking, “where the hell does he find the time?”. In all honesty, much of it is built into my daily schedule and many of this list happens in blocked time, such as exercise, and others are done concurrently with other activities.

What I hope to communicate by sharing this is the opportunities that are available to all of us to seek out the most accessible levers we can pull that move our health-o-meter in the positive direction. When you come to see me with a chronic back, or neck or other issue, I know those who are proactive about their health will respond the fastest because you are stacking the deck in your favor.

At the end of the day, strategic exercise is still the most beneficial drug out there. Do it smart. Do it often. And appreciate how truly interdependent all the systems of our bodies are and what is going on under the hood is often not visible until we are in crisis mode.
AC hiking

Anthony Carey Interview on American Trends TV

February 20th, 2024

This is a clip from an interview I did with American Trends TV, where I was asked about Function First and my other company, Reactive Training (maker of Core-Tex and Core-Tex Sit). I’m sharing this short clip (3:13) because you will find a few nuggets in here if you have ever struggled with explaining what Function First does and why we do it.

Many of my clients over the years have commented on how they struggle describing what we do when they are sharing their Function First experience with family, friends or other providers. Feel free to share this with someone who is curious 😊