Sports and fitness


Regular exercise helps control weight, reducing the risk of heart disease and stroke. It also helps sleep and lifts mood. Here you'll find advice on all aspects of exercise. Make sure you start any fitness regime slowly: injuries are common and can undo your hard work.

Reasons not to exercise

1. When you're ill

Don't exercise when you're unwell, even if it is just a cold.
Exercise will put more strain on your immune system and prolong illness. This will result in you spending more time away from your fitness programme.
It's also a prime cause of other injuries because it is more difficult to concentrate on what you're doing if you're feeling ill.
I've seen someone faint while doing a step class with a high temperature, and get a black eye from hitting her neighbour's step.

2. When you haven't had enough recuperation time

Don't rush back to your normal exercise routine after you have been ill.
Starting to exercise too early is likely to lead to a re-emergence of your symptoms.
When you do decide to return to the gym, make sure you start your workout slowly and with care.
Even a week or so off your usual routine can make a difference. Ease yourself back into your programme by doing just 50 per cent of your normal workload and gradually building up.

3. When you're feeling wiped out and stressed

There will be days when you don't feel like going to the gym, but sometimes your body can be telling you to take a break.
It can do you a power of good to have a day off from your fitness programme.
Go home, have a healthy meal: don't mentally punish yourself for not going to the gym.
Remember: all-round fitness incorporates spiritual wellbeing. Even though exercise can give us that stress-lifting endorphin high, sometimes we just need to relax.

4. When you have an injury

Whatever your injury, make sure that it is thoroughly healed before you go back to training.
A simple injury can be made much worse by your well-meaning attempt to 'loosen it up'. You could injure yourself again, but worse.
Seek professional advice from a physiotherapist or osteopath for any strain or sports injury that is still painful after 24 hours.

5. When you haven't got the correct equipment

Whatever your sport is, make sure you buy the best equipment you can afford. Don't just follow the fad for the latest trendy trainers or gear.
Not having the right equipment can result in injury.
Take footwear seriously. A good sports shop will have well-trained staff who can properly assist you in choosing the correct shoes for your needs. For example, there are different types of trainers for running, depending on your natural step.
  • Normal foot: will leave a wet footprint that has a curve on one side, but shows the top part of the foot and heel connected by a broad band. A normal foot lands on the outside of the heel and rolls inwards slightly to absorb shock. This means you are running efficiently and don't need a motion control shoe.
  • Flat foot: has a low arch and leaves a footprint that looks like the whole sole of the foot. When running, the foot strikes the outside of the heel and rolls inwards (pronates) too much, which can cause injury. Motion control or stability shoes can help.
  • High-arched foot: will leave a footprint that has a highly curved band between the top part of the foot and heel. In some cases there is no band at all. When running, the heel doesn't roll inwards enough to absorb shock. Cushioned shoes with lots of flexibility can help.
Other forms of exercise equipment such as horse-riding gear should be bought from a professional supplier.

6. When you've got a hangover

If you've got a hangover from the night before, think twice before going to your morning aerobics class.
Alcohol dehydrates you, so make sure you have drunk enough water to balance out its effects.
Ask yourself if you are still under the influence: it takes the body about an hour to process one unit of alcohol. If you have had four pints of beer, it won't be out of your system for eleven hours.
Don't exercise if there is any chance that you are still drunk.
Think about when you last ate. Sometimes eating breakfast with a hangover is the last thing you want to do, but if you haven't taken in enough fuel to train, don't do it.

7. When you're pregnant

The rules about exercising in pregnancy form a whole book in themselves, so we're just going to touch on the subject.
The main points are that you can exercise throughout your pregnancy as long as a) you feel like it and b) your GP and midwife have said you can.
While the advice is to keep fit throughout your pregnancy, the emphasis is on maintaining fitness, not improving. Pregnancy is a nine-month workout in itself.
If you decide to exercise when pregnant, get professional advice after your third month on what you should and should not do.

8. After your baby is born

How many celebrities do we hear boasting that they went straight back to 300 sit-ups per day within 24 hours of childbirth?
Firstly, I wouldn't believe a word of it, and secondly they would be going against all health guidelines if they did.
However desperate you are to retrieve your figure, you have to wait six weeks before you can start gently exercising, or 12 weeks if you've had a C-section.
After this time, start slowly, gradually building up to your pre-pregnancy exercise routine. And get professional advice about which sort of abdominal exercises you should be doing post-baby.
An area that causes a lot of silent embarrassment is the pelvic floor muscle. If you have done work on it during pregnancy you shouldn't have too much trouble, but get some specific exercises set down for you to help prevent leakage.

What if I just lack motivation?

The main piece of advice is to be sensible: think about your motives for exercising and why you don't want to exercise.
Be honest with yourself. If you really just can't be bothered, maybe you are finding your exercise programme boring.
If that's the case, it's time you shook up your routine a little. Try adding new forms of exercise that interest you such as in-line skating, dance classes or aqua aerobics.
Finally, remember how many times you've said: 'I don't feel like it' and come away saying: 'I'm really glad I did that!'

 

Can I take Motrin IB for more than the recommended 10 days if I cut down on the dosage substantially – one or two tablets every 12 to 24 hours?
I'm taking it to relieve severe lower back pain, which I've had for years.

Answer

Motrin is a form of the non-steroidal anti-inflammatory agent ibuprofen, which is one of the mildest forms of such treatments.
These are excellent for easing muscle spasm, pain and discomfort and when taken in the correct dosage are safe.
There should therefore be no problem in taking them as you plan to, provided that you take them with food and that you do not suffer from stomachulcers – the main side effect with them is acid indigestion and very occasionally stomach ulcers in susceptible individuals which is why they are recommended with food.
Avoid using aspirin at the same time and report any stomach problems to your GP.
Yours sincerely
The PLAINDRUG Medical Team

Pain in the back

Watching TV

Most of us think nothing of how we sit down when watching TV and as a result we damage our backs, without even realising it. Help yourself, advises Patricia Watber, by:

• sitting with both buttocks firmly on the seat and not slouching to one side
• placing a wooden board under your sofa cushions if it's too soft
• avoiding resting your neck on the sofa arm, and instead use a cushion to support your head
• shifting positions every 20 minutes to maintain flexibility.




Wearing high heels

Heels may help women feel sexy, but the price for looking good is likely to be back pain because as you walk, your centre of gravity is thrust forwards.

Help yourself by varying the height of your heels and improving your core stability by exercising the muscles that run round your back and body like a corset. The stronger these muscles, the more internal support you will have as you totter and the better your postural alignment will be.

Pilates and yoga can help strengthen your core - as can sucking in your stomach as you walk, sitting at a computer or waiting at the bus stop. Simply imagine pulling your belly button to your spine, release and repeat regularly



Gardening and housework

Gardening and housework often involve lifting, moving and unnatural hunched postures, so it's important not to overdo it. If you're particularly stiff, post gardening or housework, stretch your body the opposite way from how you've been holding it.

'Be aware that the spine moves in six directions: forwards, backwards, to the left side, the right side and rotates left and right. So, always stretch your back regularly in all six directions to maintain flexibility.' says Garry Trainer, osteopath and author of 'BackChat: The Ultimate Guide to Healing and preventing back pain'.

Aches and pains

Most of us experience aches and pains. They can be the result of muscle strain and infection - or have no particular cause. In this section you'll find information on everyday complaints like headaches, plus factsheets on muscle and joint conditions.