Winter is coming. As December begins, so does the holiday whirl. Office parties. Family get-togethers. Late nights spent trying to put together toys that have instructions written in a foreign language.
It can be easy to get overwhelmed, and feeling tired will make it more difficult to get through the month. So here are five ways to beat some of that fatigue, giving you more energy to face whatever is on your calendar.
- Eat healthier food more often.
Most people understand the essentials of healthy eating: Eat several servings of fruit and vegetables every day, plus servings of grains, dairy, and a variety of proteins. Reduce fats, sugars and sodium.
But another way to evaluate how you eat is to look at how often you eat. The National Health Service in the United Kingdom notes that “a good way to keep up your energy through the day is to eat regular meals and healthy snacks every three to four hours.” This helps to keep your blood sugar levels more consistent, rather than spiking after large meals.
Just remember that if you’re eating more frequently, your meals should be smaller. Your daily intake should still remain around 2,000 calories, regardless of how it is eaten throughout the day.
Hydration is a key component of your diet. While you may not reach 64 ounces of water a day (and most doctors agree that eight 8-ounce glasses of water is a bit much for most people), drinking fluids throughout the day is essential. Not only can dehydration cause fatigue, it has also been shown to impair activity, alertness and concentration.
If you’re drinking more than water (and most of us are), try to remember this mantra: Don’t drink your calories! Drinks can add up to a lot of additional calories throughout the day, particularly if you are drinking sodas or specialty drinks from the corner coffee shop. Aside from the additional calories, drinking sugary drinks may initially give you a spike in energy, but it is often followed by a crash, where you may have less energy than before.
When fatigue is a concern, the NHS recommends cutting two kinds of drinks: those that contain alcohol and caffeine. Even though a glass of wine or a pint of beer may help you relax in the evening, you won’t sleep as well after drinking alcohol, which means you’ll be more tired during the next day. And, like sugar, caffeine can cause spikes in your energy, leading to crashes afterward, making you feel even more tired.
It may seem counterintuitive, but if you’re feeling lethargic, taking a walk or doing some exercise is a great way to have more energy. WebMD points out that “Even a single 15-minute walk can give you an energy boost, and the benefits increase with more frequent physical activity.”
Yoga in particular may be especially helpful in increasing energy. A study done in 2009 found that after doing yoga once a week for only six weeks, the subjects had more energy and confidence that those that did not do yoga.
Exercising more may also help you lose weight, another factor in fatigue. “If your body is carrying excess weight, it can be exhausting,” notes the NHS. “It also puts extra strain on your heart, which can make you tired. Lose weight and you’ll feel much more energetic.”
If you’re struggling to fit exercise in during a busy season, here are some tips to fit exercise into your daily routine. You can also talk to a physical therapist about creating a safe and effective exercise plan. As musculoskeletal experts, physical therapists can evaluate your fitness and discuss what you should target to grow stronger and healthier. Search our clinic locator to see if there is a Physiquality PT near you that can help you develop a personalized fitness plan.
Catch some ZZZs.
Most of us don’t get enough rest to keep going — adults need 7 to 8 hours of sleep a night to be well-rested. In addition, pay attention to your habits. If you get up and go to bed at the same time every day, and allow yourself some time to relax before bedtime, you will feel better and have more energy.
If you do fall short on shut-eye, the doctors at WebMD recommend a brief afternoon nap. They explain that “a 10-minute nap is usually enough to boost energy. Don’t nap longer than 30 minutes, though, or you may have trouble sleeping that night.”
Finally, WebMD reminds readers that fatigue may be a sign that something is wrong, particularly if it comes on suddenly or lasts for a long time. They note, “It is a common symptom of many illnesses, including diabetes, heart disease, arthritis, anemia, thyroid disease, and sleep apnea.” Fatigue could also be a side effect of medications. Be sure to talk to your doctor if you feel unusually tired, and make sure to tell her about any new medications if a different doctor prescribed them.
Tags: Energy, Holiday eating, Nutrition, Weight loss
with advice from Anna Dark

Every few years, the Departments of Agriculture and of Health and Human Services analyze their nutritional recommendations and release a new set of guidelines. If you don’t feel like reading through the three chapters and 14 appendices of the latest release, the 2015-2020 Dietary Guidelines for Americans, nutritionist and personal trainer Anna Dark will take you through the latest changes and updates.
Anna, who works at the Take Charge Fitness Program (a wellness program at Clinton Physical Therapy Center, a Physiquality member in Tennessee), says there are three big recommendations that have been added to this edition:
Limit your added sugar intake to 10% of your daily calories. This refers to any product or food item that adds sugars, like soda or cookies, as compared to fruit or even vegetables that may naturally contain some sugar. As the New York Times points out, “It is not the natural sugar in dairy foods and fruits that undermine health so much as the sugars added to foods like ice cream and fruit drinks and the enormous array of dessert and snack foods that Americans consume.”
This trend of increasing sugar in our diet is one of the reasons that the prevalence of type 2 diabetes is increasing. Anna points out that by limiting added sugar, we can reduce our chance of developing the disease.
Reduce your daily sodium intake to less than 2300 mg/day. This is another recommendation that isn’t too surprising; many processed foods rely on sodium, or salt, to improve flavor. The convenience can come at a cost: High sodium intake has a direct correlation to high blood pressure. Anna reminds readers that achieving healthy blood pressure numbers is an important goal for optimal overall health!
Less than 10% of daily calories should come from saturated fats. Evidence shows a diet high in saturated fats leads to cardiovascular disease, says Anna. The American Heart Association goes even further, recommending a daily limit of 5-6% of your daily calories. That means that if you’re eating 2,000 calories a day, about 120 of them would come from saturated fats, or 13 grams.
So the guidelines recommend limiting salt, added sugar and saturated fats. While this is the first time that the USDA and the HHS have specifically outlined these limits, it shouldn’t come as a surprise. Past guidelines have always emphasized fresh fruits and vegetables over fatty and processed foods.
One recommendation that has changed? The guidelines no longer advise a specific cholesterol limit, Anna notes, because after several studies, the scientists and nutritionists did not find enough evidence to give a specific limit. The guidelines do recommend limiting cholesterol, but note that foods often high in cholesterol are also high in saturated fats, so by limiting one, you’ll often limit the other. The exceptions to this rule are eggs and shellfish, which means that those foods would not be as limited as they were before.
As always, these guidelines are just a guide, not hard and fast rules. They are meant to give Americans tips on how to improve their diet and eat healthier food. This version even includes sample days for three different types of diets: An American diet, a Mediterranean diet and a vegetarian diet. It’s one way to evaluate your own choices to consider whether you’re making healthy choices whenever you eat.
Tags: Blood Pressure, Cholesterol, Diet, Fatty Acids, Nutrition, RDA, Sugar

As we grow older, our bodies change. While it may sound counterintuitive, staying activeis the best solution when our joints start to ache and our energy starts to fade. (Isaac Newton probably had no idea he was also talking about the human body when he explained that a body at rest stays at rest, and a body in motion remains in motion.)
Two ways to remain in motion as we age are physical therapy and Pilates. As we’ve pointed out in the past, physical therapy helps maintain and improve your health as you age. “Therapy helps to promote an increased awareness of your body,” says physical therapist Rachelle Hill. At Moreau Physical Therapy (a Physiquality member in Louisiana), Rachelle and her fellow PTs apply therapy to improve posture and reduce back pain,evaluate gait to make walking more efficient and less painful, and improve balance toreduce the risk of falls, she explains.
In addition, if you’re exercising incorrectly or compensating because of pain, you’re at risk of doing more harm than good. “Doing the wrong exercise or doing an exercise incorrectly can result in more pain or even joint damage,” notes Kristina Holland, a physical therapist assistant at Clinton Physical Therapy Center in Clinton, Tennessee. Physical therapist Jessica Loncar agrees. She points out that exercise in a safe, controlled environment under the supervision of a licensed physical therapist goes a long way toward improving quality of life. A STOTT PILATES® Certified Instructor and Instructor Trainer for MERRITHEW™ (a Physiquality partner), Jessica reminds us that physical therapy is good for improving strength, balance, mobility and overall fitness.
Pilates exercises are designed to restore the natural curves of the spine and rebalance the muscles around the joints, with a focus on core stability, pelvic and shoulder girdle stabilization, neutral alignment and breathing. Pilates and physical therapy go hand in hand in teaching efficient movement patterns, which will keep us healthy as we age, explains Rachelle. Because Pilates focuses on proper back alignment and strengthening and lengthening the spine, she says, the back becomes stronger, preventing early wear and tear and reducing pain, as well as the risk of injury. This is key to staying active as one ages, as back pain often causes people to quit exercising for fear of further pain.
Many physical therapists often incorporate Pilates into their rehabilitation programs because of how it can be used to strengthen the body and improve flexibility with low-impact exercises. Mika Yoshida, a Pilates instructor at the Take Charge Fitness Program atClinton Physical Therapy Center, notes that this is especially beneficial after an injury or joint surgery, when one often loses range of motion in the affected joint. And while some of her students blame their lack of flexibility on their age, Mika reminds them that incorporating Pilates exercises into their daily or weekly regimen can improve their flexibility, regardless of their age.
If you’re dealing with joint pain or haven’t exercised in a while,Pilates is an excellent way to ease back into a more active lifestyle. A certified instructor like Jessica will know how to adapt exercises for your specific body and work with you to grow stronger. And if you take a class at a physical therapy clinic, you may end up with a physical therapist like Rachelle teaching your class. This means that she’ll zero in on any musculoskeletal weaknesses you have, and, if you need it, recommend coming into the clinic as a patient.
Practicing Pilates, says Mika, is like maintaining your car: You get an oil change for your car so that it can run for another 5,000 miles. You practice Pilates so that your body continues to move efficiently for years!
Tags: Aging, Core, Pilates, Yoga
Many Americans take a reactive approach to their healthcare needs: They only seek care once they have an injury or fall ill. This approach, says physical therapist Kathy Blair, often involves a costly progression of doctor visits, tests, medications, and procedures, in order to diagnose and treat conditions that might have been prevented. In addition, she points out, this type of care accounts for more than 75% of healthcare spending in the U.S.
Preventive or proactive care, on the other hand, means taking responsibility for your healthcare and well being before something happens. This includes taking simple actions, like exercising more and eating better, which can help you avoid unnecessary procedures and costly ER visits. Preventive healthcare, says Kathy, “stresses personal responsibility for staying well, and keeps healthcare spending in check as a result.”
Raj Thangamuthu, a physical therapist, opened Empower Physical Therapy and Fitness (a Physiquality member in Michigan) with the express purpose of integrating physical therapy and fitness in one facility. His goal was to encourage clients to improve their overall health and actually spend less time in his clinic as healthcare patients. Raj gives several reasons why it is better to have a preventive approach to healthcare:
- In preventive care, pain is often not a limiting factor in making progress.
- Muscle imbalances identified in preventive care often respond to treatment more quickly than when an injury is present.
- Preventive care can help identify imbalances within your body and ultimately make you function much more efficiently when addressed. Read More
Tags: Fitness, Preventative Care

Many people think of physical therapists as healthcare specialists that only focus on orthopedic injuries and rehabilitation. While generally all PTs are qualified to do that, many choose to specialize in related care, such as helping people with edema after treatment for cancer, working with older patients or patients in acute care, or focusing on patients struggling with a specific disease, like Parkinson’s.
Parkinson’s disease is a degenerative brain disorder that can make daily movement and activities frustrating and time-consuming. PTs can play a vital role in managing the effects of Parkinson’s disease by helping an individual stay as active and as independent as possible. Read More
As we age, our bodies are not as healthy as they were when we were younger. Muscles are slower to react. Joints are not as fluid as before. And bones are weaker than they were in our youth.
Osteoporosis is a bone disease most commonly found in older women, particularly those of Caucasian or Asian descent. Literally translated as “porous bone,” osteoporosis happens when bone density has decreased and the bones have become brittle. Unfortunately, the early symptoms of osteoporosis are easy to miss, like back pain or stooped posture. This is why most people don’t find out that they have the disease until they break a bone.
Your bones are constantly changing and creating new bone cells. When you’re younger and growing, your body creates more bone than it loses. This shifts as we reach our mid-20s, when our bodies slow down the process and we’ve reached our peak bone mass, or bone thickness.
By the time we’re in our 50s and 60s, the process has reversed, and we’re losing more bone cells than we’re producing. Read More
As you get older, it’s easy to let your exercise regimen slip away. Schedules get more complicated with work, spouses and children. Bodies don’t respond as well to high-intensity workouts or longer bouts of activity. But it’s important to stay active for the long run — for a variety of reasons.
As we age, the goal of our activity may shift from weight-loss or general health to more specific goals. Injury and even death from falls is an unfortunate trend for older adults — as adults approach their 70s, they need to consider how to improve their balance and reduce their chances of falling.
There are lots of exercises and programs to improve balance that can be done at the gym or at home. Lee Spieker, the founder and CEO of Physiquality partner program Railyard Fitness, lists a variety of exercises that challenge balance and coordination:
You can also use a balance board to challenge your balance at a higher level….. Read more
In today’s world, there are so many demands on our time, pulling us in different directions. It’s often tempting to stay up late or to get up early just to get things done. So why is this bad for us?
Sleep gives our body the chance to maintain and repair our basic systems. Muscles, hormones, the brain and nervous system, the digestive tract — they all need a chance to recuperate from a hard day’s work. This is why a lack of sleep affects both our mental and physical health. It is associated with increased risk of obesity, cardiovascular disease, type 2 diabetes and system-wide inflammation. Lack of sleep can also affect our immune system, our cognitive abilities (i.e., our mental capacity), and our mood and mental health. Read More
Fibromyalgia is a condition that, for many people, is associated with more questions than answers. However, physical therapists, as experts in musculoskeletal problems, are an important resource for people who have fibromyalgia.
Let’s start with what fibromyalgia is: Due to its varied symptoms, fibromyalgia can be difficult to diagnose. People with fibromyalgia usually have widespread pain throughout the body, often accompanied by tender points, muscles and joints that are particularly susceptible to pain and movement. According to the Mayo Clinic, “Researchers believe that fibromyalgia amplifies painful sensations by affecting the way your brain processes pain signals.”
Other symptoms can include insomnia, fatigue, muscular stiffness (especially in the morning), headaches, forgetfulness and cognitive difficulty (sometimes referred to as “fibro fog”), and tingling in the extremities (the hands and feet). The symptoms sometimes begin after a traumatic event, like a car accident or an invasive surgery, or they can develop over time. It’s most often diagnosed in women, but 10-20% of those suffering from fibromyalgia are men. You may also be at risk if family members have been diagnosed with fibromyalgia, or if you have a rheumatic condition like rheumatoid arthritis or lupus.
Read More
It’s probably no surprise that exercise is good for you. The physical therapists in the Physiquality network recommend physical activity as part of living a healthy lifestyle, and we all know it can help you lose weight and feel better. But how exactly can it improve your health? Here are a few ways exercise can actually prevent health problems.
Heart disease
The oft-cited parameters to work out 30 minutes a day, 5 days a week (or 150 minutes a week) were published by the American Heart Association in 2011. They are part of the AHA’s simple seven rules for maximal heart health:
- Get active
- Control cholesterol
- Eat better
- Manage blood pressure
- Lose weight
- Reduce blood sugar
- Stop smoking
Read More