Five ways to beat fatigue and have more energy

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.

 

  • Drink up.

 

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.

Don't drink your calories!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.

 

  • Get moving.

 

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.

 

  • Make sure you're getting enough sleep.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.”

 

  • Talk to your doctor.

 

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.

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Working out while on the road

with advice from Richard Baudry, PT, DPT, OCS,
Yousef Ghandour, PT, MOMT, FAAOMPT, and Brian Klaus

Working out while on the road

With Memorial Day behind us and Independence Day quickly approaching, many of us have plans to travel in the next couple of months. If you’ve been trying to stick to an exercise regimen, here are some ideas for how to continue working out when you leave your regular routine behind.

“Exercise that doesn’t require bulky equipment or a lot of space is best while traveling,” advises Brian Klaus, the Vice President of Stretchwell, Inc. (a PTPN preferred vendor that offers a variety of progressive resistance products). Why take up space in your luggage with heavy weights or bulky equipment?

Physical therapist Richard Baudry, the founder and CEO of Baudry Therapy Center (a Physiquality member in New Orleans), agrees. Richard reminds readers that walking is the easiest exercise to do while traveling. “Make a point to stand tall, take long strides and swing your arms,” he adds.

Make exercise a daily family activity.If you’re worried about taking time away from other activities, says Richard, get up an hour earlier to go for a walk or jog – the fresh air will give you almost as much boost as a cup of coffee. You can also make it a daily family activity. If you’ve traveled to a scenic site, walking is a great way to explore your vacation location; you can plan a different walk for each day you’re there. Or if you’re traveling with a little one and he or she goes to bed early, plan your workouts for after bedtime; check out our post on working out while baby is sleeping for a sample workout that will get your heart pumping quickly (and quietly).

If you prefer using resistance when you work out, think about bringing resistance tubing, a set of bands that include a door anchor, or a portable weighted pulley system. A set like this one from QTEK Products (a Physiquality partner), created by physical therapist Yousef Ghandour, is easy to pack and won’t take up a lot of room in your bags. Yousef notes that you can use any hotel or household items to add weight to the system, which allows for shoulder, back, hip and knee exercises by attaching the system to your hotel room door.

Richard suggests weight lifting using items you’re already planning to bring, like your purse or a backpack, for arm curls or overhead presses. (Just make sure to securely close your bag first.) Or book your stay at a hotel that includes a gym with workout equipment that you normally use at home; look at the list of amenities when making your reservation to see what types of equipment is available. Some may even offer fitness classes like yoga or Pilates.

Use technology to remind yourself to work out.Lastly, Brian reminds readers to take advantage of the technology many of us already own. Use the reminders or calendar on your phone to set times for those daily walks or your gym time. Pay attention to your watch or FitBit when it notes that you’ve been sitting too long. Or have Siri remind you that a body in motion stays in motion!

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Sitting pretty: Proper sitting posture

 

Most of us spend more time at the office than we do at home, which is why it’s so important to consider how our behavior at the office can affect how we feel at home. If you sit at your computer for several hours each day, are you sitting pretty?

Before you look at yourself in the mirror, reflect on your desk and workspace. Specifically, says Alan Zovar, a physical therapist that works at Dandelion Dreams, Inc., (aPhysiquality partner), you should think about the angles in your body as they interact with your desk. Your eyes should be approximately 18 inches away from your computer screen, he says, and they should align with the middle of the screen, to avoid looking down or up too much, which could cause neck strain in the long run. In the same manner, your chair should be centered with the monitor to minimize twisting the head in order to see the screen.

Take a look at how you sit in your chair: Click to enlarge.Take a look at your chair now, and how you sit in it. Adjust the chair’s height in order to be able to rest your elbows at about a 90-degree angle on your desk; if the chair’s arms get in the way, it’s probably better to remove them, Alan notes.

Your forearms should be parallel to your desk and your wrists should be as flat as possible. Alan suggests using mouse and keyboard supports to maintain this posture. And your knees should also be bent at a 90-degree angle. If your feet don’t reach the floor, you can use a foot support in order to properly support the weight of your legs.

Once your desk is properly set up, you can think about your sitting posture. Lumbar support is essential to support the back and reduce back strain. If your office chair is not supportive enough, you can purchase a back support like the Kiss My Back! support from Dandelion Dreams, Inc. The back support will reinforce the natural curve of the lumbar spine. In turn, this straightens the neck, shoulders and upper back. When you’re sitting at your desk, your torso, neck and head should all be upright, without any slouching or straining.

Frequent phone users should use a headset to avoid balancing the phone between their shoulder and ear.Other office behaviors are just as important, reminds Richard Baudry, a physical therapist and the founder of Baudry Therapy Center, a Physiquality member in the New Orleans area. He cautions workers to keep their desk — and the space underneath it — clear of clutter, in order to enable easy movement around your workstation. Frequent phone users should use a headset to avoid balancing the phone between their shoulder and ear, which can create neck and back pain. And frequent movement is key — stand up once an hour to stretch your back or take a walk to the building cafeteria to grab a drink.

If you’re concerned about your workspace, use this OSHA worksheet to evaluate how your desk is set up. Or contact a physical therapist near you to evaluate your entire office, ensuring a healthier — and happier — team.

 

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Challenge your office to be healthy

Did you know that May is Global Employee Health and Fitness Month? Created by the National Association for Health & Fitness (NAHF), a network of state-based councils and groups that promote healthy living, the group encourages daily physical activity and quality physical education in our schools. Through Global Employee Health and Fitness Month, the NAHF asks employers to create a workplace environment that promotes healthier living.

There are a variety of reasons to do this as a business owner or manager, or for employees to suggest it to their bosses. For a start, the CDC points out that healthier employees take fewer sick days, incur lower healthcare costs and are more productive; in fact, one study found that by promoting physical fitness and regular check-ups, employer healthcare costs could be cut in half. In addition, wellness programs can be seen by some prospective employees as a great benefit. It shows that the company is willing to invest in its employees, leading to a more positive work environment, better morale and higher retention.

“When it comes to encouraging employees to be active,” says Stefania Della Pia, “the key is to make exercise easily accessible.” Stefania is the senior program director of education and a master instructor trainer for MERRITHEW™, one of Physiquality’s partners. She encourages employers to remember the many commitments employees will have outside of work hours. She suggests incorporating activities into lunch hours, or offering after- or before-work activities on a schedule so that people have time to plan for them.

Here are some of the activities she suggests:

  • Bring in an instructor for on-site express workouts like yoga or Pilates.Bring in an instructor for on-site express workouts during the lunch hour in whatever modality best suits the office environment, whether it be Pilates, yoga, or another form of exercise.
  • Organize a team sport that everyone can get involved in, such as ultimate Frisbee, soccer or scavenger hunts.
  • Sign up an office team for a local charity walk or run.
  • Encourage employees to walk, bike or jog to work by providing parking spaces for bikes, and provide access to showers for those who choose the sweatier route.
  • Partner with a local gym or Pilates studio to offer employees a discount to work out on their own time.

Another resource for office fitness challenges is your local physical therapist. As musculoskeletal experts, physical therapists are experts in how the body moves. Many PTs do fitness and wellness assessments. Why not partner with a local therapist to challenge your office to make healthier choices? The PT can come in on the first and last days of the month to assess each team member before and after the challenge, as well as weekly on-site visits for coaching or wellness presentations. “Using a health and wellness expert like a physical therapist might encourage employees or fellow workers to see how healthier choices can affect how they feel in and out of the office,” says Mitch Kaye, PT, PTPN‘s director of quality assurance.

These healthy competitions are a great way to encourage employees to support each other create a health-centered atmosphere.If your office challenge is made of up activities outside of the office, be sure to find ways to track people’s progress so it can be celebrated and rewarded. Fitness trackers from companies like Polar, another Physiquality partner, can be used to count numbers of steps or active minutes, calories burned or distance traveled. If everyone in the office has a Polar device, they can even create in-office challenges, where Polar works with the team leader to determine the challenge and teams. Or the entire office can sign up at the GEHFM website to compete against each other and raise money for charities. These healthy competitions are a great way to encourage employees to support each other in achieving fitness goals, and they create a health-centered atmosphere, notes Stefania.

Employers can offer a wide range of rewards to encourage these healthy competitions. Simple rewards can be gift cards (to a juice bar or sports equipment store) for the most steps in a month, or the most active team in the office. Stefania suggests recognizing the month’s winner by highlighting her accomplishment in a company newsletter or on social media, or host an appreciation breakfast or lunch at the end of the challenge to acknowledge everyone that participated. If you really want to underscore your company’s commitment to healthy and active living, she says, “every quarter, or every year, offer a substantially larger reward, such as a trip or a piece of fitness equipment, to keep employees interested in ongoing health and fitness initiatives.”

What is the difference between reactive and preventive healthcare?

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  opened Empower Physical Therapy and Fitness with the express purpose of integrating physical therapy and fitness in one facility.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

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How do physical therapists improve women’s health?

It can be easy to shrug off feminine pain or problems because it would be embarrassing to discuss them with, well, anyone. In honor of women’s health week, consider consulting one of the many physical therapists that has specialized in treating issues that are specific to women’s health, making them an excellent resource when your health problems can no longer be ignored.

Karen Munger, a physical therapist, chose to work at The Center for Physical Rehabilitation, a Physiquality clinic in western Michigan, because the owners supported her efforts to develop a women’s health program there. They provided her with the education and equipment necessary to evaluate and treat such issues as pelvic floor dysfunction, including pelvic pain and urinary incontinence; constipation-related issues and bowel incontinence; postpartum problems; and core retraining.

Some PT clinics offer programs for urinary incontinence and pelvic pain, catering to a wide range of women.Karen is quick to remind readers that these programs are not just for women that have gone through pregnancy. “Our urinary incontinence program caters to young athletes, post-partum mothers and older women alike,” she says. And the clinic’s pelvic pain program covers a variety of issues, including vulvodynia, dyspareunia (or painful intercourse), vaginismus, painful bladder syndrome, coccyx (or tailbone) pain, groin pain, sacroiliac pain and abdominal pain.

– See more at: http://www.physiquality.com/blog/?p=7794#sthash.f4nP3s13.dpuf

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Final Rule Issued on Employee Wellness Programs

  • The Department of Health and Human Services (HHS) said its final rule on employment-based wellness programs, released yesterday, supports workplace health promotion and prevention as a means to reduce the burden of chronic illness, to improve health, and to limit growth of health care costs, all while ensuring that individuals “are protected from unfair underwriting practices that could otherwise reduce benefits based on health status.”

    The final rule continues to support “participatory wellness programs,” which generally are available without regard to an individual’s health status. These programs reimburse or reward employees for such initiatives as joining a fitness center, attending health education seminars, or completing a health risk assessment with no obligation to take further action. Read More