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Spring Into Shape

3/20/2019

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Happy first day of Spring!

The sun is finally out, and the temperatures are (mostly) above freezing! It’s time to start thinking about making the most of the longer daylight and enjoying the sun and warmer weather by exercising outside!

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Whether it’s in your neighborhood, at the park, or just in your yard or on your patio, there are lots of exercises you can try outside:
  • Walk
  • Run
  • Bike
  • Hike
  • Yoga
  • Bodyweight workouts (bring your yoga mat!)

Invite a friend to your outdoor workout, or find a group that does outdoor activities together! This makes it more fun and keeps you accountable to your workouts.
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As you begin to exercise outside this spring, don’t forget to warm-up, especially with the temps still being cold. Your warm up can be just a few minutes long, inside or outside, and should focus on getting your heart rate up and should include dynamic stretching. Here are a few warm up exercises/dynamic stretches to try:

1.  Leg swings - 10 reps on each side, to stretch the front and back of your hip and leg; hold something for balance if needed
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2.  Forward march with knee-to-chest stretch - 10 reps on each leg, to stretch your hip and groin
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3.  Walking quad stretch - 10 reps on each side to stretch the front of your leg and hip
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​Let us know your favorite outdoor exercise in the comments! As always, if you have a nagging injury keeping you from exercise, call us to set up a physical therapy evaluation: 616-662-0990.
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By: Lisa Bartz, C-EP (Cert. Exercise Physiologist)

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Snow Day Indoor Workout

2/14/2019

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After weeks filled with snow days, cooped up in the house with your kids, it’s time to get moving! Start with our quick warm up, then 3 rounds of 5 exercises, and remember to keep exercises slow and controlled to get the most out of your workout. Then finish with a deep breathing cool down.
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​Warm-up: Jump rope (with an invisible rope unless you have one!) for 60 seconds. Keep your shoulder back, core tight, and knees over toes.
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2-3 Rounds of:

1.)  10  Walking lunges ​- 5 on each side, make sure your knee stays over or behind your toes. Add weights for a challenge.
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2.)  30" to 60” Plank - Start short, increase time as you practice. Press through your shoulders and don't let your hips sag. Keep your elbows straight but not locked/hyper-extended.
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3.)  10  Push-ups - Modify by doing them from your knees
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4.)  15  Glute bridges - Keep your core tight and squeeze your glutes at the top
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5.)  10  Tricep dips - Find a stable couch, bench, or other surface from which to do these. To make them easier, keep your feet closer to the bench, or don't dip down as far. To make them harder, move your feet farther away, and try straightening your legs.
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Easier
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Harder

Cool down:  2’ of Deep breathing - Lie on your back, and place one hand over your stomach and the other over your chest. Breathe slowly and deeply, and aim to feel your chest and stomach rise and fall simultaneously.

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​By: Lisa Bartz, Certified Exercise Physiologist
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Hamstring Stretch for Low Back Pain

1/4/2019

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TIGHT HAMSTRINGS are a common contributor to BACK PAIN!

There are lots of ways to stretch your hamstrings, and here's one:
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Find a step or chair to prop one foot up on, and lean forward at the hips, pulling your belly button toward your thigh (not hunching over to bend your back). Lean until you feel a mild to moderate stretch in the back of your thigh, and hold for about 30 seconds on each side.

This may help your low back pain, because your hamstrings affect your pelvis position, and this can put stress on your low back.

​Remember, there are LOTS of causes of back pain, so it's always best to get it checked out by a PT or your Dr!). 
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By: Lisa Bartz, C-EP

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Tips for People with Knee Pain

10/3/2018

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Unfortunately, knee pain is common. The good news is, many cases of knee pain can be prevented, treated, and reduced or eliminated with proper treatment and exercise!

Here are a few tips for dealing with you knee pain. Remember, knee pain has many causes, and if you’re dealing with acute pain, severe pain, or knee pain from trauma, you should see your doctor or physical therapist to find the cause of your knee pain.
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  • If your knee is inflamed, rest and use ice to reduce swelling (because swelling is a cause of pain). Ice for 15-20 minutes, several times a day.
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  • Exercise! Cardio (walking, running, biking, elliptical, etc.), resistance training, and stretching help strengthen and increase flexibility in the muscles that surround and support your knee, taking pressure off the knee joint.
    • If you have arthritis or if certain exercises are painful for you, find low impact exercises that are not painful. For example, if running hurts your knees, opt for the elliptical or swimming instead. If squatting and lunging are painful for you, check your form: hinge at your hips, sending your hips backward when you squat, so that your knees do not come forward over your toes. Same for lunging: make sure that your knees don’t go over your toes, and when you’re pushing your weight up from your lunge, drive your weight through your front heel. Start low in weight and repetitions, and increase slowly. If you are currently suffering from knee pain, avoid jarring exercises like jumping and running until your pain is gone.​
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                         Air squats                                                                        Backward lunges
  • Strengthen your quads, hamstrings, and glutes with exercises like the ones above and below. Remember to warm-up before exercising with a walk or some lighter sets of exercise!
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                       Glute bridges                                                                   Single leg balance
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                       Calf raises                                                                   Donkey kicks
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                                                                                Clams

  • Stretch your calves and quads, with the stretches below:
    • Standing calf stretch against wall, standing quad stretch with band/without band, hamstring stretch with foot on a step
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                               Calf stretch 1                                                  Calf stretch 2
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                    Quad stretch                                                                  Hamstring stretch

  • Think twice about your everyday shoes! Find shoes with good support for your foot type, or use insoles that reduce stress on your knees. If you have osteoarthritis in your knees, talk to your doctor or therapist about orthotics.

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When should you see a doctor? If your pain is new, very painful, or persistent, it is a good idea to see a doctor or physical therapist right away and get advice on what treatment you may require or what your next steps should be.

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By: Lisa Bartz, Certified Exercise Physiologist (C-EP)

4 Comments

Using Correct Form to Maximize Exercise Benefits

9/19/2018

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It is interesting to walk into a gym and watch how people exercise.  Some people hurry through their reps, while others are very slow and precise.  Some look as though they are using their entire body when exercising, while some are very still and have few moving parts.  The common theme is that people can look very different when performing the same exercise.  So, you might be asking, which is the best way?
 
I’m glad you asked, because I am very passionate about performing exercises correctly.  First of all, it’s important to do things correctly so you do not injure yourself.  Using poor form, or too much weight with an exercise (which will create poor form) will often lead to injuries.  Secondly, using incorrect form involves compensation, which we will discuss further.  Third, if you hurry through your reps, you will not get nearly as much benefit as if you do slow, controlled reps.  

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Let’s examine each of these points further.  In terms of form, we want to not only perform the exercise correctly in order to achieve the desired results, but we also don’t want to injure ourselves.  Proper exercise technique not only maximizes the benefit of the exercise, but it puts you in the safest position to perform the exercise.  Using the proper amount of weight will allow you to use correct form and avoid compensation, which can lead to injury. 
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People often compensate when they have a weak muscle or group of muscles.  The body is very good at compensating, but unfortunately long term compensation will lead to dysfunction, which leads to pain.  An example would be someone with shoulder weakness.  Say they are performing shoulder presses, and the shoulder cannot handle the amount of stress that is being placed upon it.  The brain will tell other muscles to help, which could include the neck muscles or even the low back.  Continued performance of this compensation can lead to issues in other areas of the body.

Tempo of exercise is also important.  The most common error is to perform the exercise too fast.  This often involves using momentum to swing the weight upward, and allowing the weight to fall back down.  Proper technique involves controlling the weight; lifting it slowly and precisely, then lowering it down slowly and precisely.  Slow, controlled exercise is much more safe and effective.  I would much rather see someone perform 10 slow, controlled reps than 30 fast, uncontrolled reps.


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That is just a quick summary of the importance of exercise form.  If you would like more information, or would like to have us check out your exercise form, we have the PT’s for you!  Give us a call at 616-662-0990 and we’ll make sure that you’re getting the maximum benefit from your exercises!
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By: Mason Riegel, PT
FMS Level 1 & 2 Certified, SFMA Certified


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What can I do with Kettlebells?

8/22/2018

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Kettlebells are one of the most underrated pieces of workout equipment around. They can be added to almost any type of workout and is a great way to progress the workout. Here are a few exercises to try with a kettlebell:

1.  The Swing – a lot of people do this exercise incorrectly; take a look back at our blog on kettlebell swings to learn the correct way! 

​2.  Squats – Goblet squats, squats with a single-arm shoulder press, jump squats –  there are many different ways to do this with a kettlebell! 
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3.  Bilateral Row - Grab two kettlebells. Place them in front of the feet and bend the knees slightly. Bend over to grab both kettlebells and pull them towards the stomach, keeping the elbows close to the body and the back straight.
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4.  Lunges – Maybe lunges are too easy for you and you want some challenge, try them with a kettlebell, or two!  Have one kettlebell will challenge your balance, while two will push your strength. If you mastered that and want to progress even further, try alternating legs with the kettlebell elevated above your head.
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5.  Crunches and “Cherry Pickers” – Try using a kettlebell with crunches to add more resistance.  “Cherry Pickers” are doing a crunch with alternating twisting to each side every time. 
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By: Becca Popma

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Summer: The Time to be Active!

8/1/2018

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Summer is in full swing, and you may already be more active than you've been all year! It's a great time to exercise because it's warm out, there's no ice to slip on, and you can get some Vitamin D while exercising.

Here's a few ways to improve your health and up your exercise game this summer!
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1. Go outside and walk or run! If you don't like walking or running, bike or swim - find a cardio exercise that you enjoy!
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2. Incorporate a strengthening routine a couple days per week! Focus on large muscle groups using exercises like squats, rows, push-ups, and planks. Make some of your exercises complex movements to target more muscles, like bicep curls with a shoulder press, or push-ups with a single-arm row, or squats with a lateral raise. Vary your exercise routine to continue challenging your body and developing different muscles!
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3. Add some stretches to your workouts at the end. Stretching is most effective when your muscles are already warm, so do it after a walk or after your strengthening exercises. A few areas to focus on are your hamstrings, hip-flexors, IT band, calves, shoulders, chest, wrists, spine and neck. Yoga is another great way to work on your mobility (and strength).

Remember, even if you're not exercising for a long amount of time, or many days per week, the exercise you do is going to strengthen your muscles and joints and is good for your cardiovascular system. More is better than some, but some is better than none!

If you have any questions, or are dealing with pain with exercise, call us at 616-662-0990 to set up a free consultation with one of our skilled and caring physical therapists.
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By: Lisa Bartz, Certified Exercise Physiologist

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Core – More than the Six-Pack

7/5/2018

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Your core is the central link between the rest of your body, and core strength is essential to good posture and a healthy, strong body! Your core is so much more than just your “abs” (six-pack that most people think of when they hear core). Think of your core as layers of muscles that wrap around your midsection, including your transverse abdominis (deep layer around spine), your obliques (sides of your core), your rectus abdominis (six-pack), as well as muscles on your back like your multifidus (deep and extends all the way up your spine), your erector spinae (along your back on each side of your spine), and your quadratus lumborum (deep muscle in your back connecting your spine to your pelvis).
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Core strength is required for almost all movements, because when you move your upper or lower body, your core stabilizes you. When you’re walking, your core stabilizes your moving leg and the rest of your body, keeping you balanced. Strong cores stabilize your spine and back to help prevent back injuries when you’re lifting or moving things, and allows your posture stay upright and help avoid strain on your lower back or neck.

So what now? Crunches? Although crunches are good, there are lots of more effective core exercises to do (you can still do your crunches along with them!) Prioritize exercises that will target lots of core muscles. Here’s a few exercises to try:


1.  Planks – Keep your body in a straight line and tighten your abs, keeping your back high (no sagging hips or sagging back between shoulder blades!), and keep your elbows from locking for maximum benefit! This will work all of the core muscles mentioned as well as your arms and legs. Start with a short amount of time (like 20 second holds, 3 times), and then challenge yourself with longer hold times or by lifting up one limb during your plank to make your core work harder to stabilize you.
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2.  Bird-dogs (also known as quadrupeds) – Start on your hands and knees, and slowly raise your right arm and left leg, keeping your abs tight. Return to starting position, then alternate to left arm and right leg. Do 2-3 sets of 10. If this is too challenging, start with just raising one arm or one leg at a time. These are great for your core and your back!
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3.  Dead-Bugs – Dead bugs are similar to bird dogs but lying on your back. Start with all 4 limbs in the air, then (while keeping your back pressed against the floor), lower one arm and one leg. Try doing 10 reps lowering your right arm and leg, then left. Then try 10 more of opposite arm and leg.
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4.  Wood-chops – If you have access to an exercise band or cable machine, wood-chops are a great exercise to tone your core because of the twisting motion. Tie your band  to something high, like the top of a door (or set your cable machine high). Stand a few feet away from the door turned 90 degrees (perpendicular to door). Hold the band with both hands, and then rotate from high right (close to door) to low left (away from door), turning through your whole body, especially your core. Do 2-3 sets up 10 wood-chops on both sides. *If you don't have access to a cable machine, use a medicine ball, weight, or object between 5 and 20 lb and perform this same motion!
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5.  Swimmers– Lie face-down on the floor, with your arms overhead and legs extended. Lift all 4 limbs up a few inches of the ground and, alternating sides (as if swimming), tap your hands and legs down to the ground. Start with 15-20 seconds and work your way up in time!
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Crunches and other exercises targeted for the abs are also good, but make sure you’re doing some of these total-core exercises along with them though! Also incorporate upper body and lower body exercise into your routine, for a strong healthy body! If you have any questions about core exercises, or if you deal with pain that prevents you from exercising, call or email us! 616-662-0990 or questions@hudsonvillephysicaltherapy.com.
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By: Lisa Bartz, C-EP

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How to Safely Lift and Move Heavy Objects

5/2/2018

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Its Spring! Lots of people are moving in the Spring, whether it’s to a new home or helping move a kid out of college for the summer, or even doing some Spring cleaning that involves moving heavy objects. Moving heavy objects can cause a lot of aches and pains, and we have some tips for you to keep in mind to keep your back and knees safe this Spring!
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Getting ready to lift:
  • Gauge if it's something you can move alone or could use a hand from another person or a dolly, by lifting up one corner first.
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  • Stand with your feet close to the box, furniture, or object that you are going to lift, with your feet about shoulder width apart.
Lifting:
  • When you bend down to lift it, keep your hips back, and then lift through your heels, not your toes, as you straighten, to avoid strain on your knees or losing your balance.

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  • Lift slowly, don’t jerk it up too fast or you might strain you back, arms or knees.
  • Look ahead, not straight down, when you lift, as to not strain your neck and back.
Carrying:
  • If possible, hold the item close to your body and in front of you as you carry it. Often holding under the object (if possible) is the easiest way to carry a heavy load, rather than holding around it. Carrying it on one side (if its heavy) may cause strain.
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  • Take small steps as you carry it.
  • If you’re standing and holding it for a long period of time don’t lock your knees.
Setting object down:
  • Lower back down by bending at the hips and knees, with your hips driving backwards – do not lower by using your back to hunch over! This is where a lot of people get injured.
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  • Continue to hold the object close to your body on your way down.
If you ever suffer from pain, strain or sprain from a lifting injury, call us and we can help recover! Stay safe while moving! J
 
By: Lisa Bartz, Exercise Physiologist (C-EP)
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What Type of Exercise is Best for Me? 4 Questions to Ask Yourself!

4/18/2018

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Frequently, I get asked what’s the best form of exercise.  What should I do?  Should I buy a bike or a treadmill?  Should l lift weights or swim?  There is no one best answer.  It depends on the person.  Ask yourself these questions before investing in exercise equipment or a gym membership:
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1.  What is my reason for exercising?  Do you want to loose weight, get stronger or train for something?  Everybody has a different reason and its important to tailor your program to your goals.

2.  How much money are you willing to invest in your exercise?  Some gym memberships can be expensive, but some offer classes or services like child care that might make working out easier for you.  Some pieces of exercise equipment can also be very expensive.  If you’re looking to not spend much, there are a lot of inexpensive ways to work out that are easily accessible to everybody.
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3.  What exercise do I ENJOY doing?  Believe it or not, this is by far the most important.  If you don’t like what you are doing, chances are you won’t continue to do it.  Everybody has different activities that they enjoy.  Even if you don’t love it, which form of exercise fits you the best?

​4. Am I self-motivated or do need to be accountable to somebody?  This could be in the form of a trainer or a friend you exercise with.  Some people like to exercise by themselves.  Others need the push of a partner or somebody to help keep them on track.
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​The important thing to remember is there is a type of exercise out there for everybody.  It does matter if your young or old, have a lot of cash to spend on exercise or minimal, there is a form of exercise that’s right for you.  If you have more specific question ask your local therapist.  Exercise is our area of expertise and we would be happy to give you some guidance and answer any questions.  Finally, remember the most important thing:  If you like the form of exercise you choose you will have a great chance for success!
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By: Brian Colvin, PT

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3152A Port Sheldon Rd.  Hudsonville, MI 49426
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