Sunday, October 12, 2014

Should My Child Play: Part II

Let's continue down the path that I started on last week. 

If you will recall, I was writing about sports participation and the personal/family decision of whether it was worth it or not, considering all the negative things coming out about sports recently.

As I still another young athlete's season end with an injury, it seems clear that this is an important decision...maybe one of the more important decisions that your family might make.

But let me start with a confession.  I'm an only child.  Yep.  Always have been.

Bet you couldn't have guessed it.  I'd like to think that maybe my parents found perfection in their fist born and decided that they couldn't do any better.  The truth is that my mom tried to have children after me but wasn't able to. 

You've probably heard all the stereotypes about The Only Child.  Selfish.  Self-centered.  Bossy.  Doesn't play well with others.  Spoiled. 

My parents knew the burdens of growing up without siblings so they made sure that I had lots of opportunities to interact with others my age. 

Boys Scouts.  Church activities.  Camps.  Summer recreation.  Art lessons.  Played in the band.  And (you guessed it) sports.

I regularly had what today are called Play Dates.  My parents made sure I had lots of friends and plenty of opportunities to spend time with them.

You probably know that I ride a bicycle.  A lot.  Probably too much.  But you didn't know that on my very first bike ride, on my brand new bike, I wrecked rather spectacularly, leaving much of the skin from my face on the pavement of Robinson Road. 

And you probably know that my friend Bill Crisp died recently of complications from a bicycle wreck.

But still I ride.  With no plans of stopping.

We can't live our lives in fear of what MIGHT happen.  If we let fear drive our very existence, we might never leave the house.  We would certainly never ride a bike or even drive a car and forget those things called motorcycles.

We would take no chances and only do the safe thing.  I suppose my parents at times would have liked to keep their only child in a protective bubble, keep him safe from harm.

But that is not living.

Living is doing what we love.  Living is not letting fear keep us from pursuing happiness... From chasing our dreams.  And that most surely requires taking risks, of stepping outside our safe zone. 

Maybe for you that's running for a touchdown or stealing second.  Maybe it's putting all you have into a cross-country course or getting up every morning at 4 to go to swim practice.  It certainly might involve taking some risks.

In sports, you will find beauty and grace and music in among the blood, sweat, and tears. 


Do I want a grandchild of mine to play a sport that much of the world might find dangerous?   If that is where their heart is, if that is what makes them alive, then so be it.  I'll sit in the stands and cheer them on and hug their grandmother when she cringes when something, anything happens.  And pray mightily that it doesn't.

Saturday, October 11, 2014

CrossFit Endorsement: Part 2


So here's the follow-up to yesterday's treatise.

CrossFit is a brand name.  There are other programs that are similar.   And there are a lot of rally great personal trainers that are providing really great programs.

What I'm really talking about is High Intensity Interval Training, or HIIT.  That's the basis for what I believe to be the most effective fitness programs available today.  And I also believe that it is the best way to pursue high levels of fitness that have come along in...well...ever.

Again, I digress:  My first college degree was in Physical Education.  My fall-back plan was to go on to graduate school and teach Phys Ed at the college level, if I didn't get into physical therapy school.  I was an athlete then and still consider myself an athlete, so I've always been a student of human performance.

Through luck, persistence, and the good graces of Department Director Ann Hightower, the Physical Therapy Program at the University of Tennessee Health Sciences Center admitted me to their program.  Because of that, my day job since 1977 has been in health care. 

All things related to fitness, exercise, and the pursuit of health through an active lifestyle have been a big part of my life and my career ever since.  That's what led me to open a fitness center, Cherokee Health & Fitness, in 2003. 

And one of the smartest things we ever did was to hire Steve Bright as our Fitness Manager.  Steve was the one that brought CrossFit to Cherokee Health & Fitness.

But back to what lies at the core of CrossFit, High Intensity Interval Training.  The problem is, HIIT just isn't sexy.  It isn't marketable.  So you've probably never heard of it.

HIIT programs not only work, but they fit today's lifestyles.  By their nature, they can be done in a much shorter period of time than what has been typical of the industry since fitness gyms started appearing in the 70's.  It isn't too farfetched to finish a program during your lunch hour, shower, and get back to work in time to grab a sandwich

Good HIIT programs emphasize core strength, body weight exercises, and exercises that demand involvement in multiple body parts.  An isolated biceps curl has no place in a HIIT program.  It's just too much of a waste of time.

Moving rapidly from one exercise to another, in the method commonly called circuit training, provides an effective cardiovascular workout while also providing good strength training. 

And just as there are good rehab clinics and bad rehab clinics, there are good gyms and bad gyms. 

A good gym insists on good, safe technique.  A good gym allows everyone to go at their own pace.  

In a good gym, you don't have a bunch of people standing around a solitary lifter screaming "one more rep!" or similar encouragement that inevitably leads to injuries.

A good gym provides balance, supervision, and a positive approach to their programs.  A good gym eschews dogma, acknowledging that all people are different.


Find that gym and you've found a home.  

Friday, October 10, 2014

A Physical Therapist Endorses CrossFit!

In case you're getting this for the first time, let me introduce myself.  I'm a physical therapist and an athletic trainer.  I've been practicing for almost 37 years and in 2005 received my Doctorate in Physical Therapy. 

I've been fortunate to see and do things in these two professions that seem highly unlikely for a small town boy whose only acclaim in high school was as the smartest football player.  I count among my friends the giants in these professions.  People like Tab Blackburn, Mike Voight, Kevin Wilk, George Davies, Terry Malone, Barb Sanders, and on and on.

A couple of years ago, I did a presentation at a big physical therapy meeting.  About 500 people attended a program that a colleague and I did on treating patellofemoral dysfunction.

During that presentation, I happened to mention that I send a lot of my patients to CrossFit classes after I am finished with them.  Several months later, I heard from one of the attendees that this was met with a collective gasp from the physical therapists in the room.

Apparently, many of those in attendance felt that it was quite surprising/radical/irresponsible of me to send my patients to CrossFit.  I guess I wasn't paying attention.  I didn't catch that one at all. 

Let me step back a bit and tell you about my work setting.  The clinic where I see patients is basically a 14,000 square foot warehouse, with the physical therapy clinic occupying about a third of that space and a fitness center the rest.  Housed within the fitness center is CrossFit CHF. 

A simple countertop separates the two sides and my desk is a laptop resting on that countertop.  So basically I am looking out at a CrossFit gym when I sit at my desk.

We opened CrossFit-CHF in 2007 as part of Cherokee Health & Fitness (hence, the CrossFit-CHF).  It was the first CrossFit gym in the area.

My patient load is essentially extremity orthopedics with a heavy emphasis on sports.  This clinic was built with sports physical therapy in mind and serves that purpose, in my opinion, quite well.

I'm a biker (non-motorized version).  In 2008, I seemed to hit a plateau on my bicycle. Our fitness director, Steve Bright, suggested I start CrossFit workouts. 

I have always been a "fitness buff."  There really hasn't been a time in my life when I didn't exercise regularly.  But in 2008, at age 55, I guess I was at a bit of a crossroads.  About to be old, getting closer to retirement, and being told it was time to slow down.

I also had enough of a paunch that I didn't really like to take my shirt off. 

Hey, at 55, you sort of expect that.  I was a regular on the bike and did some strength training a day or two a week.  But the shape I was in was not really that good a shape.  I had long since reconciled myself that this was the way things were going to be--that it was part of getting older.

But Steve convinced me that I could do things better, so I started doing CrossFit.  Three days a week with the other four days on the bicycle.

Lo and behold, my performance on the bike got better.  Lots better.  And slowly but surely, my body changed.   It didn't take long until I was a bona fide CrossFit junkie.  I had, as they say, drank the Kool-Aid.  

Now, six years later, at age 61, I am in the best shape of my life--better yet than when I was invincible and in my 20's. I'll leave it to others to describe what I look like with my shirt off but that's not what's important anyway.

What's important is that my core strength is darn good, if I do say so myself.  My overall fitness level?   You might want to talk to the small cadre of buddies that I work out with for the answer to that one. 

Through the years (pre-CrossFit), I had multiple orthopedic surgeries.  Heck, knee surgery was what got me into physical therapy in the first place.  Dr.Ken Bell (orthopedic surgeon extraordinaire) and others have kept me patched together. 

But here's the big thing:  Today, I have little or no joint pain.  I can climb stairs 2 at a time without problem or pain.  Sure, I limp from time to time, maybe when I've really abused my knees such as on the descent of a particularly strenuous hike.  I do have a right knee that is particularly worn out and not as strong as my left.

But I take no medication for that.  Not an ibuprofen. Not acetaminophen.  Nothing.  Na da.  I give the credit for that to the core strength that CrossFit has given me.

Before CrossFit, I thought it was ludicrous for a man my age to do squats.  And God forbid that I would ever again touch a deadlift bar.  Power Cleans were for much younger people than me.

Now those things are part of my workouts on a regular basis.

And...get this...in six and a half years of doing CrossFit workouts, I've never been injured.  Never. 

So here's the bottom line:  I'm healthier than I've ever been (except for that pesky blood pressure problem--you can't escape your gene pool), I have very few aches and pains, I can keep up with people much, much younger than me, and the reason is CrossFit.

My patients that have gotten into CrossFit thank me for it.  Without exception, they are healthier because of it. 

Injuries?  Sure.  From time to time.  But injuries are going to happen and I'd a lot rather have injuries that are the result of an active, vigorous lifestyle than the health problems that are inevitably produced by a sedentary lifestyle.

Why does CrossFit get maligned as the source for injuries? Well, it is, by its nature, pretty competitive.  Those that compete in the CrossFit Games are in an athletic competition and CrossFit injuries at that level are about the same as with other competitive events.

I'm not saying that I'm not competitive.  With my group of buddies, it's not competitive until one of them is catching up with me.  Then it's on.

Their goal is to catch the old man.  Mine is to keep them at bay.

But I'm smart enough in my workouts that I'm not going to do anything to hurt myself and therein lies the key to staying injury-free while doing CrossFit workouts:  You've got to be smart about it. 

Know your limits.  Push your envelope, just don't shred it. 

As for those health care professionals that are aghast that I encourage patients to participate in CrossFit workouts, all I can say is come work out with me. 


Sunday, October 5, 2014

Should My Child Play?

Some recent tragedies in sports have prompted a bunch of folks to question the value of sports participation.  Everything from domestic abuse to catastrophic injuries--the bigger the stage the greater the uproar. 

Ray Rice.  Concussed quarterbacks at Michigan.  13 year olds with ACL injuries.

But at the local, personal level, the questions being asked are maybe just as profound.  Should my child play sports?  Is the risk of injury worth it?  Does it give our children a sense of entitlement that produces dysfunctional adults?

I've asked and answered those questions here many times.  My kids DID play.  And my son's football career was ended with a devastating injury during his fourth year of college football. 

I'll go ahead and play my hand by telling you that I truly believe that the adults that they have become (good, responsible, active) is a product in no small part because of that sports participation.  And if you ask them, they will also tell you that they would do it all again.

But for you, maybe it's different.  Maybe it doesn't seem quite worth it.  Everybody has to make a value judgment on that, deciding what is best for their family and their children.

How about this:  Take a step back and ask yourselves why you want your kids in sports in the first place.

Only you can answer that question for you and your family, but the bottom line is that active children become active adults.  With Tennessee being the 3rd most obese state in the nation, you don't have to look far to realize that our children need to be more active.

Do you have to play sports to do that?  Certainly not.  I've glorified my own childhood by sharing memories of playing football in the street, swimming in the creek, and playing pickup basketball in everybody's back yard.

The value of "play" cannot be overstated. 

But I also know that opportunities to play like we did when I was a kid are just not there today.  

When I share with my now grown kids, who have kids of their own, about getting on my bike in the morning and leaving for the day with the single instruction to be home for dinner, they find it pretty incredible and absolutely impossible in today's world. 

Sports provide our kids with those opportunities.   Yet, organized sports cannot nor should not fill the whole picture.  When my kids were growing up, we did crazy things like white water canoe on the Nantahala, rock climb at Look Rock, and hike all over the Smokies. 

We played at the park and went to the zoo and built things in the yard.   Those types of things are all still essential.

Do you want your kids to do things that you couldn't or didn't do?   Some call that living vicariously through your children.   Much preferable is that you want your kids to have opportunities that you didn't have and maybe sports are a big part of that. 

That's OK.  As a matter of fact, I believe that is the basic premise behind successful parenting:  That we want our kids to be better, bigger, smarter, happier, healthier...all those things and many more...than we were.  

That NEVER means that you're going to send them to every camp, make sure they get on the "right" team, or buy them everything that they might possibly need to fulfill YOUR dreams for them.


It ALWAYS means that you are going to provide them with opportunities to grow and develop, to find their own way, to mold them much as God might fluff clouds.

Sunday, September 28, 2014

The Boring Plan to Good Health

I'm a creature of habit.

My exercise regime is a habit.  Every Monday, Wednesday, and Friday, I'm up at 4:40 to meet some 
friends at the gym to work out. 

On Tuesday and Thursday, it's a bike ride from Cycology.  On Saturday at 8, it's another ride from a variety of spots around Blount County.  Winter and summer--same schedule.

It is rare that I miss a workout and even more rare that I miss a bike ride. 

My eating is based on habit.  Every Sunday morning, I have the exact same breakfast.  2 eggs, 2 pieces of Benton's bacon, 2 pieces of toast with pumpkin butter.

Breakfast at work is the same bowl of cereal (Kashi Strawberry Fields, extra dried strawberries, skim milk) at 6:15 then start work at 6:30.  Every day. 

Mid-morning and mid-afternoon, I've got to have a snack the minute my body tells me it needs one.  I keep a container of almonds close by, just in case.   I'm more likely to brown bag for lunch than go out.

And before that Saturday morning ride, it's 2 whole wheat Eggo's, fruit, and milk.

A lot of the rest of my day is the sameness of habit.  Every day on the way home from work, I call my mom.  It may only be a 3 or 4 minute conversation, but it is still important.

Maybe it's a hint of OCD but I pack my truck for the next day before I go to bed, I get to airports way too early, and if I'm late for a meeting, something is wrong.  I believe that on time is late--that early is when you need to arrive.

Some might call all this boring.  I think, not so much.  It's a routine that just works for me. 

Let's look at the exercise thing. 

I believe that the best time to exercise is in the morning.  It cranks up your metabolism and sets the tone for the day.  If you do it early in the morning, you won't find available to you any of the excuses that seem easy later in the day (didn't have time, too tired, boss called a meeting, et cetera, et cetera). 

I believe that we exercise better with others.   Miss a CrossFit workout and the guys in my group will be texting with disparaging comments within the hour.  Biking is just more fun in a group . 

And the eating thing-eating three meals a day and healthy snacks along the way is important.  With the exception of the Benton's bacon, I really watch fat grams (sometimes I watch them going down the hatch).  Not a big fan of refined sugar and flour and avoid processed meats like the plague, but I have not jumped on the no-carbs bandwagon.  I still like my carbs.

Too many people are "yo-yo's" with their diet and exercise.   I believe it is more important to be consistent with what you do.  The sameness to my routine means that I exercise regularly and eat sensibly.  All the time.  Always have.


I think I'm going to stick with my boring plan.

Thursday, September 25, 2014

I picked up a magazine the other day.  Inside was an article about "The 10 Best Places To Watch A Sunset."

This was the day after I had been witness to a gorgeous Blount County sunset. 

Let me tell you a little bit about where I live.  We built our house on the top of a ridge that has a pretty good view of our mountains.  We can always see Chilhowee Mountain and on most days can see beyond to the Smokies.

On a clear day, we can see from Thunderhead Mountain to Gregory Bald.  It's why we bought the property. 

When we built our house, I wanted it turned away from the road a bit so that it ran parallel to the mountains.  I wanted to take full advantage of the mountains.  Our builder thought that would be "weird" but did it that way anyway.

From our mailbox, you can see to the Cumberland Plateau on a clear day.   I was always told that you couldn't sell a view or something like that but the bottom line is that it was what I wanted...it was where I wanted to build my house.

Then, when I drive into town, I see Maryville with the backdrop of Three Sisters.  It's one of my favorite things.   And everybody in Blount County gets the same thing.  I bet half the houses here have a decent view of the lake or the mountains.

My first reaction to that magazine article was to look to see if Blount County happened to be on the list.  Alas, it was not.  The list of 10 had places that were memorable for what you see when you look down, not when you look up. 

Places like the Grand Canyon.  Key West.  The Empire State Building.

But they missed the point.  Those are your surroundings, not your view.  To enjoy a sunset, you've got to look up.   And given the right atmospheric conditions, a gorgeous sunset can happen anywhere.  It belongs to no one area, no one locale. 

Beautiful pinks and oranges fringed by the perfect blue.   Clouds that might be wispy or might be fluffy.  Colors so perfect that you don't want to look away because there's a chance that they will be there only for a moment and then be gone.

There are many times that I've seen that sunset and ran inside to tell me wife to come look at what I found.  It might seem child-like to her but she long ago discovered how and when to indulge me.  

Too often life got in the way and when we stepped outside, the majesty was gone.

So by now you may be wondering where this is going.   I've got several points to all this, most of which have some relevance to the sports pages where you find this.

See the beauty of where you are.  It doesn't matter where you are right now, it can still be a beautiful place.  And place is less important than the view.  The game is hard?  Yeah it is, but at that moment, do you really want to be anywhere else?

Seize the moment.  Enjoy where you are right then, right there.  I've heard plenty of coaches tell their players to enjoy a good win or a solid effort.  Not long ago, I wrote here about enjoying the sights and smells, even of practice.

Look up, not down. Keep your head up so you don't miss what is most valuable around you. 


When things are tough, know that there's a sunset to see somewhere.  And when it comes, at that moment it doesn't belong to anybody but you.  

Sunday, September 7, 2014

Competence and Persistence

In recent weeks, I've talked about a variety of things that should lead to a successful athletic career. 

I talked about Dylan Jackson and work ethic.  I talked about playing a variety of sports as you grow up, avoiding early sports specialization.  I talked about picking your parents (and your gene pool).
More on all that later.

I recently visited a physical therapy practice in Atlanta for the purpose of helping them be more successful.  It is a young practice that is struggling to make ends meet, which isn't really that unusual.

I look back to 1981 when I started my own practice.   I can't recall exactly how long I worked before I drew my first paycheck but it was way too long.  I believe it was day 3 before I even saw my first patient (and although I don't remember his name, I do remember that he came in with a neck problem and was a notorious local bootlegger).

I remember when the Omnibus Reconciliation Act of 1990 was enacted, which made making a living in physical therapy a lot harder.  Our mantra was that "good work will sustain us" during tough times.  I think we stayed true to that.

Anyway, my final bits of advice to that young practice were that competence and persistence will lead to ultimate success in your physical therapy practice.

Competence and persistence are also key ingredients in athletic success. 

Competence.  In athletics, you've got to be able  to do the job.  You've got to have the basic skill set.  It means mastering the basics.  And then building from there.

In baseball or softball, you've got to be able to swing a bat effectively.  Few people that can't connect with the pitched ball are going to see the field.  And if you can't hit a curve ball, you're going to see lots and lots of curve balls.

You've got to be able to field a grounder.  And throw a ball effectively.  Maybe that's why it is still considered by many to be America's Game:  It is at its heart a simple, basic game.

In basketball, you've got be competent on offense or defense (preferably both) or you won't see the court.  In running, you've got to either be fast, able to sustain a good pace for a long time, or be able to jump over things while running pretty doggone fast.

In football-block, tackle, throw, catch, run...there's room for all types.  But the bottom line is that you must be competent in certain skills to be successful.

And there's persistence.  Throughout my growing up years, I kept a copy of Rudyard Kipling's "If--" on the wall of my room.  The message I got from that was to stay the course, to be true to your values, to be persistent.


Persistence implies the long term.  Persistence works harder and longer.  Persistence is still at it when all others have given up.