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Gym-Weights

Fitness Professionals: Which Vertical Market Should You Work In?

The vertical markets in the health, fitness, recreation and leisure industries are extremely diverse. The question “What vertical should I work in” is not a fair question as many of you will work in several verticals early on in your career. Even as your career progresses, you may shift from one vertical to another as your experience level and personal needs change. Having multiple options is a good thing!

Vertical Markets to Consider

Health Clubs

With 50,000 health clubs in the U.S. there are plenty of choices for employment. Within this “vertical” there are numerous sub-categories and options.

Benefits of working for a large chain:

  • More stability compared to an individual club/owner – most often, but not always
  • Health and medical insurance, 401k plans and vacation time is almost always made available to full-time employees. Usually a modest monthly fee is deducted from your paycheck
  • Continuing education is often subsidized
  • Ongoing staff development and training provided
  • Higher wages
  • Growth potential
  • Well-equipped and maintained facilities (most often)
  • Usually HR compliant (most often)

Downside of working for a large chain:

  • A lot of rules and regulations (good and bad)
  • Local and regional management may not always represent the ideals of top management
  • Financially driven, often to meet stockholder’s expectations
  • May be required to work a lot of hours

Non-Profits: Boys and Girls Clubs, YMCA’s and JCC’s:

There are thousands of non-profit recreation facilities. Most people are familiar with YMCA’s and JCC’s, but there are many others including the Boy and Girls Clubs, scouting organizations and actual hospital-based medical fitness centers, which we will discuss in another segment.

Non-profits often run like for-profit facilities. The difference is they have a non-profit status, which saves them on tax obligations among other things.

Non-profits offer great facilities with community-based programs that are usually well run. They have a similar management structure as traditional multi-purpose health club facility and almost always have a board of directors made up of community leaders. Their disadvantage sometimes is operating capital. This affects employees as you are often undercapitalized for equipment purchases, repairs, payroll and general supplies. At times, you may have to do a combination of management and front-line duties.

Benefits of working for non-profits:

  • More stability compared to an individual club/owner
  • Health and medical insurance, 401k plans and vacation time is almost always made available to full-time employees. Usually a modest monthly fee deducted from your paycheck
  • Continuing education is often subsidized
  • Ongoing staff development and training provided
  • Competitive wages and compensation plans
  • Growth potential
  • Well-equipped and maintained facilities (not always)
  • Usually HR compliant (most often)
  • Greater opportunity to work with kids and coaching

Downside of working for non-profits:

  • A lot of rules and regulations (good and bad)
  • Always on tight budgets
  • May be required to work a lot of hours
  • Often utilize volunteers in front-line positions

Park and Recreation Departments

Municipal Park and Recreation Departments provide a variety of opportunities in diverse areas: Full-blown health club-like facilities, Outdoor trail systems/workouts, sports leagues, golf course management, tennis court management, aquatics, water parks, community centers and even marinas.

Park and recreation jobs seem to be more stable than conventional fitness jobs. These jobs can be difficult to get based on the community you live in. Programs and facility operations are sometimes affected by politics and government budgets/cuts.

Benefits of working for Park and Recreation Departments:

  • Stability compared to most fitness and recreation jobs
  • Health and medical insurance, 401k plans and vacation time is almost always made available to full-time employees. Usually a modest monthly fee deducted from your paycheck
  • Competitive wages and compensation plans
  • Usually HR compliant
  • Greater opportunity to work with people of all ages

A lot of outdoor and recreation based opportunities

Downside of working for Park and Recreation Departments:

  • Upward mobility may be limited in existing community; may need to relocate to get your “DREAM JOB”.

Medical Fitness

Medical or hospital-based fitness centers are an emerging market. There are close to 1,000 medical fitness centers in the U.S. Fully-integrated health and fitness campuses set the stage for a comprehensive medically integrated environment focused on club members’ total well-being, ranging from day-to-day health maintenance, to sports performance training, to cardiac and physical rehabilitation. Most often they have extensive aquatics offerings. Baby boomers and seniors are big supporters of medical fitness centers as the centers almost always have a hospital system as a partner. If you like working with seniors and enjoy medicine, then this would be a great career avenue to explore. The internal management organization looks very similar to an established upscale health club. Often, you will see more medical personnel with office space within the facility.

Benefits of working for a medical based fitness center:

  • Stability compared to an individual club/owner (most often, but not always)
  • Health and medical insurance, 401k plans and vacation time is almost always made available to full-time employees. Usually a modest monthly fee is deducted from your paycheck
  • Better than average compensation plans
  • Continuing education is often subsidized
  • Ongoing staff development and training provided
  • Growth potential
  • Well-equipped and maintained facilities
  • Usually HR compliant

Downside of working for a medical based fitness center:

  • Limited growth potential
  • Some medical fitness centers are run by management companies, so do your homework. Some management companies are great to work for and some are not.

Personal Training, Specialty Studios and Sports-Specific Training Studios 

Personal Training and Sports Specific-Training Studios are typically smaller and offer more personalized attention than traditional health clubs. One-on-one or small group training has become extremely popular. Customers who patronize these facilities usually don’t care about health club amenities they don’t use, and want to work in a smaller, more personalized setting.

The sports-specific training facilities are great facilities to help athletes get an edge on the competition by maximizing their potential with the exact training protocols based on their season/sport. This type of training also gives young athletes confidence and parents are onboard with supporting their kids in this manner. Employees who work in this environment are usually well educated, have multiple specialized certifications, (not a prerequisite however), and are passionate about working with athletes.

Benefits of working for a personal training/sports specific training site:

  • Continuing education is often subsidized
  • Opportunity to work in a specialized environment and use your degrees/certifications/experience
  • Ongoing staff development and training provided
  • Well-equipped and maintained facilities
  • Flexible, part-time hours generally available

Downside of working for a personal training/sports specific training site:

  • Limited growth potential
  • Benefits may not be available

Private Country Clubs and Master Planned Communities

Country clubs and master planned communities provide a very comfortable work environment. These clubs usually have experienced leadership, full service amenities, excellent benefits and provide an environment with less stress than health clubs. In country clubs, you may even get an employee meal each day or major discounts on food and beverage.

This is an emerging market and it is estimated that over 65% of country clubs now have fitness/aquatics and even spas.

Benefits of working for a country club/master planned community:

  • Stability compared to an individual club
  • Health and medical insurance, 401k plans and vacation time is almost always made available to full-time employees. Usually a modest monthly fee is deducted from your paycheck
  • Better than average compensation plans
  • Continuing education is often subsidized
  • Ongoing staff development and training provided
  • Well-equipped and maintained facilities
  • Usually HR compliant

Downside of working for a country club/master planned community:

  • Members may be more demanding and difficult to work with.
  • Limited growth potential

Some clubs are run by management companies, so do your homework as some management companies are great to work for, and some are very demanding

Corporate Fitness Centers

Corporate fitness centers are great places to work for getting management experience quickly. Major companies contract out with management companies that specialize in running corporate fitness centers. Some corporations may even run their own centers with in-house management and staff.

If you have a degree in the exercise sciences, have group exercise and personal training certifications and 1-2 years of experience, you would be a great candidate for a site manager in a corporate setting. You would manage a small staff of part-timers and you would be doing it all; from scheduling staff to teaching classes and everything in between.

Benefits of working for a corporate fitness center:

  • Gain management experience
  • Diversity in responsibilities
  • Many corporate fitness facilities are Monday-Friday, with no late nights, and/or weekends
  • Excellent healthcare may be available though the company or management company
  • May have growth potential if you are with a good management company

Downside of working for a corporate fitness facility:

  • Salaries may be lower
  • May be busy with limited staff, or really slow with not a lot of activity
  • You wear a lot of hats that sometimes can become overwhelming

Hotels/Resorts/Cruise Ships

Working in the hotel/resort/cruise ship industry has its pluses and minuses. The work environment is typically a beautiful setting. There is a huge number of employees from all over the world, which creates a fun environment. Compensation will vary tremendously with the cruise lines paying the least and expecting the most, regarding the number of hours you work.

Benefits of working for Hotels/Resorts/Cruise Ships

  • Excellent healthcare available though the company or management company
  • May have growth potential if you are with a good management company
  • Employee meals or substantial discounts on food and beverage
  • A lot of employees to meet and have fun with
  • Relocation possibilities to other locations Beautiful facilities/amenities

Staff development and customer service training

Downside of working for Hotels/Resorts/Cruise Ships

  • May be busy with limited staff
  • Very high expectations to satisfy guests

Senior Living Centers

With the baby boomer population becoming the largest segment of the population, senior living facilities will be employing a variety of fitness and recreation staff for decades to come. There are large regional and national companies that manage facilities across the U.S.

The important thing to consider if considering working in this environment is do you like working with seniors? Have you had much interaction in your past with the aging population? Possibly with grandparents, neighbors, friends of the family or in previous jobs? If you think you are interested in working with seniors you may consider working part-time hours if available to test the waters.

A position in a senior facility may involve running fitness classes, managing group exercise/aquatic instructors and even planning a lot of fun activities and trips.

Benefits of working in senior living facilities:

  • Excellent healthcare available though the company or management company
  • May have growth potential if with a regional or national company
  • Employee meals available
  • Relocation possibilities to other locations
  • Staff development and customer service training
  • Downside of working for senior living facilities
  • Compensation may be mid-range
  • May be busy with limited staff
  • May require a lot of patience working with seniors

College/University Fitness and Recreation Facilities

Almost all colleges and universities have comprehensive fitness, aquatic and recreation facilities. There are numerous opportunities in this arena. While in college, you may have the opportunity to work part-time in a facility to get a feel for this environment.

Many of these facilities are managed by companies that specialize in running college/university recreation complexes.  Some schools manage their own facilities. It would be beneficial, to know in advance, who your employer is.

Benefits of working in College/University Fitness and Recreation Facilities:

Excellent healthcare and other benefits usually available through the company or management company

  • Compensation plans vary between management companies versus working directly for the educational institution
  • Fun environment to work in
  • A lot of perks
  • May have growth potential if with a regional or national company.
  • Relocation possibilities to other locations
  • Staff development and customer service training

Downside of working for College/University Fitness and Recreation Facilities:

  • Working for management companies may have lower compensation plans and high financial expectations

Ownership

Becoming an owner can be an exciting opportunity in any business, especially in the fitness industry. Most people who become owners have several years of experience in the industry. Others, who are passionate about fitness, become owners after having a successful career in another field.

There are several ways to go about owning a fitness facility:

  • Start one from the ground up
  • Buy an existing facility
  • Buy a club that has just closed
  • Become an equity partner in an open club
  • Buy a franchise

Your economic position will have a lot to do with which option to pursue. If you have years of experience, but don’t have cash reserves or financing options, then D may become your only option. These arrangements require a lot of due diligence on your part. I have known people who have become wealthy with this arrangement and others who have received nothing for their efforts.

Is a great option if you have had extensive experience with start-ups and grand openings of clubs? You must be properly capitalized to open a new club! Owning real estate also sweetens the payoff.

Buying an existing facility may work if you do your research. Is there a legitimate reason the club is for sale? How is the business performing financially? How are the demographics in the area? Is it a growth area or declining demographic? How old is the facility? Will it require a lot of maintenance dollars to maintain the club? Do your homework.

Buying a club that has just closed could be a great opportunity. Do your due diligence and negotiate the best deal possible with the landlord. Find out who owns the equipment! Landlords often need a club in the retail center they own to drive traffic to other retailers. So, you may be in a good position to negotiate. You also need to find out how dues are being billed, how many members have pre-paid and a host of other financial questions.

Buying a franchise can be a safe bet.

Really good franchises require a lot of money upfront. Franchises offer a successful track record and a plan to follow. Research the companies and watch out for a sales environment that is designed to garner “a yes” from everyone they speak to.

Some franchises require specific business skills and do a great job “Qualifying” prospects to see if you meet their qualifications. Other companies qualify you by making sure you have your check book with you. Do your homework.

Benefits of owning your own club:

  • Earning potential is almost greater than being an employee, but not always
  • Job security; if you are successful
  • You may have greater control over your schedule to watch your kids grow up
  • Build equity if you own the building
  • Building a business to sell or will to your family

Downside of owning your own club:

  • The buck stops with you
  • Employee hassles
  • Maintenance challenges
  • May not make any money for a while
  • Need to prepare for unexpected expenses
  • Change in market conditions/competition

Management Companies

There are management companies in a few of the above verticals:  health clubs, colleges/universities, corporate fitness centers and even medical fitness centers.

Really good management companies own and manage their own facilities as well as managing sites. Do your homework and really investigate/research the management company you are going to consider working for.

Benefits of working for Management Companies

  • Growth potential if the management company you are working for is proactively securing new contracts
  • Staff development opportunities from the management company
  • Opportunity to travel to different geographical areas

Excellent health insurance and benefits usually available

Downside of working for Management Companies:

  • Performance oriented
  • May not have job security if the management company loses the contract of the project you are working for

Introducing the new NCCPT Career Corner!

To see more of articles like this, and receive career tips, job opportunities and more, sign up for the NCCPT Newsletter at https://tinyurl.com/nccptnewsletter

One of the things that sets the NCCPT apart from other organizations is our focus on the business end of fitness. The science is important but equally important is ensuring our trainers have the resources to help them succeed. To help with everything from a job search and interview to asking for raise the NCCPT is proud to partner with Alan Cohen, President of fitnessjobs.com and a life time industry expert.

Article reprinted with permission from NCCPT. Written by Alan Cohen. Alan is a career expert in the health & fitness industry and founder of FitnessJobs.com. He can be reached by email at alan@fitnessjobs.com or by calling 800-259-4397.

Never-too-late-for-fitness-featured-image

Lisa Dougherty Interviewed on Never Too Late for Fitness Podcast with Phil Faris

MFN founder Lisa Dougherty was recently interviewed by Phil Faris, host of the Never Too Late for Fitness podcast. Listen below:

Description from Never Too Late for Fitness Podcast:

Lisa Dougherty is a fitness industry pioneer, a personal trainer as well as CEO of Medical Fitness Network and President of Medical Fitness Education Foundation.

Lisa graduated from the University of California, Irvine’s Fitness Instructor Program, and went on to get her Certified Personal Trainer and Health Coach Certifications through the American Council on Exercise. She has many specialty certifications to work with those with medical conditions, post-surgical/rehab as well as pre-& postpartum fitness.

Lisa founded Whole Body Fitness in 1999 and has helped many people of all ages achieve their fitness goals. Lisa provided volunteer service as the President of the OC Nutrition & Fitness Council, a nonprofit organization, overseeing the organization’s mission and monitoring nutrition programs at schools in Orange County.

Lisa has been recognized as a fitness leader several times including Personal Fitness Professional Magazine naming her a Trainer of the Year Finalist in 2016 and finalist for the 2015 Trailblazer Award. She was also a 2016 finalist for the White House Champion of Change.

As impressive as these accomplishments sound, the projects Lisa is working on now promise to be real game changers in the medical fitness arena.

During the interview Lisa shares:

  • How the Medical Fitness Network connects the community to fitness, wellness, and allied health professionals to maximize quality of life.
  • Why people with medical conditions and chronic diseases need specialized fitness and health care.
  • What inspired her to start the MFN.
  • How MFN helps nonprofit medical and health organizations better serve their members.
  • Why top medical, wellness and fitness experts volunteer their time and experience to help MFN achieve their mission.
  • How MFN provides education to prepare professionals to serve specialized populations.
  • What her next projects are as well the exciting possibilities for MFN and the medical fitness marketplace.
Portrait of smiling women wearing pink for breast cancer in parkland

Breast Cancer Survivorship & the Fitness Trainer

Do you know any breast cancer survivors? What if you were told that exercise could help them get their lives back?  Would you want to learn more?

There are 3 million breast cancer survivors in the United States today. Survivorship is considered to be from the time that one is first diagnosed to many years later. Fitness professionals are uniquely positioned to help survivors regain control over their mind and body through a well thought out, systematic and progressive exercise program.

Survivorship

There are many women who live with metastatic disease. This is breast cancer that has spread to other organs and is the most serious diagnosis. Breast cancer survivors undergo different treatments depending on the stage of their breast cancer.

The stages are organized from 1-4 with stage 1 being the least serious and stage 4 being cancer that has spread to other organs. The treatments can include surgery, radiation, and systemic treatments. Systemic treatment affects the entire body and includes chemotherapy and biological and hormonal treatments. In addition, surgery to replace the breast is another option performed either at the time of surgery or later on.

In addition, the treatments can vary from one individual to another as there are many different treatment protocols which one can choose from in coordination with the medical team. Access to treatment facilities can be another factor in treatment options.

Unfortunately, breast cancer treatment can wreck havoc physically, cognitively, emotionally and spiritually.  Some of the challenges that survivors face are chemotherapy Induced peripheral neuropathy, fatigue (most common), osteoporosis, chemotherapy related cognitive dysfunction, pain, weight gain, cardio toxicity and decreased balance.

A medical fitness trainer can provide survivors with a safe well- balanced exercise program that supports healing from treatments, side effects, treatment precautions, and contraindications.


Naomi Aaronson MA OTR/L CHT, CPI, Certified Cancer Exercise Trainer, has been an occupational therapist for 20 years and a certified hand therapist for 10 years. Naomi was introduced to Pilates after two car accidents, and credits Pilates for restoring both her strength and spirit. She is a well known author and presenter who believes in the power of mind and body to foster healing.

shower-head

Shower Safety Tips for Seniors

According to CDC, people over 75 are twice as likely as younger people to have a nonfatal injury in the bathroom. The risk for people over 85 is four times higher. Every year, more than 400 people drown in bathtubs, while thousands fall, which leads to fractures and injuries. There are three main reasons behind this: firstly, seniors have limited mobility, moreover many medicines they take can also cause hypotension or dizziness. Lastly, many surfaces in the bath, such as metal, porcelain, tiles, etc., are slippery, and even with very little moistures on them, they can turn into a skating rink.

You can do a few things to minimize the risk of injury, which might otherwise lead to permanent disability or even death.

Make sure the water isn’t too hot

Seniors are at a twofold risk from hot water. The ability to feel heat decreases with age, and certain medications or neurological damage can further diminish this ability. Besides, older citizens have a comparatively thinner skin, which means even a brief exposure to hot water can result in burns. Therefore, make sure your water heater temperature doesn’t exceed 120F degrees.

Make your bathroom a skid proof zone

The biggest culprit behind bathroom injuries are the slippery surfaces. Some people use non-slip decals to address this, however, they don’t cover the entire bathroom. Your bathtub can be extremely slippery because it stays wet most of the time. Seniors can not only slip while stepping into it but also when trying to get up. A CDC study shows that seniors are more like to fall when sitting down on or getting up from the toilet. In addition to your shower stall, the bathtub and the whole bathroom floor should be covered with a mat and rugs with rubber backing.

Ensure better accessibility

Remove any obstacles that are close to the bathroom door, and ensure adequate lighting. Many seniors will feel the urge to urinate at night; poor lighting can be a significant hazard in this case. Remove anything that can easily be tripped over. Also make sure that the commonly used items such as shampoo, soap, towel, etc. are within easy reach. Consider getting door locks that can be opened from the outside as well, so they can have privacy and caregivers can reach out in case of any mishap.

Install safety fixtures

This can be an extremely beneficial investment as it can help older citizens move around without risk of falling. Consider shower grab bars, raised toilet seats, and non-slip grip tape to help prevent falls. Grab bars are particularly beneficial as they can be used as an anchor point when moving in or out of the shower. Also, grab bars can help you loved senior brace themselves in case of a fall.

Offer supervision

If possible, have someone at the ready when your senior is in the bathroom. This can be hard, but you don’t have to stand outside the bathroom all the time. Just make sure you are attentive when they’re in. Seniors with mobility issues might be aided by someone who can assist them with bathing like a caregiver or home health aid. At the very least, they should be assisted in and out of the bath tub to prevent a fall.

Some of these tips are easy while others require more effort, however, they can all go a long way in ensuring the safety of your loved ones and minimizing the risk of injuries in the bathroom.


Joe Fleming is the President at ViveHealth.com. Interested in all things related to living a healthy lifestyle, he enjoys sharing and expressing his passion through writing. Working to motivate others and defeat aging stereotypes, Joe uses his writing to help all people overcome the obstacles of life. Covering topics that range from physical health, wellness, and aging all the way to social, news, and inspirational pieces…the goal is help others “rebel against age”.

Therapist doing massage releasing tension by pressing chest on p

Massage and Breast Cancer

Jane is a breast cancer survivor. She has dealt with the diagnosis and the life-changing stress it brings. She has gone through radiation to shrink her tumor to an operable size. She endured surgery that took not only her breast, but many critical lymph nodes from her armpit as well. She has undergone chemotherapy to be sure that no rogue cells may survive. She emerges from this ordeal feeling battered and bruised inside and out. The chemo has left her thin, bald, and exhausted. She experiences lasting achiness and pain in the affected arm, where circulation is sluggish at best. Her surgical scars continue to generate pain long after they have healed. She wonders when, if ever, she’ll feel like herself again. Her caregivers suggest that she “learn to live with it.”

Breast cancer survivors face so many challenges. One of the most frustrating is the challenge to “learn to live with the pain” that so often follows breast cancer surgery and treatment. Wouldn’t it be great if there were a therapy available that would ameliorate many of the worst side effects of breast cancer treatment? What if there was something a person could do that would reduce postsurgical pain, limit edema, and raise energy levels – all without drugs or further surgical intervention?

Therapist doing massage releasing tension by pressing chest on pThere is: more and more breast cancer survivors are discovering two adjunct treatments that help them to cope with the changes their illness and surgery bring about: friction therapy and massage therapy.

Many massage and bodywork therapists have traditionally been concerned about the possibility that bodywork, through its impact on the circulatory and lymphatic systems, could put cancer patients at risk of exacerbating their disease. Recently the profession has begun questioning this anxiety, and techniques have been developed that allow massage and bodywork therapists to work safely and effectively with many cancer patients. Such therapy is done in conjunction with general cancer care, always with the knowledge and understanding of the rest of the patient’s healthcare team. Friction or massage therapy is never done without the specific approval from the treating physician.

Friction Therapy Can Reduce Post-Surgical Pain

When a person undergoes surgery for any reason, the accumulation of scar tissue can cause lasting pain. Scar tissue grows wherever the skin, muscle, fascia, or other types of tissue have been injured. When a body is recovering from injury, new fibers of dense proteins begin to knit the tissues back together. These protein fibers, called collagen, are strong and sticky. They are very good at holding things together, but they can create “adhesions” – places where layers of tissue that should move freely become literally glued together. Scar tissue adhesions can limit mobility. As the scar tissue matures it begins to contract, which limits mobility even further.

Friction therapy can reverse this process in two ways. If it is applied in the first three or four months of scar tissue formation, it can influence the quality of the healing for maximum efficiency and minimize unnecessary scar tissue build-up. But even if friction therapy isn’t tried until many months after the tissue has healed incorrectly, it can still free the tissue by reversing much of the adhesion process.

Friction therapy is a non-invasive, hands-on treatment performed by a skilled therapist. No oils or creams are used so there can be no gliding over the skin. The pain producing scar tissue formation is identified first. Then the therapist uses gentle strokes, performed at a ninety degree angle to the scar, to slowly and carefully break useless, pain-causing scar tissue apart.

The client is then given gentle movements to perform daily at home to prevent new scar tissue from forming in the same places. The process is slow and steady, relieving the pain due to the formation of adhesive scar tissue.

Massage Therapy and Stress Reduction

Stress has a profound impact on the body, which devastates our disease fighting mechanisms. The chemicals we secrete when we are under stress interfere with digestion and sleep, slowing down the healing process. Research with breast cancer patients has shown that massage therapy reduces the level of stress-related chemicals in the body. Breast cancer patients who receive massage also report lower levels of anxiety and depression than recipients of other interventions. This phenomenon has been observed in other populations as well.

Massage Therapy Immune System Activity

Cortisol and adrenaline, the hormones we secrete during short and long-term stress, have been seen to diminish immune system activity. Some immune system agents that are especially disabled by a stress reaction are called natural killer cells. These natural killer cells target developing tumors for destruction.

In some populations, massage therapy has been shown to not only decrease the secretion of stress hormones, but also to increase the number of natural killer cells circulating in the blood.

Counteracting the Side Effects of Cancer Therapies

Radiation and chemotherapy are physically exhausting for the body. It can take every iota of energy simply to get up in the morning when you are in these stages of fighting cancer. Massage therapy helps to increase overall levels of energy by reducing unnecessary levels of muscle tension and stress that can make it hard to get the rest and sleep a person in recovery needs.

Positive Body Image

Massage therapist next to massage tableA woman who has been through breast cancer surgery, whether it’s a simple lumpectomy or a radical double mastectomy, emerges with a body that is fundamentally different from the one she began with. Many women struggle with body image issues following surgery. Breasts can help define a woman’s femininity, and to lose part or both of them can change how she feels about herself as a person. One of the most precious gifts massage therapy can give is a time of intimate non-sexual touch during which the whole goal of the session is to focus on how wonderful the client’s body can feel. Time spent in the simple enjoyment of physical touch can go a long way in the journey toward self-acceptance and the joy of being alive.

Massage therapy can increase energy, improve circulation and mobility, decrease soreness, help with body image, and alleviate stress. So the next time you ask about your pain and you’re told to “learn to live with it,” be aware that you have other options. Look up a massage therapist in your area who specializes in working with cancer survivors. You don’t have to live with the pain.

Finding a Massage Therapist

It is important to remember that not all massage and bodywork therapists are trained to work with cancer survivors. There are specific precautions that accompany different stages of treatment and recovery. Make sure your massage therapist is well informed and up to date on these guidelines. Check that your therapist has received training in working with people who have had or who have cancer. Be certain that they work with your medical staff, educating them about massage therapy and obtaining their permission for different massage techniques. Be clear that they understand pertinent precautions, pressure restrictions, or any areas to avoid.


Authored by Ben Benjamin, PhD and Ruth Werner, LMT. Reprinted with permission from Health Touch Issue #4. Other articles by Dr. Benjamin are available on his website.

Trainer helping senior woman exercising with a bosu balance

Strategies to Improve Your Balance and Stability

Challenges with balance and stability can happen to all of us as we get older, but is certainly more prevalent in our Parkinson’s community. Maintaining lower body strength in conjunction with balance is very important as it decreases one’s chances of falling. Balance is defines as the state of having your weight spread equally so you do not fall; stability is the quality or state of something that is not easily moved. In order to maintain balance and stability, we need to have our center of gravity over a strong base of support. If your center of gravity standing upright is the area of your belly button – then your feet are your base of support. Standing with both feet on the ground spread just past shoulder width offers a stronger base of support than standing on one leg or with your feet very close together.

There are many issues that can affect your ability to balance yourself while standing or walking. Trouble with vision, lack of lower body strength, poor posture, medications, low blood pressure, and inability to properly lift our feet are all contributors. So how can you better prepare yourself to stay strong on your feet?

Slow Rise: When standing up from a chair or rising out of bed – do so slowly and wait about 5 seconds before you begin to walk. This enables your body to adjust to the change of position.

Hands Free: Keep at least one hand free at all times while walking – carrying an object with both hands can interfere with your ability to balance.

Arm Swing: Attempt to swing both arms from front to back while walking – this also helps maintain an upright posture and reduces fatigue.

Walk Consciously: Always strive to consciously lift your feet off the ground while walking; a shuffling gait can cause one to trip.

Make a U-Turn: When trying to navigate a turn while walking, use a “U” technique of facing forward and making a wide turn as opposed to pivoting sharply.

Helping Aides: Don’t be intimidated by canes, walking sticks, walkers or grab bars. These helpful devices can keep you safe and prevent a fall.

Keep it Simple: Only do one thing at a time when you are on your feet. Using a phone, gazing around, or even drinking a beverage can be a distraction and affect your balance.

In addition to taking these steps to maintain your balance and stability – take precautions in your home to make it safe. Loose throw rugs, scurrying pets, wet bathtubs and slippery staircases can cause danger in your home and throw even the most strong and stable person off balance. Also, working with a fitness professional to strengthen your stomach and leg muscles will help keep you more stable and lessen your likelihood of falling if you were to lose your balance. A strong body is a more stable body!


Carisa Campanella, BA, AS, is an ACE Health Coach and ACSM Personal Trainer. She is the Program Manager at the Neuro Challenge Foundation for Parkinson’s. Neuro Challenge provides ongoing monthly support groups and educational programs, individualized care advising and community resource referrals to help empower people with Parkinson’s and their caregivers.

kettlebell-sneakers

For Optimal Workouts, Learn to RECOVER Like the Pros

Your body was built to move but to move effectively and efficiently, especially over the long haul, it needs to rest. At any given point in time a significant percentage of competitive athletes and even fitness buffs are over-trained. The “overtraining syndrome” is brought on by athletes falling into the ‘too much, too hard, too frequent and too little rest’ mode. Usually done to improve performance, but ultimately resulting in a point of diminishing returns- or gains actually turned to losses. Common symptoms can include all of some of the following: fatigue, irritability, muscle soreness, difficulty sleeping, elevated resting heart rate, decline in performance and even the onset of overuse injuries.

Exercise and the training associated with it, are a very powerful stimulus. Your body is challenged on multiple levels, from individual body parts to the system as a whole. For example, if you do a typical weight training session, each muscle that you work is stimulated and there is a local response in that muscle. There is also a cumulative metabolic cost to your entire system from that workout. This is true also of any vigorous workout including running, cycling and swimming. Local body parts are challenged as is the entire system. Your body needs to recover from both, and each has its own timetable.

To make gains – either muscle growth with weight training or cardiovascular with aerobic exercise – you need the exercise stimulus (ideally a near maximal effort) followed by adequate rest and recovery. It is on that rest stop where gains are actually made, as the body repairs itself, adapts, and you are taken to the next level. It should be clear why the mindset of “if a little is good, more is better” does not work here. It is also why smart successful professional and high performance athletes schedule recovery time as they would a workout, practice or a training session. It is critical to optimal performance. In fact, in recent years, we have made such tremendous gains in the areas of training and nutrition, that we may be reaching the point of maximum benefit for those variables. I believe that recovery is the next frontier in optimal training and achieving peak performance.

Also recovery doesn’t mean you need to be on the coach doing nothing. There are forms of “active rest” that can actually enhance and speed recovery. Take a walk or do a very light aerobic activity. Blood-flow to the nooks and crannies of the body enhances recovery and the repair process. Also, try yoga, get a massage, or hit the whirlpool. Water is a great medium for recovery, so hit the pool and try some light movements like treading water. But think twice before taking the ice plunge as recent research suggests that ice baths may delay or interfere with the recovery process. Drinking plenty of water and eating properly are also critical. The timing of your nutrition is also important, especially after a hard workout, as there is a golden 30-60 minute post-workout window where certain nutrients can make a recovery difference. Chocolate milk is one nearly perfect choice. And never underestimate the power of getting adequate shut-eye. The body repairs itself mentally and physically during sleep. I recently saw a funny but astute tweet (by Shower Thoughts @TheWeirdWorld) that said, “your bed is pretty much just a charger for your body.”

When it comes to the body’s adaptability and recovery response, the key is not pounding your body the same way everyday. Also follow the 10% rule-never increase your program (i.e. the amount of weight lifted or miles logged) more than 10% per week. This especially true when coming off an injury. Trying to make up for lost time courts disaster. Increasing the intensity, duration or frequency of your workouts too rapidly can interfere with your body’s amazing ability to adapt, resulting in overtraining, injury or both. Also there are new technologies like the Marc Pro device that can enhance muscle recovery and it is no surprise that so many professional and high level athletes are using it regularly. For those aging athletes and Master’s athletes, remember that the body does not recover as efficiently as we age, so you may need a little longer time to bounce back.

Remember what Lau Tzu said many years ago, “a bow that is stretched to its fullest capacity may certainly snap”. In your effort to constantly improve your fitness or specific sports skills you are probably at times pushing yourself to that very brink. Be aware of that predictable time of vulnerability for you, one that is usually remedied by a little R&R thrown into the mix.

So, for optimal gains, in the gym or on the field, learn to kick back at times. Give yourself a break – you will comeback even stronger.

Originally published on the Huffington Post. Reprinted with permission from Dr. DiNubile.


Nicholas DiNubile, MD is an Orthopedic Surgeon, Sports Medicine Doc, Team Physician & Best Selling Author. He is dedicated to keeping you healthy in body, mind & spirit. Follow him MD on Twitter: twitter.com/drnickUSA

Pregnant woman using exercise bike at the gym

Prenatal Exercise Program Design: Exercise Type

Choosing the type of exercise that is best tolerated during pregnancy depends on the following considerations:

  • Which activities the client enjoys or is skilled at performing
  • Whether the activity poses any risk to the mother or fetus
  • Is she is able to do the activity without being compromised by balance and center of gravity changes
  • Can the activity be easily modified as pregnancy progresses

Weight-bearing exercise such as walking, dancing, and running help maintain bone mass and some studies suggest they are more effective for keeping pregnancy weight gain within normal limits. As pregnancy progresses some women may not be able to continue weight-bearing exercise because of back or round ligament pain. If modifications such as wearing a belly support don’t relieve discomfort, switching to non-weight-bearing activities such as swimming, stationary biking, or other types of stationary exercise equipment is recommended.

Absolute and relative contraindicated activities for pregnant women are listed below. Pregnant women should always consult with their healthcare provider before taking part in any exercise program and assess the risk/benefit ratio whenever there is a question about the safety of any activity during pregnancy. Keep in mind that activities such as downhill skiing must be assessed for risks that are not controllable, such as the effect of high altitude on oxygen delivery to the fetus.

Contraindicated Activities for Pregnant Women

  • High-altitude sports
  • Water-skiing
  • Hockey
  • Gymnastics
  • Horseback riding
  • Absolute
  • Downhill skiing
  • Scuba diving

You can also view Catherine’s previous articles on exercise intensity and duration.

For more information on prenatal and postpartum exercise and our CE correspondence course, “Prenatal and Postpartum Exercise Design” please visit, www.ppfconsulting.com

Article reprinted from Catherine’s Maternal Fitness blog with permission.


Catherine Cram, MS, is the owner of Comprehensive Fitness Consulting, a company that provides pre- and postnatal fitness certifications and information to hospitals, health & wellness organizations and the military.

aging-hands

Objecting to Aging

In the above court case, “Persons who Object to Aging v. United States of Aging” plaintiffs filed this action challenging the Aging’s Executive Order on natural processes. The People seek a finding that certain sections of the Executive Order are contrary to their desires to live forever, be young and abstain from societal objectification. Constitution and laws of the United States of Aging, and enjoining Defendants from implementing or enforcing those sections of the natural aging process. The People further seek entry of a nationwide temporary restraining order against all acts of aging – biological, social, cultural, internal and political. The judge presiding over the matter: Honorable Time, concludes “Before us today is present not a case of wanton and reckless behavior. Rather, we witness an unveiling of the beauty of time in all of its folds and uncertainties.” A bench warrant has been issued on the grounds of the written accusation of United States of Aging being guilty for a natural act. The case has been relegated to collections until further notice.

Seated in the courtroom, among a group of people diverse in ages and thoughts, you quickly rise to your feet and let out a screech, “Objection your Honor.” Also seated in the courtroom is Stevie Nicks who exclaims, “I want to be age appropriate. I don’t want to be that girl you see walking away and she looks 25 and then she turns around and she looks 90.”[1]

In an era that is ripe with resisting, anti-everything, detesting and protesting, perhaps we can find comfort in shared experiences. It may behoove us to seek out similarities rather than differences. Discussions in the courtroom among proponents of objecting to aging, are quick to rely on arguments that are toothless tigers. They quip, “Hey, objecting beats the alternative. You know, succumbing to the decay.” In the United States of Aging, no one wants to be seen waving their white flag, a symbol of surrender, and more pointedly, weakness. However, what if we change the script? And shift the meaning of what it means to be old. What if the images and the bodies of aging were more closely aligned with models in advertisements for Benetton?[2] On an individual level, how would a social and cultural aging situate the way people internalize their aging process?

Perched on high, Honorable Time demands, “Please be seated.” Proponents of your objection turn the volume up on their snickering and clamor and the commotion and fracas crescendos until, “Order in the courtroom,” gruffly and vehemently reverberates among the walls from the booming voice of Honorable Time. Honorable Time delivers the verdict:

Today, we have been presented an incomplete case. It is unclear whether the plaintiff is requesting youth be on trial, the mind, the demeaning social inculcations of aging, the cultural misunderstandings of aging, or everyone else who does not object to aging. Therefore, it is in our dutiful interest, as a civilized United States of Aging, to further investigate the true and whole indecency of the quasi-crime presented before us today. At this point, it is paramount to understand the complexities and total gravity of the aging process and the social and cultural extensions of roots. I have not been convinced, beyond a reasonable doubt that aging is indeed a crime. I have heard witnesses from all sides, and yet it is still not clear to me how the plaintiffs would be satisfied in this situation.

Steven Tyler once wrote, “You have to lose to know how to win.”[3] In a similar vein, perhaps you need to be old to know how to be young. Or maybe old and young are purely made up categories that reinforce the social construction of certainty and uncertainty. As previously noted, perhaps it is time to write a different script on what it means to be old. The current working definitions of old, predate contemporary technologies and social categories. Prince concurs with his remarks on time. “Time is a mind construct.”[4] Times change. Minds change. Let us come together in our shared experiences. Rather than resist, give a hug. Hug yourself. Hug your old self. Hug your young self. Old and young are constructs. To the sun, we are all young.


Adrienne Ione is a cognitive behavioral therapist and personal trainer who integrates these fields in support of people thriving across the lifespan. As a pro-aging advocate, she specializes in the self-compassion of dementia.

Website: yes2aging.com
Guided Meditations: insighttimer.com/adrienneIone
Facebook: silverliningsintegrativehealth

References

[1] Stevie Nick did not actually appear in this hypothetical courtroom. Rather, her comment was from an interview that appeared in Rolling Stone.

[2] For an example of United Colors of Benetton advertisements, please visit Benetton.com

[3] Steven Tyler, American singer-songwriter for Aerosmith, wrote these lyrics for “Dream On.”

[4] Dorian Lynskey, “Prince: ‘I’m a musician. And I am music.’” The Guardian (June 23, 2011).