Looking for Cyndie

meg512

Cathlete
Hi Cyndie. I remember that you posted before regarding my knee problem and said that you were a personal trainer. I posted again on the ask cathe forum, could you please take a look at it. The bottom line is that I have arthritis in both knees and that the dr. did not say that I could not do the exercises anymore but can only take them to a 30-40 degree angle at the max. Will I still see results with this small angle or should I substitute some other exercises. Thanks so much in advance. Mary
 
Cyndie - just another thought. If I have to start using something with less knee impact such as an elliptical or recumbant bike, can you tell me which one you think is better and why and also exactly which muscles get worked. Thanks in advance. Mary
 
Hi there! I am so glad that you went to the specialist and got the OK to do SOME kind of squats and lunges. I believe the doctor said you still had a bit of cartilage right? Yes I think you can get results doing modified squats although maybe not as much as doing deeper squats. When evaluating an exercise though you have to think benefit VS risk. In your case, the risk of deeper squats would outweigh any benefit that can be derived. I would make the following recommendations:

FOCUS ON FORM--when doing squats, focus on placing your weight into you glutes and heels and avoid pressing your weight forward to minimize the pressure felt in the knees. Knees should NEVER extend past toes. Torso flexes forward slightly so that you can sit your hips back behind you. One good way to feel the weight shift correctly is to go into a squat, hold the position, and then tap your toes lightly. The weight automatically gets distributed to the butt and heels. If you perfect your form you may find that over time you can gtadually deepen your squats without any adverse effects
BALL SQUATS--perform squats with a physical therapy ball between your back and a wall. Feet should be in front of the hips. Bend knees (without extending past toes) and drop hips downward into a squat, rolling the ball along the wall as you go. Tailbone should point back to wall underneath ball as you squat. Drive up through the heels and butt to stand up. This is one of my favorite variations I do with my clients.
TUBING LEG LIFTS--step both feet on tubing about shoulder width apart. Hold the handles at your sides with arms relaxed. With knees soft, alternate lifting your legs from side to side. The movement is controlled and is not a big range of motion. This is one of the BEST butt and leg exercises ever and is great for the knees because it doesn't involve flexion. Keep knees soft through the entire exercise especially as you place the feet to the floor.
Hope these descriptions are clear. Let me know if you need more info.

As for the cardio, I think ellipticals are better intensity and will probably feel better on your knees because of less flexion required to do the motion. I am a little biased though. I love the elliptical and am not really into cycling. They both work your overall leg muscles. The elliptical will incorporate the butt a lot more and the bike will emphasize your quadriceps.

I have rheumatoid arthritis which is a lot different than osteoarthritis. Your kind is basically natural wear and tear of a joint so my tactics for dealing with my condition do not apply to your situation. The thing to do is to listen to your body. If your symptoms worsen two to forty eight hours after your workout you know you've done too much. I also would ask your specialist about chondrotin and glucosamine which help rebuild cartilage. Please check with the doctor though and avoid taking random supplements. I hope all this helps and I wish you the very best! Keep in touch.
Cyndie
 
Cyndie, thank you so much for answering. I thought that you would be able to answer my question better than others because you said that you are a personal trainer and right now, it doesn't seem like Cathe is on the board too much, must be busy with those new videos. Yes, I am so excited that he gave me the go ahead, it is hard to only go to 30-40 degrees though. I will say that the squats do not seem to bother my knees as much as the lunges and I have been trying to watch my form to make sure I'm always pushing off with the heals. I'm curious about the side leg lifts and also I am not sure what tubing is. I have seen Tamilee Webb on one of the health networks do a show called Tighter Assets and she does use something that looks like a giant rubberband and I think that she does that exact exercise that you are talking about. Would doing abductions be the same thing. Also, today I was at the mall and did not realize that they had a Nordic track store. I checked out the bikes and elliptical and they also recommended the elliptical when I told them my problem and they also seemed to be saying that the elliptical worked the upper body too where the bike did not. I am sorry that I have so many questions and you are being a great person to help me out with this. Take care. Mary
 
Tubing is a very inexpensive resistance tool that is surprisingly effective. You can buy one for aroind six dollars at www.spriproducts.com. It is stretchy and has handles on each end. You can do lying leg adduction which essentially does the same thing as the exercise I mentioned but I feel that tubing is somehow more effective. The resistance feels different and is definitely more intense. I have seen many of my clients' legs get a toned and streamlined look from using mostly tubing so I highly recommend it.

If you use an elliptical with the upper body ski movement--my perosnal favorite--you get extra intensity. I love the moderate amount of spinal rotation that also comes from the movement. It's a very good choice in my opinion. For some reason I find all other cardio machines extremely tedious but I can stay on the elliptical long enough to get a good workout.

Let me know if there is anything else I cah help you with. This has been such a great pleasure connecting to all these wonderful people. Best wishes, Cyndie
 
Thanks so much Cyndie. I am definitely going to give the tubing a try. I would love to get an elliptical trainer, but am not sure where I would put it, they look pretty big and heavy. I'll have to see what I can figure out. Thanks again. Mary
 

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