Stretching...

susan-lynn

Cathlete
Hi everyone -

I have a question about stretching...I have patellofemoral syndrome (or so the doctor thinks!) and need to do strengthening exercises for the quads and muscles surrounding the knee. The doctor also told me to do lots of extra stretching through the day (my right hamstring always feels very tight).

I've always understood that you should never stretch a cold muscle, to always warm up first. Now I'm just wondering if I have to do stretches all through the day, do I have to stop what I'm doing and warm up for 5 minutes before I stretch - everytime I stretch??

Does anyone have any knowledge in this? Thanks for any input.
 
Initially, perhaps, since you are tight. I used to stretch like crazy and got very flexible. Since I am active and busy during the day (stay at home mom always doing house work), I had no problem with it. Do it slowly and repititiously and the stretching itself can be a warm up. I bend my knees and slowly and gently touch my toes. Your body will tell you if it's too tight and not warm enough. Also, if you shower in the morning, make it fairly warm and give yourself time for a stretch after you towel off. An evening bubble bath and stretch is a great way to end your day!

Bobbi http://www.plaudersmilies.de/chicken.gif Chick's Rule!
 
Thanks Bobbi,

I have stretched regulary for years, but I guess it hasn't been enough, I consider myself fairly flexible, but with this knee problem, I was encouraged to do a lot more of it.

I take it you wouldn't start stretching as soon as you hop out of bed :)
But even walking around the house for a bit could be a good enough warm up?
How long do you hold your stretches?

I try to hold mine at least 30 seconds, but I notice various sources disagree sometimes. I've heard anywhere from 10 seconds to at least one minute.

Susan
 
I am always hurrying but that's not so good for stretching. I hold for thirty seconds and repeat each series a few times. Most days I run and I need to stretch after. My hip flexors complain alot if I don't. I am doing yoga for a couple of weeks instead of weight training. The Toatl Yoga series by Tracy Rich and Ganga White is a favorite of mine.
Bobbi http://www.plaudersmilies.de/chicken.gif Chick's Rule!
 
Susan-lynn..
Just to let you know, stretching in the am is not the best time, especially if you have not warmed up first. I had the same prob you had with the doctors telling me to stretch whenever I can, but everything I read says DO NOT stretch a cold muscle..what gives??
Well, walking around the house won't suffice for a true warmup. Have you ever stretched after an intense workout, you know, when you were really warm and you could stretch really far??? Well, this is the best time to do stretching. When your internal body temperature is up and your muscles are pliable. I was told that if I couldn't achieve this "internal warmup" through a bath or exercise, that I should stretch anyway, because ANY STRETCHING IS BETTER THAN NO STRETCHING but that I would have to be extra careful to stop the stretch as soon as I felt even a little tightness. You will notice that when you stretch cold, you will never be able to stretch as far, but you are still reeducating the muscle to stretch longer next time. See?? Be very careful though, as I have almost injured my muscles a few times with the cold stretching thing. If you a very tight, you really need to pay attention...Good Luck...Janice
 
Thanks Janice,

I'm trying to do a lot of extra stretching after my Cathe workouts, because for me personally, I feel I need more time spent on this. I've been trying to be sure to walk around before stretching through the day, because I just don't have the time to do a big warmup before.

Thanks again for your input

Susan
 
You said that you are pretty flexible to begin with. I am too and I stretch periodically without warming up and I have never injured myself. I remember years back when studies showed that our current way of stretching, i.e. warm up, stretch, cardio, cool down, stretch was unnecessary and the most effective time to stretch is after the workout, didn't change a single aerobics class I took. Unless, you are really inflexible, giving your quad a stretch isn't going to do much damage. Did your doctor tell you to strengthen your quad muscles? My knees have improved a great deal since I started doing leg workouts with Cathe! Here you are posting at Cathe.com so I know I am probably preaching to the choir! I injured my knee as a teenager and it never has been the same but I am careful and I am strong so I do fine with it. Good luck with your knee!

Bobbi http://www.plaudersmilies.de/chicken.gif Chick's Rule!
 
Hi Bobbi - yes my doc & PT told me to do strengthening for the quads (especially the inner area) & lots of stretching because my knee tracking is off a bit. But for the past month my ham just feels very tight (on same leg that my knee was causing discomfort) - it almost feels like it's coming from the glute. I stopped running for almost a year, because I was so scared of doing more damage. I'm glad to hear of your experience and how your knees feel better. It's so aggravating. I read a few posts on glucosamine & chondroitin - and started taking it this weekend, hoping it will help my knee - and really making a habit to stretch more than usual.

I think I've beaten this one to death :)
 
Susan-lynn,
I found this article informative, covers the bases start to finish. I agree with everything in it from experience, as well.
Note I edited format to save space. Kristina. :)

*********
Stretching: Doing It and Doing It Right

Scaling the heights of a climbing wall can be thrilling. And zooming down the boulevard on inline skates can be exhilarating.
Question:

I know that it's good to stretch when I exercise. Should I stretch before or after my workout? Is there a difference?

Answer:
Scaling the heights of a climbing wall can be thrilling. And zooming down the boulevard on inline skates can be exhilarating. But before you embark on these or other physical activities, stretching is a must.
Stretching decreases the risk of injury. In fact, most sports injuries stem from not stretching and not warming up and cooling down properly. Done regularly, stretching can also increase flexibility to allow for easier movement and better balance. Other benefits of stretching include relieving low-back pain, reducing muscle soreness, promoting relaxation, and improving posture, agility, and athletic performance.

Preparing to Go All Out

That's because stretching conditions the muscles for exertion and exercise, making every muscle movement more efficient. Stretching exercises elongate muscle fibers so that they can contract and tighten more vigorously in response to the demands of the Olympic-level marathon runner or the weekend volleyball player. In addition, stretching improves flexibility, which allows for increased motion around joints -- a critical factor in assessing physical fitness. For stretching exercises to be safe and effective, they must never be hastily done. And overstretching can increase the risk of injury more than never stretching at all. This is because when you overstretch, ligaments rather than muscles may be stretched. Stretching exercises require patience and time. And when done slowly and properly, they provide a terrific opportunity to breathe deeply and relax, particularly after a workout.


Stretching from Start to Finish


Ideally, people should stretch before and after exercising. To start, warm up by jogging, biking or doing jumping jacks for five to 15 minutes. The warm-up increases circulation and delivers more oxygen to the muscles. Follow the warm-up with stretching exercises that target all of the major muscle groups.
Then the muscles are set to complete the rest of the workout, which should include regular aerobic and strength-training components. Follow the workout with a cool-down and a final stretching routine similar to the first. This amount and order of stretching is optimal for the muscles, tendons, ligaments and joints and will be most complementary to a fitness program. ever attempt to stretch before first stimulating the muscles with a quick warm-up routine.


Stretching for Time

The unfortunate reality is that people are usually under time constraints and stretching exercises typically do not take priority. Additionally, some people find stretching tedious, boring, and painful. If there's only time for one stretching session during the workout, the stretching exercises should be done at the end of the workout. Muscles have a tendency to tighten during aerobic exercise, so stretching after a workout leaves the body more limber and flexible.


Not a Luxury but a Necessity

Taking the time to stretch before and after each workout is a big commitment, but certainly a worthwhile one. Ideally, people should stretch every day -- regardless of whether they exercise or not. However, stretching three days a week is probably enough to maintain flexibility for people who don't do any other type of exercise.

One of the greatest things about stretching exercises is that they do not require special clothes, location, or equipment. Any space large enough to lie down in works well, as does any type of clothing that allows free movement. And no equipment is needed!


Stretching exercises are important because they help to maintain flexibility, something that declines as people age and become less active. Always keep in mind that flexibility is an aspect of physical fitness that is hereditary and primarily due to gender, age, and amount of regular physical activity. Increasing and maintaining flexibility can be easily achieved through consistent stretching. People who are religious about stretching will reap the benefits of increased athletic performance and are more likely to remain active in their later years.


Basic Stretching Rules


Whenever you stretch, the following rules apply and should always be followed in order to prevent injury. Always warm up your muscles for at least five minutes prior to stretching. Good warm-ups include jogging in place, slow biking, and jumping jacks. Never bounce or bob during stretches. Not only is this less effective than simply "holding" the stretch, but it can also be very dangerous and lead to injuries. Always perform each stretching exercise in a slow, controlled manner. Exhale as you begin the stretch and then relax and breathe normally throughout the stretch. Never stretch torn or injured muscles unless instructed to do otherwise by a healthcare provider. Hold each stretch for 20 to 30 seconds. Stretches should feel slightly uncomfortable, so as to "feel the stretch" in the muscles, not the joints. There should be no acute pain. If time permits, pause after each individual stretch and then repeat one or two more times. Always complete each stretch for both sides of your body or limb in the same way. Never force flexibility. Whatever your starting point, begin slowly and advance at a gradual yet progressive pace.

Originally published Aug. 6, 1999.

Medically reviewed by Gary D. Vogin, MD, March 28, 2002.
 
This reply isn't about stretching but I wanted to share a great quad strengthener with you--wall sits. Have you ever done these? It is where you lean against a wall and slide down it until your thighs are parallel to the floor, knees aligned over the ankles, and hold for 30 seconds to 2+ minutes at a time? I have been doing these with a client who has a torn meniscus and they have helped her tremendously. The nice thing is that there is not the repetitive bending and straightening of the knee like with squats and lunges but you get a good quad burn from it. Also, a good hamstring stretch is to use a doorway: lie down on your back on the floor with your butt almost through the doorway. Raise the leg closest to the door jamb and place the foot on the wall. Keep the non stretching leg bent with foot on the floor. Find the position where your hamstring stretch is in the "comfortably uncomfortable" position and hold for 30 seconds to 1 minute or more. As the muscle relaxes, you can scooch your butt through the doorway more and raise the leg again. Keep repeating. If you want to add a hip flexor stretch to the bent leg, simply straighten that leg out (your legs will look like an "L" with one hamstring stretching and the hip flexor of the other leg stretching). If this causes back discomfort, then keep that leg bent. I hope this makes sense! :)
 

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