Body and Spirit

Knee Pain

Three Angels Broadcasting Network

Program transcript

Participants: John Leaman, Randi Brewer, Dick Nunez

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Series Code: BAS

Program Code: BAS000048


00:02 The following program is designed to demonstrate
00:04 simple workouts that you can use to improve your health.
00:09 Be sure to consult your physician
00:10 before beginning any exercise program.
00:14 If you suffer from knee pain
00:16 or have experienced the popping and grinding
00:17 that happens every time you move,
00:19 you wanna stay tuned for Body & Spirit, coming up next.
00:50 Hello, I'm Dick Nunez, Wellness Director of
00:52 the Black Hills Health and Education Center.
00:54 Welcome to Body & Spirit.
00:56 Today, we're gonna be talking about knee pain.
00:58 Whenever people suffer from knee pain,
01:00 they don't know what to do about it.
01:02 They experience the grinding and the popping.
01:04 And they don't know that there is a simple solution
01:06 just by getting regular exercise.
01:08 Often times, it's simply caused
01:09 from an imbalance of muscle around the knee or a lack of.
01:13 So we're gonna focus on that today.
01:15 We wanna remember what the Bible tells us
01:17 about doing all to the glory of God.
01:19 And that includes how we take care of ourselves.
01:21 So we don't wanna just ignore something and think that,
01:23 well, maybe somehow it'll get better.
01:25 We wanna do something about it.
01:27 So that's what we're gonna do today.
01:28 So we're ready. So let's get started.
01:30 Helping me out today will be John and Randi.
01:35 And since we're focusing on
01:36 the lower body and the legs today, and the knee especially,
01:39 we're gonna start with lower body.
01:41 And what I'm gonna have you do is
01:42 I'm gonna have you lay down with your heads up
01:43 that way on your back.
01:47 One of the good ways to rehabilitate a knee
01:49 or to prevent knee problems
01:52 and stimulate the connective tissue around that
01:54 is by doing straight leg raises.
01:57 So we're gonna take one leg at a time.
01:58 And we're gonna raise it up and down 20 times. Okay.
02:03 When we deal with knee pain, the popping and grinding
02:07 often times we feel right underneath the kneecap
02:09 is a condition we call chondromalacia,
02:11 and that can be caused simply by the fact
02:13 that the muscles around the knee are not balanced.
02:16 One side will be stronger than the other.
02:19 There is a vastus medialis here,
02:20 the vastus lateralis over here.
02:22 And if one side is too strong,
02:23 it'll actually pull the knee cap over to that side
02:26 and you have that problem.
02:27 And by doing some exercises,
02:29 we can correct that, bring it back in line.
02:31 And they don't have the problem anymore.
02:33 We're going a little bit fast, slow it down a little bit.
02:35 How many we're on, John? At twenty five.
02:37 Okay, stop.
02:39 Okay, bend your knee slightly.
02:41 Okay, and up and down.
02:43 Okay, John, you'll be the counter for me.
02:45 We're gonna do 20 of those.
02:49 Often times people will have some inflammation
02:52 in the cartilage that is right in between the knee joint.
02:55 And that is caused by some type of injury usually or stress.
02:59 And they can get a little bit of a tear in there.
03:01 And it causes a lot of discomfort
03:03 or it feels like their leg is gonna lock up.
03:05 How are we doing now? Twenty.
03:07 Okay, bend a little bit more.
03:09 Okay, and do 20 more that way.
03:12 Another common problem is tendonitis.
03:15 It can be in the patellar tendon right above the knee
03:17 or the patellar ligament right underneath there.
03:20 That can be a problem or we can get
03:22 the ligaments on the side,
03:23 the medial collateral or lateral collateral ligaments.
03:26 And then we also parry through the ACL injury
03:29 which is the anterior cruciate ligaments,
03:31 which are ligaments underneath the knee cap.
03:34 Okay, 20? All right, let's switch legs.
03:40 Slower, slower. Not trying to kick footballs here.
03:45 You wanna just nice control.
03:46 You wanna feel the quadriceps as you're dong.
03:48 Able to feel those still? Okay, good.
03:52 By doing these exercises and having to stabilize the leg,
03:57 we get a good effect on the quadriceps
03:59 without extending the knee out.
04:01 And that's when lot of people get in trouble,
04:03 because if they have knee problems
04:05 or improper tracking, and they start doing leg extensions,
04:08 then they start experiencing more pain.
04:11 Okay, where we're at, John?
04:14 Okay, bend slightly. Okay now, up and down.
04:17 And when we do this bend,
04:18 as you can see we're not extending the leg at all.
04:21 We're keeping it in a steady position or a static position
04:25 as we raise the leg up and down.
04:27 But still we get an effect on the legs.
04:31 So even if you don't have knee problems at all,
04:33 this is a good way of helping to prevent you
04:36 from ever having those problems.
04:41 Okay, where we're at, John?
04:44 Seventeen, eighteen, nineteen, one more.
04:48 Okay, bend a little more.
04:51 Also, we find people who get like arthritis,
04:54 and they have arthritic knees.
04:56 They'll say, I don't want to do
04:57 any exercise as my knees hurt.
04:59 Well, if they don't, then the quadriceps
05:01 continue to get weaker, and if they get weaker,
05:03 what happens?
05:04 The knee starts taking more stress.
05:06 The best thing they could do is get on
05:07 a regular exercise program, get the quadriceps strong,
05:10 the knees will take less stress, and they'll feel a lot better.
05:14 Okay, where we are? Good, all right.
05:19 Turn on your sides.
05:21 What I want you to do,
05:22 is I want you to do a side leg raise now,
05:24 keep the leg straight and raise it up.
05:27 Okay. And down.
05:29 What we're doing now is we're getting
05:31 some of the abduction action in there in the gluteus maximus.
05:36 And also, we'll be working
05:37 what's called the iliotibial band,
05:39 which is a band that runs down the side of the leg,
05:41 and it connects in the lateral epicondyle of the femur.
05:54 Okay, we're gonna do 20 of these.
05:56 Where we're at, John? Good, okay.
05:58 Turn over the other side.
06:04 Okay, let's do them a little bit slower.
06:11 As you get stronger, you can add
06:13 ankle weights during these exercises.
06:15 But at first, especially if you have knee pain,
06:17 I would strongly suggest you don't
06:20 because by putting pressure on the ankle,
06:22 you could cause some other irritation
06:24 which you don't want.
06:27 So you wanna do these nice and controlled.
06:30 If you do them slowly, we'll get a good effect on those.
06:35 Okay, where we're at, John? Okay, three more.
06:41 And one more. Good job.
06:43 Okay, now we're gonna be on the--on your hands.
06:47 Oh, excuse me, on your knees and on your elbows.
06:51 We're gonna put one leg out straight.
06:53 Now we're gonna do some gluteal tie-in with this.
06:55 Okay, up and down.
06:58 Okay, let's do 20 of these, controlled. Good.
07:00 Try and contract the gluteus maximus each time you do it.
07:06 For those who don't know what the gluteus maximus is,
07:08 it's the part you sit on.
07:14 They are also the largest, strongest muscles in the body,
07:17 if they're developed.
07:19 Some have let them go.
07:25 Good. Okay, five more.
07:34 All right, switch.
07:36 When we do our exercises,
07:38 we want to have a good balance of strength throughout
07:40 the lower body so we focused on quadriceps first,
07:43 and then we went to the abductors
07:45 and the iliotibial band.
07:47 And now we're focusing on the gluteus maximus.
07:49 And in just a moment, we'll go after the hamstring area.
07:54 Let's do 10 more.
08:02 And five, four,
08:05 three, two, good.
08:09 Okay, put your other leg back up.
08:12 Now we're gonna flex the knee and contract the hamstring.
08:16 Good, we're gonna do 20 of those.
08:23 Reach all the way out,
08:24 think about flexing the hamstring.
08:26 It's like flexing the arm except
08:27 you're doing it with the leg.
08:34 Okay, we're gonna do 10 more.
08:36 One, two, three, four,
08:43 five, six, seven,
08:49 eight, two more,
08:50 nine, and ten.
08:52 Now, switch it. Good.
09:03 That's five, good, six,
09:06 seven, eight, good.
09:09 Focus on the hamstring each one,
09:11 10, 11, 12,
09:16 13, 14, 15, good,
09:21 16, 17, 18,
09:24 two more, 19, and 20.
09:28 Good. Okay, lay on your sides.
09:31 Now we're gonna stretch the muscles,
09:32 grab hold of your ankle, and pull back.
09:36 Having good flexibility will also help
09:38 if you have knee problems.
09:40 Just getting that range of motion through there.
09:42 Any time you restrict your range of motion
09:44 by not being flexible, then the muscles
09:46 tend to tie up and you can have irritation and pain.
09:50 Okay, if you can't pull your heel to your gluteus maximus,
09:54 then there is a problem.
09:56 Okay, turn over to the other side.
10:04 You don't want to bounce it back there.
10:05 You want to just have a steady pull.
10:08 We're gonna hold the stretch for about 15 seconds.
10:12 We have 10 more seconds.
10:14 One, two, three, four, five,
10:19 six, seven, eight, nine, and ten.
10:24 Good. Now let's go do a hamstring stretch.
10:36 And we're gonna hold that for about 15 seconds.
10:44 And ten, nine, eight, seven,
10:48 six, five, four, three, two, one.
10:54 And switch.
10:57 As you do this you can get
10:58 a hold of your ankle and pull yourself down.
11:01 Remember you don't want to take yourself
11:02 to a place of discomfort, stretching should feel good.
11:06 Ten more seconds.
11:08 Nine, eight, seven, six, five,
11:13 four, three, two, one.
11:17 Good. Okay, come on up.
11:20 Now we're gonna do some calf work.
11:25 Okay, put your hands on my shoulders
11:27 and let's go up and down on the toes.
11:28 But those who are at home
11:29 you wanna get on a stair step
11:31 or find a piece of wood or some type of block,
11:35 so that you can get a full extension of the calf.
11:45 Okay, let's speed it up now.
11:48 We'll vary the speed.
11:49 We'll make it a little more intense.
11:56 Okay, now slow it down.
12:04 And speed it up again.
12:14 And slow it down.
12:23 And one more time, fast, 10 times.
12:31 Okay, good.
12:32 Let's stretch the calves out now.
12:35 Step back, press the heel to the floor.
12:41 Okay, let's hold it for 10 more seconds.
12:47 And five, four, three,
12:50 two, one, and switch.
12:56 You don't want to bounce this, just a steady stretch.
13:01 We got 10 more seconds.
13:03 One, two, three, four, five,
13:07 six, seven, eight, nine, and ten. Good.
13:14 Okay, let's do some abdominal work.
13:16 Go ahead and lay back down, heads up that way.
13:21 You're gonna have the hands behind the neck.
13:23 You're gonna do some crunches.
13:25 Okay, crunch up, chin up, like you wanna touch
13:28 the ceiling with it.
13:30 Good. Okay, and up and down.
13:36 Good let's try and do 20 of those.
13:44 10 more.
13:48 And do your abdominal,
13:49 make sure you blow out as you come up,
13:52 just shortening the points of the abdominal muscle.
13:54 It doesn't cross the joint.
13:56 So it only has a four-inch range of motion.
14:00 Okay, let's bring the feet off the ground,
14:02 and cross at the ankles.
14:04 Okay, and 20 more of those.
14:06 If you do these properly, you don't have to do
14:08 a lot of them to feel it.
14:10 In fact, some have done abdominal work.
14:12 We just come up one vertebra at a time,
14:14 and back down one vertebra at a time.
14:16 You can't do very many of them
14:17 but you get a really good effect.
14:19 Make sure you exhale as you come up.
14:20 That's very important.
14:25 Okay, how many we are at, John? Twelve.
14:28 Okay, eight more.
14:34 And three more.
14:38 Now leg straight up.
14:40 Okay, straight as possible.
14:42 Okay, let's go.
14:43 Twenty of them. Good.
14:52 Good, chin up.
14:54 Ten more.
14:55 One, two, three, four,
15:00 five, six, seven, eight,
15:05 nine, and ten.
15:06 Keep your legs up straight.
15:08 Now start lowering them down slowly.
15:10 Stop them.
15:12 Okay, keep the legs straight,
15:13 down little more.
15:14 You might put your arms down at your side.
15:15 It might help you balance there.
15:17 Okay, down a little more, down a little more.
15:20 Now hold, hold.
15:24 Now try and hold for 20.
15:25 Go ahead and get back up.
15:28 Five. Okay.
15:33 Let's go for five more seconds.
15:35 Four, three, two, one.
15:39 Good job.
15:40 Okay, turn over and let's stretch the abdominal out.
15:44 Lay on your abdomen, and then push up on your hands.
15:47 Extend your arms up. Good.
15:49 Just feel the stretch there.
15:53 Okay, five more seconds.
15:58 And good. Okay, up on the feet.
16:02 And we're gonna do some upper body exercise.
16:04 We're gonna start by pressing the hands together
16:07 in a prayerful type position.
16:09 And now we're gonna rotate them to the front,
16:12 push out, and draw back,
16:17 push out, and draw back.
16:21 Okay, keep it going.
16:23 If I come over and check,
16:24 I shouldn't be able to pull the hands apart at all.
16:25 Good, we'll see how John's doing here. Excellent.
16:31 Keep it tight the whole time,
16:32 focus on the muscles you're working.
16:33 In this case, we're working the pectoralis major area.
16:38 Okay, let's do 10 more. Good steady press.
16:44 Good, there is two.
16:46 Keep squeezing hard.
16:47 Three and four. Good. Five.
16:54 Feel the muscles contract.
16:57 Six, seven. Three more.
17:04 Eight, nine, and ten.
17:10 Now let's bring the arms down like this
17:12 in this position right here.
17:13 Now let's push hard.
17:15 We're gonna push for 20 seconds.
17:17 Push hard.
17:19 This is an isometric contraction of the pectoralis major.
17:24 Good, let's see how we're doing here.
17:27 Excellent, good.
17:31 Five more seconds.
17:33 Four, three, two, one. Good.
17:37 All right, let's stretch out.
17:39 Reach back. Feel the chest stretch.
17:45 Now bring your arms across, and pull your scapula out.
17:51 Reach back, stretch, and bring it cross,
17:58 pull the scapula out.
18:01 Very good.
18:03 Now we're gonna take one arm like this,
18:05 like we're in a sawing motion
18:07 and pull back and reach out,
18:10 pull back and reach.
18:15 Work it hard both ways.
18:18 Trying to concentrate on squeezing your scapula back
18:20 as you do this one.
18:23 This is working latissimus dorsi area
18:27 through the area down into the back here.
18:32 Good, keep going.
18:35 You should feel those muscles working as we're doing it.
18:37 And I feel those in John here.
18:40 Ten more. Good.
18:48 Three, four, five, good.
18:54 Six, seven, eight.
18:59 Two more. Nine and ten.
19:03 Reverse it. Okay.
19:06 we'll do 20 on that side. Good.
19:13 This is a very important muscle area to work.
19:16 It's one that gets left behind or people will do it,
19:18 and they'll just simply go through the range of motion
19:20 without really concentrating on what they're doing.
19:22 Very important that you feel the muscles you're working.
19:24 Isolate them and work it hard both directions.
19:29 Okay, see how Randi is doing here.
19:31 Good, good. Okay.
19:35 Where we are, John?
19:37 Nine.Ten. Good. Ten more.
19:48 Good. Five more times.
19:51 One, two, three, four.
19:57 Last one. And five.
19:59 Okay, let's stretch the area, arm up over the head, pull it.
20:06 We're gonna hold it for 10 more seconds.
20:10 Go with the elbow.
20:12 Five, four, three, two, one, and switch.
20:22 Pull, little stretch down the side.
20:25 Ten more seconds.
20:29 And five, four, three, two, one.
20:35 Good, relax.
20:37 Okay, we're gonna do some shoulder work.
20:38 Let's bring the hands up.
20:40 We're gonna alternate pressing up
20:41 and pulling back down.
20:45 You can use dumbbells doing this
20:47 or some other type of weights.
20:51 This will encourage you
20:52 to go through a range of motion
20:55 as well as giving you some stimulus
20:58 of the deltoid muscles.
21:01 Remember whenever you work out,
21:03 you always wanna balance your body,
21:05 even though we're focusing on knees today
21:07 which we started out with,
21:09 you wanna make sure we get a lot of
21:10 good upper body training as well.
21:16 Okay, 10 more each way.
21:18 There is one, and two, and three,
21:24 four, five, six,
21:29 seven, eight, nine, ten.
21:35 Now we're gonna do it's called the bent over lateral.
21:38 We're gonna bend over.
21:39 We're gonna raise arms out to the side and back down,
21:43 up and down, up and down.
21:48 Again, this is an excellent one to do with weights.
21:54 But you could still get a good effect
21:56 of contracting the muscle,
21:57 even if you don't have any weights at all.
22:00 Okay, let's go 10 more especially
22:02 if you've already pre-fatigued little bit like
22:04 we have with our shoulder press.
22:06 Three, four, five,
22:12 six, seven, eight, nine.
22:18 One more time. And 10.
22:20 Good. Stand to the front.
22:21 Now let's do the raises to the front.
22:24 And two. We'll do 20 again.
22:28 The deltoid has fibers going in three different directions,
22:31 anterior, medial, and posterior.
22:34 The first one we just did there bent over
22:36 works the posterior deltoid.
22:38 Now we're working the medial deltoid,
22:40 and in just a moment, we'll do the anterior.
22:45 Good. Lets' go 10 more.
22:47 One, two,
22:50 three, four,
22:54 five, six, seven, eight.
23:00 Two more. Nine and ten.
23:04 Now to the front. And up, up.
23:10 Even though we're not using any resistance
23:12 by this time, we're starting to feel it in the shoulders.
23:15 As we've done enough action already,
23:18 our muscles are starting to get fatigued.
23:26 Okay, we got now 10 more to go.
23:30 And there's one and two,
23:34 three, four, five.
23:39 Five more.
23:40 Six, seven, and eight,
23:47 nine, and ten.
23:50 Good, all right.
23:51 Let's stretch the shoulders out now, hold across.
23:58 Okay, five more seconds.
24:00 Four, three, two, one.
24:04 Switch, hold across.
24:12 And five more seconds.
24:13 Four, three, two, one. Good.
24:17 Okay, arms up.
24:19 We're gonna flex down, push out,
24:21 flex down and out.
24:24 We're working the biceps now.
24:29 Concentrate on the contraction each time,
24:31 flex the muscles hard.
24:34 At first, it may not be real easy to do this.
24:36 But as you get more accustomed to flexing the arms,
24:39 you'll be able to get a really good effect on it.
24:42 I know I feel this one real well every time I do it.
24:46 And we're gonna do eight more.
24:48 That's one, and two,
24:52 and three, and four,
24:57 and five, and six.
24:59 Two more. Seven.
25:01 Last one, and eight.
25:04 Good, shake the arms out and relax a little bit.
25:08 Okay, get a couple of nice breaths of air.
25:11 Breathe in through the nose, out through the mouth.
25:13 Again, and out through the mouth, one more time.
25:20 And good. Okay, now we're gonna do some triceps.
25:23 Now we're gonna take one hand
25:25 and block the other.
25:27 Now we're gonna push down,
25:28 and back up. Push down and up.
25:32 Good. We're gonna do 20 of them.
25:35 Focus on going both directions,
25:37 push down, give yourself resistance back.
25:40 Seven, eight, nine, ten.
25:47 Good, 11, 12, 13,
25:54 14, 15, 16, 17,
26:00 and three more, 18, 19, last one, 20.
26:04 Good. Switch it over, press down and back.
26:10 Concentrate on what you're doing.
26:11 Feel those triceps working.
26:14 So work that area that especially for ladies
26:17 who get concerned about that grandma way
26:19 bye, bye flab that keeps waving after they stop.
26:22 This is a good exercise for that.
26:27 Good. You got 10 more to go.
26:30 Focus on what you're doing.
26:32 One, and two and three,
26:35 and four, five,
26:39 six, seven, eight.
26:43 Two more. Nine and ten.
26:45 Good, shake them out.
26:48 Okay, let's just cool down
26:49 a little bit by doing some trunk rotation.
26:53 Take a nice stretch as we do it.
26:58 We don't want to bounce on this one,
27:01 just doing it for the external oblique muscles,
27:04 the longest sides,
27:06 and also for the flexibility purpose of it.
27:10 Okay, 10 more each way.
27:11 There is one, and two,
27:16 and three, almost done,
27:18 and four, five,
27:24 six, seven, and eight.
27:29 Two more. Nine and ten.
27:34 Good, thanks a lot.
27:37 Have your knee pain diagnosed.
27:38 So you know exactly what you're dealing with.
27:40 Then get into good exercise program.
27:41 See your trainer if you need to, but do something.
27:44 And do it for the right reason.
27:46 Philippians 4:13 says "I can do all things
27:48 through Christ who strengthens me."
27:49 God bless. We'll see you next time.


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Revised 2014-12-17