As we settle in the holiday season, it seems like sweets tend to surround us with chocolate temptation and sugary savory cookies. Many folks tend to give in and engulf pounds of desserts over the course of the holiday season. The problem isn’t the sweets themselves, but self-control. Now, I’m not saying to stay away from all desserts or make claims that sugar is evil. If you want some sweets, go ahead! It comes down to self-control and serving sizes. To tell you all to not consume any sweets during Christmas is absurd and can surely ruin the night. It’s also completely understandable to want to stray from desserts because “you don’t want lose your gainz! Or all of your hard work will be a waste”. I can assure you, there is a way to enjoy the holiday season, maintain your gains, and still achieve your goals.
Reach for the Christmas cookies and have a handful. Do not feel guilty about this. Just don’t overdo it like a plate or two stacked with brownies, cookies, candy canes, etc. Now if you exercised that day, you have a little more leniency but still not much, keep it minimal. Here are some tips that may work for you:
- Hungry? Go for a protein snack (Greek yogurt, beef jerky, hard-boiled eggs, protein smoothies, protein bars/cookies). Not the tastiest but better for body composition. How is it better? Protein is more satiating (feel full longer) and has a higher TEF (thermic effect of food), essentially burning more calories during metabolism.
- Drink water! Sometimes hunger may be mistaken for thirst, so if you’re feeling hungry and want a snack, drink some water first then decide if you want to go for that snack. It may also help if you drink water before dinner. This may give you a “full” feeling thus, potentially leading to less food intake.
- Same like the first tip, add more protein than anything on your dinner plate, i.e. chicken breast, turkey, beans, steak, roast beef, etc. Eat your protein first, then go for the mashed potatoes, etc.
- Add fiber to your dish. Fiber also adds satiety. Examples include, broccoli, spinach, cauliflower, celery.
- Use smaller plates. People tend to eat less with smaller plates. Try it out and see if it works. It may not but this is about experimenting.
- Make substitutions. Choose a fruit cup with cottage cheese over a gingerbread cookies and hot chocolate. Choose wine over beer. Simple substitutions like this can help.
- Most importantly, if you lose all self-control and go on a 3-week sweets binge, don’t worry, you will be okay. Enjoy the holiday season!
If looking to make healthier desserts, click here (no affiliation, just cool ideas).
If you’re interested to find out an individualized nutrition plan just for you, contact firstname.lastname@example.org for our nutrition services.
Most of the programs that we design and implement at Ruthless Performance have some meticulously detailed cool-down for an athlete to do following their last exercises of the day. And in most cases these are some combination of mobility drills, breathing techniques, or myofascial release strategies.
Past all of the very significant reasons that a proper cool down in crucial for athlete development, there’s a handful of additional benefits an athlete will receive by doing their prescribed combination of mobility drills at this particular time. When an athlete does these drills early on in the workout, likely in their warm-up or as an accessory drill between main sets, more mobility (active use of ROM) is required of the articulations themselves–like in the spine or at the hip.
But after a workout, while there is more blood circulating in the muscles, the mobility drills will more specifically target these areas–even if it is the same exercise that is done pre-workout.
There also seems to be more lasting changes in range-of-motion when these exercises are completed post-workout. Whereas in the warm-up, these drills serve to enhance proper movement and function during the workout, but the lasting effects seem to be negated by the workouts themselves.
This is why we recommend including high-priority mobility drills in the pre and post-workout time period.
We’ve added a new post in our Internal Program Review series. This time, we’ve published the post with our partners at Swimming Science. This program review focuses on a single training day within one of our high school swimmer’s program.
You can also find other Internal Program Reviews here, on RuthlessPerformance.com.
An unfortunate setback in the science of human performance is the large emphasis currently placed on muscle physiology as a means of maximizing performance. While obviously the muscles play a critical role in athleticism, the muscular system is completely at the whim of the nervous system; the junction of these two is known categorically as the Neuromuscular System.
In an ongoing effort to inform our athletes, parents, coaches, and general audience, we will be regularly detailing some specific segment of the Nervous System or the aforementioned Neuromuscular System. These are the areas of human performance which should be of primary interested to clinicians and academics rather than the simplistic if-A-than-B relationship of the muscular system as it works when viewed in isolation.
The Hypothalamic-Pituitary-Adrenal Axis (HPA Axis)
A critical element to training progress is the management, application, and adaptation to stress. Many will correctly point out that the improvements associated with practice and/or exercise come not in the training bouts themselves, but in the subsequent rest and tissue regeneration/ restoration. As a coach tries to monitor training loads and competition frequency to optimize the stress response, the HPA Axis performs this function internally.
The HPA Axis refers to the interaction of 3 fundamental structures. The Hypothalamus–a part of the limbic system which up/down regulates various hormone levels to maintain homeostasis (the drive to maintain stable internal states) in the body. Also it is comprised of the Pituitary Gland, which may be the most widely-known of the 3 parts; the pituitary is responsible for a wide array of physiochemical reactions like water retention, sexual development, and importantly for the HPA Axis, stress responses. Lastly, the Adrenal Glands function as the response to deviations in stress levels. Among others, the adrenals generate both of the stress hormones adrenaline and cortisol.
To bring these three structures together, think of it like this: the Hypothalamus wants to maintain a cohesive and stable environment among all internal systems. The pituitary manages stress and interacts with the hypothalamus to mitigate deviations to equilibrium. The adrenals generate the chemical messages (hormones) necessary for the stress response to occur and bring about homeostasis.
The HPA Axis and Performance
As alluded to, performance enhancement comes in the form of an adaptation to a stressor. In the case of an athlete, that stressor would be a rigorous training bout. With this in mind and a better understanding of the HPA Axis, it should now be a bit more obvious how managing and overcoming training stressors relates to a neuroendocrine system that deals directly with stress.
Through various methods, we can optimize the function of the HPA Axis to better deal with training stressors.
The role that the pituitary gland plays changes drastically in scale throughout adolescence, during puberty, and into the late teenage years. To maximize an athletes long-term potential, a great deal of care should be placed around ensuring an optimal stress load throughout this time.
On one hand, a young athlete may be under-stressed, as in the case of a single-sport and otherwise sedentary individual. This particular athlete’s long-term ability to generate stress hormones would blunted. In contrast to this, an athlete of the same age who competes year-round in the same sport, in addition to various other roles and obligations may be overstressed. A sign that over-stress is occuring is athlete burnout. The long-term biochemical response to prolonged periods of stress in adolescence can be a lifelong hypersensitivity to stress. This minimizes the total training load an athlete can undergo, lessening potential athletic adaptations, and increasing the overall likelihood of mood-related illnesses (like depression or anxiety).
The solution to this is an intermediate stress load to maximize stress tolerance and sensitivity. This can be done by ensuring a young athlete is engaged in multiple types of sports, only specializing in a singular sport with age.
As athletes develop they are still susceptible to changes in the HPA Axis. Recreational drugs and alcohol can impede the ability of the adrenals to produce adrenaline under normal stress environments like sport-specific training. This, in theory, seems to indicate a higher training load would be needed to achieve similar results.
Regardless of an athletes age, this stress response is a reason why lifestyle stress should be minimized during periods of high-stress in training. This is why it is common for elite athletes to minimize contact with boyfriends/girlfriends during the training leading up to a big event. Similarly, chronic sleep deprivation limits the downregulation of the stress hormone cortisol, leading to chronically elevated cortisol (stress) levels.
By simultaneously minimizing various stressors system-wide and effectively delivering a training response to overcome, an athlete’s short and long-term performance can be drastically enhanced. The scope of the HPA Axis goes far beyond athlete development. The HPA Axis also plays crucial roles in immune system function, emotional stability, and even in the activation of various genes.
Throughout the entirety of my college tenure and time as a collegiate strength & conditioning coach, I was extremely averse to CrossFit. Though my stance hasn’t changed much regarding CrossFit as a means of enhancing athletic prowess, it has changed considerably towards using CrossFit as a means of enhancing fitness in the general population as well as CrossFit as a sport unto itself. My thoughts on CrossFit as a whole are best saved for another day, but my opinions on it have been trending more positively as of late.
During this time in my life, I would have never anticipated that moving forward I’d have a wonderful working relationship with a handful of CrossFit affiliates, as well as having a roster on-hand of over 300 CrossFit athletes that I actively assess, program, and am generally accountable for with regards to health and longevity in the sport.
With all this said, I wanted to do a break down of one of the Ruthless Performance Ex Phys Interventions, one of our flagship corrective exercise protocols. This internal program review will vary slightly from some in the past, as some information has been redacted/blurred. I don’t have any problems answering any questions, or providing explanations for these programs, but because of the highly individualized and semi-clinical nature of these programs, sharing the entirety of these programs can be counterproductive as many exercises that work for the client may not work for others.
I’ve only left the information visible on this program that I want to share (and am capable of covering) within the scope of this article. The Ruthless Performance Ex Phys Interventions are largely just corrective in nature and do not comprise the entirety of an athlete’s program. These are usually done in conjunction with our Remote Programming, Athlete Development Training, or in conjunction with other sports (like CrossFit, powerlifting, or weightlifting).
Ex Phys Interventions typically have a handful of components meant to mend well with existing programing. Programs are almost always comprised of warm-up, cool-down, activation work, and then from here may include some combination of at-home work, daily mobility circuits, weekly totals, etc..
So let’s dig in…
1. To Fix Something Rapidly, Do it Frequently
The daily exercises typically involved in our Ex Phys Interventions seek to address some underlying physical deviation causing undue strain on the musculoskeletal system. By assigning these exercises to do frequently, but with low-intensity, these can be completed shortly before bed, upon waking, during lunch breaks, and so on…
In this case, we’re dealing with an athlete that has prominent Anterior Pelvic Tilt (APT), slight Upper Cross Syndrome, and flexion-intolerant back pain (read more on flexion vs. extension intolerant back pain here). The at-home exercises were largely meant to remedy these issues, while requiring relatively little input from the CNS, allowing the athlete to perform these with a greater level of frequency.
This exercise circuit is listed to be performed 3x / week. More is better in the case of these exercises, but 3x / week is a frequency that an athlete can adhere to with relative ease.
2. Breathing Drills are Making a Come-Back
Breathing Drills are one of those topics that deserve their own article (if not their own book). There are many great resources to learn about the significance of proper breathing in greater specificity, but suffice it to say that in a cool-down, we are looking for activation of the diaphragm to help pull the athlete into a more parasympathetic-dominant state (the CNS should be the focal point of Exercise Science curricula rather than the muscular system, again another post, another day…).
The Deep Squat Belly Breathing w/ Lat Stretch drill is useful specifically with this athlete as we’re attempting to alter the CNS, while simultaneously helping the client feel better overhead, minimize input from various accessory breathing structures, and get some extra post-workout work on that deep squat position; mobility drills done post-workout seem to have longer-lasting effects on range of motion and function.
Additionally, I’ve left in the header of her assigned myofascial release work for a quick note… The effects of myofascial release seem to be slightly overblown BUT myofascial release is still important enough to make our corrective programs. By drastically cutting down the time on the rollers & lacrosse balls, but maintaining frequency, we can experience the benefits of myofascial work without it taking up more time than is needed. 15 seconds on the roller and LAX ball per muscle group as a standard and doubling this only for trouble areas.
3. Corrective Exercises Aren’t Always Crazy Stretches
I’ll be the first to admit that many of the exercises within our corrective protocols are complex and can be viewed as a novelty. This theme can encapsulate athletes’ perceptions generally towards correctives, but this isn’t always the case.
Both biceps femoris (legs) and biceps brachii (arms) tend to be an issue for CrossFit athletes… Since many CrossFit facilities tend to avoid use of machines, the hamstrings (biceps femoris) tend to be neglected, specifically the short head of the muscle, whose primary responsibility is lower leg flexion. In the case of the arms (biceps brachii), which are stimulated by exercises like traditional dumbbell or barbell curls, there again tends to be an imbalance between the long head and short head, leading to problems at the shoulder, elbow, and even wrist.
By adding in a weekly total for barbell curls, we can ensure the athlete is getting sufficient short-head activation without much complexity. Barbell curls, no weights, hit this total every week; that’s it.
4. Multi-Function Joints Need Multi-Function Stimulation
The joint-by-joint theory popularized by Physical Therapist Gray Cook can appear invalid at the shoulder, as it is comprised of two primary joints. But as the data points to, the theory fits as one joint provides stability (acromioclavicular joint) and the other yields greater range of motion (glenohumeral).
With this in mind, we’ve focused the athletes Day 1, 3, and 5 activation drills around ensuring these various functional components of the shoulder and thoracic spine are being stimulated.
The Half-Kneeling 90/90 External Rotation stimulates the Supraspinatus in isolation. I reference the significance of the Supraspinatus regularly, but its significance is largely rooted in its function as one of the few muscles that externally rotates the humerus. Bench T-Spines are ideal for wedging the shoulder blades into the thoracic spine, thus forcing some sagittal plane mobility (thoracic extension). And of course, this variation of carries works the rotator cuffs of the shoulder independently of one another, while ensuring large amounts of irradiation (tension directed upwards in the kinetic chain) because of the bottoms-up grip. This further supports the desired outcome of very active, healthy rotator cuffs.
For more details on any of our corrective exercise programs, send us an email at info@RuthlessPerformance.com. Program facilitation available in-person and online.
Today’s Q&A guest is our own sports nutritionist Jesse Rodriguez. Jesse has his own prolific history as a national-level swimmer for El Salvador and here in the United States competing in college and post-graduate for the University of Southern California. This all makes Jesse a world-class resource as not many people have competed at this level at any sport. With this background, plus his vast time spent in academia studying nutrition, interning with top sports teams, and the clinical work necessary for his Registered Dietitian status, we’re glad to have him on-board.
1. There are lots of people working with nutrition in some capacity, what sets you apart?
Firstly, I’m a licensed registered dietitian which means I went though extensive schooling and professional training. Secondly, I was an athlete for the majority of my life and I began studying/applying nutrition since I was 16. Lastly, I continue to read and study a lot! Mostly on clinical, biochemistry and sports nutrition research articles. Overall, I’ve been in this game for a long time and still aiming to be well-rounded in all elements of nutrition. (Editor’s Note: You read more about the difference between a Nutritionist and a Registered Dietitian here)
2. Given your personal and prolific history as a swimmer, you’re uniquely qualified to critique high-level sports nutrition, particularly in swimming. What are athletes doing right with their diet? What are they doing wrong?
Nutrition in sports has gained more popularity over the years and many athletes found the benefits of fueling appropriately. I’ve noticed that more athletes know about nutrient timing, and the importance of including carbs as fuel and protein for recovery. I think that many athletes know how to fuel around training times but during other times (i.e. dinner at home or restaurant), they tend to lack in nutritional knowledge. A lot of athletes still eat junk food throughout the day, maybe because they feel they can get away with it or something, but that’s our job as sports dietitians to correct. Additionally, building the appropriate plate according to their goals (i.e. body composition, better recovery) seems to be a problem along with maintaining hydration. Here’s an article I’ve written on RuthlessPerformance.com on this is.
3. Supplement must-do’s… What supplements (if any) are generally worth taking? What supplements are a scam?
Supplements for athletes typically aren’t necessary since athletes are eating more than the general population but it all depends on the athlete. Supplements would be necessary if an athlete is deficient in a nutrient like Iron or Vitamin D. Athletes following special diets like the vegan diet may need to supplement as well. As far as supplements for performance, the most studied and useful would be: Caffeine, Creatine, Beta-Alanine, Nitrates, and Sodium Bicarbonate (baking soda). It’s hard to say which supplements are a scam because they’re so many in the market and it can vary due to individual responses to them. With that being said, it’s important to make sure if you’re going to take supplements, that they’re 3rd party certified by organizations like the NSF.
4. You’ve gone pretty far in your journey through academia… With the emphasis of studies, objectivity, and research in academia there is still surprisingly lots of room for subjectivity and interpretations of results and outcomes. What are your thoughts on this? What can be done to fix or improve nutrition science?
Correct, I think there is always room for development in the field so it’s my job to follow along and stay up to date with the latest research. This for me is actually fun because I enjoy reading research papers and learning to new things. The science of nutrition can be very complex and as of now, I don’t have any solutions. I think that the correct messages (evidence-based results) need to be sent out to the general public so myths can be debunked. It’s more about nutrition education than anything at the moment.
5. From a more general standpoint, the headlines regarding nutrition are changing on a damn near daily basis. What elements of sports nutrition do you think are firmly established? What rules of nutrition have outlasted the scandalous and salacious headlines?
Hydration, nutrient timing, and recovery nutrition seems to be the foundation. There will always be a new thing that comes out, but those three are firmly established. Individualized nutrition is fundamental in sports nutrition and I think that will outlast any headline or diet (i.e keto diet, intermittent fasting, etc). I also think that sticking to the basics, such as nutrition from food rather than living off smoothies and supplements for example, will always have the edge. Of course, going back to supplements, this will depend on the individual’s status.
6. Where does sports nutrition go from here? What do you think we’ll be seeing in the coming years regarding nutrition? Gut health seems to be a hot topic as of late, what are your opinions on this? What should nutrition scientists place more emphasis on?
The basics of sports nutrition will remain the same and to be honest, I don’t see anything revolutionary coming soon. However, they’re new things coming along such as nutrigenomics and the importance of gut health, antioxidants, and periodizing nutrition which looks promising. Gut health has been popular lately and for good reason. Because of the gut and brain connection, I feel it’s important to treat your gut right just like most want to treat their blood sugar levels right. I think emphasis should be placed on education and sending the correct messages to athletes and the public. Researchers are doing a great job in nutritional science but there hasn’t been anything lately that can change the whole world of nutrition and its effect on humanity. If we can do this, that will be the next revolutionary thing.
**Editor’s Note: Jesse will also be featured on ‘Healthy Habits with Dr. T’ on Wednesday, Oct. 17th at 7:00 PM EST, we’ll post all of the details for event pre-registration and where to view it on our Twitter and Instagram.**
Want to learn more about Jesse or our various nutritional programs and consultations? Fill out the form below to get started!
With the vast expanse that is the winter swim season raipidly approaching, I wanted to take the time to yet again detail one of our swimming programs. In this particular case, we’re going to explain the Ruthless Performance methods that made this program so effective.
To provide context for this case study, we will be talking about a male swimmer, approaching the end of his high school career, who specailizes in short to mid-distance freestyle and butterfly…
We’ll be looking at ‘Day 2’ of his 3-day program, and what we’re doing to get him in-shape for the upcoming swim season.
1. Emphasising Both Activation & Mobility as Needed
Like most other programs we run our athletes through, this workout begins with a comprehenisve warm-up. Athletes are compartmentalized into a warm-up by age, ability, past injuries and training history. From there, we specialize and individualize the workout starting at our ‘A’ Exercises which are very rarely similar from one athlete to the next.
Landmine-based exercises have recently become a frequent addition to our programs because of the unusual loading parameters we see with this exercise variation. As opposed to a traditional barbell exercise, landmine exercises get lighter as the angle of the bar approaches 90 degrees; this has a wide array of benefits, but here we are using this to maximally loading the shoulder at the bottom of the press, while ensuring a greater ROM (range of motion) as we near the top of the exercise. Beyond just encouraging more ROM, this also assists in activation of the Serratus Anterior — a troublesome area for many athletes, which in the case of swimmers can be career ending.
In addition to creating muscle activation in the shoulder, we’re trying to use this ‘A’ circuit to enhance hip mobility. In our A1, the Half-Kneeling Overhead Landmine Press assists in creating hip mobility via Rectus Femoris Stretch caused by the Half-Kneeling position. Though this is a secondary component to the A1, hip mobility is the primary element of the A2 –the weighted cossack squat…
Because this swimmer is primarily a freestyler and butterflier, the hip is exposed to a relatively small ROM. By expanding this capacity in a structured and controlled training environment, we can help minimize injury (while maximizing power output) via enhanced ability of the hips to absorb and generate force outside of the saggital plane.
2. Creating a Neutral Spine Where and When Possible
In a previous article, I explained the differences between flexion and extension intolerant back pain, this particular athlete sits closer to the extension-intolerent end of the spectrum. To mitigate this, we’ve added Band Pull Aparts and 180 Degree Back Extensions as part of his ‘B’ exercise circuit.
Band Pull Aparts are one of the most common exercises within any of the Ruthless Performance programs, regardless of sport; but in the case of swimming, these provide countless benefits. Beyond the primary benefits to swimmers, like scapular control and improved stroke efficiency, we’ve added this as a means of minimizing kyphosis. Like many high school athletes who sit behind a desk for 6+ hours / day, this athlete demonstrates an internally rotated and kyphotic posture. The solution to these problems almost universally starts with a very high volume of band pull aparts.
Though the ‘B2’ is listed as 180 Back Extension, it is talked about and referred to internally as a 180 Hip Extension. Though this may seem semantic it is not. I won’t go into detail here again, though you can find more in our first installment of our Internal Program Review, where we go over this difference in detail.
The video below from our instagram also explains this to some extent with yet another one of our swimmers performing this exercise.
3. Enhance Cardiovascular Capacity, But do so Efficiently
The primary purpose of the off-season program should be to build up strength and other various capacities that are often neglected during the regular swim season. Going into the season, however, should at least provide some basic framework for sport-specific work capacity.
Another one of my frequent rants is that about the purpose and function of the rotator cuff… 4 anatomically independent muscles grouped together because of their function (physiology) with regards to the shoulder, which is simply to maintain the position of the humerus. With this in mind, any time we spend engaging and maintaining a stable shoulder, we are inherently training the rotator cuff. Here, we’re doing so concurrently with a few other goals in mind, enhancing cardiovascular capacity (as mentioned), but also encouraging overhead ROM with the slam ball, generating force outside of the saggital plane, and developing abdonimal activation/ trunk stability during both the C1 and C2 exercises.
Though these aren’t traditionally exercises performed for energy system training, we can manipulate the variables to ellicit this desired response. Rather than simply adding in more sets or extending the length of time to complete the exercises, we’ve focused in on the density component, which is simply the ability to do more work in the same period of time. A 5-minute time cap ensures that from weeks 1-4, the athlete is developing his work capacity, in a manner condusive to short to mid distance swimming events. As opposed to conventional wisdom, maintaining a high level of force output and muscular endurance over this relatively short period of time is all that we need for this particular workout going into more sport-specific pre-season swim training.
This post marks the first in our new Ruthless Perfomer Q&A series. Throughout this series we’ll be talking with various health and fitness influencers regarding their specific niche and how it effects the world of health and wellnessa at-large.
Today we’re joined by Dr. Touchinsky who established Blue Mountain Family Chiropractic in 2005. His early focus was helping people suffering with pain and injuries utilizing hands on chiropractic care. Within the first few years of practice, he realized that many of the cases seen required more than just physical treatment. People were dealing with issues caused by poor diet, lack of exercise, inadequate sleep, and other lifestyle related factors. However, due to a variety of reasons, none of their health care providers were addressing these issues. This lead Dr. Touchinsky to study and become certified in Functional Medicine.
What is Functional Medicine and why is this something you’re so engaged in?
Conventional medicine usually seeks to identify a problem, an injury, or an illness. Diagnosis and treatment of that diagnosis is their forte. They are the doctors of “what”. They want to know what is wrong with you, and then they apply the treatment designed for that problem.
The best way to describe functional medicine practitioners is we are the doctors of “why”. Why are you sick? Why do you have an autoimmune disease? Why do you have chronic fatigue? This “why” can vary… it may be poor gut health due to frequent use of antibiotics in the past, or nutrient deficiencies due to an inadequate diet, or excessive stress from work, overtraining in the gym, or lack of proper sleep and recovery. The “why” can vary from person to person so we look at each individual’s “why” so we can develop a plan for that person and not their disease.
Teach us something… What is something within health that you think many physically active, healthy individuals may be ignorant to (i.e. I am always sure to teach clients about the relationship between the lymphatic and muscular system)?
Gut health is supreme. “You are what you eat” is a common saying. However, it’s not that simple. It’s what we eat, digest, assimilate, and excrete. Our digestive system helps manage what our body takes in to help build muscle, health and repair all sorts of tissues including our vital organs, make neurochemical and hormones, etc. It also helps us get rid of the toxic by products of doing all of that. It’s both the fuel injector system and the exhaust system. If the gut is chronically inflamed it’s going to affect nutrient absorption. If there’s constipation, it’s like plugging up the exhaust pipe in your car or the chimney in your house. This affects health more than most people realize.
If you doubt that or this is a new concept to you, google “gut” and <insert health problem or disease name here> and take a look at what shows up.
What do you think is the easiest thing individuals already engaged in a fitness program can change about their daily routine to further improve their health?
Most people can benefit from eating less meals per day and eating within a 12 hour time period per day, with earlier being better. An example might be at 7am, 11am-1pm, and 5pm-7pm. Eating food disrupts normal equilibrium and places the body under stress. It’s a necessary function, but triggering that stress every few hours is not good. It’s beneficial to give the body plenty of time between our meals and then one long period per day of 12 hrs or more. There even some interesting research showing that more than 12 hours can be even more of an advantage. This is called intermittent fasting or time restricted feeding. This can be taken even a step further by doing full water fasting or a Fasting Mimicking Diet on occasion. For more information on that, search for fasting and Dr. Valter Longo.
As someone within the field, what do you think about the current state of chiropractic care? What are some common myths or concerns that you come across regularly? Are these concerns warranted?
Chiropractors practice methods that are the most effective means of addressing muscle, joint, and many nerve issues in my opinion. We have extensive training and spend our career seeing people with injuries and pain. Not only are we trained in treating these issues, but diagnosing them as well. This makes us a great first option when someone has something wrong. If it turns out it’s a more serious issue that requires a surgeon, or if there’s doubt and more testing needs to be done, we can refer or order testing such as blood tests, MRIs, and CT scans. Most of the time we can start treating immediately and begin providing patients relief on day one.
Some common myths that I see are we only treat the spine. That might be how we got our start over 100 years ago, but we now are trained on evaluating and treating a wide variety of issues. We’re not just “bone setters” either. I work just as much on the muscles as I do the bones and joints. Another common myth is that once you start going, you have to keep on going. There may be some cases of permanent injuries or those that have very demanding jobs where it makes sense to see someone once every few months to keep them in good shape, but in most cases my goal is to get the person out of pain, show them what they can do for themselves to prevent the problem from recurring, and then discharge them from care.
Most forward-thinking individuals working in healthcare admit it’s a rather flawed system. What do you think is the most troubling aspect of modern healthcare in America? What do you think is the easiest problem within healthcare to fix?
It’s a very flawed system. Health insurance dictates care and most providers end up treating to the insurance. Insurance payment to providers is based on what is done to a patient. It’s procedural based. That means that the more “stuff” that we do to patients, the more we bill, and the more we get paid. If you do less “stuff”, you get less payment. This only promotes overutilization of certain services. Additionally, an officer visit where your doctor diagnoses a common cold gets paid the same as a visit where they diagnose and (attempts to) manage diabetes. The latter is way more complicated and requires much more attention and expertise to handle. I could really go on and on, but I’ll leave it at that.
The easiest problem to fix is to take away the middleman. Take away insurance. That sounds horrible because it’s the only way most people can afford to see a doctor, but by taking away the middle man we would lower the costs for everyone. If people had to pay for everything out of pocket (at least up front), then they would help, along with the doctor, if a procedure or test is really necessary. If you doubt this, ask any provider, “do you tend to order more testing on people with or without insurance?” For those that truly can’t afford care, we can take the money we use to subsidize health insurance and set up free and reduced clinics. At least this would put money directly into communities and building facilities and paying providers, vs. sitting in the coffers of insurance companies to selectively dole out as they wish.
**Editor’s Note: John Matulevich of Ruthless Performance will be appearing on Dr. Touchinsky’s Podcast “Healthy Habits with Dr. T” this wednesday night. You can preregister to listen to the podcast at the address here or watch it live on facebook at: https://www.facebook.com/doctortouchinsky/ **
Making small changes will lead to bigger results. Start off with behavioral changes before jumping on to the new diet out there. This means things like eating on a smaller plate, removing the salt from the table, reducing serving sizes, etc.
In general, a “healthy” or “healthier” plate should include a protein, whole grain, complex carbs (veggies/fruit), healthy fat (olive oil or avocado), and hydration (milk/water). USDA has come up with an image of what a healthy plate should look like. This is very general since protein can be a hot dog, or whole milk as dairy, which contains a lot of fat.
Harvard health dissected the USDA plate and made a detailed version. They included healthy fat, along with extra details, which is important to our health. Read our “Why do we need fats in our diet?”
Both plates are for the general public and used for weight maintenance. For athletes and those looking for a specific body composition goal (weight loss, weight gain, etc.) building a plate becomes more tailored to this individuals’ goals. The healthy plate provides a foundation of what should be on a plate, but macro-nutrient distribution would be manipulated according to the individual’s needs. US Olympic Committee has made three fuel plates that targeted for the athlete’s training. Still not very specific because everyone is different but effective.
If you’re looking to make nutrition changes in your life, start with small modifications then gradually transition into a detailed plan.
By Jesse Rodriguez, RD, CSCS
If you’re interested to find out an individualized nutrition plan just for you, contact info@ruthlessperformance for our nutrition services.
Many gym-goers are looking for ways to get more work in during their training sessions. Some turn to pre-workout supplements while others may turn to steroid-related drugs. Although pre-workout supplements contain caffeine, it’s also filled with unnecessary and potentially dangerous substances.
Caffeine on resistance training has been long looked at with supportive research data on its effect. Caffeine’s major effect for training is that it reduces pain perception, potentially delaying fatigue during exercise. Additionally, caffeine may also reduce RPE (rate of perceived exertion) which may extend duration and/or intensity of workouts.
Sources could come as either coffee or caffeine powder/pills. The most important information to know is that 3-6mg/kg may be the optimal range to see effects or a dose of approximately 200mg 1 hour before exercise. 2-3 cups of coffee may be the optimal dose; however, caffeine content depends on the type of coffee and if any espresso shots are added. Experiment with doses and types and find the right amount to see individualized results.
Anne, M. (2018, May 16). How Many Milligrams of Caffeine Are in a Cup of Coffee? Retrieved from https://www.livestrong.com/article/260763-how-many-milligrams-of-caffeine-are-in-a-cup-of-coffee/
Diego B. Souza, Michael Duncan, and Marcos D. Polito. Acute Caffeine Intake Improves Lower Body Resistance Exercise Performance with Blood Flow Restriction. International Journal of Sports Physiology and Performance 0 0:0, 1-22
Michael J. Duncan, Michelle Stanley, Natalie Parkhouse, Kathryn Cook, Mike Smith. Acute caffeine ingestion enhances strength performance and reduces perceived exertion and muscle pain perception during resistance exercise. Eur J Sport Sci. 2013; 13(4): 392–399. Published online 2011 Dec 5. doi: 10.1080/17461391.2011.635811
Wolde, Tsedeke. (2014). Effects of caffeine on health and nutrition: A Review. 30.
By Jesse Rodriguez, RD, CSCS