Should Patients Continue with a Wellness Plan Following The Completion of Physical Therapy?: MythBuster Monday

Physical Therapy is a catalyst for keeping people moving following an injury.  However, due to current limitations in the system, Physical Therapist are typically unable to fully correct the underlying causes of an individuals injuries. Under the current limitations Physical Therapy can serve as a powerful tool to lead people to long term health. This is where a quality wellness plan can become incredibly important in building upon the gains we have made during Physical Therapy.  If you are interested in my Wellness coaching options please reach out and we can set up a free consultation.

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Is Creatine Bad For Your Health? MythBuster Monday

For all of you that don’t want to read, The answer is if you are a healthy individual with properly functioning Kidneys and Livers, Creatine is extremely safe and effective.

History of Creatine

Creatine was first discovered in 1832, as a natural compound that plays an important role in cellular energy homeostasis. Creatine stores are used to provide energy in short explosive movements. Creatine along with our ATP serve as our instant fuel. Since this time it has become common place to use creatine to improve physical performance. In fact over $400 million worth of creatine is sold each and every year.

Over the last 30 years, creatine has been studied extensively and shown incredible results in both improving overall health and sports performance.

Creatine Improving Sports Performance

The International Society of Sports Nutrition put out a position stand that to into account an extensive accumulation of all the research on creatine and found these results.

“Creatine monohydrate is the most effective ergogenic nutritional supplement currently available to athletes with the intent of increasing high-intensity exercise capacity and lean body mass during training.” Here were some of the key take home points of this position stand.

  • Increase single and repetitive sprint performance
  • Increase work performed during sets of maximal effort muscle contractions
  • Increase muscle mass & strength adaptations during training
  • Enhance glycogen synthesis
  • Increase anaerobic threshold
  • Provide possible enhancement of aerobic capacity via greater shuttling of ATP from mitochondria
  • Increase in work capacity
  • Enhance recovery
  • Antioxidant effects
  • Increased Bone Mineral Density

Creatine’s Use in Disease States

I am not a medical doctor and am not offering any medical advice. I am only offering what research has discussed. Creatine has some interesting research that is going on regarding its effects in Neurodegenerative diseases. Neurodegenerative diseases are characterized by a progressive loss of function, and often death, of neurons. Below is the proposed mechanisms.

The theory that started the research in the usage of creatine as a treatment option is based around mitochondrial dysfunction and excess production of free radicals being two primary mechanisms driving the development of neurodegenerative diseases. Creatine supplementation increases the PCr pool which may facilitate improved mitochondrial functioning and more efficient ETC transfer.

In Animal studies creatine has shown positive results. However, these results have not carried over to human studies. This can be explained by decreased mitochondrial function being an important factor in several neurodegenerative diseases, but it is typically not the main factor. Creatine may not be used as the main treatment for any of these neurodegenerative diseases, however, it may still be a valuable part of treatment plans do to its many benefits including maintaining muscle mass and bone health, while also serving as an antioxidant.

Controversy around Creatine being Bad For You?

For years, creatine got a bad name. Thinking back on what I heard growing up, included “creatine is a steroid” “Creatine Only makes your muscle bigger because they fill them with water” and that you HAD to cycle creatine because it was bad for your “liver and Kidneys”.

As we talked about above creatine is not a steroid but instead a natural compound that plays an important role in cellular energy homeostasis. It affects energy production and distribution by being reverse phosphorylated to phosphocreatine. This ability gives us more work capacity while working out which allows us to achieve more #gains.

The second false narrative comes from the fact that creatine does cause your muscles to retain more water. Which is not a bad thing, we are made up mostly of water.

Finally, we get to creatine damaging our liver and kidneys. Since our liver naturally produces creatine, many worried too much would harm it. However, research has consistantly shown for HEALTHY individuals creatine is safe even for long term usage. For individuals with a history of liver issues they should be cautious and talk to their physician prior to taking creatine. For the kidneys, many thought it was bad because a common sign of kidney disease is elevated levels of creatinine, a byproduct of creatine, in the blood. This caused many people who were taking creatine to have false positives for kidney disease. However, the reason they were testing positive wasnt because their kidney was damaged but instead because they were taking more creatine thus having more creatinine by product. This is the same as if you eat alot of protein you would expect to have more amino acids in your blood.

Why I take creatine?

Creatine offers a tremendous amount of benefits for a very low price. On the physical side it increases work capacity, muscle mass, glycogen synthesis, sprint performance and enhances recovery. For my general health, it offer antioxidants to help fight off free radicals that come with my high stress highly active life style. Finally, there is research that shows while in sleep deprivation, creatine has shown to improve cognitive function. As a doctoral student, who loves to overextend himself with research, part time jobs, dog duty and running compass performance, sleep is usually the first thing i give up. So hopefully I get a little boost from my creatine.

I use Bulk Supplements for all of my supplements due to the high quality and insanely low prices. With Bulk supplements you arents paying for advertisements or labeling but instead just high quality products. You can get 200 servings of Creatine for ~$20 @bulksupplements when you use coupon code “COMPASS5OFF”.

References

Butts J, Jacobs B, Silvis M. Creatine Use in Sports. Sports Health. 2018;10(1):31-34. doi:10.1177/1941738117737248

Kreider, R.B., Kalman, D.S., Antonio, J. et al. International Society of Sports Nutrition position stand: safety and efficacy of creatine supplementation in exercise, sport, and medicine. J Int Soc Sports Nutr 14, 18 (2017). https://doi.org/10.1186/s12970-017-0173-z

 Braissant O, et al. Creatine deficiency syndromes and the importance of creatine synthesis in the brain. Amino Acids. 2011;40(5):1315–24. 14. review

Wyss M, et al. Creatine and creatine kinase in health and disease–a bright future ahead? Subcell Biochem. 2007;46:309–34.   review

Beard E, Braissant O. Synthesis and transport of creatine in the CNS: importance for cerebral functions. J Neurochem. 2010;115(2):297–313 review 

Bender A, Klopstock T. Creatine for neuroprotection in neurodegenerative disease: end of story? Amino Acids. 2016;48(8):1929–40.

Should Patients Continue with a Wellness Plan Following The Completion of Physical Therapy?: MythBuster Monday

Physical Therapy is a catalyst for keeping people moving following an injury.  However, due to current limitations in the system, Physical Therapist are typically unable to fully correct the underlying causes of an individuals injuries. Under the current limitations Physical Therapy can serve as a powerful tool to lead people to long term health. This is where a quality wellness plan can become incredibly important in building upon the gains we have made during Physical Therapy.  If you are interested in my Wellness coaching options please reach out and we can set up a free consultation.

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Saucony Triumph 18 Shoe Review

Shoe Review: Saucony Triumph 18 Category- Neutral Daily Trainer-Premium Cushioning Weight-9.7 oz(W), 11.1(M) Heal to Toe Drop: 8 mm Stack Height (Heel/toe): 32.5 mm (Heel),

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Shoe Review: Brooks Ghost 13

Shoe Review: Brooks Ghost 13

Brooks Ghost 13

Category- Neutral Daily Trainer

Weight- 8.8 oz (W), 10.1 oz (M)

Heal to Toe Drop: 12 mm

Stack Height (Heel/toe): 35 mm (Heel), 23 mm (Forefoot)

Preferred Surfaces: Track and Road

Cost: $130

My quick Opinion:

As one of the most popular and beloved running shoes on the market, the Brooks Ghost is a go to for most runners. When I talk about this shoe with customers, I call it the Goldylocks shoe. It fits the majority of feet very, with lots of of room in the shoe and offering plenty of width. It also offers plenty of cushion to complete all of your daily training in. The Ghost may not have all bells and whistles of other shoes(rocker bottoms, carbon fiber plates etc) but it does the basics extremely well.

Pros for Brooks Ghost 13:

  • Comes in a wide range of sizes and widths
    • Comes in narrow, regular, wide and extra wide widths
    • In mens sizes range from 7 all the way to 15
    • In women’s sizes range from 5 to 13
  • Comes in a wide range of colors
  • Offers great amounts of cushion without being “too much
  • Has a good tread on the bottom of shoes that helps allows for performance on wide range of terrain and environmental factors
  • Secure around the heel
  • Fit a majority of feet
  • Overall great shoe, that does alot of things great

Cons for Brooks Ghost 13:

  • Too wide for some feet
  • Lacks some of the performance technologies of other shoes for race day

Comparable shoes to Brooks Ghost 13:

  1. New Balance 880:
    • I always tell if Brooks Ghost is a Toyota Camry then the New Balance 880 is the Honda Accord. They have many of the same features and are incredibly similar. The NB 880 is a little bit narrower in the toe box but thats about it.
  2. Karhu Fusion 2021:
    • The Karhu Fusion 2021 offers a more supportive ride due to the Mid foot fulcram. The ghost offers a more cushioned ride.
  3. Nike Pegasus 37
    • The Nike Pegasus 37 is more narrow daily neutral that can withstand high Mileage

Who would I recommend the Brooks Ghost For?

There is a reason that the Brooks Ghost 13 is the most popular shoe on the market.  Both for fit and function, the Ghost offers an unique package that benefits both experienced and new runners.  So I recommend this shoe for experienced runners looking for a trainer to put on a ton of miles. The accepting fit and cushion allows an optimal shoe for a new runner unsure about what shoe to choose.

Myth Busting Monday: 🤡You shouldn’t train the opposite side when you are injured🤡

Rehab is full of myths and misconceptions. Today we talked about the importance of cross over training in the rehab process.

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