Scene • D1 • Thursda life, arts and the pursuit of happiness y, May 3, 2007 • www.tulsaworld.com Calendar........................... D-2 INSIDE! People&Places ................. D-2 Lucinda Williams. D-3 Ask Amy........................... D-4 Comics ..........................D-4-5 Feeling ﬁtness guinea pig by cary aspinwall the stress Knowledge is key to The Bean may tempt you with its late-night infomercial, and its “super rock” crunch will tighten your abs. Workout: The Bean Deluxe Courtesy preventing hairline fractures What it is: A bean-shaped inﬂatable abdominal exercise device that can be used for toning, strengthening and stretching. B Y J ENNI F ER C HANCELLOR World Scene Writer Where you can get it: Online at www.bean.com or Academy and other sporting good P ainful stress fractures are among the stores, about $49.99 retail. most common athletic injuries, said Dr. Alan Holderness, a surgeon at the It’s best for: Orthopaedic Center of Tulsa. People who want to tighten abs and strengthen their core Commonly called fatigue frac- muscles, anyone who likes to work out at home (for fear of falling off tures, the term originated with the stability ball at a gym in front of a crowd). the military, and refers to small, hairline cracks that develop in heavily used bones Gear needed: — such as metatarsal bones on the top The Bean comes with an instructional DVD, booklet and pump of the foot, the heel bone and the bones — so just a ﬂat surface and a television with a DVD player. along the front of the lower leg, he said. “Everyone is at risk for developing Tibia Degree of difﬁculty: these fractures,” Holderness said. “When people try to do too much too on a scale of 1 to 4 sneakers Fibula quickly or don’t warm up and stretch before exercising, these bones take Degree of fun: on too much stress and they crack and can cause pain.” on a scale of 1 to 4 sneakers Young athletes are not immune — in fact, they occur most in that Fitness Guinea Pig says: age group. However, overweight Love handles. Mufﬁn tops. Buddha belly. We all want ﬂatter abs, and obese people and the elderly but a life without beer and french fries is really not much of a life. also are prone to such fractures, So late-night and early morning TV is ﬂooded with infomercials for due to extra weight stress and the ab lounge/trapeze/rocker/belt, and we get sucked in. Sooner weaker bones, he said. or later, the Bean ad comes on, looking respectable and plausible Seniors are especially prone to as the solution to our catﬁsh belly woes. Kim lost 17 inches! Kristi hip bone stress fractures, be- Yamaguchi uses it! No back pain! FGP thought it all sounded too cause a minor “twisting episode” good to be true, so she broke down and bought one. Out of the box, coupled with an unsteady balance it looked like a ﬂimsy pool ﬂoat with a dinky foot pump. But it took and osteoporosis will sometimes less than ﬁve minutes to inﬂate, and the ab portion of the workout cause the bone to crack, Holder- DVD is only seven minutes — that’s easy enough. Getting the hang ness said. These types of stress of the Bean’s “super rock” crunch is another thing, but you’ll really cracks are often called insufﬁcien- Areas likely injured: Lower feel it in your core when done correctly. It might help if the video was A stress fracture cy fractures. leg bones, tibia, ﬁbula, the updated to show how to adapt the Bean Deluxe to some of the exer- is a crack in the The diagnosis isn’t always easy, heel or metatarsal bones in cises, because the DVD instructors and booklet pictures are using surface or cortex he added. Often, when in the leg, the foot. Fractures may be the older, simpler model — which creates some silly rolling off the of the bone. stress fractures may be confused too small to detect. Bean Deluxe moments, at least for FGP. It’s a tad easier than those with shin splints, or pain along the devilishly slippery stability balls and my abs felt tighter afterward. At risk: Women are 12 Miraculous transformation? Ask me in a few weeks. shin bone. times more likely to be These cracks won’t always show injured than men. up on X-rays until they begin to heal, Metatarsal Is there a workout or exercise you want the Fitness Guinea Pig to try ﬁrst? he said, and sometimes alternative Send suggestions to firstname.lastname@example.org or call 581-8477. scan methods will be used to locate bones the fracture. Without proper treatment, the cracked bone may heal improperly and cause chronic pain, he said. Often referred to as a “nuisance injury,” treatments often include mandatory rest of the injured area, and in some cases may require a brace or a cast until it heals, Hold- erness said. Here is more information on shin splints, from Holderness and the Mayo Clinic’s Web site BRAD THOMPSON / Tulsa World (www.mayoclinic.com). Jennifer Chancellor 581-8346 email@example.com TOM GILBERT / Tulsa World Stress fractures lunch bunch SALADS Signs and symptoms • You have ﬂat feet or high, rigid arches. • Time. In more severe cases, the doctor may need Ready-made salads from the grocery store have really come a • Pain in a speciﬁ c area, such as the top of the foot, • You have osteoporosis or other conditions that to immobilize the affected bone with a splint or cast, long way from soggy lettuce and dreadful ingredients. The Reasor’s that increases with activity and decreases with rest. lead to weakened bones or decreased bone density. or a pin may be surgically inserted to hold the bone grocery store near 41st Street and Yale Avenue has a good-looking selection, so we put a few varieties to the test. • Pain that occurs earlier in your workout in each • You are an adolescent whose bones haven’t yet together and promote proper healing. fully hardened. • A physical therapist can help you pace your This week’s lunches: successive workout. Reasor’s salads. • Pain increases over time. increase in activity and practice strength and stability The varieties: • Pain persists even at rest. Screening and diagnosis exercises. Mandarin spinach, ham chef and Caesar salads, all for $3.99. • Swelling. Your physician will ask you about your recent physi- The verdict: • A spot that feels tender or painful to the touch. cal activity, signs and symptoms and check you for Prevention We really enjoyed these salads, although some were missing Atﬁrst, stress fractures may be barely noticeabl e. tenderness or swelling, Holderness said. • Start any new exercise program slowly and ingredients promised on the labels (no shredded carrots in one and no egg in another). Still, for less than $4, the ingredients were fresh But pay attention to the pain. Proper self-care and If X-rays appear normal but your doctor suspects a progress gradually. and tasty. treatment can keep the stress fracture from worsen- stress fracture, the diagnosis may be conﬁrmed with • Don’t exercise too hard or too long. The Mandarin spinach was our favorite, mostly because of the vitamin-rich spinach, a great alternative to iceberg lettuce. It came ing, according to the Mayo Clinic Web site. various imaging techniques. • Avoid sudden changes in intensity or type of with toasted sunﬂower seeds, Mandarin oranges and reduced-fat exercise. raspberry vinaigrette dressing. The spinach was crisp, not gritty. Some meat would have made it perfect. You are at increased risk if: Treatment • Use proper equipment and appropriate footwear The Caesar and ham chef were both winners, as well. The Caesar came with tender fajita-cut, seasoned white chicken, tiny • You participate in high-impact sports, such as ten- • Rest. It’s important to give the bone time to heal. for your activity. seasoned croutons, Caesar dressing, and a good blend of iceberg nis, track and ﬁeld, basketball or gymnastics. This may take four to 12 weeks or even longer. • Cross-train or alternate activities to avoid repeti- and romaine lettuces. Our only complaint was the powdered packet of Parmesan cheese. • You are a female athlete with abnormal or absent • Ice. To reduce swelling and relieve pain, your doc- tive stress. The ham chef came with an ample amount of diced ham and periods. tor may recommend applying ice packs to the injured • If you have ﬂat feet, ask your doctor about arch plenty of real cheddar cheese, a bit of red cabbage, cherry toma- toes, and a dill pickle, a big hit with us. Unfortunately, this salad • You shift from a sedentary lifestyle to an active area. supports for your shoes. does not come with dressing (blue cheese would be great). training regimen, such as rapidly increasing exercise • Pain relievers. If needed, take acetaminophen • Nutrition counts. To keep your bones strong, make sure Contributed by World Scene Writers Cary Aspinwall, Kim Brown and Jennifer length and intensit y. (Tylenol, others) to relieve pain. your diet includes plenty of calcium and other nutrients. Chancellor.
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