Before my physical therapist friends jump all over this, let me say that what I find problematic with physical therapy, is the limited coverage (number of visits allowed by insurance) and the patient’s understanding of their role in their physical well-being once they are released from therapy and are on their own.
Problem #1: Let’s assume you get injured on the job. Your primary care physician refers you to a physical therapist for treatment. The therapist takes you through various rehabilitation modalities that will most likely included some exercises that you will perform. Insurance only pays for “X” number of visits and then you’ll need to continue on your own. More often than not, you do not follow through with your therapy exercises. Without that follow through, the your physical level will begin to decrease from the point when you left physical therapy. This deconditioning sets you up to get injured again.
Problem #2: You, after completing your allotted physical therapy, continue to do your therapy exercises as prescribed, same weights, same repetitions, same number of days per week. I know, that doesn’t sound like a problem, but it is. If you do the same thing over and over again, you get really good at it. It gets easy, and… if it gets easy, you’re no longer challenging yourself. Without the challenge, your conditioning level starts to decrease. Now, it won’t drop as low as if you weren’t doing the exercises, but it will drop below the level that was when it was challenging.
The goal of reconditioning after surgery or injury, should be to get back to where to where you were prior to the event, AND THEN to continue training/conditioning so that you are more capable, more “injury resistant”, and better prepared to do any of the activities that you want. This is true at any age, but even more important as you get older. You can accomplish this by working with your physical therapist until released, then take your exercise prescription to a certified personal trainer that has post-rehab experience. Have the trainer show you how to translate the physical therapy exercises to your gym/health club. Then, come back to the trainer periodically to get an updated program, so you can continue to get stronger, healthier, and ready to tackle the rest of your life. After all, we don’t want to just survive as we get older. We want to thrive!

Any exercise program will give results to someone who hasn’t been exercising. It doesn’t mean it is the safest, most effective exercise program. It is just that now you’re following a program and doing some kind of exercise.
So, what is a dad bod? In a recent article from the New York Times, 



The catch is that this doesn’t mean sit around and eat whatever you want. You still have to workout and eat healthfully. That’s what is going to help you get/stay fit (to do whatever it is that you want to do) and healthy by getting all of the nutrients you need for your body to function properly. But, you don’t need to look like a fitness model. Be fit, be healthy, but also be happy in knowing that fitness comes in all shapes and sizes.
and helps it glide through movement, wears down and/or is damaged, it leaves the joint with bone grinding against bone. This can cause pain, swelling and problems moving the joint. This is osteoarthritis. There are many of us that will experience osteoarthritis as we get older. It is a degenerative condition that can be caused or made worse by aging, injury, or pressure from excess body weight. Needless to say, when our joints hurt, we move less. That used to be the recommendation from the medical community as well. If it hurts to do something, then don’t do it. Unfortunately, that’s not what current research shows. The less we move the joint, the weaker the surrounding muscles become and, the weaker they become, the more stress is on the joint. This ongoing stress only makes the pain and discomfort worse.


I’m slowly but surely losing my hair. I have a few more wrinkles every year. I have a few more aches and pains as time passes. I’m not thrilled by any of these changes. I could obsess about them. I could take every product known to counteract them, but I know I will never be as good looking or even have the hair of George Clooney. Well, George Clooney should not be who I benchmark myself against, and yet, the media and businesses trying to sell us products hold those unrealistic icons up to us and try to convince us that this is perfection and we should be trying to achieve this too.