Young Athletes and Women More Likely to Have Second ACL Surgery Within a Year
According to one of the largest studies ever conducted on the outcomes of ACL surgery, patients under 40 and women are both more likely to have second knee surgery within a year of an ACL repair.
Investigators looked at surgical outcomes in 70,000 patients who had ACL reconstruction surgery from 1997 to 2006 in New York state. The results, published in the October 2009 issue of The Journal of Bone and Joint Surgery, found the following:
- Patients 30 to 39 years old had a 19 percent increased risk for additional ACL surgery.
- Patients 20 to 29 years old had a 43 percent increased risk for additional ACL surgery.
- Women patients are 18 percent more likely to have additional knee surgery after an ACL repair.
- Patients treated by less experienced surgeons and at hospitals that perform fewer ACL repairs are at higher risk for having a second knee surgery.
The study authors speculate that younger athletes may be at higher risk for another ACL repair because they may return to activity more quickly and may be less likely to follow a rehab guidelines. For these athletes, following an ACL prevention program is extremely valuable.
They also reminded patients that ACL reconstruction is a complex surgery that is best performed by a surgeon who has a great deal of experience and does these repairs routinely.
Food is supposed to be enjoyable.
I hear this a lot. I recently heard this from a client of mine who was having a hard time eating every few hours. His wife has been working with me for a while and he told me/her that eating every few hours was going to be easy. So when I weighed him in and asked how his diet was going two weeks later, his reply was “”I’m having a hard time eating every three hours. I just don’t enjoy the food as much.”
This unfortunately is a pretty typical response.
Ahhhhhh….”enjoyment of food”. 200 years ago food was sustenance first and enjoyment second. A typical day would consist of:
The husband would come home from work with either the meat in hand or to a waiting dinner that has already been prepared by his wife, who used just salt and natural herbs. That was it. That was how people ate. No extra fat, no preservatives, no added flavor. Just real food and real spices.
(DISCLAIMER: I DO NOT SUPPORT NOR CONDONE THE WOMAN DOING ALL THE COOKING OR THE MAN DOING ALL THE “BREAD WINNING”, THIS IS JUST AN EXAMPLE. PLEASE DO NOT SEND ME HATE MAIL.)
Enter Nabisco, fast food, preservatives, etc. and now all food is supposed to be “enjoyable”. Let me tell you what people really mean when they say “food is enjoyable”…”food is fatty and sugary”.
Do you mean to tell me that you don’t find a piece of properly cooked chicken with some salt and pepper, broccoli with cheese melted over top and an apple “un-enjoyable”?
Of course not! You could substitute the chicken out for some other type of protein but that meal would be enjoyable to anyone and everyone (baring vegans). And if it’s not, then you wouldn’t classify it as UN-enjoyable.
Food is supposed to be enjoyable and sustaining. But, long ago people stopped eating for sustenance and started eating just for enjoyment. It isn’t easy to gain weight, you have to actually try…or in some cases prevent yourself from not trying to gain weight. I am not saying that food shouldn’t be enjoyed. But if you’re eating 4-6 meals per day, every meal will not be “enjoyable”. All of your meals should be eaten to keep you healthy first (i.e. as sustaining meals) and enjoyable second. All of the major health diseases can all be traced back to diet, i.e. high blood pressure, high cholesterol, heart disease, various types of cancer, etc. Show me someone with high blood pressure and I will show you someone who eats from enjoyment not from sustenance.
So this is what people really mean when they say, “The meals just aren’t enjoyable”. *TRANSLATION* “I miss my fatty, sodium filled, preservative soaked, sugar laden, easy to microwave, pre packaged, LABELED meal.”
”
*NOTE ON EACH POINT ABOVE*
Fatty - foods are higher in fat now than they were in the past. “Fat Free” or “low in fat” ring a bell? Why the hell would they put that on a food? Do you think 70 years ago they had eggs that were “low in fat”? Hell no! They had eggs that were NATURE MADE to have high levels of omega-3’s in them…now we have engineered eggs with high levels of O3. Crazy man, we had to engineer a nutrient back in that nature supplied naturally.
Sodium filled - 70 years ago the only foods that were sodium soaked were foods that you would find in a barrel or on a ship. Salt is a natural preservative. Baring beef jerky and other foods that use salt as preservatives, why would you want to eat a food that needs to be preserved?
Preservative soaked - I read in Men’s Health about this woman who would go around and give nutrition lectures. She kept a hamburger that she bought from McDonald’s with her to show her clients. The hamburger had no mold on it and was over 10 years old! What do you need to preserve food for? Meat lasts 3-7 days, veggies 3-7 days and fruit 5-10 days. Guess what…if you’re collecting box tops you’re probably eating a lot of food that you shouldn’t be.
Sugar laden - Did you know that the food industry has engineered water melons to be sweeter? Holy SH!T PEOPLE! ARE YOU SERIOUS! WATER MELON ENGINEERED TO MAKE IT SWEETER! Unfortunately most fruits are now ”grown” that way. The only thing sugar should be added to is coffee/tea, oatmeal, tomato sauce or apple sauce.
Microwaveable - I won’t even go there.
Pre-packaged - when I start to see apples fall of the trees with cellophane on them then I will rescind this statement.
Labeled - show me a cow walking around with a label on its ass and I will show you a stun coach.
Wii Fit part deux
This was an email that I recently got and I decided that I would post my response below it.
Hello Ben,
We got your bulk mailing for KDR Fitness.. I did spend some time on your web site and liked the overall concept of your program.. maybe place a photo of you and your staff in the about us section..
I wanted to say I think you miss the point of the Wii Fit.. if there is a point.. owning one I would never never say that it replaces a good fitness program and common sense nutrition life styles.. what it does is, hopefully, get young people to get off the couch and do something with their body other than push a game controller button..(come on parents get your kids active please!) .. maybe even a few adults.. it certainly does not replace a personal trainer.. or trips to the gym.. my grand daughters use the Wii Fit (and yes Guitar Hero) and both play soccer, hoops, dance, are active young adults.. I admit that I use it for yoga poses as a cool down after treadmill or elliptical work outs.. the Wii may seem like crap to a Navy Seal.. but if it motivates a kid to get up off the couch for some light weight workouts.. maybe they’ll begin to see the value in sweat equity.. now if we can just get them off fast food and high sugar sodas..
Best regards and wishes for a successful venture
My response:
Great points. Wii fit is just a bad concept period. There is no good point to it. Basically you have society saying “hey, we have a serious problem here. Our kids are the first generation in the history of human kind that are predicted to die before the parents. We have to do something about it!”. Enter the Wii and Nintendo. Enter Wii Fit. Everyones happy because they “think” that its just about getting kids active, but you have to get kids active in the right way. For instance teaching a child how to run. My girlfriends son got home from spending time with his grandparents and he told us that he played the Wii and it was a running game. The whole while he was running in place. Not a bad thing, however, running in place is not RUNNING. It is actually a single leg hop w/alternating knee drives. Running requires propulsion forward and upward initiated by the toes and finished by the force absorption of the opposite foot.
So the Wii is fit is good because it elevates your heart rate, makes you sweat, gets you breathing heavy and is better then the traditional video game. However, a high school student goes through those same body functions on their first date, or any time their “crush” walks by. I know some friends who get that way about eating a big meal! In fact, I just saw an episode of Man vs. Food where the host was kind of looking like that! Activity for activity sakes is not good in young kids. Let’s get them moving is a good quote. But it should be lets get them moving in a way we were meant to move. We were not meant to move in place, in side with incorrect tactile/visual and proprioceptive feed back. I wont even go into the incorrect messages the brain is getting with the Wii fit as it pertains to “sporting movements”. I wish I could agree with you about maybe leading them into a more active lifestyle by showing them the value of sweat. But the only real value they are getting is an external rewards based system. The more I sweat, the more points I get. Not the more I sweat, the better I can perform at my chosen activity, the better I feel, the better I look, etc.
As a stand alone, there is no excuse for using the Wii and classifying it as exercise. As a supplement, absolutely! Speaking of which I think I may challenge my girlfriend to a game of tennis now…on the Wii!
Great thoughts!
Ben
Reduction of Pain and Inflammation NATURALLY
KDR Fitness will be hosting a lecture by Court Vreeland on Tuesday, October 20th at 7PM. It will be on the “Reduction of Pain and Inflammation NATURALLY”. Come learn how you can control the inflammation in your body and reduce your pain level and feel younger and healthier with simple dietary changes. The knowledge you will gain from this lecture is invaluable!
Dr. Vreeland is a board certified chiropractic neurologist. He attended Fairleigh Dickson University where he earned his Bachelor of Science degree in Biology with a minor in Chemistry and received his Doctorate from Logan College Of Chiropractic. Dr. Vreeland is also a Diplomat at the American Chiropractic Neurology Board. He practices in Norwich, VT.
I am totally psyched to hear Court speak. We usually spend a good 10-15 minutes talking about nutrition after his work out and I am always blown away by his knowledge base and the simplicity of his explanations. Do not miss this lecture!
Saturday, October 10
FREE Massage at KDR Fitness by Lisa Thibideau. From 8-12 come check out the gym and get a FREE Massage!
What are you doing the other 23 hours?
http://www.active.com/fitness/Articles/Are-You-a-Sendentary-Athlete-.htm
Do something!
1 meal vs. 180 meal
30 days in a month
6 meals in a day
180 meals in a month
That means to be 90% compliant you can mix 18 meals in one month.
Or, 4 meals a week…plus another 2 meals during the month.
1 meal does not make or break you when you look at it from the “long view”. Consistency is what makes or breaks your health goals. If you eat perfect on the week days, and miss 4 meals during the weekend, every weekend…you still have 2 cheats floating around per month!
A normal person can eat 100% compliant with small changes in habit during the week. Worry about what you’re doing right, not what you’re doing wrong.
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