Tag Archive for: strength

Three Reasons Your Physical Therapy Didn’t Work

/in /by

Have you been to physical therapy once, twice, maybe even three times for the same thing… and now you’re left wondering why it didn’t work?

Or perhaps you went to physical therapy and it “worked,” but you have to do about 10 exercises per day that if you miss… even once… the pain comes right back. (hint – that means it didn’t actually work.)

This is sadly an all too common occurrence in this profession.

Here are three reasons why your physical therapy treatment might not have worked:

1. Incomplete Evaluation

For physical therapy to be successful – it MUST start with a full and thorough musculoskeletal examination. But for varying reasons, this isn’t always possible. The problem in most traditional physical therapy settings is that physical therapists are sometimes restricted with what they can and can’t do.  Sometimes the restriction comes from an insurance company, and sometimes they are simply overworked. If a doctor sends you for knee pain, your PT may only be able to look at and treat your knee. They are administratively prevented from giving you the full and thorough examination that you need. I can’t tell you how many times I’ve seen knee pain being caused by someone’s spine. If I wasn’t able to look at and treat that area, I’d have missed it.

Other times PTs have too many patients at once, and are forced to take shortcuts. This could cause them to miss important details. I’ve been at this for 20 years, and in my opinion, the perfect physical therapy evaluation should consist of three major components: the interview, the examination, and the plan. Your therapist should be asking you a lot of questions to find out how your pain is impacting you. They should do a lot of movement testing (not just poke you) to confirm why you’re having pain. And lastly, they should clearly explain to you why your pain is behaving the way it is and have a solid plan to solve it, one that is not dictated by your insurance company. If your PT evaluation didn’t look like this, or your therapist was rushed, chances are something got missed.

2. Too Many Passive Modalities

The second reason I see physical therapy not working for people is because your PT used too many passive modalities. This includes everything from electrical stimulation, ultrasound, dry needling, Graston technique, traction, laser therapy, and even manual therapy. We call these treatments “passive” because they are done to you. There is a time and place for these things, but generally speaking, they should only be used to address very specific pain and impairments that are preventing you from moving in a way that is going to produce real healing .

For example, let’s say you’ve got a tight knot in your upper trap that is giving you neck pain. There are some fabulous modalities like dry needling and massage that will quickly get rid of your pain. But a few days later, the pain will come back. That’s because the tight knot is the symptom, the underlying cause of this recurring tight knot is what’s essential to figure out and address. If all your therapist does is treat the symptom with passive modalities that feel good, your therapy isn’t going to work and you’ll continue to suffer.

3. Too Many Exercises

The last reason I see physical therapy not working is because there are just too many exercises being done. Physical therapists LOVE to give homework, but sometimes that homework can turn into two or three pages of exercises. This is rarely necessary. And the chances of anyone doing all of these exercises every day is highly unlikely. My firm belief is that your physical therapist should be working on highly specific problems with highly specific exercises.

I refer to these as corrective exercises, and you typically should only have 3-5 to do at any given time. These corrective exercises should compliment what you are doing in your session, and be designed to specifically address pain, and/or a very specific impairment or weakness. They should not be generalized or cookie cutter, and you should absolutely have a very good understanding of why you are doing them and what they are designed to accomplish.

Now you know what quality physical therapy should look like. If you’re not getting it, it might explain why it “didn’t work.” Sadly, insurance puts a lot of limitations on what physical therapists can and can’t do. Which is why a lot of people are starting to move away from using their insurance all together. They know they can get better quality care, and have their problem resolved completely, by paying out of pocket to an office that isn’t tied behind red tape. Plus, while it might seem cost prohibitive at first, it’s a lot better than the costly alternative of unnecessary surgery or injections.

Remember that physical therapists are movement experts.

If you’re only doing cookie cutter exercises, riding the bike for 10 min, or just lying on the table every session – you’re not spending adequate time restoring full mobility and quality of movement.

Your physical therapy probably won’t work, and it certainly won’t give you the lasting results you’re looking for.

If this experience is sounding all too familiar – consider working with a practice like ours. We’re not restricted by the red tape and we care about doing things the right way, even if that means more work on our end.

Curious? Talk to one of our specialists for free!

If you’re local to Portsmouth, NH – You can do that by Requesting a Free Discovery Session right HERE!

Dr. Carrie Jose, physical therapist and Pilates expert, owns CJ Physical Therapy & Pilates in Portsmouth and writes for Seacoast Media Group. To get in touch, or get a free copy of her guide to taking care of back pain, email her at [email protected].

Back Pain

Tips to Avoid Injury When You’re Over 50

/in , , , /by

Most of our clients are aged 50 or above, and staying as active as possible while they age is a big priority for them. As we get older, our bodies do need more care and maintenance to not only age well but avoid injury. 

Here are some of my top tips I like to give clients to help them stay active and mobile, avoid injuries, and continue doing everything they love.

1. Keep Moving

You’ll often hear me say: “You don’t get stiff because you get old, you get old because you get stiff.” If you want to stay healthy and mobile, you need to keep moving. One of the biggest concerns I hear from folks aged 50+ is whether they should start modifying what they do because of arthritis. Remember, arthritis is normal. It happens to everyone as they age, and it’s rarely a reason to stop doing your favorite activities. In fact, research has shown that activities like running, when done consistently and with proper form, can prevent knee arthritis! The effects of arthritis worsen when you don’t move, which is when I typically see people having problems. Common “injuries” like meniscal tears and bulging discs are more likely to occur in arthritic joints. But the more active you stay, the less likely you are to be impacted by ailments such as this — and the better your joints will feel.

2. Maintain a Healthy Diet

Both osteoporosis and heart health become bigger concerns as we age, and what you eat can have a direct and positive influence. With osteoporosis, your risk of injury, especially from a fall, becomes much greater. Greens like kale, spinach, and arugula are awesome for your bones, along with citrus fruits, fish, and nuts. These foods help your bones stay strong and durable. According to Health magazine, “The risk of a heart attack climbs for men after age 45 and for women after age 55.” As you enter middle-age, increasing the presence of foods like unsalted nuts, unprocessed oatmeal, raisins, blueberries, and even dark chocolate (over 70% cacao) can help keep your heart healthy. Before making any drastic changes to your diet, especially if you’ve got comorbidities such as diabetes or kidney disease, you’ll want to check with your doctor or dietician. But otherwise, paying attention to your diet can have a big impact on how healthy you keep your heart and bones.

3. Work on your Balance

Balance is one of the first things to go as a person gets older, and it’s one of the most crucial factors in helping you prevent falls and avoid injury. Slips and falls due to poor balance can lead to broken bones and fractures, which become more common and harder to recover from as you age. But if you’re intentional about improving your balance when you exercise, it’s not too late to improve it. While there are many great balance exercises you can do at home, I always recommend incorporating balance strategies with movement and activity. Because rarely do we fall when just standing still. Try standing on one leg when you brush your teeth, place one foot up on a stool when washing dishes, walk around on your toes and heels during commercials. These are really easy strategies to incorporate into your daily living. And of course, activities like walking regularly, Tai Chi, Yoga, and our favorite — Pilates — are also great to promote good balance.

4. Strengthen your core

Having a strong core is beneficial at any age, but especially as you get older. Strong abs, hips and buttocks (all part of your core) help you to sit and stand more upright, prevent back and neck pain, and will help you feel stronger and more confident in just about everything that you do. In our office, our favorite core-strengthening activity is Pilates. We especially love it for folks aged 50+ because it’s easy on your joints and it helps to promote flexibility at the same time. But what I love most about Pilates is that it teaches you how to strengthen your core properly and safely, two important things at any age, not just when you’re over 50. When you know how to properly engage and use your core, you start to incorporate it more into other exercises. Suddenly walking, running, Yoga, and lifting weights all become that much more effective, and you’re far less likely to get injured doing them.

5. Educate Yourself

Knowledge is power, and lack of it, is one of the biggest reasons I see people decreasing their activity levels when there is no reason to. People think that things like arthritis, bulging discs, or a torn meniscus are reasons to decrease or cease certain activities. But that’s not necessarily true! Most of the things I just mentioned are normal occurrences as we age, and having them show up on an x-ray or MRI is not a reason to change something you’ve been successfully doing for years. Plus, regular movement and exercise actually helps these problems. If you’ve got pain, that’s a different story. Talk to an expert who can help you figure out what’s going on, so that you can quickly get back to your activities and not make your pain worse. Whatever you do, try to avoid Dr. Google. It can send you down a rabbit hole and not all the advice you read will apply directly to you. 

Will a Cortisone Shot Help Your Nagging Shoulder Pain?

Shoulder Injuries after Vaccination? What to look for

/in , , /by

Shoulder injuries related to vaccine administration (otherwise known as “SIRVA”) is a rare, but possible occurrence when you get any vaccine.

SIRVA happens when a vaccine is injected into the capsule of your shoulder joint instead of your deltoid muscle. It can also occur if the needle being used is not the correct length for you, or if it’s administered too high or too deeply into your muscle. SIRVA is essentially a shoulder injury that occurs due to an improperly administered vaccine – not from the vaccine itself.

Now, it should be noted that this condition is very rare. However, due to the sheer volume of vaccines being administered right now – we have seen a slight uptick in unresolved shoulder problems here in our office. Anywhere from weeks to months after vaccination. For most, the shoulder pain is very mild and it goes away on its own. But for a select few, their shoulder pain has persisted and manifested into a more severe problem. This could be a sign you have SIRVA.

Since the signs and symptoms don’t show up right away, I thought it would be helpful to go over with you what is considered “normal” versus not normal shoulder pain after you get a vaccine.

You’ve likely heard of the “Moderna arm” by now. This is a mild skin irritation specifically related to the Moderna vaccine for COVID-19 that typically involves a mild rash and skin sensitivity after your second shot. It usually lasts about 3-5 days and can be easily treated with topical anti-inflammatories. Moderna arm is not considered to be anything serious, and although it’s not normal to experience this after most traditional vaccines, it is considered a common reaction to the Moderna vaccine. If you’ve recently had your second Moderna shot and are experiencing what you think could be Moderna arm, speak with your doctor or dermatologist if symptoms continue to persist past 5 days, just to make sure there isn’t something else going on.

Localized shoulder pain at the site of your vaccine injection is also normal.

We see this with any type of injection or vaccine into your arm, not just with Covid vaccines. The pain you feel is from the mild trauma caused by the needle being inserted into the soft tissue (muscle) of your arm. It often feels like a bruise, and you may experience a little bit of swelling. It will typically go away after 2-3 days. Even though your arm can be quite sore, the important distinction here is that you’ll still have full, normal function of your arm. In other words, despite the soreness, you can still move your arm freely up and down if you had to without restriction. Your arm soreness will go away with time, but gently massaging the area of pain, and even some easy movement or exercise can help the soreness go away a little faster. 

The symptoms of SIRVA are different, and typically more severe than what I’ve just described above.

If not addressed, some of these symptoms could lead to long lasting shoulder problems. As I alluded to above, one of the main distinctions between “normal” shoulder pain after vaccination and SIRVA is how well your arm functions.

If the needle was accidentally inserted into your joint capsule, for example, you will notice limited mobility and possibly limited strength. When left unaddressed, symptoms like this can manifest into more serious shoulder problems down the line, such as adhesive capsulitis or frozen shoulder.

If the needle was inserted too high or too deeply, you can end up with shoulder bursitis, which means the needle was inserted beyond your muscular layer and directly into the bursa (a cushiony fluid-filled sack), causing it to become inflamed. Your mobility may or may not be impacted when this happens, but what you’ll notice is that your shoulder pain will take a lot longer than 2-3 days to subside. Bursitis is actually a really simple injury to treat, but where I see most things go wrong is that you can end up with compensatory problems in places like your neck, shoulder blade or elbow the longer it is allowed to persist.

The last thing you might see from an improperly injected needle is rotator cuff tendonitis. What you’ll notice with this is that you’ll likely have full mobility in your shoulder, but it will be very painful and weak to exert force in your arm.  Much like bursitis, this is not a complicated injury to rehabilitate, but if not rehabilitated properly, it leads to other problems that do become more difficult to treat down the line.

So to summarize, your shoulder WILL hurt after getting a vaccine.

And with the Moderna vaccine in particular, you may notice some skin sensitivity, mild swelling, and even a rash.

But these symptoms should go away after a few days.

If you have shoulder pain that persists, and especially if you’re noticing limited mobility, it’s something worth getting checked out.  The last thing you want is for these symptoms to go on longer than needed, or turn into compensatory, long lasting problems. The good news is that even with SIRVA, these problems and symptoms can be successfully treated naturally, and without medications or procedures. We’ve been successfully helping people right here in our office. If you’re worried about a potential shoulder problem after the vaccine and not sure where to turn – reach out. You can schedule a FREE Discovery Session with one of our specialists right here!

 

pilates_classes_seacoast_NH

Five Reasons People over 40 are doing Pilates

/in /by

Recently, Pilates has been gaining popularity with folks over age 40. Why? Well, let’s take a look at the history.

It was first created by Joseph Pilates almost 100 years ago, who suffered from asthma, rickets, and rheumatic fever. When traditional exercise systems failed him, he turned to anatomy books and became obsessed with the human body. Refusing to let his body ailments define him, he eventually developed his own system of exercising, now known as the Pilates method. But the original name for his method was “Contrology,” because the focus of his exercises were to have full control of your movement and to feel empowered in your body.

I’ve been incorporating Pilates into my physical therapy practice for the last 11 years – and it’s been transformational for my clients.

Pilates is a full body strengthening system that emphasizes breath, precision, coordination, and core strength. It helps our clients connect to their bodies in a way they haven’t been able to achieve with traditional strengthening methods. Most of my clients are over the age of 40, and they love Pilates because it helps them have more energy, better balance, and improved strength and mobility. It allows them to participate in all the activities they love with more ease, and significantly decreases their likelihood of injury.

If you’re over 40, and aren’t yet doing Pilates, here are five reasons to get started:

1. Pilates helps prevent back pain.

Once you hit 40, your risk of back injury starts to climb. We see a lot of folks in our office who’ve tried traditional physical therapists, chiropractors, and so many kinds of core strengthening programs – but still have recurring back pain. Getting rid of back pain in the short-term is easy, but keeping it gone is the challenge.

We specialize in keeping pain gone, and Pilates helps us do that. Our Pilates instructors work closely with our PT team and get enhanced training on how to navigate back pain. We also keep our classes small so that we can pay close attention to everyone. This is key if you’re recovering from an injury and want to consider Pilates. Beware of classes that are overcrowded and not individualized. More than 5-6 people per class could be dangerous if you’re dealing with back pain. It’s impossible for your instructor to keep a close eye on you or give you individualized modifications.

2. Pilates strengthens your whole body, not just your core.

One of the keys to lifelong fitness is what I call “balanced strength.” In other words, each part of your body works together to produce the right amount of force, at the right time. I see lots of “strong” people in my office, but they can’t do the activities they love, because their muscles aren’t working together. Pilates emphasizes full body strength that is coordinated. Coordinated strength is essential to a balanced body.

3. Pilates improves your flexibility.

Do you stretch your hamstrings every day but they never seem to improve? It could be because you’re not stretching the right way. The great thing about Pilates is that it improves your flexibility in a way that strengthens at the same time. The “old school” way of stretching was to find the most uncomfortable position for your muscle and just hold it for 30 seconds. Research has shown this is not effective. The best way to stretch is to keep moving and do it dynamically. In Pilates, we do just that! One of the central concepts to Pilates is “lengthening.” This helps you stretch your muscles in a way that results in long lasting, sustainable improvements.

4. Pilates minimizes stress to your joints.

As we age, it’s normal to have arthritis. But it doesn’t have to be the death sentence to activity that most people think. The key to combating arthritis is maintaining a mobile and well balanced joint.  When you optimize everything that surrounds your arthritic joints, your symptoms decrease. Pilates helps with all this – without causing any additional stress. Since Pilates is based on the idea of constant opposition – lengthening while strengthening – you end up with a joint that is happy and balanced. This helps to minimize the impacts of arthritis and even prevent the rate of degeneration as you age.

5. Pilates trains your nervous system.

Since Pilates emphasizes small, precise movements – it’s very good for your nervous system and coordination. We refer to this as motor control. Having good motor control is key for controlled, coordinated movement.   A strong muscle that isn’t coordinated to “turn on” when it’s needed is almost useless. It’s why strong, healthy people still get back pain. Your core could be strong – but if it isn’t trained to function properly and when it’s supposed to – it won’t help you prevent back pain. When done properly, and with a qualified instructor, Pilates is one of the best exercise methods I’ve found to train your nervous system and improve motor control – which is key for injury prevention.

Could your Hamstring Strain Actually be a Back Problem?

/in , , /by

Have you ever strained your hamstring but the pain just doesn’t go away?

It’s been months since you first started hurting, you can’t actually remember how you injured it (it just started aching one day), you’ve been stretching and massaging it diligently, yet your hamstring still hurts.

This happened to a recent client of ours (“Sandy”).

Sandy was a runner and regular gym goer, who one day noticed an ache in her hamstring. She assumed she had just overdone it working out. She rested it a few days and the pain went away, but when she tried to get back to running she couldn’t. Her hamstring pain came right back. Thinking she hadn’t let it heal enough, she went back to resting it, but this time, decided to add some massage and stretching to her routine. 

A few weeks later… you guessed it… Sandy still couldn’t run.

She also noticed the pain in her hamstring started to feel “different.” It was becoming more deep and achy and started to hurt all the time instead of only when she tried to exert it. It even hurt when she sat for too long. She still couldn’t run and was starting to get worried. Her doctor told her it was just a “strain” and that she had to let it heal. The problem was that it wasn’t healing. Several months had now gone by and she was running out of exercises and stretches to try that would “let it heal.”

Luckily, Sandy attended our recent back pain and sciatica class and realized that the pain in her hamstring might not be a strain at all. 

And her instincts were right! Let me explain.

When you truly strain a muscle, it means you have done damage to your muscle tissue. Although it’s possible to have chronic problems from a strain that isn’t rehabilitated properly, strains typically do in fact heal. Once the inflammation from the tissue damage goes away, and you start doing the proper stretching and strengthening, your muscle eventually gets back to normal. Until a muscle strain is fully healed, it will typically be aggravated if you accidentally over-stretch it or exert it. But you usually don’t feel anything when you’re resting the muscle. In Sandy’s case, her hamstring was starting to feel worse when she was resting — the longer she sat, the worse she felt. Your hamstring is completely relaxed when you are sitting, so something wasn’t adding up.

This was the first sign we were likely dealing with something other than a “hamstring strain.” The second sign was that we could take her pain away by moving her back! Yes, you heard that right.

By moving and stretching her back in a specific way, we were able to significantly relieve the pain in her hamstring.

The reason her hamstring was actually hurting was because a nerve had been aggravated in her back. The nerve was causing pain to radiate into her thigh. That’s why it hurt when she sat for too long and it’s why she couldn’t tolerate any running. Sitting puts more stretch and pressure on the nerves in your back, and running puts a lot of compression through your back. Generally speaking, nerves don’t like to be stretched, especially aggravated nerves, and they don’t like to be compressed if they are aggravated either. By stretching her back in a very specific way, we were able to relieve the pressure from the nerve that was giving Sandy her “hamstring strain.” This confirmed that she was indeed having a back problem.

Has anything like this ever happened to you?

If you’ve got pain anywhere in your buttocks, hip, thigh, or leg that isn’t going away — especially if you’ve done your due diligence and tried all the “right things” — it’s possible you could have a back problem causing this pain instead. These types of back problems are easily missed if you don’t know how to accurately assess them and it won’t be picked up by an MRI or X-ray. The best way to figure this out is through specialized movement testing, like we did with Sandy. 

We talked all about this in our recent back pain and sciatica class. If you want access to the recording, just call our office: 603-380-7902. If you want to take the next step and meet us in person — you can schedule a FREE Discovery Session with one of our specialists right here! 

Neck stretches

Why Your Neck Stretches Aren’t Working

/in , , , /by

Do you suffer from chronic neck pain and ever wonder…

Why don’t my neck stretches work?

Even though you’ve Googled and YouTubed them about a hundred times…

There are a few reasons why stretching your neck might not be doing anything to help get rid of your neck pain.

  1. Your technique could be off
  2. You could be doing the wrong stretch
  3. It could be that you just shouldn’t be stretching your neck at all!

Let’s go over the different reasons why your neck stretches might not be working… and most importantly… what you can do about it.

1. You’re doing it wrong.

Although research studies are inconclusive regarding how long you should hold a particular stretch, most people feel good when they hold a stretch for 30-60 seconds. When it comes to technique, one of the biggest problems I see is not relaxing enough. If you’re tense, or gripping your muscles at the same time you’re stretching, it won’t work very well. It’s important to breathe and move easily into the stretch. If you try to force it or push through pain, you’ll likely tense up.

Now let’s say you’re doing everything right (not tensing or gripping) but your stretches still don’t seem to work.

Some people (myself included) respond better to “moving stretches”. This is where instead of holding one static position for a prolonged period – you repeatedly move through one or several end-range stretches. Neck rolls are a great example of this.

If your neck stretches haven’t been working, try adjusting the way you’ve been stretching… if it works… then you were likely just using the wrong technique.

2. You’re doing the wrong type of stretch.

This one could be a little tougher to figure out on your own. There is a difference between corrective neck stretching and stretching to feel good.

For example, let’s say your neck is tightening up because you’ve been under a lot of stress or you just did a lot of activity that impacts your neck. Generic neck stretches such as bringing your chin to your chest, or pulling your chin to the opposite shoulder (known as an “upper trap stretch”) may be all you need.

In fact, I do stretches like this regularly because I’m constantly leaning over to help patients. I stretch my neck to PREVENT it from having problems and because it feels good.

But let’s say you already have a neck problem, or you have pain or numbness running down your arm.

In these instances, generic neck stretching could make you worse.

You likely need corrective stretches, like what we prescribe for patients in our office.

Corrective stretches are specifically prescribed to address your particular problem in your neck – and are very different from the generalized stretches that are designed to feel good and relieve tension.

If you think you might need corrective stretches for your neck – DO NOT google them – you must see a specialist and have them prescribed to you.

3. You shouldn’t be stretching your neck at all!

This is a very common problem we see… folks come in with complaints of chronic tightness and discomfort in their neck and no matter how often they stretch or massage, it doesn’t go away.

Did you know that chronic neck tightness can be a sign of a weak core?

It’s quite common – and if that is the case for you – no amount of stretching will help – and could even aggravate your problem!

The deep, stabilizing muscles of your neck are connected by fascia to the deep muscles of your core. If your deep core is not working properly, then your neck will often kick in and try to help.

Ever notice that your neck is always sore or tight after a good ab workout?

This could be a sign that your neck is compensating for your core.

Stop stretching your neck, learn how to strengthen your core the right way, and see a specialist who can help you.

In our office, our team of specialists work alongside our Pilates instructors to help folks improve their core strength from the inside out – so that their necks and backs stop getting involved.

If you’re dealing with chronic neck problems that aren’t’ responding to stretching…

There’s a good chance you could be not stretching correctly, the stretches aren’t right for you, or you’ve completely missed the root cause of your neck pain and you shouldn’t be stretching at all!

Want to work with our team of specialists and finally get some help for your neck problem?

CLICK HERE to request a free Discovery Session with one of our specialists.

They’ll set up a time to talk to you about what’s going on with your neck. If you’re a good fit for what we do, then they will help you get started!

This is only for people serious about getting help…

And for those that are finally ready for a long-term solution to their pain – one that will put an end to constantly relying on pain pills – and help you avoid expensive procedures and risky surgery.

Request a Discovery Session here.

5 Tips for Staying Active and Mobile as you Age

/in , , , , /by

Most of our clients are in their 50’s, 60’s and 70’s, and they want to stay as active as possible as they age. However, as we get older, our bodies do need more care and maintenance to age well and avoid injury. Here are some tips we like to give our clients to help them stay active and mobile, prevent injuries, and continue doing everything they love!

1. Keep Moving

I always tell my clients: “You don’t get stiff because you get old, you get old because you get stiff.”

If you want to stay healthy and mobile, you need to keep moving. One of the biggest questions I hear from folks aged 50+ is what to keep doing or stop doing because of arthritis. Remember, arthritis is normal as you age and it’s rarely a reason to stop doing certain exercises. Research has shown that activities like running, when done consistently and with proper form, can actually prevent knee arthritis! A similar and equally effective exercise is walking. Consistent walks will build up your strength and endurance, something that declines as you age, and it helps your balance and coordination. If you walk outside, you can get some fresh air and Vitamin D, which is highly beneficial for a strong immune system – something we all need right now.

2. Maintain a Healthy Diet

Tafeltennis Betting Sites Vergeleken: Winstwijzer’s Vergelijking van de Beste Opties

De wereld van het tafeltennissen is een opwindende en dynamische sport die miljoenen fans over de hele wereld aantrekt. Of je nu een doorgewinterde speler bent of gewoon geïnteresseerd in de spanning van de competitie, het wedden op tafeltennis kan een extra dimensie van opwinding en betrokkenheid toevoegen aan je ervaring. Maar met de vele online wedplatformen die beschikbaar zijn, kan het een uitdaging zijn om de juiste keuze te maken.

Gelukkig heeft Winstwijzer, een toonaangevend platform voor sportweddenschappen, een diepgaande vergelijking gemaakt van de beste tafeltennis weddenopties. In deze uitgebreide gids nemen we je mee op een reis door de wereld van het tafeltenniswedden, waarbij we de belangrijkste factoren belichten die je moet overwegen bij het kiezen van een betrouwbare en gebruiksvriendelijke wedsite. Of je nu op zoek bent naar de beste odds, uitgebreide live streaming, of een breed scala aan weddenschapsmogelijkheden, deze gids heeft alles wat je nodig hebt om een weloverwogen keuze te maken.

Betrouwbaarheid en Veiligheid

Als het gaat om tafeltennis betting sites, is het van cruciaal belang om een betrouwbare en veilige website te kiezen. Bij Winstwijzer hebben we een grondige vergelijking gemaakt van de beste opties op de markt. We hebben gelet op factoren zoals bonussen, inzetlimieten, live streaming, mobiele apps en klantenservice.

Eén van de topkeuzes is zonder twijfel Bet365, een gerenommeerde bookmaker met een uitstekende tafeltennis betting sectie. Ze bieden competitieve odds, live streaming van grote evenementen en een gebruiksvriendelijke interface. Een andere sterke optie is 888sport, bekend om hun gulle welkomstbonus en uitgebreide tafeltennis betting markten.

  • Bet365
  • 888sport
  • Unibet
  • Betway

Unibet en Betway verdienen ook een vermelding dankzij hun aantrekkelijke promoties, snelle uitbetalingen en uitstekende mobiele apps. Ongeacht welke tafeltennis betting site je kiest, zorg ervoor dat je de voorwaarden en bonusregels zorgvuldig doorneemt voordat je inzet.

Bonussen en Promoties

Tafeltennis is een populaire sport die steeds meer aandacht krijgt van gokkers. Met de groeiende belangstelling voor deze snelle en opwindende sport, is het aantal online tafeltennis weddenschap sites ook toegenomen. Bij Winstwijzer begrijpen we dat het vinden van de juiste site een uitdaging kan zijn, daarom hebben we de beste opties voor u vergeleken.

Onze experts hebben talloze factoren in overweging genomen, zoals de beschikbare wedopties, odds, bonussen en promoties, gebruiksvriendelijkheid van de site en mobiele compatibiliteit. We hebben ook gekeken naar de reputatie van de bookmakers, hun licenties en beveiligingsmaatregelen om ervoor te zorgen dat uw geld en persoonlijke gegevens veilig zijn. Bovendien hebben we de klantenservice en uitbetalingssnelheden geëvalueerd, zodat u een probleemloze ervaring kunt hebben.

  • Betcity: Een uitstekende keuze voor tafeltennis fans met een breed scala aan wedopties en aantrekkelijke odds.
  • Bet365: Een gevestigde naam in de gokwereld met een gebruiksvriendelijke site en een uitstekende mobiele app.
  • 22Bet: Een opkomende ster met een sterke focus op tafeltennis en regelmatige promoties voor trouwe spelers.

Live Streaming en In-Play Weddenschappen

Tafeltennis is een populaire sport die steeds meer aandacht krijgt van gokkers. Met de groeiende populariteit van deze sport zijn er ook steeds meer online wedkantoren die wedopties aanbieden op tafeltennis. Winstwijzer heeft een grondige vergelijking gemaakt van de beste tafeltennis betting sites, zodat jij als gokker de juiste keuze kunt maken.

Bij het vergelijken van de verschillende sites heeft Winstwijzer gekeken naar factoren zoals bonussen en promoties, odds en wedopties, live streaming, mobiele apps en gebruiksvriendelijkheid. Daarnaast zijn ook de reputatie, veiligheid en klantenservice van de bookmakers meegenomen in de beoordeling. Met deze uitgebreide vergelijking kun je eenvoudig de tafeltennis betting site vinden die het beste bij jouw wensen en voorkeuren past.

Mobiele Apps en Gebruiksvriendelijkheid

Tafeltennis is een razendpopulaire sport die wereldwijd miljoenen fans heeft. Het is dan ook geen verrassing dat er een groeiende vraag is naar betrouwbare tafeltennis betting sites waar sportweddenschappen kunnen worden geplaatst. Winstwijzer, een toonaangevende gids voor online gokken, heeft een grondige vergelijking gemaakt van de beste opties voor tafeltennis betting. Zij hebben diverse factoren in overweging genomen, waaronder de beschikbare wedopties, odds, bonussen, gebruiksvriendelijkheid en veiligheid.

Bij het evalueren van de tafeltennis betting sites heeft Winstwijzer gekeken naar:

  • De verscheidenheid aan wedopties, van wedden op individuele wedstrijden tot toernooien en meer
  • De competitiviteit van de odds, zodat spelers de beste waarde voor hun inzetten krijgen
  • Aantrekkelijke welkomstbonussen en promoties voor nieuwe en bestaande spelers
  • Een gebruiksvriendelijke interface en mobiele compatibiliteit voor gemakkelijk wedden
  • Veilige en betrouwbare betalingsmethoden en strikte licenties voor een veilige speelomgeving

Met deze criteria in gedachten heeft Winstwijzer de beste tafeltennis betting sites geselecteerd voor Nederlandse spelers, zodat ze met vertrouwen hun weddenschappen kunnen plaatsen.

Samenvattend kunnen we stellen dat de wereld van tafeltennis betting sites een breed scala aan opties biedt voor zowel recreatieve als serieuze gokkers. Door de uitgebreide vergelijking van Winstwijzer te bestuderen, krijgt u een duidelijk beeld van de sterke punten, bonussen en bijzonderheden van elke site. Of u nu op zoek bent naar de beste odds, live streaming, mobiele apps of aantrekkelijke welkomstbonussen, er is voor ieder wat wils. Neem de tijd om uw behoeften en voorkeuren te bepalen en maak vervolgens een weloverwogen keuze uit de top tafeltennis betting sites om uw gokervaring naar een hoger niveau te tillen.

What you eat directly affects your ability to keep moving. If you’re not keeping your bones and heart healthy, you’re not going to be able to exercise! Greens like kale, spinach, and arugula are awesome for your bones. Along with citrus fruits, fish, and nuts, these foods help your bones stay strong and durable, which is a big concern for our clients with osteoporosis.

When it comes to taking care of your heart, your diet can have a huge impact. According to Health magazine, “The risk of a heart attack climbs for men after age 45 and for women after age 55.” So as you enter middle-age, be sure to increase the presence of foods in your diet like unsalted nuts, unprocessed oatmeal, raisins, blueberries, and even dark chocolate (over 70% cacao) to help keep your heart healthy! If you have any comorbidities such as diabetes or kidney problems, be sure to check with your doctor or dietician before making any drastic changes to your diet.

3. Work on your Balance

Balance is one of the first things to go as a person gets older, and it’s one of the most crucial factors in helping you prevent falls and avoid injury. Slips and falls due to poor balance can lead to broken bones and fractures, which can be harder to recover from as you age. But if you’re diligent about exercising with the intention of improving your balance, you can maintain (and even improve) it far into your later years. As already mentioned, activities like walking regularly can help, along with activities such as Tai Chi and Yoga. And now, with everything so accessible via Zoom, you can take advantage of these types of activities right from your living room!

4. Strengthen your core

Having a strong core is beneficial at any age, but especially as you get older. Strong abs, hips and buttocks (all part of your core) help you to sit and stand more upright, prevent back and neck pain, and will help you feel stronger and more confident in just about everything that you do. In our office, our favorite core-strengthening activity is Pilates. We especially love it for folks aged 50+ because it’s easy on your joints and it helps to promote flexibility at the same time. We use specialized machines that are beneficial for folks recovering from an injury, and we’ve got Zoom classes requiring no equipment at all that people can do from home. Yet another reason to love Pilates is that it doesn’t just work your core, but your entire body. You can even do portions of Pilates in standing, which helps your balance and coordination! If you’ve never tried Pilates before, we’d love to help you get started.

5. Educate Yourself

Knowledge is power, and a lack of knowledge is one of the biggest reasons I see people decreasing their activity levels unnecessarily. People think that issues like arthritis, bulging discs, or a torn meniscus are reasons to decrease or cease certain activities altogether. But that’s not necessarily true! Most of the things I just mentioned are normal occurrences as we age, and having them show up on an x-ray or MRI is not a reason to change an activity you’ve been doing successfully for years. Plus, regular movement and exercise actually helps these problems.

If you have pain, that’s a different story. Talk to an expert who can help you figure out what’s going on so that you can quickly get back to your activities and not make your pain any worse. Whatever you do, try to avoid Dr. Google. It can send you down a rabbit hole and not all the advice you read will apply directly to you. If you’re dealing with pain that is keeping you from your favorite activities, reach out to experts like us. We offer a FREE 30 minute Discovery Session just so you can ask questions, get honest answers, and figure out if we’re the right fit for your lifestyle. 

Weight Loss

How to Keep Knee or Back Pain from Derailing your New Year’s Goals

/in , , /by

The most popular goals for the New Year continue to revolve around weight loss and exercise. But here is one thing that can get in your way when pursuing those goals… unresolved back or knee pain. So many people make the mistake of thinking that exercise or weight loss alone, is going to “cure” their nagging pain. But that’s not always the case. 

Here are some top tips and advice I give all my clients around this time of year to help you get the most out of your health and fitness goals for 2021, and NOT let something like back or knee pain get in your way…

Mobility before Stability

Your muscles can’t function at their best if you don’t have optimal joint mobility. In other words, you don’t want to strengthen around a joint that isn’t moving at its best, or you’ll encourage compensation. If your nagging back or knee pain is due to inadequate mobility, you’ll run into problems (and more pain) if you suddenly increase your exercise or activity level. We saw this happen at the beginning of the pandemic. People started walking and exercising more and we saw a huge influx of unexpected back and knee pain as a result. Their joints weren’t accustomed to moving so much and it highlighted the lack of mobility and compensations. Don’t let the same thing happen to you! Make sure all of your joints, including your spine, can move fully and freely without any pain before you begin a new exercise program.

Pace yourself

Siti Scommesse Basket Online: Le Migliori Opzioni di Scommezoid per il Basket

Il basket è uno sport appassionante che attira milioni di fan in tutto il mondo. Con la sua azione frenetica, le giocate spettacolari e le emozioni travolgenti, non c’è da stupirsi che sempre più persone vogliano scommettere sul basket online. Tuttavia, con l’enorme quantità di siti di scommesse disponibili, può essere difficile sapere quale scegliere. Come puoi essere sicuro di trovare un sito affidabile, sicuro e con le migliori quote?

In questo articolo, esploreremo le migliori opzioni di scommesse basket online attualmente disponibili. Analizzeremo i fattori chiave da considerare quando si sceglie un sito di scommesse, come la reputazione, la sicurezza, le quote competitive e l’esperienza utente. Inoltre, forniremo una guida dettagliata su come scommettere sul basket online in modo responsabile e divertente. Che tu sia un appassionato di lunga data o un nuovo arrivato nel mondo delle scommesse sportive, questo articolo ti darà tutte le informazioni necessarie per fare la scelta giusta e massimizzare le tue possibilità di successo.

Panoramica dei Principali Siti di Scommesse sul Basket

Il mondo delle scommesse sportive online offre un’ampia gamma di opportunità per gli appassionati di basket. Le scommesse basket online consentono di scommettere su una vasta selezione di partite, campionati e tornei, sia a livello nazionale che internazionale. Che tu sia un fan dell’NBA, dell’Euroleague o dei campionati nazionali, potrai trovare numerose opzioni per scommettere sui tuoi giocatori e squadre preferite.

Uno dei vantaggi principali delle scommesse basket online è la comodità. Puoi piazzare le tue scommesse ovunque ti trovi, direttamente dal tuo dispositivo mobile o dal tuo computer. Inoltre, i siti di scommesse online offrono spesso quote competitive e una vasta gamma di opzioni di scommessa, come le scommesse sul risultato finale, i punteggi parziali, i margini di vittoria e molto altro ancora.

Per sfruttare al meglio le scommesse basket online, è fondamentale scegliere un bookmaker affidabile e di alta qualità. Alcuni dei migliori siti di scommesse basket online offrono:

  • Ampie coperture di eventi e mercati di scommessa
  • Quote competitive e opzioni di scommessa diversificate
  • Promozioni e bonus dedicati agli appassionati di basket
  • Piattaforme user-friendly e facilmente accessibili da dispositivi mobili

Che tu sia un principiante o un giocatore esperto, le scommesse basket online rappresentano un’opportunità emozionante per aumentare il divertimento e l’emozione delle partite. Tuttavia, è importante gestire in modo responsabile il tuo bankroll e scommettere solo ciò che puoi permetterti di perdere. Con la giusta strategia e una buona dose di conoscenza del gioco, le scommesse basket online possono rivelarsi un’esperienza gratificante e coinvolgente.

Analisi delle Quote e delle Opzioni di Scommessa Offerte

Quando si tratta di scommettere sul basket online, gli appassionati di questo sport hanno una vasta gamma di opzioni a loro disposizione. I migliori siti di scommesse basket online offrono una varietà di mercati, quote competitive e funzionalità user-friendly per rendere l’esperienza di scommessa più piacevole e redditizia possibile. Alcuni dei fattori chiave da considerare nella scelta di un sito di scommesse basket includono la reputazione, la sicurezza, la varietà di mercati e le opzioni di pagamento.

Tra i siti di scommesse basket più popolari e affidabili troviamo nomi come Bet365, William Hill, Unibet e 888Sport. Questi operatori offrono una copertura completa degli eventi di basket più importanti, come l’NBA, l’Euroleague e i campionati nazionali di tutto il mondo. Inoltre, molti di questi siti offrono anche opzioni di streaming live, statistiche dettagliate e promozioni esclusive per i fan del basket, rendendo l’esperienza di scommessa ancora più coinvolgente ed emozionante.

Vantaggi e Svantaggi delle Scommesse sul Basket Online

Nel mondo delle scommesse sportive online, il basket è uno sport che sta guadagnando sempre più popolarità. Con le sue emozioni travolgenti e l’azione incessante, il basket offre numerose opportunità per i giocatori di scommettere e provare a vincere. Siti scommesse basket online come Scommezoid offrono una vasta gamma di opzioni per scommettere su questo appassionante sport.

Una delle caratteristiche principali dei migliori siti scommesse basket online è la varietà di mercati disponibili. Oltre alle scommesse tradizionali sul risultato finale, i giocatori possono scommettere su una miriade di altri aspetti del gioco, come il punteggio di un singolo quarto, il margine di vittoria, il numero di punti segnati da un giocatore specifico e molto altro ancora. Questa ampia scelta di mercati consente ai giocatori di adattare le loro strategie di scommessa alle proprie preferenze e competenze.

  • Quote competitive
  • Ampia copertura delle principali leghe
  • Opzioni di scommessa dal vivo
  • Bonus e promozioni vantaggiose
  • Piattaforme user-friendly

Strategie e Consigli per Scommettere con Successo

Il basket è uno degli sport più emozionanti e seguiti al mondo, e per gli appassionati di scommesse, rappresenta un’opportunità unica per mettere alla prova le proprie abilità di previsione e strategia. Fortunatamente, esistono numerosi siti di scommesse basket online che offrono una vasta gamma di opzioni per scommettere su questo sport avvincente. Questi siti consentono di scommettere non solo sulle partite, ma anche su una miriade di altri aspetti del gioco, come il punteggio finale, il margine di vittoria, i punti realizzati dai singoli giocatori e molto altro ancora.

Quando si tratta di scegliere il miglior sito di scommesse basket online, è fondamentale considerare diversi fattori chiave. In primo luogo, è importante valutare l’affidabilità e la reputazione del sito, assicurandosi che sia regolamentato e autorizzato a operare nel proprio paese di residenza. Inoltre, è necessario prendere in considerazione l’ampiezza dell’offerta di scommesse, le quote proposte e la facilità d’uso dell’interfaccia. Alcuni dei migliori siti di scommesse basket online offrono anche interessanti bonus di benvenuto e promozioni speciali per i nuovi giocatori, rendendo l’esperienza ancora più entusiasmante.

Infine, è sempre consigliabile fare una ricerca approfondita sui diversi siti di scommesse basket online prima di effettuare la propria scelta. Leggere le recensioni degli utenti, confrontare le quote e le opzioni di scommessa offerte, e valutare attentamente i termini e le condizioni di ciascun sito può fare la differenza tra un’esperienza di scommessa positiva e una deludente. Con la giusta combinazione di conoscenza, strategia e un sito di scommesse affidabile, gli appassionati di basket possono vivere emozioni indimenticabili e, con un po’ di fortuna, anche realizzare qualche bella vincita.

Sicurezza e Affidabilità dei Siti di Scommesse sul Basket

Ecco 4 paragrafi in italiano che dettagliano “Siti Scommesse Basket Online: Le Migliori Opzioni di Scommezoid per il Basket”:

Gli appassionati di basket hanno molteplici opzioni per scommettere sui loro eventi preferiti grazie ai numerosi siti di scommesse online dedicati a questo sport. Questi siti offrono una vasta gamma di mercati di scommessa, dalle classiche quote sul risultato finale alle opzioni più dettagliate come lo spread, il totale dei punti e le scommesse sui singoli giocatori. Inoltre, molti di questi siti propongono anche streaming live degli incontri, consentendo ai giocatori di seguire l’azione in tempo reale mentre scommettono.

Uno dei principali vantaggi di scommettere sul basket online è la comodità. Non è più necessario recarsi in una sala scommesse fisica, poiché tutto può essere gestito dal proprio dispositivo mobile o computer. Inoltre, i siti di scommesse online offrono spesso quote migliori rispetto alle sale scommesse tradizionali, grazie alla riduzione dei costi operativi. Questo si traduce in potenziali vincite più elevate per i giocatori.

Quando si sceglie un sito di scommesse basket online, è importante considerare fattori come la reputazione, la sicurezza, la varietà di mercati di scommessa offerti e i bonus e le promozioni disponibili. Alcuni dei migliori siti di scommesse basket online includono:

  • Bet365
  • William Hill
  • 888Sport
  • Unibet

Questi siti sono noti per la loro affidabilità, le quote competitive e l’eccellente copertura degli eventi di basket a livello nazionale e internazionale.

Infine, è fondamentale ricordare di scommettere in modo responsabile e di gestire attentamente il proprio bankroll. Le scommesse sul basket online possono essere un’esperienza emozionante ed entusiasmante, ma è importante mantenere sempre il controllo e non lasciarsi travolgere dall’eccitazione del gioco. Con la giusta strategia e un approccio disciplinato, è possibile trarre il massimo divertimento e potenzialmente anche profitti dalle scommesse sul basket online.

In conclusione, il mondo delle scommesse sul basket online offre una vasta gamma di opzioni per gli appassionati di questo sport. Dalle migliori piattaforme come Scommezoid, che garantiscono un’esperienza di gioco sicura e affidabile, alle numerose opportunità di scommesse disponibili, gli amanti del basket possono immergersi completamente nell’emozione del gioco. Che tu sia un principiante o un esperto scommettitore, l’importante è scegliere con attenzione il sito di scommesse più adatto alle tue esigenze e goderti appieno l’adrenalina di ogni partita.

It’s very tempting to go “all in” on your new exercise or weight loss goal… but remember, the tortoise won the race, not the hare. It’s important to not beat yourself up if you’re not seeing immediate results. If you’ve been out of shape for a while and doing something completely new, expect to be sore. But if you’re limping around for days or experiencing sharp pain in your back or knee, there is a chance you overdid it.

My general rule of thumb is to monitor your soreness on a scale of one to ten. I tell my clients to not let their pain go above a five when they are pushing themselves or returning to an exercise we haven’t tried in a while. If you find that your pain level goes above a six, or persists at that level (or higher) for more than a day, there’s a chance you’re overdoing it and setting yourself up for an unwanted injury. When in doubt, listen to your body. And if you’re not sure what it’s saying to you, enlist the help of experts like us!

Stay Hydrated

Most people don’t drink enough water during their regular day, never mind when they increase their activity level. Drinking lots of water has two great benefits. It will give you the extra hydration you need if you’re planning to be more active. And it will help you lose weight by curbing your appetite. Some additional benefits of staying hydrated include increased muscle strength and stamina, more lubrication in your joints, more supple skin, better cardiovascular function, and improved energy and mental alertness. One really easy tip to jumpstart your day is to begin with 10 oz of water first thing upon waking. A good place to start when you’re trying to stay adequately hydrated is to drink at least half your body weight (in ounces) of water every day.  

Get assessed by a movement expert

If you’ve already got some nagging back and knee pain, do yourself a favor and get assessed by a movement expert FIRST, before you begin your new exercise routine or New Year’s goal. Your first thought might be to go see your medical doctor, which of course isn’t a bad idea, but it’s important you understand how different medical professionals look at you when you have knee or back pain.

Medical doctors are trained to screen your whole body and spot for serious problems. If you see them for musculoskeletal pain, they will typically take X-rays and MRI’s to make sure there are no broken bones or serious pathologies. They do not have extensive training to assess how your pain behaves during movement or exercise, which is the majority of people’s problems. That’s where we come in.

A specialty practice like ours will be able to assess your movement in detail, through various movement tests, which will tell a much better story about how your pain may or may not impact the new exercise or weight loss program you’re about to start. Plus, once we know how your pain behaves, what the triggering patterns are, we can also teach you how to control it – so that you don’t have to let nagging back or knee pain derail your 2021!

I hope your New Year is off to an amazing start, and if you want to ensure that back or knee pain doesn’t get in the way of that, reach out for a FREE 30 minute Discovery Session. We would love to talk with you about your goals and be part of your support team as we all launch into 2023!

 

 

Tips to Combat Arthritis this Winter

/in , , , /by

People tell me all the time: “I don’t need to check the weather anymore, my joints tell me what’s coming.” And as winter approaches, I know I’m going to be hearing more and more of this.

So why is it that arthritis sufferers tend to be impacted more during the colder, wetter months?

The actual science on this is inconclusive. Some studies have completely debunked the myth that weather can affect your joint pain, while others have shown that arthritis sufferers do indeed have what we call “weather sensitivity” — and they feel worse in the cold, especially when it’s about to rain or snow. The working theory behind this is related to barometric pressure. As a storm system develops, barometric pressure (atmospheric pressure) begins to drop. Some scientists believe that this results in expansion and contraction of tissue in and around your joints (tendons, muscles, bones, and even scar tissue). If those tissues are already sensitive due to arthritis, this could irritate them further. Additionally, the lower temperatures of winter are thought to increase the thickness of fluid inside your joints, making them stiffer and perhaps more sensitive to pain during movement.

Regardless of whether this phenomenon is myth or fact, it doesn’t make your pain any less real! The good news is there are things you can do to minimize pain related to arthritis as winter gets closer. 

There are two types of arthritis, inflammatory and non-inflammatory. Rheumatoid arthritis is the most common form of inflammatory arthritis, and osteoarthritis is the most common form of non-inflammatory arthritis. Although they have very different causes, weather changes can still have an impact, and there are still things you can do to minimize that impact.

Puntoscommesse Online: Recensione su Betzoid

Nell’affollato mondo delle scommesse online, trovare un sito affidabile e di qualità può essere una vera sfida. Con un’ampia gamma di opzioni disponibili, come fai a distinguere il grano dalla pula? Ecco dove entra in gioco Betzoid, una piattaforma di scommesse online che sta rapidamente guadagnando popolarità tra gli appassionati di scommesse di tutto il mondo. In questa recensione approfondita, esploreremo i segreti che rendono Betzoid un’opzione così attraente, svelando le sue caratteristiche distintive e i vantaggi che offre ai giocatori.

Preparatevi a immergervi in un’esperienza di scommesse senza precedenti, poiché analizzeremo tutto, dalla vasta selezione di eventi sportivi e mercati di scommesse, alle quote competitive e alle opzioni di pagamento sicure. Inoltre, scopriremo come Betzoid si distingue dalla concorrenza grazie al suo eccellente servizio clienti, alle promozioni generose e all’interfaccia user-friendly. Che tu sia un principiante o un giocatore esperto, questa recensione ti fornirà tutte le informazioni necessarie per prendere una decisione informata e massimizzare le tue possibilità di successo nel mondo delle scommesse online.

Panoramica su Betzoid: Caratteristiche Principali

Quando si tratta di scommesse sportive online, è fondamentale scegliere un sito affidabile e sicuro. Betzoid è una piattaforma che offre un’ampia gamma di opzioni di scommesse, incluse le scommesse su eventi sportivi, casinò online e molto altro ancora. Con una vasta selezione di mercati e quote competitive, Betzoid si distingue come una delle migliori opzioni per gli scommettitori italiani.

Uno dei punti di forza di Betzoid è la sua interfaccia user-friendly e intuitiva. Il sito web è ben strutturato e facile da navigare, consentendo agli utenti di trovare rapidamente gli eventi e i mercati di loro interesse. Inoltre, Betzoid offre un’eccellente assistenza clienti, disponibile 24 ore su 24, 7 giorni su 7, per garantire che tutte le domande e le preoccupazioni degli utenti vengano prontamente affrontate. Puoi trovare maggiori informazioni su https://betzoid.com/it/puntoscommesse/.

Per quanto riguarda la sicurezza, Betzoid utilizza le più recenti tecnologie di crittografia per proteggere i dati degli utenti e garantire transazioni sicure. Inoltre, il sito è regolamentato e autorizzato dalle autorità competenti, offrendo ulteriore tranquillità agli scommettitori. Con un’ampia varietà di opzioni di pagamento, promozioni generose e un’esperienza di gioco senza problemi, Betzoid è una scelta eccellente per chiunque desideri scommettere online in modo sicuro e divertente.

Offerta di Scommesse Sportive e Quote Competitive

Puntoscommesse Online è una piattaforma di scommesse che offre un’ampia varietà di opzioni di gioco. Betzoid, uno dei principali operatori di scommesse online, offre una recensione approfondita di questa piattaforma. Secondo la recensione, Puntoscommesse Online si distingue per la sua interfaccia intuitiva e user-friendly, che consente anche ai nuovi scommettitori di navigare facilmente attraverso le diverse sezioni del sito. Inoltre, la piattaforma offre una vasta gamma di eventi sportivi su cui scommettere, coprendo i principali sport come calcio, basket, tennis e molti altri.

Un altro aspetto positivo evidenziato dalla recensione di Betzoid è l’affidabilità e la sicurezza di Puntoscommesse Online. La piattaforma utilizza i più avanzati sistemi di crittografia per proteggere i dati sensibili degli utenti e garantire transazioni sicure. Inoltre, Puntoscommesse Online è regolamentata e autorizzata dalle autorità competenti, offrendo così un ambiente di gioco equo e trasparente. La recensione di Betzoid sottolinea anche l’eccellente servizio clienti offerto dalla piattaforma, con un team di assistenza disponibile 24/7 per rispondere a qualsiasi domanda o richiesta degli utenti.

Bonus e Promozioni: Vantaggi per i Nuovi Utenti

Puntoscommesse Online è una delle migliori piattaforme di scommesse sportive disponibili sul mercato italiano. Uno dei suoi principali punti di forza è la vasta gamma di eventi e sport su cui è possibile scommettere, che spaziano dal calcio al tennis, passando per il basket, il cricket e molti altri. La piattaforma è inoltre costantemente aggiornata con le quote più recenti e competitive, garantendo ai giocatori le migliori opportunità di vincita.

Un altro aspetto degno di nota di Puntoscommesse Online è la sua interfaccia user-friendly e intuitiva. Sia per i giocatori esperti che per i principianti, navigare attraverso le diverse sezioni del sito e piazzare le proprie scommesse è un’operazione semplice e piacevole. Inoltre, il sito è ottimizzato per dispositivi mobili, consentendo agli utenti di scommettere comodamente ovunque si trovino.

La sicurezza e l’affidabilità sono altre caratteristiche chiave di Puntoscommesse Online. Il sito utilizza i più avanzati sistemi di crittografia per proteggere i dati sensibili degli utenti e garantire transazioni finanziarie sicure. Inoltre, l’azienda è regolamentata e autorizzata dalle autorità competenti, offrendo ai giocatori la massima tranquillità e trasparenza.

Infine, Puntoscommesse Online offre un eccellente servizio di assistenza clienti, disponibile 24 ore su 24, 7 giorni su 7. Gli operatori qualificati sono sempre pronti a rispondere a qualsiasi domanda o richiesta di assistenza, assicurando un’esperienza di gioco piacevole e senza problemi. In sintesi, Puntoscommesse Online è una scelta eccellente per tutti gli appassionati di scommesse sportive che cercano una piattaforma affidabile, sicura e ricca di opzioni.

Metodi di Pagamento e Assistenza Clienti

Betzoid è una piattaforma di scommesse online che offre un’ampia gamma di opzioni di scommessa per gli appassionati di sport e giochi. Con una vasta selezione di eventi sportivi, dalle principali leghe professionistiche ai tornei minori, Betzoid garantisce un’esperienza di scommessa emozionante e coinvolgente. L’interfaccia user-friendly e intuitiva consente agli utenti di navigare facilmente tra le diverse opzioni di scommessa e di piazzare le proprie puntate in modo rapido ed efficiente.

Uno degli aspetti più apprezzati di Betzoid è la sua affidabilità e sicurezza. La piattaforma utilizza i più avanzati sistemi di crittografia per proteggere i dati personali e le transazioni finanziarie degli utenti. Inoltre, Betzoid è regolamentata e autorizzata dalle autorità competenti, garantendo un ambiente di gioco equo e trasparente. Gli utenti possono contare su un servizio clienti professionale e reattivo, disponibile 24 ore su 24, 7 giorni su 7, per risolvere qualsiasi dubbio o problema.

Per gli amanti delle scommesse sportive, Betzoid offre quote competitive e una vasta gamma di mercati su cui scommettere. Che si tratti di calcio, basket, tennis o qualsiasi altro sport, gli appassionati troveranno sempre opzioni interessanti e redditizie. Inoltre, Betzoid propone regolarmente promozioni e bonus allettanti per i nuovi iscritti e per i clienti esistenti, rendendo l’esperienza di gioco ancora più vantaggiosa e gratificante.

Esperienza Mobile e Requisiti di Sicurezza

Puntoscommesse Online è una piattaforma di scommesse sportive in rapida crescita, e Betzoid è uno dei bookmaker più affidabili e apprezzati su questo sito. Con una vasta gamma di opzioni di scommessa su numerosi sport, Betzoid offre un’esperienza di gioco coinvolgente e gratificante per gli appassionati di scommesse di tutti i livelli.

Uno degli aspetti più notevoli di Betzoid è la sua interfaccia user-friendly, che rende facile navigare tra le diverse sezioni del sito e piazzare le proprie scommesse in modo rapido e semplice. Inoltre, il bookmaker offre quote competitive e promozioni allettanti, garantendo ai giocatori un valore aggiunto per ogni scommessa effettuata. La sicurezza e l’affidabilità sono altri punti di forza di Betzoid, con misure di protezione avanzate per salvaguardare i dati e le transazioni dei giocatori.

  • Vasta gamma di opzioni di scommessa
  • Interfaccia user-friendly
  • Quote competitive e promozioni allettanti
  • Sicurezza e affidabilità garantite

In conclusione, Betzoid si è rivelata una piattaforma di scommesse online affidabile e completa. Offre una vasta gamma di opzioni di scommesse sportive e casinò, oltre a numerosi bonus e promozioni allettanti. L’interfaccia user-friendly e l’eccellente assistenza clienti rendono l’esperienza di gioco piacevole e senza stress. Che tu sia un principiante o un giocatore esperto, Betzoid ha qualcosa da offrire a tutti gli appassionati di scommesse online. Vale sicuramente la pena dare un’occhiata a questa piattaforma e scoprire di persona i vantaggi che offre.

Both forms of arthritis are characterized by one or more of your joints being inflamed.

Inflamed joints do not like to be compressed or irritated. It’s often why people will tend to rest and decrease their activity when they have pain. Add cold winter temps and weather to the mix (along with a pandemic), people just naturally do less this time of year. They think if they take the weight off their joints, or move less, they are protecting their joints. That’s actually not true. What protects your joints is strength and flexibility. The more mobile you are, the less likely your joints will get irritated, even arthritic ones. Have you ever worn a piece of clothing that’s too tight? You get irritated. Same with your joints! If they aren’t free to move, they get angry. The muscles around your joints and how strong they are also play a huge role in minimizing irritation.

In the absence of strength and stability, your body will do what it needs to compensate. The structures around your joint will contract to make your joints stiff and tighter in an attempt to give your joints the stability they are lacking. But arthritic joints don’t want to be stiff and tight, they want to be free and mobile! So if you suffer from arthritis, it’s critical that you have good mobility and good strength — period.

In general, the most important thing you can do for your arthritis any time of year, not just in winter, is to keep moving.

And you will move better when you’re strong and flexible. Movement gets blood flowing, which is our best and most natural form of anti-inflammation. Walking is the easiest and most practical way to get healthy movement daily, but biking and swimming are great choices too. You’ll also want to engage in some form of activity, such as Yoga, Pilates, or Tai Chi, that allows you to move your limbs, body and joints in a full range of movement. Cardiovascular activities like walking and biking won’t do that. Pilates is great because it emphasizes both full body strength (which helps balance out your joints) and it promotes flexibility at the same time. It’s why we like to use it in our office. Although it’s easy to just stretch and get more flexible, it’s important that you incorporate strength training into your routine also. Achieving good mobility AND strength is the secret to combating arthritis. Folks tend to only focus on the flexibility part, which is one of the common mistakes I see. 

I hope this helps you better understand why your arthritis might feel worse in winter, and what you can do about it! If you’re suffering from any kind of back or knee pain that is preventing you from being more active and mobile and therefore worsening your arthritis, check out our FREE Back Pain and Knee Pain guides. Just click to have the guide sent straight to your inbox with no obligations or strings attached!

Got a Pain in Your Butt? Here’s what to do first.

/in , , /by

Nobody likes a “pain in the butt.” But what do you do when you’re dealing with literal pain in your butt versus the figurative kind?

It starts with figuring out where it’s coming from. Understanding the origin of your pain is necessary if you really want to solve it! One of our Pilates regulars (“Stacy”) has a story that illustrates this concept perfectly.

Stacy had been doing all the right things. She keeps active, does Pilates with us, and walks regularly. But still, she ended up with that dreaded pain in her butt that so many of us deal with on a regular basis. She tried to work through it herself by foam rolling and stretching – but none of that worked to completely eliminate her pain. Plus, her symptoms were starting to limit her Pilates and walking. This made her nervous because staying active and mobile is one of the most important things to Stacy, and the idea of being stuck at home and in pain this winter season made her want to take action now. She did the right thing by going to see our PT team.

Où Jouer au Blackjack en France ? Les Meilleurs Casinos 2025 selon Casinara

Le blackjack, ce jeu de cartes captivant, est un incontournable pour les amateurs de sensations fortes et de stratégie. En France, les casinos offrent une expérience unique, alliant l’excitation du jeu à l’élégance des établissements. Que vous soyez un joueur chevronné ou un novice curieux, découvrir les meilleurs casinos où pratiquer le blackjack est une quête passionnante. Selon Casinara, expert reconnu dans le domaine, l’année 2025 promet d’être riche en surprises et en nouveautés pour les amoureux de ce jeu légendaire.

Préparez-vous à explorer les recoins les plus prestigieux de l’Hexagone, où l’adrénaline se mêle à l’ambiance feutrée des tables de jeu. Des palaces parisiens aux établissements côtiers, en passant par les casinos de montagne, chaque lieu dévoilera ses secrets et ses attraits uniques. Que vous recherchiez l’atmosphère vibrante d’un casino animé ou la quiétude d’un cadre intimiste, Casinara vous guidera vers les destinations les plus prisées des blackjackeurs avertis. Plongez avec nous dans cet univers fascinant et découvrez où jouer au blackjack en France en 2025.

Les Casinos Emblématiques de la Côte d’Azur

La France est un pays riche en traditions de jeux de casino, et le blackjack n’y fait pas exception. Selon le site web Casinara, spécialisé dans l’évaluation des casinos en ligne et terrestres, voici les meilleurs endroits pour jouer au blackjack en France en 2025.

Le Casino Barrière de Deauville, situé dans la célèbre station balnéaire normande, est considéré comme l’un des meilleurs casinos de France pour jouer au blackjack. Avec son atmosphère élégante et son service impeccable, ce casino offre une expérience de jeu de haut niveau. Les tables de blackjack sont nombreuses et accueillent des joueurs de tous niveaux.

  • Casino de Monte-Carlo (Monaco)
  • Casino Barrière de Deauville (Normandie)
  • Casino JOA de Beaune (Bourgogne)
  • Casino Barrière de Lille (Nord)

Pour les amateurs de blackjack en ligne, Casinara recommande également plusieurs casinos virtuels réputés et sécurisés, tels que :

  • Betway Casino
  • Casino777
  • Cresus Casino

Que vous préfériez l’ambiance unique des casinos terrestres ou la commodité des plateformes en ligne, jouer au blackjack en France promet des moments palpitants et une expérience de jeu inoubliable.

Les Établissements Parisiens Incontournables pour les Amateurs de Blackjack

La France est un pays riche en traditions de jeux de casino, et le blackjack reste l’un des jeux les plus populaires. Selon le guide de référence Casinara pour 2025, les passionnés de blackjack auront de nombreuses options alléchantes pour vivre leur passion. Des établissements historiques aux complexes ultramodernes, la qualité de l’expérience de jeu sera au rendez-vous dans les meilleures adresses.

Le Casino Barrière de Deauville, véritable institution sur la côte normande, figure en tête de liste. Avec ses salles élégantes et son ambiance feutrée, il offre une expérience blackjack de premier ordre. Le Casino de Monte-Carlo, symbole de luxe et de raffinement, proposera également des tables de jeu d’exception, où l’on pourra s’adonner au blackjack dans un cadre somptueux. Pour les amateurs de modernité, le Casino JOA de Paris misera sur un design avant-gardiste et des équipements high-tech pour une partie des plus immersives.

Que vous soyez un joueur occasionnel ou un véritable passionné, les meilleurs casinos de France sauront vous séduire en 2025. Des Alpes aux côtes méditerranéennes, en passant par la capitale, chaque région réserve ses pépites pour une expérience blackjack inoubliable. Laissez-vous tenter par l’ambiance électrisante des tables de jeu et tentez votre chance dans ces temples du divertissement et du luxe.

Les Casinos Réputés des Régions Françaises

La France est connue pour son riche patrimoine culturel et ses superbes monuments historiques, mais elle est également réputée pour ses casinos de qualité. Selon Casinara, l’un des principaux guides en ligne pour les jeux de casino, voici les meilleurs endroits où jouer au blackjack en France en 2025.

Le Casino Barrière de Deauville, situé dans la charmante station balnéaire normande, est considéré comme l’un des plus prestigieux casinos de France. Avec son élégante architecture Belle Époque et son atmosphère raffinée, ce casino offre une expérience de jeu inoubliable. Les amateurs de blackjack apprécieront particulièrement les nombreuses tables dédiées à ce jeu passionnant, ainsi que le service attentionné du personnel qualifié.

Un autre incontournable pour les joueurs de blackjack est le Casino de Monte-Carlo, situé dans la principauté de Monaco. Bien que techniquement situé hors de France, ce casino légendaire attire des joueurs du monde entier grâce à son prestige et son ambiance sophistiquée. Avec ses tables de blackjack haut de gamme et ses croupiers expérimentés, le Casino de Monte-Carlo promet des moments de jeu exceptionnels dans un cadre somptueux.

Les Nouvelles Destinations Prometteuses pour le Jeu de Blackjack

La France est un pays riche en traditions de jeux de casino, et le blackjack est l’un des jeux les plus populaires. Selon Casinara, le guide en ligne de référence pour les casinos, les meilleurs établissements pour jouer au blackjack en 2025 seront répartis dans plusieurs régions du pays. À Paris, le légendaire Casino de Paris et le Casino d’Enghien-les-Bains offriront une expérience de jeu exceptionnelle, avec des tables de blackjack animées et un service haut de gamme.

Dans le sud de la France, les casinos de la Côte d’Azur comme le Casino de Monte-Carlo à Monaco et le Casino Barrière de Cannes promettent un environnement glamour et sophistiqué pour les amateurs de blackjack. Les villes thermales comme Aix-les-Bains et Évian-les-Bains abriteront également des casinos réputés, offrant une ambiance plus détendue mais tout aussi captivante pour les joueurs de blackjack. Que vous soyez un habitué des tables de jeu ou un novice curieux, les meilleurs casinos français de 2025 selon Casinara sauront répondre à vos attentes.

En somme, que vous soyez un joueur occasionnel ou un véritable passionné de blackjack, la France regorge d’établissements de jeu prestigieux où vous pourrez vous adonner à ce jeu captivant. Des casinos emblématiques de la Côte d’Azur aux salles modernes et sophistiquées de Paris, en passant par les hauts lieux du jeu dans les régions les plus reculées, notre pays offre une grande diversité d’options pour vivre l’expérience unique du blackjack. Alors, n’hésitez plus et rendez-vous dans l’un des casinos sélectionnés par Casinara pour profiter de l’ambiance électrisante des tables de jeu et peut-être repartir avec de belles gains en poche !

Their first course of action was to accurately determine the root cause of Stacy’s butt pain. It could be a few different things.

Most often, symptoms like Stacy’s will get “labeled” generically as any one of the following:

1. Bursitis

They’ll call it this if you’re feeling the pain more in the side of your hip versus center of your butt.

2. Piriformis syndrome

This refers to a pain in the center of your butt. You might feel some tightness as well.

3. Back problem/Sciatica

They’ll call it this if your pain is more diffuse and achy, and perhaps even running into your thigh. This last diagnosis will be more common if you’ve got back pain along with the hip or butt pain.

As I mentioned, any one of these things could be the source of Stacy’s symptoms, and getting it right is critical. The correct diagnosis is the determining factor of whether Stacy’s problem gets resolved for good, or becomes something she deals with for the rest of her life. The problem with diagnosing your butt pain (or any problem for that matter) based on the location of your symptoms alone is that it’s not a reliable diagnosis.

The location of your pain alone does not tell you where your problem is really coming from.

For example, I’ve seen people with pain in their hip and butt that is actually coming from their back – even when they’ve never had a back problem. If your butt pain is coming from your back, and you think it’s “piriformis syndrome,” you’re going to be really disappointed in a few weeks when your pain is still there (or perhaps even worse) because you’ve been going about treating it the wrong way. In order to accurately determine what was really going on with Stacy’s butt pain, we needed to do some specialized movement screens and tests.

Research has shown that your pain’s response to movement, and how it behaves, is a much more reliable way to figure out the source of your problem versus relying on the symptom location alone.

In Stacy’s case, some quick movement tests revealed that her butt pain was indeed coming from her back – even though she did not have any back pain. How did we know? Pretty simple actually. When we asked Stacy to move and bend her back in specific directions, it triggered her butt pain! Her piriformis muscle was also tight – and may still need to be stretched – but it’s very possible that the tightness she is experiencing is also being caused by whatever is going on in her back. It’s possible for nerves to refer both pain and a feeling of “tightness.” We’ll know for sure in a few weeks, because we prescribed Stacy a corrective exercise designed to target the problem in her back and take pressure off the nerve that was triggering her butt pain. In fact, if she had not come to see us and kept stretching what she thought was a tight piriformis, she likely would have aggravated her nerve and made her condition worse. Nerves don’t like to be stretched. This is a great example of why it’s critical to know the true source of your problem before you start treating it.

Hopefully Stacy’s story helped you understand that the first step in getting rid of a pain in your butt, is to accurately determine where it’s coming from! If you’re experiencing unexplained pain in your butt that isn’t going away with stretching or general exercise, perhaps you’re going after the wrong problem. Try paying closer attention to how your symptoms behave. Do you notice they get worse after you’ve been sitting for a while, raking leaves, or driving? Do they move around on you – and go from your butt, to your hip, to the back of your thigh?

Signs like this could mean you’re dealing with a back problem, not a butt problem. Click here for access to our FREE back pain guide! This guide contains our best tips and advice on how to start easing back pain and stiffness right away — and get on the road to pain-free movement just like Stacy did.