Cover Story
Top: David Bragg, M.D., once ignored a warning twinge in his ankle, and 30 minutes later he was debilitated by an Achilles tendon rupture.
Below:
Michael Patterson had surgeons at Baylor Regional Medical Center at Grapevine repair his fractured shoulder with a metal plate and seven screws after he took a spill over the handle bars a bike.
Generation Boomeritis
Here's how to dodge the aches and injuries that can plague baby boomers.
Sure, you remember the way you could stretch a single into a double, smash an unstoppable serve over the net or fast-break for an easy two points. But let's face it, you also can remember TVs without remotes, rotary phones and gasoline lines.
Push your body to the lengths it used to go, and you'll have as much success as you would getting your car to run on leaded gas.
The youngest baby boomers are turning 43 this year, and like it or not their bodies are showing the signs of age. But you're not relegated to a rocker. These tips can help you keep exercising without injury.
The rule of 10. People often try to do too much too fast. "Follow the American Academy of Orthopaedic Surgeons' 10 percent rule," says Christopher Siodlarz, M.D., a physiatrist on the medical staff at Baylor University Medical Center at Dallas. "Increase your activity by no more than 10 percent a week. That applies to strength training as well as aerobic exercise."
Where's your weight? If you're like most boomers, you have 20 or 30 pounds on your frame that weren't there when you were younger. "Extra pounds put an extra strain on your joints and body," says David Bragg, M.D., a family practice physician on the medical staff at Baylor Medical Center at Garland. Decrease the weight as you increase your fitness level to help prevent injury.
The '70s are so yesterday. Do what you can do now, not what you could do then. Dr. Bragg, now 50, used to play competitive tennis. "In my mind I'm still good," he says. "Out on the court, I tell myself to take it easy, but when it comes down to it I overdo it."
Get with the program. Doctors see boomers who haven't done anything for months go out and play softball or tennis at 100 percent. It's better to get in shape with a consistent exercise routine before sprinting to first.
Listen to your body. Dr. Bragg once ignored a warning twinge in his ankle, and 30 minutes later he was debilitated by an Achilles tendon rupture that left him in a cast and on crutches for three months and recovering for a year. If something doesn't feel right, ease up and see your primary care physician or a physiatrist, who may order tests and then prescribe physical therapy for a pulled muscle or to strengthen weakened areas of the body.
Give up the cigarettes. Smoking is a risk factor in injuries such as rotator cuff tears, says Marcus Roux, M.D., an orthopaedic surgeon on the medical staff at Baylor Medical Center at Waxahachie. Additionally, smoking can hinder healing.
Accidents happen. Dr. Roux says he sees boomers with meniscus tears, ligament injuries and rotator cuff tears. "These injuries are mostly accident-related, whether it's stepping off a step wrong in aerobics class or stepping off a curb wrong," he says.
Michael Patterson, 49, can attest to that. He was returning from a post-Christmas bike ride with his two sons when he collided with the youngest. A sudden stop sent Patterson over the handlebars. "I was fairly athletic growing up, so I knew to tuck and roll, but I heard some cracks." Surgeons at Baylor Regional Medical Center at Grapevine repaired his fractured shoulder with a metal plate and seven screws. It may take him a year to fully recover.
With a good strength training program, aerobic exercise and a flexibility regimen, and a healthy body weight, you'll be best able to recover if the unexpected happens to you.
By Stephanie Thurrott
To the Max?
If you're a boomer, you're likely reaching an age where aches and pains linger a bit longer. If your knees and hips cause you constant pain, you may be a candidate for joint replacement. Talk to your doctor about minimally invasive techniques. Steven Sanders, M.D., an orthopaedic surgeon on the medical staff at Baylor Medical Center at Irving, says, "Previously, various tendons and muscles had to be cut to access the joint. Now we're able to work around them through new instrumentation." Here's how some common minimally invasive procedures stack up against their traditional counterparts.
| |
Minimally invasive |
Traditional |
| Hip |
|
|
| Incision length |
3 to 4 inches |
up to 12 inches |
| Hospital stay |
2 to 3 days |
4 to 7 days |
Initial recovery |
2 to 3 weeks |
10 to 12 weeks |
| Knee |
|
|
| Incision length |
4 to 6 inches |
8 to 12 inches |
| Hospital stay |
2 to 3 days |
4 to 7 days |
| Initial recovery |
2 to 3 weeks |
10 to 12 weeks |
Get Off the Disabled List
If you've sustained a sports injury or have undergone joint replacement surgery, no doubt you want to get back to your normal routine as quickly as possible. Fortunately, you can do just that—with the right physical therapy prescription and a lot of commitment.
But before you jump into anything, remember that a key component of recovery is patience in understanding your body and the nature of healing. "Remember, it takes the body longer to heal at 50 than at 20," says Gwen Chapman, P.T., a physical therapist on staff at Carter Rehabilitation and Fitness Center. "And don't think the pain will just go away on its own just like that. Seek professional medical attention and the proper rehabilitation facility that specializes in sports medicine."
Once you've found a program you're comfortable with, stick with it. "Physical therapy after joint replacement is very important," says Andrew Martinez, P.T., a physical therapist at Baylor Medical Center at Southwest Fort Worth. "It helps maximize your functional return, so you get better a lot quicker."
Chapman emphasizes that physical therapy is the key to overcoming injury as well. "Proper rehabilitation is the cornerstone of recovery," she says. "Investing time and effort is of the utmost importance. Without rehabilitation, your injury may take longer to heal, not heal right or may never heal."
By Shelley Flannery