September 7, 2023 • 64 mins
Dr. Mary Anthony, a sports medicine fellow and a devoted Modern Yoga student since 2017, joins us to debunk common myths and shed light on the overlooked issue of osteoporosis, particularly in younger individuals. Clueing us in on preventive care, Dr. Anthony serves a reminder about how we start losing bone mass as early as age 30 and the significance of weight-bearing exercises.
Does your mind's chatter impact your physical well-being? We explore this intriguing relationship between thoughts and the body with Dr. Anthony. We also discuss the significance of proprioception and balance, especially for those in their golden years. We also dive into orthopedic issues, the daunting prospect of back surgery, and alternatives like supplements, diet changes, and regular exercise.
Our discussion with Dr. Anthony takes an interesting turn as we explore alternative treatments and supplements like glucosamine and turmeric for joint pain and inflammation. We also delve into the world of yoga, as recommended by the American Academy of Cardiology and American Academy of Sports Medicine. Finally, we discuss the pivotal role of pets in our lives and the value of adopting a healthy lifestyle. So gear up for an enlightening conversation with Dr. Anthony, packed with insights from her world of modern yoga and family medicine!
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 2 (00:00):
Two microphones and make the phone call gas Two
microphones and you make thephone call.
Speaker 1 (00:12):
Gas, gas.
Speaker 2 (00:28):
Hi, this is Joyce and this is Marybeth.
Welcome to the Modern Yogapodcast.
Good job, thank you.
We have a very special guesttoday.
Her name is Dr Mary Anthony andshe has been practicing with us
for quite a while, but she hasa lot to talk about, I think,
today.
Welcome to the podcast, mary.
(00:49):
Great to be here, thank you, doyou?
Speaker 3 (00:52):
remember your first class?
I do, I actually do.
It was, I wanted to say, fouryears ago, maybe five years ago
I had come from a studio in.
I was practicing in Brunswickand there were some changes
happening there and I wasdriving down Pearl and I saw
(01:14):
your sign and I'm like, oh mygosh, there's a yoga studio four
minutes for my house.
So luckily I was glad you guyshad early morning classes,
because I'm an early morningperson, and I signed up.
I came in and it was really thefirst thought yoga class I had
taken.
They had the hot yoga at theother studio, but it was.
(01:37):
It wasn't the same as you guyshave, it was just more kind of
space heaters, so it didn't havethe same effect and I just was
hooked from day one from beingthere.
So it was just great it was.
I have to say this the modernyoga has real consistent yoga
classes, which I really like.
(01:58):
I always get a good workout, nomatter who's teaching the class
, and so I switched over andI've been there ever since.
Speaker 2 (02:07):
So I just looked it up, it was October 25, 2017.
And your first class was a fiveto six AM class and actually it
looks like your first.
Your first few months of class,for the most part were five to
six AM and that's a class weused to have five AMs on
Tuesdays and Thursdays and wehaven't brought that back since
(02:29):
COVID because we haven't reallyfelt the demand for that,
because the shift to workingfrom home happened and it's just
been recently that it's beenbrought up just a few times.
Would you do five AM classesagain?
Speaker 3 (02:43):
You know what I would .
I'm definitely a very earlymorning workout person.
Now I've adapted to the five tofive, so so, but what
everybody's even going to ask me, I would go with it.
Speaker 2 (02:54):
So yeah, it's not even a topic of conversation for
Mary Beth to ask me if I'mgoing to be there at five AM.
I mean, if I can sleep over thenight before.
I thought you wanted to pick upa couple more classes and this
would be.
You're not busy at five AM?
Speaker 1 (03:10):
No, I'm sure, not, that's nighttime.
Speaker 2 (03:15):
I will say that the I'm looking at.
I don't even know how to.
I'll have to do this later, butyou've taken so many classes.
It's insane, it's awesome.
And.
Speaker 1 (03:27):
I lost speaking up consistent.
Speaker 2 (03:30):
Yeah, the morning crowd is really lovely to teach
because, like from a teacher'sperspective, you just haven't
had your day yet.
Your brain is like fresh.
The students will literallylike do anything you say,
(03:51):
because they're you know.
It's just there's not thisoverload of all this daily
information like a clean slateyeah.
And and they're not messingaround either Like they're there
, they're ready to do yoga, andI sometimes tell some of the
like in while socializing someof the the consistent people at
(04:13):
night like you, there's a wholeother crowd that you'll never
meet because you guys you knowyou'll never come early and you
probably won't come to many lateclasses, right.
Speaker 1 (04:23):
Yeah, yeah, there's.
Yeah, it's a different.
It's a whole different world.
But you were talking aboutsocializing and talking to
people.
That's how we find out in ourcommunity who has really
interesting jobs or is doingreally interesting work, and
hence why Mary is on our podcasttoday.
Speaker 2 (04:41):
Yes, tell us about what you do, mary.
Speaker 3 (04:45):
So I am board certified in family medicine and
I did a fellowship XG orfellowship training in sports
medicine.
So I am in more medicalorthopedics.
I treat the non surgicalorthopedic issues, ranging from
back issues and neck issues andsprains, strains, fracture care
(05:08):
that doesn't require surgery,injections and, of course,
osteoporosis.
And so 20 years ago I came outof my fellowship and I joined
the practice that I am currentlywith and have been with for 20
years, which itself isorthopedics.
We have two offices, one inParma and one in Nittleburg
(05:31):
Heights.
I work with six orthopedicsurgeons, so it's myself and the
surgeons, and so my role hasbeen seeing and treating people
who don't require surgery ortrying to avoid surgery or
getting them to the steps thateventually, if they do need
surgery, then we're doing sortof those preoperative things.
(05:53):
But more recently I've kind ofbranched into looking at
treating and getting people moreaware of osteoporosis, because
we do see a very largepopulation of fracture and
fracture patients and it is adisease that a lot of people are
not screened for, are noteducated on and are not being
(06:16):
treated for and so the onlyexposure I've ever had to
osteoporosis is talking about itin postmenopausal women Really
like little ladies.
Speaker 1 (06:28):
Sure, but it's broader than that.
Speaker 3 (06:29):
Huh, it's much broader than that and I think
one of the big things is notonly recognizing people in the
later stages and postmenopausalstages, but recognizing there
are men that do get osteoporosisand younger patients that got
osteoporosis, and actuallylooking at things from a
preventative standpoint andrealizing we start to lose bone
(06:51):
mass, starting at like age 30.
So our peak bone mass is at 30.
And then we go on a slowdecline and for women, when you
have menopause, then it reallyreally drops down significantly.
So it's looking at things wecan do on a preventative side as
well as the treatment side.
Speaker 1 (07:07):
Preventive is a wonderful concept that sometimes
doesn't get talked about enough, not only from the medical
community, but a lot of peoplearen't interested in prevention
until it's too late to prevent,right, we just want to go in and
get the shot or get the pillCorrect.
Speaker 3 (07:22):
Yes, exactly yeah.
Speaker 1 (07:25):
So 30,?
Huh, we've pretty much shot ourwad by 30.
Speaker 3 (07:29):
And then we declined.
Speaker 1 (07:30):
She used the word decline rolling down the hill.
Speaker 2 (07:34):
Right, and then the big drop off the cliff menopause
, but it sounds like you've beendoing some prevention, Mary
Beth, whether you know it or not.
Speaker 1 (07:42):
Right.
Yes, thank God.
Accidentally, I mean ifprevention included getting up
early to work out or do yoga youwould be in bad shape, or run
Might be a deal breaker, butsince I can do that at any time
of the day, what are I mean?
Speaker 2 (07:59):
there's so much to talk about here and I pulled up.
I'm sure that you love DrGoogle.
Speaker 3 (08:05):
We love Dr Google.
Speaker 2 (08:07):
Yeah.
We all do it, I just pulled upsome stuff on osteoporosis just
to be able to talk about thisintelligently.
Speaker 1 (08:15):
But wait a minute.
You didn't say we were tryingto talk about things
intelligently on our podcastchoice.
I did not sign up for that.
Speaker 2 (08:23):
This is our first doctor, I think so.
Anyhow, what are some ways,what are some preventive
practices?
Speaker 3 (08:36):
Yeah, so one of the big things is exercise, because
strengthening the muscle stresson the bones helps keep them
stronger, helps them continue toremodel.
So exercise is probably one ofthe biggest things I promote to
patients and one of the otherthings that included an exercise
which why I think yoga is soimportant is because balance,
(09:00):
balance training, proprioceptionis helpful for preventing falls
, which is a huge risk factor,obviously for breaking bones.
Speaker 1 (09:10):
So that's really interesting.
So balance helps us fromfalling and breaking our bones.
Speaker 3 (09:15):
Yes.
Speaker 1 (09:15):
But I'd like to spend a little bit of a minute on
what you said before that aboutwhat exercise actually does for
your bone density.
Explain that like in layman'sterms, but physiologically a
little, because I think peoplelose the message when we just
say you should exercise,exercise and eat right, that
(09:36):
just means you're stayinghealthy.
But what does exercise do?
What does working those musclesand even cardio do for our
bones?
Speaker 3 (09:46):
So with osteoporosis, one of the big preventative
exercises that's promoted is theweight-bearing exercises, so
exercises where, like walkinganywhere, you're actually on
your feet and you're stressingthe bones in that regard.
So biking, for example, greatexercise, still good, but not as
(10:07):
impactful for bone health.
Speaker 1 (10:11):
So that weight-bearing is important.
Speaker 3 (10:13):
Correct Weight-bearing is very important
because what happens is youstress the bones like you, just
you stress the muscle and inorder for it to get stronger,
you continue to stress itbecause it's living tissue.
So it forces what's called boneremodeling and building new
bone and healthy bone.
And also the circulatoryaspects of any exercises which
(10:34):
help with circulating, you know,blood flow, which also helps
the living tissues, which isbone.
Speaker 1 (10:41):
So this is all real.
This whole metaphor ofchallenge, making a stronger in
the more figurative way, is allvery true on a physical level,
for our health as well.
The stress is good to an extent.
We have to press things pasttheir limits to get stronger.
Speaker 2 (11:03):
Exactly.
Speaker 3 (11:04):
Yes.
Speaker 2 (11:06):
And it's okay to push things far enough to as far as
yoga goes like balancing posescan be one of the hardest parts
of class, but it's okay to pushthings far enough to where you
lose your balance, because thatthreshold continues to get
(11:28):
longer.
Speaker 1 (11:28):
Yeah, so staying on the safe side isn't always the
best way, and you know you hearpeople who really suffer from
osteoarthritis say you have tokeep moving or you'll.
Once you sit down and stop, youwon't get back up again.
Speaker 3 (11:43):
Yeah, that's huge and it's your training, like in
yoga, your training muscles torespond to balance, and muscles
that you probably wouldn'tnormally stress or use, and so I
think that's super important.
The balancing part of the yogapractice I think is incredible
in terms of training all thoselittle muscles that we typically
(12:06):
just don't use on a daily basis.
Speaker 1 (12:09):
And if you don't practice here's the word for
yoga practice if you don't trythose things, then when it does
happen that you're having tostand like one leg on a boat
dock or something, accidentally,your body's not used to it and
your intuition doesn't know whatto do.
So that's what I like to sayabout a yoga practice is one of
(12:31):
the big reasons to do it is toinform your intuition about your
own body.
You used a buzzwordproprioception but can you
explain to the world whatproprioception really means?
Speaker 2 (12:44):
Because that's the part of your balance and how
proprioception became a buzzword.
It's very trendy.
Speaker 3 (12:52):
So proprioception is like a neurologic response or
adaptation that your body makesto imbalance.
So I one of the biggest thingsI I tell patients, specifically
when I see patients like withankle sprains, is that once you
sprain your ankle you tend tolose a sense of proprioception
(13:12):
because those nerve endings helpto tell where you are in space
and so if you have an ankleinjury you are more likely to
sprain it again and again.
And one of the one of the bigthings I promote for such ankle
injuries is getting into therapy, doing rehab, where they teach,
they train you and teach you toproprioception exercises,
(13:33):
balance exercises, so thatdoesn't become a recurrent issue
and so that let's say, in 10years or 20 years you say, hey,
this is my 15th ankle sprain orI keep doing this and my ankle
is just never well.
It's never going to be the sameif it's done that many times.
But for patients who go throughthat process a lot of times, it
helps to minimize the futuresprains and injuries they would
(13:57):
have to the ankle.
Speaker 1 (13:59):
That's so interesting .
So it's not just about maybethe ankle being weaker or
different or injured, it's abouthow you use that ankle because
of that injury.
Wow, correct yeah.
Speaker 2 (14:09):
Well, and your brain, the relationship between your
thoughts or your brain really inyour and your ankle, like you
know, right.
That's what it sounds like,yeah, when, like at what point
in time was that addressed?
You know, I can't imagine thatit was always thought or always
(14:30):
known that you hurt your ankle.
Like we should probably work onyour, the relationship between
how you're thinking about yourankle and your, yeah, your
proprioception.
I mean that that definitelywouldn't have happened when I
was younger, you know, and thatwas a long time ago.
Speaker 3 (14:46):
But yeah, and I think for you know, for some patients
and it depends on you know whoyou do see in terms of you know
physician or somebody in themedical field if you, if you do
happen to see somebody for anankle sprain, not everybody
promotes it it's you know,healing, we're a brace, there
you go, but from a sportsmedicine that's where a lot of
(15:08):
my training comes in as well isthat you know you want to set
people up for a future ofreduced injury and reduce
problems, and so it's a littlebit of a different focus.
I've seen patients who have hadthey're going on, their fifth,
sixth sprain and I've asked themhave you ever done a rehab
program?
And their answer has alwaysbeen no, I would just wear a
(15:29):
brace, or you know, I reallynever went through that and so I
promote that as, hey, if you dothis, this may help this from
continuing to be a problem foryou.
Speaker 1 (15:41):
I have a question.
What an idea.
Speaker 2 (15:43):
Yeah, why?
Why just sports medicine?
Right, with balance.
Balance is something that wepotentially could lose or it
isn't as strong as we age, butis it something that it's of my
understanding that it'ssomething that people can get
back if they work on it?
(16:04):
And and this is coming fromexperience with people, older
people that know they need towork on balance, either because
they recognize that they'vethey're not as sturdy as they
used to be or steady, and orbecause a doctor would say, like
you really need to work on yourbalance, and a lot of times
(16:26):
they get really frustratedbecause it's not there, but it
does get better, at least alittle bit.
And, and from my experience Idon't know about you, mary Beth,
like, but we hear this all thetime so how does that work,
especially in an aging person?
I mean, we're all aging.
Speaker 3 (16:43):
I guess that's not even sure, yeah, so I mean with
obviously, with age, there'schanges that occur in our body.
Some of them are somewhatpreventative and some of them
aren't.
But I tell my patients, like ifyou continue to work on you
know your exercise and you getinto a routine and you're
(17:05):
consistent, then those changescan be lessened.
So you don't have to be thehunched over persons you know
sitting in their chair watching.
You know you can be.
I have what I call mysuccessful, like 80 and 90 year
old patients who look absolutelyincredible.
And there are patients that youknow are and I ask them I say,
(17:27):
hey, what do you do?
And inevitably 100% of the timethey tell me I stay active.
And so I think engaging incardiovascular exercise,
strengthening exercise andbalance exercise, you can help
to minimize those effects to acertain extent.
For sure, you can definitelyward off some of those changes
that do occur.
Speaker 2 (17:47):
You kind of get all those in my mom.
I'm sorry, said you can get allof those in a yoga class.
Speaker 1 (17:53):
Yes, for sure.
I had my mom at lunch atgrumpy's cafe in Tremont on
Tuesday because she had had adoctor's appointment downtown
and we sat outside on the patiowhere there were three bikes
parked like road bikes and thethree people that get on these
bikes were 75, if they were aday Serious.
(18:17):
You know helmets, the littlerear view mirror that comes out,
the helmet, all the gear, grayhaired, wrinkles in shape,
people.
But it was cool.
I was like Holy crap, look atthese people.
They're about to ride right upWest 14th Street.
Is your mom want to join them?
I did not present that in anoption, but I'm also going to
(18:41):
say no, she's not going to wantto do that.
Speaker 2 (18:45):
That's where you get your your athletic drive.
Speaker 1 (18:47):
Right, right, that's true.
Speaker 2 (18:50):
Although your mom, your mom does cherry yoga, she
does.
Speaker 1 (18:53):
She and she my mom's, my mom's walking and exercising
and everything.
She says that it's shopping.
So whenever anybody gives her ahard time for shopping, she
says it's I get up, I go out, Iwalk around.
Speaker 2 (19:07):
So the shopping count .
Is that an exercise that youwould prescribe?
Is it retail therapy?
Part of lifting?
Speaker 3 (19:17):
your wallet.
Anything to get people moving.
I will say that.
Speaker 1 (19:23):
Mary, if I or me or anyone male, female, old or
younger goes in for an x-ray forwhatever reason whether we took
a fall or we're justexperiencing pain and we get
referred, they say at the ERfollow up with an orthopedic, we
go to your office and how do weknow if we see the surgeon or
(19:48):
we see you?
What's that process if somebodywants to try and avoid surgery
rather than going straight to anorthopedic surgeon?
Speaker 3 (19:56):
Sure, we have a process when our patients call.
But even if it's a patientunless we know for sure it's
something surgical obviouslycoming in from like an ER, that
somebody had a workup done thereand they know it's a surgical
issue a lot of the patients willbe referred through me,
sometimes first, and then I'llassess them.
(20:18):
If it's appropriate I'll dotesting.
If it's something that may besurgical, then the workup is
done through myself MRI studies,cat scans and then from there
are referred to a surgeon,obviously if it's surgical.
If it's non-surgical, thenthey're treated, usually through
rehab or through other methods,depending on the injury.
Speaker 2 (20:42):
Do you try to prevent surgery?
Speaker 3 (20:45):
Yes.
Speaker 2 (20:46):
That was a hard.
Yes, why you do, does everyone?
Speaker 3 (20:50):
Yeah, I mean even a surgeon will tell a patient,
unless it's like a trauma issuewhere they break their leg and
they need a rod put in orsomething.
In that regard, it's going tobe the option of last resort For
arthritis patients who arelooking at joint replacement
surgery.
We're taking the steps firstconservatively, before reaching
(21:14):
that point, and some of that'sdriven also by insurance.
Surgery in many orthopedicissues is the option of last
resort.
Speaker 1 (21:28):
I think a lot of cynics out there always.
I mean, you've heard beforepeople say, oh, they want you to
have surgery, they do, theywant you to have surgery.
My mom has had.
Well, both my parents had hipsreplaced but my mom had both of
her knees done at once, which Iactually appreciated.
I heard that's sort of acontroversial thing.
(21:50):
Not a lot of doctors want to doit.
I was thrilled that her doctorwanted to do it.
She was only maybe 70 couple atthe time, very healthy.
It was one surgery, one rehab,good range of motion back and we
were done.
Speaker 3 (22:05):
Yeah, there are certainly.
There are patients who arecandidates for having both knees
done at the same time.
It just depends on the patient,the health of the patient, the
motivation to be able to do thatbecause the difficulty of not
having a good leg to stand onafterwards.
But there are certainlypatients who have done both at
the same time and are very happywith their results.
Speaker 2 (22:27):
I had both of my bunions done at the same time.
I kind of had to beg my doctor.
He was like I don't, it was thesame thing that you said.
He was like you're going toneed one good foot.
There's a lot of pressure onyour feet.
I was figure skating at thetime and he said that I would be
(22:47):
back in a regular shoe in sixweeks and I'm like I don't want
to go through this twice, twiceyeah, that's the thing, yeah.
It was nine weeks that I was in.
I think I was in a flip flop innine weeks, or maybe it was.
I had to buy like men's shoes.
Speaker 1 (23:03):
It'd never been a flip flop, should you?
Speaker 2 (23:05):
Well, I don't know, but I did.
Then it was like big tennisshoes, because my feet were
still swollen and I just hadthese like massive men's shoes.
Speaker 1 (23:15):
I bet that was sexy, because you're the tiniest
person, so you probably looklike a little clown with clown
shoes on.
Also, bunion is such a stupidword.
Can we use some other clinicalterm for bunion?
It's like funion.
Sure, there is.
Funion surgery is prettypainful, right, don't?
They shave some bone and stuff.
Speaker 2 (23:35):
So go ahead and do you know better than me?
No, no.
Speaker 3 (23:39):
It's a pretty yeah, it's a pretty brutal surgery and
certainly you've been throughit, so you know the recovery on
that.
Speaker 2 (23:46):
Yeah, I mean like mine.
My cousin had a really badexperience with her bunions, but
like I was, not safe bunion.
Sorry, with her foot surgery Ifelt like my feet had really big
hips and now they don't.
Speaker 1 (24:04):
But I think that.
Speaker 2 (24:04):
Bunion rings.
So either my bone had to bebroken or cut at which I guess
is maybe the same thing andthere were pins put in to
straighten out the bone to mybig toe.
So my only complication.
So I also had my little toesreconstructed, because
apparently I thought this wasfrom my skating boots, but I was
completely wrong.
(24:24):
But apparently the pressurefrom the inside of my foot was
causing my little toe to kind ofturn out and overcompensate,
and so my little toe was like Ithought it was a callus, but it
was really just.
Or it was a callus but it was.
It was from all the pressure ofbig and shoes and you know
whatever else.
So my little toes werereconstructed at the same time.
Speaker 1 (24:46):
I love that you've had reconstructive surgery on
your pinky toes Right.
Speaker 2 (24:51):
Yeah, I'm sure that took him an extra like five
minutes, you know.
But when I was healing,apparently I was a little bit
too active and it made the pinslift, which they did their job,
but I had to have the pinsremoved.
That was worse than the surgeryand my my doctor was this was a
long time ago, I don't rememberhis name.
He was great, he was super niceand he was like, yeah, this is
(25:14):
no big deal, we'll have the pinsremoved.
Like he said, it'd be a coupleshots of novocaine and you know
a little snip and he'll pullthem out.
And it was it.
I would rather have the surgeryagain, to be honest with you,
because, like putting novocainearound your ankles might be the
worst thing ever invented.
I don't know who thought ofthat.
They should have just knockedme out.
Speaker 3 (25:35):
Yeah, the numbing process and then the pulling of
the pin is not comfortable Atthat point.
I was like let's get this up.
I'm kidding.
Speaker 2 (25:43):
I was like I literally was making the nurse
hold my hand.
I was, I was crying and thelike the the light over the
table, you know, had the silverlike rim and I was trying not to
look at it because I thought Icould see what was going on.
It was like a whole mind game.
That was fun.
Speaker 1 (25:58):
Imagine if we were born in another time, before all
of these pain measure.
I mean that was with pain medsor novocaine.
Speaker 2 (26:07):
Yeah, I mean, if we were born in another time, I
would have never had bunionsurgery.
Bunion surgery.
Speaker 1 (26:12):
You know I'm thinking of Outlander now and how they
have to do all these surgeriesjust with a little bit of hooch.
Speaker 2 (26:19):
I will say, though, that I have a really wide feet,
and I always had to get specialshoes, like from grade school.
Did you have to wear saddleshoes?
Speaker 1 (26:30):
Absolutely.
I was a cheerleader.
You never did, mary.
Speaker 3 (26:34):
I never did.
No, we didn't.
Speaker 1 (26:36):
It's.
Speaker 2 (26:36):
Mary young, are you younger than us?
Speaker 3 (26:39):
No, I'm the same age.
I'm actually because my husbandwent to school with you, mary
Beth.
That's where my connection was,that I mentioned.
Speaker 1 (26:49):
Yes, giovanni went to prom with my friend Lori.
Speaker 2 (26:55):
She knows how to say his last name with.
Sounds like an Italian accent.
Speaker 1 (26:59):
Well, giovanni L'Augagnata, it's hard to not
sound Italian with that.
I think he just liked to say it.
Giovanni was always a gentleman.
I mean, I didn't know him superwell, but he was just a nice.
You know you don't have nicethings to say about a lot of
boys from high school, but Giowas a good egg.
Speaker 3 (27:21):
Does he have sisters.
He has one brother, Salvatore.
Speaker 1 (27:27):
Salvatore L'Augagnata .
Speaker 3 (27:29):
He's Italian.
Speaker 2 (27:30):
Are you Italian too?
Speaker 3 (27:31):
I am not no.
Speaker 1 (27:35):
Yeah, that's pretty Italian.
Speaker 3 (27:37):
That's very Italian yeah.
Speaker 1 (27:38):
Salvatore and Giovanni.
Speaker 3 (27:40):
Yeah.
Speaker 2 (27:42):
So back to the saddle shoes.
Like my mom had to go to aspecial store to get wide saddle
shoes and I had like the mostdurable saddle shoes out of
anybody in class and you know.
And then, moving on in life, Ihad to like like Nine West
always had wide shoes and it wasjust a whole project.
Yeah, but then after thesurgery I was really completely
(28:03):
healed.
I could go to Kmart and fit inlike regular old shoes.
I was like this is not that.
I want.
Maybe once just cause.
Speaker 1 (28:10):
Well, it sounds like you wore flip flops, which I am
certain that your surgeonprobably did not approve.
I know you needed to not haveyour foot constrained, but there
was no support there.
Speaker 2 (28:22):
Listen, that was a long time.
It was 1998 that I had surgery,so I just want to take one
moment down memory lane for allof you saddle shoe wearers that.
Speaker 1 (28:33):
Do you remember how you'd have?
I mean saddle shoes get betteras they get older, right?
Speaker 2 (28:38):
Yes.
Speaker 1 (28:39):
They were beat up.
But then you had to take thatwhite spongy polished bottle of
quick and quick Wasn't that thebrand name of the shoe polish?
And you had to make your saddleshoes white again.
That was a simpler time.
Speaker 2 (28:53):
I skated, so I had I was you got to do that to your
skates, yeah, like when youcompeted, you didn't want to,
you don't want your beat up youknow, like when they were the
same way where they, when theywere, there was like the sweet
broken in period.
That was just perfect and thenthey got to lose the beginning.
(29:14):
Beginning was terrible and theend was not so good.
Speaker 1 (29:18):
And then, yeah, and then you took the white shoe
polish bottle and and wroteseniors 87 on your back window
of your car.
But we digress.
Do you miss saddle shoes, maryBeth, I do it's.
It's back to school.
Time makes me nostalgic forback to school, like new
(29:39):
notebooks and new school shoes,and my little plaid well, my big
plaid jumper.
Speaker 2 (29:45):
I'm sure you have a new notebook, a new journal.
Are you from around here, maryLike, were you born in?
Speaker 3 (29:52):
Yeah, I was, yeah, born and raised.
I was lived in Karma Heights,initially in the North Royalton.
Um, yeah, I was a holy name, soyeah, so are you you're around
the same years.
Speaker 1 (30:08):
I don't want to divulge how old you are, but
everybody knows how old?
Speaker 3 (30:12):
I graduated in 90 from holy name.
Speaker 1 (30:14):
Oh, so you are a little younger.
You're not younger than Joyce,but you're younger than me.
So I'm trying to think of, likethe uh, Lobiano, maybe I don't
know if Michelle yeah, she was alittle Lobiano was in your
class.
Speaker 2 (30:25):
Yeah, yeah.
Speaker 1 (30:27):
I'm trying to think of, like the kids that I know
who went to holy name, and thentheir little brothers or sisters
, because that's all I can thinkof at the moment.
Speaker 2 (30:34):
Now they're going to wonder why they're getting all
this attention from their namedropping on this international
podcast.
Speaker 1 (30:40):
And another Italian.
Speaker 3 (30:42):
Yeah.
Speaker 2 (30:43):
Yeah.
So, mary, when you see apatient, what's?
How long do you normally likesee a patient in?
You know, like length of time,not a specific appointment, but
like is it usually six months ayear once.
Speaker 3 (30:58):
You know what?
It depends on the problem andcertainly for some patients they
have more chronic issues, so itjust depends Back patients tend
to be patients I see in a moreregular basis Acute injury.
Younger patients tend to seethem, obviously for that injury.
Speaker 1 (31:17):
But as opposed to an ugly injury.
Yeah, did I did there.
Acute injury versus an uglyinjury.
The ugly injury.
Speaker 3 (31:27):
So some of those patients certainly will come
back, you know if they're havingother issues.
Orthopedic issues are prettycommon, so we do keep a pretty
steady patient load in ourpractice and we've been around.
Speaker 1 (31:43):
Back certainly seems to be something that.
That's one area I think peoplewill try a lot before going in
for surgery, Whereas otherjoints I don't feel like they
necessarily are as surgeryaverse.
Speaker 3 (31:56):
But people are like, oh, I don't want back surgery
For backs, yeah, yeah, andthere's a lot of patients who I
tell my back patients it'sreally finding like what works
for them therapeutically andit's it's.
For everybody it's different.
It can range from, you know,acupuncture to physical therapy,
to massage treatments, tocertain medications, but for
(32:18):
most patients, even,unfortunately, with chronic pain
, back surgery isn't even anoption for them.
And good spine surgeons willtell their patients listen, I'm
not going to make this anybetter by doing surgery for you.
So it's kind of a differentbeast in terms of orthopedic
issues, for sure.
Speaker 2 (32:37):
So we've talked about prevention.
What happens when you have apatient who really hasn't done
any prevention and all of asudden they have issues, whether
it's osteoporosis or a sprain.
Is there any?
I mean, there's no going backin preventing, but like, what
(32:57):
are the positive steps thatsomebody can take if they maybe
they weren't so active?
Speaker 3 (33:04):
So active previously.
So what I try to do for thosepatients is is educate them on
let's.
Let's say yes, going forward.
We can't change what hashappened in the past or, you
know, skipping some of thosepreventative things but going
forward, including talking about, like a rehab process,
supplements, diet, you know,incorporating some sort of
(33:26):
regular exercise routine intotheir, into their daily life,
because that's one of theprobably the biggest
preventative things for a lot ofissues beyond orthopedics.
And then, in some cases,especially going into the realm
of osteoporosis, talking about,you know, certain medications
and introducing patients tothose options as well.
But I do like to take anapproach with my patients and
(33:49):
say I'm here to give you theinformation, I'm here to talk
about the kind of the facts thatare out there, but in the end I
want to like help, a patient,design, sort of a program for
them that they're going to becomfortable with.
Because, especially withosteoporosis, a lot of patients
will come in and right off thebat I'll walk in the room and
they'll say, hey, listen, I'mnot interested in those
medications and you know I'veheard a lot of bad things about
(34:12):
them.
And I say I am not here toconvince you to go on any
medication.
I'm here to give you the factsand so that you are better
equipped in making a decisionfor yourself, because ultimately
, it's going to be your decisionas far as where you want to go
with this.
Speaker 2 (34:27):
How do you like?
You just brought up somethingreally interesting, because I am
a very like I don't want totake anything, and James is like
oh I have.
You know, my pinky finger hurts, so I'm going to take some
aspirin or Tylenol or ibuprofenor whatever.
And I'm sure that some of myyou know, some of my resistance
(34:48):
to medication is not because ofgood education.
It's because I just decidedthat I don't want to throw
foreign things into my body.
So I can imagine that can bereally challenging with somebody
who's already decided what yourtreatment is going to be and
(35:09):
vice versa.
Speaker 1 (35:09):
Somebody who says, just give me a pill, I don't
want to do your exercisebullshit.
Speaker 3 (35:13):
There's that too.
Yeah, True, yeah, it definitelygoes both ways, because
there'll be patients to speakingto your point, Mary Beth, where
they want the quick fix andthey think, hey, if I just get a
cortisone shot, you know I wantto walk out, I don't have time
for this.
And unfortunately, for a lot ofthings it doesn't work that way
and we live in such a likeinstantaneous society where
(35:35):
everything is instant and we getinstant satisfaction and I tell
patients listen, the body stillhas a healing process and we
can't, we can't make that anyquicker for you.
So we, you know I also educatepatients on you know what that
takes, and healing doesn'thappen overnight.
And I'm the first one to tellmy patient listen, I understand
I don't have time to deal withthese things, I have too much
(35:58):
going on, but this is kind ofthe reality.
And then on the flip side ofpatients who are resistant to
considering medications,especially, I would point to,
like the osteoporosis stuff,because the other things we deal
with are more, you know, the,your anti-inflammatories, that
kind of thing for pain reduction, but in the osteoporosis realm,
(36:20):
the medications that have beenout, and have been out for years
, unfortunately got a lot ofthat press in terms of their
side effects.
So it's it's helping patientsunderstand how the medication
actually works, what the sideeffects potentially can be.
But the risks versus benefitslike your, your chance of
(36:41):
breaking a bone and sufferingthe effects of that broken bone
whether it be pain, disabilityetc.
Can be much greater than thepotential side effects of the
medication.
So it's looking at weighingthose risks and benefits.
Speaker 1 (36:56):
And disability can happen so quickly and easily.
It's astounding.
Speaker 2 (37:02):
Yeah.
Speaker 1 (37:02):
And we have to depend on people, all of a sudden,
something that isn't going toheal, or isn't going to heal
well, to drive, to walk, to shop, to work.
Speaker 3 (37:14):
Yeah, yeah, and that's, that's a big, that's a
big part of it.
And for patients it's you know,we've, I've seen patients that
the one that sticks out from allthe patients I've seen is a
woman that broke both her wrists.
She was an older woman whoactually and then she was a
woman who was a woman, who was awoman, who's a person I've seen
ultimately has broken them down.
(37:34):
So that's why, true, true, Ithink there's no way to turn off
these kinds of conversationsbecause there are so many
situations where you're like I,I guess nose.
It's, it's yeah.
Speaker 1 (37:46):
I can get back.
Speaker 2 (37:47):
And going to the bathroom.
Yes, how do you take care ofyourself with two cats Like
that's?
That's really hard, I meanthat's a hard situation,
difficult situation, yeah.
Speaker 1 (38:02):
We're going to need some plastic bags.
Speaker 2 (38:05):
We, um, my mom comes to my slow flow in Brexville on
Fridays.
She, she, she does, she helpsus out around the studio too,
and, and after class a couple ofweeks ago she was like my, my
back has been killing me latelyand I'm like you should say well
(38:25):
, your face is killing me.
Speaker 1 (38:27):
That's the only bad joke that my dad would make,
would say my dad too, yes.
Speaker 2 (38:32):
I was like mom, why didn't you say something like
because there are things thatyou should avoid and things that
you should do?
Like what, where does it hurt,does it?
And I'm not a doctor or a PT,but like I know some stuff right
.
Like, does it hurt when you'rebending over?
Does it hurt when you're you'reextending?
And she was like I don't know,I'm going to the doctor next
week and I'm like okay, but mymom is definitely in in the
(38:56):
category of give me, give me thepill that will make this go
away, you know.
And so then again, she took myclass again Last Friday and
after class she's like you know,my back's not getting any
better.
I'm just like all right, Idon't know what to tell you, go
to the doctor.
Speaker 1 (39:12):
Like you know.
To bring it back to yoga, Irealized with my own back pain
that, as simple as it is, or oras it looks or as people might
think it is, simply cats andcows are a great place early in
the practice to identify whereand when your back hurts, like
(39:34):
because basically that's flexionand extension, right Back
bending and forward folding.
So identify right there whileyou're still on hands and knees
and then translate that toeverything else because, warrior
one can be a back bend or not.
Forward fold can be all the waydown or not.
So for the rest of yourpractice standing, balancing,
(39:55):
kneeling, anything you caninform yourself on how you
should be bending your back orflexing your back.
Speaker 3 (40:04):
Yeah, and cat cow.
I will tell you, I tell almostevery backpatient the simplest
thing you can do is cat cow, andif you can't get on your hands
and knees and you're an olderpatient you can do it standing.
You can Standing or sitting.
Speaker 1 (40:19):
Yeah, spilled my coffee with my demonstration
there.
Speaker 2 (40:22):
So Chloe just walked by.
She would be a good patient foryou she's, and this is my dog
bed.
It's a futon that I've beenwanting to throw out for years,
but I have two senior dogs andit's a good height for them.
Yeah, they like bed, theblankets, and so she had her
(40:42):
head up, like looking on thewindow, so it was really cute.
But Chloe is almost 13,.
She'll be 13 in a couple ofweeks and she is congestive
heart failure.
She's had it for about over ayear and a half, and so what
we've been doing is, well, she'son medication, but we don't let
(41:03):
her here she comes.
We don't let her off the leashso she doesn't chase squirrels
and deer and everything.
But our other dog who's not uphere, he has arthritis and he's
on Arthurg.
Yeah, he's on Gabapentin andRimmadil, and I know Gabapentin
is a pretty common drug forpeople as well.
(41:24):
I'm sure Chloe's heartmedications are pretty common,
but it's interesting watchinghim.
Now he's a pit bull, so he'sgot a lot of muscle mass and
some days his the duration ofhis walks can change drastically
, but we know the range.
(41:45):
Some days he gets down thedriveway and he's like, yeah,
I'm just gonna lay down andthat's it.
He doesn't want to go anyfurther and some days he's okay.
And I try, I'm trying to, orI've been trying to correlate,
as this People say, my arthritisacts up with the weather and
all the things, but it's just.
(42:05):
It's very interesting to.
He's very happy, don't get mewrong but it's.
And obviously my heart breaksfor my dogs but I'm happy to
have them into their senior year.
But it's very interesting tojust kind of watch and observe
what he's like an hour after hismedication and what he's like
(42:26):
five hours after his medication,things like that.
Speaker 1 (42:30):
And then the other thing is then, as humans, how
much easier it is.
He can't tell you when andwhere and how it hurts, as much.
And kind of yeah, so we have.
I mean, we do have the rareopportunity to really identify
and like narrow down ourtreatment or our medication or
our exercise easier than a pet,if we choose to.
Speaker 2 (42:54):
Is it safe to assume you have dogs, considering your
sweater?
We did.
Speaker 3 (42:59):
We did.
She's been gone for about fiveyears now.
And this was our schedules andit was just heartbreaking when
she left us.
So we do not.
But we're a big dog and animalpeople and when it's been a
really good one.
Speaker 1 (43:13):
I mean, all three of us can attest to this.
It's, they're irreplaceable,and then if you are in a time in
your life to start over, itdoesn't necessarily feel fair to
the animal if you're busier,but I always joke.
I have two grandchildren nowand yet my screensaver on my
phone is still.
Mr Peepers, who's been gone forfour years.
Speaker 3 (43:36):
Yeah, yeah, she's my screensaver too.
Speaker 1 (43:40):
So I guess what was her name.
Speaker 3 (43:42):
Olive.
Speaker 1 (43:43):
Olive, I love that.
What kind of?
Speaker 3 (43:45):
dog.
She was a French bulldog.
Speaker 1 (43:49):
Oh, spectacular.
And her name was.
Speaker 3 (43:51):
Olive yeah, she was a Kalamata.
She was black, though.
That is too cute.
Speaker 2 (44:01):
Yeah, so we really share a lot of these same things
.
Pets are probably betterpatients sometimes, I would
imagine.
Speaker 1 (44:09):
They're so stoic, mostly, they're so stoic and
non-complaining.
Speaker 3 (44:13):
Yeah, she was stoic.
She made you feel better.
Yeah, she had bad spinal issues, unfortunately, but she had a
really really good vet that gother through it.
So, yeah, but actuallyinteresting with her, we took
her to, we had our sort of whatwe consider traditional vet and
then we ended up getting intouch with sort of a vet that
did more alternative typetreatments, and so she did great
(44:38):
.
She responded to Like she hadlaser treatments, he'd get into
oils and some even acupuncture,and she outlived what they
expected her to do.
So we were very grateful forthat.
But it was interesting to seehow a dog is responding to more
alternative treatments,supplements and those sort of
(44:59):
things.
So when patients asked me aboutwhat do I think of some
alternative treatments, Iactually refer back to her and
say she did these things and shelived a pretty great life.
Speaker 1 (45:12):
And it's a great For both of you.
Talking about your dogs, itreally is a great test because
they have no reason.
They're not going to pretendthat acupuncture is making them
feel better, like a human might,or not even pretend, but just
embellish or feel that panaceaeffect.
A pet is either going to feelbetter or not.
Speaker 3 (45:31):
Right yeah.
Speaker 1 (45:32):
Yeah.
Speaker 2 (45:33):
He had a dog with degenerative malopathy and he
had.
My vet didn't have thistreatment, but another vet down
the road did.
He had laser therapy, so it'skind of the same thing.
He was a big dog though.
He was like a hundred pounds.
He was a German Shepherd GoldenRetriever mix.
He was beautiful, but it wasthat was actually like.
(45:56):
My cousin is a vet, she livesin Virginia and she recommended
it and it was pretty cool to seelike laser treatment is.
So there's nothing stressfulabout it, you know, aside from
the fact of going to the vet,which can stress a lot of dogs
out.
But he was a super friendly dogbut it I don't know that it
(46:16):
slowed anything down, but itcertainly made him more
comfortable and that was prettycool.
Right, what are some of thebest supplements that you
recommend?
You know like most effectivefor the things that you see?
Speaker 3 (46:35):
The probably the one that's been around I would say
the longest, probably the moreheavily studied is glucosamine
congenitin.
It's a supplement that can helpwith.
Really what it helps with isinflammation, and so
inflammation in joints in thebody in general can certainly
break down tissue, cancontribute to osteoarthritis
(46:59):
conditions and so I think withglucosamine I tell patients with
that supplement in particular,I recommend it.
I say you know, try it forabout six weeks, see how you
feel.
If you've I've had patientsswear by it If they go off of it
for whatever reason you knowI'm going on vacation they say
it made a big difference.
(47:19):
I felt such a big difference.
So I would say that's probablythe biggest one, probably the
longest studied supplement outthere.
Some of the more recent thingsare like turmeric, which I also
recommend, and sometimes they'llmake them in a combined
supplement.
But I tell patients for themost part the supplements that
are out there are not going tobe harmful.
(47:42):
We always double check withcertain medications they may be
taking.
But I think it's certainlyworth a try.
I think it's a great adjunct orcould be just a great treatment
in general for patients and Ithink patients feel more
comfortable sometimes usingthose supplements and I see more
and more people when they comein and list out their
medications of all kinds ofsupplements and vitamins that
(48:03):
they're taking.
So I would say glucosamine andturmeric are probably the
biggest.
Speaker 1 (48:09):
And it's funny that you mentioned inflammation.
It's a different conversationfor a longer podcast, but to
take the time and notice how youfeel with different foods is
really worthy endeavor too,because inflammation is so hard
(48:32):
to understand but it makes sucha difference.
I mean, you're seeing peoplethat are quote unquote allergic
on whatever spectrum, to glutenor sugar or dairy or whatever it
is.
But that inflammation pops upin very strange ways and places.
Speaker 3 (48:50):
Absolutely yeah, and patients will say you know, I
changed my diet Most of it,cutting out the processed foods
and the sugars, I think areprobably the simplest and
easiest ways to help with diet.
But there's patients whocertainly have changed their
diet and it's made a hugedifference for them in terms of
(49:10):
joint pain and just pain ingeneral.
Speaker 2 (49:15):
Why do supplements take six weeks to kick in,
versus like medication takes acouple of days to start, or even
less to start, giving yourelief?
Speaker 3 (49:25):
That's a good question.
I think with supplements itjust needs to build to a certain
level in your system.
We refer to it like as a halflife.
Like a half life of amedication is much quicker just
based on the pharmacology,whereas a supplement is building
up over time.
There are certainly somemedications that need to build
up over time.
Actually, gabapentin is one ofthose that needs to be taken
(49:50):
regularly and built up, butsupplements sort of work in that
same way.
Speaker 2 (49:56):
I take a lot of supplements.
I think the a lot part startedwhen we stopped eating meat or
we went on a plant-based dietbecause we need B12.
We take a lot of vitamin D overhere.
Then I have a handful of otherones too, but sometimes I think
(50:22):
what am I doing?
I have pill boxes with me allthe time.
Is it too much?
But it's not hurting me, or atleast I don't think it's hurting
me.
I know there's one particularone that I've been taking lately
that it's like a perimenopausalrecommended thing, and I know
that it's made a difference.
It took a little bit to kick in,but it's not this overwhelming
(50:49):
like, wow, I feel so muchdifferent.
It's just a noticing of oh,this feels I feel better.
I wasn't feeling bad, but Idefinitely see a bit of a shift.
Speaker 1 (51:03):
It's funny how one good decision begets another,
whether that's changing yourdiet, adding a supplement,
exercising yoga.
You start to feel a little bitbetter.
And then you're on the goodpath, on the narrow path of
things you know you should do tofeel better, and then it's a
little easier to do them Becauseyou don't want to waste your
time and lose your progress fromthe other thing you've been
(51:23):
doing.
Speaker 2 (51:25):
Yeah, do you have things that you expect during
the different seasons?
I can imagine that you probablysee more injuries in the winter
time.
Speaker 3 (51:36):
Yeah, we definitely see more injuries in the winter
with the.
So yeah, winter is the slip andfall injuries.
We see a lot of that, a lot ofrisk fractures during the winter
season, a lot of hip fractures,I will say, in the spring and
fall I see a lot of back issuesrelated to the yard work.
So I have a lot of issuescoming in.
Speaker 1 (51:56):
A lot of yard work kills.
I tell people in yoga all thetime.
Speaker 3 (51:59):
Yeah, raking the leaves, spring cleaning the yard
work, and summer too, becausethen the summer getting a lot of
patients to with back issues,gardening, bending over, doing
the weeds, excuse me, and a lotof patients bending over for
long periods of time.
I'm in my bed, I'm waiting forhours or I'm doing my garden.
So, yeah, there's definitelysome seasonal injuries that we
(52:23):
see.
Speaker 1 (52:24):
How have you seen?
All I'm doing by being a lazyhomeowner is taking care of my
body.
Speaker 2 (52:30):
How do you see the use of cell phones preventing
everything else going on in thebody?
I mean, I know we have a PTthat practices with us very
regularly and she talks abouthow she sees.
We're just all bending over,Like PT's are seeing issues that
(52:52):
used to only be in certainsegments of the population, like
young moms or moms who areconstantly bending over picking
up weight.
Obviously they're children, butnow even teenagers are getting
that tissue buildup becausethey're constantly looking down.
Speaker 3 (53:09):
Upper back and neck, Upper back and neck and hand and
wrist issues related to texting.
I mean, it was the first timeprobably.
Maybe five, 10 years ago I hadseen a I think she was 15 or 16
who was developing carpal tunnelsyndrome, which is very unheard
(53:32):
of in that population ofpatients.
Usually it's process over timewith work and things like that,
and it was from use of her phone.
She readily admitted it and herparents were like you've got to
stop it.
Speaker 1 (53:48):
The solution is for her to get old enough for her
eyes to stop working, and thenshe'll just do talk to texts
like people.
Speaker 2 (53:55):
But I think talk to texts is like pretty norm for
the young ones, like everythingthat seems like a whole new
thing to us is just what theyknow right Pretty soon.
It's going to be like I don'thave to type.
How do you type?
Yeah Right, yeah Well.
Thank you so much for spendingsome time with us this morning.
(54:17):
It's really nice to chat withyou outside of the studio.
Speaker 1 (54:25):
You are sort of I don't know heading up of what's
the word.
I want a movement.
Speaker 2 (54:33):
A movement around this program.
Speaker 1 (54:34):
Talk about prevention .
Speaker 3 (54:36):
Yeah, yeah.
So I'm doing some talks aroundat some of the rec centers and
some organizations and then justwithin our own practice, just
getting actual referrals backfrom the surgeons who are doing
surgery on the hip fractures,the wrist fractures, where
they're having to useinstrumentation to repair these
(54:58):
fractures, because a lot ofthose fractures are related to
osteoporosis.
So it's really helping patientsrecognize that and then get
treated so it doesn't keephappening, because it's like 85%
chance, with one fractureyou're going to have another one
, and another one and anotherone.
Speaker 1 (55:19):
So we definitely want to prevent that.
Speaker 3 (55:21):
Yeah, yeah.
Speaker 1 (55:24):
So let's put that hashtag with this episode and
make sure we all look at ways toprevent osteoporosis.
Speaker 2 (55:32):
I have something I need to ask you, but I don't
know how to.
So I get calls or we getstudents, new students who come
in, of all ages, but primarilyof a little bit older age,
saying my doctor recommendedyoga.
And so Mary Beth's laughing.
I don't know if you're thinkingof the same thing, but years
ago a woman called and she wasaround 70 years old and she's
(55:55):
like my doctor recommended yogaand just like my mom will take
any medicine that her doctorwould.
That's what she's looking for.
This woman was taking herdoctor's direction and the only
class that would work for herwas 630 Power or something like
that.
And she went and I tried to saythis might not be the best
class for you to start with ifyou're not active and you've
(56:15):
never done yoga before.
And at the time Mary Beth wasteaching 630 Power and she was
like nope, this works for me,I'm going to do it.
I'm going to do it.
I think she came in slacks andshe never came back and that was
my fear of this could be such agood thing for her and not to
(56:39):
say that any person of any agecan't do hot power, because it's
really learning about how totake care of yourself and
breathing with the class.
That's way more important thannailing a pose.
But somebody who's new to yogadoesn't necessarily know that I
think that's a very advancedpractice, a practitioner who can
go to any class and really makethe best decision for
(57:01):
themselves.
So my bigger point or issue isthat we do get people saying my
doctor recommended yoga, sothat's why I'm here, and they
don't really, and that's it.
That's the extent of theknowledge that they come in with
, which is fine if they'rewilling to listen and take some
(57:21):
recommendations, but they seemto want a kind of a quick fix.
You know when is when is myback gonna feel better?
That kind of thing.
How?
What is your recommendation?
And in handling that, I'm sureyoga is not the only place that
that gets this.
(57:42):
I know people go to swimbecause there's no impact and
you know there's other there'sother sort of safer routes to
take, then say like a highimpact interval training program
.
Speaker 3 (57:55):
Right, sure, so you're talking in terms of
recommendations that are made,or, yeah, into goals, or
realistic goals for patients orpeople regarding, yeah, what if?
Speaker 2 (58:07):
somebody shows up next to you and at a 545 class.
That's never done yoga.
My doctor recommended it, yeah.
Speaker 3 (58:15):
Yeah, so I think.
I mean, I think for patients.
And the interesting thing aboutyoga is that the the
recommendations that are put outby the American Academy of
Cardiology and American Academyof Sports Medicine have
recommended for years a standardof 150 minutes per week of
cardio exercise and 20 minutestwo to three days a week for
(58:38):
weight bearing, weight trainingtype exercise.
But they recently changed thoserecommendations and they've
kept that, but they've added onan addition and should also
include practice of yoga orPilates or Tai Chi, which I
thought was interesting.
So that's, that's become partof the medical recommendations.
So, in terms of exercise andgetting patients who have not
(59:01):
exercised especially an olderpatient or a younger patient,
for that matter, you know I tellpatients, listen, it may be
something you need to explore.
You want to find something thatyou're going to enjoy, because
the last thing you want to do isyou're you're not going to
stick with it if it's not anactivity that you don't enjoy.
And certainly with any activity, you know, go slow first.
(59:24):
So you know, take a, take abasics class.
Even for my husband, I mean,he's active and he exercises,
but he was kind of getting backinto yoga.
So I said don't go full go andtry to do a hot power right away
because you're just it's,you're not going to like it.
And he did and he eased himselfback in.
But also in terms of expectingresults for patients.
(59:46):
I tell patients, listen, anOlympic athlete doesn't become a
look at Olympic athlete in aweek.
I mean it takes training and ittakes time and it takes
consistency, because justphysiologically, that
consistency over time is whereyou build the muscle strength
and you get gains andflexibility and balance.
And so you have to look at itkind of on the long term, like I
(01:00:09):
tell patients I send it even intherapy I said don't expect
that therapy.
You're going to get betterwithin the four weeks of therapy
.
They're the tip of the iceberg.
They're teaching the thingsthat you need to do over on a
regular basis and then over time, think of it in three to six
months.
That's where you're going tostart to see those gains.
And so I think for patients, ifthey understand it from that
(01:00:30):
perspective, like this isn'tsomething that is going to
happen overnight and yourmuscles and body have to adapt
to the exercise and trainingthat you're doing.
Speaker 1 (01:00:39):
That's always.
The hard part is consistency,because it takes a minute to see
results, so it's easy to justgive up, right.
Speaker 2 (01:00:47):
Or sometimes people will feel really good after
their first class because theydid a supported bridge for a
while and they might not evenknow that.
That's why they feel good, butwe lean over so much and so just
being in a supported bridge maygive you some relief that you
haven't felt in a while.
And then they'll come back thenext two days later for another
(01:01:11):
class and want that big like aha moment or big relief again.
And it's every class doesn'tdeliver these life changing
moments, although I guess theycan.
Speaker 1 (01:01:23):
Not always good for you.
Speaker 2 (01:01:26):
Yeah, but I mean and these are things sometimes that
are also we don't also get theopportunity to have these
conversations right.
It's a phone call, possibly,with a little bit of
conversation answering somequestions, but it's not like a
(01:01:47):
debrief after every class withevery student of like what's
going on, or a day later likewhat's going on.
It's really more about gettingin tune with yourself.
So it's kind of interesting.
But we would love to.
I think Mary Beth and I aregoing to come to one of your
speeches or talks Field trip,field trip view Very interesting
(01:02:09):
.
I'm proud to be good.
That'd be great.
We'll have flags.
We will observe and we will beon our best behavior even me,
but I do really appreciate yousharing your experience and
practicing with us.
And I looked up, like I saidearlier, I tallied your
(01:02:29):
attendance, your classes overthe years.
Since 1025 2017, you've taken714 classes.
Speaker 3 (01:02:39):
Oh, okay, oh yeah.
Yeah, I practice.
I started practicing in 2008.
So within a different studio,so, and I've always been a three
day a week practicepractitioner.
Speaker 2 (01:02:51):
So I'd have to go back and get up.
Yeah, it would be interesting.
You are very consistent.
If she's not in class and I andI'm not aware that she's on
vacation.
Something's up, wow.
Speaker 1 (01:03:04):
What a good example for your patients.
Speaker 2 (01:03:06):
Do you do?
You get sick often.
Speaker 3 (01:03:10):
No, no, very rarely.
Speaker 2 (01:03:13):
Julie Grubowski and I have had the same conversation.
Julie is do you know who, julia?
She's always by the lobby.
Yeah, she says the same thing.
And, granted, she's, she runs adance studio too.
So she's, she's extremelyactive, but she's just seen so
many changes and she's, she'sjust as consistent as you are,
you know, but she, she doesn'treally.
She said I can't reallyremember the last time I got
(01:03:36):
sick.
Speaker 3 (01:03:38):
I would agree yeah.
Speaker 2 (01:03:40):
Yeah, that's saying something.
You, you work one on one with alot of people, so you're
exposed to a lot of stuff, andthat's that's really saying
something.
Speaker 1 (01:03:51):
All right.
Well, I mean, the body is aremarkable machine and if you do
give it the good fuel and whatit needs, it's amazing what it
can overcome.
Speaker 2 (01:04:00):
Yeah, definitely.
Speaker 3 (01:04:02):
Yeah, I mean yeah, exercise, boost your immunity.
So it's, it's, it's great,Absolutely.
Speaker 2 (01:04:10):
I look forward to seeing you in the studio and
thank you so much.
Speaker 1 (01:04:14):
We were going to have you back right, mary Beth.
We will.
We're going to have you back onour having people back season,
which is coming up.
Speaker 2 (01:04:24):
We appreciate your time.
Thanks for being here with us.
Speaker 1 (01:04:28):
And say hi to Giovanni Lacanata.
For me, I will.
Speaker 3 (01:04:33):
I definitely will Thank you, thank you guys, thank
you.
Speaker 1 (01:04:38):
All right, we're done .
Two microphones and make the phone call gas Two
microphones and you make thephone call.
Speaker 1 (00:12):
Gas, gas.
Speaker 2 (00:28):
Hi, this is Joyce and this is Marybeth.
Welcome to the Modern Yogapodcast.
Good job, thank you.
We have a very special guesttoday.
Her name is Dr Mary Anthony andshe has been practicing with us
for quite a while, but she hasa lot to talk about, I think,
today.
Welcome to the podcast, mary.
(00:49):
Great to be here, thank you, doyou?
Speaker 3 (00:52):
remember your first class?
I do, I actually do.
It was, I wanted to say, fouryears ago, maybe five years ago
I had come from a studio in.
I was practicing in Brunswickand there were some changes
happening there and I wasdriving down Pearl and I saw
(01:14):
your sign and I'm like, oh mygosh, there's a yoga studio four
minutes for my house.
So luckily I was glad you guyshad early morning classes,
because I'm an early morningperson, and I signed up.
I came in and it was really thefirst thought yoga class I had
taken.
They had the hot yoga at theother studio, but it was.
(01:37):
It wasn't the same as you guyshave, it was just more kind of
space heaters, so it didn't havethe same effect and I just was
hooked from day one from beingthere.
So it was just great it was.
I have to say this the modernyoga has real consistent yoga
classes, which I really like.
(01:58):
I always get a good workout, nomatter who's teaching the class
, and so I switched over andI've been there ever since.
Speaker 2 (02:07):
So I just looked it up, it was October 25, 2017.
And your first class was a fiveto six AM class and actually it
looks like your first.
Your first few months of class,for the most part were five to
six AM and that's a class weused to have five AMs on
Tuesdays and Thursdays and wehaven't brought that back since
(02:29):
COVID because we haven't reallyfelt the demand for that,
because the shift to workingfrom home happened and it's just
been recently that it's beenbrought up just a few times.
Would you do five AM classesagain?
Speaker 3 (02:43):
You know what I would .
I'm definitely a very earlymorning workout person.
Now I've adapted to the five tofive, so so, but what
everybody's even going to ask me, I would go with it.
Speaker 2 (02:54):
So yeah, it's not even a topic of conversation for
Mary Beth to ask me if I'mgoing to be there at five AM.
I mean, if I can sleep over thenight before.
I thought you wanted to pick upa couple more classes and this
would be.
You're not busy at five AM?
Speaker 1 (03:10):
No, I'm sure, not, that's nighttime.
Speaker 2 (03:15):
I will say that the I'm looking at.
I don't even know how to.
I'll have to do this later, butyou've taken so many classes.
It's insane, it's awesome.
And.
Speaker 1 (03:27):
I lost speaking up consistent.
Speaker 2 (03:30):
Yeah, the morning crowd is really lovely to teach
because, like from a teacher'sperspective, you just haven't
had your day yet.
Your brain is like fresh.
The students will literallylike do anything you say,
(03:51):
because they're you know.
It's just there's not thisoverload of all this daily
information like a clean slateyeah.
And and they're not messingaround either Like they're there
, they're ready to do yoga, andI sometimes tell some of the
like in while socializing someof the the consistent people at
(04:13):
night like you, there's a wholeother crowd that you'll never
meet because you guys you knowyou'll never come early and you
probably won't come to many lateclasses, right.
Speaker 1 (04:23):
Yeah, yeah, there's.
Yeah, it's a different.
It's a whole different world.
But you were talking aboutsocializing and talking to
people.
That's how we find out in ourcommunity who has really
interesting jobs or is doingreally interesting work, and
hence why Mary is on our podcasttoday.
Speaker 2 (04:41):
Yes, tell us about what you do, mary.
Speaker 3 (04:45):
So I am board certified in family medicine and
I did a fellowship XG orfellowship training in sports
medicine.
So I am in more medicalorthopedics.
I treat the non surgicalorthopedic issues, ranging from
back issues and neck issues andsprains, strains, fracture care
(05:08):
that doesn't require surgery,injections and, of course,
osteoporosis.
And so 20 years ago I came outof my fellowship and I joined
the practice that I am currentlywith and have been with for 20
years, which itself isorthopedics.
We have two offices, one inParma and one in Nittleburg
(05:31):
Heights.
I work with six orthopedicsurgeons, so it's myself and the
surgeons, and so my role hasbeen seeing and treating people
who don't require surgery ortrying to avoid surgery or
getting them to the steps thateventually, if they do need
surgery, then we're doing sortof those preoperative things.
(05:53):
But more recently I've kind ofbranched into looking at
treating and getting people moreaware of osteoporosis, because
we do see a very largepopulation of fracture and
fracture patients and it is adisease that a lot of people are
not screened for, are noteducated on and are not being
(06:16):
treated for and so the onlyexposure I've ever had to
osteoporosis is talking about itin postmenopausal women Really
like little ladies.
Speaker 1 (06:28):
Sure, but it's broader than that.
Speaker 3 (06:29):
Huh, it's much broader than that and I think
one of the big things is notonly recognizing people in the
later stages and postmenopausalstages, but recognizing there
are men that do get osteoporosisand younger patients that got
osteoporosis, and actuallylooking at things from a
preventative standpoint andrealizing we start to lose bone
(06:51):
mass, starting at like age 30.
So our peak bone mass is at 30.
And then we go on a slowdecline and for women, when you
have menopause, then it reallyreally drops down significantly.
So it's looking at things wecan do on a preventative side as
well as the treatment side.
Speaker 1 (07:07):
Preventive is a wonderful concept that sometimes
doesn't get talked about enough, not only from the medical
community, but a lot of peoplearen't interested in prevention
until it's too late to prevent,right, we just want to go in and
get the shot or get the pillCorrect.
Speaker 3 (07:22):
Yes, exactly yeah.
Speaker 1 (07:25):
So 30,?
Huh, we've pretty much shot ourwad by 30.
Speaker 3 (07:29):
And then we declined.
Speaker 1 (07:30):
She used the word decline rolling down the hill.
Speaker 2 (07:34):
Right, and then the big drop off the cliff menopause
, but it sounds like you've beendoing some prevention, Mary
Beth, whether you know it or not.
Speaker 1 (07:42):
Right.
Yes, thank God.
Accidentally, I mean ifprevention included getting up
early to work out or do yoga youwould be in bad shape, or run
Might be a deal breaker, butsince I can do that at any time
of the day, what are I mean?
Speaker 2 (07:59):
there's so much to talk about here and I pulled up.
I'm sure that you love DrGoogle.
Speaker 3 (08:05):
We love Dr Google.
Speaker 2 (08:07):
Yeah.
We all do it, I just pulled upsome stuff on osteoporosis just
to be able to talk about thisintelligently.
Speaker 1 (08:15):
But wait a minute.
You didn't say we were tryingto talk about things
intelligently on our podcastchoice.
I did not sign up for that.
Speaker 2 (08:23):
This is our first doctor, I think so.
Anyhow, what are some ways,what are some preventive
practices?
Speaker 3 (08:36):
Yeah, so one of the big things is exercise, because
strengthening the muscle stresson the bones helps keep them
stronger, helps them continue toremodel.
So exercise is probably one ofthe biggest things I promote to
patients and one of the otherthings that included an exercise
which why I think yoga is soimportant is because balance,
(09:00):
balance training, proprioceptionis helpful for preventing falls
, which is a huge risk factor,obviously for breaking bones.
Speaker 1 (09:10):
So that's really interesting.
So balance helps us fromfalling and breaking our bones.
Speaker 3 (09:15):
Yes.
Speaker 1 (09:15):
But I'd like to spend a little bit of a minute on
what you said before that aboutwhat exercise actually does for
your bone density.
Explain that like in layman'sterms, but physiologically a
little, because I think peoplelose the message when we just
say you should exercise,exercise and eat right, that
(09:36):
just means you're stayinghealthy.
But what does exercise do?
What does working those musclesand even cardio do for our
bones?
Speaker 3 (09:46):
So with osteoporosis, one of the big preventative
exercises that's promoted is theweight-bearing exercises, so
exercises where, like walkinganywhere, you're actually on
your feet and you're stressingthe bones in that regard.
So biking, for example, greatexercise, still good, but not as
(10:07):
impactful for bone health.
Speaker 1 (10:11):
So that weight-bearing is important.
Speaker 3 (10:13):
Correct Weight-bearing is very important
because what happens is youstress the bones like you, just
you stress the muscle and inorder for it to get stronger,
you continue to stress itbecause it's living tissue.
So it forces what's called boneremodeling and building new
bone and healthy bone.
And also the circulatoryaspects of any exercises which
(10:34):
help with circulating, you know,blood flow, which also helps
the living tissues, which isbone.
Speaker 1 (10:41):
So this is all real.
This whole metaphor ofchallenge, making a stronger in
the more figurative way, is allvery true on a physical level,
for our health as well.
The stress is good to an extent.
We have to press things pasttheir limits to get stronger.
Speaker 2 (11:03):
Exactly.
Speaker 3 (11:04):
Yes.
Speaker 2 (11:06):
And it's okay to push things far enough to as far as
yoga goes like balancing posescan be one of the hardest parts
of class, but it's okay to pushthings far enough to where you
lose your balance, because thatthreshold continues to get
(11:28):
longer.
Speaker 1 (11:28):
Yeah, so staying on the safe side isn't always the
best way, and you know you hearpeople who really suffer from
osteoarthritis say you have tokeep moving or you'll.
Once you sit down and stop, youwon't get back up again.
Speaker 3 (11:43):
Yeah, that's huge and it's your training, like in
yoga, your training muscles torespond to balance, and muscles
that you probably wouldn'tnormally stress or use, and so I
think that's super important.
The balancing part of the yogapractice I think is incredible
in terms of training all thoselittle muscles that we typically
(12:06):
just don't use on a daily basis.
Speaker 1 (12:09):
And if you don't practice here's the word for
yoga practice if you don't trythose things, then when it does
happen that you're having tostand like one leg on a boat
dock or something, accidentally,your body's not used to it and
your intuition doesn't know whatto do.
So that's what I like to sayabout a yoga practice is one of
(12:31):
the big reasons to do it is toinform your intuition about your
own body.
You used a buzzwordproprioception but can you
explain to the world whatproprioception really means?
Speaker 2 (12:44):
Because that's the part of your balance and how
proprioception became a buzzword.
It's very trendy.
Speaker 3 (12:52):
So proprioception is like a neurologic response or
adaptation that your body makesto imbalance.
So I one of the biggest thingsI I tell patients, specifically
when I see patients like withankle sprains, is that once you
sprain your ankle you tend tolose a sense of proprioception
(13:12):
because those nerve endings helpto tell where you are in space
and so if you have an ankleinjury you are more likely to
sprain it again and again.
And one of the one of the bigthings I promote for such ankle
injuries is getting into therapy, doing rehab, where they teach,
they train you and teach you toproprioception exercises,
(13:33):
balance exercises, so thatdoesn't become a recurrent issue
and so that let's say, in 10years or 20 years you say, hey,
this is my 15th ankle sprain orI keep doing this and my ankle
is just never well.
It's never going to be the sameif it's done that many times.
But for patients who go throughthat process a lot of times, it
helps to minimize the futuresprains and injuries they would
(13:57):
have to the ankle.
Speaker 1 (13:59):
That's so interesting .
So it's not just about maybethe ankle being weaker or
different or injured, it's abouthow you use that ankle because
of that injury.
Wow, correct yeah.
Speaker 2 (14:09):
Well, and your brain, the relationship between your
thoughts or your brain really inyour and your ankle, like you
know, right.
That's what it sounds like,yeah, when, like at what point
in time was that addressed?
You know, I can't imagine thatit was always thought or always
(14:30):
known that you hurt your ankle.
Like we should probably work onyour, the relationship between
how you're thinking about yourankle and your, yeah, your
proprioception.
I mean that that definitelywouldn't have happened when I
was younger, you know, and thatwas a long time ago.
Speaker 3 (14:46):
But yeah, and I think for you know, for some patients
and it depends on you know whoyou do see in terms of you know
physician or somebody in themedical field if you, if you do
happen to see somebody for anankle sprain, not everybody
promotes it it's you know,healing, we're a brace, there
you go, but from a sportsmedicine that's where a lot of
(15:08):
my training comes in as well isthat you know you want to set
people up for a future ofreduced injury and reduce
problems, and so it's a littlebit of a different focus.
I've seen patients who have hadthey're going on, their fifth,
sixth sprain and I've asked themhave you ever done a rehab
program?
And their answer has alwaysbeen no, I would just wear a
(15:29):
brace, or you know, I reallynever went through that and so I
promote that as, hey, if you dothis, this may help this from
continuing to be a problem foryou.
Speaker 1 (15:41):
I have a question.
What an idea.
Speaker 2 (15:43):
Yeah, why?
Why just sports medicine?
Right, with balance.
Balance is something that wepotentially could lose or it
isn't as strong as we age, butis it something that it's of my
understanding that it'ssomething that people can get
back if they work on it?
(16:04):
And and this is coming fromexperience with people, older
people that know they need towork on balance, either because
they recognize that they'vethey're not as sturdy as they
used to be or steady, and orbecause a doctor would say, like
you really need to work on yourbalance, and a lot of times
(16:26):
they get really frustratedbecause it's not there, but it
does get better, at least alittle bit.
And, and from my experience Idon't know about you, mary Beth,
like, but we hear this all thetime so how does that work,
especially in an aging person?
I mean, we're all aging.
Speaker 3 (16:43):
I guess that's not even sure, yeah, so I mean with
obviously, with age, there'schanges that occur in our body.
Some of them are somewhatpreventative and some of them
aren't.
But I tell my patients, like ifyou continue to work on you
know your exercise and you getinto a routine and you're
(17:05):
consistent, then those changescan be lessened.
So you don't have to be thehunched over persons you know
sitting in their chair watching.
You know you can be.
I have what I call mysuccessful, like 80 and 90 year
old patients who look absolutelyincredible.
And there are patients that youknow are and I ask them I say,
(17:27):
hey, what do you do?
And inevitably 100% of the timethey tell me I stay active.
And so I think engaging incardiovascular exercise,
strengthening exercise andbalance exercise, you can help
to minimize those effects to acertain extent.
For sure, you can definitelyward off some of those changes
that do occur.
Speaker 2 (17:47):
You kind of get all those in my mom.
I'm sorry, said you can get allof those in a yoga class.
Speaker 1 (17:53):
Yes, for sure.
I had my mom at lunch atgrumpy's cafe in Tremont on
Tuesday because she had had adoctor's appointment downtown
and we sat outside on the patiowhere there were three bikes
parked like road bikes and thethree people that get on these
bikes were 75, if they were aday Serious.
(18:17):
You know helmets, the littlerear view mirror that comes out,
the helmet, all the gear, grayhaired, wrinkles in shape,
people.
But it was cool.
I was like Holy crap, look atthese people.
They're about to ride right upWest 14th Street.
Is your mom want to join them?
I did not present that in anoption, but I'm also going to
(18:41):
say no, she's not going to wantto do that.
Speaker 2 (18:45):
That's where you get your your athletic drive.
Speaker 1 (18:47):
Right, right, that's true.
Speaker 2 (18:50):
Although your mom, your mom does cherry yoga, she
does.
Speaker 1 (18:53):
She and she my mom's, my mom's walking and exercising
and everything.
She says that it's shopping.
So whenever anybody gives her ahard time for shopping, she
says it's I get up, I go out, Iwalk around.
Speaker 2 (19:07):
So the shopping count .
Is that an exercise that youwould prescribe?
Is it retail therapy?
Part of lifting?
Speaker 3 (19:17):
your wallet.
Anything to get people moving.
I will say that.
Speaker 1 (19:23):
Mary, if I or me or anyone male, female, old or
younger goes in for an x-ray forwhatever reason whether we took
a fall or we're justexperiencing pain and we get
referred, they say at the ERfollow up with an orthopedic, we
go to your office and how do weknow if we see the surgeon or
(19:48):
we see you?
What's that process if somebodywants to try and avoid surgery
rather than going straight to anorthopedic surgeon?
Speaker 3 (19:56):
Sure, we have a process when our patients call.
But even if it's a patientunless we know for sure it's
something surgical obviouslycoming in from like an ER, that
somebody had a workup done thereand they know it's a surgical
issue a lot of the patients willbe referred through me,
sometimes first, and then I'llassess them.
(20:18):
If it's appropriate I'll dotesting.
If it's something that may besurgical, then the workup is
done through myself MRI studies,cat scans and then from there
are referred to a surgeon,obviously if it's surgical.
If it's non-surgical, thenthey're treated, usually through
rehab or through other methods,depending on the injury.
Speaker 2 (20:42):
Do you try to prevent surgery?
Speaker 3 (20:45):
Yes.
Speaker 2 (20:46):
That was a hard.
Yes, why you do, does everyone?
Speaker 3 (20:50):
Yeah, I mean even a surgeon will tell a patient,
unless it's like a trauma issuewhere they break their leg and
they need a rod put in orsomething.
In that regard, it's going tobe the option of last resort For
arthritis patients who arelooking at joint replacement
surgery.
We're taking the steps firstconservatively, before reaching
(21:14):
that point, and some of that'sdriven also by insurance.
Surgery in many orthopedicissues is the option of last
resort.
Speaker 1 (21:28):
I think a lot of cynics out there always.
I mean, you've heard beforepeople say, oh, they want you to
have surgery, they do, theywant you to have surgery.
My mom has had.
Well, both my parents had hipsreplaced but my mom had both of
her knees done at once, which Iactually appreciated.
I heard that's sort of acontroversial thing.
(21:50):
Not a lot of doctors want to doit.
I was thrilled that her doctorwanted to do it.
She was only maybe 70 couple atthe time, very healthy.
It was one surgery, one rehab,good range of motion back and we
were done.
Speaker 3 (22:05):
Yeah, there are certainly.
There are patients who arecandidates for having both knees
done at the same time.
It just depends on the patient,the health of the patient, the
motivation to be able to do thatbecause the difficulty of not
having a good leg to stand onafterwards.
But there are certainlypatients who have done both at
the same time and are very happywith their results.
Speaker 2 (22:27):
I had both of my bunions done at the same time.
I kind of had to beg my doctor.
He was like I don't, it was thesame thing that you said.
He was like you're going toneed one good foot.
There's a lot of pressure onyour feet.
I was figure skating at thetime and he said that I would be
(22:47):
back in a regular shoe in sixweeks and I'm like I don't want
to go through this twice, twiceyeah, that's the thing, yeah.
It was nine weeks that I was in.
I think I was in a flip flop innine weeks, or maybe it was.
I had to buy like men's shoes.
Speaker 1 (23:03):
It'd never been a flip flop, should you?
Speaker 2 (23:05):
Well, I don't know, but I did.
Then it was like big tennisshoes, because my feet were
still swollen and I just hadthese like massive men's shoes.
Speaker 1 (23:15):
I bet that was sexy, because you're the tiniest
person, so you probably looklike a little clown with clown
shoes on.
Also, bunion is such a stupidword.
Can we use some other clinicalterm for bunion?
It's like funion.
Sure, there is.
Funion surgery is prettypainful, right, don't?
They shave some bone and stuff.
Speaker 2 (23:35):
So go ahead and do you know better than me?
No, no.
Speaker 3 (23:39):
It's a pretty yeah, it's a pretty brutal surgery and
certainly you've been throughit, so you know the recovery on
that.
Speaker 2 (23:46):
Yeah, I mean like mine.
My cousin had a really badexperience with her bunions, but
like I was, not safe bunion.
Sorry, with her foot surgery Ifelt like my feet had really big
hips and now they don't.
Speaker 1 (24:04):
But I think that.
Speaker 2 (24:04):
Bunion rings.
So either my bone had to bebroken or cut at which I guess
is maybe the same thing andthere were pins put in to
straighten out the bone to mybig toe.
So my only complication.
So I also had my little toesreconstructed, because
apparently I thought this wasfrom my skating boots, but I was
completely wrong.
(24:24):
But apparently the pressurefrom the inside of my foot was
causing my little toe to kind ofturn out and overcompensate,
and so my little toe was like Ithought it was a callus, but it
was really just.
Or it was a callus but it was.
It was from all the pressure ofbig and shoes and you know
whatever else.
So my little toes werereconstructed at the same time.
Speaker 1 (24:46):
I love that you've had reconstructive surgery on
your pinky toes Right.
Speaker 2 (24:51):
Yeah, I'm sure that took him an extra like five
minutes, you know.
But when I was healing,apparently I was a little bit
too active and it made the pinslift, which they did their job,
but I had to have the pinsremoved.
That was worse than the surgeryand my my doctor was this was a
long time ago, I don't rememberhis name.
He was great, he was super niceand he was like, yeah, this is
(25:14):
no big deal, we'll have the pinsremoved.
Like he said, it'd be a coupleshots of novocaine and you know
a little snip and he'll pullthem out.
And it was it.
I would rather have the surgeryagain, to be honest with you,
because, like putting novocainearound your ankles might be the
worst thing ever invented.
I don't know who thought ofthat.
They should have just knockedme out.
Speaker 3 (25:35):
Yeah, the numbing process and then the pulling of
the pin is not comfortable Atthat point.
I was like let's get this up.
I'm kidding.
Speaker 2 (25:43):
I was like I literally was making the nurse
hold my hand.
I was, I was crying and thelike the the light over the
table, you know, had the silverlike rim and I was trying not to
look at it because I thought Icould see what was going on.
It was like a whole mind game.
That was fun.
Speaker 1 (25:58):
Imagine if we were born in another time, before all
of these pain measure.
I mean that was with pain medsor novocaine.
Speaker 2 (26:07):
Yeah, I mean, if we were born in another time, I
would have never had bunionsurgery.
Bunion surgery.
Speaker 1 (26:12):
You know I'm thinking of Outlander now and how they
have to do all these surgeriesjust with a little bit of hooch.
Speaker 2 (26:19):
I will say, though, that I have a really wide feet,
and I always had to get specialshoes, like from grade school.
Did you have to wear saddleshoes?
Speaker 1 (26:30):
Absolutely.
I was a cheerleader.
You never did, mary.
Speaker 3 (26:34):
I never did.
No, we didn't.
Speaker 1 (26:36):
It's.
Speaker 2 (26:36):
Mary young, are you younger than us?
Speaker 3 (26:39):
No, I'm the same age.
I'm actually because my husbandwent to school with you, mary
Beth.
That's where my connection was,that I mentioned.
Speaker 1 (26:49):
Yes, giovanni went to prom with my friend Lori.
Speaker 2 (26:55):
She knows how to say his last name with.
Sounds like an Italian accent.
Speaker 1 (26:59):
Well, giovanni L'Augagnata, it's hard to not
sound Italian with that.
I think he just liked to say it.
Giovanni was always a gentleman.
I mean, I didn't know him superwell, but he was just a nice.
You know you don't have nicethings to say about a lot of
boys from high school, but Giowas a good egg.
Speaker 3 (27:21):
Does he have sisters.
He has one brother, Salvatore.
Speaker 1 (27:27):
Salvatore L'Augagnata .
Speaker 3 (27:29):
He's Italian.
Speaker 2 (27:30):
Are you Italian too?
Speaker 3 (27:31):
I am not no.
Speaker 1 (27:35):
Yeah, that's pretty Italian.
Speaker 3 (27:37):
That's very Italian yeah.
Speaker 1 (27:38):
Salvatore and Giovanni.
Speaker 3 (27:40):
Yeah.
Speaker 2 (27:42):
So back to the saddle shoes.
Like my mom had to go to aspecial store to get wide saddle
shoes and I had like the mostdurable saddle shoes out of
anybody in class and you know.
And then, moving on in life, Ihad to like like Nine West
always had wide shoes and it wasjust a whole project.
Yeah, but then after thesurgery I was really completely
(28:03):
healed.
I could go to Kmart and fit inlike regular old shoes.
I was like this is not that.
I want.
Maybe once just cause.
Speaker 1 (28:10):
Well, it sounds like you wore flip flops, which I am
certain that your surgeonprobably did not approve.
I know you needed to not haveyour foot constrained, but there
was no support there.
Speaker 2 (28:22):
Listen, that was a long time.
It was 1998 that I had surgery,so I just want to take one
moment down memory lane for allof you saddle shoe wearers that.
Speaker 1 (28:33):
Do you remember how you'd have?
I mean saddle shoes get betteras they get older, right?
Speaker 2 (28:38):
Yes.
Speaker 1 (28:39):
They were beat up.
But then you had to take thatwhite spongy polished bottle of
quick and quick Wasn't that thebrand name of the shoe polish?
And you had to make your saddleshoes white again.
That was a simpler time.
Speaker 2 (28:53):
I skated, so I had I was you got to do that to your
skates, yeah, like when youcompeted, you didn't want to,
you don't want your beat up youknow, like when they were the
same way where they, when theywere, there was like the sweet
broken in period.
That was just perfect and thenthey got to lose the beginning.
(29:14):
Beginning was terrible and theend was not so good.
Speaker 1 (29:18):
And then, yeah, and then you took the white shoe
polish bottle and and wroteseniors 87 on your back window
of your car.
But we digress.
Do you miss saddle shoes, maryBeth, I do it's.
It's back to school.
Time makes me nostalgic forback to school, like new
(29:39):
notebooks and new school shoes,and my little plaid well, my big
plaid jumper.
Speaker 2 (29:45):
I'm sure you have a new notebook, a new journal.
Are you from around here, maryLike, were you born in?
Speaker 3 (29:52):
Yeah, I was, yeah, born and raised.
I was lived in Karma Heights,initially in the North Royalton.
Um, yeah, I was a holy name, soyeah, so are you you're around
the same years.
Speaker 1 (30:08):
I don't want to divulge how old you are, but
everybody knows how old?
Speaker 3 (30:12):
I graduated in 90 from holy name.
Speaker 1 (30:14):
Oh, so you are a little younger.
You're not younger than Joyce,but you're younger than me.
So I'm trying to think of, likethe uh, Lobiano, maybe I don't
know if Michelle yeah, she was alittle Lobiano was in your
class.
Speaker 2 (30:25):
Yeah, yeah.
Speaker 1 (30:27):
I'm trying to think of, like the kids that I know
who went to holy name, and thentheir little brothers or sisters
, because that's all I can thinkof at the moment.
Speaker 2 (30:34):
Now they're going to wonder why they're getting all
this attention from their namedropping on this international
podcast.
Speaker 1 (30:40):
And another Italian.
Speaker 3 (30:42):
Yeah.
Speaker 2 (30:43):
Yeah.
So, mary, when you see apatient, what's?
How long do you normally likesee a patient in?
You know, like length of time,not a specific appointment, but
like is it usually six months ayear once.
Speaker 3 (30:58):
You know what?
It depends on the problem andcertainly for some patients they
have more chronic issues, so itjust depends Back patients tend
to be patients I see in a moreregular basis Acute injury.
Younger patients tend to seethem, obviously for that injury.
Speaker 1 (31:17):
But as opposed to an ugly injury.
Yeah, did I did there.
Acute injury versus an uglyinjury.
The ugly injury.
Speaker 3 (31:27):
So some of those patients certainly will come
back, you know if they're havingother issues.
Orthopedic issues are prettycommon, so we do keep a pretty
steady patient load in ourpractice and we've been around.
Speaker 1 (31:43):
Back certainly seems to be something that.
That's one area I think peoplewill try a lot before going in
for surgery, Whereas otherjoints I don't feel like they
necessarily are as surgeryaverse.
Speaker 3 (31:56):
But people are like, oh, I don't want back surgery
For backs, yeah, yeah, andthere's a lot of patients who I
tell my back patients it'sreally finding like what works
for them therapeutically andit's it's.
For everybody it's different.
It can range from, you know,acupuncture to physical therapy,
to massage treatments, tocertain medications, but for
(32:18):
most patients, even,unfortunately, with chronic pain
, back surgery isn't even anoption for them.
And good spine surgeons willtell their patients listen, I'm
not going to make this anybetter by doing surgery for you.
So it's kind of a differentbeast in terms of orthopedic
issues, for sure.
Speaker 2 (32:37):
So we've talked about prevention.
What happens when you have apatient who really hasn't done
any prevention and all of asudden they have issues, whether
it's osteoporosis or a sprain.
Is there any?
I mean, there's no going backin preventing, but like, what
(32:57):
are the positive steps thatsomebody can take if they maybe
they weren't so active?
Speaker 3 (33:04):
So active previously.
So what I try to do for thosepatients is is educate them on
let's.
Let's say yes, going forward.
We can't change what hashappened in the past or, you
know, skipping some of thosepreventative things but going
forward, including talking about, like a rehab process,
supplements, diet, you know,incorporating some sort of
(33:26):
regular exercise routine intotheir, into their daily life,
because that's one of theprobably the biggest
preventative things for a lot ofissues beyond orthopedics.
And then, in some cases,especially going into the realm
of osteoporosis, talking about,you know, certain medications
and introducing patients tothose options as well.
But I do like to take anapproach with my patients and
(33:49):
say I'm here to give you theinformation, I'm here to talk
about the kind of the facts thatare out there, but in the end I
want to like help, a patient,design, sort of a program for
them that they're going to becomfortable with.
Because, especially withosteoporosis, a lot of patients
will come in and right off thebat I'll walk in the room and
they'll say, hey, listen, I'mnot interested in those
medications and you know I'veheard a lot of bad things about
(34:12):
them.
And I say I am not here toconvince you to go on any
medication.
I'm here to give you the factsand so that you are better
equipped in making a decisionfor yourself, because ultimately
, it's going to be your decisionas far as where you want to go
with this.
Speaker 2 (34:27):
How do you like?
You just brought up somethingreally interesting, because I am
a very like I don't want totake anything, and James is like
oh I have.
You know, my pinky finger hurts, so I'm going to take some
aspirin or Tylenol or ibuprofenor whatever.
And I'm sure that some of myyou know, some of my resistance
(34:48):
to medication is not because ofgood education.
It's because I just decidedthat I don't want to throw
foreign things into my body.
So I can imagine that can bereally challenging with somebody
who's already decided what yourtreatment is going to be and
(35:09):
vice versa.
Speaker 1 (35:09):
Somebody who says, just give me a pill, I don't
want to do your exercisebullshit.
Speaker 3 (35:13):
There's that too.
Yeah, True, yeah, it definitelygoes both ways, because
there'll be patients to speakingto your point, Mary Beth, where
they want the quick fix andthey think, hey, if I just get a
cortisone shot, you know I wantto walk out, I don't have time
for this.
And unfortunately, for a lot ofthings it doesn't work that way
and we live in such a likeinstantaneous society where
(35:35):
everything is instant and we getinstant satisfaction and I tell
patients listen, the body stillhas a healing process and we
can't, we can't make that anyquicker for you.
So we, you know I also educatepatients on you know what that
takes, and healing doesn'thappen overnight.
And I'm the first one to tellmy patient listen, I understand
I don't have time to deal withthese things, I have too much
(35:58):
going on, but this is kind ofthe reality.
And then on the flip side ofpatients who are resistant to
considering medications,especially, I would point to,
like the osteoporosis stuff,because the other things we deal
with are more, you know, the,your anti-inflammatories, that
kind of thing for pain reduction, but in the osteoporosis realm,
(36:20):
the medications that have beenout, and have been out for years
, unfortunately got a lot ofthat press in terms of their
side effects.
So it's it's helping patientsunderstand how the medication
actually works, what the sideeffects potentially can be.
But the risks versus benefitslike your, your chance of
(36:41):
breaking a bone and sufferingthe effects of that broken bone
whether it be pain, disabilityetc.
Can be much greater than thepotential side effects of the
medication.
So it's looking at weighingthose risks and benefits.
Speaker 1 (36:56):
And disability can happen so quickly and easily.
It's astounding.
Speaker 2 (37:02):
Yeah.
Speaker 1 (37:02):
And we have to depend on people, all of a sudden,
something that isn't going toheal, or isn't going to heal
well, to drive, to walk, to shop, to work.
Speaker 3 (37:14):
Yeah, yeah, and that's, that's a big, that's a
big part of it.
And for patients it's you know,we've, I've seen patients that
the one that sticks out from allthe patients I've seen is a
woman that broke both her wrists.
She was an older woman whoactually and then she was a
woman who was a woman, who was awoman, who's a person I've seen
ultimately has broken them down.
(37:34):
So that's why, true, true, Ithink there's no way to turn off
these kinds of conversationsbecause there are so many
situations where you're like I,I guess nose.
It's, it's yeah.
Speaker 1 (37:46):
I can get back.
Speaker 2 (37:47):
And going to the bathroom.
Yes, how do you take care ofyourself with two cats Like
that's?
That's really hard, I meanthat's a hard situation,
difficult situation, yeah.
Speaker 1 (38:02):
We're going to need some plastic bags.
Speaker 2 (38:05):
We, um, my mom comes to my slow flow in Brexville on
Fridays.
She, she, she does, she helpsus out around the studio too,
and, and after class a couple ofweeks ago she was like my, my
back has been killing me latelyand I'm like you should say well
(38:25):
, your face is killing me.
Speaker 1 (38:27):
That's the only bad joke that my dad would make,
would say my dad too, yes.
Speaker 2 (38:32):
I was like mom, why didn't you say something like
because there are things thatyou should avoid and things that
you should do?
Like what, where does it hurt,does it?
And I'm not a doctor or a PT,but like I know some stuff right
.
Like, does it hurt when you'rebending over?
Does it hurt when you're you'reextending?
And she was like I don't know,I'm going to the doctor next
week and I'm like okay, but mymom is definitely in in the
(38:56):
category of give me, give me thepill that will make this go
away, you know.
And so then again, she took myclass again Last Friday and
after class she's like you know,my back's not getting any
better.
I'm just like all right, Idon't know what to tell you, go
to the doctor.
Speaker 1 (39:12):
Like you know.
To bring it back to yoga, Irealized with my own back pain
that, as simple as it is, or oras it looks or as people might
think it is, simply cats andcows are a great place early in
the practice to identify whereand when your back hurts, like
(39:34):
because basically that's flexionand extension, right Back
bending and forward folding.
So identify right there whileyou're still on hands and knees
and then translate that toeverything else because, warrior
one can be a back bend or not.
Forward fold can be all the waydown or not.
So for the rest of yourpractice standing, balancing,
(39:55):
kneeling, anything you caninform yourself on how you
should be bending your back orflexing your back.
Speaker 3 (40:04):
Yeah, and cat cow.
I will tell you, I tell almostevery backpatient the simplest
thing you can do is cat cow, andif you can't get on your hands
and knees and you're an olderpatient you can do it standing.
You can Standing or sitting.
Speaker 1 (40:19):
Yeah, spilled my coffee with my demonstration
there.
Speaker 2 (40:22):
So Chloe just walked by.
She would be a good patient foryou she's, and this is my dog
bed.
It's a futon that I've beenwanting to throw out for years,
but I have two senior dogs andit's a good height for them.
Yeah, they like bed, theblankets, and so she had her
(40:42):
head up, like looking on thewindow, so it was really cute.
But Chloe is almost 13,.
She'll be 13 in a couple ofweeks and she is congestive
heart failure.
She's had it for about over ayear and a half, and so what
we've been doing is, well, she'son medication, but we don't let
(41:03):
her here she comes.
We don't let her off the leashso she doesn't chase squirrels
and deer and everything.
But our other dog who's not uphere, he has arthritis and he's
on Arthurg.
Yeah, he's on Gabapentin andRimmadil, and I know Gabapentin
is a pretty common drug forpeople as well.
(41:24):
I'm sure Chloe's heartmedications are pretty common,
but it's interesting watchinghim.
Now he's a pit bull, so he'sgot a lot of muscle mass and
some days his the duration ofhis walks can change drastically
, but we know the range.
(41:45):
Some days he gets down thedriveway and he's like, yeah,
I'm just gonna lay down andthat's it.
He doesn't want to go anyfurther and some days he's okay.
And I try, I'm trying to, orI've been trying to correlate,
as this People say, my arthritisacts up with the weather and
all the things, but it's just.
(42:05):
It's very interesting to.
He's very happy, don't get mewrong but it's.
And obviously my heart breaksfor my dogs but I'm happy to
have them into their senior year.
But it's very interesting tojust kind of watch and observe
what he's like an hour after hismedication and what he's like
(42:26):
five hours after his medication,things like that.
Speaker 1 (42:30):
And then the other thing is then, as humans, how
much easier it is.
He can't tell you when andwhere and how it hurts, as much.
And kind of yeah, so we have.
I mean, we do have the rareopportunity to really identify
and like narrow down ourtreatment or our medication or
our exercise easier than a pet,if we choose to.
Speaker 2 (42:54):
Is it safe to assume you have dogs, considering your
sweater?
We did.
Speaker 3 (42:59):
We did.
She's been gone for about fiveyears now.
And this was our schedules andit was just heartbreaking when
she left us.
So we do not.
But we're a big dog and animalpeople and when it's been a
really good one.
Speaker 1 (43:13):
I mean, all three of us can attest to this.
It's, they're irreplaceable,and then if you are in a time in
your life to start over, itdoesn't necessarily feel fair to
the animal if you're busier,but I always joke.
I have two grandchildren nowand yet my screensaver on my
phone is still.
Mr Peepers, who's been gone forfour years.
Speaker 3 (43:36):
Yeah, yeah, she's my screensaver too.
Speaker 1 (43:40):
So I guess what was her name.
Speaker 3 (43:42):
Olive.
Speaker 1 (43:43):
Olive, I love that.
What kind of?
Speaker 3 (43:45):
dog.
She was a French bulldog.
Speaker 1 (43:49):
Oh, spectacular.
And her name was.
Speaker 3 (43:51):
Olive yeah, she was a Kalamata.
She was black, though.
That is too cute.
Speaker 2 (44:01):
Yeah, so we really share a lot of these same things
.
Pets are probably betterpatients sometimes, I would
imagine.
Speaker 1 (44:09):
They're so stoic, mostly, they're so stoic and
non-complaining.
Speaker 3 (44:13):
Yeah, she was stoic.
She made you feel better.
Yeah, she had bad spinal issues, unfortunately, but she had a
really really good vet that gother through it.
So, yeah, but actuallyinteresting with her, we took
her to, we had our sort of whatwe consider traditional vet and
then we ended up getting intouch with sort of a vet that
did more alternative typetreatments, and so she did great
(44:38):
.
She responded to Like she hadlaser treatments, he'd get into
oils and some even acupuncture,and she outlived what they
expected her to do.
So we were very grateful forthat.
But it was interesting to seehow a dog is responding to more
alternative treatments,supplements and those sort of
(44:59):
things.
So when patients asked me aboutwhat do I think of some
alternative treatments, Iactually refer back to her and
say she did these things and shelived a pretty great life.
Speaker 1 (45:12):
And it's a great For both of you.
Talking about your dogs, itreally is a great test because
they have no reason.
They're not going to pretendthat acupuncture is making them
feel better, like a human might,or not even pretend, but just
embellish or feel that panaceaeffect.
A pet is either going to feelbetter or not.
Speaker 3 (45:31):
Right yeah.
Speaker 1 (45:32):
Yeah.
Speaker 2 (45:33):
He had a dog with degenerative malopathy and he
had.
My vet didn't have thistreatment, but another vet down
the road did.
He had laser therapy, so it'skind of the same thing.
He was a big dog though.
He was like a hundred pounds.
He was a German Shepherd GoldenRetriever mix.
He was beautiful, but it wasthat was actually like.
(45:56):
My cousin is a vet, she livesin Virginia and she recommended
it and it was pretty cool to seelike laser treatment is.
So there's nothing stressfulabout it, you know, aside from
the fact of going to the vet,which can stress a lot of dogs
out.
But he was a super friendly dogbut it I don't know that it
(46:16):
slowed anything down, but itcertainly made him more
comfortable and that was prettycool.
Right, what are some of thebest supplements that you
recommend?
You know like most effectivefor the things that you see?
Speaker 3 (46:35):
The probably the one that's been around I would say
the longest, probably the moreheavily studied is glucosamine
congenitin.
It's a supplement that can helpwith.
Really what it helps with isinflammation, and so
inflammation in joints in thebody in general can certainly
break down tissue, cancontribute to osteoarthritis
(46:59):
conditions and so I think withglucosamine I tell patients with
that supplement in particular,I recommend it.
I say you know, try it forabout six weeks, see how you
feel.
If you've I've had patientsswear by it If they go off of it
for whatever reason you knowI'm going on vacation they say
it made a big difference.
(47:19):
I felt such a big difference.
So I would say that's probablythe biggest one, probably the
longest studied supplement outthere.
Some of the more recent thingsare like turmeric, which I also
recommend, and sometimes they'llmake them in a combined
supplement.
But I tell patients for themost part the supplements that
are out there are not going tobe harmful.
(47:42):
We always double check withcertain medications they may be
taking.
But I think it's certainlyworth a try.
I think it's a great adjunct orcould be just a great treatment
in general for patients and Ithink patients feel more
comfortable sometimes usingthose supplements and I see more
and more people when they comein and list out their
medications of all kinds ofsupplements and vitamins that
(48:03):
they're taking.
So I would say glucosamine andturmeric are probably the
biggest.
Speaker 1 (48:09):
And it's funny that you mentioned inflammation.
It's a different conversationfor a longer podcast, but to
take the time and notice how youfeel with different foods is
really worthy endeavor too,because inflammation is so hard
(48:32):
to understand but it makes sucha difference.
I mean, you're seeing peoplethat are quote unquote allergic
on whatever spectrum, to glutenor sugar or dairy or whatever it
is.
But that inflammation pops upin very strange ways and places.
Speaker 3 (48:50):
Absolutely yeah, and patients will say you know, I
changed my diet Most of it,cutting out the processed foods
and the sugars, I think areprobably the simplest and
easiest ways to help with diet.
But there's patients whocertainly have changed their
diet and it's made a hugedifference for them in terms of
(49:10):
joint pain and just pain ingeneral.
Speaker 2 (49:15):
Why do supplements take six weeks to kick in,
versus like medication takes acouple of days to start, or even
less to start, giving yourelief?
Speaker 3 (49:25):
That's a good question.
I think with supplements itjust needs to build to a certain
level in your system.
We refer to it like as a halflife.
Like a half life of amedication is much quicker just
based on the pharmacology,whereas a supplement is building
up over time.
There are certainly somemedications that need to build
up over time.
Actually, gabapentin is one ofthose that needs to be taken
(49:50):
regularly and built up, butsupplements sort of work in that
same way.
Speaker 2 (49:56):
I take a lot of supplements.
I think the a lot part startedwhen we stopped eating meat or
we went on a plant-based dietbecause we need B12.
We take a lot of vitamin D overhere.
Then I have a handful of otherones too, but sometimes I think
(50:22):
what am I doing?
I have pill boxes with me allthe time.
Is it too much?
But it's not hurting me, or atleast I don't think it's hurting
me.
I know there's one particularone that I've been taking lately
that it's like a perimenopausalrecommended thing, and I know
that it's made a difference.
It took a little bit to kick in,but it's not this overwhelming
(50:49):
like, wow, I feel so muchdifferent.
It's just a noticing of oh,this feels I feel better.
I wasn't feeling bad, but Idefinitely see a bit of a shift.
Speaker 1 (51:03):
It's funny how one good decision begets another,
whether that's changing yourdiet, adding a supplement,
exercising yoga.
You start to feel a little bitbetter.
And then you're on the goodpath, on the narrow path of
things you know you should do tofeel better, and then it's a
little easier to do them Becauseyou don't want to waste your
time and lose your progress fromthe other thing you've been
(51:23):
doing.
Speaker 2 (51:25):
Yeah, do you have things that you expect during
the different seasons?
I can imagine that you probablysee more injuries in the winter
time.
Speaker 3 (51:36):
Yeah, we definitely see more injuries in the winter
with the.
So yeah, winter is the slip andfall injuries.
We see a lot of that, a lot ofrisk fractures during the winter
season, a lot of hip fractures,I will say, in the spring and
fall I see a lot of back issuesrelated to the yard work.
So I have a lot of issuescoming in.
Speaker 1 (51:56):
A lot of yard work kills.
I tell people in yoga all thetime.
Speaker 3 (51:59):
Yeah, raking the leaves, spring cleaning the yard
work, and summer too, becausethen the summer getting a lot of
patients to with back issues,gardening, bending over, doing
the weeds, excuse me, and a lotof patients bending over for
long periods of time.
I'm in my bed, I'm waiting forhours or I'm doing my garden.
So, yeah, there's definitelysome seasonal injuries that we
(52:23):
see.
Speaker 1 (52:24):
How have you seen?
All I'm doing by being a lazyhomeowner is taking care of my
body.
Speaker 2 (52:30):
How do you see the use of cell phones preventing
everything else going on in thebody?
I mean, I know we have a PTthat practices with us very
regularly and she talks abouthow she sees.
We're just all bending over,Like PT's are seeing issues that
(52:52):
used to only be in certainsegments of the population, like
young moms or moms who areconstantly bending over picking
up weight.
Obviously they're children, butnow even teenagers are getting
that tissue buildup becausethey're constantly looking down.
Speaker 3 (53:09):
Upper back and neck, Upper back and neck and hand and
wrist issues related to texting.
I mean, it was the first timeprobably.
Maybe five, 10 years ago I hadseen a I think she was 15 or 16
who was developing carpal tunnelsyndrome, which is very unheard
(53:32):
of in that population ofpatients.
Usually it's process over timewith work and things like that,
and it was from use of her phone.
She readily admitted it and herparents were like you've got to
stop it.
Speaker 1 (53:48):
The solution is for her to get old enough for her
eyes to stop working, and thenshe'll just do talk to texts
like people.
Speaker 2 (53:55):
But I think talk to texts is like pretty norm for
the young ones, like everythingthat seems like a whole new
thing to us is just what theyknow right Pretty soon.
It's going to be like I don'thave to type.
How do you type?
Yeah Right, yeah Well.
Thank you so much for spendingsome time with us this morning.
(54:17):
It's really nice to chat withyou outside of the studio.
Speaker 1 (54:25):
You are sort of I don't know heading up of what's
the word.
I want a movement.
Speaker 2 (54:33):
A movement around this program.
Speaker 1 (54:34):
Talk about prevention .
Speaker 3 (54:36):
Yeah, yeah.
So I'm doing some talks aroundat some of the rec centers and
some organizations and then justwithin our own practice, just
getting actual referrals backfrom the surgeons who are doing
surgery on the hip fractures,the wrist fractures, where
they're having to useinstrumentation to repair these
(54:58):
fractures, because a lot ofthose fractures are related to
osteoporosis.
So it's really helping patientsrecognize that and then get
treated so it doesn't keephappening, because it's like 85%
chance, with one fractureyou're going to have another one
, and another one and anotherone.
Speaker 1 (55:19):
So we definitely want to prevent that.
Speaker 3 (55:21):
Yeah, yeah.
Speaker 1 (55:24):
So let's put that hashtag with this episode and
make sure we all look at ways toprevent osteoporosis.
Speaker 2 (55:32):
I have something I need to ask you, but I don't
know how to.
So I get calls or we getstudents, new students who come
in, of all ages, but primarilyof a little bit older age,
saying my doctor recommendedyoga.
And so Mary Beth's laughing.
I don't know if you're thinkingof the same thing, but years
ago a woman called and she wasaround 70 years old and she's
(55:55):
like my doctor recommended yogaand just like my mom will take
any medicine that her doctorwould.
That's what she's looking for.
This woman was taking herdoctor's direction and the only
class that would work for herwas 630 Power or something like
that.
And she went and I tried to saythis might not be the best
class for you to start with ifyou're not active and you've
(56:15):
never done yoga before.
And at the time Mary Beth wasteaching 630 Power and she was
like nope, this works for me,I'm going to do it.
I'm going to do it.
I think she came in slacks andshe never came back and that was
my fear of this could be such agood thing for her and not to
(56:39):
say that any person of any agecan't do hot power, because it's
really learning about how totake care of yourself and
breathing with the class.
That's way more important thannailing a pose.
But somebody who's new to yogadoesn't necessarily know that I
think that's a very advancedpractice, a practitioner who can
go to any class and really makethe best decision for
(57:01):
themselves.
So my bigger point or issue isthat we do get people saying my
doctor recommended yoga, sothat's why I'm here, and they
don't really, and that's it.
That's the extent of theknowledge that they come in with
, which is fine if they'rewilling to listen and take some
(57:21):
recommendations, but they seemto want a kind of a quick fix.
You know when is when is myback gonna feel better?
That kind of thing.
How?
What is your recommendation?
And in handling that, I'm sureyoga is not the only place that
that gets this.
(57:42):
I know people go to swimbecause there's no impact and
you know there's other there'sother sort of safer routes to
take, then say like a highimpact interval training program
.
Speaker 3 (57:55):
Right, sure, so you're talking in terms of
recommendations that are made,or, yeah, into goals, or
realistic goals for patients orpeople regarding, yeah, what if?
Speaker 2 (58:07):
somebody shows up next to you and at a 545 class.
That's never done yoga.
My doctor recommended it, yeah.
Speaker 3 (58:15):
Yeah, so I think.
I mean, I think for patients.
And the interesting thing aboutyoga is that the the
recommendations that are put outby the American Academy of
Cardiology and American Academyof Sports Medicine have
recommended for years a standardof 150 minutes per week of
cardio exercise and 20 minutestwo to three days a week for
(58:38):
weight bearing, weight trainingtype exercise.
But they recently changed thoserecommendations and they've
kept that, but they've added onan addition and should also
include practice of yoga orPilates or Tai Chi, which I
thought was interesting.
So that's, that's become partof the medical recommendations.
So, in terms of exercise andgetting patients who have not
(59:01):
exercised especially an olderpatient or a younger patient,
for that matter, you know I tellpatients, listen, it may be
something you need to explore.
You want to find something thatyou're going to enjoy, because
the last thing you want to do isyou're you're not going to
stick with it if it's not anactivity that you don't enjoy.
And certainly with any activity, you know, go slow first.
(59:24):
So you know, take a, take abasics class.
Even for my husband, I mean,he's active and he exercises,
but he was kind of getting backinto yoga.
So I said don't go full go andtry to do a hot power right away
because you're just it's,you're not going to like it.
And he did and he eased himselfback in.
But also in terms of expectingresults for patients.
(59:46):
I tell patients, listen, anOlympic athlete doesn't become a
look at Olympic athlete in aweek.
I mean it takes training and ittakes time and it takes
consistency, because justphysiologically, that
consistency over time is whereyou build the muscle strength
and you get gains andflexibility and balance.
And so you have to look at itkind of on the long term, like I
(01:00:09):
tell patients I send it even intherapy I said don't expect
that therapy.
You're going to get betterwithin the four weeks of therapy
.
They're the tip of the iceberg.
They're teaching the thingsthat you need to do over on a
regular basis and then over time, think of it in three to six
months.
That's where you're going tostart to see those gains.
And so I think for patients, ifthey understand it from that
(01:00:30):
perspective, like this isn'tsomething that is going to
happen overnight and yourmuscles and body have to adapt
to the exercise and trainingthat you're doing.
Speaker 1 (01:00:39):
That's always.
The hard part is consistency,because it takes a minute to see
results, so it's easy to justgive up, right.
Speaker 2 (01:00:47):
Or sometimes people will feel really good after
their first class because theydid a supported bridge for a
while and they might not evenknow that.
That's why they feel good, butwe lean over so much and so just
being in a supported bridge maygive you some relief that you
haven't felt in a while.
And then they'll come back thenext two days later for another
(01:01:11):
class and want that big like aha moment or big relief again.
And it's every class doesn'tdeliver these life changing
moments, although I guess theycan.
Speaker 1 (01:01:23):
Not always good for you.
Speaker 2 (01:01:26):
Yeah, but I mean and these are things sometimes that
are also we don't also get theopportunity to have these
conversations right.
It's a phone call, possibly,with a little bit of
conversation answering somequestions, but it's not like a
(01:01:47):
debrief after every class withevery student of like what's
going on, or a day later likewhat's going on.
It's really more about gettingin tune with yourself.
So it's kind of interesting.
But we would love to.
I think Mary Beth and I aregoing to come to one of your
speeches or talks Field trip,field trip view Very interesting
(01:02:09):
.
I'm proud to be good.
That'd be great.
We'll have flags.
We will observe and we will beon our best behavior even me,
but I do really appreciate yousharing your experience and
practicing with us.
And I looked up, like I saidearlier, I tallied your
(01:02:29):
attendance, your classes overthe years.
Since 1025 2017, you've taken714 classes.
Speaker 3 (01:02:39):
Oh, okay, oh yeah.
Yeah, I practice.
I started practicing in 2008.
So within a different studio,so, and I've always been a three
day a week practicepractitioner.
Speaker 2 (01:02:51):
So I'd have to go back and get up.
Yeah, it would be interesting.
You are very consistent.
If she's not in class and I andI'm not aware that she's on
vacation.
Something's up, wow.
Speaker 1 (01:03:04):
What a good example for your patients.
Speaker 2 (01:03:06):
Do you do?
You get sick often.
Speaker 3 (01:03:10):
No, no, very rarely.
Speaker 2 (01:03:13):
Julie Grubowski and I have had the same conversation.
Julie is do you know who, julia?
She's always by the lobby.
Yeah, she says the same thing.
And, granted, she's, she runs adance studio too.
So she's, she's extremelyactive, but she's just seen so
many changes and she's, she'sjust as consistent as you are,
you know, but she, she doesn'treally.
She said I can't reallyremember the last time I got
(01:03:36):
sick.
Speaker 3 (01:03:38):
I would agree yeah.
Speaker 2 (01:03:40):
Yeah, that's saying something.
You, you work one on one with alot of people, so you're
exposed to a lot of stuff, andthat's that's really saying
something.
Speaker 1 (01:03:51):
All right.
Well, I mean, the body is aremarkable machine and if you do
give it the good fuel and whatit needs, it's amazing what it
can overcome.
Speaker 2 (01:04:00):
Yeah, definitely.
Speaker 3 (01:04:02):
Yeah, I mean yeah, exercise, boost your immunity.
So it's, it's, it's great,Absolutely.
Speaker 2 (01:04:10):
I look forward to seeing you in the studio and
thank you so much.
Speaker 1 (01:04:14):
We were going to have you back right, mary Beth.
We will.
We're going to have you back onour having people back season,
which is coming up.
Speaker 2 (01:04:24):
We appreciate your time.
Thanks for being here with us.
Speaker 1 (01:04:28):
And say hi to Giovanni Lacanata.
For me, I will.
Speaker 3 (01:04:33):
I definitely will Thank you, thank you guys, thank
you.
Speaker 1 (01:04:38):
All right, we're done .
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