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Mr. Trainer's Fit Tips (February 15-28, 2002)
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Helping You Build Your Best Body Ever

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IN THIS ISSUE
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Workout Mistakes by Mr. Trainer
Did You Know?
Carpal Tunnel Syndrome by William Harrison, M.D.
About this newsletter

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Workout Mistakes by Mr. Trainer
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Walk into most gyms on any given day and you'll find a lot of well-intentioned and hard-working individuals that are frustrated with their progress. Why? The following mistakes are often to blame.

mistake: Not prioritizing
Do you have a lagging muscle group or area of your body you'd like to improve most? If you do, then most likely you are basing the majority of your progress off of this area. But are you really focusing your workouts on this area? If one of your bodyparts needs extra help, the answer lies in prioritizing. How do you prioritize? The solution isn't always to train the bodypart more frequently, although this is a common approach. You may want to train this area at the beginning of your workout or early in the week when you have the most energy and motivation. Calves are a common example, as are abs. If you are trying to improve these areas, don't train them as an afterthought at the end of your workout. Instead, train them in the beginning or as a separate workout.

Read more mistakes

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Did You Know?
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* In 2000, 29.7 percent of high school senior girls reported having smoked within the past 30 days.
* Less than 9 percent of Americans eat enough fruit.

* If you want to keep a healthy heart, keep your cool. A study points to maintaining control under fire as a way to minimize stroke risk. The risk of stroke among hypertensive men who became flustered by a test was nearly double that of men who were unruffled by the stress, say the authors of the study in Stroke: Journal of the American Heart Association.



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Carpal Tunnel Syndrome by William Harrison, M.D.
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A narrow passageway, known as the carpal tunnel, is where nine tendons and the median nerve travel through to reach the hand. Carpal tunnel syndrome is caused by entrapment of this nerve as it passes through the wrist and into the hand. Although the tendons are not very susceptible to injury, the delicate nerve can become irritated or damaged by pressure exerted on it. This causes pain, tingling or numbness in the area supplied by the nerve. In this case, the median nerve provides sensation over the palm of the hand, particularly the thumb, index, middle and ring fingers. The little finger is not supplied by the median nerve, and pain or numbness in this finger is not due to carpal tunnel syndrome.

Certain conditions may lead to enlargement or swelling of the connective tissue that forms the roof of the tunnel. This includes thyroid disorders, hormone changes (as are found in pregnancy, menopause or oral contraceptive use), arthritis, or repetitive motion activities of the hands and wrists. Certain activities like repetitive computer keyboard use, mouse use, or small assembly work may lead to swelling of the tissues. This in turn places pressure on the nerve causing the symptoms of pain, numbness or tingling as mentioned earlier.

The condition is often diagnosed by eliciting the typical symptoms in a patient with risk factors. Nerve conduction testing can also verify the diagnosis, and exclude involvement of nerves in the arm or neck.

Treatment is usually begun by avoidance or reduction in the activities that created the syndrome. A night splint worn on the wrist may be helpful to keep the carpal tunnel from being compressed during sleep. Anti- inflammatory medications or steroid injections may be used to decrease inflammation. In persistent cases, surgical release of the carpal tunnel tissue may be performed to relieve pressure on the nerve.


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About this newsletter
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Mr. Trainer's Fit Tips is a bi-weekly publication and is dedicated to the memory of Max Beeners. Matthew Beeners, aka Mr. Trainer, is ACE Certified and degreed in Exercise & Sport Sciences. William Harrison, M.D. is board-certified by Colorado Internal Medicine.

© 2000-2002 by MrTrainer.com. All Rights Reserved. The material in this newsletter may not be reproduced, distributed, transmitted, or otherwise used, except with the prior written permission of Mr. Trainer. The information contained within is for educational purposes only. It is not medical advice and is not intended to replace the advice or attention of health-care professionals. Consult your physician before beginning or making changes to your diet, supplements, or exercise program, for diagnosis and treatment of illness and injuries, and for advice regarding medications.
MrTrainer.com
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Fort Collins CO 80525
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