Physical Medicine
Targeted Exercises to Treat Your Pain

Foundations of Fitness Level 0

8min:01sec. Begin your journey of building strength and fitness here. These basic exercises are where to begin building up your core strength and ability to lift & carry household items, and prepare your body for the rigors of travel and every day activities. If you’re just beginning, this short exercise routine can be done up to 2-3 times per day. Do these exercises until they become easy, then advance to the next level!

WEBVTT

1
00:00:00.655 –> 00:00:01.565
Hello Dr.

2
00:00:01.785 –> 00:00:04.605
Jed here. Today we’re talking about foundations

3
00:00:04.785 –> 00:00:06.685
of fitness level zero.

4
00:00:07.375 –> 00:00:08.925
Let’s Dive right to the core here

5
00:00:09.155 –> 00:00:13.365
with abdominal activations, sometimes called core bracing.

6
00:00:14.025 –> 00:00:15.765
So imagine your abs soft.

7
00:00:16.505 –> 00:00:19.165
Now make it firm and hard. Hold

8
00:00:19.955 –> 00:00:24.445
5, 4, 3, 2, 1,

9
00:00:24.945 –> 00:00:25.605
and relax.

10
00:00:27.075 –> 00:00:29.205
Easy. Now let’s repeat

11
00:00:30.055 –> 00:00:31.055
Again. Squeeze

12
00:00:31.055 –> 00:00:34.125
and activate your abdominal muscles for

13
00:00:34.665 –> 00:00:39.165
1, 2, 3, 4, 5,

14
00:00:40.585 –> 00:00:40.805
and

15
00:00:41.155 –> 00:00:46.155
5, 4, 3, 2, 1.

16
00:00:47.625 –> 00:00:50.885
And relax. Okay,

17
00:00:51.055 –> 00:00:52.125
Let’s do it one more time.

18
00:00:53.405 –> 00:00:55.845
Activate. Just squeeze those muscles strong.

19
00:00:57.065 –> 00:01:02.065
1, 2, 3, 4, 5, 5, 4, 3, 2, 1.

20
00:01:08.395 –> 00:01:10.565
Hold strong And relax.

21
00:01:11.835 –> 00:01:14.045
Okay, now let’s transition to standing.

22
00:01:14.315 –> 00:01:15.725
It’s critical to be able

23
00:01:15.725 –> 00:01:19.325
to activate your core musculature in a standing position.

24
00:01:19.505 –> 00:01:21.885
So there we go. Relax. Easy, easy.

25
00:01:22.465 –> 00:01:24.805
And now make it firm strong.

26
00:01:25.505 –> 00:01:30.005
1, 2, 3. Keep holding those muscles strong. Strong.

27
00:01:30.675 –> 00:01:32.205
Five. Oh, let’s keep going.

28
00:01:32.595 –> 00:01:36.485
Four, strong, strong, strong abs.

29
00:01:37.025 –> 00:01:41.245
And let’s relax. Walk it off just a little bit here.

30
00:01:42.035 –> 00:01:45.205
Okay. And now we’re gonna repeat one more time.

31
00:01:45.395 –> 00:01:48.445
Alright, so activate those muscles once again.

32
00:01:48.555 –> 00:01:50.965
Holding strong to prepare us

33
00:01:50.985 –> 00:01:53.285
for all the activities of our daily living.

34
00:01:53.475 –> 00:01:57.325
Okay, three. Keep holding strong, keep holding strong.

35
00:01:57.515 –> 00:02:00.845
Good posture, good posture, good. Hold.

36
00:02:00.845 –> 00:02:04.005
Strong for 3, 2, 1.

37
00:02:04.865 –> 00:02:06.525
And alright.

38
00:02:06.865 –> 00:02:08.845
Now with our core muscles primed

39
00:02:08.845 –> 00:02:10.365
and ready for some real action,

40
00:02:10.655 –> 00:02:13.725
we’re gonna utilize those lessons, core activation,

41
00:02:14.025 –> 00:02:15.725
and just do a basic hip hinge.

42
00:02:15.825 –> 00:02:17.965
Let that butt go straight back a little bit.

43
00:02:18.355 –> 00:02:19.765
Bend forward just a touch

44
00:02:20.065 –> 00:02:21.965
and lean forward into a mini squat.

45
00:02:22.185 –> 00:02:24.325
You’re activating the core muscles, again,

46
00:02:24.495 –> 00:02:28.645
activating those glutes, the quads, the thighs, good.

47
00:02:28.645 –> 00:02:32.205
Keeping it all active and active.

48
00:02:32.305 –> 00:02:36.285
Active, hip hinge, squat and up.

49
00:02:36.505 –> 00:02:40.365
Now you might wanna be using a kitchen sink, a counter,

50
00:02:40.365 –> 00:02:42.925
something to brace on is perfectly acceptable.

51
00:02:43.265 –> 00:02:45.925
In fact, if it’s early on, it is recommended.

52
00:02:46.345 –> 00:02:49.365
So keep those core muscles strong and drop

53
00:02:49.945 –> 00:02:54.325
and oh, we’re gonna hold it, hold it strong, strong, strong,

54
00:02:55.025 –> 00:02:58.165
and squeeze them up and hold.

55
00:02:59.505 –> 00:03:01.885
All right. Now with our core muscles all primed

56
00:03:01.885 –> 00:03:03.885
and warmed up, let’s add some resistance.

57
00:03:03.885 –> 00:03:06.165
Using a household item such as a gallon of water,

58
00:03:06.305 –> 00:03:07.565
weighs about eight pounds.

59
00:03:08.185 –> 00:03:10.685
Now face the situation, whatever you’re gonna lift,

60
00:03:10.955 –> 00:03:14.365
face straight on, activate the core, address the weight,

61
00:03:15.085 –> 00:03:19.445
activate your shoulder muscles, your spine, that core grab,

62
00:03:19.915 –> 00:03:21.045
lift, hold.

63
00:03:21.045 –> 00:03:23.245
That’s how we’re starting here. Nice and easy.

64
00:03:23.705 –> 00:03:24.725
The grab and hold

65
00:03:25.385 –> 00:03:30.045
and relax, shake it off, activate everything.

66
00:03:30.045 –> 00:03:34.285
Once again, grab, lift, hold, just that weight going

67
00:03:34.285 –> 00:03:37.565
through your arms, your shoulders, your spine,

68
00:03:37.955 –> 00:03:39.285
your uh, gluteal muscles.

69
00:03:39.755 –> 00:03:43.165
This alone is a great foundational exercise.

70
00:03:43.725 –> 00:03:47.245
Remember that core activation, grab, lift,

71
00:03:47.835 –> 00:03:49.365
hold good.

72
00:03:50.525 –> 00:03:52.045
Activate, activate, activate.

73
00:03:52.045 –> 00:03:53.125
We’re gonna do a hip hinge

74
00:03:53.145 –> 00:03:55.005
and drop it back ever so slightly.

75
00:03:55.665 –> 00:03:58.205
Now we’re doing the mini squat

76
00:03:58.875 –> 00:04:00.765
with an eight pound resistance.

77
00:04:00.985 –> 00:04:03.725
If that’s too much, maybe use half a gallon.

78
00:04:04.145 –> 00:04:05.365
So that would be four pounds.

79
00:04:06.065 –> 00:04:10.245
So now I’m gonna reposition and um, I’ll grab the weight.

80
00:04:10.245 –> 00:04:11.885
Just hold it a little closer sometimes.

81
00:04:12.625 –> 00:04:16.445
So squeeze hold and now we’re adding to this exercise.

82
00:04:17.195 –> 00:04:22.005
Squeeze, drop those hips back and up

83
00:04:22.745 –> 00:04:26.445
and a mini squat down and up.

84
00:04:27.715 –> 00:04:30.085
Okay, keep those core muscles active even when

85
00:04:30.085 –> 00:04:31.325
we’re replacing the weight there.

86
00:04:31.945 –> 00:04:34.245
Now we’re just gonna shake it off for just a second here

87
00:04:34.385 –> 00:04:36.965
and we’re gonna take a rest just for a heartbeat.

88
00:04:37.225 –> 00:04:40.605
Now we’ll just transition to some out and back. 40 fives.

89
00:04:40.635 –> 00:04:43.085
Okay, now this is best if you can use something

90
00:04:43.085 –> 00:04:46.445
to hold onto, I lift up that leg out to the side out

91
00:04:46.445 –> 00:04:48.845
behind about 45 degrees out there.

92
00:04:48.955 –> 00:04:51.325
Just split the difference. Did one on the left.

93
00:04:51.545 –> 00:04:56.315
Now transition to one on the right. Hold, hold.

94
00:04:57.175 –> 00:04:59.195
And now let’s uh, go back to that other one,

95
00:04:59.855 –> 00:05:01.075
our second one on that.

96
00:05:01.075 –> 00:05:03.435
Left leg out and back. 45.

97
00:05:03.995 –> 00:05:05.595
Maintaining core activation while

98
00:05:05.595 –> 00:05:07.155
activating those glute teal muscles.

99
00:05:07.895 –> 00:05:10.595
Now let’s do another one on the right, out and back.

100
00:05:10.595 –> 00:05:14.955
45, 45 degree angle. Strong, strong, strong.

101
00:05:15.225 –> 00:05:19.195
Nice and easy. Now walk it off for just a moment here.

102
00:05:19.495 –> 00:05:21.515
Now just change more orientation.

103
00:05:21.655 –> 00:05:24.395
Now we’re just gonna straight out to the side, lifting

104
00:05:24.395 –> 00:05:26.555
that leg out, out to the side.

105
00:05:26.975 –> 00:05:31.635
Strong core, strong hips and hold. Good.

106
00:05:32.215 –> 00:05:34.675
Get your balance there. Let’s do it again.

107
00:05:35.225 –> 00:05:36.475
Lift it out to the side.

108
00:05:36.545 –> 00:05:38.315
This is more or less straight out the side.

109
00:05:38.345 –> 00:05:40.075
Turn that toe in just a little,

110
00:05:40.365 –> 00:05:42.235
which really activates those gluteal

111
00:05:42.235 –> 00:05:43.395
muscles up there at that hip.

112
00:05:43.505 –> 00:05:47.755
Okay? That’s what we’re working on is basic strengthening

113
00:05:48.055 –> 00:05:50.675
of the hip girdle musculature.

114
00:05:50.705 –> 00:05:53.195
Okay, this is kind of a foundation of the core.

115
00:05:53.825 –> 00:05:58.525
Okay, now we’re going to transition to that other hip now.

116
00:05:58.745 –> 00:06:01.565
So once again, steady yourself, uh, using a counter.

117
00:06:01.775 –> 00:06:04.565
Gonna activate the core, activate the shoulder muscles,

118
00:06:04.855 –> 00:06:07.645
everything is active bracing.

119
00:06:07.905 –> 00:06:10.645
And now you’re gonna perform hip abduction.

120
00:06:10.645 –> 00:06:13.405
That is just lifting that hip out to that right side.

121
00:06:13.675 –> 00:06:18.525
Hold it. And once again, lift that out to the right side,

122
00:06:18.535 –> 00:06:19.685
activating strong.

123
00:06:19.895 –> 00:06:21.685
Twist that toe in just a touch

124
00:06:21.705 –> 00:06:23.605
to really activate those gluteal muscles.

125
00:06:24.665 –> 00:06:27.045
And just walk it off for just a heartbeat here.

126
00:06:29.245 –> 00:06:32.785
And now let’s transition to hip flexion.

127
00:06:33.005 –> 00:06:36.025
So just steady your body, active core muscles,

128
00:06:36.545 –> 00:06:39.545
activate those abdominal muscles, lift that knee and hold.

129
00:06:39.805 –> 00:06:42.385
You might call these standing marches.

130
00:06:43.325 –> 00:06:47.135
So lift hold, strong core,

131
00:06:47.595 –> 00:06:51.175
strong knee, strong hips, and relax.

132
00:06:53.545 –> 00:06:57.525
Ah, all right, let’s do one more. Once again.

133
00:06:57.715 –> 00:07:02.485
Core activation, strong abs. Lift that knee. Hold.

134
00:07:03.095 –> 00:07:07.285
3, 2, 1. Very good.

135
00:07:08.705 –> 00:07:11.805
And now let’s transition to the other side once again.

136
00:07:12.425 –> 00:07:15.965
So, uh, just move yourself around, steady yourself

137
00:07:15.985 –> 00:07:17.365
by grabbing onto that kitchen,

138
00:07:17.515 –> 00:07:19.805
sink the counter, whatever it is you have.

139
00:07:20.075 –> 00:07:22.565
Lift that left leg up. Hold strong.

140
00:07:22.895 –> 00:07:26.405
3, 2, 1. Nice and easy.

141
00:07:26.785 –> 00:07:30.485
And remember, during all this strong core, you’re doing

142
00:07:30.485 –> 00:07:31.925
that abdominal bracing.

143
00:07:32.275 –> 00:07:36.765
Lift it up. Hold strong, hold strong, hold strong.

144
00:07:37.515 –> 00:07:41.125
Good. And relax. And one more.

145
00:07:42.115 –> 00:07:46.445
Okay, hold steady. And here we are. Lift active abs.

146
00:07:46.705 –> 00:07:49.725
Active core, active hip. Good.

147
00:07:50.435 –> 00:07:54.365
Hold, hold, hold. Fantastic.

148
00:07:54.595 –> 00:07:57.765
Work on completing today’s foundational fitness

149
00:07:58.485 –> 00:07:59.605
exercise routine.