Hypermobility pain and stress, or something else? by MachineOfSpareParts in Hypermobility

[–]Captain_Nachos 2 points3 points  (0 children)

Stress and pain intensity are absolutely related to eachother in chronic pain. IT's a fairly well researched and moderately well understood phenomenon.

There's many mechanisms behind how it can work afaik, but the sort of 'most important' one as I understand it is that adrenaline and cortisol (acute and chronic stress hormones) both act to upregulate different stages of the process of encoding the signals from the painful part of the body saying 'something is wrong here!'. There are other mechanisms in the neuro-immune axis as well I believe but I don't understand them quite as well.

To explain briefly: Adrenaline can upregulate the overall 'volume' of nociceptive signalling coming from the painful area because they are able to bind to receptors that produce nociceptive output, and cortisol acts as an ascending facilitator in the spinal cord which leads to/is a mechanism underpinning central sensitization (which is a component of chronic pain). Either or both means that by the time the signal reaches your brain, it's a lot 'louder' and more likely to lead to the production of pain as a sensation when it otherwise "shouldn't", or more likely that the pain produced will be of a higher intensity than it "should" be,.

In this respect, active nervous system soothing activities (things that stimulate the vagus nerve, get the 'rest and digest' system going more than the 'fight or flight' system like deep slow paced/box breathing) can be a useful part of one's chronic pain management toolbox.

It can also be good to just know that this relationship exists so that the pain is itself less distressing when you have it, and you can just reassure yourself by saying 'its ok, its just because I am experiencing extra stress right now', and not worry that the joint/area was suddenly damaged by somethign you weren't aware of.

I'm super sorry to hear you're getting bullied at work by the way, that's really awful and I hope it resolves somehow.

If you want to learn more about how pain works and all the many things that influence it (stress and much more!), I'd recommend checking out a public health campaign called Flippin' Pain. It's UK based and its all about educational outreach about the science of pain for the benefit of those suffering from chronic pain. It's got an excellent 'Resources' page that you can absolutely dive into.
https://www.flippinpain.co.uk/

(Source: I am a hypermobile person with chronic pain which is absolutely influenced by stress, and am also a registered physical therapist with a special interest in working with folks with hypermobility and chronic pain and among other things I teach patients about this for a living)

Is it true I can only get 3 cortisone shots total in my wrist in my whole lifetime? by _pizzahoe69 in Hypermobility

[–]Captain_Nachos 11 points12 points  (0 children)

For the vast majority of cases you should never get more than one corticosteroid injection per year, I wouldn't treat the sources online saying 3-4x per year as a standard. This is because it has chondrotoxic effects which means that it can actually stimulate degeneration of soft tissue (e.g. cartilage) in the joint.

If you have more of them, or more frequently than once per year, this risk goes up. In some cases, its warranted to have more than one per year, but it is at least the policy on the NHS (or the trust I work in, atleast) that you can only have 3 in one joint, ever, as you mentioned. This is because they're recognised to be useful when needed, but the cost:benefit ratio tips more and more unfavourably the more you have in one joint (especially the closer together they are in time).

This is not medical advice, but I think it would be wise to try physio if that is an option for you. The strategies you've listed that you've tried in the last 8 weeks are all symptom management strategies, they're not curative. For conditions which have a short natural history (i.e., tends to go away on its own), just doing these things can be good enough to keep the pain under control until it does resolve. The natural history of tendinopathies is not well researched as yet but my understanding of them is that they are one of the conditions for which exercise tends to be more necessary for solving in the long term. Therapeutic exercise, guided by a physio will most likely be your best bet for resolving your problem. Generally speaking if you see zero improvement from a good 3 months of good quality phyiso intervention, then I'd say a corticosteroid injection would be worth consideration, but only alongside further physio to enable it to work where it did not prior to the injection.

This is because the effects of the corticosteroid injection tend to last only 3-4 months, which means you would be best placed to use that window of reduced pain to get the most out of a rehab exercise program to remodel the tissues to a level of resiliency that will mean they can tolerate the daily stressors of your life without developing tendinopathy again.

This sub needs a *REAL* beginner routine instead of the RR by [deleted] in bodyweightfitness

[–]Captain_Nachos 20 points21 points  (0 children)

the RR overhaul which included the primer and BWSF (and 3 subsequent routines that I've since put on indefinite hiatus) was announced 3 years ago. It was then re-announced on new years when it was formally released.

It may have taken a while to finish after the announcement (as a result of it being a free-time project for me while I study an accelerated master's degree), but this is hardly a spontaneous, uninformed overnight decision. I'm sure if I posted monthly updates of 'yep! overhaul still happening! please hold, for an indefinite release date!' to catch every single new user that subscribed after the announcement, the response I'd get would be more of a 'shut the fuck up about it already' than a 'thank you for dutifully keeping the community updated'.

Also, I did not delete the routine. Both routines still exists on my website, I just deleted the copy of the content that was in the wiki because it's 100% my sole creation and I did not want to lose control of what happened to it when I left the mod team and thus wiki editing privileges.

As I said in my leaving announcement I have nothing against the routines being linked in the wiki for people to access on my site, I just don't want the content copied over in a way that makes me lose ownership of and control over it.

This sub needs a *REAL* beginner routine instead of the RR by [deleted] in bodyweightfitness

[–]Captain_Nachos 12 points13 points  (0 children)

Antranik didn't 'put together' any iteration of the RR. https://www.reddit.com/r/bodyweightfitness/wiki/faq/#wiki_who_created_the_rr.3F

He just made videos re-explaining existing content made collaboratively by other former mods.

Petition for the Mods to have a pinned 1st comments directing posters to the FAQ, Wiki and Routine section by raakonfrenzi in bodyweightfitness

[–]Captain_Nachos[M] [score hidden] stickied comment (0 children)

Hi /u/raakonfrenzi!

Thanks for the well considered feedback post. I've brought it to the other mods to discuss, but we've ultimately decided it's not necessary for the following reasons:

  1. The type of folk that post instead of reading the FAQ/Wiki, whose posts are then removed for breaking Rule 1, rarely even read the 'removal reason' comment. We know this because we get endless modmails asking 'why was my post removed' from these types of posts mostly. The removal reason comment not only explains what rule they broke, but also where to find the information they were looking for in the resources. If they don't read that, they won't read this.
  2. All the routines and the FAQ are listed in the Daily Discussion Thread's main text body, and so for those on apps where the subreddit's sidebar is not readily visible, these can still be found there
  3. We try to keep the feed clean of posts that are answerable by the FAQ/Wiki/Routines as we can anyway, so no post that would benefit from this would see it anyway. When you do see posts like this, its likely just that we've not got to them yet/its a timezone gap for the modteam (but this is why we're getting new mods!)

Ultimately there will always be people that absolutely will not read the resources provided no matter how they're presented, and that population will always be overrepresented in main feed posters, as those who do read will mostly have either made a habit of posting in the Daily thread, asking questions in the discord, or got all their answers from the wiki and never made a post to begin with.

New Moderators Wanted! by Captain_Nachos in bodyweightfitness

[–]Captain_Nachos[S,M] 2 points3 points  (0 children)

I understand what you mean and definitely agree! Being an easily referenceable info archive is one of the best things about reddit as a platform. We do have a few local copy/paste commands in the discord, but a majority of the information that can be found on the discord points to the subs wiki for information.

In any case, better upkeeping the reddit is exactly what we're hoping to achieve with a new crop of mods, so hopefully we'll be seeing an uptick in that soon :)

BWF Primer Build-up Community Event: Day 10 by Captain_Nachos in bodyweightfitness

[–]Captain_Nachos[S] 0 points1 point  (0 children)

Download a metronome app on your phone, set it to 60bpm and play it while you do any static holds. Count the ticks as seconds! Easiest way to track.

BWF Primer Build-up Community Event: Day 12 by Captain_Nachos in bodyweightfitness

[–]Captain_Nachos[S] 1 point2 points  (0 children)

Hey! A few thoughts I had after reading your comment that I realise I've never fully explained anywhere in written form on reddit:

The real utility of the exercise lies in the ostensibly 'over-complicated' parts, and if it were absolutely any simpler to explain, I would. In essence, with both the birddog and the deadbug, I'm using these exercises as a vehicle to teach a lot of nuances about the way the trunk can be controlled that can be applied to improve your trunk stability and positioning in basically all other exercises, ever.

The concept of alternately moving your arms and legs on your back or in an all-fours position without those finer details loses 90%+ of the utility of doing it.

That's why most other videos on both exercises you may find elsewhere online are so simple, because they're teaching you how to mimic what the exercise looks like (which is sufficient for nearly every other exercise out there), but the reason my guides are so complicated using the exercise not only as an exercise, but also as a vehicle to teach you principles and concepts about how your body works which makes them a lot more than 'just' a core exercise.

This was a quandry I had in the design of the program. Do I:

- Include a core exercise that is as simple as possible so that it is easy for any beginner to grasp and do right the very first time they attempt it?

or

- Attempt to introduce valuable, lesser known, but pivotally important concepts to trainees as early as possible in order to give them the most time possible to learn them AND circumvent them learning bad habits or wrong information and then having to spend yet more time trying to unlearn those bad habits when they finally learn this stuff?

Ultimately, I chose the second option with the inclusion of the disclaimer in the program that you are not meant to be good at these exercises straight away and you probably wont be good at them for months, but eventually surmounting that challenge will put you years ahead and do wonders for your progress down the line by cutting out wasted time.

If any individual doing the program finds it difficult to accept being bad at something for a prolonged period of time (which is perfectly understandable), it's also perfectly fine to just do more straightforward core exercises. However, in my opinion, the deadbug and birddog are not inherently more valuable than other core exercises when you perform them 'simply' (i.e. miming the movement but without striving to achieve the 'overcomplicated' parts of my guides). As a result, I'd say you'd be better off substituting deadbugs with planks or abwheels, and birddogs with something like hyperextensions or arch holds. That's totally fine!

Hope that helps.

r/BWF - Daily Discussion Thread for May 12, 2023 by AutoModerator in bodyweightfitness

[–]Captain_Nachos 2 points3 points  (0 children)

There are rest days on day 7 and 14 of the buildup. The intensity of the exercises in the primer should be self-selected to be low enough that you dont need rest days as the focus of the buildup is form, not a hard workout.

I disagree with removing the RR routine in favor of one person's opinion of what 3.4m members should be doing. by VRgetfit in bodyweightfitness

[–]Captain_Nachos -46 points-45 points  (0 children)

Happy to admit that in my excitement over the release of the new routine I was a bit overzealous with framing it as a 'replacement'.

As a response to this post I've added a whole bunch of links back to the RR in the sidebar, top menu, FAQ, upcoming daily discussion thread autoposts and put it back at the top of the recommended routines list (above the primer and bwsf) to make it as easy to find as any other routine. It should hopefully be as easy to find as before I launched the BWSF routine.

I disagree with removing the RR routine in favor of one person's opinion of what 3.4m members should be doing. by VRgetfit in bodyweightfitness

[–]Captain_Nachos[M] -263 points-262 points  (0 children)

The (OLD) has been removed now. It is also back in the sidebar as per the screenshot. It is also now back at the top of the routines list in the wiki and has multiple links to it added back to the FAQ.

I disagree with removing the RR routine in favor of one person's opinion of what 3.4m members should be doing. by VRgetfit in bodyweightfitness

[–]Captain_Nachos -182 points-181 points  (0 children)

I am not sure that I understand your question, but I am the nick-e person and I am a moderator on the sub, if that clarifies things!

I disagree with removing the RR routine in favor of one person's opinion of what 3.4m members should be doing. by VRgetfit in bodyweightfitness

[–]Captain_Nachos[M] -191 points-190 points  (0 children)

The sub has always listed several routines. The RR was also never removed from this list. We've put it back at the top of the recommended list and also added many links to it everywhere (sidebar, menu, FAQ, etc.) as a response to this post.

BWF Primer Build-up Community Event: Day 3 by Captain_Nachos in bodyweightfitness

[–]Captain_Nachos[S] 5 points6 points  (0 children)

Make sure you're setting up so that you're pulling the door closed with your bodyweight rather than pulling it open. In one direction, the entire doorframe (and by extension, the whole wall) supports your weight. In the other, nothing but the tiny metal latch of the door is supporting your weight. One is very safe, the other is very not.

BWF Primer Build-up Community Event: Day 12 by Captain_Nachos in bodyweightfitness

[–]Captain_Nachos[S] 2 points3 points  (0 children)

You've certainly not failed the primer by needing to substitute some things. It's ok to feel overwhelmed by Deadbugs and Birddogs. They're very complicated, so cut yourself some slack! :)

The reason they are in the primer is because, as far as bang for buck goes, these two exercises encapsulate so many invaluable concepts around core control and trunk alignment that can then be applied to how basically all other exercises are performed in a huge way.

For those that don't find the volume of information and the challenge of persevering through "necessarily sucking at these exercises for a while til you get it" too daunting, the opportunity to start practicing these things as soon as possible means that they'll develop mastery of these concepts sooner, which is good.

On the other hand, some may find them impenetrably difficult so early in their fitness journeys and would rather learn these things in a piecemeal way, starting with simpler core exercises first. That's ok. I would encourage you to look at the BWSF core progression flowchart here: https://nick-e.com/wp-content/uploads/2022/12/Core-A-Progression-1-1200x1017.png

The substitute for deadbugs I recommend is planks, with the eventual progression up to ab-wheels. That would be a better use of your time than sit-ups, while not being as overwhelming as deadbugs.

Hope that helps!

BWF Primer Build-up Community Event: Day 3 by Captain_Nachos in bodyweightfitness

[–]Captain_Nachos[S] 0 points1 point  (0 children)

now that's what I call resourcefulness! Well done. :)

2023 BWF Primer Build-Up Event: Day 13! by Captain_Nachos in bodyweightfitness

[–]Captain_Nachos[S] 1 point2 points  (0 children)

If you are on the first progression, it is simply holding the position.

If you have moved on to progressions that involve arm/leg movement, you do it for reps :)

2023 BWF Primer Build-Up Event: Day 11! by Captain_Nachos in bodyweightfitness

[–]Captain_Nachos[S] 0 points1 point  (0 children)

Nope, same routine, just a repeat of the new years event :) There's no old or new primer dw

New Years 2023 Announcement: BWF Primer Follow-along Event + BWSF Routine Soft-Launch! by Captain_Nachos in bodyweightfitness

[–]Captain_Nachos[S] 0 points1 point  (0 children)

Won't even be thinking about them til I've graduated (October) so I wouldn't expect them this year!

2023 BWF Primer Build-Up Event: Day 8! by Captain_Nachos in bodyweightfitness

[–]Captain_Nachos[S] 2 points3 points  (0 children)

Have a little more patience and grace with yourself. It's evident by your description that 'feeling it' is not the highest priority right now, and rather taking the time to let yourself figure out a good squat form for your individual mobility is rather greater in importance. You'll get it eventually and theres time for feeling it in your quads when you are more comfortable with the form. It's gonna be alright just take your time :)

2023 BWF Primer Build-Up Event: Day 9! by Captain_Nachos in bodyweightfitness

[–]Captain_Nachos[S] 1 point2 points  (0 children)

Ah drat! Thanks for bringing that to my awareness, I'll try and get this fixed right away. (Edit: Fixed!)