It's hot!!!! Even if you don't spend your summers in Florida, you are probably experiencing higher temperatures than normal, as heat waves sweep our nation. Imagine scaling a 130 foot ladder in full firefighting gear in this heat, as our patient Patrick Browne does. I encourage you to read his inspiring testimony, below.

I also encourage you to go jump in a lake! Or the ocean. Or a swimming pool. And put the power of water to use in your exercise routine. We offer some important tips in this newsletter.

Warm regards,
Robert J. Zehr, M.D.
Aqua exercise for arthritis

Gary Lee and grandson in pool
Exercise is important for people with arthritis and for people who have had a joint replacement. Keeping your weight down and your muscles strong can help to delay joint replacement and improve your surgical result from joint-replacement surgery.

The preponderance of swimming pools in Florida makes exercising in the water convenient for most folks. Using the natural buoyancy of water is one way to experience the benefits of exercise with a minimum of impact on your joints. When you're in the water up to your waist, your body bears just half of its weight; when it's up to your chest only 25 percent; and when you're up to your neck, 10 percent.

Water not only lifts you up, it provides resistance. You can work opposing muscles at the same time. For example, if you are doing curls underwater, pulling up will work the biceps, while pushing down will build up the triceps.

There are several variations of aquatic exercise that make this type of fitness even more engaging and effective.

Swimming

Swimming is one of the best all-around exercise activities, giving you a low-impact cardio-vascular workout. To be of benefit, however, you need to take full strokes - no doggy-paddling allowed!

Water Aerobics

Practically anything you can do on land, you can also do in the pool. Many health clubs offer classes such as group cycling (with special waterproof bicycles), kickboxing, Pilates, yoga and more, making them exciting, fun and varied. Some classes will even use special gloves, hand weights, noodles, balls or other pool fitness props that provide resistance and fun.

Pool Running

Deep water pool running helps to strengthen the same key muscles used in land running, without the jarring impact. It will help to increase your stride length and hip extension. The Aquatic Exercise Association recommends wearing a specialized water shoe or your regular sneakers when you begin an aquatic running program.

If you plan to head for the pool to get your exercise, these tips may come in handy:

* In general, pool temperatures between 83 F (28.3 C) and 88 F (31.1 C) are usually comfortable for most types of water exercise. Pools that are used for physical therapy typically have warmer water to help relax muscles and make stretching exercises easier.
* Well-fitting goggles will keep chlorine out of your eyes, decreasing irritation while allowing you to watch where you're going to avoid both people and walls.
* A swim cap will keep your hair out of your face so you can focus on your workout, not your hairstyle.
* A supportive bathing suit is essential to swimming. The last thing you want to worry about is an ill-fitting suit that rides up and interrupts your workout.
* A water bottle will remind you to drink before, during and after your workout. Yes, you can get dehydrated in the pool!

New knees put Patrick back on top!

"My knees were so bowed and hurt every single day. I finally decided to do something about it. I got opinions from several local surgeons, but realized Dr. Zehr was the right guy.

"I had both knees replaced at the same time and now I am back to full duty as a fireman. I lift weights and work out with the 20 year olds at the station. I don't even think about my knees anymore.

"Part of my job is climbing a 130 foot ladder which I can do in about 30 seconds.
After living with knee pain for so long I cannot believe how great my knees are now. The quality of life is 1000 fold better.

"Thanks again, Doc!"

- Patrick Browne
Fireman, North Naples

WATCH PATRICK CLIMB THAT LADDER! 


Our website is full of testimonies like Patrick's - patients who are living pain-free lives. You can read them here. Thank you to everyone who has taken the time to send us photos and stories for our office "Wall of Fame." We invite you to share your success story too, just hit "Reply!"

News you can use

In our June newsletter we discussed hip fractures and how Dr. Zehr can tell if you really fractured yours!

Be sure to add news@zehrcenter.com to your address book so you don't miss future issues. You can read past issues in our archive.

Our
website is chock-full of educational information too!

Don't forget our blog, where you can find short articles on general joint health, hips, knees or catch up on the latest news from ZCO.

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