The Daily Courier

Frustrated with strength training

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I have been trying to increase my upper body strength, but am having difficulti­es. I am almost 70 and female, and have been moderately active. I exercise daily for 30 minutes using a stationary bike or a treadmill. I injured my rotator cuff last summer playing an exercise video game. There is hardware from a previous surgery for cancer in my humerus, which complicate­s surgical options. But I’m not ready for surgery yet, as my range of motion and pain levels are acceptable.

In order to try to improve my function and upper body strength, I worked with a physical therapist on stretching and exercises. I’m using free weights, maximum five pounds, and started with three sets of 15 on Mondays, Wednesdays and Fridays, once a day. I’m doing biceps, triceps and presses as tolerated by pain level. When I left physical therapy three months ago, my goal was to slowly increase reps, and then slowly increase weight.

Unfortunat­ely, I am at a standstill, and some days I can’t even manage to do the three sets of 15!

I’m frustrated and concerned, and I don’t understand why I’m not able to achieve my goal. Is there something else I should be doing, or should I go

KEITH back to discuss this with the physical therapist?

It’s definitely appropriat­e to discuss with the physical therapist again. There are many reasons you might not be progressin­g. It could be inflammati­on or some other issue in the shoulder. The therapist may suggest additional exercises for specific muscles. They may also use other ways to treat the affected area, such as therapeuti­c ultrasound.

Opinions differ when it comes to the best way to increase strength, but sometimes the therapist will increase the weight level, even before you get more repetition­s. I have learned that an experience­d physical therapist is a highly valued profession­al whose expertise should be listened to.

If you really and truly aren’t getting any better, another visit with the orthopedic surgeon, or with a specialist in physical medicine and rehabilita­tion, would certainly be indicated.

I have some antiaging, wrinkle-reducing serums that are ceramide time-release capsules (for external use). Are these ceramides related to the ceramides in cholestero­l? Will your body absorb extra cholestero­l if you use them? Are the serum capsules safe to use on my skin?

Ceramides are a diverse group of waxy molecules that form part of the protective layer of the outer skin. Free fatty acids and cholestero­l are also fatty molecules found in the outer skin, but ceramides are not closely related to cholestero­l.

Ceramides are increasing­ly used for skin care creams. Some creams use the same ratio of ceramides, cholestero­l and free fatty acids as is found in the skin. These are safe to use and effective for many people. Your body does not absorb them or use them for energy, so they do not affect your blood cholestero­l or risk for heart disease.

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