Comment by jackschultz | Hacker News Reader

Comment by jackschultz | Hacker News Reader

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Big shoutout to saying low impact cardio. Running is the big example that can cause pain where people's bodies are so different that it's not clear what the correct form is for them or if there's even a good form.

I play and follow golf and the big injury issue with Tiger that made him multiple surgeries, and also had to reshape his golf swing from the pain running caused. Here's an article[0] about that from Running Magazine. There's more to the story on this, like his background and mentality on Navy Seal training, with his body type and high impact running it caused huge problems he's still dealing with.

As for funning form types, check out the video of Cliff Young and his running style[1] for the Sydney to Melbourne race at 61 but shuffling.

What I'm saying, and what I'm glad you included, is the importance of cardio being low impacts, and to also not feel bad if you're not a running. Biking, and especially swimming are great alternatives and so much better on your body long term.

[0] https://runningmagazine.ca/the-scene/tiger-woods-regrets-run... [1] https://vimeo.com/258718906

I have a long history of back pain going back to college (32 now). As I've gotten older (and a bit bigger) I've started to get knee pain in addition if I run a lot. So I recently switched to biking which has honestly been way more fun, opened me up to exploring more parts of my city and the surrounding area than running did, and I haven't really had any associated pains since starting roughly a year ago.

I still drink way too much so losing weight is an issue, but I do feel healthier at least.

Back pain is almost always an indicator of posterior chain weakness. Do daily squats (just up & down), and do toe-touch-stretches (legs about 2x shoulder width, right-hand-to-left-toe, stand up with arms in the air, left-hand-to-right-toe).

Personally, I just do weighted squats & heavy deadlift, but if your knees are bad, that's a bad idea. You can chat with a PT for 50–80$ and they can tell you exactly what's wrong & how to fix it in less than an hour.

It's been an ongoing, years-long effort to find the root cause and alleviate the pain. I was finally diagnosed with degenerative disc disease (aka shitty spinal discs). One particularly pessimistic doctor said I was "an otherwise healthy thirty year old with the back of a 70 year old" after looking at my MRI, though others I have seen said it's not THAT bad. I was a fairly accomplished High School Cross Country runner and ran for years after graduating, so I have to imagine that was cause for some of the issues I have today but the doctors have all said it could have been any number of things.

I did recently have two radiofrequency ablations done, which burned the nerves that were giving me considerable pain. So far it's been successful and my biking/walking/lightweight lifting routine has probably helped too.

I know 3 people diagnosed with DDD and recommended surgery who got a second opinion who told them they are fine and just to take it easy for a while. Just something to keep in mind.

"You can chat with a PT for 50–80$ and they can tell you exactly what's wrong & how to fix it in less than an hour."

That's a complete lie. Most PTs don't know anything about anything and will try to milk you for "motivating" you in your workout and keeping a notebook for you on a regular basis. Usually for at least $300-500 a month, even at horrible gyms. By no means will they be able to tell you remotely, let alone, exactly "what's wrong".

"Personally, I just do weighted squats & heavy deadlift, but if your knees are bad, that's a bad idea."

Yea, and guess what? There is no easy solution for this, let alone one provided by a random PT. It's a cascading effect - you have one injury, you can't address the muscle imbalances causing it.

As far as posterior chain weakness, there is also the issue of lordosis, which results in horrible squat form. Deadlifts do help, but again, there is the risk of hyper-extension.

In short, solutions to this are far, far more complicated than your post implies.

I'm guess you're reading PT as personal trainer and it was intended as physical therapist.

Someone replied to you, already; I meant “physical therapist”, not “personal trainer”. I don’t have any experience with personal trainers. Sorry for the confusion.

As a note, at least in the UK, if someone talks about a Personal Trainer they'll say PT (although I rarely here that, most people just say personal trainer) but if you want to talk about a physiotherapist people will usual shorten it to 'physio'.

I apologize for misunderstanding. Sometimes a physical therapist can definitely help!

Running is also by far the most efficient form of cardio in terms of calories burned / time.

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