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getingearMay is National Physical Fitness and Sports month!聽 It is also a great time of year to get back into or start a fitness routine.聽 Walking is a great form of exercise for those with bleeding disorders. Nearly聽everyone can do it, with very little to no cost or special equipment.聽 The Arthritis Foundation agrees that walking helps strengthen muscles, taking undue stress off of joints.聽 They offer 5 strategies to help improve your chance of success when starting a walking routine.聽 Remember to use HFA’s Get in Gear app to log your activity and distance and keep track of all of your fitness endeavors!!

5 Walking Strategies for Fitness Success

By Mary Anne Dunkin

If you鈥檙e thinking about starting a walking program, our fitness tips and walking strategies will help you make the most of it. For people of any age with arthritis, walking is especially good medicine. It strengthens muscles, which helps shift pressure from joints and reduce pain. And a regular walking routine compresses and releases the cartilage in your knees, helping circulate synovial fluid that brings oxygen and nourishes your joints. When joints don’t get this nourishment, they deteriorate faster.

But despite these benefits, it’s not easy to keep walking, day in and day out. To improve your chances of success, try these five walking strategies.

1. Find a buddy.

One of the best ways to start and maintain a regular walking program is to find a friend committed to walking with you. For Shelly Bay, of Los Angeles, it鈥檚 her husband, Greg. The two walk in their neighborhood late at night. 鈥淒epending upon my health and the weather, we typically walk about three nights a week,鈥 says Shelly, who has psoriatic arthritis.

Recruiting a waYoung Couple Walking Doglking buddy may especially help if you鈥檙e a senior. In a study published last year in the Annals of Behavioral Medicine, older adults said they preferred exercising with peers to exercising by themselves. But your walking companion doesn鈥檛 have to be someone your own age 鈥 or even human, says Diane Whaley, PhD, professor of sport and exercise psychology at the University of Virginia in Charlottesville, whose favorite walking partner is her dog. 鈥淚 walk my dog every day 鈥 it not only makes the walk more pleasant, but it keeps me walking when I might not otherwise.鈥

Walking with a friend, human or canine, is beneficial for a number of reasons, says Whaley. 鈥淚t makes you feel more safe and secure. It also makes you accountable to another. You know that if you don鈥檛 go, you鈥檙e letting someone else down.鈥

 

鈥⒙犅犅 Don鈥檛 have a dog? Ask to 鈥渂orrow鈥 your neighbor鈥檚 friendly pooch. Fido will be thrilled to get an extra walk every day.

鈥⒙犅犅 Join a walking club. Call your local YMCA or fitness center, or search the American Volkssport Association site.

鈥⒙犅犅 Call an old friend. Been meaning to catch up, but haven鈥檛 had time? Renew your acquaintance on foot.

鈥⒙犅犅 Make it a date. Share some quality time with your spouse on 鈥渄ate walks.鈥

2. Do something different.

If you stride the same block every day, your routine can get old fast. To make walking more pleasurable, find ways to make it different and interesting.

A key walking fitness tip is to vary your route, a technique that works well for Bay and her husband. 鈥淥ne of our routes is purely residential; another is residential until we reach the local elementary school, where we loop around the school a few times,鈥 she says. 鈥淎nd when a new high-rise is being built nearby, we walk to it to see how things are coming along.鈥

The Bays also sometimes walk in other areas, such as a friend鈥檚 neighborhood after a visit, or they walk off dinner around a restaurant if the neighborhood feels safe enough.

Even the same route can be interesting with a little attention and creativity. Count the cats or squirrels in your neighbors鈥 yards. Be aware of the clouds in the sky, the movement of the trees in the breeze, the feeling of the sun on your skin. 鈥淚f you pay attention to your surroundings, your walk will go faster,鈥 says Whaley.

鈥⒙犅犅 Go the scenic route. Once a week, take a walk in a park, along a lake, at the beach or in the woods.

鈥 聽聽聽Head for the track. If you usually walk in your neighborhood, go to a school and do laps around the track.

鈥⒙犅犅 Pretend you鈥檙e a tourist, and take a self-guided walking tour of your town.

鈥⒙犅犅 Walk wherever you are. Do laps around the playing field during your kids鈥 baseball games, around the block while waiting for a table at a restaurant or around the mall while waiting for your spouse to finish shopping.

3. Get good shoes.

A pair of shoes is virtually the only equipment you need for walking, so it鈥檚 important to choose the right pair, says Nicholas Abidi, MD, an orthopedic surgeon from Santa Cruz, Calif. In general, the best shoes 鈥 whether dress, casual or athletic 鈥 have deep and wide lasts (shoe forms) and are made of cloth or smooth leather, without tight seams that rub the skin.

For walking, he recommends a good-quality running shoe, such as New Balance, Asics GEL or Adidas; or New Balance walking shoes, which come in different widths. (You can walk in running shoes, but you shouldn鈥檛 run in walking shoes.) Beyond that, the right pair will vary somewhat, depending upon your specific problem:

Trouble keeping your balance: Try shoes without thick treads, which can stick and cause falls.

Bunions: Look for roomy shoes without seams that cut across bunions. Women who have trouble finding wide enough shoes may want to try men鈥檚 athletic shoes.

Weak ankles: Try high-top athletic shoes.

Ankle arthritis or fusion: Look for shoes with rocker bottoms and a little heel lift to take up loss of motion in the ankle.

If you have knee osteoarthritis (OA), a new study suggests shoes that allow more natural foot motion and flexibility may be best. They reduce knee loading 鈥 the load or stress placed on the knee when walking 鈥 which plays an important role in the progression of knee OA. 鈥淩esults from this study indicate that flat, flexible shoes provide the greatest degree of benefit in terms of knee loading,鈥 says Najia Shakoor, MD, a rheumatologist at Rush Medical College in Chicago and an investigator in the study. However, she also notes that you have to take into account what your feet may need.

If you need help finding the right shoe, Dr. Abidi recommends visiting a pedorthist 鈥 a specialist in using shoes and shoe modifications to solve problems related to the foot and lower limbs. If you find a shoe that works, buy an extra pair, and alternate between them daily.

When shopping:

鈥⒙犅犅燬hop later in the day. Your feet swell throughout the day, so it鈥檚 best to try on shoes when your feet are larger to ensure a good fit.

鈥⒙犅犅犅燤easure both feet. Don鈥檛 assume you wear the same size you wore five years ago; feet get larger as we age.

鈥⒙犅犅 Be size wise. If one foot is bigger, buy the size that fits the bigger foot and add an insole, if needed, for the smaller foot.

鈥⒙犅犅 Keep it on. Wear the shoe for at least 10 minutes in the store.

鈥⒙犅犅 Carry your socks. Wear the same socks to try on shoes that you鈥檒l wear to walk. If you use an orthotic, bring that along, too.

鈥⒙犅犅 Shop more often. Replace your shoes every 500 miles (as often as every three to four months if you walk every day).

4. Track your progress.

It may sound simple, but keeping track of how far, long and often you walk is an important walking strategy because it gives you a real sense of achievement. Experts advise starting with attainable goals 鈥 say, walking from your house to the next corner, or walking around the block 鈥 and, once you achieve those goals, setting new ones.

Whaley says it鈥檚 important to document your achievements by keeping a log or journal. 鈥淒on鈥檛 just write what you have done, but what you feel about it 鈥 even one sentence, so you can start to look for patterns of what鈥檚 working and what鈥檚 not,鈥 she says. 鈥淭hen you鈥檒l know how to stay motivated.鈥

One of the best motivational tools Whaley has found is an inexpensive pedometer that gives you immediate feedback on your efforts. (Just make sure to reset your pedometer each night, and log your steps or miles in your journal.)

鈥⒙犅犅 Give yourself an assignment. Start with a one-month goal you know you can reach. Then set another goal for the next month, and keep going.

鈥⒙犅犅 Post it and be proud. Keep your walking log where you can see it every day, whether it鈥檚 on the wall, in a journal by your bed or on your computer screen.

鈥⒙犅犅 Reward yourself. Celebrate your achievement with a new purchase or by going to a movie. (Just don鈥檛 reward yourself with food.)

5. Ditch the excuses.

No doubt, there are countless other demands on your time and energy. 鈥淚 like to call them barriers,鈥 says Whaley. Time, or the lack of it, is the No. 1 barrier to exercise.

Yet people who make exercise a priority find the time. 鈥淭hey have no more hours in the day than the rest of us. They just make walking a priority and look for ways to fit it into their day,鈥 she says.

Wilson, for example, treks with friends at lunch and walks frequently on the campus of the VA Medical Center in Bonham, Texas, where she works as a physician assistant.

Try making your walk do double duty. Walk to a nearby friend鈥檚 house for a visit, or do nearby errands on foot. The Bays sometimes walk to a restaurant, have dinner and then pick up groceries on the way home. 鈥淣o one says you have to concentrate on walking just as exercise,鈥 says Whaley.

Come up with an alternate plan for getting around other barriers: If the weather is bad, walk at the mall or on an indoor track at the gym. On days when your joints ache or you鈥檙e really tired, take a shorter walk. But keep moving 鈥 a brief walk may end up giving you enough energy for a longer one.

Of course, there will be times when you can鈥檛 walk 鈥 so accept it. 鈥淔or many people, walking tends to be an all-or-nothing phenomenon,鈥 says Whaley. 鈥淏ut it鈥檚 important sometimes to be able to say, 鈥業 wasn鈥檛 able to do it, but that doesn鈥檛 mean I can鈥檛 get back out there and start again next week.鈥欌 That鈥檚 what a habit is all about.

鈥⒙犅犅 Schedule it in. Set aside time for your walk, just as you would a business meeting.

鈥⒙犅犅 Always be prepared. Keep a pair of walking shoes in your car, and walk whenever you can.

鈥⒙犅犅 Have a 鈥淧lan B.鈥 If you miss a day, know exactly how you鈥檙e going to get back on track.

http://www.arthritis.org/

As with any activity, or if you are having joint or bleeding problems, make sure you check with your physician or therapist to be sure you are ready to get started.

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