Back to Back, One Month MD Podcast

Building Healthy Habits for a Better Life

Dr. Mark Moran Season 1 Episode 2

Are you ready to take control of your health and banish back pain? Join us in an invigorating conversation with Dr. Rita Garcia, a health and wellness expert who shares her inspiring journey and practical strategies to empower your fitness path. We delve into the pressing issue of physical inactivity in the U.S. and how it directly impacts our lives. Dr. Garcia emphasizes that movement shouldn’t be seen as a chore but rather an integral part of living a fulfilled life. Through approachable insights, her discussion reveals ways anyone can incorporate simple activities into their daily routines to enhance health.

Dr. Garcia breaks down the staggering truth that only 24% of Americans engage in the recommended exercise, illuminating the need for a shift in mindset regarding fitness. As she shares her passion for wellness, she outlines actionable tips to help overcome common barriers, such as time and cost, while underscoring the significance of community resources that make exercise accessible to everyone.

Together, we explore how small changes can lead to monumental improvements in health outcomes. Dr. Rita encourages listeners to adopt a “first and ten” mindset, creating manageable health goals that ultimately encourage sustainable change. Let's break the cycle of inactivity together and lead by example for the generations to come. Don't wait another moment—prioritize yourself today! Tune in for all this and more, and don’t forget to subscribe, share, and leave a review!

Speaker 1:

Welcome back to our next episode of Back to Back. We are here with one of my good friends, dr Rita Garcia, and we are going to be talking more about back back pain, health and wellness and things that we can help you empower yourself over your pain and enjoy the quality of life that you want. So welcome, my friend Rita.

Speaker 2:

Thank you. Thank you for having me.

Speaker 1:

You are very welcome. Now, first I got to know is who are you and how did you get through security?

Speaker 2:

You know, I was just really, really nice and they let me through. That's what it is, just be nice and you get it a lot what you want Just be nice.

Speaker 1:

That's right. Okay, very good. So please tell all of our viewers about you.

Speaker 2:

Awesome. Well, I am the health and financial wellness coordinator for Northside Independent School District and I've been there for 10 years and I have a passion for health and wellness. Most of my career has been in health and wellness in some way, shape or form. Public health, community health, health education, health promotion Okay, and you're a super mom. And I'm a super mom. I've got two amazing kiddos. I say kiddos, but they're adult kiddos. I have a 23 and 27-year-old.

Speaker 2:

Now is that redundant super mom, you know I aren't all moms kind of super, I agree, I agree, 100 but you clearly are super because you went back to school and got your doctorate.

Speaker 1:

Is that true? That is very true. Walk us through your degrees and all your intelligence so I can be in all of you.

Speaker 2:

Well, I love learning and I love education. I learned growing up that education was a foundation for anything, and so it stayed with me, and so I had my son at 17 and didn't take any time off. I went straight through and graduated on time and got my bachelor's in community health from UTSA and go roadrunners.

Speaker 1:

Go roadrunners, that's right.

Speaker 2:

And then I went back and did my master's. I've always worked two jobs, sometimes three, and went to school and got my master's from UTSA also, and then both of my children were in college and I decided this empty nest thing was not fun. Everybody said it was great and wonderful. And no, it was not. It was everything but great and wonderful. So I decided you know what, I'm going back to school with them, and so all three of us were in school.

Speaker 1:

Did you guys have study parties?

Speaker 2:

You know, I will say, my daughter and I did go to coffee shops.

Speaker 1:

Okay, yes, did you guys quiz each other?

Speaker 2:

No, we did not quiz each other, but my son did proof my papers.

Speaker 1:

Okay, well, that counts.

Speaker 2:

Yeah, that was pretty cool.

Speaker 1:

And did you guys have bets that whoever gets the best grade on test buys dinner?

Speaker 2:

No, we did not, but you know what that might be, something I could still try it, something I want to look into.

Speaker 1:

There you go, so then they could buy you dinner and then take care of the mom. Unless, of course, they do better than you, which is very impressive.

Speaker 2:

That might be true. Very good, so you got your PhD in Organizational leadership from Abilene Christian University.

Speaker 1:

Okay, very good Doctor.

Speaker 2:

Doctor.

Speaker 1:

Doctor, may I call you doctor?

Speaker 2:

You know what? You don't let me, so I'm not going to let you. You can call me whatever you want to call me, it doesn't matter.

Speaker 1:

I will call you whatever you want me to call you.

Speaker 2:

Very good, so you've been doing health and wellness a long time, and aren't you also a personal trainer? I am, so you're nice and healthy and wellness and fit, everything. You know, I try, I try really hard. It's to me I can't, I can't tell you to take care of yourself.

Speaker 2:

If I'm not doing it, I'm not gonna be a hypocrite and so and I funny story because when I got my first job out of when I graduated with my bachelor's, I was working for Texas A&M and I had to teach about eating healthy and I was not. I was completely guilty. I mean, I drank a six pack of Diet Coke a day. I mean a six-pack of Diet Coke a day I mean a day and I was not eating the best at that time. And so here I'm in front of people, talking to them about eating healthy, and I felt so terrible.

Speaker 1:

So that was my oh my gosh. I need to get myself in check because this is not going to work.

Speaker 2:

It's good to practice what you preach. Yes, and so that was actually when I started. So it wasn't into my mid-20s, late-20s did I even begin to think about health.

Speaker 1:

Well, that's good. Well, I agree with you. I have a guilty confession Myself. When I was in high school at Clark, I used to have a Snickers bar and French fries and a Coke every day for lunch.

Speaker 2:

Sounds like fun.

Speaker 1:

That's what the option was, and no one was around to tell me something else. So I was like oh, I like Snickers and fries, so I'll have that. And every day for lunch I had that.

Speaker 2:

It's terrible, but you know what? Mine was pizza and fries yeah. So yeah.

Speaker 1:

I did like the school pizza. The pizza was good, yeah.

Speaker 2:

It's still pretty. I can't say I've tried it lately.

Speaker 1:

You get to try it because you're a health and wellness person. Say I need to try that I should, you should. That's a pretty good excuse. I think so, right.

Speaker 2:

Free food, there you go.

Speaker 1:

Why not? Okay, very good, so you're a personal trainer. How long have you been doing?

Speaker 2:

that I started personal training in 2015.

Speaker 1:

Okay.

Speaker 2:

Yeah, so yeah, 10 years, 10 years. Wow, I didn't. Time flies, I'm just doing the math right. Yes, I can do tens and fives. That's about all anything else I can do, yeah I always say I did not get my doctorate in math of any kind, okay so you have lots of jobs.

Speaker 1:

You do, I do, and are you personal training every week, or just on the side? Or how often?

Speaker 2:

I do Honestly, lately it's very rare that I do personal training on the side. I work out on my own but, I, don't really do. I haven't really done personal training in, I would say, at least a year.

Speaker 1:

Okay, Are you ready for a quiz, a pop quiz for our viewers.

Speaker 2:

I'm ready Wait.

Speaker 1:

If I do well, are you buying. If you do well, I will buy you a water. A water, yay, okay, okay. Pop quiz Question what percentage of Americans exercise three times a week?

Speaker 2:

Percent ten.

Speaker 1:

Too low. It's actually much higher than I thought. It's about 58%. Oh my gosh, I know I couldn't believe that. However, what percentage of Americans exercise as recommended by the CDC?

Speaker 2:

Okay, if that was 50, let's say 30. Yeah, it's about 24%.

Speaker 1:

That's right. So roughly one-fourth of Americans are doing what they should be doing, based by the CDC's guidelines for exercising, which is about 60 minutes a day. Okay, okay. What percentage of kids get 60 minutes of exercise a day Is?

Speaker 2:

this like elementary kids.

Speaker 1:

Less than 18.

Speaker 2:

Less than 18. Okay.

Speaker 1:

Of course you're going to ask me questions as a PhD. Clarify the question mark. Yes, I understand.

Speaker 2:

I'm going to say 30%.

Speaker 1:

That's a good guess, but that is not right that is not right.

Speaker 2:

Let's say do I get a second?

Speaker 1:

guess it's way more, way more. The percent of kids that aren't exercising enough? Okay, it's over 75%. Wow, so three-fourths of kids in america aren't getting the exercise they need. Where do you think that's going?

Speaker 2:

uh. Video games and social media.

Speaker 1:

Social media and technic, all kinds of problems and then, consequently, our society moving forward is going to have problems because they're not exercising Absolutely. And, as a health and wellness person, what happens if you don't exercise to your body?

Speaker 2:

Oh my gosh so much.

Speaker 1:

In two words. Okay, I'm just kidding. Please explain it so everyone can understand.

Speaker 2:

Well, with lack of exercise, I mean you're putting your, you're setting yourself up for failure for posture. More weight on your on your joints and on your on your bones is not going to be good, um, for a lot of things. Um, I mean your chronic, chronic illness, um, more risk for diabetes and obesity, and cancer, certain types of cancers, and so lots and lots and lots of things, lots of bad things.

Speaker 1:

And, as we've discussed before, both of us are big proponents for knowledge is power, but also, if you fail to prepare, prepare to fail. That's right, right. So a lot of times, unfortunately, not just adults in America, but the kids in America aren't getting the exercise they need to be healthy and consequently that's causing enormous effects for society as a whole, not to mention individual finances and health status. It's very expensive not to be healthy, that's right. It's actually more expensive to not be healthy than it is to put money into a gym membership or exercising shoes or stuff like that so you can actually be healthier.

Speaker 2:

Absolutely Health care costs, you're going to be paying more. I always say if you want to pay less, take care of yourself now, right, otherwise you're going to be paying more. I always say if you want to pay less, take care of yourself now, right, otherwise you're going to be paying.

Speaker 1:

Right. So the best investment you can make is invest in yourself Absolutely, because the healthier you are, the more you can work, the more money you can make. The more you can put in the bank, the more you can save and let that money grow. Yes, totally agree, we're on the same page. Absolutely same page being a good health and wellness advocate right now.

Speaker 2:

Are you? Yeah, absolutely Perfect. All right, that's what I want to know.

Speaker 1:

So, as you go and talk to your co-workers at Northside or your clients or whoever, what seems to be a common problem they have with starting an exercise routine?

Speaker 2:

Oh, my goodness. Well, I would say that probably the number one thing that I hear is I don't have time, Yep. That's the very common one and the second one is oh, it's too expensive, that's right, you've been going through my homework.

Speaker 1:

I was doing some homework about the most common causes. There's lots of reasons. Yes, certainly there are valid reasons, but time and finances are very important. Also, there's kids, there's job requirements, there's energy levels, there's traveling, there's work requirements all kinds of stuff. There's always going to be a reason or justification whatever you want to say why people can't start exercise programs. But I was looking into some research about how we can help people actually get into it and the main cause is it's mostly because it's not urgently needed and the severity of disease isn't recognized until much later. You have friends or you have people that say, well, I stopped smoking six months ago and I said, well, why did you stop smoking? They said, oh, because I had a heart attack, exactly. So that was severe problem that was urgently needed to make a change. And then people make a change and then it goes forward. So how can we get those lessons into younger society, between 30 to 40 where people can start exercising, or even younger to build healthy habits? Do you have any good ideas?

Speaker 2:

I think that really modeling it you know having their parents modeling it, their teachers modeling it but I also think there's so many barriers for the kids not to, it's not fun.

Speaker 1:

So we have to make it fun Right.

Speaker 2:

So I feel like we need to see more gyms offering kids camps and, you know, kids programs, but also low cost, like I love. The city of san antonio has a great program like their fitness in the park great, free can you elaborate on that for our viewers?

Speaker 2:

of course, yes. So, um, san antonio, this uh city of san antonio, offers um a fitness in the park? Um, completely, completely free, at different parks all over San Antonio, and different types of activities. They might have yoga at certain parks one day and they have HIIT programs one day. They have swimming at the parks that have pools, so you name it. They even have running groups, walking groups, they have yoga, meditation, just all sorts of activity, and Anyone can go, anybody can go.

Speaker 1:

You don't have to make a reservation. No, it's for any skill level, any skill level. So there's no excuse, no excuse. I'm like that's what I was getting at.

Speaker 2:

So when people tell me oh, it's too expensive.

Speaker 2:

It's the first thing I'm like well, guess what? There's free, so there's no excuse. There's no excuse if it's free. Even I can afford free. Absolutely we can. We can both afford free. Yes, yes, so it is a great um, it's a great program. Um, I don't see as many classes for kiddos, though. I mean they do have them, but not as much as the others, um, or for the others. They even have specific programs for, like, our aging parents, which is fabulous. They've got Tai Chi and they've got I forgot the name of it, but it's water aerobics, and so they've got different things like that, but they don't have as many for kiddos.

Speaker 2:

So I feel like it's just they need more for kids. I think pickleball is definitely one that we're seeing more of, but it's expensive for kids to join. So I think it's just you know, we need to offer more things that are fun. I don't. I think another one that becomes a barrier for kids is they're taking time away from at school. They don't have that PE time or recess time like it used to be.

Speaker 1:

I know, like when we were kids, I know, I know.

Speaker 2:

That's unfortunate, but out of my control yeah.

Speaker 1:

I think all that's valid. I like what you're saying. Another thing that I think is very important is the parents.

Speaker 1:

Absolutely so you've got to be a role model for your kids and it's hard for a kid to say, well, I'm gonna exercise if their parents aren't exercising. Yeah, so you got to be practice what you preach and you as a parent, if you really want your kids best interest and for them to be healthy, then you should go be healthy, not just for yourself, but to be a role model for them so they can start exercising too, absolutely. So I try to do that with my kids. I know my friends try to exercise so their kids will get into healthy activities and anything. You can walk, you can stretch, you can do Pilates, you can do yoga, you can play tennis, you can play basketball. It doesn't have to be a sport, it doesn't have to be requiring lots of equipment that's expensive, but you can just go outside and just walk yes, it's perfect.

Speaker 1:

Yeah, walking is very good for you. So I agree that there needs to be a bigger commitment yes, on multiple different levels, to try and help people find that initial energy or benefit of exercising. And then it's a snowball effect. I tell my patients all the time that aren't exercising, it's a snowball effect going down a hill. So you don't exercise, so you gain weight, so you don't have any energy, so you get depressed. So then you don't exercise and you gain weight and it snowballs into a bigger, bigger problem. Unfortunately I mean fortunately that can go the other way too. Absolutely, if you start exercising, you'll lose weight, so you have more energy, so you want to be more active, so then you'll exercise more and lose weight and have more energy better it keeps on snowballing both sides.

Speaker 1:

So I encourage my patients to stop the ball going down one hill and to start an activity and just for two or three days, just do something for five minutes and you'll see that after two or three days it's not that hard. You can do it. And then the next two or three days do it for 10 minutes, go 10 feet longer or go one minute longer on exercise or try to do one more rep, and then you want to build up in your endurance and capacity until you actually form a habit. How long does it take to form a habit? Do you know? 21 days. It's usually about 60 days. It's about two months to form a habit, which is why we encourage patients to don't you don't have to, you know start running a marathon overnight, just run a quarter of a mile or walk around the track first and get used to that.

Speaker 1:

But the consistency is be consistent yeah, that's the most important thing is you have to make a dedicated effort to do it every single day, or even the other day when you're starting, and don't give up. Yes, it's very important. Yes, so I agree with what you're saying. Is there anything you would like to tell that you would think is very valuable to all the Northside, or any other employees or people in our community? That would be very beneficial for them as far as starting exercise routines.

Speaker 2:

I would definitely say to talk to your doctor first, especially if you've got limitations or if you haven't started before. But I would also say take time for yourself, invest in yourself. This is one of the best things that you can do for yourself, because exercise affects mental, just like you said. It makes you feel better's gonna reduce depression, it's gonna. It's gonna improve your morale, it's gonna. I mean just in every capacity. It it improves and and so um it.

Speaker 2:

For the people that don't have time um, I'm the last person that you want to talk to when it comes to that's the barrier, because if I can make time, when I was in school and working two jobs and going to school and I made time, I might have gotten up at four in the morning to do it at five o'clock, but that's okay, it still got done. But I would say put it on your calendar. I love telling people that because I literally had to start that way. It was like I put five minutes and give yourself five minutes. Um, walk to the mailbox instead of driving to the mailbox.

Speaker 1:

It's just baby things, but it's consistent, just like you said, I agree and I said I used to tell people park in the back of a parking lot, yes, and just walk farther. That's, that's a big step right there, huge. Yeah. I think that a big step here for people understanding how to get started is an analogy with football. You watch football, I do. What happens when they kick the ball for the first time?

Speaker 2:

It goes in touchdown Right.

Speaker 1:

It's a touchback. They get the ball on the 25-yard line.

Speaker 2:

Right, the ball on the 25 yard line, right, okay. Have you ever seen a team go for first and 75? No, why not? The goal is 75 yards away, but it's so much easier to do 25 at a time.

Speaker 1:

That's the point. So they have these professional athletes with the best dietitians and nutritionists and therapists and doctors and everything the best elite athletes in the world and they, they say go first and 10. You get four tries to go 10 yards and then what happens? When you go 10 yards, you get a star all over. So take a big goal 75 yards and divide it into much more easily accomplished mini goals and it's much more likely that you're going to achieve those goals. So think first and 10. I tell my patients when you start an exercise routine, think first, first and ten. Don't think about running a marathon overnight. Think I'm gonna run just 10 yards today and then do it again tomorrow and the next day and eventually you'll say this isn't that bad, I'm going to go 15 yards and then I'm going to go 20 and think first and 10. First and 10, and take that big goal and divide it into little aliquots or little samples and you'll get get there much faster.

Speaker 2:

Baby steps First, and ten Definitely baby steps. I love it Pretty easy. That's a great goal.

Speaker 1:

I came up with that.

Speaker 2:

I love it Totally.

Speaker 1:

That's my idea. I'm going to patent it. You should With the NFL. Anytime someone says first and ten, it's going to come to me. Love it. Do you have for our viewers anything else? Recommendations or what, something that you constantly hear, that you say? I really want to tell them this one thing.

Speaker 2:

I would say that be kind to yourself, be kind to yourself, be kind to your body. We only get one, so take care of it. It Again, invest in it. You said it in one of your lessons about. You know it's a box. You know like this is a present. So take care of the present and, you know, invest in yourself. You have to Eating healthy and again, it doesn't have to be every day every meal Right or working out. It doesn't have to be every day every meal or working out. It doesn't have to be every day. It's just a little more. I say more often than you're not Right.

Speaker 1:

It's just consistency.

Speaker 2:

Yes.

Speaker 1:

And I'm not asking anyone to be a robot, you've got to enjoy life, but just consistency, absolutely.

Speaker 2:

Can I have a piece of cake, of course. Am I eating it every day? No, absolutely. Can I have a piece of cake? Of course.

Speaker 1:

Am I eating it every day? No, what does the stewardess say when she gets on the airplane microphone and starts talking? What does she say?

Speaker 2:

She says if an emergency occurs, you put the oxygen on yourself first and then the person next to you.

Speaker 1:

Is that weird?

Speaker 2:

You know, the first time I heard it I thought it was a little strange.

Speaker 1:

And then it was like that makes total sense you gotta take care of yourself first so you can take care of others. So you tell that to your people, I tell that to my people. You gotta take care of yourself first to enable you to take care of others. So all you super moms out there, I know you're doing it give yourself 5 or 10 minutes so that you can be better able to take care of all your loved ones.

Speaker 2:

Yes, and I love the. I don't remember who said it, but there's a quote that says don't give the best. If you don't give, let's see. Give the best of you, not what's left of you. You know, there you go, and it's true.

Speaker 1:

I've heard that one and I don't know who said it. Yeah, I don't know who said it. Yeah, I don't know who said it. Should we say Dr Garcia said it? No, because technically you did say it. That is true, I did say it, I didn't say we're saying you said it first, but I'm saying you did say it. There you go. Another Pearl by Dr Garcia.

Speaker 2:

I love it.

Speaker 1:

Don't give the best of yourself, not the did you have any questions for me?

Speaker 2:

yes, I do. Okay, that's all we have for today and we're oh, I'm sorry, okay, go ahead. No, I want to know um from as a doctor, if patients, um, if, if your patients come, I have back pain, can I walk, or maybe let me go back. I have back pain, I can't do anything. It's better for me to sit than to move. What would you first thing tell them?

Speaker 1:

Well, first of all, I like patients asking me questions. Okay, I tell my patients you want to be an active participant, not a passive recipient, in your health. So this is a teamwork. It's not me telling you what to do, because I want you actively participating. So feel free to ask me questions. That's very important because a lot of times patients don't think they can ask doctors questions Absolutely which is unfortunate because a lot of other reasons.

Speaker 1:

But I encourage patients to ask their doctors questions or their medical providers and I say well, it depends on the situation. A lot of times people will just be totally scared. Their back is hurting and they just won't feel like they can move. But once you start talking to them they're like well, yeah, I couldn't move, I was just scared to move.

Speaker 1:

On the other hand, if they had symptoms that were really bad, like going down their leg or other more severe symptoms they're reporting, then I'd say you probably need to get evaluated and either I can do an evaluation or, if I'm talking to you on the phone, I'll say you probably should go to the ER urgent care to get evaluated depends on were they in a car accident? Did they fall, did they sneeze, or were they just sick and had a cold and just don't feel bad? So there's lots of factors that go into that. But in the end, as a general rule, I usually tell my patients if you're doing something and it's not making your pain worse, it's probably okay to keep doing.

Speaker 1:

If you're doing something and it is making your pain worse, you probably want to stop doing it for a while. Okay, just give your body a chance to heal and then always use conservative things like over-the-counter medicines or massage or heat or ice all those things we talked about in my lecture or my lesson about low back pain called One Month MD. If anyone's interested, please check out onemonthmdcom and there's lots of education there. You can find out and become very knowledgeable about the causes of low back pain, the treatments of low back pain and how to prevent low back pain for the rest of your life.

Speaker 2:

Which is the goal?

Speaker 1:

Which is the goal?

Speaker 2:

Absolutely.

Speaker 1:

That's right. Trying to help out. Yes, sooner or later, people are going to start listening to us.

Speaker 2:

You know what, someday, that day is coming.

Speaker 1:

I keep telling that to my kids and I'm still waiting for it.

Speaker 2:

It's coming. It's coming.

Speaker 1:

My kids are great, love you guys, they do listen to me very well, they're great kids, just like your kids are, so did you have any other questions.

Speaker 2:

I do so when it comes to encouraging, I say leadership and our stakeholders. Why movement is important. As a doctor, you're on.

Speaker 1:

There's lots of research that shows sedentary lifestyle is bad for you. It's mentally bad, it's physically bad. It causes depression. You need to get up. Your body's made to move around. I actually have a really good job because I'm moving around. Every five to ten minutes I go and I see a patient, I verify all the information, then I stand up and then I go do a procedure and then I go sit down at my desk and I type on my notes and I'm constantly doing that. So I actually have a really good job. Every five minutes I'm getting up and moving around.

Speaker 1:

A lot of people don't have that opportunity, so I would encourage them to talk to their HR departments or someone that they work with about getting a standing desk or a desk that stands up or lowers, and try to get up and not sit down so much. Do you know, the biggest cause of chronic low back pain is not accidents but sedentary lifestyle. So sitting at a desk all day is really really bad for your back, really bad. And then, consequently, businesses, health insurances go up because they have to pay for their employees, which aren't as healthy, and then it becomes expensive for employers to have employees that don't get up and move around. So get up and move around. Take a walk every hour, go to the water cooler, go have a snack. Don't break the rules. I'm not saying break the rules, I'm not getting in trouble but certainly get up and move around and don't stay stagnant.

Speaker 1:

You can get an ergonomic chair to help with your back and your sport. You can do all kinds of stretches while you're sitting down. You can do stretches with your legs. You can get those things underneath where you do your feet up and down, I usually turn my head sideways and rotate my back like that. There's lots of things you can do sitting down, but don't sit down too long. Yes, your body isn't meant to sit down and consequently, you don't stand up too long either. I had a patient just the other day. She's worked in retail for 44 years, oh my goodness, and she's not allowed to sit down. So consequently, she has back pain. So the body isn't meant to do anything for a long time in one position. So get up, stand around, move, stretch, take some deep breaths, but don't stay sedentary. That's what I say.

Speaker 2:

Okay, thank you. And I do have another question Sure, perfect, sedentary, that's what I say. Okay, thank you. And I do have another question sure, perfect, um. So can you tell me, because I know we see, especially as we, all of us are getting older, um, well, we don't look it, but we, we are, you know technically. I just say I'm getting more life experience you know, yes, I don't say I'm getting older, I'm getting more life experience well, I tell my kids that they're getting older, but I'm not.

Speaker 2:

But it's, you know. I tell my kids that they're getting older, but I'm not. But it's, you know, it works both ways.

Speaker 1:

You know when we get to be 35, we'll know what it's like to be 35. That's right.

Speaker 2:

That's right. No, I know like as we get older, we have a higher risk for falling. So do you see more of falls related to low back pain or sedentary lifestyle combination? Yes, Okay, that was a big question.

Speaker 1:

It could be many different things. Certainly, poor core strength can contribute to falling because patients, especially older patients they lose sensation in their feet so they don't really know where their feet are and they'll put their feet down and not realize it and they'll trip. Even rugs can be very hazardous to older people as they start walking around.

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