The Best Glute Exercises to Help With Hip Pain

Have pain along the outside of your hip? What we often think of as trochanteric bursitis can actually be a tendinopathy of the gluteal tendons. The term “itis” refers to inflammation. Most of the time, there is no actual inflammation of the area, but an over-straining of the gluteal tendons and weakness in the hip musculature.

Chronic overuse of a weaker muscle (often the gluteus medius) and underuse of other very important muscles including the gluteus maximus, a big “work-horse” that’s supposed to be doing the heavy lifting, can lead to the increased strain, which causes the pain. How do we treat tendinopathy? Load it!

If your hip is quite painful (in the initial, reactive phase), isometric exercises can be a great way to load the tendon while also getting a nice analgesic effect to the area. Research shows us that the analgesic effect is most effective when holding isometric exercises for 45 seconds. Here are some of our go-to isometric exercises to load the gluteal tendons and strengthen the hip muscles.  You can do these without a band to start, but loading with resistance is key, so “put a band on it!” as we like to say at Elevate. The band should be placed right above your knees.

1️⃣ Bridge Hold – Lie on your back with your feet flat on the floor and your knees bent. Squeeze your glutes, activate your abdominals, and lift your hips off the floor. Make sure the movement comes from your hips and your lower back does not arch. Focus on squeezing the glutes together and pushing the band apart as you hold the position.

2️⃣ Sidelying Abduction – you can use a wall to help with this one. Lie on your side, a few inches away from the wall, with your legs straight and in line with your body. Keeping your hips stacked on top of each other and without rolling your body back, lift the top leg toward the ceiling, and reaching the heel to the wall, stretch the band as far as you can. You want to bring your leg behind you slightly, heel to the wall, with your knee facing forward, but don’t tip your pelvis backward. These adjustments are important to help minimize the activity of the Tensor Fascia Latae (TFL), to give you the best opportunity to isolate the gluteus medius and offer the best ratio of increased gluteus medius activity combined with decreased TFL activity. Think about staying long, reaching your leg away from your body, in order to minimize the amount of Quadratus Lumborum contraction in the back. These cues will help you feel this mostly in your gluteus medius. If you want to feel a little more stable in this position, simply bend the knee of your bottom leg so that that foot is behind you offering stability.

3️⃣ Clamshell – Lie on your side, back straight, hips and knees flexed in front of you at about a 45-60 degree angle, and your feet in line with your tailbone and in line with your shoulders. Make sure your hip bones are stacked on top of each other. Keeping your hips and pelvis in line and feet together, lift your top knee off the bottom one, stretching the band as far as you can. A common compensation people make is rolling back from the pelvis to help lift the knee – try to avoid this.

4️⃣ Quadruped Fire Hydrant – Start on your hands and knees with your wrists directly below your shoulders and your knees right underneath your hips. Keeping your knee bent, lift one leg out to the side, extend it back behind you, at about a 45-degree angle, and externally rotate from the hip so your knee should be further away from your body than your foot. Make sure your weight stays evenly distributed through both hands and that both hips bones stay facing the floor. You can put a ball on your lower back and not allow it to roll off in order to help you maintain a “neutral spine”.

5️⃣ Side Plank Hip Abduction – This is exactly like the side lying version except that you will be in a side plank position. You can start off by performing a modified side plank with your bottom knee remaining on the ground, and then progress to a full side plank.

6️⃣ Side Plank Clamshell – Similarly to the side plank hip abduction exercise, you can perform the clamshell from a modified or a full side plank position. Only progress to this variation once you are able to perform the side lying clamshell for 60 seconds.

7️⃣ Squat Hold – Standing with your feet about hip-width apart, squat down as though you are going to sit in a chair. Since we are focusing on the glutes in these exercises and not the quads, you want to make sure that you are hinged forward at the hips, leaning forward at the trunk and your knees stay over your ankles. If you look in a mirror from the side, you should see that your trunk is angled forward more than your shins. If you need an external cue to help, you can place a foam roller in front of your feet and make sure your knees do not move forward and touch the foam roller.

8️⃣ Surfer Squat – Start with your feet together and then step one foot back at a 90-degree angle. Rotate your trunk over the front leg and make sure you are pushing your knees out against the band. Sit your hips back and down into a squat as if sitting in a chair behind you, and hold.

9️⃣ Single Leg Fire Hydrant – Start in the squat position as in 7️⃣, then shift your weight onto one leg. Maintain a bend in the standing knee and hinge at the hip, as you bring the other leg out to the side and back, externally rotate the hip, and extending it back behind you, stretching the band, as you did in the quadruped fire hydrant exercise. You should be leaning forward at the trunk, and the knee of the standing leg should not go forward beyond your toes. Keep both hip bones facing the ground and do not overextend your back. You should feel this in the back side of the hip in both the standing leg and the lifting leg.

As a rule, if you’re feeling these exercises in the back of the hip/glutes, you’re on the right track! We recommend this order and progression of the exercises.  However, the clamshell exercise(s) may cause compression of the gluteal tendons which may initially increase your symptoms.  If this happens, the clamshell can be added later in the program when you are experiencing less pain.

Try #1 – #4 first, 3x, 45 second holds, alternating sides, daily.  As your pain is reducing and you’re feeling stronger, progress to #5 – #9.

Give these a try, and come in to see us at Elevate for further guidance and customization to get back to doing what you love… without hip pain!

How to Perfect the Turkish Get-Up

Here’s a great one to try – We love the Turkish Get-Up (TGU) because it focuses on small stabilizing muscles and develops a solid movement foundation. Without a strong core, adequate mobility, and strong stabilizing muscles, the TGU will not let you progress to higher weights, so it’s incredibly effective for learning strong, quality movement.

Here are the important steps! 

Begin lying on the floor with your arm at full extension, wrist straight, with your shoulder pulled down away from your ear. Your knee should be bent on the same side as the extended arm, with your heel pushing into the ground. The other arm should be out at 45 degrees. Keep your eyes on the kettlebell the entire time!

Step 1: Sit Up • Keep your eyes on the kettlebell, and smoothly sit up along the line of your opposite arm: first to the elbow, then to the hand. (Keep your shoulder down and maintain great posture!)

Step 2: Hip Extension • Push from the heel of the bent leg and drive your hips up while squeezing your glutes. There should be a straight line from the kettlebell to the bottom hand.

Step 3: Sweep the Leg • Sweep the straight leg back and through to a half kneeling position with your shoulders square, eyes on the kettlebell, and make sure your shoulder is staying down.

Step 4: Half-Kneeling • Taking the hand off the floor, straighten the body by sitting upright at the waist to half-kneeling.

Step 5: Standing • Drive from the *front* heel to push yourself upwards into standing. Keep the shoulder blades back and down, and maintain a straight arm, eyes on the kettlebell still, before reversing the movement to come back down, step by step.

From the fetal position, roll onto your back and help the kettlebell into the straight arm position. Rotate your shoulder blade back and down so the arm sits nicely in the shoulder joint. Make sure the kettlebell lays comfortably against the back of the forearm.

7 Benefits of the TGU

  1. Shoulder Stability: In a high-range joint, it is important to be both mobile and strong to avoid injury. The TGU challenges small shoulder stabilizer muscles which serve to protect it against injury, while also acting as a test of mobility. You wouldn’t be able to advance in the TGU if your shoulders aren’t able to move through a wide range of motion.
  2. Core Strength: Each step of the TGU requires core strength in varying positions, which helps develop functional core strength that actually serves to protect your back in real-life situations, from lifting to the rotational strength needed for golf, racket sports, running and more.
  3. Safeguarding against Back Pain: The Turkish Get-Up is great for mobilizing the hips and upper back. Flexibility in the hips and upper back ensures that the lower back does not have to rotate or extend excessively, protecting it against potential injuries.
  4.  Improving Posture: As you progress through the Turkish Get-Up, you realize alignment is very important. In fact, completing the TGU without good posture is very difficult, which immediately cues you into proper alignment.
  5. Full-Body Integration: Since so many muscle groups are used during the exercise, and they all have to work together, it keeps you from favoring large muscle groups over smaller ones (stabilizers). Plus, having to move your body under a balanced kettlebell is great for proprioceptive strength, and it helps you quickly develop a strong sense of bodily awareness.
  6. Assessment Tool: We all have movement issues whether it is lacking adequate movement through the joints, weak core muscles, dominate large prime mover muscles, poor balance, or bad proprioception. The Turkish Get-Up will quickly highlight your problems and help you to overcome them.
  7. Improve overhead confidence and strength: Balancing under a kettlebell during the entire movement helps you develop the strength and confidence needed for other overhead exercises as well, such as an overhead snatch. Once your shoulder stability has improved, lifting larger weights (especially in exercises like bench press and pull-ups) becomes easier and safer.

    If you have any questions let us know!

Why Weight Training Is Ridiculously Good For You


For many, weight training calls to mind bodybuilders pumping iron in pursuit of beefy biceps and bulging pecs. But experts say it’s well past time to discard those antiquated notions of what resistance training can do for your physique and health. Modern exercise science shows that working with weights—whether that weight is a light dumbbell or your own body—may be the best exercise for lifelong physical function and fitness.

“To me, resistance training is the most important form of training for overall health and wellness,” says Brad Schoenfeld, an assistant professor of exercise science at New York City’s Lehman College. During the past decade, Schoenfeld has published more than 30 academic papers on every aspect of resistance training—from the biomechanics of the push-up to the body’s nutrient needs following a hard lift. Many people think of weight training as exercise that augments muscle size and strength, which is certainly true. But Schoenfeld says the “load” that this form of training puts on bones and their supporting muscles, tendons and ligaments is probably a bigger deal when it comes to health and physical function.

“We talk about bone resorption, which is a decrease in bone tissue over time,” he says. When you’re young, bone resorption is balanced and in some cases exceeded by new bone tissue generation. But later in life, bone tissue losses accelerate and outpace the creation of new bone. That acceleration is especially pronounced among people who are sedentary and women who have reached or passed menopause, Schoenfeld says. This loss of bone tissue leads to the weakness and postural problems that plague many older adults.

“Resistance training counteracts all those bone losses and postural deficits,” he says. Through a process known as bone remodeling, strength training stimulates the development of bone osteoblasts: cells that build bones back up. While you can achieve some of these bone benefits through aerobic exercise, especially in your lower body, resistance training is really the best way to maintain and enhance total-body bone strength.

More research links resistance training with improved insulin sensitivity among people with diabetes and prediabetes. One study published in the journal Diabetes Care found that twice-weekly training sessions helped control insulin swings (and body weight) among older men with type-2 diabetes. “Muscle is very metabolically active, and it uses glucose, or blood sugar, for energy,” says Mark Peterson, an assistant professor of physical medicine at the University of Michigan.

During a bout of resistance training, your muscles are rapidly using glucose, and this energy consumption continues even after you’ve finished exercising, Peterson says. For anyone at risk for metabolic conditions—type-2 diabetes, but also high blood pressure, unhealthy cholesterol levels and other symptoms of metabolic syndrome—strength training is among the most effective remedies, he says.

Strength training also seems to be a potent antidote to inflammation, a major risk factor for heart disease and other conditions, says Schoenfeld. A 2010 study from the University of Connecticut linked regular resistance training with inflammation-quelling shifts in the body’s levels of cytokines, a type of immune system protein. Another study from Mayo Clinic found that when overweight women did twice-weekly resistance training sessions, they had significant drops in several markers of inflammation.

More research has linked strength training to improved focus and cognitive function, better balance, less anxiety and greater well-being.

Some of the latest and most surprising research is in the realm of “light-load training,” or lifting very small weights. “It used to be thought that you needed to lift heavy loads in order to build muscle and achieve a lot of these benefits,” Schoenfeld says. “That’s what I was taught in grad school and undergrad, but now it looks like that’s completely untrue.”

He says lifting “almost to failure”—or until your muscles are near the point of giving out—is the real key, regardless of how much weight you’re using. “This is a huge boon to adherence, because many older adults or those with injuries or joint issues may not be able to lift heavy loads,” he says.

If all that isn’t convincing enough to turn you onto weights, perhaps this is: maintaining strength later in life “seems to be one of the best predictors of survival,” says Peterson. “When we add strength…almost every health outcome improves.”“It used to be we thought of strength training as something for athletes,” he adds, “but now we recognize it as a seminal part of general health and well-being at all ages.”


Markham Heid

Time Health

Jun 06, 2017

To read the original article on, click here.


Youth Nutrition – Fueling your Youth Athlete Part 2: Fats & Carbohydrates

youth sports

There is nothing like watching a young athlete perform to the best of their ability in the sport they love. As adults, we envy the amount of energy they seem to have at the start of each day in the elementary years, only to see that energy begin to dip once they hit the middle school and high school years. A few reasons for that include: physical adaptations toward continuous physical training for their sport; puberty; increasing workloads at school; and lack of sleep.

It’s a lot for a young body to handle, no matter how great of a student-athlete they are, so our job as parents is to make sure we keep that engine burning efficiently each day. We need to make sure we are putting the right pieces in place to complete the optimal performance puzzle.

In part-1 of this educational piece, I covered how to successfully implement high-quality protein and proper hydration into their diet, and how to address sports supplements. In this piece, I will cover the two key energy sources for all humans, Fats & Carbohydrates.

As I mentioned in part-1, the goal is to provide a basic understanding of how food best works for us and use basic fundamentals without getting overly scientific. Let’s start with carbohydrates!

Carbohydrates are the primary energy source of the body which is what our muscles use as fuel in order to function properly. How the body processes carbohydrates, or “carbs”, depends on their molecular makeup. This is where the distinction of “simple” carbs and “complex” carbs come into play because our bodies digest them at different speeds because of their nutrient profiles.

For example, “simple” carbs are made up of monosaccharides (glucose, fructose, galactose) and disaccharides (maltose, lactose, sucrose). “Complex” carbs are formed when three or more glucose molecules are combined. Here is an easy way to understand carbs — think FIBER, not carbs! Understand that there is a significant difference between white bread and whole grain high fiber bread; a sugar-coated cereal and oatmeal; French fries vs. sweet potatoes. The focus should be on the quality of carbohydrates.

Remember in part-1 I said that breakfast is a primary meal not to be skipped, and good protein sources should be a major part of that meal. Quality carbohydrates are a must in breakfast also. When putting meals together you want to consider how much fiber a meal can provide. A good breakfast may be Greek yogurt as your protein, whole grain bread or oatmeal with some fresh fruit for the nutrients and fiber.

Fruits and vegetables are an important source of carbs for a high-performance athlete, but we know that kids don’t always like or choose these foods. So, we have to be diligent in our effort to create new eating habits for them. To put that effort into perspective, Dr. Laura Edwards-Leeper who is a staff psychologist at Boston Children’s Hospital says, that it can take up to ten times to determine if a child really dislikes a food because their taste buds change so much.

athlete nutrition

This plate shows what an ideal meal should look like.  As you can see, half of the plate should be fruits and vegetables with a 1/4 being some faster burning starchy carbs sources.

The Children’s Hospital of Los Angeles says that athletes who consume 70% of their calories in quality carbohydrates will have the maximal storage of glycogen to fuel the muscles for long performance durations. That is a key statistic to remember because it eliminates the need to “carb load” by eating excess carbohydrates in an effort to increase performance. The body will already have what it needs, so loading won’t be necessary.   

Don’t be afraid to play around with the quantities and meal timing around activities because everyone digests food differently. The key is to consume as many nutrient-dense carbs as possible, but the timing efficiency depends on the person. Some young athletes can digest quickly and stay energetic and ready to go at all times. Other athletes may get lethargic for an hour before their body’s blood sugar levels off, so they may need more time if this is a pre-game/pre-practice meal.

Data from the American Dietetic Association and American College of Sports Medicine suggests that athletes should be eating 45-65% of their calories from carbohydrates. What that looks like for an athlete would be 2.7-4.5 grams per pound of body weight. This will provide optimal fuel for muscles during demanding activity. For example, a 120lb. athlete should consume 324-540 grams of high-quality carbs.

The timing for carb consumption may vary depending on the athlete, but here is a good framework for reference:

  • Pre-exercise: 1-2 hours before activity. Meal (or shake) should be higher in carbs, lower in protein & fat.
  • During exercise: While shorter duration activities (<60-min.) don’t require special fueling tactics, longer bouts do. (8-10 ounces of water for every 20-minutes of exercise after an hour). For sessions longer than an hour (>60-min.) the recommendation is about 30-grams of carbohydrates for each hour of training or exercise. 
  • After exercise: Glycogen needs to be restored. For example, 1-2 cups of chocolate milk and some water  (also see rehydration in Part-1)

Chewing the Fat

High-quality dietary fat is vital for us all, and especially for our growing athlete. Quality fats are key. Scientific studies show that Omega-3 and DHA are crucial in brain development.

Fat is the most calorie dense nutrient and should comprise of 20-30% of total caloric intake. The right kind of fat is very important because it can fight inflammation and help with exercise recovery by decreasing soreness in muscle tissue.

youth athlete

Making sure that we are obtaining high levels of healthy fats containing Omega-3 fatty acids is the key, and the healthiest sources can be found in a few uncomplicated places, the first being in animal protein. Organic chicken and eggs, grass-fed beef, lamb, and wild-caught fish are excellent sources of Conjugated linoleic acid (CLA) and Omega-3 fatty acids (EPA & DHA). In fact, wild-caught salmon, trout, and catfish offer 19-27% of their total fat in Omega-3s. If you’ve ever wondered why wild-caught fish is better for you rather than the farm-raised versions, the farmed raised offer much higher levels of Omega-6s which increase inflammation in the body.

Other great sources are from butters like natural peanut butter and almond butter. Buyer beware as you should read the labels on some brands of butters in order to avoid sugar and hydrogenated oil. You’ve probably seen the peanut butter with the oil floating around at the top, right? Well that’s the one to choose. Just stir and refrigerate! Most of those don’t have additional additives or fillers.

Oils and avocados are two more great ways to add quality fat sources to each meal. But not all oil is made the same. Some are better for cooking, others are better at room temperature because too much heat changes their molecular structure, and then some should be avoided altogether because of how they are produced.

Coconut and avocado oils are great to cook with at high heat, while olive oil should not be used to cook with unless you’re baking with it. Dr. Loren Cordain, author of The Paleo Diet, explains that high polyunsaturated oils (corn, safflower, sunflower, cottonseed, vegetable, and all partially hydrogenated oils) should be avoided because they oxidize easily when heated. That oxidation changes the structure of the oil, which can cause inflammation and may be associated with inflammatory diseases such as arthritis, type 1 diabetes, ulcerative colitis, celiac disease.

Lastly, high Omega-3 oils can be added regularly in supplemental form by way of soft-gel supplement or gummy version made up of fish and krill oils. These are taken with any of the meals and should be stored at low temperature or in the refrigerator once opened to maintain freshness.

You may have noticed that butter and margarine were not on the list. Butter is okay as long as it is an olive oil base or organic cream produced product. Margarine falls into the hydrogenated category and should be avoided. Below is a list of quality fat sources:

youth athlete

Putting the pieces together is really easy once you realize that we all should be eating as much earth grown, minimally processed foods as we can throughout the day. Variety is key for our young athletes and the more fruits and vegetables each day, the better. This ensures the “think fiber, not carbs” approach to meal planning.

Beware of Fat Burners

As our kids get older they may be faced with peer pressure to “get big and ripped”. Fat burner supplements are marketed as a way to help get them “ripped” faster.

For example, ephedra claims to help with weight loss, improve strength, speed, and endurance, increases alertness, and mask fatigue. The reality is that fat burners are useless and even dangerous. They may provide some strength improvements in endurance athletes, like cyclists, but only when combined with caffeine, which is dangerous for any athlete.

Some side effects include irritability, headache, anxiety, tachycardia, arrhythmias, heat stroke, acute renal failure, rhabdomyolysis myocardial infarction, stroke, and seizures. Ephedra is also banned by the NCAA, USOC, and all major leagues. Clearly, not recommended for our youth athletes! 

If you apply some basic principles, then chances are, your child will be set up to succeed to the best of their ability.

Daily Basics

  • 4 servings of dairy
  • 2 servings of meat
  • 4 servings of fruit /vegetables
  • 4 servings of cereal or grain

Our athletes are using their bodies as a machine and we need to make sure that machine is always running on good fuel. If you have a high-octane engine in the car you drive, you know that putting low-grade gasoline in it will do some damage to the engine at some point. Think of the human body the same way. Best of luck to your athletes!




Children’s Hospital of Los Angeles Sports Medicine Division

Loren Cordain – The Paleo Diet

Dr. Chris Mohr, PHD, RD – Complete Sports Nutrition


Youth Nutrition – Fueling Your Youth Athlete Part 1: Protein, Supplements & Hydration


Youth nutrition

Proper nutrition is essential to the overall success of athletes at any level. No matter the sport, all of the activity is fueled by what the athlete consumes throughout the day, pre-performance, and post-performance. It’s one thing to be prepared by spending many hours practicing drills, skills, technique, and conditioning, but performance will be lacking if there are deficiencies in our young athletes’ daily food and fluid intake.  

I’ll be honest, when I look back at some of my favorite things to eat when I was a youth athlete, I can tell you with certainty that I had a sugar-heavy breakfast, sugar-heavy snacks, with just an “okay” lunch and dinner. That continued all the way through high school because, well, I just didn’t know any better, and neither did my parents. But, two things that did become staples for me were peanut butter & jelly sandwiches and a huge glass of milk. Interestingly enough, those two things would end up helping me significantly as I matured as a high school athlete.

The truth is, for our young athletes to be high-powered performers, we need to make sure they put high-octane fuel in the tank. This is food that our bodies can easily recognize and break down into usable fuel for speed, strength, endurance, and power. It all starts with understanding some basic things about the calories we should be consuming.

Calories are our energy source which are made up of three macronutrients: Protein, Carbohydrates, and Fats. Each one of these come in many different forms, both good and bad, but distinguishing between what’s optimal takes a bit of work. Kids will only learn what they are taught, and that starts with the adults in their lives.

For this particular blog post I will focus on protein, the supplements protein powder & creatine, and hydration.  In the next series on nutrition for youth athletes, I will tackle carbohydrates and fats.


Protein is essential for growth and repair; it is the building block and foundation for new muscle tissue during recovery. I don’t want to get overly scientific, but when protein is digested it is broken down into amino acids which are carried into the muscle tissue to repair the damage from excess exertion from activities. This is where lean muscle growth comes from.

Not having enough protein does cause the body to take longer to recover. It also puts limits on strength and power development. Protein also has a thermic effect on the body, nearly twice as much as carbohydrates and fat, which means that it increases our metabolism. With a higher metabolism, the body will burn more body fat during the course of a day.

The biggest challenge is making sure a young athlete consumes enough protein throughout each day.  Creating an optimal dietary pattern requires that each meal is balanced with protein, carbs, and fats.   THIS IS HOW A MEAL PLATE SHOULD LOOK:


Dr. Chris Mohr, Phd RD, the consulting Sports Nutritionist for the Cincinnati Bengals and Director of Sports Nutrition for the International Youth Conditioning Association, explains that youth athletes typically don’t obtain sufficient protein intake until the end of the day at dinner. “The typical meal plan for middle school and high school athletes starts with a bagel or bowl of sugary cereal for breakfast, a sandwich with a bag of chips and soda or sugary drink for lunch, candy bar for mid-afternoon snack, and a good amount of whatever they can get their hands on for dinner.”

However, unlike carbohydrates and fats, protein does not store in our system for later energy usage. This is why protein should be consumed with every meal. In fact, the RDA recommendation for the average adult is 0.8-grams of protein for every pound of bodyweight. That increases depending on the activity level of each person. Endurance athletes, the recommendation increases to 1.2-1.4g/lb., and strength athletes is a touch higher at 1.4-1.8g/lb.  Our youth athletes can safely consume between 0.8-1.0 grams of protein for every pound of body weight each day. So assuming you have a 120 lb. child, they should have up to 120 grams of protein per day. But how do we make that happen? What does this look like?

The typical profile of protein consists of 7-grams for every 1 oz. of meat. With that in mind, someone that has 3-ounces of chicken breast will have consumed 21-grams of protein. The optimal amount for protein usage is between 20-30g in a meal. Why? Because the body has a hard time utilizing protein for repair and recovery after 30-grams. This is called protein synthesis. So assuming you have a 120 lb. child, they should be having 4 meals a day with 20-30 grams of protein in each meal. As an example, here are some easy ways to find 20-30g of protein.


For a high school athlete, it’s a breakfast consisting of 2 eggs & 3 egg whites, or 1-cup of cottage cheese or Greek yogurt. As you can see, it doesn’t need to be overly complicated. Another easy way to measure this for animal protein is to make a fist and have a serving size that matches the size of your hand.  

Alternative Protein Options & Creatine

As a coach, I always encourage whole food options for the primary source of calories consumed daily. Our bodies operate and recover best when we consume all-natural earth grown nutrition. This means lean meats, fruits & vegetable, nuts, seeds, and high-quality dairy.

One cloudy area is the use of supplementation among youth athletes, especially protein supplements.  Enticed by the promise of “hope in a can,” teenagers tend to overuse the products, assuming that if one scoop is good, then four to five would be even better. 

It’s important to know the following:

  • Protein supplements provide NO added benefit over regular diet
  • Federal regulations do not require that protein drinks and other dietary supplements be tested before they are sold to ensure that they’re safe, effective, and free of contaminants
  • A 2010 study by Consumer Reports found 100% contamination of 15 commonly used protein supplements with one or more toxic substances including arsenic, cadmium, lead, and mercury, which can have toxic effects on the body
  • Consider supplemental if unable to meet protein needs with diet 

The best option is quite easily the most accessible and cost effective. Are you ready? It’s called MILK! One glass of milk can provide about 8-grams of protein and 12-grams of carbs.

Chocolate milk is a great choice for post exercise recovery.  It provides high-quality protein (casein & whey) for repair, natural sugars to restore energy, electrolytes, AND flavonoids that are antioxidants.



If a protein supplement is used, a whey protein ISOLATE is the clear choice because of the minimal processing and ease of digestion.   Most whey protein isolates will provide approximately 25-grams per serving.

Creatine is the most commonly used supplement and is popular among high school athletes. Creatine is touted for its ability to increase muscle bulk, strength, and performance in short duration, anaerobic events lasting 30 seconds or less.  ‘Cons’ to consider include water weight gain that can affect balance and agility, GI discomfort, muscle cramps, risk of contaminants including anabolic steroids, and it’s expensive in supplement form.

The good news is, creatine is ingested naturally by consuming animal protein.  Sixteen ounces of animal protein provides 2g of creatine, which is the daily requirement.  

Because our youngsters are still developing physically, the American Academy of Pediatrics & our colleagues at Children’s Hospital of Los Angeles Sports Medicine say creatine supplements are NOT recommended for anyone under 18-years old.


Another important topic to tackle with youth athletes is proper hydration.   Here are some key recommendations to keep in mind from the Sports Medicine Team at Children’s Hospital of Los Angeles:

  1. There is no evidence that drinking more than thirst is beneficial.  That said, our youth athletes don’t always recognize or respond to their thirst, so we do need to educate them that pre-, during and post-exercise hydration is important.
  2. Athletes should be hydrating normally during their day.
  3. Fluids should not be restricted during an athletic event.
  4. For activities less than one hour, WATER is best OR a glucose –electrolyte drink.
  5. For activities greater than an hour, glucose-electrolyte drink.
  6. Rehydrate frequently during exercise; drink 6 – 8 ounces of fluid every 15 – 30 mins.
  7. Avoid any drinks that are high in sugar/glucose and caffeine (i.e. Red Bull, Mountain Dew, Monster, etc.)

Let’s not confuse glucose-electrolyte commercial sports drinks with energy drinks. These are two completely different things.

Sports drinks – Rehydrate/ replenish; contains carbohydrates & electrolytes; regulated by FDA

Energy drinks – A “Pick Me Up”; contains caffeine & sugar; “Food Supplement”; not regulated!

Do Your Homework

Keeping your athlete properly nourished and hydrated can yield great benefits to their energy and performance during play as well as their recovery. It’s important to look at your child’s consumption of proteins as well as their hydration so that it’s balanced throughout the day. This can be tough in the middle school and high school populations, as they tend to eat at least one meal away from home. The best thing we can do for our youth athletes is provide them with the guidelines laid out in this article and educate them on making the best choices throughout the day to fuel them. Collegiate and professional athletes should be their role models and proper nutrition starts with making the right food and hydration choices as a youth athlete.

Below is a great video that was recently released by the USC Trojans Football Dietitian, Andrea Vanderwoude, with a sneak peek into what it takes to fuel a high-level athlete day-to-day. In it she touches on a few key points that I’ve covered in this article. Take a few moments to watch it, and also keep in mind that these are all 17-21 year old athletes as well.

If we can help or answer any questions please reach us at

USC Football #FuelOn With Sports Dietitian


Children’s Hospital of Los Angeles – Children’s Orthopedic Center

American Academy of Pediatrics

Dr. Chris Mohr, Phd. RD – International Youth Conditioning Association

Becci Twomley RD – University of Southern California Athletics


The Positive Sports Parent Series

Positive Coaching Alliance Panel on Youth Sports

We attended a great event last weekend (that we HIGHLY recommend!) aimed at coaching healthy athletes, both physically and mentally, organized by the CHLA Sports Medicine Program, LA Galaxy Foundation and the Positive Coaching Alliance. It aims to give youth sports parents practical tips and tools to help guide children in learning the life lessons that sports provide.

If you’re interested in learning more, they are having a *free* event at Palisades Rec Center next Friday, August 25! 7-9pm. They’ll be covering the best ways to set your child up for success on and off the field, character development, how to set goals for your child, and the rise of youth sports specialization related to overuse injuries and concussions.

Contact Bill Maniscalco for more information! 310-454-1412  /, or check out their website,

The Sleep Cure: The Fountain of Youth May Be Closer Than You Think


(Original article by Alice Park, in TIME Health Feb 16, 2017)

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The evidence linking quality rest to good health and longevity has never been more convincing, especially as it relates to aging, processing emotions, mental health, and disease prevention.

Scientists are learning that shortchanging sleep can compromise nearly every major body system, from the brain to the heart to the immune system, making our inability–or unwillingness–to sleep enough one of the unhealthiest things we can do.

Studies of people whose sleep sessions are irregular or shorter than seven hours show they are at higher risk of developing diseases that can lead to early death, including heart disease, cancer, diabetes, high blood pressure and obesity. Poor sleep may have detrimental effects on the brain as well, increasing the risk of dementia, including Alzheimer’s disease, as well as mood disorders like depression, posttraumatic stress disorder (PTSD) and anxiety. And like smoking, a terrible diet and not exercising enough, poor sleep is now linked to an overall increased risk of premature death.

“I used to suggest that sleep is the third pillar of good health, along with diet and exercise,” says Matthew Walker, a professor of neuroscience and psychology at the University of California, Berkeley. “But I don’t agree with that anymore. Sleep is the single most effective thing you can do to reset your brain and body for health.”

Despite the mounting evidence of its benefits, Americans are sleeping about two hours less each night than they did a century ago, and while life expectancy has been inching upward over the past century thanks to advances in medicine and technology, those gains could start to sag under the weight of our collective sleeplessness. Many people still dismiss sleep as something they can occasionally (or even regularly) skimp on.

Perhaps that’s because until very recently, scientists couldn’t even agree on the evolutionary reason why animals need to sleep in the first place. But now they know that what happens during sleep, particularly in the brain, is critical to human well-being–not to mention a long life.

Spending a good third of the day oblivious to the world around you and, by extension, incapable of protecting yourself doesn’t seem like a smart way for a species to stay alive. And yet every animal does it, leading scientists to accept that sleep must be nonnegotiable for some reason–and that we must need a certain amount of it to survive.

Following a rigorous, milestone study in 2002 of more than 1 million healthy men and women by the American Cancer Society, experts found that people who slept seven hours per night were most likely to still be alive at the end of the study’s six years, compared with people who got either six hours or less, or eight hours or more, of sleep each night. To this day, seven hours is typically the amount that doctors and public-health groups recommend for the average adult.

Another even longer study, which followed more than 21,000 twins in Finland, found that people who were regularly sleeping less than seven hours daily were 21% to 26% more likely to die of any cause during the study’s 22-year period than those who slept more than eight hours.

So clearly sleep has some real biological benefit. Could it just be that the brain and body need downtime to recuperate after the activity of the day? That was the most popular explanation for decades, until an inquisitive neuroscientist at the University of Rochester decided to look for the answer inside the brain itself. When she did, Dr. Maiken Nedergaard uncovered what many scientists now agree is sleep’s primary evolutionary function: to clean out the brain, quite literally, of accumulating debris.

In 2014, Nedergaard first revealed that while the body appears to rest during sleep, a whole lot is happening inside the brain. Neurons pulse with electrical signals that wash over the brain in a rhythmic flow. The brain runs checks on itself to ensure that the balance of hormones, enzymes and proteins isn’t too far off-kilter. All the while, brain cells contract, opening up the spaces between them so that fluid can wash out the toxic detritus that can cause all kinds of problems if it builds up.

“It’s like a dishwasher that keeps flushing through to wash the dirt away,” Nedergaard says.

Without that nightly wash cycle, dangerous toxins can damage healthy cells and interfere with their ability to communicate with one another. In the short term, that can impede memory formation and the ability to coherently compose our thoughts and regulate our emotions. Over time, the consequences can be more dire. Lack of sleep can lead to faster aging of brain cells, contributing to diseases like Alzheimer’s, which is now the cause of death for 1 in 3 seniors.

“Sleep is not just a passive state but a fairly active state on the molecular level,” says Dr. Allan Pack, director of the Center for Sleep and Circadian Neurobiology at the University of Pennsylvania. “During the day, the brain is using energy resources to fire neurons. At night, a switch turns on so the sleeping brain can take advantage of the metabolic downtime to do some cleaning up.”

The idea that sleep is a time of important biological activity, rather than a period when the body checks out, is transforming how doctors think about another important factor in longevity: mental health.

Scientists have long known that sleep is important for memory. But it turns out that during sleep, especially the cycles of deep dream sleep, the brain doesn’t just revisit the events of a day in a more organized way. It also works on processing the emotions attached to these recollections. When a memory is filed away during sleep, it’s also stripped of some of the powerful feelings–like fear, grief, anger or joy–that might have clouded the experiences in the heat of the moment.

It wouldn’t be healthy, or efficient, to remember every event or experience in its full factual and emotional context. But separating the emotional aspects of a memory from its objective parts allows you to recall the experience without reliving it. “We sleep to remember and we sleep to forget,” says Walker, the UC Berkeley sleep scientist, of this coping mechanism. “I call it overnight therapy.”

This type of processing takes time. It likely happens only during deep, quality sleep, and only over consistent nights of such sleep. That may explain why people who cut their sleep short or experience interrupted sleep may not fully disentangle the emotional baggage from their memories.

In those cases the memory, in its emotionally taxing entirety, continues to resurface every time the brain tries to sleep, in a vain effort to be properly processed. The brain tries to store the memory in a neutral way, but without deep sleep, there just isn’t enough time for that triage.

Walker believes these aborted efforts may drive conditions like PTSD, which is well understood to be common among combat veterans but which may be more common among the general population than therapists and researchers previously thought.

“The more nights you sleep, the more soothing the influence of sleep on that memory,” he says. “Sleep continues to work on those emotional memories and flatten them out after about a week. Now there’s great evidence that PTSD is a disorder in which that process fails.”

There’s also strong support for the idea that insufficient sleep may be a trigger for, and not just a symptom of, a number of mental illnesses, including depression, bipolar disorder, and even schizophrenia. Depriving people with bipolar disorder of sleep, for example, can launch a manic episode, while some people with depression report worsening symptoms when they aren’t sleeping well.

Fully understanding the role sleep plays in mental illness is a rich area of future research. Already many doctors think consistent, high-quality sleep can have a direct bearing on the health of those with mental illness. “Anyone who suffers from moderate or significant mental-health concerns needs to be aware that sleep may be one of the most important things they can do,” says Walker.

Stress, scientists also know, is one of the more potent accelerators of aging, and a body that’s not sleeping enough looks similar to one that’s stressed out–it’s highly reactive to perceived threats, even when those threats don’t pose any real risk. Biologically speaking, both stress and lack of sleep have the same result: fight-or-flight mode is triggered, blood pressure spikes, breathing gets shallow, and the heart starts to race.

Those stress reactions would be useful if you needed to react to a physical threat, but that’s not usually what’s going on. And staying in an alert mode can trigger a number of unhealthy conditions, the most damaging of which is inflammation.

Inflammation is the body’s natural defense system against injury or invading microbes like bacteria and viruses. It’s why your toe turns red and throbs when you stub it or when it’s infected: white blood cells rush to the area in order to protect it for the short time it’s needed to help you get better. But inflammation can also become chronic, and that’s when the real trouble starts.

Chronic inflammation, doctors now know, is a leading driver of many diseases, including some cancers, cognitive decline, heart disease, Type 2 diabetes–even chronic pain. And one of the main drivers of chronic inflammation is, of course, not sleeping enough.

Experts are insisting, with increasing frequency and noise, that sleep be a priority–as important or more than what you eat and how much you exercise. We wouldn’t dream of skipping meals on a regular basis, so why skimp on sleep?


The full article can be found on, click here: The Sleep Cure

Neck or Back Pain from Sitting? 3 PT Exercises You Can Do Anywhere

Elevate’s Dr. Katie Lichty, certified in The McKenzie Method® of Mechanical Diagnosis and Therapy® (MDT), shares three easy ways to stop your neck or back pain by reversing your rounded sitting posture and improving your spinal health.

The McKenzie Method (MDT) most commonly uses repeated motions to assess spine pain, develop a treatment, and reduce the likelihood of re-injury.  MDT is heavily researched, and studies show that for low back or neck pain, receiving MDT within the first 14 days following injury can help resolve symptoms in the first 3 to 5 treatments, and greatly reduce the need for more expensive and invasive treatments, and diagnostic imaging such as X-ray and MRI.
TRY THIS: Repeat these 3 exercises for 10 reps, 2x per day
Seated Cervical Retraction (Chin Tuck): 
– Make sure you sit in an upright seated posture.
– Keep your chin level and look straight ahead as you slowly move your head backwards as far as you can manage, aligning your ears over your shoulders.
– Place your hand on your chin and gently push the head further backward.
Repeated Thoracic Extension: 
– Find a seat with a low and rigid back (or use a foam roller!)
– Sit all the way back in your seat with your feet flat on the floor.
– Reach hands behind your head and extend upper back, using the backrest as a fulcrum.
Repeated Lumbar Extension (Press Up):
-Begin flat on your stomach on the floor with your hands under shoulders. Keeping your hips on the ground, lift your chest up trying to straighten your elbows (trying to go further each time).
*Keep glutes and abs RELAXED during each set!
As a general rule, the closer towards the center of your neck or back the pain travels, the better (even if it is more intense), and the further away from the middle of your spine (i.e., glutes, leg, shoulder), the worse.
*Avoid pain with the exercises. Reps and frequency are given as a general recommendation. In the clinic, actual exercise dosages are patient-dependent based on your PT’s assessment and mechanical diagnosis.
Contact us for a full evaluation and individualized care for your neck or back pain.

Shoulder Pain? Its Common Cause and What To Do

Elevate Co-Founder, Dr. Meredith Soelberg PT, DPT, MBA, explains a common cause of shoulder pain and exercises to help.

Shoulder pain can affect up to 47% of people in a year’s time, and 40% of those affected will still have pain after 1 year. 
Shoulder pain with reaching that comes on without trauma can be caused by “impingement” of sensitive structures in a small space in the shoulder called the subacromial space, and is often referred to as “subacromial impingement syndrome.” The impingement of these sensitive structures (such as the rotator cuff tendons and bursa) is often caused by poor posture and faulty shoulder blade mechanics.
Here’s a series of exercises to improve muscle activation and coordination of the shoulder blade & rotator cuff muscles, and better position the shoulder to avoid impingement and pain with reaching.
Level 2 video pictured.  Level 1 video click here
Level 1 – Table series
Try each exercise 5 times, for a 30 second hold each time.
For sidelying exercise, try 10-15x, 2 sets.
Level 2 – Standing series with band
Try each exercise 10-15x.
For Level 1 & 2 exercises, focus on rolling the shoulders back, squeezing the shoulder blades together toward the spine and away from your ears. Maintain this “squeeze,” even when the shoulder moves.
*Avoid pain with the exercises. Contact us for a full evaluation and individualized care for your shoulder pain.

Elevate’s Youth Athlete Performance & Strength Development Class








We are excited to announce that Elevate is hosting a Youth Athlete Development Series, designed by Elevate Physical Therapists and Youth Athletic Development Expert, Joynier Lockett, to help our youth athletes progress in their sports and reduce injuries. Joynier’s passion for helping youth athletes propelled him to become certified in Youth Long-Term Athletic Development by the IYCA (International Youth Conditioning Association), and a Certified Speed and Agility Coach through Athletes Accelerated.

Starting April 18th and 23rd


4pm:  8-12 year olds

5pm:  13-18 year olds


9:30am:  8-12 year olds

10:30am:  13-18 year olds

Here’s what each age-specific class will teach:

1) Foundational Movement skills that translate into their sport through Long-Term Athletic Development (LTAD) programming.

2) Proper strength training through body weight movements to teach them body awareness while learning to control their high-speed movements, and reduce their risk of injury.

3) Speed & Agility mechanics to become faster and more explosive at a level designed for their current age, with the focus on long-term development. 

Athletes can come for both or one class per week.

Per Class: $35 per athlete

Package of Sessions: 10 classes for $300 ($50 savings)

To ensure every child has the opportunity for individualized attention, classes are limited to 8 athletes, and starting early is encouraged as each session will build on mechanics learned in the previous session.

Registration can be done via email, phone, or in person, up until two days before each class.

Email or call 424-322-8585 to reserve a spot today!