Exercise with limited mobility

How can I exercise with limited mobility? My right wrist took the brunt of a fall.
My right wrist got the brunt of a fall

I took a tumble not quite 2 weeks ago and injured my right arm. My wrist got the worst of it – it’s still giving me trouble. So much so that I can’t put much weight on it and it hurts to bend it sometimes. So – how to exercise with limited mobility?

Not even a plank

As you know, my favorite form of exercise combines strength and cardio. But such exercise with limited mobility is practically impossible. Body weight strength exercises are great, but a plank is out of the question for me.

To not exercise is also out of the question. It’s such a habit for me that if I’m home and not doing anything else at the time I usually exercise, the guilt is practically overwhelming. So the last few days I’ve been exercising without weights and with limited arm involvement. I know that when my arm is better, I’ll have a lot of catching up to do, but I’m grateful the injury isn’t worse.

So what exercise to do?

So, what exercise have I been doing with my arm out of commission? I’ve been cardio-bingeing. I’ve been doing my walk / run on the treadmill. And I’ve rediscovered the fun of step aerobics. I talked about doing step aerobics as a great stress-reducer a while ago, but it really is a super workout. Even with the risers lower than I used to have them, the sweat was dripping off my face.

Others deal with limited mobility

My injury made me think about how others exercise with limited mobility. If (heaven forbid) my wrist injury became more permanent, I would certainly investigate the possibility of swimming in my area. Swimming is a great, non-weight-bearing cardio exercise with other benefits as well. Walking outside is certainly another possibility. If the weather warms up again here and I’m still recovering, I may take to the greenway path nearby. And I may queue up some favorite songs and dance.

Limited mobility is no excuse to not exercise

The US Centers for Disease Control (CDC) recommends that everyone, at any age, have physical activity to maintain their good health. In fact, all adults, with or without disabilities, according to the CDC’s Guidelines should get at least 150 minutes (2.5 hours) of aerobic physical activity per week. However, the CDC has found that less than half of those with disabilities and limited mobility engage in aerobic physical activity. They’ve put together a resource for those with limited mobility to get ideas for getting the activity they need.

I’ve certainly gained new respect for people who stay motivated to exercise with limited mobility. It takes extra gumption to find ways to stay as active as they need to be, given the barriers society puts in their way.

Exercise can save you money

Exercise can help you save money.

You’ll be happier if you exercise.

And you’ll attract people to you if you’re not scowling – you’ll make more friends.

Exercise can save you money

Don’t believe me? A HealthPartners Research Foundation research study showed that people over 50 years old who started exercising only 90 minutes per week saved about $2,200 per year in medical costs. And a CDC study showed that older people who visited a health club twice a week saved over $1,200 more in healthcare costs than those who visited a health club less than that.

Sounds good to me.

How this makes sense

Exercise does more for you than just increase physical fitness. Exercise can save you money.
Exercise does more for you than just increase physical fitness. Exercise can save you money.

And it makes sense. If you’re exercising, you’re getting fitter. And you’re getting healthier. We’ve talked many times about the health benefits of exercising – It can lower your blood pressure and boost your good cholesterol (HDL). Exercise promotes better blood flow, and decreases the risk of heart disease. Plus, it can help prevent or manage other health concerns like diabetes and stroke.

Exercise has also been proven to ward off many types of cancer. Anecdotally, it’s been a long time since I’ve had a cold. Even before we all started to wear masks all the time, it had been several years since I’ve been laid low by illness (knock on wood – don’t want to jinx myself…).

Happiness after exercise

Exercise is also a mood-lifter. Those post-exercise endorphins are no myth. After a workout I’m happier and easier to be around. Just ask my sister. Exercise helps you sleep better too. And a good night’s sleep is a must-have for happiness. The world seems brighter after I burn a few hundred calories! And after a good workout there’s no guilt at eating a healthy dinner. 

Exercise can save you money and attract people to you!

If you’re happier and in a good mood, you’ll be easier to be around. No scowls – more friends. People will want to be closer to you. Even with a mask on, people know if you’re scowling! More friends = more happiness. A better outlook on life. And all from a couple hours of exercise.

Your workout may be easier with a friend

Your workout may be easier with a friend to cheer you on.
Working out with a friend makes it easier.

Your workout may be easier with a friend. After all, you’ll be sharing the misery. What’s that old saying – “Misery loves company?” Is that because if it’s shared it doesn’t feel like torture? Or because you can laugh at each other’s funny faces as you grimace through the hard parts? 

You’re doing the work

Exercise, unless you’re doing specific pairs exercises, though, is a solitary endeavor. When you run, it’s your legs doing the work. Not someone else’s. It’s you who is lifting that heavy weight. You’re the one who is struggling to stay on her feet as you near the finish line. And you are the only one responsible for your success – or your failure.

A friend’s motivation can help

But a friend can really keep you motivated on your fitness journey. It’s not easy at the best of times to stay on the straight and narrow path of an exercise program. Someone to talk to, to commiserate with, can help you stick with your plan. You may hate the same exercises, and dread when a certain yoga pose is coming up in the flow. And you can agree that the best part of a workout is the final stretch and cool-down.

You don’t even have to be together

But in these days of pandemic separation, how do you exercise with a friend? Many gyms have closed. You’re nervous about being out of breath with a mask on. You don’t even want to be close to other people. 

To get the support of a friend, though, you don’t actually have to exercise together or even do the same workout. You can both exercise and then arrange to get on a Zoom or Facetime call at a specific time to talk about your respective workouts. That might even be more fun than exercising together – because it’s really hard to talk if your workout is effective! You’ll have the accountability we all need to stick to an exercise program. And it’s fun to complain with someone who knows exactly what you’re experiencing.

Important for support and accountability

I wrote about the importance of having your friends and family support your healthy lifestyle plan a while ago. It’s still important to have that support and accountability. Your friends and family are your support system, which we all need to be happy and resilient these days. Yes, it’s possible to go it alone. You can stick to any plan you design. But it’s easier with others.

Your body is a mirror

You know that old saying, “You are what you eat?” Well, you can also say, “Your body mirrors your mind.” Your body really is a mirror of your mood and emotions.

Unexpected effects on your body

Your mood and emotions can affect your physical health in ways that you may not expect. You may experience pain, inflammation and even chronic illness as a result of continuing depression. Depression can deprive your body of its natural ability to fight off disease.

“Mental and physical health are linked. When the brain is out of balance, it can affect our body’s response to fight off illness,” says Dr. Munther Barakat, a psychologist at Aurora Psychiatric Hospital in Wauwatosa, Wis. When our mental health is compromised, it can lead to increased pain sensitivity, slower healing, weight gain or loss, increased inflammation, even a weakened immune system. When our immune system is compromised, it can lead to autoimmune diseases like arthritis or fibromyalgia. It can even cause abnormal cell growth which can lead to cancer. Your body is a mirror of the bad as well as the good.

Tips to fend off bad moods and depression

Some exercise can be fun - like crunches on the stability ball. If it's fun, and your body is a mirror of your emotions, then you'll be smiling inside and out.

Dr. Barakat recommends developing habits to fend off bad moods and depression, like physical exercise! I’ve written before about how that “exercise high” is more than a myth. After an intense workout, I know that I feel more optimistic and happier. Even when I don’t feel like exercising, I do it anyway, and then afterward I’m glad I did. It could be the increased oxygen. It could be the tingly muscles. I just know that I feel better and more optimistic after I exercise.

Eating a healthy and balanced diet is another great habit to start or continue. Research has shown that a diet rich in Omega-3 fatty acids and complex carbohydrates has a positive effect on brain function and mood.

Relaxation techniques also calm your mind and body. Yoga and meditation are practices I follow. Hatha Yoga has the double (triple?) benefit of increasing your flexibility, exercising and stretching your muscles as well as calming your mind. You don’t have to be a yogi to benefit from a yoga practice. If you’re not able to do any particular pose, there are plenty of modifications and substitutes. If you take a class, mention to your instructor that you have certain limitations and more often than not, he or she will demonstrate terrific modifications. 

Meditation eases stress

Acording to Psychology Today, mental health does benefit from meditation. A study in Psychiatry Research revealed that people who meditated for 30 minutes a day experience stress less intensely than those who didn’t meditate. The study also showed that the part of the brains involved with empathy and compassion of people who meditated grew. People who meditate care more – and that’s a key component of growing your resilience.

So if your body is a mirror for your mood and emotions, and if you’re in a great mood more, your body will be in better shape. Not only will you be more fit, and more able to do the things you want to do, but you’ll be more resilient and better able to tackle the challenges of life. That’s my definition of “fitness.”

I feel like an elephant today

I feel bloated like an elephant today. If you do too, stick to your fitness plan.

Did you ever wake up and, after you do your usual morning stuff, say to yourself, “I feel like an elephant today?” Everything feels fat and bloated, even more than usual. Even my hands and feet feel bloated. Don’t get me wrong – I love elephants. I think elephants are among the cutest beings on the planet.

I don’t want to feel like an elephant

But I don’t want to feel like one. Elephants usually move slowly and deliberately. (Except for when your safari jeep gets between a mama and her calf. But that’s a story for another day.) That is not how I want to move. I want to feel light and energetic. I want to feel like I can move effortlessly. 

I’m pretty sure that you have this feeling sometimes too. I may have eaten too much salty food yesterday and I’m retaining water. Or I just plain ate too much. Or I didn’t get enough sleep. Any of these could lead to feelings of heaviness.

Stick to your fitness plan

First thing to do is not obsess about it. Feeling like you have to wear a giant muumuu to cover everything up can lead to feelings of depression. Don’t let it. Everyone feels this way at some point. And even if you feel it, it’s not visible. This article describes how I pull myself out of the dumps.

Next – drink more water. It may seem counter-intuitive to drink water if you’re retaining water, but it’s one step in the right direction. If you like to drink carbonated beverages, try to replace them with water. That carbonation can lead to excess gas not only in the beverage, but in your system.

It’s important to move!

Take a walk. This can diminish that bloated feeling right away. And over time, if you move more, you won’t feel bloated so frequently. Yes, this is another reason to exercise regularly!

Gradually add more fiber and probiotics to your diet. This tip is not an instant cure. Adding additional fiber to your diet is a long-term improvement and will improve your digestion over time.

But right now?

No matter how you feel, you don’t look different. You’re still the same person inside and out. So if you’re self-conscious and want to wear baggy shirts and pants for a couple of days, that’s OK. When I’m feeling bloated, I have to remind myself that no one is looking at how tight (or not) my pants are. I’m still me – tight waistband or not.

Self-care is more than a tag line

“Fitness” is not just exercise

What comes to mind when you think “fitness?” I’ll bet one thing you don’t think of is self-care. But self-care is more than a tag line and it’s crucial for our fitness. I don’t mean dental floss or moisturizer, although they’re certainly important for our health and well-being.

The self-care I’m referring to is taking care of our mental health. Taking time to care for ourselves when the world is crazy around us is essential for keeping our equilibrium. 

Self-care can be as simple as closing your eyes

If you're feeling anxious and stressed, meditation could help. Meditation can be an integral part of your self-care.

Self-care can be as simple as just taking a few minutes away from others, screens, phones and other intrusions. Or just closing your eyes and breathing for a few seconds between phone calls or meetings can help to clear your mind.

A brief meditation session can also calm you. If you don’t usually practice meditation, then a guided meditation is helpful. You can download my complementary “Garden Walk” meditation now. Opening your eyes after meditating is like waking up from a restful snooze.

Reset your thoughts to focus

This brief interlude can reset your thoughts, making it easier for you to focus on the next task. Or it can help you to distance yourself a little from troublesome news and the ever-present clatter of today’s world.

And if you’ve had a really long awful, troublesome day filled with terrible news and cranky people, take a little longer to center yourself. Tell the family, “I need a while. I’ll be back in a half hour.” They should be able to respect your needs to give you the time you need, just as you would give them time.


“Self-care” is more than a fad. It’s an essential part of fitness.

This all qualifies as “self-care.” It’s more than a fad. Self-care is more than a tag line or slogan. It’s essential for staying sane in these crazy times.

Too often we’re met with people in bad moods these days. It’s important that we not follow their lead and let them turn our mood downward, easy as it is to do. I wrote of this before, and it’s still appropriate.) When we follow the harder path, of optimism and growth, by caring for ourselves a little more, we grow our optimism and our resilience.

If you miss a day or two

You’re a few weeks into your new, “healthy you” plan and things are going fine. You have good days and days that it’s a struggle, but you’re making it through. You’ve been sweating up a storm but eating (mostly) right. But you’re starting to wonder, what happens if you miss a day or two. You may have a trip planned and you don’t know if you’ll be able to do your workouts. And if you’re on someone else’s timetable, you don’t know what the meal situation is going to be like. You’re worried that if you miss some time that your plan will be completely undone.

First, take a breath and celebrate

First, take a minute and celebrate your successes! It’s not easy sticking with a healthy plan for a few days, much less a few weeks. And you’ve done it! You’ve stuck with it! You should be incredibly proud of yourself.

But if you miss a couple of days

But that trip is coming up, and you’re concerned. Know that if you miss a day or two, it’s not the end of the road. You may eat things that aren’t on your meal plan. You may miss a few workouts. But you can’t plan your entire life around your workouts. Things happen.

It’s OK. The world will not end.

It’s OK if you miss a day or two. Or even more than that. The world will not end, and you’ll be fine.

The key is to get back on the plan as quickly as you can. And while you may not be able to completely stick with your meal plan while you’re away or your schedule is disrupted, try to eat as sensibly as you can. Don’t think to yourself, “I can’t do my plan, and I don’t want to be impolite and ask for separate food, so that’s it. I’m done.”

Eat sensibly and move!

No. Eat as sensibly as you can. Try to limit high-fat and high-sugar items. Say, “Thank you, but no” to all the sweets your host offers you. (Or just have one of your absolute favorites.) Stick as closely to your own meal plan as possible without being rude.

And get what exercise you can. Suggest walks outside. If you’re staying at a hotel, check out the fitness center. 

Back to normal

You may not want to go all out when you get back to your routine after you miss a day or two.

When you get back to your normal routine, assess where you are. Get back to your healthy eating plan as quickly as possible. You may have gained a couple of pounds, but they’ll come off when you’re back to your plan.

And you may want to ease back into your exercise program a little more slowly. If you miss a day or two, you probably won’t lose momentum. But more than that and if you go back to full exertion, you could be sore for a couple of days. So, modify the intensity a bit for the first few days. And if your muscles are sore the next day, it’s normal. Follow these suggestions to feel better – Drink more, stay active and don’t sit too long. And remember that the sooner you get back to your routine, the easier it will be.

You’ll get back to your fitness routine in no time! You’ll be improving your health and increasing your resilience. There’s no need to quit if you miss a day or two in your fitness journey – you’re just taking a little break.

Maintaining Your Motivation

You’ve been eating right and exercising for a few weeks now. Congratulations! It’s been going pretty well. You’re hanging in there. But every once in a while that muffin looks better than what you planned for breakfast. Or your co-workers are going to your favorite sandwich shop for lunch. And there’s that piece of cake left over from your significant other’s birthday. Maintaining your motivation through all the temptations is really hard.

And it doesn’t get easier.

Five Keys to Maintaining your Motivation

So, how do you maintain your motivation? How do you stick to the plan? These five methods help me maintain a healthy lifestyle every day.

1. Take Each Day as it Comes

One day at a time – Today is the only day that matters in your “healthier you” plan. Yesterday is gone. No matter how “good” you were yesterday (and congratulations for that!), it doesn’t matter today. Keep that date you set up for yourself today in your calendar. (You’re doing that, right? A few weeks ago we talked about forming healthy habits, and a key point was making that recurring appointment with yourself on every day you wanted to exercise.) Make every food decision count especially on days that eating right is a challenge. For every meal you prepare, ask yourself if it’s a good choice for you.

2. Just Get Going

The final stretch with my dog. Just do it, don't agonize over working out. That's maintaining your motivation.

Don’t think too much about your workout preparation – On days that you really don’t want to exercise, just do it. Shake yourself mentally and don’t think about the things you’d rather be doing (like watching TV, reading a book, lying on the couch). Just change into your workout gear and start to exercise. Promise yourself you’ll do 10 minutes of your workout. Before you know it, you’ll be cooling down and looking forward to that final stretch.

3. Reflection

Reflect on how far you’ve come. Just a couple of weeks ago you knew you should start an exercise program and healthy eating plan but were confused about how to start and what to do. And now you’re crushing it! A great way to keep going is to put these reflections in a journal. (Check out my Gratitude and Happiness Journal on Amazon.) Every day, think about what you’re happy you’ve accomplished and write it down. When you go back and read these reflections, you can’t help but feel motivated to carry on. (Writing these thoughts down will also give you a great sense of gratitude, and we know that happiness follows gratitude, and resilience follows happiness and optimism!)

4. Visualize

Visualize yourself maintaining your motivation. Picture yourself eating a plate of vibrant greens with your family and enjoying it! Better yet – you’re all eating that wonderful salad and loving it. Feel how you’d like to be, at the place you enjoy the most, with the people you love most. Picture yourself at a party, enjoying yourself, holding a glass (a champagne flute?) of sparkling water. I can’t tell you to picture yourself exercising and loving it, because I can’t do that myself. But I do it so that the other pictures can become realities.

5. Your “Why”

Your reason for sticking to your plan. Finally, and probably the easiest way of maintaining your motivation – remember your reason for starting in the first place. Whether your reason is for your family or for your own future, remember that. You’re eating right and exercising to lower your blood pressure, to improve your cardiac conditioning, to improve your cognition and memory. 

These five methods will keep you on the straight and narrow. Maintaining your motivation will be easy.

The other piece of the puzzle for weight loss

If you’re serious about wanting to lose weight, exercise is important. Exercise is more important for lowering blood pressure and reducing your risk of certain diseases. It’s also important for building strength and bone mass. What you eat is the more important piece of the puzzle for weight loss. 

The formula for losing weight is simple: consume fewer calories than you use. The number of calories that you use exercising can be large, but not nearly as large as it needs to be in order for you to lose pounds. Even the Mayo Clinic says that diet is more important than exercise when it comes to losing weight.

Diet is a 4-letter word

What you eat is most important in the weight loss puzzle

Yes, diet is a nasty word. But it’s also what we consume every day. Our diet is just that – what we eat. The word is neither good nor bad. It’s just a word. What can be good or bad are the foods that make up our diet. 

You’ve heard the “experts” promoting the “South Beach Diet,” the “Atkins Diet,” the “Mediterranean Diet,” “Keto,” gluten-free diet, Pescatarian diet, Intermittent Fasting – the list is endless. What works for one person may not work for you. 

What does work

Change your mindset: Stop thinking of “diet” as a bad thing. My own diet includes lots of really “healthy food,” but also ice cream, bread and donuts. None of these are bad themselves. What is “bad” is when you overload your diet with processed foods high in sugar and fat. My motto: (like Benjamin Franklin) “Everything in moderation.”

So, if you’re really serious about losing weight, do some research about food plans. What’s included, what’s not included, the long-term prospects of sticking with it. Figure out what appeals to you. Try it for a few weeks. See if it works, and if you can live with it. If you need to modify the plan – it’s your body. Do what’s right for you. Keep a food journal – write down every morsel of food that goes in your mouth. Be religious about this. You probably don’t realize everything you eat. And that can sabotage your results. 

Losing weight is hard, but the more you know about what it takes to lose weight and be healthy, the better your chances of success.

What happens after you start

Congratulations! You’ve made the decision to start exercising. You’ve chosen the program you’re going to use. You have your workout gear and a spiffy new pair of sneakers. Now what? What happens after you start to exercise?

Commitment to your health

It’s been a few days. The initial exhilaration  of the newness of your exercise routine has worn off. You’re starting to realize that exercise may not get easier as time goes on. 

It never gets easier even after you start to exercise.

You’re right! And that’s the point. Exercise will not get easier. In order for you to get all the benefits of exercise (improved cognition, increase bone density, increase strength), you have to challenge yourself every day. Of course, the point is not to challenge yourself until you’re ready to drop, but at the end of a workout you should feel like you really can’t do any more without some recovery time. Your final cooldown and stretch should be absolute bliss. After a cardio workout you should be warm and sweating. And after a strength workout you should feel like you couldn’t do another push-up if your life depended on it – at least for a half hour or so.

You know that old saying, “When the going gets tough, the tough get going?” The same applies to exercise. Exercise is tough – you’re tougher. You’re exercising to reap those health benefits I mentioned above. And know that you’re not alone. Exercise is hard every day for me. It should be hard every day for everyone.

Make it a habit

A couple of weeks ago I wrote about habits. It takes about 3 weeks for anything to become a habit. If you do the same thing at pretty much the same time every day (or almost every day) for 3 weeks, the better the chances that it will become a habit. The same for exercise. I work out in the late afternoon 4 or 5 times a week. I get home, walk the dogs, check on the bearded dragon, get the mail, change my clothes and exercise. That’s my routine. We humans love routine. Exercise is a part of mine. A few weeks after you start to exercise, it will be part of your routine too. But before exercise becomes a routine, you must put thought and deliberation into it.

I’ve emphasized the use of a calendar or planner in the past. If you’re serious about making that commitment to your health, make appointments with yourself to exercise. (Here is Zapier’s ranking of the best calendar apps for 2021.) Four days a week for the next three weeks – just write it in or make a repeating event on your digital calendar. And keep that date with yourself. You’ll find that in a few weeks, you’ll start your workout routine as a matter of course. Remember that you’re doing this not only for you, but for those who depend on you. Like an oxygen mask on an airplane – when they drop, put yours on first so that you can take care of others.