Subtitle: Norddeutscher Rundfunk 2020 Healthy step by step, training instead of pills. These doctors are convinced of that: the movement docs. This year is also a challenge for them. Because of the corona pandemic, contact with the participants was not possible instead of personally at the end only via modern media. But the motto of the medical team is: Movement is medicine – for a man who lived unhealthily for too long. You can go to the doctor and take pills and go on living or change something in life that you can get away with again.
For a cop who suffers from permanent tinnitus. All medical specialties have said that the cause cannot be found. The symptoms are still there. It's difficult to live with. And for a woman which is severely restricted by a chronic tennis elbow. It would be bad if it really didn't go away. That would be a disaster. Three new cases for the Movement Docs. September 2019: He doesn't just come to the practice boat with a problem.
My name is Rene Rädel. I am 47 and have Metabolic Syndrome. I get tired quickly. I have the impression that I'm not as productive as I used to be. Symptoms that the single parent does not take seriously until a doctor in the hospital opens his eyes. Who said: If I go on with my life like this, I don't have much of it for much longer. Then sooner or later I'll die. I got scared for my life and how it will go on especially with my son.
Cardiologist Melanie Hümmelgen wants to help the father turn things around. You suffer from a metabolic syndrome. This disease is made up of four other diseases. Each disease in itself increases the risk of heart and stroke. Taken together, the danger not only adds up, it multiplies and is so much higher. You are at an increased risk of a heart attack in the next ten years. It is not just numbers that we collect from the doctor as laboratory values. These are specific illnesses that will affect your life. You and your boy's life. That concerns me every day, at every hour and time of day. He's the reason why I want to change something.
Although the 47-year-old swallows and injects a lot of medication, including antihypertensive drugs and insulin, he can't get it under control. The reason: his desk job and unhealthy lifestyle. We drove to Cottbus by car and ate or drank fast food there. This is of course the greatest poison for us, what can be done. I added a lot of pounds. It was also noticed, it was also seen in my face. That is why father and son have have already changed their diet themselves. No more fast food, cook for yourself. With this change we have already reduced weight. I lost six kilos, Florian almost four kilos. But we stopped at a size where we notice: Although we have changed our diet, we are not getting anywhere. Cardiologist Hümmelgen wants to put father and son on the right path. Above all, the waist circumference is in her focus: If you are very overweight, fat tissue accumulates around the abdomen and also inside.
The visceral fat surrounds the internal organs and is particularly dangerous. It produces hormones and messenger substances, which also cause diabetes and high blood pressure. Therefore, the waist circumference of a man should not be more than 102 cm. 124, 125. I agree. 124.5 exactly, to be very strict. 12.5 centimeters that definitely have to go down. She wants to get Florian on board. Because he weighs too much too. With a height of 1.70, he currently weighs 86 kilos. Let's measure your waist circumference. Dad can do that. He already knows how to do it. Exactly, you stand up straight. 113. Exactly. There is little data on children and adolescents: what exactly does that mean? But there are studies showing the ratio of waist size and height in relation to: Waist circumference, 113, by height in centimeters, i.e. by 170. You get a value of 0.66. We would like it to be a maximum of 0.5. His blood values are still normal.
You have already tried a lot on your own. To achieve more the element of a change in diet is not enough. We absolutely need exercise and sport for both of you. The two-man team has already discovered a sport for themselves. We love motorsport. We love to watch it. Not only that: Florian also likes to do a few laps in the kart himself. The speed. The sound of the engine. The power behind this engine. That’s a lot of fun. So he is on the move quickly, but does not move very much himself. At the weekend Rene Rädel has a part-time job: he's a bus driver. Son Florian often accompanies him on his trips through the town.
We drive from the stops. Movement is zero for me. Florian gets out and opens the doors for passengers. He has more movement, mine is almost zero. Even the dog Susi rarely brings the two men out. Can movement doc Melanie Hümmelgen change that? Two things are very important to me: First: You have to enjoy exercise and sport. You can't go through this without having fun. I wanted to find something they could do together. The first thing that came to my mind was table tennis. You can easily incorporate this into everyday life and play a round together ritualized every day. Having fun in sport is the basis of the exercise program.
Positive sporting experiences are important for Florian, because studies show: Anyone who collected little or bad as a child or young adult, will also find it difficult to exercise later on. A problem: Lack of exercise increases the risk of getting seriously ill. Table tennis is sure to be a lot of fun. I am convinced of that. And combine exercise and sport with fun. But it's not a sport where you lose a lot of weight or get their risk factors under control quickly. It's not exhausting enough for that. We need a longer endurance session.
Especially for your carbohydrate metabolism it is important that you have longer sessions. Muscle work then breaks down sugar from the blood. Endurance training works like a beta blocker and thus regulates blood pressure. In the long term, the blood lipids decrease, due to the increased fat metabolism also the weight. I want you to walk the dog 60 minutes from now. Best of all together, whatever the weather. They should leave the car behind and prefer to use the bike, for example for daily shopping in town. We need strenuous sessions to burn off calories and build muscle. So I thought up swimming for you. You can increase it depending on how quickly your fitness increases: You can start low without being overwhelmed. In other sports you are overwhelmed or injured. Swimming is very, very safe. Florian should do this once a week.
Rene has to invest more time: swimming twice a week. What do you mean, Florian? Does it suit you and your life? Yes. Yes. Do you find yourself there again? Yes. Great, then that's a deal. You can take the magnets with you. Please stick them on the fridge tonight. Think about it every evening and at the end of the week: Have we kept our rules or is something else missing? You can take them with you as symbols for a new life in the near future. The new exercise program will turn your life upside down. Will they cope with the change? A police officer will also come to the practice boat in September 2019. He is thrown off track more often.
I am Helge Busch. I am 46 and have had tinnitus and dizziness for two years. All medical specialties have now said that the cause cannot be found. The horror vision would be if it stayed the same when the tinnitus remains so strong and present. That means a lot of impairment. The complaints accompany him every day. The tinnitus screeches immediately after getting up. After waking up, you check yourself through. How bad is the tinnitus, my headache and neck pain? When you wake up, it is very strong and present. I have to sit down massage the neck, temples to relieve pain. The tinnitus is annoying all day long, and there is often a feeling of dizziness. The control of losing consciousness over the body to faint. Because of the tinnitus, I can no longer hear as well. It takes something away from hearing. This has an impact on his job, because Helge Busch is with the police.
Because of the scary symptoms he is only allowed to work in the office. He is not allowed to drive a company vehicle or carry a weapon. Constant sitting naturally leads to a lack of exercise. This of course also increases the symptoms. Of course, it would be advantageous to to get up and do something else. A vicious circle that he cannot break on his own. Can the Movement Docs help? The team of doctors discusses what options are still available. He's been to the ENT doctor, the neurologist, even the cardiologist. All three disciplines couldn't find anything specific and therefore not offer any therapy. We're not talking about normal dizziness It's a phenomenon that feels so similar. If it comes from the muscles, it is not a classic dizziness, but a drowsiness. These are often easy to examine because of the muscles in the neck and jaw can trigger such symptoms – also depending on posture. The good news: Tense muscles can be treated well. However, the connection with ringing in the ears or drowsiness can be identified not prove by measurements.
Nevertheless, they dare to try. Christian Sturm handles such cases at the Hannover Medical School. The orthopedist takes care of the case. How is the noise in the ear? The doctor has brought audio samples. How does Helge Busch's tinnitus sound? * Shrill tone * * Dull thump * * Continuous beeping * Yes, that's the tone. The classic end-of-broadcast beeping from television from before, you may still know. I hear that every day. This is how Helge Busch experiences the situation: Extremely annoying. But where does the noise come from? When is it strongest or in which situation? The tinnitus is very strong after waking up. During the day at work, even in stressful situations. It is also more common in a sitting position and in sports. Situations in which his muscles are challenged. Christian Sturm can test whether the muscles are the trigger. We'll start with the neck muscle because that's where you have problems. That point … * moan * … often hurts. Yes, it hurts a lot. On the other hand too? Not quite as strong, but there. There are three pressure points here that can be decisive for the development of tinnitus and drowsiness.
Pay close attention to the tinnitus. I press it and you tell me with the first, second and third, whether something has changed. Mhm, gets louder. Does the sound get louder? Right. Does it change something in its frequency, in its nature? I do not think so. Okay, second. The same. Third. There too? Not quite as strong, but it hurts a lot. The tinnitus can be modulated by pressing trigger points: Probably a muscular cause. How tight muscles trigger ringing in the ears and drowsiness cannot be proven. Theory: Tense through incorrect loading and posture: The splenius capitis muscle and the semispinalis capitis muscle on the cervical spine. The result: Excessive signals and impulses are sent to the brain stem. The information fireworks trigger a kind of short circuit, wrong signals are forwarded. The result: drowsiness and tinnitus. Even if the theory is unclear, how it works with tinnitus and muscles: We can help with targeted treatment and movement training. Even before the movement docs, Helge Busch was very active in sports. Sport was always a big component. I've played football for many years I started with fitness training – very intensive.
That went more into the strength area. For years, the amateur athlete has strengthened chest and upper arm muscles. A trap, because a lot doesn't always help a lot. Unilateral strength training can even harm the body without compensation. Through strong strength training of the chest muscle have you trained yourself to be an imbalance? The pectoral muscle is too strong and therefore short, and has worked his way forward. The head moves forward through the train and no longer sits over the spine. The problem: The more crooked the head position, the greater the weight, that pulls on the cervical spine. In combination with the bad posture in the workplace this leads to the strong tension. We need to improve posture, raise you more and just get the head pushed forward over the body, into the plumb. That means: loosen up at the front, strengthen at the back. Exercise on: targeted stretching for the tense neck. You take your arm and pull your head forward at an angle to the opposite foot.
45 degrees forward. The upper body stays nice and straight, so don't hunch your back. I am noticing that. Breathe in and out deeply three or four times. When you breathe out, pull it up a little further. That should be very tense, but not hurt. There is also an exercise for the muscle in the spine: Both at the back of the head, the upper body straight again. You carefully pull your head straight down, chin towards chest. Is that tension? Yes. A tinnitus change? A bit louder. Do not overdo it, increase slowly, do it three times a day.
The second point is proper posture in the workplace. Helge Busch is in the police office, a desk offender: Poison for his muscles. Sit down the way you prefer to sit. Usually the keyboard is a little further forward. Here I have a file so that I also have to bend forward to work. You like to lean forward anyway, and you do that while standing up too. If you look from the side, you can see this forward curvature of the thoracic spine. Your center of gravity is very far forward, and so is your chin. When you pull your shoulders back, your head comes with you. How does it feel to sit straight? Very unfamiliar at first. It feels exhausting, but I also think a little better. You have to stick reminder notes. "Stretching" or "sitting up straight". He should also correct the position of the keyboard and armrests. Because you pull your shoulders forward would be good support for the elbow. You could slide the supports up in place. This up here. Put your arm on it. How about the keyboard and mouse? Pull the keyboard further forward, so that the angle between the upper arm and forearm is around 90 degrees.
There are more tips for healthy sitting at your desk on the Internet. He gets exercises for the back muscles, which he can do at home with a TheraBand or in the gym. Take a step back, feet comfortably apart. The thumbs first point up and then far back, tend to pull down. Twist your thumbs out so that they point backwards. This can be done at any angle, including here, there and below. Just never pull up, because the muscles are always too short anyway. You need to strengthen this area. Does the policeman make it to integrate the unfamiliar units into everyday life? What effect they have on drowsiness and tinnitus, will show the coming weeks and months. January 2020: Everything is going according to plan in Cottbus. Rene Rädel and his son Florian go with their dog Susi every day.
I thought we'd never make it, it would be too much for me. But I found the offer nice, it suits both of us. I enjoy table tennis a lot. I could play that all the time. That makes you laugh. You notice the change in a short time. That's why we are so motivated and believe that it can get much better in the long run. The pounds are falling again. You can do a lot more, you don't get tired that easily. A great side effect: More exercise in everyday life is also easy on the wallet. I have a car for everyday use and now only need one tank of fuel for a month. The endurance units of cycling and swimming are now part of life as a matter of course.
The final examination will show what they can achieve in this way. ♪ Oppressive music ♪ She also needs a suitable program. Your arm is constantly slack. I'm Mascha Renna, 45, and I have a chronic tennis elbow. The name is misleading, it doesn't only appear in tennis players. Uniform, repetitive hand movements in the house and garden, but also hours of office work like with Mascha can be the trigger. The consequences: It annoys me a lot, that I am restricted by the chronic tennis elbow. Everyday things like carrying the box of water alone I'm not so good at that anymore. I'd have to ask for help, it's annoying. I like to be independent. The movement docs want to help her regain independence. Orthopedist Helge Riepenhof tests with an everyday situation, how severe the restrictions are. Mascha Renna is supposed to bake pancakes. Turn the pancake over.
I assume one-armed? If it's possible. Long time not done. No I really can't get it up. Ouch! I … it doesn't work. The muscles that flex and straighten the wrist are attached to the outer elbow by tendons. This approach is stimulated by overload. Inflammation develops. With chronic complaints, blood vessels and nerves multiply here. That causes pain. Epicondylitis, also called tennis elbow. A look at the pain scale shows how uncomfortable the tennis elbow is. Today with the pancake I put this one between four and five.
There are also days when it really burns, I would say seven. It was already up here. It is clear. Now we have a clear goal: The pain has to go down. That would be good. In the kitchen, at work and in the garden, the right arm causes trouble. If I do these movements, after a while it burns properly. I need a lot more breaks. It's a lot more laborious and a lot more painful. This has been going on for over a year. Before the problems the teacher was always on the move. But she had to give up many sports. My daughter already says: You're not that sporty either, are you? Wow, I've been athletic all my life. I played badminton at university with my husband. That was our sport.
Badminton would be nice if I could play that again. In order to stay active anyway, she is now doing yoga. But here too there are limits. The tennis elbow has her life under control. She tried a lot: A bracer, physiotherapy and pain relief ointments. With little success. That's a shame, I want to go back to my old life. I'm not rickety enough for that either. It shouldn't sound bad but there is still too much time ahead of me. We have to address your chronic complaints first convert to acute. We can handle acute problems much better and the chronic ones go away with. Unfortunately, the process is painful. You just have to press on this point. Yes. The friction causes blood flow to increase. That turns this chronic problem into an acute one. That can be increased. I'll do that again with my thumb and at the same time use the muscle. I go on it and stimulate the whole thing. Create that friction over and over again. Yes. I'll stop right now. I don't enjoy it. Is clear. a little maybe. Mascha Renna has to carry out this cross friction himself for a week and trigger the pain.
Not taking pain medication? No. Pain medication is usually anti-inflammatory. But we want to provoke them first. So you have to go through it first. Daily training begins at the same time. I have three eccentric exercises for you. Eccentric means that you lengthen something. During muscle training there are concentric and eccentric movements. With concentric the muscle contracts, with eccentric it is extended. We want to lengthen the affected muscles. Why? Extending them will break these small vessels. Exercise one: Slowly lower a water bottle with the affected arm. Important: Support with your healthy side when lifting. Only eccentric training helps, concentric training doesn't make it any better.
Therefore the other hand supports. OK. For the second exercise, Mascha Renna is given a training stick. It's also about eccentric training. It's like riding a motorcycle, only the other way around. With a motorcycle you step on the gas, you do it the other way around. You turn outward downward and let go. Like wringing something out? Savor this exercise and do it slowly, then it is more effective. Three times ten repetitions and always stretching in between, in both directions: With your arm up, you will notice the stretch here. Then down for the stretch here.
All exercises as video instructions in the movement docs on the Internet. To make the training effective, Helge Riepenhof also electrifies the teacher. The stimulation triggers a concentric stimulus, against whom Mascha Renna has to train eccentrically. This increases the stimulus on the tendon. As if she wasn't with a water bottle but a whole box of water would train. Down. And let go. Down again. Painful weeks lie ahead of the teacher. Will she hold out? In autumn, Helge Busch was also on the practice boat. My name is Helge Busch, I'm 46. I have suffered from tinnitus and dizziness for two years. It turns out differently than planned: We understand. It's a shame because his complaints were very pronounced. We would have liked to help him. In our experience, the neck and jaw muscles make these complaints. Consistent therapy would have been necessary to check this. It often works well. We keep our fingers crossed that he will come back later can make another attempt at therapy. We are happy to support him. Beginning of January: Is Mascha Renna doing better? With three exercises she trains against her tennis elbow. The effort is very little.
I do a different exercise every day, they change: Sometimes with the stick, sometimes with the bottle. Otherwise it would be boring. Still, it's not always easy to persevere. The regularity was very important so that I would also be successful. I noticed that over Christmas. When there were so many visitors, I wasn't so consistent. Then it slowly starts again. Then sticking with it is important. She pulls herself up and is rewarded. Three months ago lifting a bottle was too much. Today the teacher already dares to do a whole box. The water box was my husband's or my daughter's job. That was still the case three or four months ago. Today we can do it hand in hand: Somebody puts the things in front of the door and I put them in their position. That’s really nice. Those around me also care less about me. It means: persevere. There are still bad days again and again. Percentage where am I? I would say 85 percent. There is still something going on. March 2020: The corona pandemic is slowing down Germany. The training of the Rädel family suffers from this: The swimming pool is closed.
With additional laps with a dog or bike do you want to replace swimming. The final examination cannot take place like this. For security reasons, the conversation will be conducted via video chat. What has changed in your life as a result of the exercise program? A lot has changed for us. We have become much more agile and fitter. I would like more values. I would have liked to have taken a blood sample, done a 24-hour blood pressure. We still have to postpone that.
I would like to determine many values with you now. Rene Rädel started with a weight of 109 kilos. And today? I currently weigh 102 kilograms. 102 kilos, that's seven kilos less. That's great. The weight reduction is also evident in the waist circumference. 6.5 centimeters less. An important step. The fat goes away in the right place – great. That already has your risk of a heart attack or reduced stroke. All of these critical illnesses that we want to avoid. With every inch you lose the risk for the future is reduced. Excellent! You can be proud. The better fitness and the lower weight are having an effect. In consultation with his family doctor, he was able to reduce medication. The current state of affairs is that I am still taking my sugar pill. But the insulin that I have daily as a short and long-term injection, I was able to significantly reduce: With long-term injections by ten units every day, with short-term injections there are four, five, sometimes even more. What was even more important to me was the blood pressure story.
I was able to stop taking 1.5 tablets there. For me, that's the best part of the whole story. Florian could also keep his weight by six kilos and thus reduce his waist size. We formed a quotient at the beginning of Flo, which puts the waist circumference in relation to the body size. If we do that now, we have 0.6. When we started we were closer to 0.7. We improved it there too. In the long term, it should land below 0.5.
But he has achieved the most important goal: Sport is no longer an exception, it is completely normal. Flo, what did you enjoy the most? Cycling and running was a lot of fun. Being outside with my dad and Susi was a lot of fun. Playing table tennis was a lot of fun. I am happy that exercise is not a nuisance but you really feel like it. You did it in an exemplary manner, because you did this for yourself and your boy. We are very moved. So, both of you: great team, great troop. I'll say goodbye from Hamburg and I'll be back soon in person. Take care. Bye. Bye. The family flipped the switch together. You have given your life a completely different direction – and have a lot of fun too. Best conditions to keep it. Mascha Renna was plagued by chronic tendinitis on her elbow. Your goal: do not need outside help and have less pain. Does the training work? Hello, Ms.
Renna. Hi. We're not meeting on the houseboat today. Because of Corona we have to keep our distance but I hope the video chat will work that way too. How are you? Has anything changed in the tennis elbow? A lot has changed there. I haven't thought about him in ages. I no longer have to worry about what to drop can lift everything. My tennis elbow no longer restricts me. It doesn't pinch and pinch anymore. I'll get the bottle open. I can take care of all things for myself again. That's wonderful. Today we finally have pancakes. My family's wish. I mixed the dough myself with my formerly sick hand. Six months ago the pancake test was clear.
She lacked the strength in her arm. It's not working. And today? * Laugh * * Hearty laugh * Even more momentum. And … Yes! Perfect! Goal achieved. This is also shown by a look at the pain scale. Six months ago the intensity of the complaints was seven. How do you classify it today? Today I put that at zero on the pain scale. Today I no longer feel my tennis elbow as an obstacle.
It no longer stands in my way. I'm so happy, I was skeptical. It turned out like that, I would say actually held that way for the last six to eight weeks. My question is rather: What can I do to prevent it from coming back? Do I have to pay attention to something? It is a success and we are very happy about it. If pain occurs, you should start again with exactly the same exercises. The pain disappears again. Great. This shows that immobilization is not always the solution. Chronic inflammation needs training. This is the only way to make the pain disappear in the long term. I'm really happy that I can do everything on my own again. I might play badminton again soon, if you can do that outside again. And I'll definitely do other sports again like climbing, bouldering – let's see how it works. And next week: Your job demands a lot from the body. Heavy loads, long periods of sitting – that leaves its mark.
I have joint pain. Back problems and obesity. Type two diabetes. We work for the Hamburg city cleaning service and want to get fit again. Copyright subtitles: NDR 2020.