Tuesday, October 20, 2026
Stop Doing This, Try This

The sit-up puts 3,300 newtons on your lower back every rep

A 60-second floor swap called the dead bug builds core stability without the compression.

In 2020, the US Army removed sit-ups from its required fitness test after linking them to more than half of soldiers’ fitness test injuries. The replacement was a plank. If your back aches and you still do crunches, the dead bug is an alternative you can start today.

⚡ 10-Second Pulse

How often do you do sit-ups or crunches?

💪  A few times a week 🤷  Once in a while 🚫  Gave them up years ago
 

McGill’s biomechanics lab at the University of Waterloo measured approximately 3,300 newtons of compressive force on the lumbar spine during a standard sit-up. That matches the NIOSH action limit for repetitive low back compression, the threshold linked with higher injury rates in workers. Each rep meets it. Callaghan and McGill (2001) applied repeated flexion to 26 pig spine specimens under modest loads. Disc herniations appeared consistently within 22,000 to 28,000 cycles, and with heavier loads the number dropped to 5,000 to 9,500. The study used an animal model, not living humans, but sit-ups involve the same repeated flexion under load.

The dead bug keeps the spine neutral while the limbs do the work. It trains anti-extension: the ability to keep the lower back from arching while arms and legs move. Lab studies estimate lumbar compression during dead bugs at levels well below a sit-up. Hodges and Richardson (Spine, 1996) found that in a healthy back, the transversus abdominis fires first no matter which direction the body moves. In people with low back pain, that contraction was significantly delayed. The dead bug may help retrain that firing pattern.

44%
of adults 45 to 64 report back pain
50%+
of Army fitness-test injuries linked to sit-ups
6 reps
per side for today’s swap
 

That 44% comes from a 2019 CDC survey of nearly 32,000 adults. The swap costs nothing, needs only a floor, and fits between commercial breaks.

Stop if your lower back lifts. When the back arches away from the floor mid-rep, the stabilizing muscles are no longer holding the spine in position and compressive load rises. Shorten the range of your arm and leg until you can keep your lower back pressed flat, then build from there over weeks. If any rep brings numbness, tingling, or weakness into a leg, stop and see a clinician.

Surgery Won’t Fix Your Leaky Bladder (But This 7-Second Ritual Will)

My name is Dr. Sarah Pachtman Shetty and I want you to know that you’ve been lied to when it comes to pee leaks.

Let’s bust some myths:

❌ “It's normal after kids/getting older.”

It's COMMON, not normal. And common means it can be fixed.

❌ “You need surgery to fix it.”

Surgery is expensive, scary, and doesn’t really fix the root cause.

❌ “You just have a small bladder, it must run in the family.”

No it doesn’t. That’s just an excuse doctors make up to avoid treating you.

Your bladder CAN be reset in just 7 seconds a day. You don’t need invasive surgery, annoying kegels or toxic pills.

I made a free video showing you exactly how:

Surgery Won’t Fix Your Leaky Bladder (But This 7-Second Ritual Will)
 
✅ The 10-Second Swap

Do one right now. Sit with your feet flat on the floor. Straighten one leg until the knee is fully extended. Tighten the muscle on the front of the thigh (the quadriceps) and hold for ten seconds. Lower the foot. Switch legs and repeat. Set a phone timer for 20 minutes. When it goes off, do another round. No equipment, no standing up, no noise.

I’m trying this → Join today’s streak
 
More Knee Wins
● Check your chair height. If your knees sit higher than your hips, the flexion angle passes 90° and kneecap load climbs. Raise the seat or add a firm cushion until your thighs slope slightly downward.
● Slide your car seat back. One notch back drops the knee angle and reduces kneecap compression during your commute. Adjust the position before you start the engine today.
● Prop your feet up tonight. Rest your feet on a low ottoman or stool while watching TV so the knees stay closer to straight, reducing sustained kneecap load.
 
Quick Vote

Where do your knees spend the most time bent?

🪑 At a desk   🚗 In the car
 
From the Mailbag

“I get stiff knees after sitting but no pain when I walk. Is that still a problem?”

Walking loads the kneecap briefly with each step, then releases it. Sitting holds the load in one position for hours, which is why the stiffness shows up in the chair and not on the sidewalk. Start with the periodic extension breaks in the Fix above. If stiffness persists past a few weeks or gets worse, an orthopedic or sports-medicine clinician can evaluate the cause.

Got an ache question? I read every one.

Ask me anything →

Keep moving,

The Ache Report

P.S. Set a 30-minute timer at your desk and do 3 dead bug reps per side each time it goes off. Over a 4-hour stretch that adds up to 8 sets and 24 reps per side, no separate workout needed.

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