Hypertension – Lifestyle factors
Following on from my introduction to Hypertension (High BP), in this blog I want to discuss lifestyle strategies to prevent and assist the treatment of Hypertension (High BP).
Manage your Stress
I know its obvious, but I thought it was worth starting with this. The link between hypertension and stress is well documented as are the long list of things that help you cope including exercise, counselling, massage, reflexology etc. While we are on the subject of the obvious, I would like to remind readers that High BP is associated with high salt diets, smoking and high alcohol consumption too.
Optimise your Vitamin D levels
Ateria stiffness (atherosclerosis) is a driving factor for hypertension. As your blood travels from your heart, cells in the wall of your aorta, called barorecptors, sense the pressure load, and signal your nervous system to either raise or lower the pressure. However, the stiffer your arteries are, the more insensitive your baroreceptors become, and the less efficient they become at sending the signals. Vitamin D deficiency is, in turn, linked to stiff arteries, which is why optimising your vitamin D levels are so important.
Get enough sleep
In a study presented at the American Heart Association High Blood Pressure Research 2012 Scientific Sessions, researchers found a strong link between sleep quality and a type of high blood pressure known as resistant hypertension, which does not respond to typical drug-based treatments.
In fact, women who had resistant hypertension were five times as likely to also have poor sleep quality. While the average length of sleep in this study was only 6.4 hours a night (and nearly half slept fewer than six hours each night), it was sleep quality, not quantity, that appeared to influence hypertension risk.
While this study only found an association with women, other studies have also linked hypertension in men to a lack of deep sleep,1 and sleeping fewer than seven hours a night has been linked to hypertension in both men and women.2
References
Related Posts

Elbow Pain
Recently we have treated a few cases of elbow pain.
There are two common site for elbow pain, the outside edge of the elbow which is often an indication of tennis elbow or lateral epicondylitis and the inside edge of the elbow which is often an indication of glofer's elbow or medial epicondylitis. With both of these conditions the pain may radiate up the arm and / or down along the forearm.
Both conditions can be caused by precise wrist movements from using a mouse or keyboard. As the name suggests tennis elbow can be caused by faulty backhand technique when playing tennis. While golfer's elbow can be caused by poor technique when playing Golf or faulty forehand technique when playing tennis.
In addition tennis elbow can be caused by carrying heavy shopping bags as it causes tension in the wrist extensors.
Most of the cases we see are caused by long hours using computers. The first thing we do is try and establish the cause of the pain, which can be tightness or spasm in the muscles of the forearm, neck or shoulders and then treat accordingly. We can also show you simple stretches to stretch out the muscles of the forearm.
What surprised us, and prompted me to write this blog is that they all the clients had just assumed that elbow pain was something that they just had to lived with. In all the cases we dramatically reduced the pain and in most cases after a few treatments the clients were pain free! So don't sit their in pain, book a massage.
The Impact of Sitting All Day – Part 7
There is a wide range of American start up companies, creating technology solutions to combat the new "sitting disease". In previous posts I have discussed in the impact of sitting all day
- the impact on muscles (in part 1)
- the general impact on the body (in part 2)
- the impact on your heart and the increase risk of cardiovascular disease (in part 3)
- the increased risk of certain cancers (in part 4)
- 1. Apple Watch
- 2. Jawbone UP
- 3. Nike+ Fuelband
- 4. Fitbit One

Is there any scientific evidence that massage can assist with pain?
Based on my experience treating clients there is little doubt in my mind that a massage can relieve pain in tight or overworked muscles, but there is also growing scientific evidence that it can help relieve chronic pain. A study published in Annals of Family Medicine in 2014 found that 60-minute therapeutic massage sessions two or three times a week for four weeks relieved chronic neck pain better than no massage or fewer or shorter massage sessions. A study of 262 patients published in the Archives of Internal Medicine found that massage was far superior to acupuncture or patient education for relieving back pain. After 10 weeks, 74 percent of patients said massage was "very helpful." Only 46 percent for those who received acupuncture and about 17 percent of those who read a self-help book had the same response. Massage patients were also four times less likely than other patients to report being bedridden with pain. The authors concluded that "massage might be an effective alternative to conventional medical care for persistent back pain." In a true test of its value, massage has even been shown to ease the chronic pain suffered by cancer patients. A study of more than 1,200 patients at Memorial Sloan-Kettering Cancer Center published in the Journal of Pain and Symptom Management found that massage reduces symptoms such as anxiety, nausea, and pain by about 50 percent. Studies suggest that for women in labour, massage provides some pain relief and increased their satisfaction with other forms of pain relief but the evidence isn't conclusive. In a 2012 study there was evidence that massage may help with pain due to osteoarthritis of knee. References Cherkin DC, Eisenberg D, Sherman KJ, Barlow W, Kaptchuk TJ, Street J, Deyo RA. Randomized trial comparing traditional Chinese medical acupuncture, therapeutic massage, and self-care education for chronic low back pain. Arch Intern Med. 2001 Apr 23;161(8):1081-8. Sherman KJ, Cook AJ, Wellman RD, et al. Five-week outcomes from a dosing trial of therapeutic massage for chronic neck pain. Annals of Family Medicine. 2014;12(2):112–120. Sherman KJ, Cherkin DC, Hawkes RJ, et al. Randomized trial of therapeutic massage for chronic neck pain. Clinical Journal of Pain. 2009;25(3):233–238. Cherkin DC, Sherman KJ, Kahn J, et al. A comparison of the effects of 2 types of massage and usual care on chronic low back pain: a randomized, controlled trial. Annals of Internal Medicine. 2011;155(1):1–9 Furlan AD, Imamura M, Dryden T, et al. Massage for low-back pain. Cochrane Database of Systematic Reviews. 2008;(4):CD001929 Perlman AI, Ali A, Njike VY, et al. Massage therapy for osteoarthritis of the knee: a randomized dose-finding trial. PLoS One. 2012;7(2):e30248 Corbin L. Safety and efficacy of massage therapy for patients with cancer. Cancer Control. 2005;12(3):158–164. Wilkinson S, Barnes K, Storey L. Massage for symptom relief in patients with cancer: systematic review. Journal of Advanced Nursing. 2008;63(5):430–439. Jones L, Othman M, Dowswell T, et al. Pain management for women in labour: an overview of systematic reviews. Cochrane Database of Systematic Reviews. 2012; (3):CD009234

