Introduction to Delayed Onset Muscle Soreness
Delayed onset muscle soreness (DOMS) also called muscle fever, is the pain and stiffness everyone is familiar with after strenuous exercises. It is noticeable worse 24 to 72 hours after exercise and it can occur anywhere in the body. However it is more memorable when it affects the lower body i.e. the legs, due to it being so inhibiting.
For a long time the cause of DOMS was thought to be the build up of lactic acid and toxic metabolic waste in the muscles. However this theory has now been thoroughly rejected. While the cause of DOMS is not well understood, the current consensus is that DOMS is a result of inflammation triggered by microscopic tears in connective tissues that sensitise nociceptors and heighten pain.
The pain of DOMS and the sever soreness may decrease capacity to perform in subsequent workouts. In addition to physical symptoms for some people it can decrease motivation to exercise. So is the pain worth the gain? The short answer is no. DOMS doesn’t mean you will build more muscle although it may enhance it a little.
References
Brad J Schoenfeld, 2010, The mechanisms of muscle hypertrophy & their application to resistance training, Journal of Strengthening & Conditioning Research, vol 24, (10)
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Heat
Last time, I discussed the use of Cryotherapy to aid healing, today I would like to discuss the use of heat. As many of you will know who have had a full body massage treatment with me, I often incorporate hot stones into my treatment. And some of my readers will have heard me say they should use a wheat bag or cherry stone bag or some other type of hot pack. The simple reason why I do this is that most people I treat have one or more knots. A knot is created when a muscle contracts for a sustained period of time and looses its ability to stretch or relax. A simple "muscle knot" will deprive an area of blood, oxygen, nutrients and a thyroid hormone called T3. When a muscle has been deprived of T3 even for a few minutes it will lose its ability to relax, creating the perfect conditions for inflammation and fibrosis (the creation of adhesions). A reduction in the partial pressure of oxygen (to 55 mm of Hg) due to restriction of blood to an area in that muscle will start the inflammatory process that causes the fibrotic condition (adhesion) to proliferate. In the hands of a skilled massage practitioner the knot and any adhesions are located and ideally removed but at least reduced. With the restoration of normal muscle motion, pain is decreased or eliminated, joint motion improves, and normal or near normal activities can be resumed. So heat is often incorporated into a massage treatment treatment because it
- Increases blood supply to an area of the body
- It warms up the muscle tissues to allow them to stretch (relax)
- It reduces muscle spasm

Tips for a healthy large intestine
Following on from my bowel health checklist. I want to focus on the large intestine whose job is to take all the remaining water and nutrients our any any food that comes its way and turn whats left into compact stools. When things start going wrong with your large intestine, you usually get inflamation and this can lead to a range of symptoms including:
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Can aromatherapy help people combat depression?
Nearly 20% of people in the UK experience symptoms of anxiey or depression in 2014 according the Mental Health Foundation. A systemic review of five medical databases has found evidence to support the effictiveness of aromatherapy for alleviating depressive symptoms. A team of scientists at the Hong Kong Polytechnic Univeristy found 12 randomiased controlled trials involving a total of 1,226 participants - 984 were female and 224 male, with an average age of 47. Two of the five inhalation studies and five of the eight massage trails reported improvements in subjects conditions, with the aromatherapy massage found to be more effective. So if you feel depressed why not try and aromatherapy massage. Note: Vitality Therapy do not offer aromatherapy massage. References
Mental Health Foundation. (2016) Fundamental Facts About Mental Health 2016. London: Mental Health Foundation.Sánchez-Vidaña DI, Ngai SP, He W, Chow JK, Lau BW, Tsang HW. (2017) The effectiveness of aromatherapy for depressive symptoms: a systematic review. Evidence Based Complementary and Alternative Medicine

