Migraines – part 1

This week the daily mail reported that three in four office workers blame desk for sickness: badly set up desks and chairs cost companies 7bn each year. Rather than sitting in silence or popping pain killers to ease headaches or back pain,  here are my top 7 tips for staying healthy while working at your desk.

1. Sit up straight.  As you read this post, if you’re not running to an appointment or standing, how are you sitting? Really take notice of how you are sitting and poised. Are you legs crossed? Is your back hunched over as you read this? Or are you sitting up straight?  If you are sitting ensure that you are sitting up straight, not slouched, with your head directly over your torso and your feet on the ground, using a foot rest if necessary.
2. User a wrist support.  Repeatedly bending your wrists up and down (extension and flexion) compresses structures inside the carpal tunnel in the wrist. This can cause pain and lead to injuries like carpal tunnel syndrome.  Place the heel of your palm on a wrists pad to minimise wrist pain.
3. Use a headset.  If you spend a lot of time on the phone user a head set rather to avoid holding the phone to your ear by raising your shoulder which may cause neck & shoulder pain.
4. Don't bang the keyboard instead use a light touch.  Try to use the minimum amount of force necessary to depress the keys. The tendons from your fingers connect near your elbow, so striking the keys too hard can lead to problems you might not associate with your keyboard-for example, pain and inflammation in your elbows (Epicondylitis).
5. Look straight ahead.  Maintaining proper eye level with your computer monitor is essential. This helps you avoid straining your back, neck, shoulders, and arms. In addition, proper eye level reduces unnecessary eye strain. To accomplish this sit in your office chair and stare straight ahead. You should be looking directly at the center of your monitor. If you are not looking at the center of the screen adjust the monitor until you have the correct measurement and use a monitor riser where necessary.
6. Save your work, save your shoulders.  Working as a massage therapist who specialise in Acupressure Neck & Shoulder massage withing an office environment, I know muscular tension in shoulders causing neck and shoulder pain is a common problem.  To minimise the build up of muscular tension in your shoulders, every time your save your work or send an email simply circle your shoulder three times clockwise and then three times anti-clockwise.
7. Book a massage.  If you are feeling the stain and pain for working long hours at your desk then book a massage which are highly effective at relieving neck pain, shoulder pain, back pain and tension headaches.

Joanne Mullins of Vitality Therapy offers Vitality Breaks - Acupressure Neck & Shoulder massage within a corporate environment allowing individuals to get well and stay well.

I know lots of people love travelling, but travelling to a new time zone can result in jet lag.  Personally I did so much business travelling in my late 20's and then in my 30's I travelled for pleasure, that more recently I have been happy to stay put in England and simply pop over to Europe when I wanted some sun.  This year I am planing to go on a training course in Canada so when I saw some recent research on avoiding jet lag it caught my eye. Jet lag occurs when your circadian rhythms are slow to adjust to the new time zone and remain on their original biological schedule for several days. This results in your body telling you it is time to sleep, when it's actually the middle of the afternoon, or it makes you want to stay awake when it is late at night. Here are some tips for minimizing the occurrence of jet lag:

• Select a flight that allows early evening arrival and stay up until 10 p.m. local time. (If you must sleep during the day, take a short nap in the early afternoon, but no longer than two hours. Set an alarm to be sure not to over sleep.)
• Avoid alcohol or caffeine at least three to four hours before bedtime. Both act as "stimulants" and prevent sleep.
• Try to get outside in the sunlight whenever possible. Daylight is a powerful stimulant for regulating the biological clock. (Staying indoors worsens jet lag.)
• On the flight set the time on your watch to the local time of your destination so you can mentally start adjusting to the new time zone.
• When you arrive eat with the locals.

Traditionally people have just slept off jet lag.  Recently university researchers in Surrey tested their theory that instead of sleeping, you should start eating meals at the same time as the locals.  They tested the theory on 60 long haul cabin crew workers, who either ate meals regularly on their days off in the destination city or followed no meal plan and ate when they felt like it.  Although both groups suffered some jet lag, the symptoms were less severe among those who followed a regular meal plan based on the local time.  They were also more alert. Reference Cristina Ruscitto, Jane Ogden. The impact of an implementation intention to improve meal times and reduce jet lag in long-haul cabin crew. Psychology & Health, 2016; 1 DOI: 10.1080/08870446.2016.1240174

Last week I discussed Plantar Fasciitis one of the major causes of heel pain, this week I am going to discuss a grumbling achilles tendon, or to be technically correct, non-insertional Achilles tendinopathy, he other major cause of heel pain.  Although a rupture of the Achilles is well known, it is actually more common to have what is known as a grumbling Achilles. The pain is felt at the back of the heel above where the Achilles tendon joins the bone. It feels stiff and swollen, particularly in the morning and can prevent the sufferer from taking part in sport. Sometimes the pain is lower down where the tendon joins the bone. How can I tell if my heel pain is a grumbling achilles tendon? You may have swelling over or either side of your achilles tendon which runs from your heel to your calf muscles.  The skin over the achilles tendon may be red and/or hot.  If you sit down with your feet on the floor and raise your foot, as you use your achilles tendon you may hear a crackling sensation. What causes a grumbling achilles tendon?

• The tab on your shoe rubbing against your achilles tendon.
• Failing to warm up properly before playing sports.
• Over use of the tendon from intensive training, e.g. running
• Scar tissue from a previous injury.
• High impact on hard surfaces e.g. any sport where you jump or tennis.

What can I do to help myself? If you are in pain then rest and ice your tendon, to ice it wrap ice cubes in a tea-towel and hold against your tendon for 5 - 20 minutes, every 2 hours for 2 -3  days and then 3 times a day. The key to preventing further bouts is to ensure your are wearing appropriate footwear for the sport you are doing, ensure you warm up and cool down properly and always stretch your calf muscles. In addition a deep tissue massage release any tension in the tendon, remove scar tissue and ensure that your calf muscles are flexible.