Self help for a stiff neck

In previous blog posts I have explored the following reasons for not slouching

• Part 1 - High BP
• Part 2 - Heartburn
• Part 3 - Sad and Shy

So finally I would like to focus on how slouching affects your breathing. You’ll notice that people don’t sigh when they sit slumped — they have to sit up to take a deep breath,’ observes Professor Stephen Spiro of the British  Lung Foundation. ‘That’s because the lungs work best when we’re vertical. If you’re slumped forward you don’t fully breathe and ventilate the lungs, because they’re compressed and the diaphragm is coming up into the chest — so you won’t breathe as easily and efficiently.’ This can cause particular breathing problems for anyone with asthma or lung disease. ‘If you’re an asthmatic you probably don’t have bad posture because people are quite clever at correcting themselves,’ says Professor Spiro. Physiotherapist Sammy Margo adds that slumping can mean less oxygen gets to the brain. ‘Slumped or C-shaped people complain of being tired and fatigued all the time and it’s because the lungs are squashed and cannot get enough air in, and the brain needs plenty of oxygen to function at its best.’ In addition, if you slumped you are breath with be short and shallow from your upper chest.  In order to relax and digest food your body needs the parasympathetic nervous system to be dominant.  A quick way to do this is to sit up right and take deep breaths and this simulates the parasympathetic system.  So slumping may be contributing to you feeling anxious and finding it hard to relax and switch off when you leave work!

After introducing headaches, I then explored the downside of orthodox treatments and how massage can help.  Now I want to share with you how other complementary therapies may help. Nutrition We all know that if you suffer from headaches you need to avoid becoming dehydrated. But what can be equally important is to control your blood sugar balanced by avoiding sugars and refined carbohydrates (i.e. anything sweet, fluffy or white!) . Certain food substances – such as histamine, tyramine and phenylethylamine – can trigger headaches or migraines. These foods include cheese, citrius fuits, red wine, chocolate & coffee. There is a time lag between eating these foods and an attack, as the problem arises when the food reaches the liver. Some research has been done on the benefits of Omega (3, 6 & 9) essential fatty acids will help control pain & inflammation for migraine sufferers. [Harel Z, Gascon G, Riggs S et al. Supplementation with omega-3 polyunsaturated fatty acids in the management of recurrent migraines in adolescents. J Adolesc Health 2002 Aug;31(2):154-61. 2002.] Bowen Technique The Bowen Technique is a hands on therapy that is applied using very gentle pressure. The practitioner uses thumbs and fingers on precise points of the body to perform Bowen's unique sets of rolling-type moves which stimulate the muscles and soft tissue of the body. In association with the Migranie Action Assocation some research was carried out into the effectiveness of receiving Bowen Technique treatment to allieviate migraines. All study participants had been diagnosed as migraine sufferers by their GP. 31 out of the 39 study particpants experienced a positive result of either

• Reducation in frequency of migranies
• Reducation in the degree of pain experienced
• Reduction in both the frequency of migraines and the degree of pain experienced

For more information on the study see http://www.bowenmigraineresearch.co.uk/

Having spoken previously about why poor posture is bad for you, I wanted to move on to give you a simple exercise that helps promote good posture.  Brugger's exercise routine is devised to activate postural muscles weakened and simultaneously stretched by a prolonged sitting posture. Slumped Position Check the tension in your upper back and shoulders in the slumped posture and then in the Brugger's position, to see if you notice any difference as the muscle tension is dramatically reduced. Brugger Exercise Posture Step By Step Guide

1. Sit perched towards the edge of your seat; this will naturally place your lower back into a curve (lumbar lordosis) with your butt sticking out a little.  As you do this your breastbone (sternum) will naturally lift up.
2. Separate your legs to 45 degrees each side with your feet turned out slightly and in line with your knees.
3. Your shoulders are relaxed and down with your chin tucked in, making the back of your neck longer – imagine a piece of string is attached to the top of your head and someone is lifting you up.
4. Fully straighten (extend) both elbows and arms.
5. Make sure you keep your shoulders down and imagine your shoulder blades [scapula] are pushing down and together to form a V.
6. Turn your thumbs out (externally rotate), palms up.
7. Separate your fingers.
8. You should now be in the position show above in the Brugger's exercise posture picture.
9. Hold for 30 seconds.

Ideally you should perform the Brugger's exercise once for every thirty minutes of sitting, so why not try this once a day. PS The Science This exercise was developed by a Swiss Neurologist called Alois Brugger MD,  the exercise is neither a traditional stretch or strengthening technique but works neurologically by being complementary to the way your body is wired to work. Our bodies are neurologically much stronger in all of our flexor muscles. This is displayed perfectly if we look at a person with a neurological disorder, e.g. cerebral palsy; their body naturally has increased tension (hypertension) in the flexor muscles, also known as the spastic posture. This demonstrates our natural prosperity to an Upper Cross Posture which often develops when we sit for prolonged periods of time in a slumped position. Muscles work in groups. When one group is working then the opposing group are unable to work (inhibited).  An easy example to visualise of this is when you place food in your mouth. To do this you flex your fingers, wrist muscles, bicep muscles and pecs., all flexors. However, to be able to do this you have to inhibit your finger extensors, wrist extensors, triceps, rhomboids etc. This is called reciprocal inhibition. If you were unable to do this you would be unable to feed yourself. The Brugger exercise works on the principal of reciprocal inhibition. When doing this exercise you are activating all your extensor muscles and therefore inhibiting all of your (usually hyper activated) flexor muscles.