Oops I did it again?

In clinic we frequently see clients who had an issue with either their neck or shoulder or their lower back that was resolved then a few weeks or months later they are back with the same issue.  So why does this happen?  First, it depends upon the client, as human body is unique and the issue.

What I want to explain below are some influencing factors:

Posture – Because lots of clients come to us in pain, when they walk out of clinic they are very vigilant about their posture.  When they start to feel like the issue has been resolved good posture becomes less of a priority.  More importantly bad posture creeps up on us slowly – particularly slumping at you desk when you have a tight deadline!

Over training – One of the most common questions we get asked, is when “will I be able to go to the gym again?” – clients are always very eager to get back training.  If you are unable to train for a while, you need to gentle easy yourself back into training.  Over training is when the physical trauma from exercising occurs faster than the body can repair the damage.

Overuse – An overuse injury typically stems from: training errors. Training errors can occur when you take on too much physical activity too quickly i.e. when you are training for a marathon you build up your distance and speed too quickly.

Related Posts

  • Massage Therapy and Neck Pain

    Painful neckOne of the most common conditions we treat is neck pain which can range from a simple stiff neck, to inability to turn your head to either the right or left. So in this blog post I wanted to discuss the recent scientific research regarding massage therapy for neck pain in people with neck arthritis.

    Background

    • 1 in 5 people who visit a massage therapist do so because of neck pain
    • 28% of people with neck pain due to neck arthritis are likely to book a massage

    Until the most recent research the scientific literature on the effects of massage therapy on neck arthritis pain was mixed.  In this study an attempt was made to enhance the effects of weekly massage therapy by having the participants massage themselves daily.

    Methods

    Forth eight participants from a medical school, suffering from neck arthritis pain, were randomly split into two groups, one that received massage treatments and a wait list control group. The first group received a course of four 30 minutes weekly moderate pressure massages and supplemented this with 15 minute daily self-massage.  The control group started the same course of treatments after four weeks without massages.

    The effectiveness of the treatments were measured through self-reports and range of motion assessments, completed after massage treatments on the first and last days of the monthly study period.

    Results

    The group that received the monthly course of weekly massage treatments, showed significant reductions in pain and improvements in range of motion.  These ROM changes occurred specifically for nodding your head (flexion) and right and left lateral flexion motions.  Between the first and last day of the course of treatments showed on average a 50% decrease in pain during flexion.  Conversely the control group reported increases in pain and reductions in range of movement while waiting for massage treatments.

    The study Field T, Diego M, Gonzalez G and Funk C G (2014) Neck arthritis pain is reduced and range of motion is increased by massage therapy, Complementary Therapies in Clinical Practice 20(4): 219 - 223 supports my subjective experience that massage therapy helps reduced neck pain and increase clients range of movement when it has been compromised.

  • Hip Pain

    Hip pain is common problem, and it can be confusing because there are many causes.  The most common cause of Hip Pain is arthritis for which you will need to see your GP for them to advise on the best treatment option of you. Trochanteric Bursitis Trochanteric bursitis is an extremely common problem that causes inflammation of the bursa, which is a protective cusion over the outside of the hip joint.  There are two main bursa which protect the hip joint, the superficial trochanteric bursa and the deep trochanteric bursa.  The superficial trochanteric bursa lies beneath the tensor fasciae latae (one of the muscles on the side of your hip) and the deep trochanteric bursa lies beneath the the largest of your glutes (gluteus maximus) both of the these muscles insert in to the Iliotibial Band (ITB).  Reduced flexibility in your gluteus maximus, tensor fasciae latae or ITB can cause trochanteric bursitis, from too much cycling or running or from running on uneven surfaces.  Another common cause is some women is an imbalance between your abductor and adductor muscles.  Trochanteric bursitis can also be caused by clients altering their posture as a result of a previous back injury. In all these cases a deep tissue or sports massage can help.  However if the cause is walking with more weight going through the outside of your foot (excessive foot eversion) then your make need to see a podiatrist for personalized orthotics. Hip Flexors Illiopsoas the main hip flexor, shortens when we sit down, so prolonged sitting can cause contracture (anatomical shortening) which can cause either lower back or hip pain.  I have personally found this to be a common cause of hip pain which can be successfully treated with deep tissue or sports massage. If you experience lower back or hip pain when standing up from a seated position then rectus femoris which is one your largest quadriceps muscle make be tight and/or your gluteus maximus which is the other muscle which helps your stand from a seated position may be weak.  If you suspect you have weak glutes you can strengthen them with squats and lunges. Fractures Hip fractures are common in the elderly with osteoporosis.  Stress fractures of the hip are common in people who participate in high impact sports e.g. long distance running, treatment is usually to avoid the high impact sport and this is usually successfully. When should I see my GP about my hip pain?  

    • Inability to walk comfortably on the affected side
    • Injury that causes deformity around the joint
    • Hip pain that occurs at night or while resting
    • Hip pain that persists beyond a few days
    • Inability to bend the hip
    • Swelling of the hip or the thigh area
    • Signs of an infection, including fever, redness, warmth
    • Any other unusual symptoms
      If you want to know if Vitality Therapy can help you with your hip pain then please email joanne@vitalitytherapy.co.uk.

  • What is a muscle cramp?

    What is a muscle cramp? Normal movement of our bodies involves muscles alternating between contract and relaxation. A muscle that contracts involuntarily and is unable to relax is a spasm; and a forceful and prolonged spasm becomes a cramp. A muscle cramp can last anywhere from a few seconds to up to 15 minutes or occasionally longer. Any muscle can develop a cramp, but the most common site for muscle cramps are the legs, particularly the front of the thighs (quadriceps), back of the thighs (hamstrings) and calf muscles (gastrocnemius & soleus). Unfortunately almost everyone, one estimate is 95% of the population will experience a muscle cramp at some time in their life. Muscle cramps are one of those things that also increases as we get older. Those of you that have already had a muscle cramp will undoubtedly remember the unrelenting pain! Tip: Most muscle cramps can be stopped if the muscle can be stretched. Muscle spasms & cramps are one of the most common complaints that massage therapists deal with.