How to increase the chances of a natural birth…
Interventions during labour and childbirth are on the rise but a large proportion of pregnant women would like a natural birth but are concerned about pain relief. Against this back drop, a recent randomised control trial looked at the effectiveness of a two day birth preparation course in supporting natural birth.
The birth preparation course attended by both the pregnant women and their birthing partners, covered the standard medical advice and self-administered complementary therapies including
- visualisation, breathing, massage and yoga to enhance relaxation
- yoga and acupressure to facilitate labour progression
- breathing, yoga and acupressure to aid pain relief
Those in the control group received the standard medical care advice. In total 176 women took part in the trail.
The results showed a reduction in the use of epidurals and caesarean section in the intervention group when compared to the control group.
This trail shows clear evidence of the benefits of complementary therapies to support natural childbirth.
Reference
Levett KM, Smith CA, Bensoussan A, et al (2016). Complementary Therapies for Labour and birth study: a randomised control trial of antenatale integrative medicine for pain management in labour, BMJ Open 2016
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Massage Therapy and Neck Pain
One 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.How to combat sitting all day
Sitting all day is a current health concern. While I know that sitting all day has been described as "the new smoking" until now this made me uncomfortable - as its not the same. You can get help to quit smoking. If you work in an office you are expected to sit and standing desks are rare, so you have no choice but to sit down. While I am aware that smoking is an addiction, I think it is still more within the individual's control than sitting if you work in an office. I am an optimistic person by nature, so I don't want to be the voice of doom for my readers about sitting. So I was very interested in some recent research which demonstrates how to limit the impact of sitting. Spending much of the day sitting around increases the risk for heart disease, type 2 diabetes, cancer and ultimately, death - with 50,000 people anually in the UK dying as a result, say researches from Queen's University in Belfast. Around 30% of adults spend at least six hours a day during the week sitting and this rises to 37% at weekends. Roughly one-thrid of people who are sedentary will have at least two major health conditions, such as heart disease and type 2 diabetes. Researchers from the American Cancer Society estimate that just 30 minutes of some physical activity would halve the death rates from chronic diseases such as heart disease and cancer. So 30 minutes of physical activity per day (like walking) is what researchers currently think is required to combat sitting all day. References Journal Epidemiol Community Health. 2019 Jul;73(7):625-629. doi:10.1136/jech-2018-211758 Americal Journal of Preventive Medicine, Mortality Risk Reductions for Replacing Sedentary Time with Physical Activities, Rees-Punia, Erika et al. Volume 56, Issue 5, 736-741
Introduction to Carpal Tunnel Syndrome
Way back when I first started at Barclays, one of the first clients I treated was returning to work after being signed off with Carpal Tunnel Syndrome. Which is a common and painful disorder of the wrist, caused by pressure on the median nerve which creates numbness and tingling in the fingers. At its worse it can lead to loss of grip and permanent numbness in the fingers. Repetitive computer use thought to be one of the causes, but scientific studies have shown contradictory results. A recent review of the scientific evidence found that frequent computer or mouse use can nearly double the risk of developing the condition. Repeated tapping, scrolling and swiping on your smartphone or tablet can also lead ot carpal tunnel problems. If these sort of repeated movements are the cause then improving your posture will help. But it is also worth ruling out other possible causes such as:
- Diabetes
- Arthritis
- Thyriod Disease
