So you thought you knew what causes hardening of arteries … think again
The standard theory of heart disease states that fatty foods cause the arteries to “clog up” and narrow, which is a major feature of cardiovascular disease. Researchers have discovered that a lack of sleep seem to have more to do with hardening of the arteries (atherosclerosis) than a fatty diet. Not getting enough sleep on a regular basis can cause a buildup of plaque in the arteries, which causes them to stiffen and eventually close.
Researchers at Massachusetts General Hospital now think that hardening of arteries has more to do with a “neuro-immune axis” linking sleep to the cardiovascular system. Sleep helps regulate the production of inflammatory cells and maintain healthy blood vessels, and so it would follow that lack of sleep has the reverse effect.
The researchers demonstrated the effect on a group of laboratory mice. Although the cholesteral levels of sleep deprived ice remained the same, they developed larger arterial plaques and had double the number of inflammatory cells known to contribute to hardening of arteries.
Reference
Tall AR, Jelic S. How broken sleep promotes cardiovascular disease. Nature. 2019 Feb;566(7744):329-330
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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.
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:
- Stomach pain
- Cramps
- Bloating
- Flatulence
- frequent diarrhoea or constipation

Can a placebo work for back pain, even when you now you’re taking it?
My initial response to this question, is off course not. A placebo is anything that seems to be a "real" medical treatment -- but isn't i.e. it is fake. The judgement of what is fake is based on the availability of scientific evidence. Traditionally in medical trails patients don't know if they are taking a placebo. For most of my readers, they would probably refuse to take a placebo, as they know its a placebo, so you would think your wasting your time. I would agree with this, but was a bit surprised by some recent research. Around half of 97 patients with chronic lower back pain were given a pill bottle with the word "Placebo" printed on it - after they been told that a placebo contains no active ingredient - along with a standard NSAID (non-steroidal anti-inflammatory drug) pain killer, while the remainder of the group was just given the NSAID. After taking the pills twice a day for three weeks, the patients taking they placebo plus the NSAID reported a 30% reduction in pain compared with a 9% decrease in those given only the NSAID. So the researches discovered that a placebo may be effective treatment for lower back pain even when people know they are taking a placebo! Reference Carvalho, Cláudia; Caetano et al, 2016, Open-label placebo treatment in chronic low back pain: a randomized controlled trial, Journal of Pain, December 2016, Vol 157, Issue 2, p 2766 - 2772

