Muscle cramps during Pregnancy
Previously I have looked at nutritional factors that contribute to muscle cramps, now I want to move on to lifestyle factors.
Pregnancy
Leg cramps may start to plague you during your second trimester and may get worse as your pregnancy progresses and your belly gets bigger. While these cramps can occur during the day, you’ll probably notice them most at night, when they can interfere with your ability to get a good night’s sleep. You may want to see a nutritionalist to determine if you are short of calcium and magnesium as inadequate levels of both of these minerals have been associated with muscle cramps during pregnancy. You may also want to
- Avoid standing or sitting with your legs crossed for long periods of time.
- Stretch your calf muscles regularly during the day and several times before you go to bed.
- Rotate your ankles and wiggle your toes when you sit, eat dinner, or watch TV.
- Lie down on your left side to improve circulation to and from your legs.
It is safe to have massage from the 12 week of pregnancy, and in our clinic we have sucessfully eased the pain of pregnancy related muscle cramps.
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Stretches for Head, Neck and Shoulders
These stretches can either be done as a complete series or individually and most of them can be done at your desk. Some will ease tension in specific parts of the body whilst others are generally relaxing. Please remember stretching should always be relaxing and never painful! To get maximum benefit from these stretches you should do them daily and hold each stretch for 15 seconds and repeat twice. Head And Neck
- Head rotation - keeping your head level, slowly turn from side to side.
- Slowly drop your head sideways moving your right ear towards your right shoulder and push down with your left shoulder - repeat on other side.
- Stand with your feet shoulder distance apart; look down towards your right foot (hold for 15 seconds), dropping left shoulder - repeat the exercise looking towards your left foot.
- Drop the lower jaw and open the mouth wide.
- Shrugging shoulders in a circular movement - forwards and then backwards.
- Raise your shoulders high and let them drap heavily; whilst letting breathing out.
- Clasp hands behind your head, with elbows back - push your chin back. Hold for 15 seconds. From this position look down and push your elbows together at the front and hold for a further 15 seconds.
- Clasp you hands and push up towards the ceiling, palms up now look down.
- Sit upright in a chair with a firm seat. Raise your arms as high as possible and remaining seated drop forward letting your head and arms hang heavily towards the floor.

More tips on how to prevent Delayed Onsite Muscle Soreness
Previously I have explained what DOMS is, and why it plagues some people and not others and given you some ideas on how to prevent it. Given DOMS can be so debilitating and demotivating I wanted to give you more tips on how to prevent DOMS. 1. Omega 3 Fatty Acids Omega 3 fatty acids, like those found in fish and flax oil, are a fantastic addition to your recovery arsenal. Your body can’t make them, so you have to eat them, they are found primarily in fish and wild game, and to a lesser degree in certain nuts and seeds. They are powerfully anti-inflammatory and pro-recovery, and are protective to connective tissue, nerve tissue, and muscle tissue. 2. Protease Enzymes A study by Innerfield in 1957 showed that protease enzyme supplementation may have anti-inflammatory effects, and others have shown them to be specifically effective at reducing DOMS. Protease enzymes include trypsin, bromelain, chymotrypsin and papain, and they help modulate the pro-inflammatory response by blocking pro-inflammatory prostaglandins and stimulating anti inflammatory processes. If you go this route, make sure you get a formula that includes that piperine. This is an ingredient extracted from pepper that increases enzyme absorption by up to 60%. You need this boost because enzymes don’t absorb that well in the gut. 3. Compression Tights Research found that marathoners who wore compression gear in the 24 hours after a race reported less soreness. The technical fabric supports muscle groups, reducing movement, which can result in less soft tissue damage. Compression can also boost circulation. However, to ensure the right level of compression, you’ll have to work out the size you need using your height and weight. 4. Foam Roller Most people are familiar with foam rollers and know that using it on sore muscles can alleivate the pain. Remember using a foam roller may be painful and shouldn't be unbearable. Personally I prefer receiving massage to foam rolling my own sore muscles. Both sports and deep tissue massage can help alleviate DOMS too. References
- Innerfield I. The anti-inflammatory effect of parenterally administered proteases. Ann N Y Acad Sci. 1957 Aug 30;68(1):167-76; discussion 176-7.
- Miller et. Al. The effects of protease supplementation on skeletal muscle function and D.O.M.S. following downhill running. Journal of Sports Sciences 22, 365-372;2004.
- Taussig SJ The mechanism of the physiological action of bromelain Medical Hypotheses 1980; 6: 99-104
- Donaho C, Rylander C Proteolytic enzymes in athletic injuries: a double blind study of a new anti-inflammatory agent Delaware Medical Journal 1962; 34: 168-170.
- Cirelli MG Clinical experience with bromelains in proteolytic enzyme therapy of inflammation and edema Medical Times 1964; 92(9): 919-922.
- Taussig SJ, Batkin S Bromelain, the enzyme complex of pineapple and its clinical application Journal of Ethnopharmacology 1988; 22: 191-203.
- Atal CK, Zutshi U, Rao PG. Scientific evidence on the role of Ayurvedic herbals on bioavailability of drugs. J Ethnopharmacol. 1981 Sep;4(2):229-32.
- Velpandian T, Jasuja R, Bhardwaj RK, Jaiswal J, Gupta SK. Piperine in food: interference in the pharmacokinetics of phenytoin. Eur J Drug Metab Pharmacokinet. 2001 Oct-Dec;26(4):241-7.
- Miller et. Al. The effects of protease supplementation on skeletal muscle function and D.O.M.S. following downhill running. Journal of Sports Sciences 22, 365-372;2004.

What happens to your muscles when you sit?
Chair sitting is unique in that Gluteus maximi are totally relaxed at the same time as having an upright torso, and they are therefore not able to contribute to lumbar extension and back stabilization as they usually do. Without the help of the Gluteal muscles, the Erector Spinae muscles above become tired and painful in a very short time, and give up fighting to maintain the correct "hollow" in the lumbar spine.
The diagram on the left indicates what happens to three key muscles when you spend long periods of time sitting.
The Hamstrings (H) are shortened by sitting. Also, during sitting, the Gluteus Maximus (GM) is relaxed and unable to tension the lumbosacral fascia. This means the Errector Spinae (ES) muscle group must therefore perform the entire lumber extension workload.
This article discusses the link between lower back pain and the following muscle problems:-
- Shortening of the hamstring muscle.
- Overworking of the Erector Spinae muscle group and the development of trigger points.
- Overworking of the Iliopsoas muscle group and the development of trigger points.
- Diffuse achy - type pain radiating out from the groin area to the lower back, and possibly around to the side of the hip and the butt area. If the trigger points in the groin are not pressed, the pain is not sharp or stabbing.
- Relief of pain is often experienced by sitting down.
- Worse upon lengthening the iliopsoas, i.e. when one stands up, or straightens the hip joint.
- Worse for doing situps.
- Worsened by externally rotating the hip (i.e. making the knee cap look outward) when the hip joint is fully extended.
- In patients with sciatic nerve pain, lying flat on one's back with the legs out straight causes the trigger point tightened iliopsoas to compress the lumbar vertebrae together, with the result that the nerve roots of the sciatic nerve are compressed too.
- When lying flat on one's back, doing a straight leg raise reveals weakness on the affected side.
- In patients with sciatic nerve pain due to nerve root compression, lying flat on one's back with legs out straight stretches that trigger point tightened iliopsoas. The result is that the iliopsoas compresses the lumbar vertebrae together, and the the nerve roots of the sciatic nerve are compressed at the same time.

