Tips to prevent lower back pain.
While on holiday I suddenly moved and strained my lower back muscles. My muscle strain was sorted out by a combination of massage, stretches and back exercises. So as I have now returned from sunny Bulgaria I thought I would remind people (including me) how to preventing lower back pain.
- Avoid sudden jerky movements. (Note to self, that includes while on holiday).
- Never slouch.
- Switch sitting positions often and periodically walk around or gently stretch muscles to relieve tension.
- Don’t bend over without supporting your back.
- Try to maintain your ideal body weight. Too much upper body weight can strain your lower back.
- Sleep on your side to reduce any curve in your spine, and always sleep on a firm surface.
- Lift with your legs.
- If you smoke, quit. Smoking reduces blood flow to the lower spine and causes the spinal discs to degenerate.
- Wear flat shoes with cushioned soles as they can help reduce the pressure on your back.
- Regular exercise, such as walking and swimming, is an excellent way of preventing back pain. In addition Yoga & Pilates can strengthen your core muscles reducing the strain on your back and improving the flexibility of your spine.
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Natural remedies for the winter blues – Part 1
By January I am seriously missing the sun. While I know we have had the shortest day, the grey weather and the snow jsut reminds me we are in deep winter. So with the Brexit impass being deeply demoralising and frustraing, I wanted to share some tips to combat the blues. 1. Vitamin D Most people are short of Vitamin D in the uk. One of the signs of being short of Vitamin D is feeling blue. 2. Spice it up. Earlier today I was planning my meals for the week before I went to the supermarket. At this time of year I always fancy dishes containting yellow rice i.e. paella or pilau rice. I know its the yellow colour that particularly appeals which you get by adding either Tumeric or Saffron. In clinical trails Curcumin the main active ingredient in Tumeric (the bright yellow Indian spice) has been to be as effective as Prozac. A review of several trains of Saffron found it was a safe and effective treatmetn for depression. While I like to cook with the spices, it isn't as effective as supplements which are standardised extracts. For me cooking with the spice is fine as I am not depressed. 3. 5-HTP A naturally occuring amino acid, 5-HTP is used by the body to make serotonin the "happy hormone". Suplements produced from the seeds of the West African medicinal plant Griffonia Simplicifoia show promised for depression. References Woo YS, Kim S, Jeong JH, Jung YE, Kim MD, Bahk WM. Vitamin D Deficiency/Insufficiency among Inpatients with Depressive Symptoms. Clin Psychopharmacol Neurosci. 2019 Feb 28;17(1):121-124. Sanmukhani J, Satodia V, Trivedi J, Patel T, Tiwari D, Panchal B, Goel A, Tripathi CB. Efficacy and safety of curcumin in major depressive disorder: a randomized controlled trial. Phytother Res. 2014 Apr;28(4):579-85. Moshiri E, Basti AA, Noorbala AA, Jamshidi AH, Hesameddin Abbasi S, Akhondzadeh S. Crocus sativus L. (petal) in the treatment of mild-to-moderate depression: a double-blind, randomized and placebo-controlled trial. Phytomedicine. 2006 Nov;13(9-10):607-11 Birdsall TC. 5-Hydroxytryptophan: a clinically-effective serotonin precursor. Altern Med Rev. 1998 Aug;3(4):271-80.

Increase your spine’s flexilbility
I recommend Cat-Cow a yoga posture where you move slowly between the two positions to increase your spine's flexibility. Yoga Cat-Cow Position Guidelines
- Start on your hands and knees with your wrists directly under your shoulders, and your knees directly under your hips. Point your fingertips to the top of your mat. Place your shins and knees hip-width apart. Center your head in a neutral position and soften your gaze downward.
- Begin by moving into Cow Pose: Inhale as you drop your belly towards the mat. Lift your chin and chest, and gaze up toward the ceiling. Broaden across your shoulder blades and draw your shoulders away from your ears.
- Next, move into Cat Pose: As you exhale, draw your belly to your spine and round your back toward the ceiling. The pose should look like a cat stretching its back.
- Release the crown of your head toward the floor, but don't force your chin to your chest.
- Inhale, coming back into Cow Pose, and then exhale as you return to Cat Pose.
- Repeat 5-20 times, and then rest by sitting back on your heels with your torso upright.
- Place your forearms on a bolster or stack of firm blankets to lift your torso more upright. This variation is especially useful for women who are pregnant.
- If your knee caps hurt, fold your mat or place a firm blanket under your knees.
- You can practice this pose throughout your day and while traveling. Sit in a chair (or airplane/bus seat) with your feet flat on the floor. Press your hands against a table, desk, or wall in front of you and perform the same spinal movements as in the regular pose.
- In Cat, let your head drop, releasing the back of your neck. Do not force your chin to your chest.
- Also in Cat, you can increase the abdominal massage and strengthening effects by drawing your belly button firmly in toward your spine
- In Cow, let the movement start from the tailbone. Allow your neck and head to be the very last part of the movement.
- Keep your shoulder blades broad and draw your shoulders away from your ears. This helps to protect your neck during the movements.
- Be aware of your breath and its coordination with your movements. Imagine your breath traveling up and down your spine as you inhale and exhale, like an ocean wave flowing onto the beach and retreating.

An alternative way to do simple mindfulness (Part 1)
Most mindfulness techniques have at their heart a simple instruction. Focus on your breath... This is supposed to be simple, but what if it isn't simple for you? What then? For people struggling with anxiety it may increase the feelings of panic. Mindfulness involves placing our attention on a chosen anchor, noticing when our mind is distracted or wandering and choosing to return it back, with a king and friendly curiosity towards the experience. You should start simple by focusing 1 - 5 minutes or even do short 30 second bursts a couple of times during the day. So, I want to introduce you to a few alternatives to using breathing as the anchor focused around our senses. 1. Look & Focus Choose an everyday object in the room to look at and become aware of the colour, shape or light reflections. I personally like looking at a light candle as its often flickers so there is movement too.

