Is slouching that bad for you? – part 2

In part 1, I shared details of supplements that may help alleviat ethe winter blues.  In this blog post I want to share other lifestyle tips. 1. Exercise If you suffer from winter blues it is likely that your GP would perscribe a selective serotonin reuptake inhibitor (SSRI).  This is the standard drug to treat depression and one of medicines all time bestsellers.  Researches compared aerobic exercise aginst the Lustral (SSRI sertaline) foudn that exercise and the drug were equally effective at reducing depressive symptioms.  But only exercise had long lasting effects.  Of the patients declared free of depression at the end of the study, those who had been in the exercise only-group were less likely to see their depression return during the next 6 months. 2. Eat Fish If you love fish like I do, then science says you are less likely to get depressed.   In one study women who ate fish two or more times per week where less likley to get depressed than those who ate fish less often.  It is thought the omega-3 fatty acids found in fish are responisble for lifting mood.  A number of studies have found that omega-3 supplements have a significant antidepressant effect. 3. St John's Wort A herb commonly used in Germany to treat mild depression.  Scientists have established that not only better is the herb better than a placebo its as effective as an antidepressant. References Blumenthal JA, Babyak MA, Moore KA, Craighead WE, Herman S, Khatri P, Waugh R, Napolitano MA, Forman LM, Appelbaum M, Doraiswamy PM, Krishnan KR. Effects of exercise training on older patients with major depression. Arch Intern Med. 1999 Oct 25;159(19):2349-56. Blumenthal JA, Babyak MA, Doraiswamy PM, Watkins L, Hoffman BM, Barbour KA, Herman S, Craighead WE, Brosse AL, Waugh R, Hinderliter A, Sherwood A. Exercise and pharmacotherapy in the treatment of major depressive disorder. Psychosom Med. 2007 Sep-Oct;69(7):587-96. Babyak M, Blumenthal JA, Herman S, Khatri P, Doraiswamy M, Moore K, Craighead WE, Baldewicz TT, Krishnan KR. Exercise treatment for major depression: maintenance of therapeutic benefit at 10 months. Psychosom Med. 2000 Sep-Oct;62(5):633-8.

One of the first things you learn as a massage therapist is that everyone wants deep pressure in massage.  This is because no one wants a light fluffy massage because they feel there will be no benefit and they have wasted both their time and money. The second thing you learn as a massage is that everyone has their own idea what deep pressure is and what would be light pressure for one person is deep pressure for another person.  Even if you take one client, the pressure they consider deep on their tight shoulders will be different from their idea of deep pressure on their legs.   So there is no fixed concept of what deep pressure is, it varies from client to client, and with the same client it varies treatment to treatment and depending up on the part of their body your are treating. Given all this how do we work out pressure in clinic.  First, we base it on our experience, your body type, the tension in the muscle we are working on.  But most of all we talk to you about how the pressure feels to you and respect your preferences for pressure. I am sure most of you have heard me talk about good pain.  Its based on a phenomenon that I have seen in clinic over the years.  This is where someone comes into clinic in pain, we apply pressure and the pain turns into a good pain – because the pressure is a source of relief.  For some people this “good pain” just feels right.  This good pain is strong but welcome and came sometimes be described as a “sweet ache”.  For some clients the good pain, is such a welcome relief that pain doesn’t even seem the right word. A word of warning, I like all my other therapists are only human and sometimes we get it wrong.  This can be if we have missed a trigger point that is very sensitive, and we go into deep or the opposite can happen where a muscle locks up and we apply pressure and you as the client can’t feel anything.  These situations can also arise due to change with your body i.e. an intense gym session or longer work hours than usual so lots of extra time sitting at your desk. I try to ask all my clients regularly without sounding like its some automated message, do you want the pressure deeper or lighter and if so let me know.  I know the other therapists in clinic do this as well. In clinic we always want you to get the most out of your treatment.  So please remember we always welcome feedback on pressure throughout your treatment.

As things are now back to full swing after the summer holiday, and before things get too budy, I wanted to share with you a piece of research that while being 3 years old is still highly relevant.  Researchers were looking at the effectiveness of listening to self-administered hypnosis stress reduction CD's to boost resilience. Eleven subjects took part in the study, all healthy, normally coping and functioning individuals - were provided with a self-administered hypnosis stress reduction CD, to be used for a minimum of 5 days a week over a 12 week period.  The CD contained two different hypnosis tracks, one to be played before sleep (25 minutes in duration) and the other to be played in the morning (lasting 7 minutes). The aim of the CD was to recondition the stress response, by minimising the participants "excessive emotional and physical reaction to perceived work and life stressors, while facilitating their coping skills and resilience."   Chronic stress and anxiety have been associated with inflammatory changes in the body, and high level of inflammation have been lined to a number of acute and chronic conditions.  Blood tests were used to measure the level of inflammatory response and self-reported measures (using the StressScan assesment) were taken pre and post intervention. While the study size is small, it provides some suggestive evidence that a self-administered stress reduction program that is time efficient may be clinically effective for modifying the stress response and boosting resilience. Reference Schoen M and Nowack K (2013)  Reconditioning the stress response with hypnosis CD reduces the inflammatory cytokine IL-6 and influences resilience: a pilot study.  Complementary Therapies in Clinical Practice 2013; 19 83-88 http://www.ctcpjournal.com/article/S1744-3881(12)00088-6/abstract