The Impact of Sitting All Day – Part 1
For most people know they sit all day as part of their job. Recently there has been a spate of article in the press about the impact of sitting all day, so I wanted to take some time to look at the impact of sitting all day.
Sit up Straight
I want to start this series of articles on a positive note, as most of my clients have to sit to work, the negative impact of sitting is minimised if you sit correctly. As your Mum always said, “Sit up straight”, i.e.
- Not leaning forward
- Shoulders relaxed
- Arms close to sides
- Elbows bent 90°
- Lower back should be supported
- Feet flat on floor
So what happens if you don’t sit up straight?
As you would expect from a masseur I am going to start by looking at the impact on your muscles.
Strained Neck & Sore Shoulders
If most of your sitting occurs at a desk at work, craning your neck forward toward a keyboard or tilting your head to cradle a phone while typing can strain the cervical vertebrae and lead to permanent imbalances. The neck doesn’t slouch alone. Slumping forward overextends the shoulder and back muscles as well, particularly the trapezius, which connects the neck and shoulders. Here at Vitality Therapy we offer Seated Acupressure Massage to directly address these issues.
Bad back
When we move around, soft discs between vertebrae expand and contract like sponges, soaking up fresh blood and nutrients. But when we sit for a long time, discs are squashed unevenly. Collagen hardens around supporting tendons and ligaments. So people who sit more are at greater risk of slipped disks or herniated disks.
I recommend the Yoga position cat-cow for increasing your spinal flexibility. (Click here for guidelines on how to do cat-cow.)
When you sit for a long time, a muscle called the psoas travels through the abdominal cavity and, when it tightens, pulls the upper lumbar spine forward. Upper-body weight rests entirely on the ischial tuberosity (sitting bones) instead of being distributed along the arch of the spine. A sports massage or a deep tissue massage can release a tight psoas muscle.
Mushy abs
When you stand, move or even sit up straight, abdominal muscles keep you upright. But when you slump in a chair, they go unused. Tight back muscles and wimpy abs form a posture-wrecking alliance that can exaggerate the spine’s natural arch, a condition called hyperlordosis, or swayback. So sitting up straight is the first step to good abs!
Tight hips
Flexible hips help keep you balanced, but chronic sitters so rarely extend the hip flexor muscles in front that they become short and tight, limiting range of motion and stride length. Studies have found that decreased hip mobility is a main reason elderly people tend to fall. So when you are in the gym remember tohttp://vitalitytherapy.co.uk/wp-admin/post-new.php stretch your hip flexors.
Limp glutes
Sitting requires your glutes to do absolutely nothing, and they get used to it. Soft glutes hurt your stability, your ability to push off and your ability to maintain a powerful stride when walking. They can impact your performance when you run, as all powerful glutes are the key to increasing your speed and powering you up hills.
Related Posts
Guess what science has discovered about back pain …
According to the UK's Office for National Statistics the UK economy loses almost 31 million work days per year which costs the UK economy £14 billion to bad backs, neck & other muscle problems. A bad back is of the most common causes of absence and 80% of p will suffer with people will experience back pain at some point in their lives. At Vitality Therapy we find back pain is something we treat on a regular basis. I know a lot of my clients and potential clients are interested in what the latest scientific research is on how effective massage is for treating back pain, becuase they don't want to waste their time and money if massage isn't going to help them. Until now scientific studies of the effectiveness of massage were conducted in controlled research situations. However in a recent study, a physician sent patients to a massage therapist. The massage therapist designed and provided a series of 10 massage -- at no cost to the patient -- in a clinical treatment environment. This clinical treatment environment mimicks the experience of people who choose to seek massage in the real world. More than 50 percent of those who participated in the study experienced clinically meaningful improvements in their low back pain. The reasearches concluded that the study gives primary care providers (i.e. GPs) the confidence to tell patients with chronic low back pain to try massage, if the patients can afford to do so. References http://www.nhsemployers.org/news/2015/04/bad-backs-cost-the-uk-31-million-days-of-work Elder WG, Munk N, et al, 2017, Real Wold Massage Therapy Produces Meaningful Effectiveness Signal for Primary Care Patients with Chronic Low Back Pain: Results of a Repeated Measures Cohort Study, Journal of Pain Medicine, 18(7):1394-1405
Why does slumping at your desk contribute to lower back pain?
We all know that we should maintain good posture when sitting rather than slumping (poor posture) to avoid lower back pain, but why? The human spine is an upright bendy column and in someone with good posture it’s an S shape. With perfect posture a straight line can be drawn through the ear, the tip of the shoulder, the front of the knee joint and the back of the ankle. The spine is made of 24 vertebrae or segments. If we look at the S shape it consist of the cervical lordosis which is the arch in the neck, this is followed by the thoracic kyphosis which is an arch in the chest in the opposite direction, this is then followed by the lumbar arch or lumbar lordosis which is the hollow in the lower back. Perfect lumbar lordosis (or perfect arch in your lower back) helps
- Ensure the correct distribution of your body weight
- Allows your lower back to bow forwards slightly when walking to absorb the impact during walking
- Choose a chair that allows you to rest both feet flat on the floor while keeping your knees level with your hips. If necessary, prop up your feet with a footstool or other support.
- Sit back in your chair. If the chair doesn't support your lower back's curve, place a rolled towel or small pillow behind your lower back.
- Stretch the top of your head toward the ceiling, and tuck your chin in slightly.
- Keep your upper back and neck comfortably straight.
- Keep your shoulders relaxed — not elevated, rounded or pulled backward.
Remember
Although good posture should be natural, you might feel wooden or stiff at first if you are used to slumping rather than sitting up straight. The key is to practice good posture all the time, and be extra vigilant when you are really concentrating, getting tired or its late in the day. You can make improvements at any age. Stretching and core strengthening exercises can help, too. And if you have got lower back pain, why not try massage.Is there any scientific evidence that massage can assist with pain?
Based on my experience treating clients there is little doubt in my mind that a massage can relieve pain in tight or overworked muscles, but there is also growing scientific evidence that it can help relieve chronic pain. A study published in Annals of Family Medicine in 2014 found that 60-minute therapeutic massage sessions two or three times a week for four weeks relieved chronic neck pain better than no massage or fewer or shorter massage sessions. A study of 262 patients published in the Archives of Internal Medicine found that massage was far superior to acupuncture or patient education for relieving back pain. After 10 weeks, 74 percent of patients said massage was "very helpful." Only 46 percent for those who received acupuncture and about 17 percent of those who read a self-help book had the same response. Massage patients were also four times less likely than other patients to report being bedridden with pain. The authors concluded that "massage might be an effective alternative to conventional medical care for persistent back pain." In a true test of its value, massage has even been shown to ease the chronic pain suffered by cancer patients. A study of more than 1,200 patients at Memorial Sloan-Kettering Cancer Center published in the Journal of Pain and Symptom Management found that massage reduces symptoms such as anxiety, nausea, and pain by about 50 percent. Studies suggest that for women in labour, massage provides some pain relief and increased their satisfaction with other forms of pain relief but the evidence isn't conclusive. In a 2012 study there was evidence that massage may help with pain due to osteoarthritis of knee. References Cherkin DC, Eisenberg D, Sherman KJ, Barlow W, Kaptchuk TJ, Street J, Deyo RA. Randomized trial comparing traditional Chinese medical acupuncture, therapeutic massage, and self-care education for chronic low back pain. Arch Intern Med. 2001 Apr 23;161(8):1081-8. Sherman KJ, Cook AJ, Wellman RD, et al. Five-week outcomes from a dosing trial of therapeutic massage for chronic neck pain. Annals of Family Medicine. 2014;12(2):112–120. Sherman KJ, Cherkin DC, Hawkes RJ, et al. Randomized trial of therapeutic massage for chronic neck pain. Clinical Journal of Pain. 2009;25(3):233–238. Cherkin DC, Sherman KJ, Kahn J, et al. A comparison of the effects of 2 types of massage and usual care on chronic low back pain: a randomized, controlled trial. Annals of Internal Medicine. 2011;155(1):1–9 Furlan AD, Imamura M, Dryden T, et al. Massage for low-back pain. Cochrane Database of Systematic Reviews. 2008;(4):CD001929 Perlman AI, Ali A, Njike VY, et al. Massage therapy for osteoarthritis of the knee: a randomized dose-finding trial. PLoS One. 2012;7(2):e30248 Corbin L. Safety and efficacy of massage therapy for patients with cancer. Cancer Control. 2005;12(3):158–164. Wilkinson S, Barnes K, Storey L. Massage for symptom relief in patients with cancer: systematic review. Journal of Advanced Nursing. 2008;63(5):430–439. Jones L, Othman M, Dowswell T, et al. Pain management for women in labour: an overview of systematic reviews. Cochrane Database of Systematic Reviews. 2012; (3):CD009234
