Is the way you breathing causing your neck pain? – Part 1

If you have had a treatment with us, we may have talked to you about importance of deep breathing,  if you have tension in your neck.

Shallow breathing, thoracic breathing, or chest breathing is the drawing of minimal breath into the lungs, usually by drawing air into the chest area using accessory muscles rather than throughout the lungs via the diaphragm.  This means that you over use some of the accessory muscles of breathing, including the scalenes and sternocleidomastoid muscles both of which are located in the side of the neck.  The scalenes elevate the 1st rib during inspiration and the sternocleidomastoid raises the sternum.  Unfortunately, these accessory muscles aren’t built for routine respiration, and they exhaust and eventually injure themselves which may result in pain and/or a reduced range of movement (i.e. inability to turn your head fully from side to side).

People shallow breath when they are nervous, stressed, anxious, or when they concentrate.  So simply stopping and taking one deep breath after you send each email, can reduce the over use of your scalenes and sternocleidomastoid.

Related Posts

  • What happens to your muscles when you sit?

    SittingMusclesChair 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:-

    1. Shortening of the hamstring muscle.
    2. Overworking of the Erector Spinae muscle group and the development of trigger points.
    3. Overworking of the Iliopsoas muscle group and the development of trigger points.
    Hamstrings are shortened and inactive while sitting causing tension.  This is so common I will write a separate blog most on Hamstrings. Without the help of the Gluteal muscles the Erector Spinae muscles become tired and painful very quickly and struggle to maintain the correct "hollow" in your lower back.  Even thought you may consider sitting an apparently restful posture it is actually an intense workout for the Erector Spinae and the Iliopsoas muscle groups. If you are not using a full and appropriately shaped chair back, your Iliopsoas muscles must pull your torso forward to stop you falling backward, and they have to do that at the short end of their range of contractile length. That is a sure fire recipe for Iliopsoas muscle shortening and development of trigger points. Here are some indications that you have a shortened Iliopsoas
    • 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.
    All the side effects of sitting for long periods of time can be addressed by deep tissue massage.

  • The Impact of Sitting All Day – Part 6

    Studies have shown that an alert body and active lifestyle boosts not just productivity, but also happiness and satisfaction levels. There is now an explosion of research studies that demonstrate the harmful effects of sitting all day, which I have covered in past blog posts.

    In my last blog post, "Taking a Break", I explored the reasons for taking a break and looked at the latest research on the length of break you need to take and the frequency. So now I want to focus on strategies to get you moving… Use an Exercise Ball for a Chair Unlike sitting in a chair, sitting on a exercise ball engages your core muscles and helps improve your balance & flexibility. Occasionally bouncing can also help your body interact with gravity to a greater degree than sitting on a stationary chair. Use the Stairs Walk up and down stairs, rather than take the lifts.  Even if you only walk up or down one flight of stairs and then take the lift the rest of the way it will have a positive impact on your health. Walk & Talk Meeting If you have an informal meeting with a colleague why not suggest a walk & talk meeting, weather permitting you could always go outside and get some fresh air too! Pedometer Using a pedometer will help you asses how many steps you take throughout the day. Taking a roundabout way to your desk, taking the stairs or walking to the next tube station as part of your commute will help you increase the number of steps you take daily. Exercise while you Sit at your desk An Amercian start up company, FitnessCubed, has come up with Cubii, an under-desk elliptical trainer that allows you to do basic exercise while you sit at a standard office desk. (It requires no changes to your existing desk set up.) They have also produced a mobile app that allows you to track your workout and you can also share your work out results – so you could even hold an inter-office competition.

  • 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

    1. 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.
    2. 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.
    3. Taussig SJ The mechanism of the physiological action of bromelain Medical Hypotheses 1980; 6: 99-104
    4. 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.
    5. Cirelli MG Clinical experience with bromelains in proteolytic enzyme therapy of inflammation and edema Medical Times 1964; 92(9): 919-922.
    6. Taussig SJ, Batkin S Bromelain, the enzyme complex of pineapple and its clinical application Journal of Ethnopharmacology 1988; 22: 191-203.
    7. 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.
    8. 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.
    9. 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.