Is this you…

Last week I discussed Plantar Fasciitis one of the major causes of heel pain, this week I am going to discuss a grumbling achilles tendon, or to be technically correct, non-insertional Achilles tendinopathy, he other major cause of heel pain.  Although a rupture of the Achilles is well known, it is actually more common to have what is known as a grumbling Achilles. The pain is felt at the back of the heel above where the Achilles tendon joins the bone. It feels stiff and swollen, particularly in the morning and can prevent the sufferer from taking part in sport. Sometimes the pain is lower down where the tendon joins the bone. How can I tell if my heel pain is a grumbling achilles tendon? You may have swelling over or either side of your achilles tendon which runs from your heel to your calf muscles.  The skin over the achilles tendon may be red and/or hot.  If you sit down with your feet on the floor and raise your foot, as you use your achilles tendon you may hear a crackling sensation. What causes a grumbling achilles tendon?

• The tab on your shoe rubbing against your achilles tendon.
• Failing to warm up properly before playing sports.
• Over use of the tendon from intensive training, e.g. running
• Scar tissue from a previous injury.
• High impact on hard surfaces e.g. any sport where you jump or tennis.

What can I do to help myself? If you are in pain then rest and ice your tendon, to ice it wrap ice cubes in a tea-towel and hold against your tendon for 5 - 20 minutes, every 2 hours for 2 -3  days and then 3 times a day. The key to preventing further bouts is to ensure your are wearing appropriate footwear for the sport you are doing, ensure you warm up and cool down properly and always stretch your calf muscles. In addition a deep tissue massage release any tension in the tendon, remove scar tissue and ensure that your calf muscles are flexible.  

This week the daily mail reported that three in four office workers blame desk for sickness: badly set up desks and chairs cost companies 7bn each year. Rather than sitting in silence or popping pain killers to ease headaches or back pain,  here are my top 7 tips for staying healthy while working at your desk.

1. Sit up straight.  As you read this post, if you’re not running to an appointment or standing, how are you sitting? Really take notice of how you are sitting and poised. Are you legs crossed? Is your back hunched over as you read this? Or are you sitting up straight?  If you are sitting ensure that you are sitting up straight, not slouched, with your head directly over your torso and your feet on the ground, using a foot rest if necessary.
2. User a wrist support.  Repeatedly bending your wrists up and down (extension and flexion) compresses structures inside the carpal tunnel in the wrist. This can cause pain and lead to injuries like carpal tunnel syndrome.  Place the heel of your palm on a wrists pad to minimise wrist pain.
3. Use a headset.  If you spend a lot of time on the phone user a head set rather to avoid holding the phone to your ear by raising your shoulder which may cause neck & shoulder pain.
4. Don't bang the keyboard instead use a light touch.  Try to use the minimum amount of force necessary to depress the keys. The tendons from your fingers connect near your elbow, so striking the keys too hard can lead to problems you might not associate with your keyboard-for example, pain and inflammation in your elbows (Epicondylitis).
5. Look straight ahead.  Maintaining proper eye level with your computer monitor is essential. This helps you avoid straining your back, neck, shoulders, and arms. In addition, proper eye level reduces unnecessary eye strain. To accomplish this sit in your office chair and stare straight ahead. You should be looking directly at the center of your monitor. If you are not looking at the center of the screen adjust the monitor until you have the correct measurement and use a monitor riser where necessary.
6. Save your work, save your shoulders.  Working as a massage therapist who specialise in Acupressure Neck & Shoulder massage withing an office environment, I know muscular tension in shoulders causing neck and shoulder pain is a common problem.  To minimise the build up of muscular tension in your shoulders, every time your save your work or send an email simply circle your shoulder three times clockwise and then three times anti-clockwise.
7. Book a massage.  If you are feeling the stain and pain for working long hours at your desk then book a massage which are highly effective at relieving neck pain, shoulder pain, back pain and tension headaches.

Joanne Mullins of Vitality Therapy offers Vitality Breaks - Acupressure Neck & Shoulder massage within a corporate environment allowing individuals to get well and stay well.

Headaches are one of the most common complaints. Yet despite this, the precise mechanism and cause of certain types of headache remains unclear. The three main types of headache are

• Tension
• Migraines
• Cluster

Tension headaches – are characterised by constant pressure or tightness that affects both sides of the head accompanied by contraction of the neck muscles. They are the most common type of headache. The exact cause is unclear, but tension headaches have been linked to things such as stress, poor posture, skipping meals and dehydration. Migraines – are typically characterised by a throbbing or pulsating pain. In addition you feel worse for physical activity and there often additional symptoms such as nausea, vomiting, increased sensitivity to light, sound and/or smells. Cluster Headaches – are characterised by being very severe but generally lasting less than one hour. One characteristic of cluster headaches is that the pain is often centred on the eye, which may water.   They are called cluster headaches because they can occur up to eight times in one day, for a few weeks or up to two months. Their cause is unknown but there is subjective evidence to suggest the triggers may include alcohol, strong smelling substances or extreme rise in temperatures. Identifying which type of headache you have can be very difficult as tension headaches and migraines share many of the same traits. Treating and preventing headaches depends on the individual and type of headache. It is often advisable to keep a diary in order to identify which type of headache(s), they experience and if there are specific triggers that can be avoided.