Tips for a healthy stomach

I am sure everyone knows that everyone needs to reduce their salt intake.  This message from the government has been the cornerstone of their public health campaign for a number of years.  It has resulted in food manufacturers producing "reduced salt" ranges of goods and reducing the amount of salt in our favorite brands. We all know that too much salt in our diet raises our blood pressure which in turn can lead to heart disease, stokes and heart attacks.  New research has shown that when people reduce their salt intake, their is a 31% reduction in the number of them suffering headaches.  Interesting researches noted, that the differences between healthy and unhealthy diets had no significant effect on headaches. Importantly the reduction in headaches was the same in people with high blood pressure as normal blood pressure. (see full article http://bmjopen.bmj.com/content/4/12/e006671.full) It is estimated that just under half off all adults suffer from regular headaches, if you are one of them, maybe its time to consider the levels of salt in your diet. Anyone looking for more information on the impact of salt in their diet should visit http://www.actiononsalt.org.uk/index.html a government backed website.  

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

I know lots of people love travelling, but travelling to a new time zone can result in jet lag.  Personally I did so much business travelling in my late 20's and then in my 30's I travelled for pleasure, that more recently I have been happy to stay put in England and simply pop over to Europe when I wanted some sun.  This year I am planing to go on a training course in Canada so when I saw some recent research on avoiding jet lag it caught my eye. Jet lag occurs when your circadian rhythms are slow to adjust to the new time zone and remain on their original biological schedule for several days. This results in your body telling you it is time to sleep, when it's actually the middle of the afternoon, or it makes you want to stay awake when it is late at night. Here are some tips for minimizing the occurrence of jet lag:

• Select a flight that allows early evening arrival and stay up until 10 p.m. local time. (If you must sleep during the day, take a short nap in the early afternoon, but no longer than two hours. Set an alarm to be sure not to over sleep.)
• Avoid alcohol or caffeine at least three to four hours before bedtime. Both act as "stimulants" and prevent sleep.
• Try to get outside in the sunlight whenever possible. Daylight is a powerful stimulant for regulating the biological clock. (Staying indoors worsens jet lag.)
• On the flight set the time on your watch to the local time of your destination so you can mentally start adjusting to the new time zone.
• When you arrive eat with the locals.