Natural ways to reduce anxiety – Part 4

In the UK around 10.5 million people run or jog as a leisure activity and or fitness activity.  Running injuries are common and may variables can contribute.  Running injuries can happen to both experienced and inexperienced runners - up to 79% of runners with get injured in any one year. Most running injuries occur in the lower extremities as you would expect.  With the knee being the most common injured site followed by the lower leg, foot and upper leg.  The top five injuries are:

1. Patellofemoral pain - generic term for describe pain at the front and around the knee cap.
2. Illiotibial band (ITB) syndrome - pain on the outside of the knee.
3. Tibial stress fractures/syndrome - fatigue induced stress fracture.
4. Plantar fasciitis - pain in the heel or bottom of the foot.
5. Achilles tendonitis - pain, swelling and stiffness of the achilles tendon.

All the above injuries apart from stress fractures can be treated with sports massage. The high rate of injury among runners is a cause for concern so in future posts I will look at the common causes we see in clinic and discuss how to prevent injuries. Reference Sports Marketing Surverys Inc (2014) UK's running population reaches a remarkable 10.5m says Sports Marking Surverys Inc. A Altman, IS Davis (2012) Barefoot running: biomechanics and implications for running injuries.  Current Sports Medicine Reports 11(5):244-50 JE Taunton, MB Ryan, DB Clement, DC McKenzie et al (2002) A retrospective case-control analysis of 2002 running injuries.  British Journal of Sports Medicine 36(2):95-101

Having spoken previously about why poor posture is bad for you, I wanted to move on to give you a simple exercise that helps promote good posture.  Brugger's exercise routine is devised to activate postural muscles weakened and simultaneously stretched by a prolonged sitting posture. Slumped Position Check the tension in your upper back and shoulders in the slumped posture and then in the Brugger's position, to see if you notice any difference as the muscle tension is dramatically reduced. Brugger Exercise Posture Step By Step Guide

1. Sit perched towards the edge of your seat; this will naturally place your lower back into a curve (lumbar lordosis) with your butt sticking out a little.  As you do this your breastbone (sternum) will naturally lift up.
2. Separate your legs to 45 degrees each side with your feet turned out slightly and in line with your knees.
3. Your shoulders are relaxed and down with your chin tucked in, making the back of your neck longer – imagine a piece of string is attached to the top of your head and someone is lifting you up.
4. Fully straighten (extend) both elbows and arms.
5. Make sure you keep your shoulders down and imagine your shoulder blades [scapula] are pushing down and together to form a V.
6. Turn your thumbs out (externally rotate), palms up.
7. Separate your fingers.
8. You should now be in the position show above in the Brugger's exercise posture picture.
9. Hold for 30 seconds.

Ideally you should perform the Brugger's exercise once for every thirty minutes of sitting, so why not try this once a day. PS The Science This exercise was developed by a Swiss Neurologist called Alois Brugger MD,  the exercise is neither a traditional stretch or strengthening technique but works neurologically by being complementary to the way your body is wired to work. Our bodies are neurologically much stronger in all of our flexor muscles. This is displayed perfectly if we look at a person with a neurological disorder, e.g. cerebral palsy; their body naturally has increased tension (hypertension) in the flexor muscles, also known as the spastic posture. This demonstrates our natural prosperity to an Upper Cross Posture which often develops when we sit for prolonged periods of time in a slumped position. Muscles work in groups. When one group is working then the opposing group are unable to work (inhibited).  An easy example to visualise of this is when you place food in your mouth. To do this you flex your fingers, wrist muscles, bicep muscles and pecs., all flexors. However, to be able to do this you have to inhibit your finger extensors, wrist extensors, triceps, rhomboids etc. This is called reciprocal inhibition. If you were unable to do this you would be unable to feed yourself. The Brugger exercise works on the principal of reciprocal inhibition. When doing this exercise you are activating all your extensor muscles and therefore inhibiting all of your (usually hyper activated) flexor muscles.  

The new year is a natural time for focusing on new goals.  At the end of the festive season we can feel like we have over indulged so want to refocus on health.  I know I certainly feel like that.  So I wanted to share some ideas for health new year's resolutions.

1. Focus on 1 health goal for 2018 as this focus will help you acheive it.
2. Use the stairs more.
3. Go outside for a daily dose of vitamin D.
4. Focus on your breath when you feel the stress coming on. It's a mini meditation session.
5. Turn off all electronics 20 minutes before lights out at bedtime.
6. Write down everything you're grateful for at the end of the day.
7. Drink more water than cafine.
8. Add one thing to your life that brings you joy.
9. Cook at home more frequently.  You’ll end up getting healthier in the process.
10. Forgive someone. Anger and resentment is like holding onto internal poison and can even harm your physical health. Life’s too short to not move on.