Self help to prevent a stiff neck

I will begin with a confession, I love dark chocolate.  So I am an avid reader of any scientific research on dark chocolate, as its always good to be able to justify eating chocolate for its health benefits! Recently a research team studied nine amateur cyclists to establish whether epicatechin, a type of flavanol found in the cocoa bean, would increase nitric oxcide production in the body.  Nitric oxide expands blood vessels, allowing more oxygen to get to vital organs, which boosts endurance and sports performance.  The cyclists were divided into tow grounds, with the first instructed to replace a normal daily snack with 40g of dark chocolate for two weeks, while the other group did the same for white chocolate. The two groups were assessed in cycling exercise tests in the laboratory to measure heart rates, oxygen consumption levels during moderate exercise.  The groups switched chocolate types after a one-week interval and repeated the tests.  The cyclists eating dark chocolate were found to use less oxygen and covered more distance in time trails compared to the cyclists eating white chocolate. So maybe dark chocolate shoulder become a staple part of endurance althlete's diets. Reference R K Patel, J Brounder, O Spendiff, 2015, Dark chocolate supplementation reduces the oxygen cost of moderate intensity cycling, Journal of International Society of Sports Nurition, 12:47.

Ankle sprains are one of the most common injuries, which involves trauma to the ankle ligament.  A sprain occurs when one or more of your ligaments have been stretched, twisted or torn, usually as a result of excessive force being applied to a joint.  They often occur if you change direction or speed suddenly, fall and land awkwardly or collide with an object or person – such as when playing sports. If you have ever sprained your ankle, then you will probably remember the initial pain, the considerable swelling and bruising.  The swelling from a sprain will often occur soon after the injury, but the bruising may not show until later or it may not show at all. Bruising can sometimes occur some distance from the affected joint, as blood from the damaged tissue seeps along the muscles and around the joint before coming close to the skin. It should be noted that ankle sprains take at least 12 weeks to heal. When to visit your GP? Most ankle sprains are relatively minor and can be cared for by self-treatment.  However, you should visit  your GP if you think you have a sprain and:

• the pain is particularly severe
• you cannot move the injured joint or muscle
• you cannot put any weight on the injured limb, or it gives way when you try to use it
• the injured area looks crooked or has unusual lumps or bumps (other than swelling)
• you have numbness, discolouration or coldness in any part of the injured area
• the symptoms have not started to improve within a few days of self-treatment

• Rest your ankle.
• Ice (wrap ice cubes in a tea towel) and hold over the ankle for 5 - 20 minutes every 2 hours for 2-3 days, then daily for the next 3 days.
• You can then bandage the ankle in a figure 8 with the heel in the centre of the figure 8, with a compression or elastic bandage.
• Finally you should elevate your ankle to reduce the blood flow to the area, for the first 24 hours.

• Circle your ankle clockwise repeat 3 times
• Circle your ankle anti-clockwise repeat 3 times
• Lie down on your back, point your foot and your toes and then bend your foot up the ceiling and the same time straighten your toes - repeat 3 times.
• Now sit on a char and draw the alphabet in the air with your foot this will move your ankle full a range of movement.
• Once you have your full range of movement back, then you can start increasing your proprioception.  You can stand on a pillow on one leg (your affected ankle), and build up the time until you feel that you stability is the same in both your legs.

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.