The Impact of Sitting All Day – Part 5

Recently scientists have looked at the impact of abdominal massage on people with constipation. Constipation affects twice as many women as men.  Older people are more likely to be affected and in addition taking certain medications e.g. opioids can cause it. A randomised control trail of 204 patients with constipation (from opioid medication), were split into two equal groups.  The intervention group were taught how to administer abdominal massage on themselves, in a clockwise direction over the intestines on the abdominal wall, which they performed twice a day for four weeks after breakfast & dinner. The control group received standard medical care, such as laxatives, suppositories and enemas. Both groups were asked to keep a diary of their bowel movements and to complete three questionnaires, including the Bristol stool scale for evaluating stools and bowel habits, the visual analogue scale, which contains questions about constipation, including severity, straining & pain. Patients in the massage group reported significant improvements in stool consistency, straining during defecation, the feeling of incomplete emptying after defecation and experienced increase bowel movements.  They also reported a reduction in the severity of constipation, pain, straining, gas & fullness in the rectum.  However, the massage had no effect on the stool amount. The researchers concluded that abdominal massage was an effective approach for managing opioid induced constipation.  So if you suffer from constipation consider abdominal massage. Reference https://www.ncbi.nlm.nih.gov/pubmed/31358243

A common treatment for cold sores is antiviral cream called aciclovir.  A new randomised controlled trial of nearly 1,000 adults with cold sores where they either applied aciclovir cream or medical grade New Zealand manuka honey to the cold sore. There was no significant difference in the time taken for the cold sore to heal:

• 8 days for aciclovir cream
• 9 days with New Zealand medical grade manuka honey

Sitting in office chairs for long periods of time not only affects your muscles but impacts the disks in your spine. In humans over 5 years of age, there is no direct blood supply to the jelly like nucleus of the intervertebral discs. The intervertebral discs therefore rely upon fluid inflow and outflow for their nutrition: when you lie down, the pressure comes off the discs and they expand, absorbing water and nutrients as they do so (rather like a sponge expanding and sopping up a spill on the floor). Unloaded Disc Filling with nutrient rich liquid When you stand up, the discs are compressed and their watery component is squeezed out, thus removing waste products at the same time. Loaded Discs Being Compressed Similar squeeze/expand cycles are occurring every time that we move, both day and night. This means you must move in order to “feed” your discs and keep them healthy. The disc squeeze/expand cycle is crucial to spinal health.  It is well proven that your degenerative disc "disease" progresses faster over time if your discs can't alternate compression with expansion.  As sitting more than half the time at work is associated with herniated discs (or slipped discs) and sciatic nerve pain in those older than 35, so try to get up and move as much as possible.