Is the way you breathing causing your neck pain? – Part 1
If you have had a treatment with us, we may have talked to you about importance of deep breathing, if you have tension in your neck.
Shallow breathing, thoracic breathing, or chest breathing is the drawing of minimal breath into the lungs, usually by drawing air into the chest area using accessory muscles rather than throughout the lungs via the diaphragm. This means that you over use some of the accessory muscles of breathing, including the scalenes and sternocleidomastoid muscles both of which are located in the side of the neck. The scalenes elevate the 1st rib during inspiration and the sternocleidomastoid raises the sternum. Unfortunately, these accessory muscles aren’t built for routine respiration, and they exhaust and eventually injure themselves which may result in pain and/or a reduced range of movement (i.e. inability to turn your head fully from side to side).
People shallow breath when they are nervous, stressed, anxious, or when they concentrate. So simply stopping and taking one deep breath after you send each email, can reduce the over use of your scalenes and sternocleidomastoid.
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Hypertension – Can massage help?
After introducing, Hypertension, I discussed lifestyle and dietary factors that may assist you in either lowering high blood pressure or preventing it. Now I would like to share with you the scientific evidence of the effectiveness of massage in assisting with the management of Hypertension. Seated Acupressure Neck & Shoulder Massage In 1997 Cady et al. in Perceptual & Motor Skills evaluated the effectiveness of a 15 minute chair massage on reducing stress as indicated by blood pressure. 52 employed participants' blood pressures were measured before and after a 15 minute massage at work. Analysis showed a significant reduction in participants' systolic and diastolic blood pressure after receiving the massage. High Blood pressure is associated with anxiety and stress, this study supports the conclusion that chair massage is relaxing, reduces stress and high BP. Relaxing (or Swedish) Massage In 2013 Givi in International Journal of Preventive Medicine looked at the effectiveness of a relaxing (swedish) massage in the management of pre-hypertension. The study was a single-blind clinical trial with 50 women selected by random sampling divided into a control and test group. The test group (25 women) received 15 minute swedish massage 3 times a week for 10 weeks. Their BP was measure before and after each session and 72 hours after finishing the massage therapy. The results indicate the average systolic and diastolic BP in the massage group were significantly lower. In addition 72 hours after the finishing the massage therapy there was still a significant difference between the test and control group. So if you are concerned about your Blood Pressure, go to your GP and have it checked. Then why not book a massage. References Cady SH and Jones GE, Feb 1997, Massage therapy as a workplace intervention for reduction of stress, Perceptual & Motor Skills, (1) p157- 158 Givi M, Feb 2013, Durability of Effect of Massage Therapy on Blood Pressure, International Journal of Prevention of Medicine, 4 (5) P 511 - 516.

Heel Pain – Part 2 – Grumbling Achilles Tendon
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.

Headaches – Introduction
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

