Oops I did it again?

In clinic we frequently see clients who had an issue with either their neck or shoulder or their lower back that was resolved then a few weeks or months later they are back with the same issue.  So why does this happen?  First, it depends upon the client, as human body is unique and the issue.

What I want to explain below are some influencing factors:

Posture – Because lots of clients come to us in pain, when they walk out of clinic they are very vigilant about their posture.  When they start to feel like the issue has been resolved good posture becomes less of a priority.  More importantly bad posture creeps up on us slowly – particularly slumping at you desk when you have a tight deadline!

Over training – One of the most common questions we get asked, is when “will I be able to go to the gym again?” – clients are always very eager to get back training.  If you are unable to train for a while, you need to gentle easy yourself back into training.  Over training is when the physical trauma from exercising occurs faster than the body can repair the damage.

Overuse – An overuse injury typically stems from: training errors. Training errors can occur when you take on too much physical activity too quickly i.e. when you are training for a marathon you build up your distance and speed too quickly.

Related Posts

  • Guess what science has discovered about back pain …

    According to the UK's Office for National Statistics the UK  economy loses almost 31 million work days per year which costs the UK economy £14 billion to bad backs, neck & other muscle problems.  A bad back is of the most common causes of absence and 80% of p will suffer with people will experience back pain at some point in their lives.  At Vitality Therapy we find back pain is something we treat on a regular basis. I know a lot of my clients and potential clients are interested in what the latest scientific research is on how effective massage is for treating back pain, becuase they don't want to waste their time and money if massage isn't going to help them. Until now scientific studies of the effectiveness of massage were conducted in controlled research situations.  However in a recent study, a physician sent patients to a massage therapist.  The massage therapist designed and provided a series of 10 massage -- at no cost to the patient -- in a clinical treatment environment.  This clinical treatment environment mimicks the experience of people who choose to seek massage in the real world. More than 50 percent of those who participated in the study experienced clinically meaningful improvements in their low back pain.  The reasearches concluded that the study gives primary care providers (i.e. GPs) the confidence to tell patients with chronic low back pain to try massage, if the patients can afford to do so. References http://www.nhsemployers.org/news/2015/04/bad-backs-cost-the-uk-31-million-days-of-work Elder WG, Munk N, et al, 2017, Real Wold Massage Therapy Produces Meaningful Effectiveness Signal for Primary Care Patients with Chronic Low Back Pain: Results of a Repeated Measures Cohort Study, Journal of Pain Medicine, 18(7):1394-1405  

  • Anxiety reduction & massage?

    I know that I often say that one of the benefits of massage is that it may reduce anxiety.  I think most people would agree that being in hospital or undergoing hospital procedures may makes us feel anxious.  So I was interested in a recent study that looked at the effectiveness of massage with or without guided imagery (a therapist talking you through a scene to help you relax), prior to cardiac catheterisation.  As you can imagine anxiety is very common in patients prior to cardiac catheterisation, which can lead to high blood pressure and increase the amount of sedation necessary to complete the procedure. Fifty five patients opted to receive either a 15-minute massage (31 patients) and a 20 minute guided imagery (24 patients) in a quiet area of the hospital prior to cardiac catheterisation.  Self-report anxiety levels, blood pressure and heart rate were evaluated in the research participants as well as matched for comparison to a control group not taking part in the study. The results indicated that massage, with or without guided imagery, produced significant reductions in self-reported anxiety, with the combined intervention having a more pronounced effect.  In addition a lower diastolic blood pressure and heart rate were found when compared to the control group. In my experience slow, deep stokes help to reduce anxiety and as a team we often incorporate this into treatments. References Amstrong K, Dixon S, May S, Patricolo GE (2014).  Anxiety reduction in patients undergoing cardiac catheterisation, following massage and guided imagery.  Complementary Therapies in Clinical Practice 20 (4): 334 - 338.    

  • Trigger Points

    Often clients sit down to have a massage and are unaware how tight one area of there shoulder or neck is.  This is very common and here is why:

    • We only notice the worse area of pain - so if our right shoulder is more painful, we have a tendency to assume our left shoulder is OK.
    • Trigger Points
    What are Trigger Points? Trigger Points are hyper-irritable spots in muscle which are between 2mm - 10mm in diameter that are located frequently located where the nerves join the muscle fibers.  Active trigger points are always tender or painful, and often refer pain, so trigger points in only of the largest shoulder muscles the trapezius often refers pain up the side of the neck.  While latent trigger points are only painful when they are touched.  This is why when I work, sometime you discover areas of your shoulders that you didn't know were painful, these are latent trigger points. Trigger points can be found anywhere in the body but are extremely common in the shoulders. So if latent trigger points are only painful when you touch them, do I need a massage to release them?  The simple answer is yes as they may restrict your range of movement, so you will feel tightness if you try and rotate your shoulders or they can reduce the strength of your muscles, which puts more strain on your joints. What causes trigger points? There are several ideas about what causes trigger points but no agreed theory.  Below is a list of possible causes
    • Poor Posture
    • Muscle Damage
    • Nervous Tension
    • Physical Stress
    • Psyschological Stress
    • Environmental Factors - cold, damp
    • Illness
    • Lack of rest or sleep
    • Poor Diet
    What are the symptoms of trigger points?
    • Restricted movement
    • Tension headaches
    • Referred pain
    • Painful movement of a joint or limb
    How can I prevent trigger points forming?
    • Maintain good posture
    • Manage your stress
    • Follow a daily stretching routine
    How can I get rid of my trigger points?
    • Acupuncture
    • Massage