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Physical Impact of Stress on the body – Part 1

Stress is a natural human response that enables the body to cope during certain situations. There are three phases to our stress response:

  • Phase 1 - The Alarm Phase
  • Phase 2 - The Resistance Phase
  • Phase 3 - Exhaustion
Phase 1 - The Alarm Phase This phase is short lived and initiated by the hormones released by the adrenal medulla.  It is triggered by excitement, exercise, emergency and embarrassment - what are commonly called the "E" situations. During this phase the sympathetic nervous system will dominate and favour body functions that support vigorous physical activity.  Once the situation is resolved the body either the parasympathetic nervous system will dominate allowing the body to relax and digestion food or the sympathetic nervous system will continue to dominate and the body will move into phase 2. Phase 2 - The Resistance Reaction This is a long term stress reaction or chronic stress and it initiated by the hypothalamic releasing hormones:
  • Corticotropin
  • Growth hormone
  • Thyroptropin
During phase 1 stress response the heart rate is increased to increase the rate of blood flow as blood is directed away from the digestive system and digestive organs towards the skeletal muscles of the body.   Drawing blood away from the blood away from the stomach for too long can lead to indigestion or IBS.   In addition, corticotropin is the body's hormone alarm bell telling it to release steroids and adrenaline, increased exposure can lead to IBS, stomach aches, nausea, diarrhea and heartburn. All the body functions are impacted as the body's pH is increased.  The body's sodium levels are increased increasing water retention by the kidneys and maintaining the increase in blood pressure during the alarm phase.  This increase in blood pressure and blood flow helps the body cope with the demands placed upon it but in the long term can lead to hypertension. The stress hormones cause the blood to become thicker and stickier increasing its ability to clot to help the body cope with injury.  Chronic stress where there is thicker blood and no injury can lead to blood clots and therefore affect the blood flow causing damage to the heart.  The increase in the heart rate and force of the contractions of the heart in chronic stress can lead to an abnormal heart rhythm causing heart muscle damage. Adrenaline and cortisol trigger the release of fatty acids into the blood stream for the body to use as energy.  Prolonged release by cortisol can potentially increase cholesterol levels leading to a thickening of the lumen and hence a narrowing of the arteries.  Continued exposure to cortisol can increase abdominal fat, therefore increasing the risk of heart disease.    

Sleep – So you aren’t sleeping well, what can you do?

So you have checked out my tips for having a good night’s sleep and you still aren’t sleeping well, so what can you do? First remember that we are very resilient and our bodies are built to cope with the odd poor night’s sleep.  We have an inbuilt ability to deviate from the “normal” pattern of sleeping which can be a big advantage in today’s demanding world. Napping If you imagine your cave man ancestors, with predators lurking around it wouldn’t always be possible to find a nice comfortable cave and sleep for 7 or 8 hours!  There is evidence that hunter-gatherers slept in short bursts of time throughout the day.    This sleep pattern is still around today in babies and young children.   In 2002, Ellen MacArthur competed in the Vendee Glob and set a new world record for fastest circumnavigation of the globe as a solo sailor.  During this 72 day race she had 385 naps the longest of which lasted 35 minutes.  So if you don’t have time for a long sleep or aren’t sleeping well, try napping! Keep your perspective Research has shown that people with SAD or depression often spend more time in bed, but not actually sleeping — leading to misconceptions about how much they sleep.  So while I would not recommend watching the clock – as it only makes people more concerned about not sleeping, it is useful to examine your thoughts about sleep.  For most people not being able to sleep properly is a temporary setback—uncomfortable and mildly debilitating, yes—but remember you WILL sleep again. Insomnia Insomnia is usually a symptom, typically secondary to something else. It is best characterized as the inability to fall asleep, stay asleep, or waking too early in the morning. These types of sleep disruptions are often indicators of other medical or psychological problems, such as sleep disorders or depression and anxiety.   Insomnia symptoms that last longer than 30 days are usually identified as “chronic” or severe. Treatments for Insomnia Cognitive behavioral therapy, or CBT, has become widely used to treat many symptoms of insomnia and is especially useful for relieving chronic or severe insomnia symptoms.  Alternative therapies such as melatonin, valerian, acupuncture and other holistic or compliment treatments including reflexology are also being used for insomnia.

Reiki – Mechanisms of Healing – Part 2

In part 1 on the discussion of the mechanisms of healing I explored the range of opinions on how Reiki works.  I want to continue this discussion by focusing on some interesting research which supports my belief that I act as a channel for universal energy when I am giving Reiki treatments. During the 1980’s, Dr Robert Becker, Dr John Zimmerman, and Max Cade each investigated what happens whilst people perform therapies like Reiki. They found that not only do the brain wave patterns of practitioner and receiver become synchronised in the alpha state, but they pulse in unison with the earth’s magnetic field, known as the Schuman Resonance. During these moments, the biomagnetic field of the practitioner’s hands is at least 10000 times greater than normal, and not as a result of internal body current. The synchronisation between practitioner & receiver in the alpha state allows left-right balance,  and stimulates deep relaxation and meditation. Which explains why all my clients state Reiki is very relaxing. Toni Bunnell (1997) suggests that the linking of energy fields between practitioner and earth allows the practitioner to draw on the ‘infinite energy source’ or ‘universal energy field’ via the Schuman Resonance. Professor Paul Davies and Dr John Gribben in The Matter Myth (1991), discuss the quantum physics view of a ‘living universe’ in which everything is connected in a ‘living web of interdependence’. References Zimmerman J., ‘New technologies detect effects of healing hands’, Brain/Mind Bulletin, Vol 10, No 16. ‎Sept 30, 1985.‎ Becker, Robert O. ‘The Body Electric: Electromagnetism and the Foundation of Life’, Pub: William ‎Morrow & Co. Inc. 1985‎ Bunnell T., ‘A tentative mechanism for healing’, Positive Health, Nov/Dec 1997.‎ Cade M. & Coxhead N., ‘The Awakened Mind;Biofeedback and the Development of Higher States of ‎Awareness’, pub: Element Books, 1996 (reprint).‎

What to expect from a sports or deep tissue massage.

First let me reassure you if you haven't been to us before that we don't do any unnecessary nakedness.  If you want you can wear gym shorts but it is no necessary. On your first visit you will be asked to fill out a consultation form and we will discuss why you booked.  At the start of subsequent treatments we may ask you about your response to our last treatment or if there has been a long gap, your reason for booking.  If there has been a significant gap we may ask you to fill out a consultation form again, especially if it has been archived. While we are all able to use oils, we tend to use a sports wax as it doesn't stain your clothes and it is odorless and one brand we use is nut free too. During the massage we will use fingertips, knuckles, hands, elbows, and forearms to treat you.  You may be asked to breathe deeply as we works on tense areas.  Most of our clients want deep pressure.  However there are times when we need to use a lighter sustained pressure on some restrictions to achieve a myofascial release. We may get you to move position on the massage bed to give us better access to certain muscles or to treat the opposing muscle.  For example, if we have worked on your upper back we may need to open up your chest, particularly your pec muscles. We may stretch your muscles ourselves or ask you to move your body in a certain way to stretch it or to see how it reacts to the movement.      

More of what can assist you with Carpal Tunnel Syndrome?

Following on from my previous tips, here are a few more:

  • ICE - If your wrist feels inflammed (red, hot and swollen) then icing the area may assist you.
  • Cupping - which is part of Traditional Chinese Medicine (TCM).  In a trail of cupping therapy, whereby heated glass cups are applied to the skin to create suction and encourage energy flow in the body, the cupping group experienced a significant reduction in pain and other symptoms compared to the control group.
  • Myofasical Release -   Its a hands on therapy which uses manual pressure and stretching to release the faction to assist the carpal tunnel.  In a study of four patients with carpal tunnel syndrome, all saw an improvement in both their symptoms and MRI scans after myofasical release treatment. Amanda Oswald, a leading myofascial therapsits has written a book with self-help fascial stretches for Carpal Tunnel Syndrome, Living Pain Free (published by Lotus Publishing in 2017).
Finally, all the therapists in our clinic are qualified to treat Carpal Tunnel Syndrome and can incorporate myofascial release techniques. References https://www.ncbi.nlm.nih.gov/pubmed/8307807 https://www.ncbi.nlm.nih.gov/pubmed/19380259

Does massage help tense muscles or muscle soreness?

A lot of clients visit it us in clinic with tense muscles, which over time can lead to achy muscles and this in turn can then lead to episodes of muscle pain.  Muscle tension refers to the condition in which muscles of the body remain semi-contracted for an extended period.  Muscle tension is frequently caused by the physiological effects of stress.  Massage is well documented to reduce muscle tension  (see top two references).  In addition what is also known to help are

  1. hot baths
  2. yoga
  3. stretching
Muscle soreness, or to be more precise delayed onset muscle soreness (DOMS) is the stiffness and sometimes pain felt in muscles 24 to 72 hours after exercise, sporting or physical activity.  If you are someone that is prone to DOMS reading my previous blog posts may help: Many athletes believe that sports massage helps DOMS and there is scientific evidence to supports this.  (See bottom 4 references). References Longworth JCD.  Psychophysiological effects of slow stroke back massage in normotensive females.  Advances in Nursing Science. 1982 July: 44 - 66 Valentine KE. Massage in psychological medicine - modern use of an ancient art.  New Zealand Journal of Physiotherapy. 1984; 12: 15 - 16 Ernst E. Does post-exercise massage treatment reduce delayed onset muscle soreness? A systematic review. Br J Sports Med 1998; 32(3): 212-4. Ernst E. Manual therapies for pain control: chiropractic and massage. Clin J Pain 2004; 20(1):8-12. O'Connor R, Hurley D. The effectiveness of physiotherapeutic interventions in the management of delayed-onset muscle soreness: a systematic review. Phys Ther Rev 2003; 8(4): 177-95. Wright A, Sluka K. Nonpharmacological treatments for musculoskeletal pain. Clin J Pain 2001; 17(1): 33-46.

More factors that contribute to muscle cramps

Previously I discussed how dehydration & lack of sodium or potassium may cause muscle cramps.  I now want to explore other nutritional factors. Calcium Calcium plays an essential role in muscle contractions.  Some active people report their problem with cramping disappears when they boost their calcium intake.  This anecdotal evidence is disputed by scientists who state that when dietary deficiencies of of calcium occur, calcium is released from the bones to provide what the body needs for proper muscle contraction.  If you are plagued by muscle cramps, it may be worth trying to increase your intake of dairy or other calcium rich foods to see if it helps. Magnesium Just as muscles need calcium to contract they need magnesium to relax. Roffe et al demonstrated that magnesium helps reduce leg cramps that occur in the middle of the night.

Reference

Roffe C1, Sills S, Crome P, Jones P (2002), Randomised, cross-over, placebo controlled trial of magnesium citrate in the treatment of chronic persistent leg cramps. Med Sci Monit. 2002 May;8(5): p326-30.

 

What can help carpal tunnel syndrome?

Previously, I discussed what carpal tunnel syndrome is and how desk based workers have an increased risk.  So what can you do to help youself:

  • Vitamin B6 - Carpal tunnel syndrome has been linked to low levels of vitamin B6, so suplementing with the vitamin may help.  In fact, several trials have found B6 may alleviate the symptoms, even in people who are not deficient in the vitamin.
  • Yoga - In one study a yoga based therapy was more effective at easing carpal tunnel syndrome than improving grip strenght than wrist splints or no treatment.
  • Acupuncture - In one radomised control trail, acupuncture was just as effective as steriod treatment,and it was also better at reducing sleep disturbance and improving never conduction than the drugs and came with minimal side-effects.
  Reference https://www.ncbi.nlm.nih.gov/pubmed/19590482 https://www.ncbi.nlm.nih.gov/pubmed/15098856 https://apb.tbzmed.ac.ir/Article/APB_571_20130114180051 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1949298/ https://www.ncbi.nlm.nih.gov/pubmed/9820263 

What aids chronic knee pain?

According to Arthristis research Uk, many of the 4.5 million people in the Uk with osteoarthritis of the knee, suffer with chronic knee pain.  This includes my dad, so this piece of research caught my attention. A group of researchers from Standord University working with counterparts in China conducted a review of 19 randomised control trials to examine whether accupuncture was effective for knee pain.  They considered both the visual analogue scale (VAS) of measuring knee pain and Western Ontario and McMaster Universitities Osteoarthritis Index (WOMAC). They concluded that accupuncture can be effective in relieving chronic knee pain 12 weeks after treatments. Reference Zhang Q, Yue J, Golianu B, et al Updated systematic review and meta-analysis of acupuncture for chronic knee pain.

Can vitamin D boost fertility?

Given the high prevalence of infertility as well as vitamin D insufficiency in otherwise healthy young women and men and the possible link between vitamin D and human reproduction, is being researched by scientists. Vitamin D has been well-known for its function in maintaining calcium and phosphorus homeostasis and promoting strong bones and teeth. There is some evidence that in addition to sex steroid hormones, the classic regulators of human reproduction, vitamin D also modulates reproductive processes in women and men.  It is well known that Vitamin D peaks in the summer months and drops in the winter months in the Uk and other northern countries that have fewer hours of day light during the winter months.  In these northern countries the conception rate is decreased during the dark winter months; it peaks during the summer leading to a maximum birth rate in the spring. In women with polycystic ovary syndrome (PCOS), low 25-hydroxyvitamin D (25(OH)D) levels are associated with obesity, metabolic, and endocrine disturbances.   Polycystic ovary syndrome is a common cause of infertility.  Researchers concluded that vitamin D supplementation might improve menstrual frequency and metabolic disturbances in those women. The same researchers suggested vitamin D might influence steroidogenesis of sex hormones (estradiol and progesterone) in healthy women and high 25(OH)D levels might be associated with endometriosis. In men, vitamin D is positively associated with semen quality and androgen status. Moreover, vitamin D supplementation might increase testosterone levels. It should be noted that Vitamin D supplementation can't treat infertility alone, but is a safe and cheap treatment, which has been shown to boost fertility in men and women. In addition there is limited evidence that vitamin D exerts some effects on the outcome of IVF treatment. Finally vitamin D deficiency among pregnant women has been associated with elevated risk for other pregnancy complications such as preeclampsia and bacterial vaginosis. References Rojansky N,Brzezinski ASchenker JG. Seasonality in human reproduction: an update.Human Reproduction 1992 7 735745. E Lerchbaum & B Obermayer-Pietshc, Mechanisms in Enocrinology: Vitamin D and Fertility: A systematic review. Eur J Endocrinol May 1, 2012 166765-778

Bodnar LMCatov JMSimhan HNHolick MFPowers RWRoberts JM Maternal vitamin D deficiency increases the risk of preeclampsia. Journal of Clinical Endocrinology and Metabolism2007 92 35173522.

Bodnar LMKrohn MASimhan HN . Maternal vitamin D deficiency is associated with bacterial vaginosis in the first trimester of pregnancy. Journal of Nutrition 2009 139 11571161
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