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Sleep is good for your arteries

For a while there has been an assumed link between poor sleep and heart disease but it was not understood.  Now fresh evidence suggests that sleep regulates a mechanism that can help to protect arteries from hardening.  Which reinforces the notion that good quality sleep is important for cardiovascular health. Researches studied the development of atherosclerosis - the process through which plaques or fatty deposits build up inside arteries causing them to narrow and stiffen.  They discovered sleep disturbed mice:

  • Developed larger plaques in their arteries than mice that slept well.
  • Had higher amounts of circulating, inflammatory cells.
  • Produced lower amounts of hypocretin - a brain hormone that controls wakefulness.
Researchers also saw a reduction in atherosclerosis and inflammatory cells in these mice after they recieved hyocretin supplementation. Subject to confirmation in humans, the findings demonstratet that sleep influences cardiovascular health by regulating hypocretin production in the brain. Reference https://www.nature.com/articles/d41586-019-00393-6  

Can reflexology help control symptoms in cancer patients undergoing treatment?

Following on form last week's article where I explained that I believe in complementary medicine rather than alternative medicine, I wanted to share some scientific evidence. Between June 2015 to February 2016 a randomised clinical trail was carried out in the US looking at how effective reflexology was in assisting patients with colorectal cancer who received chemo radiotherapy.  60 patients were split into 3 groups.  The first group received massage using classical massage techniques.  The second group received reflexology.  The final group, the control group, only received hospital standard care.  All patients received were provided with the same clinic routine care. The researchers collectd data using an introductory form and the European Organisation for Research and Treatmend of Cancer quality of life questerionaires (C30 & CR29). The first group who receive classical massage found it was

  • effective in reducing pain levels
  • effective in reducing distension incidence
The second group,  the reflexology group recived foot reflexology focusing on symptom-oriented reflexes twice a week during a 5-week chmeo radiotherapy treatment schedule.  They found it was
  • effecitve in reducing pain levels
  • effective in reducing fatigue levels
  • lower incidence of distension
  • lower incidence of urinary frequency
  • improved quality of life
In conclusion this randomised control trial of cancer patients on chemo and radiotherapy treatments showed reflexology lowered the impact side-effects of standard care and improved quality of life. https://www.ncbi.nlm.nih.gov/pubmed/28176423  

The Impact of Sitting All Day – Part 1

For most people know they sit all day as part of their job.  Recently there has been a spate of article in the press about the impact of sitting all day, so I wanted to take some time to look at the impact of sitting all day.

Sit up Straight

I want to start this series of articles on a positive note, as most of my clients have to sit to work, the negative impact of sitting is minimised if you sit correctly. As your Mum always said, "Sit up straight", i.e.
  • Not leaning forward
  • Shoulders relaxed
  • Arms close to sides
  • Elbows bent 90°
  • Lower back should be supported
  • Feet flat on floor

So what happens if you don't sit up straight?

As you would expect from a masseur I am going to start by looking at the impact on your muscles.

Strained Neck & Sore Shoulders

If most of your sitting occurs at a desk at work, craning your neck forward toward a keyboard or tilting your head to cradle a phone while typing can strain the cervical vertebrae and lead to permanent imbalances.  The neck doesn't slouch alone. Slumping forward overextends the shoulder and back muscles as well, particularly the trapezius, which connects the neck and shoulders. Here at Vitality Therapy we offer Seated Acupressure Massage to directly address these issues.

Bad back

When we move around, soft discs between vertebrae expand and contract like sponges, soaking up fresh blood and nutrients. But when we sit for a long time, discs are squashed unevenly. Collagen hardens around supporting tendons and ligaments.  So people who sit more are at greater risk of slipped disks or herniated disks.

I recommend the Yoga position cat-cow for increasing your spinal flexibility. (Click here for guidelines on how to do cat-cow.)

When you sit for a long time, a muscle called the psoas travels through the abdominal cavity and, when it tightens, pulls the upper lumbar spine forward. Upper-body weight rests entirely on the ischial tuberosity (sitting bones) instead of being distributed along the arch of the spine.  A sports massage or a deep tissue massage can release a tight psoas muscle.  

Mushy abs

When you stand, move or even sit up straight, abdominal muscles keep you upright. But when you slump in a chair, they go unused. Tight back muscles and wimpy abs form a posture-wrecking alliance that can exaggerate the spine's natural arch, a condition called hyperlordosis, or swayback.  So sitting up straight is the first step to good abs!

Tight hips

Flexible hips help keep you balanced, but chronic sitters so rarely extend the hip flexor muscles in front that they become short and tight, limiting range of motion and stride length. Studies have found that decreased hip mobility is a main reason elderly people tend to fall.  So when you are in the gym remember tohttp://vitalitytherapy.co.uk/wp-admin/post-new.php stretch your hip flexors.

Limp glutes

Sitting requires your glutes to do absolutely nothing, and they get used to it. Soft glutes hurt your stability, your ability to push off and your ability to maintain a powerful stride when walking.  They can impact your performance when you run, as all powerful glutes are the key to increasing your speed and powering you up hills.

Headaches Treatment & Prevention – Part 3

Having looked at how to describe and classify headaches & migraines in my introduction, I then moved on to look at how massage can help sufferers in part 1. Then in part 2 I looked at how nutrition and Bowen technique could help.  I want to continue to explore the impact of complementary therapies on headaches. Cranio-Sacral Therapy Cranio-sacral therapy is a system of alternative medicine intended to relieve pain and tension by gentle manipulations of the skull regarded as harmonizing with a natural rhythm in the central nervous system. Cranio-sacral therapists suspect the occipito-atlanteal junction at the top of the neck may contribute to the cause of headaches especially migraines.  If the first vertebrae and the occipital condyles at the base of the skull become jammed together or fixed, which effects the vagus nerves, throwing the parasympathetic nervous system into dysfunction.  Cranio-sacral therapists report releasing the occipital condyles nearly always results in the reduction of migraines patterns in clients. Acupuncture Acupuncture is a treatment derived from ancient Chinese medicine in which fine needles are inserted at certain sites in the body for therapeutic or preventative purposes.  There is some scientific evidence acupuncture has a beneficial effect on headaches and migraines (see >> http://www.nhs.uk/Conditions/Acupuncture/Pages/Evidence.aspx)

What causes my muscles to knot?

What are knots:

  • Muscle knots are points within a muscle where contracted fibers are unable to relax.
  • The dictionary is: “highly irritable localized spots of exquisite tenderness in a nodule in palpable taunt bands of muscle tissue.”
  • The medical term for muscle knots is myofascial trigger points.
Knots are thought to be caused by the building up of protein after the release of lactic acid. Knots cause pain in two ways:
  • Active An active trigger point or knot is one that actively refers pain either locally or via nerve pathways to another location in the body.  Active trigger points are the one that clients are aware of and cause them to book to see a masseur.
  • Latent A latent trigger point is one that isn’t painful until pressure is applied to it.  This is when clients come to me and they find that during the massage they feel pain that they hadn’t felt before the treatment.
How can I prevent knots? Occasional knots are inevitable, but if you get a lot of them it is worth considering the following
  • Your posture
  • Your potassium and calcium levels as both help to prevent knots
  • Being dehydrated doesn’t help
  • Your posture
  • Stretching may help release knots
How can I release knots? If you didn’t manage to prevent knots you then need to consider how to release them.
  • To self-treat a muscular knot put a tennis ball in a sock (it makes it easier to hold on to the ball), simply place the tennis ball in the sock against either a wall or the floor and then press the part of your body with the knot on to it and move your body up and down.
  • As an alternative, you could apply a deep, stroking massage directly to the muscle knot.
  • The alternative is to visit a masseur.
 

How do your friends impact your health?

In my last blog article, I explored how your social network including your friends and family impact your motivation to be healthy. Being part of a group, or better yet, lots of groups is good for your health.  The kind of groups doesn't seem to matter - it could be a family group, friendship group, religious or spiritual group, tennis or book club.  What is important is that you identify with it and see it as a meaningful part of your life. Here are five good reasons why?

  1. It can help you live longer
    • "As a rule of thumb if you belong to no groups but decide to join one, you cut the risk of dying over the next year in half" R Putman, Bowling Alone.
    • An adequate social life provides health benefits on a par with quitting smoking
    • The benefits of social ties are akin to those of exercise once you retire.  In one study retirees belonging to two social groups had a 2% risk of death but if they lost touch with both groups it jumps to 12%.
  2. It can protect your heart
    • Heart disease is generally lower for those who are members of a social group.
    • The risk of death from heart disease diminishes if you belong to more than one social group.
  3. It can cut your risk of a cold
    • Those belonging to a wide range of social groups e.g family friends, work, recreation or religious groups are least likely to come down with a cold.  Six or more types of diverse groups cut the risk of a cold more than four times.
  4. It can alleviate depression
    • The more social groups you belong to the less likely you are to suffer from depression.
    • If you are depressed, joining a group can help you recover and cut the risk of a relapse by nearly a 1/4 if you join one group or by almost 2/3 if you join three.
    • If you are a member of a religious or spiritual group you are less likely to have depressive symptoms and more likely to have feelings of well being.
  5. It motivates you to be healthy
References J Holt-Lunstad, T B Smith, J B Layton (2010) Social Relationships and Mortality Risk: A Meta-analytic Review, Plos Medicine NK Steffens, T Cruwys, C Haslam, J Jetten, S A Haslam Social group memberships in retirement are associated with reduced risk of premature death: evidence from a longitudinal cohort study, BMJ Open Volume 6 Issue 2 D Reed, D McGee, K Yano, M Feinleib (1983) Social Networks and coronary heart disease among Japanese men in Hawaii, American Journal of Epidemiology 117(4) 384-96
DC Classen, SL Pestotnik, JF Lloyd, JP Burke (1997) Adverse drug events in hospitalised patients.  Excess length of stay, extra costs and attributable mortality JAMA   Jan 22-29;277(4):301-6.
F Tabassum, J Mohan, P Smith (2016) Association of volunteering with mental well-being: a lifecourse analysis of a national population-based longitudinal study in the UK BMJ Open 6(8)
A Moe, O Hellzen, K Ekker, I Enmarker (2013) Inner strength in relation to perceived physical and mental health among the oldest old people with chronic illness Aging Mental Health 17(2):189-96.
M P Aranda (2008) Relationship between religious involvement and psychological well-being: a social justice perspective Health and Social Work 33 (1): 9 - 21
M Tarrant, K Warmoth, C Code, S Dean, V A Goodwin, K Stein, T Sugavanam (2016) Creating psyhcological connections between intervention recipients: development and focus group evaluation of a group singing session for people with aphasia BMJ Open 2016; 6(2)

What is Reflexology?

Reflexology is a holistic treatment where pressure is applied to the feet using the hands.  It was rediscovered in the 1920’s by an American doctor who utilised it for its pain relieving properties to perform minor operations without anaesthesia.

Why does slumping at your desk contribute to lower back pain?

We all know that we should maintain good posture when sitting rather than slumping (poor posture) to avoid lower back pain, but why? The human spine is an upright bendy column and in someone with good posture it’s an S shape.  With perfect posture a straight line can be drawn through the ear, the tip of the shoulder, the front of the knee joint and the back of the ankle. The spine is made of 24 vertebrae or segments.  If we look at the S shape it consist of the cervical lordosis which is the arch in the neck, this is followed by the thoracic kyphosis which is an arch in the chest in the opposite direction, this is then followed by the lumbar arch or lumbar lordosis which is the hollow in the lower back. Perfect lumbar lordosis (or perfect arch in your lower back) helps

  • Ensure the correct distribution of your body weight
  • Allows your lower back to bow forwards slightly when walking to absorb the impact during walking
The lumbar lordosis lessens when we are sitting as our pelvises tip backwards on to the sitting bones and increases when we stand.   This explains why some people with lower back pain feel worse when sitting and better when standing.  Furthermore sitting for long periods of time in a slumped “C” shaped posture, changes our weight distribution through our spine, compressing the lumbar vertebra which often leads to lower back pain. So what is good sitting posture? When seated, keep these tips in mind:
  • Choose a chair that allows you to rest both feet flat on the floor while keeping your knees level with your hips. If necessary, prop up your feet with a footstool or other support.
  • Sit back in your chair. If the chair doesn't support your lower back's curve, place a rolled towel or small pillow behind your lower back.
  • Stretch the top of your head toward the ceiling, and tuck your chin in slightly.
  • Keep your upper back and neck comfortably straight.
  • Keep your shoulders relaxed — not elevated, rounded or pulled backward.

Remember

Although good posture should be natural, you might feel wooden or stiff at first if you are used to slumping rather than sitting up straight.  The key is to practice good posture all the time, and be extra vigilant when you are really concentrating, getting tired or its late in the day. You can make improvements at any age. Stretching and core strengthening exercises can help, too. And if you have got lower back pain, why not try massage.  

What is the history of Reflexology?

A 2,300 B.C wall painting in the tomb of Ankmahor, known as the physicians’ tomb, shows a series practitioners giving patients reflexology treatments. In addition, there is evidence that reflexology was known to some early African tribes and the American Indians. Dr William Fitzgerald and American ENT (ear nose and throat) consultant rediscovered it in the early 1920s. He found that by applying pressure to reflex points on the feet, he could anaesthetize a patient’s ear and this enabled him to perform minor ear operations. Eunice Ingham, a nurse, publicised much of Dr Fitzgerald’s research by treating patients, lecturing and training practitioners including Dorean Bayley who introduced the therapy into England in the early 1960s.

The role of Vitamin D in common ailments

Low levels of vitamin D in childhood have traditionally been linked to rickets, which thankfully is now very rare.  However, there is a growing body of evidence shows that low levels of vitamin D are linked to a huge variety of current common medical conditions. Cardiovascular disease Vitamin D is very important for reducing hypertension, atherosclerotic heart disease, heart attack and stroke. One study showed that vitamin D deficiency increased the risk of heart attack by 50 percent. (see >> https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2851242/) Autoimmune diseases Vitamin D is a potent immune modulator, making it very important for the prevention of autoimmune diseases.  Research has shown that MS is more common in countries further away from the equator (see>> http://www.bmj.com/company/wp-content/uploads/2016/11/JNNS-MS-lat.pdf).  In 2016 researches found that low levels of Vitamin D were common in people with inflammatory bowel disease (IBD) and is associated with higher morbidity and disease severity.  (see >> http://www.nature.com/ajg/journal/v111/n5/full/ajg201653a.html) Migraine Recent research also suggests vitamin D can play a role in migraines. Researchers at Cincinnati Children's Hospital Medical Center found that many who suffer from migraines have deficiencies in vitamin D, riboflavin (B2) and coenzyme Q10 (CoQ10).  (see >> http://www.medicaldaily.com/migraine-headaches-vitamin-d-riboflavin-coenzyme-q10-389272) Girls and women who suffered migraines were particularly prone to having CoQ10 deficiency, while boys and men were more likely to be deficient in vitamin D. Those with chronic migraines were more likely to have CoQ10 and riboflavin deficiencies, compared to those with episodic migraines. Neurological/psychological/mental disorders Vitamin D also plays a major role in neurotransmission, and vitamin D deficiency has been associated with a number of neurological and brain disorders, including cognitive dysfunction and Alzheimer's disease, schizophrenia, Parkinson's disease, stroke, epilepsy and depression. In one study, those who were most vitamin D deficient had a 31 percent increased relative risk of suffering neurocognitive decline. (see >> http://nervedoctor.info/research-reveals-which-chronic-illnesses-caused-by-vitamin-d-deficiency/)  

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