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Runner’s Knee

What is runner's knee? Iliotibial band (ITB) syndrome, or runner's knee, got its nickname for an obvious and very unfortunate reason—it's common among runners.  The resulting pain on the outside of the knee, comes on when running, stops when you rest and then starts again when you resume running.  Some runners feel something catching on the outside of their knee or a "twang" over the bone on the outside of their knee. What causes runner's knee?

  • Long distance running
  • Excessive eversion of the feet
  • Running on uneven terrain or on cambered roads
  • Lack of core strength
  • Mobility issues in your lower back or hips
How can I prevent runner's knee?
  • Listen to your body - stop running if you feel and sharp or shooting pains and review your running style.
  • Strengthen your core including your glutes as this will help you run longer and longer distances and will ensure you have adequate strength when running up and down hills.
  • Ensure your Iliotibial band and thigh muscles are flexible.
  • Avoid running down hill or on a cambered road
  • If your feet naturally evert then book an appointment to see a podiatrist to see if you need shoe orthotics.
Is there anything else that can help? Either deep tissue or a sports massage can loosen a tight Iliotibial band and release any tension in the hips, quadriceps and lower back muscles.  

Natural ways to reduce anxiety – Part 5

Having looked at exercise (yoga) and breathing I now want to move on to look at nurtition. Studies of animals suggest that the amino acids L-lysine and L-arginine may influence neurotransmitters involved in stress and anxiety.  In humans supplementing with the two together appears to reduce both state anxiety (temporary anxious feelings that arise when comfronted by a specific situation) and trait anxiety (a general tendancy to be anxious) in healthy men and women subjected to stressful situations. Taking L-lysine alone has also been shown to reduce chronic anxiety in people with low dietary intake of the amino acid. References https://www.ncbi.nlm.nih.gov/pubmed/14676321 https://www.ncbi.nlm.nih.gov/pubmed/14609314 https://www.ncbi.nlm.nih.gov/pubmed/17510493

My top exercise

My top exericse, is very underrated, it is walking, I love it. Here is why. 1. Walking is good for everyone.  Doctors agree  including the elderly, morbidy obese, arhritic and pregnant women.  Walking is gentle enough for most people who have these conditions and the activity can help ease the pain of chronic illness. 2. Walking is free  and easy - no expensive gym fees and no equipment needed! 3. Walking is linked to lower rates of obesity.  People who walk to work are less likely to be obese, 30 minutes walking a day burns 150 calories..  A 2015 study found that even walking just 20 minutes a day can reduce your risk of premature death by 30%. 4. Walking prevents diabetes as it helps regulates blood sugar levels, which in turn keeps insulin levels low at diabetes at day.  A 15 minute walk after a meal is all that is need to help regulate blood sugar levels. 5. Walking is good for year heart. A 2013 study found that walkers who cover the same mileage as runners enjoy comparable reductions in high blood pressure, high cholesterol and coronary heart disease. While it took twice as long for walkers to cover the distance, walking may be a more sustainable and accessible activity than running for most people, especially those who are new to exercise. 6. Walking helps you get a good nights sleep.  Travel experts adivse when you arrive at a new city on the day you arrive to walk around.  The reason is that you expose your body to sunlight and saying outside until it grows dark helps you to recalibarte the hormone melatonin to your new time zone.  As melatonin rises so does feelings of sleepiness. 7. Walking improves your mood protecting you from both anxiety and depression.   Moving your body is a well-known way to release endorphins, a set of feel-good chemicals that dull pain receptors in the brain, sedate you and even give you feelings of happiness and euphoria. That’s why exercise in general, and walking in particular, is recommended to help improve symptoms of mild to moderate depression. A 2005 study found that walking briskly for 35 minutes five times a week, or 60 minutes three times a week, had a significant influence on mild to moderate depression symptoms. References 2015 Study see >> https://www.express.co.uk/life-style/health/552048/Brisk-20-minute-walk-each-day-could-reduce-risk-early-death 2013 Study see >> http://time.com/3668654/exercise-obesity-walking-premature-death/ Exercise for depression study see >> https://www.theatlantic.com/health/archive/2014/03/for-depression-prescribing-exercise-before-medication/284587/  and the 2005 study see >> https://www.health.harvard.edu/mind-and-mood/exercise-is-an-all-natural-treatment-to-fight-depression  

Having a ball?

Previously I have written my guide to foam rolling parts 1 & 2.  Now I want to explore the uses for another self-massage tool, the spikey ball.  I would recommend you use both a foam roller and a spikey ball the reason is that for some parts of the body it is easier to use a spikey ball, for example: Releasing the feet Stand on one leg use a chair or the wall for balance.  Roll one foot at a time over the ball for a good few minutes.  Include the heel, the outside edge and the instep.  Push down stronger into any area to deepen the intensity.  Do each foot separately. Between the shoulders A common area of tension with modern postural habits is between the shoulder blades.  You can easily reach this area with a ball placed anywhere between the shoulder blades and move up and down against the wall.  One tip to stop the ball dropping it to put it in a long sock or stocking, drap it over your shoulder and then hold it in your hand. Lower back - Under sacrum and glutes You can use the floor of resistance to press your weight into or when lying to let gravity give you a help in hand.  Simply lie on the floor, bend your knees but keep your feet flat on the floor.  Then place the ball underneath your sacrum – the large triangular bone that forms part of your pelvis.  Now move just gently move your sacrum and glutes all over the ball.   If it feels safe to do so your can bring your knees into your chest to add additional pressure.  This will help release off your lower back.

How does NMT work?

I previously explain what NMT or Neuromuscular Technique is.  In this blog post I want to focus on how NMT works. With NMT when the static pressure is applied to the muscle, a message is sent from the muscles (via the golgi tendons & the muscles spindles both of which are part of the nervous system) to the brain and then the muscle relaxes.  Within the muscles

  • Golgi tendons respond to load or force on the muscle
  • Muscle spindles respond to the length of the muscle
The Golgi tendon operates as a protective feedback mechanism to control the tension of an active muscle by causing relaxation before the tendon tension becomes high enough to cause damage. As the muscle relaxes it may cause a change in length which causes the muscle spindles to be reset. There is a variety of ways that massage therapists utilise these mechanisms within a massage to trigger the body's self protection system to relax muscles.

So you thought you knew what causes hardening of arteries … think again

The standard theory of heart disease states that fatty foods cause the arteries to "clog up" and narrow, which is a major feature of cardiovascular disease.  Researchers have discovered that a lack of sleep seem to have more to do with hardening of the arteries (atherosclerosis) than a fatty diet. Not getting enough sleep on a regular basis can cause a buildup of plaque in the arteries, which causes them to stiffen and eventually close. Researchers at Massachusetts General Hospital now think that hardening of arteries has more to do with a "neuro-immune axis" linking sleep to the cardiovascular system.  Sleep helps regulate the production of inflammatory cells and maintain healthy blood vessels, and so it would follow that lack of sleep has the reverse effect. The researchers demonstrated the effect on a group of laboratory mice.  Although the cholesteral levels of sleep deprived ice remained the same, they developed larger arterial plaques and had double the number of inflammatory cells known to contribute to hardening of arteries. Reference Tall AR, Jelic S. How broken sleep promotes cardiovascular disease. Nature. 2019 Feb;566(7744):329-330

Did you know this reduces your changes of getting a cold or flu?

When I worked in an office, this was the time of the year when everyone either got the office cold or sometimes even worse flu, so I wanted to share something that can reduce your chance of getting one. Garlic has been used for centuries as both a food ingredient and a medicine.  Garlic contains compounds that help the immune system fight germs and has show promise as a treatment for preventing colds and the flu.  Studies have shown that garlic reduces the risk of becoming sick in the first place, as well as how long you stay sick.  It can also reduce the severity of symptoms. One study gave 146 healthy volunteers either garlic supplements or a placebo for three months. The garlic group had a 63% lower risk of getting a cold, and their colds were also 70% shorter.  Another study found that colds were on average 61% shorter for subjects who ate 2.56 grams of aged garlic extract per day, compared to a placebo group. Their colds were also less severe. If you often get sick with a cold or flu, eating garlic can help reduce your symptoms or prevent your illness entirely. However, a review of the evidence found that many of the studies investigating the effects of garlic on the common cold were of poor quality. Reference https://www.ncbi.nlm.nih.gov/pubmed/25961060 https://www.ncbi.nlm.nih.gov/pubmed/11238820 https://www.ncbi.nlm.nih.gov/pubmed/22280901 https://www.ncbi.nlm.nih.gov/pubmed/11697022 https://www.ncbi.nlm.nih.gov/pubmed/22280901

Can daily dark chocolate boost athletic performance?

I will begin with a confession, I love dark chocolate.  So I am an avid reader of any scientific research on dark chocolate, as its always good to be able to justify eating chocolate for its health benefits! Recently a research team studied nine amateur cyclists to establish whether epicatechin, a type of flavanol found in the cocoa bean, would increase nitric oxcide production in the body.  Nitric oxide expands blood vessels, allowing more oxygen to get to vital organs, which boosts endurance and sports performance.  The cyclists were divided into tow grounds, with the first instructed to replace a normal daily snack with 40g of dark chocolate for two weeks, while the other group did the same for white chocolate. The two groups were assessed in cycling exercise tests in the laboratory to measure heart rates, oxygen consumption levels during moderate exercise.  The groups switched chocolate types after a one-week interval and repeated the tests.  The cyclists eating dark chocolate were found to use less oxygen and covered more distance in time trails compared to the cyclists eating white chocolate. So maybe dark chocolate shoulder become a staple part of endurance althlete's diets. Reference R K Patel, J Brounder, O Spendiff, 2015, Dark chocolate supplementation reduces the oxygen cost of moderate intensity cycling, Journal of International Society of Sports Nurition, 12:47.

Smell the wellness

I had always assumed that its just tradition that you buy flowers for somebody that is ill.  Speaking as a woman who loves flowers, its always nice to receive flowers but I had underestimated their power. Research completed by the American Society of Horticulture Science discovered that surgical patients exposed to flowers or plants in their recovery rooms have

  • lower blood pressure
  • lower heart rates
  • less pain
  • less anxiety
  • less fatigue
When compared to patients who whose rooms have no foliage, flowers or plants.   In fact, patients who had plants in their room even reported more positive feelings and satisfaction about their rooms than those without plants. So clearly there is a lot of wisdom in the tradition of buying flowers for people when they are ill. Reference https://journals.ashs.org/horttech/view/journals/horttech/18/4/article-p563.xml

Why do muscles get stiff and painful?

Muscle fibers are designed to tense and relax and go through a natural tense/relax cycle as you use your body.   A muscle under sustained tension without a corresponding relaxation phase becomes stiff and eventually spams causing pain. There are three reasons why muscles don’t relax:

  • Overuse is for example when you injury yourself in the gym.
  • Disuse is when your muscles tense when you are at your desk due to the body’s natural response to the demands and pressure you are under.  Muscles are designed to be used which means if you sit still for long periods the muscular tension doesn’t dissipate.
  • Misuse for the majority of people this is due to poor habits when walking, standing and sitting.  Sedentary lifestyles means the muscles of the legs are often held in contracted positions for long periods of time and which can lead to stiffness.  Sitting at computers for long hours keeps the neck and back in fixed positions causing the same muscles to contract which can lead to muscle tension and in some people muscle pain.
What can I do to prevention muscular stiffness and pain?
  • Stretching Often - Stretching is, of course, a valuable way to relieve muscle stiffness.
  • Exercise - Exercise in general is extremely good for releasing muscular stiffness, improving your mood and creating good health.
  • Yoga -You can also consider yoga, which is a form of both exercise and stretching, and may have a positive effect on your future muscle discomfort.
  • General Health - Your muscles are also very sensitive to your general health as well. You need to do anything you can to make sure you're getting enough sleep, eating protein, and drinking water. These small changes are going to improve your muscle health, which should improve the way your muscles deal with demanding lifestyles.
  • Massage - Massage is an excellent way to combat muscle stiffness and pain.
Both deep tissue and sports massage help to release muscular stiffness and pain, in addition sports massage treats sports injuries.
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