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Calling all vegans and vegetarians…

Choline is an essential nutrient that humans must get through their diet, the most common food sources are meat, poultry, fish, dairy product and eggs.  Non-meat sources include wheatgerm and brussels sprouts. It is needed to produce acetylcholine an important neurotransmitter for among other things:

  • Memory
  • Mood
  • Muscle control
Researchers have discovered that taking a daily choline dietary supplement could reduce your risk of developing Alzheimer’s and it should be something that vegetarians and vegans in particular should be doing.  The Arizona researchers estimated that the currently daily recommendations of 550mg for men and 425mg for women can be quadrupled without causing any side-effects, and at these higher levels, choline would have a greater protective effect. Reference https://onlinelibrary.wiley.com/doi/full/10.1111/acel.13037

How to increase the chances of a natural birth…

Interventions during labour and childbirth are on the rise but a large proportion of pregnant women would like a natural birth but are concerned about pain relief.  Against this back drop, a recent randomised control trial looked at the effectiveness of a two day birth preparation course  in supporting natural birth. The birth preparation course attended by both the pregnant women and their birthing partners, covered the standard medical advice and self-administered complementary therapies including

  • visualisation, breathing, massage and yoga to enhance relaxation
  • yoga and acupressure to facilitate labour progression
  • breathing, yoga and acupressure to aid pain relief
Those in the control group received the standard medical care advice.  In total 176 women took part in the trail. The results showed a reduction in the use of epidurals and caesarean section in the intervention group when compared to the control group. This trail shows clear evidence of the benefits of complementary therapies to support natural childbirth. Reference Levett KM, Smith CA, Bensoussan A, et al (2016). Complementary Therapies for Labour and birth study: a randomised control trial of antenatale integrative medicine for pain management in labour, BMJ Open 2016

Your energy account

We all know that we aim to have a good nights sleep to wake up full of energy.  But as I have said before, sleep is only one way to boost your energy.   Think of yourself as having an energy account, and energy raising activities e.g. sleep, credit your energy account and energy draining activities e.g. frustration, debit your energy account.  You may find it helpful to work out the balance on your energy account. Use the table below to identify what in your life drains your energy and what raises your energy.

Energy Debits  - Energy Draining Activites Energy Credits - Energy Raising Activities
Unhealthy eating with heavy, rich, fatty, sugary good Health diet with give excellent nutrition supported by vitamin and mineral supplements
Alcohol Cigarettes Drug abuse Over-stimulation (including over work) Natural highs from nature, dance, relaxation, music, physical achievement, humour and creativity.
Sedentary lifestyle Exercise
Fear Worries Anxiety Stress Frustration Depression Feeling things are out of control Security Peace of mind Rest Joy Happiness
Isolation and loneliness Lack of love or support Being dominated Being stuck in the past Close personal relationships Sense of belonging Healthy boundaries Ability to forgive including yourself
No self-expression Boredom Underachievement Creative self-expression Excitement Achieving
Lack of purpose and meaning Clarity about your true values, purpose and meaning
Difficult relationships Good relationships
Lack of spiritual nourishment No sources of uplift Good sources of spiritual uplift
Now you have worked out what is happening to your energy account.  If you are unhappy with how much energy your have then I recommend you go back through the energy raising activities and consider what you can easily incorporate into your life.  Once you had done this and implemented them, then you can go through your energy draining activities and see what you can give up.  It is important to boost your energy first as it put you in to a positive state of mind before tacking what in your life drains your energy.  

How to change your life to boost your fertility

There is plenty of evidence to show that lifestyle can have an impact on fertility.  Here are some tips to boost fertility based on scientific evidence: 1.Cut the caffine In one study, women who consumed a cup of coffee or more a day were half as likely to become pregnant, per menstrual cycle, as women who drank less than that. 2. Stop smoking 3. Avoid Alchol. Even moderate drinking (five or fewer drinks per week) has been linked to infertility. 4. Maintain a healthy weight. Being either excessively overweight or underweight can contribute to infertility in women. 5. Manage stress As infertile couples tend to be more stressed than fertile couples, relaxation techniques like meditation and yoga may help. References Wilcox A, Weinberg C, Baird D 1988 Caffeinated beverages and decreated fertility. Lancet. Dec 24-31;22(8626-8627):1453-6 Augood C, Duckitt K, Templeton AA, 1998 Smoking and female infertility: a systematic review and meta-analysisHuman Reproduction Jun; 13(6):1532-9 Coelho C, Julio C, Silva G, Neves A 2009 Tabacco and male infertility: a retrospective study in infertile couples Acta Med Portuguese Nov-Dec; 22(6):753-8

Jensen TK, Hjollund NH, Henriksen TB el al 1998 Does moderate alchol consumption affect fertility?  Follow up study amoung couples planning first pregnancy British Medical Journal Aug 22; 317(7157):505-10
Green BB, Weiss NS, Daling JR 1988 Risk of ovulatory infertility in relation to body weight Fertil Steril Nov;50(5):721-6
Khalsa HK 2003 Yoga: an adjunct to infertility treatment Fertil Steril Oct;80 Suppl 4:46-51

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.
What can I do to help myself? If you are in pain then rest and ice your tendon, to ice it wrap ice cubes in a tea-towel and hold against your tendon for 5 - 20 minutes, every 2 hours for 2 -3  days and then 3 times a day. The key to preventing further bouts is to ensure your are wearing appropriate footwear for the sport you are doing, ensure you warm up and cool down properly and always stretch your calf muscles. In addition a deep tissue massage release any tension in the tendon, remove scar tissue and ensure that your calf muscles are flexible.  

Forget what you think you know about Parkinson’s …

There seems to be a trend at the moment of researchers discovering that chronic disease starts in the gut. A theory was proposed in 2003 that was that Parkinson’s which is seen as a brain disease originates in the gut.  Now researchers from Aarhus University in Denmark have confirmed that Parkinson’s migrates from the gut. Another important discovery is that the hearts of people with Parkinson’s can also be affected.  In fact, the protein alpha-synuclein starts in the gut, then damages the heart before moving on to the brain.  They also discovered that it’s in the heart where the damage to the nervous system begins. Researchers now say that a build-up of the protein alpha-synuclein in the gut can be detected up to 20 years before the disease manifests.  Researcher Per Broghammer says that understanding where Parkinson’s originates is the first step towards preventing the disease and developing an effective treatment. Reference https://link.springer.com/article/10.1007/s00401-019-02040-w

Thai massage can help with Parkinson’s symptoms

Parkinson's disease affects 1 in 350 people in the UK (Parkinson's UK, 2018). A ransomised controlled trail allocated 30 patients with Parkinson's and muscle weakness to receive either six Thai massage treatments in three weeks alongside standard medical care or standard medical care alone. Patients in the Thai masage group showed significant improvements in their peak flexion torque,  peak extension torque and time to maximal flexion speed. In conclusion the Thai massage study suggested Thai massage could help improve arm muscle strenght in people with Parkinsons. References https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5934701/

Myofascia – part 2

Last week I explained what myofascia is and how it can become restricted from, for example, poor posture. How to identify Myofascial Restrictions? It is important to acknowledge that it is difficult to diagnose myofascial restrictions as they do not show up on standard tests (x-rays, myelograms, CAT scans, electromyography etc). Massage therapists utilise their palpation skills to find myofascial restrictions. For example fascial drag, this is a very light press & slow technique to allow the therapist to feel the restrictions in the fascia. Who treats Myofascial Restrictions?

  1. Myofascial Release – Originated in the 1940’s. It is a specialised physical and manual therapy used for the effective treatment and rehabilitation of soft tissue and fascial tension and restrictions. John Barns a physical therapist based in the US is one of today’s leading lights in the world of myofascial release.
  2. Rolfing – Dr Ida Rolf, started working with client in the 1930’s and by the 1950’s was teaching her work under the name of Rolfing .   A physical therapy which aims to release stress patterns from the body.   It is normally to require a series of treatment often up to 10.
  3. Massage – massage therapists utilise direct and indirect technique to address Myofascial restrictions.
With indirect Myofascial techniques you apply pressure and wait of the fascial to release, when you meet restriction you stretch the fascia. With direct Myofascial techniques you drag the fascia to create a Chinese burn sensation.   Hence why in clinic I often rely on the gentler indirect Myofascial techniques even when I know my clients prefer deep pressure.

How to avoid jet lag?

I know lots of people love travelling, but travelling to a new time zone can result in jet lag.  Personally I did so much business travelling in my late 20's and then in my 30's I travelled for pleasure, that more recently I have been happy to stay put in England and simply pop over to Europe when I wanted some sun.  This year I am planing to go on a training course in Canada so when I saw some recent research on avoiding jet lag it caught my eye. Jet lag occurs when your circadian rhythms are slow to adjust to the new time zone and remain on their original biological schedule for several days. This results in your body telling you it is time to sleep, when it's actually the middle of the afternoon, or it makes you want to stay awake when it is late at night. Here are some tips for minimizing the occurrence of jet lag:

  • Select a flight that allows early evening arrival and stay up until 10 p.m. local time. (If you must sleep during the day, take a short nap in the early afternoon, but no longer than two hours. Set an alarm to be sure not to over sleep.)
  • Avoid alcohol or caffeine at least three to four hours before bedtime. Both act as "stimulants" and prevent sleep.
  • Try to get outside in the sunlight whenever possible. Daylight is a powerful stimulant for regulating the biological clock. (Staying indoors worsens jet lag.)
  • On the flight set the time on your watch to the local time of your destination so you can mentally start adjusting to the new time zone.
  • When you arrive eat with the locals.
Traditionally people have just slept off jet lag.  Recently university researchers in Surrey tested their theory that instead of sleeping, you should start eating meals at the same time as the locals.  They tested the theory on 60 long haul cabin crew workers, who either ate meals regularly on their days off in the destination city or followed no meal plan and ate when they felt like it.  Although both groups suffered some jet lag, the symptoms were less severe among those who followed a regular meal plan based on the local time.  They were also more alert. Reference Cristina Ruscitto, Jane Ogden. The impact of an implementation intention to improve meal times and reduce jet lag in long-haul cabin crew. Psychology & Health, 2016; 1 DOI: 10.1080/08870446.2016.1240174
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