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Is exercise beneficial for Neck & Shoulder pain?

The first reaction when we are in pain is often to take a painkiller.  I know from experience in clinic, when that the painkiller stops working that is when our clients book a massage.  But would exerise help?  To me it is counter-intuitive to exercise when in pain so I was interested in a recent study that looked into this. A study of 176 people investigated if the standard Fustra20Neck&Back exercise programme (scroll to bottom for full details) for reducing pain and increasing fitenss of office workers with neck or lower back pain works.  All the participants sat for at least 6 hours a day at a desk and had experienced at least 2 episodes of moderate pain in the last month before the study started.  The study participants included both men and women between 30 - 50 years old.  Half were asigned to the exericse group and half to the control group.  The exercise group carried out the Fustra20Neck&Back exercise programme for 1 hour twice a week for 10 weeks. More than 90% of the particpants in the exercise group found that the intensity of the pain and fequency of the pain decreased significantly.  Improvements in neck & shoulder flexibility and quality of life were also recorded.  However there was no significant differences in lower back pain. Reference

Suni JH, Rinne M, Tokola K, et al
Effectiveness of a standardised exercise programme for recurrent neck and low back pain: a multicentre, randomised, two-arm, parallel group trial across 34 fitness clubs in Finland
Fustra20Neck&Back exercise programme The programme comprised a 10 minute aerobic warm-up on a cross-trainer.  Then 10 functional flexibility exercises, four strength exercises, five core exercises and a 10 minute cool down. Click below to see the 10 functional exercises for your shoulders.      

Click below to see the strenght and core exercises.

What helps fight colds? Part 2

In Part 1, I gave you some ideas for preventing and stopping colds.  But in this article, I want to focus on if you have a blocked or stuffy nose. Propolis This is found in a variety of comercial cold remedies.  A water based nasal spray tested on children has been show to improve the symptoms of comon cold and reduce the number of disease-causing bugs in the airways. Steam If I get a blocked nose, I inhale steam to assit me to blow my nose clear. Nasal Rinsing This technique is where you use a container called a neti pot or nasal cup filled with a salt water solution to flush ou the nasal passages.  This can be used to both treat and prevent colds.  There is evidence that it can help clear a blocked nose, soothe a sore throat and even reduce the chanes of getting sick again.  If using a neti pot doesn't apeal you can buy saline nasal sprays. References Crişan I, Zaharia CN, Popovici F, Jucu V, Belu O, Dascălu C, Mutiu A, Petrescu A. Natural propolis extract NIVCRISOL in the treatment of acute and chronic rhinopharyngitis in children. Rom J Virol. 1995 Jul-Dec;46(3-4):115-33. https://www.ncbi.nlm.nih.gov/pubmed/9179964 Slapak I, Skoupá J, Strnad P, Horník P. Efficacy of isotonic nasal wash (seawater) in the treatment and prevention of rhinitis in children. Arch Otolaryngol Head Neck Surg. 2008 Jan;134(1):67-74. https://www.ncbi.nlm.nih.gov/pubmed/18209140

Top tips for preventing sports injuries

Many sports injuries occur because people don't know how to prevent them. Here are some tips to help prevent injuries:

  1. Always wear the correct gear. Players should always wear appropriate and properly fitted protective sports gear such as pads (neck, shoulder, elbow, chest, knee, shin), helmets, mouthpieces, face guards, protective cups, and/or eye wear.
  2. Increase muscle strength.
  3. Increase flexibility. Stretch!
  4. Use the proper technique.
  5. Take rests.
  6. Follow the rules of your sport and play safe.
  7. Stop the activity if there is pain.
  8. Keep hydrated.
Remember if you do get injured Vitality Therapy offers sports massage to help you recover.  

Does massage help you if you have achilles tendinopathy

Achilles tendinopathy affects 150,000 pepole in the UK every year (Davies, 2019). Tendinopathy, also known as tendinitis or tendonitis, is a type of tendon disorder that results in pain, swelling, and impaired function. The pain is typically worse with movement.  Given the achilles tendon connects the calf muscles to the foot at the heel - so impared function impacts your ability to walk and exercise. Scientists at the University of Iceland and University of Copehagen recruited 60 patients with Achilles Tendinopathy and assigned them to three groups:

  1. Eccentric exercise protocol (rehabilitation exercises)
  2. Pressure massage
  3. Eccentic exercise protocol and pressure massage
The scientists monitored all three groups progress.  In the second group the participants received pressure massage from a therapist twice a week for 6 weeks and once a week for the next 6 weeks. Symptoms in all groups improved, but the pressure massage group improved significantly more that the eccentric exercise protocol group after four weeks, suggesting that althought both exercise and massage improved outcomes, the pressure massage group acheived faster results. So if you have any issues with your achilles tendon why not book a massage? Reference: Stefansson SH, Brandsson S, Langberg H, Arnason A. Using Pressure Massage for Achilles Tendinopathy: A Single-Blind, Randomized Controlled Trial Comparing a Novel Treatment Versus an Eccentric Exercise Protocol. Orthop J Sports Med. 2019;7(3)

Muscle Cramps Summary

Muscle cramps are painful, a great nuisance but they are a benign condition.  (see what are muscle cramps).  Their importance is linked to the discomfort and inconvience they cause.  Their exact cause is unknown, (see what causes muscle cramps) although they are more likely to occur as we get older and  some people are predisposed to getting them. The following contribute to muscle cramps

  1. Muscle fatigue
  2. Anything that impairs circulation
  3. Nutritional factors (see contributing factors & more contributing factors)
  4. Pregnancy (see muscle cramps in pregnancy)
Their is no medication that can be taken to prevent muscle cramps or though some medication e.g. statins may contribute.  If you are taking statins and have reocurring muscle cramps please talk to your GP. They are preventable (see how to prevent muscle cramps) by stretching and massage.  To book a massage click here.  

Lets talk about tension headaches

We all get headaches from time to time.  Tension headaches are characterised by

  • Dull, aching head pain.
  • Sensation of tightness or pressure across your forehead or on the sides and back of your head.
  • Tenderness on your scalp, neck and shoulder muscles.
Tension headaches are the most common form of headaches and can last anywhere between 30 minutes to a week.  If they occurr more than 15 days in a month for 3 months you have chronic tension headaches. People are more susceptible to tension headaches when they have
  • their period (women only)
  • under pressure or stress
  • poor posture
I know that peole find tension headaches are annoying and sometimes headache tablets either don't work or work initially and then less helpful.  Here in clinic we find that deep tissue massage on the couch allows us to identify which muscles in the neck, shoulders, upper back and chest are tight and release them.  We frequently find this either release the tension headache or at least lessens it.  If you are prone to tension headaches, then a series of massages may assist especially if you have poor posture, under pressure or highly stressed.

The Impact of Sitting All Day – Part 7

There is a wide range of American start up companies, creating technology solutions to combat the new "sitting disease".  In previous posts I have discussed in the impact of sitting all day

In my post, "Taking a Break", I explored the reasons for taking a break and looked at the latest research on the length of break you need to take and the frequency.  In my last blog post, "Get Moving" I looked at how you can move while working.  In this post I want to review the technology solutions that are out there. Activity Trackers Most of the technology solutions currently available are wearable activity trackers. These products are basically advanced sensors that come embedded inside of bracelets or clips that hook onto your clothing. They measure your daily activity (steps taken and calories burned), sleep, and through an associated app, diet.  Below I list some of the common trackers.
  • 1. Apple Watch
Everyone knows that Apple is about to launch the Apple Watch which will have a plethora of health and fitness functionalities. However the Apple Watch heavily relies on the iPhone to function and is not really considered a standalone device. But I want to focus on one interesting feature which is that ten minutes before each hour, the Apple Watch taps on their arms as an alert to ecourage you to stay active or just simply stand up. I can see this being essential for people who want to stay active but find they lose track of time when they work.
  • 2. Jawbone UP
The company’s wearable activity tracker, Jawbone UP includes a step counter, sleep tracker and an idle alert, which offers reminders to users by buzzing if they are inactive. What is neat about Jawbone is that it links to your calendar from your iPhone and see what your schedule is with meetings and we can say — rather than buzzing you during the middle of your board meeting — we can actually wait until the end and give you some insight.
  • 3. Nike+ Fuelband
What is good about the Nike+ Fuelband activity tracker is that lets you set an activity goal, you can press a button on an LED screen to check your progress, and displays a green light when you have achieved your goal.  However it can be inaccurate if for some reason you happen to move your hands swiftly throughout the day.
  • 4. Fitbit One
Fitbit One is the best holistic tracking of activity, diet and sleep and is good value compared to some of the other activity trackers. The app creates graphs, charts and tools based on your data and lets you easily log food, water, weight, food plans and more.  It is especially good for women as you can clip it in the center of your bra, rather than trying to blend in a wrist based activity tracker with your outfit. Applications “I'll help you unclog your mind and uncramp your body”, is the promise of HotSeat health app that turns short breaks into meaningful activity through nudges and social accountability.  What I like about this application is that it allows you to create competition - which are always very motivational! Darma - The Hitech Cushion Digital health upstart Darma have developed a cushion that aims to help people take control of their sitting habits.  It helps you remember to maintain good posture when sitting down for long periods of time. The cushion contains one millimeter-thick fiber optic sensors that sense the user’s movements. The pillow also has embedded sensors that detect heart rate, stress level, and respiration. All of this information is sent to a companion app on the user’s smartphone. The app can then track a user’s stress level, sitting time, and posture and try to motivate users to get up every now and then. It will also alert users when they’ve slipped into a bad position and explain how to correct their posture. If users are feeling back pain, the app can guide them through stretches that might help relieve it.  To me this more directly provides relevant information to help my clients than some of the more wearable technology solutions.  I am looking forward to its launch later this year, until then there is always massage!

Mindfulness versus Meditation

Mindfulness is gaining popularity as is meditation. Advocates recommend both as tools to assist us with our modern 24/7 non-stop busy lives that are packed with conflicting demands and uncertainty. But Mindfulness and Meditation are not synonymous. Meditation is one technique for practicing mindfulness but not the only one. I know many people, including myself, find meditation difficult as it requires dedication and practice. So I was very interested to read Ellen Langer, (of Harvard University) who is considered the mother of mindfulness, define mindfulness as the "simple process of noticing new things.". One of the things that puts busy people of Mindfulness is the misconception that is requires effort. So if you thought mindfulness was just as easy as mindlessness would you be more mindful?

Reflexology: Scientific Evidence of it’s effects physiological anxiety signs

Recently a scientific study (see details below) was published which evaluated the physiological anxiety signs and sedation needs of patients in intensive care units in a Turkish hospital.

Title: Reflexology: It’s effects on Physiological Anxiety Signs and Sedation Needs
Journal: Holistic Nursing Practioner
Authors: E. Korhan, L. Khorshid, M Uyar
Reference: 2014; 28 (1);6-23
Study Type: Randomised Controlled Trial - with control group receiving no treatment
Background It is an accepted medical fact that when it is necessary to mechanically ventilate patients in intensive care units of hospitals, the patients experience stress and anxiety.  It is standard medical practice to relieve anxiety, pain, agitation with sedatives to ensure patient comfort. Sedatives however also have side effects causing high blood pressure, slow heart beat, coma, respiratory depression, muscle weakness and atrophy, increased risk of pneumonia, kidney problems and immunosuppression. It may also prolong the need for ventilation which in turn increases the risk of complications. Method 60 patients were split into two groups one of which was the control group.  Sedation (Propofol) was reduced 30 min before treatment (or no treatment) which resulted in patients with mixed consciousness to which the outcome measure was administered. This was the American Association of critical care nurses sedation assessment scale (AACNSAS) and the vital signs recorded. Reflexology applied to ears, hands and feet bilaterally was given twice a day for a total of 30 minutes per day, over 5 days. The reflexology focussed on the brain, cortex, hypothalamus, hypophysis and subcortex; areas though to influence anxiety, agitation and stress response. No reflexology was given to the control group but the sedation was reduced and all the same measurements were taken. Results The physiological signs of anxiety and stress i.e. blood pressure, heart rate and respiratory rate were are reduced in the group that received reflexology on each of the 5 days.  In addition there was a reduction in the requirement for sedatives in the group that received reflexology. Conclusions These findings ‘show that reflexology is an effective treatment in reducing the physiological signs of anxiety and stress in patients receiving mechanically ventilated support.’ This study provides scientific evidence to underpin the idea that reflexology has a beneficial effect on anxiety and stress.
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