Category Archives: Sports

Breathe Right

I’d like to hit you with a tip this week that is often overlooked as a culprit behind multiple issues when it comes to your health and wellbeing.  The seemingly subconscious act of proper breathing.  On the surface this appears like such a simple act that we all take for granted.  But as we all know, we must breathe to live.  Period.

WHY WE BREATHE

Let’s first breakdown what actually transpires when we breathe.  When you inhale you are delivering oxygen to an interface between your lungs and blood vessels.  Here, freshly inhaled oxygen is exchanged for carbon dioxide, which you then expel during exhalation.  Your beating heart provides the force to deliver the carbon dioxide to this interface bounded to hemoglobin molecules in your blood.

When the exchange is made, oxygen is then delivered to all of your tissues bound to that same hemoglobin molecule. Oxygen is a vital fuel for your cells to function properly.  One of the waste products of this metabolic process is carbon dioxide, which is then taken by the blood back to the lungs for the cycle to continually repeat itself.

Sounds simple enough.  But what if I told you that you’re probably not breathing correctly and this could be contributing to a myriad of issues including that discomfort in your neck.

HOW WE BREATHE

Most people do not realize this, but breathing is actually a brain directed function carried out by muscles, the chief one being the diaphragm.  This is a muscle that separates your abdomen from your chest cavity.  Breathing in is actually a function of this muscle descending, enlarging your chest cavity and creating a negative pressure that sucks oxygen rich air into your lungs.  Once this has transpired, the diaphragm then ascends, reversing that negative pressure and pushing the now carbon dioxide laden air out of your lungs.

If you observe someone breathing you will more than likely notice that the shoulders and chest rise and fall.  This is actually the incorrect way of breathing and signifies the use of what are called accessory muscles of respiration.   These muscles are connected throughout your cervical spine (neck), ribs, clavicle (collar bone) and sternum.

By breathing incorrectly you are putting these muscles to work all day, every day.  Couple that with the fact that these muscles are already being overworked by that anterior posture from being hunched over at our computers, and these muscles become quite fatigued.  When this occurs you become more susceptible to injury due to the fatigued muscles (that would normally stabilize your neck during strenuous movements) failing.

There also begins to be an accumulation of lactic acid in the muscles.  Most of us have felt this before when riding a bike and our thighs start to burn.  This is the same concept, expect in these over contracted neck muscles that tend to lead to tender and uncomfortable trigger points.

PROPER BREATHING

So what can you do?  You can start by practicing breathing correctly.  Correct breathing is actually from your belly, not your chest.  When you inhale, your belly (or that six pack) should expand outward.  When you breathe out your abdomen should then sink back in.  This seems counterintuitive, but the motion should be mostly all in the abdomen, and minimally in the shoulders and chest.

Place one hand on your belly and the other on your chest.  Note the motions that take place while breathing in and out.  If you notice that it is off, make a conscious effort to correct it.  This exercise can be done at any time during the day, even when at your desk or sitting at a light in the car.  Doing this should begin to offer some relief to those aforementioned accessory muscles.  Couple this with some postural exercises and you should be able to decrease that neck discomfort tenfold.

Proper posture and breathing mechanics also allows a deeper breath and thus more oxygen.  As stated above, oxygen is vital for almost all functions in the body.  Any deficit in its concentration or delivery can lead to all sorts of problems including headaches and lack of concentration.  It, along with glucose and activation are the absolute necessities required for survival and proper function of your nervous system.  That’s your brain, spinal cord, and nerves wired throughout your body we are talking about here.  Make sure you’re giving it the fuel it needs to perform as intended.

Another interesting effect that you can take advantage of by utilizing this belly breathing technique comes by way of parasympathetic nervous system stimulation.  As we’ve discussed in previous posts, there are two opposite nervous systems that should balance each other out in order to maintain optimal function.  The sympathetic system which is your fight or flight response, and your parasympathetic which is basically for rest and digest.

Being that the parasympathetic system is in charge of digestion, it has a vast number of connections to the organs involved in the digestive process, particularly the intestines located in your abdomen.  When you breathe with your belly you are causing stimulation to the abdomen, which we just said is heavily parasympatheticaly innervated.  This connection leads to subsequent stimulation of the parasympathetic nervous system, which helps you de-stress and relax.

This is the reason a proper breathing technique is one of the main components of successful meditation.  Increased delivery of oxygen to your brain allowing you to elevate your mind.  Stimulation of the parasympathetic nervous system facilitating calmness.

If you practice this method of breathing you have the potential to not only begin to mechanically relieve some of that nagging neck pain, but it will also help you to remain calm and relaxed.   Who would’ve thought such a seemingly simple task could carry such potentially positive ramifications?

Feet Hurt? Could be Plantar Fasciitis

Are you or someone you know plagued by a mysterious pain in the arch of your foot?  (Sounds like the start of an attorney’s commercial.)  Is it a sharp pain that starts in the heel and is usually worse when you get out of bed in the morning?  Is the tip of your heel tender to the touch, or does it hurt the arch of your foot to bend back your big toe?  If you answered yes, you may be suffering from something called plantar fasciitis.

Anatomically, fascia is fibrous, connective tissue that surrounds our muscles, blood vessels and nerves.  Physiologically, it is there to either bind some of our internal structures together or to allow various structures to slide smoothly over one another.  Specifically, our plantar fascia runs on the bottom (or plantar side) of our feet, from our heel to a row of bones before the toes called the meta-tarsals.

For various reasons this fascia can become strained or stretched leading to inflammation, irritation and pain.  It accounts for approximately 15% of all adult foot pain cases and is prevalent in 10% of runners (noted as the second most common overuse injury of the foot).  If you suffer from this or would like to take proactive steps to prevent this, here is a list of tips to help you out:

1) DROP THE WEIGHT

Obesity is a risk factor for the origination and sustainment of this condition.  This one is fairly simple to comprehend.  If you’re packing more pounds, there is more of a load to bear on your body, including the arches of your feet.

2) PRONATION MAY NOT BE THE ISSUE

Many of you have probably heard the term “pronation” before.  This is actually a natural and necessary process that occurs when we walk or run in order to transfer the load, provide more balance and optimal position for the big toe to effectively push off.

Prior to placing too much stock in a previous “pronator” label, one should look to strengthen and stabilize the hips, glutes and muscles of the foot (particularly the flexor hallicus brevis) in order to more efficiently and evenly distribute the load.

3) TAKE A SEAT

Activities that require spending a long time on your feet can also lead to and/or aggravate plantar fasciitis.  This is a similar mechanism to the obesity problem.  More time on the feet equals more of a load being transferred and absorbed by the feet.  Now, if you’re flat footed, overweight and on your feet all the time, you’re obviously increasingly susceptible to this issue.

Other risk factors noted include poor arch support in your shoes, limited dorsiflexion of the foot and tight hamstrings.  While Clarke Chiropractic and Wellness (and many other manual practitioners) can assist you in increasing the dorsiflexion in your foot and loosening up those hamstrings, the use of various shoe inserts to address pronation and arch support should be pursued with caution.

Make sure you see a professional who has the technology to scan your foot and design an insert tailor made to your unique foot.  Going the cheap route and picking up an insert from the Wal-Mart can cause more harm than good.

If the preceding pointers don’t do the trick, or you feel as though you are beyond the point of these “do it yourself” measures, there is good news.  An estimated 95% of plantar fasciitis cases respond to conservative care.  Even more uplifting is the fact that there is a manual method of stripping the fascia that I have personally utilized on numerous patients with outstanding results.  If you’re tired of the constant pain and discomfort and would like to try a fresh approach, please feel free to contact me and we’ll work to together in an attempt to resolve the issue.

In related news, I am excited to announce that Clarke Chiropractic and Wellness will be accepting appointments within the next couple of weeks.  The updated contact information will be found at the top right corner of the page.  I thank you all for following the website and look forward to working together in the future.

REFERENCES

http://www.ncbi.nlm.nih.gov/pubmed/7805100

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1884155/

http://en.wikipedia.org/wiki/Fasciae

Interval Training: Who Doesn’t Want More for Less???

What if I told you that there is a way to change up your exercise program that could provide you with more benefits while expending less of your precious time? (Well, I suppose that this would first assume that you are exercising in the first place. Without going too far off topic, exercise on any level is imperative if you are serious about your health.) This is not a gimmick and will not cost you five installments of $19.95. The concept I’m talking about here is interval training.

This form of exercise has a body of evidence to support its benefits that seems to be constantly growing exponentially. (Go to PubMed and type in Interval Training if you’d like to see for yourself.) So what are we talking about here? As the name implies, we are referring to alternating between an activity (running, biking, swimming, push-ups, pull-ups, even weight training) and rest. The difference we are talking about is that you are doing the activity for a shorter amount of time at an elevated intensity, rather than a long, drawn out, time consuming, stint at a lower, steady intensity. This may seem counter-intuitive at first as we usually think more is always better. It’s so ingrained in our heads that the longer we hit the gym or run the greater the gains we’ll realize. However, studies are showing this is not necessarily the case.

Are you someone that has attempted to exercise to trim up that mid-section, but can’t seem to make a dent? Or maybe you ramp up the duration and frequency of your workouts still to no avail. In keeping with the theme of the last two posts, many times the type of workout you’re doing can actually be contributing to this by way of stress. (I say contributing because when we approach all issues holistically, we know that normally just one factor is not the end all be all. In this case we obviously realize that no matter how much or what type of exercise you may perform, if your diet is subpar you’ll likely never realize desired improvements). Overdoing exercising can actually activate and contribute to the previously discussed HPA axis as you are physically stressing your body. This in turn leads excess cortisol release, the subsequent conversion of muscle to fat, and the deposition of that fat in attractive places like that mid-section.

Benefits of interval training include:

-Provides the same if not better cardiovascular benefits in a fraction of the time, which is music to the ears of patients with coronary artery disease or those undergoing cardiac rehabilitation.

-Improves VO2 max (maximum capacity of an individual’s body to transport and use oxygen during incremental exercise). Various systems including your cardiac (heart), pulmonary (lung), vascular (blood vessels), muscular, and mitochondrial enzymes (crucial energy powerhouses of your cells) contribute to your VO2 capacity. If one of these systems is off, it lowers your VO2, or bodies ability to use oxygen. Conversely, a lower VO2 can have detrimental effects on any of these systems.
Interval training = improved VO2 max = improved global function.

-Improves capacity and utilization of oxygen which is vital for proper nerve function. In order for any nerve (brain, spinal cord, peripheral nerves) to function properly they require fuel, activation by way of stimulation, and oxygen. Improving your body’s ability to utilize oxygen improves function of the overall governing system: your nervous system.

If these reasons don’t do it for you, how about burning more fat and building more muscle:

-Interval training has been shown to more effectively have an effect on something called Excess Post Exercise Oxygen Consumption (EPOC). This means that after a workout your metabolic rate remains raised for anywhere from 1 to 3 days. A higher metabolism means your body is burning more fuel, or energy in the form of oxidizing fat. This same logic applies to stabilizing your blood sugar levels in that if the metabolic rate is raised, more fuel is needed. If you are someone who is diabetic or has issues with high blood sugar, this is one tactic to lower those levels by giving that glucose somewhere to go and be utilized.

-In a fraction of the time interval training has been shown to increase muscle buffering capacity and glycogen content, leading to improvements in muscle structure and performance.

So how can you implement this into your routine? This all depends on what level you are on to begin with. Simply put, doing intervals means doing some work and then resting. Instead of doing the traditional (and somewhat boring) steady state training for a lengthy time period, try switching it up. After doing a warm up (walk or jog for approx. 5 minutes) try stepping up the intensity for anywhere from 20 seconds to a minute, followed by a rest anywhere from 10 seconds to a minute, and repeat. This will add some different flavor to the usual repetitive routine, hopefully reinserting some fun back into your workout. Again, it cannot be overstated that this is all individually based, and you should always consult with your physician before beginning or altering any exercise or diet program.

As stated earlier, this can be implemented with all types of activities and is widely used in popular Cross Fit regimens. One method of this is called TABATA Intervals. After a warm up this is a four minute exercise routine consisting of an alternating cycle of 20 seconds of high intensity and 10 seconds rest, repeated 8 times. Find a healthcare professional or certified trainer who can best advise you on a good starting point as far as times, intensity and weight. It is normal to be laboring through the later ends of the cycle as we are trading time for intensity. If in doubt, always err on the side of caution and start slower, with less weight, and less intensity. When you feel like you can push it a little more, give it a shot, always being aware of and listening to your body. Also remember that in order to reap the benefits here, elevated effort and exertion are required. Don’t fool yourself into thinking you are stepping your game up with some interval training when you are actually just working out at the same pace for less time.

In addition to equal or better benefits and the less taxing effects on the body when compared to prolonged, steady state training, utilizing this type of workout saves maybe our most valuable commodity: time. One of the most common excuses for not exercising is not having enough time. Implementing some degree of interval training as a time efficient alternative SHOULD eliminate that excuse and bring you closer to getting to where you need to be.

REFERENCES:

http://www.ncbi.nlm.nih.gov/pubmed/23470301

http://www.ncbi.nlm.nih.gov/pubmed/23467903

http://www.ncbi.nlm.nih.gov/pubmed/22194005

http://www.ncbi.nlm.nih.gov/pubmed/16825308

http://www.ncbi.nlm.nih.gov/pubmed/19088769