Tag Archives: headache

Don’t Just Sit There (Part 1)

The phrase move it or lose it has been around for years and for good for reason.  The concept is contingent upon the process of adaptability or plasticity.  Without moving or utilizing certain processes within our bodies, over time we lose it.  On the flip side, when we utilize certain muscles or nervous system connections known as pathways, we have the ability to strengthen them.

This concept can be simply understood by looking at what happens when you work out or don’t work out a muscle.  If you are constantly doing curls, naturally your bicep will grow as it is your body’s way of adapting to the increased demand.  However, if you don’t use your bicep, another muscle, or various pathways in your brain, the muscle or process will become weakened or atrophied and could quite possibly go away completely.  This is your body’s clever way of adapting.  In our miraculous design, the body is designed to be as efficient as possible. Lack of an activity provides feedback that we don’t need to devote any energy or memory to this process; thus not moving it or using it, leads to losing it.

While the topic of utilizing different, diverse neurological pathways leading to plasticity is a main concept behind Functional Neurology and adjunct therapies like Lumosity, what we are talking about today is literally making sure you move as much as possible.  In particular, we are speaking of trying to avoid long periods of uninterrupted sitting as much as possible.

Mounting research has implicated extended periods of uninterrupted sitting as a major determent to your health.  We are not just talking about a culprit behind back pain, neck pain and headache.  We are not just referring to it being a contributing factor to various diseases or conditions like osteoarthritis, diabetes, and obesity.  The eye opener here should be the fact that research has shown that regardless of your fitness level, individuals who spend their days logging long hours of uninterrupted sitting actually have SHORTER LIFE SPANS.

I don’t know about you but that’s all I need to hear to perk up and pay attention.  Being someone who has always been active and involved in some level of daily fitness or sport activity, it is quite alarming (yet logical) to hear that even if you do get a good workout in multiple times per week, if you’re logging long hours at a desk without moving, you may just meet your maker sooner than expected.

I say logical because when you think about it, it does make sense that what we do the majority of our day (sitting) would have more of an impact that what we do a fraction of the day (a workout).  Studies out of NASA on the determents of microgravity situations that the astronauts find themselves in when they travel to space found the most comparable Earth situation to be sitting.

From a biomechanical perspective, there are a variety of reasons this position is bad news.  Your anterior muscles become shorted.  There are muscles in your lower half that connect to your spine and anchor to your pelvis or hip.  From prolonged, uninterrupted sitting these muscles eventually begin to shorten due to the flexed forward position.  Now when you stand up these muscles can pull down on your lumbar spine, creating the sensation of back pain and the misconception that standing up is the problem.  While standing up does actually cause the individual discomfort, it is actually due to the prolonged sitting and subsequent shortened muscles that the dysfunction and manifestation of pain as a symptom occurs.  This is a prime example of what we talked about in the previous post of going beyond addressing the pain or symptom and fixing the breakdown that led to this symptom in the first place.

If we move up the spine and throw in the fact that prolonged sitting is usually taking place at a desk or car, we begin to flex forward in the upper portion of your body as well.  This shortens the muscles of your anterior shoulder and chest and gives you that hunched forward, kyphotic thoracic spine, and anterior head carriage.  The muscles on the posterior side now become over worked as they must fight even harder to hold you upright.  This leads to that mysterious shoulder and neck pain that you experience after a long day at work.

Lengthening, overworking and weakening the posterior side muscles from uninterrupted sitting and poor posture leads to the breakdown in function that we touched on in last week’s post that so often leads to back pain and other dysfunction.  It is these posterior chain muscles (think low back muscles, glutes, hamstrings, calves, etc.) that are designed to keep us upright and moving smoothly, efficiently and pain free through space.  When the front side muscles become shortened and the back side muscles become lengthened and weakened we begin to not only assume poor posture but a faulty movement pattern that predisposes us to other injuries at proximal and distal locations throughout the body.

Actual sitting is also the worst position for your lower back.  This makes sense too if you think about it.  When we stand, our body weight is distributed through our spine and pelvis to the lower extremity where we have numerous muscles designed to assist in this matter.  When we sit we have removed everything from the upper portion of the pelvis down as far as support goes.   Now our low backs must support the entire weight of the upper half of our body.  This load is heavily placed upon the discs in between the individual vertebrae of our spine leaving them dehydrated and compressed. It is a major reason behind the widespread and seemingly “normal” degenerative disc disease and osteoarthritis seen in our heavily seated culture, but not in others.

Another pitfall of the effects of prolonged sitting is that due to the flexed forward, anterior posture assumed, you actually close down the space available for your organs to function correctly.   Full chest expansion (and thus filling capacity of the lungs) is impeded and you are no longer able to take in as much oxygen.  This leads to widespread systemic consequence because as we know, virtually all function within the body requires oxygen.  Organs within the abdomen can become compressed and deprived of optimal blood flow leading to dysfunction within the liver, digestive tract, reproductive organs, etc.

Hopefully all of these reasons are enough to spark some interest in learning what you can proactively do to make sure you are not included in the “normal” range of society.  It is currently estimated that some 80% of the population will, at some time or another, suffer chronic low back pain.  This widespread prevalence does not exist in other countries that are not sitting all day, every day.  This should tell us something.   I don’t know about you, but if “normal” is having an 80% chance of low back pain, I want no part of it.  I also don’t want any part of the other issues sited in the previous paragraphs.

Stay tuned for our next post which will illuminate some simple steps you can begin to implement as far as breaking up the sitting and doing what you can to avoid these seemingly “normal” issues.

Have a great weekend.

Posture: The Window to Your Health

In business, excellent posture is a universal sign of confidence and power, yet few truly realize the importance of posture to our health and performance.  Good posture goes way beyond simply sitting and standing up straight.
Of the 680 muscles in our body, only a few are specifically designed to hold the body upright and relaxed, but most of us tense dozens of the wrong ones when we sit, stand and move.  Over the course of a typical work day this results in an enormous waste of personal energy.
With poor posture, your body begins to adapt to the imbalances.  This results in chronically misaligned bones and over stressed muscles.  (You know, that tight neck and aching low back many feel after a long day.)
Improper posture also hinders our lungs ability to fully expand, leading to a decrease in vital lung capacity (meaning less oxygen being delivered throughout the body) which leads to increased fatigue and a global reduction in function.
Poor posture limits our range of motion and causes stiffness in our joints, contributing to pain syndromes such as headaches, jaw pain and muscular aches.
Due to this less-efficient positioning we assume, an altered weight-bearing takes place and the load of our bodies and gravity becomes less uniformly distributed.  This leads to a severe increase in work load for certain bones and joints. Early osteoarthritis anyone?
The reduction of oxygen and blood flow to the brain can be especially troubling,  Remember, the brain requires fuel by way of oxygen and glucose (both delivered via blood) in order to function.  As expected, less fuel to our master control center leads to things like impairments in thoughts, concentration and emotional control, decreased creativity, slowed reaction times, reduced alertness and productivity.
It can even foster a tendency towards cynicism, pessimism, drowsiness, and even depression.  Think of those four descriptive terms in the previous sentence, and then think of how that looks posturaly.  Now think of things like confidence, optimism, pride and positivity and how that traditionally translates into a particular posture.  This is not a coincidence, the linkage clearly exists.
The more mechanically distorted a person is, the less energy is available for thinking, metabolism and healing.  What this means is that you can’t even think you are operating at your highest level while precious resources are being consumed due to poor posture.
With our increasingly seated, computer-attached lifestyles, poor posture has become epidemic with signature forward displaced skulls and hunched shoulders.  With a professional, you can identify and begin to correct that head tilt and those unlevel hips and shoulders so that you won’t fall victim to the laundry list of symptoms mentioned above.
Poor posture, particularly the oh so common forward collapse, can also be a sign of decreased function within the brain. This is why that stooped forward posture is a main characteristic in so many neurodegenerative diseases.
Posture is the window to our health and a by-product of a nervous system program.  We can tell people to stand and sit up straight all day long, and they will in the moment, but as soon as they give up that consciences thought, they will revert back to what’s comfortable.  Until you address and re-program the brain via neurologically based chiropractic care, you will be continually fighting an uphill battle.
Optimal posture consists of no tension or stiffness at all.  It provides an exhilarating feeling of moving smoothly and comfortably in space.  Doesn’t that sound oh so lovely?
Posture is yet another piece to the holistic puzzle that we account for when treating the entire individual.  Do you know and care about someone with suboptimal posture?  Maybe it’s you?  Remember, just because it’s deemed “normal” by sheer way of numbers doesn’t mean it’s right or mandatory as a part of aging.  Let’s get to work on that posture or any other issues that are of concern.
As always, I’m here when you’re ready.

Pain? Discomfort? Fatigue? Your Workspace Could be a Culprit.

In today’s day and age, most of us can’t avoid spending way too many hours in front of a computer monitor.  Unfortunately, the posture and repetitive movement that this encourages is one that causes excessive stress on body parts like the hands, wrists, elbow, shoulders, neck, and back. This contributes to discomfort, fatigue and even outright pain.

Fortunately, there is a way to limit this stress put on your body and potentially reduce or eliminate the discomfort and fatigue.  This is done through the implementation of proper ergonomics.  Ergonomics is a discipline that involves arranging the environment to fit the person in it. This can be done anywhere but for the sake of this post, we will hit you with a few easily implementable tips for the office setting.

CHAIR

Adjust the height of the chair so feet rest flat on the floor, the thighs are parallel to the floor, and the knees are about the same level as the hips.

Adjust height of armrests so the arms can rest at your sides during typing, allowing for relaxation and a natural “drop” of the shoulders.  Shoulders should not be elevated in anyway by the armrests.

MONITOR

The top of the screen should be at or just below eye level when you are seated in an upright position to avoid encouragement of forward translation of the head and shoulders.  The monitor should also be directly in front of you to avoid excessive twisting of the neck.

KEYBOARD AND MOUSE

The angle between your elbows and forearms should be as close to 90 degrees as possible, with forearms parallel to the floor and keyboard directly in front of you.

Try to avoid resting your wrists or hands on the edge of the keyboard while typing or on the mouse when you are not using it.  While using the mouse, make sure your wrist is in a neutral position.

The mouse, keyboard, and every other thing on your desk that you frequently use should be positioned close to you to avoid excessive reaching.

AVOIDING EYE STRAIN

You may be unaware of it, but little changes can help you avoid unwanted eye strain throughout the day.  This eye strain can lead to headaches and increased forward head posture.

Monitor should be approximately 18-30 inches from the eyes (depending on the size of the monitor).

Reduce Glare by:

Positioning the monitor at a right angle from the window.

I know you love that window in your office, but closing the blinds also reduces the glare.

The worktop surface should have a matte finish (think desk blotter if you have a shiny desk).

GET UP AND MOVE

It is imperative that you break up the long periods of sitting.  Sitting is actually one of the worst positions for your back and can also lead to blood pooling in legs and feet.  Taking a quick break from sitting every 20 to 40 minutes is key.

Practice “dynamic sitting.”  Make sure there is enough room underneath the desk to move your legs.  If you do find yourself seated for extended periods of time, utilize a lumbar support or a rolled towel to support the natural curve of your lower back.

Getting up and walking to the bathroom or to get some water (the two go hand in hand and you should be drinking more water anyway) are an easy way to keep it moving.  If you need to stay at your station, simply stand up and perform a stretch like the Bruegger’s Stretch demonstrated here:

http://www.youtube.com/watch?v=EvwvbXrf6LU

Please do not underestimate the power of some of these simple changes.  Anytime I work with a patient, we always address the work station set-up through pictures provided by the patient or checking it out in person.  If you’re curious about your personal space or feel like those around you would benefit from a work space makeover, please contact me as we are now accepting patients and providing free ergonomic evaluations for all local businesses.  This is a standard part of your individual treatment plan when you become a patient, but a free office wide evaluation can be done as well.

As with all things, proper ergonomics is just one piece of the puzzle.  Couple this with a thorough chiropractic evaluation addressing overall posture, balance and any other issues you may have going on and you are making a strong proactive statement about regaining control of your health and ultimately your life.  Again, feel free to contact me if you’re interested in getting started.

Remember, a proper, less strenuous work station promotes better posture and less discomfort.  Better posture promotes better breathing (more oxygen) and less needless strain on numerous muscles, each leading to less fatigue and pain, and clearer, more creative thinking.  This means your work gets done faster and at a higher level.  Sounds like a bonus for employee and employer alike.