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November 24, 2010 Pain Relief

Super Sore Muscle Soother!

So often, we’re looking for the bright, shiny new therapy that promises to heal all our aches and pains that we forget about the tried and true home remedies that are cheap and accessible to nearly everyone.

One of the easiest and least expensive remedies for sore, aching muscles is a warm epsom salt bath. Epsom salts can be bought at any drugstore for around $2.50 for a half gallon of salts. They’re comprised of magnesium and sulfates, minerals that are crucial to health but deficient in many modern diets.

Magnesium is a powerful muscle relaxant and so boosting your levels of this mineral not only relieves muscle soreness, it can also improve sleep quality. Both magnesium and sulfates can be absorbed transdermally, meaning your skin soaks up the good stuff when you pour it into your bath!

To benefit from epsom salts, simply add 1 to 2 cups to a warm bath. For bonus refreshment, add soothing or uplifting essential oils like lavender, peppermint, rosemary or bergamot and give all your senses a treat.

Soak, enjoy and let out a sigh of relief!

November 10, 2010 Posture

What Kind of Shoes Should I Wear for Healthy Feet and Posture?

One of the questions I’m frequently asked by my clients as they limp in with neuromas, plantar fascitis, hammer toes, knee pain and aching backs is, “What kind of shoes are really good for my feet?”

Often, these clients have resorted to wearing those shoes…you know the ones. They look like a small boat and no matter what shiny finish you put on them, they’re never going to look cute with your favorite pair of jeans.

Ironically, these are not the shoes I recommend for healthy feet. Most “healthy” shoes feel like wooden planks strapped to your soles and some even perpetuate harmful foot patterns. If you want to keep your toes (and back!) happy, here are the guidelines for shoes that will treat you right:

Flat

High heels – even just one inch! – change the angle of your body and put extra strain on the balls of your feet, your knees and your back. To avoid these aches and pains, stick to shoes like ballet flats and loafers.

Suggestions: Born Clever, Camper Colibri

Flexible

Your feet were made to bend! Stiff shoes that immobilize the bones of your feet inhibit their natural function, namely shock absorption and balance. If you can’t bend the sole of your shoe, it’s too stiff and it may be causing you to walk unnaturally, contributing to hip, back and neck pain.

Suggestions: Calvin Klein Lexa, Me Too Prissy

Strapped In Tight

Shoes like flip flops or slides that don’t have a back on them cause you to clench your feet to keep from kicking the shoes off or leaving the darn things behind. Make sure your shoes are firmly attached so your feet can relax and function normally.

Suggestions: Born Kelsey, Privo Pateo, Camper Brothers Impala

In short, don’t mess with nature. Your feet are a marvel of engineering and the closer to barefoot you can be, the healthier your body will stay. Of course, if you want to go whole hog and get the closest thing to barefoot you can have while still wearing shoes, check out Vibram Five Fingers and get your gecko feet on!

This week, pay extra attention to your feet. See if you can feel the ground with each step, as though your feet were having a conversation with the earth. Your feet have many nerve endings and are a rich source of information about your environment. Pay attention to their messages and notice how you feel when you’re good and grounded.

And for goodness sake, throw out any shoes lurking in your closet that leave you with bruised soles, pinched toes and blistered heels! Your feet will thank you for it.

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November 8, 2010 Pain Relief

Revealed: Why traditional back pain treatments like cortisone injections, muscle relaxants and NSAIDs won’t cure your back, neck and shoulder pain

Do you suffer from back pain that keeps you up at night and makes you feel older than your years?

Chances are, if you are reading this, you are plagued by chronic pain in your back, neck and shoulders that keeps you from doing the activities you enjoy.

Suffering with chronic or acute pain is one of the most frustrating conditions you could possibly experience. You can’t just vacate your body when the pain is too intense, so you wind up missing out on the activities you used to enjoy like cycling, rock climbing, horseback riding, surfing, snowboarding, gardening, and running.

If you’re avoiding activities you love because you’re afraid of making your back pain worse, you’re not alone. Back pain has reached epidemic proportions in America with 4 out of 5 people suffering from disabling back pain during their lifetimes, according to the National Institutes of Health. The American Academy of Orthopedic Surgeons reports that back pain is the second most common reason for doctor’s office visits.

With the medical bill for back pain skyrocketing to a mind-blowing $86 billion dollars a year–up 65% since 1998–we’re not seeing results. The Journal of the American Medical Association reported in 2008 that the percentage of back pain sufferers has increased and more people are reporting physical, social and work limitations as a result.

Sadly, the effects of long-term pain are far more insidious than missed work days and limited mobility. A study conducted by Northwestern University Medical School found that back pain lasting six months or longer results in abnormal brain chemistry, causing the brain to atrophy. Gray matter shrank as much as 11 percent, equivalent to the amount of brain mass that is lost over ten to twenty years of normal aging.

Ongoing back pain runs the risk of clinically impairing your ability to focus and concentrate.

But sadly, although most doctors hear complaints of back pain every single day in their practices,they are ill equipped to fully address the problem.

Standard treatment of back pain in a medical setting generally includes non-steroidal anti-inflammatory medications (NSAIDs), corticosteroid injections such as cortisol, basic physical therapy, and, finally, surgery.

Unfortunately, NSAIDs, such as Aspirin and Ibuprofen, and corticosteroid injections merely mask painful symptoms temporarily.

While medication will give you relief from the feeling of pain, the symptoms will come back when the effects of the drugs wear off because the deeper structural and neurological imbalances that were the root cause of your discomfort were never addressed.

The source of the pain in most cases is not from the spine and surrounding nerves but rather from the muscles, tendons and ligaments that support the anatomy, says Hubert L. Rosomoff, director of the Comprehensive Pain and Rehabilitation Center at the University of Miami School of Medicine.

Even worse, while under the influence of pain relieving medications, you’re likely to be extra active because you’ll feel more like your old self. This brings on additional pain and stiffness later due to the extra stress placed on the already imbalanced soft tissue.

Prescribing pain relieving drugs to treat the symptoms of back pain is like patching a crack in the wall of a house. Sure, the crack is gone, but the underlying instability in the house’s foundation that caused the crack to develop in the first place is still there, and that crack will appear again, if not in the same wall, elsewhere in the home.

As pain progresses and worsens, doctors often turn to surgery as a solution; however, recent studies have shown a failed back surgery rate as high as 50%.

Dr. Alok Sharan, spinal chief at New York’s Montefiore Medical Center, requires that his patients exhaust all non-surgical options prior to an operation. “Sometimes people jump to [back surgery] and think it will be a cure-all, and then five years later you need another procedure. If you’re only 40, that’s a big deal,” he says.

Long term relief can be yours, however, if you understand the basic key to healing back pain. But before we dive into that, I want to share with you some of the commonly held back pain myths that might be responsible for keeping you stuck in pain.

Back Pain Myths That Keep You From Healing

#1 The pain is in your back

This is probably THE most common mistake that people make when treating back pain: looking only at the back. I have seen clients who come in with detailed medical reports that have pinpointed the dysfunctional spinal vertebra seemingly causing all of their problems, and yet repeated treatments in this area are not yielding results.

Your spine does not exist in isolation inside your body. It is a structure who’s balance depends on the balance of everything around it, much like a suspension bridge. Never, not even once, have I worked with someone who suffered from back pain where the problem was entirely in their back. In fact, in 95% of my clients’ cases, the back is the last place we work, and at that point it is only to balance and integrate work done elsewhere.

Looking back at our example of the house with the faulty foundation, your feet, legs, and hips are the “foundation” for your back. If you have an imbalance anywhere in these structures, your back will reflect that. To get lasting relief from back pain, you must build a solid foundation.

#2 Back pain is a sudden-onset condition

It’s very common to assume that your back pain came on in a relatively short period of time. Usually, people notice acute pain after a specific event, like moving heavy furniture or a particularly grueling hike, so it’s easy to associate the pain with these activities.

In reality, the pain is just your body reaching its threshold for the physical imbalances you’ve had all your life. The activity is just a catalyst, the straw that broke the camel’s back, so to speak.

You have certain neurological habits–everyone does. Your coordination was developed at a young age and through repeated training. Sometimes these patterns serve you, and sometimes they hinder you or create muscular imbalances.

Wherever you go, your body will always fire the strongest and most often-used neurological pathways because this is the most efficient way to move. It would really be a chore if you had to relearn to walk every day when you got out of bed! As you get older, your favorite pathways become stronger and stronger, which serves you in efficiency but sets you up for physical pain if they’re not 100% balanced.

To fully address your pain, you must find balanced movement patterns that won’t pull your body more to one side or the other.

#3 Your skeletal alignment (or mis-alignment) is the cause of your pain

This is a half truth. In reality, if your bones are lined up, life is pretty good in your body. Where we get confused is in thinking it’s the bones that determine our body alignment.

Think back to the skeleton that lurked in the corner of your high school science classroom. Did you get to go play with it during anatomy lessons? If you did, you probably noticed that all the bones were wired together and the whole thing hung from a hook.

If you stack up a pile of bones, it won’t stay stacked up. They’ll just fall right down again. It’s the muscles, tendons, and ligaments that keep your bones in place. Bones are really just spacers for your tissue, levers that your muscles can pull on for locomotion.

Your posture is determined by tissue length, not bony alignment. To make lasting changes to your physical alignment, you’ll get much more bang for your buck if you work with soft tissue.

#4 Stretching will take the pain away

Stretching certainly does give good kinesthetic feedback, but I stretched diligently for years and never got one iota more flexible. Why is this?

Well, your muscles are actually plenty long enough. It’s not your muscle’s physical length that inhibits flexibility, but rather the neurological “set point” that keeps you from over stretching it.

For example, imagine an 85 year old man who is so stiff he can barely limp up a flight of stairs. He goes in for surgery and the nurses put him under anesthesia. While under the influence of the drug, the medical staff has to be extremely careful when they move the man because he is so flexible that they can risk dislocating one of his joints. If they wanted to, they could easily tuck his foot behind his head. As soon as the man wakes up and the effects of the anesthesia wear off, however, he is just as stiff as before he went under the drug.

So, if our muscles are long enough to give us all the flexibility we need, why is it so uncomfortable to stretch? The nervous system is responsible for your range of motion. When you “stretch” the muscle, tiny little sensory receptor cells in the tissue send a signal to your brain that you’re getting close to your flexibility threshold beyond which your body believes that your muscle might actually tear. The muscle then contracts in response to prevent over-stretching, and this is the slightly painful feeling you get when you stretch to your full range of motion.

If you incurred an injury, you may have scar tissue that is too fibrous to stretch. If your body is imbalanced–which, if you’re experiencing back pain, it most definitely is–tight muscles are usually compensating for something that’s too loose elsewhere. Thus, pulling endlessly on these muscles trying to get them to lengthen out won’t ever succeed. You have to address both issues.

Additionally, if you haven’t moved a body part for a long time–say you injured your shoulder playing tennis and have favored it ever since–your body will create adhesions in the connective tissue network that prevent your muscles from moving as freely as they once did. It’s imperative to break up these adhesions in order to restore your range of motion.

The True Causes of Back Pain

Back pain is caused by one of two issues in the body: a lack of stability or a lack of mobility. These are actually two sides of the same coin. Where your body is not properly supported–a lack of stability–there will be additional tension to compensate, creating a lack of mobility. Also, if an area of your body is hyper mobile, your muscles will tighten elsewhere to increase the level of support.

In order for your body to function optimally, you must have adequate support. Your body is an incredible feat of engineering, a system of levers and pulleys more complex than any machine we could ever hope to create. Each tiny joint in your body supports a system of joints above and below it. Irregularities in movement in one tiny area of the body can affect the functioning of everything else.

If we look at a body in standing, we can see that the foot and ankle support the knee, which in turn supports the hip joint. Misalignments in any of these three will cause the pelvis to be uneven.

The sacrum–a large, triangular bone at the base of your spine comprised of fused vertebra–fits into the pelvis much like the keystone of an arch. If the two pelvic bones are imbalanced, it will torque the sacrum, putting strain on the sacro-illiac joints and causing lower back pain.

An imbalanced pelvis also affects the upper back, neck, and shoulders. The sacrum is the foundation of the spine; if it’s rotated or crooked, it will affect all of the vertebra above it. Without a stable base, your upper body will brace to support an upright posture, leaving you with limited range of motion in your neck and shoulders.

Therefore, a misalignment or lack of mobility in your ankle can–and does–affect the functioning of your neck. If you’ve been receiving localized treatment to your spine without results, it’s most likely because the root of the problem lies elsewhere in your body.

It is only through treating the body as a whole, synergistic organism that we can deeply address the structural imbalances that are the root cause of back, neck and shoulder pain.

A Natural Pain Solution

In the 1970s, biochemist Ida P. Rolf pioneered the field of myofascial organization. Continually seeking solutions to her own health challenges and those of her two sons, she explored the fields of homeopathy, osteopathy and chiropractic. As she pursued her research, Rolf discovered a correlation between physical alignment and health, noting that when the body was properly aligned in gravity, symptoms such as pain, inflexibility, anxiety and stress vanished.

Her work, which she called Structural Integration and later came to be known affectionately as “Rolfing,” has been used successfully to treat athletes and active individuals looking to get relief from pain and improve athletic performance for the last 40 years.

Rolfing affects physical alignment through gentle manipulation of the connective tissue matrix. Connective tissue, or fascia, is exactly what it sounds like: tissue that functions as a giant web in your body and covers every bone, nerve, organ, muscle, tendon, and ligament, right down to the cellular level. Adjusting the length of fascia within the body shifts posture by changing the way bones are linked together.

Bones act only as levers and spacers in the body. They give the soft tissue–muscles, tendons and ligaments–something to grab onto in order to generate locomotion and make your body move. So, if the tissue is too tight or too loose, it will actually pull your skeletal structure out of alignment. Fortunately, fascia is rich in tiny receptor cells called proprioceptors, which tell the body where it is in relation to the space around it. By gently stimulating these incredibly smart neurological cells, Rolfers can affect changes in the tissue length and quality, influencing flexibility and range of motion practically instantaneously. That coupled with client awareness and neurological re-education forms the foundation for correcting structural imbalances.

http://www.sxc.hu/profile/igowerf

Dr. Oz recommends Rolfing for chronic muscular pain and tension.

“Rolfing literally releases the joints. When you talk to folks about the impact it has on them, a lot of them just stand taller. A lot is just freeing you up to live the way you’re supposed to live.”

– Dr. Oz

October 27, 2010 Healthy Aging

An easy way to improve balance and coordination

Can You Pat Your Head While Rubbing Your Belly AND Bouncing on One Foot?

So, maybe that’s a little much, but wouldn’t you like to have improved balance and coordination so you can waltz gracefully through life instead of stumbling into walls and door jambs? Guess what…it’s easier than you think, and it does NOT involve balancing on a giant ball while pressing five pound dumbbells overhead. In fact, I can’t think of a situation in the real world that would require such a feat, not to mention the ankle stability hazard…

Actually, there is something quite simple you can do while standing on dry land to improve your coordination and balance. You see, we all have things in our cells called proprioceptors. These little guys tell us where our body is in space. Whatever feedback we give them, they respond to, and the more you challenge them, the more fine tuned they get.

Try this: Stand with your feet comfortably underneath your body (just slightly narrower than shoulder width apart will put your feet directly under your hip joint and give you optimal support). Gently shift your weight from foot to foot without lifting either foot off the ground. See how you can move your center of gravity from side to side?

Now, shift it over your right foot and lift your left foot off the ground. This is pretty simple for most people (if this is challenging, stay here and work at this level until you’ve mastered centering your gravity over the narrow base of support of one foot).

While standing on one foot, close your eyes. You’ve taken away visual input to the proprioceptors, and most people’s bodies don’t know how to use only kinesthetic input (the sense of touch or feeling). Now, with your eyes closed, turn your head from side to side. You’re adding movement to the equation and really stretching the capabilities of proprioception!

After a few repetitions on this side, switch so you’re standing on your left foot and repeat. Use this exercise daily to improve balance, coordination, and grace. It will help keep your coordination sharp well into your later years (so you won’t have to worry about balance issues later in life!).

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September 1, 2010 Healthy Aging

Why stretching won’t increase flexibility

I know you’d like to improve your flexibility. I hear this from my clients all the time!  So far, I’ve showed you how to increase your shoulder flexibility, how to use fruit to keep your muscles limber, and given you 7 strategies to increase your hip flexibility.  But we haven’t yet talked about the physiology behind flexibility, and understanding how your muscles work is crucial to maintaining a healthy, limber body for the rest of your life.

Most of my clients are making the same mistake when it comes to increasing flexibility.  They diligently attend yoga classes, do pre- and post-work out stretching routines, and even get plenty of massages.  They just don’t understand why they’re not seeing results! It seems like they might make a few initial gains, but after a couple of weeks the body just plateaus and they don’t experience any additional flexibility.

Well, here’s the reality: It’s not the length of your muscles that determines how far you can stretch. In reality, you’re just as flexible as the yogi who can tuck his foot behind his head.

Impossible! you say. I know it might seem that way, but consider this: A 70 year-old man whose muscles are so tight and restricted he can barely bend his legs to walk up the stairs goes into the hospital for surgery. This is a man who can’t even touch his toes!  The nurses put him under anesthesia in preparation for the surgery.  Now they have to be extremely careful moving this man because his muscles and joints are so loose they can easily dislocate something!

Fast forward to post surgery when the anesthesia wears off and the man wakes up…he’s back to his original range of motion. What the heck happened?!

Clearly it’s not the physical restriction of the muscle that’s preventing this man from tucking his leg behind his head – the nurses could have easily manipulated him into this position under the extreme relaxation of anesthesia.

So, why is he so immobilized?

The truth is, it’s his neurological make-up that is keeping his muscles tight and tense. You see, every muscle has a “set point,” a point at which little tiny sensors in the cells send a message to the brain insisting that if the muscle is extended any further, it will tear.  This is called the “stretch reflex,” and it initiates a contraction in the muscles.

That’s where you experience the limit of your flexibility. Simply pulling on your muscles is inefficient for increasing flexibility unless you plan to stay there long enough to override the power of your stretch reflex – way too long for most people’s patience.

Instead, you have to reprogram your nervous system into allowing your muscle to stretch a little further. Strength plays a part in this. If your muscle is weak, your nervous system will protect it by not allowing it a very large range of motion. Strengthening your muscles in their FULL range of motion is crucial to healthy flexibility.

If you’re unsure of how to start reprogramming your neurological wiring, start by simply taking the muscles and joints through a full range of motion several times. For example, if your ankles have limited range of motion, balance yourself against a wall or chair and hold your foot in front of you. Point your toes toward the ground and then lift them toward the sky, repeating 7-10 times in each direction.

This takes all the muscles along the front and back of your lower leg through a full range of motion and sends a signal to your brain that you need to be able to use your foot this way. With repetition, you’ll notice more freedom in your ankle joint (if done daily, you should notice a difference within seven to ten days). It also retrains muscles that may have become “frozen” in a shortened position.

Ida P. Rolf – founder of the Rolf Method of Structural Integration – always said, “When flexors flex, extensors extend.” This means that when you contract muscles on one side of a joint, the muscles on the other side need to lengthen.  Repeated mobility exercises train your body to move in this healthy manner.

The same strategy can be applied to any area of your body that you would like to see increased mobility and flexibility. Move only one joint at a time to start.

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