How to avoid the 5 common causes of back pain

old lady stretching

One of the number one questions I get asked is how to I avoid back pain?   Nearly all of us will experience back pain at some point in our lives.  But how wonderful would it be to minimise the risk of getting back pain?  Read on to find out how.....

1.  Stress

We all know too much negative stress is bad for us and some of you may know that it affects us physically.  Stress is part of our lives and it helps us achieve success and conjure bravery when we need to step up to the plate.  You have a stress threshold - a line that once crossed begins to compromise your immune system.  It slows your recovery and healing rate so normal repairs that should occur result in tissues getting left and more damaged.  This can be as small as an ulcer or a big as your back pain.  The best source of information I can give to you is about your perception of stress and I cannot say it better than Health Psychologist Kelly McGonigal in her recent TED talk.  It's 8 minutes and a revelation you will not want to miss out on. 

2.  Lack of movement

You are designed to move.  Sustained poor posture is a major cause of back pain and structural damage.  Make sure you move throughout the day.  If you are desk bound, walk around the office, take the stairs for a few flights, leave for a lunch break.  In the recent article "The making of a corporate athlete" by performance psychologists Jim Loehr and Tony Schwartz that was published in the Harvard Business Review it is recommended that every person does at least 2 strength training workouts a week for endurance and to promote mental and emotional recovery.  

3.  Poor posture

Sit, stand and walk tall.  If you are exercising, exercise tall.  Another major contributor to back pain is poor posture.  If you already have back pain then poor posture will make it worse!  You may be blissfully unaware that your posture is bad but if you are currently pain free it is well worth investing the time and effort to work on your posture to minimise the risk of injuries occurring.  In this day and age, with the mountain of information and specialists to help you there is no excuse for poor posture.  Seek help.

4.  Repetitive faulty movement patterns

This is an extension of poor posture but relates more to exercising with poor form.  I have seen so many clients walk through my door who hit the gym 5 days a week but when I assess their movement patterns it is clear they do not have good technique and their movement patterns are contributing to their pain.  If you are working out in the gym and have not had any guidance at all in the past 6 months then ask a professional to look over your technique.  

5.  Poor nutritional intake

Your nutrients for every day micro damage to your body come from food.  Food provides you with the building blocks for repair, to create new cells, to strengthen your muscles, to strengthen your bones and connective tissue.  It is imperative that you take care of your nutrition and nourish your body it is as much a part of minimising the risk of injury as movement is.  

For more information on exercise for the prevention of injury and for back pain and injury recovery please email me at 

KT@precisionmovement.co.uk

What exercises can I do for back pain?

DSC_3564

I love this question!  It is something I get asked when I am out socially and people discover I work with back pain and injuries.  The truth is no one set of exercises fits all back pain problems.  In fact, every person I see in my practice is so completely different it never ceases to amaze me.  For instance someone with a disc prolapse may really benefit from a back extension mobilization and stretch.  If I give the same stretch to someone with stenosis (bone spurs) it will push on the already smaller spaces where the nerves exit the spine and aggravate their condition.  It gets more complex when I have someone who has both of these conditions or multiple spine issues.  Believe me there is no one size fits all.  Here are some golden rules about exercise that apply to most all back pain sufferers.....

1.  MOVE!!!

If there is one thing you take away from this article please make it the importance of movement.  Every day moving around trumps sitting or lying still every time.  The key to movement for relief of pain, especially when it is very sore, is to do it gently.  If you are desk bound at work get up and walk around, take the stairs for a few floors, get out for lunch, walk to the water cooler.   Walking can often provide a sense of relief (however if it makes it worse and sitting relieves it then take a rest periodically).  Things to avoid are heavy lifting and too much bending over to pick things up off the floor.  

2.  Specific back mobilizations

I recommend my clients do gentle back specific mobilizations upon waking daily to ease the back into the day.  If you suffer from stiffness upon waking these mobilizations can be very effective at reducing your pain in less time.  Ideally you should have someone show you how to do mobilizations that are specific to your back problem.  However, you can download your copy of the

Precision Movement Daily Mobilizations

that I give my clients

here

. Be sure to read the instructions carefully - small and gentle is key!  

3.  Corrective exercise for postural alignment and stability

Here lies the key to getting your back pain sorted.  Corrective exercise focusses on your alignment, stability and core activation and moves your through stages of development from small isolating exercises right up to functional often loaded movement.  This is where you can get mobilizations, stretches and exercise tailored to your specific condition.  At Precision Movement I always give programmes for the relief of pain when your back is sore, daily home programmes, a set of stretches to do at your desk, and a programme for the gym as required.   

4.  The Gym

If you are suffering from intense back pain avoid lifting heavy weights.  Weights create axial (vertical downward) loading on your spine and if you are already in discomfort the worst thing you can do is increase the pressure on areas of discomfort.  You could seriously hurt yourself.  Do not use machines as a substitute either.  Machines isolate and stress your big muscles without using the stabilizers around the joints.  If your back is sore the last thing you want to do is make it more unstable or have the larger muscles pulling on it.  It would be better to do some gentle yoga or pilates work being mindful of your postural alignment and core activation until your back settles.  If you are a regular gym user make sure you have a professional with rehabilitation experience look over what you are doing.

5.  Running, biking, rowing and cross trainer cardio machines 

If you would like to do some cardio work the key to not aggravating your back is to change it up.  Sustained positions can be aggravating for the back.  When your back is sore avoid jumping and running as a greater amount of load is placed through the spine and this can be jarring to the back.  Cycling and cross trainer are gentler options for cardio and can be alternated.  For the bike make sure you are sitting properly and have a professional check your position before you begin.  I would avoid rowing when your back is bad especially if you have any disc prolapses and proceed with caution under supervision.  

For more information about how corrective exercise can help your specific back pain or injury contact KT at 

KT@precisionmovement.co.uk

.  Download my eBook '7 steps to getting your back pain sorted' - the link is on the right hand side (just scroll up a bit!).  

The core killer that negates a killer core

teddy in casts

I recently saw a man working out at my Mayfair studio who was wearing a back brace.  I asked him what it was for and he proceeded to tell me that he had terrible back pain and was advised to exercise with a sturdy back support.  If there is one thing that I find contradictory, it's wearing a brace that stops movement so that you can exercise/move in the gym.    If you want to make your back pain worse then wearing a back brace or support is the quickest way to do it and here's why....

Casting is for breaks

Have you ever broken any bones?  Last year I worked with a lady who broke her ankle.  She was in a cast for 6 weeks and a boot for another 6 weeks.  When she started her rehabilitation with me the difference in the musculature from left to right was incredible.  It looked like she had two separate legs!  You see the body is mighty clever.  If you are not using muscles they atrophy (shrink).  A similar phenomenon happens to astronauts when they go into space for long periods.  Because there is no gravity their bones become less dense.  The good news is that when there is an increased need for muscle the body responds and adapts to the stresses it is put under.  

This is why I am so adamantly against back braces for back pain.  If you have back pain from disc prolapses, spinal stenosis, disc degeneration, or non-specific back pain back braces are really not going to help you in the long term.  I am not saying do not wear one but I would like to educate you on what they do to the body so you can make a more informed decision about wearing one.

The off button

Effectively, just like a cast, a back brace will cause muscles to switch off.  One of the first things you learn when you start corrective exercise is how to activate the core.  Core activation is absolutely essential to the support of the spine and surrounding structures.  Switching off these muscles is just asking for trouble.  You cannot rely on a brace to give you the support you need - that is the job of your muscles and connective tissues!  If you stop conditioning the muscles under controlled conditions with gradual development you will leave your back even further unsupported and at risk of further injury.

Restricted movement

The point of exercising is to move.  Wearing a brace can result in muscles getting tighter as they are not able to move through a full range.  This will create further imbalance as certain muscles will become tighter and others will overwork to compensate further pulling you out of alignment and causing more stress on your back.  

Faulty messaging

If you are wearing something that restricts movement and causes muscles to switch off you will effectively change messages to your brain and alter movement patterns.  The brain responds to the movement patterns you put it through and with repetition it creates a blueprint that is stored for future use.  It means we do not have to learn a movement every time we come to do it.  However, if you change the variables for instance by putting a brace on, the brain will change it's blueprint accordingly.  When you take the brace off and go through daily movements, the brain will use the newly formed blueprints with restricted range of motion and less muscle activation.  This leaves you even more vulnerable to injuring yourself further.

What to do

You body has its own brace system - your core.  The great thing about the core is you don't have to put it on every day - it is always with you.  If you do not know how to activate it then seek out help from a corrective exercise specialist.  To find out more about your core read my article "Does having a strong core relieve low back pain?"  Equally important is your postural alignment.  If movement is not your specialist area then chances are you won't know if you have poor posture or to what extent your posture is affecting your back pain.  Optimal alignment, core activation and gradual progressive corrective exercise are the keys to getting your back pain under control.  There are no quick fixes.

If you are currently wearing a brace and would like to explore another option for improving your back pain then contact me at 

KT@precisionmovement.co.uk

.  

3 ways to create a healthy and happy workforce

Happy at Work

When I spoke at the Lansdowne Club in Mayfair last month I asked this question:  

Why companies are responsible for the health and wellness of their employees?  

Would you leave a machine to run your business without applying the proper maintenance check?  Health and wellness in the workplace influences sick days taken, how staff represent your company - do they look tired and overworked? In turn these factors influence productivity, retention of staff and ultimately the success of your company.  So what can companies do? 

1.  Culture of health and wellness

Develop a culture of health and wellness as part of the work place.  Make it part of your company ethos.  If you actively encourage a healthy workplace you will find your staff will continue that.  I truly believe people want to be healthier.  

Ideas

a.  For an in house client meeting order from a healthy organic deli and offer fresh salads and fruit instead of sandwiches, cakes and cookies.

c.  Set up lunch time workshops for staff to learn about a wide variety of subjects that impact their health and wellness.  I talk about posture and alignment and how to minimise the risk of desk related aches and pains.  Often experts in their field will come and speak for free.

d.  Offer an ergonomics assessment to all your staff.  Actively encourage good posture and movement throughout the day by recommending staff leave their desk for lunch.  Have a water cooler that staff can walk over to throughout the day.  

2.  Reward value not volume

If you put in place a rewards system based on being available day and night on the blackberry, working late into the night, setting up competition between your team members on who can stay at the office the longest, employees will do what they need to one keep their careers and two get ahead.  Over time this will not serve you or the employees.  Create a culture of rewarding value not volume of work.  This is a tough one as every company competes for business and has deadlines to fulfill.  However, a job well done which takes a little extra time is much better than a rushed shoddy job.  Giving employees a feeling of pride over their work is also part their of health.

Ideas

Again you can begin with small changes.  What and how you reward will be individual to each company.

3.  Budget

what would be more costly to your business - a budget for health and wellness that retains staff and increases productivity or replacing the same position 3 times in 18 months?  Set aside a budget for health and wellness as part of the maintenance of your company.  Any benefits that you can offer employees particularly ones that take care of their health and wellness are always greatly received and play an important part in staff retention.  

Ideas 

a.  Instead of going out for a big lunch to celebrate the company anniversary do something interactive and fun like a game of dodgeball.

b.  Take a team bonding day with a private walking tour around an art gallery.

c.  For the company Christmas party arrange a healthy cooking workshop that is interactive and ends with a big festive meal.  

You can also consult health experts and consultants about implementing a bespoke structure that will work for your company.  I personally think a cost efficient and relatively easy way is to build health and wellness lectures and workshops into company lunch times or friday afternoons acts as a continual reminder, motivation and inspiration to employees to take care of their health. This is one of the things I do.

The facts are simple - a healthy workforce makes a healthy successful company.  If you are not actively promoting health and wellness in your company you are missing a trick.  Look at what the 46 healthiest companies in America are doing....

http://greatist.com/health/healthiest-companies

The health and wellness of employees is not just the responsibility of the company.  Find out how you as an employee can take responsibility for your health and wellness, whether your company promotes it or not, in Part 2 of this blog.

5 things for back pain before you see your doctor

I see a number of people who have had no success with the long term relief of back pain by going to see their doctor.  There is a lot that can be done with injury and back pain before you seek medical treatment.  Even when you go to your doctor they recommend you exercise to relieve back pain.  What they don't specify is what exercise is best for you.   One thing is for sure, pain medication will only mask your symptoms and can make you think you are ok again until the medication wares off.  Medications also put your liver and digestive system under stress.  So what can you do to ease your back pain before going to see your doctor?

1.  Notice your pattern of pain

The more information you can gather about your patterns of pain the more likely you will notice what triggers your back pain and what exacerbates it.  Do you wake up with pain?  Does it occur later in the day?  How bad is it?  Does it decrease?  By how much?  You might find that by noticing the patterns of your pain you are able to make changes to help ease the discomfort.  

2.  Move 

Movement may seem like an unlikely remedy for a back ache but it is surprisingly effective.  The key to movement for relief of pain is doing it gently.  Walking can often provide a sense of relief (however if it makes it worse and sitting relieves it then take a rest periodically).  I recommend my clients do gentle back specific mobilizations upon waking daily to ease the back into the day.  You can download your copy of the Precision Movement Daily Mobilizations

here

.  

3.  Activate your core

If you know how to do this then focus on it by activating consciously throughout the day.  For more information see my article "Does having a strong core relieve low back pain?".  If you do not know how to do this then seek out a specialist who can teach you how.  Ultimately, if your back is aching it is telling you something is not right.  From a mechanical perspective it means certain areas of your body are taking more stress and other parts are not doing their job.  You'll need help with restoring this balance so seek out a corrective exercise specialist to help you with this.

4.  Stop, look, listen

Notice what might be causing or contributing to your back pain.  It might be the heavy boxes you moved yesterday or the position you are sitting in at work.  It may even be the exercise you are doing that makes your back pain worse.  Think broadly, it might not be a mechanical cause, pain can come from digestive issues such as food intolerance or constipation and in my clinical experience pain always gets worse when you are stressed.  Look at everything.  As obvious as it seems stop doing what you think may be causing/exacerbating the pain and see if your back calms down.  

5.  Think and take control of your thoughts

I know this sounds a little ominous but stay with me for a moment.  Sometimes people who have structural damage do not experience any pain.  It is a conundrum that puzzles medical practitioners even today.  What this really means is pain does not come solely from structural or mechanical issues or everyone who has structural damage would be in pain.  What tends to happen with pain is that we let it take control and rule our lives.  I have a wonderful client who went on a silent meditation retreat last year.  While he was sitting through a 6 hour meditation session his knee began to hurt.  His meditation teacher advised that he think on the pain and try to deconstruct it.  After some time he managed to break it down into a feeling of pressure and heat.  He changed his relationship with pain and it took his pain away.  Your brain is as adaptable as your body and it will learn what pain does for you and establish a trigger that sets it off without your conscious permission.   When you let pain take over and control you no amount of exercise and treatment will help you get better in the long term. 

The Life Resolution - the only one to make - EVER

Happy New Year

Have you set your New Years resolution (NYR)?  No?  Good!  Don't do it.  Seriously do not set a New Years resolution this year.  Here is what is faulty with the NYR...

Faulty goods

Often we set a short term goal that can be achieved within 3 months - to stop smoking, lose weight, go to the gym, stop drinking so much etc.  Some of us achieve it most of us lose interest.  If we do achieve our goal (yay - well done you!) we are prone to slip back into our old ways and vow to ourselves in 9 months we'll try again.  

Why?  Because life is too important.  We are creatures that seek out good times and fun.  We want to participate.  So how do we deal with the conundrum of good times v being good?  

Golden Goods!

Precision Movement challenges you to set a Life Resolution (#liferez). The liferez is a lifestyle change.  It starts with taking a good look at your life and saying what can I change here to be healthier, happier and have optimal wellness and enjoy my fitness?

Instructions

The liferez is exceptionally easy to assemble.  You choose your changes and when, where and how to implement them and the reasons for doing so.  Ideally make one small change each month.  If you feel your change is successfully implemented and fits well with your life then go on and change something else.  

Completely customised

Your liferez is designed by you.  You can choose anything you would like to improve from as little as one less cup of coffee per day to taking your first vacation in 5 years.  We all have different needs, priorities and responsibilities so make changes that serve your life.  If getting to the gym 5 days a week is impossible for you then don't include this in your liferez.  Seek out what would work better for you.  Measure your progress by your own life yard stick.

Second class post and loving it

The liferez is an endurance event - it's your life.  You wouldn't want to sprint through your life akin to same day DPD delivery would you?  You'd want to take your time, sit in the post office for a while and enjoy the view, take a few travels, maybe get lost and redirected before arriving at your destination a la 2nd class Royal Mail.  With the liferez you'll make smaller steady changes that you can work into your life over time.  They'll take a little effort in the beginning but will soon feel routine.  

T&Cs

With the liferez you will value the T&Cs and you get to make up your own.  My T&Cs are based around the 80/20 rule.  80% of the time I am golden and 20% I splash out and throw caution to the wind.  My T&Cs stipulate that after my splash out I return to my golden ways and this keeps my liferez in check.

Guarantee 

The great thing about the liferez is as long as you use it consistently it has a lifetime guarantee.  It will always serve you.  

Want to know more about TheLifeRez?  Follow me on Twitter and use #theliferez or on Facebook. Contact me at KT@precisionmovement.co.uk

5 sources of stress that make your pain worse

stress ball

In my

1st newsletter

where I shared the link to

Kelly McGonigal's Ted Talk

on How stress can be your friend I promised I would also share the other 5 unsuspecting sources of stress that may be compromising your health.  Although is true that your conscious perception of stressful situations can transform the outcome, there is little you can do about forms of stress you do not know about.  

Did you know that stress can come from foods, hormone imbalance, electromagnetic sources, too little or too much exercise, and temperature changes?  And did you know that all these sources of stress can contribute to a relapse of your injury, pain or discomfort?

Stress build up throughout the day

I'll use an example of how stress can build up without you even knowing.  You wake up to an alarm after a restless nights sleep. You force off your tiredness with a coffee and rush out the house because you are late.  You leave the house without a coat and it's too late to go back to get one now - you'll be cold all day.  When you get to work the computers are down  The You won't finish that proposal for a client today, you'll lose the contract and your bonus!  You have a makeshift late lunch and more coffee to stay awake.  You decide to shake off your stress by going for a run even though your back hurts and when you get home, you order a take-out and you can't wait to get the kids in bed so you can 'unwind' with a few glasses of wine before you fall asleep on the sofa in front of the TV.  Sound familiar?

Many stressors one response

What if I told you that everything in the above example stresses your body?  Think of your body having a threshold - a tolerance for all the stressful things we put it through.  What if I told you that repeating this over and over would create a build up of stress that might result in a seemingly 'random' injury or illness?  It does.  The body only has one response to stress.  It does not matter if the stressor comes from a food that you are unknowingly intolerant to or over exposure to the sun.  The body's response is to shut down so it can heal.  Repeated abuse of these systems results in tiredness, compromised immunity and suppression of healing and recovery.  This leads to discomfort, pain, injury, illness and disease.

How to combat these sources of stress...

In this blog i'll give an overview of how to combat these unsuspecting sources of stress so you can begin to change your mindset on how to deal with your discomfort, pain, injury and or illness.  As each of these subjects are pretty hefty on their own I'll be sharing information in more depth over the coming weeks.

1.  Nutrition

Eat from the earth.  Refrain from eating any foods that are packaged, processed and tampered with.  Reduce stimulants like coffee to the minimum to prevent stressing out your adrenals.  Be aware of your alcohol intake

2.  Hormonal/Adrenal

Sleep enough and rest properly.  Sleeping and rest are not the same thing!  Sleep 8 an average of 8 hours in a blacked out room in silence.  Maintain balance between work and life.  Acknowledge that you are not superman/woman and that rest is as important as action.

3.  Electromagnetic

Get enough sunlight for vitamin D but not too much - hardly a problem in the English winter months!  Eliminate all electronics from your bedroom and switch off lights at the mains.

4.  Exercise

Definitely exercise but make sure you are not overdoing it.  If you are injured seek professional help to recover effectively.  Strike a balance between healing restorative exercise like tai chi and hatha yoga and more energising forms of exercise like hitting the gym or running.

5.  Make stress your friend

If you haven't watched this video on how to make stress your friend I highly recommend it.  Kelly McGonigal says it better than I ever could.

How to make stress your friend

6.  Thermal 

This seems rather obvious but pay attention to your body temperature. Anything that keeps you too hot, burns you or adversely keeps you too cold is a stressor.  Make sure you are temperate in all situations - at home, work and when you sleep.

Lastly, this is a huge topic and I'll be covering smaller chunks in finer detail as the weeks go on so you can begin to make changes that will result in a healthier, happier pain free life!  If you have questions please email me.  

Information sourced from Paul Chek's How to Eat Move and Be Healthy book, CHEK Institute, USA.

5 top must-have tips for a long healthy career

kid superhero

If you are in business and or climbing the corporate ladder you'll know all too well that feeling of invincibility. It's a divine trait and can also be equally as detrimental - unsuspectingly to your spine and your heart.

Clients come to me in their mid-30s to mid-40s with back, neck and shoulder pain and in their mid forties to fifties with heart trouble. One way or another, a life time of stress will get you. And when it does you will have to stop completely to heal and recover. There is nothing more soul destroying than being close to the height of your career and having to take 6 months or longer off because you can't get out of bed.  It's probably not something you think about at all - and I am with you that you shouldn't have to. An awareness and application of a few basic support systems can minimise the risk of present or future work related back pain and injury. Here are my top 5 counteractions to minimise the risk of irreparable damage to your spine so you don't have to think about it!

1. Your state of mind. No one is invincible. If you are striving to achieve a top job it is an endurance race not a sprint. Pace yourself and take time out. The first step is to rethink the invincibility cloak - save it for dress up with the kids!

2. Your body heals and recovers from the stress you put it through daily when you sleep. Sleep is not an option for minimising injury and illness prevention in the future - it is a necessity. Both quality and quantity are important. Aim to sleep for 8 hours a night ideally between 10pm and 6am. Take out any electronics from your bedroom and switch off lights at the mains. Your room should be pitch black and as quiet as possible for a really good quality of sleep.

3. The food you put in your body becomes you. If you eat sugary processed foods your body will be starved of the nutrients that heal and restore from daily stressors. Also not eating enough will cause stress and impair effective recovery. Every cell in your body is renewed over 7 years. So short term fixes will not work well for injury and illness prevention in the future. Make a commitment to yourself to make a change for life - feed your success by eating what nature grows for you.

4. Movement is absolutely essential for injury prevention. If you sit at a desk during your working day you MUST make an effort to move either in the morning or in the evening. Exercise plays a direct role in maintaining good posture and keeping your joints strong and stable. A balance of high intensity and restorative exercise is also important. Too much high intensity will stress you out and could lead to an over-training injury. The quality of movement has a huge impact on how successful it becomes for injury prevention. If you turn up the gym and have a go on what looks good or manageable I would suggest seeking advice. At the very least find a good trainer or corrective exercise specialist with experience, top qualifications and a passion for their job to design and regularly upgrade a programme for you.

5. Strive for a balanced life. Spread your energy and interests wide. This idea is about giving your brain a new stimulus - a chance to work in another way. It is said that a change is as good as a rest right? So change your stimulus to give your brain a rest. Mental stress is as detrimental to your body as physical. This will mean stepping away from the office - and the blackberry.

Implementing and making a habit of these 5 suggestions helps to optimise your health to give you the best possible opportunity to enjoy a long, healthy and successful career.