Why workouts are the most productive part of my business

KT from Precision Movement

As a soloprenuer I run all parts of my business - client facing service, marketing, networking, admin, business development and growth.  In order for my business to continue growing I work on all areas.  But if I am totally honest it is my personal workout time that has the most value to my business and here are the reasons why....

Movement is the foundation of career success

I've been looking for concrete evidence of the affect of physical work on career success for a while and a few weeks ago I was given "The Making of a Corporate Athlete", written by Jim Loehr and Tony Schwartz in The Harvard Business Review back in 2001.  These two extraordinary gentlemen brought an elite athlete preparation and training protocol to CEOs and high level executives to dramatically improve work performance as well as enhance health and happiness in their lives.  

They work to a principle called The High Performance Pyramid.  Their model shows that building on rituals of physical, mental, emotional and spiritual components helps CEOs and high level execs excel at peak performance under pressure.  Notice that physical movement is the FOUNDATION!

Effective, vigorous exercise  can promote a sense of emotional well-being which leads to peak mental performance that affirms our purpose for doing what we do and living how we live.

Now the research part is explained I am going to share my personal experience of how my workouts make my business better and how workouts can make your business better too!

Movement triggers my memory

Of late I've been paying attention to my thought processes and what comes to mind during my workouts.  During my rest periods I am often typing furiously on my to do list things I've remembered - emails to follow up with, phone calls I need to make, even things like making a small change to my business card.  Movement triggers my memory and fortunately or unfortunately depending on how you look at it it also lengthens my to do list!

Affirming success stories

As I workout in the space I see clients, certain exercises or pieces of equipment trigger reminders of clients I have worked with or am currently working with.  I am often flooded with thoughts of their progress and achievements.  So even if I'm having a tough day or struggling with something a workout triggers positive affirmations of my work and increases my self efficacy.  What do you do when you're not feeling 100% confidence in your abilities?

The little things

Because exercise puts you in such a great happy state I often think of little extras that my clients could benefit from - books, articles I've read, blogs that I've written that are specific to their needs at the current time.  Even things like art exhibitions or movies I know they might like.  It's the little things that make the difference and I always get these ideas during a workout.  If you are a small to medium size service business you'll know it's the little things that set you apart from your competitors.  Where do you get your little ideas inspiration from?

Onwards and Upwards 

It is when I am running outdoors that I get my big ideas for the future and how to improve my service and client experience.  I let my mind wonder to the future and let my imagination create wild and wonderful plans about where I will be in the next 5 or 10 years.  Some of the ideas are ludicrous but fun to live out anyway and some ideas have made my business better.  Steve Jobs was notorious for scheduling in "thinking time" - time to just think and let the mind create an explore.  Running is my 'thinking time'.  How do you do your big thinking?

Energised and Motivated 

At the end of my workouts I always feel renewed energy and motivation.  I feel like eating a super healthy replenishment meal but most of all I feel like making someone else feel this good.  I am able to promote and influence these feelings in my clients.  How do you motivate and inspire your clients and co-workers?  What makes you feel inspired and ready to work on a project with renewed energy?

So how are you going to make your business more productive?  Movement is a great start!  For more information about how I can help you with your fitness and productivity please

contact me

.

Why you should be Fit for Life

Precision Movement Fit for Life

At Precision Movement2 we have a number of clients who came to us with specific goals which they achieved and now train with us to be 'fit for life'. It might sound like a wishy washy term with no direction but it has a profound impact on our clients. Read on to find out why Fit For Life is the new goal for exercise and how it will make you rethink how you train and why!  

What is 'fit for life'?

At Precision Movement 'Fit for Life' means you can run around the park with your kids without feeling 90! It means you can go trekking or skiing or sign up for 10k race without questioning your physical abilities. It means you can clean out the garage and shift heavy items without injuring your back. It may at some points include a short or medium term goal like running a marathon or triathlon but they are not the main focus. It gives you the freedom to enjoy your life and to say YES to creating, enjoying and remembering experiences that make up your life.

The high of fit Without fail, come minute 55 of an hours training session our clients are telling us how great they feel. They may have had the most stressful day but when they get to the end of their workout they feel like they could rule the world. Now, unfortunately, I can't take credit for that - the high comes from the release of endorphins so clients ultimately do this themselves. What I can take credit for and what we specialise in at Precision Movement2 is the innovative, creative and fun filled workouts that keep our clients coming back again and again.

Fitness for everything To be fit for any kind of situation you'll need to train the 8 biomotor abilities that make up fitness. If you just run all the time you'll only be training one of the eight - endurance. This will be good if you're a marathon runner or you like to trek in high altitude. But if you have a clean out of your garage you'll probably not have the strength to move heavier objects and may injure yourself even though you are considered 'fit'. At Precision Movement2 we make it out business to train all 8 biomotor abilities so you are a 'fit jack of all trades' if you like.

Quashing boredom When you make a conscious decision to make fitness and exercise part of your life you have to keep yourself interested and engaged. For our clients we make variation a central training principle. We challenge our clients and introduce them to new ways of exercising in a safe and progressive way so exercise is always fun and engaging - it's never boring at Precision Movement2!

Fit for the sake of fit It is well known that physical activity has a profound affect on your mental and emotional wellbeing which impacts both work, career success and home life. These days fitness is a given if you want to wake up each day and make the most of yourself. For our clients fitness is part of their lifestyle - a non-negotiable part. Without it they feel less productive, they start to feel a little blue.

Ultimately, 'Fit for Life' is a long term commitment to looking and feeling great and giving you the freedom to enjoy your life - ALL OF IT! It's for those of you out there who want to look back on your life and say I did everything I wanted to, I enjoyed every second of it and I am still here to tell you the tale. 

For more information on how Fit For Life can transform how you look and feel for the long term head on over to PrecisionMovement2  and please Contact Us.

How to be healthier and happier at work

I love my job!

Last month I was invited to speak at the Lansdowne Club in Mayfair about the tragic death of Moritz Erdhart. I posed the question 'does the responsibility of your health and wellness lie with the company or does it lie with the individual?'  In part 2 of this blog I'll be focussing on how you the individual employee can take responsibility for your own health and wellness at work.

The buck stops with you

I truly believe your personal health is your own responsibility.  That is not to say you should automatically know how to attain optimal health - that is what health specialists are for.  But, however many health benefits your company offers you it is your responsibility to use them.  I think we can all attest to feeling sharper, more productive and more amiable when we are well rested, well fed and have a sense of content and happiness about our lives.  

Stop, think

Every time you order a meal you are making a personal choice about how to nourish your body.  Only you can get to the gym, or get to the 5-aside football, office rugby game or pilates class.  Only you can make a decision to sort out your desk related back pain.  And it also your choice (within reason) about when to leave the office at night. 

The LifeRez - It's a state of mind

You can minimise the chances of injury or illness by taking responsibility for your health now and making LIFESTYLE changes that you can maintain for the foreseeable future.  A few blogs ago I wrote about Precision Movement's Life Resolution campaign - making smaller manageable health changes that you can maintain for life. At work your priority is work but health and wellness will make your work more enjoyable.  The liferez system is perfect for implementing health and wellness into you work life.  

The essentials

There are a few small essentials that you can easily incorporate into your work place.  Start with your work station - ask for an ergonomics assessment to ensure you have the best possible posture when you are working.  Drink more water and you can start by adding just one extra glass of water a day.  Make sure you leave the office at lunchtime for fresh air, natural light and movement.  There are many more things you can improve easily and you can find out what they are and how to implement them on Twitter page and Facebook.

The back bone of life

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Last week I was asked to speak at the L Club in on Sloane Street about the importance of the spine for health throughout life.  I thought I would share with you what I shared with the audience of the L Club how your spine develops, what injuries it is most vulnerable to at certain parts during your life and how you can minimise the risk of injury as you age.  If you are tempted to just read what it says under your current age bracket this would be foolish.  Remember what you have done in the past and what you do now will all influence how the spine will respond in later years. Read on to find out more....

0-3 years 

When we are born our spines are curved like a shell.  In the first 2 years up to when we walk we go through huge amounts of development and change in the spine.  We learn how to move it and stabilise it and to sit up, crawl and walk the spine changes alignment.  As we grow our spines take on three curves - cervical, thoracic and lumbar and these curves are responsible for maintaining good posture, keeping our intervertebral discs in place and providing shock absorption.  This is one of the most important developmental stages of our lives and we should never underestimate the value of babies learning to move efficiently and effectively.  The movements and postures that babies learn here serve them for the rest of their lives which means if faulty movements are developed it will affect movement, co-ordination, posture and strength development in later years.

3-21 years

This is the time when we should move and learn sports.  Jumping around and pounding on our bones is the best way to make them dense and strong coupled with a good intake of calcium from leafy greens and vitamin D from the sun as well as good overall nutrition.  Any weight bearing sports are good for bone density development (swimming is a non-weight bearing sport).  Intense learning of sports is not recommended until age 7.  Ideally children should try out lots of different activities.  At age 7 if children show an interest in a particular sport they have enough neural development to learn more intensely.  Children should not lift heavy weights as it can stunt growth.  

21-30 years 

When we get to 21 we have fully grown but we can still increase our bone density.  Bone density is exceptionally important for the prevention of osteoporosis.  Between 30-35 our bones begin ageing and it is no longer possible to increase our bone density - we can only slow the rate of decline.  This is effectively done by weight bearing exercise such as strength training.  The discs between your vertebrae have fluid and a jelly like substance inside which acts as part of the shock absorption I mentioned earlier.  At at 30 our bones cannot get any denser.  From here our bones go through a process of becoming less dense.  

30-45 years 

This is the time when the spine is most vulnerable to disc injuries.  Mostly because of our lifestyles - too much sitting and not enough movement.  Up to age 45 the discs are refilled with fluid each night as part of the recovery process when we sleep.  This is why you are taller in the morning and shorter at night!  One of the reasons why disc injuries happen between 30-45 years is because of years of 'ligamentous creep' the connective tissues in the spine stretching over time to accommodate poor posture.  Ligaments are the strongest structures in our bodies connecting bone to bone and they give our skeleton stability.  Once ligaments are stretched they do not go back to their original length.  Over time, years of time, it makes the spine unstable and then the discs become vulnerable to pressing out on to the nerves.  

45-55 years 

Past 45 the discs begin to dry up and the spine becomes stiffer.  This actually has an advantage as the discs are less prone to pushing out against the nerves because they are less plump.  However, less fluid in the discs means loss of disc height.  Firstly, you lose height which is not so bad.  Secondly, your vertebrae are much closer together so the ligaments become lax and can create instability.  This hinders movement, particularly rotation, and can also lead to bone spurs and stenosis.  

55 onwards 

Depending on what you have done or not done with your body you may experience some pain or injury in your spine as you age - common but not normal issues are osteoporosis, arthritis, spondylitis, ankylosing spondylitis and postural imbalance.  What I always find interesting is that most people as they age will have some sort of disc degeneration but not all suffer with pain from it.  The key here is movement - the more active you are the less likely you are to feel pain.  

The most important point here is what you can do to minimise the risk of injuries and diseases when you are older.  Once you have these issues they can be managed but they are not reversible.

If you want to know more about minimising the risk of spinal complications when you are older or maybe you have a spinal injury that you'd like to know how to manage better then contact me at 

KT@precisionmovement.co.uk

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Does having a strong core relieve low back pain?

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Well the obvious answer is yes having a strong core contributes to the relief of low back pain.  The bigger questions here are what is the definition of 'the core'?  What muscles is the core made up of?  Is it only abdominal work I need to do?  The answer to this question is a resounding NO!  How do I activate 'the core'?  How do I move successfully whilst keeping my core activated?  If you would like to know the answers to these questions then read on.....

What is the core?

Unfortunately it is mostly referred to as the abdominal region and this is a classic example of how a little information can cause more harm.  Think of the anatomy of the core - the centre of your body -  it is a cylinder.  It has an anterior wall, the abdominals, but it also has sides, a back, a base and a lid.

Just like a house if you only re-inforce the front wall you will create imbalance in the house and the un-inforced parts will weaken and crumble.  If you only train the abdominals you will create an imbalance between the front and back of the body.  The abdominals will get stronger and the back muscles will get weaker.  the pull on the bones from the abdominals and the lack of counteraction from the back muscles will cause a more flat back and a posterior rotated pelvis.  For those with disc injuries this is just about the worst thing you can do because the discs are at even greater risk of coming out, irritating the nerve and causing you great discomfort.

The mechanics 

Activating your core is not as simple as contracting a few muscles.  The diaphragm acts as the lid of your core cylinder as well as playing a major role in respiration.  Your breathing is very much involved in optimal core activation.  If you have faulty breathing mechanics and/or the alignment of your ribcage and pelvis is out this affects the role of the diaphragm in core activation.  Ultimately successful and useful core activation is a blend of alignment, good breathing mechanics and the understanding of how to activate ALL the muscles that make up the core.

Gently does it

Activating your core for support is actually very gentle - about 10-15% of a maximal contraction.  If you contract to hard you'll do what is called a brace.  This is not bad and in some cases is necessary such as in ultra heavy lifting but what happens to the cylinder is it becomes rigid and immovable.  The point of activating the core for support is so you can move freely without restriction.  If you are going red or cannot breathe when activating your core you are contracting too hard.

Intra-related - it's complicated

There is no use thinking I'll train all those component parts separately.  In order to provide optimal support for your spine all these muscles need to work together.  You have to train the brain to switch on these muscles like a conductor begins an orchestra together.  If the firing order is out it will sound like a badly rehearsed concerto.

All together now

Once you have the component parts working in harmony then you must teach your body to move with this new core support system working.  At first it will be a conscious effort but over time it will become automatic.  This enables you to move effectively for life, for fitness, for your sport and with the correct support so you can move without pain and minimise the risk of injuring yourself further.  

So now you know that your core is more than just the abdominals I would recommend seeking out a specialist who can teach you correct alignment of the ribcage and pelvis, correct breathing technique and correct core activation to support your spine.  A good indication of a specialist in this field is one that can explain the mechanics and teach you the application simply and effectively.  

If you would like to know more about core activation and how it can help support your back and other joints effectively for movement contact me at KT@precisionmovement.co.uk.

5 common desk bound injuries and how to avoid them

ipad user slouching

The office environment does not lend itself to an optimal pain free and posturally aligned existence.  Our postural alignment is often the last thing we think about until we begin to experience pain.  Here are the 5 most common aches and injuries from a desk bound environment and how to avoid them.

RSI - Repetitive Strain Injuries 

This is an umbrella term given to a collection of upper limb injuries including thoracic outlet syndrome, double crush syndrome, carpal tunnel syndrome, golfers elbow, tennis elbow.....  These injuries mostly start in the neck and shoulder area and commonly come from postural misalignment.

How to avoid it 

Try to avoid typing for long periods of time - take a break for a few minutes every half hour or so.  If you have a smart phone with voice activation then use it to give your hands, fingers and wrists a break.  Take time off your phone and tablet by reading a newspaper or a book or listening to music.   

Low back pain

This is probably the most common complaint of all desk bound workers.  Back pain can occur for many different reasons and your office environment can contribute and exacerbate it.  The most common cause of back pain is slouching in your chair and then sustaining postures for long periods that encourage certain structures to be stressed more than others.

How it avoid it

Sitting for long periods is not great for your back.  Make sure you move frequently throughout the day.  Get out of the office for lunch, walk to the water cooler, take a few flights of stairs up or down between floors, get out a tube station early and walk the remaining distance to your office.  If you can exercise before or after work or even during your lunch break.  Without fail get your workspace assessed by an ergonomics specialist - insist on one from your company.  

Upper mid back pain 

Another common compliant especially from writers, architects, artists and anyone who hunches over their desk.  Mid thoracic aches and pains often come from an imbalance between the muscles in the front of the shoulder and chest area being too tight and the upper back muscles being too weak.  A common occurrence is a strained feeling which comes from the back muscles being stretched but at the same time contracting to stop you from collapsing over your desk.  It is call tautness - the muscles are weak and tight at the same time from being over worked.  

How to avoid it

Work on your upper back alignment - do not hunch over your desk.  If you are writing and reading or drawing a lot then invest in an architects desk that you can tilt to an appropriate angle for your work.  Invest in a few sessions with someone who can teach you upper back exercises and stretches for postural alignment that you can do daily to strengthen your upper back.

Neck pain 

Neck pain is exceptionally common especially these days with the use of smart phones and tablets that we look down to use.  Even at your desk you are inclined to crane your head forwards towards the computer screen in front of you.  This puts incredible strain on the neck and can cause injuries such as a cervical disc prolapse.   

How to avoid it

Mobilise your neck throughout the day with head rolls and shoulder rolls.  If you have a chair with a head support consciously press your head back into the support whilst you work.  Make sure your chair alignment is assessed by an ergonomics specialist.  This will help correct the alignment of your head and neck as you work.  Do not place the phone between your ear and your head - use your loud speaker or invest in a head set.  Use a stand for your tablet if you are working at your desk to avoid hunching over it.  

Shoulder pain 

Shoulder pain can come from excessive use of smart phones and even typing on your keyboard.  Mostly pain will come from misalignment and if often associated with neck and mid thoracic issues.  Shoulders are vulnerable joints so seek out help with postural alignment.

How to avoid it 

Mobilise your neck throughout the day with head rolls and shoulder rolls.  Make sure your workspace is optimally aligned for your arms and shoulders.  Take a rest from your smart phone - some phones now have voice activation so you can give your hands and arms a rest from the constant furious typing.  Find a corrective exercise specialist or a rehab specialist to help you with your shoulder alignment.

General advice 

If your pain does not resolve itself within 7-10 days and if it gets continually worse then seek treatment from a physiotherapist or osteopath.  Early treatment often results in a quick recovery.  It is tempting to ignore aches and pains until they become unbearable - the longer you leave something the longer it will take to recover.  If you would like more information on how to resolve a desk bound injury please email me at

KT@precisionmovement.co.uk

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Babies can teach us a thing or two about movement

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Have you ever watched a baby learning to move?  I think it is possibly one of the most fascinating things in this world.  Babies are hard wired to learn movement and the most amazing thing is they do it by themselves.  We can't teach them because they have not yet developed the communication skills.  They can certainly teach us a thing or too!

What motivates babies to move?

Babies are solely motivated to move by attaining something.  They might want a toy or to get to their Mother.  The need to achieve this is greater than staying put so they figure out with the facilities they have at any given developmental stage how to get to where they want to.  

Sight leads movement

Have you ever noticed that babies only move towards something once they have seen it and they keep looking at the object of their desire until they get it?  It can be behind them but if they can see it their whole body is sent messages to move towards the object of desire.  This mechanism stays with us and vision can be used to rehabilitate muscles that are not firing effectively.  Try it - look towards something behind you and you'll notice your body starts to rotate towards it.  It's a new technique I'll be using going forwards so get your movement goggles on!

Repetition

Babies will repeat a movement at a particular stage of development over and over again.  It is how they teach themselves unconscious movement and also how the get strong.  It is also why they need so much food and rest because they are moving and learning all the time.  This applies to adults too - especially in a rehabilitative setting.  If you are injured and you need to relearn movement patterns or a better breathing pattern or how to activate your core again it is repetition that is the key to success.  You want these mechanisms to be unconscious.  

Pure movements and postures

If you are looking for perfect posture and pure movement patterns look at babies.  They use the most efficient and effective movement patterns to get them where they want to go.  Have you ever seen a 12 month old in that beautiful primitive squat position?  That is what our squats should look like.  We lose the ability to do this because we stop moving.  

Set for life

The postures and movement patterns that babies develop form the basis for how we will move and function as a child and as an adult.  If faulty postures and patterns develop in this crucial stage they need to be corrected immediately as it can result in problems later in life.

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

Looking inside the body for the cause of your pain

MRI

Scans help identify whether structural damage is causing or exacerbating pain.  Personally I think knowing is better than not knowing so I would always go for a scan.  But what scan is best for you?  And what are the pros and cons to scans?  Read on to find out more....

What scans do

A scan can show nothing even though you may be experiencing excruciating pain but it can rule out structural damage so you can begin looking at other factors.  If a scan does show evidence of what is causing your pain this can provide a sense of relief.  It also helps the specialists, therapists and rehab practitioners tailor your recovery plan more effectively.  The important thing to remember is that whatever the scan shows, it is just information.  It is the decisions and actions you take from learning this information that will form your recovery plan.   The most common scans used for back pain are x-rays and MRIs. 

X-rays

An x-ray can tell you if there is anything wrong with your bones.  An x-ray will show up breaks, fractures, bony change like arthritis or bone growths called spurs.  What is can be really useful for in terms of potential causes of back pain is showing loss of disc height.  Structural damage to discs and also ageing can cause the discs to reduce in height.  This results in your vertebrae (bones that make up the spine) sitting closer together.  If the cause of reduced disc height is not known it may be better to opt for an MRI to gain a more comprehensive picture of what is going on.  

Pros:  cost effective, reduced wait time for scan if any

Cons:  restricted information, small dose of radiation

MRI scans 

An MRI scan (magnetic resonance imaging) can show you bones, muscles, connective tissue, nerves, discs, arteries and all other structures in the body.  It takes a series of images at very small slice increments and then puts it all together to create a complete picture.  Often with an MRI scan you get several slices to view which enables consultants to 'look through' structures beyond the surface.  It gives you a comprehensive view of everything in the area of pain.

Pros:  more accurate diagnostic tool 

Cons:  Expensive, often wait list on the NHS but  can go private, closed MRI scanners can be claustrophobic to some so ask for an open top one if available.

Getting an MRI quickly

There is often a wait list for an MRI scan on the NHS.  You can get a scan quickly through private medical insurance but if this is not an option there is an alternative solution.  Vista Diagnostics offer MRI scans from £200 with short notice appointments available.  You could potentially get a scan within a day and results within 2 days of your scan.  For more information visit www.vistadiagnostics.co.uk.  This option could eliminate much anxiety and frustration which can make your condition worse.  It could also mean starting treatment earlier so you can get better faster.  

Results

Whatever can you have make sure you understand the results.  The radiologist who interprets the results of your scan will send you and your specialist a letter explaining what has been found.  Once you know if there is any structural damage you can make a more informed decision about how to proceed with treatment.  If nothing is found that is totally ok - there are many people who suffer with back pain who do not have any structural damage.  Often pain is caused by poor posture, your lifestyle habits, your nutrition choices.  Discuss treatment options with your specialist and ask about manual therapy and corrective exercise as well as alternative forms of pain relief like acupuncture.  

Key points 

The key points to take from this are firstly MRI scans are the more comprehensive scan option and secondly, whatever the scan shows it is just information that will help you make a better decision about your recovery plan.  If you have structural damage like a disc prolapse or stenosis it's ok - you are not going to die!  Many many people have structural damage.  The most important thing is to put a multi-disciplinary recovery and management plan in place.  For more information on back pain and injury recovery and rehabilitation please contact me at KT@precisionmovement.co.uk.

Featured Expert: Helen Skehan RSI physiotherapist

manual therapy

Helen Skehan specialises in the treatment of RSI (repetitive strain injuries).  She is the owner of

Physio Solutions

clinic in Islington, a clinic that she built herself over 16 years, houses 9 therapists and also offers massage and ergonomic assessments in the work place.  

KT:  Helen, what is RSI?

HS:  RSI stands for repetitive strain injury.  It is a term given to work related non-specific upper limb injuries and does not always mean the injury has come from repetition or is a strain.  Patients present with a number of symptoms that may not always be the same from person to person.  

KT:  What symptoms are common with RSI?

HS:  I test for many things - often clients present with varied pain in the neck, shoulder and arm, tingling ,numbness, temperature changes, swelling.  I look for specific tightness, muscular imbalance and postural misalignment.  I may also send clients to be tested by a rheumatologist to eliminate other underlying conditions.

KT:  How does RSI develop?

There are many different ways RSI can develop.  It is often a combination of a poor workstation, poor posture, lack of exercise (although not always sometimes I see patients who are real gym bunnies),not taking enough breaks at work, high stress, lots of typing and ignoring initial symptoms.  

KT:  How does stress play a part in the development of RSI? 

I would say stress exacerbates symptoms.  Mechanically, stressed induces increased muscle tension in the neck and shoulders where the nerves exit the spine and pass through the shoulder joint down the arm.    Also, breathing rate increases and during stressful times we tend to adopt a upper chest lead breathing pattern which utilises the accessory respiratory muscles surrounding the neck and shoulders.  The nerves are supposed to glide through neighbouring structures but if the muscles are contracted it can squeeze the nerves causing pain, numbness and tingling.

KT:  What is your opinion on exercise for RSI?  Does it create more strain or can it help?

HS:  I always try to get my patients to engage in some form of stretching, mobilization and exercises.  There is always a role for graded exercise in the recovery of RSI.  It is important to go by a tolerance factor - the patient should not work into areas of pain.  

KT:  What affect does posture have on the development of RSI?

HS:  Sustained postures for long periods in poor alignment are definitely not healthy and can contribute to RSI.   Typically patients that have RSI injuries have a rounded upper back, a forward head carriage and their shoulders are rotated inwards.  It is very common to find neck an shoulder stiffness as well as a lack of mobility in the upper back.  Some patients can suffer from headaches.  Even more distally you find that patients often have hamstring and calf tightness. 

KT:  What impact does modern technology like smart phones and portable laptops and tablets have on the recovery of RSI?

HS:  All these devices encourage a poor posture as you tend to look down at the device you are using.  People tend to overuse their smart phones which stresses the fingers, wrists, hands and forearms.  With tablets and laptops they can be heavy to carry around and we tend to look down when we use them which strains the upper back and neck.  

KT:  What advice can you give to people using smart phones and tablets for work?

HS:  Modern technology is improving all the time.  For smart phones you can use the voice activation system to cut down on your typing time.  Try to avoid using your phone and tablet when you travel on the tube and bus to give your hands and arms a rest.  At work place a tablet on a stand or a removable keyboard.  For laptops and desktop computers invest in an ergonomic mouse or a roller mouse that sits at the front of your keyboard. 

KT:  What are the early symptoms of RSI?

Any hand symptoms that are related to desk work including pain, muscle cramps, tingling, numbness, swelling or feeling of swelling and restricted movement.  Also be aware of any of these symptoms in the shoulder and neck area even repeated small episodes.  We should be able to function without pain.  I would recommend diarising your symptoms and check over a period of time whether the symptoms remain or get worse.  If in 10-14 days the symptoms are still there then seek treatment.  

KT:  What other advice would you give to those suffering with RSI?

HS:  For those with mild symptoms I would advise regular movement that is based on improving postural alignment and mobilising the upper back.  Backstroke can be helpful and calming to some.  Avoid cycling as the posture can encourage symptoms to get worse.  RSI is an injury that develops over time and through the continual use of bad habits.  The most important thing is educating yourself on how to minimise the risk of injury and taking responsibility for your health and wellness at work.  

For more information please visit the website at 

physiosolutions.co.uk

 or to make a booking with Helen please contact her clinic, Physio Solutions, on

0207 713 7780

.  For more information on how exercise can help you recover from RSI injury please contact 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

.  

My top 5 reads for chronic back pain sufferers

me with my books

I love sharing knowledge!  Which is why I have compiled a list of my top 5 reads for chronic back pain sufferers.  They are all easy to read and most of them have tips and information you can apply immediately.  If you are suffering from chronic back pain and you really want to know what to do about it and how to handle it then read on.... 

1.   Explain Pain by David S Butler and Lorimer Moseley

A comprehensive information packed book that explains how pain comes about and what it means.  Although it's a little pricey I think it is must read for chronic pain sufferers.  

2.  Painful Yarns by Lorimer Moseley

A wonderfully entertaining book that uses the authors personal anecdotes to explain the mechanisms of pain and about taking responsibility for recovery.  

3.  Treat your own back by Robin Mackenzie

This is a good book for anyone with disc prolapse.  It gives easy to understand advice and information and is a great starting point for approaching recovery.

4.  Sitting on the job by Scott L Donkin

This book is a bible of information if you are a desk bound office worker with back pain or any workplace associated injuries such as carpal tunnel or RSI.  

5.  How to eat, move and be Healthy by Paul Chek

I recommend this book to everyone I meet.  It looks at all areas of your health and wellness and is an integral part of healing nad recovery from any pain or injury.  

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

How to talk to your GP about your back pain

When you hurt the priority is to make it go away, quickly.  The problem with back pain is it takes a bit of time to settle and usually takes a combined of manual therapy, corrective exercise and optimisation of a few lifestyle factors.  If you are keen to sort out why you’re hurting but are skeptical about how your doctor can help read on for my 5 top tips for speaking to your GP about getting your back pain sorted.  

A GP checks and more often than not rules out urgent, serious and sinister issues and is then the gateway to further treatment options.  Personally, I’ve found that having a plan about what I would like to discuss with my GP before my appointment helps me to get the questions I have answered and also directs the conversation towards what is next in the process.

A whole approach

Back pain often needs a comprehensive approach which may include pain relief, physiotherapy, medical review and possible further investigations. Go in with a mindset of taking a whole approach to getting better.  A whole approach means taking on board all systems of your health and using more than one method to manage your back pain. 

pain medications

You and your GP may agree that you may benefit from taking pain relief. Ask your GP how the pain medication works - I always find if I know how something works I find it works better. Make sure you know the any possible side affects and talk to your doctor about dosage and how long you should take it for. If you are not keen on taking pain medication ask you doctor about alternative forms of pain relief such as acupuncture, heat or massage. Be sure to ask about whether you would benefit from a review with a sports doctor, consultant or physiotherapist.

Be specific

Notice patterns of pain, when the pain occurs, when it gets worse and what makes it get worse.  What makes it get better? Does it ease throughout the day?  All this information helps your GP to make a decision about how best to help you.  

What is the plan

Ask your GP what the plan is and what the next steps are. If you already know how you would like to manage your back pain discuss this with the GP. If a referral is indicated ask who you will be referred to and why.

Imaging

GPs will likely refer to a physiotherapist, sports doctor or consultant for the management of back pain. It is common to start with a course of physiotherapy but sometimes a GP may refer you straight to a consultant or sports doctor. It is at this stage imaging (ultrasound, x-ray, MRi, spect scans) are discussed and potentially ordered. Talk to your GP about whether you need a scan and if not now when it may be an option.  

Please note that a scan can be useful adding more information about your anatomy with respect to your presentation, but it is a snapshot of you when you are still. The body is infinitely more complex.  A scan, if indicated is added to the information about your presentation - it doesn’t supersede it.

What does it mean if you wake up with low back pain?

Low back pain is the 2nd largest reason why people take sick days from work.  80% of the UK population will at one time in their lives experience back pain.   One of the most common symptoms I come across in clinic is patients waking up with pain or stiffness in the back.   Read on to find out why this might happen and how to relieve symptoms.

The spine throughout the day

Over the course of a day we lose height because the discs that sit between the vertebrae (spinal bones) lose fluid through the day. This fluid is replenished overnight as we sleep. as a consequence we are slightly taller in the morning and slightly shorter in the evening. It makes compelling argument for the importance of good sleep quantity and quality. For my top 10 tips on the best sleep ever (my most popular blog post) click here.

You may also wake with back pain from lying in an uncomfortable position for a long time and the muscles may just be feeling stiff and achy.

What happens when you sleep?

Sleep is when your body heals and recovers from the day’s events.  This includes the restoration of fluid in the discs between your vertebrae.  Sometimes discs The expansion of the discs with fluid can sometimes cause pressure on the nerves that run through the spine and this can cause discomfort on waking.

Nerves get on my discs

Nerves are sensitive creatures.  They like space and freedom to do their job.  When a disc expands over night from the intake of fluid it can reduce the space for the nerve and cause you to hurt when you wake up.

  When the body experiences pain especially around the spinal cord where your central nerves run through, the muscles surrounding the area may contract to stabilize the area.  The body knows that the nerves running through the spine are exceptionally important for function and survival and it will do anything to preserve their health.  In this case it means contracting and tightening up the surrounding area.

What can I do?

If you find this is a persistent symptom that is compromising the start of your day because of discomfort or stiffness and it is affecting your function for example dressing or showering you may benefit from a physio review.

Morning Mobilizations

You can also try Precision Movement’s morning mobilizations - gentle movements in a safe unloaded position that help ease the stiffness of the muscles and bring increased blood flow to the area.  You may find them useful as a stating point for management.

Precision Movement’s top 10 tips to reduce back pain at work

sitting oldies

At Precision Movement I see so many clients with back pain who sit at a desk all day for their work.  Back pain, neck, shoulder and hip pain as well as RSI injuries are all very common amoungst those who are seated throughout the working day as the sitting position encourages us to adopt poor posture.  Also maintaining the same position for hours at a time is not good for your health of your back or body.  Here are Precision Movement’s top 10 must have adjustments to your workspace to minimize the risk of discomfort, pain and injury at work.

1. Awareness of alignment 

Slouching and poor sitting habits will contribute to back pain.  The longer you sit badly and pay no attention to your posture the more likely you are to incur discomfort, pain and injury.  Awareness and reminders throughout the day are a great start.  Set your computer screen saver to say SIT UP STRAIGHT or POSTURE PERFECT.  If you are on your phone throughout the day set your home screen with a similar message.

2. Chair/sit to stand desks 

Source a good chair for your work-space that supports your spine and deters you from slouching at work.  I like the range at www.back2.co.uk.  There is a fantastic product on the market that really helps with long periods of sitting – the sit to stand desk.  You can adjust the desk height easily throughout the day to alternate between sitting and standing.  I highly recommend this.

3.  Hand height

If you work at a computer then your forearms should be held at a 75-90 degree angle in relation to your upper arm.  The elbows and wrist can rest on the work surface if you regularly use telephones, calculators and write as this reduces strain through the shoulder and neck area.  For those that are drawing or designing at a drafting table angle the table up so you do not have to lean over your work.  A general rule of thumb is the closer your hands and eyes have to work together for a task the higher the desk height should be.

4. Height of chair 

Your chair height is determined by the height of your desk.  Ideally your knees should be at an angle of 90 degrees or slightly less and the feet should rest comfortably on the ground.  The backrest of your chair should sit right in the middle of your low back area.  The placement of the chair should be such that you do not have to lean over your desk to work or that you feel too cramped.

5. Seat pan 

You should be able to adjust the angle of the seat pan on your chair.  As a general rule if you read and write a lot then tilt your seat pan forwards which helps to maintain healthy spinal curves.  If you mostly sit in front of a computer screen then tilt your seat pan back (up to 5 degrees).  However, if you have a specific injury like a disc prolapse your seat pan position will be unique to you and I would advise taking expert advice – see the end of the article for more advice on this.

6. Foot position

Allow your feet to rest evening on the ground ideally with a 90 degree bend at the knee.  If your feet do not touch the ground when you are sitting in your chair then use a footrest and this should ideally be angled up at 15 degrees.  If you wear high heels I would advise that you work in flats when seated at your desk.  The increase angle through the ankle can lead to injury even when you are not weight bearing.  You can always quickly change into your heels to walk to a meeting although ideally flat shoes are better for you whether you are walking or sitting!

7. Computer screen height 

Set your computer screen height so that it is horizontal with your eyeline.  You definitely do not want to be looking down as this will encourage slumping forwards which strains the shoulder and neck area.

8. Computer screen distance 

The ideal distance between your eyes and the screen is 14-30 inches or 35-75cm.  If you screen is too close it will strain your eyes and if it is too far away it will encourage you to lean forwards thus pulling you out of alignment.

9. Headset  

Use a headset or a hands free kit if you are on the phone for much of the day.  If you are seated at a desk infront of a computer or need to hold documents while you are speaking you are more likely to hold the phone between your ear and shoulder which over time will most certainly lead to discomfort and potential injury.  A headset will enable you to work effectively without compromising your alignment.

10. Getting up through the day

The most important advice I can give you is to get up out of your chair throughout the day.  Not only will your back and body thank you for this but it will allow your mind to rest briefly before returning to the work you are doing.  Make a cup of tea, walk to the water cooler, walk to another floor for a meeting, definitely get out of the office for lunch.  If you can frame your work day with exercise such as cycling to work or hitting the gym even better.

KT at Precision Movement can provide bespoke ergonomic assessments and adjustments to your work space.  KT can also provide advice on ergonomic aids if your workspace is not as adjustable as it can be.  For more information email KT@precisionmovement.co.uk.

Beneficial breathing for back pain & injury recovery

For this weeks blog post, I’d like to touch on a subject that is often overlooked.  What plays a major role in the alignment and stability of your body, is critical for your survival and is also integral to maintaining a sense of calm?

It’s breathing. Your ability to breathe is truly amazing.  It keeps you alive, it’s highly linked to how you feel and what state your body is in, it’s autonomic (you don’t have to tell yourself to breathe) but you can also take conscious control of it.  The control and awareness of your breathing is your own little magic remedy for stress relief.  Do a quick test now and count how many times you breathe in and out per minute.

Rate yourself!

A normal natural breathing rate is 12-16 full breaths (inhale and exhale) per minute.  Obviously, when you are exercising breathing rate increases as a necessity of the need to transport more oxygen to the muscles for work.  If you breathing rate is higher than normal for every day living this may be an indication that you are stressed.  This could be mental, emotional or it could be nutritional or digestive.  Whenever the body is disturbed or under stress it has the same response.  Breathing rate increases with stress.

Discover your Depths

There are a few ways to breathe.  The most common, although not most beneficial is chest breathing.  This is a short sharp shallow breath, which is usually quite fast and is associated with the stress response.  This type breathing contributes to getting more oxygen into the top area of your lungs as muscles in the upper back, shoulders and neck are use to lift the chest during strenuous exercise.  This is not however, a breathing technique that should be used in every day life.

Breathing that causes pain and injury

When someone breathes like this they usually inhale and exhale through their mouth and this can often bring the head position forwards and create mild (and sometimes major) stress on the neck and shoulders.  The body will also respond hormonally, as it thinks it’s under stress so it will secrete a low constant level of cortisol – the stress hormone.

Breathing for healing and recovery

Deep breathing/belly breathing or diaphragmatic breathing is a full breath where by the whole lungs are filled with air, the diaphragm drops down and the organs below it push out against the abdominal wall.  Two thirds of a full breath happen below the chest, then last third of the breath should lift the chest if needed.  This type of breathing takes the body into a state of relaxation and rest.  Often a diaphragmatic breath is inhaled through the nose and exhaled out through the nose or in through the nose and out through the mouth.

Breathing for exercise

A simple effective berthing technique that helps you to relax and destress is to inhale for 6 counts hold your breath for 3 counts then exhale for 6 counts and rest for 3 counts.  It takes a bit of time to slow down the breath so go easy to start.  Practise this for 5 minutes a day and within a week it will seem easy.