Mobility & Flexibility

The Pursuit of Flexibility

As the years go by, the pursuit of flexibility can be a wistful bygone goal. In reality we stiffen up a fair bit as time flies. So, what seemed to be regular flexible movement at one stage, now seems difficult to attain. Why do I groan all of a sudden when I’m standing up off a chair ???

Let’s be kind to ourselves here – mobility and flexibility is often impossible due to our lifestyle demands. Similarly, if we do find some free time, is stretching a priority? It seems so boring… Perhaps not?

Well, there is a lot more to flexibility than static muscle stretching…. A lot more!

And best of all, it can genuinely provide relief, positively affecting your mood.

 

Be kind to each other

Many components affect our flexibility including:

Joint Capsule
Muscle
Ligaments
Tendons
Nerves

I am going to focus on joint stiffness in the thoracic (mid) spine as this is a common presentation across office workers. It is also equally common in multiple sports including cycling, rowing, boxing, wrestling and hockey.  Here is why…

The thoracic spine is the area of our spine located between your neck and low back. Thoracic mobility is important for optimal movement. The mobility of spinal joints and their surrounding capsules adapt depending on the activities performed. Multiple sports require the athlete to move with their arms positioned in front of their body, this positional demands often result in the shoulders sitting forward and a round upper back consequently increasing the risk of developing stiffness in this area.
As the mobility of the thoracic spine affects the function of the shoulders, neck and low back, it is strongly recommended to spend time ensuring your thoracic mobility is being maintained. It is all about balance.

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The more time you spend sitting at your desk, or training, then the more time you need to invest in maintaining your mobility and flexibility. To prevent long -term changes the idea is to position your body in the opposite positions from what you train or work in. For most people this will involve mobilising your upper back in extension and in combined extension and rotation. In other words, straightening your spine.

Over the past years I have found the following thoracic mobility exercises to be highly effective in maintaining and restoring thoracic movement:

1.Thoracic extension on foam roller: Stretches the pectoral muscles and forces extension in the upper back. Ensure your low back is flattened on the roller for most efficiency. Hold for 30 seconds. Repeat 2-3 times. You can alter the position of your arms between 90 degrees and 120 degrees to bias different areas of your upper back. See image below.

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2. Segmental flexion and extension over the foam roller: Place fingers on temples to promote thoracic extension. Position the foam roller horizontally and roll along your upper back. Stop at the segments which feel more uncomfortable and stiff. To bias the mobility at these segments, slowly extend over the roller towards the ground. Support your lower back whilst doing this by tucking your bum in. See pictures below as the athlete moves from thoracic flexion into segmental extension.

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3. Bows and Arrows: Position yourself in side-lying so that shoulders and hips are in line. Bend your knees so that your hips and knees are in line (this offloads your low back ensuring the movement is coming form your upper back). Outstretch both arms. Reach the top hand past the bottom hand and then pull backwards as though drawing the arrow on a bow. In this drawing back motion, aim to have the top shoulder facing up towards the ceiling. This is a slow and controlled movement and aim for 10 repetitions 2-3 times on each side. See the images below.

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4. Shaking it all out: Finally, if all else fails….Try loosely and gently relaxing your stomach, if you have ‘a belly’ (everybody does by the way) let it real and hang over your belt. Then gently allow some light  shaking through all the main joints, neck, shoulder, spine, hips, knees, ankles and feet. Just like the way Diego Maradona used to warm up for football games…..

 

 

Tag a friend if you feel this article is relevant to them, or that co-worker who constantly complain of upper back stiffness! If you have any further questions or queries regarding thoracic mobility or wish to purchase a foam roller contact us at Personal Health on 01 4964002 or email info@personalhealth.ie.

Constipation is a Common Problem During Pregnancy…

Constipation is a Common Problem During Pregnancy

 

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This may be due to:

  • An increase in the hormone progesterone, which relaxes smooth muscles throughout the body, including the digestive tract. This means that food passes through the intestines more slowly.
  • Your expanding uterus, takes up valuable space normally occupied by your bowel, which may also add to congestion.
  • Also the iron-containing prenatal vitamins you’re taking may also contribute – but stopping them is a bad idea, for you and your baby.

8 Tips To Try To Ease The Problem…

  1. Pelvic Floor Relaxation

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  • Inadequate pelvic floor relaxation and release with bowel emptying is one of the major causes of constipation.
  • During bowel emptying the pelvic floor muscles provide a firm platform of support.
  • Regular pelvic floor exercises are essential to improve pelvic floor support. (See page on pelvic floor exercises)
  • Pelvic Floor relaxation is promoted by bulging the low abdomen forward with relaxed deep breathing.

 

2. Ideal Toilet Techniques:

 

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  • When you first feel the urge to empty your bowels, do so at the earliest convenient time.
  • Allow sufficient time to empty you bowel, try not to rush.
  • Sometimes the simple action of taking 5-6 deep breaths can help relax the pelvic floor and facilitate bowel opening.
  • If you find that after 2 or 3 minutes of relaxed breathing and sitting on the toilet that your bowels do not open then get up and return to your daily activities and return to the toilet when you feel the next urge.
  • Sitting on the toilet for long periods without an urge can increase the likelihood of straining the pelvic floor.

 

3.    Ideal Position For Bowel Movement

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  • Sit on the toilet seat, never hover above the seat.
  • Place a small stool under your feet to mimic a squat position.
  • If you are out and about and you have no stool lift your heel off the ground. The key is that you want your knees higher than your hips.
  • Lean forward at your hips with a straight back.
  • Place your elbows on your knees.
  • Make your waist wide and bulge your abdominals out as this opens up the pelvic floor.
  • Push down and back into your back passage.
  • Breath out or make a noise as you push out.
  • Don’t push too hard. (Scale of 1-10, push at 5-7).
  • This technique relaxes and opens the anal sphincter to allow the bowel movement to pass.
  • Lift and squeeze your pelvic floor muscles when finished.

 

  4.Exercise:

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  • Regular exercise helps to stimulate bowel movements.
  • Low impact exercise such as pre/post natal Pilates, walking and cycling is ideal.
  • Be mindful of avoiding exercises with the potential to overload and strain the pelvic floor.

 

      5.Diet

If your stool is too hard, it will be very difficult to pass!

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       Good stool consistency requires:

  • Adequate Fibre intake (30grams/day), don’t make the mistake of consuming too much fibre as this can overload the system.
  • Gradually introduce whole-grain foods.
  • Fresh fruits and vegetables (raw or lightly cooked preferably with skin left on), dried fruits.
  • Greens (broccoli, spinach, green beans, cabbage).
  • Small Regular meals: Big meals can overtax your digestive tract. Try eating six mini-meals a day rather than three large ones.

 

 6.Fluids 

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  • Eight full glasses of fluids (water, vegetable or fruit juice, broth etc.) each day.
  • Warm liquids such as, hot water and lemon

 

      7.Supplement

  • Ask your GP about adding high-powered fiber to your diet, such as wheat-bran or psyllium.

 

       8.Probiotic acidophilus

  • Found in yogurts that contain active cultures — stimulate the intestinal bacteria to break down food better, aiding the digestive tract in its efforts to keep things moving.

 

How can Personal Health Help Mums to be?

Exercise:

  • Medically Led Fitness 30 Min Classes-Modified by our Physiotherapists for pregnancy
  • Pre Natal Pilates & Yoga classes led by Chartered physiotherapists and Midwives: see here for schedules and prices:

http://personalhealth.ie/clinical-pathways/medically-led-fitness/

 

Dietary Choices:

 

Book an appointment with one of our Consultant Dietitians:

Caoimhe McDonald(MINDI)

Cliona Godwin(MINDI)

 

 

Call us to find out more.

Phone: 01 496 4002

Email: info@personalhealth.ie

Website: www.persoanlhealth.ie

Tennis Elbow, Golfers Elbow or both – the dreaded Country club!!

Tennis Elbow, Golfers Elbow or both – the dreaded Country club!! 

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I’m regularly asked about both Golfers & Tennis elbow in the clinic. Generally they are a large portion of the non-contact elbow injuries that patients develop. Commonly, it’s a term that people have heard of but are not quite sure what it actually is!

A tennis elbow is an irritation of the tendon on the outside or lateral part of the elbow whilst a golfer’s elbow is an irritation of the tendon on the inside or medial part of the elbow.

If you are unlucky enough to develop both, you become a member of the “Country Club!”

 

Golfers-vs-Tennis-Elbow

 

Basically, the majority of the muscles in our forearms anchor to either the inside or outside of the elbow via a shared tendon. When we overload these tendons from things such as hitting 200 golf balls off a rubber mat or deciding to tackle painting the house in one swoop, we can cause a painful episode in these tendons.

It’s a very common problem. I always like to take people through the anatomy of the issue. Understanding is the key to settling this problem down. We are fortunate to have some state  of the art anatomy tools to facilitate this in the Personal Health clinic.

 

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The next question is whether it is an acute flare up or a long standing grumbling issue? This largely dictates the management and treatment. Conservative management with appropriate exercise, soft tissue work and de-loading of the tendon resolve this issue in the majority of cases. Surgery and injections are thankfully relatively rare.

 

 

 

Call us to find out more.

Phone: 01 496 4002

Email: info@personalhealth.ie

Website: www.persoanlhealth.ie

Ronan Fallon Physiotherapist Dublin 6

Muscle Strains and Timeframes – ‘When will I recover?’

Muscle injuries are usually caused by a shearing effect such as a contact injury or a strain. The muscle fibres and their surrounding tiny blood vessels rupture hence the pain.
The healing process for the human body is incredible – the repair cycle kicks in within hours.

It is a complicated physiological process but in a nutshell you’re looking at a cycle of 21 days until your muscle is getting close to where it used to be prior to injury.

 

The Trap 
The classic trap is that you begin to feel ok and pain free by day 7-10 and think “I’m good to train again tonight”. Unfortunately, this is a recipe for a re-injury and starting the whole process all over again.

 

Management 
Correct management of muscle injuries is very important to prevent re-injury and chronic repetitive problems. In these cases the majority of clients just need a helping hand to guide the process from acute management through to a short rehabilitation/strengthening  programme.

 

Return 

The key component for the majority of clients is getting back to regular routines, sporting/exercise etc. in a responsible and time efficient manner.

 

 

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How can Personal Health make the difference for you….?

Use Our App!

  •  Our Personal Health App uses rehabilitation videos filmed in line with best practice in e-learning
  • no more guesswork around your technique
  • your doctor/physio can prescribe from a library of over 1000 exercises ranging from basic to dynamic agility based rehabilitation
  • track your progress with interactive rating scales & charts
  • facilitates regular contact with your doctor/physio as we distance monitor your progress

 

Thanks for taking the time to read this

Ronan Fallon, Director of Physiotherapy

Andrew Dunne Managing Director Personal Health

The Orchestra & The Human Body

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If you’re over 35…..Listen to your body instead of looking at it so much. All your vital internal instruments will thank you – you might even start to sound like a nice melody!

From the time you are born to around the time you turn 30, your muscles grow larger and stronger. But at some point in your 30s, you begin to lose muscle mass and function, a condition known as age-related sarcopenia. Nothing overly serious, but to summarise, it’s to do with nerve cells, brain signalling and hormonal changes.

We’ve all been down this road at some point….

  • Going for a run (too much too soon until it hurts)
  • Buying a new bike that gathers dust in the shed
  • Trying ‘High Intensity’ exercise
  • Abstaining from any of the good stuff in life

The truth is we have difficulty maintaining an ideally healthy lifestyle because of various factors (as above) and external stressors, such as job demands, cost of living and just being beautifully flawed!

But our health matters…..It’s frustratingly complex.

So what do we suggest at Personal Health?

  • Consult with our Medical team about your lifestyle choices
  • Exercise for 30 minutes with our Physiotherapists
  • Make small practical changes to your diet, with the help of our dieticians
  • Learn how to make behavioural changes to your sleep
  • Outsource your health concerns to an expert medical team