Kieran Whelan 6/9/21 Kieran Whelan 6/9/21

Still working from home? How to keep your Neck and shoulders moving

Even though Melbourne will be thawing out of Lock down 4.0, we are aware that a lot of our clients will still be working from home again for a while.

If this is you, Its very important that you keep on top of your spinal health while you re adjust to working from home for the foreseeable future.

Fortunately, during Lockdown 2.0, Martin made this comprehensive video outlining everything you can do to keep yourself moving stay on top of your posture, and free up a lot of the tension you have felt building, especially over the last few weeks of lock downs.

Avid readers of this blog will note that we posted this video in September last year, but given recent events, I feel like Martin’s video couldn’t be more poignant so I am reposting for your convenience.

If you have a specific issue please do not hesitate to contact the practice so we can see how we can keep you going.

As usual with our videos, the transcript is available below, but I strongly recommend you have a watch as Martin runs through some excellent tips, stretches, exercises and muscle releases that will have you feeling a lot more yourself during this period.

The video has a few sections so if you REALLY felt like it you can skip to a section you find most relevant, however the way that Martin has filmed it the segments build on each other to get the most out of each one.

Enjoy!

2:00 Todays video is about...

3:52- Where to begin?

4:15 Rotational Movements of the Neck

5:32 Lateral Flexion of the Neck

7:12 Flexion/ Extension of the Neck

8:07 Shoulder Exercise

9:28- 3 exercises to open shoulders

13:48- Overhead position for shoulders

14:54- Focus on Alignment

17:23- Intro Spikey Ball Exercise

18:27 Beginning of Spikey Ball Exercise

23:27 Conclusion

Hi, Martin here from Align Chiropractic. Today's video is a follow along video, meaning I'm going to be taking you through some things that you can do, and you can more or less just watch the video and follow on.

So, the purpose of this video, it's really about moving your upper spine, your neck, your shoulders, your middle back to get mobility in those areas but also to soothe those areas.

It's really based on the clinical model that we use in our practice where we see that there's a real benefit in looking at the spine in kind of a sequential way, that spinal problems generally what's happening is that segments of the spine rather than having the ability to move through their full range of motion and kind of jammed up from either trauma, or long periods of time in particular postures, or stress tightening up the muscles around it.

And then as the joints jam up that changes the way the nerves and muscles and all the other soft tissues work, which then changes the alignment of your spine, and this change in movement and alignment of the vertebra causes misfiring of nerves which has a whole range of effects on your body, but specifically it can affect your ability to kind of balance the whole system.

If you're not balancing the whole system then your spine's going to be less stable. It's much more common for you to have problems with your back, your neck and the rest of your body if things aren't stable. So, if we look at that it goes movement, then alignment, then balance, then stability and so a common thing that I’ll see is people talking about ‘I need to do stability work or core stability work’.

I actually think it's really important that we do the basics first we've got to get movement happening first, and then once we've got movement, then we want to have a proper alignment so that when we're stabilizing first of all it's more effective, but we're also locking in a good movement pattern and a good alignment pattern rather than locking in poor ones.

2:00 TODAYS VIDEO IS ABOUT...

So this one specifically, today's video is really about dealing with this upper part of the spine because many of us are locked into these postures working at a desk or the effect of stress tightens up our neck and shoulder muscles and pushes our head posture forward and so this is really about restoring movement to those areas and then getting our alignment back into that nice upright posture.

I'm also going to be combining some approaches that come from new research into the interplay between how we breathe and our stress response and in particular if you want to dive deeper into this, there's a neuroscientist called Andrew Hubermann who's based at University of California, sorry based at Stanford and we're going to be using a couple of different approaches to breathing that we're combining with the movement approach and using a ball- spikey ball, or a tennis ball, or a lacrosse ball that we'll be using to just release muscle tension and some of that will be just I'll be cueing you to breathe in through your nose, and then we'll also be using an approach called a physiological sigh, which is really where you just take in a deep breath through your nose and then another deep breath through your nose before

letting it out and the emerging evidence is that this is a really quick and easy way of us helping to unwind some of the neurological effects of stress which we know can have really significant impacts on how we feel and how healthy we are. So, let's dive straight into this follow along routine to help release tension in neck, shoulders, upper back, and get movement into those areas so that you can have a healthier, happier, more active body

3:52- WHERE TO BEGIN?

Well the first thing that we want to do is we want to encourage movement back into the neck, so with the postures that we've been in and the lack of movement and there's a tendency for our neck to kind of stiffen up, and there's a segmental part of that which is what wewould address in office with an adjustment, then there's kind of an overall regional movement that we can address with exercise.

4:15 ROTATIONAL MOVEMENTS OF THE NECK

So first movement we're going to do is we're going to be doing rotational movements. With this I just want you to be taking nice slow breaths, in through the nose, out through the mouth.

So first of all just turn your head all the way to the left, and then go all the way to the right. I'm going to go through this five times each way, and we're not pushing we're just holding at that end range- nice and gently.

Let's see it just easing into it letting your shoulders drop, just letting that tension, that sort of habitual tension ease away. That's it. I think that's four, probably need a better way to count to be able to do this. Okay, I'm going to say that's five.

5:32 LATERAL FLEXION OF THE NECK

So next we're going be moving into lateral flexion so we just need to be cautious with this, if you get any pinching, any sort of sharp sensation that says you don't want to go that far, you want to stop before that point.

All of these mobility things are done within what feels just you're touching that point of tension or restriction. So sideways it's going all the way over there.

I'm just pausing at that end range, maybe a count of three. Just working our way into that range, just getting every vertebrae in our neck and even into our upper back starting to move.

This is our third one. Maybe just pause a little bit longer there, any sort of knotty points you can just almost sort of focus on it, just get that movement happening, just nodding a little bit back and forward. Okay that's four. So one more to go.

Last round for lateral flexion. Lateral flexion's actually a really important movement there's not many day-to-day activities that we do to encourage this range of motion, so it's often an exercise that we'll have people do because getting lateral flexion actually encourages movement in the other range.

7:12 FLEXION/ EXTENSION OF THE NECK

So now we're going to go flexion/ Extension. Flexion I'm going to get you to go nice and gently on, because we all tend to spend a lot more time in flexion than we do an extension. With extension which is the one going back, again just be really mindful that you don'twant to be getting any pinching sensation with that. With this one I'm doing it up against the wall. If you feel any dizziness with this then back off, maybe skip this part of it. This is our last one, our fifth repetition. Okay.

8:07 SHOULDER EXERCISE

Now functionally interlinked with your neck is your shoulders, and so again all this time spent like this, there's an alignment component of that, but before we can really address the alignment we've got to get the ability for these joints to move, so first up I’m going to do a stretch across the body, trying not to mess up my mic here.

So come all the way across, and we're just going to breathe in through the nose, and out. I'm going to do this one for three breaths. Just going to go a little bit further on this third one. Okay and then we're going to swap our arms. Bringing the arm across, the other arm just hooks in next to the elbow there. Breathe in, out. Breathe in, and out.

9:28- 3 EXERCISES TO OPEN SHOULDERS

So, it started to get some mobility, but really if we want to be able to bring our shoulders back which is what most of us need because so much of our activity is in front of us, we want to be opening up and restoring that movement that way.

So what we're going to do here is spend sort of three exercises bringing and opening up this in the front of our shoulder.

The first one what we're going to do here is we're going to put our hand up on the wall above horizontal, so if that's horizontal first one we want is up here, and then i've got my body sort of facing away there my elbow is straight, and then i'm turning out this way, and then i'm going to do three breaths there. So in through the nose, and out. That’s two. I can just rotate a little bit more, and three.

I'm just going to take that tension off, and now i'm going to that horizontal level, and it'll feel a little bit different, it's going to hit a slightly different part of the shoulder.

So again in through the nose, and out through the mouth. And three. Now we're just going to do just below horizontal to again getslightly different part of the shoulder.

We're going to come across. One, Two, that’s three. Okay, so now we're going to repeat exactly the same thing but on the opposite side. So first one, if that's horizontal we're going up maybe 30 degrees above horizontal, rotating away feeling the stretch at the front of the shoulder maybe a little bit into the arm. One, Two, That's three.

Then we're going to a horizontal point now, taking that stretch back up, and then in through the nose, out through the mouth. That's three. So, I'm going to get out just below horizontal one there, take that stretch up. And then in through the nose, and out. Then that's it, just move your shoulders around enjoy that extra mobility there.

13:48- OVERHEAD POSITION FOR SHOULDERS

So next what we're going to be working on is bringing up into flexion or sort of like an overhead position for our shoulders. So, with this I'm standing sort of basically like arm length away from a wall, and I reach out, I put my hands down keeping my elbows straight and then what i'm doing from here is keeping my arms straight and dropping my body all the way down.

I'm not rounding my back, I'm keeping my back quite straight, and then getting that movement back into the shoulders giving them that full range. We're just going to do three breaths here, so in through the nose and then out.

14:54- FOCUS ON ALIGNMENT

So next what we're going to do is move on from looking at movement and we're going to focus instead on alignment. What we're really wanting to do is to reverse that tendency that we all have to have this sort of position, and so what we're going to do is do an exercise called a W exercise, which is where you make your arms into a W shape with the thumbs facing backward.

I always like to sort of correct the head posture so pull your head back, and I also like to look up slightly because that helps just release the activation here. What we're really wanting to do is use these muscles down here in between our shoulder blades. So, make the W shape look up slightly and then what we're doing is trying to not use these muscles but use those ones in between your shoulder blades.

We're squeezing back one two three. Relaxing one, two, three. One, two, three. One two, three. We're going to go for ten so that's four, three. One, two, three, so I'm going to say that one's four, and five

Six. If it's getting uncomfortable, if things are starting to burn just take a little break, six and seven.

So it's kind of this back and down movement that we're after- just caught myself looking down too much. Nine and last one. Good.

What we've done there is really kind of reset our alignment, and that'll mean that rather than when your heads forward everything through has to be working overtime just to stop your head from going forward with gravity. So we're going to use that we've gotmovement, we've got alignment.

SPIKEY BALL: 17:23

Now what I want to do is just kind of soothe this area. We're all doing a lot of this, let's just work through with some pressure on those areas, and for this i'm going to suggest that you use a ball, a spiky ball. In this case this is a lacrosse ball, and what we're going to start with is we're going to be doing three individual spots. We're going to be doing one right in between the spine and the shoulder blade here, then we're going to be doing one that's up, almost on the meaty bit above your shoulder blade, and then we're going to be doing this little corner in here where your arm joins onto your shoulder blade there.

We're going to do that on each side. We're going to use that slightly different breathing where rather than just breathing in through your nose and then out through your mouth, if you want to experiment with it, this is a really good place to use that physiological sigh, which just helps reset our nervous system from a stress sort of state, into what they call a parasympathetic state, which is putting your nervous system in a state to promote rest and relaxation and kind of de-stressing.

18:27 BEGINNING OF SPIKEY BALL EXERCISE

So let's start off. You put the ball against the wall, and then just drop it down a little bit so you can get into that spot and rather than rolling around, what I like to do for this is just find a tender spot, hold pressure there. And then we're going to go breathe in through the nose, and then second breath, and then out. So just moving into a slightly different spot there.

Breathe in, second breath, and out. Breathe in.

Now we're going to move to the top of the shoulder. So, for this one you almost need to angle back a little bit. I'm just going to find that fleshy bit there. All right so I’m going to breathe in. Okay, so that's our three breaths there. Now for this one, I've got a really a choice of going on the actual arm here, or for most people this area in the side of the shoulder blades the spot that you want to hit, so I'm going to hit that one.

If you're doing this by yourself you could maybe do an extra round where you go to the other one if you're feeling tender in both, but I'm on the side of the shoulder blade.

The easiest way of getting there is having your body sort of on a 45-degree angle there, just finding that tender spot- okay that's definitely it. And so I'm going to breathe in through my nose, that's number two, let's go for number three- that's a really tender one.

Okay, so now what we're going to do- oops dropped my ball. And i'm back. All right so same sequence, we're just going to do the opposite side. So again, ball against the wall, I'm just going to roll into that spot just next to my shoulder blade there. All right that's it, I've got the right spot, so I'm going to breathe in through my nose. Second breath.

So now I'm just going to reposition that ball. I'm getting ready from the top of that shoulder blade there. First breath, double breath. Second breath, that's our third breath there.

Now we're just going to move to the outside of the shoulder there. So again, looking for either on the shoulder blade or the back of the arm. So I'm going to keep it consistent that 45 degree angle here. I’m going for that spot on the shoulder blade just breathing in I'm just moving up a little bit, finding that real epicenter of tension there. All right that's it, so breathe in at that spot...really relax into it. One more, breathe in through the nose.

CONCLUSION: 23:27

So there we have it, we've got movement through shoulders, neck, sort of upper back as well, then we've reset our alignment so thatwe're in a nice upright position and then we've kind of reset the tension, reset the nervous system giving you the best chance of having ahealthier, happier more active body. Thanks for following along.

Kieran Whelan 2/17/21 Kieran Whelan 2/17/21

Move & Soothe - Express Neck, Shoulders, Low Back & Hips

Welcome to 2021, the year where everything could, but so far, usually nothing has had a chance yet to change!

All jokes aside, it feels to Martin and I that our clients are sitting more than ever, and it can be really hard as a lot of you and your loved ones are still having to work from home.

Outside of Melbourne’s Lockdown 3.0 (for those of you unfamiliar, it was like 2.0 but thankfully shorter and for some reason there was tennis), we have found a lot of people are still struggling with their home work set ups, or even struggling to transition between home and office work spaces as working in the office becomes a possibility again.

As always, Align is here. in this, our newest title in our ‘Move and Soothe’ series, Martin has made an express version to help you free up your neck, shoulders, hips and low back.

As always, the transcript can be found below.

Hi, Martin here from Align Chiropractic and this is another in our series of ‘Move and Sooth’ videos today's video is designed to be a super fast one that you can do and it's specifically aimed at people who are having to spend a lot of time stuck at their desk, which then tends to cause a lot of pressure, a lot of stiffness, a lot of tension in our neck and down into our shoulders, but also down into around your hips and lower back.

So we're going to run through a little routine that we can do.

Ideally all you will need is a ball you can use, this a lacrosse ball, you can use this or a spiky ball or a tennis ball and that's all the equipment you'll need to be able to really take a lot of that tension out of neck shoulders and back.

Neck ROM exercise

So first up what we're going to do is get some movement and encourage full range of motion of our neck.

Our joints in our spine work at their best when they can move through their full range of motion and the challenge for us in our daily, sort of more sedentary lifestyles is that we really don't use that range of motion, so taking our joints through the full range of motion really helps to free things up and helps all the tissues around your spine be healthier and happier.

First up we're just going to introduce rotation, so we're just going to turn all the way gently to the left. We’re never forcing anything, we're just going to that comfortable range, just waiting there for a moment and then we'll go all the way over to the right.

For this express version, we're just going to do three times through each of these movements.

So that's the second time to the left second time to the right, just that little pause at the end there, just being aware that your shoulders are holding tension, that’s the third time to the right.

Next, we're going to go into lateral flexion.

Left side just bending all the way over to the left and all the way over to the right.

Lateral flex is such an important but often neglected aspect of our range of motion because there's not that many things that we're doing in day-to-day life where we use it but the movement that your spinal joints do when you're doing this movement

translates into healthier movement in every other range…so that's three times each way, that's the third to the left, to the right, we're really recovering lots of that range of motion.

One little variation you can do if you're aware of a lot of tension at the top here is rather than thinking ‘ear towards your shoulder’ you can do that one as thinking of the ‘opposite ear going up towards the sky’, it just focuses a lot of that lateral flexion in the very top part of our neck so again just going gently from side to side.

Thats it, nice and easy, never forcing anything, just going within the comfortable range.

One more…okay.

So that's the end of our initial mobilising sort of routine getting range of motion back into the joints, next we're going to grab our ball against the wall, we're going to use some pressure to release or soothe built up tension.

With this what we want to do is use the ball across all this muscle, from near your shoulder blade and in between your shoulder blade and your spine and your neck.

The easiest way of doing it is raise your, arm up just pin the ball just next to your shoulder blade and then just roll across to get into this little bit between spine and shoulder blade and then again, I’m just going to move up and down and when I find this, oh that's a really tight spot there, just going to hold pressure, I can move my arm, I can move my neck just get some movement, as well as some pressure, to just dissipate tension in there.

I’m just going to move up a little bit higher, I’m just going to work all through this area, this fleshy part of the levator sap and trapezius muscle, all through the rhomboid muscle.

Just working my way through there you might spend 30 or 40 seconds working through there and then really it's as simple as taking the ball and popping it on the other side.

Just do this, you don’t need to necessarily see that but you get the idea, just 30 to 40 seconds of applying some pressure there.

There we go, let’s see that's releasing nicely. You can spend longer or if you can come back to that.

We're going to move on now to the lower back.

Low Back Exercise

So now we're going to move on to movement, but this time in the lower part of our spine.

And so, first up what we're going to do here is go through lateral flexion again

I don't use that that often but it’s super important in terms of how all the soft tissues in our lower back and hips work.

So, really as simple as just running your hand down the side of your leg, I mean if you follow the seam on a pair of trousers or shorts in this case, the second time, that's the second time to the left, just pausing, never forcing, nice and gently, shouldn’t be any pain, just touch that end point where you feel a little bit of resistance and then just hold there a little brief pause and that's three each side.

And now what we're going to do is move on to rotation, but to do rotation we need to be on the ground.

So next what we're going to do is introduce some rotation into the lower back so just lie on your back, nice and gently let the hips both roll, rather, let your both hips roll that way so you're getting nice rotation through the lower back.

We're just pausing at that end point. It’s really critical with this one to just work within the comfortable range of motion.

Just a little pause there, last one, and then from there we can use our ball to just gently, gently release a little bit of the tension.

So, on the back just on the area, just above where your belt line might be, up into the upper glute area there, that tends to get really tight, and again just rolling 30 degrees, 45 degrees onto my side, working through any tight areas there, oh that's a tight one, just applying a little bit of pressure there.

If I find a really spicy one I can just move my leg up and down and once I've done some work through there, it's really nice to just move right onto your side this is the gluteus medius muscle, which is the main muscle that stabilises your hip, but it tends to get really really short if we're sitting a lot, so just applying some nice pressure there, just holding that tender spot, letting the weight of gravity just gently push down on there, release that tension, swap over to the other side and do that 45 degree.

Another way you can use it is just to gently move your leg up and down like that and then move on to the side get that gluteus medius.

I'm showing a fairly short version, you can spend as long as you want and doing this.

Generally you're going to get a really nice improvement with as little as a minute or so.

So there we have it the express version of ‘Move and Soothe’ covering neck, shoulders, hips and back.

See you next time

Kieran Whelan 10/2/20 Kieran Whelan 10/2/20

Sleep Better

If you or some one you love isn’t getting enough sleep, is struggling to get to sleep or you’re waking up feeling tired and worn out, this post is for you.

As stated in previous post on this blog: Sleep is super important.

So important that we really need to think of it as a pillar of health the same way we do diet, exercise and stress management.

What happens when we don’t get enough sleep?

One of the major areas impacted by sleep issues is our cardiovascular health.

Impacts of sleep on cardiovascular health include:

Increases chance of both developing and dying of CV disease by 45%
Heart attack - leading cause of death in Australia and stroke is a leading cause of disability.
Main mechanism - increases BP

Often people can think of sleep as wasting time, but the reality is that your brain doesn’t work as well without it.

in an Australian study, no sleep for 19 hours was shown to have equivalent impact on concentration as being over .05 blood alcohol
As well, less than 5 hours sleep can lead to a 500% increase in risk of car accident

Once again, Martin has come through with the goods with a video that will have you catching some of the best quality Z’s of your life in no time!

As always, the video is transcribed below. Please let us know if there is anything else we can do to get you back on track!

Intro: 0.00

Hi, Martin Harvey here from Align Chiropractic, and today’s video is all about sleep, why you need to get more of it, why it’s important for both your health, and also how easy it is to get the things you need to do done. So, timing this video, I’ve decided to do this video partly because I think sleep is super important, but also because this Saturday is when we go to daylight savings. Daylight savings is kind of like this mini experiment that we have each year where we all get like a tiny little bit of sleep deprivation and all feel mildly excited that it’s a step closer to summer. It’s interesting how many people are coming into the practice each year in this sort of period of time afterwards just not feeling as well as they normally will because they’ve missed out on one hour of sleep.

Impact of not enough sleep: 0.51

So, what I want to do is share with you a little bit of information about why health is super important, and then I want you share with you a couple if really simple things you can do to help yourself sleep better, and in the context of transitioning to daylight savings, what you can do to kind of get past that little hiccup as quickly as possible.

So, when we’re talking about sleep and impacts on health, there’s lots of things that it affects. It affects your risk of obesity, your risk of diabetes etc. One of the key things that I wanted to highlight was the impact of not enough sleep on cardiovascular health- your heart health, because the leading cause of death in Australia is cardiovascular issues, and also one of the leading causes of disability in Australia, Stroke, is also at an increased risk if you have sleep deprivation. So, interesting research in this area shows that you increase your risk of having cardiovascular disease by about 45% if you’re not getting enough sleep, and if you already have cardiovascular disease, increase the chance of dying from it by about 45% if you’re not getting enough sleep. So, it’s kind of important.

Now, how does it work? What’s the link between not enough sleep and this impact of cardiovascular health? It’s probably a bunch of mechanisms, but what the research suggests is a lot of it is because it increases your blood pressure. Even one night of not enough sleep can have a measurable impact in terms of increasing your blood pressure. So, it’s not a tiny thing- it’s a really important thing.

So, the information that I’m sharing with you is mainly from a really cool book by a neuroscientist called Matthew Walker. It’s kind of a world leader in the area of sleep and health. Another thing- and this is often one of the things that people notice, is that they just kind of feel a bit foggy and a bit out of it when they haven’t slept as much as they should, and the science in this area is really, really interesting. You see, if you haven’t slept enough, it impacts your concentration. That not only mean that it’s harder to get the work that you want done, it’s harder for you to be as present for your family and friends, it’s harder for you to do everything. It’ll measurably increase the chance of you having a car accident.

Experiment: 3:15

So, there was some research done in Australia where what they tried to quantify this. What they did was look at how well subjects in these studies did on a standardized concentration test, and the findings were really amazing where having the subjects be up for 19 hours- which isn’t a huge amount, like it’s not missing a complete night’s sleep, but just staying up a little bit later than you normally would. It meant that those subjects performed as badly on concentration tests as people who were over 0.05 blood alcohol level. So, not having enough sleep dulls down your brain to the level that you’re functioning almost as if you’re a little bit drunk.

Sleep better: 4:00

Now, what you can do to sleep better? If you’re one of those people who have trouble sleeping, or you just want to optimise your health and sleep better, there is a couple of really simple things to help yourself sleep better.

It feels bad to say this because I’m such a coffee fan, but avoiding caffeine late in the day is an obvious, but really important one. When Matthew Walker’s talking about this in his book, he talks about the half-life of caffeine. This means how long does it take for the amount of caffeine in your bloodstream to reduce by half- which is about 12 hours. So, what that means then is if you’re wanting to go to bed at 10 and you had a coffee at 10, you still have a significant portion of the caffeine in your blood. So making sure that if you are a coffee lover like I am, biasing that toward earlier in the day is going to help you sleep better later at night.

Interestingly, a lot of people will say that they sleep better if they have a glass or two of alcohol, but the science says there’s a pretty fine balance there. Yes, a glass or maybe two glasses can help people relax and be in a better state to sleep, but it often reduces your ability to go into the deeper levels of sleep which are the ones that we need to really rest, repair, and wake up rejuvenated. It also puts you into a shallower state of sleep. Often if we’re having more than a couple of drinks, there’s a mechanism which will often wake up once your liver has finished dealing with the alcohol- so, you’ll often find that after having had a few drinks that you’re then waking up at 3 in the morning finding it very, very difficult to sleep. So, minimising alcohol is a really important thing. So, looking forward to this Saturday when we lose an hour of sleep, it’s probably a good night to go easy in terms of how many drinks you have.

Exercise: 5:52

Exercise is a really powerful lever in terms of impacting our sleep. Exercising earlier in the day tends to create a biorhythm where we’re much more relaxed and drowsy for sleep later in the day. For a lot of people – particularly people who are in that night owl sort of group, exercising late in the day can often act as a stimulant, making it much harder to get to sleep.

Sleeping Strategies: 6:15

There are a couple of things that you can do in your environment to help you sleep better. One is having a hot bath later in the day because the heat and then the drop in temperature when you get out of the bath, that drop in temperature will make it easier, and sort of allow you to become dozy. We’re very strongly triggered by cool temperatures that will tend to stimulate an appropriate melatonin response, which is the sleep hormone

Related to that is having a cool room. They talk about wanting a room that’s under 20 degrees- ideally about 17/18 degrees Celsius, is sort of the sweet spot for most people to sleep better.

The last thing I want to share with you is the importance in terms of melatonin and getting sunlight into your eyes earlier in the day. So, getting outside and getting natural sunlight. Our melatonin production is stimulated by sunlight coming into our eyes, and then stimulating our pituitary to make melatonin. That production earlier in the day is what helps us feel sleepy later in the day. It sort of sets that biorhythm, but it’s strongly stimulated by light that’s coming in at that low angle that is present earlier in the day. So, getting outside without sunglasses early in the day, particularly going for a walk can be really powerful way of setting your biorhythm so you’re better able to sleep later on in the day.

Conclusion: 7:50

So, this is Martin Harvey from Align Chiropractic with a few tips to help you sleep better and get over the hump of the daylight savings.

Kieran Whelan 8/19/20 Kieran Whelan 8/19/20

Home care during Stage 4: Move and Soothe your Neck and Shoulders

This post is for anyone missing their normal routine and would like some tips on getting rid of the tension and restriction they are starting to feel in their neck, upper back and shoulders.

As most of you are aware, during the stage 4 restrictions in Melbourne allied health are only allowed to practice on a more urgent basis, meaning that a lot of our regular clients are missing out on getting their regular adjustments as well as maintaining themselves while living in lock down.

Never fear however as Martin and I are still in practice!

If you have a specific issue please do not hesitate to contact the practice so we can see how we can keep you going.

Below is a video Martin made at home about how to keep yourself moving at home, helping your neck keep moving, free up a lot of the tension you have felt building, especially over the last few weeks of stage 4 lock downs.

Enjoy!

2:00 Todays video is about...

3:52- Where to begin?

4:15 Rotational Movements of the Neck

5:32 Lateral Flexion of the Neck

7:12 Flexion/ Extension of the Neck

8:07 Shoulder Exercise

9:28- 3 exercises to open shoulders

13:48- Overhead position for shoulders

14:54- Focus on Alignment

17:23- Intro Spikey Ball Exercise

18:27 Beginning of Spikey Ball Exercise

23:27 Conclusion

So, the purpose of this video, it's really about moving your upper spine, your neck, your shoulders, your middle back to get mobility in those areas but also to soothe those areas.

2:00 Todays video is about...

3:52- Where to begin?

4:15 Rotational Movements of the Neck

So first movement we're going to do is we're going to be doing rotational movements. With this I just want you to be taking nice slow breaths, in through the nose, out through the mouth.

5:32 Lateral Flexion of the Neck

All of these mobility things are done within what feels just you're touching that point of tension or restriction. So sideways it's going all the way over there.

I'm just pausing at that end range, maybe a count of three. Just working our way into that range, just getting every vertebrae in our neck and even into our upper back starting to move.

7:12 Flexion/ Extension of the Neck

8:07 Shoulder Exercise

9:28- 3 exercises to open shoulders

So what we're going to do here is spend sort of three exercises bringing and opening up this in the front of our shoulder.

I'm just going to take that tension off, and now i'm going to that horizontal level, and it'll feel a little bit different, it's going to hit a slightly different part of the shoulder.

So again in through the nose, and out through the mouth. And three. Now we're just going to do just below horizontal to again getslightly different part of the shoulder.

13:48- Overhead position for shoulders

14:54- Focus on Alignment

Six. If it's getting uncomfortable, if things are starting to burn just take a little break, six and seven.

So it's kind of this back and down movement that we're after- just caught myself looking down too much. Nine and last one. Good.

Spikey Ball: 17:23

18:27 beginning of spikey ball exercise

Breathe in, second breath, and out. Breathe in.

If you're doing this by yourself you could maybe do an extra round where you go to the other one if you're feeling tender in both, but I'm on the side of the shoulder blade.

So now I'm just going to reposition that ball. I'm getting ready from the top of that shoulder blade there. First breath, double breath. Second breath, that's our third breath there.

Conclusion: 23:27

Kieran Whelan 7/27/20 Kieran Whelan 7/27/20

Refresher course on our 7 tips for surviving the lock down

Yep. We are as over it as you are. A few weeks ago, Martin and I were excited as we thought it looked like we could ease some of the social distancing restrictions in the practice. We were both looking forward to working together on the same shift again and being able to see the other staff members we have had to keep separate to protect the practice.

Sadly, this has not turned out to be the case.

It goes without saying that I hoped never to refer to this blog post again. I never wanted members of our community to need a survival guide to another lock down, even less than I wanted to update it.

The good news though is that we know how to get through this, and even though it seems like this one is a little more stubborn, and we are all a bit more frustrated than last time and lets face it, wearing face masks all the time is uncomfortable and boring, it is important to remember that we are in fact all in this together and we WILL pull through sooner or later.

So without further ado , please feel free to refresh your memory of Align’s top 7 tips for surviving the lock down.

7 LOCK DOWN SURVIVAL TIPS

Recognise that it is OK to be sad/angry/frustrated at the current situation.
Even if you don’t think your concerns or issues rate highly on the scale of how disastrous your issues can be, they still can have a large effect on your life and are therefore valid reasons for you to feel bad.
To recognise that how you feel about it all is important and you need to deal with that, not just say “it could be worse”. It could be, almost always, but that doesn’t mean that you aren’t being affected now.
If you feel hard done by that the things you would normally be doing to feel like you aren’t happening at the moment, then you are allowed to be annoyed by that. Don’t carry stress around thinking that you help people by not complaining. You don’t, you just get more irritated. Recognise it’s OK to be mad and express it healthily, exercise vigorously or speak up if need be.
Exercise.
I know right? obvious and boring, but it’s more powerful than you realise and usually overlooked.
One of our clients recently told me that they have discovered that without commuting and the incidental exercise they used to do purely from working in the city in an office, they have gone from averaging 8000 steps a day to fewer than 800.
In times of stress, volume of exercise is frequently one of the first casualties. Ironically, It’s also one of our best natural stress managers and anti depressants.
Ever regretted exercise? Ever felt MORE stressed after exercise even when it was only a small amount of it? No. No one has. Our nervous system registers stress by putting us in fight or flight, or survival mode. Still living on the other side of exercise tells our brain that we have successfully overcome a stressful situation and therefore we don’t need to be in survival mode.
Take some time out.
I know what you’re thinking, easier said than done right? Where are you going to find time or space when locked in your house with your family to have some time off?
I get it, sounds like a classic “this guy doesn’t have any kids” thing to say, but I don’t mean try find 45 minutes to fully relax. We all have lives to live, work to do and/or people to look after.
What we are talking about here is finding even quick “mini breaks” throughout the day that allow you to reset for a second.
Meditation is a great way to help relieve stress (as well as lots of other benefits). If you're looking to use your self isolation time to up your meditation game we highly recommend the Oak and Smiling Mind apps. Both are free and excellent!
The Resilience Project has an app that is a daily well-being journal. This app is suitable for and has programs designed specifically for primary & secondary school students, as well as adults of all ages wanting to improve their mental well-being.
Alternatively if meditation isn’t your thing, you can replicate some of the same effects by listening to songs you find especially soothing. The research into this phenomenon used the songs ‘Strawberry swing’ by Cold play, and “Someone like you” by Adel. Feel free to mix it up and don’t be afraid to admit to yourself that ‘Only time’ by Enya is your relaxation jam.
Watch your posture.
Never underestimate the importance of posture. Just like how research has shown that trying to have confident posture has been shown to release testosterone in our body that increases our feelings of strength and confidence, the opposite is true.
There is a reason that if I ask you to do an impersonation of a stressed or anxious person you slump forward and hold your shoulders tight and up near your ears. It’s because universally, that’s what our body does under extreme or chronic stress.
This posture increases stress chemicals in our body and just happens to be replicated by sitting for long periods, especially if using a computer, a laptop, a tablet or our phones. Sound familiar during iso anyone?
Lie on a foam roller along your spine from your head to your backside with your arms at 4 and 7 o’clock. Then just LIE THERE. If you can only manage 2 minutes, that is better than none. If you’re comfortable or have time to, then 15 minutes is better again.
If you can’t get access to a longer foam roller or posture pole, then in a pinch you can roll up a few beach towels, but a roller is best.
This position has the added bonus of improving your body and spinal health by decreasing stress and strain on your body, especially you neck, head and upper back.
Improved posture can decrease headaches and risk of injury.
If you have more questions about this position, want a photo of your posture that we measure to know exactly where you are at or want more information about what improved posture can do for you, please do not hesitate to get in touch as Martin and I would both love to be there to help.
Get Adjusted.
This can also work towards your taking some time out, but do not neglect your health during this period.
Do not put up with ailments that make it even harder to get through the day. Or if there is some annoying issue that you have had for ages that you haven’t felt like you have had time to manage or keep injuring because of your daily routine, now that you’re out of your normal routine is the PERFECT time to get on top of it.
Don’t lose any momentum you had heading into this situation!
Tune out the news every now and then.
I know the temptation is to try stay up to date on every little bit of coronavirus news, but eventually it can become fatiguing. Every now and then avoid hearing about it or reading the new story on your newsfeed.
This goes hand in hand with having a time out, but I wanted to keep it separate as it is it’s own addiction to break. It doesn’t always help us to know the latest doom and gloom. It will still be there tomorrow.
Take the time you would spend on the news to have the time out I mentioned earlier.
Ask for help.
Speak up. Let people know how you are feeling. It is OK not to find this situation easy, I know I haven’t. Find someone you can have a vent to or speak to someone professional who can help you if you’re feeling like you need specific help.
It goes without saying this but obviously, check in on your friends and family. We don’t want people coming out of this in worse shape if it can be helped.
Remember that you are not alone in this. Although the lockdown and it’s effects are felt individually as all our circumstances are our own, we are all in this situation together. We will all understand where you are coming from and everyone wants to help everyone else get through it.

Kieran Whelan 7/6/20 Kieran Whelan 7/6/20

The 5 Do’s and Don’t of Mid back, rib or chest pain

If you have pain in your mid back or chest and you aren’t sure what your next steps should be, then read on.

If you have been following this blog recently you will know that previously I have written about what causes rib pain as well as some ways to know if your mid back or rib pain might be something more worrisome that you shouldn’t miss. If you have missed it, read that post here.

However, during the last week I had a client who hadn’t been able to get into the practice for an extended period after their mid back pain had started and to make matters worse, not only did they not know what to do to try manage their issue, they had spent the best part of a week getting anxious about what was causing their issues.

This situation got me thinking;

“How do people what sort of chest/mid back pain they have and how do they know what to do for it?”

This thought inspired me to write these blog posts, the top 5 ‘Do’s’ and ‘Don’ts’ of how to manage chest/mid back pain.

The top 5 Do’s of mid back pain:

Get informed!
It is important to know your enemy. By far the most likely cause of your mid back/chest pain is something mundane and mechanical, but it is important to be aware of problems not to be missed that can cause your chest pain.
To read about some of the ways to screen to know if your mid back or chest pain is of more…immediate concern, read the “So how do I know if I need…to go the emergency room?” section of my previous post about rib pain.
Use ice and/or heat to calm down your inflammation and pain.
Yes, you CAN take an immediate active role in helping to calm down the discomfort you feel, even if you don’t wish to take pain killers or anti-inflammatories.
The correct use of heat or ice on your area of injury can help to decrease the level of pain you feel while still allowing you to take it easy while you have the injury.
There is a lot more to this topic but to make it as simple as possible; the general consensus is to try ice (frozen water…not the other type…that has too many side effects) if the injury is “acute”, that is, under 48 hours old.
Put the ice/icepack/peas on the effected area wrapped in a damp tea towel, 20 minutes on, then taking the cold off the area for 20 minutes. Repeat this for 1 hour and 40 minutes.
Beyond the first 48 hours the research suggests trying heat and Ice alternatively, or just heat.
To be completely honest with you, in my opinion, the research is not as conclusive as it was once thought to have been. As a result, although I recommend you try the guidelines, your only goal is to help ease inflammation and make the area feel better, if you find that one works better than the other, the goal is to make you feel better so that you can heal, so I would recommend that you use the modality that works best for you.
For a full run down of when you use, check out my previous post “Ice Ice Maybe”.
Keep moving.
If you have mechanical mid back or chest pain you’re likely to find that sitting is your worst enemy. Keep moving but don’t over do it.
When I say move I do NOT mean “take up squash”, “weed your garden” or “help your friend move house”, rather I mean that movement within your pain tolerance, at a relaxed and easy pace like walking, will help your body dissipate inflammation as well as start injured soft tissues to heal.
Listen to your body however, do not over do it! If you have decided not to take pain killers your body will be able to tell you if you’re doing too much. If you have taken pain killers, the absence of pain is NOT a signal that you have had the opportunity to heal and fix the underlying issue, the last thing that you want is for the pain killers to wear off only for you to discover that you are now in worse shape than you were before you took them.
Frequently in practice I will tell my clients to avoid sitting but don’t over do it, and if you ARE settling down to watch TV or a movie later in the day, commandeer the couch to lie down, preferably with ice or heat on the area, lying down doesn’t place as much strain on the affected tissues and so should give your body a chance to heal.
Watch your posture.
Specifically for mid back and chest pain, I am referring to Forward Head Posture (FHP). This one goes hand in hand with number 3, if your head is sitting forward compared to your shoulders it places an immense amount of extra pressure on your neck, upper and mid back, as well as promoting closing in and seizing up of your anterior chest structures.
In fact, I believe that FHP is a major contributor to mid back and rib pain, especially when its the “this came out of no where” type.
For discussion on posture, click here.
Get Help!
There is not prize for having the most pain in your mid back and chest. No one is helped by you waiting to see if it calms down only to arise again out of the blue down the track.
The faster you deal with issues like this the easier it generally is to get positive change. Not to mention, given how important it is to make sure you aren’t missing any of the more pressing reasons you might have mid back and chest pain, it is important that a health professional check you over and make sure you’re OK.
For more info about what you can do for your mid back, rib pain or chest pain, do not hesitate to get in contact with us.

The top 5 Don’ts of mid back pain.

DON’T have your partner or friend “crack” your back or stand on your back for you.
I know this might sound like I am being funny but it’s real. Believe me, I understand the temptation, especially when you feel like “getting it to crack” is all you need for it to feel like it will let go, but trust me when I say, that sort of thing is best left to the experts.
Chiropractors go to university for 5 years to learn how to adjust people be as specific as possible and minimise risk as well. Most importantly, we know when NOT to manually adjust someones mid back pain.
Your partner or friend might have good intentions but it is not worth putting that responsibility on them.
At the very least, you wouldn’t want someone to accidentally re-enforce the negative behaviour your mid back, rib or chest is exhibiting.
DON’T Panic!
Even if you are concerned that your chest pain IS something you will need to visit an emergency room for, panicking about a possible diagnosis will make things worse.
As I said before, the most likely cause of your mid back, rob or chest pain is mechanical and non life threatening, so be alert but not alarmed.
If you feel OK but are in pain and you want to do something about it, get in contact with us quickly so we can help you get on track ASAP.
However, if you are genuinely concerned about your chest pain, rib pain or mid back pain, and think it might possibly be a heart attack or stroke, DO NOT HESITATE to call 000.
There is no point worrying about what would happen if it turns out you didn’t need to go to hospital. I have spoken to several medical doctors and ambulance officers about this and all of them say the same thing, they would much prefer to see someone who didn’t have a heart attack than not at all when they did.
Again, if you think you’re having a stroke or a heart attack, do not wait for confirmation, call an ambulance immediately.
DON’T put off managing the problem or hope it will go away.
This sort of magical thinking does NOT lead to good health outcomes.
Imagine applying this type of approach to a car, if it’s not running properly and you haven’t gotten it serviced, you probably shouldn’t drive it to Queensland (assuming one day we can again).
Waiting to see if an issue like this calms down and “fixes itself” is in my opinion one of the best ways to create a chronic recurrent injury.
Commonly in practice we will see client’s who are on their 4th or 5th relapse of the same problem “only this time it’s just not calming down like it normally would.”
Typically injuries, even ones that come out of no where and can come and go will get worse over time. They get more frequent, take longer to calm down, get more painful and eventually, they become all 3.
The sooner you get onto your injury is generally the fastest way to recover and in my experience involves the least risk of recurrence.
DON’T work through it.
This one obviously goes with our last point as well as the “keep moving” point from before. Do not overdo it.
Your body is in pain for a reason, even if that reason isn’t always immediately evident.
If you have chest pain, rib pain or mid back pain, there is an underlying cause to it, and if that cause is mechanical, pushing through the pain and acting as you would normally runs the risk of injuring you further or exacerbating your pain.
DON’T go it alone.
This is potentially the most important point and yes, I am aware that this is literally the same as the “Get Help” section above.
Again, there is not prize for having the most pain in your mid back, ribs or chest.
Health care professionals are here for you to use when you need us. Living your life at half speed because you are in pain isn’t noble, it just limits your quality of life and no matter how good your intentions of not looking after yourself first and focusing on those around you, none of them want to see you suffer and all of them appreciate you the most when you are at full strength and not in pain.
For more info about what you can do for your mid back, rib pain or chest pain, do not hesitate to get in contact with us.

Kieran Whelan 6/15/20 Kieran Whelan 6/15/20

RIB PAIN AND CHIROPRACTIC PART 2: WHAT TO EXPECT WHEN YOU VISIT US WITH RIB PAIN

If you have rib pain, pain in the rib area or you have pain in your mid back region and don’t know why, this post is about what you can expect if you came to see us as a chiropractor in South Melbourne.

This is the second part of a 2 part post about rib pain, for the first post click here so that there aren’t any spoilers.

Ok, so you’re up to date on part one? Excellent.

Let’s face it...as chiropractors, back pain really is our thing. You might have already guessed but along with neck pain and headaches, back pain including the mid back and rib regions makes up a large number of the people who come to visit us initially.

Unsurprisingly therefore, it is important for us to be able to efficiently find out what is happening in these cases and be able to determine their best course of action to move forward.

Ordinarily we would make a video of our assessment procedures of a specific region, however as Martin and Kieran are remaining separate from each other due to social distancing measures within the practice to combat the coronavirus, we haven’t been able to film one like we have for back pain and neck pain.

Instead I am afraid you’ll have to come on this journey ‘old school’ and use your imagination while I explain our process.

Please be aware, this description is for general purposes only and is not an exhaustive description of what you may personally experience.

Each person is different and so are their injuries, so we treat every client individually depending on their presentation.

For example, rib pain sufferers might require a neurological examination, for others we might require X-rays and for some, we may not be the ideal first place for their care at all!

We take pride in our initial examination's ability to individually assess rib pain sufferers quickly and effectively to determine their needs and best course of action.

Please see this explanation of a potential first visit with us as a guide to understand our thinking.

STEP ONE: HISTORY

To be begin, we need to make sure that you get to tell us all that you need to tell me about your rib pain, things like;

When did it start?
How did it start?
What makes it better?
When did it start?
What makes it worse?
What does it feel like?
Does it change when you move/sit/stand/lie down?

However mostly we want to understand is; what does the pain mean to you?

For a lot of people, the pain is only a part of the problem.

A big part of it is the impact that it's having on your life.

What are the things that the pain is stopping you from doing that you love to do or need to do in your life?

It’s really important that you get to tell us all about your rib pain so that we know what's going on.

STEP TWO: PALPATION

Next when you come to see us complaining of rib pain, is a palpatory assessment.

What we’re looking for with that assessment are areas where the joints are restricted in the motion.

When they are out of balance, they are not able to move the same left and right.

We also want to see if there are areas where there's increased muscle tension and/or the presence of tenderness.

We are looking for the areas where things are just not working how they should.

Once we've done that palpatory assessment of the area that is giving you problems, we will often also extend the examination beyond that area of pain because your spine is linked with the way the whole body works and so we will often then extend up into assessing how your neck is working or in other related areas.

STEP THREE: SHOW US YOUR MOVES

When we are assessing somebody who's come to see us with rib pain is to assess how they bend, move and twist.

Often when you have rib issues that will affect how far you can go one way compared to the other. The way we measure that is we use inclinometry, which is where we use an accurate measuring tool to see how far you can bend to the left comfortably and then compare the left side to how far you can move to the right. Simple as that.

STEP FOUR: ASSESS ALIGNMENT

The next step when we are assessing somebody who has come to see us with rib pain is we assess the alignment of their spine.

Posture is the window for us to be able to assess alignment.

To do this, we use specialised software where we can take a photo from the side and from the front.

We then digitise those photos and then analyse them to see if there are indications of misalignment in the spine.

The way the software works is that we first take a photo and it uses the iPad to make sure that we have a photo that is absolutely vertical.

The software then places a grid around exactly where straight up and down is and then we can compare landmarks on you that should also be aligned to see exactly how straight up and down or symmetrical your posture is.

So, you have looked at all that, what now?

After going through the above and/or any other investigations that your issue demands, and determining that we ARE the right people to help you with your rib pain, we would get you underway as soon as possible.

If you have any further questions or concerns about rib pain, please do not hesitate to get in contact with us.

Kieran Whelan 11/18/19 Kieran Whelan 11/18/19

Jaw Pain Part 3: What you can do to help yourself when you have tmd

Do you or someone you know suffer from jaw pain?

Jaw pain is more than just a pain in the face, it can affect nearly every moment of your life, from talking, eating, exercise and even sleeping!

Not to mention how annoying the noises it makes and headaches it causes can be.

We see a lot of people with temporomandibilar dysfunction (or TMD) and often people can get a lot of relief from some very simple things they can do at home.

Watch our video below and hear Martin explain how you can start to take the pressure off ASAP. If you have more questions or need more help than what Martin describes below, please do not hesitate to get in contact with us.

As always, the video has been transcribed below.

Hi I'm Martin Harvey from Align Chiropractic here and what I'm going to go through today is some of the things that you can do in terms of looking after yourself

If you've got TMD or temporomandibular disfunction.

With people that we're taking care of who have TMD, we go through a whole in office approach, but it's always a fifty-fifty process where there’s certain things that we need to do and you can do to support the changes through home care.

So what I want to do is run through with you some of the most important things that would be home care if you were seeing us in the office, but you can also use them at home to see if they can help you manage your TMD better.

TMD is where you're getting pain or clicking or discomfort in the jaw, sometimes it will trigger headaches, it can also cause clicking and even ear pain, so what you're really wanting to do initially is reduce the amount of stress on the jaw; how much pressure goes to the jaw from the big strong chewing muscles and so what we get you to do is avoid certain things.

The number-one thing for you to avoid is chewing too much, which means that this isn't a good time to be using chewing gum.

You also don't want super chewy foods like steak, and you also want to avoid hard food, so foods like hard lollies or candy where you really have to crush your teeth together to get through them.

The reverse of that is if you're having a lot of issues with TMD, then you're going to be better eating soft foods, for example soup works really well, or foods that have been cooked for longer so there's less chewing involved, that can really help.

You also want to avoid foods that force you to open your jaw too wide because they constrain the irritated jaw joint so the classic examples are eating corn off the cob, you’re better if you're eating corn to cut the corn off, as well, when eating apples where you’re opening your mouth wide to take a big bite of the Apple, again better than break it down into little bits if you're having an apple.

Other things that you can do that rather than just that reducing the pressure on the joint but to suit the joint, moist heat tends to be really helpful.

So getting a heat pack and applying it on the part of the jaw where the problem is for 10 to 15 minutes can often give people a lot of relief.

There is a very strong association between stress and tension and tmd, so making sure that you actively relax your jaw, being aware of when you're clenching and grinding and making sure that your bite is even, through touching your jaw either side or just moving your jaw from side to side you make sure that you’re actively relaxing the muscles there.

Taking that relaxation a step further, a lot of people find doing some sort of meditation or guided relaxation exercises can help.

So, an easy way to get into meditation if you don't know how to do that is through apps. Meditation apps such as Calm or Headspace or Smiling mind or Oak are all apps that can take you through a simple process where in 10, 15 or 20 minutes it can guide you through a process of making sure that you're relaxing things, including in this case the wound up super tight jaw muscles that are a part of TMD.

I hope there are some useful tips in in there for you in managing your tmd.

If you're continuing to have issues or you want more information about approaches to manage your TMD please give us a call and we'll let you know what your options are.

Kieran Whelan 11/10/19 Kieran Whelan 11/10/19

Jaw Pain Part 2: How do we approach TMD?

If you or someone you know has jaw issues or TMD, then this post is definitely for you. In the video below, Martin outlines how we typically approach assessing and managing TMD when someone presents to our practice with it.

As you can see, due to how frequently we deal with clients with TMD, we had to develop an assessment protocol to determine first of all, are we the right people to address your issue? If so, what exactly is wrong and what is the most efficient way to get this person on track?

If you’re still unclear exactly what TMD is, please feel free to watch the first video in this series where Martin answers “What is TMD?”

As always, the video has been transcribed below for those of you who like blogs in a more old school format.

Hi, Martin here from Align Chiropractic what I wanted to talk to you about today was our approach in dealing with people who have TMD or temporomandibular disfunction.

TMD is a really common condition, very commonly, in fact it's four times more likely and women and it's typically more common in people who are in that age group about 20 to 40, It is often painful, the jaw is often clicking and it can affect overall ability to open or even close the jaw properly.

When you have TMD, it often has wide-ranging effects because it effects eating, speaking, sleeping and exercising, so basically, lots of things that affect all aspects of our life; Our social life, our work life, our hobbies and really any activities that we love to do.

So it’s something that you really want to get handled!

Our approach is to take quite a comprehensive view. We certainly have a look at the jaw itself and we'll be measuring your ability to open your jaw, and you should be able to open your jaw around about 40 millimetres.

We also assess a thing called lateral glide which is essentially your ability to move your jaw one way and then the other, and that should be equal left and right. We're also measuring it with special callipers to just see that it should be about 10 millimetres.

The jaw doesn’t work in isolation though, so we'll also be looking at your overall posture. There's a really common association with forward movement of the head increasing the likelihood or has a strong association with jaw issues. Also the way that the neck joints work can have an interplay with the way the jaw works and so we also make sure that we do an assessment of the way that your jaw is working.

As well, we’ll do some palpation, some hands on feeling of the muscles around your jaw which actually extend all the way up into the temporal area and extend down into the upper neck of the front.

Then if we feel like we can help you, we will formulate a plan to get you back on track in terms of how your jaw is working and get you back to doing the things that you love to do, or that you have to do that the jaw is making it harder for you to do.

Now, typically in terms of that hands-on care like all problems it's a 50/50 process there's certainly some hands-on things that we'll be doing to gently encourage more movement and less tension in the jaw, but we'll also be having exercises and home care that you can do to make sure that you get the best results as quickly as possible.

So if you're having trouble with jaw issues, whether it's popping clicking pain or just feeling out of balance, then please give us a call and let's get you back on track as quickly as possible.

Kieran Whelan 10/16/19 Kieran Whelan 10/16/19

HOW TO TRAIN WHEN YOU HAVE AN UPPER BACK INJURY FOR THE CROSSFIT, F45 AND HIIT ATHLETE

If you are a cross fitter, f45…er, boxer or just love that type of high intensity training and you have an injury then this post is for you.

At align we know that getting back to exercise is likely your number 1 priority!

Please watch our video or read the transcript below the video to get our tips on getting you back on track as soon as possible and learn how to maintain your gains despite injury.

As we said in our last posts on back pain and neck pain, taking time out of training is boring and can seriously impact on the gains that you have made.

When you have put the time and effort into your training to a level where you are really enjoying your high intensity exercise, taking time out for recovery can be tedious but can also hold you up on your way to achieving your goals.

The reality is, the better you allow your body to heal, the quicker you can be back to 100% and the less likely you are to have recurring injury, and the rehab is going to take some effort on your part, so what CAN you do to get back into it at full speed?

The first thing to work on is recognising that just like gains you have made, THERE ARE NO SHORT CUTS in healing your injury.

It is important to know what you CAN do to stay moving and enjoy your HIIT training without setting yourself back.

In the video below, Martin outlines some of our possible recommendations for managing upper back injury while still keeping up your training.

As always, if you have any concerns, upper back issues, be they old or new, or just want to get the most out of your training, we are here for you so don’t hesitate to get in touch!

Hi, I'm Martin here from Align Chiropractic and today's video what I’m going to talk about is a really common thing that we see in our practice which is: people who love doing high-intensity exercise.

We're talking people who do CrossFit, people who do f45, and all the other versions of HIIT like boxing those type of things where the whole idea of it, is that it's something that people love doing and they want to do it regularly and obviously, it's something that you're doing at a high level of intensity so does create some pretty specific demands on your body.

Sometimes people have an injury and then they've got this sort of challenge where, they want to keep training, they don’t want to lose the gains in fitness that they've created but they’re also managing an injury and our experience is that there's a lot of things you can do where you can keep getting a lot of that metabolic effect, you can keep losing weight, can keep your cardiovascular fitness and you can keep a lot of your muscle mass by keeping training while you're having the injury addressed through chiropractic care.

So one of the areas that we commonly see are people who have an injury in the upper back, so it might be that the vertebrae are jammed up there, which is a really common thing we see, can be a problem with the way rib is joined onto the vertebrae, can be a problem with the muscles in the area, there's a bunch of different things, a bunch of different types of injuries that you could have there but the common thing is that it makes a lot of high intensity movements uncomfortable and can actually be exacerbating the injury by doing certain movements.

So there are things that we suggest you don't do to manage these injuries. Firstly you’re not doing things where it's really high highly dynamic, so burpees can be really uncomfortable, box jumps can be really uncomfortable, anything with jarring can be uncomfortable as well as things where you’re demanding a lot of range of motion from your upper back that you don't necessarily have.

Within a CrossFit context, kipping pull-ups, within F45, battle ropes and those sort of things where there's a lot of movements for in that area that isn't moving properly it can create a demand that your body's not able to correct.

The sequence that we look at is that early on if you've got an injury and we're actively trying to get things back on track we’re going to get a shift focus to doing a lot of the lower body exercise because you can work your lower body without having that impact on your upper body.

For most people, air squats are completely comfortable and lunges are really good and that’s because of that single leg aspect to it it's a really good opportunity to develop that sort of balance and stability in your lower body when you're taking the load off your upper body.

As far as not losing all your upper body strength, often what most people notice is while overhead stuff, pushing overhead and pulling overhead can be really uncomfortable, often reducing the load and going horizontally so we’re talking things like really slow controlled push-ups or a dumbbell press chest press or even a barbell chest press can be okay as long as you’re super conscious of your posture.

We’re making sure that a head is staying over our shoulder because often the reason that people end up with these mid-back injuries is that it's not from the exercise it's from too long spending time at the computer in this crappy posture.

Therefore, if you're wanting to maintain some upper body stuff we're going to do some horizontal pushing and we might do some horizontal pulling as well.

In doing those actions, we’re going to work on pulling our shoulder blades back by doing actions like a ring row, where you’re lying down when you're pulling back towards yourself or you doing them with a machine, some sort of rowing exercise. So rowing is good and also push-ups can be good.

The next level up from there let's say we've got some improvement but things aren’t 100% in terms of function and we're not out of the woods yet but once we've got some improvement and movement in that area, and we're starting to change in overall posture, we can start reintroducing some things.

So what we might do in the early phase, while we've taken out jarring activities like box jumps out, we might get back into doing a step up or we might go back to doing some pull-ups.

Pull ups are where we are going overhead and doing a pulling movement, but rather than doing a more dynamic movement, like kipping pull-ups, we will make it a little less dynamic and only do strict pull-ups - even if that means that we are applying a band.

Another option that we could look at is some overhead pressing movement with a dumbbell but we're not going to have the dynamic ones where we're using momentum and that faster cadence that we might normally use in high intensity training. So we are just going to slow things down focus on very slow movements that are a little bit easier to stabilise through that area.

The bottom line with this video is that - yes you love your training and yes it's inconvenient to have an injury but for most people they can maintain the momentum, they can maintain their gain, if they just tweak a little bit what they do, shift focus to the lower body, shift focus to slow controlled movements, cut out the overhead work initially and keep going when you training when you’re managing an injury.

I hope you found the video interesting leave a comment if you've found it valuable, and we hope to catch you soon.

Kieran Whelan 9/25/18 Kieran Whelan 9/25/18

How to set up your car seat

If you spend a lot of time in your car then this post is for you…and let’s face it, if you're reading this you most likely live in Melbourne, so there is a good chance you DO spend too large a portion of your life driving, sorry, I mean, in traffic.

If reading this whole post isn't really for you, then feel free to skip down to the end where I will summarise how to set yourself up in your care in a checklist.

Note how her head is sitting comfortably above her shoulders? Ideally shed have 2 hands on the wheel also…

What is the issue?

As a society, we appear to give a lot of attention to ergonomics for when we are setting up an office work station, or using a computer, but thats often where our attention to the issue ends.

We are guilty of it too!

If you follow this blog you will know that we have recently posted about how best to set up your computer or your laptop, we have talked about ways to avoid text neck when using your smart phone or tablet. We have even discussed how to sit and the importance of limiting how long we sit for, yet all of those are predominantly centred around screen time, or when you are in an office.

The reality is, the office, be it at work or at home is only a PART of how we spend every day. Important as good ergonomics are during these times, we need to remember that improved spinal health, being mindful of our posture and maintaining high levels of function are 24/7 activities.

We are the result of what we do the most.

To be more precise, our body will get better at whatever we ask it to do the most, so it is important to ask yourself regularly throughout the day:

“What am I asking my body to do right now?”

This is why we often tell our clients that the most important thing they can do for themselves throughout the work day is to get up out of their chair and move around.

One place where getting up and moving around is not really an option however is when we are in the car.

Kieran, I will not be getting a beaded car seat cover so don’t even mention it.

Fair point. I wouldn't want one either. I am far too car proud for that.

Most of my clients will probably already know that I am into cars and that I love driving.

I am fortunate enough that my commute is very short, so much so that I mostly get the opportunity to walk or ride my bike to the practice. I do however get to spend a lot of time in the car though, as I enjoy driving almost everywhere else and spend most of my weekends heading out of the city to go camping, hiking or traveling to visit family in Bendigo.

One thing I don’t like about driving though, is how easy it can be to make myself very sore if I haven't set the car up properly.

A poor driving position can lead to (among other things):

Low back pain,
headaches,
sore shoulders,
pins and needles in your legs or arms,
fatigue,
Sciatic pain and most dangerous of all,
an inability to control your car properly.

Setting your car up is easy

Fortunately we live in a world where other people have done most of the hard work for us and your car is no exception.

Car companies have employed a literal team of people to make your car so that it is able to get you to YOUR ideal driving position, however most of us rarely use all of the functions they have bent hundreds of hours developing.

It doesn’t matter whether you drive something fun and sporty, or purely as a taxi you use to ferry your children, the following suggestions should be able to apply to nearly every car you drive.

Step 1: Seat height and distance

When it comes to how high you sit in the car, too much of anything is a bad thing. Too high and you have to bend down to see out of the window clearly, too low and you will struggle to see everything you have to avoid.

You want to be a comfortable height to be able to see everything easily over the steering wheel without extra effort. Seems like a no brainer I know but you do wee some weird things out there.

Distance from the pedals is important too. You never want to be reaching for the pedals…obviously but you don't want to have your knees too bent either.

If you are too close, you have to actively position your feet for too long leading to hip issues. On top of this, if your knee is close to or is resting on the dash board, then your leg bones will have to act like an air bag to slow you down in an accident…which is less than ideal if you're the kind of person that enjoys having legs.

Ideally, the best distance from the seat to the pedals would mean that in a manual car, your knee should be *almost* straight but not quite when you press the clutch in all the way. About a 5 degree knee bend in that position should be it.

In an auto, the same rule applies for you to be able to leave your foot on the foot rest (look for it, you most likely have one to the left of the brake pedal) but if you don't have one, you should have that same 5 degree knee bend when your foot rests on the firewall (thats the carpet behind the pedals).

This should also mean that when you take your left hand off the steering wheel it should be able to rest comfortably on the gear stick without having to reach for it, allowing your shoulders to remain relaxed.

Step 2: Steering wheel position

Have the steering wheel at a distance where you can relax your hands onto the 10 and 2 positions on the wheel without leaning forward and having to round your shoulders, keeping a relaxed bend in your elbows.

This means you have the most control of the wheel without having to grip onto it, strain your shoulders or your low back to reach for it.

Another easy way to know if its in a good spot, is when you rest your wrists onto the top of the steering wheel, it should sit *just* at your wrists.

Move it to a height where your hands can sit at 10 and 2 roughly in front of your shoulders, you don't want to have to go reaching up or down to find the steering wheel.

Most cars now have an electric steering wheel movement, but if not, its easy to unclip the handles on the steering column and play around with its position, moving it up and down or forward and back. Take your time with its one, when you get it right, you’ll know.

Step 3: Head position

If you have done the other two right then this should already be set, but just make sure your head isn't having to lean forward too far and is relaxed over the top of your shoulders.

If it is leaning forward, readjust your steering wheel closer to you.

Watch out for car seats that push your head forward. Bad posture is so common that engineers in some car companies have started building their seats to have the head rests moving forward to meet where they assume people with poor postures heads will be.

This forces you into a bad position and over time will GIVE you forward head posture. Personally I have not been able to buy certain cars because of this, and I know it has meant Martin has had to choose a different brand when replacing one of his.

You also shouldn’t need to rest your head back on the head rest.

The name is deceptive, you should have active control of your head, it shouldn't have to be pushed back into the head rest. Its the name of a safety feature in a crash, not a suggested use.

Step 4: Lumbar support

If your car has inbuilt lumbar support, don't be afraid to use it. When you find the right spot for you, you will be amazed that you ever drove without it.

If need be, you can always buy a lumbar support pillow to use when you are driving for long periods or on longer road trips.

Step 5: Never drive with something in your back pocket.

Thats right men who keep a wallet in your back pocket when you're driving, I am talking to you. I don’t care how long you have done it for, it causes an unevenness under you that WILL eventually lead to back pain and even sciatica in some cases.

The same goes for mobile phones. They seem small but even on a short trip they make a difference to how you have to sit. I don’t care HOW short the drive is.

Again, it seems obvious but people do it.

Step 6: Take breaks regularly.

Especially if you are driving a distance. They don't only stop you from feeling fatigued, they allow your body to wake up as well, and they don’t even have to take long! Even a 2-5 minute walk can do the trick.

As promised, here is the checklist:

Step 1: Height and distance

Seat at a height where you can see everything without straining to have your eyes above the wheel or below the sun visors.

Sit at a distance where your foot can relax at the back of the foot well with your knee bent slightly to around 5 degrees.

Step 2: Steering wheel

Bring it close enough to have a slight bend in your elbows when your hands are at 10 and 2, you should be able to rest your wrists on the top of the wheel without reaching for it with your shoulders.

Step 3: Head position

Like sitting at a computer, above your shoulders, not poking forward at the steering wheel.

Step 4: Lumbar support

Play around with it until it feels good for extended periods. This might take some experimenting. If you need to, buy a support cushion.

Step 5: Nothing in your back pockets.

Step 6: Take breaks.

If you have any questions or concerns, would like to chat about how to set up your car please contact us at Align, we would love to help you.

However, if you're happy with your car set up but would like to chat about cars specifically, please feel free to talk to me about it…don’t bother talking about them with Martin…they aren't really his thing.

Kieran

Kieran Whelan 9/10/18 Kieran Whelan 9/10/18

The most important step to choosing the right pillow

If you are one of the many people who are not sure where to start when selecting a pillow then please watch our quick video on what we think is THE most important step when making your choice.

Let's face it, there are too many options for pillows out there. There are so many materials, shapes, and seemingly random options for you to choose and the hardest part for a lot of our clients is that nearly all of them seem incredibly expensive!

Choosing the right pillow for you is very important but it shouldn't be something you lose sleep over.

At Align we believe that there is one simple factor that you need to consider above all else before settling on a new pillow.

If you have any further questions after you have watched the video about choosing a pillow or how best to approach sleep to manage your issues (be it posture, neck pain, low back pain or headaches), please do not hesitate to contact us at Align. We have a select range of pillows on hand at any time that are available to you even if you have never been in before.

Knowing how important sleep is to our community, we are always happy to offer a complimentary pillow fitting for you so that you can be confident that you are making the right choice.

Watch our video below to hear what advice Drs Martin and Kieran start with for anyone who is considering an updated pillow. If you'd prefer not to watch, the clip has been transcribed below.

Hi, Martin Harvey from Align Chiropractic here.

One of the most common questions that we get asked in practice is: “What sort of pillow should I be sleeping with?”

We have people coming in who have entire collections of pillows, made out of everything from feathers, through to the latest space-age materials, and they wonder:

“Why can't I find a pillow that’s comfortable for me?”

The first thing that we always want to make sure is that the pillow is the right size and the right fit for you.

Obviously some people are different sizes and there are also people who choose or are most comfortable in, different sleeping positions.

Make sure you check out our “which sleeping positions should you be using” video as well, but if you’re somebody who predominantly sleeps on your side, then you're going to need a larger pillow.

In side sleeping, the idea of the pillow would be to take up a significant amount of the space between your shoulder and your neck, so that it’s supporting your neck.

If it is not, when you’re sleeping on your side and it's too low, your pillow is going to force you to tip over quite a bit that way, and at the same time if it's too big for you, it's going to tend to tip you the other way.

If you're somebody who mainly sleeps on your back, then wanting to keep your head fairly balanced over your shoulder, you’re not going to want to big a pillow because a really big pillow is going to tend to force you forward quite a bit.

To that end, the type of pillow that typically is the best compromise if you're one of the many people who sleep a bit in both is a contoured pillow.

The contour allows the thicker part of your head when you're lying on your back to be in the contour and it also supports your neck without forcing you too far forward.

This is a low-profile pillow and this would be for somebody who primarily sleeps on their back or they're a smaller person who sleeps on their side.

If you're a bigger person who's a side sleeper, then you're going to want to go to a larger, higher profile pillow.

You can see here that it's much thicker than the other pillow, again it's the same basic structure.

So there you have it, a simple way of getting a bit of an idea of which pillow you should be using.

The most important first thing is that it's less about the material that it’s made from these ones are made out of latex which is a really comfortable and durable material but the most important thing is to make sure you get the right size based on how big you are, as well as your preferred sleeping position.

Kieran Whelan 8/29/18 Kieran Whelan 8/29/18

Simple exercises for people with neck pain

If you have neck pain, tight shoulders or headaches that come from your neck then I suggest you watch the video below.

In the video I run you though some very simple movement exercises to keep you mobile, try and get your neck moving again and hopefully help make you more comfortable as you go through your day.

I have tried to keep them very quick and easy so that you can incorporate them into your day simply and without having to make it too obvious that you're doing them.

If you are concerned about your neck pain or you have any questions, or if you experience discomfort doing them, then please do not hesitate to get in contact with us.

As always, the video has been transcribed below, but I recommend you watch to get a demonstration...and to see me in my solo video debut. Enjoy.

Hi I'm Kieran from Align Chiropractic. I just wanted to run you through a quick exercise for getting your neck moving.

Now if you're somebody that suffers from neck pain, a tight neck or headaches that feel like they come from your neck then this video is for you.

One of the main group of exercises that we recommend for our clients regularly are to get their neck moving again.

It's really important that your neck range of motion is even to both sides, it should be pain free and it shouldn't feel too tight one side compared to the other.

The important thing to remember when doing these exercises is don't push through a pain barrier or push to the extremes of your motion.

What we are wanting to do is get to the point of restriction and just relax into that position.

So its very simple to do; first of all we're looking at rotation.

Turning your head to one side holding it at that point of restriction for three seconds come back to the middle then turning the other side.

You're looking for it to be even on both sides and pain-free, hold for three seconds, back to the middle.

Next we go straight to side, lateral flexion for three seconds, back to the middle and then to the right-hand side for three seconds and finally, back to the middle again.

Remember, it’s three seconds on each side and you cycle through all four of those five positions 5 times to keep things moving.

If you are finding a lot of restriction or are particularly uncomfortable on one side more than the other, that can be an indication of a more significant underlying imbalance.

If you are feeling that or have any concerns about how your body is moving, I'd recommend that you get on to us and let's figure out what's happening for you.

2:00 TODAYS VIDEO IS ABOUT...

3:52- WHERE TO BEGIN?

4:15 ROTATIONAL MOVEMENTS OF THE NECK

5:32 LATERAL FLEXION OF THE NECK

7:12 FLEXION/ EXTENSION OF THE NECK

8:07 SHOULDER EXERCISE

9:28- 3 EXERCISES TO OPEN SHOULDERS

13:48- OVERHEAD POSITION FOR SHOULDERS

14:54- FOCUS ON ALIGNMENT

SPIKEY BALL: 17:23

18:27 BEGINNING OF SPIKEY BALL EXERCISE

CONCLUSION: 23:27

Neck ROM exercise

Low Back Exercise

What happens when we don’t get enough sleep?

Intro: 0.00

Impact of not enough sleep: 0.51

Experiment: 3:15

Sleep better: 4:00

Exercise: 5:52

Sleeping Strategies: 6:15

Conclusion: 7:50

2:00 Todays video is about...

3:52- Where to begin?

4:15 Rotational Movements of the Neck

5:32 Lateral Flexion of the Neck

7:12 Flexion/ Extension of the Neck

8:07 Shoulder Exercise

9:28- 3 exercises to open shoulders

13:48- Overhead position for shoulders

14:54- Focus on Alignment

Spikey Ball: 17:23

18:27 beginning of spikey ball exercise

Conclusion: 23:27

7 LOCK DOWN SURVIVAL TIPS

Recognise that it is OK to be sad/angry/frustrated at the current situation.

Exercise.

Take some time out.

Watch your posture.

Get Adjusted.

Tune out the news every now and then.

Ask for help.

“How do people what sort of chest/mid back pain they have and how do they know what to do for it?”

The top 5 Do’s of mid back pain:

Get informed!

Use ice and/or heat to calm down your inflammation and pain.

Keep moving.

Watch your posture.

Get Help!

The top 5 Don’ts of mid back pain.

DON’T have your partner or friend “crack” your back or stand on your back for you.

DON’T Panic!

DON’T put off managing the problem or hope it will go away.

DON’T work through it.

DON’T go it alone.

STEP ONE: HISTORY

STEP TWO: PALPATION

STEP THREE: SHOW US YOUR MOVES

STEP FOUR: ASSESS ALIGNMENT

So, you have looked at all that, what now?

What is the issue?

We are the result of what we do the most.

Kieran, I will not be getting a beaded car seat cover so don’t even mention it.

Setting your car up is easy

Step 1: Seat height and distance

Step 2: Steering wheel position

Step 3: Head position

Step 4: Lumbar support

Step 5: Never drive with something in your back pocket.

Step 6: Take breaks regularly.

Step 1: Height and distance

Step 2: Steering wheel

Step 3: Head position

Step 4: Lumbar support

Step 5: Nothing in your back pockets.

Step 6: Take breaks.

“Why can't I find a pillow that’s comfortable for me?”

LOCATION

HOURS