Dive into the Chilly World of Cold Exposure: Unlocking the Benefits of Cold Water Immersion

The photo above is of Martin taking his very first ice bath. It was in September last year and he has been embracing the cold ever since. Martin started because he had heard that regular cold exposure was good for your health (more on that below) but have kept going because I feel great after every ice bath and cold shower.

Have you ever considered taking the plunge into cold water or braving a refreshing cold shower? You might think it sounds crazy, but let me tell you, the rewards are worth it! Cold exposure has some incredible benefits for your body and mind. So, let's chat about why embracing the cold can be a game-changer in your quest for overall well-being.

First off, when you expose yourself to the cold, something magical happens. Your brain and body release adrenaline and noradrenaline, which amp up your alertness and energy levels. It's like a natural boost that makes you feel alive and focused. As well, those effects last even after you've dried off!

So, if you've been feeling a little sluggish or struggling to concentrate, a cold shower or a dip in icy water might just be the jolt you need to kickstart your day.

Cold exposure isn't just about waking you up—it's also about building resilience and grit.

When you willingly subject yourself to the discomfort of the cold, you're training your mind to handle stress better. It's like a mental boot camp. By challenging yourself and pushing through the initial shock, you strengthen your ability to stay calm and composed when faced with real-life challenges. It's a skill that extends far beyond the cold showers. It's a superpower that helps you tackle whatever life throws your way.

Now, let's talk about mood enhancement. Who doesn't want a little extra happiness in their life? Cold exposure has got your back. When you expose yourself to the cold, your body releases dopamine—a neurotransmitter responsible for pleasure and motivation. And let me tell you, dopamine is a game-changer. It lifts your mood, boosts your energy, and enhances your focus and productivity. So, the next time you're feeling a bit down or lacking motivation, why not take a dip in cold water and let the dopamine work its magic?

Oh, and here's an interesting tidbit: cold exposure can actually rev up your metabolism. When your body is exposed to cold temperatures, it has to work harder to keep you warm. That extra effort translates into burning more calories. But the real kicker is the transformation of white fat into beige or brown fat. Unlike white fat, these metabolically active fats keep your body humming, giving you that extra edge in your weight management journey.

So, it's time to embrace the cold and reap the rewards. Start with shorter cold showers and work your way up to longer durations or even try an invigorating ice bath. Listen to your body, take it one step at a time, and enjoy the benefits of increased energy, resilience, enhanced mood, and a revved-up metabolism. Trust me, your body and mind will thank you for taking the plunge into the chilly world of cold exposure. It's time to make waves and dive into a whole new level of well-being.

If you’re keen to take the plunge we have arranged an ice bath event for Align Clients at The Recovery Lab, Windsor. It’s on Saturday June 17th from 7am- 8am. The ice baths will be at around 8 degrees and we suggest that you aim to do around 3 minutes. Martin will do a brief talk about strategies you can use to do the ice bath (and enjoy the experience) and then you will get a chance to take the plunge! Tickets are available here.

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.

Reduce your stress with a Foam Roller

Feeling like you’re sitting too much at the moment? Feel like the top of your back is more concrete than muscle? Worried you’re starting to develop a hunch back? Then this post is for you!

If you have been following this blog, you’ll know that we have been posting a lot about what you can be doing to keep your body moving well to stay healthy and more comfortable while you’re having this time at home.

In the video below, Martin talks us through how to use a foam roller to take hunch out of your back and help your nervous system calm down as well, because forward head posture has been linked with increased stress and tension as well as many other conditions.

Martin will show you some easy to follow exercises and stretches you can do easily and safely from your home to keep moving and give your body some breathing space.

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!

Hi, Martin here from Align Chiropractic, and what I want to talk about in today’s video is a really simple, quick strategy that you can use to help de-stress, to unwind, to help loosen muscle tension that we often build up from stress in our neck and shoulder, and to also help reduce that sort of posture where your head and shoulders comes forward that we often get when we’re stressed. 

So, what am I talking about with that posture? There’s a posture that we look for clinically which can come about from postural stress of long periods of time with our head forward and arms foward. It can also be part of our body’s response to stress. The normal stress response activates certain neural pathways that increases the tension in the muscles in our should and neck, which makes sense if we look at stress as a survival response that we need to fight or run away (flight) in response to a stressor that’s kind of the way we’re wired. The challenge is that in our modern lives, we tend to have stresses, rather than being something rustling in the bushes that we need to run away from which might have been a stress when we were hunter-gatherers. It’s more likely that deadlines, or family stresses or money stresses, or all the other reasons that we have to be stressed. So, what tends to happen rather than being a short period of stress and then physical activity to resolve the stress- which has a natural balancing, we have these periods of long-term, ongoing stress and we end up with these shoulders that are like concrete, head that pokes forward, and shoulders that round forward. It’s also then having that posture, we think also signals to your brain that look, there’s something that you should be stressed about, which then winds thing up. So often we’ll see people with neck pain, headaches, or even low back pain where a big part of what’s contributed to it is that ongoing stresses has just kind of wound everything up, altered their posture. 

Foam Rollers: 2:12

So, what I want to show you today is a special use of a foam roller that you can use to help unwind and de-stress, as well as release the tension that you’ve got that tends to build up in your neck and shoulders when you are under ongoing stress. 

So, the type of roller that we’re going to need to be able to do this exercise. You can’t have one of these shorter rollers because I’m going to show you a way where you’re lying on top of the roller this way. So, two types of rollers than can work are the sort of traditional, full, round, long roller, or a specific posture correction type roller which is a half roller, and then the diamond where you’re going to lie on this side. So, either of these two types will work. This one- the full roller tends to be a bit more of an advanced one- some people will find it a bit trickier to balance on, whereas this one tends to be a little bit more specialised for the job. If you want this sort of type, these are a bit harder to get. These ones you can kind of get from online or lots of different sporting goods place. These ones probably best to just come in and get one from our practice, we sell them. 

Exercise 3:26

So, using the roller is as simple as this. I’m just sitting down one end and then my head is resting at the top. My hands are palm up so that I can get some external shoulder rotation, and the starting position is hands down by your side. The first time you do you do this. It’s natural to feel a little bit of stress or tension in the middle part of the back, but it should never cause any pinching or sharp pain. You just want to relax your shoulder back. 

First day you do this, I’m going to suggest you do it for 2 minutes. I’ll show you how you go about getting up in a minute. As you progress, the way that you can increase the amount of stretch and the amount of release here is by bringing your arms up closer  to this sort of 90 degrees to the body mark here- it tends to be easier with the hands down like this. So, increase the time until you’re doing it for about 10 minutes, and then you can start moving your arms out to the side. Most people find somewhere between 10-15 minutes gives them a really really good release, and they feel much less stressed afterwards. You can also increase the impact by doing meditation or the physiological sigh type exercises at the same time.

Getting up 4:52

Now, getting off. When getting off it’s really important that you don’t come up like this- that can feel really uncomfortable. What I’d suggest is you roll to the side and then slowly sit, come up. Just take your time because you can feel a little bit dizzy.

Conclusion: 5:12

So, there we have it- the way to use the posture correction roller, or the sympathetic dominance rock roller as a way of reducing stress, and unwinding tension. 

Simple strategies to reduce stress and sleep better

Feeling fatigued, a little bit over it all or just in need of a few strategies to wake up feeling a bit more energised? Then this post is for you.

For those of you who have been following this blog, you’ll know that we have been posting a lot about what you can be doing to keep your body moving well to stay healthy and more comfortable while you’re having this time at home, but what about the other things our body has to do well to keep us going?

One of the first casualties during periods of stress, especially prolonged stress is the quality of our sleep. We find it harder to nod off, we wake more easily through the night or sometimes we just notice the quality of our sleep has dropped off and we are waking feeling tired despite having gotten our normal amount of sleep.

It makes sense, when under “threat” your body doesn’t want to let it’s guard down completely so that you can remain alert to danger. Its the reason you never sleep as well in a hotel as you do at home no matter how many stars it has because its a new environment so your mind never fully shuts off.

Now think about how we find ourselves living in a new environment, a new routine, changes in the amount of exercise we can do in a day and dealing with stressed people all day every day.

Is it any wonder that our clients are contacting us complaining of fatigue more than ever before? Of course not.

Please enjoy this little video Martin has filmed to help you get your sleep back on track, as always the transcript is below.

Hi, Martin Harvey from Align Chiropractic. So, today’s video is a really simple routine that I think will help you in terms of managing stress and improving your sleep. I’m recording this during the whole COVID-19 lockdown here in Melbourne, and one of the things that I’ve become super aware of when talking to people is that stress is having a bigger impact than ever because of the current circumstance. There’s not always a lot we can do about the circumstances- that applies right now, but it also applies to life generally. Often the things that are stressing us are not the things that we can immediately resolve. So, it’s really useful to have tools that you can use to reduce the physiological impact, reduce the health impact of stress and or issues with sleep so that they’re less likely to cause your immune system to work more poorly, less likely to cause a buildup of tension that is often a driver of spinal problems, and all the other things like headaches and so on that we know are very strongly stress related. 

So, when we talk about stress from a physiological perspective, there’s a whole lot of hormones that are involved. The number one hormone is a hormone called cortisol, but all of our hormones are sort of interlinked. When we talk about sleep and stress, the hormone that also becomes really important for us to consider is melatonin. This is the hormone that really triggers us to feel sleepy at the time we want to go to sleep, and so there’s often a very strong-tie between higher than normal levels of stress and having more difficulty sleeping. So, I sort of wanted to combine a routine that allows you to essentially use really easy triggers to try and normalize your melatonin levels and your cortisol levels.

Melatonin 2:00

So, the first thing that I’m going to suggest that you do is to wherever possible get outside early in the morning- whatever is early for you, but get outside because we get unfiltered light- even if it’s cloudy, and that goes through our eyes and stimulates in our brain the production of melatonin. So, if we do that early in the morning, it’s much more likely that it sets our circadian rhythm in a way that we’re going to feel nice and sleepy when it’s time to go to bed later that night. The advantage of doing a walk is, one- it’s one of the things we are able to do with our current stage 4 code lockdown, but it also triggers a thing called optic flow. 

Optic flow: 2:49

An optic flow is essentially a stimulation of certain brain circuits by having things going past us, by having things going through our visual field. So, it triggers a series of changes in our brain that also helps to kind of relax us and reset cortisol levels in a way that’s really healthy. If it’s raining outside and you can’t get that, the next best way of doing it is to move around the house a bit. If we’re restricted to our homes, we’re not moving as much as we might normally, so make a conscious effort to sort of almost do laps of the house. 

You also want to get near a window. Now, the window will have light slightly filtered- some of the UV radiation doesn’t come through the window, so it’s not quite as good as the melatonin effect that you get being out in direct sunlight (but almost as good).  One little thing to add to the getting out for your morning walk, is that it’s important that you don’t wear sunglasses unless it’s so bright that you almost have to squint, because the light coming in gets filtered and altered by the sunglasses. So, particularly in the morning, you’re generally not going to need it unless you’re walking directly into the sun. 

Physiological sigh- 4:07

The other thing that I’ve mentioned on other videos but I just want to go into a little bit more detail is the power of the physiological sigh. So, when we talk about cortisol and stress, often the strategy that comes up is learning and developing a meditation practice, and it’s very well established, evidence-based way of improving our health, improving our cognitive function, and reducing stress levels. It is a bit time consuming, and for a lot of people it’s a tough habit to get into.

The beauty of the physiological sigh is that it’s very neurologically triggered. You don’t have to develop a skill, it’s just using your breathing in a very specific way. You get the effect immediately, whereas meditation is a skill and a practice that you have to develop over a period of time. So, physiological sigh essentially is a way of breathing where you take one deep breath, which expands the little alveoli in your lungs and triggers certain neural pathways, then you take a second breath over the top of that, and then you relax as you let your breath out. So, it’s a really powerful way of triggering a direct neural pathway that changes you from being into what you might think of as a nervous system that’s all wound up and ready to go- which is called a sympathetic state, to a parasympathetic state- which is the neurological way that our bodies get us into the right state to rest, relax and repair any damage that’s happened to our body. 

So, physiological sigh in terms of routine, I’d be suggesting go for your walk to get the optic flow and get the melatonin. After that, sit down and do 5 of these physiological sigh breaths. Really really simple, you just breathe in through the nose. Just relax your shoulders as you’re doing it. 

Conclusion: 6:59

So, there we have it. A really simple routine to help manage sleep and to help improve stress or lower stress levels. It’s based on research that’s done by Dr. Andrew Huberman, a neuroscientist at Stanford in the US. He’s doing some really exciting work that I think can really help us live a healthier, happier, more active life. 

A quick way to move and soothe your neck

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, but don’t have the time to watch or go through the whole sequence as described by Martin in an earlier video.

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 the next instalment of our “Move and Soothe” series of posts.

Many of you expressed that although the original video was very helpful, it was a fairly long run time, so…you asked for it and we have delivered!

Martin has whipped together a quick video 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.

As usual with our videos, the transcript is available below.

Enjoy!

0:00- intro

Hi, Martin here from Align Chiropractic. This is another follow along, move and soothe video. This one is designed to be a quick routine that you can do maybe in the middle of the day, or when you don’t have as much time. It’s really oriented at releasing tension, improving movement through your neck, and then extending out into the shoulder area.

So the idea here is that we use a sequence that we would use when we’re providing chiropractic care to deal with problems, which is we’ve got to create movement in the system first before we can then change alignment. Improving movement and alignment are the key to then creating changes in the way all the soft tissues work, so releasing tension, allowing nerves to function better. The nerves functioning better is what then translates into muscles functioning better because nerves control muscles, then that’s what creates an environment where you can create a spine that’s both more balances and more stable. So we look at is as movement, alignment, and then balance and stability come as a result of that. If we try and create stability without having movement and alignment- much less effective.

1:17- description

So let’s get into it. With this one you can do it either sitting at your desk, so if you’ve been spending hours doing this and you’re starting to notice that tension building up, or you can do it standing. 

The first thing we are going to do is we’re going to double up and do our move and soothe together. So, we’re going to be moving our spine through ranges of motion, getting it to that end range of motion to encourage full range of motion in our neck, And we’re going to be applying a little bit of a release to the muscles that most commonly tighten up as a result of stress, or as a result of postural stress. With this one, you don’t need any equipment- in some of the other move and soothes will use a spiky ball, a tennis ball, or a lacrosse ball, but for today we are just going to be using our hands so that it’s super easy to do wherever you are

2:11- breathing 

I’m going to be incorporating the physiological ‘sigh’ breathing that you might have seen on other videos. It’s an approach that I came across through the research of a neuroscientist called Dr Andrew Hubermann. I won’t go into a whole lot of detail, but basically it is where you take a deep breath in through your nose, and then when you get to that point where it’s tight, you just take a little breath over the top- so it’s a double breath. And then relax.

2:47- Lateral Flexion

So, to start off we’re going to be doing lateral flexion- probably the most important movement for us to have. To incorporate a soothe, what I’m going to get you to do is just reach across with the opposite hand and apply some pressure to this muscle up here and apply some pressure to this muscle up here in your upper trapezius or levator scap muscle. So just feel in there and find a point that’s feeling a bit tight- it’s right there for me, and then we are going to incorporate breathing in through our nose. Then we’re going to the other side, and then we’re going to breathe back over this side. Just letting that relax. I’m going to go one more time- breathing over to this side. Now just swap hands, and one more. That’s it, now we go to rotation

Rotation 4:20

So, hand across and this time, we’re going to be focusing on rotation away from the side that our hand is. So, breathing in. Swapping over. Breathing in, breathing in. Last one. Shrug your shoulders up and let them relax.

Conclusion: 5:38

There we have it. Just a quick follow along to help you release some tension, improve the movement, and have a much healthier, happier spine.

Home care during stage 4: Move and Soothe your back and hips

This post is for anyone missing their normal routine and would like some tips on getting rid of the tension and restriction you may be starting to feel in your back and hips.

As most of you are aware, during the stage 4 restrictions in Melbourne, allied health are only allowed to practice on an urgent care 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 Kieran have got your back and 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.

Due to popular demand, here are some more stretches and mobilisation exercises to use at home!

Below is a video Martin made at home about how to keep yourself moving at home, helping your back and hips feel human again after the change in routine from the last few weeks of stage 4 lock downs.

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.

Enjoy!

Welcome: 

Hi, it’s Martin here from Align Chiropractic. This is a follow-along video, so you can follow along as I run you through a series of exercises. Today’s video is really about moving and soothing the lower back, hips and sacroiliac joints.

When we are taking care of people in the practice in this area, there’s kind of a hierarchy that we work through to help people’s bodies work at their best. We want to restore movements to the joints first, because if the joints aren’t moving then it tends to create increased stress and strain on everything else. Lack of movement also affects the alignment, and if the movement and alignment of the joints is not the way it should be, then it causes changes to the firing patterns of the nerves. This affects the muscles, which affects the ability of your spine to balance overall, and affects the stability of how that whole system and the body works.

Begin: 1:01

We’re going to work through a sequence. Whilst it’s not as good as getting an adjustment- which is often the only way to get each of the segments working, we can use movements of our body to maximise the amount of movement we’ve got with our spine. We want to make sure that we’ve got everything moving nicely first, and then we’re going to move into increasing and improving the alignment so that we can translate that into having things working as stably as possible. 

Often your body will hold onto muscle tension when things not working properly. We’re going to run through a few releases that you can do to help things feel as comfortable as possible.

Lateral Flexion: 1:40

We’re going to start off with some lateral flexion movements. Lateral flexion is a really important movement in the way that our spine works because the coupled motion of the spine means that if you’ve got lateral flexion, every other movement will perform better.

We are going to slide our right hand all the way down your right leg. We don’t want to force this movement- just get to a point where we feel a point of tension. We are going to go through a count of 3 here, then come all of the way up to go to the other side. We are going to go through this sequence 5 times each way. This should be nice and gentle. We really want to get each of the vertebrae moving as much as they can. 

Flexion and Extension Introduction: 3:45

So, next we’re going to move into flexion and extension. It’s a bit of bias towards really wanting extension as much as possible because so many of our activities, whether we are sitting or bending forward, encourage flexion. For this reason, there is a bit of bias towards encouraging extension.

Flexion/Extension Exercise: 4:03

We are going to start off with extension. Hands on the lower parts of your hips here, and then we’re bending back this way. You just want to be careful that you’re not jamming things, so we’re not going super far into this one. Just get to a point where you feel a degree of tension, then holding for 3. 

From here, we’re going into flexion. I’m going to be nice and gentle here. If your back is feeling a little bit tight then just stop at the first point of tension. It’s fine to have your hands on your legs there, or if you’re feeling free then we’re just going to go as far forward as we can. In this case, the fingers are touching the ground for 3, and then we are going to come all the way up. 

Nice and slowly, coming back into extension. Hand is on the lower back for 3. Same thing coming forward. Nice and easy, just dropping from the hips. That’s our second time through. I’m going to come back here. All the way forward for our third sequence of five. Onto four. Nice and easy coming forward, then last one. All the way back for 3, and then last one forward. 

Rotation: 6:22

For the next part, what we want to do is increase the amount of rotation that we have with our lower back. There are a couple of different ways that we can do this, but I’m going to pick an easy way.

So, what I’m going to have you do if you’re able to, is get your foot over so that it’s at the level of the other knee- that’s ideal. If that’s not comfortable, you can end up just with the leg down like that- but ideally, we want it up like this, so we’re then using leg as a bit of a lever. 

So, with this one, we’re going to incorporate a little bit more breathing. So, this time I’m going to get you to breathe in through your nose, and then out through your mouth. Rather than rotating back and forth, we are just going to hold in a rotated position for three breaths.

So, we’re going to come all the way around, I’m just hooking my elbow onto my knee. The other hand goes around like this way so I’m getting a nice rotational stretch, then just increase it a little bit if I’m able to. That’s two, so we can get a little bit more.  

So just little point of performance there, we’re not wanting this sort of position, we’re wanting a more upright stretch, so stretch comes through our back. So nice 3 breaths there, and then we’re going to swap legs there and stretch to the opposite way. 

So, leg over and then this way. Get that rotational twist in there- in through the nose and out. 

Sacroiliac Joint Movement: 8:33

Okay. So from there, we have some rotational movement. Now we want to get some movement through the sacroiliac joints. They’re the pelvic joints, the joints right at the very bottom. Their plane of movement is rather than this sort of plane, they twist forward and backward a little bit this way. The best way of working them is we want to pop one foot right out in front, and with the other we’re basically going into a long lunge here, and so the back leg is there. It’s really important that this front knee is behind our front foot, and we’re wanting to get this knee back nice and long.  Then what I’m going to have here is I’m going to reach my hands in on the inside of my hips there. So, it’s a bit of a hip flexor stretch as well as mobilising the sacroiliac joints. So, from this position I’m going to hold here. I breathe in through my nose, and out through my mouth, just dropping a bit further in with each breath.

Okay so that’s 3 for that side, just going to swap positions here. I pop that leg forward and this leg back and keep my hands on the inside. If that’s too much then you can do more or less the same thing from this position, but ideally we want to really encourage a lot of movement into those sacroiliac joints because when we’re sitting, they’re not getting much movement at all. Some breathe in through the nose, and out. Just gently come out of that. 

Exercise for Postural Alignment Introduction- 11:03

Okay, so we’ve now got some movement through both the spinal joints- the lumbar spinal joints, and the sacroiliac joints. So, what I want to move onto now is an exercise to just help in terms of our postural alignment. We’ve got everything moving, so let’s do an exercise that will kind of offset that tendency toward flexion and slumping forward that many of us have just from hours spent sitting. What I’m about to show you now is an exercise called a superman exercise

Superman Exercise: 11:30

It’s a really great exercise both in terms of encouraging better posture in your spine, and also it can translate to some improvements in stability.

So really simple exercise. You can lie face down, arms extended in that classic sort of superman position, and what we’re wanting to do here is just quite simply start of quite low. Lift up and hold for 3- that’s one repetition. Making sure you just sort of pinch your shoulders back as well, and having better posture through the middle back as well. That’s 10. Okay, so movement and alignment taken care of. Now we want to see if we can get rid of and release some of the tension that builds up. 

Glute Tension: 13.22

The biggest driver of tension tends to be that tension in the gluteal muscles, so we want to focus on that for this sequence. You can use a lacrosse ball, a tennis ball, a cricket ball, a spikey ball, or a foam roller- this is a little short one, but the same thing works with the bigger roller. For today I’m going to use the spikey ball, but any of these will work.

So, to start with we’re going to go on our side. We’re going to work this big fleshy part on the side here called your gluteus medius. What you’re aiming for here is if you reach down you’ve got the side you’ve hit that top of your hip bone, which is called your iliac crest. There’s a fleshy bit between that and the next part of your hip called your greater trochanter. So, what we’re going to do here is we’re going to lie on our side with that there. Just find a tender spot, and then we’re going to hold that tender spot while we breathe. You’ll notice I’m slightly backward of exactly on my side- your tender spot could be slightly forward or back of there. 

Breathing Introduction: 14:35

From there, I’m just going to breathe in through my nose, then one more deep breath until we’re at that full point, and then out. We’re going to repeat 3 times. 

Okay, so that’s the gluteus medius released. That type of breathing also helps to get us relaxed, or what’s technically called a parasympathetic, or rest and repair state. 

Piriformis Release: 15:24

Now we’re aiming for is a muscle called the piriformis muscle, which is kind of in this fleshy part right where the pocket of a pair of pants might be. We can either just put the thing on the floor and go straight on there. If you want to increase it a little bit more, you can pop that ankle of the right leg onto the knee of the left. Find that tender spot, and then we’re just holding pressure there. We’re going to do double breathes again. Let’s just relax into it. Last one. 

Gluteus Medius: 16:30

That’s it, so now I’m going to flip over to the other side there. Again, we’re going to start with the gluteus medius, so come onto that side and find that tender spot- that’s the one right there. Breathe in through the nose (double breath). Alright, so let’s just released that gluteus medius.

Piriformis: 17:20

So now we are going for the piriformis. Now I don’t have a pocket on this side, but imagine where a pocket would be. I’ll pop my ball there and just have that leg straight like this, with the other one like that, or if that’s too much, just like that works fine as well. We’re going to find that tender spot- yeah that’s the one, it’s a bit more on this side than on the other side. So, I’m going to breathe in, and again. 

Conclusion:

Perfect! So, there we have it. Sequence to move and improve the alignment, and then soothe and release the muscle tension there. Thanks for watching

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.

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.

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

1. 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.

2. 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.

3. 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.

4. 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. 

5. 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!

6. 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. 

7. 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. 

The top 11 tips for improving your sleep - how to sleep your way through lockdown

Supporting your sleep cycle.

This article is for anyone who needs to address how they are sleeping, want’s to feel more rested or are looking for the best thing they can do for themselves to make the most of our new lockdown. 

I have written about sleep on this blog before but when I was asked to speak about this topic in a webinar last week I realised that this topic is too important to leave further down the list of blog posts we have accumulated thus far. Also, for reasons that will become clear shortly, this is actually a perfect time for all of us (especially Melburnians) to be assessing their sleep habits. 

I wish I were writing this under better circumstances, but unfortunately we have all found ourselves back were we were several months ago. 

Lockdown 2.0 - This time it's frustrating. 

Obviously Victoria’s current situation is less than ideal but it has actually highlighted to me the importance of today’s topic. 

This could not be coming at a better time for us all, who among you reading this found during the lock down that days just rolled together and that it was hard to find any real rhythm? 

I want to set a challenge to all of you during this lock down period, and that is, I want you to genuinely and honestly re-appraise your sleep habits and find ways that you could improve them, then set yourself the goal to make the most of your lock down by creating new habits that WILL change your life. 

I don’t often use this term, but in terms of habits or activities you undertake to improve your health and your life, sleep is like a magic bullet. 

It has probably the largest impact of any one activity you can undertake. 

Speaking of undertakings, the research indicates that it takes just 3 weeks to set a new habit. People in Melbourne have been given 2 rounds of that time to set new habits up and really hone them before hopefully getting to enter the world a little more normally again. Make the most of it!

So now, having said all that, I want to come clean to you.

I come from a bit of a weird back ground with sleep.

If I am really honest, I was always known amongst my friends as someone who just flat out doesn’t sleep. This was until just over 2 years ago Martin the other chiropractor that I work with exposed me to some information that TERRIFIED ME. 

The information was an interview on Joe Rogan’s podcast with Professor Matthew walker who is the author of a book called “Why we sleep”.

Now academically, I was already aware that sleep was good for me, I was convinced that I was just one of those people who didn't need as much sleep as everyone else. I just genuinely believed that lack of sleep obviously didn't affect me as much as it seemed to affect everyone else.

The reason we became interested in sleep in our practice is that we take care of a lot of people with stress related issues. As I am sure many of you are aware and especially if you have ever read my blog posts or spoken with me in the practice, stress is perhaps the leading cause of illness in Australia and as it turns out, poor sleep and lack of sleep is one of the leading causes of increased daily stress.

Reducing stress is actually soo important to spinal health that in our practice we have a special interest in stress management. 

Martin and I have completed courses on adjusting and management techniques aimed specifically at stress reduction and sleep promotion.

So today, I wanted to break down for you, what exactly IS sleep? How much do we need? I want to discuss what happens to us when we don’t get it sleep and finally, my 11 best tips to improve your sleep.

The Background 

It has taken millions of years to develop into homo sapiens. We came into anatomical being at least 315,000 years ago, with our modern behavioural and mental capacities being at least 60-80 thousand years old. 

We have only had a reliable and controllable ability to erase the night using electric light for - give or take - 150 years. Since that time, humans have become the first and only known species that actively and persistently forgo sleep.

Think about that, no other species will choose any activity over sleep outside of a survival situation. 

For us, far from being a survival situation, it means, to stay up and watch Netflix, scroll Instagram, or generally to just get a few jobs done without anyone interrupting us. 

Think about that...why is it that WE choose to avoid rest, when no other mammal will do this naturally? 

And apparently this is incredibly common, according to Matthew Walker, 1 out of every 2 people are sleep deprived, and almost 1/3 of those people are sleep deprived on 6 hours sleep or less. But let’s face it, have you ever heard any person say to you “you know what, I am just getting soo much good sleep at the moment!”

SO the first thing to ask ourselves is;

HOW MUCH SLEEP ARE WE MEANT TO GET?

As humans we need between 7 and 9 hours of good QUALITY sleep for our body to operate the way it is intended to.

Thats not just physical time in bed, 

Quality in this sense refers to our biological imperative to get through all of the stages of sleep for an appropriate amount of time, in order for our brain to recharge. 

What are the 4 stages of quality sleep?

stage of sleep:

1. Awake,

2. light sleep,

3. deep sleep,

4. REM (Rapid Eye Movement), and repeat.

Awake time is the time spent in bed before and after falling asleep. It also includes brief awakenings during the night.

As I said earlier, quality sleep contains appropriate time spent in each of 4 stages of sleep. 

Although all 4 stages of sleep are essential to the quality of your sleep, I wont get into the nitty gritty of how sleep works specifically, it can be more complicated than my level of specific understanding and that would involve MANY blogs about that topic alone, so just to hit the high notes here today, I am going to GROSSLY oversimplify everything.

Stages 1 and 2 are your “set up” stages of sleep, they are the period where your body begins to turn off your monitoring systems and relax the “awake” portion of sleep, changing your heart rate and breathing to eventually get into stage 2 and eventually into deeper levels. This is also the stage where you can have a power nap as long as you don't doze for more than 20 minutes.

Stages 3 and 4 are where you get down into deeper levels of sleep.

In Stage 3, your brain waves become very long and slow and become much less responsive and harder to wake up, while your brain “paralyzes” your body in a type of muscular incarceration so that during stage 4, otherwise known as REM (Rapid Eye Movement) sleep, you don't get up and start acting out your dreams…it sounds scary but its a handy survival mechanism. You have probably experienced this lock down first hand if you have ever suddenly felt awake at night time but been unable to move your body.  

Stages 3 and 4 are where most body replenishment occurs. This type of sleep is excellent for cardiovascular health, metabolism, and most importantly, removal of waste products that accumulate in your brain throughout the day. 

SO...WHAT HAPPENS WHEN WE DON'T GET ENOUGH SLEEP?

Think honestly about how many hours you spend sleeping and if you are honest, what sort of quality do you believe you actually achieve?

When we sleep for fewer than 7 hours, our performance, both physically and mentally dimities by 10%. 

When the hours we sleep are fewer than 6, our performance is decreased by 30%. 

30%.

That means if you average fewer hours than that, like I did over a 15 year period from year 11 onwards, my ability to work, to remember, to drive, to study or even enjoy downtime with my friends and family was down by 10-30%. 

Equally as scary, the research suggests that people who are sleep deprived are actually incapable of measuring the negative effects of lack of sleep on themselves. It's like knowing your exact blood alcohol while drinking (a comparison that will become more relevant in Part 2 of this post). We know we have been drinking but have no actual way to know if we are .05 or not until its measured externally. 

Imagine the compound interest of life lost over 15 years of being 30% less of yourself. I am certain I would likely still be at Align, and I know I would still be a chiropractor, but who knows how much further I would be in my career, how much more I could have given to my clients or how much more I could have enjoyed those years? 

WHAT HEALTH ISSUES DOES IT CAUSE? 

Short answer? Heaps. Almost everything in fact.

According to more recent research, the shorter you sleep, the shorter your life. 

Fewer hours of sleep predicts all cause mortality. Put simply, you’ll be dead sooner and the quality of your life will be worse.

Fewer than 6 hours of sleep leads to a decrease of physical endurance and function of 30% due to lactic acid build up as well as the bodies ability to expire our breath, but anything below 7 hours has been shown to impair us, with decreases in our peak muscle strength, peak running speed and our vertical jump. 

Coupled with this fact is that it has been shown that sleep and frequency of injury has a linear relationship, stating that 9 hours of sleep Vs 5 hours of sleep leads to a 60% increase in the probability of injury.

Another more functional element to sleep is that it has been shown to improve learning performance (in rats at least) by 20-30% as it is thought to be the time when our brain strengthens its connections when learning something new. 

Have you ever been trying to learn something new or studying and come to a point where you are just stuck so you give up for the night? 

If your anything like me, I know that you found that the next morning it just clicked. Things you were struggling to learn just came to you, or you could remember the whole piece of information correctly. 

It appears that while we sleep the brain literally prunes away the unnecessary elements of the pathways and streamlines your new skill. 

Another health issue lack of sleep causes, is weight gain. Sleep doesn't just help you lose weight, it actually helps you keep it away! 

Lack of sleep decreases the body’s levels of a hormone called Leptin, who causes the sensation of satiation (aka - feeling full). At the same time, the hormone ghrelin (the guy responsible for NOT feeling full, and making you hungry), is ramped up. 

It has been shown that people who sleep between 5-6 hours a night will eat 200-300 MORE calories a day, equalling roughly 70,000 calories a year, leading to 10-15 pounds (or 4.5-6.8kgs) of obese mass a year. 

Worse, you eat more of the WRONG THINGS, going for heavy hitting carbs and heavy processed food, while simultaneously staying away from leafy greens etc. 

So just to clarify…on average, if you slept more than 7 hours a night, you would eat fewer calories, crave better quality food and with no extra effort or will power necissary, you would have to manage up to 7kgs of fat FEWER, each year. 

Do you know any other “magic” weight loss solution that can offer all that with zero negative side effects and at zero cost?

More importantly, insufficient sleep according to the podcast, degrades our DNA.

Specifically it has a negative effect on immune response genes, decreasing their reproduction. At the same time, we get increased chronic inflammation, increased stress response leading to cardiovascular disease and an increase in the expression of genes related to the promotion of tumour growth.

Apparently this is most exemplified by people who do shift work. Night shift workers suffer from higher rates of obesity, diabetes and cancers, most notably bowel, prostate and breast cancer. 

This is apparently so prevalent Matthew Walker states, that the World Health Organisation now classifies night shift work as possible carcinogen in and of itself as 4 hours of sleep even for just one night, causes a remarkable state of immune deficiency, a significant drop in anti cancer cells in our immune system.

Sleep deprivation affects your sex hormones too, in fact, Men who sleep 5-6 hours a night will have testosterone levels 10 years their senior, a critical element of health, strength, muscular performance etc, in short, it ages you a DECADE (apologies for not having the data for women too but you can safely assume similar effects can be found).

Consider how you are when you're deprived of sleep; reduced alertness, impulsive, lack of ability to concentrate, difficulties with learning and memory.

What do you think happens to your brain when you are like this for weeks, months or even YEARS on end? 

While we are awake our brain builds up toxicity, especially a protein called ‘Beta Amyloid’. You may have hear of this protein before as it is the main mechanism in the  development of Alzheimer’s Disease. When we sleep properly, the process of sleep wipes our brain, reducing build up of Beta Amyloid.

Insufficient sleep across lifespan now appears to be one of THE most significant lifestyle factors in determining whether or not you will develop Alzheimer’s disease.

Simply put: wakefulness causes low level brain damage and sleep offers reparatory function.

Margaret Thatcher and Ronald Reagan have arguably had a huge effect on our world today. They were both known as having strong wills with sharp minds. They were both also famous for getting around 4-5 hours of sleep a night. They both died with Alzheimer’s. 

This anecdotal evidence is hardly proof of the research but it raises a few questions about the concept, two people with very active minds and social lives (two factors previously thought to be predictive of the disease) got it anyway.

Now you might be saying to yourself:

“I’M ONE OF THOSE PEOPLE WHO DOESN’T NEED THAT MUCH SLEEP…SO I’M ALL GOOD RIGHT?” 

Wrong. 

Well…at least its a safe bet that you're wrong anyway. 

You’ll remember that Matthew’s research has shown that people are completely incapable of determining how much they are affected by sleep deprivation. 

I was convinced of my own ability to get things done when I was working off lower levels of sleep, but it turns out, like you, I am completely unqualified to make that assessment. 

Negative effects of your lack of sleep can ONLY be assessed by external sources and measurements. 

Although studies show us that there is a population of humans that can function as normal from just 5 hours of sleep, but those same genetic studies show that is a group of less than 1% of the population. 

In fact, you're MORE likely to be struck by lightening in your life time than to be one of those people, so you should probably assume that you aren't one of them. 

SO…WHAT CAN I DO THEN? 

Get to sleep. Seriously, its as simple and as difficult as that. 

The minimum you should aim for is 7 hours! 7-9 hours appears to be our sweet spot as humans. 

11. WAYS TO IMPROVE SLEEP:

1. Consciously think about sleep hygiene. Make it something you factor into your health routine like you do exercise. 

2. Regularity; try go to bed at same time.

3. Decrease light; Try away from screens for at least an hour before bed or at LEAST have your screens on night mode. Think of circadian rhythm, no blue light, black out curtains, eye masks.

4. Halve the number of lights on in your home in an evening. Apparently, if you are in an environment with no lights at all, we fall asleep 2 hours earlier.

5. Keep it cool, brain decreases temp by 2-3 deg fahrenheit to initiate sleep. always easier to sleep in a room thats too cold rather than too hot. We fall asleep faster and deeper in cold. 

6. Wear fewer clothes to bed. Again, its a heat thing.  

7. Try to have warm feet and hands. It helps keep your brain cool as it stakes blood away from your core. You could also try having a hot bath or shower before bed, it brings blood to the surface then your core body temp plummets when you get out of the water and you're more ready to sleep. The reverse is true for waking up, studies have shown that its the rise in temperature in the morning not just the light that wakes you.

8. Time your exercise, try to exercise earlier in the day, hormonally exercising earlier sets you up to sleep whereas later in the day it can wake you up. 

9. Eat earlier and go for a short walk, help your body digest so it isn’t working soo hard when you are trying to settle down to rest. 

10. Decrease stress in other areas of your life, meditate, work on your posture, breathing exercise, plan opening your emails etc, decreasing stress chemicals will allow your body to relax faster and more fully, letting you get to sleep. 

11. Watch the Joe Rogan podcast I talked about a lot of my information coming from here. It goes into a lot more detail if you are that way inclined, but it is worth the watch. It is also available as a traditional podcast.

AND REMEMBER

Sedation is NOT the same as normal sleep, pills and alcohol might help you nod off but they do not allow you to go through the full normal stages of sleep and so you will miss out on a lot of it’s benefits. Be sure to discuss your inability to sleep with a health practitioner about improving your sleep hygiene as Matthew Walker states in the podcast that sedatives are an absolute last resort.

Sleep is NOT like a bank, you cant accumulate debt during the week and then make it up on the weekend.

Lastly NO ONE tells you to stay awake on a problem. “Sleep on it” so that you can have a fresh perspective is a suggestion with no cultural boundaries. 

Accumulated wisdom for centuries has promoted sleep as a way of better tackling your problems, getting things done and improving your life.

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:

1. 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. 

2. 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”.

3. 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.

4. 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.

5. 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.

1. 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. 

2. 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. 

3. 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. 

4. 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. 

5. 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.

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.