Category Archives: head, neck and back

Muscle micro trauma II

In many regards slow and steady really does win the race, whether you are trying to become more flexible or stronger remaining well balanced and in control when you exercise or work is important. “Form” is a term used in the fitness industry that defines the best posture and way of moving when you exercise. Good form reduces the risk of workout misadventures such as losing your balance and overstraining both of which can cause muscle micro trauma.

Time tested and proven exercise regimes such as Yoga and Tai Qi exercise your body in a very controlled and focused way that takes your muscles through the full range of their natural movement. The opposite way of using your muscles tends to traumatise them- short, jerky and highly repetative movements builds a type of friction up inside the muscle that is not healthy or sustainable.

Repetative strain injuries (RSI) are caused by using your muscles in such a way, you may get away with it for a long time because the natural pain killing effects of your endorphins and encephalins mask the pain, but sooner or later it will get you.

Ignoring the muscular symptoms earlier on will make you more likely to get tendon and joint problems later  which are much harder and more expensive to fix. You may do data entry all day on a computer, sort mail, dig trenches or even play a musical instrument, all these activities and many more that require repetative short muscular movements can give you muscle micro trauma.

It is useful to think of a rope fraying, one fibre at a time breaking until a relatively small force makes it suddenly tear the rest of the way. Micro muscle trauma can do the same thing. If you are required to do short ranged repetitive tasks with your work try sharing the work load between both your hands.

Sacrificing good form to perform personal best reps is not worth it.

On any fresh muscle trauma ice packs can give you good instant relief and anti inflammatories can suppress the symptoms too, as can stretching provided of course that your symptoms will still allow you to do so. By the time you know that you have a repetitive stain injury caused by muscle micro trauma the chances are that it has been going on for quite some time before you can no longer ignore the symptoms.

It is for this reason that you must be patient and consistent for therapy and preventative measures to start showing results. It doesn’t matter whether it is physio therapy, osteopathy, acupuncture or massage or combinations of these or similar therapies you must be consistent and follow the advice of your therapist, it is unfair (and unintelligent) to think they have failed if your symptoms do not improve immediately.

The good news is that muscle micro trauma is treatable and preventable.

Muscle micro trauma

Your muscles come in 3 forms, smooth, striated and cardiac. Smooth muscle is involluntary and is found in our internal organs (liver, stomach, lungs etc). Striated or volluntary muscle is, as it’s name suggests under our conscious control, your biceps, triceps and femoral quadruceps are all volluntary muscle,voluntary muscle is also known as skeletal muscle.  Cardiac muscles  are a combination of volluntary and involluntary muscle and this is what your heart is made out of.

When people talk about muscle micro trauma they are referring to cumulative damage to your volluntary skeletal muscle. When you get a full thickness muscle tear to a large muscle like your femoral bicep (also known as hamstrings and found at the back of your thigh) you know about it. A torn hamstring is very painful and debilitating and it even changes the shape of your leg (until the muscle recovers anyway).

When a full thickness (or almost full) muscle tear happens it stops you dead in your tracks when the strenuousness of what you are attempting is too much for what the muscle is capable of.

Micro trauma as it’s name suggests involves a small amount of muscle trauma that is only mildly uncomfortable and inconvenient if noticable at all. Micro trauma happens when you slightly push yourself too far. Micro trauma as a single isolated incident is no big deal, it is when it keeps recurring before it has the chance to heal that it causes problems.

Your muscles are actually bundles of individual fine strands called myofibrils, myofibrils to a muscle are like the individual strands of plant fibre that are braided together to make rope (except your myofibrils are not plaited). Rope works well until enough of it’s individual fibre strands break and the rest of the rope suddenly gives way.

It is kind of like this when too many of your myofibrils are traumatised, this is typically noticed when you might be strenuously working or exercising in a way that you have done for a long time without any drama when suddenly without warning you get a sudden shock of pain and your strength fails because of cumulative muscle micro trauma.

Few people had heard of muscle micro trauma before Jane Fonda was sued for damages when she showed people a method of muscle stretching   on a work out video. Ms Fonda instructed her viewers to do muscle stretches in a jerking way at the end play of the stretches that caused micro trauma.

It is not just stretching exercises that can do this, flexion (weights) exercises full of jerky/rocking movements can  cause cumulative muscle trauma. Working strenuously with repetative movements also causes muscle micro trauma.

Even if you are fully convinced that the way you exercise and play are safe and sustainable get some periodic expert advice to make sure you are on the right track and remain mindful of what is age appropriate for you. Even though sport can be a very healthy thing to do some sports create a great deal of emphasis on the repeated uses of some muscles over others. Stretch and get massaged.

Arthritis and Diet

There are many in the alternate medicine community who advocate diet therapy for the treatment of arthritis, two of the best known ones are the alkaline diet and the nightshade -free diet. Orthodox medicine for the most part considers these therapies at best ineffective and at worst quackery. Fortunately you can safely try these therapies for yourself and see if they work as well for you as others have claimed they have for themselves.

The alkaline and nightshade-free diets may or may not work for you but pharmacuetical medications may not either and best of all you can do both if you like.

The alkaline diet as it’s name suggests, is aimed at lowering the body’s acidity, the rationale is that the body becomes more acidic when there is inflammation in it.

The nightshade -free diet is about eliminating foods in the solanaceae (nightshade) family because people with sensitivities or allergies to them are, it is claimed, more likely to get an inflammatory response when they eat them. Nightshade crops include capsicum, egg plant, potatoes, peppers, tomatoes and tamarilloes.

It is important that with either diet you are not lacking essential vitamins and minerals, for instance if you love tomatoes and normally you get most of your vitamin C from them and then eliminate tomatoes  from your diet,  you must get your vitamin C from elsewhere. This does not mean that you have to stock up on expensive suppliments,  just choose a healthy balance from the foods that you can have.

If you are going to find out if a dietary approach to your arthritis is going to work or not, being consistent is important and so is trying it long enough to show some results. If it makes you feel worse stop it.

If you are on pharmaceutical medication don’t mix it with herbal medication without consulting a pharmacist as they can react with one another, elimination diets and medicines should not be confused with one another.

There is nothing wrong with doing your own research by reading and listening to different ideas and opinions, the quality of online information is improving all the time because the demand for self-help knowledge is there. The popularity of cooking shows and the plethora of cook books now available shows that people want to eat real wholesome food- not many diets, recommend processed foods including those listed above.

Unfortunately arthritic conditions can recur, the older you get the more things break down and your body become less tolerant to mistreatment. Whether it is rheumatiod or psoriatic arthritis, PMR, fibromyalgia or some other auto immune condition causing your inflammation learn all you can about it once you get it properly diagnosed.

You wouldn’t put kerosene into your car so please show your stomach some respect and eat well.

Arthritis II

Osteo Arthritis (OA) was the main subject of September’s post about arthritis, today other causes of arthritic pain will be looked at. Auto immune diseases such as Rheumatoid Arthritis (RA), Systemic Lupine Erythromatosis (SLE or Lupus), Polymyalgia Rheumatica (PMR) and Fibromyalgia (Fm) are some of the more commonly known of which.

Auto immune disease sees the body’s own defenses attack the body’s own healthy tissue, there are slightly more than eighty of them, nobody knows why they occur or how to cure or prevent them. The whole focus of treatment for auto immune disease is to manage the symptoms, in Western Medicine (WM) this is  done with anti-inflammatory drugs such as cortico steroids whilst in alternate medicine the use of diet and soft tissue therapies are more common place though anti-inflammatory herbs and mineral suppliments are also employed.

Auto immune diseases tend to be episodic in nature and they can start with quite vague symptoms such as a persistent low grade fever, fatigue, irritability, joint and muscle pain, weakness and lowered resistance to infections and allergies. The next stage  of symptoms onset of auto immune diseases can be intense and have you fearing the worst. PMR for instance can make your shoulders very stiff and sore very quickly, it affects people (mainly women) in the 50+ age group.

Auto immune diseases that produce arthritic symptoms can affect other tissues also, Lupus can inflame your skin and produce digestive problems, RA can weaken your heart and Fm (fibromyalgia) often will manifest with chronic fatigue symptoms alongside the stiff muscle and joint sensations. Self diagnosis is futile, if you get your problems properly diagnosed to begin with you can get help much faster.

Even if you get  very satisfactory relief from the medications you take there are other forms of treatment that can improve the management of your auto immune arthritis. Your ability and desire to exercise can be really tested with getting diseases like PMR and fibromyalgia, for months you may only be able to do gentle “nana exercises”, for a previously fit and strong person this can be truly demoralising, keeping your morale up can become a big issue in itself.

If you are a person who is quite happy to avoid exercise arthritis might be a tempting excuse to avoid it altogether but it is important to stay as physically active as your symptoms will allow you too because of all the benefits exercise gives you. Your circulation, posture, lung capacity and even your digestion benefit along with your muscles and joints when you exercise.

Getting expert advice on how you should exercise when you have strong arthritic symptoms is important, there will be activities that normally are no problem for you that become impossible and even embarrassing when your arthritis is acute, like a chameleon we must mentally adapt when things like this happen. Massage, chiropractic and osteopathy can all help you exercise more efficiently.

I have met several people over the years who have found low acid diets to be effective in combatting the symptoms of rheumatoid arthritis, if you want to go down this path figure out a plan with a nutritionist so you don’t miss out on any important nutrients when you adjust your diet.

Circulation and your spine

Your spine is composed of 24 bones (vertebrae) with cartilegenous discs acting as cushions between them, ligaments hold the vertebrae together and muscles (multifidis) running the spine’s entire length gives the spine movement and strength. Your spine  holds you up and provides protection for your precious spinal cord that is encased within.

So how is the circulation of blood and fluids in the spine different to circulation elsewhere in your body and why is it so important to help maintain it?

Firstly your spinal discs are not naturally graced with a very efficient system of circulation, it is non-directional which means that body fluids can get into and out of the disc but it is actually your posture and the way that you physically move your back that pumps the blood around within your discs to keep them healthy.

When we age and lose body height it is mainly due to our discs shrivelling which effectively shortens the spine, the atrophied (worn) discs lose their shock absorbing qualities and the spine stiffens, these factors go a long way to explaining why elderly people stand and move the way they do.

Disc injury is a very common cause of back pain too, the walls of the disc are fibrous but the centre is spongy. When the disc becomes damaged because of disease or trauma it may bulge out one side or even completely rupture which can be extremely debilitating and painful. Needless to say being over weight does not help you one little bit when this happens and apart from localised pain the bulging disc can press against your sciatic nerve and cause pain and weakness from your hip to your toe.

If you are lucky your prolapsed disc can  go completely unnoticed, in a study on disc prolapse several years ago 70% of the people in the sample group reported no back pain at all even though scans showed a clear bulging in atleast one of their discs, most likely because the bulge was not up against a nerve. If you are unlucky even a small disc bulge can cause you alot of grief.

The types of  movement that takes place in a spine when a person does yoga or Tai Qi or Qi Gong do a fine job at moving the fluid safely around inside of our discs. As you can no doubt imagine a disc that may already be weakened might not react as well to sudden violent twisting movement particularly if you are lifting something in an awkward posture.

Disc prolapse can cause other problems too such as creating pressure on the membrane that encases the spinal cord through which cerebro spinal fluid (CSF) moves. CSF is produced in the brain, your brain literally floats in it and it  extends all the way down your spinal cord, it’s composition is plasma like, pink and sweet to taste. It protects and helps nourish your brain and spinal cord. CSF circulation is helped along by good posture as is the fluid inside your discs.

If you drink plenty of water, adopt good posture always, do the right exercise, educate yourself about how your body works and get treatment when you need it you will help your spine last as long as you do.