Advice from your osteopath: how to maximize treatment process

We would like each patient to respond well to our treatments. However, patients also need to be aware that their state of health can slow the treatment process.

Treatment is a partnership process we can only help you if you help yourself. Maximize your treatment potential by doing the following suggestions:

Hydrate yourself through the day

Not drinking enough fluids causes internal stress in your system, being parched or thirsty is a sign of dehydration. It’s more difficult to treat you when your body is already under strain from dehydration: your body is slower to respond and the changes are incomplete.

  • Aim to drink 1.5 – 2 litres per day of fluids, though minus 1.5 cups for every cup of coffee you drink. For those who exercise additional fluids and salts are important to take regularly. Don’t forget to continue over the weekend which is easily forgotten- make a conscious effort.

5 min mind exercise 3 times a day sounds easy but is the hardest thing to do.

We live in a very busy modern life with lots of distractions and over stimulation.

  • To help rebalance your nervous system, sit back, close your eyes and just feel what it is like to feel happy/or feel calm for 5minutes- you have to use a timer/count down. The point of this exercise is to give your mind a break and the emotion produced helps reduce the over production of stress hormone called “cortisol”. Over time you will get good at evoking sense of ease in your self – but only if you persevere.

This sense of ease in yourself is the normal state and being on “edge” or “stress” is a sign your body needs to re-set a few times a day. We have the ability to produce our own stress relieving medication – it’s free and has no side effects. With this ability to sense ease in yourself, your response to treatment will be much better and long lasting.

Importance of winding down your mind

“Adrenaline junky” is an apt name for those unable to do relax and inconstant need for stimulation. Could this be you?

  • A 45min daily routine before going to bed is important to wind down our brain activity, like most machines our brain over works during the day, doing something “mindless” e.g. flicking thru magazine, clearing stuff, listening to music, any activity that reduces stimulation helps to wind down your mind.

This 45min wind down daily routine will help your mind rebalance giving you better sleep, your body systems including hormones are more balanced making you less susceptible to diseases and immune problems. This routine will definitely make your treatment last longer.

Does it work?

We’ve had patients come off the most potent and potentially addictive sleeping tablets combined with muscle relaxants. Over time together with osteopathic treatment and following the suggestions above they managed to regain back control of their lives.

Life is a balancing act- let oprc help your body to heal itself.

Call 6327 8545 www.oprc.com.sg

How to use your backpack and reduce injuries.

Adeline Tien is a yoga teacher who came to OPRC looking for advice on how to avoid possible neck strain if she continues to carry her 1.5 litre of water.

A freelance yoga teacher, Adeline travels to different yoga studios carrying her water at all times. She is quite right to be concerned for her posture and the possibility of spinal compression leading to a hunched back, neck strain, trapped nerves and pain. Practising and teaching yoga everyday makes her very aware of her posture. She applies her knowledge of using certain muscle groups for every given situation, however like everyone else, she is prone to occupational hazards.

Seek professional advice from an osteopath who specializes in helping you overcome potential injuries.

At OPRC we often encounter scenarios similar to Adeline’s case, like many other professions e.g. accountants, auditors, insurance agents and consultants they too share the same difficulty of carrying heavy bags to different offices for meetings or presentations as well as travelling to different cities for regional meetings and pitching for new jobs.

Follow the advice given to Adeline and apply them to your specific situation to reduce potential problems.

Adeline correctly carrying a backpack using the chest and waist strap

 

 

As you can see from this photo Adeline was advised to use a backpack that has a waist belt and a chest belt. The waist belt fits around her pelvis and chest belt across the ribs, both are easily removed with a simple lock system and adjusted with the straps.

 

 

 

One important factor to keep in mind is to limit the maximum weight of your backpack to no more than 10% of your body weight. If your weight is 70Kg the maximum weight you should carry is 7kg, having a waist and chest strap may give you an impression that you can carry more, this maybe be true-  but the risk of compression to your spine is greater, so keep to the 10% limit.

In general you can place the heaviest items like your laptop or battery charger at the bottom of the backpack as this lowers the centre of gravity of your pack as well as transferring the weight to your pelvis rather than compressing your spine.

 

Adeline- side profile of her carrying a backpack correctly using chest belt an waist belt.

 

 

From this view you can see that the back pack fits snugly around her spine, the key aspect is to place the heaviest items at the bottom of the bag, for Adeline’s case she placed her water bottle horizontally lowering the centre of gravity of the backpack.  Having the chest and waist belt transfers the weight of her bag to her pelvis and down her legs.

 

Posture- chart

 

 

This picture shows you various types of postures. For those who carry heavy bags incorrectly Posture B – “Kyphosis-Lordotic Posture can potentially happen to you.

With Posture B  you will loose height and your curvatures will increase and therefore more prone to disc compression leading to trapped nerves.

Consult with the osteopath if you have the following:

  • Neck and shoulder ache during or after carrying your bag.
  • Experiencing some numbness or tingling in your arms or fingers.
  • Mid back or low back ache after carrying your bag the whole day.
  • Tiredness in keeping your posture upright when carrying a bag.

What can OPRC offer you?

  • Osteopathic examination of your posture to find out which muscle, joint, ligaments or tissues are causing your pain.
  • Osteopathic analysis of where there is fault in your biomechanics- finding out which parts of your body  not  synchronized with the rest. Osteopathic treatment makes your body parts more efficient and less like to cause pain.
  • Clinical massage by qualified physical therapists to release deep tissue tension as well as stretching tight shortened muscles for more long lasting relief.

Take Adeline’s example and consult with the Osteopath for minor problems and prevent them from causing future injuries. Call 6327854

Yoga/Pilates – your wrist pain

Wrist injuries are common in yoga and pilates practise and osteopaths can relieve them easily.

Cause of injury:

Most people develop wrist injuries after doing too much ie more clases than normal or overloading the tissues – placing additional weight during poses. Usually people are eager to do more after the holidays or do additional classes following travel or sickness. For some they are misaligned during the pose because they are compensating for other minor injuries. Most people will delay their treatment until they can no longer practice yoga/pilates. By this time there is more swelling and compression of their joints, forced to stop yoga/pilates they seek urgent help. Important advice: seek osteopathic treatment as early as possible to recover faster.

Example of an injury wrist-pain

A patient recently strained her wrist because of a cut in her finger, in trying to avoid pressure on her finger she compressed her outer wrist joints by shifting her weight. She waited so long that both her wrists are giving her pain. Though she hates the idea of taking time off her classes, she reluctantly understands that she has to wait until the pain is resolved.

 

The forearm tissues maybe the cause-

Commonly it is not your wrist that is the main problem, the  stiffness in the tissues of the forearm not allowing pronation (palm facing down) at the wrist is the underlying problem. The reduced pronation causes misalignment at the wrist bones causing compression leading to swelling in the joints.The misalignment also strains the tendons giving weakness when gripping and carrying things.

Phase 1 of treatment- to reduce your pain

Our first aim is to reduce the local pain at the wrist with gentle osteopathic manipulation, ice compress, easing the stress in the joints and releasing the tendon inflammation. Trigger point therapy maybe applied to quicken the recovery process.

Phase 2 of treatment- reduce recurrences

Usually after 2-3 osteopathic treatment sessions,  the wrist pain should be better and the forearm tissues would have been released. Pronation of wrist should be easier and putting weight on your wrist into a downward dog pose or plank causes less pain. Phase 2 is about stretching and alignment education to reduce recurrence. We are keen for you to go back to your yoga/pilates as soon as possible and with greater care, you can continue your practise pain free.

Phase 3 of treatment- stay well

The final phase of treatment is a 6 monthly check up to make sure old habits don’t creep back in again. We like to promote the phrase “prevention is better than cure”.

Call 6327 8545  to enjoy a pain free yoga/pilates session.

 

 

Brazilian jiu-jitsu injuries Part 1 – muscle length

I was observing a jiu-jitsu class last night and was considering the types of injuries that might be common to each student. The class was split into three parts: warm up, learning of new techniques and sparring.

The warm up class involved light cardio exercises followed by floor exercises mimicking movements they do during sparring.

During the learning of new techniques – students were taught new moves and ample time was given to practise through repetition.

Sparring section consisted of pairing up to practise all of what they have learnt and get a chance to incorporate the new techniques.

Here are some possible areas of injuries and advice on managing them.

FLEXIBILITY of your muscles and joints are very important.

MUSCLE STAMINA is more important than brute strength. Holding down your oponent gives you more an advantage.

JOINT FLEXIBILITY is absolutely essential in getting your self out of locks as well as out manouvering your oponent into submission.

From what I have seen, i believe that students need to do therapeutic stretching to major muscle groups such as the calf, hamstrings, latissimus dorsi, trapezius, biceps, triceps. These stretches are special because you would need to sustain a stretch for at least 30 secs and repeatedly until you have achieved greater muscle length. This cannot be done during the warm up session, you just don’t have the time. In any case, these therapeutic stretches weaken your muscles because they need time to heal, that is why they are done in the days you are not training with your teacher.

You won’t be able to stretch all your muscles, so you will need deep sports massage to help you reach deeper muscles and as long as you stay relaxed during the stretches done by the therapist, your nervous system can switch off and allow a deeper stretch to occur.

In addition at OPRC, the osteopaths can use trigger point therapy to relax stubborn muscles giving you a faster way to get flexible. FASCIAL stretches are also important to get global change in your tissues.

Men have typically more shortened muscles than women, though there are exceptions. Clinical experience tells us that a combination of sports massage, osteopathic treatment together with your own stretching routines will give you a more satisfying feeling of greater muscle flexbility during your training.

Learning new techniques are hard enough- don’t let your muscle inflexibility be your weakness- let oprc help you enjoy your sport. Call 6327 8545 for your assesment.

 

 

Effective training/loose weight with less injuries

Racer’s Toolbox

If you are looking to loose weight effectively and with less injury, try getting a body composition and fuel efficiency test done at Racers’ Toolbox before you begin your exercise regime. Too many patients train too hard too soon causing injuries because they feel that the more they do the more weight they loose.

Get these two tests done and you will be training more effectively to teach your body to burn fat with less injuries; while being able to track your improvements accurately over time. (more…)

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