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Therapy Thursday: Friday morning edition: Neck pain

Greg Roskovensky • Jun 19, 2015

badsitposture1
You wake up and your neck hurts.  You sit at your desk all day and your neck hurts, sometimes your shoulder hurts as well.  What gives?

We’ve previously talked about upper crossed syndrome’s patterns of tightness and inhibition but is there a quick test you can do at home?  Sure, similar to our low back post there is a series of movement tasks that may help us discover your cause.

In many cases, we experience what can be described as a direction of preference.  Likely, if you sit at a computer with posture that could be better, your direction of preference is the exact opposite of that position.  Similarly, if you sit slouched all day you should probably spend some time in the opposite position.

First we will look at overall ROM:

 

If in your seated exam, you cannot touch your chin to your chest or rotate at least 80 degrees, then you’re going to lay down and do the same motions.

If any of the motions improve when you’re lying on your back or passively, it is likely that you have no joint or tissue restrictions and that we need to teach you how to use your muscles a little better.  If the passive does not improve at all, it is likely that you have a joint or tissue restriction and some skilled care may be your best bet at improved this.

 

Next, we will use our directional preference options:

If either of these starts out painful, please bear with it for 2 sets of 10-15 reps.  Many times, we find that what is painful after a few improves greatly or completely diminishes after a set or two of 15 reps.  Also, note that you shouldn’t complete the movement fast or powerfully.  Nice, slow and controlled motions will do.

Next, re test the original movement patterns.  If you move more freely or with less pain we have clearly made a difference and this can be a targeted idea for improving your pain.  The mechanism is likely neurophysiological, meaning that it is a short term effect that allows your body to work with improved pain levels.  We need to complete this often at first.  Complete 1-2 sets of 10 of the direction that works best for you on an hourly basis during your work day.

If there is not an improvement, schedule an appointment with me and we can take a detailed look at all of the components of neck pain including the head, neck, shoulder, thoracic spine, etc.

29 Mar, 2022
So far I’ve introduced a little about the “non-diet” approach , as well as the Diet Cycle , which many people find themselves stuck in when using a restrictive “diet” approach to food and health. For some of those people, the idea of eating what they love and “giving up” on diet or weight loss doesn’t seem like an option, understandably. We face a LOT of pressure, day after day, to eat “clean” and lose weight. That pressure may come from well-intentioned family, friends, and healthcare professionals who are concerned about our health (more on that later); or from fear-inducing headlines that compare sugar to poison; or from photo-shopped & face-tuned ads on Instagram of celebrities selling their flat tummy tea or shapewear. We are surrounded by Diet Culture, and are forced to engage with it- no matter if it’s coming from our loved ones, acquaintances, coworkers, or even strangers. What exactly is Diet Culture? You might have an idea just from the sound of it... Messaging that promotes diet & weight loss. Right? It’s actually more than that. Here’s a definition from Aubrey Gordon, author of “What We Don’t Talk About When We Talk About Fat”: Diet Culture: “A system of cultural beliefs and practices that equates thinness not just with health, but with moral virtue, and which advocates for weight loss at any cost. Diet culture isn’t just a matter of being on a diet, but of the social forces that make dieting (or lifestyle changes or wellness) culturally mandatory for so many of us.” The key phrases are “moral virtue” and “weight loss at any cost”. Diet culture doesn’t only convince us that weight loss is necessary (to be beautiful, to demonstrate our worth, or to be healthy); but it creates this pressure that we are MORALLY obligated to do so. In order to be perceived as good, responsible people, Diet Culture urges us to pursue weight loss at any cost- which could mean sacrificing our social life, a significant amount of money on supplements or meal replacements or programs, our emotional wellbeing, and even our physical wellbeing. Maybe diet and weight loss aren’t so healthy after all… And while this may not be everyone’s experience, we have research that demonstrates the following emotional impacts of restrictive dieting: Dieting is associated with higher anxiety levels (Kwasnicka, 2020) Dieting is associated with poorer emotional and mental quality of life (Burns etal, 2001) Dieting is linked with reduced life satisfaction (Esch and Zullig, 2013) Further, restrictive dieting has actually been found to cause weight GAIN. To be clear, weight gain is nothing to be ashamed about (bodies change!); but if the multibillion dollar diet industry is selling a diet plan for weight loss, they’re not exactly being honest about the likely outcomes. 1⁄3 to 2⁄3 regained weight within 1 year, with almost all weight regained within 5 years (1992 NIH Consensus) Most weight is gained back within 2 years and most gained back all the weight by 5 years (2013 Australian Research Council) A team of UCLA researchers reviewed 31 long term studies on the effectiveness of dieting and concluded that dieting is a consistent predictor of weight gain —up to two-thirds of the people regained more weight than they lost (Mann 2007) This quote from Weight Watchers former Finance Director sums it up pretty well:
07 Mar, 2022
Good morning! Thank you to everyone who came out to Break the Diet Cycle presentation. I hope you’re starting today feeling curious about Intuitive Eating and eager to rediscover your favorite foods in a fresh, positive way. I attached the PDFs of the presentation for you to reference, as well as the “HAES (Health at Every Size) Manifesto”, by Dr. Lindo Bacon, author of Health at Every Size. This provides a snapshot of the science behind the weight neutral approach, Health at Every Size, which Intuitive Eating is aligned with. For those of you who couldn’t attend, you may be wondering- what exactly is Intuitive Eating? As I mentioned in an earlier newsletter, Intuitive Eating is a non-diet approach to food and health. The framework consists of 10 principles to help you examine and reevaluate your beliefs & attitudes about your body, your food, physical activity, health, and more. While practicing Intuitive Eating, individuals relearn how to eat in accordance to their natural hunger and fullness cues; food cravings; energy needs, and so on. They begin to trust their body to tell them when to eat, what to eat, and how much to eat. The Ten Principles of Intuitive Eating are: 1. Reject the Diet Mentality 2. Honor Your Hunger 3. Make Peace with Food 4. Challenge the Food Police 5. Feel Your Fullness 6. Discover the Satisfaction actor 7. Cope with Your Feelings without Using Food 8. Respect Your Body 9. Exercise to Feel the Difference 10. Honor Your Health with Gentle Nutrition Intuitive Eating may seem like a straightforward concept, but in a culture that heavily promotes dieting and weight loss as a path to health, happiness, and even moral virtue, it can be hard to break out of the Diet Cycle (seen below). Also known as the “Restrict-Binge Cycle”, this eating pattern is typically kicked off by some diet thought, like “I need to lose weight” or “I need to start eating better”.
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Snack Break with Mary Registered Dietitian-Nutritionist & Certified Intuitive Eating Counselor at Advantage Strength
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