Category Archives: Back Pain

The Sitting Solution

By Carla Cranbury, PT

Let’s face it, we sit a lot. Between working, commuting, and watching television, the Canada Health Measures Survey found that most Canadian adults spend 9 hours and 48 minutes of their waking time being sedentary. Most of us know that physical activity is good for us, but did you know that just sitting less (regardless of exercise) can also be beneficial in the long term?

A study published in 2009 followed more than 17 000 Canadians for 12 years. Over the twelve years they compared the participants’ daily sitting time and leisure time physical activity with mortality rates of various causes. What they found was that the amount of daily sitting time was positively associated with mortality rates from all causes, except cancer. Basically the more people sit, the higher the risk of mortality. This even includes people who are physically active, showing that high amounts of sitting time cannot be compensated for with exercise, even if it exceeds the current minimum physical activity recommendations.

Other studies have echoed similar findings. A seven year study reported that people who spend less than half their time sitting have a lower risk of mortality than those who spend more than half their day sitting. Another six year study reported that women who spend 16+ hours sitting per day have an elevated risk for cardiovascular disease compared with women who sit for less than 4 hours a day.

These studies are not to say that physical activity is not important – it still is, and it is still beneficial for your health. Physical activity also contributes to decreased time spent sitting.  What these studies are saying is the physiology associated with excessive sitting is different than the physiological benefits of exercise, and therefore excessive sitting cannot be compensated for with periods of exercise.

So now that you know, what can you do?

If you work at a desk most of the day, sitting can be hard to avoid. Some options are:

  • Ask your work if they can accommodate an ergonomically sound standing desk
  • Take frequent breaks from sitting to walk around
  • Go for a walk on your lunch break
  • Walk to your co-workers desk to talk to them instead of sending an email
  • Park at the back of the parking lot to get a few extra steps
  • Take the stairs!
  • Take frequent standing breaks throughout the day
  • Discover new ways to be active during your leisure time – ditch the TV and get outside

It’s the small changes to your daily routine that can add up and make a big difference. The best time to start is today!

BodyTech Physiotherapy

References

Katzmarzyk, Peter T. et al. “Sitting Time And Mortality From All Causes, Cardiovascular Disease, And Cancer”. Medicine & Science in Sports & Exercise 41.5 (2009): 998-1005. Web.

“Directly Measured Physical Activity Of Adults, 2012 And 2013”. Statcan.gc.ca. N.p., 2017. Web.

Manson, J.E., P. Greenland, and A.Z. LaCroix. “Walking Compared With Vigorous Exercise For The Prevention Of Cardiovascular Events In Women”. ACC Current Journal Review 12.1 (2003): 29. Web.

Weller, Iris and Paul Corey. “The Impact Of Excluding Non-Leisure Energy Expenditure On The Relation Between Physical Activity And Mortality In Women”. Epidemiology 9.6 (1998): 632-635. Web.

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Snow Shoveling Safety

Snow.jpegIf you are like us, you have probably spent a good chunk of time clearing off your car, driveway, and sidewalks these past few weeks. If you are not used to this kind of strenuous activity, you also might have felt tired and sore once you were finished. At BodyTech Physiotherapy we have already seen an influx of people with low back pain due to shoveling snow. As a result of this, we have compiled a list of safety tips to keep you moving injury-free until spring rolls around.

  1. Consider hiring snow removal services if you have lower back issues or heart problems, including a previous heart attack, a known cardiac disease, high blood pressure, and/or high cholesterol.
    • Snow shoveling can be as strenuous on your body as lifting weights – a sudden increase in physical activity levels, especially without proper form, can predispose you to injury.
    • Studies have shown that exercise using your arms (like shoveling) significantly increases blood pressure levels compared to leg exercise (like walking), putting you at a higher risk of a heart attack.
  2. OLYMPUS DIGITAL CAMERAUse the proper tools
    • Sturdy, non-slip winter boots and salting are essential to prevent slips and falls.
    • An ergonomic shovel can help reduce excessive amounts of forward bending, which could otherwise put a lot of strain on your lower back.
  3. Use proper form
    • Stand with your legs hip width apart
    • Hold the shovel close to your body
    • Space your hands apart to increase leverage
    • Bend from your knees, not your back
    • Engage your core/tighten your stomach while lifting
    • Avoid twisting while lifting
    • Walk to dump your snow instead of throwing it
    • Pushing is easier than lifting
  4. Warm up
    • Cold, stiff muscles are more prone to injury. Get your body warmed up and ready to go by marching on the spot, doing some small squats, and rotating your upper body from side to side.
  5. Shovel early and often
    • Freshly fallen snow is lighter and fluffier than snow that has been sitting for a few hours, which makes moving it much less stressful on your body.
  6. Slow and steady wins the race
    • Though it may be tempting to power through and get your shoveling done as fast as possible, work at a slow and steady rate while focusing on proper form to decrease your risk of injury.
    • If there is a large amount of snow, work in layers of 2-3 inches instead of trying to lift it all at once.
  7. Take breaks and hydrate!
    • We recommend shoveling for 15 minutes followed by a 15 minute break
    • Remember to drink water or other non-alcoholic beverages during your break – shoveling is hard work!

BodyTech Physiotherapy

Massage Therapy for Injury Prevention

image1When muscles become tight and sore, seeking out the help of a Registered Massage Therapist (RMT) is always a smart idea. But, why wait until things get bad before working with a RMT? Massage therapy is not only effective in relieving existing pain and discomfort, but it is also an important step in preventing symptoms from occurring in the first place.  Using massage therapy to help you address issues such as muscle imbalances, posture, repetitive strain injuries and stress can prevent future injuries and pain from affecting your daily life.

Massage therapy can be used to help maintain good posture by addressing shortened, tight or sore muscles. Good postural muscle balance is important because an imbalance in the muscles surrounding a joint can cause discomfort and thus lead to injury. Posture is affected by the way you hold your body when sitting, standing, or moving. Improper posture over time leads to changes in muscle length. Possible consequences of poor posture include neck, shoulder, and back pain, or headaches and jaw pain from increased stress on muscles, joints, tendons and ligaments. Muscles will become shortened and tight from being in a slouched position, and the muscles on the other side of the joints will become lengthened and weak from constantly being stretched. When this kind of muscular dysfunction occurs, joints and ligaments are not receiving the support they need from the surrounding muscles. Without this stability, the joints and ligaments become more vulnerable to injury. The resulting muscle imbalance limits range of motion, changing the way the body moves, which will affect work or sport performance. Regular massage therapy can be used to restore neutral posture and decrease muscle tension.

Repetitive strain injuries occur when the same motions are being repeated frequently. Common sites for repetitive strain injuries are in the wrists, elbows, shoulders, and low back. These types of injuries can be avoided by ensuring there is good muscle balance in the areas of the body that are being most frequently used. This will ensure the joints, ligaments, and tendons are being properly protected from injury.

Stress is one of the most common causes of tight and painful muscles seen by massage therapists. When your body is stressed, the natural reaction for your muscles is to tense up. This is the body’s defense mechanism against injury or pain. Stress can be physiological (ie. from chronic painful conditions), or emotional. Prolonged periods of stress and muscle tightness can cause abnormal muscle tension, as well as mental/emotional symptoms such as irregular sleep patterns, anxiety, and mood disorders. Receiving regular massage therapy has been proven to help relax muscles and restore normal muscle tension, as well as improve sleep quality, mood, and relieve anxiety.

Seeking preventative care from your Registered Massage Therapist is vital to maintaining normal range of motion, correcting posture, and reducing stress. Working with your massage therapist on a consistent basis throughout the year will ensure problem areas are identified before they become painful, and therefore prevent further injuries.

BodyTech Physiotherapy

BodyTech Physiotherapy 519-954-6000

 

The Importance of Posture

Posture types

Person A shows good posture, with a straight line going through the ear, tip of the shoulder, slightly behind the hip joint, slightly in front of the knee joint and slightly in front of the lateral malleolus (ankle) in the foot. The rest of the postures shown are incorrect, with different points of the body deviating either too far forward or too far behind the line that would indicate correct posture.

Posture is not typically on our minds until it starts to cause discomfort or injury. Today’s lifestyle regularly involves sitting or standing for prolonged periods of time, which is often sustained at the expense of proper posture. Posture refers to the position of our bodies, which is created by the different joint angles and the muscles that control those joints. Correct posture requires minimum muscular activity to maintain, which in turn minimizes stress placed on the joints. The opposite occurs with incorrect posture; muscles fatigue in attempt to maintain the altered position and joints are placed under increased stress.

There are a variety of factors that can cause or contribute to faulty posture. Correct posture may be difficult to maintain if joints are too stiff or too mobile, muscles are weak, too shortened or lengthened, or imbalanced. Over time incorrect posture will cause joint stiffness, thus causing the muscles to work harder and may result in pain. At this point, self-correction becomes difficult as it is harder to correct through joint stiffness. Joint stiffness will also result in some muscles becoming weak and others overused due to a change in the starting position of the stiff joint. Early identification of these contributing factors could prevent an injury from occurring, or from becoming a chronic problem that is more difficult to treat.

Possible consequences of poor posture include neck, shoulder, and back pain, or headaches and jaw pain from increased stress on muscles, joints, tendons and ligaments. Muscles will become shortened and tight from being in a slouched position, and the muscles on the other side of the joints will become lengthened and weak from constantly being stretched. The resulting muscle imbalance limits range of motion, changing the way the body moves, which will affect work or sport performance.

A detailed posture assessment by a physiotherapist can identify the contributing factors to poor posture, and is a smart idea for anyone wishing to be proactive and prevent future injury. Once these contributing factors are identified there a number of treatment options that will target the causes of the poor posture, prevent further injury, and help to decrease pain. A strengthening program will be designed to target weak muscles, and stretching will loosen tight muscles. This treatment combination works to correct these muscle imbalances, making correct posture easier to maintain while decreasing pain. Strengthening has the additional benefit of stabilizing loose joints, and joint mobilizations can correct stiff joints. Joint mobilization is a specific hands-on technique to improve joint movement, and can help to relieve pain and restore function. A combination of exercise, manual therapy and education will improve your course of recovery and assist with further injury prevention. Education about how to maintain correct posture in daily activities will allow you to remain pain free and prevent further injury.

Why is massage therapy a good idea for everyone?

Many people think of a spa like setting when they think of massage therapy, however, a Registered Massage Therapist can work in many different locations including a physiotherapy clinic.

Massage therapy can be useful in combination with physiotherapy or as a sole treatment option depending on the issue. Even when there are no specific problems, massage therapy is a great option for the prevention of injuries, particularly for those individuals with sedentary jobs.

Massage therapy in combination with physiotherapy is an excellent option for many people. Often an injury involves more than one type of tissue, such as muscle, joint, tendon and/or ligament, and would benefit from a variety of treatments. Massage therapy can help facilitate physiotherapy treatments by addressing other components such as shortened, tight or sore muscles. This allows the physiotherapist to focus on function and mobility, as well as stretching and strengthening exercises.

As an exclusive treatment option massage therapy can help with many conditions either chronic or acute to relax and alleviate sore muscles. In addition, massage can help prevent injuries. For individuals that spend their day at sedentary work stations these positions and postures can predispose you to many aches and pains. Massage therapy can help maintain good postural health and muscle balance.

BodyTech Physiotherapy