Ergonomic & Repetitive Stress Injuries

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Repetitive stress injuries happen when you perform the same movement over and over for an extended period of time. Ergonomic problems are when your position or movement is counter to what your body does naturally. Common examples include carpal tunnel syndrome from using a computer, or a swimmer’s bad shoulder. Sitting itself can cause problems if you do it too much. To avoid injury:

1) Break up the repetitive nature of your motions. Get up and do a lap around the office (or house) every hour or so. Change your routine: Instead of typing on Tuesdays and filing on Wednesdays, do a little of each both days, so you aren’t making the same precise movements for hours. Can you switch to the other side or hand? Even small changes can make a difference. For example, my knitting friends who have trouble will opt for a different size needle (which affects hand position and motion) or even type of project. The more variety the better.

2) Double check your ergonomic situation. It may be helpful to get someone to take a picture of you while you’re working at your desk so you can see your own posture. If you use the phone, try a headset. Sitting at your computer, you should be looking straight ahead at the top third of the screen. If you are looking up or down, adjust either your seat height or the monitor. Your elbows should be resting at 90 degrees, and your wrists should be straight. Having them bent down or cocked back for the keyboard increases strain. Your knees should be at hip height or just above. If your chair is too tall, use a footrest. If you have a penny-pinching boss, you should know that OSHA can send out an ergonomic expert (free!) to suggest cheap/free fixes in your office.

When playing sports or working out, consult a coach or professional trainer to be sure you’re using good form. Learn the anatomy relating to your activity. In addition to preventing injury, your performance will improve! I used to be a bodybuilder and certified trainer, so feel free to ask me if you have any questions.

3) Stop as soon as symptoms start. Give your body a chance to heal. Ice and anti-inflammatory drugs like ibuprofen may be helpful here, as will an anti-inflammatory diet. Likewise, get care early. A new problem is always easier to chase away than an entrenched one. Myofascial release will free up adhesions. Osteopathic medical massage can retrain your tight muscles, and acupuncture will reduce inflammation.  Rest. Stretch gently, and do any physical therapy exercises your healthcare professional recommends. Try to avoid that activity for a while.

Frequently re-examine your routine and ergonomics to identify any areas that need improvement. By nipping problems in the bud, you can prevent a long-term aggravation.

Holiday shopping, and a massage class

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Ok, here it is, for the rest of December… Buy one gift certificate, get another for a new patient FREE!

Or, take a pack of 4 1-hr sessions that anyone can use – even you – for $260 ($300 value)! Packages of 5 half-hour sessions, usually $200, are $170 until the New Year!

OR – this is brilliant for couples – buy them space in my Easy Advanced Bodywork Class.

Saturday, Feb 9th, 10am-1pm, I’m holding another session of my intensive, 3 hr hands-on class on medical massage. The concepts are easy to understand, but you’ll get advanced results. Learn how to ease tight muscles and relax your loved ones with a gentle, intelligent touch. NO massage or anatomy experience required! I’ll show you how to use the neurological system into tricking muscles into behaving, and how to erase scar tissue.

This class is appropriate for every body, since I will show you how to tailor your work to your partner’s needs. Please note that you will be learning Osteopathic techniques, NOT traditional massage. Techniques include myofascial release, exhaustion release, counterstrain, and percussion. Handouts will be provided. If the class goes smashingly well, we may have time for a 6th bonus technique. Bring a partner or come alone: We will practice on each other.

Limited to 8 people to ensure that I can provide lots of hands-on feedback and instruction: Your payment holds your spot. $60 per person. Reserve your space early if you want to come!

TB-5 (immune support, neck pain)

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The Triple Burner channel relates to the fluid in the upper, middle, and lower body. I believe it correlates to the lymphatic system, since it plays a large part in immunity.

TB-5 will help you fight off an infection, and relax the back of your neck.

The 5th point is named Wai Guan, or Outer Pass. Think about a pass through a mountainside: It lies between the radius and ulna bones of your forearm, about 2 inches from the wrist. “Outer” refers to the back (posterior, Yang) side of the arm, as opposed to the front (anterior, Yin) surface.

Press TB-5 firmly with a fingertip for 10-20 seconds to stimulate your immune system if you have a cold, flu, or any other type of infection. Allergies can benefit from using this point to regulate an over-active immune system. It’s also helpful for aches on the back of the head and neck.

Cosmetic acupuncture: Before and afters

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I finally remembered to take a good set of pictures:

Before

After

Before on the left, after on the right. This beautiful woman is about to turn 55. She gained these impressive results after just 5 sessions. She tells me that she loves the way her face looks more relaxed.

 

 

Before

After cosmetic acupuncture. Her skin is softer, and the lines between her eyes are shallower, with smoother edges. A dramatic difference!

Cosmetic acupuncture works by increasing collagen production, improving muscle tone, and stimulating circulation of blood and lymph to the face. Body points are also used to treat the skin as a whole. Most people see subtle changes immediately, with a more powerful shift after a few sessions. If you are a smoker or sun-worshipper, you will need to make a longer commitment to achieve results.

LV-3 (irritability, hormones, leg, hip, or lower back pain)

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LV-3, Tai Chong (Great Surge)

Liver 3 is found on the top of the foot, between the long bones of the 1st and 2nd toe. It’s a very important point for the Liver, and helps to move stuck energy from the waist down. You can use it to treat lumbar back pain, leg or knee pain – pretty much any stagnation in the lower body. It’s also great for red eyes and other “Yang Rising” problems, and for dysmenorrhea & hormonal imbalances. LV-3 is an excellent point for treating irritability and grouchiness, particularly if it’s due to hormonal issues like PMS.

LV-3 – “The grouchy point” – will also soothe the lower back.

When used in combination with LI-4, these points are called the Four Gates and can really blast out some stuck Qi. DO NOT use these points if there is any possibility of pregnancy, since they can induce a miscarriage. In fact, they are some of my favorites for evicting overdue babies. It will also increase menstrual flow if the patient is having her period.

Press firmly for 10-30 seconds.

The Shoulder

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Anterior (front) view of the bones of the shoulder joint.

We can do amazing things with our arms. Lift them overhead, cross our chests, even link our hands at our spines. In fact, the shoulder is the most mobile joint in our bodies, thanks to its “ball and socket” configuration. See how the head of the humerus (upper arm bone) fits into the scapula (that triangular bone in your upper back) like a baseball into a glove? It can spin on the smooth, round surface to provide a spectacular range of motion.

The posterior (back) view of the shoulder.

Just as with national politics, there’s a trade-off between freedom and stability. The complexity of this joint makes it prone to a variety of injuries. Cartilage lines the articulating joint surfaces to create a smooth track for movement. If torn, it takes a long time to heal and may require surgery. There’s the bursa, a fluid-filled sac that provides cushioning. Inflammation here, called bursitis, can be very painful. Rest, ice, anti-inflammatory drugs, and acupuncture are the best treatments (of course an anti-inflammatory diet will help, too). The well-known rotator cuff is actually a set of four deep muscles that stabilize the joint and work to rotate the humerus. Three (supraspinatus, infraspinatus, and teres minor) can be seen in the drawing of the back view of the shoulder. The fourth, subscapularis, attaches to the front of the scapula and goes to the front of the humerus and the joint capsule. With a minor tear, they will require rest and then specialized exercises. Severe tears require surgical intervention.

Overtop the rotator cuff is a layer of larger muscles, such as the latissimus dorsi & teres major (back), and the pectoralis muscles (front), and the deltoid (that roundy bit at the corner). These are your heavy duty movers. Ironically, since the lats and pecs both attach to the front of the humerus, unbalanced exercising can lead to an internally rotated (palms towards the back) shoulder, or “ape” posture. This is a great example of the importance of an intelligent, balanced workout plan. Then of course there are all the muscles that continue down the arm to control the elbow, including the triceps and biceps.*

If any of these muscles are dysfunctional, the bursa is irritated, or the cartilage is torn, you can have shoulder pain and loss of range of motion. Connective tissue can adhere, and scar tissue builds up over time. In extreme cases, you can develop Frozen Shoulder, which is exactly what it sounds like. It just won’t move. There are other causes of shoulder pain, too, ranging from nerves being pinched at the neck to gallbladder disease, but these musculoskeletal problems are the most common.
Acupuncture can reduce inflammation, increase bloodflow, relax tight muscles, and speed healing. I can also perform Osteopathic medical massage to break up scar tissue, release myofascial adhesions, and retrain the neurological system. This allows chronically tight muscles to return to normal. In most cases, therapeutic exercise is important for complete healing.

*Please note that I’m simplifying the anatomy quite a bit  for the purposes of this article. If you’re interested in all the marvelous details of our bodies, I highly recommend Netter’s Atlas.

The Knee

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Let’s talk about the knee joint. It’s not quite as complicated as the shoulder, because it doesn’t move in as many directions. Having that kind of mobility with all of our body weight on top of it… well, that would be a recipe for disaster.  Instead, we have a modified hinge joint. The knee folds, but it also twists a little bit. The trick is keeping this twist under control.

Front view of the knee joint.

Collateral ligaments run along each side, and the cruciate ligaments (named so because they form a cross) inside the joint create stability. Strong quadriceps (a set of 4 muscles on the front of thigh), hamstrings (three muscles in back of thigh), adductors (inside) and abductors (outside) also support the knee. Slick cartilage lines the surfaces where bones meet. The meniscus, a pair of special horseshoe-shaped cartilage structures, help absorb shock and guide the movement of the femur. And there’s a bursa on top of the patella (kneecap) to provide some extra cushioning. Pretty neat design, huh?

Sp-9 treats the knee, and drains Damp (a concept in Traditional Chinese Medicine).

If your gait is off, it can affect your knees and eventually your hips and back. Good shoes are important for knee health. Avoid heels as much as possible. If you have flat feet, use shoes with good arch support. To prevent injury, frequent light workouts are best. If you are a bigger person or have joint issues, try to reduce impact: walking or using an elliptical trainer is better than running, and staying on grass or a rubber track is better than concrete.

 

 
    Did you know that babies are born without kneecaps? They have a cartilage wedge but it doesn’t ossify (turn to bone) until about 3 yrs old. Lucky for them – It makes crawling around on a hard floor much more comfortable.
Acupuncture can reduce inflammation, increase blood flow, relax tight muscles, and speed healing. I can also do Osteopathic medical massage to break up scar tissue, release myofascial adhesions, and retrain the neurological system. This allows chronically tight muscles to return to normal. In most cases, therapeutic exercise is important for complete healing.

Acupressure you can do at home: LV-3

*Please note that I’m simplifying the anatomy quite a bit  for the purposes of this newsletter. If you’re interested in all the marvelous details of our bodies, I highly recommend Netter’s Atlas.

Winter health tips – avoiding colds, SAD, cracked heels, & weight gain

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Winter is coming!

In Chinese medical philosophy, infectious illnesses are considered to enter the body at the nape of the neck, so scarves are an important defensive weapon against getting sick. Although I think it has more to do with insulating the carotid arteries at the side of the neck, I am a big encourager of scarf wearing. In addition to preventing infections, a toasty cover will keep your neck muscles warm and relaxed. Pick out a soft, colorful one and give yourself a woolly hug. You can also give your immune system a boost by stimulating TB-5, and including garlic and ginger in your diet along with lots of hearty vegetables.

Don’t be S.A.D.!

If you suffer from Seasonal Affective Disorder, the shorter days can sap your energy and leave you feeling depressed. You need to stimulate your pituitary gland, and the best way to do that is to get some time in front of a full-spectrum light, particularly in the morning. You can just pick up some full-spectrum light bulbs at the grocery store, or you can go in for a fancy “light box.” Soak up some photons at close range for about 15 minutes first thing in the morning, while having breakfast or catching up on Facebook.

Cracked Heel remedies

Winter health tip: keep your heels smooth and pain-free by treating cracks early, before they get out of control!

Winter health tip: keep your heels smooth and pain-free by treating cracks early, before they get out of control!

If your feet have suffered this winter, try this: Before bed, use a broad (1″ or more across) nail file or pumice stone to “sand off” the dry skin on your heels. Liberally apply a high-quality lotion. No nasty chemicals!) and put on some clean socks. This will keep the moisturizer on your feet rather than your sheets. I hate the restrictive sensation of wearing socks to bed, so I cut the toes off an old pair, which works beautifully. In the morning, before you shower, use that pumice stone or file again on the DRY heel to remove the dead skin. Trying to exfoliate in the shower will tear the pliable skin. If you have painful, deep cracks, use some SuperGlue (or better yet Dermabond) to hold them closed and continue with the routine above.

Holiday stuffing

Ah, parties and recipes and comfort food… it’s all fun and games until your pants don’t fit, isn’t it?

Think ahead about making good choices. Have a nutritious snack before a party if you suspect the goodies won’t be good for you.

Potluck? Bring something healthy instead of a dessert!

Focus on quality, not quantity. Save your calories for when they count: Skip the storebought cookies so you can splurge a bit on Aunt Susan’s homemade toffee.

Don’t use the “it’s the holidays” excuse from mid-November to the end of the year! ON the actual holiday, of course, allow yourself to indulge a little, but not everyday! That’s a big chunk of the year!

Winter Heath tip: Get some exercise! Peacock Lane (at 40th and SE Belmont) is annual festival of electricity and inflatable animals in human clothes, and makes for a fun walk.

Winter Heath tip: Get some exercise! Peacock Lane (at 40th and SE Belmont) is annual festival of electricity and inflatable animals in human clothes, and makes for a fun walk.

Bundle up and go for a stroll in a winter wonderland! Check out the lights wherever you live. Some light exercise will aid your digestion, mood, and keep your muscles and joints in good shape. Don’t forget your scarf! :)

If you do overeat, use St-36 to promote digestion. This point is great for nearly all stomach complaints, but be aware that it generates more gastric acid. If you’re having heartburn / reflux, use PC-6 instead. To help speed up peristalsis (the movement of food through your intestines), rub your belly clockwise circle (up on the right side of your abdomen, across the top, down on the left). This is good for painful gas retention, too. For small children, just use a few fingers.

I hope you find these Winter health tips useful. Stay warm! :)

ST-36 (energy boost, improve digestion)

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Zu San Li, “Leg Three Miles”, is on the outside of the shin, just a few inches below the knee. Slide your fingertip up the outside edge of the tibia (shinbone) until you fall into a hole. It’s a large point, so trust your instincts. St-36 is deep: Press firmly!

ST-36: Zu San Li will give you wings!

St-36 builds energy in the body: After activating it, you supposedly “can walk another three miles.” I find it useful for treating chronic fatigue or for when you need a temporary boost on a rough day. Since it’s on the Stomach channel, it also helps aid poor digestion.

It nourishes your Yin and activates your Yang. St-36 is the Ruler of the Abdomen, so it’s good for most digestive complaints. Use it to treat indigestion, constipation, diarrhea, gas, malabsorption, diabetes, etc. Note: Stimulation can increase stomach acid, so it’s great for an overfull belly, but bad for ulcers or heartburn / acid reflux.

 

Digestive health (and roasted cauliflower!)

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I’ve been seeing an increase in people coming in with digestive problems, and it correlates interestingly with a  little revolution in my personal dietary habits.

Acupuncture for digestive upset – in this case nausea and “grumbling” intestines.

Last month I gave you a recipe for steel cut oats. They are far healthier than regular cereal for breakfast. Reducing processed carbohydrates is helpful to lower blood sugar, among other benefits.

The old-fashioned “food pyramid” (built by lobbyists for Big Food Business) and the emphasis on low-fat, high carb has built a nation of obesity… myself included. It’s time to recognize that science demands a shift in thinking. I want to be clear here that I am not prescribing a ban on grains for everyone. Personally, I love baking bread and I’m not ready to give that up. You need to figure out what works for YOUR body. There are a few basic concepts, though, that I think everyone who’s reading the latest research can agree on:

1) Processed food is no substitute for actual, human-made food. If the majority of your meals are coming in bags and boxes, you need to reevaluate.

2) Empty calories (white bread, pasta, and other starches) and sugars lead to chronic inflammation, fat storage, and blood sugar problems. Put down that soda and have some water instead.

3) Fats are not the enemy. We need fats for brain function, neural insulation, and padding for organs, among other things. The trick is to get them from good sources like extra-virgin olive oil, avocados, fish, and grass-fed meats, rather than chemically-altered trans-fats.

Delicious and nutritious! Cauliflower fights cancer and has a surprising amount of Vitamins C and K (important for antioxidant and anti-inflammatory function). Of course it’s also a great source of fiber.

So here’s my new “popcorn” – Cut up cauliflower florets (about the size of a quarter or slightly bigger) and spread them on a cookie sheet. Sprinkle with olive oil if you like, but it’s good without, too! Add a little sea salt, and roast at 350 degree for 45 minutes. Seriously – even my red-blooded, dedicated-to-his-American-diet boyfriend loved it. Super yummy. Big thanks to personal trainer extraordinaire Brandie Sylfae. :)

Don’t worry – this isn’t going to turn into a food blog. I’ll be back to more acupuncture-oriented discussions next month! :)