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10 Top Tips to Reduce Body Stress at Work!

 We all have to do it, but a long day at work sitting in front of a computer can leave us feeling tight through the shoulders, stiff in the neck and suffering with headaches. Due to the posture adopted while sitting at the computer the spine tends to flex forward which can increase the pressure through the discs of the spine, whilst tightening the muscles through the shoulders and neck.

Here are 10 tips to help freshen the body from sitting at you desk all day:

  1. Don’t slump in your chair! Having support at the lumbar spine to maintain a ‘neutral’ position helps ease pressure on the discs in the lower back, whilst unloading the joints in the spine. Some chairs have a ‘lumbar’ support, otherwise a lumbar support pillow can be used.
  2. Keep an ergonomic work station! Keep feet flat on the floor (or a stool if your feet don’t touch the floor) and elbows at 90degrees, wrists neutral and shoulders relaxed.
  3. Take regular breaks! Breaking every 30-60min to stand and go for a walk (even if it’s for a glass of water or toilet break) helps keep the spine mobile and releases tension built up in the muscles.
  4. Roll your shoulders! Rolling the shoulders forwards and backwards will allow movement at the joints and help release the muscle tightness, this should be done every 20-30min. Even dropping your hands to your lap will help ease tension in the shoulders.
  5. Drink lots of water while sitting at your desk. This helps with brain function, hydration and flushing toxins that build up in the body.
  6. Don’t rest the phone between the ear and the shoulder for phone conversations. Try to use a head set if you need your hands to type or write while on the phone.
  7. Exercise during the working week or even at lunch time! Since sitting at the desk takes up most of our time in the working week, keeping active is extremely important for the health, function and strength of your muscles. Try Pilates, yoga or core strengthening on a fitball at home.
  8. Try leave the office at least once a day to get some fresh air and stretch your legs.
  9. Have a list of stretches next to your desk to do regularly (every hour) for your neck and lower back (Example: rotate the neck, roll the shoulders, stretch arms behind your back, stand up and extend at the lower back).
  10. If possible, mix up your regular work routine and try working from home.

 

Please see your physiotherapist if you need a list of exercises for your neck or lower back to help assist you at work.

Hope these help!

Jo Yiannakis

Hospitable Healthcare

 

As a young man growing up i used to hate going to see the doctor. It wasn’t because of the doctor necessarily but if i was going to have to go to the doctor i knew i would have to plan for a bad experience. I knew i would have to wait, he would be late, the receptionist would ignore me while i walk in, the consult would be 5 minutes, the centres were always smelly, dirty and old as if the space had literally not been refurbished for 50 years. It was hardly a great experience.

I remember graduating to find that the majority of allied health clinics were much the same, built to minimise expense with no thought to the patient experience.

What if a medical/ health centre was built to create the best experience possible? What if patient’s looked forward to meeting with their health practitioner? Would this form of “hospitable” health care have an impact on recovery?

A study done by the AMA (American Medical Association) with diabetes patients sought out what effect these “secondary factors” would have on patients adherence (likelihood of listening to the doctor) to their diabetes protocols. One control group received normal “expected” medical care. A second group received what i will coin as “hospitable” care.

The first thing they tried on these patients was simply doing a follow-up call from the medical receptionist the next day, to make sure the patients were okay and understood the treatment. The findings were astounding… with adherence doubling in patients who received a phone call and recovery from any symptoms occurring 20% faster.

A phone call was not the only thing the studied tried. They also tried

  • Room Aesthetics – simply moving furniture in the room to make it feel more open and approachable for the patient with the doctor
  • Plan – forming a plan together WITH the patient and doctor
  • Accountability – booking in a follow up appointment with patients
  • Communication – Doctor’s taking extra time to communicate with/ educate their patients.

All of the above had a positive impact on both adherence and recovery (but none individually as much as the phone call).

As Physiotherapists we deal daily with chronic pain, musculoskeletal conditions don’t get better over night, it often requires dedicated treatment from a caring physiotherapist WITH a compliant (adherent) patient willing to work with us in their home exercises.

This is why Life Ready Group does what we do… We make it our mission to create no hindrances for our patients healing. This is why we spare no expense with the aesthetics of our clinics, we follow up our patients with a phone call, we make a plan with our patients, we spend time educating our patients and lastly (but not least) we invest heavily in our practitioner’s continuing education.

We have seen amazing growth and amazing results over the past three years with 4 (nearly 5) clinics and over 5000 patients. We are not doing this perfectly yet, but our promise is not to be perfect, but to continue to do anything that it takes to make your recovery possible.

Of course we can only do what we do, we need our patients to work with us in getting them healed, healthy and injury-free.

So if you’re injured or living with a decreased quality of life due to any muscular, joint or nerve injury definitely feel free to email any of our lovely team or give us a call and ask any questions, we are always here to help!

Ben

 

Frozen Shoulder. . . In winter!?. . . . Ouch!!!!

Otherwise known as adhesive capsulitis, frozen shoulder is a nasty problem to deal with.

In a nutshell. . . .

Often for no obvious reason, but sometimes following surgery or a period of no movement, the capsule surrounding the ball and socket joint of your shoulder becomes inflamed, stiff and thickened. This prevents most of the movement available in the shoulder.

 

What to look out for:

Difficulty with general shoulder movement, in particular reaching above your head, reaching your back pocket or difficulty brushing your hair. There may also be pain when lying on the shoulder and the pain may be worse at night, or in the cold weather.

The long and short of it. . . .

Left untreated, frozen shoulder can last up to 2 years, the longer it stays in the system, the more likely it is that the muscles around the shoulder joint shorten, weaken and stop functioning.

What can physio do for you?

Most importantly, a Life Ready Physiotherapist can assess and correctly diagnose your shoulder problem. There are many other disorders that be be disguising themselves as adhesive capsulitis.

Treatment includes things like soft tissue release, dry needling, joint mobilisation, capsule stretching and home stretching exercises. An overwhelming majority of cases can be treated effectively with good physio care.

 

Don’t leave that shoulder pain untreated, come in and see one of our fantastic physiotherapists pronto!

Jess

Welcome Scott Garvey to Life Ready Perth CBD

Life Ready Physiotherapy and Pilates is excited to welcome Scott Garvey to the team. Scott will be based out of our Perth City/ CBD location helping people reach their best quality of life.

You can learn more about Scott at our staff profiles page or at our Perth CBD/ City services page

http://www.lifereadyphysio.com.au/staff-profiles.html

Winter is here.Tips to keeping fit and healthy over the winter months.

We all know that once it hits winter-time it is much more difficult to find the motivation to exercise. When the alarm rings and it’s cold and dark outside the urge is to click snooze, but resist!

Throughout the winter months research shows a significant increase in joint pain, lethargy, psychological effects and many more negative weather-related symptoms, giving us all the more reason to stay fit and healthy to combat these effects!

Mindset:

Focus on and remind yourself of the benefits of exercising over winter. Just some of the many benefits include:

  • Reducing your chance of catching the common cold or flu
  • Improves your mood on those gloomy days
  • Reducing your stress levels
  • Increasing your energy levels
  • Keeping you from being overwhelmed by weight gain

You may have your own reasons for wanting to stay fit over winter, write these down and keep them somewhere that will continue to reminder you of the benefits.

Set a goal:

Having a goal to reach will remarkably increase your motivation to exercise. Your goal may be to loose a few kilos, or to increase how many times a week you’re exercising, or you may be training for an event, e.g. a Fun Run.

You may also want to fit into that bikini by the time summer comes around, or look the way you did a couple of years ago, if so find a picture and place it alongside your benefits of exercising as a visual reminder of your goal.

Dress well:

It may seem simple but a small investment into the correct clothing for winter exercise can be the difference between choosing to hit snooze or taking the leap to get out of bed and into exercise. Knowing you are getting out in the cold to exercise but are wearing clothes that will keep you warm can be motivating in itself.

Find something you enjoy:

Exercising in winter doesn’t have to mean a boring workout at the gym, winter might just be the perfect time to find a new activity that you enjoy or to return to a sport that you once loved. For example:

  • Badminton
  • Cycling, indoor or outdoor
  • Dancing
  • Fencing
  • Fitness Classes
  • Football
  • Pilates
  • Yoga
  • Martial Arts
  • Tennis
  • Squash
  • Swimming

 

Eat well:

We all have the urge to enjoy hearty pastas and lavish desserts in the winter months, which  you must reward yourself with on occasion after all that exercising! A great way to reduce your intake is with yummy, warm soups, these give you that cosy warm feeling as well as being packed with nutrients.

Here is a handy link for more info on keeping fit over winter:

http://www.abc.net.au/health/features/stories/2008/06/24/2280049.htm#.UYms578zklI

 

 

 

Welcome to Life Ready South Perth

Hello all and welcome to Life Ready Physio South Perth!

We are very excited to have opened the doors of the newest addition to the Life Ready Family and our first clinic south of the river.

The Life Ready mission to inspire our patients to strive for their highest quality of life remains central at South Perth. This will be achieved by our commitment to providing exceptional patient care.

Our clinic is located in the iconic building that has been well known in the South Perth and Como region as Bourke’s Real Estate for over 20 years.

We have spent the last few months preparing for what we believe will be our most appealing clinic yet. Patients arriving early for an appointment will be able to sit back on our comfy couch, enjoy a freshly brewed Nespresso coffee and relax before continuing their healing process!

As well as the usual ‘hands-on’ physio techniques, we will be offering individual and small group Clinical Pilates classes.

We are also excited to announce that we will be working in conjunction with podiatrist Dr Ben Morrell and a massage therapist, who will assist us in offering the optimal care for patients, as both will be operating from our South Perth clinic.

Life Ready South Perth will bring a fresh, vibrant approach to physiotherapy care in the South Perth / Como area and we hope to service the surrounding suburbs of Kensington, East Victoria Park, Mount Pleasant, Applecross, Bentley, Karawara, Manning, Salter Point and beyond! We will be a clinic for all ages, occupations and lifestyles.

We will stay actively connected and work in partnership with local businesses, community groups and sporting clubs around South Perth and Como as we feel this is crucial to achieve our mission of inspiring people towards their best quality of life.

With ample on-site parking, please feel free to come in, have a coffee and a chat and see what our clinic has to offer.

Tom Harrington

 All the best from Tom and George

 

Pass the Sugar

Easter is just around the corner and, for what seems like months, grocery stores have been stocked full of chocolate bunnies, hot cross buns and other sugary Easter treats.  I am willing to bet that most of you have already had your fair share of Easter lollies. I know I have. Who can resist? They taste wonderful! And if taste weren’t enough, the visual and olfactory appeal further eggs on consumption.

But let’s be honest. It doesn’t take Easter, or any other holiday to consume our fair share of sugar. Worldwide sugar consumption is on the rise. Over the past 50 years consumption has tripled! One reason being the amount of processed food we eat. Sugar finds its way into our bellies by many forms: sports drinks, juice, yogurt, cereal, canned fruit/veggies, nutrition bars, crackers, virtually all processed foods, and even some prescription medications will list some type of added sugar on the label.  Read the labels in your pantry and you will be surprised by the amount of food that contains added sugar.

So what’s the big deal?

A healthy diet will contain many naturally occurring sugars, which is not harmful to the body.  But the average diet includes too many processed foods with excess added sugar. Overtime this becomes harmful to the body.  Some examples include:

  • Hypertension
  • Pancreatitis
  • Obesity
  • Malnutrition
  • Cardiovascular disease
  • Gout
  • Fatty liver disease
  • Skin irritation
  • Fatigue
  • Headaches
  • Depression
  • Dental caries
  • Increased risk of cancer

Sugar is also thought to act on the brain in a variety of ways. Some of which include dulling the brains ability to realise you are full. So, you reach for seconds, maybe thirds, and continue snacking throughout the evening. It is also thought to stimulate the hormone serotonin and neurotransmitter dopamine.  This creates feelings of happiness, pleasure and reward. Sugar can become addictive in this way as the brain seeks more of this reward.

Sugar is not new to our diets. It has been long consumed since ancient times. And we should continue to enjoy it – so long as it’s in moderation with a well-balanced diet. Current recommendations for sugar consumption are 10% or less of your total energy intake.

So this Easter, don’t feel guilty for eating that chocolate bunny. But be conscious of your overall consumption and don’t forget to account for those hidden sugars among processed food.   If you’re looking to cut down your intake here are some ideas:

  • Cut down on processed foods and eat more green, and natural whole foods – when you feel healthy you won’t want to eat junk food
  • Take up regular exercise, a regular routine will have you craving healthier foods. Refer to Shane’s previous posts for ideas on how to get started
  • Drink more water, thirst is often mistaken for hunger
  • Do a sugar cleanse for a minimum of two weeks, once your body remembers how it feels to be sugar free you won’t want to go back

Wishing everyone a happy and healthy Easter long weekend!

Tisha

PS

Check out the links below for some additional information:

http://www.cbsnews.com/video/watch/?id=7403942n&tag=contentMain;contentAux

http://www.hungryforchange.tv/article/how-to-spot-sugar-on-food-labels

http://articles.mercola.com/sites/articles/archive/2010/04/20/sugar-dangers.aspx

 

Time to join a gym!

Ok so summer has officially been and gone and a lot of us have joined a gym (or at least thought about joining). The gym is a great way to get in shape, stay fit, healthy and keep us evil physios away. Whether you train alone at home or if you have a personal trainer, having some understanding about your gym training will help you reach your goals.

Firstly it is quite daunting to join a gym. You can feel self-conscious about your own body when seeing so many fit young ones. Remember, everyone feels like this when they first join. Don’t be discouraged! This feeling will go. Remember to concentrate on your own workout and reaching your own goals. Otherwise there are other options such as joining a smaller gym, you could go to the gym at off peak times or working out at home.

Set Goals to keep motivated and monitor progress!

Once you have joined a gym, you need to set your goals. Determining whether you want to lose weight, build muscle, tone up or increase your fitness will shape your training. Keeping motivated is the hardest part of maintaining a healthy lifestyle. The best way to do this is to set small, realistic, achievable goals that are directly targeted to reaching your overall goal. For example; if you want to get fitter, aim to increase your running distance or speed every week. If you want to improve your strength, then keep a note pad and document your weight increase. If you want to lose weight, keep a weight log and set small, easy goals for each month.

Personal trainers:

Personal trainers are a tremendous help to stay motivated, to increase your productivity and to guide you through personalised routines. However some caution needs to be applied. Again, know your own goals and work with the PT to reach them. Remember the PT is there to facilitate your own goals, not theirs. Finally, know your own limitations and inform the PT if you have any problems. Remember getting your PT to contact your Physiotherapist, is a great way to tailor a gym program to suit your needs and to prevent injury.

Starting out:

Everyone has to start their gym program at a very low intensity. Ensure your weights or cardio level is low enough for you to have good technique. One of the most common complaints we see is that people try to push themselves too quickly during their first few sessions and begin to develop problems due to bad technique. By starting out light, you will build good technique and a good foundation of muscle strength and control and will actually improve your muscle strength/ fitness much quicker than if you start with heavy weights.

How many days will you train?

This will determine what muscles you work on each day. Remember larger muscles need a longer time to repair. Your muscles grow while they are repairing after they have been trained, so over training a muscle will not improve your muscle gains. Once a muscle has stopped being sore and tender to touch, then this usually means it has recovered and is ready to train again. Generally smaller muscles such as your calf, biceps, triceps and abdominals are all small enough to be trained multiple times a week. Other muscles such as your gluteals may require a full 5 days to repair.

Overtraining:

If you wake up tired in the mornings and have trained excessively hard, then there is a good chance that you have over trained your body and you need a rest. For best gains, ensure you have adequate sleep and rest between sessions. Overtraining can affect your immune system, can make you feel tired and will reduce the effectiveness of your seasons. Progress your exercises wisely, ensure for slow, gradual increases.

Cardio:

Pick a cardio exercise that you enjoy doing to ensure you stay motivated. Again try to vary your cardio exercises, to prevent overuse or injury.

Working complimentary muscle groups:

By choosing an exercise that involves more than one muscle group, you can maximise the effectiveness of your workout time and get a full body workout with only a few exercises. These exercises are actually more functional, as we rarely use just one muscle at a time. Compound exercises include: squats, lunges, chin ups, rows etc.

Choose Free weights over machines:

Free weights are much more beneficial for your work for a number of reasons

- They are more functional

- They work more muscles

- They burn more calories

One study that appeared in the “The Journal of Strength and Conditioning Research,” showed that free weights exercises had a 58 percent greater strength increase than individuals who used resistance-training machines. The study also showed that free weight training had 196 percent increase in balance when compared to machine use only.

Vary your training:

The body is extremely good at adapting to exercises. If you continue to do the same exercise every session, you will soon hit a wall in terms of your gains. This is because the body quickly gets used to the exercise and becomes really efficient at it. For best results vary your work out!!! This will also prevent injury from bad technique or overuse.

Nutrition:

Nutrition is almost as important as the work out itself. A low fat, high protein diet will ensure weight loss and muscle gain. For both cardio and weight training, sufficient protein is required to build muscle. One myth that we hear a lot is that you should cut out carbohydrates. Carbohydrates are the body’s fuel and are needed to ensure you have an adequate energy level. High training loads require some carbohydrates.

Pre work out food:

As a general rule, you should eat 30 to 90 minutes before a workout. Keep it mainly in the carb family. Avoid high fibre meals as they are less easily digested.

If you work out in the mornings, make sure you wake up early enough to have breakfast. If you don’t have time for breakfast, sports drinks or bananas are a good source of energy. If you have to work out within an hour of breakfast, keep it light!

Cardio requires a higher carbohydrate pre work out to ensure you have enough energy to perform well. These are absorbed quickly and should be taken an hour before training. Strength training requires a higher protein intake which will take longer to absorb, so aim for 1-2 hours prior to working out.

Post work out!

The body needs protein to help build muscle. This means you should try to have some form of protein within 2 hours of training.

Hydration:

It takes the body a couple of hours to absorb water. Ensure you regularly drink water throughout the day not just while training!

Work harder not longer.

Try to keep your training down to around 45 minutes. This ensures that you can maintain a high intensity workout for the whole time. If you increase your work out time, you will have to increase your rest periods and the workout will become less effective.

So if you are sick and tired of waking up feeling like this: then maybe its time to get fit and try joining a gym!

I hope this information helps you to improve your understanding of your workout! A little knowledge will help you reach your goals so much quicker and with less effort. Please email us for more information or ask your personal trainer.

 ENJOY!

Swearing: Why it feels so good, when it hurts so bad!

Swearing: Why it feels so good when it hurts so bad!

Physiotherapists’ goal with treatment is to reduce pain and improve quality in life. Those who have experienced physiotherapy treatments would know that at times in order to reduce pain, we often have to perform certain techniques that cause discomfort in order to give overall relief.

Being “cruel to be kind” or “short term pain, for long term gain” are common phrases used by patients to describe their therapists’ methods, but of course it’s all about the end result.  In my experience patients have their own coping mechanisms to help them through these uncomfortable moments, some of these include:

  • Deep Breaths
  • Trying to find their “happy place”
  • Thinking about the glass of wine they will have once they get home
  • Teeth Clenching
  • Moans of discomfort

The most common coping technique used is a good old fashioned curse. I could fill this blog with a list of sensational profanities that I have heard resonate of the four walls of my treatment room, and it’s not always the people who you expect. So why does a good, not so old fashioned,  $@#! feel so good. Well new research has the answer.

A study by psychologist Richard Stephens at Keele University in the United Kingdom asked a group of college students to submerge their hands in freezing water for as long as they could bear.  The first time they were allowed to repeat a “control” word, a word chosen that might use to describe a table e.g. “Sturdy”.  The second time they were asked to repeat a swear word of their choice (I’ll let you decide what word you would use, I know mine). Researchers found that 73% of the participants kept their hands under water longer whilst swearing. Interestingly, however, the more frequently participants reported swearing during the course of their daily lives, the less effective cursing was at killing pain.

It seems that swearing may help relieve pain by activating the brains’ endogenous opioids, the natural pain-relieving chemicals whose effects on the brain are similar to pain drugs like morphine and oxycodone. But as with opioids, repeated swearing may increase people’s tolerance to their effect.

So next time your in your physiotherapists room and they are reciting “no pain, no gain”, whilst improving your well being, I suggest swearing as way to help get through it. Just let the therapist know that it’s a part of the “oral medication”, and make sure its not directed at them of course. I might also suggest minimising volume if possible, the new patient in the waiting room does not need to hear it. But remember, it only works if you don’t swear often, so save those swears during the week, maybe start a swear jar, and when its time to use them, try make them creative for my benefit.

Matt Thomas