Archive for the ‘Tips’ Category

Making your desk a pain free zone- My most recent post on Martha Stewart’s Whole Living Daily.

Tuesday, September 21st, 2010

Everyone’s home has hidden ‘anatomic bombs’ or places where the ergonomics of their living space are compromised and may contribute to back pain. On Whole Living Daily, I am presenting a series of ways to make your home a more back friendly space. This post gives simple suggestions for making your desk safer for your back.

Stop back throughout the week for more posts from Martha Stewart’s Health & Wellness Expo in New York.

Be well,

Andy

Returning to London in 8 weeks to tell them a little about back pain…

The Back Friendly Kitchen: My most recent post on Martha Stewart’s Whole Living Daily blog

Sunday, September 12th, 2010

This weeks post is the first in a series of ways to make your home more ‘back friendly.’ In this first post, I identify ways to reorganize things in your kitchen in order to minimize the likelihood of hurting your back. Look for tips for other rooms in your home over the following weeks.

This Thursday, I will be doing demonstrations at Martha headquarters in New York, as well as explaining other ways to make your home more back friendly. Wouldn’t that be a cool segment for ‘Martha’?

Enjoy!

-Andy

The marketplace area at Covent Garden

Fibromyalgia Part 4: Some thoughts on exercise.

Monday, August 30th, 2010

One of the most complicated aspects of managing the symptoms of fibromyalgia is integrating exercise into your daily routine. On the one hand, cardiovascular exercise has multiple health benefits which are largely understood, and regular movement has been shown to help reduce the symptoms of fibromyalgia. On the other hand, if you try to exercise and overdo it even a little, you find that your FMS symptoms are way worse than they were before.

Here are some suggestions for integrating exercise into your life without exacerbating your FMS symptoms:

-If you have not been exercising, start off slowly. A short walk. A light jog or swim. Resist the temptation to go full out.

-If you use weights, be sure to go lighter weights with a moderate amount of reps. The conventional wisdom is that higher weights and low reps build muscle, and high reps with lower weights for tone. FMS presents a special set of issues, so go with lighter weights and fewer reps- but more sets spread throughout the day (This is easy if you have a few lighter dumbells in your home.)

-As always, hydration is key. Water before, during, and after your exercise will help to keep the myofascial layers (where the trigger points associated with fibromyalgia live) good and lubricated.

-For FMS, I love water based exercise. It reduces stress and impact, and is generally more gentle than land based exercise. Water walking, water aerobics, a light swim- these are all great choices.

-Take a few minutes, several times a day to gently stretch your large muscle groups. Non-ballistic (NO BOUNCING) stretches will help decrease the sensitivity of trigger points, and keep you more comfortable.

What are your experiences with FMS and exercise? What has helped? What has made things worse? Please share your thoughts here on the blog.

Thanks for visiting- see you soon.

-Andy

The Royal Albert Hall, Kensington.

Live From Fire Island: Fibromyalgia Part 3

Monday, August 23rd, 2010

fibro3fireisland

The next part in my short series on fibromyalgia syndrome. This one focuses on some common misconceptions about fibromyalgia, and then discusses one of the first things you can do to help get your symptoms under control.

Thanks for all of your kind comments and suggestions. I look forward to seeing you soon.

Be well!

-Andy

Live from Jamaica: Some thoughts on medical marijuana…

Wednesday, August 4th, 2010

No matter where I go, I always wind up talking shop- even when I’m on vacation. Back pain is everywhere, and someone always wants to bounce their thoughts on the topic off of me. This time, I was cornered at a wedding by someone who wanted to know what I thought about using marijuana for the treatment of their low back pain.

In the US, this is a way more complicated issue than it is where this conversation took place- Jamaica, where marijuana is often viewed as a cultural staple.

There has been a lot of discussion recently about the changing laws regarding marijuana use for medicinal purposes. Several states have modified or completely rewritten their laws in recent months to either make pot easier or harder to get, depending upon where you live and upon your particular circumstances.

I don’t want to get into the legal aspects of marijuana use- it is far too complicated an issue to get into here. This wedding guest asked me point blank whether I thought pot was useful for the treatment of low back pain.

My answer to this question is in three parts:

1) I think marijuana is a good muscle relaxant, and additionally reduces the perception of pain such that pain sufferers do not notice it as much.

2) Too much marijuana can ultimately decrease your activity levels, keeping you from going out and re-establishing good body mechanics as the source of your pain heals/resolves. And…

3) there is frequently some weight gain associated with pot smoking (the oft cited ‘munchies’ are to blame) which can get in the way of recovery.

I have several patients from around the world who use pot as a method of reducing their pain, and for them it works. I would not condone using something that is illegal, but perhaps that situation will change in the not too distant future. In the mean time, there are several legal alternatives to marijuana- not the least of which would be one of Back Together’s fine products….

Thank you for visiting today. Please keep those cards & letters coming- you help to keep the discussion interesting.

-Andy

Half Moon, Rose Hall Jamaica

Live from Jamaica: Foods That Help Back Pain- The Soursop.

Tuesday, August 3rd, 2010

soursop

I love when I can learn about local remedies and treatments for back & neck pain. The chef at the hotel made it a point of telling me that this unusual looking fruit- the soursop- was good for treating low back pain. I looked it up on line, and apparently it can also be useful for headaches, skin disorders, blood pressure problems, as well as sexual dysfunction.

Do you have any experience with foods which have helped you with any health issues? How about back pain? Please share them here.

Thanks for visiting,

-Andy

Responses to the Yoga Post…

Friday, July 23rd, 2010

Thanks so much for your responses to the yoga post from Friday. A text version of the post appeared on the Martha Stewart Whole Living Daily blog this morning.

While the response to the post was largely positive, there were some folks who missed the point of the post:

“I have been doing yoga for 7 years, and it has really helped me get rid of my back pain. I don’t know why physicians feel the need to bash yoga just because it doesn’t involve pills. It doesn’t cause back pain- at least for me, yoga fixes it!”

-Sherri P, London UK

Sherry, I am so glad you were able to find relief. If you read the article, you will see that I am not bashing yoga at all. I know that for many people it has increased their flexibility and decreased their pain. The post was intended to (and does) provide some useful tips, particularly for newcomers, on how to prevent becoming injured during yoga.

“My back hurts when I don’t keep up with my yoga practice, plus I feel sluggish. One or two classes gets me back in shape!”

Cynthia M, Philadelphia PA

It sounds like you have found something that really keeps you out of back trouble. Thanks for your response.

“My girlfriend suggested I try hot yoga for my low back pain, and honestly, it just made everything worse. It seems to work so well for other people. Why not me?”

Sue, New York, NY

Sue- without knowing your specific diagnosis, it is hard to say why yoga did not give you the relief others have found. It simply underscores that there is no simple fix that will work for everyone. I hope you can find something that works.

Best- and have a fantastic weekend,

Andy

Yoga & Back Pain- Thoughts on keeping yourself injury free…

Saturday, July 17th, 2010


A few times each week, I post a brief tip or suggestion about avoiding or relieving back pain on my Facebook fan page. These posts are usually independent of anything I post here on the blog, and are just meant to provide folks with bite-size tips, and are rarely controversial. Last week I posted the suggestion that one never bend and twist at the same time (meaning, that if you need to pick something up off the floor, or reach down for some other reason, turn your body to face what you are grasping rather than twisting to one side or another while bending.) Well, this resulted in a whole bunch of mail and posts- particularly about how this suggestion would effect folks’ participation in yoga. Yoga does involve some bending and twisting- and in theory should ultimately help one to avoid back and neck pain rather than cause it. Here is a video post offering a few quick suggestions on ways to avoid back and neck injury while doing yoga. The tips are reposted in text version at the bottom of the post if you want to forward them to any of your friends or fellow yoga participants. I would enjoy hearing your thoughts and experiences regarding regarding back pain and yoga- whether it provided you relief or made you feel worse.

Enjoy!

yoga

(In the first take of this video, the woman behind me was waving into the camera. I asked her to please stop- but by golly she made sure her arm was featured in the video anyway. Congratulations lady- you now have a famous arm!)

Here are your tips to avoid yoga related back and neck injuries:

-As always, hydrate before, during, and after yoga. Even slight dehydration will increase the likelihood of straining or even tearing a muscle, and the enhanced fatigue that comes with dehydration will increase your chances of using poor body mechanics.

-Before a class, take a brisk 10-15 minute walk. This will warm up your muscle groups and prepare them for the challenge ahead. This helps even when getting read for a ‘hot yoga’ class.

-If you are new to yoga, work up to doing multiple classes per week. Your enthusiasm may push you to try and do 5 classes per week, but slow down. An NFL team I worked with brought in a well known yoga instructor to help with flexibility, and I cannot tell you how many low back sprains, neck strains, and groin pulls I wound up treating as a result of pushing too much, too fast.

-Listen to your body. If a new posture is painful- back off that posture. If you feel your discomfort is simply due to it being ‘new’, build up to it slowly. If pain continues, be sure you are approaching the posture with correct body mechanics (your instructor should be able to guide you.) If the pain persists, it may signal that something is wrong- see your doctor.

Thanks for stopping by!

-Andy

My Newest Martha Stewart Whole Living Daily Post: Separate Your Pain from Your Self…

Thursday, July 15th, 2010

Some musings on something I share with my patients nearly every day: Don’t let pain become part of who you are. Remember- the pain does not control you. YOU control the pain…Enjoy!

Martha Stewart Whole Living Daily

Bronze 'Roots' by Steve Tobin, installation in Pocono Mountains, PA.

Guest Author, Competitive Skater Jen Kimbrough on the Benefits of Stretching

Tuesday, July 13th, 2010

Regular readers know I am big on stretching. The benefits of regularly taking each of your joints and muscles through their respective ranges of motion are well understood, and yet most people don’t even take the few minutes a day to stretch their large muscle groups, let alone all of them. Jen Kimbrough is both a talented skater and an up and coming author (I will post a link to her book as soon as it becomes available.) Today, she shares her experiences with how regular stretching made her more comfortable and competitive. You don’t have to be a competitive athlete to reap the benefits of stretching- just set aside a few minutes each day do it. In just a few weeks you will notice improved mobility, less soreness, and an overall improvement in your sense of well being. For those of you unsure what stretches to do, I have asked stretching expert Jorden Gold of the Stretch Zone to put together his top 5 stretches for day to day activities. Look for that post Monday.

Jen Kimbrough performing part of her regular stretching routine.

“It is said that figure skating requires the elegance of a royal court, the grace of a ballerina, the speed of a sprinter, the balance of a tightrope walker, the agility of a high diver, the endurance of a marathon runner, the coordination of a juggler, strength of a high jumper, the rhythm of a dancer, and the performance of a mime.” –Unknown

I began figure skating as a hyperactive nine year old; I would throw myself around and hope for the best. It did not matter if I fell; I just got right back up without any consequences. However, after two years of skating, this was not proving to be the best method. I had not stretched a day in my life and I found myself with an aching back, knees, and ankles. I was jumping higher, attempting more difficult jumps, and therefore falling harder. I was also required to do progressively more difficult spin and spiral positions. I found myself waking up every morning feeling stiff. My ankles, knees, and back would crack as I walked around.  I finally realized that stretching was essential to both my success as a figure skater and my well-being.

I began with simple stretches and I realized for the first time how tight, and inflexible I was. I started stretching for just ten minutes before I skated each day and within a few days, I felt a drastic improvement. My back no longer hurt when I would fall in an awkward position. My spirals were improving and I knew that if I continued I would be able to attempt those spins that always seemed so daunting. With the motivation of earning more points in competition, I also began to stretch after skating. It definitely helped that I was only eleven years old, but in a relatively short period of time my flexibility drastically improved. In particular, I found that back-bends helped me the most to gain flexibility in my back. I would walk my hands down the wall and my back quickly became more and more flexible. This helped my layback spin and even the worst falls were no longer an issue.

I now find myself seven years later, after hundreds of falls from double and triple jumps, and I feel good. I have much stronger jumps, much more flexibility, and I am a much better skater. I stretch for just ten to fifteen minutes everyday before I skate and I am ready for anything. I can pull my leg over my head into a Beilman position with ease and I earn high levels in competitions. Stretching is essential for everyone whether a recreational walker or a marathon runner. Stretching increases your range of motion so if you trip or end up in an awkward position there will be no consequences. It is sometimes hard to find the time to incorporate stretching into your daily routine, but the benefits are worth making the effort.

Thanks for your submission Jen, and thank you readers for stopping by.

Be well!

-Andy