Categories
Uncategorized

Rest & Digest for Recovery

You’ve probably heard of the fight or flight response – in response to a threat or a perceived threat a physiological change occurs in the body.

Adrenaline and cortisol hormones are released which have wide ranging effects.

  • The heart and lungs speed up
  • Digestion slows or stops
  • Pupils dilate
  • Increased muscle tension to provide the body with extra speed and strength
  • Increased blood pressure, heart rate, blood sugars and fats in order to supply the body with extra energy

These changes evolved to occur to give the body a burst of strength and energy to quickly escape or fight for survival.

However, modern life creates situations that, although not life threatening, can be stressful and activate the flight or fight response. A traffic jam or an unreasonable boss for example will do it.

The fight or flight response should happen in a short quick burst and subside in a similar fashion (when the threat has passed). But in our times of chronic stress we are subjected to the fight or flight response for prolonged periods of time which can be damaging to the body. One reason why I discuss this topic with my patients at Leyton Osteopaths, is that if you are suffering with back pain, neck pain, sciatica or any other injury for that matter – your ability to recover and rehabilitate is inhibited if you are consistently in a fight or flight state.

Chronic stress contributes to high blood pressure, promotes the formation of artery-clogging deposits, and causes brain changes that may contribute to anxiety, depression, and addiction.

The fight or flight response has a lesser known brother called the ‘rest and digest response’.

This response acts like a brake and calms the body down after the danger has passed. It controls homeostasis, or the balance and maintenance of the body’s systems. It restores the body to a state of calm and counterbalance, and allows it to relax and repair.

The body undergoes several specific responses when this ‘rest & digest’ system is activated.

  • Increased saliva
  • Digestive enzymes are released
  • Heart rate drops
  • Bronchial tubes in lungs constrict
  • Muscles relax
  • Pupils constrict
  • Urinary output increases

All of these changes are designed to maintain long-term health, improve digestion, conserve energy, and maintain a healthy balance in your body’s systems.

The fight or flight response kicks in automatically, and occurs in response to any perceived threat. This doesn’t have to be an imminent physical threat (we face those very rarely these days). Any perceived threat or stressful situation can trigger this response -imagine giving a speech in public.

Luckily for us it is possible to activate this restorative rest & digest response. Simply reading a book does the trick for some people, which may be why so many people read before going to bed for the night. Soaking in a hot bath, getting a massage, or petting a dog or cat are excellent relaxation strategies that will achieve it. Some people react well to breathing exercises or activities like yoga and tai chi.

A visit to your local osteopath in Leyton is of course another excellent way to promote the rest & digest response and to encourage healing from back pain, neck pain, sciatica, frozen shoulder, knee pain or hip pain. At Leyton Osteopaths we also incorporate elements of a breathing retraining programme called Buetyko breathing which is used to help people with conditions like asthma, rhinitis, stress, anxiety and panic attacks.

By learning to activate your rest & digest response, and reducing the effect of your fight or flight response, you can reduce the stress on your heart, digestive system, immune system and help to heal injury quicker.

Key Message: Activating your rest & digest response is important for general health and more so when recovering from injury. A variety of strategies are available for stimulating it including breathing exercises, reading, petting a dog and osteopathy treatment at Leyton Osteopaths.

Categories
Uncategorized

Relaxation Exercise

Focussing on your breathing and working to relax your muscles can be a great way to supplement your rehabilitation from injury. Try this little exercise as a starting point.

Lie on your back, close your mouth and breathe gently into and then out of your nose. Put your right hand on your chest and the left on your stomach. As you breathe in, your stomach should push out slightly so your left hand rises. Your right hand should be perfectly still. Do not take large, deep breaths. Keep the breath gentle and small, but make sure it’s coming all the way down to your stomach.

Once you are breathing correctly, starting with your feet, tense the muscles in them for three seconds by clenching your toes and then relax them. Repeat this once more. Exhale gently through the nose as you relax the muscles.

Now do this with your calf muscles by pointing your feet downwards for three seconds and then relax them. As before, repeat once more. Your focus should be on the relaxation element of the task.

Contract the muscles in the back of your thighs by pushing your heels into the floor. Hold for three seconds, relax and repeat.

Move next to the front of your thighs and contract your quadriceps by beginning to tense your muscles as if you’re going to lift your leg off the ground (without actually doing so). Contract for three seconds and relax.

Clench your buttocks for three seconds. Relax them. Repeat.

Contract your abdominal muscles by preparing to do an abdominal crunch but don’t actually move. Contract for three seconds. Relax. Repeat.

Next move to the hands. Clench your fists for three seconds, relax them and repeat.

Contract the muscles in the front of your arms by bending your elbows. Hold for three seconds. Relax. Repeat.

Contract the muscles in the back of your arms by straightening them. Hold for three seconds. Relax. Repeat. Remember your emphasis here should be on the relaxation.

Now shrug your shoulders up towards your ears. Hold for three seconds. Relax. Repeat.

Next we’re going to relax the muscles of the jaw. Gently clench your teeth for three seconds. Relax them by opening your mouth nice and wide. Repeat.

Tense the muscles in the back of your neck by pushing your head backwards into the ground/pillow. Hold for three seconds. Relax. Repeat.

For the upper back pull your shoulder blades back and together. Hold for three seconds. Relax. Repeat.

Finally for your lower back tense the muscles by initiating the movement of arching your back. When you feel the muscles contract, hold for three seconds. Relax. Repeat.

With this exercise you’re teaching the muscles to turn on and then, crucially, turn off again. This helps to avoid the muscles being stuck in a tensed position without you even noticing it. You may have experienced suddenly realising you’re holding your shoulders up, because of the tension in the muscles there.

The Diaphragm
We obviously don’t actually breathe into our stomachs. Our primary muscle of breathing is a large dome shaped muscle called the diaphragm. The diaphragm separates our thoracic and abdominal cavities. When we breathe correctly, the diaphragm contracts and pushes downwards, pushing on the organs in our abdomen and forcing the belly outwards. If your stomach moves in when you inhale then you’re not breathing correctly.

Categories
Uncategorized

Understanding Pain & Injury

There are two broad types of back injury: sudden and cumulative. Even if the onset of pain is sudden, the injury may have been developing cumulatively, beneath our awareness, for some time.

Pain is a bodily system like the respiratory system or the cardiovascular system. Its function is to warn of us harm or potential harm. Like the other systems, the pain system can develop dysfunction.

Pain and tissue damage are not the same. Many factors other than tissue damage affect our experience of pain, especially if we’ve been in pain a long time.

Prolonged exposure to pain decreases our pain threshold.

Categories
Uncategorized

Causes of Back Pain

Elements of our home, work and social lives can cause, contribute to or aggravate back problems. We need to identify the ‘aggravating factors’.

It is important to study the nuances of your aggravating factors. For example, if your housework is the problem try to establish which specific aspects of the housework are doing it. Don’t simply say your work is the problem – figure out if it’s being on your feet too long, the lifting that you are doing, or maybe even the journey to and from work that’s aggravating your back.

The duration and intensity of activities that may be contributing to your back pain need to be considered.

Not all aggravating factor are physical. Beliefs and social environment can contribute.

Prolonged time off work hinders recovery in most instances.

Failure to manage causative, aggravating and maintaining factors is one reason why back problems can be slow to recover or return.