Tag: pain

{Health and Body} A Pain in the Neck!

Do you have a pain in your neck–literally?

Neck pain is more common than you may realize. According to the National Center for Health Statistics, 15% of American adults who present to the doctor’s office with pain report it in their necks. That number doesn’t include the areas of pain that are so closely related to the neck that poor neck mechanics may actually contribute to the pain. For example, 16% of adults report headaches and migraines, 28% report low back pain, 9% report shoulder pain and 8% report finger pain. These are all related to neck mechanics.

Neck pain takes its toll on all age groups. I have seen high school swimmers with severe neck pain, middle aged salesman with neck pain, and ninety year old bridge players with neck pain.

So what’s the scoop on this neck pain and how can we manage it and/or avoid it?

As always, musculoskeletal pain tells a story about how we move … or how we don’t move.

An excess motion in one direction more than another can lead to neck pain. For example, if swimmers get in the habit of breathing to one side during the free-style stroke, they are setting themselves up for pain. If salesmen consistently talk on their cell phone on the right ear with their head bent slightly to the right, they are setting themselves up for pain. If bridge players are constantly looking down at their cards through their bifocals, they are setting themselves up for pain. In each scenario, the simple solution is what I tell my patients: “Don’t do that!” When swimming, breathe out both sides. When talking on the phone, use speaker phone or headphones. When playing bridge, hold the cards higher. The solution seems very simple … because it is.

Our poor necks support and move a 10 pound head day in and day out. Consider how you move your head each day and what you can do to make sure your movements are symmetrical and not overly excessive.

Aside from how we move our necks, we also have to think about what happens when we aren’t moving our necks. What positions do we sustain for long periods of time? The classic example of a sustained position for the neck is how our head is positioned when we are looking at our computers. If you sit at a computer day in and day out, it’s important that you position your head in the most neutral position. Follow these four recommendations for your computer set-up, and you should be good to go:

1. Sit with your knees and hips bent 90 degrees. You may have to raise/lower your chair or put a stool under your feet.

2. Sit all the way back in your chair so that your spine is supported. Most people tend to sit on the edge of their chairs, whether slouched over or erect. This may require you to scoot your chair closer to your computer.

3. The top of your computer monitor (the top of the frame) should be level with your eyes. More than likely, your computer screen may be up too high because when you set it up, you thought your line of eyesight should be straight to the screen. However, this causes a slightly extended position in your neck than can become bothersome.

4. Armrests are a great thing. Use them. A lot of people say “I carry tension in my shoulders” and feel like their upper traps are always sore. They are usually the people who don’t use their arm rests, so their muscles are just tired from holding up their arms all day at a keyboard.

http://blog.codinghorror.com/computer-workstation-ergonomics/
http://blog.codinghorror.com/computer-workstation-ergonomics/

Your sleeping position may also aggravate your neck. Consider whether or not your head is turned toward one side all night. Read my post The Ergonomics of Sleep for good sleeping position ideas.

***The content of www.kayleemay.com is for informational purposes only. The information presented is not to be taken as professional medical advice, diagnosis, or treatment. If you are having pain, or seeking medical advice, talk to your health care provider. Do not delay in seeking treatment because of information you have read on www.kayleemay.com. Taking recommendations presented on www.kayleemay.com is solely at your own risk***

Improve Your Running Stride Part I: The IT band

Are you a runner? Or, in my case, are you an inconsistent light-jogger that moves at a slightly faster pace than speed walkers?

Whatever your speed is, you probably have a stiff IT band and have tried a gazillion stretches to loosen it up. Maybe you have even tried one of those foam rollers that just hurts so good. But after all that, is your IT band still “tight?”

Probably.

Maybe you aren’t sure if your IT band is stiff. In that case, I want you to ask yourself if you have any bothersome pain while running or after running, like knee pain, hip pain, back pain, or foot pain. Your IT band may be contributing to these frustrating symptoms that affect your runs.

So how can you get that annoying band to loosen up?

First, let’s discuss what the IT band is. God is clever, and He didn’t put tissue in our bodies to hang out there. It all serves a purpose.

 Image: Netter FH. Iliotibial band friction syndrome. Image Source: http://www.netterimages.com/image/iliotibial-band-friction-syndrome.htm

Image: Netter FH. Iliotibial band friction syndrome.
Image Source: http://www.netterimages.com/image/iliotibial-band-friction-syndrome.htm

IT band stands for iliotibial band. By its name, it is a band of thick fascia that connects the ilium to the tibia. The connection to the ilium, a part of your pelvis, is by way of the tensor fascia latae muscle, aka the muscle that tenses your fascia a-lotta!

When the tensor fascia latae contracts, the IT band tenses. If this happens repeatedly (a lotta!), the IT band gets tight, or as I like to describe it, short or stiff.

So the answer to the age-old question of stiff IT bands across running circles all over the world…

Image source: http://blogs.bmj.com/bjsm/category/children/
Image source: http://blogs.bmj.com/bjsm/category/children/

If you’re a runner whose IT band is stiff, it’s because you contract your tensor fascia latae too much.

Contract a muscle too much? Is it so? Can it be possible? Yes. It is possible to contract a muscle too much if it means you are neglecting the muscle’s counterpart, therefore altering the joint’s balance. In the case of runners and IT bands, a stiff IT band usually signals that the runner does not use his/her gluteals enough. This muscle imbalance commonly leads to pain because it alters hip and knee joint mechanics.

You may think I am going to tell you to do gluteal strengthening exercises and bippity-boppity-boo, you’re healed.

videosong

I wish it were that easy. While strengthening exercises can be useful, I am going to suggest that you change the way you run.

It is incredibly difficult to change your running form, but in my next post, I will give you 3 simple clues to think about when you’re running so you use your gluteals relatively more than you use your tensor fascia latae and IT band. With these 3 tips, you will rely less on your tensor fascia latae and IT band, therefore it won’t get so stiff! And word on the street is, these tips will help you run faster…

***The content of www.kayleemay.com is for informational purposes only. The information presented is not to be taken as professional medical advice, diagnosis, or treatment. If you are having pain, or seeking medical advice, talk to your health care provider. Do not delay in seeking treatment because of information you have read on www.kayleemay.com. Taking recommendations presented on www.kayleemay.com is solely at your own risk***

Making cookies and what’s to come!

Since Davey and I aren’t exactly elite members of Minneapolis’ social scene (aka we don’t have friends yet), we find creative ways to entertain ourselves. Last night, we made cookies!

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Baby Hiatt and I had a difficult time restraining ourselves from eating the cookie dough.

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Davey was shocked to find out that my “secret chocolate chip cookie recipe” was listed on the back of the Nestle chocolate chip bag.

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“Davey, I have to sit down and take a cookie-eating-break. I’m pregnant.”

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I had to put this picture in so you know we also eat fruit….sometimes.

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I’ve had a lot of extra time on my hands lately since I have yet to secure employment (coming close, though!). Being unemployed is one of the strangest feelings, and I have a new appreciation for anyone who has spent more than 2 weeks looking for a job. It’s exhausting! I can only talk about my ‘strengths and weaknesses’ so much. But this extra time has allowed me to plan and brainstorm what exactly I want this bloggy blog to be. I have come up with 2 very different, but very exciting goals for this blog:

Document the story of #daveyandkaylee (and baby Hiatt!) that we can look back on for years to come.

and

Provide a resource for my peers that includes basic biomechanical, postural, and ergonomic lifestyle changes that can be made to avoid mechanical pain, injury, or early degenerative changes.

As a physical therapist, I am excited to use my knowledge to present fun and easy ways we can protect our bodies from harm and injury–ways you may not have considered! Sure, we’re young—but we won’t always be! Let’s keep our muscles and bones in the best condition possible to preserve our youth. Stay tuned to kayleemay.com to find out why certain shoes give you back pain, what’s the best position to sleep in, or why your IT band keeps getting tight even though you stretch it all. the. time.

I am so excited to develop an online community who enjoys love, learning, and lifestyle as much as I do!