Tag: health

{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 III: The Running Shoe

I have spent a long time looking for a running shoe that has firey blazes shooting from the back that miraculously make me run faster. My search continues to this day. I will not give up.

"Mama says they was magic shoes."
“Mama says they was magic shoes.”

In the meantime, it’s important to find a shoe that fits the shape of your own particular foot, promoting the best and most optimal relationship between your foot and the ground. A fitted shoe has the ability to lower your risk of injury.

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Finding the right running shoe requires an understanding of foot mechanics. To simplify foot mechanics, think of two different foot movements: supination and pronation. Both of these movements are very complex and involve multiple joints, but for the purpose of this post, pronation is when the arch of the foot moves toward the floor and supination is when the arch of the foot is raised.

In a static standing position, you may have a supinated foot defined by a raised arch. This type of foot is classically more rigid.

A pronated foot has a collapsed arch and is classically more flexible.

To decide what type of shoe is best for you, the first step is to figure out if your foot is pronated, supinated, or neutral. To figure this out, I recommend having someone trace your foot while you are standing. Look at the tracing and determine if it is more pronated, supinated, or neutral. It is important that you are standing so the you are fully weight bearing.

This is an example of a pronated foot with a notable rectangular shape:

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This is an example of a neutral to supinated foot with a larger curve on the inside:

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Ideally, the bottom of the ideal shoe should match the shape of your tracing. If your foot is pronated (or flat), the bottom of the running shoe will look more like a rectangle. If your foot it supinated, the inside of the running shoe should curve inward.

It is also very important to consider what happens to the arch of your foot when you move. Some people may stand with a very high arch, but once they walk or run, their arch collapses. If you feel as though you fit in that category, I would recommend finding a local running store that has a good reputation. They should be able to watch you run and recommend a shoe for you.

So as we wait for rocket shoes to be invented, make sure your current running shoe is the right shape for your foot–and if it’s not, be sure to invest in a new pair to prevent injuries.

***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 II: The Gluteals

My favotite beach run ever!
My favotite beach run ever!

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In my previous post Improve Your Running Stride Part I: The IT Band, we discussed how runners typically have stiff IT bands. A stiff IT band has the potential to lead to hip pain, knee pain, foot pain, and back pain. Simply stretching the IT band will not solve the problem; rather, a runner has to change how he uses his muscles when he runs to prevent the IT band from tightening up.

As mentioned in Part I, the key to reducing the use of the IT band lies in increasing the recruitment of the gluteals during runs (a stronger booty!)

Changing your running form can be a daunting task and may require increased energy expenditure at first. But with these three basic tips, you will be using your gluteals—which are some powerful muscles—in no time.

On your next run, practice these three things:

1. Think of yourself as one of two types of runners: a runner who pulls himself forward with each step, or a runner that pushes himself forward with each step. To use your gluteals, you need to be a runner that pushes yourself forward. Give the ground a good push to get to your next step.

2. With respect to number one, make sure your foot hits the ground directly below your body as opposed to reaching ahead of your body. If your foot reaches too far forward, you will likely have to pull yourself to the next step. When you think of placing your foot directly below your body during your next run, you may feel as though you are leaning forward. Strangely enough, that’s okay. Leaning forward a little puts your gluteals in a position in which their contraction will much stronger.

3. As your leg is swinging through, but before it contacts the ground, raise your knee a little higher. Colleagues of mine commonly use the cue, “pretend you’re riding a bike down a hill and your legs are trying to keep up with the pedals.” Raising your knees up will bend the hip more, allowing the gluteals to work through a greater range of motion. Another benefit of bringing your knees higher is that it allows more time in the air and less time on the ground. Research shows that faster runners spend more time airborne than slower runners. Therefore, this little clue may get you to the finish line quicker.

Changing the way you run in even the smallest way will initially make your runs more fatiguing. I encourage you to practice these three things in two minute intervals until you feel like you are getting the hang of it. You’ll feel funny running this way at first, and you will be sore the next day. But no worries; keep practicing, and it will become second nature.

Now you can spend more time running and less time stretching your IT band.

Are you curious about which running shoes are the best for your foot? Part III will discuss how you should go about choosing a running shoe based off the shape of your foot.

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***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***

Save heels for the weekend

Here’s a riddle for you.

Who owns 200+ pairs of high heels and suffers from low back pain?

This girl:

carrie_bradshaw_tutu
“Who, me?”

I LOVE high heels. I NEED high heels. (side note: my husband tells me I use the phrase “I need it” too much. Don’t know what he’s talking about). I feel like high heels were MADE for girls like me. God blessed me with short, stubby legs and a torso long enough to make me think I have extra vertebrae. I NEED the length that high heels offer my short legs.

But let’s talk about what high heels do to our bodies from a mechanics stand point, and how that can result in pain in strange places (not just our toes).

First, we need to think of our bodies in terms of lever arms, joints, forces, and vectors. Remember physics? Remember Newton? His third law stated, “For every action there is an equal and opposite reaction.”

Let’s keep this in mind.

There’s a million and one ways high heels change the orientation of our posture and movement, but I am going to focus on 3 for today.

1. Due to the upward force of the actual heel (aka the stiletto), the posterior part of our pelvis is raised. This is awesome for the booty. This exact effect is what I believe inspired Sir Mix-a-lot’s song, “Baby Got Back.” If Newton’s third law is correct (which it is), then there must be an opposite reaction from our upper body so we don’t get thrown forward. We have to lean back to keep our shoulders over our hips. This causes an extension force on our low back, and subsequently pain if this position is maintained for long periods of time. You can see this happening to Kim Kardashian when she tries to figure out how to pump gas.

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2. Keeping in mind that the posterior part of our pelvis moves UP due to the force of the heel, the front part of the pelvis must move DOWN. The muscles on the front part of the pelvis that connect the pelvis to the femur (thigh bone) are subsequently placed in a shortened position. No big deal if this is for one night, but over time, shortening of these muscles feeds into pulling the pelvis forward even when we are just in our slippers at home! Pulling the pelvis forward causes that extension force in the low back we talked about in #1. Ouch.

kim_kardashian_mintgreen_jack-ant tilt

3. The third and most obvious consequence of high heels is that they shorten our calf muscles. Again, this is pretty awesome when we feel inclined to wear heels after that killer calf workout so we can show off the definition we worked so hard for. Thank you, heels, for making my stubby legs look fake-muscular. But once we take those heels off, the shortened calf muscles pull our knees backward, likely causing hyperextension. Do you know a female over the age of 50 who has had a knee replacement? You can tell her to thank her knees for all that hyperextension in her youth. At least now her new metal knees give her an excuse to avoid the metal detectors in the airport. Oh, but unfortunately that results in an awkward pat-down. It’s a lose-lose.

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Photo from lotusimprints.com

So there you have it. High heels cause our backs to extend, our hip flexors to shorten, and our calves to pull our knees beyond where they should be.

But, if you’re like me, you can’t give up heels completely. We NEED them, right? So wear heels in moderation and live by my mantra: Save heels for the weekends.

Cheers to being female.

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!