Monday, November 4, 2019

Have you wondered why, for example, after years of yoga, you cannot sit in a perfect lotus, while others manage it effortlessly?
The answer may lie in the structure of your hips.

http://paulgrilley.com/bone-photos/


Stuart Mcgill, back and Yoga
http://www.yinyoga.com/newsletter25_Stuart%20McGill%20Lessons.php


Structure - we are all built differently!

Have you wondered why, for example, after years of yoga, you cannot sit in a perfect lotus, while others manage it effortlessly?
The answer may lie in the structure of your hips.

http://paulgrilley.com/bone-photos/


Stuart Mcgill, back and Yoga
http://www.yinyoga.com/newsletter25_Stuart%20McGill%20Lessons.php


Sunday, June 30, 2019

Do you have pain, discomfort, or an uncomfortable feeling of tightness between your shoulder blades?
Here are a few stretches that I myself use - especially when I have been on the computer for a long stretch of time.
In the stretch shown in the next image, the trick is to keep one arm bent as shown below, and use the opposite arm as a lever to pull it towards your body. Vary the angles to stretch different areas. 

The next stretch is a bit hard to understand from the picture.
-Sit down, bend over a bit, and cross your arms, placing your hands on the outer sides of your knees.
-Push your knees outward--you should feel a lovely stretch across your shoulders.
-Vary the angles; you can stretch different areas by bending over less, or more.

I love this neck stretch!

That's it for now-hope these help!

Thursday, August 9, 2018

Heel Pain-Plantar Fasciitis and Neurodynamics

This is a fascinating read on a subject near and dear to me.
It was pain diagnosed as Plantar Fasciitis that sent me on a path that eventually led me to study massage, and my fascination with painscience and neuroscience
In my case, I may have had inflamed plantar fascia--but I definitely had a neurodynamic disorder/nerve entrapment, which was relieved by a medical massage therapist (my hero!) and self-massage and mobilization.

Some key points from this article: 
https://www.neurodynamicsolutions.com/neurodynamic-aspect-to-heel-pain.html

>However in relation to the more physical and benign causes, there are some key facts about neurodynamic problems at the ankle that are important when considering foot pain:

  • clearly not all foot/heel pain comes from nerves, but some does.
  • nerve abnormality is an underestimated cause of foot pain. Research shows that patients with foot pain can show reduced nerve conduction in various nerves in the ankle/foot region (Schon et al 1993)).
  • nerve problems can masquerade as plantar fasciitis and other local causes of heel pain.
  • there should be a distinction between 'nerve entrapment' and 'neurodynamic disorders' around the ankle and foot. Nerve entrapment is frank trapping of the nerve which is mostly likely a compressive lesion (eg. tarsal tunnel syndrome). But, whilst the term 'neurodynamic disorders' includes 'nerve entrapment', the term should be used to denote other types of mechanical and physiological problems in nerve function at this location, eg. nerve irritation and inflammation due to excessive use of the ankle combined with excessive pronation. This may produce a neurodynamic disorder (probably neuritis) caused by mechanical irritation.
  • tissue changes in the foot/heel eg. swelling and tenderness DO NOT EXCLUDE a neurodynamic cause. This is because the nerves can produce inflammatory changes in the tissues they innervate by a mechanism called 'neurogenic inflammation'.<

>Nerves that are exposed to excessive or repeated mechanical force may become hypersensitive and produce impulses in both afferent and efferent directions. Afferent impulses may cause pain and efferent ones may cause inflammation in the tissues innervated by the sensitised nerve (neurogenic inflammation).<


Thursday, August 2, 2018

Antidepressants Work for Major Depression! Not so Fast...

A recent article in Medscape states:
>The latest attempt to trick ourselves into believing that the past few decades of prescribing antidepressants has been an effective strategy comes from one of the most prestigious medical journals, The Lancet. The published meta-analysis' basic finding—since repeated all over the press—is that antidepressants work because they are all better than placebo. What they don't tell you is that they are hardly any better than placebo, and that the only drugs with clinically meaningful benefits are the ones that are used rarely today, the older tricyclic agents.<
>
The effect sizes seen are about a 2-point improvement versus placebo on the Hamilton Depression Rating Scale, which is lower than the minimum threshold of a 3-point improvement for clinically meaningful benefit set by an earlier 2004 guidance by the UK's then-named National Institute for Health and Clinical Excellence.[3]
They have found, repeatedly, that antidepressants either are not more effective than placebo, or they are slightly more effective.>Because of this, their results are not limited to or mostly influenced by the published literature, which is known to be markedly biased in favor of antidepressant drug efficacy. (This is because pharmaceutical companies usually have not published negative studies of antidepressants.)<

Wow

Read it all:
Antidepressants Work for Major Depression! Not so Fast


About the older tricyclics:
from Mayo Clinic: Tricyclic antidepressants and tetracyclic antidepressants

Thursday, July 26, 2018

An excellent TED talk explaining chronic pain

This TED talk does an excellent job of explaining chronic pain.
It includes a case study with a happy ending: CRPS..allodynia...horrid, unrelenting pain, that was resolved.


https://www.youtube.com/watch?v=CZ0gIiwjk_0



Wednesday, July 25, 2018

Why taking morphine, oxycodone can sometimes make pain worse

This is the best article I have seen on the subject of opioids and hyperalegesia.
The fact is that the phenomena of pain is still poorly understood.


>Ten days after that injury, half the rats received a 5-day treatment of morphine. Then over about 3 months, the researchers periodically measured the rodents’ threshold of pain by poking their hind paws with stiff nylon hairs of varying thicknesses. (The finer the hair that causes the rat to withdraw its paw, the logic goes, the more sensitive it is to pain.) After 6 weeks, injured rats that had received no morphine withdrew from the same kind of pokes as uninjured control rats. But morphine-treated rats remained sensitive to pokes with much finer hairs. 
It took them 12 weeks to return to the same pain sensitivity as the control rats, the team reports today in the Proceedings of the National Academy of Sciences. Even after the physical injury had presumably healed, they were in pain.<

http://www.sciencemag.org/news/2016/05/why-taking-morphine-oxycodone-can-sometimes-make-pain-worse

Have you wondered why, for example, after years of yoga, you cannot sit in a perfect lotus, while others manage it effortlessly? The answer...