Acupuncture Awareness Week

This week the British Acupuncture Council is launching the very first Acupuncture Awareness Week and their website is full of useful information. Of all the treatments I use, acupuncture is by far the one that most clients are curious about. Acupuncture has been used in China for over 2000 years. Fine needles are inserted into the skin to stimulate the body. Obviously, the needles are sterile and disposed of after use. Acupuncture can help with all sorts of muscle or joint pains like back pain for instance. The most common question is; how does it work? Let’s use back pain as an example (the following information was provided by the British Acupuncture Council).

"Acupuncture can help back pain by:

• Providing pain relief - by stimulating nerves located in muscles and other tissues, acupuncture leads to release of endorphins and other neurohumoral factors and changes the processing of pain in the brain and spinal cord (Pomeranz 1987; Zhao 2008).
• Reducing inflammation - by promoting release of vascular and immunomodulatory factors (Kim 2008, Kavoussi 2007;Zijlstra 2003).
• Improving muscle stiffness and joint mobility - by increasing local microcirculation (Komori 2009), which aids dispersal of swelling and bruising.
• Reducing the use of medication for back complaints (Thomas 2006).
• Providing a more cost-effective treatment over a longer period of time (Radcliffe 2006;Witt 2006).
• Improving the outcome when added to conventional treatments such as rehabilitation exercises (Ammendolia 2008; Yuan 2008)."
• Releasing tight bands in muscles

Following research into the effects of acupuncture on low back pain, the National Institute for Health and Clinical Excellence (NICE) now recommend that GPs offer a course of 10 sessions of acupuncture as a first line treatment for persistent, non-specific low back pain.

Low Back Pain: When To See Your Doctor?

The BBC News-Health webpage currently links to the BBC Health site. The title of the link is “Back-pain danger signs, Symptoms to take straight to your doctor”. I followed it, read through the information and found it incomplete. In my opinion, a few things could be added to the list, but before adding anything…it’s important to bear in mind that the vast majority of low back pain is trivial and usually disappears after a couple of days or weeks. In a very small minority of cases the low back pain is a sign of something more serious. You should make an appointment to see your doctor if your back pain is associated with:

• Significant trauma (such as RTA or a fall)
• Osteoporosis
• Prolonged use of corticosteroids
• History of cancer
• Unexplained weight loss
• Fevers
• History or high risk of decreased immune response (AIDS or HIV, recreational drug use, steroid or immunosuppressant use)
• Unremitting pain (even when lying down)
• Neurological symptoms (urinary incontinence or retention, fecal incontinence, loss of sensation in the genital region, weakness or loss of sensation in the lower limbs)

Please note that the signs and symptoms listed above don’t automatically mean that something sinister is at hand but simply that further questioning and examination is required. Lastly, remember that the overwhelming majority of low back pain is insignificant…apart from the inconveniencing pain obviously!

I Wouldn’t Sit For That (Part 2)

Here are my tips to help prevent back pain, obesity, heart disease, cancer and death from over sitting:

• Stand whilst on public transport…there’ll be more than enough time to sit when you get to work
• Get up from your desk at least 1-2 times an hour (less than 5 minutes standing and walking around is sufficient)
• Drink more often, you’ll have to get up more frequently…to get a drink…and to go to the toilet
• Rather than send an email, why not walk over and speak to someone? (research has shown that walking at a leisurely pace is enough to reverse the metabolic changes caused by prolonged sitting)
• Don’t have lunch at your desk…go for a short walk…get some fresh air
• Organise your work tasks so that they involve frequent movement
• Here’s a little exercise you can do when you stand (breath in whilst you reach upwards and hold the position for about 5 seconds)…it will help your back

• Don’t use your car when your feet will do just as well

The clear message is that health can be maintained by including frequent short periods of standing and walking in our normal daily activity…little and often is the way forward!

I Wouldn’t Sit For That

Most of us spend the overwhelming majority of our waking hours seated. We sit down to have breakfast. Then we sit in our cars or on the train or bus on the way to work. When we arrive at work, we sit at our desks until lunch and then sit a little more to enjoy lunch. After work, we once again sit in our cars or on the train or bus. As soon as we get home we rush in to “take the load off” and collapse into our sofas, from where we surreptitiously pretend to read the paper…until dinner is ready! We then sit down to savour our meal, after which we promptly return to our sofas to digest…whilst watching a little TV…sound familiar?

Unfortunately for us, sitting is a major risk factor in the development of low back pain and it has even been associated with disc herniation. I naïvely assumed that was the worst of it until I stumbled upon a thought-provoking article…

Can sitting too much kill you? Wow, talk about getting your attention! Research has shown that spending excessive periods of time sitting can lead to obesity, heart disease and cancer. This can happen even if we take part in regular exercise. As Dr Marc Hamilton says, “sitting too much is not the same as exercising too little”. One of the culprits may be an enzyme called lipoprotein lipase. It allows muscles to uptake fat thereby decreasing the levels of fat circulating in the blood stream…and preventing arteries from becoming clogged up. Sitting markedly decreases the secretion of lipoprotein lipase. A large study conducted by Dr Peter Katzmarzyk found those who sit more are at higher risk of death than those who sit less.

Shocking isn’t it? I bet you won’t complain the next time you don’t get a seat on the train or underground! Before you sell your sofa and chairs or hand in your notice in search of that coveted job as a parking attendant or postman…things may not be as bleak as they seem…check out my next post for some life saving tips!

Yoga and Stretching Ease Back Pain

Something I read with interest in the news this week. A large randomised controlled trial in the US has shown that both yoga and stretching can lead to better function and decreased symptoms from chronic low back pain. Although this was no surprise to me, it’s always good to have evidence to back up our practice…I believe they call it evidence based practice…

 If you would like to read the entire article, please follow the link below:

Largest US Yoga Study to Date Finds Yoga Eases Back Pain