Tuesday, 31 January 2012

Using Stimulation to Your Advantage


Using Stimulation To Your Advantage

By Brendan Brazier • May 24th, 2010

Unexpectedly hearing a loud noise when the room is quiet, you might feel a sudden rush of energy. This is the most basic form of stimulation, left over from your primal survival mechanism. Your body assumes the loud noise is a threat and prepares you for action by engaging the adrenal glands to draw more energy.
In reaction to the first onset of stimulation — a form of stress — we gain energy. We become more alert, our strength can increase and we have the ability to process information more quickly and react faster. Summoning its hormonal resources to momentarily improve strength and reaction time, the body would have likely improved its odds of getting out of a prehistoric bind. Early man would certainly have benefited from greater strength and quicker reaction time if confronted by a predatory animal.

Of course, we aren’t confronted with those types of threats today. But we face a host of modern-day ones that evoke the same hormonal response. Stress of any kind — be it too much work, family-related concerns, poor diet, breathing impure air, constantly having to be “on”, and not enough down time — put strain on the adrenal glands.

What is actually happening when the body is confronted with stress? To varying degrees, based on the body’s perceived severity of the stress, it releases cortisol, which is designed to stimulate us. The downside is what follows regular stimulation: fatigue. Since our adrenal glands were not designed to be used as often as they are today, it’s common for them to become overworked, resulting in exhaustion. Adrenal burn out, as it is commonly referred to as, has become a widespread modern-day problem. If stress (and therefore cortisol) remain elevated, several problems arise. One being, the body shifts fuel sources. Switching from burning fat as fuel, a stressed person’s system will have replaced its use with carbohydrate in the form of sugar. Now burning more sugar and less fat, the body will begin to store body fat instead of use it for energy.

Stress-free people are fat burning machines. Not the case for stressed ones; they burn and therefore crave carbohydrates. This leads to overworked adrenal glands, adrenal fatigue and then eventually to a host of stress-related impairments. A reduction in sleep quality is also a common trait of elevated cortisol levels.

Biological Debt
I use the term biological debt to refer to a state that the body goes into after energy from stimulation has dissipated. In the modern world, often brought on by eating refined sugar or drinking coffee to gain energy in the short-term, biological debt is a state of fatigue. Unfortunately, it is a state that many average-diet-eating Westerners are accustomed to living in. But now biological debt has found its way into the health food and even the raw food arena. And in fact, is becoming a health risk — and in many cases is evoking a desire for raw foodists to eat cooked food.

For long-term health and vitality, we need to understand the difference between two types of energy: one is obtained from stimulation, the other from nourishment. As a general rule, the more processed the food is, the more stimulating its effect will be on the nervous system, and the less nourishing. In contrast, the more natural and whole a food is — raw and sprouted being the best — the less stimulating and the more nourishing it will be.

As a society, because of our insatiable desire for quick, convenient energy “on the go”, our streets are crammed with coffee, donut and fast food establishments. This solves the convenience problem and offers a short-term energy solution through stimulation. However, it does nothing to help with the payment inevitably required by the body if this route is taken regularly. The body can subsist on stimulating, nutrient-absent food only for so long before becoming either exhausted or sick.
This problem was once only true for those who ate an unhealthy diet comprised largely of stimulating foods like refined flour, refined sugar, coffee and caffeinated soda. But other forms of stimulating foods have become prevalent in the “heath food” world. Cacao being the most notable.
As with any food that contains caffeine, cacao is stimulating, which will result in an energy surge and a sense of well-being in the short term, but in greater fatigue days later. Therefore, the desire to eat more of it to ward off the fatigue that was created by it becomes stronger and are, what some would suggest, the beginnings of a dependency. Of course this can lead to the need for regular consumption of cacao to maintain energy and a sense of well-being, which isn’t healthy. Dependence on anything never is. Additionally, caffeine containing-foods raise cortisol levels, which lowers the immune system, making the body more vulnerable to infection and eventually leading to the storage of body fat and the creation of inflammation.

Stress – Stimulation – Sickness
Many of us are in a constant state of biological debt. It is a huge contributing factor to overall stress and therefore has become a major precipitator of fatigue, weight gain, and compromised health in general. If untreated, it can lead to serious diseases.

One measure of health is having cost-free energy — energy that lasts and does not have to be “stoked” continually with stimulating foods. The stoking of energy can end in one result only: less energy. These foods are certainly not part of a sustainable, high-energy diet.

For the average North American, 40 percent of that stress can be directly linked to diet. With the first onset of stress comes natural adrenal stimulation, which is not unhealthy in small doses. The rise in cortisol level, however, always results in fatigue. Any kind of stimulation, regardless of how dramatic or mild, produces short-term energy, but it is always followed by fatigue. The degree of fatigue depends on the degree of stimulation: the greater the stimulation, the greater the fatigue. The healthiest things a person can do at this point is rest and remove the elements causing the stress, such as poor diet. Yet, this is when most people turn to self-imposed adrenal stimulation to regain energy, foods like coffee and refined foods in the regular world and cacao in the healthy and/or raw world. This results in a short burst of energy, then greater fatigue and then more stimulation to try and reenergize. The circle is complete.

Each time the circle completes itself, the severity of the condition rises, creating an incremental decline in health and an increased risk factor for serious disease. The first completion of the circle will likely result only in a slightly increased appetite. The next time around will result in cravings, likely for starchy, refined foods (often making raw foodists more tempted by cooked food). Sequential passes involve difficulty sleeping, irritability, mental fog, lack of motivation, body fat gain, lean muscle loss, visible signs of premature aging, and sickness. Each round produces a more severe symptom, on top of the previous ones, compounding the effect. If this cycle of chronically elevated cortisol levels is allowed to continue, tissue degeneration, depression, chronic fatigue syndrome, and even diseases can develop.

A healthy, sustainable whole food diet and lifestyle will be one that does not require additional stimulation through food. As a result your body will re-establish its sensory system, functioning at a healthier, more energetic level—without the cellular-damaging need for stimulation. Recalibration can be achieved by removing as much stimuli as possible for a set period.

The less stimulation a person has in everyday life, the greater impact stimuli will have on the body. This is good. It means the person is living a low-stress life, and we know the benefits of that. But there’s more to it. It also means that considerably less stimulation is needed to evoke a stress response from the adrenal glands. One of the body’s most resourceful traits is its ability to adapt. Acclimatizing to stimulation is no exception.

Recalibrating To Benefit From Small Amounts of Stimulation
Here’s an example. When you turn on a light in a dark room, it seems very bright, even though in reality it’s no brighter than usual. Similarly, when ambient sound levels are low, the body’s sense of hearing is heightened. Have you ever noticed that sometimes the phone’s ring sounds very loud, and at other times it sounds relatively quiet? The key word is relatively. Our body has the ability to adjust to much of what goes on around it.

To calibrate its sensory system, the body must decide at what level it will sense stimuli. The only gauge the body has is through the information we feed it: sound, sight, touch, smell, and taste. Its decision is based on the level at which we supply that information. If we eat a daily serving of cacao to increase our energy, it won’t take long before its effect is diminished — before one serving will no longer provide the boost it once did. It might seem logical, then, to eat more in order to get the “energy” that a single serving used to deliver. But where does this cycle end?

Our bodies are chronically over-stimulated, yet most of us don’t realize it — our bodies have adapted, but at a cost. Constantly having to climb to a new level to remain in the same place is a tough way to live, yet all too common. The way to fix this problem, to remove considerable stress from the body and in doing so increase energy, is to recalibrate the body. A healthy plant-based diet free of stimulants will serve as a solid platform.

When and How Stimulation Can Benefit You

Not all stimulation is bad or always has a negative effect. It will always result in greater fatigue as mentioned above, but depending on what it is summoned for will determine its value. When the adrenal glands are stimulated in order to achieve something that could not be done (or done as well) without this stimulation, the stress that results can be viewed as positive. Or classified as “production stress”, as I term it in my book, The Thrive Diet.

Here’s a way in which stimulation can be used to ones advantage: An athlete who has recalibrated by eating a clean diet and has abstained from all stimulating foods — including cacao — can benefit from a small amount of adrenal stimulation before a race. Drinking a cup of yerba maté (a South American herb) or eating a small amount of cacao before a race will boost performance. The caffeine in the yerba maté or cacao will stimulate the adrenal glands, thereby improving endurance and facilitating a better performance than would have otherwise been possible. This will also bring about greater fatigue within a day or two, and that’s fine. At the time of the race, the athlete simply borrowed energy from the future to fuel performance. Extra fatigue a day or two later will be a small price to pay for his elevated performance. The same holds true for those trying to get more done at work. Stimulation can enable them to achieve more in the short term.

However, if this borrowing strategy is used too often, it will lose its effectiveness and simply become another form of stress that perpetuates the cycle. To be effective, the strategy can be used only a few times a month, once a week at most, for those times when a boost would really be beneficial. Ideally, you would rarely, if ever, need it; a healthy diet that is stimulant-free will provide you energy by nourishment.
If stimulation is used when it will not help you achieve something of value, it is of no value, and as explained above, a detriment. I term it uncomplementary stress in The Thrive Diet. I consider the regular consumption of cacao a form of an uncomplementary stress. I view it as a form of credit, similar to shopping with a credit card. You get energy now that you don’t actually have, but you pay for it later — when the “bill,” or fatigue, hits. (Simply eating more cacao to put off the inevitable is like paying off one credit card with another: It will catch up with you sooner or later.) You’ll most likely pay a high interest rate as well, needing more time to recover than if that energy had not been borrowed in the first place. This is the beginning of a vicious circle.

One of the main attributes of a healthy diet should be adequate energy provided by nourishment, without the need to artificially stimulate the adrenals to gain it. This, along with simply being properly rested by getting efficient sleep (because of a reduction in stress, obtainable though better diet), will prevent a spiral such as this from developing.

If fatigue is consistently a problem  for you and you crave stimulating foods such as cacao as well as cooked foods, chances are your adrenals need nourishing back to health. The best way in which to do this is by recalibrating with basic whole, plant-based foods. A beneficial food for nourishing the adrenal glands as opposed to stimulating them is a root vegetable called maca. I include 2.5 grams of it in my blender drink each day to maintain strong adrenal function. 2.5 grams is all that’s needed and the amount that is in each serving of Vega Whole Food Meal Replacement, the formula that I developed for peak health and to recover from adrenal fatigue.

Brendan Brazier is one the world’s few professional athletes whose diet is 100 percent plant based. He’s a professional Ironman triathlete, bestselling author on performance nutrition, and the creator of an award-winning line of whole food nutritional products called Vega.

Monday, 23 January 2012

Acupressure Points in the Legs and Feet

Acupressure points on the legs and feet are used for a very wide range of conditions including digestive problems, stress and anxiety, insomnia, hot flashes, headaches, PMS, and more.

Stomach Acupressure Points

On the Stomach meridian, located 3 cun below ST 35, one finger width lateral from the anterior border of the tibia. Generally found by sliding your 4 fingers together up your shin towards the knee stopping when your hand hits the knee. The point will be one finger width from the tibia on the outside of the leg just in line with the bottom of your pinky finger, pressing where it is most tender.
¤ Uses: anxiety, depression, low energy, leg pain, low immunity.

Spleen Acupressure Points

 On the Spleen meridian, located 3 cun directly above the tip of the medial malleoulus on the posterior border of the tibia. Generally found by sliding your finger along the inside of the tibia up from the ankle about 4 fingers width and pressing where it most sore.
¤ Uses: stress, insomnia, anxiety, low energy. Do not use if pregnant.

Liver Acupressure Points
On the Liver meridian, located on the dorsum of the foot in a depression distal to the junctions of the 1st and 2nd metatarsal bones. Generally found by sliding your finger in the depression between your big toe and the second toe until you are near where the tendons meet, then press where it is most sore.
¤ Uses: anger, irritability, stress, headaches, menstrual pain, anxiety.

Kidney Acupressure Points
On the Kidney meridian, located on your sole, in a depression with foot in plantar flexion, at the junction of the anterior 1/3 and posterior 2/3 of line connecting base of the 2nd and 3rd toes with the heel. Generally found by sliding your finger along the bottom of your foot between the big toe and the second toe falling into a depression slightly below the bottom of the big toe joint, pressing where it is most sore.
¤ Uses: insomnia, palpitations, anxiety, poor memory, hot flashes, night sweats.

To book an appointment for acupuncture visit our website at www.victoriamassagetherapy.ca

Article Source: Yin Yang House
http://www.yinyanghouse.com/basics/leg_feet_acupressure_points

Sunday, 22 January 2012

The Acupuncture "Facelift" - Fact or Fiction

Have you read the service menu at your favorite spa lately? If so, you may have noticed a new and intriguing addition: cosmetic acupuncture. Cosmetic acupuncture – also known as acupuncture facial rejuvenation or acupuncture facelift - is finding its way into an increasing number of full-service spas, and for good reason. This new modality can enhance not only your physical appearance but also your overall health, giving you a glow that radiates from deep within. While cosmetic acupuncture as a spa feature is a somewhat new phenomenon, there are nevertheless centuries-old records of it being used in the service of beauty. What’s more, acupuncture’s ability to improve a variety of skin conditions has now been documented in legitimate clinical studies. Its effectiveness is no longer a question of hearsay or testimonials. Before signing up for a course of facial acupuncture treatments, however, there are a few things you should consider.

Is it really a facelift? The answer is an unequivocal no. Nor is it intended to replace a facelift. Cosmetic acupuncture entails no incisions, sutures or acid peels and it will not produce sudden, drastic changes in underlying structures. In fact, the American Cosmetic Acupuncture Association discourages the use of the term, “facelift” in connection with acupuncture, as this creates unrealistic expectations and, ultimately, disappointment. Remember, it took decades of stress, sun damage and exposure to environmental toxins for your skin to reach a state of crisis, and the damage will not be instantly undone. The remedy cosmetic acupuncture may offer is the reduction or erasure of fine lines and the softening of deeper ones. Additionally, patients may experience the firming of jowls and a reduction in the size of under-eye bags. It is not unusual for clients to report enhanced skin tone, increased energy and eyes that sparkle.

But it doesn’t stop there. Since facial acupuncture is based on time-tested principles of Traditional Chinese Medicine, a person’s overall health may also benefit. Insomnia may be corrected and weight gain may be controlled. Cosmetic acupuncture is, after all, a whole-body treatment. In the Traditional Chinese Medicine view, a person’s face is affected selectively by his or her internal organs. Facial features reflect organic strengths, and as internal organs are fortified, one’s face reflects the improvement. Besides addressing a patient’s condition holistically, the practitioner will probably work locally, inserting painless, ultra-fine needles into--and around--specific wrinkles, acu-points or muscle points, depending on the technique employed. Techniques can be Spartan or luxuriant, and practitioners will often incorporate herbal poultices, moisturizers, pulsed light or essential oils into a treatment. An imperceptible electrical current may also be passed among the needles.



By Charles Yarborough, L.Ac.
Article Source: acupuncture.com - Gateway to Chinese Medicine, Health and Wellness

Thursday, 12 January 2012

The Science of Touch: How skin is wired for touch

Compared to our other senses, scientists don’t know much about how our skin is wired for the sensation of touch. Now, research reported in the December 23rd issue of the journal Cell, a Cell Press publication, provides the first picture of how specialized neurons feel light touches, like a brush of movement or a vibration, are organized in hairy skin.
Looking at these neurons in the hairy skin of mice, the researchers observed remarkably orderly patterns, suggesting that each type of hair follicle works like a distinct sensory organ, each tuned to register different types of touches. Each hair follicle sends out one wire-like projection that joins with others in the spinal cord, where the information they carry can be integrated into impulses sent to the brain. This network of neurons in our own skin allows us to perceive important differences in our surroundings: a raindrop versus a mosquito, a soft fingertip versus a hard stick.
“We can now begin to appreciate how these hair follicles and associated neurons are organized relative to one another and that organization enables us to think about how mechanosensory information is integrated and processed for the perception of touch,” says David Ginty of The Johns Hopkins University School of Medicine.

Mice have several types of hair follicles with three in particular that make up their coats. Ginty’s team made a technical breakthrough by coming up with a way to label distinct populations of known low-threshold mechanoreceptors (LTMRs). Before this study, there was no way to visualize LTMRs in their natural state. The neurons are tricky to study in part because they extend from the spinal cord all the way out to the skin. The feeling in the tips of our toes depends on cells that are more than one meter long.

The images show something unexpected and fascinating, Ginty says. Each hair follicle type includes a distinct combination of mechanosensory endings. Those sensory follicles are also organized in a repeating and stereotypical pattern in mouse skin.

The neurons found in adjacent hair follicles stretch to a part of the spinal cord that receives sensory inputs, forming narrow columns. Ginty says there are probably thousands of those columns in the spinal cord, each gathering inputs from a particular region of the skin and its patch of 100 or so hairs.

Of course, we don’t have hair like a mouse, and it’s not yet clear whether some of these mechanosensory neurons depend on the hairs themselves to pick up on sensations and whether others are primarily important as scaffolds for the underlying neural structures. They don’t know either how these inputs are integrated in the spinal cord and brain to give rise to perceptions, but now they have the genetic access they need to tinker with each LTMR subtype one by one, turning them on or off at will and seeing what happens to the brain and to behavior. Intriguingly, one of the LTMR types under study is implicated as “pleasure neurons” in people, Ginty notes.

At this point, he says they have no clue how these neurons manage to set themselves up in this way during development. The neurons that form this sensory network are born at different times, controlled by different growth factors, and “yet they assemble in these remarkable patterns.” And for Ginty that leads to a simple if daunting question to answer: “How does one end of the sensory neuron know what the other end is doing?”

Article Source: neuroscience.com

Wednesday, 11 January 2012

Nutritional Medicine and Hydration Challenge

Everything you put into your body has an affect on your cellular function, neurotransmitters, hormone balance, immune function and inflammatory reactions.

What you eat, what you drink and what you inhale will strongly determine how you feel and ultimately your state of health both physically and mentally.

Eating a healthy diet is not about deprivation or restriction - it is about nourishing your body so that you have massive energy, abundance and vitality.

Clinical nutrition is the cornerstone to long term disease prevention and management. If you have trouble with weight, allergies, indigestion, Celiac disease, chronic headaches, eczema, low energy, thinning hair and nails, blood sugar fluctuations or cardiovascular disease then you need to make a commitment to long-term dietary changes.

The most common pitfalls include:

  • Lack of fiber 
  • High sugar intake and sugar addictions
  • Food sensitivities
  • Poor hydration
  • Lack of veggies
  • Lack of quality, balanced protein
  • Lack of beans and legumes
Feeling your best and looking your best is not about a fast or a quick fix detox - it is a lifestyle commitment. How you choose to eat becomes part of your identity, because it shapes how you feel, how you interact with others and what choices you make on a consistent basis. 

Most often, I see people stuck in a routine. They have an idea of what they need to focus on changing, but day in and out they resort to the old comfort foods for a variety of reasons (habit, taste, preparation, family, lack of time...). Identifying obstacles to change is a major part of establishing better nutritional habits.

WEEKLY HYDRATION CHALLENGE!

  • Drink 1 full glass of water (any temperature) when you wake up before anything else.
  • Eliminate all liquid calories from your diet. No juice, no pop, no diet pop, reduce all alcohol!
  • Reduce coffee intake - try for 1 small in the morning if you must and tea in the afternoon. 

Get expert advice from health care practitioners who not only have training in holistic nutrition but also apply these principles to their own lives. Don't wait to take control of your health and change your life!

Dr Carrie Watkins, Naturopathic Physician
Victoria Massage Therapy and Health Solutions
250.590.5221
www.victoriamassagetherapy.ca

Wednesday, 28 December 2011

About Therapeutic Massage

Therapeutic Massage

Registered Massage Therapists in BC have the highest level of training in orthopedic and postural assessment, treatment techniques and rehabilitative exercise in North America. At Victoria Massage Therapy we have extensive experience with post MVA injuries, sport injuries and overuse injuries.

Therapeutic massage is used to treat a wide variety of ailments, such as headaches, chronic mucle tension, tendonitis, carpal tunnel, plantar fasciitis, sciatica, knee pain, low back pain, whiplash and more. We use specific postural and orthopedic testing to pin point the cause of your pain. Both chronic and acute pain syndromes can be treated using techniques like myofascial release, trigger point release, muscle energy technique,deep tissue, swedish massage and more.
 
A customized treatment plan can be developed to alleviate your symptoms, address any underlying causes (like poor posture and lifestyle habits), and prevent your symptoms from returning.

Thursday, 22 December 2011

Lower Back Pain

"Individuals under 45 years of age complain more about low-back pain than any other condition. Eighty percent of the adult population will experience low-back pain at least once in their lives, and five percent of these will develop into a chronic condition. Low-back pain accounts for 25% of lost work days. "(American Council on Exercise)

There are many causes of both acute and chronic lower back pain. Correct diagnosis and early intervention are critical. Using specific orthopedic testing, postural and lifestyle assessment, the exact cause of your pain can be determined and treated.

Symptoms of acute (sudden onset) lower back pain typically include sharp pain, dull achy pain, muscle spasms and sometimes sciatica. The pain may be generalized to the whole lower back and gluteal area, or it may be specific to one spot. Sciatica is impingement of the sciatic nerve causing sharp "nerve pain" that radiates down the back of the leg and sometimes paraesthesia (numbness). The sciatic nerve can be impinged in several areas; where it exits the vertebral column (at the spine), where it exits the sacral foramina, or under the piriformis muscle (gluteal muscle). These symptoms can also indicate a herniated disk, therefore it is very important to determine the cause as soon as possible and before any treatment is recommended. Acute lower back pain can usually be linked to some recent activity like lifting a heavy object while rotating the spine, a fall, an MVA or playing high impact sports.

Symptoms of chronic lower back pain include dull, achy pain that can be unremitting or comes and goes. Chronic conditions develop from acute conditions that were never treated properly and didn't resolve. Chronic conditions are highly susceptible to becoming acute again due to re-injury. Some people's symptoms will last months, years or a lifetime if never addressed.
 
I have personally experienced acute and chronic lower back pain. I grew up in Red Deer, Alberta where we had outdoor skating rinks at all the schools in the winter. When I was in the 4th grade, so about 9 years old, my P.E. teacher (Physical Education) had our class playing Red Rover on ice skates. I was "clothes-lined" when I hit the other teams arms and slammed into the ice very hard. I severely bruised my tail bone and was knocked unconscious. For years after this incident I suffered with recurring spasms in my lower back muscles and constant aching pain. My M.D. prescribed pain killers and muscle relaxants and recommended I go for chiropractic, which helped, but never really solved the problem. I think that at the time I could have used an RMT and a physiotherapist as well.

When I was about 15 years old I started doing Pilate's on my own from a VHS tape. My motivation was entirely vain; I just wanted to look good in my bathing suite that summer. I had no idea at the time that strengthening my core muscles, stretching my back muscles and mobilizing my spine would resolve my lower back pain. Now that I'm a medical health care professional I'm astounded that this was never recommended to me by any of the practitioners I was treated by.

In a way I'm thankful that I had that experience. When patients come into my clinic and tell me about how hard it is to get through every day with the pain, I know exactly what their talking about. I've been there. I was there for nearly 7 years. I know about being restricted from doing the things you love. I know about laying in bed for days, pumped up on anti-inflammatory's and muscle relaxants. Alternating the hot water bottle with the ice pack and dreading having to get up for any reason.

Disc Herniation
Image from Wikipedia
As an RMT (Registered Massage Therapist) I treat both acute and chronic lower back pain on a daily basis. The first thing I look for is any indication that a lumbar disk may be herniated. A herniated disk is when the more viscous inner part of the disc, the nucleus pulposus, protrudes through the fibrous bands of the outer layer, the annulus fibrosus. The protrusion puts pressure on the nerves exiting the spinal chord causing pain. There are a set of specific orthopedic tests that can confirm or deny that a disk may be herniated. If I conclude that this might be the case I recommend the patient get an MRI to confirm the diagnosis. The treatment plan for a herniated disk is very different from a strain, alignment problem or overuse injury.

The next thing to check for is an alignment problem with either the hip girdle or the lumbar spine. If a joint is out of alignment, the tissue around it will tighten up and sometimes spasm. You're body is trying to protect the injured area, but it certainly doesn't feel good. Mal-alignment can be caused by an infinite number of daily activities like sitting with the legs crossed or stepping off a curb unexpectedly to lifting and twisting. Sometimes you will feel or hear a pop at the joint, and sometimes not. The pain can set in immediately or later, even up to 24 hours later.

Alignment problems can also be due to muscle imbalances. A hamstring strain can cause the injured muscle to heal in a shortened position and therefore not allow the iliac bone to move properly while walking/running/sitting/etc. Or the iliopsoas could be tight and shortened from prolonged sitting on a daily basis, pulling the lumbar spine more anteriorly.

When one or both of the sacroiliac joints (S.I. Joints) slip out of alignment it can cause muscle spasm, local and radiating pain, sciatica, etc. The S.I. Joints are located between the sacrum and iliac bones on either side of the sacrum. The iliac bones join at the pubic symphysis. These bones make up the pelvic girdle. The iliac bones and sacrum shift anteriorly and posteriorly on each other when walking, sitting or standing. When they shift too far or stick, this is called a mal-alignement. In most cases a very simple alignment correction exercise will fix this problem. RMT's use Muscle Energy Technique to manipulate the alignment of the joints of the body. This technique is a great alternative to chiropractic, as it doesn't involve any high velocity thrust and is considered to be more gentle, though just as affective. (I'm not against chiropractic as a therapy. I personally believe that it has many great uses. I'm simply saying that there are alternate ways of achieving the same result. I encourage my patients to use a combination of therapies. I have a chiropractor that I see regularly and he helps me immensely.) If the underlying alignment problem isn't addressed, it won't matter how many massages the patient has because the area will not release due to the reflexive protective tension I mentioned earlier. At the same time, if the tension in the surrounding muscles and fascia isn't released with massage and stretching, the joint can be pulled back out of alignment. At this point we would be at square one again.

My approach is to look at the body as a whole and treat it the same way. A hypothetical treatment plan for this person would include Muscle Energy Technique, Myofascial Release and Deep Tissue Techniques to the surrounding area (QL's, Erector Spinae, Lats, Glutes, Hamstrings, and possibly the Quads, Adductors and Psoas if indicated.) We would assess their posture and lifestyle, looking for specific red flags that could have lead to their present situation. Some of those might be cycling to and from work every day and sitting down at their desk without stretching and cooling down properly. This allows the muscles of the legs and low back to cool down in a shortened position, leading to muscle imbalance. I would recommend a regular treatment plan to ensure recovery is complete before discontinuing treatment of the patient.

I would also build a home-care rehab exercise program for this person. It would include stretches for the tight muscles (most likely the hamstrings, psoas and QL's), and strengthening exercises for the weak muscles (the core abdominal and back muscles). Postural retraining would also be implemented. Some patients make the mistake of not taking the exercises seriously, especially when they feel better after their treatment. They think the problem has been fixed and there's no need for the exercises. It's the biggest mistake people make and it's why they end up coming back into my office a couple months later with the exact same problem. The reason is simple and makes sense. The person's lifestyle hasn't changed and they're doing the same things that caused the problem in the first place.

The exercises are compensations for an imperfect lifestyle, which most of us have, including myself. Being an RMT is very, very hard on the body and I have to do my exercises, just like everyone else, in order to stay fit and healthy. I still have to work on maintaining my core strength, stretching my back muscles and mobilizing my spine. If I don't, all my symptoms come back. In most cases, explaining this to people is enough to make them realise they have to commit the time and effort to themselves in order to stay pain free. I always ask people to be honest with themselves about whether they are going to do the exercises or not. If not, I recommend they see a physiotherapist or athletic therapist on a regular basis and get them done there. It's a set time and place for that purpose only and it works for those people.

There are many causes of low-back pain and many options for treatment. As a patient you want to make sure your therapist addresses everything from posture and alignment to muscle imbalances and lifestyle. There's no need to suffer,  whether you have an acute injury or have had chronic pain for 20+ years. There is a reason for it and a solution.

K. Thompson, RMT