Gardening needn’t be a pain in the neck … or the back!

  As well as being a keen gardener myself since childhood, I have been treating gardening injuries for over twenty years… and I have never yet told anyone to stop gardening. But you can make life a lot easier for yourself, particularly at this time of the year when the emphasis lies on tidying up and getting things ready for the winter. So here are our team’s top tips for pain free Autumn gardening:



 

First up LOOK AT WHAT YOU'RE USING

·   Buy light aluminium tools
·   A fist and arm support can be added to handles to help lifting
·   Ensure the handles of rakes and brooms are long enough for you not to have to bend at the     waist and to keep your back straight when working
·   Use a long handled dustpan and brush to avoid bending
·   Keep the cutting edge of tools SHARP – and that includes spades, hoes and bulb planters


 

Secondly, THINK before you start side-on activities such as RAKING or SWEEPING

·    Use a light aluminium rake or broom
·    Do some gentle warm up stretches
·    Work in short bursts
·    Keep hips and shoulders moving towards the work
·    Do not twist your back
·    Avoid bending at the waist by stepping forward with one foot and bending slightly at the knee, allowing your upper body to stay upright in a partial lunge 

 AND

·    Ask yourself whether you have to rake at all? 










Whereas leaf mould is a fantastic resource for any gardener, leaves also make great compost, particularly when mixed with grass clipping so why not collect leaves in the grass box of your lawn mower?

 If you haven’t got a compost heap, simply leave the grass box off your mower and allow the mower to chop up the leaves. Worms will soon pull them underground and the leaves will add nutrients to your lawn … but remember mowers can be bad for your back too – so stand directly behind your mower handle with a straight back and hands resting evenly on the handles. 

WHEELBARROWS can be a gardeners best friend IF THEY’RE USED CORRECTLY

·    To avoid hand, back and arm strain do not overload wheelbarrows
·    Stack evenly with the heaviest load over the wheel
·    Keep your back straight while lifting and pushing
·    Rather than lift heavy objects in and out of a wheelbarrow, use a sack barrow instead.

 

FINALLY, if things do go wrong, remember help is only a phone call away at our friendly expert treatment centres. 

 

The South-West is a Great Place to Live … Particularly if you’re a Chiropractor

I remember the first time a came to Somerset I was impressed by the rolling landscape (at the time I lived in Norfolk!) and just how green everything was (three times more rainfall that Norfolk!!).

I moved here twenty years ago and it has been a truly wonderful place to raise a family … but until the British Chiropractic Association published new research into the state of the Nation’s backs, I

had no idea as to the extent to which the South-West topped league tables for suffering in this regard – and what a good place it was to work in restoring backs to normal function.

More people suffer from back pain in the South-West than in any other part of Great Britain – amost half (47%) of the people surveyed reported that they were currently suffering from back pain, compared with just 40% in the South-East.

And the life style in the region appears to be largely responsible for the epidemic: whereas the top trigger – lifting or carrying heavy objects – afflicts fewer than half of London sufferers, it causes pain for 60% of those in the South-West, more than any other part of the UK.

And it’s a similar picture for the second most common cause, prolonged sitting with just over a third of Londoners adversely affected compared with over half of South-Westerners (52%) – once again topping the Nation’s league tables.

So our local population is more likely to need a chiropractor than anywhere else in the country … good news for us at least and would explain why, in the last 20 years, we have expanded from a single clinic with one chiropractor to a chain of clinics with up to half a dozen chiropractors treating over 500 patients every week.

But don’t despair – there’s plenty you can do to help yourself – first of all let’s deal with those top two triggers for back pain:

• Lifting and carrying: Remember to bend from the knees and not the waist when lifting heavy items – you should look like a downhill skier and not a ski jumper. Face in the direction of movement, and take your time. Hold the object as close to your body as possible, and where you can avoid carrying objects which are too heavy to manage alone, ask for help or use the necessary
equipment.
      

• Take a break: When sitting for long periods of time, ensure you stand up and move around every 30 minutes. When at work, also make sure your desk is set up to support a comfortable position. This is different for everyone so if you don’t feel comfortable in your current set up, try altering the height of your chair or screen.

And, if you want to get proactive, the British Chiropractic Association has created a programme of 3-minute exercises, Straighten Up UK, which can be easily slotted in to your daily schedule to help prevent back pain by promoting movement, balance, strength and flexibility in the spine.

If, however, you have pain for more than a few days you should seek professional help. 

All our chiropractors are university educated to Masters level and belong to the Royal College of Chiropractors, who set standards of excellence for management of low back pain. 

So, if you want professional help you to get moving again without pain, help is just a phone call away on 01935 423138 or you can find all our clinics’ contact details at http://www.yeovilchiropractic.co.uk

So how many bones ARE there in a human foot?

Those of you who participated in our Facebook teaser may wonder why totting up the number of bones in the picture didn't automatically equate to a correct answer (26).

If you open a basic anatomy textbook (or Google the question 'how many bones are there in the human foot' then this is, indeed, the answer you are likely to get:

• Seven tarsal bones (Medial, intermediate and lateral cuneiforms; cuboid, talus, navicular, and calcaneus).
• Five metatarsals
• Fourteen palanges – the big toe only has two, the other toes have three (actually to an embryologist, they all have three: the medial cuneiform starts life as a metatarsal; the navicular, which forms the keystone of the longitudinal arch, as a cuneiform and the metatarsal in actually an elongated proximal phalanx).

Total 26.


However …

This ignores the fact that othopaedists will also include the fibula and tibia which are functionally part of the foot, being connected to it by the medial and lateral collateral ligaments – the ones you sprain when you twist your angle.

So that's 28.



Or the fact that the majority of adults have two additional sesamoid bones underneath their big toe, like miniature kneecaps.

So that's 30.




However …

These bones can commonly be bipartate, that is formed in two parts – so that makes 31 … or 32 – and other bones can also be formed in two parts.




However …

There are also dozens of of other, less common, anatomical variants including up to twenty other sesamoid bones, of which the most common is the os trigonum followed by other sesamoidal toe bones.

However …

You can also have extra bones – particularly toes (Anne Boleyn famously has six toes and fingers – and a supernumerary nipple – which helped fuel the assertion she was a witch). Extra toes can form in several ways, with a variety of extra bones forming.




And finally …


You are actually born with just 22 bones in your foot. Several of the tarsal bones are still just cartilage  at birth that gradually develop into bone as you grow over the first decade or so of life. So children have fewer bones initially; however, some bones have more that one ossification centre, which makes it appear that, at some points in time, they have more than 26 bones … or 30 bones … or (my favourite answer), "lots".

Thanks to all who took part.

My shoulder pain isn’t getting better … That’s because it might no be coming from your shoulder!!

As with so much in life, clinical routine has its seasonal features: the overindulgence accident at Christmas; the gardener’s back in March after a winter of inactivity – most of these problems have an obvious cause an effect but there is one problem that strikes every autumn … and nobody is quite sure why.

Ask a chiropractor how they know when autumn has arrived and they will tell you it’s the sudden influx of patients with ‘shoulder’ pain – instead of half-a-dozen per week, suddenly it’s more than half a dozen every single day. 

Theories as to why range from the ‘cold wintery draught on warm skin’ to the effects of rapidly changing day length on serotonin levels, though no theory has yet been proved (it’s not a well-researched subject). What is, however, seems quite clear from clinical experience is that most of these seasonal symptoms are not shoulder pain at all!

If the pain is across the top of your shoulder or between the shoulder blade and the spine, then the chances are it’s coming from your ribs. Patients often look slightly sceptical on being informed that their ‘shoulder’ pain is coming from their costal joints (the joints between the ribs and the vertebrae) – “surely my ribs are in my chest?” they say.  In fact, the top rib actually joins with the base of the neck and acts as an anchor for some of the big muscles that run up the side and back of the neck (which can often feel as if they’ve been ‘pulled’ or ‘cricked’ if the underlying rib is injured).  You can easily feel your top (first) rib, it’s the bony lump you can feel at the base of your neck just behind your collar bone … that’s how high they go.

By comparison, most pain that arises from the joints and muscle of the shoulder is typically felt at the top of the arm. either whether the rotator muscle pass under the collar bone and attach to the arms or coming directly from the joint between the collar bone and shoulder blade or from the cartilage, ligaments and synovium of the ball and socket joint.

The other things patients often complain of is that – unlike ‘true’ shoulder injuries – they’ve no idea how they’ve done it: it just “came on gradually”, or, more commonly, they “woke up with it”.  That’s because the inflammation in the small joints between the ribs and the spine builds up slowly over several hours, so its not the injury (often from lifting at arm’s length) that hurts, it’s the body’s reaction hours later.

So, if you’ve got a intense ache across the top of your shoulder or feel there's a knife in your back just inside the shoulder blade, then you’re probably suffering from costovertebral syndrome, colloquially known as a ‘popped rib’ … and you may well be suffering: it can be one of the most painful of conditions;  fortunately, it is also one of the easiest and quickest for chiropractors to treat, with recovery often in days. 

There's also something you can do to help yourself if you’re suffering from seasonal shoulder symptoms, use an ice pack (or wrap some frozen peas in a tea towel) and apply for ten minutes or so every hour (that will reduce the inflammation), then pick up the phone and ask one of our chiropractic experts for confirmation that it’s your ribs and not your shoulder that are the source of the trouble.

How to avoid Christmas being a pain in the …

Of all the clinics of the year, the ones immediately after Christmas are the one that stirs the most emotions.  Although we’re used to a wide range of presenting complaints, the ones following the season of festive brouhaha, are often the most bizarre but often reflect how a family’s seasonal holiday was ruined by avoidable injury.

Most existing patients are rightly keen to prevent this, which is why the December patient lists are groaning at the seams as people book for ore-Christmas check-ups or finally resolve to fix the niggles that may have been mothering them for days, all to be right for the Big Ho-ho-ho.

So what steps can you take to avoid musculoskeletal misery over Yule tide?

• Don’t stress yourself out.  Christmas is often a time that we spend with people we feel we ought to rather than people we want to – and emotional stress causes muscular tension far more often that it puts your blood pressure up. Plan to be cheerful and polite but build in some solitude time so the effort doesn’t have to be constant: anything from a soak in hot tub to testing out the kids’ new headphones.

• The one thing we all tend to do more at Christmas is be sedentary – be it standing for hours peeling the sprouts or slumped on the sofa watching Downton Abbey. Prolonged standing and sitting are both bad for the spine, so vary your position and take every opportunity to move about, preferably before it starts to hurt!

• When we do finally decide that we’ve spent too long indoors, what do we do?  Go out for an over-ambitious Boxing Day family ramble with no thought as to how far each member of the group might be able to walk comfortably, and often we chose places that are guaranteed to cause backache: walking on broken surfaces such as shingle beaches or through thick mud will often trigger low back problems – the key rule: little and often beats seldom and long!

• Most people’s Christmas includes a tipple … or three.  But if you don’t want it to lead to injury, then DO mix your drinks: intersperse an alcoholic drink with a soft one, and put a glass of mineral water next to your wine on the dining table (as all #5steppers know).  Alcohol induced injuries include falling asleep in awkward positions, muscular dehydration and falls.

• The final danger – and one that often strains the physician’s straight-face – is the over-exuberant unaccustomed activity. Every year we see uncles who thought they could beat their niece at Twister; Wii-induced Granny pains from the expectation that they could play living-room tennis in the same way as they did the real thing half a century ago; pulls, twists and sprains from over-ambitious romance gone wrong (you don’t have to lift someone off their feet to kiss them under the mistletoe) and no Dad should be allowed to dance after more than 5 units of alcohol (if at all).

… and finally, when you’re lifting the turkey out of the oven – bend your knees!

How Can You Have Road Rage If All The Roads Are Shut?

The Americans of course have a word for it; unfortunately, it’s a rude word so I’ll allude to it directly only the once: ‘Clusterf*ck’ (herefter emphasised to ‘CF’).  

So what is a CF? I’m so glad you asked: a CF is where you do something really, really stupid and rather than say ‘that was a bit daft’, you try to fix the problem … which makes it worse.  Then, through a dogged mixture of pride, stubbornness and sheer bloody stupidity, you try to fix that problem too … which makes things even worse but by now there’s no going back so you carry on and by this time usually your house has been burned to the ground, your business bankrupted or, in the case of Yeovil, the traffic gridlocked to the point where everyone goes to do their shopping in Sherborne or Dorchester.

Some fifty years ago, councillors decided that putting a bypass round the town would be far too conventional and also stuff their chances of a local game of golf and so, with great foresight and no self-interest whatsoever, elected to put it through the middle of town instead, at once ensuring Yeovil was cut in two; became dirty, noisy and smelly; and frequently gridlocked by the simple fact that, at several points, two lanes merge into one, thus causing turbulent, chaotic flow as soon as the traffic volume reaches a certain point (can you tell I used to be a physicist?).

Since then, the traffic department (now conveniently situated out of town and staffed by people who don’t actually have to drive in Yeovil), have been convinced that they are just one simple fix away from solving the problem: a new set of traffic lights, a one way system, a mini-roundabout – this, ladies and gentlemen, is a CF: so much so, that it is now, I am reliably informed, highlighted at at least one American University as the classic example of CF in town planning.

The latest futile attempt consists of three months of blocking both western approaches to our clinic (and pretty much the whole of Yeovil) in order to put some traffic lights on a roundabout.  As a daily commuter down Hendford Hill, I agree the system does’t work – particularly during school time when the queues are three times as long.  Anyone who drives in Yeovil could tell you that … which is why the Taunton-based County Council decided to start the work on the LAST day of the Summer Holidays!

Having driven past yesterday evening, it was nice to see that, after four days, they’d managed to break up some tarmac.  Nobody was working of course; the idea of overtime during the daylit evenings or weekend working to speed through the paralysis of the town not having occurred to anyone who doesn’t actually have to come to Yeovil: it is, after all, only the A30.