Osteopathy

Understanding the Vagus Nerve: Myths vs. Facts

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Stressed? Tired? Anxious? Run down? Digestive issues? Just not feeling the spark in the bedroom? Perhaps your Vagus Nerve needs resetting!

Or so many practitoners will try to persuade you. And of course they will share the secrets of their protocol for only 10 dollars and your email address.

Fact: The vagus nerve is the 10th cranial nerve, and one of the only ones that leave the skull to travel around the body (Vagus – Wanderer – Vagrant). In the case of the vagus nerve, it heads down the neck, outside of the spinal cord, and acts as the parasympathetic highway, adding control to the heart, digestion, major solid organs and even your response to inflammation.

So yes, if you are experiencing a huge variety of issues, then the vagus nerve is likely to be involved, especially if there is a psychological component.

However. A vagus nerve reset isn’t a secret protocol or a mystic trick, and it may not make all those issues go away, especially if you haven’t actually made a start at dealing with the underlying issues leading to them.

Want to reset your vagus nerve? Do anything that relaxes you. Breathing exercises, meditation, gentle rythmic exercise. As long as its not excessively stimulating and you enjoy it, it’ll work.

Some research also shows that there is a relationship between heart rate variability and the vagus nerve, and that asymmetric breathing (short nasal in, long pursed lip breath out), can help this.

When you look at it closely, most of the online information regarding resetting the vagus nerve is actually long term lifestyle management, with a funny hat. Change your diet, control your stress, exercise and train in a manner that supports your health. And most importantly, breathe.

Simple, cheap, effective.

And of course, always consult an expert when considering such things, to make sure that you are solving the correct problem.

On: failure

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If you try to do too much in one go, you’ll fail.

You’ll fail because change requires effort and energy to sustain and you only have so much of it to go around.

Getting up earlier requires going to be earlier. But you can’t do that if you have commitments that keep you busy.

Cleaning up your diet requires knowledge, planning, effort.

Going to the gym is bullshit. I love gyms, they’re generally my safe place, but they are not the panacea sold by fitness grifters. Gyms are a place of effort, learning, painful self reflection. Go when you are ready for the lesson and can take humility in your kitbag.

Meditation and mindfulness are not solutions, they’re tools. If you can’t accept the dancing monkeys in your head, you’re not going to want to spend any time with them.

And after all that negativity?

Get rid of something. Less is far easier to manage than more.

Stop drinking. Stop smoking. Stop scrolling. If you can’t, accept you might have an addition issue and ask for support.

Walk more, drive less.

Throw out something from your house. It’s almost certainly clutter and there’s a probability someone else could benefit.

Positive deeds are loops. One feeds another. Make space for positive things.

We can offer some of this support.

An exercise review. A safe space to work through basic coaching issues, treatment to give your body space in itself to heal. A motivating kick and gentle reminder that being human takes effort but is worth it.

But make space. Do less, just do less better.

Be kind, be curious.

Flow and glide

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To move smoothly, all your tissues need to flow and glide. If they cannot, or do not, then the body will attempt to compromise. And eventually, it can fail. This leads to restriction, pain and immobility. Which can of course create a viscious circle of reduced ability.

What can cause changes in the glide? Joints we all sort of understand. Pain, swelling, inflammation and instability will lead to changes around that joint. But the soft tissues can also experiene those, leading to a conceptual stickiness, where tissues simply don’t want to move over each other smoothly. Some stickiness can be temporary, some can be more permanent (scarring), but stickiness within the system can lead to drag on the tensegrity, reducing the adaption capabilities. This is why you can see limitations in the shoulder and find the solution in the ankle, why mobility exercises that improve tissue range of motion can reduce pain globally, and why it is sometimes so hard to achieve complete resolution in a presentation. You haven’t dealt with the underlying lesion.

The thing is, trying to get your head around this is only the first element of treatment. and it can be particularly difficult, to detach from the description and go looking, or listening, to where another problem lies.

Treat close, check the chain, look at the centre, improve the chain, repeat.

Fluid

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We are 60 -70% fluid. It flows in our blood vessels, squeezes round the lymphatic system, cushions our joints, sits between our cells and keeps us moving.

Yet we rarely use fluid movements when we move. We rarely think about it when we stretch, exercise or train. We almost never consider the effect of movement on the fluid flow, how we pump that precious ocean around us.

And most of the time that’s fine, the body will manage itself ok, it has done for years.

But maybe, being present and considering fluid might add an extra dimension.

When stretching, imagine the tissue being squeezed like a sponge, and allow a fluid pump to take place. When mobilising joints, hold that synovial fluid in your mind and feel it cushion, protect and lubricate. Give time in each position for the fluid to flow, in or out.

And be fluid in your movement.

On: Bowls

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Imagine, if you will, 3 bowls. These bowls are inside you, one stacked above the other.

The first is your pelvis. Already described as a bowl, it supports and holds all above it.

The second is your diaphragm. Separating the organs in your chest from the organs in your abdomen, it forms the top of the abdominal cylinder and should move gently as you breathe.

The third is in your upper chest, at the top of your lungs and about the same level as your collarbones.

This being a conceptual experiment, fill them with water. Then, think about the way you are standing or sitting. Are those bowls going to overflow? Is the water going to run out of the front, the back, even the sides?

Stand easily if you can, weight distributed in the centre of your feet. Soften your knees and ankles.

Then, come up to the pelvic bowl. Tilt it forwards and backwards, until you find the centre, neutral position.

For the diaphragm, you can feel if it is forward or backward and correct.

Ditto the shoulders. Allow them to open, don’t force, allow. A subtle external rotation and lengthening of the clavicle.

Once reflected and considered individually, check in again with all three.

This is probably one of the quickest ways of achieving optimal posture smoothly, balance the bowls, check how they move when you breathe and then, get on with the business in hand.

Of course, if you need help balancing the bowls, can’t find a neutral position or are struggling to fix it in any other way, please book in, we are happy to help.

On: Gravity

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We exist in a gravitational field. You may not appreciate it for the most part but it has influenced your evolution for the past few billion years.

What we don’t tend to do it treat clients or patients in the appropriate gravitational plane. We barely even consider it.

And yet we wonder why we sometimes don’t have the success that we want when resolving issues.

We assess and examine while the patient stands or sits, then lie them down for our convenience.

Instead, why not examine and treat them in the plane that leads to dysfunction. This may lead to insights and interventions apparently disconnected from the presentation but linked and required.

Swimming problems? Standing exam is fine, but clarified in prone, sidelying or supine. Running issues? Listen to the body then treat sitting at the very least. Lower back pain? Get the patient to demonstrate relieving and exacerbating positions and listen, then apply your skill.

Want to create a relaxing outcome, then perhaps removing gravity is a good thing, unloading the heart and helping the lymphatic and venour drainage systems work effectively. But for more active therapies, it may be that following the gravitational field is a good idea.

Using gravity may well offer that differnce that can improve your practice.

Using gravity to change the relationship of the patient can pay dividends.

On: teaching the basics

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Following a conversation post training, I was pondering on knowing the basics. We so often absorb information and forget that, for many, the things we are talking about is brand new.

For example, the reasoning behind certain elements within a coaching program may be to access fast twitch or slow twitch fibres, depending on the desired outcome. For those who don’t do physiology, these are the different fibres within the muscles that have different properties and roles and require different inputs from a training plan.

Similarly, when we are providing therapeutic interventions of any form, the client almost certainly doesn’t have our background, or training, so you one may need to provide education under the radar to allow them fully informed consent. This also helps you by working through the elements of the treatment, which can further reinforce your technique and skill.

So, as a client of any practitioner, I encourage you to ask questions if you don’t understand something, so that the understanding can spread and grow.

On: Training

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You’ve been in the gym, in the pool, or on the road. You’re turning up, putting in the hours. And yet, you’re not improving. The weight isn’t shifting, the personal bests are not rolling in, the same old faces as the same competitions still shake your hand, the race finish time is about the same as last year. You can’t actually do more miles, or lift more weight, as other commitments would suffer, and you’re on the cusp of overtraining.

Frustration abounds.

But…. are you training or exercising? We can too often convince ourselves that we are training, simply because we are going through the motions and turning up. The difference? Exercise is exertion, training is progressive overload with rest and retesting points. Fitness posers exercise, gym bros exercise, older people in village halls exercise. Exercise is good, its vital to positive health, but past a certain point it won’t necessarily lead to the changes you’re wanting.

However.

Perhaps there is another way.

Take a break. A few days off, or if that sucks mentally, a few easy days. During that time, define some baseline movements that matter to your discipline. A defined distance for running, swimming or cycling. A set of lifts that matter, a benchmark workout.

Then go for it. Have a test week. If you can’t measure it, you can’t manage it, and if you can’t manage it, you can’t improve it.

See how good you are, push it and draw a line in the sand. Go far, go fast, go heavy.

Take the results, sit down, with an expert if you can, or yourself and a pad if you have a good training knowledge.

You can always get stronger, improve mobility, hone skill, but then look honestly at what you’re good at, what you need to improve, then broaden the scope. Actively look for the weaknesses. Can you improve your nutritional base line, your sleep, your recovery?

Write a plan, stick to it, record, then in 6 weeks, do it again.

You will get better.

Maybe, finally, your power to weight ratio will improve, your 5K time will crack the that precious mark, your bear complex will get better.

Test, reflect, plan, execute.

If you find mobility is an issue, an injury doesn’t respond to rest, you want some nutritional guidance, or another expert opinion, then come see us. With over 20 years therapeutic experience, 30 years of practical involvement in sport, and a unique perspective on life, we may be able to help.

Onwards.

 

What cost fitness?

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What cost fitness?

Occasionally, people complain about gym prices, the cost of personal trainers and kit.

Only occasionally though. Because if you understand the value, you wouldn’t complain about the cost. Other than kit. There’s always a new shiny toy to try, and past a certain point, none of which will really improve your performance.

If you’re stronger, you’re less likely to die early, unforeseen events excepting. If you’re fitter, you are more likely to survive a hospital admission (being admitted to hospital is really bad for your health). If you’re healthier, life seems easier, because you have a greater capacity for stress.

Now, fitness is different to wellness. Wellness is a never-ending feast of rubbish, where a huge number of people, both honest and exploitative play. You might benefit from a yoga and meditation session (both are demonstrably good for you), but you don’t need yoni steaming and jade eggs. And you certainly don’t need to spend 300 pounds on any of them.

Fitness is far more measurable and relatable.

At the most basic, you need nothing more than you already have to improve your fitness, other than knowledge.

However, if you know nothing, then the next step is to ask an expert, or at least a professional. This is where gyms, trainers and such come in.

Do not ask the internet, as you have no filter on what is good or bad. As an internet guru, I could tell you to do 5k every other day and 50 burpees for breakfast but if you’ve got a medical condition, or an injury, or the most exercise you take is picking up the remote when you turn off your laptop after working from home all day, then I may actually kill you. Unlikely, but possible.

Instead, find someone you can have a conversation with, who can answer pertinent questions and give you honest answers. You may need to pay for their time but hey, you wouldn’t ask your next door neighbour to help fit a kitchen unless they are already skilled in it.

If you can’t afford that route, then go to the library and read a book. Lots of fitness people have written books and at least they’re relatively validated. And the walk there is a good start.

So, to loop back to the start, pricing. A gym has significant running costs, a personal trainer is not working 40 hours a week and is self employed. In the end, it is a return on investment question “am I getting out what I am paying in?”

As an example, a local CrossFit box charges £75 per month for 3 sessions a week. But for that you are getting equipment, expertise, time, and a quality environment. A local council gym may charge £30 a month, but you won’t be getting the expertise and programming, so you’d better know what you’re doing on your own (hint- that 12 reps/3sets on each machine will rapidly lead to plateau and boredom).

How does this tie in to us? We are professionals. We treat injuries, and have over 20 years of working with people. We coach, and work with trainers who actually care and understand their jobs.

If you want to live longer, healthier and perhaps even happier, come talk to us.

The first step is the hardest, but the most rewarding.

On: The basics

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As practitioners of any form, the more experienced we get, the more tempting it is to forget the basics, and yet, most problems can be resolved with techniques we learned when we were first studying.

Hopefully, we can apply them with more finesse, and refined judgement, but generally, the basics remain true.

  • Structure and function are reciprocal and related
  • We are the product of our environment
  • The body has the capacity to heal itself, given the correct inputs
  • The body wants to maintain a stable state
  • Movement is a hierarchy

If we, as practitioners, reflect and apply these to every patient we see, we can know whether to treat or refer, where to focus our attentions, and if the person is following the recovery path that we would expect, given what we know.

And then, we will have an outcome that, if not what the client expects, is more likely to be what they need at that point.