Health

On being a god

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So you want the body of a god. Pick your pantheon. Greek, Roman, Norse. All images are interpreted by artists and storytellers, so what you’re actually wanting is the body that a painter, sculpter or mosaicist created to symbolise their desires. I wanted the body of a god and got Dionysis.

Anyway, god, or goddess, it is.

First, to be like a god, live like one. Perhaps without the destruction and disinterest in the humans, but in other ways, train, sleep, eat like a goddess.

The norse gods would have had fish, grains, meat, washing it down with beer (mead is for celebrations). The greek or romans? Fresh fish, fruits and vegetables, olives, breads, cheeses. What you put in, is what you get out and eventually the body composition will follow the diet.

The one thing none of the diets would had would have been confectionary (other than sweet cakes, ambrosia and dried fruits), and processed foods.

As for training, for the greeks, lots of running, throwing, lifting (think olympic disciplines). The norse, heavier lifts, walking, hunting and rowing. They created their gods from what they knew.

To be like a god, first live like one.

What has any of this got to do with a sports injury clinic?

Firstly, I firmly believe that we forget the basics to follow the latest trend or fad. Secondly, we are what we consume. Thirdly, even the gods needed help and support sometimes and having an expert at your side when you go on the journey is a good thing.

We can offer nutritional reviews, training and planning support and treatment for those injuries sustained in the cause of achieving your goals.

On: Finding the one thing

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Sometimes it takes only one thing to start the rock rolling, the pebble that is stopping the landslide of success.

Sometimes, once you find that one thing, everything else falls into place and it becomes brighter, easier, smoother.

However, finding that one thing is very difficult, as it is different for person, goal, and phase of life.

And sometimes, it doesn’t matter what the thing is, as starting anything can help.

Maybe you want to lose weight for health reasons (there aren’t really any other valid ones). Maybe you feel you need to improve your fitness (there could be a couple of reasons here), perhaps you feel stuck in a relationship (a multitude of reasons in there), or you’re at a fork in the road with regards to career.

Lets take health (we are a health organisation after all) and weight management. There is ostensibly a simple recipe for this. You want to lose weight, burn more calories than you consume, you want to gain wait, eat more. Now, lets take into consideration motivation, working and life paatterns, underlying health status, stress, prior exercise history, gender, nutritional history and current nutritional status and see how we go? Which one thing is going to unlock the magic box of slimmer?

For most people wanting to lose weight, it will simply being aware of what they eat and when. That awareness helps them tune their consumption. For others, who have a reasonably good grasp on it, moving a bit more frequently and with higher intensity could be the key. A more complex case might be the older person with underlying health conditions, who will need more close monitoring, motivation and coaching to ensure they maintain both good nutrition and reduced risk.

To find your one thing, contact us for a consultation. We don’t just do manual therapies, we support weight management journeys, fitness plans, proactive healthcare discussions and personal accountability coaching.

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.

The Importance of Proper Breathing for Health and Wellness

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Have you ever felt your breath catch? An awe inspiring view, a new love across the room, a shock from unexpected news? Have you ever felt really short of breath, like there isn’t enough air in the room? Lots of things can make us feel short of breath, some exciting (the new love across the room, the view), some scary (the sound of unknown feet on a dark night, shocking news), exertion and even some diseases.

Therefore a caveat – if you think that your shortness of breath, particularly if linked with a new or persistant cough, could be of pathological origin, go and see your primary medical provider for assessment and treatment.

Breathing is the most fundamental process of life, something we have done since the moment we were born and the last thing we shall do. It is something we never notice until it becomes the only things we can do and is also, uniquely, one of the only autonomic actions that we can control.

Hold your breath. Just stop. No in, no out, just pause. If you are relaxing and have no known underlying issues, you should be able to last 20 – 30 seconds before the desire to breath kicks in. Physiologically, this desire is driven by the change in Carbon Dioxide, not the drop in Oxygen.

The ability to control your breathing, and your response to it, is a wonderful gift, that can help relieve headaches, reduce your perception of stress, control anxiety, increase athletic performance and even change your mood.

And, if your breathing is restricted mechanically, there is research based evidence that manual therapies can also help improve this, increasing your functional effective volume and respiratory mechanics, also helping with the above issues.

At the Clinic, we have spent years working with specialists and carrying out research ourselves on best ways to treat, unlock and improve breathing, from relaxation exercises to breath control systems, and manual therapies to address underlying function issues.

Book today online and talk to us to experience the benefits.

On: Suffering

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Suffering – to undergo pain or hardship.

Suffering is a subjective experience. Experiencing is objective. The difference is critical, and multifaceted, but is essentially context and control.

A person has a respiratory virus. They experience all the symptoms of congestion, headache, sneezing, fatigue. They only suffer with a cold if it makes them miserable as well. And if it does, thats allowed. Being ill is awful.

People in conflict zones undergo extraordinary hardships, as destruction and the potential for death surround them, with little opportunity to escape. And yet, so many of them are far more resilient than those of us who fall apart if Disney+ cancels season 2 of our favourite show. Somedays, especially with loss, grief and pain, I am sure they are suffering enormously.

The same goes for many other areas. People experience a life changing injury. They only suffer if they don’t get the support, medical care and rehabilitation that they need to allow them to return to independence and a fulfilling role in society, AND, they choose the path of misery and suffering, with the adjacent loss of control.

That choice is hard. Incredibly so. It is a choice they make every day. To suffer, or to experience, to live with or in spite of?

From having spent many years with these people, I admire them all, and especially the ones who choose to lean in to it.

From them, and from conversations with many of them, as well as reflections of my own, I offer the following thought.

It is.

Today it is hurting. Today is is raining, Today I have a cold. Today I have a back pain and didn’t sleep well, the children are playing up and I have worries about the council tax bill.

But.

I am still me, I am still a parent, I am still loved, I am still interested in art, science, reading, steam engines of the mid 20th Century, whatever forms part of your self identity.

It is, I have, not I am.

Labels are for shopping, or nasty little lists. Don’t take a label.

I am, it is.

The empty tool box

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At some point, the tool box is empty. There is nothing else you can offer. This is hard to acknowledge, both as a professional and a patient.

For a complementary practitioner, practicing honestly, this is the point where you have a conversation with the patient, and offer to refer on, either to a fellow professional or back to their medical practitioner.

For the hospital medic, they often carry out one more test, make a referral to another team or wait and see. This is almost always with the best intentions, but also because admitting you’ve reached the bottom of the toolbox is hard.

For the GP, at the front of patient care, it can be especially hard, since the patient has spent their life believing that medicine can fix whatever the problem is and finding out that there isn’t an easy pill, operation or test that can solve it all is challenging.

But sometimes it has to be admitted that the issue doesn’t have an answer, especially with some chronic conditions and mental health. Its at this point the person is vulnerable to quacks, charlatans and an alternative health tribe who offer an apparent quick fix in return for lots of money.

A lot of alternative treatments are wonderful, offer real benefits to people and can improve lives if used sympathetically and appropriately, but there are always grifters and con artists in every field.

Reiki may offer space, acupuncture can take a completely different view of a problem, an antidepressant can numb the emotions and help the patient get on with life, perhaps while waiting for the world to change around them, a painkiller can allow a return to activity that may help resolve the pain if well managed.

But sometimes, the toolbox is empty.

And then we have to get on with life anyway, rebuilding what we have into a structure that supports us now.

Find the tools that work for you, learn how to use them effectively, add to the box as often as possible and acknowledge that sometimes, the box is empty.

Doom loop

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Dieting will not work long term.

You will not sustainably lose weight until you address the factors that made you fat in the first place. You may shed some timber for a specific event, or a short period, but it will not stay off and you are likely to get heavier if you don’t address the underlying factors.

Whats going on?

You are, in some way, a victim of the doom loop. You almost certainly weren’t born fat. You probably weren’t fat as a child, and then at some point you started to gain weight.

Lets start with a period of stress and inactivity. Perhaps exams, psychological issues, peer pressure and bullying at school, a family crisis, an illness leading to hospitalisation, or at least a time of recuperation. The inactivity is the important bit. This initial phase can be coupled with increased caloric intake for comfort eating / poor nutritional availability and so forth.

For most people, especially if there was a period of bed rest, some muscle mass is lost, or at least a significant reduction in exertion, as well as some fitness. This leads to a reduced caloric requirement as well as a shift in the endocrine (hormone) status. However, most people don’t account for this (and why would you, you’ve got other things on your mind), so gain a little bit of weight.

Not much, but just enough that, in combination with the loss of fitness, it adds up and the return to activity is hard work.

For most of us, the generally fit and healthy adults, especially if you’ve been reguarly active, we suck it up and get back on with it, the weight gain goes again and we break out of the issue.

However, far too many unconsiously remain inactive, or keep being kicked around the loop.

And, having seen the weight going up, the dress not fitting quite as well and generally not feeling quite so good about it all, we often attempt to correct course, either through exercise or through caloric restriction.

However. Both of these, and especially dieting is stressful. Cortisol increases, changing the way our body burns fuel, and for some of us, reducing the amount of energy the muscles use (probably an evolutionary throwback, since you are essentially inducing a famine state in the body by eating less so burning less is a good survival strategy). As we said ealier, you can lose weight short term but eventually the body will replenish the stores and it’ll all go back on again.

Now we’re into the doom loop. We are trapped in a cycle of stress / weight loss / weight gain / inactivity.

How to break out of it?

Don’t diet. Don’t even cut back on calories. To start with, don’t really go for it and hit the gym.

Your body needs to move regularly and have less stress to deal with.

And even if you can’t get rid of the external stress because the world is going crazy and the bills are stacking up and the dog next door like barking at the moon, then you can control the internal stress.

Drink less alcohol. Stop smoking. Go to bed for 8 to 10 hours. Turn off the social media firehose and stop scrolling netflix at 1am.

Then move. Just 5 minute movement snacks. You don’t even need to break a sweat, Non exercise related activity is how we should spend most of our lives.

On: Tendons and Ligaments

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Tendons tether muscle, ligaments link bone.

But both can be damaged, become weakened, or scarred.

So how can we, both as practitioners and people, prevent this, or at least minimise its impact?

Prevention is always better than a cure, and therefore ensuring the tendons (when reading tendons, assume ligaments as well, although there are differences in all sorts of subtle ways) remain strong is vital.

Note – If you are currently taking medications, especially certain antibiotics, check with the pharmacy regarding soft tissue effects. For example, Fluoroquinolone antibiotics have a rare side effect with regards to soft tissue, so if you are prescribed those, it may be sensible to reduce training load during and after the treatment.

Tendons can be trained, like any other tissue, and research indicates that they respond best to cycles of isometric tension, of approx 10 – 30 seconds, with 30 – 50 seconds rest. Initially, it doesn’t even matter what joint position you are in, as long as the tendon is under tension, and pain free. Over time, you can increase the load and the number of cycles you carry out, to ensure continued development.

There is also some evidence that longditudinal supplementation with collagen (preferably from biologically similar connective tissue) is beneficial, especially when consumed with vitamin C.

Once you have a stable, platform, you can work on repairing any scarring or weaknesses in the tissue by using long duration concentric / isometric / eccentric training movements, through the pain free range of motion. For example, a squat under light load, with all three phases taking 10 seconds, although this time is individual.

Finally, there is also some evidence that early, and safe return to loading after injury can help reduce the time to competition, since the stimulus causes the scar tissue to form beneficially, rather than scattered.

TLDR: tendons can be strengthed, healthy tendons can increase your overall performance, isometric exercises are beneficial to tendon health.

On: Obesity

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We all know what obesity looks like. Too many ‘spoons pie and pint nights, too many burgers, not enough gym time.

Except, we don’t.

It might be visually obvious if the T shirt barely covers the waistline, but how do you define it? If you use the BMI scale (weight in kilos divided by height in metres squared), then obesity is considered anything over a BMI of 30, overweight is over 25, healthy is 20-25 and so forth.

But then a lot of athletes, especially power althletes, are obese. Of course, the more mass you have to move around, the greater the load your body has to manage, both for joint health and cardiovascular load but this doesn’t take into consideration the positive effect of muscle mass, cardiovascular fitness, and any other number of markers for health. The only use for BMI in most aspects is to tell you what you already know, when its far too low or far too high. For reference, you probably don’t want to be below 20 (not enough muscle mass) and above 30 (increased risk of joint issues).

A preferred methodology, for a rapid ready reckoner, is height to waist ratio. This ignores mass, but can idicate central obesity, which has been shown to have a detrimental effect on internal organs and general health. This is simply calculated as a ratio of height to waist circumference (waist divided by height in m), and should be less than 0.5.

As for markers of fitness, define your own. Markers such as the amount you can lift, or how fast you can run, are spurious goal setting. And no matter what the companies might say, you can’t tell your fitness from blood tests. Those are for if you are sick. Otherwise the levels will constantly fluctuate and tell you very little.

Be able to run, if you have the physical capability. Then try to increase the distance you can cover. Lift heavy things safely, then do it again. Move regularly, as smoothly and freely as possible. Constantly develop your capacity.

Train as though your life depends on it.

It does.

On: You’re wrong about the gym

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A new gym opens, the marketing tells you that if you join, you can finally tone up, lose weight and get fitter.

Possibly.

But only if you know what you’re doing with the rest of your life.

Otherwise, its just a kind of fun place to hang out and move.

The gym should be a place of education (in ancient Greece, the gynasium was a place of practical learning, and its still grammar school in Germany). It should be a place where you find new boundaries, develop skills and work on yourself. It should be a structured, functional representation of the rest of life.

But. If you were to get a modern gym goer to take off their huge headphones, stop posing for IG reels and ask them why they’re there, it will more likely be that they want to get toned, or lose weight. Or both. If you managed to ask a teen boy, they’ll probably tell you they want to build muscle. The ironic thing being that a healthy teen is so awash with growth potential, almost any resistance training will create that effect. Less so a man over 30 but the potential is still there.

None of those will happen unless you have the rest of your life squared away. If you’re too stressed, if you’re not sleeping great, if you leave the gym and walk straight into Costa for a triple syrup latte with added cake, if you don’t get your protein intake dialed in, if you don’t allow yourself space to rest, then its going to be so much harder to achieve any of your desired outcomes.

Even if you have defined them well enough. But thats a subject for another day.

Go to the gym. take advice from a professional, not just an influencer. but get the rest of your life sorted as well.