life

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.

Resilience and capacity

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In the end you have to have something that I give to give the disease as a price of recovery.

Not sure where I heard that but it makes sense.

The more fitness, the more muscle you have to give a serious illness, the more likely you are to come out the other side.

Professor Oliver (geriatrics) noted that he could guess someone’s probability of a safe discharge from the quality of their handshake. Firm, strong, reassuring. Weak, flaccid, concerning. A handshake conveys vitality, determination, strength, even psychological state.

Put the work in now so your future self can live to fight another day.

On: Keep paddling

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Or walking, running, swimming, cycling, dancing, lifting, playing.

Anything that gets you hot and out of breath, 3 to 4 times a week.

As more research is carried out into the causes and underlying mechanisms of post disease processes such as long covid and ME/CFS, a number of the researchers are following paths that lead to dysfunctions in patients mitochondria.

For those who for whom school biology was a while ago, mitochondria are generally considered the power plants of the cells, turning energy you consume into energy your cells can use.

Of course, it’s more complex than that and they tend to have a number of other roles, but essentially the research is showing that problems with these tiny batteries can lead to bigger problems elsewhere.

Whilst treatment modalities are still being developed, and for lots of sufferers recovery is going to be challenging, requiring multidisciplinary support, for the rest of us, we can reduce the risk to ourselves but optimising the efficiency of our mitochondria.

How? Use them.

It has been shown that endurance exercise stresses them in just the right way to make them stronger.

Finding that sweet spot depends on a number of factors including your genetic predisposition, your training history and the epigenetic environment (a catch all phrase for the nutritional, psychological and environmental pressures), but for the 80% rule, anything at low to moderate intensity for long periods of time will have a positive effect.

Prepare for an unknown future.

Get stronger, move further, fuel better.

Of course, if you have any more questions, musculoskeletal restrictions or want more technical input, contact us.

New year, old you.

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My new calendar is shiny and beautiful, from a science communication group called Kurzgesagt. (a fabulous YouTube channel). But it is just a graphical representation of another year, and a tool to help me track and organise my time.

Therefore, the concept “new year, new you” is fundamentally pointless, since all you have done is turn a page. Subsequently expecting old habits, entrenched patterns and routines to change overnight will lead to probable failure, disappointment and for some, loss of internal esteem (“I have failed at this task therefore I am a failure”). Expecting to lose weight, exercise more, eat better, drink less, learn a language and read a book a week, all at the same time, is likely to prove impossible, especially when turning off the TV and getting to bed on time is a challenge.

I propose we drop this charade. Rather than starting afresh on a specific day, especially one often immediately following a period of excess, we would perhaps benefit from spending time first reflecting on what we want the outcomes to be, then look at what will lead to those, then pick a specific single goal and work towards that.

To help with this, I will be doing a sequence of posts covering simple tools and techniques that may help you first assess your goals, then progress towards achieving them.

Of course, none of this is specific medical or theraputic advice, it is all general, and if you feel that you need professional support, then please seek it, either via your GP, or the appropriate trained expert.

On: Breathing

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We all do it, 16 times a minute, it’s been written about on here before. But how much attention do you pay to it, as a messenger of your current internal state?

Start by putting your hands on your abdomen, and sniffing. You should feel your diaphragm move. If you have difficulty initiating belly breathing, this is a great technique to find it.

Breathe 10 slow breaths, in through the nose, controlled and slow out through the mouth. Focus on your diaphragm moving smoothly.

If you use this to do a quick body scan, you may find all sorts of areas of tension and holding that you were otherwise oblivious to. You can then note these to work on later, when you have mobility and movement practice.

As you become more adept, you will also notice when your breathing shifts, a cue to your internal stress levels, and a hint that your body is shifting gears for some reason. If you can pause, reflect and assess, it may help you focus on a message your body has been trying to tell you.

If you really want a challenge, pause your normal training for a week, and just focus on breath and mobility work. You may notice a significant improvement in your training when you return, not just from the rest and recovery you have allowed yourself, but in the way you are able to access other underlying systems.

Of course, if you find any areas of restriction or concern, see your general medical practitioner and come to us for further support, education and intervention.

Breathe. Live. Move.

On: The path to mastery

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First there is apprenticeship. A period of learning the basics, preferably from a master. Often boring, often hard work, apparently pointless if you don’t understand the process.

Eventually, you move on, the masters think that you have learned enough to be safe, to go and independently continue to develop your skills. This is the journeyman phase, and can last many more years.

Eventually, you may achieve mastery of your chosen craft and are a craftsman. This doesn’t mean you can stop learning, merely that you are at an expert level.

However, within this is the fact that there are levels even in the mastery and many do not make it beyond journeyman.

You can see this is almost any domain, from programming to medicine, artist to bricklayer. There are a multitude of journeymen who can do a good job, competent, safe, knowledgeable. These people will provide the backbone, the core of work. They should be working toward mastery, honing, polishing, reflecting.

But you will know when you meet a true craftsman. There is the extra moment, the way they handle themselves and their tools, the way they can see a problem and frame a solution.

Aim to be a craftsman in all you do, and aim to work with as many craftsmen as you can. Find the best and mirror, watch not just what they do but what they don’t do. How they hold their hands, and how they hold their body. Listen to your own body and see if it is allowing you to do the job as efficiently. If you’re studying a more cerebral skill, such as programming or an art, look at the surrounding inputs, their environment and their basic toolset.

And then realise that that final element is a gift, one that they have succeeded in realising. But realise also that few find that final boundary, any hard work is rewarded.

Work hard, explore the boundaries and maximise your skills.

Optimise the body, upgrade the mind.

On: Consistency

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You are what you do.

Not what you think, read, talk about or present online. They all play a role in your self talk, but they are not you.

You are what you do. Just as your body is made up of what you consume, your mind is as well.

Choose your inputs for your desired outputs.

Want to be functionally more effective? Model those who are, with applied thought. Want a different path? Observe, reflect, change and do.

Not everyone has the physiology to be an Olympic athlete, not everyone has the mental capacity to be a theoretical physicist, but you are far more capable than you think.

So find those current boundaries and explore them, supporting yourself with good inputs, solid relationships and measurable outputs.

We are here to help you start that journey, from physical therapies to starter PT concepts.

Upgrade the mind, optimise the body.

On: Beyond movement

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There are the eight prescribed movement patterns: flex, extend, rotate, push, pull, squat, lunge, walk.

But beyond that is the ability to do them smoothly and under load.

For example, when out walking, without losing step, run your fingers along the ground. That involves walking, flexing, lunging and an element of rotation.

Now repeat the action raising your hand over head to touch a tree leaf. Again, walking, extending, rotation.

The more complex the move, the more we challenge our neuromuscular system, the less spare capacity we have and greater the risk of subtle injury due to compromise.

Therefore, we should train these elements. Not just the standard gymrat moves, but through play.

Look at an object and play with it. A plate carried overhead. A tree branch that can be climbed on or over, or under. A line on the pavement to walk along, skip over, or walk backwards over.

Look at the environment as a playground, and use it to improve the way you move.

Injury proof yourself through play.

We can get better

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Because we’re not dead yet (Turner et al 2015)

You cannot remain in stasis. Even that requires the expenditure of energy, so with no input you will slip into slow decay.

Therefore, choose wisely. Put your shoes on. Expend energy in a positive direction. Get better at something. Move more, eat fewer junk snacks, spend less time scrolling mindlessly, spend more time reading and learning.

Make that choice every day. It’ll be worth it.

You are what you do.

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They presented with a long history of shoulder and back pain, with occasional headaches, particularly in the evening. No other significant complaints, simply a tight and painful upper back, and shoulders, with a stiff neck.

After taking a thorough history and checking pertinent red flags, I carried out a suitable examination, looking at how they used their body, how it wanted to respond passively and actively.

And the thing was, other than the presenting complaint, there wasn’t much to be found. An anteriorised head posture and slightly kyphotic thoracic spine, but nothing much more than you might expect for a modern lifestyle. They exercised frequently, were not obese and tried to optimise their working posture when at a desk.

I treated what I found, and we addressed a few issues, but I was unhappy with their progress, as the complaint didn’t feel like it was resolving along the curve I expected.

Then it clicked. Whenever I went through to reception to collect them, they were playing with their phone. Head slumped forwards on the chest, looking down at the tiny screen and typing or scrolling away.

The problem is, modern expectations are that we are constantly connected, with rewards and punishments meted out by both the device and other people if we do not respond to its electronic siren call. I am as guilty as the next person, at instinctively checking and wasting hours.

It was this small, but frequent behaviour that was causing, in this case, the shoulder pain. Looking down was loading the back of their neck, the shoulders were coming in to support the arms holding close and everything matched when I mimicked them.

However, other than taking the phone away from them, there wasn’t a direct intervention I could do, so instead we discussed possible mitigation strategies, to reduce the automatic reaction, shorten the time spent interacting and change the posture, things that have been shown to work.

Following the rules of three, I suggested:

  • Switching on greyscale. This, interestingly, makes the device far less stimulating, but still allows you to work effectively. It also helps increase battery life on some devices.
  • Clean up the home screen and put apps that distract in a folder so you don’t see them first
  • Turn off notifications for social media applications

The point was simply to create a brain pause that allowed for a moment more reflection before the action, rather than create a wholesale change that would more likely fail.

Having created this awareness and put in some simple measures, we were both very happy to see that the treatment was then far more effective and the presenting issues resolved.

After they had left, I reflected in how the simple actions we do can have profound impacts and that, as practitioners of every discipline, we need to continue to look at the whole person, not just the complaint.