Showing posts with label ADL. Show all posts
Showing posts with label ADL. Show all posts

Thursday, October 25, 2018

Get Up, Stand Up... at your desk


Let's address the need for a sit-stand desk. This topic has become increasing popular for good reason. Many people have back pain! I frequently recommend a sit-stand desk for patients who present with impaired function, pain and degeneration of the low back. Today we discuss if you are a candidate for this type of load management strategy.
Why a Sit-Stand Desk?

A sit-stand desk is important. Sitting increases the load on discs in your low back. The sit-stand desk is a workstation that allows you to do both, sit or stand at your work station reducing load on your low back. People who sit for four or more hours in a day have a 9x increase in low back pain, compared with people who sit for one hour(1). There are only 168 hours in a week. The average person spends 64 hours a week sitting(2). How much of your life do you spend sitting down? 

Low back disc problems
Low back disc problem
How does a sit-stand desk help me?

This setup reduces the load on your lumbar spine. With my experience treating thousands of low back pain patients, reducing pain needs a specific plan. This plan requires a combination of restoring muscle function, improving movementbalancing strength and managing the loads on the low back. 

I recommend that you sit for 30-45 minutes and stand for 15-20 minutes. It's time to switch to standing if you are uncomfortable and find yourself shifting around to avoid pain. In fact, I recommend that you subtract 20% off the time it takes to hurt and switch before your back begins to be irritated.
Sit Stand desk
Sit-Stand setup

Do I need a Sit-Stand Desk?
There are multiple factors that must be considered for you to be a candidate. First do you have impaired function, pain or a known diagnosis regarding your low back? Any request must be a reasonable accommodation request. Do you have a legitimate request backed by a note from a doctor? Would the request cause your employer undue hardship? Managing the load on the lumbar spine with a sit-stand desk is vital to maintaining health, slowing degeneration and minimizing both pain and missed time from work. If you suffer from low back degeneration, give us a call at 678-1362 to schedule a consultation.
Evolution man - computer
Occupational Evolution
References: (1) Tucker, J. "Give your patients the ergonomic advantage." Dynamic Chiropractic, April 2017.
(2) Yeager, S. "Sitting is the new smoking- even for runners." Runner's World, July 20, 2013. 

Tuesday, February 21, 2017

Stairway to Hamstring Strength

Many people who come into our office complain about their hamstrings. The hamstrings consist of three distinct muscle tissues located in the back of the thigh. The average person spends the majority of their day sitting: at the office, eating, driving or riding in a vehicle, and watching TV. This frequent sitting creates limitations of the hamstrings. Hamstring limitations can lead to over activation of the muscles in the front of the leg, knee pain, poor balance, as well as calf and foot complaints.
Hamstring muscles

In most cases, this limitation is a combination of muscle adhesion and weak muscle issues. The muscle adhesion needs to be resolved with Manual Adhesion Release. The weak muscle tissues can be strengthened with targeted exercise and incorporating mindful staircase climbing into your daily routine. When climbing stairs, skip a step to have your whole foot in contact with the stair. Now drive through your heels with each step. This activates and strengthens the hamstring muscles.




Stairway to Hamstring Strength

Making the choice to take the stairs mindfully, versus using the elevator or escalator, allows you to work towards strengthening your muscles, as well as improving your balance and health. It is a choice of doing what is right for your body, instead of what is easy. 😤