Showing posts with label physiotherapy. Show all posts
Showing posts with label physiotherapy. Show all posts

Saturday, September 6, 2014

You are living in the wrong shoes!

Many people take the foot for granted, and what most people don't know is that the foot is the part of our body that bears all our weight. This makes the foot one of the most important parts in our body, where most of our care is needed. Unfortunately, people are not aware of how they are harming their foot structure by wearing the wrong shoes. You may ask yourself: 


How can the type of the shoes harm this strong part? Well, It's not affecting your foot only but your ENTIRE body.


The picture below shows the three types of foot arch. Depending on which shoes you wear, the arch will be formed.




Now you should know how the type of the arch will lead to major problems in your body such as, Back pain, heel pain, abnormal structure of the knee...e.t.c

High Heels &high Arch:






Stand on your toes for Five minutes, can you feel the contraction of the muscles at the back of your leg? This is exactly what's happening when you're wearing a high heel. The Muscles will be in  a constant state of contraction and they will get shortened  at the end of the day and When you take off your heels, you're actually asking the muscles to lengthen out but this will not work. The muscles are no longer malleable and they became tight and this will lead to an interruption  in the relationship between the skeletal system and the muscles resulting in the following:

1-Calf muscle shrinkage: Excessive straightening of the foot will occur due to the tightness of these muscles,  As a result, The curvature of the medial longitudinal arch will be increased (aka High-arch foot).




2-Unequal weight distribution: God designed the structure of the sole of the foot in a way that the weight of the whole body will be distributed equally but because of High heels, the weight will be only on the heel and the front of the foot. 


3-Loss of Balance: The sensory system in the foot plays an essential role in maintaining the body balance. Normally, the foot is absorbing shocks from the uneven surfaces and sends messages to the brain to alert it, but with the high arch there will be a lack in the protective sensation.

4-Rigidity of the foot: Wearing high heels in daily basis on the long term will make the foot less flexible. A rigid foot is more prone to stress fractures, toe deformities, Achilles tendon disorders and Plantar fasciitis.

5-Achilles tendon stiffness: Achilles tendon is able to withhold a stress of 3.9 times a person’s body weight when walking. When there’s tightness in the calf muscles the tendon will be stiff as well and it will lose its ability to tolerate the weight and ruptures and injuries will happen.

 According to Professor Narici who did a study on 11 women who wear 5 cms high heels for two years "We found that the high-heel wearers' tendons were much thicker and stiffer than in those who stuck to flat shoes.This causes discomfort when walking on flat feet because the tendon cannot stretch sufficiently."




6-lower back lordosis:

The tight muscles in the back of your legs pull down on the back of your pelvis. Your upper body has to move forward to balance your center of gravity, causing the curve in your low back to flatten out. We have these curves for strength and support and, when they are lost, our muscles act on the spine in a disorganized fashion to keep us erect so we end up with pain. 







Treatment

If you wear high heels daily then you have to follow These tips which will counteract the changes that happen to the muscles and may prevent injury. 

1-Calf stretch: The picture below describes the exercises and how you will stretch each muscle individually.
*Note: Calf Muscle consist of two muscles: Gastrocnemius and Soleus.









2-Handrail exercise:

Stand on tip toes on a step, and using a handrail for balance to lower their heels as far as they can before raising them up again.








3-Proprioception training:

Proprioception is the ability of the brain to recognize or sense joint positions. If something went wrong with this system the joint will be more prone to injuries that’s why high heels wearers should do the exercise daily. 


4-Achillis Tendon Stretch:



5-Reducing lordosis:

 The exaggerated curvature of the lower back is due imbalance between the back muscles and abdominal muscles. To reduce this curvature there are many interventions that you should follow.

A-Strenthening the Abs: 

Exercises that strengthen the Abs despite of it's type will help in reducing this curve. I'll mention the most common ones and you can add to them if you want.

*Bridiging exercise
Description



*Superman Exercise 
1-Start by raising one leg alone with your stomach tucked in for 15-20 secs then relax. Then switch

2-Raise one hand alone with your stomach tucked in for 15-20 secs then relax. Then switch.


3-Raise left hand with right leg with your stomach tucked in for 15-20 secs then relax. Then switch.


*Do the three positions first if you can control yourself and balance then start from the third upgrade and do it for 10 times/ 2 sets. If you don't have control on the third position then you can start from the position you are comfortable with then upgrade in the next weeks. 



*Knee to chest exercise
Description




*Pelvis tucking


*Gluteus Maximus strengthening:

1. Using the floor, table, or firm bed, lay on your stomach, with a pillow under your stomach.
2. Squeeze your gluts"buttock"  together as hard as you can.
3. Keeping your knee straight, lift one leg up off the table, only high enough for your thigh to be off the surface.  DO NOT lift so high that you extend through your spine.  Slowly and smoothly lower your leg back to the start position.
4. Maintain the glut squeeze as you repeat step 3 with the opposite leg.
5. Re-squeeze the gluts again, and repeat steps 3-4; do 2-3 sets of 10-15 reps, daily, or 3-4x/wk.



B-Tips:
There are some tips that will help reducing the curve with the exercises:-
-Avoid sleeping prone" on your stomach".
-Everyday when you wake up and before you sleep, lay on your stomach and put a pillow under your stomach for 15mins.
-Wherever you are and whatever you're doing, always remember to tuck your stomach in and tilt your pelvis posteriorly "backwards".

All the previous exercises and tips will help in reducing the harm caused by high heels, but if you have the choice to minimize the hours or the days that you wear high heels during them it will be even better. And it's healthier if you mix up your footwear. 

Flip-flops are not the best choice!

This poster summarize all the side effects of flip-flops and how they are killing your foot.



Flip-Flop Fixes:
-Stretch it out: Stretching your calf muscles will help in avoiding the side effects of the flip-flips.
-Short foot exericse
-Downward dog stretch
-Arch support: A piece of pad that's available in big Pharamcies and Medical instruments shops. You put it inside your shoes so it can help in forming an arch.

If you have feet and you want to follow a program to increase your foot arch, Here's a link for a blog of physiotherapist who already have flat feet. He followed the program and he got a result after 6 months.

What's the best shoes to wear?

I know it's quiet difficult to completely stop wearing high heels or flip-flops but you can modify the shoes that you wear daily. 
Forefoot "Rocker" shoes is considered as one of the best footwears.





The following modifications in this shoes helped in lowering the pressure impacts on the foot and distrubiting the weight all over the foot :
1-Rounded sole: The rounded sole provides a better grip for the wearer so there won't be overuse on the muscles as in flip-flops.
2-Thick padding: Shoes with thin pads harm the foot pad which works as a shock absrober  and they cause major problems such as plantar fasciitis. Rocker shoes has an extra padding to minimize the friction with the ground which harm the foot pad.

3-Weight distribution: weight is equally distributed along the whole foot with this design.

4-Accommodation: It can accommodate all sorts of  positions while running or walking. As you use them, your lower body muscles become stronger

To read more about them click here

Note that this is not the only good shoes that we should wear there are many types that are safe for the foot contour such as the sneakers that we use while running or walking.

I tried through this topic to highlight the major problems that we will have because of not choosing the right footwear. Many people don't actually know that the cause of their lumbar disc could  be from their shoes. Our body is connected, a problem in the foot may cause a condition in the neck and so on. So when you have a problem don't think just about the place where your pain is.





Monday, July 21, 2014

Watch your Posture!

"Good posture means aligning ears over the shoulders, shoulders over hips, and hips over the knees and ankles."




Many of us are not aware of our posture which has an essential role in alleviating certain problems .

Posture is the relative arrangement of body parts to Have a balance between the muscular and skeletal structures  which will protect the body from certain injuries. Any defect in this arrangement will cause imbalance between these structures. 




You might ask yourself: Is it  easy to develop a poor posture?
In fact Yes, the majority of population don't follow the good body ergonomics.

Let's take an example, Computer users spend long periods of time working without being attention to how bad their posture is. 

A Recent research indicates that: 80% of computer users who spend more than 4hrs working without moving will develop chronic back pain in the future.

And they are not the only ones! most of us have a chance of having a poor posture too.





So how can I sit properly?



It's quite difficult to have an ideal posture while sitting, but you should try as much as you can. Following these tips will make it easier for you:

1-Screen reminders: "FIX YOUR POSTURE" write this statement on a small paper and stick it on the top of your screen.

2-Stretches: Stretching your body every 15 mins is essential  to avoid shortening of the muscles. Print out the exercises and stick it on your wall.



3-Stand up: Get up and walk every while. Experts say that standing for 15 mins each hour yields great life extending benefits 

"Sitting all day is literally killing us." Dr.James Levine

4-Support your back: Put a cushion behind your back so you won't go way down and develop a back pain.




Video: If you spend so much time sitting then sit RIGHT


Stand tall and be Proud!

Keep in mind that the way you stand has a direct effect on your posture. As you see in the picture, the line that passes through all your joint axes should be close to the center as much as you can. Any deviation will place more gravitational stress on your muscles and you will end up having one or all of these posture faults.


 What's the proper standing posture?

 The tips are enormous! but you should focus on:
1-Bearing your entire body weight on the balls of your feet and not the heels.
2-Shoulders should be back and chest should be held out so your lungs will work efficiently.

A short note: Some lung problems start because of the  kyphotic position of your thoracic spine as respiratory muscles will be tightened so Be careful.

3-No leaning forward nor backwards either.
4-Don't Slouch: slouchy posture is very dangerous. It affects your neck, back and chest muscles! it starts by rounded shoulders and it increases with age if you didn't correct it.



 Keep this tip in  mind:
 Whenever you enter a room: Held your chest out, shoulders back and tuck your stomach in.

How can I correct my posture?

The good body ergonomics is not the only treatment, exercises are essential too. 
There are plenty of exercises that correct the posture, I chose the most efficient ones and you can go through the link for more exercises:

1-Walk right: Put a wooden stick down the back of your shirt and stand. Then walk for 30 minutes and keep holding the stick. Divide the duration for 10 mins- rest-10mins-rest-10mins.
The aim of this exercise that it will remind you to keep your spine straighten up, shoulders back and chest expanded.

2- Wall Exercise: Stand against the wall, take off any accessories in your head or hand. Push with your head, shoulders, elbows, buttocks and heels against the wall for 20 secs.
* Your shoulders may not be so close to the wall due to the shortening of the muscles. Do it everyday as much as you want and you will observe the differences in your posture.




Talking about posture will never end and what you have read is only 30% of what you should know. I'll discuss other issues in my coming posts Inshallah. I chose sitting and standing postures to be the first issue to talk about since  it's very common among people and if we didn't start correcting our postures now, we will regret it in the future.



For any questions don't hesitate to e-mail me :ayaaalghouti@gmail.com


Thursday, July 17, 2014

Physiotherapy will change your life..

Graces that God overwhelmed us with are unlimited and we should at least appreciate what we already have and thank him for it. (وَآتَاكُمْ مِنْ كُلِّ مَا سَأَلْتُمُوهُ وَإِنْ تَعُدُّوا نِعْمَةَ اللَّهِ لا تُحْصُوهَا إِنَّ الانسَانَ لَظَلُومٌ كَفَّارٌ). 
Health is the most precious thing that humans have. Imagine having a lazy lifestyle without any exercise, consume unhealthy food regularly or keep smoking cigarettes... e.t.c. 

Time passes very quickly and you should realize how bad these habits are and take an action before it's too late, otherwise you will end up developing many diseases giving you no choice but to stay under the control of medications. The Prophet Mohammad PBUH said:"Man's feet will not move on the Day of Resurrection before he is asked about his life, how did he consume it, his knowledge, what did he do with it, his wealth, how did he earn it and how did he dispose of it, and about his body, how did he wear it out.'' 

I always wanted to make a change in peoples' life and that's why i chose to study physiotherapy. One of My aims as a physiotherapist is to guide people 
on how to change their lifestyle, and provide them with tips that would help in keeping them away from diseases. Prevention is always better than management & cure.

 InshAllah i'll be focusing on the conditions that are common between the population such as, Low back pain, neck pain, ankle sprains and so on. Also I'll be posting specific exercises for specific professions depending on the criteria of their position during work.
Hope you will benefit from this blog and always remember that by motivation and determination you can do anything you wish for.

P.S: If you have any question you can simply comment on the post by selecting the "Anonymous option" if you don't have an account in the other profiles.