Are you tired of headaches holding you back?

Tired of being held back by headaches?

Spinal Health Week 2023 was 22-28 May and it is here to help!

It's a national campaign by the Australian Chiropractors Association (ACA) that focuses on improving spinal health for all Australians.

This year, Spinal Health Week highlighted the impact of headaches and providing solutions to relieve your pain. Did you know that over 7 million Australians suffer from tension headaches and more than 4.9 million have chronic migraines?

The cost to the country is a whopping $35.7 billion every year. But the real cost is immeasurable—headaches affect 46% of Australians daily, causing pain, disrupting work and study, and stealing quality time with loved ones.

Headaches come in different types and have various triggers. Some are mild inconveniences, while others can be severe and chronic, severely impacting daily life. Research shows that spinal health, especially in the neck, is closely connected to headaches. That's why it's important for headache sufferers to have their spines checked and consider drug-free chiropractic care. Along with some simple lifestyle changes, this approach can go a long way in reducing pain, preventing headaches, and helping you regain control of your life.

Studies have shown that chiropractic care is effective for the most common headaches: tension headaches, cervicogenic headaches (neck-related), and migraines. In fact, chiropractic adjustments have been shown to reduce migraines in 72% of people surveyed, decreasing their duration and severity. While pain medications may provide temporary relief, they only treat the symptoms and not the underlying cause. Lifestyle factors, like diet and sedentary habits, can also contribute to headaches. Chiropractors can identify these factors and help you make changes to manage or even avoid headaches, improving your overall well-being.

At Align Chiropractic, our team of ACA-accredited chiropractors are trained to find the causes of headaches and provide safe, drug-free care for people of all ages. If you or someone you know is among the 11.9 million Australians suffering from headaches or migraines, it's time to take action.

Contact us today at 03 9696 1057 or book online at alignchiropractic.com.au to schedule an appointment and regain control of your life.

For more information on the importance of spinal health and how it affects you and your family, visit spinalhealthweek.org.au. Join the #SpinalHealthWeek movement and say goodbye to headaches holding you back!

#SpinalHealthWeek #ConsultAChiro #Headache #HeadacheConsultAChiro #southmelbourne #albertpark

How to set up your home work space in 4 steps - Desk top computer edition

As a chiropractor for South Melbourne and Albert Park and Seeing as though a lot of our community will be working from home for a little while longer, I thought I would take the opportunity to repost some of our more relevant blog entries. This one was from 2018 but is even more on point today, Martin and I still refer people to it regularly.

This post is gives our 4 steps for setting up your desk top computer to work from home.

It is especially good for people worried about or who suffer from tension headaches, neck or low back pain, high or sore shoulders, or other postural issues such as forward head posture.

In the video, Martin (using Kieran as an ergonomics model extraordinaire) talks us through the correct ergonomics of how to set up our desktop as a workstation.

Please enjoy the quick video. 

For your convenience, the ergonomics demo has been transcribed below.

Hi, Martin and Kieran and we are here to give you a quick instructional video on how to set up your desktop computer so that it puts you in the best position to look after your precious spine and nervous system that you have, given that we are spending so much of our day working on computers.  

We have got a separate video that shows you how to set up for a laptop. There are some similarities but there are a couple of really key differences when you’re setting up for a desktop, so we'll run through everything here as well. 

Just like with the laptop setup, key thing is we're gonna start from the bottom up.  

STEP 1: SEAT HEIGHT AND FOOT POSITION

First thing is, Kieran has his feet absolutely flat on the floor, he’s not crossing his legs which would create a twisting torsion through your lower back then cause tension to build up through the day. 

Next, we set the height of the chair. If you have a gas lift chair, you want the height of a chair so that your hip is either at the same level as his knee, so we've got a horizontal line, or so that the hip is slightly higher than your knee because that allows him to maintain a really good lower back position. 

If you sit with your hips lower than your knees it's really easy of get into a rounded posture, causing horrible loading up of tension in your lower back. 

STEP 2: POSITION YOUR ARMS, ELBOWS, KEYBOARD AND MOUSE

So once we've got that position we then want to make sure that the height is still okay for his elbow position. 

What we really want is as close to possible as a 90 degree angle at the elbow so that you can have relaxed shoulders while your hands are on the keyboard. 

What we don't want is to be sitting too high, so that you have to reach down or too low, so that you’re scrunching shoulders up to get your fingers onto the keyboard. 

That height looks pretty good.

Then what we want to do is to zoom in or out, so that we've got a nice relaxed position here. 

If Kieran was too far back he'd be reaching and then having to use all those shoulder muscles to hold his hands on the keyboard. 

What we want is that so that his arms are nice and relaxed by his side while he's using the keyboard. 

The same rule applies to the mouse.

A lot of people may have the keyboard set up right but then end up having the mouse right across the desk where it’s causing a peep of pressure through their shoulder that feeds back up into your neck and causes all sorts of problems. 

So once we've got that set up, this is where it's a bit different to the laptop setup. 

3. SCREEN POSITION

With a desktop, the screen can be moved to two different positions depending on how often you needing to look at your keyboard. 

If you touch type or you're doing a lot of data entry where you're very rarely looking down at the keyboard, then you really want the screen to be a bit higher than we've got it here. In that case, the landmark that I always use is the absolute dead center of the screen.

If you are the type of person who needs to look down at the keys periodically you don't want the screen too high, otherwise you make yourself dizzy going up and down. 

So the compromise in this instance is to have the centre of the screen at about chin level and that way you're never looking too far up, and you're just working in this range. 

If you're the sort of person who can touch type and you don’t really need to look at your keys, then you can go up higher which has the advantage of having a posture where your head is more balanced over your shoulders. 

What we have here is a set up that is good for Kieran if he can touch type. 

If he doesn't often need to look down at the keys he can spend all of his time just looking straight ahead at the screen. 

So for this setup, what we've done is put a couple of books underneath the screen here, to raise it up, allowing us to have the centre of the screen at the point where it's hitting here, in-between the lip level or the tip of his nose.

That's a really comfortable posture for him to be able to look at the screen and have his head posture really nicely balanced over the shoulder, meaning a nice relaxed position through here. 

When you're in that position, you are not building up so much tension on your neck and shoulders etc. by looking down all the time. 

Remember, this setup is only for people who can touch type but it's a really optimal position that'll mean that he feels nice and comfortable for hours and hours of work. 

STEP 4: AS ALWAYS, TAKE MICRO BREAKS

There are programs you can get that will remind you every 20-25 minutes to just stop for a minute, relax your arms way aside have a little micro break, turn your head all the way to the left, all the way around to the right, just drop your shoulders up and down a little bit and then you can get back to work.

I hope you found this video helpful please feel free to shoot us a message and let us know what you think.

Simple exercises for people with neck pain

If you have neck pain, tight shoulders or headaches that come from your neck then I suggest you watch the video below.  

In the video I run you though some very simple movement exercises to keep you mobile, try and get your neck moving again and hopefully help make you more comfortable as you go through your day. 

I have tried to keep them very quick and easy so that you can incorporate them into your day simply and without having to make it too obvious that you're doing them.

If you are concerned about your neck pain or you have any questions, or if you experience discomfort doing them, then please do not hesitate to get in contact with us. 

As always, the video has been transcribed below, but I recommend you watch to get a demonstration...and to see me in my solo video debut. Enjoy. 

Hi I'm Kieran from Align Chiropractic. I just wanted to run you through a quick exercise for getting your neck moving.

Now if you're somebody that suffers from neck pain, a tight neck or headaches that feel like they come from your neck then this video is for you. 

One of the main group of exercises that we recommend for our clients regularly are to get their neck moving again. 

It's really important that your neck range of motion is even to both sides, it should be pain free and it shouldn't feel too tight one side compared to the other. 

The important thing to remember when doing these exercises is don't push through a pain barrier or push to the extremes of your motion. 

What we are wanting to do is get to the point of restriction and just relax into that position. 

So its very simple to do; first of all we're looking at rotation. 

Turning your head to one side holding it at that point of restriction for three seconds come back to the middle then turning the other side. 

You're looking for it to be even on both sides and pain-free, hold for three seconds, back to the middle. 

Next we go straight to side, lateral flexion for three seconds, back to the middle and then to the right-hand side for three seconds and finally, back to the middle again.

Remember, it’s three seconds on each side and you cycle through all four of those five positions 5 times to keep things moving.

If you are finding a lot of restriction or are particularly uncomfortable on one side more than the other, that can be an indication of a more significant underlying imbalance.

If you are feeling that or have any concerns about how your body is moving,  I'd recommend that you get on to us and let's figure out what's happening for you.

4 Steps to Assess people with Headaches

If you or someone you know suffers from headaches than this post is for you. 

Below is a video Martin and I made about the steps we take when assessing a client who visits us at Align suffering from headaches. 

There are many different types of headache and not all of them respond to chiropractic care. This is why we go through our 4 step process to determine 

1. What type of headache you are suffering from,
2. Are you in the right place and we the right people to help you,
3. What steps do you need to take to get on top of your headaches.

If you are concerned about your headaches or just sick of dealing with them, contact us at Align and lets find out how to get you on track. 

The video is 3 minutes but for those of you who prefer to read, there is a transcript below the clip. 

Hi, Martin here and Kieran from Align Chiropractic and this is a short video to let you know what to expect if you were to come and see us because you've got concerns about your headaches. 

Step One:

The first thing when you have headaches, is you want to make sure that you get the opportunity to tell us all about what's been happening with you. 

There are a lot of different types of headaches and so we're going to be asking you some really specific questions about the type of headache you have, where in your head you get it, the sort of things that make it better or worse and also the things that your headaches are making it harder for you to do in your life. 

This is because while headaches are one part of the problem for, a lot of people the most important thing is to be able to get back to doing the things that they either love to do or need to do in their life. 

So step one we're going to be asking some questions and giving you an opportunity to tell us all about your headaches. 

Step two

When we're assessing somebody who's come to see us with headaches, is to do a palpatory examination. 

A palpatory exam is where we use gentle touch, gentle pressure to assess areas where joints might be restricted in their motion or muscles might have tightened up or there might be areas where there's tenderness that can be part of the trigger for head pain. 

We will also often extend beyond that area, once we’ve got an assessment of the neck and upper back to other related areas so we might be feeling out through the shoulders, palpating the jaw or palpating down through the lower back and rest of the spine. 

Step Three

When we are assessing somebody who has come to see us for headaches is we look at how their spine bends and moves and twists. 

Often when there are imbalances or problems in the way the neck is working it will affect how far you can bend to the left compared to the right. the way that we assess that is to use a process called Inclinometry, which is where we use a precise instrument, called an inclinometer to measure exactly how far you go to the left compared to the right. 

So we can assess all the way, comfortable range of motion one way and then see if going the other way is more restricted. 

Step Four: 

When we are assessing somebody who has come to see us complaining of headaches, is we assess the alignment of their spine. 

Posture is the window that we can use to assess how their how well aligned their spine is and we use specialised software to take a digital photo of them from the front and the side we then digitise that to see if there's any significant alteration in their alignment. 

The way the software works is we first of all take a photo and it uses the iPad to make sure that we have a photo that is absolutely the software then places our grid around exactly where straight up and down is and then we can compare landmarks on you that should also be aligned to see exactly how straight up and down or symmetrical your posture is.

How to set up your desk if you use a desktop computer in 4 steps

This is a post for people who want to know how to set up their desktop to work on or for longer periods of time in the office or at home.

It is especially good for people worried about or who suffer from tension headaches, neck or low back pain, high or sore shoulders, or other postural issues such as forward head posture.

In the video, Martin (once again using Kieran as an ergonomics model extraordinaire) talks us through the correct ergonomics of how to set up our desktop as a workstation.

Please enjoy the quick video. 

For your convenience, the ergonomics demo has been transcribed below.

Hi, Martin and Kieran and we are here to give you a quick instructional video on how to set up your desktop computer so that it puts you in the best position to look after your precious spine and nervous system that you have, given that we are spending so much of our day working on computers.  

We have got a separate video that shows you how to set up for a laptop. There are some similarities but there are a couple of really key differences when you’re setting up for a desktop, so we'll run through everything here as well. 

Just like with the laptop setup, key thing is we're gonna start from the bottom up.  

Step 1: Seat height and foot position

First thing is, Kieran has his feet absolutely flat on the floor, he’s not crossing his legs which would create a twisting torsion through your lower back then cause tension to build up through the day. 

Next, we set the height of the chair. If you have a gas lift chair, you want the height of a chair so that your hip is either at the same level as his knee, so we've got a horizontal line, or so that the hip is slightly higher than your knee because that allows him to maintain a really good lower back position. 

If you sit with your hips lower than your knees it's really easy of get into a rounded posture, causing horrible loading up of tension in your lower back. 

Step 2: Position your arms, elbows, keyboard and mouse

So once we've got that position we then want to make sure that the height is still okay for his elbow position. 

What we really want is as close to possible as a 90 degree angle at the elbow so that you can have relaxed shoulders while your hands are on the keyboard. 

What we don't want is to be sitting too high, so that you have to reach down or too low, so that you’re scrunching shoulders up to get your fingers onto the keyboard. 

That height looks pretty good.

Then what we want to do is to zoom in or out, so that we've got a nice relaxed position here. 

If Kieran was too far back he'd be reaching and then having to use all those shoulder muscles to hold his hands on the keyboard. 

What we want is that so that his arms are nice and relaxed by his side while he's using the keyboard. 

The same rule applies to the mouse.

A lot of people may have the keyboard set up right but then end up having the mouse right across the desk where it’s causing a peep of pressure through their shoulder that feeds back up into your neck and causes all sorts of problems. 

So once we've got that set up, this is where it's a bit different to the laptop setup. 

3. Screen Position

With a desktop, the screen can be moved to two different positions depending on how often you needing to look at your keyboard. 

If you touch type or you're doing a lot of data entry where you're very rarely looking down at the keyboard, then you really want the screen to be a bit higher than we've got it here. In that case, the landmark that I always use is the absolute dead center of the screen.

If you are the type of person who needs to look down at the keys periodically you don't want the screen too high, otherwise you make yourself dizzy going up and down. 

So the compromise in this instance is to have the centre of the screen at about chin level and that way you're never looking too far up, and you're just working in this range. 

If you're the sort of person who can touch type and you don’t really need to look at your keys, then you can go up higher which has the advantage of having a posture where your head is more balanced over your shoulders. 

What we have here is a set up that is good for Kieran if he can touch type. 

If he doesn't often need to look down at the keys he can spend all of his time just looking straight ahead at the screen. 

So for this setup, what we've done is put a couple of books underneath the screen here, to raise it up, allowing us to have the centre of the screen at the point where it's hitting here, in-between the lip level or the tip of his nose.

That's a really comfortable posture for him to be able to look at the screen and have his head posture really nicely balanced over the shoulder, meaning a nice relaxed position through here. 

When you're in that position, you are not building up so much tension on your neck and shoulders etc. by looking down all the time. 

Remember, this setup is only for people who can touch type but it's a really optimal position that'll mean that he feels nice and comfortable for hours and hours of work. 

Step 4: As always, take micro breaks

Micro breaks are discussed in the Laptop video here.

I hope you found this video helpful please feel free to shoot us a message and let us know what you think.

9 tips for more comfortable travel

If you’re traveling and have back pain or you're concerned about making sure you're still comfortable once you actually REACH your destination, this post is aimed at you. 

For Kieran and Martin’s 9 tips to prevent back pain, neck pain and headaches when flying, skip to the bottom this post. 

For more back ground and some extra info about looking after yourself when you travel, please read on. 

With the school holidays upon us, a number of our clients are planning to get away with the family for what we hope will be a fun and relaxing time for them all. With that in mind, we wanted to share a few tips on traveling in comfort to maximise how great you get to feel no matter where the destination. 

Like I said...gloating. This was on my first day in Tokyo at Shibuya crossing, the busiest intersection in the world.

Anyone who follows me on Instagram was made very aware in the last few weeks that I went away for a few days… and lets be honest, isn't gloating really all insta is about? 

My point is, if you looked at someone’s travel photos, you see beautiful views, drinking in glamorous locations and sometimes food (I don't really show food as I am too busy eating it) but there is a side to travel that you’ll never see on people’s insta profiles. 

You never see the multiple times that you have to lift and shift luggage, the waiting in lines, the lack of opportunity to exercise and of course, the dreaded aeroplane seats and accompanying lack of leg room with its *ALMOST* enough to be comfortable but not quite level of recline. 

I was contemplating this when I realised that even though it was only a quick trip and a relatively short flight, my girlfriend who has no injury and no major history of back pain and is quite fit and active, had me bring my activator along so that I could adjust her if need be while we were traveling. 

Originally I was jealous because I would have LOVED to have travelled with my own private chiropractor. 

Then I remembered that most of Align’s clients feel the same. 

I cant tell you how many times people in the practice who are about to fly have joked “can I just take you with me to have you on call for the whole trip?”

Yet no matter how many times I have said “yes, pay for my flights and Ill see you at the airport.” no one ever takes me up on it. 

What I mean by all this is, it doesn't matter if you're headed away for a holiday or work, long or short haul flying, everyone knows what it feels like on the other side of travel and wishes they could somehow avoid it. 

The fact is, even though we are keen, even though we might have a person willing to be your travel chiropractor, for most of us (my girlfriend excluded) it is just not practical to bring one, nor does it seem possible to avoid the physical pitfalls of travel. 

This even appears to be true for people I see who don't have to travel in the same class that I do, those fortunate enough to have seats that recline MUCH further and have access to vastly superior champagne. 

It appears that our bodies just aren't built to be inactive for extended periods then immediately lift weights from above head height and repeatedly walk, stand in line, sit again, lift and twist until FINALLY we are at our destination. Who’d have thought? 

Who are you to tell me how to fly?

For both Martin and myself, our interest in comfortable plane travel goes beyond seeing clients every week who are flying all over the world.

Me at Harajuku...not looking like a tourist at all. As you can see, NOT suffering a post flight migraine, the reason in flight health is so important. 

As a lot of you are probably already aware, Martin regularly runs seminars and workshops on chiropractic education here in Australia, but what you might NOT know, is that he is actually a highly sought after speaker internationally as well. In just the last few years Martin has spoken in the USA, Argentina, New Zealand, the UK, Ireland, Holland and Spain and what always amazes me is how short his turn around times will usually be. 

For instance, for his most recent speaking engagement in Scotland, Martin left the practice slightly early on a Thursday evening, flew to Edinburgh for a seminar and was back in Melbourne again Tuesday evening to start practice at 7am Wednesday morning. As someone 18 years his junior (I had to fit that in somewhere) it always astounds me how much energy he still has on the other side of those trips! 

For my part, I began taking more than just a professional interest in healthier travel when as I got into my later 20’s, international flights started to trigger migraines. 

Think of how fun you find airports and customs, and now imagine doing it with burred vision, an inability to deal with noise and a headache seemingly splitting your head in two from the back of your neck to just behind your eye. 

Obviously, I was keen to avoid repeating this fate and so, in recent years have adjusted (pardon the pun) my travel habits to accommodate. 

Well get on with it Kieran, what am I meant to do?? 

Kieran and Martin present:

9 tips to prevent back pain, neck pain and headaches when flying

1. Seating position

For tips about ideal degrees of seat back position, read my post on sitting here.

Don’t forget, that tiny pillow we are given on a plane that seems useless is a great substitute for short term lumbar support or to go under your legs if the seat cushion is pressing in behind your knees.

Another rule of seating position is to mix it up! Your back hates being still for too long and your circulation NEEDS us to change position. You wouldn’t fly to London without moving your ankles toes and feet to avoid DVT and you should think of your low back the same way. 

There are at least 4 seating positions available to you no matter what class you travel in, upright, reclined, upright with lumbar support, reclined with lumbar support. Keep changing between these 4 options to allow your low back the chance for at least SOME movement. 

2. Neck Pillows

No one can actively hold their head up while properly being asleep, as is characterised by the nodding and catching movement we do continually when sitting on planes. 

I have a number of clients who return from flights (many people literally call us to come in on their way home from the airport!) with symptoms that are like mild whiplash. Tight neck muscles, headaches, pins and needles in their arms and restricted neck range of motion are just a few of the symptoms we regularly see after flying and a lot of these could have been avoided if they had been able to properly relax their necks while attempting to sit upright. 

Believe me, I know how lame neck pillows look but there better/less daggy options out there and for me, a neck pillow has changed my life for when I arrive and the quality of my sleep. 

If you are limited for space or forget one, a towel from your carry on or the blanket the airline gives you can be used in a pinch. 

3. Hydration

Staying hydrated tends to be hard everyday in real life, and can seem especially hard when you have to ask someone else for water all the time, but for avoiding headaches, migraines, quality of sleep and relaxing your muscles it is essential. 

The air in the plane tends to dry us out so you should always try to keep your water intake up. Some people travel with a small amount of high quality salt to put a sprinkle in their water to try retain fluid so that drinking doesn't mean too many trips to the bathroom but be careful not to go too far with that. 

The most boring suggestion I have is to limit/don’t drink alcohol while flying. Alcohol inhibits the realise of Anti Diuretic Hormone (or ADH) from our brain, making us need to use the toilet more frequently leading to further dehydration, its one of the main reasons we get hangovers! For further proof of this phenomenon see: “You on a Sunday morning prior to having children”.

4. Sleep

Get as much as you can at the right time. Obviously we need to acclimatise our body to wherever we are traveling to, so if this is in a vastly different time zone, try to sleep like you are already. there.

Neck pillows (as discussed above), eye masks and good quality ear plugs are essential.

The rise in affordable noise cancelling ear plugs has been a God send, but Martin and myself recommend ‘in ear’ earplugs/headphones as larger over the ear ones can make it harder to get your head in a good position for sleeping. 

5. Don't just sit there

Get up and move an annoying amount. Do not care what other people in the cabin think about you getting up and moving about the cabin. 

Obviously this is recommended for avoiding DVT but has the added benefit of stretching and moving the soft tissues of your body. 

My personal tip is to try do some discrete glut activation while you are up. Your gluten are you main pelvic stabilisers and your Glut Max is your largest muscle as its meant to be used for all your lifting, you need it to get your bag down from the overhead lockers and taking luggage off the carousel. 

Remember, you aren't trying to be good at flying, you're actually wanting to enjoy yourself at the other end! 

6. Travel light

The lighter your bags and the less bulky and awkward they are to move around, the easier it will be on your body, no matter how strong you think you are.

7. Prepare early so that you're rested

I cannot tell you how many times I have had to adjust people who have injured themselves PRIOR to leaving for a holiday because getting ready to leave has meant a lot of extra stress in and of itself!

Wry necks, disk issues and headaches are just a few of the issues we see that can be exacerbated or even caused by stress, so do everything you can to be ready early for wheels up - including at work. How often do you stress out about having to get things ready at work so that you can get away? Start looking after yourself in the weeks leading up to your departure and from day one you'll actually feel like you're on holiday. 

8. Meditation

Let’s face it, travel can be stressful. Delays, anxiety about making a connecting flight and of course, your fellow passengers can be an ordeal. 

It can pay to have a good meditation app or relaxing music (as I have said in a previous post I am an Enya man, but there are a few types of music more relaxing than others. For more tips on distressing that post can be found here) can make you more chilled while you fly, leading to a better rested version of you once you get out of the plane on the other end. 

9. Have a brilliant time

You deserve to enjoy your holiday. If you have been putting these tips into practice, you'll be maximising your chances of having the trip you have planned, not one marred by injury. 

Don’t worry! If you find yourself in a spot of bother while you are away, shoot us an email, you'd be surprised just how many places we will be able to fond someone great to get you back on track while you are away. 

If you have any questions about these tips or any suggestions of things I have missed, please feel free to contact us at Align. 

Have a safe and healthy school holiday!

 

Text Neck

This post is a slight change of pace for us, rather than reading about what is on my mind this week, for the first time we invite you to WATCH it instead. 

Leading into Spinal Health Week with a theme of “chiro can help”, Martin and I thought we would make a very quick video about the dangers of “text neck”. 

Please watch me make my video debut as we discuss the importance of this simple but very under appreciated element of daily life. 

For those of you not inclined to enjoy a video format, I will summarise below. 

Text neck is that happens to us when we spend too much time with our head in our phones. Look out your window right now (or just as likely if you're reading this on your smart phone or tablet, think about your own posture) and you are bound to see people leaning their head right forward into the screens of their devices. 

Craning our head forward towards a device causes our posture to follow. Eventually our head stays forward and our shoulders roll forward to follow it. 

This poor posture does not only affect adults, unfortunately it is now very common to see this position in children as they can spend even more time on devices than some adults! 

This head forward posture can lead to number of conditions that we see in practice every day, such as headaches, neck pain, migraine, shoulder pain, tight shoulders or a dowagers hump, just to name a few.

There are several exercises we regularly recommend in practice to clients that we identify need to work on this posture but for this video we wanted to keep it simple. 

Stop, being, in, that, position. 

It is as simple and as difficult as that. Stop training your body to only be good at putting your head forward. 

The solution we offer in the video is to merely hold your phone up higher so it’s in front of your face. Bring the device to you, not you to it!

I know it sounds too simplistic or even glib but we are being sincere, make yourself aware of your posture and what position you are training your body to be in, try to stop staring at screens as often as you can, and if you find yourself looking down at your screen, as yourself, why is it in my lap and not up in front of my face?

What is the best way to sit?

"How should I be sitting?"

We often get asked this by our clients and on the surface it sounds like a pretty simple and straight forward question but when you think about it, its a much broader subject than it first appears. 

If you subscribe to the theory that the researchers at QI are correct about pretty much everything (and let's face it, who doesn't?) then this video will explain to you a little about the *ideal* way to sit, but what do they mean by the BEST way to sit?

For instance, it could be argued that what you are sitting FOR might actually dictate how you could best attempt to sit. Then again, there are some people who argue that we shouldn't be sitting for more than just short periods at all! 

In this post I wanted to discuss a few different types of sitting and when you might want to use them.

But Kieran, what do you mean by different types of sitting?

I'm glad you asked! there are a few different ways in which we position our bodies when we sit and each has its own set of pros and cons. 

In the video above, they make reference to sitting with an angle between your low back and your hips of roughly 30 degrees. They don't specify this in the video but sitting with an angle like that refers to research for the best sitting position to ease pressure on your lower lumbar vertebrae and disks, hopefully reducing the risk of low back pain or injury including disk bulges. 

When I was studying biomechanics as part of my Bachelor of Applied Science (Chiropractic) at RMIT, (back then, the course was an undergraduate degree and a Masters by course work instead of the 5 year Bachelor degree Chiropractors currently undertake...also Youtube was only 1 year old...thats not relevant to that last point other than it gives you an indication of how old I must be) we learned that the ideal angle to sit was indeed NOT sitting up straight but between 100-110 degrees. Definitely within the ball park of what this episode of QI suggests.

So why are we always trying to sit up straight?

It seems strange doesn't it that despite scientific evidence to the contrary, that we should still be obsessed with sitting up straight. 

I can't find any rational reasoning for this but I posit that it's due to our societal awareness of posture in reference to our shoulders and head forward positions, rather than any awareness of our spinal health at large. 

Well then...which is it? Posture or low back health?

To be completely honest, I do not believe that there is one answer to this question. 

Firstly, if you know you have, or at risk of a low back injury, then it is reasonable for you to, as much as possible while sitting, attempt to have an appropriate angle of between 10 and 30 degrees beyond sitting up straight. I would also add, if you have or believe you are at risk of a low back injury, please contact us at Align Chiropractic to see what ELSE you can do to get on track beyond remembering how to sit. 

Secondly, if you don't have a specific reason or concern in reference to your low back, then as stated earlier, perhaps it is best to remember the context in which you find yourself sitting. 

If you are going to be at a computer for most of the day, then a focus on correct sitting posture. 

A couple of quick reminders are:

• Key board - Positioned more directly in front of you, so you aren't reaching for it or turning your     wrists to get the correct angle.
• Screen - Directly in front of you,at a height where your eyes are aimed directly in the middle just about the centre of the screen.
• Chair - Adjusted to a height where your feet can easily touch the floor with your hips at or just past 90 degrees to your torso.
• Mouse - Just to the side of the keyboard, easy to reach in a way that keeps your arm bent, not reaching for it.
• Alignment - Sitting up straight, don't slouch and don't let your head and shoulders slump forward. 

Always remember to keep what you need to use IN FRONT OF YOU in an easy position to use.

Computers and equipment was designed to fit US, not the other way around!

Your other best line of defence is to try utilise a standing desk for at least some part of the day!

However, the above video raises an interesting point, If sitting more casually, i.e. watching a movie etc, then sitting up straight as if you are using a computer doesn't really feel like it makes much sense. Lets face it, it doesn't matter who you are, no one can sit up straight for extended periods of time. 

It makes sense to do it while working, where we can get up from the desk to stretch, get water or to stop our body from fatiguing, but if you're planning to sit and enjoy Casino Royal, re watch the Back to the future trilogy or binge The Sinner, then you can hardly annoy everyone you're watching with and interrupt the show with incessant stretching. 

This is where finding that 10 to 30 degree angle for your low back really comes to the fore.

Similarly while driving, I do not expect you to stop every 20-40 minutes on your daily commute for a walk, so keep that position in mind when you set up your car seat (I will post about correct driving position in the near future, but as a general rule, give yourself that slight angle, position the steering wheel so you aren't leaning forward to reach for it and make sure your head isn't being pushed forward by the headrest).

Another question we get asked frequently is should you sit on a gym ball instead? 

My answer is always the same...if your living room or office aesthetics suit the presence of a gym ball as a permanent piece of furniture, then perhaps posture and sitting is NOT the biggest issue you are currently experiencing. 

More seriously though, in my experience, sitting on a gym ball doesn't provide you with a better sitting technique for an extended period. Like anything, our body will fatigue if we ask it to hold a more rigid position for a long time and eventually we all end up slumping. Personally, I believe that a gym ball can actually help you to slump your shoulders forward as it offers you no form of support to relax into a better position. 

If you DO insist on sitting long term on gym ball, always be mindful of when your head slumps forward and your low back has started to curve in the opposite direction. 

Yep, just like any product sold on late night infomercials, the sad reality is, sitting on a gym ball will NOT automatically give you abs. 

The same can be said of ergonomic chairs or those kneeling 'chairs', not only are they usually more of an eyesore than you would hope them to be, they are really about trying to make the most of a crummy situation. They will try place you in a better posture but without adjusting your position, mindfulness of your body and remembering to get up and move frequently, your body will always try to reduce energy expenditure and slack off as soon as you aren't looking. 

So what SHOULD I be sitting on?

For a hint at the type of chairs we at Align DO actually like people to sit in, look at the furniture in our practice. 

The Eames chairs we have in the practice weren't just chosen for how beautiful they are, or how well they stand up to being sat on by hundreds of people, they also allow you to be comfortable in a relatively good position for a reasonable period of time. 

At the end of the day, there really is no substitute for body awareness. 

Listen to your body. Stand up when you need to stand up, move when you have to move, and re-position yourself when your body tells you it needs re-positioning. 

To discuss the best ways to combat bad posture, exercises to improve your ability to sit better, or discuss your concerns about your posture, contact us at Align on (03) 9696 1057, or bring it up during your next visit so that we can discuss your issues specifically and tailor an approach to your and your needs. 

In a slump...Is it time to stand tall and stop your mum from nagging you?

Good Posture...I know, I can feel how bored you are already. I don't blame you. Can you even count how many times you have been nit picked about slouching? 

And why the hell should you care right? I mean, who cares that you slump a little? Plus, its so hard to stop doing! You try so hard to be upright when you first get to your computer but sure enough, 2 hours later you find yourself leaning into the screen of your computer with your shoulders hanging from your ears and a back hunch that would make Mr. Burns envious. 

A man displaying woeful posture...in need of nagging

As a Chiropractor, 2 things happen often in my life. 

The first is that at almost every time I am introduced to a person or group, most people instinctively straighten their backs and sit or stand taller, as if they all instinctively know that 'Good Posture' is important (even if we don't know why) and that its something we only think about when prompted to (even though we know deep down that our posture isn't great in the first place)

The second is that poor posture is one of the leading causes the issues that we see in our practice every day!  

Low back, neck pain, jaw pain, shoulder injury, predisposition to spinal degeneration, carpal tunnel type symptoms, migraines and tension headaches are some of the most common symptoms we see day in and day out and it doesn't take much Googling to find that a lot of these problems are either caused by, or at the least made worse by, poor posture. 

So, how does having bad posture lead to these issues? 

The answer is actually really simple and its actually a major part of understanding what we do as chiropractors:

Nervous system feedback and the body’s position in space

"The deeper layers of muscle are concerned with ‘sensing’ our position in space and relaying this information to the brain. If this function is taken over by muscles... (As a result) the brain gets an incomplete picture. The brain assumes that the body needs to be propped up to counteract the effects of gravity, so it triggers further muscle contraction. This adds to the general fatigue and pain felt by the person with poor posture." - The Victorian Government's better health website 

The issues with poor posture appear to go beyond just the physical mechanics as well! 

If I told you to imitate a person who is stressed out, anxious or depressed, I bet you would tighten and slightly raise your shoulders, pushing your head forward and making you shorter. Sound familiar? 

Some authors discuss that consistently being in this position might actually lead to deepened depression, increases in perceived stress, circulation issues, as well as negatively affecting digestion, breathing mechanics and the we way we are perceived by ourselves and others!

So what can we do about it? Well I'm here to tell you that dealing with posture is both simple AND challenging. 

Simple in that there are very basic ways that we can start to work on and improve how our body holds itself, yet challenging in that as Australian's, we are sitting or lying down for an average of 23 hours and 47 minutes, so we have a lot practice at bad posture to try and work against!

Over the space of a few more blog posts, I am hoping to talk you through some strategies to start tackling this problem, but until then, if you have any questions, or if yourself or someone close to you needs help getting out of their slump, please do not hesitate to contact us at Align on (03) 9696 1057.

Kieran 

Are you Sitting too much?

Maybe you've heard the new catch phrase, "Sitting is the new smoking"? 

Have you wondered why that is?  Are you curious as to how prolonged periods of sitting is causing you harm?  How sitting decreases brain activity, can cause back pain, shoulder pain and neck pain? How sitting can decrease fat metabolism, contribute to metabolic diseases, heart disease, depression and even some cancers?

For a simple explanation, watch this 5min Ted Ed talk (perhaps do it standing!) and learn what impact sitting is having on your posture and health.

If you're curious, you can even take this survey and calculate just how much sitting you are doing each day, the results may shock you!

Here's a few strategies you may use to get off your butt;

1. If you work in an office at a desk, perhaps get into the habit of taking phone calls standing up

2. Set an alarm for every 30mins to get up out of your chair and do a few stretches

3. If you commute to work via Public Transport, you could choose to stand instead of sit

4. There are great options for standing work stations - check this one out

5. Walk to work, or at least park further away from the office.  This serves two purposes, increases your exercise for the day AND reduces sitting time in the car

6. If you're into computer games, try playing them standing up, instead of sitting!  It may surprise you to know that standing actually increases brain activity and reactivity.  So standing may help you get to that next level.