I have had more acute sciatic pain plus a long stretch of time at home ( so I decided to focus on discovering the cause.  What would a medically trained physician have to say about my condition?
I imagine most people begin in the doctor’s office.  You, who read my posts, may be among those who seek alternative care first.  I have done Feldenkrais, Deep tissue sports massage, private pilates, Myo Facial Release, Raiki, Alexander, Therapeutic Yoga, chiropractic, Physical Therapy—what am I forgetting?  Ah, yes, my wonderful team at the Xgym, half the time and twice the results.  Personal trainers who tailor my 25 minute workout to build upper body, leg and core strength while protecting my back.My first injury happened in 1989 with a major exacerbation in 1992.  Back then I did all the above and my doctor of choice was Stan Herring, a neurosurgeon who now limits his practice to the University of Washington Huskies and the Sea Hawks.  He’s the doctor who looked at my x-rays and a later MRI and asked if I’d come in a wheelchair.  “Get strong, Betsy.  Your bones are no good for surgery so get strong.”
If you know me and see me on Face book, you know that is exactly what I have been doing.  Weekly hiking, daily walking up and down the hills of West Seattle, long walks in exotic places in the off season, cross country skiing and snow shoeing when we have snow in our Cascades.
The sciatic has gotten progressively worse affecting my right leg and causing numbness and sometimes extreme pain.  I put myself under the care of Dr. Ren at the Polyclinic. She is a physical medicine doctor who specializes in keeping people moving who suffer from back related problems (among other things).  She confirmed that I have extreme spinal stenosis and osteoarthritis, two herniated disks at L4 and L5.  She sent me to physical therapy for eight session.  As has been true with previous visits to PT’s, I had fun with those young specialists and enjoyed their stretching, icing and exercises, but nothing beneficial came of it.  In fact, the gross motor activities prescribed may have made my condition worse.
Next step was to get the shot of cortisone in the L5 area where the narrowing is so small, it’s a wonder any nerve impulses get through at all.  I’ve been scheduled for this procedure three previous times and canceled each time.  I wasn’t ready.  Dr. Ren did a fabulous job.  Her needle found the spot producing an electric shock that sprung my leg all the way to my two middle toes to life with a jerk.  After I caught my breath, I congratulated her.
The first day I felt wonderful and so moved stuff around in the garage.  Stupid.  Without the pain, I realized my gait was completely cattywampus—right hip collapsing with each step, left leg struggling to hold me up.  Something whispered to me, “Go back to Becci Parsons and let her healing hands remind you how to stand and walk and sit and roll over.”  Becci is the Feldenkrais therapist who got me back on my feet after the herniation so many years ago.  She is a former dancer and has the same “keep moving” spirit I have.  She has suffered from a similar herniation and has ended up with surgery.  She can move fluidly with nearly equal strength on both sides (her right side has some weakness and lack of nerve response when her foot gets caught).
Becci, after three session, has me sitting on my sits bones with a natural curve in my lower spine, pressing one heal to the floor on the exhaling breath while lifting the right heal ever so slightly.  I am paying attention to the distance between my arm pit and my hips on both sides, keeping that distance equal.  I am paying attention to every muscle group that tries to help lift that right heal.  Tiny movements with laser focus to re-pattern the injured nerves and muscles.  She checked out my gait with the hiking sticks and said it was remarkable how my shoulders remained even, my right side did not collapse and my left hip didn’t swing out.  That decision on my part to walk everywhere with hiking sticks was the best self care for my condition.  It gets me a seat on a crowded bus, too.
I have further information from a new MRI although Dr. Ren’s assistant Diana and further narrowing has occurred since the pictures in 2014. I am now several weeks out from the cortisone shot and sadly report that the left leg is painful and weak as well as the right leg.

Monday morning I will have a surgery consultation with Becci’s neurosurgeon, Dr. Nora. I have some hope that he can help me.
The shot did lessen the pain, so much so that I stopped taking Shaklee’s Pain Relief Complex which inhibits the pain path without any side effects.  Low and behold, other arthritis pain showed up in my hands.  I’m back on the Pain Relief and have a prescription for a pain reliever that I have not tried yet.

The most difficult aspect of this saga is that I cannot hike for longer than a half hour without sitting down.  I am in deep mourning for the loss of this activity with my pals.  I can’t hold them back.  What a struggle to let go of something so dear to my heart and body.  I have tried walking in the swimming pool to get my heart rate up and feel those endorphins that come from exercise, but it didn’t do much for me to be indoors.
There is something about spending a day in the wilderness every week that kept my spirit soaring and my sense of well being strong.  I’ll keep you posted on this transition to something that satisfies without excruciating pain.
I share my pain, suffering and healing stories in case they resonate with something you are going through, or someone you know.  If you have any interest in connecting with any of the practitioners I have used, please follow the hot links to them.  If you are interested in trying the supplements and dietary changes that have been so helpful to me, please check out this post in particular.  If you have questions or comments from your own experience, I and my readers would love to hear from you.

Thanks for reading. Share  your sciatica stories with me and my readers. Feel free to contact any of the healthcare providers I mentioned (Becci Parsons, Feldenkrais: Cedron Sterling, Myo Fascial Release) in this post. Happy hiking (and whatever you do to stay active.)

Be well, Do well, and Keep moving.

Betsy Bell

Betsy Bell Enterprises LLC, 206 409 5940

The post The end of hiking appeared first on GrandmaBetsyBell.

What appeared in today’s New York Times in Jean Brody’s Health post is a must share with you and all your friends. She talks about Feldenkrais, a technique and practice I discovered many, many years ago when what I needed most was Awareness Through Movement. Becci Parsons in my local Feldenkrais guru. She has saved me from debilitating arthritic pain in the past. In the present, she guided my mind and body through the process of a spine fusion by Dr. Peter Nora and the subsequent repatterning of my nerve damaged legs. Jean Brody wasn’t and isn’t about to require surgery for her pain. She just wanted a better quality “every day”. Please read on for her remarks. When you have read her post, go to Becci Parson’s website and find a class. She teaches all the time in convenient locations north of the ship canal in Seattle. Living somewhere else? Do a search and find a practitioner.

Be well and Keep Moving, Betsy

(To read about supplements that help with pain, go to this post.)

Trying the Feldenkrais Method for Chronic Pain
Personal Health
By JANE E. BRODY OCT. 30, 2017

After two hourlong sessions focused first on body awareness and then on movement retraining at the Feldenkrais Institute of New York, I understood what it meant to experience an incredible lightness of being. Having, temporarily at least, released the muscle tension that aggravates my back and hip pain, I felt like I was walking on air.

Thanks to Paul Rogers  for this cartoon from the NYTimes.

I had long refrained from writing about this method of countering pain because I thought it was some sort of New Age gobbledygook with no scientific basis. Boy, was I wrong!
The Feldenkrais method is one of several increasingly popular movement techniques, similar to the Alexander technique, that attempt to better integrate the connections between mind and body. By becoming aware of how one’s body interacts with its surroundings and learning how to behave in less stressful ways, it becomes possible to relinquish habitual movement patterns that cause or contribute to chronic pain.

The method was developed by Moshe Feldenkrais, an Israeli physicist, mechanical engineer and expert in martial arts, after a knee injury threatened to leave him unable to walk. Relying on his expert knowledge of gravity and the mechanics of motion, he developed exercises to help teach the body easier, more efficient ways to move.

I went to the institute at the urging of Cathryn Jakobson Ramin, author of the recently published book “Crooked” that details the nature and results of virtually every current approach to treating back pain, a problem that has plagued me on and off (now mostly on) for decades. Having benefited from Feldenkrais lessons herself, Ms. Ramin had good reason to believe they would help me.

In her book, she recounts the experience of Courtney King, who first experienced crippling back spasms in her late 20s. Ms. King was taking several dance classes a week and practicing yoga, and she thought the stress of these activities might be causing the pain in her tight, inflexible back. But after a number of Feldenkrais sessions, she told Ms. Ramin, “I realized that the pain had more to do with the way I carried myself every day.”

Even after just one session, I understood what she meant. When I make a point of walking upright and fluid, sitting straight, even cooking relaxed and unhurried, I have no pain. The slow, gentle, repetitive movements I practiced in a Feldenkrais group class helped foster an awareness of how I use my body in relation to my environment, and awareness is the first step to changing one’s behavior.

One common problem of which I’m often guilty is using small muscles to accomplish tasks meant for large, heavy-duty ones, resulting in undue fatigue and pain.

The group class, called Awareness Through Movement, was followed by an individual session called Functional Integration with a therapist that helped to free tight muscles and joints that were limiting my motion and increasing my discomfort. Using gentle manipulation and passive movements, the therapist individualized his approach to my particular needs.

The ultimate goal of both sessions is, in effect, to retrain the brain – to establish new neural pathways that result in easy, simple movements that are physiologically effective and comfortable. Although the Feldenkrais method was developed in the mid-20th century, neurophysiologists have since demonstrated the plasticity of the brain, its ability to form new cells, reorganize itself and, in effect, learn new ways to do things.

The beauty of Feldenkrais lessons is that they are both relatively low-cost (group classes average $15 to $25, individual sessions $100 to $200) and potentially accessible to nearly everyone. There are more than 7,000 teachers and practitioners working in 18 countries, including large numbers in the United States. You can be any age, strength, fitness level and state of well-being to participate. The exercises are slow, gentle and adjustable to whatever might ail you. Their calming effect counters the stress that results in contracted muscles, tightness and pain.
Feldenkrais practitioners like Marek Wyszynski, director of the New York center, typically start professional life as physical therapists. They then undergo three years of training to become certified in the Feldenkrais method.

Mr. Wyszynski explained that he starts by observing how patients are using their skeletons – how they sit, stand and walk in ways that may cause or contribute to their pathology, be it spinal disc disease, arthritis, shoulder pain or damaged knee joints. In accordance with Dr. Feldenkrais’s astute observation, “If you don’t know what you are doing, you can’t do what you want,” patients are then given a clear sensory experience of how their posture and behavior contribute to their pain and physical limitations.

For example, some people may use excessive force, clench their teeth, hold their breath or rush, causing undue muscle tension and skeletal stress. Years ago, I realized that my frequent headaches resulted from an unconscious habit of clenching my jaw when I concentrated intently on a task like sewing or cooking. Feldenkrais teachers do not give formulas for a proper way of behaving; rather, they rely on their patients’ ability to self-discover and self-correct.
Once aware of their counterproductive habits, students are given the opportunity to experience alternative movements, postures and behaviors and, through practice, create new habits that are less likely to cause pain.

Mr. Wyszynski told me that there are more than 1,000 distinct Feldenkrais lessons currently available, most of which involve everyday actions like reaching, getting up from a chair, turning, bending and walking.

As a mechanical engineer and physicist, Dr. Feldenkrais understood that the job of the human skeleton was to accommodate the effects of gravity in order to remain upright. And he wanted people to achieve this in the most efficient way possible.

Using two tall foam cylinders, one perched on top of the other, Mr. Wyszynski demonstrated a guiding principle of the Feldenkrais method. When the top cylinder was centered on the bottom one, it stood in place without assistance. But when it was off center, perched near the edge of the bottom cylinder, it tipped over. If instead of cylinders these were someone’s skeletal parts that were askew, tightened muscles would have to keep the patient from falling over.
As Mr. Wyszynski explained, “Good posture allows the skeleton to hold up and support the body without expending unnecessary energy despite the pull of gravity. However, with poor posture, the muscles are doing part of the job of the bones, and with poor skeletal support, the muscles have to remain contracted to prevent the body from falling.”

I wish you the best of health. Betsy

The post Awareness Through Movement appeared first on GrandmaBetsyBell.

There comes a time when surgery for arthritis makes sense. I have reached that time. I began blogging at www.NoWheelchair.wordpress.com in 2004, to share strategies a person with arthritis could use to avoid taking medication or having surgery. My posts have been about my own journey to manage increasingly severe osteoarthritis and spinal stenosis, and more recently a condition known as listhesis, or the collapsing of vertebra to the left and to the right. As my Feldenkrais practitioner keeps telling me, “You’ve got a complicated spine.”

It has been an interesting process to dedicate this year to a protocol of my own making. I have gone to a physical medicine specialist, Dr. Ren, at the Polyclinic who suggested physical therapy for eight sessions. The PT exercises did nothing to alleviate the weakness in my legs, nor the pain, lovely as it was to show up to the attention of admiring young men twice a week.

I decided to take Dr. Ren’s offer of an injection of steroids in L5 and L4 and I had a good four pain free weeks. With less pain, I was able to pay attention to my gait and realized I was so unstable on my right side that my right hip was swinging out with every step. I decided to go back to Becci Parsons, my Feldenkrais practitioner for help getting symmetrical again. Walking everywhere with hiking sticks helps with symmetry. My strong upper body lifts my weaker legs up and the hiking sticks keep me parallel. They are less for balance than for lifting weight off the collapsed vertebra.

Nerve pain came back after a short time. Dr. Ren thought I might be a good candidate for surgery. Becci has had two operations for very similar conditions so I went to her neurosurgeon, Dr.Peter Nora. Dr. Nora has twenty years of back surgery under his belt. When I met him, I looked at his hands which are small and delicate. A good sign. He put me through the diagnostic paces where you resist pressing your knees together and then apart; your feet in and then out; your knee lifting against pressure; all of which I passed with flying colors. It seemed obvious this 79 year old woman showed no sign of weakness. He tried one last diagnostic tool: I stood against the wall pressing my heals, my back and my head against it. The test: stand for ten minutes in that position. I lasted 5 seconds before my legs gave way.

I so appreciated Dr. Nora’s willingness to listen to my experience. When I stand around for a while, the right leg loses feeling and will not support my weight. Think about when standing around is what we do as humans: hanging out in the kitchen with family while we cook; looking at a painting in the museum; holding a drink at a cocktail party or reception; singing in the choir at church; waiting in line at Starbucks, at the airport, at the bank. All of these scenarios result in weakness and the sensation of getting ready to fall over. Dr. Nora heard me and kept trying moves so he could reproduce my experience in a controlled clinical setting. Thank goodness. I once had an orthopedist kick me out of his office after I told him I walked to Broadway and Madison from the 3rd Ave bus stop, a distance of about a mile, most of it up a steep hill. I was using my sticks so I could do it.

Dr. Nora explained the surgery by showing me the MRI of my spine from the bottom to the top as if you were looking up a tube in which the spinal cord runs. Between L3, L4 and L5, the poor spinal cord disappeared completely. He will carve off the bonein those areas to stop the pinching of the nerves. It could be a big change for the better. Since I have been avoiding surgery for so many years, there is no guarantee all the nerves will come back, but the pain should reduce considerably.

You would think I would get in for surgery for arthritis as quickly as possible. But my calendar is full this summer with harvesting the raspberries (bending, lifting and twisting), camping with family, traveling to Hawaii with a granddaughter and several graduations. The first stretch of time when I could commit to no bending, no twisting and no lifting for a month begins August 16th. So that is when the surgery is scheduled.

In the mean time, Dr. Ren’s Assistant, Diana Ferdana, who calls me pharmaceutically naive, meaning I have little experience with drugs, prescribed Gabapentin. This drug prevents seizures and also blocks nerve pain. Side effects bother me as I am a little loopy, a little sleepy, but the benefit of the smallest possible dose is considerable. I still take Shaklee’s Pain Relief Complex to keep other arthritis under control, like my thumbs and fingers and shoulder.  She also gave me an industrial sized back brace which I wear when picking raspberries, doing laundry, emptying the dishwasher, sweeping the floor. You get the idea, bending, lifting and twisting.

I still go to the Xgym every week. My trainer has talked to Becci and together they have a workout plan that stabilizes my core while building upper body strength. These exercises don’t ask much from my weak legs other than stability although I am doing controlled lunges with hiking sticks. Staying fit is important when heading for major surgery. The guys at Xgym will help me get back on my feet when the surgery is over.

I am still walking most days although forty minutes to an hour is as long as I can go without sitting down to give my back relief. So no hiking with my group. This is the hardest loss for me as I have been in the wilderness nearly every week since 2004, summer and winter. Happily there are plenty of parks nearby with old growth forest and trails, but there is nothing like deep wilderness. I miss it and my hiking buddies.

I share all this personal experience with the hope that you or someone you know will take heart in their own struggle with arthritis. Don’t give up and sit down. We have to keep moving to avoid further damage and disability. At this point for me, I can do damage by over-doing so I have to learn to listen to the signals that say, enough. Most days at least a mile of walking works. I begin each day with tiny Feldenkrais movements to activate the core, the psoas and the multifidae that go up and down my spine to stabilize it. Just half an hour of that careful “exploration”, as Becci calls it, makes the difference for movement all day.

So, Be well, Do well and Keep Moving.
Feel free to share this. And don’t forget to like me on Face book.

Comments and questions are encouraged.

Betsy

206 933 1889

The post surgery for arthritis appeared first on GrandmaBetsyBell.

I imagine most people begin in the doctor’s office.  You, who read my posts, may be among those who seek alternative care first.  I have done Feldenkrais, Deep tissue sports massage, private pilates, Myofascial Release, Raiki, Alexander, Therapeutic Yoga, chiropractic, Physical Therapy—what am I forgetting?  Ah, yes, my wonderful team at the Xgym, half the time and twice the results.  Personal trainers who tailor my 25 minute workout to build upper body, leg and core strength while protecting my back.
My first injury happened in 1989 with a major exacerbation in 1992.  Back then I did all the above and my doctor of choice was Stan Herring, a neurosurgeon who now limits his practice to the University of Washington Huskies and the Sea Hawks.  He’s the doctor who looked at my x-rays and a later MRI and asked if I’d come in a wheelchair.  “Get strong, Betsy.  Your bones are no good for surgery so get strong.”
If you know me and see me on Face book, you know that is exactly what I have been doing.  Weekly hiking, daily walking up and down the hills of West Seattle, long walks in exotic places in the off season, cross country skiing and snow shoeing when we have snow in our Cascades.
The sciatic has gotten progressively worse affecting my right leg and causing numbness and sometimes extreme pain.  I put myself under the care of Dr. Ren at the Polyclinic. She is a physical medicine doctor who specializes in keeping people moving who suffer from back related problems (among other things).  She confirmed that I have extreme spinal stenosis and osteoarthritis, two herniated disks at L4 and L5.  She sent me to physical therapy for eight session.  As has been true with previous visits to PT’s, I had fun with those young specialists and enjoyed their stretching, icing and exercises, but nothing beneficial came of it.  In fact, the gross motor activities prescribed may have made my condition worse.
Next step was to get the shot of cortisone for sciatica in the L5 area where the narrowing is so small, it’s a wonder any nerve impulses get through at all.  I’ve been scheduled for this procedure three previous times and canceled each time.  I wasn’t ready.  Dr. Ren did a fabulous job.  Her needle found the spot producing an electric shock that sprung my leg all the way to my two middle toes to life with a jerk.  After I caught my breath, I congratulated her.
The first day I felt wonderful and so moved stuff around in the garage.  Stupid.  Without the pain, I realized my gait was completely cattywampus—right hip collapsing with each step, left leg struggling to hold me up.  Something whispered to me, “Go back to Becci Parsons and let her healing hands remind you how to stand and walk and sit and roll over.”  Becci is the Feldenkrais therapist who got me back on my feet after the herniation so many years ago.  She is a former dancer and has the same “keep moving” spirit I have.  She has suffered from a similar herniation and has ended up with surgery.  She can move fluidly with nearly equal strength on both sides (her right side has some weakness and lack of nerve response when her foot gets caught).
Becci, after three session, has me sitting on my sits bones with a nature curve in my lower spine, pressing one heal to the floor on the exhaling breath while lifting the right heal ever so slightly.  I am paying attention to the distance between my arm pit and my hips on both sides, keeping that distance equal.  I am paying attention to every muscle group that tries to help lift that right heal.  Tiny movements with laser focus to re-pattern the injured nerves and muscles.  She checked out my gait with the hiking sticks and said it was remarkable how my shoulders remained even, my right side did not collapse and my left hip didn’t swing out.  That decision on my part to walk everywhere with hiking sticks was the best self care for my condition.  It gets me a seat on a crowded bus, too.
I have an appointment for a new MRI although Dr. Ren’s assistant Diana didn’t see how the stenosis could have gotten any worse.  Then I will have a surgery consultation with Becci’s neurosurgeon.  I hope I don’t have to go there, but I am willing if it would help me gain real strength on my right side.

The blessing is not being in pain.  I stopped taking Shaklee’s Pain Relief Complex which inhibit the pain path without any side effects.  Low and behold, other arthritis pain showed up in my hands.  I don’t hike as far as the other members of my gang of hikers, but I am strong enough to lead the pack and am pain free.  My hiking friends have been solicitous, gradually increasing the length and the elevation gain.  Last week and next will be 700 ft of altitude gain and six miles round trip (Boulder Creek trail of Hwy 530).  I know it well and there are places to stop if I need to let the others go on.
There is something about spending a day in the wilderness every week that keeps my spirit soaring and my sense of well being strong.  I’ve mentioned before that our gang has scouted out wheel chair accessible wilderness walks for that time in the future when one of us can’t walk.  So far, I don’t need to be pushed.
I share my pain, suffering and healing stories in case they resonate with something you are going through, or someone you know.  If you have any interest in connecting with any of the practitioners I have used, please follow the hot links to them.  If you are interested in trying the supplements and dietary changes that have been so helpful to me, please check out this post in particular.  If you have questions or comments from your own experience, I and my readers would love to hear from you.
Thanks for reading,
Be well, Do well and Keep Moving,
Betsy
206 933 1889

The post Cortisone for Sciatica appeared first on GrandmaBetsyBell.

My newest therapeutic intervention for progressive osteoarthritis and spinal stenosis is Myofascial Release.  Since hurting my back in 1992 and dealing with arthritis, I have sampled and treated with private Feldenkrais (Becci Parsons).  Becci restored me to functional walking, sitting, rising up from sitting, lying down and even entering and exiting a car.  The next therapy was private sessions with Mary Sue Corrado, a therapeutic Pilates specialist, who, after about eight years, helped me develop enough core strength to enjoy yoga without hurting myself.  You can read my arthritis history here, and longer explanations of both Feldenkrais and Pilates.

I have had some sessions with a Rolfing specialist.  I get regular deep tissue massage and have benefitted from acupuncture.  Myofascial Release goes to the heart, the source of the structural problems in my body that contribute to pain.  It does not cure arthritis, but it helps the body gain fluid movement.

Through a series of synchronicities, a friend introduced me to Cedron Sterling. She suffered from knee pain and her doctors recommended knee replacement surgery.  Instead of surgery, Cedron worked with her through myofascial release therapy.  The restrictions melted away and she walks without pain.

I decided to try this treatment.  I have a lot of pain in my lower back, hips and feet and my right leg goes numb especially when standing around for a long period of time, choir practice and performance, museum viewing for example.  In a recent diagnostic MRI, the sports doctor could see bulging discs in the thoracic and lumbar spine, but did not feel I was at risk for a major problem that would interrupt a walking tour in England.  It is troublesome to have a leg go numb, I can tell you, even if danger of debilitating injury is slim.

You can read about the therapy on Cedron Sterling’s web site.  You can listen to his teacher’s talk about the treatment and the resistance to embracing it as a viable therapy.

The fascia is a thin film, an internal skin that holds muscles, organs, blood vessels, tendons in place, interconnecting everything in our bodies from the top of the head to the big toe.  Over the years, I have had a number of surgeries, strains, twists and each time the fascia adjusts its hold on the effected muscles, tendons and organs.  Things get tight.

For example, I had a mastectomy of the left breast in 1971 and the scar area has been rigid for 44 years.  By applying gentle pressure into the barrier of resistance, Cedron was able to release all tightness in the rib cage, the chest wall, the muscles and tissue where the incision was made all those years ago.  My whole left side opened up.  My left arm swings wide and strong without restriction.

He has worked on my feet which have large bunions and an inflexible second toe that has held an immovable arch after a neuroma in the ball of my foot.  I have been able to walk long distances without pain because of the masterful craftmanship of Dr. Huppin.  He fashioned an orthotic which spread the weight bearing function of the foot out and away from this damaged area.  Cedron has released the holding that caused the problem in the first place.  I have been grateful for Dr. Huppin’s band-aid, but I realize now that it is no more than a band-aid.  Correcting the problem at its root requires release of the fascia which was stuck in a holding position that served some purpose at one time.

Myofascial Release cannot make the body new with one treatment.  You are on the treatment table for 90 minutes and the cost is $160 per treatment.  Insurance usually does not reimburse for this treatment.  I will probably have upwards of twelve sessions before the most binding fascia relaxes enough to give me a fluid range of motion.  Once we agree that one to two times a week is no longer necessary, I will return for fine tuning monthly or every couple of months.

I am taller.  I can breathe with more lung capacity. I have not had any numbness in my right leg.  Better yet, I am learning how to do my morning stretches more slowly, meeting the point of resistance and gently, with the breathe, increasing the pressure and range of motion as the restrictions melt.  This is not about pushing through pain.  It is about release.  Athletes, young and old, find new movement, relief from chronic pain.  People who sit at desks all day, or do repetitive activities like playing the violin, giving facials and massage or bagging groceries can get relief.  Self care instruction is part of the deal.

I recommend myofascial release therapy highly.

Be well, Do well and Keep Moving,

Betsy

Please add your comments and be in touch.  206 933 1889.

The post Myofascial Release appeared first on GrandmaBetsyBell.

What’s up with not getting a deep, long sleep at night?  I have heard from several of my customers that falling asleep is no problem, but they wake up in the night and can’t get back to sleep afterward.  Not getting a good night’s sleep is a serious concern in our modern busy world and it seems to worsen when we develop arthritis aches and pains in our later years.  Read on for a thorough discussion of arthritis and sleep.

What are the health risks of interrupted, inadequate sleep?

Turning to WebMD we get a lengthy discussion about 10 things to hate about sleep loss.

In a nutshell:

1. Sleepiness causes accidents:  100,000 a year resulting in 1550 deaths.  Mostly people under 25 were driving when drowsy, not to mention  the 1979 nuclear accident at Three Mile Island, the massive Exxon Valdez oil spill, the 1986 nuclear meltdown at Chernobyl.

2. Sleep loss dumbs you down.  You just can’t think well when you are sleepy and without deep rest, your brain cannot store and catalog all the things you learned today.  Nighttime is memorization time.

3.  Serious health risks of chronic sleep disorders

• Heart disease
• Heart attack
• Heart failure
• Irregular heartbeat
• High blood pressure
• Stroke
• Diabetes

4.  Lack of sleep kills the sex drive.  Need I say more?

5. Sleepiness is depressing.  May I add that it is depressing to the sleepy person and to those who would like to play, work, and enjoy life with that person.

6. Lack of sleep ages your skin. It is the cortisol produced by stress that causes those extra lines and dark patches under the eyes.  And missing sleep is stressful.

7.  Sleepiness makes you forgetful.  Maybe you don’t have early onset Alzheimer’s; you only suffer from poor sleep.

8.  Losing sleep can make you fat.  When you are sleepy, you crave fat-laden carbs.

9.  Lack of sleep may increase early death.  Read the report to see the study.

10.  Sleep loss impairs judgment, especially about sleep.  We cannot see how impaired our brain function is.

Since this is a blog about arthritis, I wanted to see if lack of sleep affected our joints.  Turns out there is a vicious circle of pain and lack of sleep going on when you have painful arthritis.  From a study reported in the Daily Mail about this problem,

Experts say insomnia is common among the ten million arthritis sufferers in Britain, with some estimates suggesting that nearly two in three experience trouble sleeping. However, until recently restless nights were viewed as a secondary and almost inevitable problem for people with arthritis.  But now scientists are realising that this problem is a two-way street: not only does joint pain cause sleep loss, but sleep deprivation makes joint pain worse, and can even accelerate joint damage. There is growing concern that sleep disturbance exacerbates osteoarthritis (wear-and-tear arthritis) and rheumatoid arthritis (where the immune system attacks the joints), and experts believe that treating insomnia could lead to an improvement in the condition.

Osteoarthritis develops when cartilage that protects the surface of bones becomes damaged and starts to break down. The exact causes remain unknown, but genes, weight and age are all thought to be involved. Much of the pain and swelling is caused by inflammatory molecules in the body travelling to the joint. 

For reasons that are not fully understood, disrupted sleep leads to increased numbers of these inflammatory markers, which further aggravates sore joints. One of these markers is called interleukin-1 (IL-1), which is made by white blood cells. One expert thinks IL-1 is the ‘primary trigger’ of osteoarthritis.  Lack of sleep causes arthritis pain and visa versa.

 Professor Peter Wehling, an orthopaedic surgeon whose Dusseldorf clinic has become a pilgrimage site for sports stars seeking to prolong their careers, says even a limited amount of sleep disruption can cause the immune system to ‘go into overdrive’. It then begins to ‘flood the body with white blood cells in a vain attempt to address exhaustion-related distress’, as he puts it in his book The End Of Pain.

Many of the IL-1 producing white blood cells lodge in the joints and cause ‘discomfort and gradual erosion of cartilage’, he says. Professor Wehling warns that even one bad night’s sleep can set this in motion. 

Professor Silman from Arthritis UK agrees that inflammatory compounds play a role in arthritis. ‘Sleep disturbance can change the body’s natural cycle of hormones as well as possibly adversely affecting the underlying levels of inflammation,’ he says. He agrees that IL-1 is ‘an important player’ in the development of inflammatory arthritis, but says other cytokines — inflammation-causing chemicals — may also be involved.  He adds that some of the symptoms of osteoarthritis, especially in its early stages, may be a direct consequence of inflammation.

And while loss of sleep may release damaging inflammatory chemicals, it also means the joints miss out on the healing benefits of sleep.

Sleep is the longest time during which the body has low levels of inflammation and opportunity to heal. Around 15 to 25 per cent of it should be deep sleep — this equates to around 1½ to two hours every night. During this time, energy levels are restored and the immune system strengthened. But it can take up to 45 minutes of sleeping to enter deep sleep — and these deep phases seem to occur only in the first half of the night, for reasons not understood.  This means that if someone is tossing and turning they may have very little deep sleep. This not only increases the number of inflammatory markers in the body, but it can also disrupt the workings of hormones vital for joint healing, says Professor Wehling. Perhaps most notably it lowers production of human growth hormone, sometimes called the ‘master hormone’ because it is vital to many processes in the body including tissue repair, weight management and continuing replacement of bone and collagen. Though human growth hormone is produced in small surges during the day, by far the biggest burst comes 60 to 90 minutes after falling asleep as we enter deep sleep. 

 Inflammation suppresses human growth hormone — and so deep sleep causes levels to surge. 

But without much deep sleep, we may not produce enough growth hormone, speeding the decline of tissue and bone, causing it to become worn in joint areas.  Furthermore, weariness makes people more sensitive to pain, and can lead to them becoming even more immobile. 

Professor Kevin Morgan, director of the Sleep Research Centre at Loughborough University, explains: ‘Moving involuntarily in the night can wake you up with a lightning shaft of pain and a cracking sensation. ‘This sleep disruption makes pain worse the next day, and makes a person less inclined to want to move around.  ‘However, movement and activity makes joints hurt less.’ 

Arthritis Research UK is funding a study by King’s College London’s Institute of Psychiatry, which aims to identify and treat the issues preventing patients with rheumatoid arthritis from being physically active and sleeping well. Around 200 people with the disease are taking part in the research, which it is hoped will lead to new techniques to tackle inactivity, sleep disruption  and pain.

A similar study by the University of Washington in Seattle involving 375 patients with osteoarthritis is also being held and is due to report next year. It is examining whether targeting pain and sleep problems is more beneficial than a regimen focusing on pain alone.  The researchers have hypothesised that the dual approach will have greater long-term benefits for sleep and pain, increase physical activity and lead to a reduction in healthcare costs.

Jo Cumming, head of helplines at Arthritis Care, says the charity speaks to 12,000 people a year, and 63 per cent say they don’t get a good night’s sleep.

‘It is a huge burden to bear. When GPs are considering medication or joint replacements one of the things they ask patients is whether the pain stops them sleeping,’ she says.

 But Professor Morgan argues that previously GPs have considered insomnia as an unfortunate consequence of another health problem, rather than an important health problem in itself.

This has led to patients not always receiving the best treatment.

‘You have to put in a lot of work convincing clinicians that sleep problems are not just collateral damage from the main disease,’ he says. 

So what can help those with joint pain achieve a good night’s sleep? 

Tips include cutting out afternoon naps, using lamps rather than ceiling lights in the evening, avoiding caffeine after 3pm and not drinking alcohol after 9pm. 

Professor Wehling also recommends ‘keeping a consistent bedtime and rising within an hour of sunrise’. 

Avoiding midnight snacks can also help.

An estimated 50 per cent of our body weight is carried by the menisci, small pads of cartilage in the knee, so piling on the pounds adds substantially to an already considerable strain. Excess body fat can also heighten arthritis directly because our fat cells expand and produce more cytokines, which fuel inflammation.

However, a lack of sleep can lead to weight gain, which is known to make joint pain worse.

Levels of melatonin, the key hormone in regulating our daily body cycle or circadian rhythm, are also disturbed by sleep loss, and this in turn upsets the balance of two other hormones.

The first is ghrelin, known as the ‘hunger hormone’.  Elevated levels of ghrelin at night can prompt people to raid the kitchen, craving carbohydrates in particular. It also causes extra insulin production, making the body store more fat.

The second is leptin, which usually helps regulate appetite, but may be disrupted by loss of sleep. Studies in mice also suggest that leptin may itself have inflammatory effects.

What are some solutions to this problem?

Talk to your doctor and help him/her see that lack of sleep is important enough to work through the available medications to find one that works.

If you are like me and prefer to solve this problem through alternative methods, I have found a number of strategies that work for me.  While I still wake up in the night, I can nearly always get back to sleep and return to a deep, untroubled sleep, waking up well rested.

Shaklee makes two supplements which help induce a restful sleep at the beginning of the night.

Gentle Sleep Complex  swallowed all at once or made into a tea about 1/2 hour before bed along with

Stress Relief complex.  Taking 2 seems to be the best amount for helping with sleep at night.

Lavender oil dabbed on the bottoms of the feet. (I know, sounds woo woo but it seems to work.  You can also buy a little chimney with a dish on top for the Lavender oil.  The odor wafts through the bedroom and helps with sleep.)  WebMD has information about lavender oil.

There are some other oils that some people use like Rescue Remedy. You can find these oils in most stores that sell supplements.  I have used a drop of Rescue Remedy under my tongue when other methods did not result in a return to deep sleep at that 2 a.m. hour.

I also have used Peggy Cappy’s soothing voice on her mediation for back rejunvenation.  I have it on an Ipod which I keep at the head of my bed.  Peggy Cappy has a CD for sleep which I just ordered.  I’ll give a full report when I have used it.  I often begin my night listening to her Back Care CD and fall asleep immediately.  I swear my back pain has lessened considerably over the years I have been listening to her.  I have blogged about Peggy Cappy in the past.

Another thing I do routinely is make a note of anything I must do the following day so I know they are scheduled and I can trust that I will get back to them.

​​I recently discovered that my trusted Feldenkris practitioner addresses this problem with a new series/private consultations/workshops.  http://www.becciparsons.com/Sounder_Sleep_System.html  I haven’t taken her classes, but she is the practitioner who got me walking/sitting/standing/bending again after herniating my L5 disc in 1989.  Becci Parsons has been a guest blogger for me.  Please read that post for more information.

Happy Dreams,

Be Well, Do Well and Keep Moving.

Betsy

I would love to hear from you how you manage sleeplessness.  Please send me an email.

betsy@hihohealth.com

206 933 1889

The post Sleep and Arthritis Pain appeared first on GrandmaBetsyBell.

If you are suffering pain from arthritis, osteoarthritis, spinal stenosis, the regular wear and tear of life, you need good deep sleep to help you heal.  I’ve written about Feldenkris, a therapy that helps with these painful conditions.  I’ve mentioned Becci Parsons, who got me on the road to sitting/standing/walking after herniating a disc.  Today I am posting her helpful solutions and suggestions for next steps for anyone who suffers from lack of sleep. Read on….  

Change Your Sleep.  Change Your Life.

Are you feeling less alert?

Are you unable to think clearly or sustain your focus?

Do you have difficulty falling asleep or problems with frequent awakening during the night?

If so, you may be suffering from insomnia.

We tend to think of insomnia as the constellation of symptoms that we experience just before sleep or during the night when we awaken with our mind racing and the bed sheets twisted.  The process of insomnia actually begins much earlier in the day for most of us.

How?

Through the choices we make about how we spend our time.

The obvious culprits:

That afternoon pick-me-up latte or caffeinated green tea smoothie.

It could take between 9-14 hours to fully metabolize the caffeine.  Even if you have no difficulty falling asleep, the caffeine could undermine the quality and duration of your sleep.

Evening computer use or cell phone email/texting, watching tv or reading using an e-reading device.  Blue light from many of these devices is as bright as daylight and activates the nervous system sending the brain and body into “wake up mode”.

And what about the emotional responses that are triggered by these late night, last minute, urgent communications?

Life in the twenty first century is stressful and fast paced.  A full, zoom-zoom workday of 8-12 hours is often followed by a long commute and sometimes a cocktail or a glass of wine to take the edge off.  We eat late, do a few more email or text messages; watch a movie, read or log on to Facebook in an effort to wind down.  Unfortunately very few of these activities actually promote relaxation and set the stage for a good night’s sleep. Most of them tip the nervous system far in the other direction to a state of hyper-arousal.

Hyper-arousal is a chronic over-activation of the body’s stress-response mechanism.  There’s no instant ON/OFF switch. When these pathways are repeatedly excited, they become the default setting.  We essentially travel a well-worn path leading us in the direction of elevated blood pressure, holding our breath, clinching our jaw and lifting our shoulders, without respite.  Many of these sensations fly below the radar of our self-perception and become the background noise of our busy, over stimulated lives.

What to do?

“For fast acting relief, try slowing down”. –Lily Tomlin

On the one hand, we can increase the quality and duration of a good night’s sleep simply by making better choices.  Following a good sleep hygiene program is an empowering start.  For more detailed information about sleep hygiene refer to the following link:

 http://www.sleepfoundation.org/article/ask-the-expert/sleep-hygiene

We also need to hit the pause, re-set button during the day to get off of the cortisol/ adrenaline high that many of us associate with feeling good and being productive.  Functioning under the influence of stress hormones is not a sustainable practice. Biological systems thrive with ebb and flow. Metabolically speaking, we need to interrupt the cycle of prolonged excitation and dial things down to a more balanced, calm and functional neutral.

Learning to move more fluidly between states of stress and relaxation is key.  It is positive motion in the direction of re-establishing the natural biological rhythms of exertion and recuperation.  Think of it as self-regulation with applied intelligence.  When we develop the capacity to meet the demands of a stressful moment and the flexibility to return to a state of equanimity in a relatively short amount of time, not only will we sleep better, but we’ll also be a kinder, gentler, version of ourselves.

Becci Parsons offers workshops and private coaching in the techniques of the Sounder Sleep System^® in the interest of helping to create a more sane and peaceful world.  Restful sleep is necessary for the healthy function of every system in the body and helps to regulate mood, energy and emotional intelligence.

The Sounder Sleep System^® is comprised of a variety of calming and sleep inducing techniques to be used during the day and at bedtime, taught while sitting or lying down. The simple exercises are designed to restore our natural capacity to rest, recover and heal from the stress of daily life, one breath at a time.  They are elegantly simple and simply profound.

For more information about private sleep coaching or to inquire about the introduction to the Sounder Sleep System^® Workshop in February 2013, contact me:

Becci Parsons, Authorized Teacher, Sounder Sleep System^®

Guild Certified Feldenkrais Teacher^®

MotionSense Movement Education

bparsons@seanet.com

206.545.7272

www.BecciParsons.com

206.545.7272

Thank you, Becci.  Be sure to leave a comment or suggestion of your own.

Fondly, Betsy

Be Well, Do Well and Keep Moving

BetsyBell’s Health4u

www.GrandmaBetsyBell.com

206 933 1889  1 888 283 2077

betsy@hihohealth.com

The post Are you feeling less alert? appeared first on GrandmaBetsyBell.

The post Feldenkrais for back pain appeared first on GrandmaBetsyBell.

Feldenkrais for back pain.  My neurologist, head doc for theUniversityofWashingtonsports teams, suggested I see Becci Parsons, former dancer, now Awareness Through Movement and private Feldenkrais practitioner.  “Watch out for your pants,” she said.  “Your clothes can be dangerous to your health.” Her levies were on the baggy side.  You could put your balled up fist between flesh and belt when she sucked in her breath.  I remembered that when I put a new (ValueVillage) pair of genuineLevis, hip hugger style, which I love, and my back talked to me nastily.

She laid me on a low table just wide enough for me with her kneeling next to me to move my legs, my head, my shoulders.  Her movements were minuscule.  I struggled to let go, to allow her to be the conductor.  I attempted to refrain from guarding, tensing, pulling back or from anticipating her next move and helping her lift, roll, twist.  My only job was to let her have my body, let her move it and pay attention.

When the session was over, I could identify my surroundings but I seemed to inhabit Oz’s Scarecrow navigating uneven ground.  A dreamy hand opened the car door.  Taking the wheel, putting on the gas, I began to reengage with this road, this stop sign, this merge onto the freeway.

Subsequent sessions began lying on the table with the gentle rocking, lifting, moving by Becci while I slowly allowed her to propel my limbs in tiny unchecked movements.  She taught my muscles to reclaim movement appropriate to healthy, uncomplaining joints.  She brought me to homeostasis.  On the table.  To teach me to roll out of bed, to sit on the side of the bed, to lift myself off the bed, to take steps, find the bathroom, lower myself on the toilet and rise again, she gently rocked my hips, held my hands, lifted my leg and set in down.  Retraining.

As a girl, I proudly walked to school several blocks with a marble held tightly between my buttocks.  In 4^th grade, I could carry that marble clamped tight all day as I sat at my desk and walked to the black board, to the coat closet, out the door for home.  What glut control!  My father, the orthopedist, had a cartoon on his office wall of a woman whose naked breasts sat on top of a dresser.  The top drawer, open just a little, pressed her ribs; the second drawer down, open about half way, pressed her waist; the bottom drawer pulled out all the way pressed her pelvic girdle forcing her butt to tuck under.  The female version of the military stance.  I aspired with all my 9 year-old might to conform my body to this most unnatural posture.

As a slouchy teen ager, my father poked my butt every time he passed by and commanded, “stand on two feet.”  “Tuck your bottom in.”  I danced tap and ballet and swam all summer, movements that relax and produce flow.  Or should.  Again constant reminders of  “stroke, kick, kick, kick; stroke, kick, kick, kick.  Lift your bottom” (I was a back stroke champion).

Feldenkrais method took me back, back to the earliest movements.  A gentle curve relaxed down my spine.  I learned the pelvic clock where you tilt your pelvis from 12 to 6, from 3 to 9, back and forth in ever smaller movements until the mind images and the body feels the suggestion.

“Becci, now come and show me how to get in my car,” I entreated after successfully getting in and out of a chair with no pain, no firing of the muscles in jerky movements.  It took about six months of weekly sessions for me to graduate to private and semi private Pilates.

I strove fiercely for pain free movement and returned strength.  My daughters Ruth and Eleanor and I planned the hike around Mt.Rainier on the Wonderland Trail.  I had to be strong enough to carry a 35 pound pack and walk 95 miles in 11 days, each day gaining and losing around 2200 ft or more in elevation.  We wanted to make this trip in August of 1990, one month short of a year after the injury.

Burroughs Mountain from Sunrise visitor center, Mt. Rainier, August 2009

This reminiscence of the Feldenkrais process is fresh in my mind.  I just had a session with Erik LaSeur, Alki Moves, Feldenkrais practitioner here inWest Seattle.  I met him at a West Seattle Chamber meeting and was drawn to investigate his work as a way of refreshing my body’s acceptance of organic flow.  I have developed my own set of muscle and posture strategies designed to avoid chronic, daily pain.  I wanted to discover how I was getting in my own way.  Erik’s session helped enormously.  A salsa CD has me dancing, hips swaying, legs gently and loosely swinging.

What is your experience of Feldenkrais?  Ready to try it to see if it would lessen your chronic pain?  I would love to hear your comments, questions and suggestions.

Be Well, Do Well and most of all Keep Moving.

Betsy

BetsyBell’sHealth4U

4455 51^st Ave. SW

Seattle,WA98116

206 933 1889

www.HiHoHealth.com

www.TiredNoMore.com.

The post Feldenkrais for back pain? appeared first on GrandmaBetsyBell.