Summertime!

 ......and my top tips are to wear sunscreen, keep as covered up as possible in cool clothing and make sure you avoid dehydration. All very obvious but I seem to slip up on this every year! I now keep sunscreen right by the front door in full sight to remind me to use it every time I go out. 

When rehydrating it's worth considering how much you have been exercising and whether you would benefit from drinks such as coconut water, milk, sour cherry juice or green or black tea to help recovery. Some drinks are easier for the body to rehydrate from then plain water and you may find it interesting to read up around this. If you are sweating heavily it is also worth considering how that is affecting you; it may be an idea to choose an appropriate drink to replace electrolytes or to have a suitable snack with your water.

Daisy exercising in the park; she rehydrated in a stream.

It is also wise to remember the effect heat has on your body (and brain!) As well as the serious health risks of heat stroke, dehydration can affect our tendon and muscle function and recovery, possibly increasing the risk of injury. It causes us to become stiffer and makes it harder for nutrients to be delivered around the body and wastes removed. During hot spells, especially when acclimatising, maybe consider changing your exercise plans to be easier or to take advantage of cooler times of day and shadier routes. Remember that heat may also be affecting your sleep and that fatigue may reduce exercise performance and have an impact on recovery and injury. Make sure you also know the early symptoms of heat stroke, and what action to take if you spot them in yourself or the people you are with.

https://www.nhs.uk/conditions/heat-exhaustion-heatstroke/

Highland cattle keeping cool.

Thankfully my treatment room at the 919 Clinic is lovely and cool - the advantage of being in the basement although I do miss having natural light. I am open as usual over the summer, 10-5.15 weekdays with early closing on Wednesdays. 

Price changes....

I have been putting off changing my prices as I really do like to keep massage treatment as affordable as possible, but my last price increase was way back in February 2020 and since then I have absorbed quite a few increasing costs. So, the time has come... from 01/05/2023 the price of the 45 and 60 minute sessions will be increasing by £5 to £35 and £45 respectively. This is still very competitive, but to help a little where people are needing multiple treatments a month I am putting in place a discounted pre-payment scheme for the 45 and 60 minute appointments. The new prices are on my website, including for the pre-payment scheme: http://katesheridan.org/booking-and-prices

There are terms and conditions for this which can also be found on my website.

The days are getting so much lighter now and the flowers are multiplying in the woods; I have begun running again and am looking forward to enjoying the local woodland trails. I hope that you too are in good health and enjoying this wonderful time of year.

Updates and some interesting listening.

 

Well, I'd been meaning to write a blog post for a while but I've just realised that my last one was in 2022! Time really does fly by.

Since then, we've had a deluge of snow in Sheffield. Snow and ice affect how we walk and I often notice an increase in back and leg issues as my clients cope with the conditions (including shoveling snow off paths and roads). My tips are to relax whilst walking so your body is able to adjust better to the ground (or ice) underfoot and to absorb any small slips, and to take smaller steps keeping your weight over your feet. Notice how you are walking - are you moving your torso and hips from side to side rather than lifting your leg by flexing at the hip? If so that may be contributing to a sore back. In deep snow we have to lift our legs up more so you may find practicing my knee lift exercises useful.

Come April I will be making a small increase to the price of my 45 and 60 minute sessions. This is the first increase since the beginning of 2020 and it will be another few years before I put them up again, all being well. I like to keep treatments as affordable as I can manage.

Radio 4 is my go to for home listening and they have had some great, and very interesting, programmes on recently that I thought I would mention here.

• 'Sliced bread' is a programme looking at various products and how good they actually are. Of course, it's only as good as the experts they interview but I generally find it very informative. Topics covered have included massage guns and painkillers (both topical and ingested). https://www.bbc.co.uk/sounds/series/p07012sf
• 'Phantoms in the brain' is a fascinating series exploring the close links between physical and mental health https://www.bbc.co.uk/sounds/brand/m001fw69  
• 'Room 5' is another fascinating series featuring interviews with people who had life changing medical conditions https://www.bbc.co.uk/sounds/brand/m00139bx

I also came across this site via a recommendation from the JEMS group I am part of (see my website for more information about JEMS). It has some really interesting reading and podcasts on what influences how we move and how we perceive our bodies and pain. Some of it is free and some behind a paywall: https://toddhargrove.substack.com/archive

Lorimer Moseley is a scientist who writes and talks about pain, and he does so brilliantly. I highly recommend his website which includes resources: https://www.tamethebeast.org/#tame-the-beast

Looking after your hard working feet....

Photo by Michał Parzuchowski on Unsplash

Many years ago I was watching a film during which an exhausted woman comes inside after being on her feet all day; takes off her shoes and massages her feet. Her face expressed her deep pleasure and relief at this self care and it really struck me - how many of us take such care of our feet.

I can really recommend that at least once a week you take the time to have a good look at your feet. The nails, the skin - but also how they are moving, how they feel. Try spreading out your toes; raising them; pressing them into the ground. What happens when you focus on the big toe, the little toe, the middle toes? What do you notice about their mobility and strength? 

Massage the soles of your feet, with either your hands (knuckles work well) or using a ball that you can roll your foot over. Again, what do you notice? Stroke along the top of your foot, exploring between the tendons as you move towards the toes. Hold each toe in turn and move it slowly in a circle, one way then the reverse. Use your fingers to flex each joint (gently), and give the toe a gentle pull to finish.

Practice the ankle mobility exercise on my exercises page (listening foot). How easily can you transfer weight through your foot? Take your time, slow down, be curious. 

I can also recommend having a go with the strengthening, engaging and stretching exercises in the link below, especially if you spend a lot of time sitting.

 https://www.healthline.com/health/toe-stretches

Our feet are our interface with the ground we stand on and they work hard for us; let's give them something back! 

Photo by How-Soon Ngu on Unsplash

Are you using a hot water bottle?

I love a hot water bottle; so comforting when you have aches and pains, and so wonderful for taken the chill off the bed before you get in. However, over the years I have seen clients come in with distinctive changes to their skin pigmentation where they have been using a hot water bottle for prolonged periods of time to relieve chronic pain; the changes are due to the prolonged exposure to thermal radiation. This looks like a darker area with maybe a bit of a pattern to it and has an impressive Latin name, erythema ab igne, and is also known by the more obvious 'toasted skin syndrome'. You can find out more about it online, including here:

 https://www.ncbi.nlm.nih.gov/books/NBK538250/#:~:text=Erythema%20ab%20igne%20is%20a%20cutaneous%20rash%20characterized%20by%20a,the%20use%20of%20heating%20pads.

and here:

https://www.healthline.com/health/toasted-skin-syndrome

Don't let this put you off using a hot water bottle - just be aware to treat it with respect, as you would an ice pack (wrap in a towel or similar before applying to skin, and limit to twenty minutes at a time). Short term use is fine, although do make sure you aren't scalding yourself (I an a fan of hot water bottle covers and have a nice woollen one that I made). If using long term, just make sure you aren't applying it too hot or for too long. 

ooops, it's been a while!

Maybe the lovely distraction that is spending time with Daisy
(and weaving leads for her) is why I have taken so long to post...

I've been meaning to post for a few months now - and just realised that my last one was back in July! Now we are well into autumn, the leaves are changing colour and falling - and I should post. So this is just a quick update whilst I get round to making a video to demonstrate some more useful exercises - and some photos from my first holiday since 2019, a wonderfully relaxing week with my family in south west Pembrokeshire, where my mother's family come from and we spent many childhood holidays.

First off, a link to a useful site that I came across through a nutritional company that I order from. As ever, the information on how to use food and exercise to improve your health will seem obvious if you already know it but extremely useful if you don't:

https://patient.info/news-and-features/how-to-improve-your-immunity 

I also came across this useful free resource via my professional group, on understanding and managing your pain:

https://www.greglehman.ca/pain-science-workbooks

We are open as usual at the 919 Clinic; as we go into autumn and winter I am requesting that people wear a face mask during their treatment (if able) and that you reschedule your appointment if you have any cough or cold symptoms - it really does help to limit the spread of bugs and viruses when we are spending up to an hour together in a very small, windowless room. I appreciate your consideration. I am now into my longest cough/cold free period of health in many years, most likely due to people following this request, and as well as keeping me well and at work it means I am less likely to spread illness to others.

I hope you are getting opportunities to enjoy the wonderful colours and textures of autumn; I love crunching leaves and acorns underfoot whilst hunting for sweet chestnuts to take home and roast. 

Another advantage of morning dog walks: empty beaches!

Covid precautions update at the Clinic

Photo by Anshu A on Unsplash

 

One of the things I notice when I look back over the years is the number of colds I had - usually several a year, of which at least one would be serious enough to take quite a while to recover from. As a massage therapist it's not good practice to work when ill so any infectious illness meant time off work, inconvenienced clients and a drop in income. Since March 2020 I have had - not a single cough or cold! I suspect this is partly because of increased hygiene and wearing a face mask, but also because we now tell people not to come in when they have cough or cold symptoms or are otherwise feeling unwell.

Prior to the pandemic I would often have people come in for a treatment who would then reveal that they had a cough or cold; sometimes I would turn them away, especially if they seemed to have a temperature (massage is contraindicated where the person has a temperature) but sometimes I would just accept it and continue. My room is small and poorly ventilated so of course I would often end up being infected and having to take time off. I have a pretty honed immune system after fifteen years of working in various primary schools - plus I eat healthily and exercise - but it can't fight off everything successfully. 

I am no longer insisting that people wear a face mask during appointments but I appreciate it when people do and I am continuing to wear one myself. I do ask that if you have a cough, cold or sore throat that you delay your appointment until you are well again. That way I have a better chance of staying well and able to work (always important when self employed!) and we reduce the likelihood of more people becoming infected - not just with regard to Covid-19, but other infectious illnesses too. If you are in close contact (share a household) with someone who has Covid-19, please wait ten days from when they tested positive before booking your appointment - this is because sometimes symptoms take a while to develop and as you will be in close contact with me for up to an hour we need to take precautions. So often in the UK we have just tried to carry on as normal when ill; I know there are still financial and other pressures to do this but where possible let's protect others by minimising their exposure to our illness. 

I hope you that stay well and enjoy the summer!