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11/28/2005
Kristen’s Top Ten Pain Triggers During the
Holidays
Kristen
Pitts,
BS, MS,
Licensed Physical
Therapist
Kristen gives timely and practical advices on
how to stay out of trouble and get more
enjoyment out of your holidays. |
1.
Shop ‘til you drop. Long periods of shopping
with frequent stops and starts can cause more pain than
walking for exercise at a brisk, steady pace. Limit the
shopping excursions to shorter trips. Check with the
mall information desk to see if they have a claim check
where you can drop off your heavy packages to lighten
the load while you shop.
2.
Shoes that look good but don’t feel good. A
high-heeled shoe will cause an increased arch in the low
back that aggravates the spine and surrounding muscles.
Likewise, a shoe without good arch support and padding
at the sole will have your back yearning to find a
comfortable chair.
3.
Exercise is thrown out the window. We are all
busier at the holidays and it is often tempting to drop
our exercise routine to make time for holiday
activities. Shorter days with less sunlight also curtail
our outdoor activities. Remember that a little exercise
each day is better than no exercise. Inactivity causes
decreased blood circulation to the muscles which will
result in more tightness and pain.
4.
“To Grandmother’s House We Go...” Long drives
and plane rides with prolonged sitting cause increased
pressure to the spine and supporting muscles. Ensure
that you have lumbar support and arm support. If you are
the passenger, elevate your feet so that your knees are
even with your hips. Frequent position changes will also
lessen the strain to your back. Ideally, getting up
every hour to allow your muscles to move will ease the
pressure from your spine.
5.
Sending good tidings of great joy. Exchanging
Christmas cards is always a great way to keep in touch,
but writing the cards can be painstaking. Limit the
writing to 30 minutes and do them in a chair that has
good support for your forearms. Leaning forward while
writing will strain your neck and upper back. Maintain
an upright posture and look down with your eyes.
6.
Brown paper packages tied up with string.
Wrapping presents while sitting on the floor causes
tremendous strain to the neck, upper back, lower back,
and legs. Wrap presents at a table that is desk height
to allow you to sit. If you prefer to stand, the table
needs to be the height of a kitchen counter to prevent
stooping.
7.
Twinkling lights aglow. Hanging lights on the
Christmas tree and on the house often involves positions
of a yoga master. Use step stools and ladders to limit
reaching to shoulder height. Overhead reaching causes
the spine to arch and strains the back and neck. When
placing presents and goodies down low, bend with your
knees and do not twist. Bending and twisting causes the
greatest amount of torque to the discs in your spine.
8.
Spread the Holiday Cheer. While we are
socializing with friends at a party, we may be smiling
on the outside while quietly suffering on the inside. If
it isn’t appropriate to sit at the party, then find a
place where you can stand and raise one foot up on a
step. This position often takes the strain out of
standing.
9.
‘Tis the Season to be Stressed Out. The
pressure to keep up the busy pace can bring out the
Grinch in anyone. Stress can elevate both emotional and
physical tension which will lead to increased pain.
Tight and tense muscles don’t allow for good blood
circulation and often results in more pain. Kick up your
feet and take time to relax and enjoy the spirit of the
holidays.
10.
“A long winter’s nap...” Don’t cheat yourself
of a good night’s sleep. This is the time when the body
repairs itself. Poor sleep quality and quantity will
leave you hurting more. Alcohol consumption will lessen
your quality of sleep. Exercise 3 hours before bed will
improve your sleep.
Have a Happy Holiday Season
with everything in moderation!
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11/14/2005
Will Your Back Survive the Holidays?
Larry C. Ho, MD
From lifting a grandchild to straining the back
putting up Christmas lights -
there are plenty of things for us to enjoy and
yet be careful about. |
Each year from Halloween to New Year’s Day, the pace
of Holidays seems to pick up earlier and faster. It is barely
October and Wal-Mart is already blaring the “Come Home
for the Holidays” advertising campaign.
Holidays
bring out the best and the not so good in all of us. From
lifting a visiting grandchild to positioning Christmas
lights standing on a ladder, there are plenty of fun
things to do, but one can also easily be hurt if not
careful.
Holiday season is the busy season at the pain center.
Somewhere back in time, whether it was reality or
perception, things did not always seem like this.
In the past, Holidays were more of a time for the
families to gather. Nowadays, at every turn,
some marketing cue reminds you that “you need to start to think
more about Christmas”.
The marketing mailers inundate the trash bags. The spam
e-mails and pop-ups put the delete button into
overdrive. The TV and radio jingles are non-stop.
The traffic to grandmother’s house is evermore
congested. For air travel, you will need to be at the
airport 3 hours early, wait in long-lines, go
through security, deal with delays and cancellations,
and then if you are lucky you will arrive on time with
all your luggage and temper intact.
Long gone were the days of a simple garland on the front
door and a simple string of light under the rain-gutter.
Now even the friendliest of neighbors seem to out-do each other
with their Christmas lights. Why not? Considering how
expensive these homes have gotten.
With four children, I am no “Bah, Humbug!” I love
Christmas probably more so than most. It is just
that the world is changing. In some ways it is changing
ahead of my schedule. It is as if I am still trying to
figure out the number of minutes to roast each pound of
turkey while the rest of the world is already cooking
holiday meals like Martha Stewart.
But in the end, the things other people do during the Holidays
are just what they do. If I am concerned about
being able to do all of the things that I need to
do, I prioritize. If I find myself consistently behind,
I re-structure. Multitasking to a degree, but when
things pile up, there is only one way to finish, and
that is one thing at a time - on my pace.
This Holiday, our family plans to have it simple for a
change, a pause for a breather from the hectic schedules
that we have had the last few years, a re-structure of
sort if you will.
There will be a nice wreath on our front door but the
Christmas lights on the house will be less extravagant.
The Christmas tree will still be pretty and bright but
with less emphasis on the pilings underneath.
On
Christmas Eve, a cold evening we hope, my wife and I
will probably just take our children out for a stroll in the
neighborhood. Maybe to catch a glimpse of the lights
emerging from our neighbors' gatherings, or to smell the
cinder from the surrounding chimneys, or to see our own
breaths condense with each exhale... or just to imagine
the Holidays of a bygone era.
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