A matter of life and breath

Try this little experiment (and don't force it): You'll need to have a clock handy with a second hand to count how long you hold your breath.  Start by breathing normally for a minute or so, don't try to change anything just trying to be calm. Then breathe out and don't breathe in until you feel like you really need to (this is the bit you should not force) and time how long between the end of the exhalation and the inhalation.

The reason I'm suggesting you do this is inspired by a talk I went to on Breathing Pattern Disorders by Leon Chaitow (an Osteopath that has written the textbooks on virtually all techniques used by bodyworkers) and there were some real eye openers on how common this could be.

How long did you manage? 10 seconds? 20 seconds? 30 seconds? more? Apparently we should be able to hold our breaths for approximately 30 seconds with ease, however most of us find this difficult.  My own score this morning was 20 seconds. This means that we are breathing too much so we could be suffering from Hyperventilation Syndrome (HVS) and this is a problem as we are expelling too much Carbon Dioxide (CO2) from our bodies.

Most of us know that we breathe in oxygen (O2) and breathe out CO2 as a waste product, but the level of CO2 in our blood plays an important role in our systems as it helps to keep our body at a particular pH balance between acid/alkali (within a very specific range).  If this pH balance becomes took alkali then the haemoglobin in the Red blood cells struggle to let go of the O2 that our body needs to function properly. Symptoms can range from headaches, lethagy, neck ache, back ache, and anxiety amongst many others.

Some of the other things that were interesting from the talk were that this mostly affects type 1 personalities, it is more common in women (and progesterone raises women's breathing rate during their menstrual cycle), that this can have far reaching consequences on the quality of our life.

What happens is that we breathe into the top of our chests rather than using the diaphragm to fill the whole lung cavity.  This then has a knock on impact on the stability of the low back (through the "core" muscles of the obliques, transversus abdominus and pelvic floor) and through fascial connections to the limbs as well because we are not using things properly.
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Our bodies become habituated to the level of O2 and alkali in the blood so any changes to this can induce feelings of anxiety (which will then negatively feed back to more hyperventilation) and so trying to retrain needs to be a long slow approach: 5 minutes each morning and night as a focussed effort but forgetting about it and getting on with your life the rest of the time.

In his talk Leon Chaitow showed us a video of retraining (The Nutri Centre filmed the whole talk and it is available in its entirity on their YouTube Channel) but the first part is to focus on the out breath for short periods. This is done by using the pursed lips exhalation.  You put your lips together and blow a thin stream of air our, gently as if you were blowing out a candle about 1 foot away (put your finger there to feel it) and you empty the lungs as fully as you can.  Close your mouth and count for 1 second before you breathe in through your nose.  Do this for 20 cycles of breathing morning and night for a week and then try holding your breathe to see if there is a difference.

You can find the video on The Nutri Centre website here.

An object lesson in the Myofascial Web

One of the key ideas about the myofascial network is that it is a continuous web that surrounds, envelops and defines the elements (muscles, bones, organs) of the body and that what happens in one part of it has an effect on every other part of the body.  It is something that I discuss with my clients all the time and they are amazed when they feel that this is the case.  Over the last couple of weeks I've been painfully shown how interconnected the body's connective tissue is.

I arrived at my Stanmore clinic one morning limping because of a sharp pain in my left knee, every step was agony.  Adam (one of the chiropractor's) checked it and put some tape on it to provide some stability whilst I got on with my clinic. Later, when I had more time, I got another Chiropractor (Owain at Clerkenwell Chiropractic) to check it fully, with no apparent structural problems, thankfully.  I am now working with Owain to rehab the knee to finally resolve the instability, however I really need to work on myself to clear out the myofascial restrictions that will have formed both this time and in the build up to this crisis.

This particular knee issue has been happening for many, many years.  Over a decade ago my best friend got married, for the stag do we went paint-balling. All was going well until at the start of one game I was sprinting for cover, my left ankle gave way and I fell forwards.  Apparently, though I do not remember, it was a spectacular dive and roll into cover that my friends thought was really impressive; I didn't care as I was screaming in agony.  I had to be helped off game area and that was the end of my day paint-balling.  Unfortunately I was the driver, and it was a manual car.  I had to drive home in rush hour through London in a manual car using my injured foot on the clutch.  That night I put a compression bandage and elevated it, putting cold towels on it and that was really all the rehab I did at the time (this was a long time before I was a body worker).  Oh, and there's going to be an emotional element to it as it caused me a lot of grief at work because I took a week off work as I couldn't drive, but that's a different story.

So the reason I'm writing this is that the cause of a lot of my issues come from an ankle that was badly hurt over 10 years ago that I did nothing about.  This time it was the knee that has been hurting, and this has flared up periodically over the last 10 years.  I've usually popped pills and the pain goes after a couple of days, so that means it had gotten better or that is what I thought was the case.

This time I noticed something: I could feel the whole of the left side of my body tighten up.  Having seen a number of Chiropractors and Osteopaths over the years I am aware that I have a functionally short left leg, which means that my pelvis is twisted that causes low back pain, that then travels up into my neck, head and then my jaw and then to my sinus and the dreaded pain that that causes me.

This time I could feel that there had been a preceding tightness in my lower leg running up from the outer side of my ankle, the knee was then being pulled out of place because of that.  This then causes the hip to tighten, pulling inwards causing tension across the pelvic muscles, causing the Sacro-iliac joint to grumble.  The left side of my ribs then collapse down and a muscle in my back threatens to spasm.  I can then feel that the left shoulder is pulled out of place, which I ignore as it's always a bit sore but that's only because of my job, it then hits the base of the skull and over to my jaw, which causes the sinus to become incredibly painful.

So this time I'm going to do something about it.  I've already had a couple of very productive rehab sessions with Owain (thelondonchiro.com) who I'm lucky enough to work with at Clerkenwell Chiropractic and he has been putting me through my paces (and introducing me to the torture device that is a red bouncy hemisphere [pictured]) and I'm really glad to have been doing it.  Yoga has definitely helped, as it has all the way through, and the wonderful Bridget (bridgeyoga.co.uk) is really good at making sure I do not hurt myself.  I've been working on myself with some Myofascial stretches as well, but think I really need to find someone local to me to help out more.  In the meantime I've been having more massages, which are always very nice. In combination all of these approaches have been really helping me.

TMJ fascial workshop

Those of you that I have seen and worked with are probably very bored of me talking on and on about Fascia, but I find the subject fascinating. It is even more fun to work with, especially using the techniques taught by the lovely people of Myofascial UK who ran the course I attended on the Tempro Mandibular Joint (TMJ) back in February. I have used the techniques and information that I mention here with a number of people all with great success in relieving pain around the jaw area.

The TMJ is where the jawbone meets the skull and can be an area we hold a lot of tension in and this can lead to a number of issues including chronic sinus pain (as I personally have suffered from), head aches, jaw misalignment and TMJ Dysfunction (TMJD).

There are four main muscles that work in this area are the:

• masseter, temporalis, and medial pterygoid, which closes the jaw
• lateral pterygoid, which is the only muscle that opens the jaw.

The day started off with introductions within the small group and assessments of each others jaws.  Apparently my jaw was slightly swollen on the right side, and moved to the left and had a couple of popping noises as it closed (which caused some squeamishness from one of the follow attendees)

The fascial techniques are all very slow and seemingly gentle, though they can take you through some very tender moments as you reach, release and move through binds and adhesions.  It was a great group to work with, though trying to keep a straight face and not laugh when someone was working on you sometimes proved harder.

The intra-oral (inside the mouth) work on the pterygoids was a case in point, I found it very hard not to laugh nervously as my partner for approached snapping on a pair of latex gloves.  The laughter did not last very long as once her finger was working on releasing my pterygoid muscles the pain took over (this is, in my humble opinion, one of the most painful techniques I know) The basic technique was something we’d learnt on the Level 3 iMFT course, but with some added techniques to work with the sphenoid at the same time.

The other most peculiar thing that day, which followed the rules of the John Barnes style of Myofascial Release of following where the body leads, was having my hair pulled to release something because my forehead had flushed with a red flare that is one of the signs we look for, it felt weird but much better afterwards.

At the end of the day, my jaw felt much looser and was better positioned.  Though I did have some rather unusual red marks around my face from some of the techniques. The marks have now faded (thankfully) but the relief and freedom is still here 3 months on and that feels great.

Next up for me is the Spine & Sacrum and Abdominal Scarring workshops in June. I really can't wait