Piriformis Stretches to ease Sciatic and Glute pain

I frequently give piriformis stretches to my clients. The piriformis is a muscle located deep in the gluteals. It helps to stabilise the hip joint and rotate and lift the thigh away from the body.

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When the piriformis is tight it can lead to sciatica. The sciatic nerve runs next to the piriformis. The taught piriformis muscle can compress the sciatic nerve which can cause nerve pain; tingling and numbness into the glute and leg.

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I often recommend these piriformis stretches. The important thing to note with all of these postures, is to flex the front foot, closest to you, to protect your knee. Ease into this stretches slowly, focus on the sensation of the glute stretching rather than just getting your body into the required position. Breathe deeply and allow yourself to sink into this position and the sensations slowly. Hold the stretch for a minimum of 30 seconds to allow the muscles and fascia time to warm and stretch.

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These stretches are all modification of the ' The figure four stretch'. The most accessible is the sat down version.

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You can add some gentle rocking and movement to the lying back 'figure four'.

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You may recognise pigeon pose, Eka Pada Rajakapotasana which increased hip flexibility and stretches the Piriformis.

Sciatica can also be caused by a bulging or herniated disc. This can be determined by some physical assessments and speaking with your GP. I hope you found these stretches helpful, please do get in touch if you would like some more advice for sciatic and managing pain. Sciatic pain has a good opportunity to be relieved with a combination of stretching, posture adjustment and massage.

Stretches for a tight Quadratus Lumborum

I often give clients some stretches to help ease tightness in their lower back. The Quadratus Lumborum is a deep muscle in the lower region of your torso, which can get tight from all sorts of habitual postures. These could include sitting with one leg crossed over the other, the way your body is positioned when you sleep, resting one arm on the sofa and many other reasons like position and rotation of your hips. The QL extends, stabilises and laterally flexes the lumbar spine, strain and overuse of this muscle is a common cause of chronic back pain.

 

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Here are some of the stretches I frequently show clients:

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I hope you have found these stretches useful, please do get in touch if you would like some more advice for back pain. Back pain has a good chance of being eased with a combination of re-considering habitual body postures, stretching and massage.

 

 

How I’m boosting my immune system during the COVID-19 Pandemic

 

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Whilst not being able to receive a massage during the COVID-19 pandemic, it’s a good idea to find other ways to boost your immune system. Your immune system is in charge of fighting infections and toxins.

I’m not a nutritionist or doctor so cannot recommend directly, but these are the things I’m doing to boost my own immune system.


1. Sunshine and vitamin D

 Vitamin D is involved in the activation of the T cells (a type of white blood cell which targets invaders) in the immune system.

Getting out in the sunshine is one of the best ways to receive that needed vitamin D. I’m going for my one walk (or jog) every day. If it’s warm enough, I roll my sleeves up to get more skin exposure to the sun. I always wear an SPF in my moisturiser; it’s important to protect your skin no matter what time of year it is as you’ll still be absorbing the sun’s rays.

 As well as this, I’m taking vitamin D supplements a few times a week, the NHS has recently released a statement to consider supplements as we may be spending more time indoors. But little and often exposure to the sun seems to be most effective in receiving the benefits of vitamin D.

 

 2. Vitamin C

 Vitamin C contributes to immune defence by supporting cellular functions of the innate and adaptive immune system.

I get my vitamin C from multivitamins I try to take daily, as well as through food. I like eating satsumas and red bell peppers – raw is best for absorbing nutrients.

A good tip for taking vitamin C tablets is to break them into half or quarters and stagger intake throughout the day. This helps maximise absorption, as your body can quickly process and pee out the goodness otherwise.


3. Garlic and ginger

 Garlic is known for fighting infections. Ginger (and turmeric) have anti-inflammatory properties.

 Now that I’m self-isolating, I’m increasing my intake of garlic massively. I put large amounts into my cooking (especially now that I don’t have to worry about clients smelling garlic on me the next day) and also enjoy eating more ginger.

 

4. Gut bacteria

 Improving your gut flora will improve your immune response.

 I’m eating more yoghurt (Kefir), and am still working myself up to eating some of the sauerkraut I have in a jar in the fridge. Whenever I’ve gone travelling, I always take probiotic supplements (and touch wood, I’ve rarely been sick abroad!).

Ways to improve and diversify your gut bacteria include eating more pre- and pro-biotic foods such as fermented products.

 

 5. Sleep

Good sleep improves the integrin activation within T cells (which tackle harmful pathogens) and Cytokine (the main type of protein that targets infection and inflammation). By having enough quality sleep you are giving your body the best chance to respond to infection.

 Whilst spending more time at home, I’m focusing on consistently getting more hours of quality sleep.

 When this pandemic is over, I’m looking forward to massaging again (and being massaged myself). Massage has been shown to increase white blood cell count, which improves your immune function. A study in 2017 at Roehampton University found after a massage, patients’ white blood cell count increased by 70%.

 

 

Disclaimer: All thoughts expressed are my own and are not meant to replace any official guidelines from a medical practitioner. Please contact your medical health care professional for advice.



Further Reading

www.nhs.uk/news/lifestyle-and-exercise/vitamin-d-immune-system-boost/www.nhs.uk/conditions/vitamins-and-minerals/vitamin-d/?fbclid=IwAR2nfQ1NSofrJbJ2gbYD0sE4g3JlZb7O61yUWzkr19gZz4gN7ZR1G1okEYQ

www.ncbi.nlm.nih.gov/pubmed/20219962

www.ncbi.nlm.nih.gov/pubmed/29099763

2019 study by the University of Tubingen in Germany T Cells and Sleep Study

www.bbc.co.uk/news/health-38800977

https://paleoleap.com/importance-gut-flora-immune-system/

BBC Two - Trust Me, I'm a Doctor, Series 8, Episode 5 - Could massage boost your immune system?