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	<title>Ergomatters RSI Blog &#187; Yoga</title>
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	<description>an RSI sufferer&#039;s thoughts and wisdom</description>
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		<title>Costochondritis a pain in the chest!</title>
		<link>http://www.ergomatters.co.uk/blog/rsi/costochondritis-a-pain-in-the-chest/</link>
		<comments>http://www.ergomatters.co.uk/blog/rsi/costochondritis-a-pain-in-the-chest/#comments</comments>
		<pubDate>Thu, 17 Feb 2011 15:03:36 +0000</pubDate>
		<dc:creator>alanf</dc:creator>
				<category><![CDATA[fitness]]></category>
		<category><![CDATA[Health]]></category>
		<category><![CDATA[Lifestyle]]></category>
		<category><![CDATA[RSI]]></category>
		<category><![CDATA[commentary]]></category>
		<category><![CDATA[costochondritis]]></category>
		<category><![CDATA[injury]]></category>
		<category><![CDATA[resting]]></category>
		<category><![CDATA[sleeping]]></category>
		<category><![CDATA[Yoga]]></category>

		<guid isPermaLink="false">http://www.ergomatters.co.uk/blog/?p=938</guid>
		<description><![CDATA[For the past 14 months (it seems like a whole lot longer!) I have had another overuse injury/health issue going on. The condition is called costochondritis, which is more simply know as a strain of the sternum (that flat area at the front and centre of your chest where all the ribs join on to). [...]]]></description>
			<content:encoded><![CDATA[<p><img class="alignright size-medium wp-image-949" title="Sternum" src="http://www.ergomatters.co.uk/blog/wp-content/uploads/2011/02/sternum-225x300.jpg" alt="Sternum" width="203" height="270" style="border:none;" />For the past 14 months (it seems like a whole lot longer!) I have had another overuse injury/health issue going on. The condition is called <a title="costochondritis" href="http://en.wikipedia.org/wiki/Costochondritis" target="_blank">costochondritis</a>, which is more simply know as a strain of the sternum (that flat area at the front and centre of your chest where all the ribs join on to). It may also be considered as another form of a <a href="http://www.ergomatters.co.uk/blog/category/rsi/">Repetitive Strain Injury</a> (<a href="http://www.ergomatters.co.uk/blog/category/rsi/">RSI</a>).</p>
<p>Up until I injured it, I didn&#8217;t even know that there was anything there to injure. I had been working out in the garden carrying stones in a bucket (a large muscle activity involving upper arms, shoulders, core, back) on and off for a day, when I finally sat down and noticed a general ache around the sternum area, as well as everywhere else I should hasten to add! Over the course of the next few days, all the aches disappeared except the one in the sternum. It was at that stage that I realised I&#8217;d injured something, I just didn&#8217;t know how bad it would be. Symptoms can include pain, tingling and an itching sensation around the centre of the chest area.</p>
<p>Over the course of the following week, I resumed my normal life doing picture framing, but noticed that I could induce bad pain in the sternum area when attempting to push against something heavy. This wasn&#8217;t good! At this point I did a little research and found out about costochondritis.  It is an injury to the soft connective tissue between the ribs and the sternum and can take a long time to heal due to the fact that there is not a huge supply of blood circulating to this area. I also got the advice of my GP who said that I just needed to rest it.</p>
<p>For the next 3 months I did my best to rest the chest area, which meant no lifting, pushing or carrying of anything remotely heavy in weight (including shopping bags!). One main difficulty I found was trying to rest the sternum while sleeping. The natural position of the body when sleeping on your side is to have both arms on the bed. This <a href="http://www.ergomatters.co.uk/blog/?s=posture&#038;x=0&#038;y=0">posture</a> forces the sternum to be compressed and as a result does not give the area ample rest during sleep. Having restless nights also doesn&#8217;t help matters in this regard. One solution that I found is to sleep whilst hugging a pillow. The pillow has to be a puffed out largish one to keep the chest area open. It has proven to be a very useful method.</p>
<p>After 3 months of resting, the sternum had improved to the extent that I could actually do more. The question was, how much more? This, I found out by trial and error. If I did too much, the sternum would get more prickly, &#8220;itchy&#8221; and sore. It followed the same pattern every time: perform an activity, followed by prickly, itchy soreness for a few days, then it would calm down and I&#8217;d feel better again after a week. The trouble was that this went on for the best part of a year! Even now &#8211; some 14 months after the initial injury, I still have to be choosy about whether to try lifting something heavy or not. All in all, this injury has taken a long time to get better, and is one I could most certainly have done without!</p>
<p>The following are a few recommendations I would make for anyone suffering from costochondritis -</p>
<ul>
<li>Rest up well for 2-3 months, avoiding all lifting of things including heavy shopping bags.</li>
<li>Hug a pillow while sleeping on your side to keep sternum area from being compressed.</li>
<li>Gentle reintroduction to exercise &#8211; yoga can be a good form of exercise to start recovery, so too is swimming.</li>
<li>You can use NSAIDs, eg ibuprofen to help with symptoms, but consult your GP first. I have also found much relief by taking Devil&#8217;s Claw (a natural anti inflammatory)</li>
<li>Have patience and don&#8217;t rush your recovery. After 14 months I feel like I am back to 90%, but I&#8217;ve been in the 70-80% range for a long time (nearly a year) and have frequently found a way to aggravate it somehow, usually by carrying something heavy.  This has happened even up to the 13 month mark!</li>
</ul>
<p>This condition has certainly been very persistent, and has been quite frustrating to deal with mentally as well as physically, but after 14 months I am finally feeling like I am getting there. Fingers crossed!</p>
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		<title>Yoga as a tool to combat RSI</title>
		<link>http://www.ergomatters.co.uk/blog/rsi/yoga-as-a-tool-to-combat-rsi/</link>
		<comments>http://www.ergomatters.co.uk/blog/rsi/yoga-as-a-tool-to-combat-rsi/#comments</comments>
		<pubDate>Sat, 01 Nov 2008 13:28:44 +0000</pubDate>
		<dc:creator>alanf</dc:creator>
				<category><![CDATA[fitness]]></category>
		<category><![CDATA[Miscellaneous]]></category>
		<category><![CDATA[RSI]]></category>
		<category><![CDATA[Tips]]></category>
		<category><![CDATA[arm pain]]></category>
		<category><![CDATA[injury]]></category>
		<category><![CDATA[Lifestyle]]></category>
		<category><![CDATA[RSI eduction]]></category>
		<category><![CDATA[Yoga]]></category>

		<guid isPermaLink="false">http://www.ergomatters.co.uk/blog/rsi/yoga-as-a-tool-to-combat-rsi/</guid>
		<description><![CDATA[During my RSI awareness presentations I refer to the need for people at risk of RSI as well as those who already experience its effects to adopt physical activities. Yoga is one of those activities that I suggest. Why yoga? In a nutshell, it combines a fairly physical activity encompassing muscle and tendon stretches from [...]]]></description>
			<content:encoded><![CDATA[<p><img title="Yoga" src="http://www.ergomatters.co.uk/blog/wp-content/uploads/2008/10/meditation.jpg" alt="Yoga" hspace="3" align="left" />During my <a title="rsi ergonomics awarenes presentations" href="http://www.ergomatters.co.uk/services.htm" target="_blank">RSI awareness presentations</a> I refer to the need for people at risk of <a href="http://www.ergomatters.co.uk/blog/category/rsi/">RSI</a> as well as those who already experience its effects to adopt physical activities. Yoga is one of those activities that I suggest. Why yoga?</p>
<p>In a nutshell, it combines a fairly physical activity encompassing muscle and tendon stretches from your head to your toes, with core conditioning and balance practices. This is coupled with controlled breathing techniques to allow the participant to focus their mind on the present moment. As well as the physical practice, yoga teaches techniques to promote deep relaxation and the ability to clear everyday thoughts from the mind with meditation. This powerful combination really can address  a lot of the factors that lead to conditions like <a href="http://www.ergomatters.co.uk/blog/category/rsi/">RSI</a> (primarily driven by the overused micro-movements of muscles and tendons coupled  with bad <a href="http://www.ergomatters.co.uk/blog/category/ergonomics/">ergonomics</a> and stressful working conditions).<span id="more-66"></span></p>
<p>Yoga practice can</p>
<ul>
<li>stretch out abused and injured arm muscles and tendons that have been used in a very poor/restrictive motion for numerous hours</li>
<li>stretch out your neck, spine, and shoulders which most likely will have  also been in a bad <a href="http://www.ergomatters.co.uk/blog/?s=posture&#038;x=0&#038;y=0">posture</a> for hours at work, and can be the sources of a lot of <a href="http://www.ergomatters.co.uk/blog/category/rsi/">RSI</a> conditions</li>
<li>enhance the blood flow to fatigued muscles</li>
<li>enhance overall strength and flexibility</li>
<li>stretch out tight tendons</li>
<li>promote relaxation</li>
<li>promote calmness through meditation</li>
<li>make the participant feel good about their health</li>
<li>make the participant decidedly fitter</li>
</ul>
<p>I have only relatively recently delved into yoga. For those of you who think it&#8217;s an activity for girls and hippies, I can assure you it isn&#8217;t! It&#8217;s really a great practice for everyone and there truly are no age or gender barriers. It can be quite physically involved, which I didn&#8217;t realise before I tried it out! I really wish I had started practising at an earlier stage in life while my <a href="http://www.ergomatters.co.uk/blog/category/rsi/">RSI</a> was not as bad as it is now, when it could perhaps have helped me to address my <a href="http://www.ergomatters.co.uk/blog/category/rsi/">RSI</a> condition during its early stages.</p>
<p>There are many different types of yoga class out there. The <a title="Mahashakti ashtanga yoga class" href="http://www.mahashakti.co.uk/" target="_blank">class I currently attend</a> is based on <a title="http://en.wikipedia.org/wiki/Ashtanga_Vinyasa_Yoga" href="http://en.wikipedia.org/wiki/Ashtanga_Vinyasa_Yoga" target="_blank">Ashtanga Yoga</a>, and is fairly physical.  It involves many stretches (some quite challenging) interspersed with vinyasas* which are physical sequences or &#8220;flows&#8221; between each Yoga pose.  A typical class goes for 1 to 1.5 hrs, and follows a sequence of</p>
<ul>
<li>Controlled breathing practice (relaxation, focus of breath and readying self for practice</li>
<li>Sun salutations (sequences of vinyasas to warm body up with)</li>
<li>Standing stretch/<a href="http://www.ergomatters.co.uk/blog/?s=posture&#038;x=0&#038;y=0">posture</a> sequences interspersed with vinyasas</li>
<li>Seated stretch/<a href="http://www.ergomatters.co.uk/blog/?s=posture&#038;x=0&#038;y=0">posture</a> sequences with vinyasas</li>
<li>Reclined stretch/<a href="http://www.ergomatters.co.uk/blog/?s=posture&#038;x=0&#038;y=0">posture</a> sequences with vinyasas</li>
<li>Relaxation/meditation.</li>
</ul>
<p>I can honestly say the time goes by in a flash, and I always leave way more relaxed than before I arrived. It&#8217;s a great way to switch off from the working day. The Ashtanga class is fairly physical, and it may be a good idea for you to try to experience yoga at an easier pace first of all, and there are many classes to suit. You can also get many  great yoga DVDs these days so you can try it out at home if you prefer (all you need is a yoga mat and motivation!), before  jumping straight into a class.  I do however recommend trying to aim for a physical version of yoga, since this is what will help you achieve  core strength  and conditioning, giving your muscles a helpful intensive stretch based workout, coupled with relaxation and the ability to refocus your mind.</p>
<p>It is perhaps the idea of channelling the hyperactivity of the mind into more useful positive energy and thoughts that is one of the key aspects of yoga. If we can control the over activity of our minds, we can achieve a positive state of mind and can face day to day stresses on a more even keel, ie. it can be adapted to many areas of your life. For example, are you perhaps over stressing a lot in the office? Then maybe a 20 min break away from your desk and a bit of controlled breathing and meditation can bring your mind back to a less stressful place, and begin to bring things into perspective, which can&#8217;t be a bad thing in these crazy busy lives we now lead now can it?</p>
<p>*&#8221;<em>Vinyasa has since been thought of as a physically demanding practice, which can be successful at channelling the hyperactivity of &#8230; minds. This system can also be used as a vessel for helping calm ongoing chatter of the mind, reducing stress and teaching extroverted personalities to redirect their attention to their internal experience.</em>&#8221;  wikipedia</p>
<p>An <a title="yoga practice in high tech industry" href="http://www.sfgate.com/cgi-bin/article.cgi?f=/c/a/2008/10/03/LV6E12SMAU.DTL" target="_blank">article from the San Francisco Chronicle highlights the benefits of Yoga practice in the high tech industry</a>.</p>
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