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No More Counting Sheep, Part Two- Your Guide to the Perfect Mattress

6/10/2016

9 Comments

 
If you've already followed our guidelines to finding a perfect pillow, but are still not sleeping restfully, your mattress is likely the culprit.  Thankfully, our physiotherapists here at Granville Physio have simplified your mattress needs.  Read on below to discover which mattress types may be right for you, or click here to book in today with James Rowan, Jim Bowie, or Damien Wild for your one-on-one treatment. ​
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Support

In our opinion, the most important feature of your mattress should be the support that it provides for your spine. A good mattress will fully support the natural alignment and curvature of the spine, allowing for a comfortable and healthy rest. Your mattress should cushion your body in such a way that pressure points are minimized, the body relaxes into a position of natural and lengthened spinal alignment, and most importantly there is no soreness or stiffness upon waking.

Choosing the best firmness for you depends on mainly two factors: the preferred sleeping position and the shape of the individual.  Sleeping on your back will lend itself to a firmer mattress being more comfortable (this doesn't mean back sleepers want a rock hard mattress).  Side sleepers should have a mattress that allows the hip to sink into the bed enough that the spinal alignment remains neutral (adding a pillow between the knees can further help this).  Additionally, the shoulder should sink  into the mattress enough so that the neck and mid back are in the same line while the bottom shoulder is not rolled forward too far. 

We recommend that you try laying on any potential mattress for a minimum of 20 minutes before making a decision. This will allow your body to relax fully into the support each mattress offers, and much like Goldilocks, will enable you to rule out the "too hard" or "too soft" options before you commit to purchasing.  When shopping for a mattress you should also bring along someone to verify that your spinal alignment looks like the "just right" picture below.

Side Sleepers - The "Goldilocks Guide" to Mattresses

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"Too Soft"
  • Sagging spine
  • No back support, spine curves as a result
  • Spinal compression in sagging areas
  • Back pain upon waking

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"Too Firm"
  • Mattress prevents spine from relaxing into a natural position
  • Spine is distorted upwards
  • Pressure is concentrated into the shoulders and pelvis
  • Back pain upon waking

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"Just Right"
  • Mattress fully supports the body in a neutral resting position
  • Spine maintains a natural and straight alignment
  • Optimal pressure distribution
  • Even blood circulation
  • No stiffness or soreness upon waking

Materials and Composition

One last consideration for a mattress is what it is made of, which will affect respiratory health greatly.  Remember that this is a place where you'll be spending almost a third of your life.  There are three main culprits that adversely affect your health.

In North America mattresses are required to be fire retardant.  For the majority of mattresses this means spraying them in a chemical soap to help "save" us in the case of a fire.  While this might seem like a good idea we, unfortunately have to breath in the Volatile Organic Compounds (VOC) that are emitted from the mattress as a result of this.  Additionally, many of the mattresses and pillows out there have glues that hold the mattress together, and these release VOCs as well.

The third respiratory concern is from dust mites, mildew, mold, and fungi.  Dust mite feces, rather than the actual dust mites, are the main culprit.   Common allergic reactions to these are sneezing, itching, watery eyes, wheezing, headaches, and fatigue. ​
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Coil/Spring mattresses are the least favorable for allergy sufferers because of their inner spring system.
The inner cavity of coil mattresses creates an incubator for dust mites and dead skin cells accumulate.  You'll often find mold and mildew within the cavity of a coil/spring mattress due to humidity caused by the transfer of body heat. This is why spring mattresses will typically weigh 10 times its original weight after 10 years of use.  Pillow Tops or Quilted Tops attract dust mites as well. With light, loose padding, these soft tops provide an ideal environment for dust mites to thrive in. Therefore, memory foam mattress and latex mattress without coils or springs are the way to go if you have allergies. 

If you have any further questions on mattress shopping, please do not hesitate to contact us! Click here to ask one of our physiotherapists your questions, or click here to book an appointment today!

Sweet dreams!

​ - Granville Physio
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For Your Health - Don't Sit on This Info!

6/2/2016

1 Comment

 
The average mattress can range from a few hundred to a few thousand dollars, a price that we spend without question for a good night's sleep. Yet, the thought of spending hundreds of dollars on an office chair is seen by most as an incredulous expense. After all, it is only a chair, right?

Wrong! When you consider that for many working Vancouverites, more hours of the day are spent sitting in an office chair than sleeping in bed each night, a proper chair can be an invaluable asset to your comfort and health. While we are not necessarily suggesting that you go spend thousands of dollars on a new office chair, we do have a few recommendations in regards to the support that your chair should provide.

Before we explain the key features we look for in an office chair, a quick note - as we've mentioned before, prolonged periods of sitting are never ideal, and so finding ways to incorporate movement and new postures into your work day is a fantastic idea, regardless of the price tag on your office chair. If you are interested in learning more about the various consequences sitting has on our health, see the poster below (courtesy of the Washington Post). Read on to learn what our physiotherapists here at Granville Physio have to say about purchasing an office chair, or click here to book in today with James Rowan, Damien Wild, or Jim Bowie!
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Key Features of an Effective office chair

High quality office chairs carry a higher price tag largely because they offer a wide array of customize-able features, such as seat height, lumbar support, armrest height, tilt tension, and seat depth adjustments. Additionally, a good chair lasts longer than your Walmart, Canadian Tire, Staples, or Costco special buy.

First and foremost, we believe that a pneumatic seat-height adjustment is by far the most important feature that your office chair should offer. Adjustable seat height ensures that:
  • Feet are fully supported by the floor
  • Forearms extend straight out from elbows to work surface
  • There is the ability to raise the seat and use a footrest, to accommodate desks that are too high for the worker
  • Hunching or straining to view the workstation at a proper height is avoided
Another great feature to look for in your next office chair is adjustable seat-pan depth. This means that the base of the chair (where you sit) can be adjusted to a position that is closer to or further from the back rest. This is especially important for individuals who are smaller than average as it prevents the pelvis from becoming rotated and forcing the low back to slump.

Lastly, having the ability to tilt the chair backwards reduces the pressure in your back and is a great option for changing your posture, particularly if you are not typing or mousing.

What about using an Exercise Ball?

Replacing your conventional office chair with ball has been touted as a healthy sitting alternative, with offers of increased abdominal activity and a "workout while you work" being attractive claims. However, our physiotherapists here at Granville Physio strongly recommend that you leave the ball at the gym, and here's why:
  1. You are more likely to slouch
    • Sitting on a ball for long periods of time is not sustainable, and chances are your posture will deteriorate over the course of your work day
  2. They increase pressure on your spine
    • Sitting on a ball even with good posture will result in a greater load on your discs when compared to having your back against a back rest particularly if you tilt the chair back
  3. They are not customizable
    • There is no ability to adjust height, which creates many of the same problems that we have addressed above 
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Our Final Thoughts on Office Chairs

Finding an office chair that offers seat height and depth adjustments is extremely important, and should be the main priority if purchasing an office chair with a limited budget. There are a few great options on the market, and we are particularly found of the Steelcase Leap (pictured above) or Steelcase Criterion which offer the support we have emphasized.

Despite your chair selection, we always recommend moving throughout your work day. Get rid of your exercise ball seat, and instead take five minutes periodically to incorporate stretches or office-friendly exercises into your day (can link to "posture perfect" blog once it is posted). You will be more productive, and your body will thank you for it! Wherever possible, we strongly recommend establishing a sit-stand office design, as this allows you to alternate between sitting and standing as you work.

Investing in a high quality office chair will increase your comfort and productivity at the office, and will reduce the negative health impacts that prolonged periods of sitting have on the body. For the sake of your long-term health and well-being, we strongly recommend that you assess your current office structure, and consider whether or not your chair is giving you the support that you deserve! As always, if you would like more information, or have questions regarding your workplace routine, our physiotherapists are here to help. Click here to book in with James Rowan, Damien Wild, or Jim Bowie today!

- Granville Physio
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True or False - Are you Using Your Foam Roller Correctly?

5/6/2016

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Foam rolling is a fantastic option for sore muscles, and can significantly increase range of motion and flexibility! However, while it may seem like a fairly straightforward exercise, there are a number of common mistakes that people make when it comes to rolling out their muscles. Test your foam rolling knowledge with our true or false questionnaire below!

As always, if you are unsure of your foam rolling methods, we are here to help! Click here to book an appointment with one of Vancouver's finest physiotherapists - James Rowan, Damien Wild, or Jim Bowie.
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1. Pain is a good thing when rolling out tight muscles, as it means the exercise is really working. 
FALSE!
While foam rolling will likely be uncomfortable, if you are ​experiencing pain it may be that you are pressing too hard or in the wrong location. If the pain initially is referred to other areas but subsequently subsides, this is a great spot.  If the pain refers elsewhere and doesn't dissipate (or if it intensifies), try first reducing your pressure, If that doesn't change things, pay a visit to your physiotherapist.
2. The longer you hold, the better and faster your results will be.
FALSE!
Foam rolling for too long can actually cause increased inflammation in the muscle tissue, which again causes more harm than help. Each trigger point should be held (no rolling motion) for 30-90 seconds. After this is done, several large slow rolls over the length of the entire muscle is preferred. 
3. It helps to breathe regularly. 
TRUE!
Taking deep, regular breaths while rolling out helps oxygenate the muscles, and relaxes the body to allow for greater relaxation of the muscle. 
4. Foam rolling is a good idea on both sore joints and sore muscles. 
FALSE!
Avoid bony bits! Foam rolling is intended to be used on soft tissues, and most effectively targets soft connective tissues and fascia. Rolling over bones like the knee, elbow, or ankle will likely result in bruising and soreness, without any benefit.  Having said that, for most people one of the best foam rolling exercises is performed by rolling over top of the mid-back.
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5. It is best to foam roll in the areas where pain and/or tightness is felt the most. 
FALSE!
Knowledge and awareness of your muscular system is always beneficial when rolling out tight areas. In many cases, the origin of the pain we experience can be in a completely different area than the actual problem spot! For example, an individual with a tight IT band may find better improvement from rolling out the primary muscles that attach to it instead - namely, the gluteus maximus (your buttocks),  vastus lateralis (outside quadraceps) and the tensor fasciae latae (the outer edge of your hip). This is because the IT band is extremely strong, and simply cannot be released from foam rolling manipulations. In fact, repeatedly rolling out the IT band could cause more damage, as it is increasing inflammation in the area. If you are ever unsure of where you should be foam rolling for the greatest effectiveness, our physiotherapists are happy to help answer your questions and put together a foam rolling plan for you. 
6. Slower is better.
TRUE! 
You may be scratching your head at this one, as we just earlier mentioned that foam rolling for too long is a bad thing. While that is correct, it is also not beneficial to speedily roll out tight areas. Your muscles need time to relax, and doing less repetitions at a slower, more focused rate will lead to happier, healthier muscles in the long run. Studies recommend using a slow, kneading method directed away from the area of pain.  You should always try to first release the trigger points of the muscle with a technique where you pause in the muscle before rolling the muscle out. 
7. Foam rolling can be hard work.
TRUE!
As with any exercise, form and posture play an important roll in the effectiveness of your foam rolling practice. When properly done, you may find yourself working up a sweat while rolling out those sore muscles! For example, when rolling out the quadriceps, it is common to assume a plank position with the foam roller under the legs.  It is important when doing this to hold the abs and back strong, to avoid causing any tightness or damage to these areas as well. 
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8. It is okay to foam roll the lower back.
FALSE!
Attempting to foam roll the low back will result in the surrounding muscles tightening to protect the spine, which means tightness, spasms, and pain for you. Instead, it is important to find the cause of the low back pain; surrounding muscles like the piriformis (deep within your buttocks), rectus femoris (within the quads), or the hip flexors (front of your hips) all commonly contribute to low back tightness, and these groups can be safely rolled out. If low back pain persists, you may find it effective to stretch in child's pose, or see one of our physiotherapists to target the root of your injury. 



Happy foam rolling!
Granville Physio
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Cramps - What a pain in the ____!

4/29/2016

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​It has, unfortunately, happened to most of us… you're in the middle of a great workout, walking down the street, or even rolling over in bed at night, when suddenly you are overcome with horrible pain. A cramp! You clutch at your seizing muscle, rubbing at it to release, rocking back and forth as you wait for the cramp to pass and relief to come. 
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Cramping muscles are certainly not a fun experience, and while they may sometimes seem to strike at random, they give us important information regarding the health of our muscles and body. So, what exactly do cramps mean, and what can you do to prevent them? Read on below for more information. 

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No More Counting Sheep - Your Guide to Choosing the Perfect Pillow

4/29/2016

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Do you often wake up stiff and sore? Are you prone to frequent headaches, or persistent neck pain? The problem may lie in your choice of pillow.

We spend a large portion of our day sleeping, and the alignment of our spine and head during our sleeping hours can have a drastic influence on our health and well-being throughout the day. Many individuals are unaware of their poor sleeping habits, and are not using a pillow that properly supports their body during rest.

However, purchasing a proper pillow can be a daunting task. There is large variety of pillow sizes, shapes, materials, densities, and brands, all of which can be quite overwhelming if you are unsure of what to look for! However, our physiotherapists here at Granville Physio are here to help! We've outlined below a few basic sleeping positions, and the pillow types that are best suited for your individual sleeping style. However, if you would like a personalized assessment of your resting spinal position, and the pillow that will optimize your rest, click here to book in with James, Damien, or Jim today!

1.) The Side Sleeper

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This is by far the most common sleeping position, but it can also be quite difficult to ensure that the curve of the neck is well-supported. To test if your pillow is adequately cushioning your head, have somebody look at your spine while you lay down. Your spine should follow a straight horizontal line from the base of the head to the middle of your back. If your neck curves up, your pillow is too low, and if your neck curves down, you require more support. 

As a general rule, your pillow should comfortably fill the space between your head/neck and the mattress. Therefore, individuals with broader shoulders also require a higher pillow, as there is a greater gap between the head and mattress when turned onto the side.
  

2.) The Back Sleeper

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If you tend to spend the majority of your sleep on your back, it is important to ensure that your pillow supports the natural curve of your neck. If the pillow is too firm or high, the neck will be craned forward uncomfortably. Conversely, if the pillow is too flat, or lacking support, the head will drop back and compress the neck. Finding a pillow that enables a slight curve, as is natural in the cervical vertebrae, is the best option. If someone were to analyze your posture from the side as you lay on your pillow, your body should be in a similar alignment to a proper standing posture.

However, as individuals age, it is common for a greater curvature to develop in the upper back. This leads to the head and neck protruding forward, and for these individuals a second pillow or folded towel may be necessary to provide sufficient support.  

3.) The Tummy Sleeper

​For those of you who have a tendency to sleep on your stomach - please stop! It may be difficult to adjust your sleeping position at first, but we guarantee that your neck will thank you for it! Sleeping on the stomach puts your neck in a position of full rotation for long periods of time, which as you may have guessed, is not good for your body. With the head turned to one side for such a long period of time, you are compressing one side of the neck and over-stretching the other side. Oftentimes, this can cause pain, stiffness, and headaches in the morning, regardless of which pillow you choose to use. 

Pillow Types and Common Materials

With the above tips in mind, here are a few different types of pillows you may encounter in your shopping:
A) Memory Foam
  • Pro's: react to body heat and mould to individual shape, can be contoured to fit the head/neck more accurately, very supportive for both back and side sleepers.
  • Con's: don't allow for air circulation, can be very hot when sleeping.  Low cost solutions often of gas harmful chemicals that can cause headaches.
B) Latex
  • Pro's: long-lasting, very firm and supportive, cooler than memory foam, often glue free so no of gassing.
  • Con's: can be quite expensive.
C) Feather/Down
  • Pro's: very comfortable for the first 5 minutes
  • Con's: do not offer much for support, lose shape very quickly 

Our FInal Thoughts on Pillow Shopping

We recommend taking someone with you when you go to pick out your perfect pillow.

Laying down with each pillow on a mattress that is similar to yours is the most important step!  Have a person assess your neck and spine alignment, to ensure that you are choosing a pillow with the right height and level of support. While suggested as the ergonomic solution, contoured pillows (particularly those with two bumps), often don't provide a very good fit.

As always, if you have any questions or concerns, the physiotherapists at Granville Physio are here to help. Click here if you would like to book an appointment.

Sweet dreams!
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Heel pain? (Shock)Wave it goodbye!

1/31/2016

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Vancouver was deemed the "most walkable city in Canada" this year, and with summer around the corner we'll soon be able to take full advantage of all the gorgeous walking trails and hikes throughout our city.
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However, for as many as 1 in 10 Vancouverites, this may not be an option. Approximately 10% of people suffer from plantar fasciitis, a condition which can cause excruciating heel pain from simply standing or walking.  While plantar fasciitis can be an extremely debilitating and frustrating problem, Shockwave therapy is a new treatment option that has been showing incredible results and reducing rehabilitation time greatly. So, if you've been struggling with nagging heel pain, don't despair! Read below to learn more about plantar fasciitis, and see how our therapists here at Granville Physio can get you back to hiking your favourite trails, pain free!

What is plantar fasciitis?

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The plantar fascia is the connective tissue that runs along the sole of a foot. It starts at the base of the heel bone (calcaneus), and fans out to connect to each toe. The plantar fascia is very tough, thick, and fibrous, and plays an important role in walking and running.

When the plantar fascia becomes inflamed (often due to overuse, improper arch mechanics, and/or tight calf muscles), both the sole of the foot and the heel can become very painful and sensitive. As the fascia becomes more inflamed, the pain and sensitivity also increase. Eventually, the fascia can become so irritated that tiny bone formations can develop within the band of connective tissue, often closest to the heel.
You have likely heard of these before, by the name of heel spurs. Shockwave therapy is one of the only non-surgical options that is currently effective in treating heel spurs. Without treatment, both the heel spurs and the inflammation can cause longstanding pain and movement issues, with lengthy rehabilitative periods.

What does that feel like?

Pain often starts at the base of the heel, or along the bottom arch of the foot. Many people describe this pain as a bruise or an ache, while chronic conditions have been described as a sharp, jabbing pain. Oftentimes, plantar fasciitis begins as a subtle pain, and many patients dismiss initial symptoms. However, plantar fasciitis worsens over time, and over the span of a few months the pain experienced is usually too great to ignore. Pain is often present the instant that pressure is put on the feet, and can lessen once you begin to move around. However, prolonged periods of activity will cause an increase in the pain and sensitivity experienced.
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How do we treat plantar fasciitis?

Except in very extreme cases requiring surgery, most individuals with plantar fasciitis are able to find relief through conservative treatments such as physiotherapy. Notably, stubborn cases of plantar fasciitis have been showing amazing recovery rates from a new technology, Shockwave therapy.

At Granville Physio, we are proud to be able to offer this new treatment option. With an incredible 91% success rate, Shockwave therapy has provided relief to individuals with even chronic plantar fasciitis cases, and has an extensive research basis to support these results.

What exactly does shockwave do?

To put it simply, the Shockwave machine used by your physiotherapist creates many quick, high energy pulses that are directed into the heel and plantar fascia. These pulses act as a "biological jackhammer", breaking down calcium deposits (heel spurs) and scar tissue. They also stimulate a recruitment of fibroblasts to the area, which are responsible for healing connective tissues like the plantar fascia. Therefore, the healing effects are twofold; not only are the bone spurs and scar tissue reduced, the body's natural healing mechanisms are stimulated to help promote recovery of the foot and heel. Patients have reported an exceptional reduction in pain after only one treatment! If you are interested in reading more about Shockwave therapy, you can visit our website at www.shockwavetherapyvancouver.ca for detailed explanations of the technology behind the machine, as well as the various conditions that it has been shown to treat. ​

Happy walking!
- 
Your Granville Physio Team
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5 Key Workplace mistakes you NEED to fix!

1/31/2016

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"Sitting is the new smoking."

It's a drastic statement, but it has caught much attention and popularity in recent years, as study after study has shown the drastically negative impact that sitting has on our overall health (read a few by clicking here or here). While simply sitting for less time may seem like the easy answer, unfortunately for a lot of us, sitting at a desk comprises a large portion of our work week.

In fact, we are willing to bet that you are sitting at a desk - whether your work station or at home - right now as you read this. If you are, freeze! Don't move! Take a moment to investigate your positioning right now, simple things like how far away from the computer you are, or where your mouse and keyboard are in relation to you. While sitting may not always be avoidable, we have five easy adjustments that you can make, to help reduce the negative impact your desk habits may be having on your health. 

How many of our five key workplace habits do you think you are guilty of?  Read on below to find out, and to see what our physiotherapists recommend to help alleviate these problems.

1. Distance from the monitor

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Why it matters?
     Sitting too close to the monitor can have serious consequences on your vision, while sitting too far away often results in individuals leaning forward, which creates poor posture. This in turn can lead to increased pressure on the low back, tension in the shoulders, and a strained neck. 

James Rowan's suggested fix:
     
Avoid poor postural mistakes or eye strain by ensuring that your monitor is set up at a proper distance. Your gaze should naturally fall within the top third of the screen, and the monitor should ideally be between 18-20 inches from your face. Adjusting your keyboard to an easily accessible position at this distance, or investing in a  desk chair that enables a proper height, are two great options to help make this new position seem more natural.
​

​2. Sitting too long

Why it matters?    
​     
As we mentioned above, prolonged periods of sitting have a wide array of negative health effects. Interestingly, studies have found that many of the negative effects of sitting are irreversible, meaning that the damage done over long periods of sitting cannot simply be undone by a later change in habits. Complications such as disc herniation, hypertension, diabetes, and even cancer are drastically reduced when individuals make an effort to sit less and move more. In fact, the Conference Board of Canada predicts that if only 10% of Canadians were to make an effort to reduce their sitting hours, national health care costs would be reduced by 2.6 BILLION dollars!

Damien Wild's suggested fix:
     
While options like a sit-stand desk are fantastic alternatives to the traditional workplace, they are not always financially feasible. Instead, try incorporating some of these simple ideas into your everyday work routine:
  • Take the stairs, not the elevator
  • Stand up when on the phone
  • If an email recipient is in your office, opt for walking over and verbally relaying your message
  • Refill your water glass every hour
  • After you eat lunch, take a 5 or 10 minute walk
  • Set a timer for yourself, and try to incorporate some gentle stretching or exercises at your desk throughout the day
  • Organize walks with coworkers, instead of seated meetings

     You may get a few silly looks from your coworkers at first, but we are confident that by incorporating these simple activities into your routine, you will feel better, be more focused and productive, and may even inspire others to make healthier changes for themselves as well! ​

3. sitting angle

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Why it matters?
     
Studies have shown that the angle at which we sit has a drastic effect on the amount of pressure that we place on our intervertebral discs. As you can probably guess, this pressure is not a good thing, and over time can lead to disc herniation, chronic pain, and decreased range of motion. 

Jim Bowie's suggested fix:
     
By simply adjusting the angle of your seated position, disc pressure can be reduced by up to 85%! As you can see in the image above, Nachemson et al. demonstrate that relative to standing, sitting at an angle of 110 degrees (leaning slightly backwards from the monitor) places only marginally more pressure on the spine, whereas leaning forwards into the screen can almost double the pressure our discs undergo. Ensure that your desk chair can facilitate these healthier postures, press your hips as far back into your chair as they can go, and be conscious of your shoulders slumping forward. It is important to note as well, that the old adage "sit up straight" is not necessarily true; as you can see from the image above, trying to hold yourself perfectly erect actually places more strain on the back. Instead, try to find a comfortable position that is lengthened but relaxed, and remember to incorporate movement at regular intervals.
​

4. Hip tilt

Why it matters?
     
The majority of us tend to sit favouring one side over the other, without even realizing it. If you are unsure whether or not you are guilty of this, simply take note of how you typically sit at work. Do you find yourself leaning on one armrest more than the other? Do you lean your head onto the same hand regularly, or cross your legs with the same leg always on top? These habits indicate an imbalanced pelvis, which can cause movement and alignment problems, as well as back pain. 

Damien Wild's suggested fix:
     
Since so many people are unaware of this lean, simply being more conscious of your seated position will drastically help alleviate the strain that the pelvic imbalance is creating. Avoid crossing your legs, and leaning forward onto your desk or armrest. Try to feel both sides of your buttocks and hips pressing equally into the chair, and if you are feeling tired or need to lean, try standing up and moving for a few minutes instead.
​

5. Mouse positioning 

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Why it matters?
     
Improper positioning of the mouse can cause individuals to bend wrists, and lift or reach arms out for extended periods of time. This in turn places increased stress on the wrist and elbow joints, over time weakening these systems and creating pain and dysfunction.

James Rowan's suggested fix:
     Make sure that your mouse is placed in the "Usual Zone" pictured above, within 25 cm of your seated position. The hand and forearm should maintain a straight line, and the upper arm should not have to extend or elevate to use the mouse. By keeping the mouse in the green zone displayed above, regular reaching motions are eliminated, strain on the elbow is reduced, and your body will thank you! ​
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Directions to Granville Physiotherapy
Behind the Safeway at Granville and 70th.  Access from southbound lanes on Granville or off of 70th between the Royal Bank and BC Liqour store.  There is ample parking outside of the clinic.

We provide physiotherapy services for Vancouver and  Richmond including: Dunbar, Kerrisdale, Oakridge, and Marpole neighborhoods.
Granville Physio
8501 Saskatchewan Lane
Vancouver, BC,
V6P 0C7


info@granvillephysio.ca
P 604-630-0108

Marpole physiotherapy clinic