3 for Thursday

There are many benefits to working out before you go to work, but it’s hard not to hit the snooze button and roll over. Use these tips to get up and get going. Tips for getting up to workout in the morning.

Dr. Julie Silver talks about the 4 rules for when to worry about pain.

Do you have chronic pain from an old injury that is  taking you away from the things you love. ASTYM may be just the thing you need to get back in the game.  Check out the ASTYM site to see if ASTYM treatment can help you.

Ask Rich Series – Sleeping Postures

I received this question in response to my post on Neck Pain- Physical Therapy Can Help:

Rich,

I have some issues with my neck/back that usually only disturbs me in the morning. I’m guessing the reason is how I sleep at night.

Blake,

Thanks for the comment. Sleeping postures can certainly affect and even cause painful pathologies. When you think about it you can certainly understand how sleeping in any one position for 6-8 hours could present a problem. Try holding your arm behind your back or completely extended overhead for even 10 minutes and see how it feels. The most common problem areas that I see with sleeping are in the shoulder, neck, and back. Generally, I advise people to avoid end range stress on their joints by maintaining a relatively neutral spine. This can be achieved by taking a number of measures including the following:

1) Avoid sleeping on your stomach, or with your arms overhead.

2) Use a pillow that supports your head by keeping it from a twisted or bent position.

3) Get a new mattress. If your mattress sags or is lumpy it’s probably the time for a new one.

4) Avoid sleeping in the same position all of the time.Vary your sleeping positions, preferably on either side or on your back.

5) Use extra pillows to support your body in neutral positions, to avoid extremes of motion in the neck and shoulder.

6) If you must sleep on your stomach use a pillow under your hips.

Here are a few pictures for good sleeping postures.

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