New water at the clinic: or how green we are getting!

June 16th, 2010

I know, I know, not really a thing to brag about but look at this, doesn’t this sound great. The water we now use is organic and locally sourced so to speak. And this is a sample of their bumph which I really like:

“Glastonbury Spring Water appreciates the need in reducing / off setting our carbon footprint where at all possible. When taking on our new build at Park Corner Farm, Glastonbury, the environment & climate change heavily influenced the way we carried out the design.
We developed a run down council farm into a state of the art production facility with every aspect of the design encompassing recyclable or renewable materials wherever possible. All bricks in the build were reclaimed from the previous farm buildings. Sheep’s wool was used as insulation for the roof. Under floor heating installed with a ground source heat pump to warm the offices & production areas & solar panels introduced to provide hot water for our bottling plant.

A reed bed sewerage waste system completed the installation. Now the plant is fully operational all plastics, bottles & wrapping are recycled locally as well as cardboard.

Our water is bottled at source onsite from our own borehole, no tankering is involved at any stage

“Other Recycling Initiatives”
As from December 07 all our drivers will carry PDA’s to eliminate the use of paper.
We are continually tree planting to expand our orchards at Park Corner.
If you are interested in our build or any of the schemes running at Park Corner including our higher level stewardship we would be more than happy for you to pay us a visit.”

Cool, eh? I might set up a visit.

City of Bristol Rowing Club pull off a convincing win in the run up to Henley – and it’s all down to us!

June 14th, 2010

We look after a fair few of the men who row for CoBRC and aim to keep them pain free and training well so that they can win this sort of silver.

Rowing is up there amongst the most demanding of sports to train for if you are going to do well and to succeed you need to be able to train hard – and we mean well beyond mere mortal levels of a run round the Downs once a week.

CoBRC winners

I am really pleased that we are involved in keeping these lot working well and will even risk putting a fiver on them to come good at Henley.

Simone’s nutritional basics – everything you need to know to start tackling what you eat and drink

June 7th, 2010

NUTRITION BASICS

How do you calculate your daily energy requirements in calories?
Basic energy requirements (BER) includes your basal metabolic rate (BMR) + extra energy requirements (EER).
To calculate BMR:
For every Kg of body weight 1.3 Calories is required every hour.
1.3 x 24 x bodyweight KG = BMR
(e.g A person weighing 50Kg would require 1.3 × 24hrs × 50Kg = 1560 Calories/day to maintain their current weight.)

To calculate EER:
For each hours training you require an additional 8.5 Calories for each Kg of body weight.
8.5 x training hours x bodyweight KG = EER
(e.g. For a two hour training session our 50Kg person would require 8.5 × 2hrs × 50Kg = 850 calories extra.)

BMR + EER = BER
Basic energy requirements MAINTAIN your current weight.
Calculate Daily Calorie Deficit For Fat Loss
The following are guidelines and tips to get your nutrition plan assembled for effective fat reduction to improve your PWR (power to weight ratio).

Determine your total caloric intake for (fat) mass reduction

Method one: multiply your weight in pounds by 11 and 12 and subtract 300 to 500 calories to obtain goal daily calorie intake range to promote healthy weight loss.

Example: 200 lbs times 11 (= 2200) minus 500 = 1700 200 lbs times 12 (= 2400) minus 500 = 1900 Calorie range = 1700 to 1900 calories

Method two: Reduce your BER figure by 10 – 20%

Both of these methods introduce a calorie deficit of up to 3000-4000 calories per week to lose between 1-2 lbs of weight. Should your activity level increase, you create a larger calories deficit. Adjust energy intake accordingly to avoid fatigue or excessive hunger.

Calories = Energy/Fuel
Like fuel for a car, the energy we need has to be blended. The blend that most people require is as follows:
40 – 70% Carbohydrates (sugar, sweets, bread, cakes)
15 – 25% Fats (dairy products, oil)
15 – 40% Protein (eggs, milk, meat, poultry, fish)

The energy yield per gram is as follows: Carbohydrate – 4 Calories, Fats – 9 Calories and Protein – 4 Calories.
What does a 50 kg athlete require in terms of carbohydrates, fats and protein?
Carbohydrates – 57% of 2410 = 1374 Calories – at 4 Calories/gram = 1374 ÷ 4 = 343 grams

Fats – 30% of 2410 = 723 Calories – at 9 Calories/gram = 723 ÷ 9 = 80 grams

Protein – 13% of 2410 = 313 Calories – at 4 Calories/gram = 313 ÷ 4 = 78 grams

Our 50kg athlete requires 343 grams of Carbohydrates, 80 grams of Fat and 78 grams of Protein

Consider these easy ways to cut calories

Keep a food record (for at least 3 days) to evaluate and monitor your current eating habits. Calculate your average daily calorie intake. It is a very effective self-monitoring tool. It will identify hidden calorie sources; it is a remedy for “food amnesia”!

Limit animal protein (beef, pork, poultry and seafood) to 8 ounces or less daily. Reduce or use very small amounts of added fats like cooking oils spreads and dressings. Drink zero calorie or low calorie beverages (water, diet drinks)
Eat three meals with one or two snacks daily. Spread your calories throughout the day. Your body operates best when it has a steady supply of fuel. Let fruits and vegetables dominate your plate. Choose mainly whole grain starches; avoid processed grains (sugar, white flour).

Consider taking a standard multivitamin
Meeting vitamin and mineral needs while following a calorie-controlled eating plan coupled with exercise should be easy if you are eating responsibly. A standard multivitamin will help you meet your daily vitamin and mineral needs if you feel unable to do this.

Maintain good hydration
Aim for 2-3 liters water daily. Carry a water bottle and drink from it throughout the day. Avoid alcohol and caffeine.

Stay focused during the holidays
Limit or avoid alcoholic beverages (they’re high in calories!) Avoid being too restrictive yet regulate your food portions.

Monitor your weight and body composition
Take measurements and trend these parameters over time.

Get most of your fats from EFA’s. Flax powder or cold pressed oil is an excellent source of EFA’s. Walnuts also have high levels of omega 6 & 9. These essential fatty acids are not manufactured by our own body’s therefore we must make sure we intake adequate amounts. EFA’s have been shown to improve muscle repair, aid anti-inflammatory response and also fats help aid satiety by slowing down gastric emptying. Limiting fats to lower than 20% will only leave you depleted, hungry and grumpy so don’t avoid them completly, just get them from intelligent sources.

Back pain relief article in the Telegraph supporting what our chiropractors say every day

May 17th, 2010

Rupert Clements and Leni Rautenbach, the chiropractors at C1 found this in the Telegraph and broadly agree:

“Back pain relief in just five minutes a day

If you suffer from back pain and have received professional help, the chances are that you have been told that you need to strengthen your ‘core’. Studies into the causes of back pain have identified weak musculature of the low back and ‘core’ as a common factor in many cases of chronic back pain. So, what is this term ‘core stability’ which is being bandied about and where is this elusive core?

The core muscles are located around the abdominal region, back, pelvic floor and hips. These muscles are responsible for balance, posture, trunk stability and are the foundation for movement. If they are weak, other muscles have to compensate, which is where poor posture and back pain come in.

Core stability isn’t about having a six-pack. Your six-pack muscle (the Rectus Abdominis) is a superficial muscle and, although it does form part of the core, we are more concerned with strengthening the smaller, deeper muscles for maximum stability.

So, now you know where the muscles are, we can work on identifying them in your own body in order to effectively strengthen them.
Below are four core strengthening exercises. During each exercise, you need to employ these muscles and maintain the contraction throughout. If you’ve done Pilates before, you may have heard this referred to as ‘zipping and hollowing’ or ‘pulling in’. Once you’ve mastered this technique, apply it to everyday life. Contract your core when lifting, running, even getting out of bed to keep your spine protected.

Here’s how to do it…
Lie face up on the floor with your legs bent and feet flat on the floor. Locate the top of your pelvis [on each side directly above where your pockets are] and walk your fingers diagonally down to[wards the top of your zip at] the front [each hand] by about 5cm.
Keep your fingers there, now cough. As you cough you’ll feel a contraction in the muscles under your finger. This is your core ‘firing up’.
This is the contraction you want to establish and maintain throughout the exercises so practice doing this by coughing again and trying to hold the contraction for at least 30 seconds.
If you find you’re holding your breath, try counting out loud.
It does take a bit of practice to get the hang of this but once you’ve got it you’ll have no problem holding the contraction while exercising and breathing at the same time!

So, to the exercises…

Roll down
This will mobilise your spine and provide a good stretch down your back. Stand with your feet hip width apart and your knees slightly bent. With your core contracted, put your chin on your chest and slowly roll down through your spine. Keep your knees slightly bent.
Think about articulating one vertebrae at a time, feeling the stretch down your back until you’re bent over with your neck relaxed and your arms hanging down, like a rag doll. Then roll back up, stacking one vertebrae on top of the other. Bring your head up at the very end to finish the exercise.

Leg raises part one
Lie face up with knees bent and feet flat on the floor hip distance apart. Contract your core and raise one leg off the floor until the knee is above your hip-joint, keeping your knee bent.
Be careful not to lose the natural curve of your spine. If your back starts to ache, chances are your back is arching and your pelvis is tilting away from you.
Avoid this by holding the contraction thigh and tilting your pelvis towards you by pushing your spine toward the floor.
Note I said pushing ‘towards’ the floor, not ‘into’ the floor. You don’t want to lose the natural curve by pushing the spine into the floor.

Leg raises part two
In the same starting position as the previous exercise, contract your core and raise one leg then straighten it out in front of you, keeping a bend in the knee. Raise as high as you can without losing the natural curve in your spine, then, making sure you’re still holding in your core, press your low back into the floor and tilt your pelvis in towards you. This time you want to lose the curve. Hold, then return to your starting position and repeat the other side.

Front support hold
Often referred to as ‘the plank’ this is a great one for your core. On your front, with your core contracted, prop yourself up on your elbows and raise onto your toes so your entire body is off the floor (apart from your elbows and toes, obviously – if you learn how to do it otherwise, please let me know).
You’re aiming for a ‘dish’ position, so rather than having your back dead straight, you want to tilt your pelvis forwards to achieve a slight upward curve, like a bridge. This takes pressure off your back and works the core harder.
See for illustrations and further guidance. If you can spare five minutes each day to do these four exercises, you’ll be giving yourself a good start to achieving core stability and reducing back pain. ”

Not at all bad advice and if you look at our web site:
www.c1healthcentre.co.uk
you’ll see these shown on our page to boot.

http://www.telegraph.co.uk/health/expathealth/7718976/Back-pain-relief-in-just-five-minutes-a-day.html

TENS machines seem not to work for back pain – shame

May 14th, 2010

A device that is widely used to treat chronic back pain is not effective, according to a study.

For years, employees who suffer from chronic low back pain have been treated with a transcutaneous electric nerve stimulation (TENS), a portable device that applies a mild electrical current to the nerves through electrodes. The theory behind the treatment was that nerves can only carry one signal at a time. Physicians believed that transcutaneous electric nerve stimulation confused the brain and blocked the real pain signal. However, according to a guideline issued by the American Academy of Neurology, this method is not recommended.

Research on TENS transcutaneous electric nerve stimulation for chronic low back pain has produced conflicting results. For the guideline, the authors reviewed studies for low back pain lasting three months or longer. Acute low back pain was not studied. The report concluded that transcutaneous electric nerve stimulation does not help chronic low back pain.

Researchers noted that all but one of the studies excluded people with known causes of low back pain, such as a pinched nerve, severe scoliosis (curving of the spine), severe spondylolisthesis (displacement of a backbone or vertebra), or obesity. In the study that looked at low back pain associated with known conditions, transcutaneous electric nerve stimulation was not shown to be effective.

“The strongest evidence showed that there is no benefit for people using transcutaneous electric nerve stimulation for chronic low back pain,” said Richard M. Dubinsky, lead author of the guideline and a fellow of the AAN.

“Doctors should use clinical judgment regarding transcutaneous electric nerve stimulation use for chronic low back pain. People who are currently using transcutaneous electric nerve stimulation for their low back pain should discuss these findings with their doctors.”

The guideline determined that transcutaneous electric nerve stimulation can be effective in treating diabetic nerve pain, also called diabetic neuropathy. However, researchers said more and better research is needed to compare transcutaneous electric nerve stimulation to other treatments for this type of pain.