Teeth Grinding

If you grind your teeth, you are probably pretty screwed.

Once you work through people trying to sell you shit stuff and quacks offering naturalistic   potions, blessed by saints,  you probably need to read “ current treatments of Bruxism” by Guaitia and Hogl.  Read it here https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4761372/

Here is the conclusion

“In the absence of a causal treatment, the management of bruxism focuses to prevent progression of dental wear, reduce teeth grinding sounds, and improve muscle discomfort and mandibular dysfunction in the most severe cases.

Counselling and behavioral strategies, splint therapy, medications, and contingent electrical stimulation have shown heterogeneous results in resolving the EMG events associated with sleep bruxism, and most of the RCT did not evaluate the effects on other symptoms such as pain or tooth wear progression. Long-term studies with a wide severity spectrum of sleep bruxism patients, and comparing the effect of different treatments should be performed to elucidate the importance of each intervention in the resolution of the signs and symptoms commonly referred by the patients. The choice of not treating bruxism must also be further explored, at least in asymptomatic patients with only mild dental wear. Even more must be done to successfully treat awake bruxism, in which RCTs are still lacking”

Or read  my executive summary.

Fuck

However, as it says , its  “still reasonable to recommend good sleep hygiene in clinical practice, especially considering that alcohol, tobacco, and coffee consumption are risk factors for sleep bruxism  and that sensitivity to stress is commonly reported by the patients”

The good news is there is a Bruxism Association. They  basically, want to shove stuff in your mouth

http://www.bruxism.org.uk/how-can-i-stop-grinding-my-teeth.php

I think it exists more to support dentists, but it could be rallying support to promote further research

More good news could be that the Bruxism association supports  feel good happy solutions.  “ General relaxation techniques including meditation are supposed to produce a sense of self-esteem and control over one’s body”. The draw back , however, for anyone with even the vaguest grip on reality is  “there is no current literature regarding the efficacy of this holistic approach to the management of bruxism”

That said  I suspect I have to join in and say, cut down the drugs, try and de-stress and meditate a bit . And yes, I  can taste sick in my mouth for saying that.

 

BTW: my name is Andrew Stemler and I’m an East London personal trainer and massage therapist. You can book me by emailing me  Andrew@crossfitlondonuk.com

Rowing technique

Im afraid to say that , after 58 years on this earth, I can say,  from a point of authority, that most people row like demented chimps on speed.

Lack of form in rowing means that  very little genuine power is gained, you screw your back, and is a sort of insult to the concept 2.

Please, please learn how to row.

Here are some hints

Combination training

Goto  et al, is a fascinating read!   “Muscular Adaptations to Combinations of High- and Low-Intensity Resistance Exercises”, (J Strength Cond Res) touches on an issue I often ponder.

If I want to make my endurance athletes stronger, why don’t I  combine  high and low intensity in the same session? Must I spent 12-16 weeks working off season strength, banning “cardio”,  setting them classic low rep (80% plus stuff) then send them off to convert this strength to endurance?

Ive always found this hard,  as most runners and rowers like running and rowing. They often hate  heavy work. But what if I could combine high reps and low reps in the same session, which is, btw,  specifically against perceived wisdom

Goto’s team looked at his  very point. See an abstract here.  They measured  3 types of regimes for knee extension exercise:

  1. a medium intensity (approximately 10 repetition maximum [short interset rest period (30 s) with progressively decreasing load (“hypertrophy type”);
  2. 5 sets of a high-intensity (90% of 1RM) and low-repetition exercise (“strength type”);
  3. and a single set of low-intensity and high-repetition exercise added immediately after the strength-type regimen (“combi-type”)

The combi-type group, added a single set of 25-35 reps following their final low rep set.  At the end of the training program the combi-type group had increased their strength 58% more than did the other training group (14.7% vs. 9.3% respectively). The results suggest that a combination of high- and low-intensity regimens is effective for optimizing the strength adaptation of muscle in a periodized training program.

“This suggests that the combi-type regime caused a larger increase in dynamic muscular strength than did the strength-type regimen when combined with the hypertrophy-type regimen in a periodised fashion… This effect appears to be inconsistent with the classical principle operating in resistance-exercise training, in which low-repetition protocols are used for muscular strength and low-intensity, high-repetition protocols are used for muscular endurance.  Sensible combinations of high- and low-intensity protocols may therefore be more important to optimise the strength adaptation to resistance training.”

The website Training Science suggests the concept of Muscle Factor  Training

” In addition to the low rep training you are already doing, add:

  • one set of 20 reps (range of 17 – 23 reps)
  • one set of 40 reps (range of 35 – 45 reps)”

In practical terms, I think this means,  if you do 3 to 4 sets of say 5 reps ( assume 80% 1 Rep max) in your squat regime,  replace  2 of those low rep sets with 1 set of 20 reps and 1 set of 40 reps.

  • 2 sets x 5reps
  • 1 set x 20 reps
  • 1 set x 40 reps.

 

 

{BTW  when doing the lighter sets, its worth while considering Holm L, et al, Changes in muscle size and MHC composition in response to resistance exercise with heavy and light loading intensity, Journal of Applied Physiology, Nov 2008, 105:1454-1461.  The weight lifted in the 40 rep phase can be a light as  15%}

Am I going to suggest this across the board? Hell no. I have clients who hate cardio, and  by hate it,  I mean  they loath it.

I have clients who row. This seems a sensible protocol to test with them.

So, I’m going to unleash this on poor Rochelle on Wednesday. Ill report back if it works

Back Pain: Cure your back with the Sorensen test

“The race has always been on to firstly predict,  then inoculate against,  back pain. A test known as the “Sorensen test” based on the work of Hansen in 1964, has been popular since 1984.

According to Demoulin et al 2006  ”The test consists in measuring the amount of time a person can hold the unsupported upper body in a horizontal prone position with the lower body fixed to the examining table”

The test is accepted in its discriminative validity, reproducibility, and safety. However debate continues to surround its ability to predict low back pain. No firm explanation, beyond “women rock” , has been offered as to why “chicks” can hold it longer than guys.

Naturally motivation and discomfort tolerance are confounding factors.

A interesting review is available in PDF form at Isometric back Extension tests: a Review of Literature Maureau et al Journal of Manipulative and Physiological Therapeutics Volume 24 • Number  2001, But in essence,this report says this….(yawn….)

For men, the mean endurance time is 84 to 195 seconds; for women, it is 142 to 220.4 seconds. For subjects with LBP, the mean endurance time range is 39.55 to 54.5 seconds in mixed-sex groups 80 to 194 seconds for men, and 146 to 227 seconds for women” whether thats remotely useful lm not sure, but if you suffer or are prone to lower back pain, (you tend to know by your appalling posture), im going to suggest you move this figure up.

References
Demoulin C, Vanderthommen M, Duysens C, Crielaard JM.  2006.  Spinal muscle evaluation using the Sorensen test: a critical appraisal of the literature. Joint Bone Spine. 2006 Jan;73(1):43-50.”

 

My name is Andrew Stemler.  Im a london personal trainer working in Bethnal Green E2 and the City of London

Bread: Lectins, Goo, Mucin, secretory IgA.3,4. and a big dose of spin

I have no idea if bread is evil. I know that I love it, and that my life without it is a misery. I do know the “vegetable lobby” is dead against bread. I thought it was because of the effect on the  Gylceymic Index (oh those happy early fitness instructor days).

As a hypertensive, I’m suspicious of bread because of  its excessive salt content: but there is, increasingly, lower salt bread available, and as I discovered in later life, I could always eat a slice a day, rather than the  loaf recommended by the state registered dietician  ( who knew!)

But apparently, its  Lectins, not Carbs are the real evil. Lets get skilled up and learn what lectins are. have a look at this article

http://www.krispin.com/lectin.html

So lectins are wolves in sheeps clothing, they sneak up on (gut ) cells, pretending to be , well sheep presumably, then they stick a dust buster into the cell wall, meaning it wants to hoover up every bit of sugar going ( so, a wolf, with a vaccum cleaner, disguised as a sheep in your intestines…..) .

So, every loaf of bread does that to every  intestine cell? ( Its, just that that’s a lot of wolves….)

No!

“Glucosamine is specific for wheat lectin and it is this specificity that may protect the gut and cartilage from cell inflammation and destruction in wheat (or gluten) responsive arthritis”

Doesn’t that mean that if you have Glucosamine, you are ok, and can eat bread?

But certainly many people tolerate these foods — why?

The answer lies in the balance of gut flora and a person’s immune system.  When you have adequate “beneficial flora” ( oooh, I sense a TV Advert) , it serves as a protective barrier against substances that travel through the intestines, including lectins.

But importantly, beneficial flora are needed to keep the production going in the intestines of two lectin-protective substances, mucin and secretory IgA.3,4.

Mucin, like lectin, is a “glycoprotein” ( use this word at parties) in the mucus lining of the intestines.  When lectins travel through the intestines, they should have mucin to bind to, rather than intestinal cells.  But if mucin is missing, lectins will bind to intestinal cells instead.  Secretory IgA also binds to lectins, preventing them from causing damage. (Buts JP, et al. Digestive Disease and Sciences. Feb 1990. 35(2): 251-56.)

According to  Cordian et al “the interaction of dietary lectins with enterocytes and lymphocytes facilitates the translocation( this is bad)  of both dietary and gut-derived bacterial antigens to peripheral tissues, which in turn causes persistent peripheral antigenic stimulation. In genetically susceptible individuals, this antigenic stimulation may ultimately result in the expression of overt  rheumatoid arthritis” (British Journal of Nutrition British Journal of Nutrition (2000), 83: 207-217 Cordain et al)

This is a useful source as it  reminds us that there are lots of things in your gut that you don’t want in you, which is why some stuff passes through us, others get “slimed”, and, more importantly,  that’s why you have a gut.

But it can break down in 3 circumstances

(1) disruption of ecological equilibrium which allows intestinal bacterial overgrowth,

(2) deficiencies in host immune defences, and

(3) increased permeability of the intestinal barrier (Berg, 1992).

Failure of intestinal barrier function resulting in the systemic spread of gut-associated bacteria has been termed bacterial translocation( I actually like this word and want to use it more at parties).

This is why, apparently,  its important to take some nice live yogurt every so often, if you are a pisshead/ fast food eater, every few days would be a good idea. Don’t fall foul of marketing. Food companies are still  the deceitful fuckers they always have been, so most probiotic yogurt is just a liquid sweet.  An interesting observation  comes from another blog writer  (http://www.good.is/post/is-yogurt-really-that-good-for-you/)

“The only problem: Some so-called probiotic bacteria don’t contain strains medically recognized as beneficial. As one expert told Tara Pope Parker, “To say a product contains Lactobacillus is like saying you’re bringing George Clooney to a party. It may be the actor, or it may be an 85-year-old guy from Atlanta who just happens to be named George Clooney.”

So just be careful, treat bread with suspicion( there’s still an addictive sugar rush, and you may be one of the unlucky ones), and eat a bit of live yogurt ( the plain boring stuff). Above all,  be conscious of the motivations of  the diet advisor. I know of  diet experts who fess up to being x vegetarians ( presumably fanatically so) and now all they can see is their mums arthritis, and they set out on a misguided mission to “save everyone” even those that don’t  need it. Mind you, if I knew someone had auto-immune issues, I’d suggest they knock out bread as a trial (but they need to have the auto-immune disease).

I was also surprised to learn that, allegedly, if you have dairy issues, its worth trying yogurt as its already partially digested and easily  available to your body.

Still, I think the real warnings are, “everything in moderation”. Notice patterns , because you could be one of those people who cannot take bread. Act on the info.  But also watch the “religious nutters” I’ve read loads of times about lectins. No one ever added the bit about how the body deals with them.

So that’s a bit “spun” isn’t it boys and girls

Any way, My name is Andrew Stemler, I work in London as a personal trainer and can be found in Bethnal Green E2  or the City of London

Piriformis Syndrome

There is a sneaky little muscle in your bum that often makes your back , or legs hurt.
It’s sneaky as, whether or not you have a booty or a skinny ass,  its a muscle that hides underneath the big ( or skinny?) obvious bits.
It creates a lot of mischief. So Voila, the piriformis is the muscle to blame. Its this muscle that I’ll often try and find and “trigger point” if I see you acting  or moving in one of many ways. If you are going to have back pain,  you might as well understand the anatomy
So this is where it lives.
piriformis location
When I’ve found it, here is where I’ll try and press
Piriformis points
I’ll often press or rub each point with my thumb about 10 times. Often I’ll try and teach you how to find these points with a Lacross or massage ball.
Obviously, there are other muscles in this area that I’ll identify and treat, but this is often the cause of a lot of back pain
Well, thats why Ive probably shoved my thumb in your bum!
If you have back pain, do get in contact and I’ll see what I can do to help.
I do a lot of work with the Backaholic programme at Crossfit London in E2 , and I help people cure there back pain. Strangely Im just a massage therapist, but as I teach people to olympic lift,  clamber over objects and do lots of cool  gymnastic stuff, Ive been forced to deal with the bad backs my clients bring to their sessions

The big warning.
Some back pain is really serious: check your RED FLAGS by clicking here