Namaste, and all that…

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A couple of weeks ago, I made the somewhat premature, and possibly ill-advised, decision to book myself onto a yoga class, and I have to admit that, all things considered, it was quite an odd thing to do taking into account that I am currently unable to even manage the most basic of asanas well.  I remain puzzled about what on earth was going through my mind at this particular point in time, but as with the majority of my ‘decisions’ of late, I had a fair level of reassurance that I would most likely bail at the last minute anyway – ‘unreliable’ has become my middle name over the past few years.  I’d even gone as far as to phone the teacher beforehand to warn her of my various physical limitations, perhaps in the hope that she would refuse her consent to me attending because I could turn out to be the biggest liability she’d ever had to deal with; however, no joy there either, and she suggested I came along to give it a whirl.  Meanwhile, my head was busy reassuring itself that I still had numerous reasons for not showing up: waking up and getting up on time is still quite a major achievement for me, swiftly followed by the level of pain and stiffness first thing, whether the pills kick in on time, and when they do whether I’ll be too wasted to do anything much at all.  And even if I managed all of the above, I would presumably have raging anxiety levels which would make it impossible for me to go somewhere I’d never been before and be surrounded by complete strangers.  So, I slept well that night, safe in the knowledge that I had numerous genuine reasons and lame excuses already in place, and assumed I simply wouldn’t manage it which would probably be the best outcome for all involved.

Yoga is interesting stuff, and I’ve practised it intermittently for many years.  I should, perhaps, add here that I’ve never felt the physical / psychological / spiritual/ transformational uplift which many yogis / yoginis apparently do experience, but in the past my relatively brief periods of doing yoga regularly have produced positive physical and psychological results.  I first tried it during late pregnancy, and found it helped with respiration, relaxation and flexibility.  I tried it again a few years later, having discovered that I would need to wait many years before my knee replacement surgery could be performed so to try to retain as much flexion within my leg as possible in the meantime, and then again a respectable period of time after surgery.  And finally, I drifted back into it a few years ago, during a more frantic search for some level of reassurance that my body wasn’t escalating wildly out of control, before having to admit that actually it was and I needed more surgery.  It seems that there has always been some benefit in my practising yoga on a regular basis, so why do I never stick at it?  If memory serves correctly, it is a combination of things – firstly, and perhaps inevitably, the changing levels of mobility and pain due to my arthritic condition; secondly, my psychological issues with depression and the accompanying lethargy, lack of motivation and decreased energy levels are hardly conducive to such practices; and finally, dare I say that perhaps it’s my personality which is at odds with it, my impatience and my lifelong inability to stick at anything for very long before flitting off and diving into my next fad?

Anyone who has ever tried yoga will probably tell you that it’s hard work – really bloody hard work.  Yes, it all looks very lovely and a bit freaky, but just because no-one ever leaves a class with a scarlet sweating face and gasping for breath doesn’t mean that it isn’t a major body work-out.  Again, this is what puzzled me about why I booked myself onto a class – surely, after all the aches and pains of the past few months, why would I want to put my body through something like this?!  I guess the answer lies in the fact that I am so totally sick of doctors, surgeons, hospitals, physios, and all things clinical.  I think the answer is that I realised that I needed to do more to get my body working better, to build more stamina, to strengthen core muscles etc but also that what I wanted was something which was interesting, nurturing, and was more holistic than the traditional post-surgery recuperation strategies.  One of the purposes of this blog has always been to consider a more humane perception of the physical and psychological impact of arthritic conditions and treatments, and how clinical approaches to recuperation are limited simply to physiological expertise rather than a more supportive and holistic approach.

So, did I actually get myself to the class?  Yes!  Much to my amazement, I did manage to get myself there, and have attended a further two since then, although it would be fair to say that one was far more suitable than the other.  I even managed to complete some of the asanas with varying degrees of success, and am now trying out various local classes to find something which works best for me at the present time and with my current physical limitations.  It’s tough and I feel absolutely battered for a couple of days afterwards, but I have learnt a lot about the current condition of my body and its limitations.  I have also learnt something rather curious about my psychological state of mind.  As often happens with me, my anticipation of how I will respond to any given circumstance or situation is not necessarily correct, and this is precisely what happened with the first yoga class; I expected to be too shy / nervous / anxious to attend, but actually the opposite happened.  As I have said previously, I don’t really do ‘anxiety’ or if I do it’s usually a specific situation, most often if I have to go somewhere I don’t know and where I don’t know anyone.  The first yoga class had all the elements I avoid like the plague whenever possible, however, I did manage this with relative ease, most likely because the state of my depression is, at present, in the “couldn’t care less about anything” phase; it was by exploiting this which enabled me to get there and do that thing.  I’ve figured that this is actually something really useful to be aware of, and if I genuinely don’t care, whatever happens or if something goes badly pear-shaped, it won’t bother me because it doesn’t actually matter.  It’s empowering, although for all the wrong reasons, but is progress of sorts I think.

My habitual hunt for interesting images today produced the pic above – yes, it’s unusual for a yoga photo, and thankfully, no effortless flexibility or smugness here.  The image in itself spoke volumes to me about my own shortcomings regarding yoga practice, but the article is also worth a read.  Rage Yoga, if you haven’t heard of it before, is the complete antithesis of the usual practice of yoga, and I’m both ashamed and possibly proud to say that maybe this is a type of yoga that I should consider and start tweaking my practice to accommodate a lot more swearing and regular beer breaks?

So, tomorrow I will be back again at my local, very calm and polite class – forcing my body to do stuff it really would rather not given the choice, channelling my anger and frustration into asanas, and trying not to swear out loud.  To any yogis and yoginis out there who might be reading this, “Namaste”.  And to anyone else who happens to practise Rage Yoga, “Namaste, Motherfu*kers!”

 

 

The Yarn Whore

For the past six months, I’ve been knitting socks.  I had heard from various reliable woolly sources that knitting socks was “very difficult” and it was necessary to juggle more than two needles at a time, so despite being an extremely obsessive and socks1experienced knitter, I convinced myself that I wasn’t good enough, or lacked the necessary discipline, or wouldn’t have the patience to manage to make even the most humble of socks – or worse still, manage to end up with a single sock and not be able to persuade myself to make an actual pair.

I was first taught to knit by my mother when I was very young, I think I was about 4 years old, and I’ve always suspected that her intention was to give me something to do which would keep me quiet and distracted.  I used to knit up balls of string, then when the ball came to an end, I’d unravel it and start again.  My mother wasn’t a particularly talented knitter, she knew the basics of knit, purl, cast on and cast off, so as a child I was limited to making dishcloths as presents for grandparents.  But there was something about the process which really appealed, something elusive and intangible.  By the time I hit my teens, I dived fearlessly into designing and making jumpers – huge, baggy affairs which often went down to my knees, were too big across the shoulders and had sleeves which were too short; the jumpers available in the shops were truly hideous, clingy affairs so it seemed the perfect way to resolve that problem and improve my knitting skills as well.  There was also some kind of knitting revival going on at the time, and for the first time ever, beautiful crazy yarns were available, including fluffy mohair in a range of sumptuous colours.  I was hooked, and have knitted obsessively ever since.

Medically, there has been a lot of discussion about knitting and its mental health benefits, and most recently, there has been a lot of debate and consideration into the concept of Social Prescription, rather than the more traditional approach of sending you away with a few bottles of pills.  Social Prescription is the idea of recommending an activity, preferably one with social interaction, to improve not only mental health issues but also physical health issues such as lowering blood pressure, etc.  Social Prescription activities are many and varied, and could include knitting, fishing, walking, sewing, painting, pottery, or basically any creative activity which has the potential to distract from current or ongoing health issues and increase social interaction, and in the UK, GPs are being actively encouraged to prescribe, for example, knitting rather than more pills.

So what exactly is it about knitting which works for me?  As a self-confessed Yarn Whore with an obsessive compulsion to click away, what is clear is that knitting is a multi-sensory experience.  With the exception of taste, knitting brings a feel-good factor to all the other senses: visually, the yarn is beautiful both prior to and after knitting, and the range of colours and textures available now is incredible; the gentle clicking sound of the needles and the subtle smooth sound of yarn sliding off the needles is very calming; the textures of different yarns as they slide through your fingers are curious and varied, as is the way that the different yarns respond to the knitting process; and the different scents of the yarns reflect their various compositions and fibres, from the relatively strong smell of natural wool yarns to silks and cottons (yes, they all have a different scent!).  But the sensory response to the process is arguably not what makes knitting a really positive activity to get in to.  Yes, any creative process will benefit your mental well-being, but the knitting experience brings with it a rather hypnotic, meditative state which I haven’t experienced with other creative processes.  When I knit, my body starts to physically move very slightly, responding to the movements of my hands and arms; in passing the yarn around the needles or when slipping stitches off the needles, my body begins to sway slightly, rhythmically, gently, my breathing follows these rhythms, and it is this range of movements which makes knitting such a meditative, relaxing process.  Furthermore, most knitting demands some level of concentration (I’m thinking aran or socks here!) which forces you to focus, not get distracted, and so you will inevitably focus less on your health issues.

So, back to the decision to suddenly man-up and try to make socks.  Actually, I bought my first-ever sock yarn last summer, deliberately prior to going into hospital for surgery – for some bizarre reason, I thought this would be an excellent idea.  I took it with me, looked at it a few times, then wimped out and put it away again; it seemed that it was a really stupid idea to try to improve my existing skills by learning something new at such a time and was just too much to deal with.  However, after a couple of weeks at home, when my physical symptoms were a bit easier to manage, I decided that I needed some serious distraction so started on the much-avoided sock challenge – and I loved it!  I learnt to knit on five needles, began to understand why socks need to be knitted in a certain way, and had (very sensibly) bought some self-striping yarn so I wouldn’t get bored, and I have obsessively knitted socks ever since.  I have written three different patterns so I can knit socks in different yarn weights, and as soon as I finish one pair I start another, I just can’t stop!  What was most apparent in all this was the soothing, meditative effect of knitting on my body and my mind at this difficult time, and I would have really struggled to cope without the distraction of the knitting process alongside the satisfaction of making something beautiful.

I now have far too many socks and need a bigger sock drawer.  I probably should give some away as gifts but they all feel special to me and I don’t really want to part with them, not yet anyway.

For more information about the benefits of knitting, click here

 

“The feral pile”

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Dogs.  I’ve owned them all my life and can’t even begin to imagine how desolate I would feel without one.  Owning dogs, or spending time with them, has been scientifically proven time and again to have huge benefits for your physical well-being and an even greater impact on your mental health.  So how and why does spending time with dogs (or other furry companions) improve your overall health?

  • Companionship

Dogs are especially loyal and loving creatures, so offer their owners comfort, reassurance, companionship, emotional and physical security, and unconditional love.

  • Responsibility and Motivation

Owning a dog brings with it responsibility and motivation – the responsibility for feeding and caring for your pet, and the motivation to exercise it regularly and sufficiently.    In fulfilling these responsibilities, you should notice some improvements in your physical and mental health, even if the changes are small at first.

  • Depression

Walking a dog can increase your physical level of fitness, but also give your mood a boost.  Here’s why:

  1. walking releases endorphins, which reduce physical pain and improve your mood.
  2. walking has a calming effect – it can reduce adrenaline levels which, in turn, lessen levels of anxiety and stress.
  3. walking increases levels of seratonin, the ‘happy chemical’ or mood elevator.
  4. walking enables more efficient use of dopamine, a neurotransmitter which signals responses of pleasure and motivational reward.
  5. walking increases your levels of Vitamin D3, which is absorbed directly from the sun; this enables increased seratonin and dopamine release to the brain, and subsequently can elevate a low mood.
  6. walking increases oxygen levels in the body and brain, enabling dopamine receptors to function more efficiently and lift a low mood.

Click here for an article about the benefits of walking and mental health.

  • Socialising

Walking dogs inevitably leads to meeting other dog owners, and sometimes chatting – usually about dogs! – and occasionally these chance encounters can lead to lasting friendships.  Social isolation can be a key ingredient of depression, and it is believed that people who are socially connected are more likely to be mentally healthy.  Socialising with other dogs is also good for your canine companion – dogs need doggie friends too!

Click here for a wonderful article, How getting a dog saved my life

  • “The Feral Pile”

The Feral Pile is not a phrase that you will find in any study about human and canine relationships or behaviour, but it is the way which I describe the most important behavioural aspect to my relationships with my dogs, and why they are so important to me.  I think the simplest way to describe it is ‘mutual bonding’ and the behaviours which bring that about.  The picture at the top of this post is of my current dog, a golden labrador, who was 5 months old at the time.  She had had an unpromising start to her life, and this picture was taken the day I brought her home; she was clearly needy, anxious, in desperate need of reassurance, and we spent our first week together snuggled up in a feral pile on the sofa.  She is now a strapping 3-year-old who weighs in at 30 kilos, but we have continued our tradition of spending several hours each day in the feral pile together; she loves the reassurance and attention, and I love everything about it: her scent, her soft velvet fur, her warmth, her rhythmic breathing, even her snoring in my ear, her reassurance, her devotion, and her beautifully gentle personality.  Being in the feral pile immediately reduces my levels of stress and I feel much more relaxed, the warmth and softness of snuggling up to her relaxes my muscles and my physical pain seems less, and her gentle breathing has a soporific effect usually resulting in the best quality sleep I’m likely to have that day.  Every day, I smile at her behaviour or her expressions and she lifts my mood considerably, which is hugely important since my mental health has been poor for a while now.  Yet, despite the obvious mismatch of having a large energetic dog alongside my current mobility problems, she brings with her enormous reassurance, affection and a whole host of other intangible, wonderful things which far outweigh the challenges.  If we can’t manage to do something or if it all gets too messy, we stay calm and simply revert to the feral pile until all is well again, and then we try again another day.

The miraculous properties of cod liver oil

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The health benefits of adding cod liver oil to your diet for the purposes of improved physical well-being have been well-documented, but did you know that cod liver oil could also be beneficial to your mental health and well-being?

Cod liver oil is massively nutritious, containing omega-3 fatty acids, Vitamin A and Vitamin D.  It is generally recognised as having the potential to provide a variety of health benefits, the best-known being stronger bones, reduced inflammation and less joint pain, but there are also arguments claiming that cod liver oil also improves brain function, can reduce symptoms of depression and anxiety, improves cognitive function and impacts on mood.  The arguments for the miraculous properties of cod liver oil are as follows:

  • Inflammation

Cod liver oil contains omega-3 fatty acids which could suppress the production of bodily proteins which create chronic inflammation.  Vitamins A and D possess high antioxidant properties, which can reduce inflammation by impacting on harmful free radicals.

  • Bone Health

Bone mass begins to decrease at around the age of 30; this can become problematic in later life and the possibility of bone fractures can increase, especially in post-menopausal women.  It has been argued that Vitamin D can decrease the likelihood of age-related bone loss because it facilitates the absorption of calcium into the body.

  • Joint Pain

A variety of studies into Rheumatoid Arthritis and joint pain have revealed that patients who regularly take cod liver oil supplements reported a reduced level of joint pain and were subsequently able to reduce their intake of prescription anti-inflammatory medication.

  • Symptoms of Anxiety and Depression

Research into the impact of cod liver oil on mental state is on-going and inconclusive; however, what the research does suggest is that there is ‘something’ in cod liver oil which can alleviate symptoms to some extent.  It seems more plausible that this is due to the Vitamin D content which, it has been argued, can stimulate the production of hormones such as seratonin, and it is generally accepted that higher levels of Vitamin D in the blood can reduce minor symptoms of depression.  Click here for an article on the impact of fish oil and Vitamin D on brain function and mood.  It has also been argued that there is a link between chronic inflammation and anxiety or depression, and although some studies claim that cod liver oil could reduce symptoms of low mood, more research is needed before a reasonable conclusion can be reached; although inflammation can decrease and some improvement in mood has been acknowledged, the level of improvement is very small.

  • Other health benefits

Eye Health: The omega-3 fatty acids and Vitamin A present in cod liver oil have been shown to offer some level of protection against, for example, glaucoma and age-related macular degeneration, by reducing inflammation in the body.

Heart Disease: incorporating omega-3 fatty acids into the diet can reduce the risk factors of heart disease, although it is important to note that it cannot prevent heart disease developing.  The presence of omega-3 fatty acids can lower blood pressure, increase HDL cholesterol (the ‘goodie’), prevent plaques forming in the arteries, and reduce the production of triglycerides.

Stomach and Gut Ulcers: results of animal studies are suggesting that cod liver oil could enable the healing of stomach ulcers by reducing inflammation in the gut, and it has also been argued that cod liver oil can suppress genes which create inflammation of the gut.  Users of prescription anti-inflammatory medication can be at risk of developing stomach ulcers, as can smokers and individuals who experience acid reflux.

Ok, so how much should I take?

One teaspoon of cod liver oil contains 90% of the RDI for vitamin A, and 113% of the RDA for Vitamin D.  Taking 1000mg capsule has long been the advisable daily dose for individuals with arthritic conditions, however, research from 2005 has concluded that higher doses appear to be extremely beneficial to individuals awaiting joint replacement surgery.  In this study, the higher dose resulted in two specific changes in the body: firstly, a huge reduction in the production of an enzyme which can cause damage to the cartilage, and secondly, a reduction in certain enzymes which cause joint pain.  Click here for this research article.

Cabbage compress, anyone?

hhl-reframes_nov-29_14_wrap-your-leg-with-cabbage-728x381According to this article, red cabbage possesses Anthocyanins which, it is claimed, reduces joint pain and inflammation.  If you fancy testing this theory, follow the link below for information and details of how to make and administer a cabbage compress.

Obviously, this is more suitable for some areas of the body rather than others – for example, if your arthritis is in your legs or arms, this seems a promising thing to try out; if however, you have pain in your hips, you could be looking at making a pair of  very big cabbage pants…

Click here for the article and instructions.