Take a Load Off: Leverage Your Pain Relief with Self Care
Leverage. It's a word we hear often enough, but what does it mean to you? We often think of leverage as having the upper hand in a situation-- having an advantage.Working smarter, not harder. Today, let’s explore how our bodies use leverage to allow us smooth, strong movement as we do, you know, #allthethings.
First, let’s make sure we are all on the same page with what leverage is. Tortora and Grabowski, 2003, describe leverage as an advantage when a smaller effort can move a heavier load.
A LEVER can be a bone.
The FULCRUM would be the joint (elbow, knee, shoulder…)
And EFFORT would be your muscle contraction,
The joint hinges when your muscle contracts and brings the bones closer together (for example when you bend your arm at the elbow, your biceps contract, closing the angle between your upper and lower arm). A LOAD, or resistance, opposes the movement. In your body, movement occurs at the joint when the effort is greater than the load. Stay with me here...
There are three different types of levers and they are categorized by the positions of the fulcrum (F), the effort (E) and the load (L). We'll call them first-class levers, second-class levers, and you guessed it, third-class levers.
Here is our first scenario: You are sitting at your desk, attending another zoom webinar or something, and you notice that your head or neck hurts. In this case, the weight of your head is the load (L), is in front of the fulcrum (F) which is your atlanto-occipital joint. The effort (E) or force, comes from the muscles that tether the back of your head to your spine. They are working very hard to keep your head up-- eyes level with the horizon-- but you keep looking down at your screen. This is how many "knots" occur. This EFL arrangement is a great example of a first-class lever. As an aside, a pair of scissors works the same way. Your thumb and fingers contribute the Effort, the Fulcrum is the hinge and the Load is the paper. Over time, the muscles in the front of the neck can also “reset” to think that that the forward neck position is normal. If you have ever felt tension in the front of your neck and stiffness when you tip your head back, this could be why. To learn how to reduce this pain and tension yourself, schedule a muscle pain consultation online via the appointment button on my website.
The second-class lever is the strongest. Imagine this...Our days are getting longer and hopefully warmer and we are thinking about the garden. We have to move heavy loads in the wheelbarrow. In this example, the Fulcrum is the wheel, Load is all the dirt or weeds we have to move and Effort is applied to the handles. Because the load is close to the fulcrum, the wheelbarrow allows us to work smarter-- we use less effort to lift such a heavy load. It is the strongest because E is further from the pivot. Many anatomists believe that we don't have any second-class levers in the body, but others contend that the action of the calves attaching to and lifting the heel produces a similar wheelbarrow effect.
The third-class and most common kind of lever is when the effort is situated between the fulcrum and the load. FEL. Here's the vignette: Picture yourself at the gym doing bicep curls. The weight is in your hand (load), and your biceps brachii muscle (effort) contracts which bends your arm at the elbow (fulcrum). This set-up isn't as strong as a second-class lever because in this situation the effort is closer to the fulcrum.
Often our levers are unable to function the way they should due to "knotted" muscles. Take a load off. Improve your leverage. Work smarter, not harder. A combination of knowledgeable massage therapy combined with the right kind of exercise for your situation can help your joints move more smoothly and efficiently through an optimal range of motion.
I’ve been practicing therapeutic massage for pain relief and improved range-of-motion for 15 years. Visit my website and click on the make an appointment link if you'd like a $25 consultation to help with leverage your pain with self-care. Even during this pandemic, I am here for you. I can easily talk you through some massage techniques and quite possibly some exercises that will help you have less pain and better mobility.
Most of the literature suggests that 80% of people will suffer from at least one episode of back pain sometime in their life. No matter what the underlying reason is that causes the pain, one of the muscles that is often involved is the multifidus or plural, multifidi.
The multifidi can be found running along the right and left sides of the spine. From the neck to the sacrum, each multifidus section spans three vertebral segments and helps to stabilize the spine, helping it work more efficiently and slows down degneration of the joints so often caused by the dreaded weak core, hip flexion and gravity. It might help you to think of it like a wobbly tent that becomes more stable when the lines are tightened. Because of the arrangement of the muscle on both sides of the spine, when both sides contract the multifidi help with spinal extension and fine-tuning of movements.
During hunting season, I observe my dog’s movement patterns. She’s a natural athlete. When she points I watch her nose, spine and tail in perfect alignment as her multifidi and spinal muscles contract. Her strong core allows balance as her front leg is raised. And she can get into position immediately, without a second thought, with excellent balance, over all kinds of terrain, for hours. Amazing!
Of course, it wasn’t just the dog’s multifidi that were contracted, but her other spinal muscles, and glutes too. I noticed that the dog was lengthened through the hip flexors –very important to have length here to avoid too much swaying of the low back. Anatomically, there was a lot going on. It got me thinking that perhaps muscles are only named and defined to ease our ability to describe sensation or one specific action. The thing is, I can’t think of any real-life action in which only one muscle moves. It makes more sense to think in terms of a kinetic chain-- the hip bone is connected to the back bone, the back bone is connected to the neck bone…
If you have performed any bodyweight exercises you may have done an exercise called bird-dog, in which you performed a movement similar to the pointer. Bird-dog can be a great exercise to strengthen the multifidi and other muscles that run along the spine, but there is more to it. Our muscles are connected to each other and organs by fascia, a strong, fibrous connective tissue. Our muscles and fascia work together to provide smooth movement along a kinetic chain. In a position like bird-dog, the lats on the arm-up side must be able to stretch, which requires the arm rotating muscles of the shoulder to have an acceptable range-of-motion. The (usually weak in everyone) glutes must be strong enough to extend the hip. Activation of the glutes can happen almost immediately, however, when the hip flexors are stretched.
Bird Dog is a great exercise to use when you need to strengthen your back and glute muscles.. It is easy to do in your house on a towel on the floor. Use the picture below and think of your back and glutes holding you up. Proper exercise and good massage can go a long way to help improve your back pain and help your muscles function better to reduce degeneration. Additionally, your own bird dog might recover faster and have greater muscular endurance if you spend a little time treating his or her muscles to massage.
Sometimes. Only sometimes I have a client who comes in and says "Gina, I don't understand. I was sore (or wiped out) the day after my massage."
First, being a little sore is NORMAL after a massage, especially if its been a while since you have had one. The soreness is kind of like the soreness after a quality workout and usually says au revoir in 24-48 hours. The WIPED OUT feeling is something different. Its usually due to dehydration.
"But GINA, I drink a big container of water every day."
How often have you gotten up from the massage table and had to (ahem) pee? We just finished an hour or longer of making your blood vessels bigger which transports more blood, oxygen and nutrients (faster!) to your body systems-- we have increased your circulation. I've always been taught that sodium and potassium help your muscles contract and relax the way they should. Knots and cramping often happen when they aren't doing a good job of that? Is it because partly of dehydration?
So when we work out a knot in a muscle, we are bringing fresh "food and drink" to the muscle. The food and drink has to come from somewhere in the body. Makes sense to replace it, eh? Water. If you don't have enough you will feel it in terms of feeling drained, maybe even a little feverish, sore, and fatigued. That's why your massage therapist always says to drink extra water after a massage. Forget everything you have ever heard about "toxins". Please. It's so last century.
You cells and body systems will also benefit from the electrolytes in a hydration drink. Not fake sugars mind you, but real honest to goodness drinks made from real ingredients, and mostly water. Remember Sodium, Potassium, Calcium and Magnesium-- They are required for muscles to work, for muscles to relax and contract properly. Forget the fake food and fake news and give me something authentic, dammit. Here is one of the hydration recipes form our weekly newsletter.
Weekly Hello Hydration Recipe
Keeping hydrated is an important part of staying healthy. Water promotes cardiovascular health, keeps your body cool, helps muscles and joints work better and keeps skin supple. Here is this week’s hydration recipe:
Cantaloupe, Honey, and Mint Water
½ c water
½ c honey
4 c (about 2 lbs) cantaloupe cut into 1 inch pieces
¼ c fresh lime juice (about 2 limes)
2 Tbsp fresh mint leaves
¼ tsp salt
sparkling water or club soda
mint sprigs for garnish
Reeling in relief
What a gorgeous weekend we had for fishing opener. Sunny days and temps in the 70s had people flocking to our great lake, its tributaries and inland waters. Someone had given us a very large fishing pole (huge, really) and right away we were inundated with stories about dislocated shoulders, arms that tightened up and wouldn't straighten out, and hand cramps. It was like being at camp, sitting around the fire and learning the legends.
I wasn't sure I believed the tales about the shoulder getting thrown out of joint from casting, but I know all about hand cramps. I remembered last year when I insisted on using an older, heavier fishing pole that probably would have been great to put a worm and bobber on and let it sit. But I had to cast, and strong and conditioned as my hands may be (think occupational bonus) they cramped.
So what was going on? Let's take a look at a few ideas, including first, the anatomy of the lower arm.
Let's say there are two kinds of muscles in the hand: Long muscles and short.
Long muscles first: The long muscles run from the forearm to the fingers, crossing all the joints in -between. The muscles that cross the joints so we can bend our fingers in order to grip the fishing pole or pull weeds are called flexors. They are located more on the palm side of the hand and forearm. When your arms are at your sides and you turn your arm in such a way that your palms face forward, you are in a position known as "anatomically correct". We always refer to the palm of the hand as the front. The muscles that straighten the fingers, as in letting go of the fishing pole, are the extensors. They are located on the back of the hand and forearm.
The short muscles of the hand attach on the hand, finger or wrist bones. In other words, they do not attach upstream on the radius or ulna, they stay in the fingers, hand, or wrist. These are the ones that help us squeeze our fingers together or spread them apart, they help us use our opposable thumbs, and help us flex and extend our fingers at the joints within the hand. In case you were wondering, they are the lumbricals, interossei and hypothenar eminence. The thumb also has short muscles.
Holding that weight for so many hours may have made the short muscles of my hand contract to the point of fatigue. It was, as they say, a bummer. I didn't want to get skunked.
So what did I do? I massaged my hands, rehydrated and stretched. Electrolytes like sodium and potassium help muscles relax and contract the way they are supposed to so I picked up a sports drink that boasted being electrolyte-laden. I took a break from my repeated casting and reeling to drink up and rub my hands between the bones and around the joints. It felt pretty good. Then I stretched my fingers, especially at the joint where the fingers meet the hand. Then, I waited. Waited to see if rehydrating and massaging my hands would help. It seemed to, or maybe just taking a little break was all I needed.
Fortunately, there wasn't a repeat of the hand cramps this year, nor any shoulder dislocation. It really was all blue skies, and we even caught some fish.
Photo courtesy of ABMP
It was race day, a cool mid-October morning and I was in the Bretting Community Center providing post-event massage. The Whistle Stop Marathon runners were starting to come in at their various paces. At one point a sweaty guy came over and flopped face down on my massage table. “Please…” he pleaded. “Please work on my hamstrings.”
The hamstrings are comprised of three individual muscles. In your mind’s eye, visualize the back of the thigh. Now see three lines running from just below the knee up to the sitting bone of the pelvis. Those are your hammys. The “true” hamstrings cross two joints: the knee and the pelvis at the thigh. When the hamstrings contract, they cause the knee to bend and the hip to straighten (extend). Muscular balance between your hamstrings, glutes, and hip flexors is necessary to prevent rotation of the pelvis that contributes to back pain and degeneration. When you bend at the waist and reach for your toes, you are stretching your hamstrings. Most of us haven’t learned many truly great hip flexor stretches.
When you are running or walking the hamstrings have a lot of responsibility. Not only do they contract to bring your heel toward your backside, but on the way back they have to stay contracted. Where before (in the leg cycle of running) their duty was simply to bring the foot toward the rear, now their purpose is to control hip flexion and leg extension against gravity as the leg returns. The hamstrings act to decelerate knee extension. I could understand why this guy sought some hamstring relief.
I used to attend a weekly “speed play” sprint workout for runners, and I could always feel my hamstrings afterward. I could feel them so much that the next day was always a swim day instead of running or biking, just to get some extra recovery time. The hammys help stabilize the knee then assist the glutes (with about 30% of the torque) in hip extension to propel the runner forward. Then their function changes to control hip flexion and knee extension before setting up the cycle all over again. These muscles have to be strong and well-conditioned to endure this sort of dynamic repetitive motion against gravity. Increases in speed or mileage without adequate conditioning have been known to set the hamstrings up for injury.
I asked the fellow on my table some questions so I could determine the appropriateness of massage for him then had him sign the consent-to-treat form. I noticed he was shivering or shaking so I wrapped his goodie-bag space blanket around his back and shoulders then put another blanket over that. I did a little rocking and compression to relax his nervous system then started to work on his hamstrings. I could see his breathing becoming smooth as I worked. His shivering had stopped.
When his 15 minutes were up, he sat up looking refreshed. He said he felt great and told me he was scheduled for a full-length post-event massage the next day back in his hometown. He said he likes to get massage on his recovery days every other week. I commended him for taking such good care of his body, then pointed him toward the water and electrolytes.
I wiped my table down and called over the next person on the list. Having done this before, I had a good idea what to expect.
“It’s my hamstrings.” she said, walking over to the massage table. “They feel pretty tight right now.”
I told her that she had come to the right place and set to work.
Steering clear of pain
It was a dark and stormy night, one of those nights when the wind threatened to lift the roof off the house and send us spinning into Oz. I heard the phone ringing and went to answer, knowing that these storms often blow in the most interesting conversations.
“Is this the anatomy nerd?” asked the voice on the end of the line.
“Yes,” I replied, hoping this was a call about muscles, bones and posture. “What’s going on?”
“Well,” said he, “I drive a lot for work and I think its wreaking havoc with my body. Every time I go for a long drive I get a pain in my low back or sometimes my cheek. Sometimes it feels like it travels up my back and locks into a painful spot under my shoulder blade. I want to understand why.”
“Well,” said I, “Tell me what you think happens to your body while we’re driving.”
This is what he said. “My car is an automatic transmission, not a stick, so when I drive my right leg is outstretched and my left leg is bent. In other words, my left leg’s hamstrings are passively contracted while my right leg quads are passively contracted. That probably puts an uneven torque on my pelvis.
Moving up my spine, that torqued pelvis probably makes my shoulder height different. With my arms outstretched to reach the steering wheel, one scapula probably rotates more than the other, putting a strain on the scapular muscles giving me a pain right under the shoulder blade. That’s what I visualize is happening when I drive.”
“So what you’re saying,” I began to reiterate, “is that when you drive, one leg is outstretch and one is bent so the muscles adapt respectively. Maybe that position, over time, puts torque on your pelvis, which causes the muscles up the spine to contract more on one side than the other. When your arms are reached around the steering wheel, maybe one scapula rotates upward or downward more than the other side and you think that perhaps that contributes to the pain under your shoulder blade. Did I understand your theory correctly?”
“Yes, precisely.” He said. “I’ve been using my foam roller to roll on and also stretch out after work. I try to take stretching breaks to get myself into a different position than I’m in all day. I noticed that the bird dog pose both strengthens and stretches the muscles that are weak from driving, so I do that too. Do you have any other ideas?”
I thought for a moment. It sounded to me like he had a good handle on things. I suggested maybe meeting with a physical therapist or a personal trainer to learn some corrective exercises. I also told him that some kinds of therapeutic massage could help realign his muscular-skeletal system especially when used in combination with core exercises. Another suggestion was to consider the purchase of a trigger point bar, like the Theracane variety they sell at health food stores or some doctor’s offices.
We were just about to disconnect when the wild winds whipped once again, completing the task for us. I often look back on this call and hope that more people take proactive steps such as hydration and exercise to prevent certain kinds of musculoskeletal pain.
Photo courtesy of ABMP
It was a cool and rainy day last spring. A woman sat in my office describing her neck pain that had been occurring almost daily for months. Her doctor told her it was probably from a pinched nerve in her back, and some arthritis to boot. She asked if she could continue receiving massage therapy and her doctor agreed that it might be helpful. Besides, the October edition of Consumer Reports listed massage therapy as one helpful treatment for osteoarthritis.
She pointed to a spot on the side of her neck, where her neck meets the top of her shoulders and said that sometimes she feels the pain up the side of her neck, into her jaw, and occasionally a headache that she can feel in her eye.
I placed my flattened fingers over the spot that my client had indicated she felt the pain. Upper trapezius, platysma, scalenes… I would address all three, but figured that most of the pain was coming from the upper traps. There are myofascial trigger points in the upper traps that refer pain to the head and eyes and sometimes into the jaw but one has to be conscientious when treating them since the area may already be exquisitely painful.
The traps’ action on the neck is lateral flexion, side bending, and her son had been telling me about how she naps—sitting upright in her easy chair, with her chin nearly on her chest, sometimes with her right ear toward her right shoulder. I have known administrative professionals with a similar kind of pain from holding a phone in a similar way. So, I decided to treat the upper trapezius first.
Paying careful attention to the “V” of the shoulder, the area in between the clavicle and the top of the shoulder blade, the muscle was treated. When I heard “Oooh that’s it,” I hung out on that spot until she said the pain was going away. Then I dug in a little more, but she quickly said that pain was subsiding, too. We repeated the releases one more time.
The upper traps also attach on the head at the superior nuchal line of the occipital bone at the back of the skull. After bringing fresh blood, oxygen and nutrients to the part of the upper traps at the V, the attachment on the occiput was treated. Having the head cradled and fascia manually rubbed and stretched is an experience that most people like. A lot. I found that to be true once again.
The traps are a big muscle, and when I was satisfied that I had left no stone unturned with her upper traps, I sifted through some of the muscles on the front of her neck that could be contributing. We did a myofascial release on the platysma, creating a little space between the chin and the shoulders. I scooted her sternocleidomastoid muscle (the scm) over a little bit to treat the scalenes all the way down to the connection on the first and second ribs. When we finished she sat up, moved her head all around, and said “THAT feels really good.”
If you suspect that your neck pain is from spending a lot of time with your ear toward your shoulder, you might enjoy some myofascial pinning and stretching, too. Try bending your ear toward your shoulder and using your firmly planted palm to pin the muscles alongside the neck. Then slowly unbend your neck and enjoy the stretch of the fascia under your palm. Feels great!
Of bird dogs and back pain
Most of the literature on the subject suggests that 80% of people will suffer from at least one episode of back pain sometime in their life. No matter what the underlying reason is that causes the pain, one of the muscles that is often involved is the multifidus or plural, multifidi.
The multifidi can be found running along the right and left sides of the spine. From the axis, or the neck vertebrae C-2, all the way down to the sacrum, each multifidus section spans three vertebral segments and helps to stabilize the spine. Because of the placement of the muscle attachments, when both sides contract the multifidi help with spinal extension and fine-tuning of movements. When only one side contracts, you rotate to the opposite side. For example if your thoracic multifidi contract on the right, your torso will rotate (or be stabilized rotating and/or fine-tuning) to the left. As we all know, that is called contralateral rotation and a knot in a contralateral rotator can inhibit the ability to rotate to the same side.
Since it is hunting season, I’ve been observing my dog’s movement patterns. She’s a natural athlete. When she points I observe her nose, spine and tail in perfect alignment as her multifidi and spinal muscles contract. Her strong core allows balance as her front leg is raised. And she can get into position immediately, without a second thought, with excellent balance, over all kinds of terrain, for hours. Amazing!
Of course, it wasn’t just the dog’s multifidi that were contracted, but her other spinal muscles, and glutes too. I noticed that the dog was lengthened through the hip flexors –very important to have length here to avoid too much swaying of the low back. Anatomically, there was a lot going on. It got me thinking that perhaps muscles are only named and defined to ease our ability to describe sensation or one specific action. The thing is, I can’t think of any real-life action in which only one muscle moves. It makes more sense to think in terms of a kinetic chain. The hip bone is connected to the back bone, the back bone is connected to the neck bone…
If you have performed any bodyweight exercises you may have done an exercise called bird-dog, in which you performed a movement similar to the pointer. Bird-dog can be a great exercise to strengthen the multifidi and other muscles that run along the spine, but there is more to it. Our muscles are connected to each other and organs by fascia, a strong, fibrous connective tissue. Our muscles and fascia work together to provide smooth movement along a kinetic chain. In a position like bird-dog, the lats on the arm-up side must be able to stretch, which requires the arm rotating muscles of the shoulder to have an acceptable range-of-motion. The (usually weak) glutes must be strong enough to extend the hip. Activation of the glutes can happen almost immediately, however, when the hip flexors are stretched.
A good massage can help improve your back pain and help your muscles function better. Additionally, your bird dog might recover faster and enjoy improved endurance if you spend a little time treating his or her muscles to massage.
photo courtesy of ABMP
The headache king’s royal pain
It was a dark and stormy night. I had just finished writing my notes for the day when I heard a knock on the door. I went to open it and I saw a man standing there, squeezing his neck at the base of his skull. “Are you the Anatomy Nerd?” he asked, wincing a little. “Yes, and you are…?” “The Headache King,” he replied. I nodded, dimmed the lights and led him to a comfortable chair in my office. “Do you get headaches very often?” I asked. “Yes. I’ve been in a few car accidents over the years, fallen off horses, fallen skiing, and now I sit at a desk all the time.” He grimaced. “The pain starts in the back of my head and wrap all the way around to the front. It’s worse if I get a draft on my neck. My wife gets them too, but they’re much better since she found out she’s allergic to corn.”
I had him show me exactly where he feels the headaches and perform some basic range-of-motion to help me understand his headaches more.
Determined to dethrone the “headache king” part of all this, I started in on the suboccipital muscles. I decided to start on the one called Rectus Capitis Posterior Minor, because that’s usually a biggie for people with headaches when… “Thaaat’s the spot.” he said. Like most people when their massage therapist gets THE spot, he acknowledged that I was in a very good place to work.
The sub-occipitals are a group of muscles that allow you to turn your head and look up. Turning the head we’ll call rotation, and looking up we’ll call extension. If these muscles are locked long or short you may have difficulty rotating your head as well as flexing or extending. If he is sitting at a desk all day, his head probably comes forward, and his suboccipitals have to work to tilt his head back and keep his eyes level with the horizon so he’s not looking down.
I thought about how our brains control our muscle length and realized that if his head was forward of his center of gravity, his sub-occipitals would stay contracted until we changed something further down the kinetic chain. The Sternocleidomastoid, the SCM for short, came to mind. If you are familiar with this muscle then you know that its main action, when both the right and left contract, will bring the back of the ears (mastoid) toward the breastbone (sternum). Try that on yourself. Try to bring your mastoid process, the bump behind your ear, toward your sternum. Now, keep your eyes level with the horizon. Because of neurological laws, your body will adapt to that position in a very short time. Did the back of your head move toward your spine? Even though for most of us that movement was an exaggeration, that is how your occipitals contract and they’ll do that every time. If your head is forward, your suboccipitals may stay contracted, causing painful headaches and limited flexion.
After releasing the suboccipitals, he begged me to wrench on his SCMs. “He’s a jester now,“ I thought happily obliging. I soon wrapped up, saying goodbye to the tissue.
He made another appointment, bought his wife a gift certificate for Mother’s Day, then left doing neck rolls, stretching and whistling a happy tune as he walked back out into the dark and stormy night.
Photo courtesy of ABMP
Beans about neck pain
I woke up the other morning with a terrible crick in my neck. I know, I know, these small, annoying but generally harmless pains happen to almost everyone at some point. It hurt to turn this way, it hurt to turn that way, and the discomfort was making me feel a little crabby-- like I woke up on the wrong side of the bed.
I suppose I could have taken some ibuprofen, but I'm always playing a game with myself where I say "Let's try this first." I don't like to take over the counter medication so I make it a priority not to. I try to keep healthy by doing all the preventative things like hand washing, getting enough sleep, managing stress, eating right, exercising, and keeping my internal organs warm. But sometimes I do feel things creeping up on me and I don't want them to become a problem. If I don't have time for sickness or pain now, then I certainly won't have time for the side-effects of ibuprofen, should such side-effects develop.
I wondered about the cause of the neck pain. A cold draft? Not likely. An injury? Nothing came to mind. It was probably a simple case of sleeping wrong. After all, I noticed it right away in the morning. It didn't hurt too much either, maybe 2-3 on a 10 scale. Mostly it was annoying.
I hadn't even had my coffee yet, so as I stumbled around grasping for my portkey to wakefulness (French roast in a local pottery cup), I thought about my next steps. I tried to pinpoint the spot from where the pain was coming. I put my fingertips on the back of my neck, near my spine, and pressed in. When I felt a spot that reproduced my symptoms, I hung out there. I pushed on the spot while turning my head this way and that. "Find the spot, then add movement," is what my mentor always said. Pin and stretch.
That felt pretty good, so between sips I massaged my neck from the sub-occipital region at the base of my skull all the way down to the bump on my spine and over to my shoulders. I carefully felt around each vertebrae, paying attention to the point where muscles attach on the spinous processes and the transverse processes. Wherever it felt important and related to this bout of pain I did some point holding, adding movement as needed. A little pin and stretch always feels great and seems to help the muscles return to a point where they can glide along like they should.
When I was ready for a refill, I also grabbed my microwaveable rice pack and an ice pack to put in my bag for work. I know there is a lot of current research suggesting maybe the conventional RICE-rest, ice, compression, elevation treatment is outdated. It suggests that ice isn't the best thing to heal the tissue. I didn't think my current pain was from an injury so I wasn't too worried about it. I only sought to have less pain, to have a good toolbox handy so I wouldn't have to deal with the pain yet could avoid the ibuprofen.
I filled my thermos and headed to work. Throughout the day I continued to rub my neck for 2-3 minutes at a time, every hour. I don't know when it happened exactly, but at some point my neck stopped hurting. Cool beans!