Breathing 101

Breathing 101? I’ve been breathing since day 1, I think I’ve gotten this whole breathing thing down. Breathe in, breathe out, repeat. What else is there?

A lot of different factors led to this post. One – May is National Posture Month! Studies show that poor posture can decrease your lung capacity by up to 30%. Also breathing improperly can lead to other musculoskeletal issues that you may not even realize are a result of poor breathing mechanics.

I always like the saying “good posture is its own reward.” Being able to use your full lung capacity is always a plus! Being able to use it correctly is also helpful!

Time to dig into some anatomy. Check out the image below of all the muscles that are involved in breathing!

Muscles of Respiration

The diaphragm is that big huge pink colored muscle in the bottom of the picture. Ideally it does most of the work for breathing. That makes sense, it’s a big muscle, and it covers the whole bottom surface of the lungs. Using the diaphragm to breathe, pulls down on the bottom part of the lungs pulling air into the lungs.

The purple muscles at the top of the picture, the sternocleidomastoid (SCM) and scalenes, are the accessory muscles of respiration. They are supposed to be used during times of increased demand like fight or flight. If you start relying on these muscles all the time instead of just those high need times, those small muscles will start to fatigue and can cause other problems. When the scalenes get over used and are too tight, they can start irritating the nerves that travel near them. One potential side effect is thoracic outlet syndrome. When the sternocleidomastoid muscle is over used, you can develop trigger points (knots) that can occasionally refer pain to different areas of your head.  The image below is an example of the referred pain some people experience from trigger points in the sternocleidomastoid.

SCM Trigger Points

So now that we’ve covered why you should work on diaphragmatic breathing, let’s get in to the HOW! Dr. Emily feels that the easiest place to start is laying on the floor with a hand over your chest and a hand over your stomach. Then you just breathe. While you are breathing, focus on keeping the hand on your chest still, and drawing in the breath from your belly. Then you can think of tightening your stomach muscles as you exhale.

How to Breathe

Dr. Emily feels that the easiest way to start incorporating these breathing exercises into your life are first thing in the morning and the last thing before you go to bed at night. Lay in bed and practice breathing for 5-10 minutes in the morning and the evening. As you get better at this, you can practice while sitting, too. To perform these exercises while sitting, you put your hands on your chest and belly, and practice breathing keeping your chest still. You slowly increase the amount of times practicing your breathing, and eventually it will become your norm.  

Happy breathing!

When to Get New Running Shoes

This post is brought to you by Dr. Emily not listening to her own advice and waiting too long to replace her running shoes. 

After her Tuesday track workout, Dr. Emily's foot was aching along the outside, and it made running not as enjoyable. Running through pain can often alter how you run and lead to additional injuries. Dr. Emily did not want that, so she examined the bottoms of her shoes to see if that was the culprit.

worn out shoes.JPG

If you look at the bottom of the shoe, you can see how many parts of the shoe are nice and smooth and lack all the tread that used to be there. This is much like you check the tires on your car for wear and tear. When your tires loose their tread, you replace them! Do the same with your running shoes. 

To help with her foot pain, Dr. Emily put RockTape along the muscle that she felt was contributing to her foot pain. She also taped around the bone that she felt wasn't moving as well as it could. (It's hard to adjust your own foot.)

rocktape peroneus longus

Dr. Emily found that the RockTape helped calm down the discomfort in her foot, but she knew running again in her old shoes wasn't an option. When picking out new running shoes, Dr. Emily went with the newer version of her old shoes. If you do this, make sure to try them on first! Sometimes the newer editions of shoes have a slightly different fit. 

Rules of Thumb

  1. Track your miles (Shoes are usually good for 400-600 miles)
  2. Check your soles (Replace your shoes when the soles lose texture)
  3. Don't wait too long to replace your running shoes
new shoes.JPG

Happy running!!