New year, new habits, new you

How much do you remember about brushing your teeth? Have you ever found yourself scrolling through Facebook or Instagram again when you only just closed it? We spend up to 50% of our day to day lives  performing automatic behaviours, otherwise known as habits. These habits can be so strong that even when we know if a habit isn’t good for us, the habit still triggers and we catch ourselves performing it anyway. So, what are they, why do we have them and how can we help ourselves make new ones?

What is a habit?

According to British dictionaries, a habit is: ‘A settled or regular tendency or practice, especially one that is hard to give up.’

‘Something that you do often and regularly, sometimes without knowing that you are doing it.’

Why do we have habits?

Many studies have been performed to look at habits as they are a frequent obstacle to overcome in healthcare. In our brains, a habit can help to reduce how much energy we spend processing the same set of information if we see it often and regularly enough. This is how we go from needing to check directions to get to a new workplace to unconsciously navigating the route without even checking the signs. The diagram here demonstrates the findings of one of these studies. As you can see, once it has recognised the cue, brain activity drops almost in half right up until the end of the habit where it gets the reward. This introduces us to the basic structure of a habit.

Habits all have:

  • A cue, something distinct which then triggers…
  • the routine, the behaviours that we perform in order to get to…
  • the reward, something that satisfies…
  • the initial craving. The stronger the craving, the more likely a habit will be triggered. Therefore a sugary drink will be chosen more easily than choosing to drink water, as water doesn’t   trigger the same sense of craving or reward.

How can we create new habits?

By understanding what forms a habit, we can start to work out how we can make a new one or alter the ones we have already. Each habit must have each part of the cycle in place, repeated often, in order to create the circuit in our brain. For example, it’s easy to say ‘this year I am going to go to the gym more’, attend the gym a few times and then other priorities get in the way .

The easiest way to create a new habit is to add to one that you already do. That way you don’t need to change too much in your day to fit something else in. For example, we brush our teeth twice in the day. Add to that stretching out neck and shoulders either before or after and, over time, it becomes natural for us to stretch whenever we go to brush our teeth.

Sometimes we want to replace a habit completely, for example snacking on unhealthy foods.

This can be tough because, once we have created a habit in our brain, it can’t be erased. However, knowing what makes up our habit cycle allows us to change it into a different habit.

The key is to keep the cue, reward and craving all the same whilst changing the routine to something that still satisfies that loop. For example, changing our snack food for something healthier that still satisfies us and keeps us full. In  order to help the new habit to form and settle in, we need to put energy into sticking to it over a period of time. Each time we go through the cycle, the circuit we are forming in the brain becomes stronger. Other ways to help can include having an accountability partner or logging your habits in a notebook tracker.

So, to summarise:

  • Habits are automatic behaviours we use to save energy for our brains.
  • A habit is made up of a cue, a routine, a reward and a craving.
  • In order to change a habit we must keep the cycle the same and change the routine.

Here are some ideas for habits to include in your day:

  • Think of 3 gratitudes, something you are grateful for, each day.
  • Getting up from your desk once an hour to help your joints.
  • Drink more water in the day.
  • Spend 15 minutes a day reading a book.
  • Compliment someone every day.

Check our Instagram and Facebook pages throughout the month for our Top Tips for exercises on the subject

https://www.instagram.com/thestudiodurhamhouse/
https://www.facebook.com/DurhamHouseChiropractic/
https://www.facebook.com/thestudiodurhamhouse/
http://www.durhamhousechiropractic.co.uk/index.htm

All pictures from Power of Habits by Charles Duhigg

TMJ

Let’s talk this over !

TMJ stands for temporomandibular joint and refers to your jaw. It consists of a lower and upper part, on each side, that articulate together and are separated by a disc.

The anatomy of the jaw is such that the lower part or mandible has a condyle that rests in the socket of the upper part of the jaw, which is the temporal bone and is part of the skull.

There are two main movements of the TMJ – a hinging action that is then immediately followed by a forward gliding motion which is facilitated by the intra-articular disc. The correct movement of the jaw is important for normal function and helps to keep people pain free.

This is quite a vulnerable joint and can create problems for people. It’s one of the most frequently used joints and can be overlooked when being examined for certain issues, such as headaches. It’s estimated that the temporomandibular joint is used between 1,500 – 2,000 times a day during  activities such as chewing, talking, swallowing, yawning and snoring.

When a clinician is assessing someone’s jaw, first they will start by taking a history and asking  questions. By doing this they are hoping to narrow down the possible pain generating tissue.

The TMJ can cause multiple issues. The most obvious might be direct jaw pain or restricted  movement but issues such as headaches can be less obviously associated with the jaw.

Other jaw issues are:

  • ear ache
  • lock jaw
  • tinnitus
  • clicking or grinding sounds
  • bruxism (grinding of the teeth or clenching the jaw)
  • nerve irritation and resultant nerve pain.

The clinician will inspect the jaw by looking at the movement as you open and close your mouth. Primarily they are looking for asymmetry such as that depicted below (jaw span), a bony and soft tissue palpation, where they feel the joint and, as it moves, try to determine any bio-mechanical problem. There is some simple muscle testing and a few neurological tests that may be performed too.

If a problem is found then some treatments can be offered by your chiropractor, but others may  require a dentist or doctor.

There are a wide range of management options, from manual treatments to home treatments,  including ice or heat, jaw exercises / stretches, muscle relaxation techniques, medication and mouth guards.

Possible issues

Some issues we see are muscle tightness which can cause asymmetrical movement of the jaw, pain and referred pain.

There are 4 muscles of mastication (chewing) that move the jaw; the temporal muscle, medial and lateral pterygoids (found inside the mouth) and the largest, the masseter. If these get tight and tense they build up with toxins and become painful. If very painful, they can refer pain.

Bruxism is a common issue and is characterised by jaw clenching and teeth grinding. This is often done unconsciously and can be caused by emotional stress. Physically it can result in muscle tightness which can be treated by a manual therapist and also with a mouth guard from the dentist. A mouth guard can help off load pressure from the jaw and protect the enamel on your teeth. If the main cause is possibly psychological, then relaxation techniques and regular stretching is a good  approach to manage this.

Intra-articular disc issues can be very painful and can be more complicated. The disc can become displaced or can degenerate which can alter the smooth movement of the jaw.

If simple treatments are not helping then sometimes surgery is required. Before this is considered though, a full consultation with a doctor is required.

Check our Instagram and Facebook pages throughout the month for our Top Tips for exercises that might help give some relief for TMJ pain.

https://www.instagram.com/thestudiodurhamhouse/

https://www.facebook.com/DurhamHouseChiropractic/

https://www.facebook.com/thestudiodurhamhouse/

http://www.durhamhousechiropractic.co.uk/index.htm