2013-04-16 10:05:26 +02:00

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health
healthadvice
lifecoach
7973715
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# LifeCoach: workplace health
## Our panel of experts answers your questions on staying well in a desk-
bound job, middle ear pain and balance problems.
![LifeCoach panel: Dr Dan Rutherford, health, Sarah Stanner, nutrition, and
Tony Gallagher, fitness][1]
LifeCoach panel: Dr Dan Rutherford, health, Sarah Stanner, nutrition, and Tony
Gallagher, fitness
5:33PM BST 31 Aug 2010
[Comments][2]
**Q** I am 32 and have a rather intense, desk-bound office job, which involves
using two computer screens all day, typing and using the phone. Towards the
end of the week I always have stiff shoulders and a sore neck, and recently,
I've found that my eyes burn a little at the end of the day. Working away from
my desk isn't an option, and I'd like some advice on how to avoid long-term
damage.
**DAN RUTHERFORD WRITES**:
**A** If one defines "damage" as measurable changes to the eyes, muscles and
joints, then no matter how much time you spend sitting at a desk looking at
computer screens, your body will not be truly harmed as a result. However, as
you have already found out, such work practices can be very uncomfortable.
Visual fatigue, aches and pains, especially of the upper arms and wrists, the
back and legs are all consequences of poor quality or badly adjusted seating,
screens set at the wrong height and a lack of "get up and walk about a bit"
breaks that are common among office workers.
It is not only the physical aspects of the working environment that matter.
For example, high workload, low co-worker support and a lack of decision-
making authority have all been shown to be risk factors for the occurrence of
neck pain at work. Simple measures to get the right amount of lumbar back
support, and to have seats and displays at the correct heights are well worth
while.
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Take a look at the "workplace health" section on [www.nhs.uk for tips][9]. A
headset and microphone make a huge difference to the comfort of using the
telephone a lot. A good quality, fully adjustable seat is a must, and need not
cost a fortune. If, despite attending to all these physical issues, you still
get symptoms, this suggests that psychological factors are also significant.
If so, you may need to look at what you can do away from work to counter your
stress - something that most of us are better at saying than doing.
**TONY GALLAGHER WRITES**:
**A** Some employers are more understanding than others with regards to the
physical problems you describe in relation to staring at a screen for hours
with less than the ideal stance or amount of movement. As you probably know,
employers have a legal obligation to protect the health and safety of their
workforce. All employers, therefore, should assess the risks to the health and
safety of their employees while they are at work. Our bodies are not designed
to be sedentary for long periods and therein lies the problem. Add to that
some slouching in front of a screen and the problems multiply.
A free downloadable document is available from the Health and Safety Executive
at www.hse.gov.uk/pubns/books/l26.htm. This looks at the main health risks
associated with display screen equipment (DSE) work - including
musculoskeletal disorders, visual fatigue and mental stress.
An effective workstation risk assessment offered by employers should cover any
particular areas that may be of concern. You might like to reflect on any
postural problems that may be overcome by simple adjustments to your
workstation, such as repositioning equipment or adjusting your chair. Visual
problems may sometimes be tackled by straightforward means, such as
repositioning the screen or using blinds to avoid glare, placing the screen at
a more comfortable viewing distance from you, or by ensuring your screen is
kept clean. In some cases, new equipment such as window blinds or more
appropriate lighting may be needed.
Fatigue and stress may be alleviated somewhat by the above suggestions, but it
is also important to ensure that the software you use is appropriate to the
task involved and you have adequate training in it. You should ideally have a
degree of personal control over the pace and nature of the tasks you perform.
Some forward-looking companies provide on-site back, neck and shoulder massage
or nearby fitness facilities.
Exercise routines like body stretches, blinking your eyes and focusing on
distant objects may help. These stretches or exercises can help to combat
reduced blood flow, which can sometimes arise from the sedentary nature of
most display-screen work.
Naturally there will always be some debate about the right and the wrong ways
to do things. Most sources will suggest to sit upright, or as close to as
possible, when sitting in front of a PC. A study by Scottish and Canadian
researchers in Aberdeen, however, claims that sitting up straight is not the
best position for office workers since it places unnecessary strain on your
back.
Using a new form of magnetic resonance imaging they say the ideal position is
leaning back to an angle of about 135 degrees. According to the study, disk
movement was found to be most pronounced with a 90-degree upright sitting
posture and least pronounced with the 135-degree posture, suggesting that less
strain is placed on the spinal disks and associated muscles and tendons in a
more relaxed sitting position.
This is not an excuse to slouch, but a reason to think about your position.
**Q** I suffer from the most excruciating pain in my ears and head on
aeroplanes. It feels as though my head will burst, even though I wear ear
plugs. I am a Second World War RAF veteran, and flew all over the globe
without this problem, but now, at 86, I dread the misery of flying. **S
Richards, Burton upon Trent**
**DAN RUTHERFORD WRITES**:
**A** The most common cause of this problem is blockage of the "vent" tubes
that lead from the throat to the middle ear. Called the Eustachian tubes,
these allow air pressure to be equal on each side of the ear drum despite the
changes that occur as the aircraft climbs and descends. If the tubes are
blocked, your ear drums will stretch, painfully. Luckily you must have had
open tubes in your earlier flying career. Catarrh and nasal allergies are
common reasons for blockage and some types of nasal sprays can give relief -
see your GP or pharmacist for advice. Generally, it is landing that causes
most trouble as planes descend quicker than they climb, allowing less time for
your ears to adjust. If swallowing repeatedly does not work, then gently
blowing against a closed mouth and pinched nostrils may help by pushing air
into the middle ear. Don't try this on take-off though, as you will make
things worse by accentuating the difference between the pressure inside and
outside your middle ear as the plane climbs. Your ear plugs only introduce
another block to air flow on one side of the eardrum, so they should be
discarded. The ultimate treatment for this problem is grommets - tiny nylon
portholes through the ear drum that work very well, but at the cost of some
hearing at the higher frequency range.
**Q** I exercise regularly, but recently have found that when I'm doing
squats, lunges, etc, my balance isn't as good as it was. It seems like my feet
roll around too much and I can't make myself steady. What's going on?
**TONY GALLAGHER WRITES**:
**A** There are several possible explanations: it may be as simple as your
shoes having worn out too much, causing you to rebalance in order to lessen
any subsequent over-pronation or supination. A more solid pair of shoes may
make it a lot easier to keep balance when doing these exercises.
If you have picked up any injuries lately, such as plantar fasciitis, fallen
arches or back twinges, you may be having to compensate and readapt without
even realising it. Your body orientation can be affected in this instance.
Balance problems could also be a result of ageing or from taking certain
medications, while other causes include viral or bacterial infections or
visual reasons, such as eye-muscle imbalance. The inner-ear balance system
works with the eyes, muscles and joints to maintain your orientation or
balance.
If your symptoms persist, or worsen, consult your GP.
* Send your questions and comments to The Sunday Telegraph, Life Coach, 111
Buckingham Palace Road, London SW1W 0DT; or email
[lifecoach@telegraph.co.uk][10]
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