Posts tagged with "Pain"

Sucking in your stomach? It could lead to ‘hourglass syndrome’

September 26, 2022

“Suck in your stomach” is a mantra we’ve heard so often around achieving good posture and a good figure that it’s become automatic for many people to constantly tighten their abs, reports NBC’s Today Show.

But it turns out that chronic stomach gripping, as the habit is more formally called, can lead to health consequences including less-efficient breathing, neck and back pain, and pelvic issues, experts say.

Some have called the resulting problems hourglass syndrome, with TikTok users displaying another potential consequence of non-stop stomach gripping—dimpling at the base of the lower ribs, where the upper ab muscles apparently have tightened from overuse.

Julie Wiebe, a clinical assistant professor of physical therapy at the University of Michigan-Flint, called it more of a “fallout” from people attempting to constantly suck in their stomach than a syndrome, but said the health consequences of the habit are real.

“We’ve been sold a bit of a bill of goods around that as women—and men do it, too,” Wiebe told Today, adding, “This generation in their 30s is the first who have really grown up with the idea of core—that we have to keep everything tight all the time… (but) it’s not a healthy choice to be gripping all the time.”

So what exactly is hourglass syndrome? It’s the result of doing stomach gripping for an extended period of time or with too many repetitions “to get rid of any pooch, for lack of a better term,” comments Adam Browning, a chiropractor with the Cleveland Clinic’s Medina Hospital in Ohio.

“We want to be perceived as fit; we want to be perceived as healthy, so we want to have a flat stomach,” Browning says. “When you do it too often, you could get to this place where the anatomy physically changes and it becomes this hourglass syndrome.”

Indeed, stomach gripping primarily involves the upper abdominal muscles, Browning said. That motion of trying to suck everything up into the rib cage and get it out of sight as much as possible is more intense than just doing a crunch, he noted.

Because of that, the diaphragm, which Browning calls the single greatest muscle responsible for breathing, moves up rather than down, interrupting its natural function.

Stomach gripping also creates a lot of force and pressure on your pelvic structures, Wiebe said.

Bottom line: Our body is “designed beautifully” with a team of muscles that balance between pressures and muscular forces, and help us remain stable at the center, but when we grip the stomach all the time and prevent the natural “give” in the abdomen, we interrupt the balance of that system, she notes.

Not only doesn’t it achieve your goals, but stomach gripping also may cause the following physical problems:

  • Inefficient breathing: Belly breathing—similar to what babies and children do— is natural for the body, Browning said. When you breathe, your diaphragm contracts, pulling down on the lungs to create negative space to allow them to expand and bring air in. The belly naturally expands when this happens, but if you squeeze it in, it reverses the direction of the diaphragm muscle, reducing the efficiency and oxygen transfer in breathing by up to 30%, he notes. It makes it more challenging to take deep breaths and achieve “that cleansing, beautiful breath that keeps things calm,” Wiebe adds.
  • Pain: Stomach gripping puts additional stress on the clavicle, the first ribs, and the lower portions of the neck—and creates an imbalance in the soft tissues in the musculature of the core, Browning notes. That can lead to neck, shoulder, and back pain. It can make you feel stiff in your hips and make you more sensitive to pain you already have in a different part of your body, Wiebe says.
  • Pelvic health issues:If you’re gripping your abs and have incontinence, it could lead to leaking or worsen the problem because of the constant pressure on pelvic structures from above, she says.

How do you know you have hourglass syndrome? Chronic stomach grippers have highly developed muscles in the upper rectus abdominis, or upper abs, and a lasting tension in that region, Browning remarks. You might see more definition in the upper abdominal muscles, while noticing softer lower abs that you have a hard time contracting.

There may be dimpling at the base of the lower ribs, where the skin starts to tuck under.

Wiebe has seen people worry that it’s irreversible, but that’s not true: “It is absolutely something that can be altered, but only if you change your strategy,” she says. “We are so resilient. Our body can learn how to do it and it can unlearn it.”

How do you stop stomach gripping? First, you have to acknowledge you’re sucking in your stomach and believe there’s another way, both experts advised.

Try belly breathing exercises. Feel the difference between the quality of a breath when you squeeze your stomach tight and when you allow it to soften.

Remember that the spine has natural curves so it’s normal to have a little bit of belly that comes forward, according to Browning.

When it comes to posture and stability, trainers and coaches have often told people that the abs must be “on” and contracted all the time, but they’re just part of a team of muscles that help you remain stable, Wiebe said. You shouldn’t need to grip your abdomen to walk across a room.

“We’ve gone down this road for such a long time and we’re trying to bring people back towards a more moderate understanding,” she explains. “Women can still look awesome and not have to do this.”

Research contact: @TODAYshow

2020 hindsight: LASIK eye surgery should be taken off market, former FDA adviser says

November 15, 2019

Don’t turn a blind eye to the risks involved in LASIK eye surgery, an expert is warning, according to CBS News.

Laser vision correction has been popular for more than 20 years, with an estimated 20 million Americans undergoing the procedure to correct nearsightedness and improve distance vision.

According to an FDA patient survey, more than 95% of patients have been satisfied with their vision after surgery. But some patients say the surgery has ruined their eyesight. Among the complaints: “relentless eye pain,” dizziness, and detached retinas.

“Essentially we ignored the data on vision distortions that persisted for years,” said Morris Waxler— a retired FDA adviser who is now president of Waxler Regulatory Consulting. He voted to approve LASIK devices, but he now says voted to approve LASIK, but he now says that vote was a mistake.

“I re-examined the documentation … and I said, ‘Wow this is not good,'” Waxler told CBS News.

Waxler said his own analysis of industry data shows complication rates between 10%  and 30%. In 2011, he petitioned the FDA to issue a voluntary recall of LASIK. Three years later, the agency denied that request and now tells CBS News it “has not found any new safety concerns associated with LASIK devices.” 

Waxler said he thinks LASIK should “absolutely” be taken off the market. “There’s nothing wrong with a person’s eyes who goes to get Lasik,” he said. “They have healthy eyes. They could go and get a pair of glasses.”

Patient Abraham Rutner agrees, alleging that  LASIK surgery damaged his vision and nearly ruined his life. “It’s a devastation that I can’t even explain,” Rutner told CBS News medical contributor Dr. Tara Narula.

“Things would appear double. Around the lights were like having starbursts,” he added.

After months of not being able to drive or do his job, the Brooklyn electrician finally found help in Miami where optometrist Edward Boshnick fitted him with special contact lenses.

“His cornea is very distorted as a result of his LASIK surgery,” Boshnick told CBS.

Boshnick estimates he’s treated thousands of patients with LASIK complications.

Paula Cofer had surgery 19 years ago, “and from day one my vision was an absolute train wreck and it still is today,” she said.

She started a LASIK complications support group on Facebook and quickly found she was not alone. “You really have to understand you’re risking your only pair of eyes,” Cofer said.

Doctors who perform LASIK surgery said risks can be minimized with pre-surgical screening.

“The most important thing is knowing who to operate on and who not to operate on and there are people who really should not have this procedure,” Dr. Jules Winokur said.

Rutner now believes he was never a good candidate.

Here are FDA’s advisory on risks and how to find the right doctor for the procedure.

Research contact: @CBSNews