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October 4, 2002

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TRAVEL ERGONOMICS PRIMER: HOW TO AVOID A LITANY OF PAIN


By Marlene R. Fedin, The Wellness Concierge®

 

Before You Go On the Road In the Air

Special Considerations Driving At the Hotel

 

You’re more likely to incur headaches, back and neck pain from extended periods of sitting in your (usually non-ergonomically correct) office chair than you will during your captivity as a coach passenger.

But whether you’re flying short hops, transcon, or even lengthier flights, prevention and attention can save a lot of unnecessary pain.

A chiropractor and other experts share their strategies for pain-free travel.

■ ■ ■

If the souvenirs of your life on the road include an assortment of aches, pains, sprains, and strains, take note. Injuries to the neck, shoulders, back, and knees—the areas of the body most vulnerable to the ill-effects of frequent travel— are preventable.

The key, according to Manhattan-based chiropractor Dr. Eugéne Tartell, whose clientele includes veteran road warriors, is to “keep your body healthy and strong and stay loose and limber so you’re less at risk for potential hazards.”

Here’s her advice for pain-free travel along with tips from other experts.

BEFORE YOU GO
Prep for Flights  Up your water intake and avoid alcoholic beverages (they’re dehydrating) for at least 24 hours before departure; aim for a good night’s sleep.

The more hydrated and rested you are, the more relaxed and limber you’ll be, which will help reduce the risk of strains and sprains.

Pick the Right Luggage  Even if you always check your luggage, opt for pieces of a size and shape that you can actually lift—sans someone else’s help—if you have to. The presence of wheels is no guarantee you won’t get stuck heaving it up into an overhead cabin bin or elsewhere (think car trunk, security checkpoints, and luggage carousels) during your travels.

Keep in mind that your strength ebbs during the day and the piece that’s manageable when you hit the road may feel like it weighs a lot more when your fatigued and jet-lagged body finally has to haul it around at your destination.

Test the length of the telescopic handles on a wheeled style to make sure you don’t have to contort yourself or bend too low to haul it around. If you need more length, a longer strap or a special grip handle (Check out Magellan’s #LA690 Comfort Grip Handle that can add up to 8 inches and allows you to pull your luggage behind you without twisting your wrist and arm; 800-962-4943) are ergo-safe alternatives.

Details. Details. Details. Make sure all hand, shoulder, and other straps are sturdy and will actually support the weight you’re likely to carry. Look for well-padded and adjustable straps and try them in various positions to be sure they’re comfortable for you.
 

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Check Your Feet
Easy on, easy off may be your biggest concern given today’s heightened security. But comfort and support are critical. Shoes that are even mildly tough on your feet will only get worse as the hours pass. And resist the temptation to travel sans socks—aside from the sanitary considerations, there’s the issue of unexpected blisters.

The goal is a choice that’s comfortable yet firm and supportive rather than a pair that’s too tight or confining—or so comfortable that you slip and slide out of them.

Don’t even think about heading out in a new pair of shoes. Styles that were amazingly comfy in the store can turn surprisingly painful with no warning.

And is there any female road warrior who would even think of wearing Prada pumps or Manolo Blahnick heels en route? Even the flying fashionistas know better. Given the range of styles on the market for both men and women, you don’t have to choose between comfort and fashion.

 

TIP: Wear Protective Foot Insoles

Many travelers swear by special protective insoles that cushion feet and act as shock absorbers. (Check your local drugstore or Magellan’s Bio Insoles.)


ON THE ROAD
Avoid Unnecessary Strain:
Carrying light luggage over even short distances can strain muscles in the neck, shoulders, and arms. Fast walking and running only increase the stress on already strained nerves.

If you are constantly toting several items, use a fold-up, portable luggage cart. Today’s models are lightweight yet sturdy—and a lot cheaper than a visit to a massage therapist or chiropractor.

When you reach the luggage carousel, don’t contort your body (A posture adapted by those who only notice their bag after it’s passed by on its way to another spin on the carousel.) to try and grab your bag.

Wait till you can be in front of the bag and can pick it up (bend at your knees) and then quickly place it back on the ground. If you need assistance, ask for help. (Again, better safe than sorry.)

Aim for Balance:
If you’ve ever watched travelers you’ll notice that they sort of “list” to one side or the other. The usual stance: handbags, computer bags, and/or luggage slung on one shoulder with the opposite arm pulling a wheeled bag or cart on the other. It’s a chiropractic nightmare.

Some folks aim to bypass shoulder-toting aches and pains by either strapping or placing extra bags atop their “wheelie” luggage. Depending on the size and weight of that bag, and the gear you place on it, you can end up pulling some mega-weight behind you, which can lead to its own physical problems. (And if you’re toting so much that you have to periodically stop to avoid tip-overs, you need to be thinking “checked luggage” or Fed Ex!)

In all cases, aim to evenly distribute the weight of your luggage between two hands or shoulders.

For shoulder bags: Avoid direct, downward pressure (the kind you feel when you put a strap directly on your shoulder), which can strain the muscles in the neck and upper body. Instead, sling the shoulder strap over your neck so it rests on your opposite shoulder and the bag is riding across your chest and hip.

If you favor one shoulder or hand when carrying luggage and other items, periodically switch to the other.

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Consider Your Overall Health and Fitness Level
Given the distance in some airports and today’s long lines, you need to make a realistic assessment of what you can carry through the airport and on to the plane. Lifting weights at the gym is one thing. Dragging around heavy weights for hours on end (as can happen) is more fatiguing than you can imagine, until you find yourself panting for breath and in pain. Travel is already stressful; you don’t need to add to it toting more than you can comfortably carry for the duration of your departure or return.

If you have health problems such as congestive heart failure or respiratory or lung problems, it’s especially important that you don’t overtax yourself. Check all of your luggage except a manageable carry-on or send it ahead. And use a fold-up luggage cart or an airport-supplied one. (But don’t count on the latter being available. Better to take-along your own and stow it onboard.)

If you really shouldn’t be carrying anything or walking any distance, plan ahead and arrange to hitch a ride in one of those special carts.
 

TIP: Protect Your Forearms and Wrists

If your wrists and forearms are not particularly strong, consider wrapping them in an Ace bandage for extra support. It can minimize the strain on them and help avoid sprains.


IN-FLIGHT
Seat Selection Even if you know the location of the most-desirable seats (translation: those with the most legroom), you may not always secure them. Plan for the worst-case scenario—cramped, knees-in-your-chest, coach seats.

Drink (Lots and Lots of) Water! Staying well-hydrated helps you avoid pulled muscles. Avoid caffeine-flavored drinks and alcohol; they’re diuretic liquids that can leave you dehydrated. Aim to drink at least 8 ounces of water for each hour of a flight. Don’t wait till you’re thirsty—by then, you’re already dehydrated.

Watch Your Posture
For most people, tension and stress accumulate in the lower back and neck areas so you need to be watchful of how you hold your head and sit. Sometimes, simply sitting up straight, tightening your stomach muscles, and regularly shifting your seated position is all you’ll need to stay pain-free.
 

TIP: Bend With Care

When picking up anything, bend at the knees (not over at the waist) and use the strength of your legs, not your back, to lift an item.

 

Reduce stress on your lower back. Put a small pillow in the curve of your lower back.

 

ZyWeb

Place luggage on the floor in front of you (or use a portable foot rest such as the folding Foot Rest, #IF477, from Magellan’s; see pix at left).

Rest your feet on it so that your knees are higher than your hips to reduce back strain and painful cramping. This is especially important for folks who are short and those with circulatory problems.
 

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Move! Long periods of sitting can compress nerves, which can lead to numbness and tingling in your legs or worse. When permissible, get up and walk around the cabin.

If you can’t leave your seat, shift positions or do stretching exercises in place. In the unlikely event that you have the space and can do it, don’t cross your legs. It limits circulation at a time when it’s already compromised.

You can’t do calisthenics in coach, but you can twist your torso slowly from side to side, extend your hands vertically over your head and stretch, and lift your legs up and rotate your ankles without incurring the wrath of a seatmate. Neck rolls take even less effort.

For more relaxing moves, pop yoga teacher Carol Dickman’s audiotape Inflight Yoga into your Walkman. The 42-minute tape includes stretches and postures that are easily managed in your seat.

To hear an audio excerpt, click here.

Protect Your Neck For anyone who has ever fallen asleep on any kind of public transportation, the worst horror is not finding that you’ve been sleeping on a seatmate’s shoulder but rather that you are now awake—with an excruciating neck- and headache.

Some experts caution against sleeping on planes (as if that were even possible in some instances) because of their concerns about misalignment and resultant pain. Since there are times when you are going to want to relax and nap or sleep, it’s better to opt for using an inflatable neck pillow that you can place under your neck or in the c-curve on the side of your neck to support it. (Check out surprise.com’s Travel Pillows page for suggestions and online sellers.)

If you don’t want to tote another item, roll up a piece of clothing (sweatshirt, sweater, shawl, windbreaker, etc.) and use that instead. Your last option: Those small airline pillows, if you can find them.

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SPECIAL CONSIDERATIONS
If you’ve had knee or leg surgery or have circulatory or vascular health problems, comfort and safety may be a higher priority than the price of your airfare depending on the length of your flight.

I’ve seen people who literally could not walk after a few hours in a cramped plane. If you face these challenges, you may need to up your travel budget or put up your miles for an upgrade to less-constricted airline seating. Barring those options, you’ll need to become a mini-expert on carrier seating and flight capacity.

In any event, allow for the possibility that you won’t be deplaning at “full-strength.” Which means considering whether you’ll need time to rest before leaving the airport, may require assistance, or may need someone else to drive you after you deplane.

In some instances, using a folding cane can provide additional support. Given the number of twentysomethings sporting casts and canes, you’ll be in good company. And you may even inspire some interesting conversation. (Check out the cane selection from Magellan’s.)

If you can’t stand for long periods of time and are concerned about long lines, it might be worth investing in a portable seat, which is infinitely preferable to the floor. It can really help minimize unnecessary fatigue and save your strength.

DRIVING
Comfortable seating is essential whether you’re driving for short or extended periods and whether you’re a driver or a passenger.

Some car renters (maybe not you, of course, but some of your friends) have been known to squeeze themselves into car models they love at the expense of their comfort. (It’s akin to women wearing those wonderful designer heels that leave them crippled or unable to walk comfortably even when they’re removed.)
 

TIP: Remove Bulky Items From Your Pockets

A friend who frequently drives long distances suggests removing keys, wallets, and other bulky, hard, or unusually shaped items from your trouser or jacket pockets. Such items can dig into nerves or muscles causing discomfort or forcing you to an unnatural posture.


Worse, some people try to save bucks by squeezing their oversized frames into sub-compacts. What you “save” in car rentals may end up being spent on medical care and rehab. And if you arrive feeling awful, think how it will affect your performance and effectiveness.

Before you wheel away, check out the seats. Opt for the firmest and most comfortable for you. Take the time to properly adjust your seat for maximum comfort: Your knees should be slightly bent and your seat positioned so that you can easily reach both the pedals and the steering wheel.

Sound obvious? Consider how many people hurl themselves into a car and peel away before making adjustments. Or those who hurry out, vowing to fix anything at the next light—which is sometimes many uncomfortable miles away.

During long road trips, use a lumbar pillow (for lower back support) and shift positions. As on a plane, you should monitor your posture and allow yourself time to stop and stretch and walk around.

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AT THE HOTEL
To Sleep, Perchance to Dream…
Focus on the bed. Even if you won’t have a lot of time for sleeping, it’s essential that the bed be comfortable.

The firmer the mattress the better (Yes, we know that some of you love soft and lumpy but it’s not good for you!). Lay down on the bed before you commit to taking a room.

If there’s no room alternative, you can ask if another mattress—or even a bedboard—is available. Barring that, consider placing the mattress on the floor. (Note: If you’ve reached this option, it’s time to rethink where you stay! Even a local bed-and-breakfast can be more comfortable.)

Pillows are a whole other story—and often a “make-or-break it” component in restful snoozing. For those with sleep, neck, or leg problems, the number and type of available pillows can be a real concern.

If you need a special pillow, pack (or send ahead) what you need. Even luxury hotels with numerous pillow options may not have a usable model. Travel product retailers and even some health sites offer a variety of travel-size, packable pillow options that can sub for your at-home favorite.
 

TIP: Double-Duty Pillows

When choosing a neck-supporting pillow for use when flying or driving, consider how it will work either alone or with traditional pillows on the bed in your hotel room. Sometimes a simple, inflatable, curved neck pillow paired with a traditional pillow is all you'll need for great sleep.


How to Avoid Being Mangled by Makeshift Workstations
Even the best hotels are not known for their ergonomically correct furniture and in-room setups for working travelers. I and others have wrenched necks, backs and knees attempting to make electrical and phone connections, not to mention moving the furniture and lighting so that one can actually work in a room.

If you can’t easily accomplish these tasks, slip someone in housekeeping a few bucks to assist you. It’ll be the best money you’ve spent.

Review the room setup in terms of the heights and locations of furniture and lighting. Depending on your own height and size, and that of the furniture, you might find it easier to work on a coffee table in front of a couch or chair rather than at the desk.

At all costs, avoid working on the bed. You’ll end up hunched over your laptop or papers.

If a surface height is too high for easy working, you can often prop yourself up on telephone books or pillows. And if you’re in a room without a desk or work surface, see if you can borrow a room-service table cart to use as a work surface.

 

 

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The Wellness Concierge®?

Marlene R. Fedin

 

MY MISSION:

To provide road warriors with travel-health information, resources, and inspiration to ease the stress and strain of life on the road and encourage

healthier life choices.

 

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Resources

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Solotrainer Fitness Products
 

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Robyn Landis/

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     Quiet Nite
 
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