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Getting healthy sleep can be difficult when dealing with back problems or recovering from surgery. It can be difficult, if not impossible, to get and stay comfortable long enough to sleep on a regular flat mattress. It is worth considering an adjustable bed as an alternative. Because of their lifestyle and health benefits, these beds are growing in popularity to meet an individual's spine, posture, and sleeping needs. Adjustable Bed An adjustable bed can raise and lower a mattress's orientation to different angles, allowing the upper body to rest at a slight incline, such as 30 to 45 degrees, with support under the knees as they bend at a slight angle. The body can feel better in an inclined or semi-upright position rather than lying flat. Individuals with back or neck problems or joint conditions like shoulder arthritis have reported feeling better in this position. Features The number of adjustments varies from model to model. Available features include: - Adjustable firmness for the low back/lumbar area.
- Adjustments may be made by remote control.
- Some offer massage options.
- Zero gravity - NASA invented the zero gravity position to reduce pressure on astronauts during takeoff. In this position, the head and knees are raised above the heart, making the body feel weightless.
- Adjustable beds are sold in single, queen, and king sizes.
- Split queen and king sizes allow the settings to be customized for each side of the bed.
Benefits Snoring - Over 90 million Americans snore during sleep.
- The main cause of snoring is the blockage of the windpipe while sleeping, which can be caused by several factors, but most commonly by the weight of the neck on the windpipe, preventing the individual from breathing properly.
- An adjustable bed allows for an inclined position, decreasing the pressure on the windpipe, reducing snoring, and allowing for a more relaxing sleep.
Asthma - Asthma can disrupt healthy sleep and make breathing difficult at night.
- COPD and chronic lung conditions can worsen over time, impacting sleep quality.
- Lying flat often irritates these lung conditions.
- Sleeping with the head and feet in a raised position makes breathing easier.
Posture - Unhealthy posture causes soreness, stiffness, tightness, headaches, and other health issues.
- Adjustable beds provide postural support to the spine and can improve posture and increase overall health.
Back Problems - 80% of individuals deal with various back issues and symptoms.
- Adjustable beds provide support and alignment to the spine by allowing the mattress to conform to the body's contours.
- This can prevent sciatica, enabling the nerves to relax and rest without added body pressure.
- For those with sciatica, pain can be alleviated by using a raised leg position to take the stress off the nerves and increase circulation.
- Lowering the bed up and down can help stretch the back.
Digestion - An adjustable bed can help with digestion issues.
- An inclined position prevents indigestion and acid reflux and helps the body process food more efficiently.
- A six-inch raise is recommended to increase digestion.
- Individuals who go to bed on a full stomach should raise the incline as there is more digestive activity.
Inflammation, Swelling, and Injury Recovery - When dealing with neuromusculoskeletal injuries, doctors often recommend elevating the injured part of the body to speed up recovery.
- An example is propping up the feet and maintaining elevation for a certain period.
- An adjustable bed lifts or raises the mattress and elevates the limbs while maintaining a neutral/natural sleeping position.
Pregnancy - Physical and hormonal changes during pregnancy can cause back discomfort symptoms, sciatica, circulation issues, and swelling.
- Pregnant women can use the zero gravity position to reduce swelling, alleviate back pain, and improve circulation.
- This position also makes back sleeping safer for the mom and baby.
Individuals should research all the styles and features available to find what works for them. General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, don't hesitate to get in touch with Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico* References Ancuelle, Victor, et al. "Effects of an adapted mattress in musculoskeletal pain and sleep quality in institutionalized elders." Sleep science (Sao Paulo, Brazil) vol. 8,3 (2015): 115-20. doi:10.1016/j.slsci.2015.08.004 Söderback, I, and A Lassfolk. "The usefulness of four methods of assessing the benefits of electrically adjustable beds in relation to their costs." International journal of technology assessment in health care vol. 9,4 (1993): 573-80. doi:10.1017/s0266462300005493 Tetley, M. "Instinctive sleeping and resting postures: an anthropological and zoological approach to the treatment of low back and joint pain." BMJ (Clinical research ed.) vol. 321,7276 (2000): 1616-8. doi:10.1136/bmj.321.7276.1616 Verhaert, Vincent, et al. "Ergonomics in bed design: the effect of spinal alignment on sleep parameters." Ergonomics vol. 54,2 (2011): 169-78. doi:10.1080/00140139.2010.538725
Making healthy posture adjustments is a process, especially for individuals that have been practicing unhealthy postures for years. Not only does the body have to relearn how to position itself correctly, but the muscles, especially those that haven't been working, also have to adjust. This takes time and is usually at the beginning of postural training that individuals want to give up. This is because of the discomfort and soreness that goes with reactivating the core muscles. This is why it is recommended to go through the process with chiropractic care. A chiropractic therapy team can relieve sore muscles, strengthen the body, and help individuals gradually develop and maintain a healthy posture. Posture Adjustments Unhealthy postures shift the body out of balance, straining and stressing the muscles, especially those that have to work overtime every day. This causes the muscles to stiffen and tighten up to the point that they begin to pull the skeletal system in different directions, causing various symptoms that can lead to chronic conditions. Muscles can stay tight for years, with individuals getting used to the feeling. Individuals stretch out, thinking the muscles are loose but don't realize that they return to their tight position because of the unhealthy muscle memory that developed. Muscle Imbalance - Muscle imbalances usually progress over time and are typically caused by daily habitual physical routines.
- This causes premature and advanced wear and tear on the body.
Postural Dysfunction - Individuals all have positions they spend a lot of time in.
- Postural dysfunction begins with unhealthy positioning that shifts the spine and other joints out of balance and alignment.
- The muscles become compromised, which leads to various neuromusculoskeletal symptoms.
Symptoms - The head either leans forward or backward.
- The knees are bent when standing or walking.
- The shoulders become rounded.
- A potbelly can begin to present.
- Back discomfort symptoms.
- Body aches, soreness, tightness, stiffness.
- Muscle fatigue and weakness occur from being overworked.
- Headaches can present throughout the day.
Chiropractic Realignment The muscles have become like tough meat, and the underlying imbalances are straining the neuromusculoskeletal system. The muscle tissues need to be broken up/tenderized and loosened up. Then they can be thoroughly stretched and strengthened to optimal health. Chiropractic care will identify and correct the underlying imbalance, and massage therapy will break up and release the compacted muscle tissue. A personalized treatment plan will consist of the following: - Mobilizing the joints and stretching/releasing shortened tight muscles and soft tissues.
- Strengthening the elongated, weaker muscles to correct the body's alignment and movement control.
- Health coaching to identify and recommend lifestyle and nutritional adjustments.
- This will restore the bio-mechanical systems, ensuring that equal muscle length and strength on both sides of the system joint or motion segment are maintained.
General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, don't hesitate to get in touch with Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico* References Aino, Masaki, et al. "Comparison of spinal column alignment and autonomic nervous activity using the intersegmental tenderness test in the segment above." Journal of physical therapy science vol. 33,8 (2021): 570-575. doi:10.1589/jpts.33.570 Creze, Maud, et al. "Posture-related stiffness mapping of paraspinal muscles." Journal of anatomy vol. 234,6 (2019): 787-799. doi:10.1111/joa.12978 Joshi, Reema, and Nishita Poojary. "The Effect of Muscle Energy Technique and Posture Correction Exercises on Pain and Function in Patients with Non-specific Chronic Neck Pain Having Forward Head Posture-a Randomized Controlled Trail." International journal of therapeutic massage & bodywork vol. 15,2 14-21. 1 Jun. 2022, doi:10.3822/ijtmb.v15i2.673 Langford, M L. "Poor posture subjects a worker's body to muscle imbalance, nerve compression." Occupational health & safety (Waco, Tex.) vol. 63,9 (1994): 38-40, 42. McLean, Linda. "The effect of postural correction on muscle activation amplitudes recorded from the cervicobrachial region." Journal of electromyography and kinesiology: official journal of the International Society of Electrophysiological Kinesiology vol. 15,6 (2005): 527-35. doi:10.1016/j.jelekin.2005.06.003 Szczygieł, Elżbieta et al. "The Impact of Deep Muscle Training on the Quality of Posture and Breathing." Journal of motor behavior vol. 50,2 (2018): 219-227. doi:10.1080/00222895.2017.1327413
The oblique muscles support and aid in side-to-side movement, helping maintain back strength and healthy posture. There are two oblique muscle sets, the internal and external obliques. Maintaining a strong core is one recommended way to protect the body and spine. However, many forget to train and strengthen all of the oblique muscles. Individuals tend to focus on the superficial core muscle, or rectus abdominis, and not enough or any attention goes to the lateral stabilizers or the internal and external obliques. Chiropractic and functional medicine can restore musculoskeletal flexibility, mobility, and function. Oblique Muscles The external obliques make up a large part of the trunk area. There are two external obliques on either side of the body, located on the lateral sides of the abdominal region. These muscles have an essential role in daily movements. External - External obliques help with trunk rotation and support spine rotation.
- They assist with pulling the chest down to compress the abdominal cavity.
- They help with bending from side to side.
- Any strain or injury to these muscles can lead to abdominal, hip, and back issues.
- Maximizing external oblique strength is important to maintain a strong core.
Internal The internal oblique is a muscle deep within the lateral side of the abdomen. - The internal oblique muscle is one of the main stabilizers and functions to flex the trunk and compress the chest.
- Its positioning makes it invisible, but it still has an essential role in body movement.
- This muscle can function bilaterally, meaning both sides can operate at the same time.
- These muscles provide spinal and posture support.
- Strain or injury in this area can cause posture problems and abdominal, hip, and back issues.
Rotation and Mobility The internal and external obliques are the primary rotators of the spine and provide thoracic spine mobility. Inhibition If the internal obliques are inhibited, compensation can cause an alteration in the sequence patterns of the posterior oblique subsystem. - When this system is not functioning correctly, individuals usually complain of discomfort in the hips and shoulders.
- A common sign of oblique inhibition is individuals holding their breath during basic movement patterns to gain stability, indicating dysfunction in the intrinsic stabilization subsystem.
- Simple movements include walking gait, single-leg stance, flexion, extension, etc.
Symptoms of Dysfunction - Rounded shoulders
- Shoulder pain
- Flexion posture - Janda's upper-crossed syndrome.
- Internally rotated hips.
- Decreased hip extension.
- Knee instability and discomfort.
- Sacroiliac joint locking and soreness.
- Lower back discomfort and soreness.
- Lumbopelvic hip destabilization.
- Decreased ability in acceleration and deceleration when walking.
Dysfunction in one area leads to imbalances in other areas, affecting movement and causing impairment syndromes that can include: - Muscle imbalances.
- Decreased stamina.
- Decreased strength.
- Increased fatigue.
- Central sensitization
- Increased stiffness and tightness in myofascial structures and kinetic chains.
- Increased risk of injury from unbalanced movement patterns and reaction times.
Chiropractic Reset Chiropractic care, massage, and decompression therapy can restore body balance through: - Soft-tissue release of the thoracolumbar fascia.
- Mobilization to subluxated areas of the thoracic spine, pelvis, and hips.
- Manual therapy
- Instrument-assisted soft-tissue release.
- Muscle stimulation
- Laser therapy
- Ultrasound
- Corrective and strengthening exercises
Chiropractors and spinal rehabilitation specialists recommend specialized exercise regimens to target these muscles that include: - Power Plate training
- Bodyweight exercises
- Yoga
- Pilates
- High-intensity interval training - HIIT
If you are experiencing waistline, hip, and low back stiffness or tightness and pain, consult our professional chiropractic team. We're ready to help! General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico* References Calais-Germain, Blandine, and Stephen Anderson. Anatomy of Movement. Seattle: Eastland, 1993. Cook G. Movement: Functional Movement Systems: Screening, Assessment, and Corrective Strategies. Aptos, CA: On Target Publications, 2010. Elphinston J. Stability, Sport and Performance Movement: Practical Biomechanics and Systematic Training for Movement Efficacy and Injury Prevention. Lotus Publishing, 2013. Huxel Bliven, Kellie C, and Barton E Anderson. "Core stability training for injury prevention." Sports health vol. 5,6 (2013): 514-22. doi:10.1177/1941738113481200 Myers TW. Anatomy Trains: Myofascial Meridians for Manual and Movement Therapists. Edinburgh: Churchill Livingstone, 2001. Neumann DA. Kinesiology of the Musculoskeletal System: Foundations for Physical Rehabilitation. St. Louis: Mosby, 2002. Starrett K, Cordoza G. Becoming a Supple Leopard: The Ultimate Guide to Resolving Pain, Preventing Injury, and Optimizing Athletic Performance. Las Vegas: Victory Belt Pub., 2013. Weinstock D. NeuroKinetic Therapy: An Innovative Approach to Manual Muscle Testing. Berkeley, CA: North Atlantic, 2010.
Introduction The posterior section of the lower half of the body consists of the hips, low back, pelvis, legs, and feet, which provide stability to the body while supporting the upper body’s weight. The various muscles surround the lower extremities and make different motions for mobility and functionality by contracting and retracting when the legs and hips are in motion. The various muscles that provide stability to the hips and the legs are the iliopsoas muscles. When normal age or incidents affect the lower body extremities, it can correlate to the development of trigger point pain. Today’s article examines the iliopsoas muscles, how referred trigger pain affects the thighs and low back, and treating trigger point pain on the thighs and low back. We refer patients to certified providers who incorporate multiple techniques in the low back and thigh pain therapies related to trigger points to aid individuals dealing with pain symptoms along the iliopsoas muscle in the lower back, thigh, and near the pelvis. We encourage and appreciate patients by referring them to our associated medical providers based on their diagnosis, especially when it is appropriate. We understand that education is an excellent solution to asking our providers complex questions at the patient’s request. Dr. Jimenez, D.C., utilizes this information as an educational service only. Disclaimer What Is The Iliopsoas Muscle? Have you been dealing with muscle cramps in your thighs? What about feeling muscle stiffness in your lower back when you are stretching? Or do you feel your thigh muscles become heavy after a workout? Many of these issues correlate with the iliopsoas muscle becoming overused and developing trigger points, thus affecting the thighs and lower back. In the lower body extremities, the muscles that help provide stability to the hips are the iliopsoas muscles. The iliopsoas muscles consist of three muscles: iliacus, psoas major, and psoas minor, which can work individually or as a unit. When working individually, the iliacus muscle provides stability to the pelvis, the psoas major muscle helps stabilize the lumbar spine when a person is sitting, and the psoas minor helps with flexion of the trunk and stretch the iliac fascia. As a unit, however, these muscles work together to become the primary flexors of the thighs and allow hip flexion. Studies reveal that the iliopsoas is a deep muscle group that anatomically connects the spine to the body’s lower limbs. The iliopsoas muscles have an important function in the body’s lower limbs as primary hip flexors for daily activities, especially for those in sports. However, many impairments and pathologies affect the iliopsoas, which causes significant limitations and challenges since the symptoms mask the pain, causing individuals to think they are dealing with low back and hip pain. Referred Trigger Pain On The Thighs & Low Back Since the iliopsoas muscles provide hip and thigh flexion to the lower body, many impairments and pathologies can affect this muscle group, causing issues in the hips, thighs, and even the lower back. These impairments can cause the iliopsoas muscles to be overused and overstretched, thus potentially developing trigger points along the iliopsoas muscles, causing referred pain on the thighs and low back. Studies reveal that when the iliopsoas muscle becomes overused or traumatic issues affect it, it can lead to problems in hip flexion and impairment in the lower extremities. In “Myofascial Pain and Disorders: The Trigger Point Manual,” written by Dr. Janet G. Travell, M.D., when trigger points begin to affect the iliopsoas muscles, it is known as the “Hidden Prankster” as normal factors like poor posture can overload the back causing trigger points to form not only on the iliopsoas muscles but the hamstrings, gluteal, thoracolumbar paraspinal, and posterior cervical muscles. Trigger points can mimic other chronic conditions that cause referred pain in different body areas. Trigger point pain in the iliopsoas muscle can lead to back pain, groin pain, snapping hips, and standing up difficult for the individual if it is not treated immediately. General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico*
Introduction As the “backbone” of the body, the thoracic region of the back has various muscles that help support the ribcage and protect the heart and lungs from injuries. The thoracic spine’s main function is providing respiration and maintaining good posture. However, various habits can cause issues to the muscles in the thoracic spine, which leads to upper back pain and the development of trigger points. One of the thoracic muscles affected by trigger points is the serratus posterior inferior muscle. Today’s article looks at the serratus posterior inferior muscle, how trigger points affect the thoracic region of the back, and how to manage thoracic back pain associated with trigger points. We refer patients to certified providers who provide different techniques in thoracic back pain therapies associated with trigger points to aid many suffering from pain-like symptoms along the serratus posterior inferior muscle along the back. We encourage patients by referring them to our associated medical providers based on their examination when it is appropriate. We designate that education is a great solution to asking our providers profound and complex questions at the patient’s request. Dr. Alex Jimenez, D.C., notes this information as an educational service only. Disclaimer What Is The Serratus Posterior Inferior Muscle? Have you felt aches and pain when bending down to pick something up? What about feeling tenderness near your lower back? Or have you experienced muscle stiffness when stretching? Many of these symptoms are associated with back pain that correlates to overusing the thoracic muscles, which includes the serratus inferior posterior muscles. The serratus posterior muscles (superior and inferior) are accessory breathing muscles as part of the extrinsic muscles. The serratus posterior inferior helps with the chest cavity’s expiration, while the superior help with inspiration. Some of the functionalities that the serratus posterior inferior provides are that in a bilateral action, the inferior works with the superior muscles to reduce the extension of the thoracic vertebrae. In contrast, the unilateral action for the serratus posterior inferior muscle helps rotate the spine to the opposite sides. Studies reveal that based on the attachment of the serratus, the posterior inferior and superior are generally considered insignificant muscles. Since the serratus posterior muscles help aid respiration to the thoracic region, it can be succumbed to trigger points or myofascial pain syndrome that can affect the thoracic part of the back. General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico*
Introduction The chest has the pectoralis major muscle that works with the upper half of the body that provides mobility and power. The pectoralis major also surrounds the clavicle skeletal structure and works with the thoracic spine. The chest allows mobility to the arms and stability to the shoulders while working together with the shoulder and arm muscles. Many individuals utilize the upper body more when working out, lifting, or carrying objects from one place to another. This causes the muscle to become overused and succumb to injuries that can affect the functionality of the chest and invoke pain-like symptoms in the body. One of the chest muscles affected by pain is the pectoralis muscles, especially the pectoralis minor muscle. Today’s article looks at the pectoralis minor muscle, how myofascial pain affects the pectoralis minor, and how to manage myofascial pain associated with the pectoralis minor. We refer patients to certified providers specializing in chest pain therapies to aid many people suffering from trigger point pain affecting the minor muscles of the pectoralis. We brief patients by referring them to our associated medical providers based on their examination when appropriate. We indicate that education is a great solution to asking our providers profound and complex questions at the patient’s request. Dr. Alex Jimenez, D.C., notes this information as an educational service only. Disclaimer The Pectoralis Minor Muscle Have you been experiencing pain in your upper-mid back? Do you feel like your chest is feeling compressed constantly? Do you feel the tension in your shoulders that makes it difficult to reach behind your back? Most of these symptoms are signs that many individuals are developing myofascial pain along the pectoralis muscles, especially the pectoralis minor. The pectoralis minor muscle is a thin triangular-shaped muscle below the pectoralis major. It has a crucial part of the chest as it helps stabilize the scapula (the shoulder blades) and is in front of the thoracic wall of the spine. The pectoralis minor is also part of the respiratory muscle group that works with the lungs. The pectoralis minor muscle has many functions for the shoulder blades, which include: - Stabilization
- Depression
- Abduction or Protraction
- Internal Rotation
- Downwards Rotation
When environmental factors begin to affect the lungs and cause respiratory issues in the body, the surrounding respiratory muscle group also gets involved, causing the body to be hunched over. General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico*
Look how young children position their backs. There is a natural S curve, and their movements are effortless. As the body ages, too much sitting, slouching, and inactivity can cause muscle fatigue and tension leading to posture issues. Rounded shoulders describe a resting position that has shifted the shoulders out of the body’s natural alignment, which can worsen if left untreated. Chiropractic care can realign the shoulders, as well as the spine, and restore musculoskeletal health to optimum levels. Rounded Shoulders Rounded shoulders are an excessive thoracic kyphosis referring to an uneven forward rounding or curvature of the middle and upper back. Rounded shoulders shift out of proper alignment with the spine, causing posture-related problems like shoulder/neck/back discomfort, tightness, stiffness, and pain. Overall unhealthy posture contributes to the following: - The head constantly being in a forward or backward position
- Headaches
- Body aches and pains
- Muscle fatigue
- Chronic back soreness
- Bent knees when standing or walking
- Body movement dysfunction
- Joint problems
- Potbelly
- Rounded shoulders
Body responses to rounded shoulders include: - Chronic musculoskeletal aches and pains
- Breathing problems
- Limited body function
- Impaired mobility performance
- Increased mental and musculoskeletal stress
Causes Rounded shoulders are typically caused by unhealthy posture, but can also be caused by muscle imbalances from, for example, overfocusing on building chest strength but neglecting the core and upper back. Other causes include: - Standing and sitting for long periods
- Stress
- Lack of physical activity
- Environmental factors
- Too much exercise, sports, and physical activities
Musculoskeletal Imbalance Postural imbalances anywhere in the body can cause rounded shoulders. - For example, when an individual tilts their head forward to look at their phone, the upper back has to round forward to hold the head. Constantly tilting can begin to generate an unhealthy muscle memory causing the neck and shoulder muscles to remain in a semi-flexed position that starts to become the norm.
- Another example is when the arms are held out and in front for prolonged periods, like driving, typing, and cooking, the chest muscles get shortened. As time goes on, this causes the shoulder blades to move forward on the ribcage, making the upper back and shoulder area hunch awkwardly and unhealthily.
Stress When the brain perceives a threat, the body physically prepares to take action through the fight or flight response. Common reactions include: - Jaw tensing
- Tightening the abdominal muscles
- Holding one’s breath
- Rounding the shoulders
Stressors can include: - Job worries
- Money issues
- Relationship problems
- Family responsibilities
- All can cause changes in the body that result in rounded shoulders.
Environmental Factors - Respiratory conditions like asthma, COPD, and allergies can affect the body’s breathing and the ability of the diaphragm to contract and relax correctly.
- Ribcage restrictions caused by chronic breathing problems can result in the thoracic/middle back tightening up, causing excessive shoulder rounding.
Exercise and Physical Activities - Exercise and physical activities can contribute to rounded shoulders because of the long periods of spinal flexion. These can include:
- Bike riding, martial arts, and swimming.
- Knitting requires the arms to be out in front.
- Gardening requires kneeling and being hunched over.
Chiropractic Treatment Chiropractic adjustments, therapeutic massage, and decompression therapy can unlock tight shoulder and chest muscles. A chiropractor uses gentle targeted adjustments to relieve pain, restore function, and retrain the muscles. - The doctor will look at the individual’s resting position while standing.
- An individual with slumped shoulders can slouch, even when standing up straight.
- Their hands will likely face behind them, with their thumbs pointed at each other.
- Once the adjustments are made, a correct standing posture will make the hands face the body with the thumbs facing ahead.
- Exercises will be recommended to strengthen the core and stretches to maintain the adjustments.
General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make your own healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico* References Fathollahnejad, Kiana, et al. “The effect of manual therapy and stabilizing exercises on forward head and rounded shoulder postures: a six-week intervention with a one-month follow-up study.” BMC musculoskeletal disorders vol. 20,1 86. 18 Feb. 2019, doi:10.1186/s12891-019-2438-y Go, Seong-Uk, and Byoung-Hee Lee. “Effects of scapular stability exercise on shoulder stability and rehabilitative ultrasound images in office workers.” Journal of physical therapy science vol. 28,11 (2016): 2999-3002. doi:10.1589/jpts.28.2999 Kwon, Jung Won, et al. “Changes in upper-extremity muscle activities due to head position in subjects with a forward head posture and rounded shoulders.” Journal of physical therapy science vol. 27,6 (2015): 1739-42. doi:10.1589/jpts.27.1739 Lee, Do Youn, et al. “Changes in rounded shoulder and forward head posture according to exercise methods.” Journal of physical therapy science vol. 29,10 (2017): 1824-1827. doi:10.1589/jpts.29.1824 Park, Sang-In, et al. “Effects of shoulder stabilization exercise on pain and functional recovery of shoulder impingement syndrome patients.” Journal of physical therapy science vol. 25,11 (2013): 1359-62. doi:10.1589/jpts.25.1359
The body is designed to move. For individuals who spend a significant amount of time driving each day, whether for a living or a long commute, over time can lead to headaches, neck and back pain, sciatica, and increases the risk for serious injury. Chiropractic can retrain individuals to practice healthy driving posture. This is accomplished through decompression and massage therapy combined with recommended stretches/exercises, and an anti-inflammatory diet will bring pain relief and help prevent injury. Healthy Driving Posture Two main reasons driving impacts the back are poor posture and being in a fixed position for an extended period. Individuals who regularly drive for more than 4 hours a day are more at risk. An unhealthy driving posture can lead to an increased risk of discomfort/pain in the: - Neck
- Shoulders
- Arms
- Wrists
- Fingers
- Back
- Legs
- Feet
- Over time these issues can become chronic, making the body vulnerable to various injuries.
Back Pain Symptoms Sometimes back pain needs immediate medical attention if any of the following symptoms present: - Inflammation in the back.
- Swelling on the back.
- Constant pain does not go away or ease up after resting or movement.
- Pain in the upper back that radiates to the chest.
- A high temperature.
- Unexplained weight loss.
- Loss of bladder or bowel control.
- Numbness or tingling around the buttocks or groin area.
Driving Recommendations Spine Support - Slide the tailbone as close to the back of the seat as possible.
- Leave a gap between the back of the knees and the front of the seat.
- If the vehicle doesn't allow for the proper position, a back support cushion can help.
Raise The Hips - If possible, adjust the area you sit on, so the thighs are supported along their entire length.
- The knees should be slightly lower than the hips.
- This will increase circulation to the back muscles while opening up the hips.
Sitting Too Close - An individual should be able to comfortably reach the pedals and depress them through their full range with the entire foot.
- A safety study found that drivers whose chests were closer to the wheel were significantly more likely to suffer head, neck, and chest injuries in front and rear-end collisions.
Proper Height - Ensure the seat raises the eye level a few inches above the steering wheel to allow sufficient clearance between the head and roof.
Seat Angle - The angle of the back of the seat should go a little beyond 90 degrees to 100-110 degrees places minimal pressure on the back.
- Leaning too far back forces the individual to raise/push their head and neck forward, which can cause neck pain, shoulder pain, and tingling in the fingers.
Headrest Height - The top of the headrest should be between the top of the ears and the top of the head.
- It should slightly touch the back of the head when sitting with a healthy driving posture.
- The headrest is vital in reducing whiplash injuries in the event of a rear-end collision.
Mirror Adjustments - Ensure the rear-view and side mirrors are correctly adjusted will prevent straining the neck.
- Individuals should be able to see the traffic behind them without having to crane their necks.
Be Sure To Take Breaks - Even with a healthy driving posture, fatigue can and will set in.
- Listen to your body and take breaks.
- Park in a safe place at a rest stop or designated area to get out of the vehicle, move around, and stretch.
Driving Posture Exercises The following exercises can help improve driving posture and prevent pain while making deliveries or transporting people. This exercise helps reduce pressure on the neck and shoulders. - Bring the shoulder blades back and up with the hands on the steering wheel.
- Squeeze your shoulder blades together in the middle of the back.
- Hold for 3 seconds, then release.
- Repeat ten times.
This exercise activates the abdominal and external oblique muscles. - Press the lower back into the car seat.
- Inhale and tilt the pelvis forward to create an arch in the lower back.
- Hold for 3 seconds, then release.
- Repeat ten times.
Posture is more than just how one carries themselves. The effects of unhealthy posture can carry over into an individual's physical, mental, and emotional health. Whether it's caused by injury, stress, work, or sports, a professional chiropractor will help you get back to optimal health. General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified health care professional or licensed physician and is not medical advice. We encourage you to make your own healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico* References Cvetkovic, Marko M et al. "Assessing Post-Driving Discomfort and Its Influence on Gait Patterns." Sensors (Basel, Switzerland) vol. 21,24 8492. 20 Dec. 2021, doi:10.3390/s21248492 Pope, Malcolm H et al. "Spine ergonomics." Annual review of biomedical engineering vol. 4 (2002): 49-68. doi:10.1146/annurev.bioeng.4.092101.122107 Tinitali, Sarah, et al. "Sitting Posture During Occupational Driving Causes Low Back Pain; Evidence-Based Position or Dogma? A Systematic Review." Human factors vol. 63,1 (2021): 111-123. doi:10.1177/0018720819871730 van Veen, Sigrid, and Peter Vink. "Posture variation in a car within the restrictions of the driving task." Work (Reading, Mass.) vol. 54,4 (2016): 887-94. doi:10.3233/WOR-162359
The ribs are designed to protect the lungs and heart and assist breathing. Twenty-four ribs start at the shoulders in the thoracic spine region and run down the mid-back covering the front, back, and side of the chest. Almost all ribs are attached in two places, including the spine in the back and the sternum in the front of the chest, by cartilage joints. Trauma, poor posture, intense coughing, sneezing, and heaving are a few factors that can cause mechanical rib dysfunction or rib misalignment and where they are attached to. Rib dysfunction and misalignment are typically caused by unhealthy postures like slumped back and rounded shoulders, weakened posterior muscles, and repetitive stress from work, sports, and intense physical activity. Any ribs can become misaligned, causing dysfunction and stress on the body. A chiropractor can adjust and reset the rib as they do for misaligned and compressed spinal joints. Rib Cage Design The ribcage is flexible and expands when inhaling. Each rib is attached to the spine by three joints in the back and the breastbone in the front. Breathing is an involuntary reflex that is impossible to avoid movement in these joints. The joints are small but allow flexing, so the ribs rise and fall with each breath. These rib joints can become inflamed from rib misalignment causing movement problems that can restrict breathing. Rib Misalignment Rib misalignment symptoms can include: - Difficulty breathing.
- Difficulty when trying to sit up.
- Dull, achy, deep pain next to the spine or under the shoulder blade.
- Unexplained back pain.
- Pain when moving or walking.
- Painful sneezing and/or coughing.
- Tenderness and pain in the front of the chest.
- The formation of a lump over the affected rib.
- Swelling and/or bruising in the region.
- Numbness in nearby or surrounding ribs.
- Radiating pain from the back to the front and vice versa.
- Improvement when pressure is applied to the affected rib.
Rib Dysfunction Up to 50% of emergency room visits for chest pain symptoms result from non-cardiac factors, with the majority being rib misalignment and the muscles and joints around the rib cage becoming irritated/inflamed. Causes There can be several reasons for a misaligned rib. The more common causes include: Unhealthy Postures - Unhealthy postures stress the body that can place pressure on the posterior portion of the ribcage.
- With time, the ribs can start to shift out of alignment.
Physical Activity, Exercise, and Sports - Working out intensely can cause the ribs to shift out of position.
- Weight lifting improperly can cause the body to shift along with the muscles involved not being strong enough to handle the added weight and movement, causing rib misalignment.
Pregnancy - As a woman's body changes, the weight shifts to the front.
- This can create a downward pull on the rib cage, increasing misalignment risk.
Intense Coughing or Sneezing - Excessive or severe coughing, associated with asthma, bronchitis, or pneumonia, can significantly strain the ribcage.
- Coughing from a common cold can generate stress to cause a rib to dislocate.
- Sneezing hard can also cause a rib to shift out of place.
- Illnesses associated with constant coughing and sneezing can increase an individual's susceptibility to rib misalignment because of the weakened state of the muscles.
Intense Vomiting - Vomiting intensely or heaving can cause the condition.
- Vomiting does not necessarily involve the lungs, but the convulsive action can cause a rib shift/pop out.
Chiropractic Treatment Chiropractic can diagnose and treat rib misalignment/dysfunction by using various stretching or massage techniques to loosen the area, making the muscles more flexible, then applying firm pressure to realign the rib back. The treatment plan will include specific stretches, postural exercises, diet, and other recommendations to prevent rib problems. General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified health care professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico* References Flodine TE, Thomas M. Osteopathic Manipulative Treatment: Inhaled Rib Dysfunction. [Updated 2021 Aug 15]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK560751/ Jawed, Muzamil. and Bruno Bordoni. “Osteopathic Manipulative Treatment: Muscle Energy Procedure - Exhaled Ribs.” StatPearls, StatPearls Publishing, 19 February 2022. Rib somatic dysfunction (417242001); Costal somatic dysfunction (417242001); Somatic dysfunction of rib (417242001) https://www.ncbi.nlm.nih.gov/medgen/736159 Vemuri, Adithi. and Kiyomi K. Goto. “Osteopathic Manipulative Treatment: Counterstrain/FPR Procedure - Thoracic Vertebrae.” StatPearls, StatPearls Publishing, 15 November 2021.
Back pain for no reason that is non-specific is also known as idiopathic, meaning there is no definitive cause like a herniated disc, vehicle accident/crash, falling accident, work, school, or sports injury. An aching sore back that came out of nowhere can be baffling. However, there are reasons for pain, including age, unhealthy posture, work occupation, muscle spasms, lifestyle habits, family medical history, and viscerosomatic reflexes. Back Pain No Reason Individuals will trace back their steps and often find that there was no heavy lifting of packages, overdoing it working out, or bending, twisting awkwardly, but the pain is present. Age - Age is a primary cause of back pain. After the age of 20, the discs in the spine begin to dehydrate, shrink, and compress/flatten out. This can cause everyday activities to generate back strain and pain as the discs begin to slip, slide, and rub against each other. This is known as degenerative disc disease and is a process that continues as the body gets older.
Back Muscle Spasms - Muscle spasms are a common manifestation of back pain and occur when the muscles involuntarily contract. Spasms often happen from bending, heavy lifting, or other physical activities.
Lifestyle Factors Lifestyle factors can be a causation factor for back pain that comes out of nowhere. - Smoking increases the risk as nicotine increases the wear and tear on the discs as well as other organs.
- The smoke/nicotine causes the discs to age faster because it breaks down the collagen, an essential part of the discs.
- Individuals that are out of shape, overweight, and/or obese are more likely to have back pain from the added weight.
Unhealthy Posture/Mechanics - Practicing unhealthy postures will no doubt begin to cause back or some type of pain from the strain and awkward positioning placed on the muscles being used. Strains, twists, pulls, or tears can occur if repeating the same motion.
Viscerosomatic Reflex - Viscera means organ, and somatic refers to the body or musculoskeletal system. A viscerosomatic reaction happens when a pain signal from an organ is transmitted via the spinal cord, where neurons and motor structures like the muscles, blood vessels, and skin are interconnected. The body's organs can become distressed or suffer an infection/disease that causes signals to be sent that there is something wrong. However, the signal could be pain that materializes in the spine/back muscles but is not a spinal injury or condition.
Diagnosis and Treatment The first step to successfully treating back pain is scheduling an appointment with a spine specialist or chiropractor. A series of specific questions will be asked to gain insight into the underlying cause of the pain. These include: - Location of the pain
- The intensity of the pain
- Frequency of the pain
- Medical history
- Diet habits
A careful examination is necessary for the doctor to identify the reasons in any individual patient. Once the physician has learned about the symptoms and history, they can determine a possible cause and create a personalized treatment/rehabilitation plan to get the body back to optimal health. General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, or licensed physician, and is not medical advice. We encourage you to make your own healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico* References Koes, B W et al. "Diagnosis and treatment of low back pain." BMJ (Clinical research ed.) vol. 332,7555 (2006): 1430-4. doi:10.1136/bmj.332.7555.1430 Lankhorst, G J et al. "The natural history of idiopathic low back pain. A three-year follow-up study of spinal motion, pain and functional capacity." Scandinavian journal of rehabilitation medicine vol. 17,1 (1985): 1-4. https://www.niams.nih.gov/health-topics/sports-injuries Walker, Bruce F et al. "Combined chiropractic interventions for low-back pain." The Cochrane database of systematic reviews vol. 2010,4 CD005427. 14 Apr. 2010, doi:10.1002/14651858.CD005427.pub2
Healthy hips are necessary for standing, sitting, walking, running, bending, twisting, lifting, etc. Hip problems can seriously interfere with everyday activities. Out of alignment hips don’t just cause pain and soreness in the hip area but can radiate to other body areas. When the hip joint is out of alignment, the rest of the body has to start compensating for the misalignment, which can cause chronic pain in the back and/or legs. Out of Alignment Hips Discomfort and soreness begin as occasional but can quickly become regular. Individuals may also begin to limp when they walk, have a reduced range of motion in the hips, and pain that escalates with physical activity and improves with immobility/rest. Out of alignment hips can be caused by: - Lifting incorrectly
- Repetitively carrying heavy loads on one side of the body places uneven pressure on the pelvis, causing an imbalance.
- Performing repetitive motions that begin to stress the joint
- Wearing shoes that do not provide proper support
- Standing and leaning on one leg regularly
- Injury/trauma
- Physical leg length discrepancy
- Functional leg length discrepancy
- Scoliosis
Physical Leg Length Discrepancy If the legs are different lengths, this can cause the hips to go out of alignment. Using a foot wedge/foot orthotic in the shoe can remedy the situation. Functional Leg Length Discrepancy Functional leg length discrepancy is a common cause of hip misalignment, meaning that leg length is equal, but the individual is doing something to cause the hips to go out of alignment. It usually involves posture, standing, walking, sitting, lifting, and carrying improperly or awkwardly and repetitively could create functional leg length discrepancy. Scoliosis Scoliosis is only one cause of hip misalignment. It is not likely that an individual has scoliosis if they are an adult and have not previously been diagnosed with the condition. If a child has what looks like a misaligned hip, it is recommended to take them to get tested for scoliosis. Most children with the disorder will outgrow it, but they need to be monitored by a medical professional. Symptoms include: - Uneven gait
- Uneven shoulders
- Hip pain on one side
- Groin pain
- Tight buttock muscles
- Tight leg muscles
- Back pain - upper and lower
- Sciatica
- Knee pain
- Ankle pain
One of the most prominent signs that it is a hip problem is the presence of groin pain. Groin pain can radiate downward toward the buttocks, front of the thighs, and knees. The hip joint is located behind the groin; pain usually means the hip is the root cause. Chiropractic Decompression A chiropractic examination can identify uneven hips. Chiropractic and motorized spinal decompression can reset the hips to their proper position. A chiropractor will be able to rebalance the hips and help avoid invasive surgical treatments and long-term rehabilitation. General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, or licensed physician, and is not medical advice. We encourage you to make your own healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico* References Battaglia, Patrick J et al. “Posterior, Lateral, and Anterior Hip Pain Due to Musculoskeletal Origin: A Narrative Literature Review of History, Physical Examination, and Diagnostic Imaging.” Journal of chiropractic medicine vol. 15,4 (2016): 281-293. doi:10.1016/j.jcm.2016.08.004 Jones HR, Burns TM, Aminoff MJ, Pomeroy SL. Pain. Chapter: Diagnosis of Low Back, Buttock, and Hip Pain. Netter Collection of Medical Illustrations: Spinal Cord and Peripheral Motor and Sensory Systems, Section 8, 201-224. Khamis, Sam, and Eli Carmeli. “A new concept for measuring leg length discrepancy.” Journal of orthopedics vol. 14,2 276-280. 27 Mar. 2017, doi:10.1016/j.jor.2017.03.008 Miyagi, Masayuki, et al. “Hip-spine syndrome: cross-sectional-study of spinal alignment in patients with coxalgia.” Hip international: the journal of clinical and experimental research on hip pathology and therapy vol. 29,1 (2019): 21-25. doi:10.1177/1120700018803236 Nunes, Guilherme S et al. “Acute Effects of Hip Mobilization With Movement Technique on Pain and Biomechanics in Females With Patellofemoral Pain: A Randomized, Placebo-Controlled Trial.” Journal of sport rehabilitation vol. 29,6 707-715. 18 Oct. 2019, doi:10.1123/jsr.2018-0497
As the body gets older, slouching, little to no physical activity, and regular stretching cause muscle fatigue, weakness, tension, leading to poor posture complications. The complications include: - Back and neck pain
- Rounded shoulders
- Spinal dysfunction
- Joint degeneration
- Sleep problems
- Chronic pain
Posture can be improved along with overall spinal health and a better quality of life through chiropractic treatment. Chiropractic will improve posture through adjustments, postural exercise training and stretching, education on ergonomics, and nutrition to strengthen the body. Complications Poor Posture Symptoms Symptoms vary as they depend on the severity of the case and condition. - Muscle fatigue/weakness
- Body aches and soreness
- Back pain
- Rounded shoulders
- Standing and/or walking problems
- Headaches
- Potbelly
Mechanisms Poor posture leads to dysfunction and interference with the body's postural mechanisms. These include: Muscle Fibers Skeletal muscle comprises two types of muscle fiber. They are static or slow-twitch muscles and phasic or fast-twitch muscles. Static muscle fibers are found in the deeper muscle layers. Static fibers burn energy slowly and keep working without tiring. They help the body maintain posture without effort and contribute to balance by sensing the body's position and transmitting the information to the brain. Phasic muscle fibers are used for movement and activity but can quickly run out of energy. Poor posture causes muscle fatigue because the phasic fibers are used rather than the static fibers to maintain the body's proper position. Muscle Strength and Length Over time, the body constantly needs support from the phasic muscle fibers. This causes the deeper supporting muscles to waste away because they are not being used. Weak, unused muscles begin to tighten, causing a shortening of muscle length that can compact the spine's bones and cause back complications. Nervous System Feedback The deeper layers of muscle sense the body's position in space and relay this information to the brain. The brain does not receive complete transmission if the phasic muscle fibers take over this function. The brain assumes that the body needs to be propped up/corrected to counteract the poor posture effects, triggering further muscle contraction, adding to the fatigue and pain. Listening To The Body The objective is to form a habit of regularly listening to what the body is saying. Make minor adjustments while standing and sitting throughout the day/night. Often what happens is individuals become so immersed in their work, school tasks that they ignore any physical discomfort and push through and forget to change positions/move around to get the muscles moving and the blood pumping. If there is muscle tension or fatigue, don't just work through the pain; move into another healthy position. Posture Improvement Suggestions include: Strength Training As the body ages, it loses muscle mass, known as sarcopenia. Between the ages of 30 and 80, both men and women can lose 30-50 percent of their muscle strength. Decreasing strength can make it a challenge to lead an active lifestyle or have energy levels to complete the daily errands. Individuals can be reluctant to improve fitness levels through resistance workouts believing there is nothing left after years of inactivity. This is not true as anybody can strength train. With the right mindset, and health coaching team, goals can be set to: - Improve body composition
- Improve energy levels
- Maintain an active lifestyle
General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico* References Creze, Maud et al. "Posture-related stiffness mapping of paraspinal muscles." Journal of anatomy vol. 234,6 (2019): 787-799. doi:10.1111/joa.12978 Deliagina, Tatiana G et al. "Physiological and circuit mechanisms of postural control." Current opinion in neurobiology vol. 22,4 (2012): 646-52. doi:10.1016/j.conb.2012.03.002 Korakakis, Vasileios et al. "Physiotherapist perceptions of optimal sitting and standing posture." Musculoskeletal Science & practice vol. 39 (2019): 24-31. doi:10.1016/j.msksp.2018.11.004 Pollock, A S et al. "What is balance?." Clinical rehabilitation vol. 14,4 (2000): 402-6. doi:10.1191/0269215500cr342oa Waters, Thomas R, and Robert B Dick. "Evidence of health risks associated with prolonged standing at work and intervention effectiveness." Rehabilitation nursing: the official journal of the Association of Rehabilitation Nurses vol. 40,3 (2015): 148-65. doi:10.1002/rnj.166
Improving posture can be challenging. Poor posture is often the source of various musculoskeletal issues like chronic pain throughout the body. Poor posture can be so ingrained in the brain that it becomes an unconscious positioning reflex that feels right but could be worsening spinal, hip, and leg problems. The Alexander Technique could be a treatment option that could help long-term. Alexander Technique The approach focuses on learning mind-body awareness. It is an educational process to teach individuals to become aware of their body positioning and change unhealthy posture/movement habits into healthy ones. The objective is learning to utilize sufficient levels of muscle tension for everyday activities, like sitting, standing up, and walking in a healthy way to maintain optimal health of the musculoskeletal system. - The theory is that less tension minimizes wear and tear on the muscles and structures of the spine vulnerable to compression.
- The fundamental goal of the Alexander Technique is to undo all the unhealthy tension habits to decompress the spine and retrain the mind and body to approach movement and body positioning in a new and healthy way.
Teachings The technique can be done in a class setting or one-on-one teaching because everyone's postural and movement habits are unique. A teacher helps identify the tension-inducing postures and educates the individual on how to correct them. Human touch is an integral part of the Alexander Technique. Using their hands gently to adjust the individual to a proper upright position, a teacher helps release pressure from the head, neck, shoulders, and upper back. The individual learns to release the tension throughout their body. The Alexander Technique is a type of hands-on therapy; it is not manipulation or massage. It uses a light touch with no risk of injury to the spine, allowing anyone to participate. However, individuals must be willing to participate/engage in the process to get the benefits. Most individuals can tell if it's right for them during the first lesson. A typical program teaches: - Comfortably sitting up straight.
- Reducing overuse of superficial musculature.
- Increasing proprioceptive awareness.
- Staying alert to the body's warning of tension and compression.
Tension Build Up Individuals usually don't even realize they're constantly placing pressure on their spine from unhealthy postural habits, building up muscular tension they never knew they created. For example, unhealthy neck position habits include: - Pushing the head forward
- Slumping over
- Pinning the shoulders back
- These postures generate/build pressure and tension that radiates outward and down to the large muscles of the spine.
- Habitual downward pressure can pull and change the spine's shape, leading to degenerative forms of spinal deformity in severe cases.
- When the tension is released, the neck and body begin to stand upright comfortably, without pulling down or pulling back.
Frederick Matthias Alexander Developed the technique in the 1890s to help his muscle tension problems affecting his acting career. When performing, he would stiffen his neck and pull his head back and up, building tension that caused him to tighten his throat and lose his voice. He did not know he was doing this until he performed in front of a mirror and saw his awkward positioning. He realized this and retrained himself to pose naturally, stay relaxed, and be aware of any tension building in the muscles to release it immediately. Alexander Technique educators/practitioners practice all over the world. The American Society for the Alexander Technique or AmSAT website has a Find A Teacher Tool that connects individuals to AmSAT-approved teachers. Practicing Mindfulness Developing a mindfulness practice can help identify triggers of negative behavior or thoughts. Just like diet and exercise, practicing mindfulness is unique to everyone. It is recommended to try different things like: - Journaling is another way to tune into oneself. Grab a pen and paper, a computer, tablet, or phone, and take a few minutes to write every day.
- Write one thing that makes you happy.
- One thing you want to improve.
- One goal you want to accomplish that day or that week.
Mindful music listening can help reduce stress by allowing the individual to focus their attention when their mind is going in all directions. - Instead of turning to the news or email when waking up, grab a cup of coffee or tea and listen to a favorite podcast or music.
- Put the phone away and listen to your mind and self.
Try to meditate in the morning when waking up. This helps set the day's goals/plans. Goal-setting mindfulness has been shown to reduce stress levels and anxiety. However, if the morning is not possible then at night before bed can be used to reflect on the day's activities, what went well, what didn't, how to improve something, whatever the case, the point is to make time for yourself to reflect, set goals, and develop a plan to achieve those goals. General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico* References Becker, Jordan J et al. "Preliminary evidence for feasibility, efficacy, and mechanisms of Alexander technique group classes for chronic neck pain." Complementary therapies in medicine vol. 39 (2018): 80-86. doi:10.1016/j.ctim.2018.05.012 Cacciatore et al., Improvement in automatic postural coordination following Alexander technique lessons in a person with low back pain. Physical Therapy Journal, 2005; 85:565-578. Accessed January 5, 2011 Chin, Brian et al. "Psychological mechanisms driving stress resilience in mindfulness training: A randomized controlled trial." Health psychology: official journal of the Division of Health Psychology, American Psychological Association vol. 38,8 (2019): 759-768. doi:10.1037/hea0000763 Little P, Lewith G, Webley F, et al. Randomised controlled trial of Alexander technique lessons, exercise, and massage (ATEAM) for chronic and recurrent back pain. The BMJ. 2008;337:a884. doi: https://doi.org/10.1136/bmj.a884. Paolucci, Teresa et al. "Chronic low back pain and postural rehabilitation exercise: a literature review." Journal of pain research vol. 12 95-107. December 20 2018, doi:10.2147/JPR.S171729
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Unhealthy posture and slouching incorrectly position the body unnaturally, adding chronic strain on the muscles and ligaments. For example, when sitting or standing at a workstation, individuals start to relax by slumping forward because it feels comfortable; however, they don't realize that their shoulders are hunching over, and their neck is in an awkward forward position. For every inch the head moves forward, its weight on the neck and upper back muscles increases by 10 pounds. Individuals that stay in this position for a long time often experience neck soreness, tension in the shoulder muscles, and low back discomfort. Chiropractic care, massage, and decompression therapy can realign the spine to its natural position and train individuals to maintain a healthy posture. Slouching Posture is the body's position in space, the relationship of the body's parts, head, torso, and limbs to each other. Maintaining the natural lumbar curve in the low back is essential to preventing posture-related discomfort symptoms. This natural curve works as a shock absorber, helping to distribute weight along the length of the spine. The most common causes for slouching posture are: - Repetitive motions or tasks can cause physical and mental fatigue, causing individuals to relax their core muscles.
- Combined with the repetitiveness, individuals also begin implementing unhealthy movements because it makes the job easier.
- Often individuals want to finish their work tasks, and even though they can feel their muscles and body stiffening and tightening up, they continue to work through the discomfort and don't take a quick break to move around and stretch.
- Stressful situations can cause muscle tension.
- Carrying heavy bags, purses, backpacks, etc.
- Weight fluctuation.
- Pregnancy.
Spine - Muscles move the skeletal system and provide resistance against movement.
- The musculoskeletal system comprises soft tissue structures that provide active and passive spinal stabilization.
- The spine has natural curves to distribute weight/loads evenly.
- The cervical and lumbar spine have a lordosis or forward curve.
- The thoracic spine and sacrum have a kyphosis or backward curve.
- They help to mitigate the forces exerted on passive stabilizing structures like the ligaments, joint capsules, and intervertebral discs.
A prolonged seated or standing position fatigues the muscles that stabilize the spine from the forces of gravity and body weight. When the tired muscles no longer provide stability, the spine must rely on the passive structures of the musculoskeletal system for support. Without the support, the spine gradually loses its natural cervical and lumbar curves and becomes more kyphotic or slouched. Slouching can provide relaxation and relief to the fatigued muscles; however, repetitive or prolonged stress to the passive structures can result in discomfort and injury to those tissues. This is how nerve compression, ligament inflammation, and disc herniations start. Symptoms of Unhealthy Posture - Head that leans forward or backward.
- Headaches.
- Jaw pain.
- Poor circulation.
- Rounded shoulders.
- A decline in breathing efficiency.
- Muscle fatigue - Certain muscles can change in length, becoming short and tense or long and weak.
- Body soreness and tightness.
- Back discomfort symptoms.
- Bent knees when standing or walking.
- Sleep problems.
- Potbelly.
Healthy Posture The advantages of practicing healthy posture include the following: - Prevents abnormal wear on the joints.
- It Lessens stress on the ligaments.
- Prevents muscle strain and fatigue.
- Prevents the spine from becoming misaligned.
- Prevents back aches and soreness.
- Reduces the risk of chronic diseases or conditions.
- Helps maintain fitness and overall health.
Chiropractic Realignment Our approach starts by correcting the physical problems caused by slouching, which involves chiropractic adjustments, therapeutic massage, and non-surgical decompression therapy. The objective is to fix the root cause to ensure that the treatment lasts and maintains neuromusculoskeletal health. Examination - The initial assessment looks at an individual's posture and a physical evaluation to identify the root cause.
- When muscles become weak, over or underused, or suffer injury, others tighten or tense up.
- A chiropractor looks at how an individual stands from behind and from the sides, noting issues like uneven shoulders, arched back, twisted pelvis, or other symmetry issues.
Treatment - Massage will increase circulation and reduce tension.
- Muscle release and relaxation for any overactive muscles.
- A chiropractor will perform slow joint movements.
- Targeted stretches and strength exercises will correct imbalances, maintain flexibility, and strengthen the core muscles.
- Postural training will help individuals learn to use proper body mechanics and to listen to their bodies.
General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, don't hesitate to get in touch with Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico* References Defloor, T, and M H Grypdonck. "Sitting posture and prevention of pressure ulcers." Applied nursing research: ANR vol. 12,3 (1999): 136-42. doi:10.1016/s0897-1897(99)80045-7 Fortner, Miles O et al. "Treating 'slouchy' (hyperkyphosis) posture with chiropractic biophysics®: a case report utilizing a multimodal mirror image® rehabilitation program." Journal of physical therapy science vol. 29,8 (2017): 1475-1480. doi:10.1589/jpts.29.1475 Katzman, Wendy B et al. "Age-related hyperkyphosis: its causes, consequences, and management." The Journal of orthopedic and sports physical therapy vol. 40,6 (2010): 352-60. doi:10.2519/jospt.2010.3099 Korakakis, Vasileios, et al. "Physiotherapist perceptions of optimal sitting and standing posture." Musculoskeletal science & practice vol. 39 (2019): 24-31. doi:10.1016/j.msksp.2018.11.004 Snijders, Chris J et al. "Effects of slouching and muscle contraction on the strain of the iliolumbar ligament." Manual therapy vol. 13,4 (2008): 325-33. doi:10.1016/j.math.2007.03.001 Yoong, Nicole Kah Mun et al. "Commercial Postural Devices: A Review." Sensors (Basel, Switzerland) vol. 19,23 5128. 23 Nov. 2019, doi:10.3390/s19235128
Healthy Posture Guidelines: Posture is how an individual holds their body. Healthy posture is when minimal stress is applied to the joints. Maintaining and holding your body correctly can prevent pain, injuries, and other health problems. Faulty postures and musculoskeletal imbalances often precipitate painful conditions in the spine and extremities. However, unhealthy postures do not always present with discomfort and pain symptoms that can go unnoticed for years. This leads to chronic stress and advanced wear of the joints. Injury Medical Chiropractic and Functional Medicine Clinic can realign the spine, relieve symptoms, and restore flexibility, mobility, and function. Healthy Posture Guidelines There are two types of posture: Dynamic Posture - This posture is when the body moves, like walking, running, or bending to pick up something.
Static Posture - This posture is when the body is not moving, like sitting, standing, or sleeping.
Both are important, and the key is the spine's position. The spine has three natural curves: neck, mid, and low back. Correct posture maintains the curves with the head above the shoulders, and the top of the shoulder should be over the hips. Unhealthy Positioning Postural faults include: - Forward head positioning
- Rounded shoulders
- Loss of the normal lordosis curve in the lower back.
Early warning signs of postural problems may include: - The inability to sit or stand for a prolonged period.
- Stiffness when getting up from a chair after sitting.
- Feeling of physical exhaustion at the end of the day.
- Muscle imbalances.
- Loss of normal flexibility.
- Symptoms of discomfort.
Affected Health Unhealthy posture can affect overall health and includes: - Misaligned musculoskeletal system.
- Decreased flexibility.
- Neck, shoulder, and back pain.
- The advanced wearing down of the spine making it more fragile and susceptible to injury.
- Affected joint movement.
- Affected balance.
- Increased risk of falling.
- Digestion problems.
- Potential breathing problems.
Improvements Be mindful of your posture during everyday activities, like walking, watching tv, washing dishes, etc. Maintain Physical Activity - Certain exercises like yoga, tai chi, and other classes focusing on body awareness can help develop healthy posture habits.
- Exercises that strengthen the core muscles around the back, abdomen, and pelvis.
Maintain Healthy Weight - Extra weight can weaken the abdominal muscles, cause problems for the pelvis and spine, and contribute to back pain.
Wear Comfortable Shoes - High heels, for example, can throw off the body's balance and force unhealthy walking movements.
- This puts added stress on the muscles and affects posture.
Proper Height - Make sure workstations are at a comfortable height, whether sitting in front of a computer, making dinner, or eating.
Chiropractic Care Chiropractors and physical massage therapists specialize in evaluating and treating musculoskeletal dysfunction and identifying and screening for postural dysfunction. Healthy posture can have an immediate effect on health that include: - Proper alignment of bones and joints.
- Reduced wear on the muscles and joints.
- Reduced stress on ligaments.
- Decreased risk of back injury.
- Increased energy.
- Improved digestion.
A chiropractic team will massage and relax the muscles reducing tension, adjust and realign the spine, increase joint movement, and ease the individual into a healthy posture. The team will also provide careful rehabilitation exercises and nutritional recommendations to maintain a healthy posture. General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please get in touch with Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico* References Carini, Francesco, et al. “posture and posturology, anatomical and physiological profiles: overview and current state of the art.”Acta bio-medica : Atenei Parmensis vol. 88,1 11-16. 28 Apr. 2017, doi:10.23750/abm.v88i1.5309 Creze, Maud, et al. “posture-related stiffness mapping of paraspinal muscles.”Journal of anatomy vol. 234,6 (2019): 787-799. doi:10.1111/joa.12978 Korakakis, Vasileios, et al. “physiotherapist perceptions of optimal sitting and standing posture.”Musculoskeletal science & practice vol. 39 (2019): 24-31. doi:10.1016/j.msksp.2018.11.004 https://newsinhealth.nih.gov/2017/08/getting-it-straight
Introduction The body’s pelvic region has many functions crucial for functionality with the host. The various muscles surrounding the pelvis help provide stability to the body’s core, allow circulation to the heart in the cardiovascular system, support the reproductive and abdominal organs, and much more the body requires. The pelvic joints’ various muscles also allow hip mobility and function for the lower body extremities. When traumatic injuries or abnormal activities start to affect the pelvic floor muscles, the various issues can affect the functionality of the pelvic region and cause problems in bladder control for both the male and female bodies. Many of these issues correlate with trigger points surrounding or on the pelvic floor muscles that can affect how the vital organs operate in the body. Today’s article examines the pelvic floor muscles, how trigger points correlate with pelvic pain, and managing pelvic pain is associated with trigger points. We refer patients to certified providers who incorporate multiple techniques in the lower body extremities, like pelvic pain treatments related to trigger points, to aid individuals dealing with pain symptoms along the pelvic floor muscles near and surrounding the pelvis. We encourage and appreciate patients by referring them to our associated medical providers based on their diagnosis, especially when it is appropriate. We understand that education is an excellent solution to asking our providers complex questions at the patient’s request. Dr. Jimenez, D.C., utilizes this information as an educational service only. Disclaimer What Are The Pelvic Floor Muscles? Have you been experiencing bladder issues that constantly make you go to the bathroom? Have you been dealing with severe cramps that mimic sciatica pain? Or does it hurt when you are sitting down? Many of these issues correlate with muscle pain associated with trigger point pain along the pelvic floor muscles. The pelvic floor muscles are a unique anatomical body location with a balance of different pressures (visceral, muscular, or liquid) that play a fundamental role in the body’s lower extremities. The pelvic floor muscles have four divided compartments but have different parts and functions to allow optimal bodily function. The four pelvic floor compartments include: - Anterior or urinary (bladder)
- Medium or genital (uterus in women, prostate in men)
- Posterior or anterior (anus, anal cavity, and rectum)
- Peritoneal (endopelvic fascia and perineal membrane)
Some of the functions that the pelvic floor muscles allow the body to perform properly include proper contraction for sexual function, allowing respiration in the abdominal organs, maintaining bodily fluid actions like going to the restroom, and maintaining good posture by working together with the thoracolumbar and lumbosacral columns of the spine. Studies reveal that the spine’s autonomic nerves, which include the sympathetic and parasympathetic, help supply the posterior and anterior compartments in the pelvic floor. When traumatic factors affect the pelvic floor muscles, it can lead to correlating issues regarding trigger points in the pelvic muscles. General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico*
Introduction The body’s lower extremities have a very important role as it helps support the upper body’s weight and provide stability to the lower body. The lower half of the body consists of the lower abdominals, hips, pelvic, and buttock regions, which have various muscles surrounding the lumbar and pelvic areas of the spine. These muscles help protect the lower vital organs and work with the central nervous system to utilize the sensory-motor function of the legs and feet. When normal factors like prolonged sitting or standing begin to affect the lower body, it can cause referred pain to travel down to the legs and push the lower extremities to develop symptoms associated with trigger points on the lower torso. Today’s article looks at the lower torso, how trigger points affect the lower torso, and therapeutic ways to manage trigger points in the lower torso. We refer patients to certified providers who incorporate various techniques in more inadequate body pain treatments related to trigger points to aid people suffering from pain-like symptoms along the lower torso muscles along the body’s lower extremities. We encourage and appreciate patients by referring them to our associated medical providers based on their diagnosis, especially when it is appropriate. We understand that education is an excellent solution to asking our providers complex questions at the patient’s request. Dr. Jimenez, D.C., utilizes this information as an educational service only. Disclaimer What Is The Lower Torso? Have you been feeling stiffness around your hips lately? Have you noticed that you are leaning forward constantly, causing strain on your lower back? Or have you been experiencing pain in one location in your lower half? When dealing with these issues in the lower half of the body, it could correlate with somato-visceral symptoms associated with trigger points in the lower torso. The lower torso of the human body, or the lower abdominals, is defined as the anterior region of the trunk between the thoracic diaphragm and serves as the cavity to house the digestive, urinary, endocrine, and parts of the reproductive system. The lower torso has various muscles and nerves that surround the lower back, the hips, the pelvis, and the buttock region of the body that stabilizes the legs when in motion and supports the upper body. The muscles in the lower torso also surround the lumbar and pelvic areas of the spine to protect the joints and vertebrae from becoming dysfunctional. When issues begin to rise and affect the lower torso, it can lead to overlapping problems affecting the body’s lower extremities. How Do Trigger Points Affect The Lower Torso? Some of the issues affecting the lower torso that most people don’t realize are that prolonged sitting or standing can cause problems to the legs, hips, pelvis, and feet. This causes the blood supply to pool into the legs and feet, thus causing swelling and muscle weakness in the lower torso muscles. Another issue is when the lower torso has been through a traumatic event that can cause the affected muscles to develop tiny nodules known as trigger points to cause problems in the lower back, hips, pelvis, and buttock region of the body. Studies reveal that trigger points are often characterized by pain causing a limited range of motion in the joints while causing muscular contracture and mimicking other chronic conditions affecting the muscles. When trigger points affect the muscles in the lower torso, “Myofascial Pain and Dysfunction,” written by Dr. Janet Travell, M.D., pain associated with movement can cause tingling or electric sensations down to the lower extremities causing somato-visceral referred pain to the lower torso. Since the nerve roots from the spinal cord branch out to the various muscles and become irritated, causing referred pain to different areas of the lower extremities. General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico*
Introduction The upper back is part of the thoracic region of the spine, surrounded by various muscles that protect the thoracic joints and help assist with respiratory functionality for the lungs. The upper back muscles consist of the rhomboids and the trapezoid muscles that provide functionality to the scapula or shoulder blades. Other superficial muscles offer assistance to the thoracic spine. The serratus posterior muscle is one of the superficial muscles that helps the thoracic spine and, like all superficial muscles, can succumb to injuries that can lead to the development of overlapping referred pain symptoms known as trigger points. Today’s article focuses on the serratus posterior muscle function in the back, how trigger points are causing upper back pain, and various techniques to manage trigger points in the upper back. We refer patients to certified providers who are diverse in upper back pain therapies to aid many people suffering from myofascial pain syndrome or trigger points associated with the serratus posterior muscle along the upper back. We advised patients by referring them to our associated medical providers based on their examination when appropriate. We indicate that education is a great solution to asking our providers profound and complex questions at the patient’s request. Dr. Alex Jimenez, D.C., notes this information as an educational service only. Disclaimer The Serratus Posterior Muscle Function In The Back Have you been dealing with constant upper back pain? Do you feel soreness at the base of your neck? Or are you having difficulty breathing? Most of the symptoms cause pain in the serratus posterior muscles that can lead to the development of myofascial pain syndrome or trigger points along the upper back. The serratus posterior has various roles in the upper back as it is not only part of the extrinsic muscles but also part of the accessory breathing muscle. The serratus posterior muscle helps with inspiration, which causes the chest cavity to expand as it is a superficial muscle attached to the ribs and is less commonly known. Studies show that the serratus posterior muscle is deep within the rhomboid muscles and is superficial. Even though this muscle is superficial when it has been overused through various activities, that can cause hypertrophy in the accessory respiratory muscles. Additional studies reveal that the serratus posterior superior muscle is considered clinically insignificant but has been impaired by myofascial pain syndrome or trigger points that can lead to upper back pain. Trigger Points Causing Upper Back Pain As stated earlier, the upper back is part of the thoracic region of the spine, and when various factors begin to affect the body, the back muscles tend to be involved. Studies reveal numerous sources of spinal pain in the thoracic spine. One is a myofascial pain syndrome affecting the serratus posterior muscles causing referred upper back pain. Myofascial pain syndrome or trigger points can be activated when the serratus posterior muscle is overloaded from thoracic respiratory issues like coughing due to pneumonia, asthma, or chronic emphysema. When respiratory problems affect the muscles in the thoracic region of the back, it leads to the development of trigger points, leading to overlapping issues like referred pain, motor dysfunction, and autonomic phenomena. According to Dr. Travell, M.D., in the upper back, trigger points can make the serratus posterior muscle cause overlapping risk profiles along the shoulder blades and have referred pain travel to the hands. This can make many individuals suffer from serious pain-like symptoms, causing them to be miserable. General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico*
The Adams forward bend test is a simple screening method that can help with scoliosis diagnosis and help in developing a treatment plan. The exam is named after the English physician William Adams. As part of an examination, a doctor or chiropractor will look for an abnormal side-to-side bend in the spine. Scoliosis Diagnosis - The Adams forward-bend test can help determine if there are indicators for scoliosis.
- It is not an official diagnosis, but the results can be used as a starting point.
- The test is done with school-age children between 10 and 18 to detect adolescent idiopathic scoliosis or AIS.
- A positive test is a noticeable asymmetry in the ribs with a forward bend.
- It can detect scoliosis in any part of the spine, especially in the thoracic middle and upper back.
- The test is not only for kids; scoliosis can develop at any age, so it is also effective for adults.
Adams Forward Bend Test The test is quick, easy, and painless. - The examiner will check to see if anything is uneven when standing straight,
- Then the patient will be asked to bend forward.
- The patient is asked to stand with their legs together, facing away from the examiner.
- Then patients bend forward from the waist, with arms hanging vertically downward.
- The examiner uses a scoliometer-like level to detect asymmetries within the spine.
- Deviations are called the Cobb angle.
The Adams test will reveal signs of scoliosis and/or other potential deformities like: - Uneven shoulders
- Uneven hips
- Lack of symmetry between the vertebrae or the shoulder blades.
- The head does not line up with a rib hump or the pelvis.
Detection of Other Spinal Issues The test can also be used to find spinal curvature issues and conditions like: - Kyphosis or hunchback, where the upper back is bent forward.
- Scheuermann's disease is a form of kyphosis where the thoracic vertebrae can grow unevenly during a growth spurt and cause the vertebrae to develop into a wedge-like shape.
- Congenital spine conditions that cause an abnormal curve of the spine.
Confirmation The Adams test by itself is not enough to confirm scoliosis. - A standing X-ray with Cobb angle measurements above 10 degrees is required for diagnosing scoliosis.
- The Cobb angle determines which vertebrae are tilted the most.
- The higher the angle, the more severe the condition and the more probable it will produce symptoms.
- Computed tomography or CT and magnetic resonance imaging or MRI scans can also be used.
General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make your own healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico* References Glavaš, Josipa et al. "The role of school medicine in the early detection and management of adolescent idiopathic scoliosis." Wiener klinische Wochenschrift, 1–9. 4 Oct. 2022, doi:10.1007/s00508-022-02092-1 Grossman, T W et al. "An evaluation of the Adams forward bend test and the scoliometer in a scoliosis school screening setting." Journal of pediatric orthopedics vol. 15,4 (1995): 535-8. doi:10.1097/01241398-199507000-00025 Letts, M et al. "Computerized ultrasonic digitization in the measurement of spinal curvature." Spine vol. 13,10 (1988): 1106-10. doi:10.1097/00007632-198810000-00009 Senkoylu, Alpaslan, et al. "A simple method for assessing rotational flexibility in adolescent idiopathic scoliosis: modified Adam's forward bending test." Spine deformity vol. 9,2 (2021): 333-339. doi:10.1007/s43390-020-00221-2
Spinal stenosis is when space somewhere along or within the spine begins to narrow, closing off the ability of normal/comfortable movement and nerve circulation. It can affect different areas, including the cervical/neck, lumbar/low back, and, less commonly, the thoracic/upper or mid-back regions causing tingling, numbness, cramping, pain, muscle weakness, or a combination in the back, leg/s, thighs, and buttocks. There can be various factors causing the stenosis; correct diagnosing is the first step, and where a spinal stenosis MRI comes in. Spinal Stenosis MRI Stenosis can be challenging to diagnose as it is more of a symptom/complication than a condition, often caused by herniated discs, bone spurs, a congenital condition, post-surgery, or after an infection. Magnetic resonance imaging/MRI is a common test used in diagnosis. Diagnosis - A healthcare professional, like a chiropractor, physical therapist, spine specialist, or physician, will begin with understanding symptoms and medical history.
- A physical exam will be conducted to learn more about the location, duration, positions, or activities that decrease or worsen the symptoms.
- Additional tests include muscle strength, gain analysis, and balance testing to help better understand where the pain is coming from.
- To confirm a diagnosis, imaging will be required to see what is going on.
- An MRI uses computer-generated imaging to produce images that show bone and soft tissues, like muscles, nerves, and tendons, and if they are compressed or irritated.
- A healthcare professional and MRI technician will go over the safety requirements before the imaging.
- Because the machine uses powerful magnets, there can be no metal on or in the body, like implanted prostheses or devices that include:
- Pacemakers
- Cochlear implants
- Medication infusion pumps
- Intrauterine contraceptives
- Neurostimulators
- Intracranial aneurysm clips
- Bone-growth stimulators
- A different imaging test may be used if an individual cannot have an MRI like a CT scan.
An MRI can range from several minutes to an hour or longer, depending on how many positions are necessary to isolate the injured area and get a clear image. The test is painless, but sometimes individuals are asked to maintain a specific position that could be uncomfortable. The technician/s will ask if there is discomfort and offer any help to make the experience as easy as possible. Treatment Not all cases of stenosis cause symptoms, but there are treatment options that a healthcare professional can recommend. - Conservative care is the first recommendation that includes chiropractic, decompression, traction, and physical therapy.
- Treatment increases muscle strength, improves range of motion, improves posture and balance, decreases discomfort symptoms, and incorporates strategies to prevent and manage symptoms.
- Prescription medications could be part of a larger treatment plan.
- Surgery could become an option in more severe cases where conservative care is not working.
General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make your own healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico* References Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet]. York (UK): Centre for Reviews and Dissemination (UK); 1995-. Diagnosis of lumbar spinal stenosis: an updated systematic review of the accuracy of diagnostic tests. 2013. Available from: https://www.ncbi.nlm.nih.gov/books/NBK142906/ Ghadimi M, Sapra A. Magnetic Resonance Imaging Contraindications. [Updated 2022 May 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK551669/ Gofur EM, Singh P. Anatomy, Back, Vertebral Canal Blood Supply. [Updated 2021 Jul 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK541083/ Lurie, Jon, and Christy Tomkins-Lane. “Management of lumbar spinal stenosis.” BMJ (Clinical research ed.) vol. 352 h6234. 4 Jan. 2016, doi:10.1136/bmj.h6234 Stuber, Kent, et al. “Chiropractic treatment of lumbar spinal stenosis: a review of the literature.” Journal of chiropractic medicine vol. 8,2 (2009): 77-85. doi:10.1016/j.jcm.2009.02.001
Practicing improper/unhealthy postures throughout the day can severely fatigue the mind and body. Children's postural health is vital to their overall health and energy levels to perform tasks, school work, and play. An unhealthy posture causes the body to lose its ability to dissipate forces evenly and correctly. Symptoms like soreness, pain, tightness, and irritability can begin to present, which is the body's way of letting the individual know something is off. When the body is in proper alignment, the spine disperses body weight correctly and efficiently. Chiropractic adjustments can effectively counter the unhealthy posture effects, and simple postural exercises can strengthen the body, increasing healthy posture habits. Children's Posture Health Healthy posture is more than simply sitting and standing up straight. It is how the body is positioned, meaning the head, spine, and shoulders, and how it moves unconsciously like a walking gait. An uneven gait or awkward body position can indicate a problem and cause long-term consequences to a child's health. Challenges Kids and children are constantly hunched, slumped, and slouched over device screens. This constant awkward positioning adds weight to the spine, increasing the pressure, which can cause issues ranging from headaches, mild neck pain, low back pain, and sciatica. Severe health effects from poor posture include: - Shoulder problems.
- Chronic pain.
- Nerve damage.
- Difficulty breathing from prolonged hunching-over.
- Spinal joint degeneration.
- Vertebral compression fractures.
Poor alignment of the muscles begins to restrict postural muscles from relaxing correctly, making the muscles stay stretched or slightly flexed, causing strain and pain. As a child's body grows, practicing unhealthy postures can drive continued awkward positioning, abnormal spine growth, and an increased risk for arthritis later in life. Chiropractic Adjustments A chiropractor will check for any imbalances, like a hunched back, one shoulder higher than the other, or a pelvic tilt/shift. Through a series of adjustments, chiropractic releases the muscles, relieves pressure on ligaments, allows the postural muscles to relax and realign to their proper position, prevents further muscle overuse, strain, abnormal joint wear, and helps reduce fatigue by conserving/utilizing energy as the muscles are functioning correctly and efficiently. Exercises Simple postural exercises can help maintain children's postural health. - Standing, spread the legs into an A shape shoulder-width apart.
- Bend and stretch to one side.
- Raise the opposite arm of the side, bending straight above the head, so the bicep touches the ear.
- Raise the arms above the head.
- Elbows bent at 90 degrees.
- Make small circles forward and backward ten times.
- Lay flat on the floor.
- Place hands next to the chest so that they are underneath the shoulders.
- Gently press the chest upward.
- Keeping the legs on the ground.
- Look straight ahead.
They only take a few minutes, but the objective is consistency. Doing the poses for one week won't immediately change unhealthy posture habits. It is developing consistent healthy postural habits that generate improvement. They should be done at least three times weekly to build strength and endurance. General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified health care professional or licensed physician and is not medical advice. We encourage you to make your own healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and directly or indirectly support our clinical scope of practice.* Our office has reasonably attempted to provide supportive citations and identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico* References Achar, Suraj, and Jarrod Yamanaka. "Back Pain in Children and Adolescents." American family physician vol. 102,1 (2020): 19-28. Baroni, Marina Pegoraro, et al. "Factors associated with scoliosis in schoolchildren: a cross-sectional population-based study." Journal of epidemiology vol. 25,3 (2015): 212-20. doi:10.2188/jea.JE20140061 da Rosa, Bruna Nichele et al. "Back Pain and Body Posture Evaluation Instrument for Children and Adolescents (BackPEI-CA): Expansion, Content Validation, and Reliability." International journal of environmental research and public health vol. 19,3 1398. 27 Jan. 2022, doi:10.3390/ijerph19031398 King, H A. "Back pain in children." Pediatric clinics of North America vol. 31,5 (1984): 1083-95. doi:10.1016/s0031-3955(16)34685-5
Introduction Pain in different body areas can excruciate the host as it can affect other regions. In the body, pain can affect the muscles, tissues, organs, and skeletal joints through environmental factors that affect the body’s systems. For example, the gut system provides the body with overall health and wellness by regulating homeostasis and metabolism, which can be affected by common factors like stress or unhealthy eating habits that can cause joint inflammation due to overproducing harmful gut bacteria. Or how about poor posture affecting the organs in the pelvic region and causing the lower back and neck muscles to have a dull ache in the body. Today’s article looks at how pelvic pain affects the somato-visceral reflexes in the body and how there are treatments for relieving pelvic pain. We refer patients to certified providers specializing in chiropractic treatments that help those with pelvic pain. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer Can my insurance cover it? Yes, it may. If you are uncertain, here is the link to all the insurance providers we cover. If you have any questions or concerns, please call Dr. Jimenez at 915-850-0900. Somatovisceral Reflexes & Pelvic Pain Have you experienced pain in your lower back or pelvic regions from sitting too long? Have you experienced bladder dysfunction that is causing you to urinate frequently? Or are you suffering from muscle cramps in the pelvic area? Studies have revealed that pelvic pain can be a chronic, persistent pain associated with co-morbidities like IBS (irritable bowel syndrome), neurological disorders, or low back pain. Pelvic pain is challenging to diagnose since it is multifactorial and shares various nerve roots that send signals to the brain. For example, individuals that suffer from pelvic pain will complain about the somatovisceral convergence affecting their reproductive organs and connective tissues. Other issues like prolonged sitting and poor posture can also affect the lumbosacral nerve root as it is being compressed, causing low back pain and pelvic organ dysfunction. The somato-visceral reflexes of the pelvic muscles can become overstretched and compress the surrounding nerve roots like the sciatic nerve and the lumbosacral nerve, causing issues of sciatica or lower back pain. Studies have also revealed that individuals who suffer from spinal cord injuries can disrupt the somatic lumbosacral nerve pathway that is responsible for coordinating bladder function to the pelvic region. These pathways can also produce different autonomic reflex responses to the various organs and somatic afferents. For example, if a female is experiencing pain in her hips or thighs from hyper-sensitive nerve roots, the brain will register that as pain in her reproductive system. Or, if the pelvic muscles are hypersensitive to the touch, something might be affecting the genital regions. General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico*
Sciatica Sleep: Poor sleep can leave the body feeling off and unable to function. Not getting the proper amount of sleep can decrease health, decrease work or school productivity, and cause burnout. If it becomes chronic, it can have serious side effects on the brain and body that include: - Chronic Fatigue
- Memory problems
- Body discomfort, pain
- Exacerbation or trigger disease
Sciatica Sleep When sleeping, certain positions/postures can place added pressure on the spine, irritating the nerve. The best sleeping positions maintain the spine's natural curve and are different for everybody. For example, many individuals sleep on their side. They do not start sleeping this way, but they end up on their side and wake up in pain to find their sciatica flaring up. Other individuals can turn on a specific side, and the symptoms fade or go away. Positions The best sleeping position for one individual may not be the best for another. A lot of this depends on the placement of the injury/pinching that can affect how certain sleep positions work, causing no symptoms, while other sleep postures generate all kinds of symptoms, especially pain. Individuals are recommended to sleep in the position that works for them, provided with the correct posture. Side Sleepers - Side sleepers are recommended to place a pillow between their knees for healthy sleep and pain avoidance results.
- A pillow between the legs helps to prevent twisting.
- A firm pillow will work or a soft pillow folded in half.
- It is also recommended to consider a small pillow under the waist to maintain the alignment between the ribs, hips, and the spine.
Back Sleepers - Back sleepers can benefit from a pillow under the knees to maintain a neutral curve of the spine.
- This keeps the legs slightly elevated helping prevent the legs from tilting the pelvis and pulling the spine out of a neutral position.
- Individuals that sleep on their back but end up on their side, are recommended to use a large pillow or body pillow placed on the side they turn on to prevent this.
Stomach Sleeping Not Recommended - Sciatic pain can become worse with sleeping on the stomach.
- Sleeping on the stomach can collapse the spine and the pelvis as there is no support underneath. This causes damage to the nerves, increasing symptoms and pain levels.
- Try to avoid sleeping on the stomach until the sciatic nerve has healed or try to train the body to sleep on the side or back.
Non-Surgical Spinal Decompression Can Help Sciatica Sleep Symptoms Non-surgical spinal decompression therapy relieves pressure on the sciatic nerve, spine, and surrounding muscles by pulling/stretching them in small increments. The decompression creates negative pressure within the discs that floods the area with an abundance of nutrients to activate and expedite the healing response. - The chiropractic physical therapy team uses motorized medical equipment with sensors linked to a computer-aided system to perform the procedure.
- The equipment is designed to adjust the pull force accordingly to prevent muscle resistance.
- The adjustable table also allows the spine to be stretched at different angles to target all areas of the back.
Relieves Pressure On The Sciatic Nerve - Decompression stretches the nerve out and increases the space around the impinged and inflamed nerve.
Pain Relief - Decompression relieves tension in tight, spasming, or injured muscles.
- Stimulates the nervous system to release the body's natural pain killers.
- Spinal tissue healing from fluids, cells, and other substances that enter the damaged tissue.
Restores Disc and Joint Alignment - Decompression realigns the joints and discs, preventing pain, inflammation, mobility/flexibility problems, and dysfunction.
Encourages Sleep - There are toxins in the body, and decompression causes these toxins to be expelled.
- This causes exhaustion because the body needs time to adjust after expelling the negative energy.
- After a short time, energy levels will return.
- The decompression relaxes the entire body which allows for more restful sleep.
General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, or licensed physician, and is not medical advice. We encourage you to make your own healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico* References Kim, Shin Hyung et al. “Risk factors associated with clinical insomnia in chronic low back pain: a retrospective analysis in a university hospital in Korea.” The Korean journal of pain vol. 28,2 (2015): 137-43. doi:10.3344/kjp.2015.28.2.137 Radwan, Ahmed, et al. “Effect of different mattress designs on promoting sleep quality, pain reduction, and spinal alignment in adults with or without back pain; a systematic review of controlled trials.” Sleep health vol. 1,4 (2015): 257-267. doi:10.1016/j.sleh.2015.08.001 Santilli, Valter, et al. “Chiropractic manipulation in the treatment of acute back pain and sciatica with disc protrusion: a randomized, double-blind clinical trial of active and simulated spinal manipulations.” The spine journal: official journal of the North American Spine Society vol. 6,2 (2006): 131-7. doi:10.1016/j.spinee.2005.08.001
Posture is the positioning of the body. There are two types of posture. Dynamic posture is how individuals position themselves when moving, like walking, running, or bending to lift an object. And static posture is how individuals position themselves when not in motion, like standing, sitting, or sleeping. Minimal stress is applied to the muscles and joints when practicing healthy posture. High-stress work and school combined with unhealthy body positions can cause health consequences to the spine, extremities, and musculoskeletal imbalances. Health Consequences Poor postures do not always present with spine or extremity pain right away. This is because individuals will feel discomfort and have the strength and mobility to correct unhealthy/awkward positions and minimize stress. However, eventually, the pain will begin to present as the muscles and joints can only take so much that the ability to correct poor positioning does not matter as there is a developing injury taking place, causing inflammation, letting the body know there is something not right. This often leads to chronic stress and the unnecessary wearing down of the joints to compensate for the unhealthy positions. Early Signs Early signs of postural problems can include: - Inability to sit or stand for a long time.
- Stiffness when rising from a chair.
- Feeling of added physical exhaustion.
Leaving the condition untreated often leads to: - Muscle imbalances.
- Loss of normal flexibility.
- Discomfort and pain present for no apparent reason.
Unhealthy Posture Symptoms Symptoms can include: - Slouching
- Rounded shoulders.
- Potbelly.
- Bent knees when standing or walking.
- Muscle fatigue.
- Aches and pains.
- Back pain.
- Headache.
Postural Structure Poor posture interferes and disrupts several of the body’s posture structures. These include: - Nervous system feedback.
- Muscle strength and length.
- The static slow-twitch muscle fibers help maintain posture without exerting too much energy and contribute to balance by sensing the body's position.
- Static muscle fibers burn energy slowly and can work for a long time without tiring.
- The fast-twitch or phasic muscle fibers are used for movement and activity. These fibers quickly use up their energy.
Because the phasic fibers have to work overtime instead of the static fibers to maintain the body's position, muscle fatigue, weakness, and pain begin to set in. Health Health consequences can include: - Misaligned musculoskeletal system.
- The advanced wearing of the spine making it fragile and prone to injury.
- Chronic pain.
- Decreased flexibility.
- Joint mobility is affected.
- Balance issues.
- Increased risk of falling.
- Difficulty digesting food.
- Difficulty breathing.
Chiropractic and Physical Therapy Chiropractors and physical therapists specialize in evaluating and treating musculoskeletal dysfunctions and disorders, identifying and screening for postural dysfunction. Chiropractic adjustments can be highly effective combined with other treatment modalities like massaging the soft tissues to improve circulation, reduce swelling inflammation, and promote healing. Spinal decompression therapy can help stretch and realign the spine to relieve back and/or leg pain. A customized exercise program will stretch and strengthen the body to maintain a healthy posture. Health coaching combined with dietary management can help with pain and inflammation and strengthen muscles and bones. General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, or licensed physician, and is not medical advice. We encourage you to make your own healthcare decisions based on your research and partnership with a qualified healthcare professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico* References American Chiropractic Association. Maintaining good posture. https://acatoday.org/content/posture-power-how-to-correct-your-body-alignment. Accessed Jan. 28, 2019. American Academy of Orthopaedic Surgeons. Spine basics. https://orthoinfo.aaos.org/en/diseases--conditions/spine-basics/. Accessed Jan. 30, 2019. Bauer BA. Chiropractic or osteopathic manipulation. In: Mayo Clinic Guide to Integrative Medicine. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2017. Muscolino JE. Posture and the gait cycle. In: Kinesiology: The Skeletal System and Muscle Function. 3rd ed. Elsevier; 2017. Wang G. Powered traction devices for intervertebral decompression: Health technology assessment update. Washington Department of Labor and Industries, June 14, 2004. Waters, Thomas R, and Robert B Dick. “Evidence of health risks associated with prolonged standing at work and intervention effectiveness.” Rehabilitation nursing: the official journal of the Association of Rehabilitation Nurses vol. 40,3 (2015): 148-65. doi:10.1002/rnj.166
For older individuals, experiencing frequent low back pain could turn out to be a sacral fracture. They tend to occur in individuals over the age of 60 often because there has been a degree of bone loss. Sacral fractures tend not to be the first thing doctors think of when low back pain symptoms are presenting. They are often not picked up on X-rays and are either not diagnosed early enough to take steps or not diagnosed at all. However, they are common. Sacrum The sacrum is shaped like a triangle and comprises five segments fused into one large bone. It sits at the base of the spine, between the two halves of the pelvis, connecting the spine to the lower half of the body. It stabilizes the body when walking, sitting, or standing. The nerves in the lower spine control the bowels bladder and provide sensation to the region. - The two dimples that can be seen on individuals' backs are where the sacrum joins the hipbones or the sacroiliac joint.
- The point where the low back joins the sacrum can develop discomfort, soreness, and pain.
- This area experiences stress from bending, twisting, reaching, lifting, carrying during physical activities or sitting for long periods.
Sacral Fracture Most sacral fractures result from trauma, like slips, falls, and automobile accidents. Stress fractures that happen without a specific injury are also called insufficiency fractures. Types of Sacral Fractures - Low-energy fractures usually happen to older individuals with weak bones due to osteoporosis.
- An individual trips on something, lands hard on their butt, lifts a heavy object awkwardly, or over-exerts themselves from some physical activity.
- Then persistent back or buttock pain begins to present.
- The pain is often centered in the lower back, the hips, and butt.
- It is more than just back achiness.
- The individual goes to the doctor, and X-rays are ordered.
- A lot of the time, these fractures are missed on X-rays.
- The doctor may diagnose a sprain, but the pain symptoms do not improve.
- Sometimes there is no apparent cause for the pain.
- It can be misdiagnosed as a lower back compression fracture or urinary tract infection.
- High-energy fractures are due to trauma and are more common among the young.
- The individual sustains injuries from an auto accident, has fallen from a significant height, or suffers a sports injury.
- It results in severe pain.
- A woman who has just had a baby and gone through some bone loss because of the pregnancy can experience a sacral stress fracture.
Diagnosis The most common causes for low back pain include: - Frequent improper posture.
- Muscle weakness or tightness.
- Ligament strain.
- Joint inflammation.
- A pilonidal cyst or an anal fissure can also cause pain.
For individuals that have been to a doctor and had an X-ray that reveals no fracture, and there is no improvement after 5 to 7 days, it is recommended to schedule another appointment and ask for a CAT scan or MRI, which is highly effective at finding a sacral fracture. Treatment Treatment consists of resting the bone but still being safely active in most cases. - Medication is prescribed for pain relief.
- Many individuals have been found to do well with anti-inflammatory medications, topical medications, and lidocaine patches.
- Older individuals may be recommended to use a walker during the treatment/healing process.
- Depending on the severity, crutches may be recommended.
- Engaging in regular exercise is not recommended, but too much bed rest is also not recommended.
- Too much rest may not allow the injury to heal correctly, worsen the injury, and/or cause new injuries.
- Chiropractic and physical therapy are not recommended to let the sacrum naturally heal.
- After the pain subsides, chiropractic and physical therapy can be implemented to maintain agility and flexibility and strengthen the pelvic and core muscles.
In some cases, if the bone does not heal correctly or some other issue, sacroplasty could be recommended. This is a minimally invasive procedure that injects bone cement into the fracture. It offers quick and long-lasting pain relief with a low percentage of complications. It is considered low risk and can be done by an interventional radiologist or spine surgeon. Prevention To minimize the risk of a sacral fracture, it is highly recommended to maintain bone strength. This consists of: Sitting Posture Adjustments Adjust Sitting Change Chair - Try a solid wooden chair if unable to use a ball or sit-stand desk.
- It will make the body sit up straight and increase proper posture.
Move Around Alarm General Disclaimer * The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN* email: coach@elpasofunctionalmedicine.com Licensed in: Texas & New Mexico* References Gibbs, Wende Nocton, and Amish Doshi. "Sacral Fractures and Sacroplasty." Neuroimaging clinics of North America vol. 29,4 (2019): 515-527. doi:10.1016/j.nic.2019.07.003 Holmes, Michael W R, et al. "Evaluating Abdominal and Lower-Back Muscle Activity While Performing Core Exercises on a Stability Ball and a Dynamic Office Chair." Human factors vol. 57,7 (2015): 1149-61. doi:10.1177/0018720815593184 Santolini, Emmanuele et al. “Sacral fractures: issues, challenges, solutions.” EFORT open reviews vol. 5,5 299-311. 5 May. 2020, doi:10.1302/2058-5241.5.190064
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