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Chiropractic Benefits: Curvature of the spine, even slight, can cause pain and postural problems. When the curve is more than 10 degrees, it is considered to be scoliosis. The primary symptom of scoliosis is a significant curvature of the spine and is the majority of cases the cause is not known. Even mild cases can cause pain and a decrease in mobility. In more advanced cases the effects of the condition are more pronounced. Chiropractic has been a regular course of therapy for many scoliosis patients and recent studies provide even more evidence that it is highly effective and that there are many benefits to using it as a treatment. Chiropractic BenefitsDetection Of Scoliosis In Early StagesTypically, slight curvatures in the spine are ignored in traditional medicine. Many times scoliosis is not diagnosed until the curvature presents significant distortion, pain, or indications of structural destruction. Chiropractic treatment enables early detection by identifying minor degrees of curvature or distortion. This essentially has the probability of detecting scoliosis at an early enough stage to halt progression of the condition or treat it before the symptoms negatively impact the patient’s mobility or quality of life. Relieve Pain And Mobility Caused by ScoliosisPain and mobility can be debilitating for the scoliosis patient. While there is no solid evidence at this time that supports chiropractic as a cure for significant scoliosis but it also has not been shown to worsen the curvatures either. However, adjustments of the spine through chiropractic treatment, both pain and mobility have been shone to improve. Studies are currently being conducted and some recent research suggests that chiropractic can significantly improve the pain and mobility caused by scoliosis, as well as help with other symptoms the patient may have. Improvement In Cobb AngleCobb angle is a term used to describe the degree of spinal deformities a patient experiences. It is broadly used to describe spinal damage due to injury or disease, but it is also commonly used to describe the curvature of a scoliosis patient’s spine. This measurement is used to track progression of the condition and determine what therapies or treatments are required. In a study published in September 2011, 28 patients were evaluated and monitored in two clinics in Michigan. All patients, ranging from age 18 to 54, had been diagnosed with scoliosis. The study involved exposing the subjects to regular, consistent multimodal chiropractic rehabilitation treatment over a period of time. Once their treatment cycle was complete, the patients were monitored or a period of 24 months. At the conclusion of the study, the patients reported improvement in pain and mobility. Additionally, the Cobb angle of each patient as well as the level of disability improved during the treatments and at the conclusion of the treatment cycle. What was most remarkable, though, was that in the subsequent follow ups, even at the end of the study 24 months later, the patients were still reporting these improvements. Current StudiesCharles A Lantz, D.C., Ph.D. of the Life Chiropractic College West in San Lorenzo, California, where he is the Director of Research, is currently involved in a research project studying the effectiveness of chiropractic for scoliosis in children. The subjects range from 9 years old to 15 years old and have been diagnosed with scoliosis at a mild to moderate level (curve is less than 25). Lantz embarked on this project to answer a need for more research on the topic. Currently, there are few formal research endeavors regarding scoliosis and chiropractic as an effective treatment. In 1994, Lantz published an article in the October issue of Chiropractic: The Journal of Chiropractic: Research and Clinical Investigation, Volume 9, Number 4. The article, titled Conservative Management of Scoliosis, stressed Lantz’s observation that more clinical trials are needed to be conducted for adults as well as adolescents with scoliosis to study and measure how chiropractic benefits scoliosis.
Back pain is a daily issue for millions of Americans, with a variety of medial issues being the culprit. The results of lower back pain on the economy as a whole are far reaching, from tons of lost work time to enormous medical costs. Maignes Syndrome is estimated to be the cause of a great deal of the instances of lower back pain. Never heard of it? Lucky you because those who are diagnosed with Maignes Syndrome suffer pain that sometimes lasts for weeks or even months, and can become quite severe. Discomfort is increased sometimes when the patient twists his torso, or lifts a heavy object. What Is Maignes Syndrome?Also called Thoracolumbar Junction Syndrome, Maignes Syndrome is a spinal disorder that is located in the nerves in the upper lumbar region of the back, causing pain to radiate along the nerves from the site. This spinal condition creates difficult to diagnose symptoms, since it often results in pain in a different part of the body than the actual source. It is believed this "condition exists because of the facet joint issues at the junction between the middle spine and lower spine.". The pain from Maignes Syndrome usually shows up in the hip, lower back, or groin. If you are experiencing lower back pain, you may suffer from Maignes Syndrome. Schedule a chiropractic visit as soon as possible, because a chiropractor benefits Maignes Syndrome sufferers in four important ways. Doctor Of Chiropractic Can……Help Correctly Diagnose ItUnfortunately, the nature of the pain and location of the condition frequently cause Maignes Syndrome to be misdiagnosed. Sacroiliac joint pain is sometimes the diagnosis they receive, which hinders proper treatment. For this reason, the patient needs to make certain they are working with an experienced chiropractor who understands the subtle differences of the two conditions. …Adjust The Area Where The Issue OriginatesIn order to minimize the symptoms of the condition, a chiropractor can administer adjustments on and around the area causing the issue, the thoracolumbar facet joints. Aligning this area correctly, and loosening the area that may have become tight from overcompensation, assists in relieving pain from Maignes Syndrome. …Offer At Home Exercises To Help With HealingFortunately, there are exercises that can aid Maignes Syndrome, both in loosening the tightness of the afflicted area, and building up the surrounding muscle strength so the body can compensate for the issue. A chiropractor who understands this spinal condition can walk you through a step-by-step exercise regimen of the types of exercises that will help your body adapt to and heal from Maignes Syndrome. …Promote Your Body's Ability To Heal ItselfChiropractic care is a broad-based approach to the body's inner function and balance. Experienced chiropractors understand that all parts fit together for overall health. A patient with Maignes Syndrome benefits from chiropractic care because of this. Your chiropractor will make a series of adjustments that help the nervous system work at optimum capacity, which promotes healing to the entire body. Attacking Maignes Syndrome directly at the site and through the body as a whole promotes faster healing and increased mobility. Individuals with Maignes Syndrome unfortunately face an uphill battle that begins with being correctly diagnosed. The complexity of the spinal condition is the primary reason to seek a professional chiropractor's opinion at the first sign of ongoing lower back pain. Once Maignes Syndrome is correctly pinpointed, the chiropractor will be able to design an in-house and at-home blend of treatment options to minimize your healing time and achieve a pain-free, fully functioning back.
"Mom, it hurts. It hurts!" Parents of children suffering from ear infections are all too familiar with this cry. Tugging at their ears, crying, and trouble sleeping are all signs of an ear infection in your little one. Children are more susceptible to ear infections than adults because of their smaller Eustachian tubes, and their less effective immune systems. Unfortunately, chronic ear infections can quickly become a painful, ongoing problem. Parents have a variety of options at their disposal to treat their child's ear infections. Drops, antibiotics, and ventilation tubes placed by surgical procedure are all commonly used treatments for chronic infections. Chiropractic care is another option available and is rapidly gaining acceptance and popularity for the effective treatment of ear infections. According to HealthyChild.com, ear infections are the reason for 35% of pediatrician visits, and ear pain is the number one reason a child visits a chiropractor. Children who suffer from recurring ear infections benefit from chiropractic care in several ways that are not available through other, more traditional forms of treatment. Here are a few of the benefits chiropractic care offer for ear infections are: Ear Infections: It Is Non-InvasiveUnlike the surgical procedure that is often used to combat ear infections by inserting tubes in the child's ears, chiropractic adjustments provide a non-invasive form of treatment. This treatment option works well because a little one's spine may be moved out of alignment from the birthing process, or from any number of spills he or she makes learning to walk, run, or navigate stairs. An experienced chiropractor can map out a treatment plan that includes gentle adjustments of the child's neck and spine. The goal is to decrease fluid build up within the ear canals that bring on ear infections and pain. It Is A Painless Option Of TreatmentThe last thing parents want in any medical treatment is to cause their child more pain. A negative experience at a doctor's office can create a fear that lasts for years to come. Children with ear infections have nothing to fear from visiting a chiropractor. During a chiropractic visit, the child will participate in adjustments that are pain free. The treatments will be able to reduce the pain in a short amount of time in many instances, and reduce the chance of dealing with another ear infection down the road. It Treats The Underlying CauseOther options of treatment may decrease the symptoms of an ear infection, but never get to the actual root issue. Chiropractic care strives to return the body in its entirety to its normal function. This is the main building block concept for chiropractic in general. By re-aligning the spine, the body as a whole can be healthier and more resistant to infection and disease. Chiropractic care helps adjust the child's body back to a normal state, thus providing a way for it to heal itself and fight off future ear (and other) infections better than simply using drops and antibiotics. If your child is susceptible to ear infections, there are steps you can take to minimize the chances of an occurrence in the first place. Frequent hand washing to prevent the spread of germs and avoiding cigarette smoke are two simple ways to combat ear infections. Chiropractic treatment continues to show promise in treating the underlying issues that cause a child to suffer from ear infections. If you are looking for a treatment that is pain free, not intimidating to the child, and an alternative to invasive surgery, enlisting the help of a chiropractor is a fantastic option. So if your child is experiencing chronic ear infections, give us a call. Our Doctor of Chiropractic is here to help!
Sitting: It's no big secret that exercise is good for you. Many articles and books have been written and studies completed on the subject of physical fitness. However, lately it's been discussed as to whether that five mile run or spin class is really enough. Is our work environment undoing any positive effort we put into staying healthy? The short answer is YES. Human bodies were not built to sit for long periods of time. Our twenty-first century workplace — working behind a desk, typing on the computer, endless video conferences — unfortunately stacks against us to keep us on our… well, not our feet. There are four harmful results on a person's body that stem from sitting at work. Sitting For Many Hours Each Day Takes A Toll On Our Backs.Working at a desk for many hours a day causes employees to stay in one position for an extended length of time. This puts a great deal of pressure on their backs. Over time, painful back problems can develop and, if left untreated, continue to worsen. Sitting Also Takes A Toll On Our Waistline.Obesity is at an all time high in the United States, and at least a good chunk of the reason is our sedentary lifestyle. Sitting for a long period (8 or more hours a day) decreases our metabolism, causing us to burn fewer calories. The time at our desks can end up packing on the pounds. Sitting Can Increase The Chance Of Developing A Life-Threatening Disease.Studies show individuals with sedentary jobs have more health problems than their active counterparts. Cardiovascular disease and Type 2 diabetes are both examples of health issues that arise more often in people who regularly sit down most of the day. Sitting Can Cause Premature Death.This may sound melodramatic, but it's true. As we talked about above, sitting for prolonged periods of time puts you at greater risk of diseases that may end up killing you. A study published in the Archives of Internal Medicine, "found people who sat for over 11 hours a day had a 40% greater risk of dying within three years from any cause than people who sat less than 4 hours a day." So, what should a sedentary office person do to improve their health and decrease the risk many hours of daily sitting causes? - Get on your feet! Schedule times during the day to stand up and walk around. If you can't remember to do it, add an alarm on your cell phone. Even a couple minutes on your feet every hour will help balance prolonged sitting.
- Learn to sit correctly. If you must sit, make certain your chair isn't causing more damage. Select a chair that is height and angle adjustable. The seat should support your lower body, and the back should fit the curves of your spine. Special bonus points go to chairs with lumbar support and that rock.
- Visit your chiropractor. Back problems brought on by a job behind a desk are not going to magically go away, and can get worse over time. Make a chiropractor appointment, get examined, and work to correct the issue.
- Invest in a standing desk. A growing trend is to turn a sitting job into a standing job. Desks that are taller have the ability to keep you on your feet longer, which will provide many health benefits in the long run.
Good health is one of our greatest assets, and it pays to protect it. By understanding the risks of a sedentary working environment, we can be proactive in increasing activity and promoting our individual fitness. If you or a loved one needs more insight on how chiropractic can guide you toward a healthier lifestyle, give us a call. We’re here to help!
Myth 1: You Only Have To Sit Up Straight.Back pain myths are like any other, however, your mom was not totally wrong; hunching can certainly be bad for your back. But the opposite is true as well. Strain can be also caused by sitting up for too long without a break. If you work make sure that your chair is at a height where your knees are at a 90-degree angle, your feet can rest flat on the ground, and you have back support. Make sure that you stand up, stretch, and take a walk several times each day to keep from becoming stiff or causing injury. Myth 2: You Need The Firmest Mattress Possible.Back pain sufferers can actually experience increased pain if their mattress is too firm since it puts more strain on heavy points like the hips and shoulders. On the other hand too soft a mattress could lack the support required to allow proper movement. In both instances, the person wakes up stiff and in pain. Studies show that a medium-firm mattress provides the right amount of support to help prevent injury. Myth 3: Back Pain Is Caused By Exercise.A poll by the North American Spine Society revealed this as the number one back pain myth. Sure, if you don't work out then try to win a competition, you could experience injury. You can help prevent back pain by preparing your body and workouts with proper warm-up and great stretching exercises. (Take a cue from professional athletes that factor stretching and warm ups in their everyday routine.) Strengthen your back by strengthen your core, through exercises focused on strengthening your stomach and back muscles as well as cardio. Myth 4: Back Pain Is An Unavoidable Side-Effect Of Getting Older.Getting older does not mean life has to be painful. While there are aches and pains that come with an aging body, staying physically healthy (see Myth #3) through exercises that keep our bodies strong, flexible and limber are a huge benefit. There are several exercise options to try, T’ai Chi, Pilates, yoga and treatment options which range from acupuncture to physical therapy to advanced treatment options both surgical and nonsurgical. Bottom line is you do not have to live with back pain. Treating Back Pain Myth 5: Back Pain Came Out Of Nowhere.Another back pain myth is sufferers often claim one wrong twist or simply bending over was the cause of their injury. But that was likely the result of several other factors. Overdoing a workout, using poor technique when lifting heavy objects, bad posture, and especially weight gain can all put strain on the spine and lead to "out of nowhere" spasms. As with more serious conditions such as joint and disk disorders a spine doctor is recommended to find the source of the pain. Myth 6: A Hot Bath Can Bring ReliefThere are few things as relaxing as a nice spa, but doing so after injuring your back may actually make your situation worse by increasing inflammation. Doctors recommend applying ice to the area for 20 minutes at a time during the first two or three times in order to reduce pain and inflammation. An exception, people who suffer from chronic pain can find relief taking a warm bath. Play it safe and check with your doctor for the best treatment. Myth 7: If I See A Doctor, I'll Probably Have Surgery.Most people will experience some level of back pain in their lifetime, but the overwhelming majority will find relief through modifications such as over the counter anti-inflammatory medicines, exercise, physical therapy, or even just by waiting it out. In actuality, spine surgery is recommended for a small percentage of patients and until all other treatment methods have been tried. These patients often suffer from degenerative spine or joint problems that cause pain that is chronic. Whether you understand the origin of your pain or not, a fear of surgery shouldn't prevent you from seeking medical help.
Is Your Mobility Slipping Away ?
Mobility is more than moving from one place to another. It’s freedom and independence.
Whether you have a back or other condition that impacts how you walk, or your body doesn’t move as effortlessly as it once did, decreased mobility impacts a lot of people. But, if you notice changes early on, you and your doctor may be able to work on a plan to keep you moving comfortably for longer.
To see some red flags that may signal a decline in healthy mobility. Do any sound familiar?
Short Walks Become Long Walks
How do you feel after walking a quarter of a mile? Is it painful or taxing on your body?
Unless you have a spine condition or other disease that limits your ability to walk, you should be able to walk your entire life. If it’s challenging to complete short walks, that’s a red flag your mobility is at risk.
Changes In Gait
It’s not just walking distance that foreshadows a decline in mobility—how you walk is just as revealing.
Gait is the medical term for how you walk. While gait changes are a typical part of aging, some gait characteristics aren’t normal. For example: If you walk in a shuffling, unsteady, or cautious manner, you should see your doctor. He or she will help assess your gait and hopefully find the reason for it and ways to improve your movement.
Your “Get Up & Go” Is A Bit Slow
Another way to test your mobility is by doing the “get up and go” test.
You’ll need a friend to time you during this task. First, start by sitting in a chair. When your friend says “go,” get up and walk 10 feet in a straight line, then turn around and walk back to the chair and sit down. Most people who have healthy mobility can complete the exercise in 10 seconds or less.
While speed is an important part of this exercise, think about how you feel afterward. Do you feel any pain in your back muscles or in your legs or joints? If so, you should talk to your doctor to find ways to ease these movements’ impact on your quality of life.
Golf & Chiropractic Care
Daily Tasks Aren’t So Routine
Is cooking a meal or taking a shower an ordeal when it used to be just a typical part of your day? Do you have work-arounds for tasks that were once easy?
One can overlook how a once simple part of your daily routine has slowly morphed into a challenging task. You may adjust your lifestyle to accommodate a decline in mobility (like putting a seat in the shower), but that’s a sign it’s time to see your doctor.
Your doctor can get to the bottom of your movement problems and suggest ways to help, such as using an assistive device, like a cane or walker, so you can move easier.
You Don’t Travel Far From Home
This isn’t about getting on a plane—you don’t travel to the other side of town. Avoiding going away from home, even if it’s a grocery store a few miles from your house, could be a sign your ability to move is declining.
Think about it: Running errands across town for an hour or two takes physical endurance. If you feel mentally and physically exhausted over the thought of completing a few errands, that’s a red flag your mobility health is at risk.
The Best Way To Improve Mobility
Want to keep walking well into your later years? The answer is simple: Stay active.
Physical activity is excellent for your heart, lungs, muscles, and spine, and helps preserve your independence. It’s never too late to start exercising.
Caring for your mobility is essential—not just for spine health but for your total health.
Doctor of Chiropractic, Dr. Alexander Jimenez reveals what the popping sound is during a spinal adjustment.
Chiropractic Care & Back Pain
Has this happened to you? You are at the chiropractor getting treatment for your own back pain, and during a spinal adjustment, a sizable popping sound is heard by you. It seems somewhat alarming, does not it? Rest assured, though: That pop within a chiropractic spinal adjustment is totally ordinary.
During a back adjustment, your back experiences rapid, mild stretching of the spinal joint, which means you may hear a snapping or popping sound. This really is brought on by little pockets of air or bubbles, which are in the fluid that surrounds your joints. When joint tissues are extended throughout a chiropractic adjustment, the pockets of atmosphere “pop,” which creates that cracking sound you hear.
Following this treatment, you could feel in your back for more movement. But, the muscles may still be raw and tight.
Your chiropractor might also incorporate other chiropractic care treatments like muscle therapy. You must notice more back pain relief with each session.
Your chiropractor could also advocate preventive care, including specific exercises, and he/she might give you ergonomic tips on the best way to accurately bend and lift, in addition to how to take good care of your back while at your desk (if you work in a office). Doing specific exercises and maintaining good posture might help keep movement that is healthy in your back.
Is Chiropractic Care Right For You?
It is crucial that you consider that chiropractic care is not a cure all for all conditions that are back. Some backbone conditions that cause back pain may require a combination of treatments, or other treatments, for example surgery and drugs.
But in the event you have a condition that causes pain back and you need to test a non-operative treatment, chiropractic care can be an excellent treatment choice for you personally. But remember, you need to not be alarmed by a popping noise during a spinal adjustment—it’s ordinary in chiropractic care.
Doctor of Chiropractic, Dr. Alex Jimenez examines Tiger Woods’ and his latest back surgery.
We have a look at Tiger Woods’ extensive history of injuries during his career. USA TODAY Sports
Tiger Woods Won’t Be Back For Some Time
Woods, that has made just three starts in a couple of years, likely won’t play again this year after he’d his back surgery that is fourth in Texas. The latest procedure alleviated pain in his back and leg, Woods announced on his web site Thursday.
That I’m confident this will relieve my back spasms and pain, and The operation went well,” Woods said in a statement. When fixed, “, I anticipate playing with my kids getting back to a normal life, competing in professional golf and living without the pain I’ve been fighting so long.”
Woods, who also has had four surgeries on his left knee, first had surgery on his back and then had two procedures in the autumn of 2015.
According to his statement, a disc in Woods back seriously narrowed because of causing sciatica, the three surgeries and severe back and leg pain. During the recent operation, the damaged disc was removed and the collapsed disc space was elevated to levels that were regular. The goal is to relieve the pressure on the nerve, the statement said. The procedure was performed by Dr. Richard Guyer of the Centre for Disc Replacement at the Texas Back Institute.
A Look At Tiger Woods’ Injury History
Tiger Woods Video
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About playing on Champions Tour, Tiger Woods jokes around
Woods, 41, last played in February, where he shot a birdie-free 77 in the very first round before removing. Where he missed the cut his only other start was in the Farmers Insurance Open the week prior.
His only appearance on the golf course in 2016 arrived at the Hero World Challenge in December. While he finished 15th in the 17-man field, he tied for the tournament lead in birdies (24), seemed healthy and upbeat.
Before beginning therapy, he will be resting for several weeks. The recovery interval is usually about half a year. That would mean Woods, a winner of 14 major tournaments and 79 PGA Tour titles, won’t play in any of the four majors for a second straight year. He is now rated No. 788 in the world.
Woods is in good spirits after the surgery, said his agent, Mark Steinberg.
USA TODAY Sports, he believes somewhat that the large weight was lifted off his shoulders,” Steinberg told. “The three previous operations were somewhat temporary repairs. But it got to the point where the pain was more common and this latest surgery was something he had to do.”
Steinberg said Woods decided to take a conservative approach along with his back previously three years with his difficulties. That alternative wasn’t accessible this time.
“This just isn’t a temporary repair,” Steinberg said. “ his physicians proposed him that this is the top path to a healthy, energetic lifestyle. He and his children were playing but he was in so much pain.
“Now he ’ll possess a healthy life without pain.”
One, Steinberg said, that can include playing golf.
“Entirely,” Steinberg said. “He desires to get out (on the PGA Tour) again.”
Woods’ last public appearance ahead of the operation was Tuesday in Hollister, Missouri, where he pronounced he’s designing his first public golf course. The course will probably be called Payne’s Valley in honor of Missouri native Payne Stewart. Woods is a partner on the project with CEO Johnny Morris and Bass Pro Shops founder.
Tiger Woods Stories
Doctor of Chiropractic, Dr. Alex Jimenez goes through some tips on how to avoid back injuries.
When it comes to avoiding back injuries, your fate is largely in your own hands. It’s true that an unexpected fall or auto accident may cause an injury that’s beyond your control, but a large percentage of back injuries are caused by your own actions, which means you can take measures to prevent them or stop them from getting worse. Here are a few valuable back injury tips from a El Paso chiropractor.
Pay Attention to Your Lifting Technique
How you lift boxes, laundry baskets, children’s toys, a pair of shoes or just about anything else, has a bearing on the health of your back. When you lift correctly your spine is in the proper alignment and there is no added stress placed on your back. This means you should bend your knees and keep your back as straight as possible when you pick anything up off the floor.
If you have a lot of lifting to do try to place items on a table or chair so there isn’t as much bending required picking it up. Your back is not designed to work like a crane so anytime you use it that way you are putting stress on your back that doesn’t need to be there. Take a balanced stance, lift with your legs and move your feet if you need to change direction while holding the object.
Sensible Body Management
Performing activities with your back health in mind is a great strategy to help you avoid back injuries. That means stretching before any type of physical activity, taking it slow if you have a lot of repetitive lifting to do, and taking breaks to rest and stretch during the activity.
Getting yourself into good physical condition also protects your back and helps to avoid injuries. This includes losing weight in your midsection, and strengthening core muscles, to make lifting and general movement less stressful on your back. Most El Paso chiropractors will also tell you that sleeping on a firm mattress is another way you can nurture your back and prevent injuries.
Don’t Let Injuries Linger
If you end up with a back injury despite your efforts to avoid it, you should seek treatment with a El Paso chiropractor as soon as you can. Spinal misalignment, bulging discs, herniated discs, and other injuries often only get worse if you let them linger.
Prompt treatment will restore blood flow to the area, relieve any compressed nerves and get you back to normal in the shortest time possible.
El Paso, TX. Chiropractor Dr. Alex Jimenez takes a look at the psoas muscle and its relation to back pain.
All too often we find ourselves experiencing aches and pains in our bodies, especially in the low back. If you find yourself commonly searching for remedies for fast back pain relief, it might be time to research the psoas muscle.
Technically named iliopsoas, the psoas major, may very well be among the main muscles within the body. Why? This deep-seated heart muscle helps support your back and much more. In the event the psoas is weak, it might be the cause of neck pain, back pain and many other issues. In fact, the psoas major muscle is especially distinctive, particularly as it pertains to postural function. It’s the only muscle which joins reduced body and the lumbar spine. It’s clear to see taking care of this deep psoas muscle is essential to a powerful, pain free body. Many others believe a healthy psoas is very important for spiritual and mental health, also.
What’s the Psoas Muscle? Why Is It Important?
There are two psoas muscles on each side of the back. The larger one is called the psoas major and the smaller the psoas minor. The psoas major, often known as “the might psoas, ” originates in the back round the bottom of the rib cage and runs down the thigh over the femur. The psoas major works by bending the hip. It runs to the bony pelvis, although the psoas minor also originates in the back across the bottom of the rib cage. It acts to bend the back that is reduced.
The psoas helps us perform including freeing the legs for walking and running all sorts of day-to-day activities. The psoas muscle is also critical in providing good posture. Anyone who takes Pilates knows the psoas intimately — the type of exercise is praised for enhancing psoas muscle health and associated back pain. Olympic weightlifters, runners, triathletes, gymnasts — heavily rely on the support of the psoas, too.
Let’s delve into where the muscle is situated. There are two muscles that create what is called the group that is iliopsoas. They may be the psoas major and iliacus. You have likely learned your fitness teacher indicate stretching the hip flexors at the end of your strength class. The psoas major and iliacus are very important to the hip flexor muscles since they help support and secure the lower back. There’s an alternative muscle known as the psoas minor, but it is useful for 4 legged animals than for people.
The word psoas means loin area and is Greek. The psoas muscle group makes an upside down V, linked to the back working its way down to the very top of the femur and beginning at about the bottom point of the rib cage. Specifically, it’s a long spindle-like muscle, found between the pelvic inlet as well as the pelvic floor. It joins the iliacus muscle which can be what forms the iliopsoas. A chiropractor can in fact use pressure in the pelvic inlet region to aid release a tight psoas. This can be commonly done to stretches for athletes in addition, though it should always be achieved by way of a soft tissue professional with expertise in psoas release.
Why Do We Need A Strong Psoas Muscle: Possible Issues
A strong psoas supports regular action, however so much as the simplest task can be made as well as causing larger problems such as power back a challenge by a weak psoas. The psoas is a vital messenger of the central nervous system and the way your body reacts to gravity is significantly diffent than intended, when there is dearth of support from it.
Muscle imbalances can often make the entire body to compensate in a different place and that may cause even and added problems harm. Some people are even identified as having psoas syndrome or iliopsoas tendonitis. These ailments cause pain in the hip area. They’re often described similarly, while these are two different illnesses; nonetheless, psoas syndrome is a condition involving a stretch, tear or rupture of tendon or the iliopsoas muscle. Iliopsoas tendonitis demands an inflamed muscle. The piriformis syndrome is also closely related with this kind of pain and may be referenced when seeking a diagnosis.
Yoga therapist Danielle Prohom Olson calls the psoas muscle “the muscle of the soul.” Olson says on her site: “ The psoas is connected to the diaphragm through fascia or connective tissue which impacts our breath and anxiety reflex. This is because the psoas is linked to the most early inside part of the brain stem, the reptilian brain and spinal cord.” In fact, author of The Psoas Book, psoas specialist Liz Koch, says that lack or mental trauma of psychological support can leak to a chronically contracted psoas. This results in too little core awareness. This makes sense as your historical limbic system is closely related to emotions like fear and worry.
Symptoms Of Psoas Difficulties
- Discomfort, pain and aches in the front hip socket
- Restriction in the hip socket
- Iliopsoas bursitis/tendinitis
- Restriction moving the thigh backwards
- Deep pelvic pain
- Deep “bellyache”
- Chronic constipation
- Twisted pelvis
What Causes A Weak Psoas
There are just two common behaviours that generally cause a weak psoas: sitting poor posture and all day. The National Association of Sports Medicine notes sitting causes a psoas that is feeble. And a weak psoas can lead to lower back issues. All that sitting can cause the psoas, iliopsoas and rectus femoris to remain in a shortened position for lengthy amounts of time. What goes on is these muscles get used to this shortened state and that makes them overactive and tight. This shortening or tightening of the muscles can lead to a forward tilt of the pelvis and weakness in the gluteal muscles because these muscles are attached to the pelvis and lumbar spine. United, this may cause lower back pain. Consider a standing desk to lower your sitting time each day.
If not corrected awful posture, whether standing or sitting, can create a lot of suffering. Rounded shoulders or a forward head position might appear to be the easiest on the body, but it is going to weaken the supporting muscles of the body over time, since we’re always working against gravity.
3 Major Benefits of a Strong, Healthy Psoas Muscle
1. May Reduce Low Back Pain
A published in the Journal of American Osteopathic Association identified the psoas as a vital muscle linked to our core muscle development. The psoas had been initially missed as an alternative for back pain that the 48-year-old man was experiencing. (7) He received osteopathic manipulative treatment, defined as hands on care with a trained physician. Utilizing the hands, with extending techniques, gentle pressure and resistance by transferring the muscles and joints, a skilled professional can help diagnose, treat and even prevent illness or injury. The patient enjoyed critical development, confirming that without surgery, back pain can be removed with a the help of a professional, combined with the devotion of the patient to execute special stretches at home.
2. Can Affect Your Sports Activities
I noted previously that the psoas is actually the muscle which allows one to run. Each knee lift causes a contraction of the rope-like each time the leg swings back to its first location and muscle, the psoas will lengthen. Runner’s World reports a runner lengthen and will contract the psoas more than 5,000 times during an hour long run The psoas can be a big aspect in great carriage. The psoas, combined with other core muscles, like the abdominals and obliques, in addition to the ones that help form and support the lower back, supplies firmness offering a strong posture. Therefore it’s wise that if there is a problem with the psoas, it’ll probably change your sports actions, in particular those that need jogging.
3. Provides a More Pain-Free Pregnancy
Creates a lot of developments in the torso, certainly one of which is the shift in your center of gravity. It shifts forwards as the baby grows, causing the pelvis to go toward the front of the body. This could cause the muscles in the low back area the hamstrings and glutes and also to tighten weaken as well as to stretch out. Additionally, the ligaments connected to the uterus can come under a great deal of anxiety, causing pain and lower back. The psoas and surrounding muscles take on much of the anxiety, which may cause discomfort on account of imbalances and tightness. But, by performing stretches and exercises which help to fortify the psoas, you can remove most if not all of the pain.
Psoas Stretches & Exercises
Whether an athlete, not lively in any respect or pregnant, it’s important to release the psoas to make sure that it’s in excellent working order giving you the support you must perform any tasks — picking up those markets or your toddler. Yoga, Pilates and my core routine are excellent choices, by performing a some key stretches right at home however you can make a major difference. Here are some psoas stretches and exercises which you can do a few days a week. If possible, in the event that you sit at a desk throughout the day, I recommend which you perform these exercises daily. It just requires a couple of minutes and can alter how you go throughout your day.
Foam Rolling
While releasing the psoas must be left to your soft-tissue professional, NASM suggests foam rolling tight hip muscles that are other, such as the TFL and hip adductors. As you roll, hold on spots that are tender for 30 to 90 seconds. (16) Check by means of your physician to be sure foam rolling is OK with you. NASM notes it’s not appropriate for certain states, including aneurysms, blood clots, malignancies, anticoagulant treatment, congestive heart failure, open wounds or skin lesions, bursitis, obstructive edema, or certain other health conditions.
Hip Flexor Stretch (Thomas Stretch)
Sit tall at the end of a table. Thighs are midway off the table. Catching one knee, lean back until your lower back and sacrum and pull it to your torso are level on the table. Notice that when the back is rounding and the pelvis is tipping, you’re pulling on the knee too much. To correct, just loosen your hold. Allow the other leg to hang free. Hold for 30 to 60 seconds. Perform a few repeats on each side.
Kneeling Lunge
It is a very common exercise performed in the fitness center through the stretch segment of plenty of group fitness classes. To get it done, kneel down on one knee (you might want to have a pad below if you’re on a hard surfaced floor), with all the front leg forward at a 90-degree angle. Tuck your pelvis and softly lunge forwards. Continue to lean into the stretch ensuring that there is no uncommon pain. A tight psoas may cause you to arch your back; yet, try to keep the back straight. To include a little extending to the core, raise your arms and lean the hips forward another inch or two. Holding the lunge for 30 seconds finishing, 3 repeats on each side.
Leg Lifts
Lie on your back and extend your legs facing you. Put your hands either underneath your bottom in case your back arches too much, or above your mind by focusing on bringing your belly button to the spinal column provided that your lower back is pressed into the ground. Lift your left leg several inches above the earth and support for 3 to 5 seconds. Do 10 to 15 repetitions on each leg. As you get stronger, you can do these using ankle weights.
Ball Bridge
Lie on a stability ball like you would to perform crunching, along with your neck and shoulder resting. Make sure to engage your heart , not let your hips sag, with your feet straight ahead with toes pointing forwards, shoulder-width apart. Slowly and controlled, drop your glutes toward the floor (don’t go too far that the shoulders come away from the ball) and then push up through the heels to engage the glutes and push your hips back up in line by means of your spine.
This exercise can be used to fortify weak gluteal muscles generally associated with a tight psoas.
Psoas Massage and Release
The psoas is surrounded by vital organs is deeply embedded into the central cavity region and may be tough to find. Physical therapist or a chiropractor might be capable of help you best as it pertains to actually release the psoas. It requires complete relaxation of the patient and is a sensitive place. To really get working with a trained professional is recommended, although total body massage that is general can certainly help.
Working on releases and extending other hip muscles nearer to the surface of the body is able to go a long way in reducing total tension and will ultimately help in enhancing psoas wellness.
Precautions
It is always better to require any new exercise slow. Ahead of performing the exercises consult with your sports medicine doctor, physical therapist or chiropractor. When it comes to a psoas release, there are negative effects that are potentially dangerous in case you don’t work with someone trained and certified in this region, so you need to talk a professional.
Closing Thoughts on the Powerful Psoas Muscle
The psoas muscle is a deep-seated abdominal muscle in close proximately. Your psoas major is the muscle that joins your lower back to your lower body. The psoas muscle is many times tight and overactive, as well as other hip muscles, due and due to things like sitting that is persistent possibly as a result of chronic stress. A soft tissue professional just like a physical therapist or chiropractor should does releasing your psoas muscle. Everything you could do to boost your psoas function in the home is focus on strengthening weak gluteal muscles, extend them and perform foam rolling of other tight hip muscles such as TFL and the adductors.
While surgery is frequently prescribed for back pain, researchers are finding that focusing on enhancing psoas health can radically enhance lower back pain.
El Paso, TX. Chiropractor Dr. Alex Jimenez investigates pain, the spine and its connection to internal organs.
Right after I had my first son, I suffered from headaches and some digestive issues. I had never had digestive issues before, but I passed it off as a side effect of giving birth to a living being. I also blamed the pressures of being in school and raising a small child.
My husband went to a chiropractor to treat some pain in his hands, and that is when I decided to try it as well. The chiropractor re-aligned my spine and, with weekly visits, I was feeling much better.
When my family and I moved to South Korea, I could not find a chiropractor. I did, however, find an excellent acupuncturist that had his office two blocks away from my front door. Instead of working on my spine, the acupuncturist worked on the muscles around my spine.
I feel the results of both were the same. I always felt much better when I took the time to take care of my spine and nervous system.
This is because all our organs receive messages from our brain via our spinal cord. The lungs know to breath in and out because of the messages they receive from the brain. The heart beats because of these messages as well. Every organ in our body is connected to the brain and blocking this connection—even a little—can cause serious health issues.
Some health problems are easily felt like numbness in the fingers or a headache. Some troubles are not so apparent like digestive issues or kidney problems. If the spine is out of order, the organs will feel it.
It Is Important To Take Care Of The Spine Every Day
If one takes a look at the image above, one can see how the nerves from the spinal cord connect to specific areas of the body. A chiropractor or acupuncturist will be able to spot spinal problems and fix them over time. This is what they are trained to do.
Here Are Some Tips To Take Care Of The Spine From Spine Health:
- Sitting correctly or using an ergonomic chair while at work is a good way to take care of the spine.
- Exercise abs and back daily to strengthen the muscles around the spine and keep it in place.
- Take time to get a massage, see a chiropractor, or an acupuncturist. This will help the spine stay in the correct shape.
- Wear shoes that support the feet and feel comfortable. Uncomfortable shoes, especially pumps, will injure the back and spine.
- Sleep with the spine in mind. Choose a mattress and pillow that supports the spine and try to sleep in a natural position. Also, try sleeping on your arm to get a nice straight spine when lying on your side rather than using a pillow that can tilt your head up and kink your neck.
If one is suffering back pain, it is important to seek professional help. Spine problems, like a pinched nerve, if not taken care of, can become extremely severe. The spinal cord controls the body. In order to be in the best of health, the spine needs to be in good health.
Take care of your spine and it will take care of you all the years of your life.
Source: David Wolfe
El Paso, TX. Chiropractor Dr. Alex Jimenez takes a look at driving and how it effects the spine.
Daily, nearly 90% of journeys and 92% of miles traveled are made in autos or ground transportation (buses, trucks). On average, guys drive 44 miles as well as girls drive 34 miles each day. For many Americans, driving a motorized road vehicle is their job: truck drivers, bus drivers, ambulance and fire trucks, police, taxis etc.
Modern car and truck layouts have come a long way in their own design over the past 20 years, with better fuel efficiency, better features, better styling and better relaxation. But is there any signs that the look of contemporary bus, car or truck seats and driving might play a part in causing a few of the back injuries that plague Americans each year?
Exactly Why Is Driving Different To Ordinary Sitting?
In case your own car is not moving, then sitting in a driving seat probably isn’t substantially different to sitting in a chair that is cushioned, but as soon as the vehicle begins moving things change. Additionally, when driving the feet are actively being used, the right foot on the gas (accelerator) pedal, the left on the brake, and in a stick-shift also on the clutch. When the feet are active they can’t be utilized to support and stabilize the reduced body when they’re put on the floor during regular sitting in a chair, as usually occurs. There is evidence the blend of those variables, coupled with the look of the car seat itself, can increase the possibility of back problems for many people.
Is Driving Linked With Back Problems?
Lab studies have examined the effects of whole-body vibration when a person is sitting in a car seat. The lumbar spine has a natural resonant frequency of 4-5 Hz , and results show that this natural frequency can be excited by lab simulated vehicle driving, and this may result in high spinal loadings in the lower back, and also this in turn could result in greater postural distress and an increased hazard of low back pain and injury.
Quite a few research studies have investigated potential associations between back and driving problems, and usually these studies have found significant consequences.
Drivers in the USA and in Sweden found that in each country 50% of those questioned reported low back pain.
Investigation of the potential reasons for this revealed that long term vibration exposure from driving was among the greatest risk factors for neck, back and low back problems.
Gender generally seems to play an important part in the possibility of developing driving-related back problems. A survey of over 7000 Parisians found that even though severity and the prevalence of low back pain was higher in women, driving was just connected with back problems in guys. The need for driving as a risk factor improved with driving time, and was especially important for guys who drove 4 hours or more each day.
A survey of over 1400 urban transportation system motorists showed that issues using the capacity to accurately adjust the seat that was driving have significant effects on the prevalence of low back problems.
Nevertheless, it appears that driving need not consistently raise the chance of back problems.
Is There An Ideal Car Seat Layout?
Based on a comprehensive evaluation of advice from peer-reviewed scientific journals and texts, automotive engineering reports, and also the National Library of Medicine a string of requirements for the best car seat layout have been developed. Ideally, the optimal car seat should have:
- Adjustable seat back incline (100 degrees from horizontal is ideal)
- Changeable seat bottom depth (from seat back to front edge)
- Adjustable seat height
- Flexible seat bottom incline
- Seat bottom cushion with solid (dense) foam
- Adjustable lumbar support (horizontally and vertically adjustable)
- Depth pulsating lumbar support to lessen static load
- Flexible bilateral arm rests
- Flexible seat back incline (100-degrees from horizontal is optimal
- Flexible head restraint with pad that is lordosis
- Frequencies between 1- 20 Hz to dampen
- Linear front-back seat traveling to allow otherwise sized drivers to reach the pedals
- Seat back damped to reduce bouncing of the torso in rear end impacts
Driving Safety
What To Check For In A Great Car Seat Layout When You Buy The Next Car
It is likely that most automobiles available on the market today won’t have the features listed above that are desirable in the optimal car seat all, but some will have more than others pick wisely. Pay close focus on the subsequent 5 guidelines which should help you to protect your back when you drive.
1) Car Seat Comfort
You’ve fixed this to suit your body and when you sit in the car seat does it feel comfortable. Otherwise, you will be most likely caused by then the car seat rear discomfort issues should you drive for any length of time. Rebound up and down in the seat to find out the way that it adapts vibration. Take the automobile on a test drive.
2) Car Seat Adjustments
Can you correct each of the features of the car seat you want to adjust? At a minimum you need to have the ability to adapt:
- Seat space to accommodate different leg lengths
- Seat height to accommodate different leg lengths
- Backrest angle to sit down in either an upright or more reclined posture
You Should Look For Other Adjustments That Are Useful:
- Seat tilt to angle the front of the seat down or up so that this does not press against the back of your knees
- Look for a car seat that supplies you with great low back support that can be corrected for depth (frequently the seat has an inflatable cushion) and is height adjustable
- Headrest for neck support
- Arms rests which are broad, cushioned and comfortable, and preferably height flexible
3) Shift Your Position
Remember to go your position from time to time. Wait until driving conditions are right to enable you to wriggle in the seat to relieve postural fatigue.
4) Take Breaks
Driving is exhausting work and to prevent driver fatigue and minimize postural discomfort it is good move around and take to pretty frequent rest breaks that enable you to stand up.
You can select a number of car seat accessories that will enhance seat comfort for you personally, from fleece covers to soften the seat to bead backrests to provide for some type of back massage while you drive. Select anything you find adds to your driving comfort.
5) Seat Accessories
You’re able to pick a number of car seat accessories which will improve seat comfort for you personally, from fleece covers to soften the seat to bead backrests to provide for some sort of back massage while you drive. Choose anything you locate adds to your driving comfort.
Kettlebells Strengthen the Spine
Strengthening the spinal muscles is essential for health and fitness. Functional kettlebell training is resistance training that strengthens the spine. Kettlebell training is an extremely effective type of exercise to increase functional strength, ballistic power, endurance, and flexibility in the entire body, especially the spinal and core muscles.
(Exercise shown is Anchor Squats.)
WHAT EXACTLY ARE KETTLEBELLS?
Kettlebells are round cast iron weights with a single handle. Picture a cannonball with a u-shaped handle. Kettlebells are manufactured in a wide range of weights, for all strength levels.
MUSCLES USED IN KETTLEBELL TRAINING
Kettlebell training incorporates large functional movements. Multiple muscle groups work in synergy to complete the exercises. The spinal muscles function as either the primary mover or assist the primary mover in every kettlebell exercise. The spinal muscles also stabilize the body during functional kettlebell training, thus developing the smaller supporting structures.
(Exercise shown is Push Press.)
HIGH REPS OF HIGH IMPORTANCE IN KETTLEBELL TRAINING
Kettlebell training employs high repetitions, momentum, and centrifugal force. Momentum works the spinal muscles as the weight is raised and lowered. High repetitions combined with momentum and full body movement build strength and endurance in the entire musculoskeletal and cardio-vascular systems. Kettlebell training delivers aerobic and anaerobic benefits.
(Exercise shown is High Pulls.)
ALWAYS LEARN FROM A QUALIFIED KETTLEBELL INSTRUCTOR
Perfect technique is mandatory during exercise. Correct exercise technique maximizes benefit and lowers injury risk. Poor exercise form increases the possibility of injury and diminishes results. Kettlebell exercises are learned motions, so you should learn proper training technique from a qualified kettlebell trainer. The trainer should demonstrate, instruct, and supervise your training and develop your routine.
(Exercise shown is Turkish Get-up.)
SO MANY POSSIBILITIES
The kettlebell’s shape allows for a wide variety of exercises. This resourceful exercise tool is used for basic exercises like squats (shown in slide 1), cleans, swings, high pulls (shown in slide 4), snatches and push presses (shown in slide 3). The versatility of the kettlebell is demonstrated with exercises such as renegade rows (a combination of push-ups and rows—shown in slide 6), suitcase swings, woodchoppers (a combination of lunges and oblique twists), windmills, and Turkish get-ups (shown in slide 5)
(Exercise shown is Renegade Rows.)
KETTLEBELL’S BENEFITS FOR THE SPINE
Functional kettlebell training is a rare type of exercises that increases aerobic and anaerobic health simultaneously. The benefits to the spine include increased strength, power, endurance, flexibility, function and mobility.
(Exercise shown is Suitcase Swings.)
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Chiropractic care for spinal disc problems is steadily increasing in popularity. As more and more research proves the effectiveness for chiropractic for these types of problems, doctors and therapists are incorporating it into treatment plans for their patients. Spinal disc problems can be debilitating, causing significant pain and severely limiting mobility. Degenerative disc disease is one of the most common spinal problems, causing back pain that, like other spinal conditions, can extend into the hip and leg or even the arm and hand. It is caused by degeneration or thinning of the spinal joints or discs which can disrupt the mechanics of the spine and contribute to bulging discs that press on spinal nerves. Traditional treatment of this condition usually consists of strong pain medication and sometimes surgery. Patients who are dealing with pain from discs that are bulging or ruptured as well as herniated, or slipped discs, do respond well to chiropractic care. Where surgery has long been a primary medical answer to pain relief for these spinal conditions, chiropractic treatments offer a nonsurgical alternative that has been shown to be very effective. Most spinal or disc problems are marked by a specific set of symptoms including neck and back pain, stiffness, arm pain, leg pain, and tenderness in the spinal muscles or the spine itself. Other more serious symptoms can present at the onset of the condition or over a period of time. These symptoms indicate a dangerous problem that could even be life threatening; they include: - Back pain accompanied by fever
- Loss of control of bladder or bowel
- Severe weakness that inhibits the ability to use arms, legs, walk, etc.
- Loss of sensation in both arms and/or both buttocks
- Inability to defecate or urinate
More serious or life threatening symptoms may require medical intervention, but most spinal conditions can be helped or even corrected with chiropractic care. Through the careful, precise manipulation of the spine, a chiropractor can make adjustments to the body that help relieve the pain and pressure. This treatment can halt the debilitating progression of certain spinal problems while relieving pain and increasing mobility. Spinal problems are usually diagnosed by a combination of complete physical examination and a thorough patient history. During the examination the patient’s musculoskeletal and nervous systems are carefully assessed. A doctor of chiropractic will examine the patient by moving the patient into different positions using their legs, arms, and back while applying pressure to the joints. Other diagnostic tools include x-rays and magnetic resonance imaging (MRI). The preferable course of treatment for spinal problems is more conservative in nature. The earlier the problem can be diagnosed and treatment can begin, the better. There are several different treatments that a doctor of chiropractic may do to control and treat the pain. Modalities such as heat and ice applied to the affected area have been proven effective in controlling injury related pain in the lower back. Movement is also crucial to healing and the sooner the patient gets back on their feet, the better. For most injuries or back problems, those problems are exacerbated when the patient stays in bed or coddles their back instead of walking and moving. It can result in long term back problems. Spinal manipulation by a doctor of chiropractic has been proven to be an effective, safe treatment for disc problems and associated pain. In some cases therapeutic exercise may be added to the treatment and this too has been shown to be very effective. In most cases, chiropractic care is sufficient and surgery of the spine or injections are unnecessary to manage the problems. In fact, these more invasive therapies often create more problems than they cure. Chiropractic care should be the first course of action for spine related pain, injury, or problems. So if you or a loved one are suffering from spinal disc problems, make sure you give us a call. We’re here to help!
The autonomic concomitants of cervical pathomechanics
(the posterior cervical sympathetic syndrome) have been
widely reported. The literature documenting the autonomic
manifestations of thoracic and lumbar articular dysfunctions
has not been as extensive. The present study
attempts to determine the incidence and nosography of
vertebrogenic autonomic dysfunction (V.A.D.) in a sample
of 250 consecutive back pain subjects. Thirty-nine per cent
of all back pain subjects exhibited probable evidence of
V.A.D. The incidence of V.A.D. was distributed as follows:
cervicogenic cephalalgia - 60%76 (i.e., disturbed
vision, dysequilibrium, gastrointestinal upset); thoracalgia
- 54% (ie., nausea, flatus); and lumbalgia - 31% (i e.,
constipation, urinary frequency, menstrual disturbances). It is a well known clinical fact that diseases of the internal
organs may produce functional changes and symptoms
or signs in the musculoskeletal system of the body. These
somatic manifestations of visceral disease are fairly commonplace
and are considered to be of importance in the
diagnosis and localization of internal disease. All clinicians
have observed the conspicuous costovertebral angle muscle
spasm resulting from acute renal disorders (1). Abdominal
wall tension and tenderness are characteristic of certain
intra-abdominal and intrapelvic diseases (2-7). Coronary
disease is frequently accompanied by painful trigger areas
in the muscles of the chest and shoulder (8-9).
The premise that disorders of the musculoskeletal
system may reflexly cause autonomic dysfunction and
symptoms attributable to visceral malfunction is common
to both the chiropractic (10) and osteopathic schools (11),
but is not widely accepted by the medical profession. Physiologic
research, based primarily on animal experimentation,
has demonstrated that somatovisceral reflex activity
is indeed a physiologic fact (12-19); however, much remains
to be done to understand the importance of these
reflexes in normal and abnormal human physiology. The
literature of the osteopathic and chiropractic disciplines
has historically contained an abundance of anecdotal and
conceptual data in support of the somatovisceral reflex
hypothesis as a mechanism for symptom production in
man. Very little controlled clinical data has been presented
to support this hypothesis. Palmer in 1895 (20) was probably one of the first to
report a simple cause and effect relationship regarding
somatovisceral symptom production in a patient. His subject
had apparently been working in a cramped position
and felt something "give in his back." He claimed that he
simultaneously became deaf. Palmer examined the
patient's spine and found a "displaced fourth dorsal vertebra"
(sympathetic vasomotor nerves to the cranium) and
corrected it with a manipulation. The patient's hearing
was restored. Palmer thus deduced that the hearing loss
had been vertebrogenic in origin. Three decades later, the allopathic observers, Barre in
1925 and Lieou in 1928, reported similar series of cases in
which disorders of the cervical spine were accompanied by
dysfunction of the organs of the head (21,22). In addition
to hearing loss, the following cervicogenic symptoms have
been observed: vertigo, dysequilibrium, tinnitus, scotomata,
decreased vision, dysphagia, dysphonia, cough, anxiety
and asthenia. (23) The Barr6-Lieou syndrome (posterior cervical sympathetic
syndrome) has been repeatedly recorded in the literature
since 1928. This syndrome represents a generally
accepted classic example of somatovisceral reflex
pathology and is to be found in much of the authoritative
orthopaedic literature of today (24). Reports of somatically-induced visceral dysfunction have
not been confined to the cervical region, nor have they
been restricted to the literature of the chiropractic and
osteopathic schools. This is noteworthy, insofar as allopathic
training does not usually emphasize (or even include)
studies of somatovisceral reflex physiology. One
would therefore expect that allopathic observers would
approach their clinical observations with an absence of
bias and a low index of suspicion for somatovisceral
pathology. Nevertheless, such disorders have been obvious
enough to be noted and reported. Table 1 summarizes allopathic
observations in this regard as reported by Wills
(25), Ussher (26), Travell (27,28,29), Jackson (24), Cooper
(30), Lewit (31), Ushio et al (32), Love (33) and Ver Brugghen
(34). The literature cited here would tend to indicate that
somatically induced visceral dysfunction and symptom
production is indeed a clinical problem. The prevalence of
the problem is not known. The investigators reviewed in
Table 1 have for the most part, not attempted to discover
the percentile incidence of autonomic symptoms in musculoskeletal
disease, nor have they made it clear whether
their data was based on consecutive groups of first-contact
patients or on treatment-resistant subjects who were referred
to their departments for special care. The purpose of this investigation was to determine the frequency of symptoms attributable to vertebrogenic autonomic dysfunction in a consecutive group of first-contact chiropractic patients. MethodA pilot study, of the prospective-descriptive format, was designed. The focus of the study was on the anamnesis, with particular attention given to the sequence of clinical events. (For example, do patients with back pain simultaneously develop autonomic symptoms? If so, how often? 52 Do the autonomic symptoms disappear upon recovery from the spinal pain?) The emphasis then, was on seeking a parallelism between the development and disappearance of back pain with the development and disappearance of visceral symptoms. Inclusion/Exclusion and Data Gathering:The following guidelines for data gathering were adhered to throughout the study: 1. Two hundred and fifty consecutive first-contact patients who presented with back pain (cervical, thoracic or lumbar) comprised the sample for analysis. 2. After a thorough case-history was obtained from each subject, careful notation was made of associated symptoms. The phrasing of this latter aspect of the interview was as follows: "Have you, since the onset of your back pain, developed any other seemingly unrelated symptoms for example, have you felt generally ill? Have you been constipated? Have you had to empty your bladder more frequently - or less frequently?" Usually, four or five examples of known vertebrogenic symptoms were mentioned. See Table 1. A systems review followed. As additional symptoms were uncovered, it was determined whether or not their onset in any way paralleled the onset of back pain. 3. The patient was not given a r6sume prior to the beginning of treatment for his back pain. No further comment was made regarding the subject's visceral symptoms, if present. No mention was made of any relationship between the spinal pain and the visceral symptoms. A chart of the autonomic nervous system was removed from the office. The patient was not told that analytical data was being gathered. The attempt here was to limit, as much as possible, the introduction of accentuated placebogenic and/or Hawthorne effects (35) into the study. 4. The subjects who were accepted as chiropractic patients were treated with spinal manipulative therapy (primarily chiropractic high velocity, controlled amplitude adjustment). In some cases, ancillary physical therapeutic methods were utilized as indicated. Patients who were referred to other health disciplines for care (i.e. surgery) remained in the study providing that follow-up data were available. (This study was not designed to test the effectiveness of manipulative therapy its sole purpose was to investigate spinovisceral symptom parallelism see illustrative case 4.) 5. The subjects were re-evaluated when they became asymptomatic with respect to their back pain or were much improved (at least 80%o by mutual patient-examiner agreement). The patients were at this time questioned regarding the status of any associated visceral symptoms that had been previously reported. The observation that recovery from visceral symptoms paralleled recovery from the spinal pain was taken to be confirmatory evidence of vertebrogenic autonomic dysfunction in that subject. Subjects were excluded from the study for the following reasons: non-acceptance as a patient because of organic pathology or other contraindications, non-compliance, self-discharge from care, unsatisfactory recovery from the spinal complaint and incomplete admission or follow-up records. When a patient was dropped from the study, the next consecutive patient history was admitted to the data pool so that the target number of 250 subjects could be met. A survey of drug usage by patients in this study revealed the following: 52% of patients did not use drugs at all; 32% has self-administered approximately 1 to 6 non-prescription analgesic tablets (i.e. aspirin, codeine) and had subsequently sought professional care; 16% were on regular therapeutic dosages of physician prescribed or self-administered pharmaceuticals either for spinal pain or for other unrelated conditions. Most of the subjects who had used pharmaceuticals remained in the study. They were included or excluded after careful analysis of the individual data (see data analysis guidelines). Vertebrogenic Data Analysis:The presence or absence of vertebrogenic autonomic dysfunction (V.A.D.) was determined from the admission and follow-up records on each subject. The likelihood of vertebrogenicity was determined on the strength of the gathered data. The information on each case was then categorized as yielding probable, possible or negative evidence of vertebrogenic autonomic dysfunction. The guidelines for categorization were as follows: 1. Probable: Patients who exhibited an unequivocal parallelism between the onset and abatement of back pain with the onset and abatement of visceral symptoms were considered to have evidence of probable vertebrogenic autonomic dysfunction. 2. Possible: If there was any doubt regarding the accuracy of the gathered data (e.g. inconsistency of the subject's responses to questions) the findings were categorized as "possible V.A.D." If any discrepancies were noted in spinovisceral symptom parallelism, the data was considered to yield evidence of possible vertebrogenic autonomic dysfunction. For example, patients who fully recovered from spinal pains, but were left with vestiges of autonomic symptoms or patients who recovered from autonomic symptoms but were left with some spinal pain, were placed in the V.A.D. possible category. 3. Negative: Subjects who developed back pain but did not experience any symptoms attributable to autonomic dysfunction were classified as "V.A.D. negative". As stated in the previous section, data from patients who had used pharmaceuticals were individually scrutinized for inclusion or exclusion, and categorization. This analytical process would best be illustrated by the following examples: Case 1: This patient developed acute lumbalgia. He self-administered four 222 tablets® (total 32 mgs. codeine) on day 1 and presented here the next morning. He reported constipation as an associated symptom. The constipation resolved on day 3 although the lumbalgia continued. He remained in the study and was classified as "negative V.A.D." Case 2: This patient developed cervicalgia and self-administered 6 aspirin over day 1. She presented on day 2 and reported dizziness, gastric upset and flatus as associated symptoms. She discontinued her aspirin, but the autonomic symptoms persisted throughout the course of her treatment. All spinal and associated symptoms abated during the 3rd week. She remained in the study and was classified as "possible V.A.D." Case 3: This patient developed a severe cervical-brachial neuralgia. Her family physician prescribed Tylenol® and diazepam. She presented on day 10. She reported anorexia, nausea, flatus, blurred vision, dizziness and mental fogging as associated symptoms. On day 24 her cervicalgia and all associated symptoms had cleared, yet she remained on the prescribed medication. She was classified as "probable V.A.D." ResultsOf the original 250 subjects who met the criteria for admission to the study, 22 were subsequently lost (20 with self-discharges and/or poor results, 2 with organic disease found on continuing examination) and replaced by next consecutive patients. Ninety-eight (39%) of all subjects exhibited "probable" and thirty-three (13%) exhibited "possible" autonomic dysfunction. Also noteworthy was the observation that four (2%) of the subjects experienced reactivation (relapse) of previously quiescent visceral disease during their back pain episodes (2 duodenal ulcers, 2 lower genitourinary infections). The levels of spinal complaint fell into the following four categories: 1. cervicalgia with cephalalgia, 2. cervicalgia (with or without upper extremity pain), 3. thoracalgia, and 4. lumbalgia (with or without lower extremity pain). The frequency of autonomic dysfunction for each category is given in Table 2. The frequency distributions of the various autonomic manifestations observed are given in Tables 3 - 6. While Tables 3 - 6 give the frequency of symptoms observed in the present study, they do not give an accurate picture of vertebrogenic autonomic dysfunction as actually seen in clinical practice. Many of the subjects had multiple autonomic symptoms and these symptom complexes are not accurately portrayed by tables. The following case studies are instructive: Case 4: Mrs. F. presented with neck pain and headaches. She had sustained a whiplash injury 2 years previously and her symptoms had cleared with chiropractic therapy. Her present symptoms had recurred 2 months prior to her consultation here. She complained of a constant, moderate to severe upper cervical ache which radiated into the occipital-frontal regions. The cephalalgia occurred daily and intensified in the mid afternoon. She reported associated dizziness and difficulty in focusing her eyes. She could not clearly focus on close objects and stated that while driving, the windshield seemed to move back and forth in relation to her eyes. She was constantly squinting in an effort to see clearly. She had been seen by an optometrist 3 weeks previously with negative findings. On examination, cervical extension, right side-bending and left rotation were painful and limited. There was palpable paravertebral muscle spasm and restriction of motion in the upper cervical articulations. Trigger points were found here which reproduced the cephalalgia. Cervicogenic autonomic dysfunction was objectivated with the following manoeuvres: 1. Triggers: Firm pressure over the right lamina of C2 precipitated an immediate bout of blurred vision and diplopia. 2. Resisted Motion: Resisted cervical extension (with the head fixed so as to exclude vestibular motion) resulted in an episode of "swooning" and vertigo. 3. Cervical Torsion: The patient's head was fixed by an assistant (so as to exclude vestibular motion) and the torso was rotated, flexed, extended, side-bent and circumducted under the immobilized cranium. These maneuvers precipitated vertigo. Cervicogenic autonomic dysfunction was further confirmed by the therapeutic test. The patient was treated with the manual adjustment of the upper cervical spine. The results were as follows: 1. The initial manipulation caused a transitory aggravation of the dizziness and the visual symptoms. 2. This was quickly relieved by manual traction. 3. The patient was fully recovered from all articular (pain) and non-articular (autonomic) symptoms by the tenth office visit. She remained asymptomatic over a 4 month follow-up period. Case 5: Mrs. J. presented with low cervical, right scapular and right mid-thoracic pain of several months duration. There was associated dizziness, staggering and blurred vision. She had been referred to an ENT specialist who was non-commital in regards to a diagnosis. On examination, a trigger point was located on the antero-lateral aspect of C6-7 which reproduced her pain. The cervical torsion test was strongly positive the patient requiring support because of the precipitated vertigo. The lower cervical segments were adjusted and all symptoms abated after 5 visits. The patient has had several relapses over the ensuing months. Dysequilibrium has been a constant concomitant of each attack. Case 6: Mr. R. Complained of a constant, dull mid-thoracic ache of 3 weeks duration. The symptoms had occurred after the patient spent several days working in the stooped forward position. The patient also complained of nausea and a feeling of a "lump" in the epigastric region. He stated that his food remained in his stomach for several hours after ingestion. He regurgitated frequently and was troubled with belching and flatus. He occasionally had crampy abdominal pains. On examination, the spinous processes and right costotransverse articulations of T4 to T7 were exquisitely tender. There was rhomboid. spasm on the right and mid-thoracic motion was restricted. A single adjustment to this level was followed by immediate pain relief together with several minutes of massive gaseous eructation. All other symptoms cleared over the next few hours and did not recur over a 3 month follow-up period. Case 7: Mr. V. presented with acute lumbo-sciatica of one week's duration. The pain had occurred after a straight-legged lift. Mr. V. reported that since the occurrence of his injury he had been troubled with alternating bouts of constipation and diarrhea, urinary frequency, nocturia, partial urinary retention, impotence and "retraction" of the testes. He exhibited sciatic kyphoscoliosis. All trunk movements were limited and painful. Straight-leg raising, foot dorsiflexion and Valsalva maneuvers were positive. Deep springing of the L4 vertebra aggravated his pain. Sphincter tone was normal. A trial of manipulation afforded only temporary (hours-days) relief. The left Achilles reflex became sluggish and the patient was referred for neurosurgery. An L4 discotomy resulted in complete recovery from all spinal and visceral symptoms. Case 8: Mrs. R. presented with an acute lumbalgia which referred to the left groin. The pain had occurred 4 days previously and since that time she had been troubled with constipation, flatus, urinary frequency and a burning dysuria. Her urinalysis was negative for abnormality. Lower lumbar and left sacroiliac dysfunctions were corrected with manipulation. All symptoms had cleared by the fourth office visit. At the time of discharge from care, Mrs. R. asked if her bowel and bladder symptoms could have anything to do with the lower back. She stated that every time she had a lower back episode she developed the same pelvic symptoms. She, had had several unremarkable bowel, gall bladder and urinary investigations in regards to these symptoms. Discussion: Vertebrogenic Autonomic DysfunctionThe exact mechanism of spinovisceral symptom production is not conclusively known. Several pathophysiologic hypotheses could be advanced to explain these clinical phenomena. It is also possible that different pathological processes are operant in different individuals. Postulated mechanisms of spinovisceral symptom production are summarized below: Pain: The autonomic concomitants of severe pain are well known. They are due to mass sympathetic stimulation and include such symptoms as agitation, hyperhidrosis, pupillary dilation and vomiting. Stress-Endocrine: Selye (36) has pointed out that many disease states are accompanied by two groups of symptoms - the symptoms produced by the stressor and another group of symptoms resulting from the body's endocrinal defense responses to the stressor. Using the eosinophil count as a stress indicator, I presented evidence which would suggest that 54% of severe lumbalgic episodes are accompanied by an alarm-endocrine reaction (37). It is possible that some of the symptoms observed in this study have an endocrine-chemical basis. Somato-Psycho-Visceral Reflexes: It is well known that certain patients look at their pains through a psychological magnifying glass and develop all manner of unrelated symptoms. Psychogenic symptom production, no doubt, introduces an artifact into this study. It is, however, very interesting to note that most of the symptoms observed here, bear a segmental relationship to the level of spinal lesion (only one patient in this series had any knowledge of the anatomy of the autonomic nervous system). These segmental spino-psycho-visceral relationships may be explained by osteopathic research. In a brilliant experiment, Korr et al have shown that when the psyche is stimulated, maximum sympathetic outflow occurs at hyperirritable cord levels which have been previously sensitized (facilitated) by proprioceptive input from preexisting spinal joint lesions (38). Somato-Visceral Reflexes: Somato-autonomic reflexes in the laboratory animal are a physiologic fact. They are observed under certain conditions in man. The postulated modus operandi in spinal lesions is as follows: the lesioned spinal joints trigger an increased afferent input (pain, proprioception) into the related cord segments. The lateral horn cells are facilitated via the internuncial neurons and impulses spill over into the sympathetic efferents causing activation (motor, vasomotor, secretory) of the target 56 viscera. Such sustained pathophysiologic activity could well be responsible for spinovisceral symptoms observed in back pain subjects. Nerve Compression: It is well known that discal lesions, vertebral exostoses and stenosis may compress nervous tissue and cause autonomic dysfunction or paresis. It is also possible that root compression may interfere with axoplasmic flow. If, for the purpose of survey, one considers paresthesia/anesthesia to be indicative of nerve-tissue compromise, then 30% of first-contact patients presenting at this office have nerve compression syndromes. This could be responsible for autonomic dysfunction in selected patients. Vascular Compromise: Cervical degenerative lesions may compromise the vertebral arteries and cause cranial symptoms. This mechanism could have been operative in aged patients; however, the slowly progressive cerebral dysfunction (39), which allegedly occurs with sustained neck torsion in this condition, was not observed in any of the subjects. Proprioceptive Cross-Talk: It is possible that unequal cervical muscle tensions might feed the central nervous system with confusing proprioceptive information so as to disturb normal righting reflexes. This mechanism could explain the high incidence of dysequilibrium in subjects with neck injuries. Other: The constipation observed in severe lumbalgic patients may be antalgic or due to lack of exercise. The spinovisceral syndromes described here are typical of the symptom complexes observed in the everyday clinical practices of all manipulative practitioners. Further studies, to more precisely explore these common clinical problems, are warranted. The present study represents a first-attempt prospective investigation and the presented statistics may be considered to be "ball-park" figures only. A much larger subject population is required. Analysis of the gathered data in a preliminary study such as this, almost invariably exposes deficiencies in the original prospective design which could be corrected to improve future investigations (40). The following recommendations should be considered: Investigator Artifact: Solo investigators who study their own patient populations may be subject to impaired objectivity. Future studies should utilize a multi-disciplinary team of investigators to design and carry out the project. Data Artifacts: All data gathering methods (verbal interviews and questionnaires) are subject to error (40,41). The interview method was used in the present study. Future studies should include both verbal interviews and written questionnaires to facilitate cross-checking of the accuracy of the gathered data. Psychologic Artifacts: Clinical studies are frequently criticized for failing to establish psychological base-lines for the studied subjects. Written questionnaires could incorporate standard psychological testing proforma. Pharmacologic Artifacts: Investigator judgement (bias) was used in categorizing data on drug users. Future studies should exclude these subjects, or at least analyze their data in a separate category. Statistical Artifacts: A much larger study population is required in order to establish accurate prevalence rates for vertebrogenic autonomic dysfunction. Formal statistical analysis is also required. Follow-Up: The foregoing study was designed to be an acute investigation of a common clinical syndrome. It asked simple, straight-forward questions regarding the sequence of events during back pain episodes. While many of the subjects were followed for months, and even years, it is debatable if long term follow-up would bring forth any additional answers to the questions asked. 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Golfers, does this sound familiar? It's a warm sunny day with a bit of a breeze, you are on the back nine about to sink a putt. When you swing, your back seizes up with severe pain. The beautiful day of golf turns into painfully riding in the golf cart back to the clubhouse, and you limping painfully to your car. If you have ever strained your back during a golf game, you are not alone. It's estimated of the 30 million golfers in the United States, 80% have experienced some sort of back pain. As fun as it is, swinging at golf balls puts an individual's body in an awkward position, opening up the opportunity for injury. While some golfers suffer through the pain by popping over-the-counter medications, others back away from playing as often, or stop altogether. There's another way to combat back injuries caused by golfing, without meds. It's not a magic wand, it's chiropractic care! Golfers are increasingly finding chiropractic care to be a valuable tool to help them deal with back injuries. Here are FORE! ways chiropractors can help injured golfers get off the couch and back on the green. Golfers: Consistent Adjustments Can Avoid Injuries In The First Place.Golfing, or any activity, is more enjoyable and causes less chance of injury if an individual's body is in top condition and operating normally. Periodic spinal adjustments keep the body functioning at maximum capacity, and reduce the chances of being injured. If the neck and back are aligned correctly, awkward positioning such as a golf swing will have a less negative impact. Chiropractic Treatment Can Reduce A Golfer's Pain.Back injuries can be extremely painful, and many turn to pain medications to gain relief and comfort. By treating the origin of the pain instead of just the symptoms, a chiropractor helps their patients manage the pain through manipulations, instead of drugs. Over the course of a few treatments, pain is often drastically diminished and much more manageable. A Golf Injury Can Heal Quicker With Chiropractic Care.Injuries to the back or neck can heal faster when chiropractors treat them than on their own. An experienced chiropractor can adjust the spine, and also work on the joints and surrounding tissue that can cause pain and hinder healing. Chiropractic evaluation considers the body as a whole. By treating the entire body, it promotes quicker healing of the injury. Increased Mobility Can Be Gained With Chiropractic Visits.Golfers who play often as well as those who only play a few times a year know mobility is essential to a good golf game. Stiff joints and a weak back not only mess with the golf game, but can be the very issues that end up causing an injury. A chiropractic treatment schedule keeps the body loose and strong, and working in optimum fashion. This prevents injuries and increases the chances of playing the game of your life. Golfers need to realize the sport can cause serious injuries just like "rougher" sports like football and rugby. It's a good idea to stretch before playing, stay hydrated, and avoid overexertion. If you are a golfer, chiropractic care is a valuable tool in staying healthy. Regular adjustments and manipulations keep your body on track and performing with maximum mobility at the top of your game. If you do suffer an injury, a chiropractor can help you manage your pain and decrease the time it takes to heal. Contact us today for more information on how we can help reduce the chance of injury for golfers, and promote healing.
Although chiropractic is dedicated to finding and correcting vertebral subluxations (also known as spinal misalignments), many patients seek chiropractic care to alleviate pain and other health-related symptoms. One condition that chiropractic patients seek relief from is consistent low back pain. According to the American Chiropractic Association, 31 million Americans experience low back pain at any give time. Even though low back pain plagues many people, finding the exact cause can be a challenge. However, chiropractors are spinal specialists that are trained extremely well to not only help alleviate your pain but also find the cause of the problem. As you seek help from your local chiropractor, you’ll want to keep the following things in mind: Low Back Pain: Prevention Is KeyPrevention is often the best cure for low back pain. When a patient sees a chiropractor, they’ll not only find relief for the low back pain they’re experiencing, but they’ll also learn ways to prevent such pain in the future. By using proper exercise and ergonomic techniques, they can ease their pain before it even starts. Amazing results are easily obtained simply by patients listening to the instructions given by their chiropractic doctor. Treatment Options Are AvailableFortunately, there are many treatment options for low back pain. Based off of the diagnosis provided by your Doctor of Chiropractic, he or she will be able to suggest the ones that will benefit you the most. These treatments may include one or more of the following: - Spinal adjustments delivered either by hand or instrument like an Activator
- Hot or cold compresses
- Physical therapy modalities like Interferential Therapy or TENS
- Massage Therapy or some other form of soft tissue work
- Spinal decompression therapy
Getting Relief From Your PainIf you were prescribed pain medication by a medial doctor before seeing your chiropractor, it may still be required to help reduce your pain levels. However, the good news is that you may be able to decrease your pain medication quicker than usual as spinal misalignments are corrected, nerve compression is alleviated and inflammation is reduced. That alone is well worth the investment of time and money to see your local chiropractor. Rehab Through ExerciseAs your care progresses from pain relief to rehabilitation of the spine, your chiropractor will recommend certain exercises to help strengthen your core muscles which, in return, will help stabilize and protect your lower back. Typically, these exercises are performed at the chiropractic office to make sure you understand how to do them without re-aggravating your original complaint. Once you’ve been educated on their purpose and know how to perform them correctly without supervision, you’ll be able to continue them at home in conjunction with the spinal adjustments you receive at the office during maintenance care. Surgery May Be AvoidedDepending on your condition, you may be able to avoid surgery if you choose to see a chiropractor before your injuries or pain become worse. In some instances, a chiropractor can help you to avoid surgery entirely by helping correct the problem instead of just masking it through pain relief. The key is to make sure you follow the recommendations of your chiropractor after a thorough consultation and examination are performed. Part of the examination procedures may require X-rays or MRIs. These not only benefit the chiropractor when he or she is developing your treatment plan but will also give you the peace of mind that the problem will be found. The bottom line is that a chiropractor is the ideal professional to consult with for any unexplained pain in the musculoskeletal system. They’re not only well-qualified to treat conditions like low back pain but also achieve great results in a very affordable and effective manner. If you or a loved one are suffering from low back pain, gives us a call. We’re here to help!
Chiropractor, Dr. Alexander Jimenez brings insight to a cool diaper changing technique created by fellow chiropractor Emily Puente, that will protect your baby’s spine. According to Puente changing diapers the traditional way, involves lifting both of the baby’s legs up over his or her head—puts a lot of stress and strain on the low back. And since babies who are not crawling have not yet developed their lordotic curve in their lumbar spine, all this stress can have a negative impact as baby grows. Instead, Puente recommends rolling your baby to change diapers in order to limit the strain on the spine. Watch her demonstrate the handy technique in a video she made for the Bridge Family Chriopractic website: Diaper Changing Video “By doing this roll technique it’s going to take the stress off that low back and make it so we’re not going to have an effect on the cervical curve,” she explains. “After your baby is crawling you don’t have to be as careful about that…but up until that point we do want to be more careful.” So easy, in fact, that Puente told us she employs the method with her 20-month-old! Looks simple enough, right? What do you think--will you try it? Source: Parents
(HealthDay News) — Chronic lower back pain affects millions of Americans. Many try steroid injections to ease their discomfort, but researchers now say this remedy provides only short-term relief.
In their study, investigators from France focused on 135 patients with back pain seemingly caused by inflammation between the discs and bones (vertebrae) in the lower spine.
The researchers found that a single steroid injection eased pain for one month. After that, however, effectiveness waned. Virtually no difference was seen one year after treatment between patients who did or didn’t get the injection.
“Our results do not support the wide use of an injection of glucocorticoid in alleviating symptoms in the long term in this condition,” said lead researcher Dr. Christelle Nguyen.
The findings are consistent with earlier studies, said Nguyen, an assistant professor of physical medicine and rehabilitation at Paris Descartes University.
Nguyen said she and her colleagues had hoped that targeting local disc inflammation with an anti-inflammatory steroid would help alleviate long-term pain.
To test their theory, they selected patients with chronic lower back pain and signs of disc inflammation on an MRI. On average, participants had suffered from back pain for six years. Half were assigned to a single steroid shot; the other half got no injection.
Patients rated their pain severity before the injection and again one, three, six and 12 months after the treatment.
One month after treatment, 55 percent of those who got the steroid injection experienced less lower back pain, compared with 33 percent of those who weren’t treated.
“However, the groups did not differ for the assessed outcomes 12 months after the injection,” Nguyen said.
For example, patients who did or didn’t received a steroid injection ended up in similar circumstances, with the same incidence of disc inflammation, lower quality of life, more anxiety and depression and continued use of non-narcotic pain pills, she said.
Overall, most patients found the steroid injections tolerable, and would agree to have a second one if necessary, Nguyen said. “We had no specific safety concerns and found no cases of infection, destruction or calcification of the disc 12 months after the injection,” she added.
The results were published March 20 in the Annals of Internal Medicine.
Dr. Byron Schneider, of Vanderbilt University School of Medicine in Nashville, noted there are many different causes of back pain.
In this study, the patients suffered from chronic back pain, he pointed out. “Patients with chronic lower back [pain] probably have more than one cause of their pain, which may be why the good results they found at one month weren’t there a year later,” said Schneider, an assistant professor of physical medicine and rehabilitation.
The study results don’t mean steroid injections should be avoided altogether, he noted.
Patients with a sudden episode of back pain — so-called acute pain — probably don’t need a steroid injection, he said.
Chiropractic Care Boosts Surgery Avoidance
“But if they’re not getting better after a month or two the way we would expect them to, at that point it would be reasonable to discuss the pluses and minuses of a steroid injection,” said Schneider, co-author of an accompanying journal editorial.
Chronic (long-term) back pain is a different situation, he said. Treating chronic back pain means treating the pain itself, but also using cognitive behavior therapy and “pain psychology” to help patients cope with pain, he said.
“For chronic pain, physicians need to address the musculoskeletal reasons that cause the hurt, but also other reasons that patients may be experiencing pain,” Schneider said.
According to the editorial, psychological distress, fear of pain and even low educational levels can affect pain levels.
More information
For more on lower back pain, visit the U.S. National Institute of Neurological Disorders and Stroke.
Doctor of Chiropractic, Dr. Alexander Jimenez looks at high heels at what they do to the back.
Ladies, ever wonder why you suffer from regular bouts of lower back pain? Achy hips? How about crazy tight leg muscles? Don’t blame it on your cycling class, or too many squats or, the trainer you only see once or twice a week. Look down. Are you wearing high heels? Bingo! You’ve heard high heels are bad for you. But it’s not just because they cause all kinds of pain and trauma to your feet. High heels are also messing up your physical fitness. They throw you out of proper postural alignment causing your joints and spine to take on more wear and tear, which means aches and pains.
Is it possible to still look rockin’ and save your joints? My suggestion is more Athleisure-wear. I know some fashion hard-liners say, no way will I walk around in yoga pants on a weekday! But we’ve come a long way since those flare-leg, fold-over yoga pants.
Let’s chat for a moment about the evils of high heels.
First there’s the obvious. They make your feet hurt. Blisters, calluses and swelling are par for the course. And pointy toes, fuhgeddaboutit! I’m sure they were invented by someone on the Marquis de Sade’s payroll. Second, they can lead to foot injuries like plantar fasciitis (usually from a bone spur that makes your heels hurt), hammertoes, bunions, and neuromas. Then there’s the domino effect.
Not only do high heels make your feet hurt, but problems with the feet can travel up the leg and cause injuries in the back, knees and hips. Your knees take on extra pressure from the weight being pushed forward onto the balls of the feet. Walking in this position makes your hip flexors and calf muscles short and tight. And it doesn’t stop there. Back problems are incredibly common in women who don’t give up their high heels.
Back Problems are incredibly common in women who don’t give up their high heels
Here’s why:
- Postural changes: The S-curve of your spine has cushiony discs in between the vertebrae that act as a shock absorbers to protect them from stress. Like when you’re bending or jumping. Wearing heels causes the lower back to arch more than normal because the body weight is pushed forward. To compensate, the upper body has to lean back to maintain balance. This puts extra stress on the discs. Spending hours with your body in funky alignment can lead to muscle spasms and back pain. Tight hamstring muscles, which attach to back of the pelvis and lower back, can also make your back ache.
- Anatomical changes: Wearing high heels on a daily, or very regular basis, over years, can actually cause anatomical changes to your body. In addition to the extra strain on your back and knees, the calf muscles can also shorten and the tendons can get tighter and thicker.
And It Can Get Even Nastier If You Get One Of These Spine Injuries:
- Spondylolisthesis: it’s a mouthful, but is a common injury that can happen in the lower back from too much hyperextension (arching the back). It’s when one vertebra slips forward over another.
- Foraminal stenosis: I have this one congenitally and it sucks. This is a spine and nerve issue that occurs when anatomical abnormalities reduce the spaces the nerves travel through as they exit the spinal column. The spaces are called foramina, and when they get blocked, the nerves get squeezed. The pain can radiate through the buttocks and down the legs. Symptoms are shooting pains, numbness, tingling, muscle weakness, spasms and, or cramping.
- Sciatica: The sciatic nerve is the longest one in the body. It runs from the bottom of the lumbar spine all the ways down the legs. When the sciatic nerve gets compressed it causes radiating pain, tingling, numbness and muscle weakness down the leg and can The pain can travel all the way to the bottom of the foot.
What Can You Do? My Case for Athleisure-Wear To Combat Back Pain
It’s time for stuffy office attire to retire. Comfy clothes and flat shoes can be very chic. Have you seen the boards on Pinterest? Thanks to this hopefully permanent fashion style, my jeans and heels spend more time in my closet than on my body. Leggings and cute kicks are my go to’s. Night out? No prob. I reach for my sleek workout leggings, a ruched top or off the shoulder top with some high heel sneaks (they’re wedges so not nearly as bad for you). I also discovered these by Bluprint which I put to the test at 2 huge conventions where I walking and standing for hours on end. The soles made of memory foam – like those beds!
My podiatrist friend, Steven Rosenberg, DPM has been preaching the need for comfy shoes to his female clients for years. (Fortunately for his practice, not everyone listens!) Dr. Steve says, wearing shoes designed more for comfort can help you live more pain-free. “Because comfort shoes are made of soft cushiony materials with soft foam innersoles, those are what you should turn to for shopping, walking or standing for long periods of time to avoid blisters, muscle spasms or arch cramps.” He also says to check for arch support in your shoes. If there’s none, you can buy ones to put inside.
Even after reading this, you may still not be willing to give up high heels for good. Me either. I still get glammed up once in a while.
Here Are Some Tips For When You Must:
- Wear them for as little time as possible.
- Try to opt for heels around 2” high
- Steer clear of pointy toes.
- Buy shoes with leather insoles to so your foot doesn’t slide.
- Buy arch inserts or use orthotics to support your arches.
- Vary your footwear so you’re not wearing high heels every day.
- Gradual or lower slopes are a little better, go for platforms or wedges instead of stilettos
- Thicker heels are better than spiky heels
- Stretch and strengthen the overworked muscles.
Here’s How:
- Stretch your leg muscles and hip flexors before and after wearing heels. For the calves, stand on a step and let one heel hang down until you feel a stretch.
Try this convenient device, the foot rocker by Vive. It stretches the calf and the sole of the foot relieving pain from plantar fasciitis.
- Massage and stretch the muscles in the soles of your feet. Roll your foot on a golf ball before and after wearing heels and, get regular foot massages.
- Strengthen and increase the range of motion in your ankles and feet. Put a rag on the floor. Using your foot, write the letters of the alphabet. Also put a bunch of marbles on the floor. Pick one or a few of them up using just your foot. Put them down about 6 inches away without lifting your foot off the floor. Try that 10 times. If you don’t have marbles, you can do it with a hand towel.
So next time you’re shopping for shoes, think about your foot fitness first. Look for fashion that keeps you closer to the ground and that will hopefully keep you farther away from the doctor.
Doctor of Chiropractic, Dr. Alexander Jimenez looks at the cervical spine and low back pain.
Low back pain and leg pain are the most common cause of disability worldwide. As such new research based treatment approaches are needed. This new randomized trial by BCP Non-profit and Cairo University tested the ability of the cervical Denneroll orthotic to improve cervical spine curvature and its consequent effect on low back and leg pain.
Great short term results were found where patients receiving the cervical spine Denneroll improved with low back pain, leg pain, neurological outcomes and disability compared to a PT only interventional group.
Doctor of Chiropractic, Dr. Alexander Jimenez looks into Tai Chi for back pain.
Q&A with Tai Chi Specialist Dr. Paul Lam
While lots of people take a “no pain, no increase” approach to work out, that’s for handling back and neck pain not always safe or effective. That’s where tai chi comes in. This low-impact, slow moving form of exercise delivers results without the sweat and soreness. Though it’s tender and meditative tai chi promotes strength, flexibility, and balance—the trifecta to get a healthier spine.
In case you have back or neck pain—or you’re looking for methods to prevent it in the first place —tai chi may be worth investigating. To help answer common questions and shed light on lesser-known facts relating to this ancient Chinese mind and body practice, we reached out to Dr. Paul Lam, manager of the Tai Chi for Health Institute in Australia.
Tai Chi Can Help
Q: During your research, what has become the most insightful finding you’ve found about tai chi as it relates to back pain?
A: The most insightful finding in my research concerning tai chi involved the mental impact and the deep stabilizer muscles to back pain.
Ninety percent of men and women have back pain at some period in their own lives, and more than 60 percent of that is continual. I discovered that nearly all individuals with back pain, no matter what the cause, have poor stabilizer muscles. Research has shown that strong stabilizers will prevent back pain and hasten healing.
Reinforcing the stabilizer muscles that are back is quite similar to tai chi training. The main element is an erect pose, exercising the stabilizers through the pelvic floor along with the transverse abdominus muscles, and using abdominal breathing. This really is among the important reasons why tai chi works so well for back pain.
One other insight I’ve discovered involves your head. Anxiety makes pain worse. Oftentimes with the continuing and persistent back pain, the cause of the pain might have gone, but the pain continues. Like a phantom pain, the thoughts’s ingrained custom proceeds to provide pain signals to the brain. Tai chi trains body and the mind, making both integrated and more powerful. It is but one of the utmost effective tools to greatly help with the mental aspects of back pain.
Q: What’s your best advice for somebody who’s apprehensive about beginning tai chi?
A: The reason why they are apprehensive about beginning tai chi, it depends. I can guarantee them it is safe, simple to understand, and proven effective, if people believe tai chi is a martial art and might be overly hard to learn. Millions of people around the globe have learned and profited from it, although the other consideration is the fact that individuals might believe tai chi is too tough to learn.
Q: How do individuals get the most?
A: I advocate people to practice tai chi for 30–40 minutes daily (it may be performed in separate sittings) most days each week. You will gain significant improvement in your quality of life and relief from back pain.
Q: Do you have some success stories that are personal which you can share regarding the benefits of tai chi for back pain?
A: Thousands! But to pick on only one, I’ve comprised a letter below written by a woman named Amatullah from Saudi Arabia.
“In 2009, I ‘d back pain for quite a while. Nothing worked, although I attempted many types of therapy. My friend said, ‘Try tai chi, it’s a gentle exercise.’ Because my back was sore, I refused at first, but I attempted it. It was really surprising to me how people from 35 to 80 years old could do the movements, when I couldn’t. I found to be able to steadfastly keep up their health, some of them had been practicing for up to 35 years. I understood they were much fitter and much more flexible than my parents, therefore I decided to learn it. I practiced in all weather, in the park every day. My back pain vanished and has never return.”
Q: Are there tai chi resources you can recommend?
A: Yes, the Tai Chi for Health Institute web site has many resources, including a summary of accredited educators around the planet.
El Paso, TX. Chiropractor Dr. Alex Jimenez examines scoliosis.
We all have curves in our backs, but scoliosis causes the spine to curve in the wrong direction. It causes sideways curves, and those are not the same as the normal curves of the spine. In case you looked at your spine from your side, you had see it curves out at your neck (cervical spine), in at your mid-back (thoracic spine), and out again at your low back (lumbar spine). Your back is likely to curve that way.
However, if your spine was looked at by you from behind, you shouldn’t see any curves. When there are sideways curves in the back from the back view, that is scoliosis. The curves can seem like an “S” or a “C.”
Spine Anatomy: Quick Lesson
You first need to know what a healthy back looks like, to comprehend scoliosis. You will find four areas in your back:
Cervical Spine:
That is your neck, which begins at the base of your skull. It features seven little spinal bones (called vertebrae), which doctors label C1 to C7 (the “C” means cervical). The numbers one to seven signify the level of the vertebrae. C1 is closest for your skull, while C7 is closest to your torso.
Thoracic Spine:
Your mid-back has 12 vertebrae which are labeled T1 to T12 (the “T” means thoracic). Vertebrae in your thoracic spine connect to your own ribs, making this a part of your back comparatively stiff and stable. Your thoracic spine doesn’t move as the other areas of your back.
Lumbar Spine:
In your low back, you’ve got five vertebrae that are tagged L1 to L5 (the “L” means lumbar). These vertebrae are your strongest and biggest vertebrae, responsible for carrying lots of the weight of your body’s. The lumbar vertebrae are also your last “authentic” vertebrae; down from this region, your vertebrae are fused. The truth is, L5 may be fused with part of your sacrum.
Sacrum & Coccyx:
The sacrum has five vertebrae that usually fuse by adulthood to form one bone. The coccyx—commonly known as your tail bone—has four (but occasionally five) fused vertebrae.
Normal Spinal Curves: Lordosis & Kyphosis
When viewed in the side, you can observe the spine has both outward and inward curves. These curves help your back are also very important to flexibility and hold your weight.
There are just two types of normal curves in your back, and they’re called lordosis and kyphosis. Kyphosis means the spine curves inward, and lordosis means the spine curves out.
There are two spinal curves that are lordotic and two kyphotic in an ordinary back. Your cervical and lumbar spinal columns each possess a lordotic curve. Sacrum and your thoracic back have kyphotic curves.
While lordosis and kyphosis refer to a healthy curvature in your back, in addition they describe abnormal spinal curves which might be different than scoliosis. Lordosis that is strange is an extreme inward spinal curve. Kyphosis that is strange is a state that results in a hunchback or slouching posture, and you also will read about it in our Kyphosis Center.
Types Of Scoliosis
Scoliosis is ordinarily associated with kids, but adults can have it, also. This generally occurs the disorder progresses aggressively or when scoliosis is not discovered during childhood. Most cases of scoliosis—more than 80%, in fact—are idiopathic, meaning they don’t possess a cause that is known.
Listed here are the various kinds of scoliosis:
- Infantile idiopathic scoliosis is diagnosed in kids ages 0 to 3.
- Congenital scoliosis happens when the spine doesn’t grow properly in the womb.
- Neuromuscular scoliosis is caused by brain, spinal cord, and muscular system disorders..
- Syndromic scoliosis grows as part of an illness or an underlying syndrome.
- Juvenile idiopathic scoliosis is diagnosed in kids ages 4 to 10.
- Adolescent idiopathic scoliosis is diagnosed in young people ages 11 to 18.
- Adult degenerative or idiopathic scoliosis is diagnosed in individuals older than 18.
Along with the types noted above, your back specialist may refer to your scoliosis early-onset scoliosis—a term for scoliosis detected before 10 years of age. Syndromic scoliosis, congenital scoliosis, neuromuscular scoliosis, infantile idiopathic scoliosis, and juvenile idiopathic scoliosis may all be considered early-onset scoliosis.
Treating Scoliosis
Scoliosis brings up images of braces and perhaps memories of being examined for it by the school nurse. Bracing is one of the most common treatment choices for scoliosis as the curve may be fixed by it without back surgery.
Sometimes, though, the curve is too extreme and bracing does not help enough. Because scenario, you could have scoliosis surgery to correct the curve. You can find out more on the topic of surgical treatment for scoliosis in scoliosis surgery for scoliosis and adults operation for kids.
For kids, particularly, it can be frightening to learn they have scoliosis. Having that label makes them different at a time in their own lives when they do not need to be different. They may not enjoy the concept of wearing a brace, either. But scoliosis is nothing to be scared or ashamed of. With the correct treatment, scoliosis doesn’t have to define your life.
El Paso, TX. Chiropractor Dr. Alex Jimenez discusses spondylolisthesis or a forward slip of a vertebra.
The word spondylolisthesis derives from two parts: spondylo which means spine, and listhesis which means slippage. Spondylolisthesis generally happens towards the bottom of your spine in the lumbar area.
This x-ray reveals spondylolisthesis in the lumbar spine. Look at where the arrow is pointing: you are able to note that the vertebra above the arrow has slipped out over the vertebra below it.
Spondylolisthesis Grades
Spondylolisthesis may be described based on its level of severity. One description grades that are commonly used spondylolisthesis, with grade 1 being least advanced, and grade 5 being advanced. By quantifying just how much of a vertebral body has slipped forward on the body beneath it, the spondylolisthesis is graded.
- Grade 1 25% of vertebral body has stolen forward
- Grade 2 50%
- Grade 3 75%
- Grade 4 100%
- Class 5 Vertebral body completely fallen off (i.e.,spondyloptosis)
How People Get Spondylolisthesis?
Around 5%- 6% of men, and 2% -3% of females have a spondylolisthesis.
It becomes clear more frequently in individuals who are involved with very physical activities like football, gymnastics, or weightlifting.
Males are far more likely than females to develop symptoms in the illness, chiefly because of their engaging in more physical tasks.
Though some kids under the age of five could be predisposed towards having a spondylolisthesis, or may indeed have a spondylolisthesis that is undetected, it’s uncommon that such young kids are diagnosed with spondylolisthesis. The increased physical activities of adolescence and adulthood, combined with the wear-and-tear of daily life, result in spondylolisthesis being most common among grownups and teenagers.
Types Of Spondylolisthesis
Different types of spondylolisthesis may be caused in a various ways. Some examples are:
Developmental Spondylolisthesis:
This type of spondylolisthesis may develop during childhood, or may exist at birth, but typically isn’t detected until later in childhood or even in adult life.
Acquired Spondylolisthesis:
Acquired spondylolisthesis could be caused in 1 of 2 manners:
- With all the day-to-day anxieties which are put on a back, such as taking heavy items and physical sports, the spine may wear out (ie, degenerate). As the links involving the vertebrae weaken, this can result in spondylolisthesis.
- A single or recurrent force being put on the spine may cause spondylolisthesis; for example, the impact of falling off the standard impact to the spine, or a ladder and landing on your feet put by offensive linemen playing football.
What Symptoms Might I See ?
A lot of people having a spondylolisthesis will have no symptoms and will only become aware of the issue when it is revealed on an x-ray for a difficulty that is different. Nevertheless, you will find numerous symptoms that commonly accompany spondylolisthesis:
- Pain in the low back, especially after exercise
- Increased lordosis (ie, swayback).
- Pain and/or weakness in one or both thighs or legs
- Reduced ability to control bowel and bladder functions
- Tight hamstring musculature
- In cases of spondylolisthesis that is complex changes may happen in the way in which individuals walk and stand; for example, development of a waddling style of walking. This causes the abdomen to protrude further, as a result of the lowbackcurving forward more. The torso (chest, etc.) may seem shorter; and muscle spasms in the lowback may occur.
El Paso TX. Chiropractor Dr. Alex Jimenez looks at the work environment to see if it is in fact spine friendly.
While work can be a pain, it doesn’t have to cause pain. Creating your office work room in order to avoid back and neck strain is easier than you may think. Plus, rethinking your work environment is a fantastic chance to brush up on other healthy work habits as well as your posture.
Here are five ways you are able to design your office together with your back in your mind.
#1. Perfect Your Sitting Posture
If you’re not sitting right even with the top equipment, your back will suffer. Pay attention to the situation of legs, hands, and your head when sitting. To avoid back pain, make sure to do the following:
- Sit erect with your back and shoulders against the trunk of your chair
- Consider using a hands free headset to stop shoulder and neck pain
- Don’t slouch
- Arms should rest on the armrests of your chair to avoid nerve pressure or circulatory difficulties
- Keep your feet flat on the flooring—don’t cross your legs
- Rest your shoulders while typing
#2. Get A Good Chair
A good-constructed ergonomic seat to help increase your blood flow, reduce fatigue, stress, and decrease the chance of injury to your own neck and back. Getting the chair that is best is important, which means this is one product which should be tried in the store as opposed to purchasing online so you know before purchasing it, the way that it feels. Make fully sure your office chair has got the following:
- A good backrest that provides lumbar support
- The capability to recline (Sitting erect at a 90º angle is not good for your spine; a 100-degrees to 110-degrees angle is much better.)
- Flexible height (You don’t want the seat to be overly high—your feet must be flat on the floor)
- The ability to rotate or swivel, so you can easily change tasks
#3. Invest In A Desk That Offers More Than Just Storage
One of the biggest pitfalls of a spine-friendly work routine is staying in one position for a long time. Switching between sitting and standing is the best strategy, and some desks—known as sit-stand desks or sit-to-stand desks — encourage one to mix up your position through the entire workday.
Sit-to-stand desks offer you the choice to work comfortably in both sitting and standing poses—and they been discovered to simply help burn off calories. They come in various price points and styles, and a growing variety of companies are considering this investment to boost workplace wellness.
If you’re looking to boost the ergonomic quality of a traditional desk make sure the desk is:
- Secure (not wobbly)
- Suitably high (generally 28″ to 30″ above the floor)
- Large enough for your computer, with surface space for writing along with other jobs.
- Not so large that you have to over reach to do your work, which could cause excessive stress on the back
#4. Look At Your Computer
Since so much office work is done on computers, wherever your equipment is put can really make a difference when you are at work, in how your back feels.
Try the following tips: - Tilt the keyboard down and slightly away from you for better wrist posture
- Be sure your mouse is close enough so you can use it with your arms relaxed, and let it be as close to your body as possible
- Set the monitor right in front of you at eye level, not off to the side, in order to avoid eye and neck strain. Adjustable monitor stands are available to find an ideal height.
- If using a notebook, consider getting an external monitor or keyboard (or both). This enables each of those parts individually to move to develop a comfortable arrangement.
#5. Take A Break
Not just a coffee break but a spine break. Stretch, take a quick walk, get the blood flowing. It’s simple to get caught up in work jobs and forget that you’ve been sitting or typing for a straight hour. Whether it’s a 15-minute walk or two-minute stretch session, occasional breaks can help revive your muscles, and perhaps you can find feel more productive, too.
You spend lots of time at work—why not take a few extra steps to develop a space that does your back a number of favors in return?
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