Spine Health & Spinal Hygiene

Perhaps you bent the wrong way while lifting something heavy. Or you’re dealing with a degenerative condition like arthritis. Whatever the cause, once you have low back pain, it can be hard to shake. About one in four Americans say they’ve had a recent bout of low back pain. And almost everyone can expect to experience back pain at some point in their lives.

Sometimes, it’s clearly serious: You were injured, or you feel numbness, weakness, or tingling in the legs. Call the doctor, of course. But for routine and mild low back pain, here are a few simple tips to try at home.

CHILL IT 

Ice is best in the first 24 to 48 hours after an injury because it reduces inflammation, says E. Anne Reicherter, PhD, PT, DPT, associate professor of Physical Therapy at the University of Maryland School of Medicine. “Even though the warmth feels good because it helps cover up the pain and it does help relax the muscles, the heat actually inflames the inflammatory processes,” she says. After 48 hours, you can switch to heat if you prefer. Whether you use heat or ice — take it off after about 20 minutes to give your skin a rest. If pain persists, talk with a doctor.

KEEP MOVING

“Our spines are like the rest of our body — they’re meant to move,” says Reicherter. Keep doing your daily activities. Make the beds, go to work, walk the dog. Once you’re feeling better, regular aerobic exercises like swimming, bicycling, and walking can keep you — and your back — more mobile. Just don’t overdo it. There’s no need to run a marathon when your back is sore.

STAY STRONG

Once your low back pain has receded, you can help avert future episodes of back pain by working the muscles that support your lower back, including the back extensor muscles. “They help you maintain the proper posture and alignment of your spine,” Reicherter says. Having strong hip, pelvic, and abdominal muscles also gives you more back support. Avoid abdominal crunches, because they can actually put more strain on your back.

STRETCH

Don’t sit slumped in your desk chair all day. Get up every 20 minutes or so and stretch the other way. “Because most of us spend a lot of time bending forward in our jobs, it’s important to stand up and stretch backward throughout the day,” Reicherter says. Don’t forget to also stretch your legs. Some people find relief from their back pain by doing a regular stretching routine, like yoga.

THINK ERGONOMICALLY

Design your workspace so you don’t have to hunch forward to see your computer monitor or reach way out for your mouse. Use a desk chair that supports your lower back and allows you to keep your feet planted firmly on the floor.

WATCH YOUR POSTURE

Slumping makes it harder for your back to support your weight. Be especially careful of your posture when lifting heavy objects. Never bend over from the waist. Instead, bend and straighten from the knees.

WEAR LOW HEELS

Exchange your four-inch pumps for flats or low heels (less than 1 inch). High heels may create a more unstable posture, and increase pressure on your lower spine.

KICK THE HABIT

Smoking can increase your risk for osteoporosis of the spine and other bone problems. Osteoporosis can in turn lead to compression fractures of the spine. Recent research found that smokers are more likely to have low back pain compared with nonsmokers.

WATCH YOUR WEIGHT

Use diet and exercise to keep your weight within a healthy range for your height. Being overweight puts excess stress on your spine.

TRY OVER-THE-COUNTER PAIN RELIEVERS

Anti-inflammatory drugs such as aspirin, ibuprofen (Advil, Motrin, Nuprin), and naproxen sodium (Aleve, Anaprox, Naprosyn) can help reduce back pain. Acetaminophen (Actamin, Panadol, Tylenol) is another over-the-counter option for pain management. Be sure to check with your doctor or pharmacist about any interactions over-the-counter pain relievers may have with other medications you are taking. People with a history of certain medical conditions (such as ulcers, kidney disease, and liver disease) should avoid some medicines.

Call your doctor if:

Your low back pain is severe, doesn’t go away after a few days, or it hurts even when you’re at rest or lying down.
You have weakness or numbness in your legs, or you have trouble standing or walking.
You lose control over your bowels or bladder.
These could be signs that you have a nerve problem or another underlying medical condition that needs to be treated.


ARE FUNCTIONAL ORTHOTICS PART OF YOUR WELLNESS PROTOCOL?

Most Chiropractors advertise pain relief without drugs and care for injuries. Recently, some doctors and practices have begun labeling and promoting themselves as Wellness Centers. A wellness practice is focused on both maintaining a pre-existing level of musculoskeletal balance and postural health and preventing conditions that might alter this state of health. The challenge is, how can healthy patients be protected from problems that might arise in the future? The answer is simple: custom-made orthotics. Custom orthotics may be traditionally seen as a preventative measure, but so are most treatments of old. They are the perfect, foundational support your patients will never want to go without.

Wellness is a great concept—one of those “win-win” situations for doctor and patient. Orthotics are the perfect way to implement this concept and help establish a “preventative” approach, in addition to the traditional reactive ones, if need be. Let’s take at a look at the foundation of the body, and see just how useful they can be.

LOOK TO THE FEET

The feet are the foundation of the body. By age 40, nearly everyone has a foot condition of some sort, many of which eventually contributing to health concerns farther up the Kinetic Chain (Figure 1). Therefore, it’s in the best interest of healthy patients to be offered a wellness program which stresses preventative care for normal, healthy feet, in order to prevent foot problems from occurring later in life.

While 99% of all feet are normal at birth, 8% develop troubles by the first year of age, 41% at age 5, and 80% by age 20. By age 40, nearly everyone has a foot condition of some sort.

HOW CAN ORTHOTICS HELP?

Patients who participate in Chiropractic wellness programs can benefit from custom-made orthotics nearly as much as patients who seek Chiropractic care for musculoskeletal injuries and conditions. Foot Levelers’ custom orthotics have been shown to effectively support the pedal foundation for both categories of patients, and can prevent problems well into the future with static and dynamic support.

Static support.Static support. A 1999 study using radiographic measurements found that custom-made, flexible orthotics can significantly improve the alignment of the arches when standing.2 In the wellness-practice concept of orthotic use, custom-made, flexible orthotics can be used to maintain a properly functioning arch alignment.

Dynamic support. During gait, the foot undergoes substantial changes and must permit a smooth transfer of the body’s center of mass over the leg in order to conserve energy and keep the work expenditure to a minimum.3 This requires a flexible, yet supportive orthotic that accommodates varying weights and forces and allows proper movement and function of the foot, while supporting all three arches—in order to prevent eventual arch collapse.

Postural benefits. Since the entire body structure is balanced on one foot at a time when walking and running, improving foot alignment can help maintain knee, hip, pelvic and even spinal postural alignment,4 and prevent joint degeneration (of the hip, knee, or spinal joints). A pelvic or spinal tilt or recurrent subluxations will often respond rapidly to orthotic support of the arches in the feet. 

ORTHOTICS FOR EVERYONE

Custom-made, flexible orthotics have long been recognized as a valid adjunct to Chiropractic care for many musculoskeletal conditions. In the wellness model of Chiropractic care, Foot Levelers’ custom-made, flexible orthotics (Fig. 2) can be utilized as a preventative modality for the preservation of optimal arch support and the postponement or prevention of joint imbalances in later years. Therefore, orthotics are appropriate for virtually all Chiropractic patients.

Tony Robbins Talks Network Chiropractic

Tony Robbins, the #1 personal growth and business leader, talks about his experience of Network Chiropractic and Donny Epstein.

Network Spinal Analysis™ could be described in this way, arising as it did when in 1982, New York Chiropractor, Dr Donald Epstein began ‘networking’ various chiropractic techniques. Through meticulous observation and by comparing the findings and results of one method with another, he began to see the efficacy of marrying certain techniques in a manner which enables the practitioner, through the use of light touch, to release large amounts of spinal tension from a patient. Although this might not sound very dramatic, it is a fact that the absolutely remarkable ‘life-changing’ ways in which patients respond to this method of care has become a hallmark of NSA. This unique approach to health is a synthesis of long standing chiropractic methods, quantum mechanics, neuroanatomy and neurophysiology while also acknowledging changing perspectives in health care. In Dr Epstein’s case, these changes involve an expanded interpretation of the concept of ‘wellness’.

What is Network Chiropractic?

Here is an interview with Dr. Epstein from the Positive Health

Online website:

Dr Epstein: “Network Spinal Analysis™ sits within a new paradigm which I have been developing internationally and that’s called the Wellness Paradigm. Wellness is not about whether a person has disease. It’s about their internal experience of their body, the ability to make constructive healthy choices, and their ability to enjoy life and be well. Wellness is that state of concern in which you are relatively invincible, nothing can ruin your day, you feel alive, vital and confident and experience a high state of well-being. When you experience wellness, your circumstances of the moment do not easily upset your internal state.”

Findings from Network Care have been documented in major university studies which examine the social science and bio-medical indicators of wellness by looking at a variety of different things people do to increase their health levels. A person who meditates daily, has buns of steel from exercise and the most expensive urine on the planet from supplements, and who has stopped doing the destructive things, will double their perceived wellness factor. However, if that person then adds Network Care, their wellness factor – their ability to make healthy life choices and stick to them – trebles!

Dr Epstein: “What we are looking at here is an experience of life beyond the usual form. A more subtle engagement with the parts of the brain that allow a person to express their higher level of humanity and function occurs so that a greater capacity to express more connections of compassion and love arises. I call these ‘higher end social changes’, because there are spiritual connotations involved. The individual is different in the way they relate to others and their environment. They can be instrumental in helping create a more compassionately productive community.

“To understand the ‘mechanics’ of NSA, we must first remind ourselves that the spine is composed of bones sitting on top of each other with discs or pads in-between. These bones or vertebrae have holes like donuts in them. These holes create a spinal-canal for the spinal cord which extends from the base of the brain to the tail-bone. The central nervous system comprises the brain and the spinal cord, and is supported by an intricate system of tissues called the meninges that are filled with fluid which nourishes and protects the nervous system, all of which sits within the spinal canal, protected by the bony vertebrae. Connective tissue attaches this system to the top and bottom of the spine and this tissue is subject to stresses, tension and distortion.

“We perceive our world through the nervous system. It is also through the nervous system that we coordinate the function of every cell, organ and tissue in the body. Every region of the body and every emotion is expressed through the nervous system. Also, it’s the part of us with which we reason and which adapts us to stress and it’s the vehicle we use to create our conscious reality. So, when an event occurs that our brain decides is not safe for us to fully experience at that particular time, the energy and information of the event is translated into vibration and tension, which is then stored in the body. This tension begins to distort the spinal system: Spinal bones (the vertebrae) lose their normal alignment, and muscles and ligaments strain and pull. Nerves can become compressed or stretched and irritated which results in abnormal function. As the nervous system is put under pressure, the spine is no longer able to right itself without outside help. Our body then ‘closes off’ the offending energy and tension, but over time, muscular tightness, spinal distortion, reduced breathing into the area occurs and consequently reduced movement results. Until it is safe to experience that energy again, and digest the information from the trauma, we cannot really feel whole or well.

“This is a very real thing – anyone who is at the crossroads of life, physically, emotionally or spiritually, or anyone who cannot get further than they were before, needs Network Care to help their brain to move from stress physiology which results in a person’s structure being fixed in defence posture. In fact, most of us remain in defence mode throughout our lives and this can retard the higher, more evolved area of the brain from developing its unique properties and evolving new strategies for experiencing and responding to life. There are many people whose vertebrae, ligaments and tissues are locked into stress patterns, creating so much tension, that their focus in life is just getting through another day! Network care allows the brain to move from the stress physiology into safety.”

So How Does The Practitioner Go About Relieving This Stress?

Dr Epstein: “I found that by using gentle and specific touches in a consistent sequence, where the spinal cord attaches to the spine, a patient’s own body learns to release complex patterns of tension and areas of disablement. Once this has been achieved, a further unwinding of deeper tensions from the spine occurs. These ‘touches’ consist of gentle finger or hand contacts applied at ‘spinal gateways’™ or ‘access points’ along the neck and lower spine. They are applied in such a way as to engage the higher part of the brain, the frontal lobes of the cerebral cortex. This is the most recently developed region of our brain and is the area through which we observe ourselves and make choices regarding our behaviour. This is the area through which we can reach a higher level of humanity, one which embraces spirituality and evolution.”

During Network Spinal Analysis™ Care, two ‘healing waves’ develop. One is a breathing wave which releases tension throughout the spine and body and relaxes a person. The other is called somatopsychic (or body-mind) wave, which is associated with undulation or movement of the spine.

Dr Epstein: “The mathematics of this wave are unique because it appears that this type of wave has not been reported anywhere else, so it has to be a signature in Network care. The theory being purported now suggests that as the individual progresses through levels of care, that wave, that signal along the spine is organizing high levels of complexity. That means there’s more letters in the language – more words available and ultimately more information becomes accessible. There is an evolutionary aspect to this in that there is an increase in the ability of the system to self-organize so it can have more appropriate views about the environment and become more energy efficient. Thus an outcome is produced, that is significantly beneficial to the species and that was not there before.

“What we are looking for in Network is for the system itself to reorganize and develop strategies for experiencing and releasing tension on its own. In the first level of care, which may last a few weeks, the person develops a strategy to connect the brain to the body more effectively and to develop a capacity for self-correction of the tension patterns. The care programme encourages the development of spontaneous stretching movements and breath movements which help release tension in the spine. In the second level of care, we are looking for the brain to be aware of the person’s tension, and actually temporarily amplify that tension and redirect it so that the tension actually becomes the fuel for further healing and transformation. Tension is what holds a person anchored in a position of non-safety. Lack of safety is the basis for all physiological stress and the way we accumulate this stress is directly associated with the way we experience our world.

“I would like to see Network Spinal Analysis™ practitioners in places like cancer clinics and working with people who have had recent heart attacks; serious trauma patients and those who have had emotional traumas as children. I see Network Care not as competing with the existing medical paradigm, but instead offering a totally different approach that says no matter what you do about the disease, allow that person to be upgraded from say a 64k computer to a Pentium. Allow them to develop new strategies that they never had before and that person will make healthier choices. They will become more at peace and ease with their life and they will have a greater capacity to heal, which often means the disease going away. And if the disease doesn’t go away, at least that person’s life is going to be richer than it was before. Network Care is an approach to wellness that embraces everyone. Babies, children, seniors. All can develop these strategies which allow a higher level of function.

“A man who came to a talk I was giving, told me he had metastatic prostate cancer. He had had surgery and radiation treatments and the cancer had gone away but now it was back and spreading and he was very worried. I asked him what he was afraid of and if he was afraid of dying. He said, ‘No, I’m afraid of the way I have to die if I go for further chemotherapy and radiation.’ It is upsetting that the treatment has to take away a person’s dignity which in my opinion can never heal. But I asked him what he would have to do differently if he was going to die. He said that he would have to get his affairs in order so I asked him what he meant by that. ‘Well,’ he said, ‘I haven’t spoken to my son in 20 years and I never forgave my wife for dying’. And he went through a variety of things. I asked him why he would have to do these things. He said so that he could die in peace and I said, ‘Sir, this is a mistake, it’s so you can live in peace’. For some people, the only way they can make the changes which will enable them to live in peace is at the very end of their life.

“And the point of this is – there are people who have cancer who never know it and who live full and perfectly wonderful lives. I know of one Network doctor I met at a seminar recently who told people that she is more alive, more compassionate and responsive with more feelings of gratitude than ever before. Six months previously, she had a breast removed, and for six weeks before that she had received chemotherapy. The other people who had had chemotherapy and surgery at the same time were not receiving Network Care. Her internal state of wellness was so high irrespective of her circumstance, that she could be well and produce the physiology that would allow for a person to heal.

“When someone comes to me for care, I do not have to know what it was that caused that person’s problem. What I do know, is how to intervene, to help their system to observe itself and to make a change. I have clinically dedicated myself to furthering the knowledge of the biological links which will help us express a greater range of our humanity. I believe that by optimizing an individual’s biology, Network Spinal Analysis™ will facilitate positive transformation on a global scale, changing the world, a spine at a time”.

The goals of the chiropractic treatment of a thoracic disc herniation are to reduce pain and dysfunction while the body heals itself.



Since most disc extrusions naturally regress in a few months, chiropractors will attempt to reduce the pain and pressure caused by the disc herniation. Chiropractic treatment of a thoracic disc herniation may include one or a combination of the following:

Adjustments
Distraction or traction
Ergonomic training
Physical modalities (cold laser, heat, ice, electrical stimulation)
Specific exercises
Some chiropractors will recommend nutritional support, such as proteolytic enzymes, to reduce the pain and swelling associated with a disc herniation.

More Chiropractic Treatments for Upper Back Problems

In addition to joint dysfunction, myofascial pain syndrome, and thoracic herniated disc, which have already been reviewed in this article, chiropractic care may be a treatment option for additional upper back problems, such as thoracic joint dysfunction, thoracic outlet syndrome, and shoulder dysfunction related to the upper spine.

Joint dysfunction

The thoracic spine is a marvel of joint interaction and complex motion patterns. Composed of a total of 220 separate joints,1 it makes up the lion’s share of the 313 total joints in the entire spine. With this many interactive articulations it is easy to see that maintaining normal joint function, motion, and position is important. Chiropractors treat thoracic joint dysfunction with chiropractic adjustments.

There are a variety of chiropractic-adjustment techniques that can be used to adjust a dysfunctional joint:

Most chiropractors employ manual adjusting techniques that utilize precise thrusting adjustments to help normalize joint function.
Chiropractors can also use softer directional adjusting techniques or adjusting instruments to accommodate the needs of the patient.
Thoracic outlet syndrome

Thoracic outlet syndrome (TOS) is a disorder in which the nerves of the brachial plexus and blood vessels are compressed. This compression can cause great pain and altered sensations such as a “pins and needles” sensation in the hands.

Treatment of thoracic outlet syndrome can include stretching, manual trigger-point therapy, and myofascial anchor-and-stretch release techniques to the affected muscles. Chiropractors may also include adjustments and postural instruction.


Thoracic/shoulder dysfunction

The function of the shoulder and the upper back are interrelated. Studies have shown that thrusting manipulations applied to the thoracic spine and ribs have reduced shoulder pain and dysfunction. Chiropractic adjustments to the thoracic region can be beneficial to certain types of shoulder dysfunction.

There are many causes and treatment options for thoracic spine disorders. Chiropractors have a wide range of treatment options for treating these conditions. Chiropractors are increasingly joining collaborative spinal care teams as a drug-free option for treating spinal and musculoskeletal conditions.