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Self-Care For Secondary Headaches

Self-Care For Secondary Headaches

Self-care for secondary type headaches. Different types of headaches range from mild to excruciating, and the frequency of occurrence also varies from person to person. Headaches are classified into three types that are primary, secondary, and nerve pain headaches. Primary are tension, migraine, and cluster headaches. Nerve pain headaches are also called cranial neuralgia headaches. This is when one or more cranial nerves that run down the neck from the brain become inflamed, causing pain and discomfort. Secondary headaches are a symptom of a bodily reaction or an injury. These types of headaches can be caused by:

  • Sinus problems
  • Allergies
  • Physical exertion
  • Dehydration
  • Caffeine
  • Hormones
  • Medications
  • Alcohol consumption
  • Concussion
  • Trauma

Self-Care For Secondary Headaches

Sinus Headaches

These can be caused by a sinus infection. If pain presents in the upper teeth, a fever, and yellow or green nasal discharge, this could mean an infection. A doctor can help with some antibiotics. For individuals that regularly get sinus headaches from changes in air pressure or other causes, here are a few self-care techniques:

Hot Shower

  • Steam can help drain the sinuses. Take a hot shower or hold your head over a pot of steaming water.

Nasal Irrigation and Neti Pots

  • This ancient remedy comes from India. The concept is simple; the teapot has a long spout that goes inside one nostril. The water/saline solution will go through the sinuses and come out the other nostril draining the nose and relieving the pressure.

Hot and Cold Compresses

  • Individuals can find relief by alternating between hot and cold compresses placed on the forehead. This reduces swelling and allows the sinuses to drain.

Eucalyptus Oil

  • This powerful oil from Eucalyptus leaves helps clear up sinuses. It can be done by smelling a few drops placed on a cloth for 10 minutes or placing a drop or two in hot water and breathe in the steam.

Allergy Headaches

Allergies are a common cause of headaches. Self-care can include:

Nitrates and Nitrites Avoidance

  • These are common food preservatives in processed types of meat like bacon, hot dogs, and sausages. It is a preservative, but many individuals can have an allergic reaction that causes headaches instead of hives.

Avoid Powerful Smells and Odors

This can be difficult with all the smells wafting around but try to pay attention to the surrounding smells as any could cause an allergic reaction. Strong odors can include:

  • Cleaning products
  • Nail polish
  • Perfume
  • Hair spray
  • Paint
  • Cigarette smoke

Elimination Diet

Food allergies often result in digestive problems, hives, and swollen airways but can also cause headaches. Even individuals that are not allergic to the food itself could be sensitive to other items like artificial colors or preservatives. The most common food items that cause headaches include:

  • Cheese
  • Chocolate
  • Citrus fruit
  • Coffee
  • Alcohol

Consulting with a health coach and/or nutritionist can help to create a customized meal plan.

Exertion Headaches

Exertion headaches can be produced by physical activity/exercise or strain. They usually begin with throbbing pain on both sides of the head and cause a red face or complexion. They can be caused by:

  • Prolonged physical activities, exercise.
  • Strenuous activity at work lifting objects or weights.
  • Self-care for stopping an exertion headache includes:

Cooling Down

  • An exertion headache is the body’s way of saying that it has overextended its ability.
  • Drinking some cool water
  • Take a break for 20-30 minutes.

Avoid Headache Triggers

  • Try to stay aware when these headaches present and pay attention to see if there is a trigger.
  • This can be caused by dehydration
  • Not enough sleep.

Chiropractic and Physical Therapy

These types of headaches can also be caused by incorrect posture when working or exercising.

  • Lifting heavy weights or running with the head too far forward or back limits blood flow, causing muscle tension.
  • A chiropractor adjusts the spine and whole-body
  • Educate on core strengthening exercises and proper form.

Caffeine Headache

Caffeine narrows the blood vessels that surround the brain. When an individual stops consumption, the blood vessels enlarge. This causes an increase in blood flow and pressures on the brain’s surrounding nerves. This can trigger a caffeine withdrawal headache. Self-care includes:

Peppermint or Lavender Oil

  • Massaging a drop of oil into the temples can open up the blood vessels and relieve the pressure.

Ice Packs

  • Applying an ice pack to the back of the neck can stop a caffeine headache.

Taking a Nap

  •  Lying down and taking a nap for 30-60 minutes can help bring relief.
  • Alternate decaf coffee with regular coffee.

Hormone Headache

Estrogen levels can affect various areas of a woman’s body, including headaches. Headaches experienced just before or in the first days of a menstrual cycle are known as menstrual migraines. Headaches that start when ovulating are called hormone headaches. Self-care can include:

Yoga

  • Practicing yoga can help prevent headaches from occurring.

Sleep

  • 7-9 hours of sleep are recommended every night to allow the body to flush out old hormones and create new ones.
  • This can help prevent a hormone overload.

Massage

Stress leads to headaches.

  • Massage therapy is highly recommended to reduce stress and keep the body loose and relaxed.

Changing Birth Control Pills

Certain types of birth control pills can have more side effects than others, including headaches.

  • Ask a doctor about switching to another type to see if it helps.

Body Composition


Master Cleanse Diet

The Master Cleanse Diet is a prescriptive program that focuses on a specific food or drink regimen. This diet is intended to last around two weeks and relies on:

  • Drinking a water mixture
  • Lemon juice
  • Maple syrup
  • Cayenne pepper
  • A salt-water flush can also be incorporated.
References

Bryans, Roland et al. “Evidence-based guidelines for the chiropractic treatment of adults with headache.” Journal of manipulative and physiological therapeutics vol. 34,5 (2011): 274-89. doi:10.1016/j.jmpt.2011.04.008

Chaibi, Aleksander, and Michael Bjørn Russell. “Manual therapies for primary chronic headaches: a systematic review of randomized controlled trials.” The journal of headache and pain vol. 15,1 67. 2 Oct. 2014, doi:10.1186/1129-2377-15-67

Green, Mark W. “Secondary headaches.” Continuum (Minneapolis, Minn.) vol. 18,4 (2012): 783-95. doi:10.1212/01.CON.0000418642.53146.17

Tense Hips, Hamstrings, and Back Pain

Tense Hips, Hamstrings, and Back Pain

The body is a connected whole and more than just separate parts and regions. When back pain presents, it might not be the back muscles or spine but could be tense, tight hips, and hamstrings causing low back pain. How it happens, how to stretch and loosen up, and target these areas could help alleviate the pain.

Tense Hips, Hamstrings, and Back Pain

The Hips and Hamstrings

When the hip flexors and hamstrings become tense, the tightness can alter the pelvic alignment. This affects spinal alignment leading to discomfort and low back pain. The hip flexors are a group of muscles around the front of the hips, and they activate when moving the leg and knee upward. The hamstrings are the muscles in the back of the thighs that allow for flexion of the knees and hip extension. Muscle tightness in the hips and/or hip joint stiffness can also contribute to low back pain. Not being able to rotate, flex, or extend the hip forward or backward can affect:

  • Walking
  • Running
  • Swinging
  • Twisting movements
  • This increases mechanical strain on the lower back.

Hamstring tightness can be a side effect of:

  • Low back pain
  • Pelvic positioning
  • Muscle guarding
  • Weakness
  • All can contribute to the hamstrings feeling tight.

Tense Hips and Hamstrings

The factors creating this tightness can come from:

  • A sedentary lifestyle
  • Little to no physical activity
  • Sitting too long with no stretching or movement.
  • Injury
  • Intense workout

Losing the ability to function through the entire length of motion can also indicate muscle weakness and a lack of joint movement where the joint around the muscle becomes stiff. This can be caused by:

  • A lack of movement
  • Arthritis
  • Age-related changes

Stretching and Treatment

Stretching exercises can be the first line of treatment. It is recommended to start with gentle stretches targeting these areas. What works best for the individual is the stretch they are comfortable repeating enough to make a difference. Warming up the muscles first will generate the best results. An easy place to begin is a gentle forward fold stretch.

  • Stand up straight, or sit with the legs extended out in front.
  • Then, reach with the fingers toward the toes. Don’t worry if you can’t reach them.
  • Don’t bounce.
  • Hold the position for a few seconds.
  • Repeat five to 10 times.

For the hip flexors, stretches include:

If the stretching does not bring relief, it is recommended to progress to a personalized treatment and stretching program with a chiropractor or physical therapist. Chiropractic and physical therapy can relieve the problems without medication, injections, or surgery and provide lifelong techniques for maintaining optimal flexibility, mobility, and strength. The hands-on treatment loosens and relieves the tense tightness, reinforcing the flexibility and range of motion. Treatment includes:

  • Joint mobilization to the hips and spine.
  • Soft tissue mobilization.
  • A personalized strengthening program with stretches and exercises that target the specific muscles.
  • Health coaching.
  • Anti-inflammatory diet recommendations.

Body Composition


Monounsaturated Fats

Monounsaturated fat is considered healthy fat. This type of fat makes up a significant component of the Mediterranean diet. Studies have shown monounsaturated fats like extra-virgin olive oil can help prevent adverse events related to cardiovascular disease. A meta-analysis evaluating diets high in monounsaturated fats indicated a significant reduction in:

  • Triglycerides
  • Bodyweight
  • Systolic blood pressure in individuals with type II diabetes.
  • A significant increase in HDL or good cholesterol.

Another study showed the protective effects of monounsaturated fatty acids reduced the risk factors associated with metabolic syndrome and cardiovascular disease. Monounsaturated fats can have a positive impact on overall health. Monounsaturated fat sources include:

  • Olive, peanut, and canola oil
  • Avocados
  • Almonds
  • Pecans
  • Hazelnuts
  • Sesame and pumpkin seeds
References

Estruch, Ramón et al. “Retraction and Republication: Primary Prevention of Cardiovascular Disease with a Mediterranean Diet. N Engl J Med 2013;368:1279-90.” The New England journal of medicine vol. 378,25 (2018): 2441-2442. doi:10.1056/NEJMc1806491

Gillingham, Leah G et al. “Dietary monounsaturated fatty acids are protective against metabolic syndrome and cardiovascular disease risk factors.” Lipids vol. 46,3 (2011): 209-28. doi:10.1007/s11745-010-3524-y

American College of Physicians. (February 2017) “American College of Physicians issues guideline for treating non-radicular low back pain” www.acponline.org/acp-newsroom/american-college-of-physicians-issues-guideline-for-treating-nonradicular-low-back-pain

MedlinePlus. (2019) Hip flexor strain – aftercare medlineplus.gov/ency/patientinstructions/000682.htm

NCBI. (2021) Hamstring Injury www.ncbi.nlm.nih.gov/books/NBK558936/

Classes For Chronic Back Pain Management

Classes For Chronic Back Pain Management

Medical experts have seen how pain education and cognitive behavioral therapy or CBT classes effectively manage chronic back pain; even a one-time pain management class can help. Individuals experiencing back pain often try a variety of remedies to find relief. These include:

  • Eliminating activities
  • Over-the-counter medications
  • Prescription pain medications
  • Support devices and braces
  • Pain specialists
  • Surgery

All treatment options can help alleviate discomfort and pain, but sometimes taking a pain management class and getting educated on what is happening in the body has been shown to help individuals gain a better understanding helping them to find relief. A recent study suggests that a one-time class may be all that is needed. These quick classes can give more individuals immediate access to information and skill sets that can help reduce the pain and everything that comes with it.

Classes For Chronic Back Pain Management

Cognitive Behavioral Therapy Classes

Cognitive Behavioral Therapy for chronic pain provides individuals with information and pain management skills. Cognitive-behavioral therapy is handled by a therapist and can take multiple individual or group sessions that last one or two hours. A session can include:

  • Education on pain and how it works.
  • How thoughts and emotions influence pain.
  • How pain affects mood.
  • Sleep and pain.
  • Activity and action plan development.

Chronic lower back pain or CLBP is considered a physical ailment; cognitive behavioral therapy can provide mental health strategies to manage symptoms better. For example, individuals with chronic pain begin to fear doing activities that could increase their pain level and begin to constantly worry about worsening the injury or creating a new injury. This can lead to severe stress that exacerbates the chronic symptoms and can lead to other health issues.

Single Session Vs. Multiple

Doctors and medical experts are trying to make pain education and relief skills more accessible. They do not require multiple sessions and instead consist of single-session, two-hour management classes. A randomized clinical trial of adults with chronic low back pain was compared to:

  • 2-hour pain relief skills class known as Empowered Relief.
  • 2-hour back pain health education class with no skill set training.
  • 16-hour, 8-session cognitive behavioral therapy group class.

The study found that three months after treatment, the Empowered Relief group showed positive results. In the randomized trial, a single-session pain relief class was found to be non-inferior to an eight-session cognitive behavioral therapy class to:

  • Reduce pain-related distress
  • Pain intensity
  • Pain interference

Benefits

The individuals that completed the one-time 2-hour class reported positive results after three months. They found that the course had significantly reduced:

  • Pain intensity
  • Pain interference
  • Sleep disturbance
  • Anxiety
  • Fatigue
  • Depression

However, doctors caution that the two-hour class does not replace comprehensive cognitive-behavioral therapy. This is to get individuals on a positive path of pain management that can further develop into a healthy lifestyle. The objective is to create a range of options that meets an individual’s needs. The most significant advantage of a two-hour class is the convenience. Individuals can participate in these classes in person or online.


Body Composition


Supplements That Can Help Improve Lean Body Mass

A few dietary supplements that directly support body composition improvement.

Protein Powders

Protein powders are common nutritional/dietary supplements. Protein powders come in a variety of sources:

  • Milk-based – whey and casein
  • Egg-based
  • Plant-based – rice, hemp, pea, pumpkin seed, and soy.

Rice Protein

Rice protein is a plant-based protein powder used by vegans, vegetarians, and individuals who can’t tolerate dairy products. Research has found that rice protein has similar effects on body composition as whey. Scientists found that individuals who took rice protein and individuals that took whey protein both experienced positive body composition changes.

References

Cochrane Database of Systematic Reviews. (Oct 2015) “Psychological therapies for the management of chronic neuropathic pain in adults.” www.ncbi.nlm.nih.gov/pmc/articles/PMC6485637/

Darnall BD, Roy A, Chen AL, et al. Comparison of a Single-Session Pain Management Skills Intervention With a Single-Session Health Education Intervention and 8 Sessions of Cognitive Behavioral Therapy in Adults With Chronic Low Back Pain: A Randomized Clinical Trial. JAMA Netw Open. 2021;4(8):e2113401. doi:10.1001/jamanetworkopen.2021.13401

Future Neurology. (Nov 2014) “Neuroimaging chronic pain: what have we learned and where are we going?” www.ncbi.nlm.nih.gov/pmc/articles/PMC5289824/

HRB Open Research. (Aug 2020) “The relative effectiveness of psychotherapeutic techniques and delivery modalities for chronic pain: a protocol for a systematic review and network meta-analysis” www.ncbi.nlm.nih.gov/pmc/articles/PMC7459872/

Journal of Psychosomatic Research. (Jan 2010) “Mindfulness-based stress reduction for chronic pain conditions: variation in treatment outcomes and role of home meditation practice.”

National Institutes of Health. (March 2016) “Meditation and cognitive-behavioral therapy ease low back pain.” www.nih.gov/news-events/nih-research-matters/meditation-cognitive-behavioral-therapy-ease-low-back-pain

Pain. (Feb 2008). “Mindfulness meditation for the treatment of chronic low back pain in older adults: A randomized controlled pilot study. www.ncbi.nlm.nih.gov/pmc/articles/PMC2254507/

Pain and Therapy. (Jun 2020) “Rehabilitation for Low Back Pain: A Narrative Review for Managing Pain and Improving Function in Acute and Chronic Conditions.” www.ncbi.nlm.nih.gov/pmc/articles/PMC7203283/

Pulled Shoulder Muscle

Pulled Shoulder Muscle

The shoulder is a ball-and-socket joint. The shoulder has several muscles that help it move and allow a wide range of motion. A strain or pulled shoulder muscle can affect the slightest movements, making simple activities difficult and painful. Pulling a muscle in the shoulder can be caused by an injury, overuse, and general wear and tear. Minor shoulder injuries usually heal on their own with rest and self-care. Severe shoulder muscle injuries should be addressed by a medical professional.

Pulled Shoulder Muscle

Pulled Shoulder Muscle Causes

Pulling a muscle in the shoulder can happen quickly. This could be from falling on the shoulder, an auto accident, or a work accident. It can develop after weeks, months, and years of repetitive motion and overuse. It is common among individuals that play certain sports or jobs that require repetitive activities with the shoulders. They can also happen with no apparent cause. Treatment and recovery depend on the type and severity of the injury.

How to Tell If It’s a Pulled Muscle

It can be hard to tell the cause unless the individual has experienced the specific type of pain before. Otherwise, it is recommended to consult a medical professional like a physical therapist or chiropractor. This is because shoulder pain can be caused by inflammation of the tendons and joints and/or the joint itself.

Pulled Muscle Shoulder Symptoms

A pulled muscle is characterized by:

  • Tenderness
  • Dull, sore, or aching pain.
  • Sometimes it can cause shooting pain between the shoulder blades in the front or back.
  • Pain when the shoulder is at rest.
  • Pain when the specific muscle is used.
  • Swelling of the area.
  • Shoulder instability.
  • The shoulder feels fragile.
  • Movement causes pain.
  • A bump may develop at the top of the shoulder near the end of the collarbone.
  • Inability to use the muscle at all.
  • If the pain is persistent, it could signify that there is something other than a pulled muscle like a pinched nerve or a joint issue.

Treatment and Recovery Options

Treatment and recovery vary and depend on the severity of the pull and the individual’s overall health. Many find that their pain is reduced with self-care in 2 or 3 weeks. Chiropractic treatment for a pulled shoulder muscle can provide relief within 1 or 2 weeks.

Self Care

Depending on the severity of the pull and how much pain is being experienced, individuals could be recommended to take an NSAID like Ibuprofen to reduce pain and swelling. Self-care can include:

Ice To Reduce Swelling

  • Applying ice or a cold pack to the area can help reduce swelling.
  • Place a cloth or towel between the skin and the cold pack.
  • Apply it for 20 minutes an hour.
  • The swelling should reduce in a day or two.

Rest

  • It is recommended to rest the shoulder for no more than 2 or 3 days.
  • This begins the healing process and prevents worsening the injury.

Wrap or Sling

  • During rest days, it can be hard to keep the shoulder from moving.
  • To avoid this, use a shoulder wrap or a sling to support the arm.
  • However, they should not be used for more than 2 or 3 days.

Gentle Stretching

  • It is essential to get the muscle working again after 2 or 3 days of rest.
  • Stretches will help the muscle group heal and gain strength.
  • Not stretching the muscle could prolong recovery and worsen the injury, and possibly cause new injuries.

Stretches For a Pulled Shoulder

Stretching a pulled shoulder muscle after a few days of rest is recommended because not working out the injured muscle can cause more problems. Not using the muscle can cause it to atrophy, which will take longer to heal, and the surrounding muscles become weak.

Pendulum Stretch

  • Slightly bent support the body by placing the unaffected arm on a table or chair.
  • Let the injured arm hang straight down.
  • Swing the arm in small circles clockwise as far as the pain or discomfort allows.
  • Perform for 1 minute.
  • Go counterclockwise for one minute.
  • Repeat 4 to 8 times throughout the day.

Chiropractic

If self-care is not providing sufficient relief, then chiropractic treatment is recommended. A doctor of chiropractic can advise on the best treatment options and get to the root of the issue. Chiropractors have a treatment arsenal of modalities and approaches to help treat pulled muscles. These include:

  • Chiropractic adjustments
  • Physical therapy
  • Cold laser therapy
  • Electrical stimulation
  • Manual stretching
  • Correction exercises
  • Ultrasound
  • Health coaching

Body Composition


Three Somatotypes – Body Shapes

A somatotype is the overall shape and composition of the human body. Body types based on physique have three generalized divisions:

  • Endomorph
  • Mesomorph
  • Ectomorph

However, it is rare for someone to fall entirely into one somatotype. Individuals can have a combination of qualities from two somatotypes, like an ectomorph-endomorph hybrid or an endomorph-ectomorph, for example.

Ectomorphs

  • Naturally lean with long limbs, ectomorphs typically possess a slender look no matter what type of diet.
  • A lot of endurance runners and swimmers are ectomorphs.
  • Ectomorphs may have a decent amount of muscle but may appear to have less muscle development because of their long limb length.
  • Body fat also seems to get hidden by the long, slender figure, which means they can get away with a few extra pounds of fat.
  • However, if ectomorphs do not watch their health, they can become skinny fat.

Mesomorphs

  • Mesomorphs have a natural athletic look.
  • They can achieve a muscular physique without really trying.
  • The physiology tends to include:
  • Narrow hips
  • Wide back
  • A large frame contributes to a muscular appearance.
  • Many professional fighters, football, and basketball players are mesomorphs.

Endomorphs

  • Endomorphs have a larger structure with wide hips and shoulders.
  • Shorter arms and legs.
  • This type of body shape is excellent for activities that require a lot of strength.
  • Rugby players, strength athletes, and powerlifters are endomorphs.
  • This body type is considered to be a contributing performance factor in Ironman athletes.
References

Blache, Y et al. “Superficial shoulder muscle co-activations during lifting tasks: Influence of lifting height, weight, and phase.” Journal of electromyography and kinesiology: official journal of the International Society of Electrophysiological Kinesiology vol. 25,2 (2015): 355-62. doi:10.1016/j.jelekin.2014.11.004

Brantingham, James W et al. “Manipulative therapy for shoulder pain and disorders: expansion of a systematic review.” Journal of manipulative and physiological therapeutics vol. 34,5 (2011): 314-46. doi:10.1016/j.jmpt.2011.04.002

Kandel, Michel et al. “Somatotype, training and performance in Ironman athletes.” European journal of sports science vol. 14,4 (2014): 301-8. doi:10.1080/17461391.2013.813971

McFarland, Daniel C et al. “Spatial dependency of shoulder muscle demand during dynamic unimanual and bimanual pushing and pulling.” Applied ergonomics vol. 73 (2018): 199-205. doi:10.1016/j.apergo.2018.07.011

Pain Running Down The Leg

Pain Running Down The Leg

A common symptom of sciatica is radiating/spreading pain running down the leg. However, the leg pain could be something to do with the blood vessels. If the pain travels from the low back to the hip, through the buttocks, down the leg, and into the foot, then more than likely it is sciatica. However, sciatica is just one condition that causes leg pain; other causes of leg pain include:

  • Bone spurs
  • Herniated disc
  • Arthritis
  • All can irritate the sciatic nerve causing sciatica.

The vascular system, also called the circulatory system, comprises the vessels that circulate blood and lymph throughout the body. Problems with the vascular system are a less common cause of leg pain but can be severe. Therefore, it is vital to learn to tell the difference.

Pain Running Down The Leg

Deep Vein Thrombosis

Deep vein thrombosis – DVT happens when a blood clot forms in a deep vein in the body and not the superficial veins just under the skin. The legs’ deep veins are susceptible to clotting. The formation of a clot can happen:

  • After surgery
  • From an accident
  • When recovering, bed resting and not moving.
  • When the body is in the same position for a long time with little to no movement, like a long plane ride.
  • On long plane rides, try to get up and walk around every hour. If unable to walk, do three sets of 20 reps of heel-to-toe exercises every hour.

Deep vein thrombosis can cause leg pain or swelling but can also present without causing any symptoms. Other risk factors include:

Blood Clots

Three main factors place individuals at risk for blood clots. They are:

Hypercoagulability

  • This is when the blood is more prone to clotting. This can occur through:
  • Genetics
  • Medications
  • Pregnancy
  • Kidney disease
  • Trauma

Venous stasis

  • This is when blood flow circulation is slower than it should be. This usually happens from:
  • Sedentary lifestyle
  • Heart conditions
  • Obesity
  • Smoking
  • Clotting disorders

Vascular Trauma

  • Blunt or penetrating injury to the blood vessel and/or its walls.

Pain running down the leg from a blood clot feels like:

  • Tightness
  • Cramping soreness
  • Throbbing
  • Possible warmth
  • Swelling.

Blood clots and sciatica are reported to feel relatively different. The pain from a blood clot does not spread out and does not extend from or to the back. Sciatica does not cause swelling, redness, and warmth. If a doctor suspects a blood clot is causing the pain, they will order an ultrasound to confirm the diagnosis. If it is deep vein thrombosis, blood thinners could be recommended for three to six months.

  • A doctor may recommend aspirin, which can help in the prevention of blood clots.
  • Compression stockings/socks could also be recommended.
  • In some cases, the clot may have to be surgically removed.

Vascular Conditions and Pain Running Down The Leg

Other blood vessel conditions that can cause individuals to believe they have sciatica include:

Peripheral artery disease – PAD

This often presents in individuals with diabetes or who smoke. It causes pain in the calf area but does not radiate throughout the leg. The pain usually presents with physical effort movement. If the pain occurs when at rest, this could be a serious medical emergency. Peripheral artery disease is a chronic condition that can worsen if lifestyle changes are not made to reduce risk factors.

Acute limb ischemia

This condition can cause leg pain, but not the same as sciatica. What happens is the leg is not receiving blood, causing:

  • Intense pain in the extremity
  • Change in the color of the skin
  • Numbness
  • Weakness
  • Loss of a pulse

This vascular condition is a medical emergency and requires immediate treatment.

Acute compartment syndrome

This can happen after some kind of trauma to the leg.

  • The pain is acute, with the leg swelling up and a building up of tight pressure.
  • It usually affects the lower part of the leg.
  • This condition can also cause:
  • Numbness
  • Tingling
  • Visible swelling
  • Bruising

It is considered a medical emergency and needs to be treated quickly to avoid complications.

Varicose veins

Varicose veins can cause some pain running down the leg and/or aching, but the discomfort is not as intense. Treatment has come a long way, is less invasive, and includes:

  • Compression stockings, including prescription socks/stockings
  • Laser treatments
  • Minimally invasive procedures
  • Not staying on the feet too much
  • Elevating the legs
  • Maintaining an ideal weight can help

Vascular Disorder Prevention

Healthy lifestyle habits are recommended to keep the vascular system operating correctly. This includes:

Sciatica Treatment

If it is sciatica, fortunately, most cases go away on their own, but if treatment is needed, it is recommended to start with conservative treatments such as:

  • Chiropractic
  • Physical therapy
  • Anti-inflammatory medication
  • Muscle relaxants
  • Corticosteroid injections
  • In severe cases, surgery like a microdiscectomy or laminectomy will be performed to relieve pressure on the sciatic nerve.

Body Composition


Why might blood pressure be different when measuring on each arm?

The heart sits just to the left of the midline in the chest cavity. The aorta is the largest blood vessel in the body. It leaves through the left side of the heart and transports blood to a network of blood vessels that branch out, supplying the body with oxygen and nutrients. The arteries that branch off the aorta and go to the left and right sides of the body are different.

On the right, the brachiocephalic trunk comes off the aorta and splits into the right common carotid artery and right subclavian artery. The left common carotid and left subclavian arteries branch directly off the aorta. The differences mean that the risk for arterial thrombosis is not the same for the right and left subclavian arteries. Arterial thrombosis causes the blood vessels to become stiff, causing obstruction over time and is more likely to happen in the left subclavian than in the right. The difference in arterial branching affects blood pressure measurements on the left and right arms. The blood vessels are surrounded by:

  • Muscle
  • Fat
  • Connective tissue

When muscles place pressure on the blood vessels around the heart, it can cause short-term turbulence changes that can affect blood pressure.

References

American Heart Association. Atherosclerosis and cholesterol. www.heart.org/en/health-topics/cholesterol/about-cholesterol/atherosclerosis

American Heart Association. What is excessive blood clotting (Hypercoagulation?) www.heart.org/en/health-topics/venous-thromboembolism/what-is-excessive-blood-clotting-hypercoagulation

Centers for Disease Control and Prevention. What is venous thromboembolism? www.cdc.gov/ncbddd/dvt/facts.html

Cleveland Clinic. Compartment syndrome. my.clevelandclinic.org/health/diseases/15315-compartment-syndrome

Mayo Clinic. Deep vein thrombosis overview. www.mayoclinic.org/diseases-conditions/deep-vein-thrombosis/symptoms-causes/syc-20352557

Mayo Clinic. Sciatica. www.mayoclinic.org/diseases-conditions/sciatica/diagnosis-treatment/drc-20377441

Mayo Clinic. Sciatica overview. www.mayoclinic.org/diseases-conditions/sciatica/symptoms-causes/syc-20377435

Mayo Clinic. Varicose veins. www.mayoclinic.org/diseases-conditions/varicose-veins/diagnosis-treatment/drc-20350649

Obara, Hideaki et al. “Acute Limb Ischemia.” Annals of vascular diseases vol. 11,4 (2018): 443-448. doi:10.3400/avd.ra.18-00074

ScienceDirect. (n.d.) “Virchow’s Triad.” www.sciencedirect.com/topics/medicine-and-dentistry/virchows-triad

Slip and Fall Injuries

Slip and Fall Injuries

Individuals involved in slip and fall accidents lead to around 9 million emergency room visits a year. Recovering from a severe injury suffered in a slip and fall accident requires extensive medical care and physical rehabilitation. Older adults are susceptible to slip and fall injuries. According to the CDC, falls are the leading cause of nonfatal injuries of older adults and are a common hazard in nursing homes, where between half of the residents fall each year. The most common injuries sustained include:

Slip and Fall Accidents and Injuries

Cuts and Abrasions

Cuts and abrasions can be minor to severe. Leg and arm abrasions are the most common, followed by wounds to the head and hips. These injuries require superficial treatment and possibly stitches. However, if the impact of the fall is severe, cuts and abrasions can overlap more severe injuries like concussions and broken bones.

Soft Tissue Injuries

Soft tissue injuries often do not get noticed, so individuals don’t realize they have a mild tissue injury until days or weeks after the fall. Soft tissue injuries can range from minor ankle and/or wrist sprains to severe tears in tendons and ligaments. Left untreated, these injuries can lead to chronic pain conditions making the body more vulnerable to further injuries. Even when individuals feel fine after a slip and fall accident, they are recommended to seek medical care or consult an injury specialist as soft tissue injuries don’t often produce immediate symptoms.

Sprains and Strains

A slip and fall accidents often happen as a result of taking an uneven or awkward step. Individuals also often react with their hands in front to try to cushion the fall. Both the awkward step and pushing the hands out can cause the wrist or ankle to tear, causing a sprain or a strain. The ligaments do not circulate a lot of blood, meaning that healing and recovery can take a significant amount of time.

Broken Bones

A fall can result in stressful forces on the bones of the body. In slip and fall accidents, hip, wrist, and ankle fractures are the most common bones that get broken. The older an individual is, the more likely they will break a bone from a slip and fall accident.

Hip Fractures

More than 95% of broken hips are caused by falls, according to the CDC. Hip fractures often require surgery that can include implantation of an artificial hip and hospitalization for about a week, followed by extensive physical therapy and rehabilitation.

Knee Injuries

Knee injuries can result from a slip and fall, especially if the knee gets rotated the wrong way or twisted. Knees are made up of bone and ligaments, meaning it could take a long to heal and recover. Dislocation of the patella is also a possibility that could require knee reconstruction.

Neck and Shoulder Injuries

Shoulder and neck injuries can be the result of landing on the shoulder or neck. They can also occur from overexertion when trying to right oneself during a fall. Neck injuries can range from:

  • Muscle sprains
  • Spinal injuries
  • Paralysis

Shoulder injuries can result in:

  • Shoulder dislocation
  • Torn nerves
  • Collarbone breaks

Even the most minor neck and shoulder injuries can require surgery and rehabilitation.

Back and Spinal Cord Injuries

Severe impact on the body in a slip and fall accident can cause slipped or herniated discs and fractured vertebrae, causing significant pain and limiting mobility. An injury to the spinal cord can lead to temporary paralysis, permanent paralysis, neurologic and sensory impairments. According to the Mayo Clinic, falls cause more than a quarter of spinal cord injuries and the majority of spinal injuries among adults 65 and older.

Traumatic Brain Injuries

Traumatic brain injuries occur when an individual hits their head on a hard surface during a fall. Traumatic brain injuries can range from:

  • Minor injuries like:
  • Minor concussions
  • Bumps
  • Bruises
  • To major injuries like:
  • Skull fractures
  • Hematomas
  • Subarachnoid hemorrhage
  • Severe traumatic brain injuries like:
  • Brain function issues
  • Seizures
  • Loss of bodily control

Chiropractic Care

A chiropractor will review imaging scans, medical history, and current symptoms to determine the best form of treatment. Inflammation is common and is the body’s defense to protect the injured area by slowing down the blood flow in that area to allow the body’s internal defenses to repair the injury. Sometimes the body overreacts to the problem and produces far more inflammation than is needed. Depending on the severity of the injury, various massage, manipulation techniques, and tools will be utilized to help the body heal itself.


Body Composition


Recovery and Swelling

Recovery is an essential part of individuals involved in physical training programs and after injury. A significant sign that the body has undergone intense physical exertion and requires recovery is swelling. Swelling occurs for several reasons and is the body’s response to tiny, microscopic muscle tears that arise from intense use. It is possible to see this swelling in body composition results. Recovery is about giving the body a chance to:

  • Relax
  • Recuperate
  • Recover from the swelling to resume normal physical activities.
References

Courtney, T K et al. “Occupational slip, trip, and fall-related injuries–can the contribution of slipperiness be isolated?.” Ergonomics vol. 44,13 (2001): 1118-37. doi:10.1080/00140130110085538

Kannus, Pekka et al. “Prevention of falls and consequent injuries in elderly people.” Lancet (London, England) vol. 366,9500 (2005): 1885-93. doi:10.1016/S0140-6736(05)67604-0

Reuben, David B et al. “The Strategies to Reduce Injuries and Develop Confidence in Elders Intervention: Falls Risk Factor Assessment and Management, Patient Engagement, and Nurse Co-management.” Journal of the American Geriatrics Society vol. 65,12 (2017): 2733-2739. doi:10.1111/jgs.15121

Rosen, Tony et al. “Slipping and tripping: fall injuries in adults associated with rugs and carpets.” Journal of injury & violence research vol. 5,1 (2013): 61-9. doi:10.5249/jivr.v5i1.177

Low Back Support Pillow

Low Back Support Pillow

The low back is made up of five vertebrae, L1 to L5. Pain in the low back is common, specifically because of all the sitting at work, school, and home. Individuals dealing with low back pain know how difficult it can be to sit without discomfort and have found that a low back support pillow can help.

Low Back Support Pillow

Low Back Support Pillow

A lumbar pillow is a pillow that supports the low back region of the spine. Different types include:

  • Lumbar rolls.
  • Lumbar pillows for sleep or laying down.
  • Vented lumbar pillows that allow airflow.
  • Specially shaped pillows made from materials like memory foam.
  • Lumbar pillows can be used on any chair at the office or home.
  • They are also helpful for travel with small-sized versions that can be packed and easy to carry.

How Lumbar Pillows Help

According to the CDC, the average adult spends around 6.5 and 8 hours a day sitting. Constant sitting hurts the body, specifically the spine and the back muscles, and is a significant cause of muscle stress. Properly supporting the low back helps remove the stress and strain. A low back support pillow can help correct sitting posture.

Pillow Options

There are plenty of options for low-back support pillow shapes, sizes, fillings, and materials. These include:

  • Memory foam.
  • Gel options.
  • Down and down-alternative.
  • No-fill lumbar support pillows offer airflow.
  • Some look like a half-cylinder in shape, rectangular, and curved.

Personal preference and comfort are different for everybody, and it could take some trial and error to find the right lumbar pillow. Some pillows are customizable, allowing the ability to add or remove filling as needed. Talking with a spine specialist, orthopedist or chiropractor can help in figuring out what type is best. Pillows come in various price ranges, with some at $10-15, while others can cost $100 or more. However, any pillow that provides enough support for the low spine’s natural curvature can work. It is important to be comfortable and supported to prevent pain and injury no matter where you sit.


Body Composition


Fermentable and Nonfermentable Fiber

The entire body can host trillions of beneficial bacteria. The majority live in the intestines and are referred to as the gut microbiome. Also known as the forgotten organ, these bacteria have a say in the body’s composition and overall health. The beneficial bacteria thrive on fermentable fiber, and fermentation in the gut produces short-chain fatty acids like:

  • Acetate.
  • Propionate.
  • Butyrate.
  • These help suppress gut inflammation and can reduce the risk of various digestive disorders like:
  • Irritable bowel syndrome
  • Crohn’s disease.
  • Ulcerative colitis.

Foods that are rich in fermentable fibers include:

  • Oats
  • Barley
  • Fruit
  • Vegetables
  • Cereal fibers that are rich in cellulose, like wheat bran, are nonfermentable.
References

“What is Memory Foam?” Sleep Foundation, Seattle, WA. August 2020. www.sleepfoundation.org/mattress-information/what-is-memory-foam

“Association Between Sitting Time and Cardiometabolic Risk Factors After Adjustment for Cardiorespiratory Fitness, Cooper Center Longitudinal Study, 2010–2013.” Centers for Disease Control, Atlanta, GA. December 2016. www.cdc.gov/pcd/issues/2016/16_0263.htm

“Ergonomics for Prolonged Sitting.” The University of California at Los Angeles, Los Angeles, CA. www.uclahealth.org/spinecenter/ergonomics-prolonged-sitting

“Workplace sitting is associated with self-reported general health and back/neck pain: a cross-sectional analysis in 44,978 employees.” BMC Public Health, London, UK. May 2021. pubmed.ncbi.nlm.nih.gov/33957889/