In many individuals with spinal issues, how does spinal decompression compared with traditional care restore muscle strength?
Introduction
Many people unknowingly put pressure on their spines during daily activities, causing intervertebral disc compression and tightness in surrounding ligaments, muscles, nerve roots, and tissues. Repetitive motions and aging can also lead to intervertebral disc cracking and misalignment, resulting in pain and discomfort in the three common areas: the back, neck, and shoulders. Spinal stenosis is a spinal condition where the spinal cord is compressed and narrow and can cause symptoms of muscle weakness and pain to the upper and lower body extremities if left untreated. This article explores how non-surgical treatments like advanced oscillation and spinal decompression can restore muscle strength and alleviate the effects of spinal stenosis. By working with certified medical providers who use our patients’ information to treat individuals suffering from spinal stenosis. We inform them about non-surgical treatments to regain spinal mobility and restore muscle strength. We encourage our patients to ask essential questions while seeking education from our associated medical providers about their situation. Dr. Alex Jimenez, D.C., provides this information as an educational service. Disclaimer
Spinal Stenosis Causing Muscle Strength Issues
Do you find yourself struggling to hold onto objects while doing activities? Are you experiencing strange sensations like numbness or tingling in your arms or legs? Or you’re dealing with chronic back and neck pain that won’t go away. These issues can all be related to problems with your spine, which can cause your muscles to weaken and lead to conditions like low back pain, sciatica, and spinal stenosis.
Research shows that spinal stenosis is a common condition caused by nerve root impingement or ischemia in the spinal canal. This can lead to pain, weakness, sensory loss in your extremities, and tingling or numbness in your hands or feet. Additionally, studies have found that spinal stenosis in the lumbar spine can increase your risk of developing locomotive syndrome, which can further affect the muscle strength in your arms and legs. {Kasukawa, 2019}
Strong muscles are important for daily movements, such as using your arms, legs, hands, and feet. However, spinal stenosis affects your muscle strength. In that case, it can cause various issues, including numbness or tingling in your upper and lower limbs, severe pain when walking but relief when sitting or resting, decreased grip strength, sciatic pain that mimics and reduced walking distance. While spinal stenosis can be caused by normal or traumatic factors that affect the mobility, flexibility, and stability of the upper and lower muscle quadrants in the body, several available treatments can alleviate the effects of spinal stenosis and help restore muscle strength to the body.
Discovering The Benefits Of Chiropractic Care-Video
Many people experiencing musculoskeletal pain symptoms related to spinal stenosis use over-the-counter medication, hot/cold therapy, and stretching to alleviate the referred pain. Traditional surgery is an effective option to remove the damaged disc that is aggravating the nerve root and relieve the spinal column. However, this surgery is typically only recommended when other treatments have failed and can be expensive. {Herrington, 2023} Nevertheless, numerous cost-effective non-surgical treatments are available to help reduce the pain-like symptoms caused by spinal stenosis and alleviate associated symptoms. Chiropractic care and spinal decompression are non-surgical treatments that use mechanical and manipulated techniques to realign the body and minimize nerve entrapment that causes pain-like symptoms. The video above provides more information about how non-surgical treatments can assist many individuals in maintaining mobility and flexibility by providing a personalized treatment plan to prevent the recurrence of musculoskeletal and spinal conditions.
Advanced Oscillation For Spinal Stenosis
Many people opt for non-surgical treatments such as chiropractic care, massage therapy, spinal decompression, and advanced oscillation to alleviate pain. In “The Ultimate Spinal Decompression,” written by Dr. Eric Kaplan, D.C., FIAMA, and Dr. Perry Bard, D.C., it is noted that advanced oscillation therapy can be tailored to an individual’s needs, helping to minimize pain symptoms caused by spinal stenosis. Advanced oscillation settings can help reduce inflammation and muscle spasms associated with spinal stenosis while promoting the replenishment of nutrients in the spine. In addition, advanced oscillation can help the body restructure and re-tone the targeted spinal structures, loosening them up and reducing nerve entrapment. Advanced oscillation is one of the non-surgical treatments that synergizes well with spinal decompression.
Spinal Decompression To Restore Muscle Strength
Now spinal decompression has a unique ability to reduce the effects of spinal stenosis as it is safe on the spine, cost-effective, and non-invasive. What spinal decompression therapy does to the body is like advanced oscillation. It uses gentle traction to reduce intervertebral disc pressure through negative pressure, allowing oxygen, fluids, and nutrients to the spinal disc and releasing the aggravating nerve root. {Choi, 2015} Spinal decompression can also help restore disc height from the spine, allowing the compressed disc causing spinal stenosis to be put back into its original space. {Kang, 2016} When many individuals start thinking about their health and wellness, non-surgical treatments can give them a positive experience and improve their pain.
References
Choi, J., Lee, S., & Hwangbo, G. (2015). Influences of spinal decompression therapy and general traction therapy on the pain, disability, and straight leg raising of patients with intervertebral disc herniation. Journal of Physical Therapy Science, 27(2), 481–483. doi.org/10.1589/jpts.27.481
Herrington, B. J., Fernandes, R. R., Urquhart, J. C., Rasoulinejad, P., Siddiqi, F., & Bailey, C. S. (2023). L3-L4 Hyperlordosis and Decreased Lower Lumbar Lordosis Following Short-Segment L4-L5 Lumbar Fusion Surgery is Associated With L3-L4 Revision Surgery for Adjacent Segment Stenosis. Global Spine Journal, 21925682231191414. doi.org/10.1177/21925682231191414
Kang, J.-I., Jeong, D.-K., & Choi, H. (2016). Effect of spinal decompression on the lumbar muscle activity and disk height in patients with herniated intervertebral disk. Journal of Physical Therapy Science, 28(11), 3125–3130. doi.org/10.1589/jpts.28.3125
Kaplan, E., & Bard, P. (2023). The Ultimate Spinal Decompression. JETLAUNCH.
Kasukawa, Y., Miyakoshi, N., Hongo, M., Ishikawa, Y., Kudo, D., Kijima, H., Kimura, R., Ono, Y., Takahashi, Y., & Shimada, Y. (2019). Lumbar spinal stenosis associated with progression of locomotive syndrome and lower extremity muscle weakness. Clinical Interventions in Aging, Volume 14, 1399–1405. doi.org/10.2147/cia.s201974
Munakomi, S., Foris, L. A., & Varacallo, M. (2020). Spinal Stenosis And Neurogenic Claudication. PubMed; StatPearls Publishing. www.ncbi.nlm.nih.gov/books/NBK430872/
Hiking is a form of exercise accessible to a wide range of physical abilities, which makes it a great outdoor activity for all. The health benefits include improved blood pressure, sleep, and reduced stress and anxiety. However, being out in the elements without conditioning the body can lead to serious injuries and other health issues. Many trails are rough, uneven, and have elevation gain, so even the easiest courses require balance and strength to avoid injury. Hiking training that includes strength, cardio, and practice will help condition the body to allow the trip to be more enjoyable and safe.
Hiking Training
Two of the most common hiking injuries are rolling the ankle and ankle sprains. Individuals that are out of shape or haven’t been active for some time are recommended to start with basic movements and exercises to warm up the muscles and increase heart rate.
Walk/Run Through Sand
This builds the muscles that protect the knees and ankles.
Increase Range of Motion
Using a resistance band will strengthen muscles through their full extension.
Standing on a tennis ball or balance disc is great as it builds the small stabilizer muscles around the ankles and knees.
Crunches
Building core strength will help maintain balance on uneven surfaces.
Squats and Lunges
Keep the back straight and take each squat and lunge slowly to strengthen the core muscles.
Push-ups
Sufficient upper body strength, especially the back muscles will help on long trips and when carrying a heavy pack.
Cardiovascular
Walking around the neighborhood, on a treadmill, or stationary bike will work to increase cardiovascular ability.
The objective is to get the heart rate up to build lung capacity.
Step-ups
Before a backpacking trip, weigh the pack – try 20 lbs. – and step up onto a park bench 16 to 18 inches high.
Add 5 pounds a week until the pack is as heavy as it will be on the hike.
Strength Hiking Training for Backpacking
Carrying a heavy pack activates many muscles, including those of the arms and shoulders, and back. Hiking for an extended period with a backpack requires getting used to the weight and feel of it. Nothing conditions the body for a pack better than actually experiencing it.
Shoulder and Neck
The trapezius muscles radiate out from the base of the neck.
This is where the shoulder harness of the pack sits.
Strong traps help prevent soreness.
Most of the pack’s weight should be on and around the hips, but it doesn’t always happen due to pack design and body shape.
Shoulder and Arm
The shoulder of the arm used to put on and take off the pack does a lot of work at awkward angles.
The rotator cuff of the shoulder is vulnerable to these loads.
Upper Back
The muscles of the upper and mid back contract to stabilize the pack, especially with heavy loads.
Beginning hikers and backpackers tend to get a dull pain right in the center of the shoulder blades.
Lower Back
The lower back takes the brunt of the force from lifting and twisting the posterior chain of muscles.
Abdominal Muscles
The abdominal muscles work to stabilize the pack when twisting and turning.
Legs
Walking, squatting, and standing with the pack requires strong support from the legs.
Strong legs, especially thighs, make a difference.
Start small and go slow until you feel comfortable in the surroundings. Start off with lightweight and short distances and gradually extend to heavier weights and longer distances. Remember to go at your own pace and don’t try to be an expert.
Hikers Strength Training
References
Chrusch, Adam, and Michelle Kavin. “Survey of Musculoskeletal Injuries, Prehike Conditioning, and On-Trail Injury Prevention Strategies Self-Reported by Long-Distance Hikers on the Appalachian Trail.” Wilderness & environmental medicine vol. 32,3 (2021): 322-331. doi:10.1016/j.wem.2021.04.004
Fleg, Jerome L. “Aerobic exercise in the elderly: a key to successful aging.” Discovery Medicine vol. 13,70 (2012): 223-8.
Gatterer, H et al. “Effect of weekly hiking on cardiovascular risk factors in the elderly.” Zeitschrift fur Gerontologie und Geriatrie vol. 48,2 (2015): 150-3. doi:10.1007/s00391-014-0622-0
Huber, Daniela, et al. “Sustainability of Hiking in Combination with Coaching in Cardiorespiratory Fitness and Quality of Life.” International journal of environmental research and public health vol. 19,7 3848. 24 Mar. 2022, doi:10.3390/ijerph19073848
Liew, Bernard, et al. “The Effect of Backpack Carriage on the Biomechanics of Walking: A Systematic Review and Preliminary Meta-Analysis.” Journal of applied biomechanics vol. 32,6 (2016): 614-629. doi:10.1123/jab.2015-0339
Li, Simon S W, et al. “Effects of a backpack and double pack loads on postural stability.” Ergonomics vol. 62,4 (2019): 537-547. doi:10.1080/00140139.2018.1552764
Li KW, Chu JC, Chen CC. Strength decrease, perceived physical exertion, and endurance time for backpacking tasks. Int J Environ Res Public Health. 2019;16(7):1296. doi:10.3390/ijerph16071296
Mitten, Denise, et al. “Hiking: A Low-Cost, Accessible Intervention to Promote Health Benefits.” American Journal of lifestyle medicine vol. 12,4 302-310. 9 Jul. 2016, doi:10.1177/1559827616658229
The brachial plexus is a network of nerves that begin in the cervical/neck spinal cord and travel down the cervicoaxillary canal into the armpit. Forming in the area of the shoulder joint at the branch junction of the brachial plexus, the radial nerve extends down the arm, through the elbow joint, into the forearm, across the wrist, and tips of the fingers. The nerves are susceptible to injury that can cause abnormal function leading to unusual sensations and impaired muscle function.
Radial Nerve
One of the major nerves of the upper extremity.
There is one brachial plexus on each side of the body that carries the nerves to each arm.
The radial nerve has two major functions.
One is to provide sensations in the hands, forearms, arms, and fingers.
The other is to deliver messages to muscles about when to contract.
Motor Function
The radial nerve transmits signals to the muscles of the back of the arm and forearm on when to contract.
Individuals who have abnormal radial nerve function can experience weakness of the muscles and symptoms like wrist drop.
A wrist drop occurs when the back forearm muscles cannot support the wrist, causing the individual to hold the wrist in a flexed posture.
Abnormal radial nerve function can cause symptoms of numbness or tingling in the back of the hand.
Conditions
Associated conditions to the radial nerve include lacerations, contusions, fractures, and palsies.
Nerve Contusion
A contusion typically occurs through blunt force trauma that can crush and smash the nerve area.
This causes abnormal or no function.
A nerve contusion can occur from a personal, work, or sports injury or other conditions that generate intense pressure on the nerve/s.
Nerve Lacerations
A laceration occurs when there is a penetrating injury that cuts and/or severs the nerve.
This injury can occur from stab wounds or sliced by broken glass, metal, etc.
Fractures
Broken bones of the upper extremity can lead to extended damage to the nerves near the damaged bone.
The most common type of fracture associated with radial nerve malfunction is fractures to the humerus bone.
The nerve wraps tightly around the humerus and can be injured with a fracture.
Most fracture-related radial nerve injuries heal on their own and do not require surgery.
However, the way the injury heals can be the difference between normal function and chronic pain.
Crutch Palsy
Crutch palsy is pressure on the radial nerve in the armpit resulting from using crutches incorrectly.
To use crutches properly, the individual needs to support their body weight through the hands.
However, many tend to place pressure around the armpit at the top of the crutch, causing irritation to the nerve in that area.
Padding the top of crutches and using the proper form can prevent the condition.
Saturday Night Palsy
Saturday night palsy is the abnormal function of the radial nerve after sleeping in a position that causes direct pressure against the nerve.
This often occurs when an individual falls asleep with their arm draped over an armrest on a chair.
The name comes from when individuals are intoxicated and fall asleep in a location other than the bed and in awkward positions.
Treatment
Nerve injuries often cause symptoms at different locations other than where the nerve damage is, complicating diagnosis. Determining the specific location of nerve damage is the first step in developing an appropriate treatment plan. Once the location has been identified, steps can be taken to prevent worsening damage to the nerve.
The objective is to relieve the pressure from the irritation or compression.
Massage to relax the area and increase blood circulation.
Decompression to physically restore alignment.
Adjustments to restore body balance.
Exercises and stretches to maintain treatment, strengthen the muscles, and prevent injuries.
In cases where there is structural damage, surgery may be necessary to remove pressure or repair damage.
Avoid Surgery
References
Ansari FH, Juergens AL. Saturday Night Palsy. [Updated 2023 Apr 24]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK557520/
Barton, N J. “Radial nerve lesions.” The Hand vol. 5,3 (1973): 200-8. doi:10.1016/0072-968x(73)90029-6
Daly, Michael, and Chris Langhammer. “Radial Nerve Injury in Humeral Shaft Fracture.” The Orthopedic Clinics of North America vol. 53,2 (2022): 145-154. doi:10.1016/j.ocl.2022.01.001
DeCastro A, Keefe P. Wrist Drop. [Updated 2022 Jul 18]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK532993/
Eaton, C J, and G D Lister. “Radial nerve compression.” Hand Clinics vol. 8,2 (1992): 345-57.
Glover NM, Murphy PB. Anatomy, Shoulder and Upper Limb, Radial Nerve. [Updated 2022 Aug 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK534840/
Ljungquist, Karin L et al. “Radial nerve injuries.” The Journal of hand surgery vol. 40,1 (2015): 166-72. doi:10.1016/j.jhsa.2014.05.010
Chiropractors are neuromusculoskeletal system specialists that rehabilitate injuries, retrain healthy body posture, massage and relax the muscles to detoxify and rejuvenate tissue health, and realign the spine to restore the nervous system to optimal function. It is a form of complementary medicine that focuses on the relationship between the body’s neuromusculoskeletal structures, addressing injuries, conditions, and ailments that cause the systems to malfunction and restoring them into harmony.
Chiropractors are licensed healthcare professionals who use various forms – hands, special instruments, or combination – of pressure to manipulate the body to relieve pain and discomfort symptoms from various injuries and conditions and improve overall health. Chiropractic is often used in conjunction with traditional medical care to treat health conditions that affect nerves, muscles, and bones. Chiropractic clinics often have a team of specialists that work and counsel patients on:
Developing healthy movement habits.
Diet and nutrition adjustments like an anti-inflammatory diet to reduce inflammation flare-ups.
Exercise and stretches to maintain chiropractic adjustments, retrain and strengthen the body.
Modifications to home, school, and work behaviors to prevent worsening injuries or causing new injuries.
Conditions Treated
Chiropractic therapeutic medicine treats any kind of muscle, bone, or joint pain or dysfunction and conditions affecting the nervous and musculoskeletal systems. The most common reasons for seeing a chiropractor include:
Musculoskeletal pain anywhere in the body – the head and jaws, shoulders, elbows and wrists, hips, pelvis, and the knees and ankles.
Trigger points.
Compressed, injured, and/or damaged nerves.
Neck pain.
Headaches.
Lower back pain.
Herniated discs.
Sciatica.
Joint pain and dysfunction.
Arthritis.
Rehabilitation after vehicle, work, and sports accidents and collisions.
Effective Treatment
Chiropractic therapeutic adjustments are the most common alternative treatment option in the United States and are considered an effective treatment option for all ages, including both children and adults.
It’s important to inform a primary care physician about any pain being experienced, whether recent or chronic that lasts more than three months.
Individuals should receive a screening before chiropractic treatment to ensure that their injury or condition will benefit from chiropractic adjustments.
If chiropractic care is not appropriate for the injury or condition, the chiropractor will refer the individual to another healthcare specialist.
Many individuals feel almost immediate relief from symptoms after a treatment session as well as soreness for 24 hours.
The goal of chiropractic is to restore health over the long term, rather than to relieve symptoms short term.
Benefits
Increased Blood and Nerve Circulation.
Improved Blood Pressure.
Range of Motion Improved.
Improved Balance.
Increased Sleep.
Reduced Headaches.
Increased Energy.
Improved Digestion.
Improved Immune Function.
Enhanced Physical/Athletic Performance.
Allergy Symptoms Reduced.
Improved Asthma Management.
Healthier Pregnancy.
Scapular Winging
References
Hadler, N M. “Chiropractic.” Rheumatic diseases clinics of North America vol. 26,1 (2000): 97-102, ix. doi:10.1016/s0889-857x(05)70123-x
Lefebvre R, Peterson D, Haas M. Evidence-Based Practice and Chiropractic Care. (www.ncbi.nlm.nih.gov/pmc/articles/PMC3716373/) J Evid Based Complementary Altern Med. 2012;18(1):75-79. Accessed 4/25/2022.
Margach, Russell W. “Chiropractic Functional Neurology: An Introduction.” Integrative medicine (Encinitas, Calif.) vol. 16,2 (2017): 44-45.
Moore, Craig, et al. “The management of common recurrent headaches by chiropractors: a descriptive analysis of a nationally representative survey.” BMC neurology vol. 18,1 171. 17 Oct. 2018, doi:10.1186/s12883-018-1173-6
Nahin, Richard L et al. “Insurance Coverage for Complementary Health Approaches Among Adult Users: United States, 2002 and 2012.” NCHS data brief ,235 (2016): 1-8.
For athletes, the vertical jump is a skill that can be increased and improved with proper training. To improve jumping abilities for sports like basketball, tennis, volleyball, or track and field events such as the high jump it is necessary to do both strength and power training. Research has found certain key components can help athletes become better at jumping. There are different ways to improve an individual’s vertical jump. Here we go over some of the most effective exercises including plyometrics, and exercises that build strength and power.
Vertical Jump Increase and Improvement
Jumping is an explosive movement.
To jump well, an individual needs a consistent powerful spring.
This is achieved by training the explosive/fast-twitch muscle fibers with the ability to shorten and stretch dynamically.
Upper body strength is important for creating upward momentum.
Strength exercises involve slow, controlled movements like squats, lunges, and step-ups with weights.
Power exercises involve explosive, quick movements.
Plyometrics involve explosive hopping, bounding, and jumping drills that combine strength and speed.
Exercises
Plyometrics
Common plyometric exercises include hops, jumps, and bounding movements.
A popular exercise is jumping off a box and rebounding off the floor then jumping onto another, higher box.
Box jumps provide practice for jumping.
Single-Leg Squats
Single-leg squats can be done almost anywhere, without equipment.
They work the hips, hamstrings, quadriceps, gluteus maximus, and calves.
They strengthen the core and increase flexibility.
Full Squats
This is a barbell exercise to build strength and power.
It is considered one of the best total body exercises.
Weighted Step-Ups
The step-up is a recommended all-around exercise that can be done almost anywhere.
Not only will it build strength in your quadriceps, but you can also use it as part of a cardio workout.
It has a low risk of injury.
Overhead Walking Lunges
All that is needed is a weight and room to walk.
This exercise builds power, strength, and speed in the legs.
Improves core strength.
Stair Running
This is a high-intensity workout that builds speed, power, and cardiovascular fitness.
It targets the glutes, quads, and calves.
Agility Drills
Agility drills can include jumping to improve coordination, speed, power, and specific skills.
Sprints
Sprints are quick intense exercises to build muscle and increase performance.
Sprints use more muscle groups.
Practice
Build strength by performing basic weight training exercises using slow, controlled movements.
Build power with faster dynamic movements.
Improve movement speed to create power with explosive, quick exercises.
Work on form, by incorporating the lead-up to the jump, arm motion, and safe landing technique.
Include time to practice maximum jumping and bring it all together.
Always warm up before jumping or performing drills to keep the joints and body safe.
Athletes jump rope to get the blood circulating and warm up their muscles.
Do several slow, controlled toe raises to prepare the feet and ankles for jumping and landing.
Gradually work up to a full vertical jump, by doing box and squat jumps.
Jumping
When finally working on the vertical jump, start with the feet hips-distance apart.
If measuring jump height, stand about a foot away from the measuring tape or measuring bar on the side.
Start with arms overhead.
As you drop into a squat position swing the arms behind the hips.
Swing back up to the starting position before going for the full jump.
The pre-swing helps build momentum.
Land with the knees bent to minimize the impact.
Jumping is a high-impact activity that can take a toll on the knees, hips, ankles, and feet. Be sure to rest the body between hard workouts so the muscles have time to recover, repair, and build up.
Improving Athletic Performance
References
Barnes, Jacque L et al. “Relationship of jumping and agility performance in female volleyball athletes.” Journal of Strength and conditioning research vol. 21,4 (2007): 1192-6. doi:10.1519/R-22416.1
Bezerra, Ewertton DE S et al. “Influence of Trunk Position during Three Lunge Exercises on Muscular Activation in Trained Women.” International journal of exercise science vol. 14,1 202-210. 1 Apr. 2021
Hedlund, Sofia, et al. “Effect of chiropractic manipulation on vertical jump height in young female athletes with talocrural joint dysfunction: a single-blind randomized clinical pilot trial.” Journal of Manipulative and physiological therapeutics vol. 37,2 (2014): 116-23. doi:10.1016/j.jmpt.2013.11.004
Hernández, Sebastian, et al. “Effects of Plyometric Training on Neuromuscular Performance in Youth Basketball Players: A Pilot Study on the Influence of Drill Randomization.” Journal of sports science & medicine vol. 17,3 372-378. 14 Aug. 2018
Karatrantou, Konstantina, et al. “Can sport-specific training affect vertical jumping ability during puberty?.” Biology of sport vol. 36,3 (2019): 217-224. doi:10.5114/biolsport.2019.85455
Markovic, Goran. “Does plyometric training improve vertical jump height? A meta-analytical review.” British Journal of sports medicine vol. 41,6 (2007): 349-55; discussion 355. doi:10.1136/bjsm.2007.035113
McLellan, Christopher P et al. “The role of rate of force development on vertical jump performance.” Journal of Strength and conditioning research vol. 25,2 (2011): 379-85. doi:10.1519/JSC.0b013e3181be305c
Rodríguez-Rosell, David, et al. “Traditional vs. Sport-Specific Vertical Jump Tests: Reliability, Validity, and Relationship With the Legs Strength and Sprint Performance in Adult and Teen Soccer and Basketball Players.” Journal of Strength and conditioning research vol. 31,1 (2017): 196-206. doi:10.1519/JSC.0000000000001476
Vanezis, Athanasios, and Adrian Lees. “A biomechanical analysis of good and poor performers of the vertical jump.” Ergonomics vol. 48,11-14 (2005): 1594-603. doi:10.1080/00140130500101262
Factors that cause poor unhealthy posture can be caused by the day-to-day effects of gravity on the body, personal, work, or sports injuries, illness, genetics, or a combination of these factors is also common. This leads to neck and back pain that leads to various musculoskeletal health issues. Achieving consistent healthy posture requires technique and practice. Chiropractic treatment with massage and/or physical therapy can restore muscles to optimal mobility and function.
Factors That Cause Unhealthy Posture
Factors that cause posture problems, like back pain, are often caused by issues with the strength and flexibility ratio between the body’s muscle groups that hold the body upright.
Muscle Guarding
After sustaining an injury, muscles can spasm to protect the injured and the surrounding area.
Muscle spasms can help keep injuries stable and protect them from worsening, but they can also limit movements and cause pain symptoms.
Prolonged muscle spasms can lead to weakened/vulnerable muscles creating an imbalance between the muscles guarding against the injury and those still working normally.
This can cause the body posture to shift to compensate.
Muscle Tension
Muscle weakness or tension can develop when holding a prolonged position day after day or when doing daily tasks/chores in a way that places added tension on the body.
When certain muscle groups are weak or tense, posture will be affected.
Aches and pains begin to develop from the awkward positioning and the other muscles that must work overtime.
Unhealthy Habits
Compensation is when the body can still achieve its movement goal but with compromised and unhealthy alignment.
As the body compensates and accommodates muscle spasms, weakness, tension, and/or imbalance begin to present.
When this happens, the body may be forced to use alternate and less efficient patterns of muscle contraction and flexion.
Technology
Using technology or working with several combined devices can slowly shift the body from correct alignment.
Incessant texting can cause text neck to develop, a condition in which the neck is held in too much flexion, or forward bending, for a prolonged time.
Discomfort, trigger points, and pain symptoms will start to develop, which leads to further posture problems.
Stress and Mental Health
Individuals who experience stress regularly and easily are factors that cause posture problems.
Stress can contribute to shallow breathing or overly-contracted muscles, causing the body to shift out of alignment.
Adjusting posture can help counter the stress effects.
Shoes
Footwear affects posture.
Heels extend the body’s weight forward, which can cause hip and spinal misalignment.
Individuals can wear down the outside or inside of their shoes faster because of things like:
Imbalanced kinetic forces will be translated up the ankle, knee, hip, and lower back.
This can lead to pain and discomfort in any of these joints.
Genetics
Sometimes factors that cause unhealthy posture are hereditary.
For example, Scheuermann’s disease – a condition in which adolescent boys develop pronounced kyphosis in their thoracic spines.
It is recommended to work with the individual’s primary/specialist healthcare provider in conjunction with a chiropractic specialist team for treatment and management.
Chiropractic treatment can help individuals achieve and maintain proper posture through various massage therapies to release tightness and relax the muscles, decompression to realign the spine, adjustments to realign the body, and postural training through exercises and stretches to develop healthy postural habits.
Quick Patient Intake
References
In, Tae-Sung et al., “Spinal and Pelvic Alignment of Sitting Posture Associated with Smartphone Use in Adolescents with Low Back Pain.” International Journal of Environmental Research and Public Health vol. 18,16 8369. 7 Aug. 2021, doi:10.3390/ijerph18168369
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Mansfield JT, Bennett M. Scheuermann Disease. [Updated 2022 Aug 21]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK499966/
Mingels, Sarah, et al. “Is There Support for the Paradigm ‘Spinal Posture as a Trigger for Episodic Headache’? A Comprehensive Review.” Current pain and headache reports vol. 23,3 17. 4 Mar. 2019, doi:10.1007/s11916-019-0756-2
Mork, Paul Jarle, and Rolf H Westgaard. “Back posture and low back muscle activity in female computer workers: a field study.” Clinical biomechanics (Bristol, Avon) vol. 24,2 (2009): 169-75. doi:10.1016/j.clinbiomech.2008.11.001
Pope, Malcolm H et al. “Spine ergonomics.” Annual review of Biomedical Engineering vol. 4 (2002): 49-68. doi:10.1146/annurev.bioeng.4.092101.122107
Shaghayegh Fard, B et al. “Evaluation of forward head posture in sitting and standing positions.” The European Spine Journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society vol. 25,11 (2016): 3577-3582. doi:10.1007/s00586-015-4254-x
Tinitali, Sarah, et al. “Sitting Posture During Occupational Driving Causes Low Back Pain; Evidence-Based Position or Dogma? A Systematic Review.” Human Factors vol. 63,1 (2021): 111-123. doi:10.1177/0018720819871730
Wernli, Kevin, et al. “Movement, posture and low back pain. How do they relate? A replicated single-case design in 12 people with persistent, disabling low back pain.” European Journal of Pain (London, England) vol. 24,9 (2020): 1831-1849. doi:10.1002/ejp.1631
With the summer heatwave blasting through, some individuals can experience digestive health problems. The relationship between the temperature outside and the temperature in the body translates to the digestive system. As the heat rises, it can make the digestive system slow down and become weakened feeling bloated, nauseated, and tired. The body’s balance may feel off because the body lowers its internal temperature to protect itself. Individuals must be careful not to overload themselves with the wrong foods. One way to avoid problems and maintain digestion working smoothly is to eat lighter, eat smaller portions for each meal, and eat easily digestible foods. Doing this will allow the body will feel cooler, and maintain alertness and energy throughout the hot day.
The objective is not to skip meals but to eat regular meals, just smaller and easily digestible ones. Foods low in fiber tend to be easy to digest and can help the body feel better.
White Rice
White rice is low in fat and fiber, making it easy on the stomach and easy to digest.
It is not associated with any gastrointestinal issues and is considered a safe starch because it is an easy source of carbohydrates that provides instant energy.
To digest rice even more easily, eat it by itself or pair it with foods low in fat.
Certain foods that are high in fat, like vegetable oils, can take longer to digest and could cause discomfort.
A 1/2 cup of cooked white rice:
210 calories
4g protein
0g fat
49g carbohydrates
1g fiber
Bananas
Ripe bananas are an easily digestible fruit that only contains a moderate amount of fiber.
They are associated with improvements in both constipation and diarrhea,
Individuals with a variety of digestive issues may experience relief when incorporating bananas into their diets.
Cooking bananas makes them even easier to digest as it makes certain nutrients easier to absorb.
Make sure the bananas are ripe enough.
Unripe bananas can be more difficult to digest.
1 medium raw/ripe banana:
105 calories
1.3g protein
0.4g fat
27g carbohydrates
3g fiber
Applesauce
Although made from apples, applesauce is low in fiber and a great source of vitamin C.
Cooked, canned, or processed fruits tend to be lower in fiber and easier to digest.
Applesauce is recommended to calm a variety of stomach-related ailments like constipation, diarrhea, and gastroparesis.
A 4-ounce serving of applesauce:
90 calories
0g protein
0g fat
22g carbohydrates
2g fiber
White Bread
Plain white bread is low in fiber and easier to digest than bread made with whole-grain wheat bread.
It is often fortified with nutrients including folic acid, B vitamins, vitamin D3, and more.
Try plain toast for breakfast
Use low-fat fillings for an easily digestible sandwich for lunch or dinner.
2 slices of plain white bread:
150 calories
4g protein
28g carbohydrates
2g fat
1g fiber
Chicken and Turkey
Lean proteins low in fat like chicken breast and turkey are easy to digest.
Individuals experiencing digestive problems are recommended to consume lean protein over fattier red meats.
A 3-ounce serving of skinless, boneless chicken breast:
128 calories
26g protein
2.7g fat
0g carbohydrates
0g fiber
Sweet Potatoes
Cooked potatoes of all varieties are examples of easily digestible foods.
Sweet potatoes are gentle on the digestive tract because they are mostly insoluble fiber, which speeds up digestion and increases regularity.
To make potatoes easier to digest, remove the skins and mash the inside.
Removing the skins decreases the fiber content, and mashing them makes digestion easier.
1 medium sweet potato that is cooked and peeled:
135 calories
3g protein
0.2g fat
31g carbohydrates
5g fiber
Other recommendations that could help stimulate digestion include drinking more water, getting more sleep, reducing stress levels, and exercising.
The Healing Diet
References
Howard, Sally, and Geetanjali Krishna. “How hot weather kills: the rising public health dangers of extreme heat.” BMJ (Clinical research ed.) vol. 378 o1741. 14 Jul. 2022, doi:10.1136/bmj.o1741
Kong, Fanbin, et al. “Physical changes in white and brown rice during simulated gastric digestion.” Journal of food science vol. 76,6 (2011): E450-7. doi:10.1111/j.1750-3841.2011.02271.x
Nguyen, Hoang Chinh et al. “Bioactive Compounds, Antioxidants, and Health Benefits of Sweet Potato Leaves.” Molecules (Basel, Switzerland) vol. 26,7 1820. 24 Mar. 2021, doi:10.3390/molecules26071820
Remes-Troche, José María. “Too hot” or “too cold”: effects of meal temperature on gastric function.” Digestive diseases and sciences vol. 58,9 (2013): 2439-40. doi:10.1007/s10620-013-2789-4
Salfi, Salvatore F, and Karyn Holt. “The role of probiotics in diarrheal management.” Holistic nursing practice vol. 26,3 (2012): 142-9. doi:10.1097/HNP.0b013e31824ef5a3
Singh, Balwinder, et al. “Bioactive compounds in banana and their associated health benefits – A review.” Food Chemistry vol. 206 (2016): 1-11. doi:10.1016/j.foodchem.2016.03.033
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