When the body sustains an injury or a virus, the immune system springs into action by sending out cytokines to the affected area and causes a process known as inflammation. Inflammation in the body is good for eliminating numerous pathogens, damaged cellular structures, viruses, or infections. Inflammation causes the affected area to be warm to the touch and causes swelling that will decrease in the recovery state. However, inflammation in the body can be positive and negative depending on the severity of the injury. When inflammation is in its chronic form, it can cause muscle and tissue damage to the musculoskeletal system while being associated with other conditions in the body’s system, like the gastrointestinal, nervous, and reproductive systems. In today’s article, we will focus on how chronic inflammation affects the body’s muscles and how the MET technique can help relieve muscle inflammation in soft tissues. We utilize valuable information about our patients to certified medical providers who use methods like MET combined with manual stretching therapy to reduce inflammation associated with musculoskeletal conditions. We encourage patients by referring them to our associated medical providers based on their findings. We support that education is a marvelous way to ask our providers the most interesting questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., incorporates this information as an educational service. Disclaimer
How Inflammation Works In The Body
Have you been experiencing pain in different muscle areas in your body? What about dealing with aches and pains in the morning? Or do your muscles feel tight and hurt more when you bend to pick up an object? Many of these issues affecting the musculoskeletal system are associated with inflammation. As stated earlier, inflammation can positively and negatively impact the body depending on the severity of the injury. Inflammation is a natural healing process for the body that is characterized by redness, swelling, and heat to the soft tissues so that they can be repaired within a few days to weeks. Studies reveal that when the body deals with various pathogenic factors, the immune system releases inflammatory cytokines to the pathogenic factor and starts to heal the affected area.
Inflammation helps the sprained muscle tissues heal naturally and can be healed within 2-3 days to a few weeks in its acute stage. However, when inflammation is in a chronic state of the body, it causes damage to not only the affected muscle and tissue areas but can even affect the surrounding ligaments, joints, and vital organs. A great example is when a person has a sprained ankle, the affected area swells up, becomes red, and is tender to the touch when its acute inflammation. For chronic inflammation, the body is in constant pain that can be slow and long, and it takes several months to years to heal. Another great example would be gut disorders associated with chronic muscle inflammation.
What Does Chronic Inflammation Do To The Body’s Muscles?
So what does chronic inflammation do to the body’s muscles, and how does it affect the surrounding structures? According to research studies, chronic inflammation has been associated with musculoskeletal disorders that can cause an impact in reducing muscle strength and muscle mass. When this happens, it can cause the muscles to weaken and generate the surrounding muscle groups to compensate by working harder. This leads to misalignment in the body and causes overlapping risk profiles in the various muscle groups. In “Clinical Applications of Neuromuscular Techniques,” Dr. Leon Chaitow, N.D., D.O., and Dr. Judith Walker DeLany, L.M.T., stated that numerous factors associated with inflammation could impact how a person sleeps, eat, and function throughout the day. The book also noted that when pathogens can disrupt the natural cycling between the defensive and repair modes of inflammation correlating with the immune system can be disrupted in ill health. A chronic inflammatory cytokine shift could lock the body into a pro-inflammatory state.
Reducing Inflammation In The Body- Video
Have you been dealing with constant inflammation in your muscles? Do you feel muscle weakness or strain when you are in motion? Or do other portions of your body starts to feel aches or pains? Many of these issues are associated with chronic inflammation affecting the musculoskeletal system. Inflammation is part of the immune system’s natural defense that sends cytokines to the affected area and starts the healing process. Inflammation has two patterns: acute and chronic. Acute inflammation is associated with sprains from a twisted ankle or wrist, a sore throat, or an infection. While at the same time, chronic inflammation is associated with muscle pain, sleep disorders, or rashes that affect the skin. When the body is suffering from chronic inflammation, it can be due to many overlapping factors that can cause the body to be in pain. Luckily numerous treatments can help the body and reduce the effects of inflammation. The video above explains how incorporating an anti-inflammatory diet and chiropractic care can help reduce chronic inflammation effects in the body.
The MET Technique & Muscle Inflammation
Regarding chronic muscle inflammation, the musculoskeletal system deals with numerous symptoms like pain, stiffness, and weakness associated with various pathological factors. Chronic inflammation can develop from insufficient sleep, eating high-cholesterol foods, not getting enough exercise, and being stressed, which can affect the body and its systems. Fortunately, numerous available treatments can reduce inflammation. Studies reveal that treatments like MET therapy can help reduce pain correlated with muscle inflammation and increase the range of motion to the joints. The body can reduce the effects of chronic inflammation and keep it under control when MET therapy is combined with an anti-inflammatory diet. Also, practicing mindfulness can help reduce the stress contributing to chronic inflammation, which can help relax the body and naturally heal itself. Making these small changes can benefit many individuals trying to be healthier.
Conclusion
When it comes to inflammation in the musculoskeletal system, it can lead to overlapping risk profiles that can cause the body to be misaligned and have many pain-like symptoms that can make a person’s life miserable. Since inflammation is part of the immune system’s natural response to fight off infections, incorporating anti-inflammatory diets and MET stretching can help reduce the effects of inflammation and help the body heal itself from the inside out.
References
Chaitow, Leon, and Judith Walker DeLany. Clinical Applications of Neuromuscular Techniques. Churchill Livingstone, 2003.
Chen, Linlin, et al. “Inflammatory Responses and Inflammation-Associated Diseases in Organs.” Oncotarget, U.S. National Library of Medicine, 14 Dec. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5805548/.
Thomas, Ewan, et al. “The Efficacy of Muscle Energy Techniques in Symptomatic and Asymptomatic Subjects: A Systematic Review.” Chiropractic & Manual Therapies, U.S. National Library of Medicine, 27 Aug. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6710873/.
Tuttle, Camilla S L, et al. “Markers of Inflammation and Their Association with Muscle Strength and Mass: A Systematic Review and Meta-Analysis.” Ageing Research Reviews, U.S. National Library of Medicine, 26 Sept. 2020, pubmed.ncbi.nlm.nih.gov/32992047/.
Learning how to stay active with busy lives and schedules takes practice. There are daily ways to incorporate physical movement into the everyday routine and shed sedentary habits in favor of more active ones resulting in improved overall health, elevated mood, and better energy levels. Regular movement lowers body weight and reduces the risk of medical conditions like cardiovascular disease, diabetes, and arthritis. And regularly incorporating small physical activities throughout the day can make the exercise more fun and not like a chore that begins to become second nature.
Daily Ways To Stay Active
Like most individuals, much time is spent sitting in the car, workstation/desk, or couch. Research has found that maintaining physical activity can reduce the risk of colon and breast cancer.
Movement
Everyone is different, and there is no one-size-fits-all daily or weekly movement plan. The Centers for Disease Control and Prevention recommends that adults ages 18 to 64 get around 150 minutes of moderate-intensity weekly exercise combined with functional strength training. This can seem like a lot, but still, some activity is better than none. Wherever an individual is in physical fitness, it is never too late to make incremental adjustments and rebuild health one step at a time.
Brisk walking is an example of moderate-intensity exercise.
Individuals with busy schedules can break up their daily movement into smaller chunks.
5 or 10 minutes here and there add up to significant health benefits.
Start With Stretching
A quick morning stretch of 10 minutes can help limber up the muscles, get circulation pumping, and reduce stress.
A study found that a regular 10-minute stretching plan helped reduce anxiety and physical pain and increase flexibility.
Stand Up and Walking Around More
Standing up every 20-30 minutes at home or work is recommended during seated activities.
Walking and thinking increases creative output.
Mobility gets the blood pumping and increases caloric output.
With regular practice, individuals learn to feel their muscles tensing from too much sitting and know it’s time to get up and move.
One way to stand and move is to pace the room during a phone call.
Take the Long Way
Take the stairs or park farther from the store to increase walking steps.
Physical activity in small bursts creates a mindset of an added challenge.
Choosing to go the long way does make a difference and can significantly affect other areas of life.
Move to Music
Research shows that music has amazing effects on physical activity.
It distracts from pain and fatigue.
It increases endurance.
Makes physical activity and exercise feel like less of an effort.
Playing moving music around the office, if possible/headphones and house can get the body naturally moving more.
This could be washing dishes after dinner, using the whole body
Vacuuming the house can work the muscles and elevate the heart rate.
A 150-pound person can burn serious calories from a full hour of cleaning and chores.
Added mental health benefits from the work reduce anxiety, depression, and negative mood.
Get Up When Commercials Come On
Get up and move during commercial breaks.
But with streaming services, commercials aren’t the same.
When watching shows or movies without built-in commercials, make a habit of getting up.
For shows or movies with no commercials, pause and take a quick stretch, do a quick round of jumping jacks, or walk to the other end of the house or twice in an apartment and back.
A brief break is not an actual workout, but it will get the heart pumping more than staying sedentary.
The more you do it, the more natural it will become.
Military Training and Chiropractic Care
References
Habay, Jelle, et al. “Interindividual Variability in Mental Fatigue-Related Impairments in Endurance Performance: A Systematic Review and Multiple Meta-regression.” Sports medicine – open vol. 9,1 14. 20 Feb. 2023, doi:10.1186/s40798-023-00559-7
Hotta, Kazuki, et al. “Daily muscle stretching enhances blood flow, endothelial function, capillarity, vascular volume and connectivity in aged skeletal muscle.” The Journal of Physiology vol. 596,10 (2018): 1903-1917. doi:10.1113/JP275459
Kruse, Nicholas T, and Barry W Scheuermann. “Cardiovascular Responses to Skeletal Muscle Stretching: “Stretching” the Truth or a New Exercise Paradigm for Cardiovascular Medicine?.” Sports medicine (Auckland, N.Z.) vol. 47,12 (2017): 2507-2520. doi:10.1007/s40279-017-0768-1
Maltese, Paolo Enrico et al. “Molecular foundations of chiropractic therapy.” Acta bio-medica : Atenei Parmensis vol. 90,10-S 93-102. 30 Sep. 2019, doi:10.23750/abm.v90i10-S.8768
Ma, Peng, et al. “Daily sedentary time and its association with risk for colorectal cancer in adults: A dose-response meta-analysis of prospective cohort studies.” Medicine vol. 96,22 (2017): e7049. doi:10.1097/MD.0000000000007049
Rangul, Vegar, et al. “The associations of sitting time and physical activity on total and site-specific cancer incidence: Results from the HUNT study, Norway.” PloS one vol. 13,10 e0206015. 23 Oct. 2018, doi:10.1371/journal.pone.0206015
Shen, Dong, et al. “Sedentary behavior and incident cancer: a meta-analysis of prospective studies.” PloS one vol. 9,8 e105709. 25 Aug. 2014, doi:10.1371/journal.pone.0105709
Automobile accidents are emotionally and physically traumatic events. After an accident, individuals assume that they are okay if they don’t have any broken bones or gashing cuts. However, even minor accidents can lead to significant damage, but the individual doesn’t know it. An invisible/delayed injury is any injury that is not immediately obvious or is not experienced by the individual until hours, days, or weeks later. The most common are soft tissue injuries, back injuries, whiplash, concussions, and internal bleeding. This is why it is imperative to see a doctor or chiropractic accident specialist as soon as possible after an accident.
Invisible Injuries Auto Accidents
The body goes into a fight or flight mode in a vehicle accident. That means a massive adrenaline surge makes anything happening to the body go unnoticed and unfelt. The individual does not feel pain and discomfort symptoms until later or much later.
Soft Tissue
A soft tissue injury affects muscles, tendons, ligaments, and body parts other than bone.
Even at low speeds, accidents, and collisions generate a significant force on the body.
Drivers and passengers often come to a sudden stop along with the vehicle or get thrown around.
This places intense stress on joints and other areas of the body.
Whiplash
The most common invisible soft-tissue injury is whiplash.
Where the neck muscles are suddenly and forcefully thrown forward and then back, causing the muscles and ligaments to stretch beyond their normal range of motion.
The injury typically results in pain, swelling, reduced mobility, and headaches.
Symptoms may not present right away.
Left untreated, whiplash can lead to long-term chronic pain.
Head Injuries
Head injuries are another common invisible injury.
Even if the head did not hit/impact anything, the force and momentum can cause the brain to collide with the inside of the skull.
This can lead to a concussion or even more serious brain injuries.
Concussion
A concussion is a traumatic brain injury. Individuals can have a concussion without losing consciousness, depending on the accident’s severity. Symptoms may be delayed or not experienced, but delayed treatment can lead to a longer recovery. Symptoms can include:
Fatigue.
Headache.
Confusion.
Inability to remember the accident.
Nausea.
Ringing in the ears.
Dizziness.
Back Muscles or Spine Injuries
Back muscles and spinal cord injuries are invisible injuries that can happen after an automobile accident. Signs of a back injury include:
The back muscles can be strained due to the impact and tension build-up.
Sore muscles or pain may not present until a day or two later.
Body stiffness.
Reduced mobility.
Muscle spasms.
Trouble walking, standing, or sitting.
Headaches.
Numbness and tingling.
Injuries to the spine, even serious ones, may not be apparent immediately.
The impact can cause the spine to shift out of alignment profoundly.
Swelling and bleeding in or around the spinal cord can cause numbness or paralysis that can gradually progress.
This invisible injury can have long-term consequences, including paralysis.
Chiropractic Care
Chiropractic is an effective treatment for neuromusculoskeletal injuries. The chiropractor will assess the damage and its severity to determine the best treatment for the individual. It relieves pain and discomfort symptoms, loosens and relaxes the muscles, and restores alignment, mobility, and a full range of motion. Chiropractic uses several tools and techniques to restore the spine and body balance. Results include:
Barach, P, and E Richter. “Injury prevention.” The New England Journal of Medicine vol. 338,2 (1998): 132-3; author reply 133. doi:10.1056/NEJM199801083380215
Binder, Allan I. “Neck pain.” BMJ clinical evidence vol. 2008 1103. 4 Aug. 2008
Duncan, G J, and R Meals. “One hundred years of automobile-induced orthopedic injuries.” Orthopedics vol. 18,2 (1995): 165-70. doi:10.3928/0147-7447-19950201-15
“Motor Vehicle Safety.” Annals of emergency medicine vol. 68,1 (2016): 146-7. doi:10.1016/j.annemergmed.2016.04.045
Sims, J K et al. “Automobile accident occupant injuries.” JACEP vol. 5,10 (1976): 796-808. doi:10.1016/s0361-1124(76)80313-9
Vassiliou, Timon, et al. “Physical therapy and active exercises–an adequate treatment for prevention of late whiplash syndrome? Randomized controlled trial in 200 patients.” Pain vol. 124,1-2 (2006): 69-76. doi:10.1016/j.pain.2006.03.017
Pretty much everyone experiences a muscle cramp at some point. A muscle cramp is an involuntarily contracted muscle that does not relax, similar to a spasm, but a cramp lasts longer and is usually a forcible contraction. During a cramp, the muscles tighten without voluntary input from the brain and over-tighten. They can last anywhere from a few seconds to an hour or longer. They can be prevented through adequate nutrition and hydration, attention to safety when engaged in physical activity or exercise, and attention to posture and ergonomics. Injury Medical Chiropractic and Functional Medicine Clinic can develop personalized treatment plans for individuals experiencing musculoskeletal issues.
Muscle Cramp
Muscle cramps can occur in any muscle. The cramp may involve a portion of a muscle, the entire muscle, or several muscles that function together. A muscle or a few tissue fibers that involuntarily contracts is in a spasm. If the spasm is forcefully sustained, it turns into a cramp. They can cause a noticeable and/or hardening of the involved muscle/s. They can be experienced as mild twitches or can be excruciatingly painful. Some can involve the simultaneous contraction of muscles that normally move body parts in opposite directions. It is not uncommon for a cramp to flare up multiple times until it finally stops.
Causes
They can occur during physical activity, exercise, rest, or night, depending on the cause. There are various causes that, include:
Most times, they are not a cause for alarm; however, depending on the individual, their age, type of physical activity, and medical history, cramps could indicate a more serious underlying problem such as a thyroid disorder, liver cirrhosis, atherosclerosis, ALS, or a problem or condition of the spine or spinal nerves.
Muscles Involved
The muscles involved can indicate the mechanism and cause.
If the cramp is triggered by fatigue, a drop in muscle glycogen, dehydration, or an electrolyte imbalance, it’s most frequently to the calf muscles, feet, or back of the thigh/hamstring muscles.
This is typically due to a combination of fatigue and dehydration.
If it is triggered by nerve irritation, like a spinal disc injury, cramps tend to present in the forearm, hand, calf, and foot, depending on whether the disc injury is in the neck or lower back.
If there is a joint sprain in the neck, mid-back, or lower back, the cramp will present where the injury is and around the surrounding muscles.
A calf cramp happens when lying down because the foot points down, shortening the calf muscles.
A shortened muscle is more likely to go into spasm, especially if it is exhausted from activities and if the body is dehydrated, which is pretty common.
For two muscles that work together performing the same movement, called agonists, and the one muscle is weaker, the secondary muscle has to work harder, often going into a spasm or cramp from the added stress.
For example, if the buttock/gluteal muscles are weak, the hamstrings eventually spasm when exhausted.
Chiropractic
First, the cause needs to be identified through medical history and examination. There can be an underlying nerve irritation and interference, restricting the muscle or muscle group, which needs to be dealt with for the therapy to be effective. Chiropractic care, combined with therapeutic stretching and massage therapy, can:
Relieve muscle cramping
Improve blood circulation
Increase muscle movement
Improve musculoskeletal function
All help to diminish and prevent muscle cramping.
Adjustments will restore proper alignment and restore nerve communication. These treatments help to release toxins, loosen and relax the muscle tissues, and provide relief.
Say Goodbye to Pain With Chiropractic
References
Blyton, Fiona, et al. “Non-drug therapies for lower limb muscle cramps.” The Cochrane Database of systematic reviews vol. 1,1 CD008496. 18 Jan. 2012, doi:10.1002/14651858.CD008496.pub2
FIELDS, A. “Leg cramps.” California Medicine vol. 92,3 (1960): 204-6.
Garrison, Scott R et al. “Magnesium for skeletal muscle cramps.” The Cochrane Database of systematic reviews vol. 9,9 CD009402. 21 Sep. 2020, doi:10.1002/14651858.CD009402.pub3
Katzberg, Hans D. “Case Studies in Management of Muscle Cramps.” Neurologic clinics vol. 38,3 (2020): 679-696. doi:10.1016/j.ncl.2020.03.011
Miller, Kevin C et al. “An Evidence-Based Review of the Pathophysiology, Treatment, and Prevention of Exercise-Associated Muscle Cramps.” Journal of athletic training vol. 57,1 (2022): 5-15. doi:10.4085/1062-6050-0696.20
Miller, Timothy M, and Robert B Layzer. “Muscle cramps.” Muscle & nerve vol. 32,4 (2005): 431-42. doi:10.1002/mus.20341
Body misalignment can cause various symptoms to be experienced, ranging from headaches, neck and back pain, sore feet, discomfort in the joints, muscles, or nerves, and digestive problems. Improperly aligned vertebrae can press against nerves, pinching or compressing them, causing the nerve signals of the digestive system, including those in the stomach and intestines, to misfire or fail to transmit at the appropriate moment. This can cause the organs to malfunction, resulting in heartburn, gas, constipation, cramping, diarrhea, and other symptoms. Chiropractic realignment adjustments are an effective treatment option for frequent stomachaches, reflux, constipation, and other gastrointestinal conditions.
Body Misalignment Digestive Problems
There are over a million nerve cells within the digestive system. A collection of nerves branch out from the lower part of the spinal cord and travels to the stomach and intestines. Nerve transmission plays an essential role in the following:
Digestion.
Movement of food through the gastrointestinal system.
Absorption of nutrients and minerals.
Removal of waste products.
Misalignments of the vertebrae are known as subluxations. Pressure on nerve roots caused by misalignment can interfere with the function of the bowel and other organs, which can lead to gastrointestinal issues. Muscle tension in the abdomen can also contribute to digestive problems, whether because of stress or sitting for long hours daily.
Misalignment Symptoms
When the body is out of alignment, symptoms of discomfort begin to appear. The most common include:
Fatigue.
Stiff neck.
Sore shoulders.
Chronic headaches.
Sore muscles.
Pain throughout the back.
Joint pain throughout the body.
Chronic aches.
Tight hips.
Difficulty walking.
Tingling, pins and needles, and numbness nerve sensations – sciatica.
Constantly getting sick.
Healthy Gut
A balanced healthy gut will have less difficulty processing food and eliminating waste, leading to reduced and eventually alleviated symptoms. The following show healthy gut function:
Regular, consistent energy levels.
Increased mental clarity.
Regular and healthy bowel movements.
No pain or discomfort symptoms.
A normal amount of gas and bloating.
Healthy stress levels.
Chiropractic
Chiropractic care will realign the body to its proper form, improving gastrointestinal issues. The chiropractic team will use various tools and techniques to guide and correct any subluxations, relax the muscles, and increase nerve and blood circulation.
Healthy Diet and Chiropractic
References
Ernst, Edzard. “Chiropractic treatment for gastrointestinal problems: a systematic review of clinical trials.” Canadian Journal of Gastroenterology = Journal canadien de Gastroenterologie vol. 25,1 (2011): 39-40. doi:10.1155/2011/910469
Hills, Ronald D Jr, et al. “Gut Microbiome: Profound Implications for Diet and Disease.” Nutrients vol. 11,7 1613. 16 Jul. 2019, doi:10.3390/nu11071613
Hornbuckle, William E., et al. “Gastrointestinal Function.” Clinical Biochemistry of Domestic Animals (2008): 413–457. doi:10.1016/B978-0-12-370491-7.00014-3
Leeming, Emily R et al. “Effect of Diet on the Gut Microbiota: Rethinking Intervention Duration.” Nutrients vol. 11,12 2862. 22 Nov. 2019, doi:10.3390/nu11122862
Li, Yuanyuan, et al. “The Role of Microbiome in Insomnia, Circadian Disturbance, and Depression.” Frontiers in psychiatry vol. 9 669. 5 Dec. 2018, doi:10.3389/fpsyt.2018.00669
Redwood, Daniel. “Chiropractic and visceral disorders.” Journal of Alternative and complementary medicine (New York, N.Y.) vol. 13,5 (2007): 479-80. doi:10.1089/acm.2007.7146
Valdes, Ana M et al. “Role of the gut microbiota in nutrition and health.” BMJ (Clinical research ed.) vol. 361 k2179. 13 Jun. 2018, doi:10.1136/bmj.k2179
Softball and baseball require running, jumping, throwing, and swinging movements. Even for the fittest athletes and weekend warriors, the body and the neuromusculoskeletal system will go through overuse injuries, throwing-related injuries, sliding injuries, falls, collisions, and getting hit by the ball. Chiropractic and physical therapy can assist athletes by integrating strength training, body realignment, and rehabilitation injury recovery.
Softball and Baseball Injuries
Baseball and softball injuries are generally defined as either acute/traumatic or cumulative/overuse injuries. Both types can occur in various body areas, for example, a knee injury caused by a fall or quick repositioning shift.
Acute/Traumatic
Injuries occur from traumatic force or impact.
Overuse/Cumulative
These occur over time from repeated stress on the muscles, joints, and soft tissues.
Often athletes return too soon to play, not giving the injury enough time to heal fully.
They begin as small aches and pains that can progress into chronic conditions if not treated.
Shoulder
Shoulder overuse injuries are very common. Constantly performing the throwing movements and high-speed throwing strains the joints, muscles, tendons, and ligaments.
In softball, bicep injuries are more common than shoulder injuries.
In baseball, the overhead throwing position leads to shoulder problems.
Frozen Shoulder
Characterized by a restricted range of motion and pain.
Athletes with frequent shoulder injuries have an increased risk.
Shoulder Instability
Softball and baseball players are more susceptible to injury from overhead throwing, which stretches the shoulder capsule and ligaments.
Shoulder instability can lead to loose joints and dislocation.
Shoulder Separation
This is the tearing of the ligaments that connect the shoulder blade to the collarbone.
This is often a traumatic injury that occurs during a collision or fall with outstretched hands.
Shoulder Tendinitis, Bursitis, and Impingement Syndrome
These are overuse injuries in which the shoulder joint becomes inflamed, restricting movement.
This is an injury to the growth plate on the inside of the elbow.
It can be caused by the wrist flexors pulling on the inside.
It is typically attributed to overuse and improper mechanics when throwing.
Tennis Elbow
This overuse injury on the outside of the elbow makes it difficult to lift or grasp objects.
Hand and Wrist
Softball and baseball can cause hand and wrist injuries from catching, colliding, falling, and overuse. Damage to a hand or wrist is typically caused by repetitive stress and/or a sudden impact.
Finger Fractures
These can be caused by impact on the ball or falls.
This can happen during contact with another player or diving for a ball and hitting the ground hard or at an awkward angle.
Sprains
A fall or impact from the ball or another player can cause these.
Tendinitis
This is an overuse injury, often from pitching and/or throwing.
Back
Catchers are especially prone to back injury because of the crouched position and overhead throwing.
Softball pitchers also experience back strain from the windmill pitching action.
Common conditions include chronic muscle strains, herniated discs, low back issues, sciatica symptoms, and pain.
Knee
Softball and baseball players quickly twist or rotate their knees, making them more susceptible to injuries. Sprains, meniscus tears, ACL tears, and hamstring strains are common.
Aggressive twisting and pivoting can cause swelling, stiffness, and pain.
Running and sudden changes in direction can result in acute knee injuries and overuse injuries.
Knee issues require examination for proper diagnosis.
Other common injuries include ankle sprains, stress fractures, and tendonitis in the foot and ankle.
Chiropractic
Chiropractors work with a massage therapy team to treat various musculoskeletal conditions. Chiropractic specializes in spinal adjustments and other treatments, including joint manipulation, myofascial release, MET techniques, trigger point therapy, and electrical stimulation. It encourages expedited recovery for sports-related injuries because instead of focusing on just the injuries, chiropractic assesses the mechanics of the whole body through proper alignment and release of constricted tissues. Adjustments of the spine and extremities allow the body to realign for better overall functionality, reduce pressure, improve blood circulation, and reduce inflammation to promote increased and thorough healing.
Improving Athletic Performance Through Chiropractic
References
Greiner, Justin J et al. “Pitching Behaviors in Youth Fast-Pitched Softball: High Pitching Volumes With Unequal Pitch Counts Among Pitchers are Common.” Journal of pediatric orthopedics vol. 42,7 (2022): e747-e752. doi:10.1097/BPO.0000000000002182
Janda, David H. “The prevention of baseball and softball injuries.” Clinical orthopedics and related research,409 (2003): 20-8. doi:10.1097/01.blo.0000057789.10364.e3
Shanley, Ellen, and Chuck Thigpen. “Throwing injuries in the adolescent athlete.” International Journal of sports physical therapy vol. 8,5 (2013): 630-40.
Shanley, Ellen, et al. “Incidence of injuries in high school softball and baseball players.” Journal of athletic training vol. 46,6 (2011): 648-54. doi:10.4085/1062-6050-46.6.648
Trehan, Samir K, and Andrew J Weiland. “Baseball and softball injuries: elbow, wrist, and hand.” The Journal of hand surgery vol. 40,4 (2015): 826-30. doi:10.1016/j.jhsa.2014.11.024
Wang, Quincy. “Baseball and softball injuries.” Current sports medicine reports vol. 5,3 (2006): 115-9. doi:10.1097/01.csmr.0000306299.95448.cd
Zaremski, Jason L et al. “Sport Specialization and Overuse Injuries in Adolescent Throwing Athletes: A Narrative Review.” Journal of athletic training vol. 54,10 (2019): 1030-1039. doi:10.4085/1062-6050-333-18
Intercostal muscles are the muscles within the rib cage, commonly called the intercostals, which connect the ribs and make up the chest wall. An intercostal muscle strain refers to an injury between two or more ribs. If these muscles become overstretched, restricted, or suffer damage, it can cause inflammation and significant pain in the middle and upper back. Intercostal muscle strain is a common injury in athletes and physically demanding jobs. Chiropractic care and massage therapy can realign the vertebrae with the ribs and loosen and relax the muscles to increase circulation and restore mobility and function.
Intercostal Muscle Strain
The intercostal muscles have different layers attached to the ribs to help build the chest wall and assist in breathing. There are 11 intercostal muscles on each side of the rib cage. Each set is located between connected ribs in the upper and mid-back and consists of the following:
External
These are the outermost intercostals, responsible for expanding the chest during breathing to help inhale air and allow full deep breaths.
The external intercostals originate at the lower edge of a rib and run diagonally to attach to the upper edge of the rib below.
They are found in the rib cage’s back, sides, and front.
Internal
These sit directly underneath the externals and help collapse the chest during breathing to exhale.
The muscle fibers run perpendicular to the external intercostals, moving diagonally from front to back along the ribs, and are in the entire rib cage.
Innermost
These sit directly underneath, run parallel to the internal intercostals, and run from the back of the rib cage to each side.
The veins, arteries, and nerves lie between the internal and innermost intercostals.
When an intercostal muscle gets twisted, overused, or stretched too far, it can tear, causing muscle strain. Often radiating pain along the rib cage is experienced that extends to the back.
Causes
An intercostal muscle strain often occurs as the result of an injury or overexertion of the muscles. Common causes include:
Trauma to the rib cage, such as from a fall or automobile collision.
Impact trauma from sports or physical activities.
Over twisting the torso beyond its normal range of motion from lifting weights, sports, yoga postures, or dance positions.
Repeatedly reaching overhead for work or tasks like cleaning or painting.
Lifting heavy objects above shoulder height.
Repetitive torso movements.
A sudden increase in physical activity that the body is not used to can also lead to intercostal muscle strain.
This can happen when a lack of conditioning or unhealthy postures weaken muscles.
Symptoms
The signs and symptoms can vary, depending on the severity and cause. Symptoms can include:
Intercostal muscle spasms.
Mobility difficulties.
Inflammation, swelling, and sensitivity in the affected area.
Stiffness and tension, causing upper back pain.
Upper back and rib pain.
Tenderness in the area between the ribs.
Muscle rigidity when bending or twisting the upper body.
Gradual worsening pain after repetitive movements.
Worsening pain when coughing, sneezing, or breathing in deeply.
Severe and sudden pain, particularly if caused by direct trauma to the chest or back.
Chiropractic
Diagnosis involves the individual’s medical history and a physical exam to check for movement limitations and assess affected and sensitive areas. Once the inflammation is reduced, chiropractic and physical therapy will focus on the following:
Pain relief treatment.
Breathing exercises.
Posture training.
Stretching under supervision.
Strengthing exercises.
Most cases fully heal within 6 to 8 weeks.
Rib Muscle Injury
References
De Troyer, A et al. “Mechanics of intercostal space and actions of external and internal intercostal muscles.” The Journal of clinical investigation vol. 75,3 (1985): 850-7. doi:10.1172/JCI111782
Lord, Michael J, and William G Carson Jr. “Multiple Rib Stress Fractures.” The Physician and sports medicine vol. 21,5 (1993): 80-91. doi:10.1080/00913847.1993.11947575
Morrison W. What is an intercostal muscle strain? Medical News Today. Jan 2020
Page P. Current Concepts in Muscle Stretching for Exercise and Rehabilitation. International Journal of Sports Physical Therapy. 2012;7(1):109-119.
Park, Kyung-hee, et al. “Difference in selective muscle activity of thoracic erector spinae during prone trunk extension exercise in subjects with slouched thoracic posture.” PM & R: the Journal of Injury, Function, and Rehabilitation vol. 7,5 (2015): 479-84. doi:10.1016/j.pmrj.2014.10.004
Tran H. Causes of Intercostal Muscle Strain. Spine-health. October 2017
Yoo, Won-Gyu. “Effect of a combined thoracic and backward lifting exercise on the thoracic kyphosis angle and intercostal muscle pain.” Journal of physical therapy science vol. 29,8 (2017): 1481-1482. doi:10.1589/jpts.29.1481
Yoo, Won-Gyu. “Effect of thoracic stretching, thoracic extension exercise and exercises for cervical and scapular posture on thoracic kyphosis angle and upper thoracic pain.” Journal of physical therapy science vol. 25,11 (2013): 1509-10. doi:10.1589/jpts.25.1509
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