When looking at an anatomical poster/image of the human body, there are all kinds of muscles connected and overlapping, but when we go to feel around those areas, especially when pain symptoms are presenting, it can feel like one solid mass and not individual muscles. This is because of everyday wear and tear, strenuous activities, spasms, heat, dehydration, and stress that causes the muscles to stay in a slightly contracted state, continue to tighten, bunch up and stiffen becoming the new normal for that individual. People learn to go through life like this, never considering that there is something wrong until they experience a significant injury that can take much longer to recover and rehabilitate from. This is why massaging the body on a regular basis is important to maintain healthy relaxed and flexible muscles and prevent strains, pulls, and injuries.
Massaging the Body
Massage therapy including myotherapyis the practice of kneading or manipulating the body’s muscles and other soft tissues to improve neuromusculoskeletal well-being and health.
It is a form of manual, percussive, and mechanical therapy that includes holding, moving, and applying pressure to the muscles, tendons, ligaments, and fascia.
Massage therapy can be used to describe techniques that vary in touch, pressure, and intensity of the treatment applied.
Benefits
The immediate benefit of regularly massaging the body is feeling deep relaxation and calmness. This happens because massaging prompts the release of endorphins or the brain chemicals/neurotransmitters that produce the feeling of well-being. And the stress hormones like adrenalin, cortisol, and norepinephrine levels are reduced. Studies have shown that high levels of stress hormones can impair and damage the immune system. The physical benefits of massaging the body regularly include:
Alleviated muscle tension.
Improved and increased joint mobility and flexibility.
Increased blood and nerve circulation.
Lymphatic system toxin drainage.
Decreased release of stress hormones.
A relaxed state of mind.
Improved sleep.
Enhanced mental alertness.
Decreased anxiety.
Improved recovery and rehabilitation of soft tissue sprains and injuries.
Improved skin tone.
Massage Types
Depending on the severity of the pain, associated symptoms, and muscle tension a chiropractor and therapeutic massage team will use a variety of techniques and massage types to restore flexibility, mobility, and function. Types of massage include:
Swedish
One of the most popular forms of massage, this technique is designed to promote relaxation and increase and improve blood circulation.
Myofascial
Involves the assessment and treatment of soft tissue pain, injury, and dysfunction affecting movement and mobility.
Myofascial therapy releases tight soft tissue structures like the muscles, tendons, ligaments, and fascia.
Rehabilitative
This type treats and rehabilitates biomechanical dysfunction or injury.
Using specific and targeted mobilization techniques to restore normal health and function.
Lymphatic Drainage
This is a gentle whole-body treatment that relaxes the nervous system, releases toxins, and improves the immune system.
Sports
Sports massage is an application of massage and a blend of techniques to enhance performance and help overworked muscles recover quickly.
The type of technique or treatment applied is dependent on the nature of the stage of training or competition, sports injury or condition, and the assessment of the therapist.
Infant Massage
A gentle massage can help treat constipation, colic, and sleeping problems.
Studies have found that regular massage helps premature babies gain weight faster.
Reflexology
Reflexology is based on the application of pressure to specific points on the body.
Reflex points, which relate to body areas, can be found in the feet, hands, face, and ears.
These points respond to pressure, stimulating the body’s own natural healing process in the same way chiropractic activates natural healing through adjustments and realignment.
Aromatherapy
Essential oils made from selected flowers and plants are added to massage oil for a particular therapeutic property.
For example, the scent of peppermint is used for constipation problems.
Shiatsu
This massage technique aims to improve energy flow by working targeted points on the body.
The underlying principles of shiatsu are similar to those of acupuncture.
Individuals are able to experience an improved quality of life with the combined elements of chiropractic and massage therapy.
Fighting Inflammation Naturally
References
Cheung, Karoline, et al. “Delayed onset muscle soreness: treatment strategies and performance factors.” Sports medicine (Auckland, N.Z.) vol. 33,2 (2003): 145-64. doi:10.2165/00007256-200333020-00005
Koren, Yogev, and Leonid Kalichman. “Deep tissue massage: What are we talking about?.” Journal of Bodywork and movement therapies vol. 22,2 (2018): 247-251. doi:10.1016/j.jbmt.2017.05.006
National Research Council (US) and Institute of Medicine (US) Panel on Musculoskeletal Disorders and the Workplace. Musculoskeletal Disorders and the Workplace: Low Back and Upper Extremities. Washington (DC): National Academies Press (US); 2001. 6, Biomechanics. Available from: www.ncbi.nlm.nih.gov/books/NBK222434/
Pachtman Shetty, Sarah L, and Sarah Fogarty. “Massage During Pregnancy and Postpartum.” Clinical obstetrics and gynecology vol. 64,3 (2021): 648-660. doi:10.1097/GRF.0000000000000638
Stecco, Antonio, et al. “Fascial Disorders: Implications for Treatment.” PM & R: the Journal of Injury, Function, and Rehabilitation vol. 8,2 (2016): 161-8. doi:10.1016/j.pmrj.2015.06.006
Weerapong, Pornratshanee, et al. “The mechanisms of massage and effects on performance, muscle recovery, and injury prevention.” Sports medicine (Auckland, N.Z.) vol. 35,3 (2005): 235-56. doi:10.2165/00007256-200535030-00004
Pickleball is a growing, increasingly popular sport that can be enjoyed by individuals of every age and fitness level. It combines elements of tennis and badminton at a slightly slower pace that makes it ideal for families and provides excellent health benefits and enjoyable socializing. It is easy to learn and requires little practice. The sport is easy on the body and is a great activity for seniors because it is joint-friendly.
Pickleball
Individuals do not need to be athletes or belong to a certain age group to play or benefit from the sport. It requires minimal equipment and a few basic skills. Using a flat paddle and a plastic pickleball, opponents singles or doubles play a game like tennis or badminton.
Playing the Game
A three-foot-long net is set up in the center of a court measuring 44 feet long by 20 feet wide.
The court is divided between right and left service zones.
If the receiving side misses the serving side volley, the serving side receives a point.
The game is played to 11 points, but a player or team must win by two points.
The ball’s design keeps the pace manageable and user-friendly.
Pickleball has other intricacies common with other racket-court sports.
The player serves from a specific side.
The no-volley zone, or the kitchen is seven feet from the net on both sides.
There are rules regarding when the player must call the score, how tournaments work, and variations between singles and doubles matches.
Most players only need a few games to pick up the basics.
Reasons To Play
The sport offers a number of health benefits.
Improves Mental Health
One study found individuals who played pickleball tended to have better mental health and outlook.
Researchers followed older adults competing in pickleball competitions and tournaments.
At the end of the study, the researchers found that a commitment to a physical hobby correlated to reduced depression levels.
Improves Cardiovascular Health
The sport is not as physically intense as say tennis, but offers significant benefits for cardiovascular health.
One study found that individuals who played three times a week for an hour had improved cardiorespiratory fitness, lower cholesterol levels, and decreased blood pressure.
Experts found that it is a healthy alternative to traditional exercises like walking or biking.
Improved Hand-Eye Coordination
Pickleball will improve hand-eye coordination and reflexes.
Coordinating the feet, legs, arms, hands, and eye movements quickens responses, challenges the brain to think fast, and increases balance.
Physical activity combined with cognitive challenges has been found to improve cognitive health and prevent mental decline in older adults.
Socialization
Pickleball requires an opponent or two for doubles matches.
A significant benefit is that the sport provides increased socialization.
Socializing with others, especially the elderly can help with loneliness.
Loneliness can negatively impact physical and mental health, increasing the risk of heart disease, stroke, dementia, and depression.
Getting Started
Individuals need minimal gear like paddles, shoes, and balls and knowledge to get started playing. One of the easiest ways to begin is locating a court in the community. This is a great physical activity that can be competitive, but overall it is fun, easy to play, and provides great health benefits.
Home Exercises For Pain Relief
References
Casper, Jonathan M, and Jung-Hwan Jeon. “Psychological Connection to Pickleball: Assessing Motives and Participation in Older Adults.” Journal of Aging and physical activity, 1-6. 24 Oct. 2018, doi:10.1123/japa.2017-0381
Cerezuela, Juan-Leandro, et al. “Pickleball and mental health in adults: A systematic review.” Frontiers in psychology vol. 14 1137047. 21 Feb. 2023, doi:10.3389/fpsyg.2023.1137047
Ryu, Jungsu, et al. “Pickleball, Personality, and Eudaimonic Well-Being in Middle-Aged and Older Adults.” Journal of Aging and physical activity vol. 30,5 885-892. 14 Feb. 2022, doi:10.1123/japa.2021-0298
Vitale, Kenneth, and Steven Liu. “Pickleball: Review and Clinical Recommendations for this Fast-growing Sport.” Current sports medicine reports vol. 19,10 (2020): 406-413. doi:10.1249/JSR.0000000000000759
Webber, Sandra C et al. “Physical Activity Intensity of Singles and Doubles Pickleball in Older Adults.” Journal of Aging and physical activity vol. 31,3 365-370. 10 Sep. 2022, doi:10.1123/japa.2022-0194
Sitting at a desk or standing at a workstation in the same position for hours at a time every day or night can strain the body’s neuromusculoskeletal system. This causes hunching of the shoulders which leads to body tension, headaches, and neck, shoulder, back, leg, and foot pain. Taking regular breaks to move and stretch out provides various benefits that include pain symptom relief, increased circulation, improved posture, increased energy, muscle relaxation, and improve overall health. Here we look at stretches for sitting and standing jobs.
Stretches For Sitting and Standing Jobs
Sitting or standing for too long can affect an individual’s health. The body is made to move and not remain in one position for long periods. Standing and sitting for a prolonged period of time increases the risk for chronic conditions, sleep disorders, digestion issues, weight gain, obesity, heart disease, cancer, and diabetes. To help break the cycle of staying in one position, experts recommend taking movement breaks for one to three minutes every 30 to 45 minutes, or at least once an hour.
Individuals are encouraged to find ways to set up a job/work system where they are not limited to just sitting or standing but have a balance where they can move around, do some desk work, move some more, and so on where the body is regularly engaging all the muscles and not only using a few that often leads to overworked muscles and overcompensating postures that lead to injuries. This can be using a standing desk, taking quick short walks, or doing some stretches. Movement loosens up the body and helps maintain mental focus.
Flexibility Breaks
The following stretches for sitting and standing jobs are recommended to be done as often as possible to develop healthy habits.
Set an alarm for every 45 to 55 minutes and perform the stretches.
Hold each stretch for at least 15-30 seconds.
Avoid exercises or stretches that cause discomfort or pain.
Chest Stretch
Many individuals begin to hunch forward. Therefore, it is essential to stretch the pectoral/chest muscles and shoulders. Individuals with shoulder problems or injuries should avoid this stretch.
Stand with the feet shoulder-width apart.
The stretch can be performed seated in a chair.
Move the arms behind the body and, if possible, interlock the fingers together.
Straighten the arms and gently lift the hands up until you feel a stretch in the chest.
Hold for 10 to 30 seconds.
Repeat 5-10 times.
Individuals can also use a resistance band and hold it overhead.
Individuals can put their forearms on either side of a doorway, and gently press forward until the stretch is felt in the chest.
Upper Back Stretch
The upper back stretch will help get circulation moving in all the muscles between the shoulder blades as well as the traps and the shoulders.
Begin in a seated or standing position.
Stretch the arms straight out.
Place one hand on top of the other.
Reach away with your arms.
Relax and gently bend the head down.
Imagine the arms curving up and over an imaginary sphere.
Hold the stretch for 10 to 30 seconds.
Neck Stretch
Tension in the neck can lead to headaches and upper back pain. Forward head posture is common when working at a desk/workstation, which places extra weight and stress on the neck muscles. The head can weigh up to 11 pounds. Staying aware of posture and regular stretching can provide relief.
Start in a sitting position, with the back straight and the shoulders back.
Reach down and grab the side of the chair with your hand.
Gently pull on the chair, while tilting the head in the opposite direction, feeling the stretch down the side of the neck and shoulder.
Hold for 10 to 30 seconds and repeat on the other side.
Repeat five to 10 times on each side.
Inner Thigh Stretch
Stretching the inner thigh is important for the hips and groin. This stretch helps open the hips and gets rid of tightness and tension in the lower body.
In a seated position, widen the legs, toes outward, and lean forward with the elbows on the thighs.
Keep the back straight and the abs contracted.
Gently press forward while using the elbows to push the thighs out until a stretch is felt in the inner thighs.
Hold for 10 to 30 seconds.
Repeat as many times as necessary to get a thorough stretch.
Regular stretching will help to improve the range of motion and help the muscles move more efficiently. Stretching may also help individuals reach or maintain a healthy weight for improved posture.
Benefits of Stretching
References
Cooley D, Pedersen S. A pilot study of increasing non-purposeful movement breaks at work as a means of reducing prolonged sitting. J Environ Public Health. 2013;2013:128376. doi:10.1155/2013/128376
Daneshmandi H, Choobineh A, Ghaem H, Karimi M. Adverse effects of prolonged sitting behavior on the general health of office workers. J Lifestyle Med. 2017;7(2):69-75. doi:10.15280/jlm.2017.7.2.69
Fathollahnejad, Kiana, et al. “The effect of manual therapy and stabilizing exercises on the forward head and rounded shoulder postures: a six-week intervention with a one-month follow-up study.” BMC Musculoskeletal Disorders vol. 20,1 86. 18 Feb. 2019, doi:10.1186/s12891-019-2438-y
Feldman, Anatol G. “The Relationship Between Postural and Movement Stability.” Advances in experimental medicine and biology vol. 957 (2016): 105-120. doi:10.1007/978-3-319-47313-0_6
Korakakis, Vasileios, et al. “Physiotherapist perceptions of optimal sitting and standing posture.” Musculoskeletal Science & Practice vol. 39 (2019): 24-31. doi:10.1016/j.msksp.2018.11.004
Lurati AR. Health issues and injury risks associated with prolonged sitting and sedentary lifestyles. Workplace Health Saf. 2018;66(6):285-290. doi:10.1177/2165079917737558
Nakphet N, Chaikumarn M, Janwantanakul P. Effect of different types of rest-break interventions on neck and shoulder muscle activity, perceived discomfort and productivity in symptomatic VDU operators: A randomized controlled trial. Int J Occup Saf Ergon. 2014;20(2):339-53. doi:10.1080/10803548.2014.11077048
Sanders, Martha J, and Claudia Michalak Turcotte. “Posture makes perfect.” Today’s FDA: official monthly journal of the Florida Dental Association vol. 25,2 (2013): 62-5.
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
Walking is a great physical exercise activity that requires endurance. When walking for two hours or more, refueling energy stores can be done with portable walking energy snacks. These are foods that can be taken along and eaten while on the move. This includes fruits, vegetables, energy bars, trail mix, energy gels, and sports drinks that can replenish the body. However, depending on when an individual goes for a walk, they need to think about breakfast or lunch nutrition before engaging in the walk. This will help to get the most benefits from the snacks, as well as, what to have after the workout for recovery.
Walking Energy Snacks
Individuals walking for a long time will want a snack – before, during, and after. There are various options to choose from. Individuals may want to experiment with various snack and drink options to find the right balance of carbs, fat, and protein so that the body gets the energy it needs without feeling weighed down or hungry soon after. The ideal walking energy snacks should be healthy, full of energy, and easy to eat on the move.
Fruit Snacks
Fruit snacks are great for the all-natural carbohydrate burst.
Bananas are great for potassium.
Apples, oranges, and raisins are also recommended packable snacks.
For certain individuals, the fiber in some fruits can get digestion moving, requiring a restroom, so plan ahead.
Some individuals can eat fruit regularly but may have an upset stomach during walking, which is why experimentation may be necessary.
Energy Bars
Nutrition bars can provide vitamins and minerals and protein but can be high in calories.
Check the labels to choose the balance of ingredients that’s best for you.
Energy bars offer a healthy combination of carbohydrates, protein, and fat.
They are convenient for a snack when on a walk.
Most products utilize peanuts/other nuts or soy for protein.
Individuals may want to avoid chocolate-covered bars, as they can melt.
Individuals can mix their own, buy in bulk, or pre-packaged.
Trail mix contains nuts for protein, raisins or other dried fruit for carbohydrates, and chocolate or carob for taste.
The salted varieties can help replace electrolytes.
Be aware of portion control, as trail mix is often high in fat and calories.
Energy Gels
Energy gels provide a carbohydrate boost designed for individuals doing endurance events and activities.
Energy gels need to be taken with water for carbohydrate digestion.
There are some that can be taken without water but may not provide as much energy.
For individuals that walk fast and breathe hard, energy gels can be safer than chewing and possibly choking.
Newer brands are trying to be natural and less sweet.
Energy and Sports Drinks
Water is not enough to keep the body hydrated on long walks.
Sports drinks with sugar and salt replenish H2O and electrolyte levels more thoroughly when walking for more than an hour helping to prevent dehydration and hyponatremia/low salt levels.
It is recommended to avoid:
High-caffeine energy drinks in small cans, as they have too much caffeine and not enough hydrating water.
Sports and energy drinks with additives and herbs, which do not help on walks, and look for those with salt and carbohydrate replacement.
Ankle Sprain Recovery
References
Francois, Monique E et al. “’Exercise snacks’ before meals: a novel strategy to improve glycaemic control in individuals with insulin resistance.” Diabetologia vol. 57,7 (2014): 1437-45. doi:10.1007/s00125-014-3244-6
Islam, Hashim, et al. “Exercise Snacks: A Novel Strategy to Improve Cardiometabolic Health.” Exercise and sport sciences review vol. 50,1 (2022): 31-37. doi:10.1249/JES.0000000000000275
Marangoni, Franca, et al. “Snacking in nutrition and health.” International Journal of food sciences and Nutrition vol. 70,8 (2019): 909-923. doi:10.1080/09637486.2019.1595543
McCubbin, Alan J et al. “Sports Dietitians Australia Position Statement: Nutrition for Exercise in Hot Environments.” International Journal of sports nutrition and exercise metabolism vol. 30,1 (2020): 83-98. doi:10.1123/ijsnem.2019-0300
Moore, Daniel R et al. “Walking or body weight squat “activity snacks” increase dietary amino acid utilization for myofibrillar protein synthesis during prolonged sitting.” Journal of applied physiology (Bethesda, Md.: 1985) vol. 133,3 (2022): 777-785. doi:10.1152/japplphysiol.00106.2022
Njike, Valentine Yanchou, et al. “Snack Food, Satiety, and Weight.” Advances in nutrition (Bethesda, Md.) vol. 7,5 866-78. 15 Sep. 2016, doi:10.3945/an.115.009340
Overexertion and repetitive stress injuries make up a fourth of all work injuries. Repetitive pulling, lifting, punching in numbers, typing, pushing, holding, carrying, and scanning are the most common causes of job-related injuries. These types of injuries are the most common that cause missed days at work. Overexertion can lead to lasting physical chronic conditions, ranging from chronic back pain to chronic joint pain caused by the advanced wearing and tearing of the various musculoskeletal tissues. Chiropractic medicine takes a comprehensive and whole-body approach to treating neuromusculoskeletal injuries. Chiropractic relieves tight or damaged muscles, increases nerve energy flow, and properly aligns the joints through adjustments, spinal traction, decompression, and various forms of manual manipulation.
Overexertion and Repetitive Stress Injuries
Overexertion and repetitive stress injuries typically occur over time/years of engaging in the same strenuous activity regularly. However, an overexertion injury can occur with one sudden or extreme movement. A worker can injure muscles, tendons, joints, and ligaments. Overexertion can lead to musculoskeletal disorders with symptoms including:
Inflammation
Swelling
Numbness
Stiffness
Chronic pain
Limited or total loss of mobility in the muscles, tendons, ligaments, and joints.
Types
A few of the most common examples of overexertion injuries include:
Soft-Tissue
Injuries to muscles, ligaments, tendons, and joints.
Back
Pulled, strained back muscles.
Herniated discs.
Compressed nerve roots.
Fractured vertebrae.
Dehydration and Heat Stroke
Most common among workers doing outdoor manual labor.
Repetitive and Overuse
Injuries range from carpal tunnel syndrome to stress fractures.
Often the result of weeks, months, or years of repeated movements
In many cases, two or more injuries can happen simultaneously.
For example, a worker is more likely to sustain an injury if they are dehydrated or they are performing dual tasks.
Causes
Certain movements and activities are more likely to cause overexertion injuries. Some of the most common include:
Daily lifting of objects, light and heavy.
Performing awkward movements that cause the body to be in unhealthy positions.
Standing and/or sitting or for long periods.
Using excessive force to perform tasks.
Operating heavy machinery.
Working in hot and/or humid conditions.
High-Rate Injury Industries
Industries in which overexertion injuries are most common include:
Education.
Health services.
Manufacturing.
Construction.
Warehouse work.
Transportation.
Wholesale trade.
Retail stores.
Chiropractic Treatment
These injuries can lead to missed work, debilitating pain, and medical bills. Depending on the severity of the injury, chiropractic care will use massage techniques, spinal manipulation, traction, and decompression therapies, to increase flexibility and mobility to reduce the chances of a recurring injury. The benefits of chiropractic include:
Prevents the risk of worsening or future injuries.
Expedites recovery to help individuals rehabilitate and get back to work sooner.
Improves physical and mental well-being.
Provide recommendations on how to properly stretch and strengthen muscles.
Nutritional anti-inflammatory recommendations.
By learning how to avoid overexertion injuries, workers can be more productive, enjoy work, and improve their quality of life.
From Injury To Recovery
References
Anderson, Vern Putz, et al. “Occupational fatalities, injuries, illnesses, and related economic loss in the wholesale and retail trade sector.” American Journal of industrial medicine vol. 53,7 (2010): 673-85. doi:10.1002/ajim.20813
Choi, Hyun-Woo, et al. “Characteristics of occupational musculoskeletal disorders of five sectors in the service industry between 2004 and 2013.” Annals of Occupational and environmental medicine vol. 29 41. 19 Sep. 2017, doi:10.1186/s40557-017-0198-4
Friedenberg, Rivi, et al. “Work-related musculoskeletal disorders and injuries among emergency medical technicians and paramedics: A comprehensive narrative review.” Archives of Environmental & occupational health vol. 77,1 (2022): 9-17. doi:10.1080/19338244.2020.1832038
Galinsky, T et al. “Overexertion injuries in home health care workers and the need for ergonomics.” Home health care services quarterly vol. 20,3 (2001): 57-73. doi:10.1300/J027v20n03_04
González Fuentes, Aroa, et al. “Work-related overexertion injuries in cleaning occupations: An exploration of the factors to predict the days of absence by means of machine learning methodologies.” Applied ergonomics, vol. 105 103847. 30 Jul. 2022, doi:10.1016/j.apergo.2022.103847
Schoenfisch, Ashley L et al. “Declining rates of work-related overexertion back injuries among union drywall installers in Washington State, 1989-2008: Improved work safety or shifting of care?.” American Journal of industrial medicine vol. 57,2 (2014): 184-94. doi:10.1002/ajim.22240
Williams, J M et al. “Work-related injuries in a rural emergency department population.” Academic emergency medicine: official journal of the Society for Academic Emergency Medicine vol. 4,4 (1997): 277-81. doi:10.1111/j.1553-2712.1997.tb03548.x
Before the body can benefit from consumed nutrients, the gastrointestinal tract has to digest and absorb the foods. Before eating, the body needs to feel hungry. However, hunger is not the same as appetite. Hunger is a physical reaction caused by hormonal and chemical changes in the body when fuel is needed. Appetite is more of a desire to eat and can be a learned response. It is one reason why individuals can eat when they are not hungry. The body comprises different hormones that regulate hunger, digestion, and appetite.
Hunger Digestion Regulating Hormones
Hunger Hormones
Hunger is the feeling when the body needs food. When the body has enough, hunger should subside. That’s because various hormones regulate hunger.
Leptin
Leptin is a hormone secreted by adipose tissue/fat into the bloodstream.
The more fat in the body, the higher the blood levels of leptin.
Leptin level also increases with food intake and is higher in females than males, but overall, it lowers with age.
Increased leptin levels trigger the hypothalamus to reduce hunger.
Ghrelin
Ghrelin is a hormone produced by the stomach and small intestine when the stomach is empty.
Like leptin, it also works with the hypothalamus.
However, instead of suppressing hunger, it increases hunger.
Insulin
The pancreas produces this hormone.
It is mostly known for regulating blood sugar levels.
It also suppresses hunger.
Adiponectin
Adiponectin is a hormone secreted by fat cells.
As body fat levels go down, this hormone goes up.
If fat levels go up, adiponectin levels go down.
Cholecystokinin
Cholecystokinin is a hormone produced in the small intestine during and after a meal.
It triggers the release of bile and digestive enzymes into the small intestine.
These suppress hunger and make the body feel full.
Peptide YY
This hormone suppresses appetite for about 12 hours after eating.
Made by both the large and small intestines after eating.
Glucocorticoids
Adrenal glands make these hormones, and their primary function is to regulate inflammation and other processes, but they also impact hunger.
A cortisol deficiency reduces appetite, but excessive amounts of glucocorticoids increase hunger.
Digestion Hormones
Digestion is coordinated and regulated by hormones.
Gastrin
Gastrin is a hormone the stomach and the small intestine release when eating.
Gastrin stimulates the release of hydrochloric acid and pepsinogen in the stomach to speed up digestion.
Gastrin stimulates glucagon, which works with insulin to regulate blood sugar.
Secretin
Secretin is a hormone made by the small intestine.
It is secreted into the bloodstream when the acidic chyme from the stomach enters the small intestine.
Secretin stimulates the pancreas to release bicarbonate digestive liquids into the small intestine.
The bicarbonate neutralizes the acidity.
Secretin acts on the stomach to trigger the production of pepsinogen to help break down proteins.
Cholecystokinin – CCK
The small intestine makes and releases CCK into the bloodstream.
Essential fat digestion stimulates the gallbladder to release bile into the small intestine.
It also triggers the pancreas to release various digestive enzymes so they can break down fats, carbohydrates, and proteins.
It stimulates the pancreas to release insulin and slows down stomach digestive activity.
Peptide YY and Enterogastrone
Released by the small intestine, two more hormones slow digestion down and decrease the production of digestive secretions.
Chiropractic Care and Metabolism
References
Chandra, Rashmi, and Rodger A Liddle. “Cholecystokinin.” Current Opinion in Endocrinology, diabetes, and Obesity vol. 14,1 (2007): 63-7. doi:10.1097/MED.0b013e3280122850
Davis, Jon. “Hunger, ghrelin and the gut.” Brain Research vol. 1693, Pt B (2018): 154-158. doi:10.1016/j.brainres.2018.01.024
Gupta K, Raja A. Physiology, Gastric Inhibitory Peptide. [Updated 2022 Sep 26]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK546653/
Konturek, S J et al. “Brain-gut axis and its role in the control of food intake.” Journal of Physiology and Pharmacology: an official journal of the Polish Physiological Society vol. 55,1 Pt 2 (2004): 137-54.
Prosapio JG, Sankar P, Jialal I. Physiology, Gastrin. [Updated 2023 Apr 6]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK534822/
Rix I, Nexøe-Larsen C, Bergmann NC, et al. Glucagon Physiology. [Updated 2019 Jul 16]. In: Feingold KR, Anawalt B, Blackman MR, et al., editors. Endotext [Internet]. South Dartmouth (MA): MDText.com, Inc.; 2000-. Available from: www.ncbi.nlm.nih.gov/books/NBK279127/
Suzuki, Keisuke, et al. “The role of gut hormones and the hypothalamus in appetite regulation.” Endocrine Journal vol. 57,5 (2010): 359-72. doi:10.1507/endocrine.k10e-077
Tack, Jan, et al. “The gastrointestinal tract in hunger and satiety signaling.” United European gastroenterology journal vol. 9,6 (2021): 727-734. doi:10.1002/ueg2.12097
Zanchi, Davide, et al. “The impact of gut hormones on the neural circuit of appetite and satiety: A systematic review.” Neuroscience and biobehavioral reviews vol. 80 (2017): 457-475. doi:10.1016/j.neubiorev.2017.06.013
Individuals can become overly passionate about exercising. However, constantly training the body without taking enough time to rest and recover can impact athletes and fitness enthusiasts physically and mentally and lead to overtraining syndrome. Excessive training can cause decreases in athletic physical performance that can be long-lasting, sometimes taking several weeks or months to recover. Individuals who don’t learn to manage overtraining can have injuries and more frequent illnesses and infections. And the psychological effects can also lead to negative mood changes. Learn the signs and how to cut back to prevent injury and/or burnout.
Overtraining Syndrome
Athletes and fitness lovers often exercise longer and harder than average to reach peak performance. Even individuals just getting started with exercise can push their limits as they try to figure out what works for them. This means taking into consideration the following:
The mental side of training.
How to get and stay motivated.
How to set up a safe and effective program with balanced cardio and strength training.
How to avoid skipping workouts when things get in the way.
Exercising too much is a mistake many beginners make, putting themselves at risk for injury.
Overtraining syndrome is when the body goes through and feels:
Extreme fatigue.
Physical performance problems.
Mood changes.
Sleep disturbances.
Other issues due to working out or training too much and/or too hard without giving the body enough time to rest.
Overtraining is common among athletes who train beyond their body’s ability to recover, usually when preparing for a competition or event. Conditioning for athletes and enthusiasts requires a balance between work and recovery.
Signs and Symptoms
There are several signs to look for, with the more common symptoms being:
Mild muscle or joint soreness, general aches, and pains.
Decreased training capacity, intensity, or performance.
Lack of energy, constantly tired, and/or drained.
Brain fog.
Insomnia.
Decreased appetite or weight loss.
Loss of enthusiasm for the sport or exercise.
Irregular heart rate or heart rhythm.
Increased injuries.
Increased headaches.
Feeling depressed, anxious, or irritable.
Sexual dysfunction or decreased sex drive.
Lower immunity with an increase in colds and sore throats.
Prevent Overtraining
Predicting whether there is a risk of overtraining can be tricky because every person responds differently to various training routines.
Individuals have to vary their training throughout and schedule adequate time for rest.
Individuals who believe they may be training too hard should try the following strategies to prevent overtraining syndrome.
Take Note of Mental and Mood Changes
Methods exist to test for overtraining objectively.
One is taking note of psychological signs and symptoms associated with changes in an individual’s mental state can be an indicator.
Decreased positive feelings for exercise, physical activities, and sports.
Increased negative emotions, like depression, anger, fatigue, and irritability, can appear after a few days of intense training.
If these feelings and emotions begin to present, it is time to rest or dial the intensity down.
Training Log
A training log that notes how the body feels daily.
It can help individuals notice downward trends and decreased enthusiasm.
This can help individuals learn to listen to their body’s signals and rest when necessary.
Monitor Heart Rate
Another option is to track changes in heart rate over time.
Monitor heart rate at rest and specific exercise intensities while training, and record it.
If the heart rate increases at rest or a given intensity, this could be a risk indicator, especially if symptoms develop.
Track resting heart rate each morning.
Individuals can manually take a pulse for 60 seconds immediately after waking up.
Individuals can also use a heart rate monitor or fitness band.
Any marked increase from the norm may indicate that the body has not fully recovered.
Treatment
Rest and Recovery
Reduce or stop the exercise and allow the mind and body a few rest days.
Research on overtraining shows that complete rest is the primary treatment.
Take Extra Rest Days
Starting anything new will usually make the body sore.
Be prepared for the aches and take extra rest days when needed.
The body won’t have the same energy levels from day to day or even from week to week.
Consult A Trainer
Not sure where to start or how to approach working out safely.
This is the time to meet with a professional who can look at physical and medical history, fitness level, and goals.
They can develop a customized program to meet specific needs.
Nutrition and Hydration
Maintain optimal body hydration with plenty of H2O/water and rehydrating drinks, vegetables, and fruits.
Staying properly hydrated is key to both recovery and prevention.
Getting enough protein and carbohydrates supports muscle recovery.
Carbs are important for endurance, and protein is important for muscular strength and power.
Sports Chiropractic Massage
Research shows that sports massage benefits muscle recovery and can improve delayed onset muscle soreness/DOMS.
Massage keeps muscles loose and flexible and increases blood circulation for expedited recovery.
Relaxation Techniques
Stress-reduction techniques such as deep breathing and progressive muscle relaxation exercises can improve rest and recovery.
Total recovery from overtraining syndrome can take a few weeks or longer, depending on the individual’s health status and how long the excessive training has gone on. A physician can refer individuals to a physical therapist or sports chiropractor, who can develop a personalized recovery plan to get the body back to top form.
Military Training and Chiropractic
References
Bell, G W. “Aquatic sports massage therapy.” Clinics in sports medicine vol. 18,2 (1999): 427-35, ix. doi:10.1016/s0278-5919(05)70156-3
Carrard, Justin, et al. “Diagnosing Overtraining Syndrome: A Scoping Review.” Sports Health vol. 14,5 (2022): 665-673. doi:10.1177/19417381211044739
Davis, Holly Louisa, et al. “Effect of sports massage on performance and recovery: a systematic review and meta-analysis.” BMJ open sport & exercise medicine vol. 6,1 e000614. 7 May. 2020, doi:10.1136/bmjsem-2019-000614
Grandou, Clementine, et al. “Symptoms of Overtraining in Resistance Exercise: International Cross-Sectional Survey.” International Journal of sports physiology and Performance vol. 16,1 (2021): 80-89. doi:10.1123/ijspp.2019-0825
Meeusen, Romain, et al. “Brain neurotransmitters in fatigue and overtraining.” Applied physiology, nutrition, and metabolism = Physiologie applique, nutrition et metabolisme vol. 32,5 (2007): 857-64. doi:10.1139/H07-080
Peluso, Marco Aurélio Monteiro, and Laura Helena Silveira Guerra de Andrade. “Physical activity and mental health: the association between exercise and mood.” Clinics (Sao Paulo, Brazil) vol. 60,1 (2005): 61-70. doi:10.1590/s1807-59322005000100012
Weerapong, Pornratshanee, et al. “The mechanisms of massage and effects on performance, muscle recovery, and injury prevention.” Sports medicine (Auckland, N.Z.) vol. 35,3 (2005): 235-56. doi:10.2165/00007256-200535030-00004
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