Watermelon, one of the summer’s main fruits, is low in calories and rich in water. It provides an excellent source of vitamins A and C and lycopene and is less acidic than citrus fruits and tomatoes. The whole fruit is edible. The watermelon can be used as frozen chunks for water or seltzer drinks, smoothies, salsas, and salads; the rind can be stir-fried, stewed, or pickled, and the subtle sweetness pairs well with cheese, nuts, and other protein sources.
Watermelon
Watermelon poses few risks, with research deeming the fruit nontoxic. Side effects from eating too much watermelon can include abdominal discomfort, bloating, and gas.
The fruit does contain sugar, recommending individuals with diabetes should be careful to avoid sugar spikes.
Vitamins and Minerals
A fully ripe red watermelon contains higher nutrients than a less ripe watermelon.
A single serving is a healthy source of vitamins C and A, providing a significant percentage of the daily requirement.
Vitamin C aids in wound healing and can help increase anti-aging properties and immune system function.
Vitamin A is important for eye health.
Calories
One cup of diced or balled watermelon contains about 46 calories.
Wedges around one-sixteenth of the melon, or 286 g, contain approximately 86 calories.
These antioxidants can help cell repair and lower the risk of infections and certain cancers.
Contributes to Weight Loss
A group of overweight adults participated in a study that found the group that ate watermelon instead of low-fat cookies felt fuller.
The watermelon group also showed reductions in body weight, body mass index, waist-to-hip ratio, and blood pressure.
Reduce Muscle Fatigue
The fruit contains a significant amount of the amino acid citrulline.
Capsules of concentrated citrulline are sold as nutritional supplements.
The benefits are not conclusive, but some studies show that supplements could reduce the feeling of fatigue.
Nutrition Fundamentals
References
Bailey, Stephen J et al. “Two weeks of watermelon juice supplementation improves nitric oxide bioavailability but not endurance exercise performance in humans.” Nitric oxide: biology and chemistry vol. 59 (2016): 10-20. doi:10.1016/j.niox.2016.06.008
Burton-Freeman, Britt, et al. “Watermelon and L-Citrulline in Cardio-Metabolic Health: Review of the Evidence 2000-2020.” Current atherosclerosis reports vol. 23,12 81. 11 Dec. 2021, doi:10.1007/s11883-021-00978-5
Figueroa, Arturo, et al. “Watermelon extract supplementation reduces ankle blood pressure and carotid augmentation index in obese adults with prehypertension or hypertension.” American Journal of Hypertension vol. 25,6 (2012): 640-3. doi:10.1038/ajh.2012.20
Glenn, J.M., Gray, M., Wethington, L.N. et al. Acute citrulline malate supplementation improves upper- and lower-body submaximal weightlifting exercise performance in resistance-trained females. Eur J Nutr 56, 775–784 (2017). doi.org/10.1007/s00394-015-1124-6
Martínez-Sánchez A., Ramos-Campo D. J., Fernández-Lobato B., Rubio-Arias J. A., Alacid F., & Aguayo E. (2017). Biochemical, physiological, and performance response of a functional watermelon juice enriched in L-citrulline during a half-marathon race. Food & Nutrition Research, 61. Retrieved from foodandnutritionresearch.net/index.php/fnr/article/view/1203
Naz, Ambreen, et al. “Watermelon lycopene and allied health claims.” EXCLI journal vol. 13 650-60. 3 Jun. 2014
Panche, A N et al. “Flavonoids: an overview.” Journal of nutritional science vol. 5 e47. 29 Dec. 2016, doi:10.1017/jns.2016.41
Volino-Souza, Mônica et al. “Current Evidence of Watermelon (Citrullus lanatus) Ingestion on Vascular Health: A Food Science and Technology Perspective.” Nutrients vol. 14,14 2913. 15 Jul. 2022, doi:10.3390/nu14142913
Olympic athletes are so fit they make everything look easy. It is one of the most amazing examples of athletic prowess to behold. Attempting these feats of athleticism could lead to injury without proper training and conditioning. However, you can draw inspiration from these incredible skills and commitment to reach your fitness goals. Individuals can emulate the Olympic athlete’s discipline to get the most out of physical activity and workouts.
Olympic Athlete Discipline
This is not about the literal workout routines these athletes engage in but the mental state and discipline that keeps them motivated, especially when things get tough. This can help individuals get the most out of every workout. When momentum or motivation starts to dwindle, look to Olympic athletes and then apply that discipline to recharge motivation and achieve the goal.
Learn to Train Daily
Many can succumb to weekend warrior syndrome. After sitting on the couch after a long day of work all week, individuals try to make up for the inactivity by overexerting themselves with hours of exercise on the weekend. This is a perfect setup for injury.
Instead, train, work out, exercise, and move around daily. Professional athletes know they won’t get the top results in one shot.
They approach it in incremental steps for a solid foundation and understanding of the final and optimal result.
Daily physical activity and exercise maintain body conditioning, strength, and overall fitness.
And makes the body more efficient at burning fat.
Maintain Goal Focus
Olympic athletes have specific goals in their training. There has to be when competing against the best athletes in the world and winning.
Individual health and fitness goals may be smaller, but they are just as important and should be treated as such for motivation to exercise each day.
Keep goals simple, specific, and reachable/doable when setting them.
SMART goals are Specific, Measurable, Achievable, Realistic, and Time-based.
Use daily reminders of what the goal is and strategies to achieve it.
Utilize Specific Training
Olympic athletes must have incredible endurance, strength, and skill sets to complete their event.
They must incorporate specific training drills, exercises, stretches, nutrition, etc., to improve and advance.
Whatever the goal, make sure the training is appropriate.
If trying to build muscle, focus on heavy strength training and consuming quality calories.
If the goal is to lose weight, break down the goal into achievable steps to get there, like.
What type of workouts are needed?
Consulting a nutritionist for recommendations.
Fuel the Body for Top Performance
Individuals can be concerned about food and whether it contains too much fat or calories.
Olympic athletes worry about getting the right nutrients and calories to fuel their bodies for competition.
Use a similar approach and ask what is the best thing I should eat right now for the workout and…
What foods will maintain optimal body health?
Listen to The Body and Rest
Olympic athletes have to learn to maintain the balance of maintaining top performance and not getting burnt out.
This is when they know to listen to their bodies, extend recovery days, or take a mini-vacation.
Overtraining can lead to injury, frustration, discouragement, and loss of motivation.
Whatever the activity, make sure proper form is followed.
For example, distance runners hold their heads high, have relaxed faces and upper bodies, have a natural arm swing, and do not overstride.
Apply the same form principles to stretches and exercises.
Stronger Body = Better Life
References
Casa, Douglas J et al. “Fluid Needs for Training, Competition, and Recovery in Track-and-Field Athletes.” International Journal of sports nutrition and exercise metabolism vol. 29,2 (2019): 175-180. doi:10.1123/ijsnem.2018-0374
Bailey RR. Goal Setting and Action Planning for Health Behavior Change. Am J Lifestyle Med. 2019;13(6):615-618. doi:10.1177/1559827617729634
Hackett, Daniel, et al. “Olympic weightlifting training improves vertical jump height in sportspeople: a systematic review with meta-analysis.” British Journal of sports medicine vol. 50,14 (2016): 865-72. doi:10.1136/bjsports-2015-094951
Huebner, Marianne, et al. “The Masters’ athlete in Olympic weightlifting: Training, lifestyle, health challenges, and gender differences.” PloS one vol. 15,12 e0243652. 4 Dec. 2020, doi:10.1371/journal.pone.0243652
Swift DL, Johannsen NM, Lavie CJ, Earnest CP, Church TS. The Role of Exercise and Physical Activity in Weight Loss and Maintenance. Prog Cardiovasc Dis. 2014;56(4):441-447. doi:10.1016/j.pcad.2013.09.012
Back pain is a common problem that affects people worldwide, but many individuals are unaware of it until they experience constant back muscle aches. Back pain can impact the cervical, thoracic, and lumbar spine and can even lead to referred pain in the arms and legs. Repetitive movements, poor posture, prolonged sitting, and physical inactivity are common causes of back pain. In some cases, traumatic incidents or accidents can also contribute to the development of back pain. To manage back pain, individuals often seek treatments to alleviate it and improve their quality of life. In this article, we’ll explore two treatments to help alleviate back pain and provide tips on managing the pain effectively. We work with certified medical providers who use our patients’ valuable information to treat individuals with back pain and find the right treatment to alleviate their pain. We encourage patients to ask essential questions and seek education from our associated medical providers about their condition. Dr. Jimenez, D.C., provides this information as an educational service. Disclaimer
Spine Surgery For Low Back Pain
Are you experiencing pain in your upper, middle, or lower back? Do you feel a radiating pain running down your arms or legs, or have you noticed that you are hunching over more than usual? These symptoms are often associated with back pain, which can be debilitating. Many people who suffer from back pain seek relief and may opt for surgery to alleviate their symptoms. Research studies revealed that spinal surgery could effectively reduce neurogenic pain and deficits that exacerbate spinal nerve root compression and may help individuals regain their functionality and mobility. However, as research studies stated, surgery is typically recommended only after conservative treatments have been tried for at least six months without success. Several surgical options are available, including injection therapy, non-fusion stabilization, facet and disc replacement, and spinal fusion surgery, which may relieve back pain.
Managing Back Pain After Surgery
Individuals who undergo surgery for back pain must follow a recovery plan to prevent the pain from recurring. Research studies suggest that the effects of spinal surgery for back pain should last for three days, after which adequate rest is essential. Following this, individuals should become pain-free and able to move again. To prevent back pain from returning, doctors often recommend changing daily habits and activities and creating a personalized treatment plan to strengthen back muscles. While surgery for back pain can be expensive, non-surgical treatments are available to alleviate the pain.
The Science Of Motion & Chiropractic Care- Video
Are you experiencing pain in your upper, middle, or lower back? Do you feel discomfort, stiffness, or aches when stretching? Have you engaged in activities that can strain your back muscles? These symptoms often indicate back pain, a common problem many people face at some point. Several factors contribute to back pain, including repetitive movements, spinal disc compression, and spinal nerve root irritation. Physical inactivity, prolonged sitting, heavy lifting, and poor posture are common causes of back pain that can lead to disability. However, various treatments can alleviate the effects of back pain and prevent it from recurring. The video above demonstrates how chiropractic care can help relieve back pain by using spinal manipulation to align the spine. Chiropractic care is a safe, gentle, and affordable non-surgical treatment that can be combined with other therapies to prevent future back pain.
Spinal Decompression For Back Pain
When relieving back pain, some people avoid surgery because it can be expensive. Fortunately, alternative treatments are safe, affordable, and gentle on the spine. Non-surgical options can relieve many individuals suffering from back pain without surgery. Research shows that spinal decompression is an effective treatment that uses gentle traction to create negative pressure in the spinal disc. This can increase hydration and reduce pressure on the nerve root, which can alleviate back pain. Spinal decompression can also help relax and stretch the back muscles by gently pulling the spine. This treatment is cost-effective and can be combined with other therapies to prevent the return of back pain.
The Effects Of Spinal Decompression On Back Pain
Dr. Eric Kaplan, D.C., FIAMA, and Dr. Perry Bard, D.C., wrote “The Ultimate Spinal Decompression,” which states that spinal decompression is safe and effective in reducing back pain. Through spinal decompression, the herniated disc causing back pain is pulled back to its original position, allowing the surrounding nerve roots to relax. Research studies have shown that spinal decompression can help increase spinal disc height and restore mobility to the back and spine, enabling individuals to return to their daily activities without pain.
Conclusion
Across the world back pain is a widespread problem that affects many people worldwide. It can be a significant problem if left untreated. Fortunately, numerous treatment options can alleviate the symptoms and allow individuals to resume their daily activities. The two main types of treatment are surgical and non-surgical therapies. While surgical treatment can be effective, it is also expensive. Non-surgical therapy, on the other hand, is cost-effective. Combining these treatments with other therapies is possible to decrease the likelihood of back pain returning. By listening to their bodies and taking preventive measures, individuals can avoid a reoccurrence of pain.
Individuals dealing with or managing chronic back pain should incorporate swimming exercises. Swimming is a low-impact aerobic conditioning exercise that’s easy on the back and healthy for the spine. When an individual struggles with back problems, they may be tempted to rest and avoid physical activity/exercise. Total rest is not recommended as it can cause the muscles that support the back to weaken or atrophy. When the muscles weaken, they cannot stabilize the spine or body correctly, which causes conditions to worsen or contribute to new injuries. Starting swimming exercises can expand the spine, relieve painful pressure or strain on the back and strengthen the muscles for spinal health.
Starting Swimming Exercises
Swimming does not impact the spine and other musculoskeletal structures because the water suspends the body.
Swimming is a full-body, low-impact exercise which is excellent for individuals of all ages and all body shapes and sizes.
Talk to a healthcare professional about any questions or concerns about how swimming may impact your body.
Swimming benefits include stress relief, a strengthened musculoskeletal system, and support in heart health.
Swimming for Back Problems
Relaxes The Nervous System
Tense muscles can cause or contribute to back problems and pain symptoms and aggravate spinal conditions.
Swimming exercises release endorphins to relax the nervous system and tense muscles.
Relieves Pressure on Joints
The water lightens the body relieving pressure on the joints and muscles.
Builds Muscle to Support the Spine
The resistance and movement strengthen the whole body with the joints and spine supported.
Swimming engages muscles not always used, specifically those needed to improve spinal stability.
Exercises for Back Relief
Checking with a physician before exercising is recommended, especially if starting a new exercise routine. When you meet with the Injury Medical Chiropractic and Functional Medicine Cline team, we can determine if starting swimming exercises would benefit you. Once cleared, here are some swimming exercises that could help bring relief:
Walking
Walking around the pool means movement that the body needs to heal and build muscle without aggravating symptoms.
Aerobics
Water aerobics is perfect for working on cardiovascular health needed to build strength.
Increase mobility and flexibility.
Swimming Laps
Start slow when swimming laps, maybe only twice a week at first.
The different types of strokes work various muscles in the hips, chest, and back.
Treading water is a great way to get the body used to the movements.
A swim coach can provide tips on the proper technique and form.
Swim Exercise Tools and Accessories
Proper swimming equipment can make the exercise sessions much more enjoyable.
Swim Cap
Swim caps protect the hair from the water’s elements and keep hair from blocking the view.
Goggles
Goggles protect the eyes and help to see better underwater.
Look for a comfortable pair that doesn’t leak.
Sun protection and clothing
A day in the sun and water increases the risk of exposure to UV rays.
Waterproof Headphones
For listening to music or podcasts while swimming.
Kickboard
Many pools can provide kickboards that swimmers can borrow during their time there.
Lean the upper body on the board and kick, focusing on lower body movements.
Pull Buoy
Pull buoys help focus on the upper body and arm work.
It is placed between the upper thighs to help the legs float as the individual pulls with their arms.
It is recommended to take some lessons to learn how the body moves through the water. Once a basic understanding of balance and buoyancy is met, individuals can propel through the water more efficiently.
Sciatica Secrets Revealed
References
Bartels, Else Marie, et al. “Aquatic exercise for the treatment of knee and hip osteoarthritis.” The Cochrane Database of systematic reviews vol. 3,3 CD005523. 23 Mar. 2016, doi:10.1002/14651858.CD005523.pub3
Cole, A J et al. “Spine pain: aquatic rehabilitation strategies.” Journal of Back and musculoskeletal rehabilitation vol. 4,4 (1994): 273-86. doi:10.3233/BMR-1994-4407
Ferrell, M C. “The spine in swimming.” Clinics in sports medicine vol. 18,2 (1999): 389-93, viii. doi:10.1016/s0278-5919(05)70153-8
Su, Yanlin, et al. “Swimming as Treatment for Osteoporosis: A Systematic Review and Meta-analysis.” BioMed research international vol. 2020 6210201. 15 May. 2020, doi:10.1155/2020/6210201
Wirth, Klaus, et al. “Strength Training in Swimming.” International Journal of environmental research and public health vol. 19,9 5369. 28 Apr. 2022, doi:10.3390/ijerph19095369
The neck is an extremely flexible part of the upper body that allows the head to move without causing pain or discomfort. It is part of the musculoskeletal system‘s cervical spinal region, which supports the spinal column and is surrounded by various muscles, tissues, and ligaments that protect the spinal cord. However, poor posture, spending too much time hunched over a computer, or looking down at our cellphones can cause neck muscles to become overstretched, leading to compression of the cervical spinal discs. This can cause the cervical discs to bulge or herniate, aggravating the spinal cord and causing neck pain and other associated conditions. This post will discuss how cervical disc compression affects neck pain and how decompression surgery and spinal decompression can help alleviate this condition. We work with certified medical providers who use our patients’ valuable information to treat individuals dealing with cervical disc compression affecting their necks and causes mobility issues. We encourage patients to ask essential questions and seek education from our associated medical providers about their condition. Dr. Jimenez, D.C., provides this information as an educational service. Disclaimer
What Is Cervical Disc Compression?
Have you been experiencing neck pain or muscle aches in your shoulders? Do you feel numbness or tingling running down your arms and fingers? These symptoms may be signs of cervical disc compression. The cervical spinal discs act as shock absorbers for the spine, preventing unwanted pressure and mobility issues. Research studies revealed that age-related degenerative properties like dehydration could cause herniated and compressed cervical discs, leading to posterior disc protrusion into the spinal cord. Trauma can also cause extreme hyperflexion or hyperextension of the posterior neck muscles, resulting in various neck symptoms. Additional research studies stated cervical disc displacement could cause compression or impingement on spinal nerve roots, leading to inflammation and neck pain.
How Is It Associated With Neck Pain?
When the spinal cord and nerve roots in the cervical region are affected by cervical disc compression, the pain can be dull or sharp, depending on how it affects many individuals. According to research studies, many people are unaware that repetitive normal factors or traumatic forces can cause a challenge in determining the origin of the pain from symptomatic or asymptomatic disc compression. Additional research studies mentioned that cervical disc compression could cause upper and lower extremities abnormalities, such as loss of deep tendon reflexes in the arms and legs, loss of motor function in the hands and feet, muscle weakness, headaches, and gait imbalances. However, various treatments can alleviate the pain-like symptoms associated with cervical disc compression and help the body’s natural healing process.
From Inflammation To Healing-Video
Are you experiencing inflammation and pain in your neck? Do you notice a tingling or numb sensation in your hands or feet? Or do you feel stiffness in your shoulders or neck? These symptoms can be caused by compressed cervical discs, which many people are unaware of. The compression of cervical discs is a common source of neck pain and can even cause referred pain in the upper and lower extremities. Repetitive motions to the neck can cause the posterior neck muscles to overstretch and lead to pain. Normal or traumatic factors can also lead to neck pain associated with cervical disc compression, resulting in disc herniation. Fortunately, non-surgical therapies like chiropractic care and spinal decompression can help alleviate the symptoms of pain, discomfort, and inflammation caused by cervical disc compression. Check out the video above for more information on these treatments.
Posterior Cervical Disc Decompression Surgery
If you experience cervical compression on your neck, it can lead to persistent neck pain and discomfort if left untreated. Many people opt for posterior cervical disc decompression surgery to alleviate the effects of disc herniation. According to “The Ultimate Spinal Decompression” by Dr. Perry Bard, D.C., and Dr. Eric Kaplan, D.C., FIAMA, cervical disc herniation can sometimes affect the back of the neck and cause persistent pain. In such cases, decompression surgery is often performed. During the procedure, a small incision is made at the back of the neck, and a portion of the damaged disc is removed to ease the irritated nerve. This brings relief to the individual suffering from neck pain.
Non-Surgical Decompression For Compressed Cervical Disc
If you’re not interested in surgery for cervical disc compression, consider non-surgical spinal decompression instead. Studies have shown that spinal decompression is a safe, non-invasive treatment involving gentle cervical spine traction to reposition the herniated disc. This treatment can also help rehydrate the spinal disc by bringing in nutrients and oxygenated blood to promote natural healing. Additionally, spinal decompression can alleviate any remaining symptoms of neck pain.
Conclusion
The neck is a highly flexible area that enables smooth head movement without discomfort or pain. However, it is also a part of the musculoskeletal cervical region that can be prone to injuries. Compression of the disc due to normal or traumatic factors can result in herniation, causing pain if left untreated. Fortunately, several treatments are available to alleviate neck pain caused by cervical compression and make the neck mobile again.
When temperatures are elevated in summer, heat-induced and severe headaches like migraines are common during the hot months. However, a migraine caused by heat is not the same as a headache caused by heat, as the two have different symptoms. What they have in common is that they’re both triggered by the way hot weather affects the body. Understanding the causes and the warning signs of a heat headache can help prevent and treat potentially dangerous heat-related conditions. Injury Medical Chiropractic and Functional Medicine Clinic use various techniques and therapies customized to the individual to relieve pain and improve function.
Heat-Induced Headaches
Headaches and migraines are common, affecting 20 percent of women and nearly 10 percent of men. An increase in frequency can be caused by
Dehydration.
Environmental factors.
Heat exhaustion.
Heat stroke.
A heat-induced headache can feel like a dull pulsing ache around the temples or in the back of the head. Depending on the cause, a heat-induced headache may escalate to a more intensely felt internal pain.
Causes
A heat-induced headache may not be caused by the hot weather but by how the body responds to heat. Weather-related triggers of headaches and migraine include:
Hormonal fluctuations are common migraine triggers that can also cause headaches.
Dehydration – can trigger both headaches and migraine.
When exposed to higher temperatures, the body needs more water to compensate for the lost water as it uses and sweats it out. Prolonged exposure to high temperatures puts the body at risk for heat exhaustion, one of the stages of heat stroke, with headaches as a symptom of heat exhaustion. Any time the body is exposed to high temperatures or spends a long time outside in the hot sun, and a headache occurs afterward, a heat stroke is possible.
Heat Headache Symptoms
Symptoms of a heat-induced headache can vary according to the situation. If the headache is triggered by heat exhaustion, the body will have heat exhaustion symptoms and head pain. Heat exhaustion symptoms include:
Dizziness.
Muscle cramps or tightness.
Nausea.
Fainting.
An extreme thirst that does not go away.
If the headache or migraine is related to heat exposure but not connected to heat exhaustion, the symptoms may include the following:
A throbbing, dull sensation in the head.
Dehydration.
Fatigue.
Sensitivity to light.
Relief
Individuals can be proactive about prevention.
If possible, limit time outside, protect the eyes with sunglasses, and wear a hat with a brim when staying outdoors.
Exercise indoors in an air-conditioned environment if able.
Increase water consumption as temperatures rise, and utilize healthy sports drinks to replenish electrolytes.
Craniocervical mobilization involves gentle chiropractic pressure on the neck to adjust the joints.
Spinal manipulation involves applying more force and pressure at certain points along the spine.
Neuromuscular massage includes kneading joints and muscles and relieves pain by releasing pressure from compressed nerves.
Myofascial release massage is aimed at the tissues that connect and support muscles and focuses on trigger points in the back and neck or head to relax muscles and improve blood circulation.
Trigger point therapies target tense areas to help relax muscles while improving blood flow and relieving stress.
Traction therapy.
Decompression therapy.
Exercises designed specifically to reduce pain.
From Inflammation to Healing
References
Bryans, Roland, et al. “Evidence-based guidelines for the chiropractic treatment of adults with headache.” Journal of Manipulative and physiological therapeutics vol. 34,5 (2011): 274-89. doi:10.1016/j.jmpt.2011.04.008
Demont, Anthony, et al. “Efficacy of physiotherapy interventions for the management of adults with cervicogenic headache: A systematic review and meta-analyses.” PM & R: the journal of Injury, Function, and Rehabilitation vol. 15,5 (2023): 613-628. doi:10.1002/pmrj.12856
Di Lorenzo, C et al. “Heat stress disorders and headache: a case of new daily persistent headache secondary to heat stroke.” BMJ case reports vol. 2009 (2009): bcr08.2008.0700. doi:10.1136/bcr.08.2008.0700
Fernández-de-Las-Peñas, César, and María L Cuadrado. “Physical therapy for headaches.” Cephalalgia: an international journal of Headache vol. 36,12 (2016): 1134-1142. doi:10.1177/0333102415596445
Swanson JW. (2018). Migraines: Are they triggered by weather changes? mayoclinic.org/diseases-conditions/migraine-headache/expert-answers/migraine-headache/faq-20058505
Victoria Espí-López, Gemma, et al. “Effectiveness of Physical Therapy in Patients with Tension-type Headache: Literature Review.” Journal of the Japanese Physical Therapy Association = Rigaku ryoho vol. 17,1 (2014): 31-38. doi:10.1298/jjpta.Vol17_005
Whalen, John, et al. “A Short Review of the Treatment of Headaches Using Osteopathic Manipulative Treatment.” Current pain and headache reports vol. 22,12 82. 5 Oct. 2018, doi:10.1007/s11916-018-0736-y
Upper and middle/mid-back pain and/or pain between the shoulder blades is common for individuals who spend long hours sitting or standing. Stress, tension, and repetitive movements can cause middle-back trigger points to develop. Symptoms occur anywhere from the neck’s base to the bottom of the rib cage. Trigger point development and reoccurrence can contribute to chronic upper and middle back pain. Injury Medical Chiropractic and Functional Medicine Clinic can release, relieve and help prevent trigger points through various therapies and treatment plans.
Middle Back Trigger Points
The ribs attach to the sternum and adhere to and wrap around the back. Pain and sensation symptoms can radiate to other places where the nerve travels if a nerve in this area is pinched, irritated, or injured. The muscle groups of the chest region also have a significant role in middle back trigger point development. Tension in the chest muscles can overload the muscles of the mid-back region, causing tightness. This happens to individuals that release the trigger points in the mid-back muscles but fail to address the trigger points in the chest muscles, causing reactivation that could worsen the injury. Three muscle groups can cause trigger point referred pain between the shoulder blades include:
Rhomboid Trigger Points Between the Shoulder Blades
The Rhomboid muscle group is found in the mid-back region, between the shoulder blades.
These muscles attach along the spine and run diagonally downward to connect to the inside of the shoulder blade.
The contraction causes the shoulder blades to retract and rotate.
Trigger points only cause pain in the region of the muscle group.
They can cause tenderness in the region and the spinous process or the bony tip extending from the lamina or part that can be felt when touching the back.
The pain is often described as burning.
Rhomboid Trigger Symptoms
A common symptom is superficial aching between the shoulder blades that individuals try to rub with their fingers to get relief.
Intense pain can extend upward to the shoulder area above the blade and into the neck area.
Individuals may hear or feel a crunching and snapping as they move the shoulder blades.
The common rounded-shoulder and forward-head hunching posture are nearly always present in individuals with these trigger points.
Middle Trapezius Trigger Points
The trapezius is the large, diamond-shaped muscle group that forms the base of the neck and upper back.
It has attachment points at the bottom of the skull, along the spine, collarbone, and shoulder blade.
When this muscle contracts, it moves the shoulder blade.
Movements can also affect the neck and head region.
Trigger points in the middle portion of this muscle refer to pain between the shoulder blades and the spine.
Trigger points develop for several reasons, including unhealthy postures, stress, injuries, falls, and sleeping positions.
Additionally, tension and added trigger points in the chest muscles can overload the Trapezius muscle fibers, causing trigger point development.
Trapezius Symptoms
It can be difficult to distinguish pain from the middle trapezius and rhomboid trigger points.
Pain in the middle trapezius can have more of a burning sensation and often extends over the thoracic spine.
The pain referral to the spine can activate secondary trigger points in the surrounding muscles.
Pectoralis Major Trigger Points
The Pectoralis Major muscle group is the large, flat muscles in the upper chest region.
The muscle has four overlapping sections that attach to the ribs, collarbone, chest bone, and upper arm at the shoulder.
The muscle group contracts when pushing with the arms in front of the body and rotating the arms inward towards the trunk.
Trigger points can radiate pain symptoms to the chest, shoulder, and breast regions.
Numbness and/or pain can radiate down the inside of the arm and into the fingers.
Trigger points in this muscle group can activate triggers in the upper back, causing pain symptoms between the shoulder blades.
Pectoralis Major Symptoms
Individuals will present with chest pain, front shoulder pain, and pain traveling down the inside of the arm to the elbow.
If referred pain occurs on the person’s left side, it can be similar to cardiac pain.
Consult a cardiologist to rule out cardiac involvement before investigating trigger points.
The pain will initially occur on one side of the chest but can spread to the other as it intensifies.
In many, the pain is only experienced with the movement of the arms and goes away or decreases with rest.
Simultaneous pain in the mid-back, between the shoulder blades, frequently occurs.
In women, there may be nipple sensitivity and pain in the breast.
The breast can become enlarged from the tension causing impaired lymphatic drainage.
Chiropractic Treatment
Chiropractors treat myofascial pain syndromes such as myofascial trigger points or adhesions with various therapies. A chiropractor will locate trigger points by pressing muscle tissue or manipulating the muscle fibers. Once the trigger points have been found, treatment can include:
Barbero, Marco, et al. “Myofascial pain syndrome and trigger points: evaluation and treatment in patients with musculoskeletal pain.” Current Opinion in Supportive and palliative care vol. 13,3 (2019): 270-276. doi:10.1097/SPC.0000000000000445
Bethers, Amber H et al. “Positional release therapy and therapeutic massage reduce muscle trigger and tender points.” Journal of Bodywork and movement therapies vol. 28 (2021): 264-270. doi:10.1016/j.jbmt.2021.07.005
Birinci, Tansu, et al. “Stretching exercises combined with ischemic compression in pectoralis minor muscle with latent trigger points: A single-blind, randomized, controlled pilot trial.” Complementary therapies in clinical practice vol. 38 (2020): 101080. doi:10.1016/j.ctcp.2019.101080
Farrell C, Kiel J. Anatomy, Back, Rhomboid Muscles. [Updated 2023 May 16]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK534856/
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