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Thoracic Herniated Disc Chiropractic Back Clinic

Thoracic Herniated Disc Chiropractic Back Clinic

Middle back pain is usually caused by unhealthy posture, improper lifting or twisting, and minor injuries like muscle strains, sprains, and herniated discs. Thoracic herniated discs are less common than neck or low back herniations because of the thoracic vertebrae’s size and rigidity, but they do happen. Chiropractic care can treat thoracic herniated discs and prevent future episodes.Thoracic Herniated Disc Chiropractor

Thoracic Herniated Disc

The 12 thoracic vertebrae between the neck and the lumbar spine make up the largest and least flexible area. The rib cage adds:

  • Protection
  • Support
  • Stabilization of the spine

Symptoms

Herniated discs happen when the soft, gel-like layer of the shock-absorbing intervertebral disc bulges into or leaks through the disc’s tough outer layer. Due to the location, a herniated disc can cause various issues to the middle back, chest wall, and/or abdominal areas around the injured vertebrae. This displacement can cause:

  • Inflammation
  • Compression to the spinal nerves or spinal cord
  • Tingling
  • Numbness
  • Pain
  • Weakness
  • If the lower thoracic region is herniated, symptoms can radiate to one or both lower extremities.

Radiculopathy

If the herniation compresses a thoracic spinal nerve, it can cause radiculopathy or pain that radiates down the nerve and out from the spine into the surrounding muscles. The symptoms can present around the rib cage or upper abdominal area. A large disc herniation can compress the spinal cord inside the spinal canal. This is a condition called myelopathy which can cause:

  • Numbness
  • Tingling
  • Weakness in one or both lower extremities
  • Sometimes bowel and bladder dysfunction
  • In severe cases, paralysis

Causes

Degenerative disc disease and trauma like vehicle collisions or falls are the most common causes of thoracic herniation.

  • Individuals between 30 and 50 are more likely to be affected.
  • As the body ages, the disc’s soft inner layer loses hydration, making it less effective as a shock absorber.
  • The tough outer layer loses elasticity, increasing the risk of disc tears.

Chiropractic Care

  • A chiropractor or neurologic physical therapist can personalize a herniated disc exercise treatment plan to reduce pain, improve strength and posture, and increase mobility.
  • Therapeutic massage can be useful in managing pain and decreasing inflammation.
  • Traction therapy
  • Spinal epidural injections can be used with physical therapy to help manage pain and allow the body to heal independently.

Recommendations

  • Avoid bending, lifting, reaching, and twisting.
  • Apply an ice pack or cold compress for 15- to 20-minute intervals every two hours.
  • Sit in chairs with a firm back to support the spine.
  • When sleeping, place a small pillow under the head and knees to keep the spine in a neutral position to prevent pressure on the herniated region.
  • Avoid too much rest, which can worsen the injury.
  • Gentle physical activity will maintain circulation and keep the muscles strong.

Surgery

Most cases of thoracic herniation do not require surgery. Surgery could be recommended if there is intolerable pain, neurological issues, and conservative treatments are not working. A spine specialist can determine if surgery is necessary based on the injury’s size, type, and location. Spinal surgery will remove all or part of the herniated disc compressing a nerve root. Common surgical procedures include:


Herniated Disc Rehabilitation


References

Barrow Neurological Institute. “Herniated Thoracic Disc.” Barrow Neurological Institute, August 3, 2022. www.barrowneuro.org/condition/thoracic-disc-herniation/.

Court, C., E. Mansour, and C. Bouthors. “Thoracic Disc Herniation: Surgical Treatment.” Orthopaedics & Traumatology: Surgery & Research 104, no. 1 (2018). doi.org/10.1016/j.otsr.2017.04.022.

Dydyk, Alexander M, Ruben Ngnitewe Massa, and Fassil B Mesfin. “Disc Herniation – Statpearls – NCBI Bookshelf.” National Library of Medicine, January 18, 2022. www.ncbi.nlm.nih.gov/books/NBK441822/.

Yoon, Wai Weng, and Jonathan Koch. “Herniated Discs: When Is Surgery Necessary?” EFORT Open Reviews 6, no. 6 (2021): 526–30. doi.org/10.1302/2058-5241.6.210020.

Trigger Points Affecting The Fingers

Trigger Points Affecting The Fingers

Introduction

The fingers are in a close relationship with the hands and the body. Each finger digit is controlled by various muscles encompassing the wrist and forearms. The fingers allow the host to be expressive and point and manipulate objects while protecting the joints in each digit. When chronic conditions or injuries begin to affect each finger digit, it can lead to referred pain along the hand muscles, the wrists, and the forearms, causing the development of trigger points to overlap the affected muscles in the fingers. Today’s article looks at how the finger extensor muscles work, how trigger points affect the finger extensor muscles, and how to manage pain associated with trigger points along the fingers. We refer patients to certified providers who specialize in hand pain treatments to aid individuals suffering from trigger points related to pain affecting the finger extensor muscles along the hands. We also guide and inform our patients by referring them to our associated medical providers based on their examination when appropriate. We established that education is a great solution to asking our providers profound questions the patient requests. Dr. Jimenez DC takes note of this information as an educational service only. Disclaimer

How Do The Finger Extensor Muscles Work?

 

Are you experiencing pain in your fingers? Does it seem difficult to hold onto items even for a short period? Or are you experiencing muscle pain from your thumb to your wrist? Numerous individuals experiencing pain in their fingers and hands risk developing trigger points or myofascial pain syndrome in their fingers and hands. The hand muscles have many intricated muscles and insert themselves as the origin points for the bones, ligaments, and fascia of the hands. The finger extensor muscles begin at the forearms as the point of origin and stretch past the wrist to each finger digit which includes:

  • Thumb
  • Index finger
  • Middle finger
  • Ring finger
  • Pinky finger

The three main fingers that provide motion for the hands are the index, ring, and middle finger, which allow the muscles to be held in flexion and extension while giving extra support for hand actions for gripping items. Studies reveal that even though the structural and functional complexities of the human fingers have been recognized, each finger recognized an effective function of precise coordination of multiple muscles. To that point, this results in constrained finger motion by exerted forces from the joint capsules, ligaments, and joint articular surfaces. However, the tendons and the extensor muscles of the fingers suffer from injuries and conditions that can affect the functionality of each finger’s grip strength.

 

How Trigger Points Affect The Finger Extensor Muscles?

When the hands, wrists, and forearms are injured from traumatic forces or through ordinary factors like pulling a muscle or feeling unexplainable pain in the forearms, it can lead to referred pain along the affected muscles. This then leads to the development of trigger points along the affected muscles affecting mobility function with the fingers. According to Dr. Travell, M.D., when patients complain about pain in their hands, they often identify it with arthritis on the fingers when it is caused by trigger points affecting the extensor muscles in the fingers. Studies reveal that trigger points along the finger extensor muscles could refer to mechanical impingement of the tendon being narrowed through repetitive movements. When this happens, it can lead to inflammation and resistance of the tendon, causing the finger digit to lock up in a flex pose. Sometimes trigger points can even inhibit muscular contraction without pain, causing symptoms of grip weakness on the fingers. When trigger points affect the extensor muscles of the fingers and hands, it can make many individuals feel frustrated that they cannot hold onto items while doing their daily activities.

 


Trigger Points On The Extensor Digitorum-Video

Are you noticing that your grip strength has weakened? Do you feel pain starting from your forearm and ending at your fingertips? Or do your fingers lock up from time to time? Many of these symptoms affecting the fingers could develop signs of trigger points affecting the finger extensor muscles, causing hand pain. Trigger points usually form when the muscle from each section of the body has been through trauma, injuries, or overuse. To that point, the affected muscle has small knots along the muscle fibers, thus causing referred pain in the affected area. The video above explains where the extensor muscles are located in the forearm and how they branch out to each finger digit. When trigger points affect the muscle fibers of the extensor muscles, it can lead to hyperirritability of the muscle fibers and invoke referred pain in the surrounding tendons. Studies reveal that factors that pertain to overusing the fingers may be due to work-related musculoskeletal disorders, which lead to the association with intracellular compartmentation during non-invasive activities. This shows that latent trigger points may potentially occur on the affected muscle with or without pain.


Managing Pain Associated With Trigger Points On The Fingers

 

When it comes to managing trigger points along the extensor fingers, there are various techniques that many people can use to relieve pain in their hands, strengthen their grip strength, and prevent future trigger points from forming along the forearms. When many people go to their primary physicians and complain about losing their grip strength or feeling symptoms of inflammation associated with arthritis, their doctors begin to do a full examination. They communicate with them about what they have been doing with their hands. Once the doctors have a full diagnosis, they will begin to advise their patients on various techniques to relieve pain in their hands and strengthen their fingers. Some of the ways to manage trigger points along the fingers include:

  • Hand stretches to relieve stress on the finger joints
  • Finger extension extends with a rubber band
  • Avoid gripping items tightly
  • Sleep with fingers in a flex position
  • Use an ice pack to reduce inflammation in the forearm muscles

Incorporating these various techniques can reduce pain-like symptoms along the forearms, wrists, and hands and help manage trigger points from causing more issues on the hands. These techniques allow the finger extensor muscles to regain their strength and enable the individual to restore grip strength.

Conclusion

The fingers provide a close working relationship with the hands and body. The fingers allow motions expressively with the host and provide flexion and extension to each digit through extensor muscles that are located in the forearms. When injuries or hyperextension issues affect the extensor muscle, it can develop trigger points that can affect grip strength on the hands and cause pain along the finger digits and wrist. This can cause misery to the individual. Fortunately, various techniques reduce the pain in the hands and increase grip strength on the fingers while managing trigger points associated with the extensor muscles. When individuals begin to utilize stretches for their hands and wrists, it allows them to have finger mobility back to their hands and reduces the effects of pain along their forearms.

 

References

Ali, Stephen R, and Hussein Mohamedbahi. “Acute Trigger Finger Presenting as an Extensor Lag.” Eplasty, Open Science Company, LLC, 5 Jan. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC5765627/.

Hu, Dan, et al. “Biomechanical Analysis of the Human Finger Extensor Mechanism during Isometric Pressing.” PloS One, Public Library of Science, 14 Apr. 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC3986208/.

Moreno-Torres, Angel, et al. “Work-Related Pain in Extrinsic Finger Extensor Musculature of Instrumentalists Is Associated with Intracellular Ph Compartmentation during Exercise.” PloS One, Public Library of Science, 9 Feb. 2010, www.ncbi.nlm.nih.gov/pmc/articles/PMC2817730/.

Okwumabua, Ebubechi, et al. “Anatomy, Shoulder and Upper Limb, Hand Muscles.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 31 July 2021, www.ncbi.nlm.nih.gov/books/NBK537229/.

Disclaimer

Staying Active With Sciatica: Back Clinic

Staying Active With Sciatica: Back Clinic

Sciatica is one of the most common injuries, with as many as 40% of individuals experiencing the condition, and it becomes more frequent as the body ages. The pain originates with the sciatic nerves and can go on for several weeks, months, or years. Staying active is a major recommendation to relieve the pain and prevent future flare-ups. Injury Medical Chiropractic and Functional Medicine Clinic can decompress and release the nerve and educate individuals on an anti-inflammatory diet and staying active to expedite healing.Staying Active With Sciatica

Staying Active

Sciatica is most commonly caused by a slipped disc, which puts pressure or irritates the sciatic nerve, and causes discomfort and painful sensations. The most common factors for developing sciatica include the following:

  • As the body ages, the spinal discs wear out and break down, leading to the spine shifting out of alignment.
  • Job occupations that place added strain on the back, like sitting or standing for extended periods, repetitive heavy lifting, or bending, reaching, and twisting movements.
  • Practicing unhealthy postures.

Doctors and chiropractors have found that only resting with sciatica can worsen the injury.

  • This is because if it is a slipped/bulging/herniated disc, the disc remains in this state, the nerve stays compressed or irritated, and the muscles that control the low back become weak and unable to provide support.

Recommendations

Don’t Sit For Too Long

  • Prolonged periods of sitting place added pressure on the discs and ligaments in the low back.
  • Even when sitting doesn’t make it worse, the muscles can develop unhealthy muscle memory that causes partial contracting when there shouldn’t be any that tightens the gluteal muscles causing added strain.
  • Individuals with a job requiring a lot of sitting or standing are recommended to take frequent breaks to stretch out their muscles or use a standing desk to change positions.

Posture Adjustments

Slouching, hunching, and continuing to practice unhealthy postures will exacerbate sciatica.

  • Pay attention to the body’s position when standing or sitting.
  • To prevent slouching, pull the shoulders down and back.
  • Imagine the shoulder blades touching.
  • Individuals working at a desk or workstation should take frequent breaks.
  • Position the screen to see it without tilting the head down.

Increase Physical Activity and Exercise

Exercise is highly recommended to keep the muscles and nerves moving and circulation flowing.

Aerobics

  • Walking, light jogging, swimming, cycling, and dancing, increase heart rate without causing added strain or pain.

Strength Training

  • Exercises using free weights, weight machines, or isometric exercises strengthen the muscles and can help restore their position.

Stretching and Flexibility Training

  • Yoga, tai chi, and Pilates increase flexibility and strength.
  • The stretching will keep the nerves and muscles from spasms that can worsen the injury.

Strengthen The Core

A stronger core will improve spinal health. Actively engaging the abdominal muscles protects sciatic nerve roots by minimizing spinal pressure.

  • The back muscles can become increasingly stressed and tired when they have to do all the work without core muscle support.
  • A weak core can cause additional back pain and worsen sciatica symptoms.

Stand Up Straight

  • Keep the head and shoulders straight.

Focus On Breathing

Core Muscles

  • The back, side, pelvis, and buttock muscles are also part of the core.
  • Strengthening all of these muscles helps to support the spine.
  • Exercises for core strengthening include yoga and Pilates, planks, and bridges.

Nerve Recovery

As the nerve recovers, the area the nerve supplies could experience tingling discomfort.

  • This could be accompanied by an electric sensation at the level of the healing nerve fibers.
  • The location of this sensation should move as the nerve heals.
  • With time the sensations should subside, and the area should begin to feel more normal.

Spinal Decompression Demonstration


References

Jensen, Rikke K et al. “Diagnosis and treatment of sciatica.” BMJ (Clinical research ed.) vol. 367 l6273. 19 Nov. 2019, doi:10.1136/bmj.l6273

Kuai, Shengzheng, et al. “Influences of lumbar disc herniation on the kinematics in multi-segmental spine, pelvis, and lower extremities during five activities of daily living.” BMC musculoskeletal disorders vol. 18,1 216. 25 May. 2017, doi:10.1186/s12891-017-1572-7

Ma, Xiao, et al. “The Effect of Diaphragmatic Breathing on Attention, Negative Affect and Stress in Healthy Adults.” Frontiers in psychology vol. 8 874. 6 Jun. 2017, doi:10.3389/fps.2017.00874

Ramaswami, Ramya, et al. “Management of Sciatica.” The New England journal of medicine vol. 376,12 (2017): 1175-1177. doi:10.1056/NEJMclde1701008

Trigger Point Affecting The Hands & Wrist

Trigger Point Affecting The Hands & Wrist

Introduction

The forearms have a casual relationship with the hands and the wrist as they are below the elbow and have very important motor functions. The hands and wrists help many individuals hold onto items, while the forearms provide support by carrying items without pain. The various muscles surrounding the forearms, hands, and wrist joints help provide mobility and flexibility to the arms. Injuries like muscle sprain, strains, or stiffness in the forearms, hands, or wrist can be due to trigger points along the brachioradialis muscles affecting the hands and wrist. Today’s article looks at the brachioradialis muscle functions on the hands and wrist, how trigger points affect the hands and wrist, and how to manage trigger points associated with the hands and wrist. We refer patients to certified providers who specialize in arm pain treatments to aid individuals suffering from trigger points associated with the brachioradialis muscles along the wrist and hands of the body. We also guide and inform our patients by referring them to our associated medical providers based on their examination when appropriate. We established that education is a great solution to asking our providers profound questions the patient requests. Dr. Jimenez DC takes note of this information as an educational service only. Disclaimer

The Brachioradialis Function On The Hands & Wrist

 

Have you been experiencing stiffness in your wrist or forearms? Do you have trouble gripping items in your hands? Or do you experience radiating pain from your forearms to your wrist? Many people experiencing these pain-like symptoms are associated with trigger points along the brachioradialis muscle that affect the forearms, hands, and wrist. The brachioradialis is a superficial muscle that is located in the lateral forearm. The brachioradialis muscle works with different muscles attached to the upper arms to provide flexion to the elbow joints while working with various muscle tendons along the wrist and hands. Research studies reveal that the brachioradialis muscle works with the central nervous system by sending signals to the forearm and provides reflexes to the wrist and fingers by lightly tapping the muscle tendon of the brachioradialis. This light tapping motion sends the signal back to the brain and shows which muscle is activated. However, injuries along the brachioradialis muscle can invoke referred pain to the wrist and hands.

 

Trigger Points Affecting The Hands & Wrist

As stated in many research studies, trigger points or myofascial pain syndrome is a chronic musculoskeletal disorder that causes hard, discrete, tiny nodules along the taut muscle fiber bands of the affected muscle, causing pain. When the brachioradialis muscle has succumbed to pain-like symptoms from common factors or injuries, it can lead to the development of referred pain associated with trigger points affecting the hands and wrist of the body. So how would trigger points affect the hands and wrist? Well, trigger points can mimic other chronic conditions and cause pain to the affected muscles. So when trigger points affect the brachioradialis muscle, it also affects the hands and wrists. 

Studies reveal that when trigger points affect the hands and the wrist, it can lead to symptoms of pain, stiffness, burning, or tingling sensations in the hands and wrist. To that point, a person can experience these pain symptoms even if they are not injured. Trigger points can form when the individual has made repetitive motions to the muscle that causes it to be overused and cause strain on the muscle, thus leading to trigger points associated with joint and muscle pain. Other studies reveal that non-specific shoulder pain associated with trigger points can increase pain intensity to the brachioradialis and affect hand grip strength. This can make many individuals unable to hold onto the items they carry.

 


Wrist & Hand Trigger Points- Video

Are you having trouble making a fist in your hands? Do you experience a burning sensation on your forearm down to your wrist? What about feeling pain radiating down from your elbows to your hands? Many people experiencing these pain symptoms might risk developing trigger points along the brachioradialis muscle affecting the hands and wrist. The video above explains what happens when trigger points affect the wrist and hand extensors muscles that work together with the brachioradialis muscles. Trigger points along the brachioradialis can cause referred pain to the forearms and lead to chronic symptoms that affect the functionality of the wrist and hands. This can lead to a decrease in grip strength and cause hand mobility issues for many people. At last, all is not lost, as various treatments are available to manage trigger points associated with the hands and wrist.


Managing Trigger Points Associated With The Hands and Wrist

 

Various treatments can help many individuals dealing with trigger points associated with the hands and wrist. Many people would go to pain specialists like chiropractors, massage therapists, or physiotherapists to manage trigger points affecting the brachioradialis muscles along the hands and wrist. These pain specialists will incorporate various techniques to reduce the pain and address the trigger points along the affected muscle. Studies reveal that acupuncture on the hands and wrist can reduce pain intensity caused by trigger points and bring back mobility function to the hands and wrist. This can regain the grip strength of the individual and improve hand and wrist functionality without pain. Other studies also reveal that trigger point therapy can also be utilized to reduce pain-like symptoms affecting the hands and wrist. Combined with gentle massages can prevent trigger points from forming in the future and reduce pain symptoms affecting grip mobility on the hands.

 

Conclusion

The forearms have a casual relationship with the hands and wrist as the brachioradialis muscles help provide mobility functions. The hands and wrist help grip items a person carries, while the forearms offer support. When injuries or ordinary factors are causing pain-like symptoms on the forearm, it can lead to the development of trigger points affecting the mobility function of the hands and wrist. To that point, it can lead to a burning sensation or decreased grip strength on the hands. This can affect a person as they won’t be able to hold onto items and are dealing with a numbing sensation along the wrist and hands. Luckily there are pain specialists available that can utilize various techniques to help manage trigger points along the affected muscle and help bring back grip function and mobility to the hands and wrist. People who incorporate these treatments as part of their daily life schedule can begin to get their sense of belonging back without pain in their wrists and hands.

 

References

Calvo Lobo, Cesar, et al. “Comparison of Hand Grip Strength and Upper Limb Pressure Pain Threshold between Older Adults with or without Non-Specific Shoulder Pain.” PeerJ, PeerJ Inc., 9 Feb. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5345821/.

Cao, Talia, and Prasanna Tadi. “Brachioradialis Reflex.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 26 Mar. 2022, www.ncbi.nlm.nih.gov/books/NBK554537/.

Hong, C Z. “Specific Sequential Myofascial Trigger Point Therapy in the Treatment of a Patient with Myofascial Pain Syndrome Associated with Reflex Sympathetic Dystrophy.” Australasian Chiropractic & Osteopathy : Journal of the Chiropractic & Osteopathic College of Australasia, BioMed Central, Mar. 2000, www.ncbi.nlm.nih.gov/pmc/articles/PMC2050812/.

Lung, Brandon E, et al. “Anatomy, Shoulder and Upper Limb, Forearm Brachioradialis Muscle.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 31 July 2021, www.ncbi.nlm.nih.gov/books/NBK526110/.

Oh, Sein, et al. “Causes of Hand Tingling in Visual Display Terminal Workers.” Annals of Rehabilitation Medicine, Korean Academy of Rehabilitation Medicine, Apr. 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC3660483/.

Trinh, Kien, et al. “The Effect of Acupuncture on Hand and Wrist Pain Intensity, Functional Status, and Quality of Life in Adults: A Systematic Review.” Medical Acupuncture, U.S. National Library of Medicine, 1 Feb. 2022, pubmed.ncbi.nlm.nih.gov/35251436/.

Disclaimer

Headache Chiropractor: Back Clinic

Headache Chiropractor: Back Clinic

Headaches are a common condition that most experience and can differ greatly regarding type, severity, location, and frequency. Headaches range from mild discomfort to constant dull or sharp pressure and severe throbbing pain. A headache chiropractor, through therapeutic massage, decompression, and adjustments, alleviates the headaches, whether tension, migraine, or cluster, releasing the tension and restoring normal function.

Headache ChiropractorHeadache Chiropractor

Ninety-five percent of headaches are primary headaches caused by overactivity, muscle tension, or problems with pain-sensitive structures in the head. These are not a symptom of an underlying disease and include tension, migraine, or cluster headaches. The other 5 percent of headaches are secondary and are caused by an underlying condition, infection, or physical issue. Headaches have various causes or triggers. These include:

  • Long hours driving
  • Stress
  • Insomnia
  • Blood sugar changes
  • Foods
  • Smells
  • Noises
  • Lights
  • Excessive exercise or physical activity

Individuals spend more hours in one fixed position or posture, like sitting in front of a computer or standing at a workstation. This can increase joint irritation and muscle tension in the upper back, neck, and scalp, causing achiness and discomfort that builds up to throbbing soreness. The headache’s location and the discomfort experienced can indicate the type of headache.

Chiropractic Care

Chiropractors are experts in the neuromusculoskeletal system. Research shows that a headache chiropractor can adjust the spine’s alignment to improve spinal function, release and relax the tense muscles, and alleviate nervous system stress helping decrease the intensity and frequency. Treatment includes:

  • Therapeutic massage
  • Chiropractic adjustments
  • Spinal decompression
  • Postural training
  • Electrical stimulation
  • Ultrasound
  • Physical rehabilitation
  • Body analysis
  • Professional nutritionist recommendations

The Injury Medical Chiropractic and Functional Medicine Team will develop a personalized treatment plan for the individual’s specific condition and needs.


Migraine Treatment


References

Biondi, David M. “Physical treatments for headache: a structured review.” Headache vol. 45,6 (2005): 738-46. doi:10.1111/j.1526-4610.2005.05141.x

Bronfort, G et al. “Efficacy of spinal manipulation for chronic headache: a systematic review.” Journal of manipulative and physiological therapeutics vol. 24,7 (2001): 457-66.

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

Côté, Pierre, et al. “Non-pharmacological management of persistent headaches associated with neck pain: A clinical practice guideline from the Ontario Protocol for traffic injury management (OPTIMa) collaboration.” European journal of pain (London, England) vol. 23,6 (2019): 1051-1070. doi:10.1002/ejp.1374

It Could Be More Than Triceps Muscle Pain

It Could Be More Than Triceps Muscle Pain

Introduction

One of the many muscles that help stabilize the shoulders and provide movement when the arms are in motion. The tricep muscles are one of the most underrated muscles that many people don’t seem to take care of when working out. The other muscles in the upper arms and shoulders are more likely to be worked on when it comes to being physically active. The deltoidsbiceps, and brachialis muscles are some of the muscles that get much more attention when working on shoulder mobility. Still, the triceps provide the functionality to the shoulders as well. When the shoulders or the upper arms are injured and develop pain-like symptoms in the muscle groups, it can develop trigger points along the affected muscle. Today’s article looks at the tricep muscles, how trigger points affect them, and ways to manage trigger points along the tricep muscles. We refer patients to certified providers who specialize in arm pain treatments to aid individuals suffering from trigger points associated with the tricep muscles along the upper arms and elbows. We also guide and inform our patients by referring them to our associated medical providers based on their examination when appropriate. We established that education is a great solution to asking our providers profound questions the patient requests. Dr. Jimenez DC takes note of this information as an educational service only. Disclaimer

What Do The Tricep Muscles Do?

 

Do you experience pain underneath your forearm? How about feeling a dull ache on your elbows? Or do you feel a numbing sensation on your ring and pinky fingers? Individuals experiencing these symptoms in their arms could potentially develop trigger points along their tricep muscles. The tricep muscles are located under the upper arm and are a large, thick horseshoe-shaped muscle at the end of the arm. As stated earlier, the tricep muscles are one of the most underrated muscles in the arm that no one tends to work on during a workout, so they can be easily overlooked. However, the tricep muscles help in providing stability to the shoulders and help strengthen the arms. One of the main functions the triceps offer is that they allow the extension of the elbow joints. Studies reveal that the three head tendons that make up the triceps can influence elbow extension torque. The three heads of the triceps have different patterns of force when it comes to various activities during different shoulder evaluations. To that point, multiple combinations of the shoulder and elbows at different angles can affect the tricep’s shoulder extensions. Since many individuals don’t work on their triceps often, it can potentially develop issues that can make this underrated muscle weak.

 

How Trigger Points Affect The Tricep Muscles?

 

When the triceps don’t get worked on during a workout, it can lead to muscle weakness when doing pushups or when someone suffers from an injury with direct trauma in the elbows. When the tricep muscles become affected, it can lead to chronic conditions that are associated with myofascial pain or trigger points. Trigger points in the triceps can be formed when there are restrictions in extending the elbow joints. Studies reveal that when the triceps become overloaded from overusing the forearms from normal activities, it could potentially lead to tricep tendon rupture. To that point, which leads to the development of trigger points to invoke pain in the triceps and elbow joint. According to  Dr. Janet Travell, M.D., trigger points associated with the tricep muscles could potentially involve referred pain in the vicinity of the elbow joints. What this refers to is that trigger points can mimic other chronic conditions so in this case, referred pain caused by trigger points associated with the tricep muscles can be mistakenly attributed to arthritis on the elbow joints. All is not lost, as there are ways to manage trigger points affecting the tricep muscles.

 


Treating Trigger Points On The Triceps- Video

Have you been experiencing pain in your shoulders, elbows, and hands? Do you have limited mobility when extending your elbows? Or do you notice that your triceps are weaker than normal? If you have been dealing with any of these symptoms, it could be due to trigger points associated with the tricep muscles that are causing referred pain to the upper arms and elbows. The triceps in the upper arms is one of the most underrated muscles people tend to overlook. When individuals begin to succumb to injuries that affect their triceps, it can lead to the development of trigger points along the muscle fibers in the tricep muscles. Trigger points can occur in the tricep muscles due to overusing the forearm muscles, causing stress in the elbow joint and the muscle itself. When the trigger points become active, it can lead to limited mobility to the elbow joint, causing the individual thinks they are developing arthritis when it is the trigger points causing the referred pain. There are ways that many people can manage trigger points associated with the elbows along the triceps to relieve the pain from the muscle. The video above shows where the active trigger points are located and how to release them through palpations and massage. Treating the trigger points along the tricep muscles allows many individuals to regain mobility in their elbows and upper arms.


Managing Trigger Points Along The Triceps

 

As stated earlier, the triceps are the underrated muscle that people tend to forget. When the tricep muscles succumb to trigger points, it can lead to referred pain along the elbow joints, causing pain-like symptoms affecting the elbow’s mobility function. When this happens to the upper arms, there are various ways to strengthen the tricep muscles and manage trigger points from developing in the future. Incorporating exercises targeting the tricep muscles can help improve mobility to the elbows and shoulders. If a person is playing sports like tennis, they can opt for a lighter racket and have a more lightweight grip on the handle. Suppose a person is in pain from their triceps. In that case, however, studies reveal that upper limb rehabilitation can help reduce the pain along the triceps and improve the mobility range caused by pain associated with trigger points. People can continue their daily activities without pain when they utilize these various ways to enhance their triceps’ functionality. 

 

Conclusion

As the most underrated muscle that people tend to forget to work out, the tricep muscle can be overlooked. This large, thick horseshoe-shaped muscle has a job that provides stability to the shoulders and allows an extension to the elbow joints. When individuals don’t work on their tricep muscles, it can lead to muscle weakness and pain-like symptoms that lead to the development of trigger points. Trigger points associated with the tricep muscles can cause referred pain to the elbow joint, making many individuals believe they have arthritis. However, many individuals can regain mobility to their elbows by incorporating exercises targeting the triceps and utilizing treatments to manage trigger points along the muscle fibers. They can do daily activities that require the triceps without pain.

 

References

Landin, Dennis, et al. “Functions of the Triceps Brachii in Humans: A Review.” Journal of Clinical Medicine Research, Elmer Press, Apr. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC5827912/.

Lennon, Olive, et al. “Effect of the Triceps Brachii Facilitation Technique on Scapulohumeral Muscle Activation during Reach and Point in a Healthy Population.” Physiotherapy Canada. Physiotherapie Canada, University of Toronto Press, 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6855346/.

Mangano, Tony, et al. “Chronic Tendonopathy as a Unique Cause of Non Traumatic Triceps Tendon Rupture in a (Risk Factors Free) Bodybuilder: A Case Report.” Journal of Orthopaedic Case Reports, Indian Orthopaedic Research Group, 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4719357/.

Tiwana, Manpreet S, et al. “Anatomy, Shoulder and Upper Limb, Triceps Muscle.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 6 Aug. 2021, www.ncbi.nlm.nih.gov/books/NBK536996/.

Disclaimer

Fermented Foods and Gut Health: Functional Back Clinic

Fermented Foods and Gut Health: Functional Back Clinic

Fermentation is a process where bacteria and yeast are used to break down foods. The fermentation process has been around for centuries and was initially produced to preserve foods, improve flavor and eliminate toxins. Research has found that eating fermented foods can also increase the beneficial bacteria/probiotics in the gut. Functional medicine practitioners recommend these foods for their health benefits, including improved digestion, increased immunity, and weight loss and maintenance.Fermented Foods and Gut Health: Functional Medicine Clinic

Fermented Foods

Fermented foods and beverages undergo controlled microbial growth and fermentation in which microorganisms like yeast and bacteria break down food elements like sugars/glucose into other products like organic acids, gases, or alcohol. The process gives fermented foods unique taste, aroma, texture, and appearance. There are many different types of fermented foods, including:

Whole foods like vegetables, fruits, cereals, dairy, meat, fish, eggs, legumes, nuts, and seeds can go through fermentation. These foods are nutritious in their original form, but through fermentation, they can provide probiotic and prebiotic health benefits.

Probiotics

Probiotics are live microorganisms that benefit the gut by creating a more favorable digestive environment. This helps:

  • Digest food easier.
  • Support a healthy immune system.
  • Support organ health – lungs, reproductive organs, skin.
  • Improves mood.

However, not all fermented foods contain probiotics, especially commercially produced foods that are pasteurized, killing bacteria and their associated health benefits.

Prebiotics

Prebiotics are food ingredients that the microorganisms like gut bacteria consume to grow and live, leading to improving the digestive environment. These include:

  • Milk
  • Honey
  • Tomato
  • Garlic
  • Onions
  • Asparagus
  • Wheat
  • Barley
  • Rye

However, most fruits, vegetables, and legumes contain prebiotics.

The Benefits of Fermented Foods

Fermented foods’ health benefits include reduced risk of:

  • Diabetes
  • Inflammation
  • High blood pressure
  • Cardiovascular disease
  • Obesity

They have also been linked to:

  • Better weight management
  • Improved brain activity
  • Increased bone health
  • Faster recovery after exercise and physical activity

There are currently no official guidelines regarding how often individuals should eat fermented foods. It is recommended to consult a nutritionist or dietician to figure out the best nutrition plan for the individual and their needs.


The Science


References

Aslam, Hajara, et al. “Fermented foods, the gut, and mental health: a mechanistic overview with implications for depression and anxiety.” Nutritional neuroscience vol. 23,9 (2020): 659-671. doi:10.1080/1028415X.2018.1544332

Dimidi, Eirini, et al. “Fermented Foods: Definitions and Characteristics, Impact on the Gut Microbiota and Effects on Gastrointestinal Health and Disease.” Nutrients vol. 11,8 1806. 5 Aug. 2019, doi:10.3390/nu11081806

King, Sarah, et al. “Effectiveness of probiotics on the duration of illness in healthy children and adults who develop common acute respiratory infectious conditions: a systematic review and meta-analysis.” The British journal of nutrition vol. 112,1 (2014): 41-54. doi:10.1017/S0007114514000075

Kok, Car Reen, and Robert Hutkins. “Yogurt and other fermented foods as sources of health-promoting bacteria.” Nutrition reviews vol. 76, Suppl 1 (2018): 4-15. doi:10.1093/nutrit/nuy056

Parker, Elizabeth A et al. “Probiotics and gastrointestinal conditions: An overview of evidence from the Cochrane Collaboration.” Nutrition (Burbank, Los Angeles County, Calif.) vol. 45 (2018): 125-134.e11. doi:10.1016/j.nut.2017.06.024

Şanlier, Nevin, et al. “Health benefits of fermented foods.” Critical reviews in food science and nutrition vol. 59,3 (2019): 506-527. doi:10.1080/10408398.2017.1383355