The diabetic disease processes can be a contributor to chronic back pain. Diabetes can damage the human body from the eyes to the feet if left untreated, and the spine/back is a prime target. Data from 11 studies consisted of individuals over 18 years of age diagnosed with type 1 or type 2 diabetes. The results showed individuals with diabetes had a 35% increased risk of experiencing lower back pain. According to the Centers for Disease Control and Prevention, around 34 million people were found to have diabetes in 2021. Diabetes primarily impacts blood sugar/glucose levels. However, the disease can affect several of the body’s systems. It is a state of chronic inflammation.
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Diabetic Back Pain Connection
The connection between diabetes and back pain include:
Neuropathy
Diabetic neuropathy happens when constant high glucose levels damage/injure the nerves. The result is symptoms like pain, tingling, and numbness. It affects up to 50% of individuals with diabetes and can lead to severe chronic back pain. High sugar levels damage various organ systems including the nervous system that results in neuropathy that causes pain/discomfort.
Bone Health
A complication that diabetes can cause is compromised bone health.High glucose levels can damage the collagen that makes up bone. This creates an increased risk of vertebral and other types of fractures. The high-risk compounds fractures that do not heal properly or correctly. Diabetics have an increased risk of fracture because of the accumulation increase of advanced glycation products. This substance forms when proteins or lipids combine with sugar. With time these products can cause damage to various tissues that include bone.
Obesity
Obesity contributes to the development of type 2 diabetes and is also a complication that results from incorrect glucose level management. Regardless of which came first, the added weight is a major contributor to back pain because of the added pressure/load on the spine. Excess weight and physical inactivity can result in serious issues of the musculoskeletal system.
Additional Factors
Poorly controlled diabetes also reduces muscle blood flow and increases cartilage inflammation. Other types of tissue damage can occur like degeneration of intervertebral discs and spinal canal stenosis. Disc degeneration and spinal stenosis are common causes of back and neck pain. Diabetics are prone to infection/s. This can cause back pain if it is in the bone known as osteomyelitis.
Diabetic Back Pain Management
There are steps that can help ease pain and discomfort.
Getting Involved In Physical Activity
Exercising/physical activity is a must. The body needs to move to get all the systems flowing improving diabetes and back pain. A sedentary lifestyle can take back pain to new levels with time. Even though when pain presents the first instinct is to stop and rest. Simple ways to get moving include:
Walks
Stretches
Gentle laps in a pool
All can help with:
Improved blood flow
Aids in weight loss
Recommended for both conditions
Exercising releases endorphins, which are the pain relief chemicals that the body produces naturally.
Yoga can reduce physical pain and discomfort throughout the body
Quitting Bad Habits
Smokers have a significantly higher risk for low back pain compared to non-smokers. Nicotine can alleviate pain short term, but over time the nerves become more sensitive and can increase the pain. Alcohol use can help numb the pain short term, but it can cause muscle spasms and dehydration intensifying the pain. Complications can arise if taking pain medication. The most important thing is managing diabetes effectively.Injury Medical Chiropractic and Functional Medicine Clinic will help the individual feel better, move better, and keep back pain away.
Body Composition
Vitamin D and Healthy Blood Sugar Levels
Vitamin D benefits muscle health, muscle mass, and blood sugar. Insulin is the hormone that lets blood sugar into the muscles. Individuals with adequate blood vitamin D levels significantly lower the risk of hyperglycemia than those with below-recommended levels. Research shows daily vitamin D supplements used in combination with calcium decelerate the gradual rise in blood sugar in those with prediabetes. Adequate vitamin D levels can prevent the progression of hyperglycemia. Supplementation is beneficial for individuals going through a deficiency. Adults should aim for a dietary intake of 600 – 800 IU per day. However, supplements are never a substitute for a healthy and diverse diet.
Disclaimer
The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.
Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG* email: coach@elpasofunctionalmedicine.com phone: 915-850-0900 Licensed in Texas & New Mexico
References
Pozzobon, Daniel, et al. “Is There an Association between Diabetes and Neck and Back Pain? A Systematic Review with Meta-Analyses.” PLOS ONE, vol. 14, no. 2, 2019, doi:10.1371/journal.pone .0212030.
Murray, Cliodhna E, and Cynthia M Coleman. “Impact of Diabetes Mellitus on Bone Health.” International Journal of Molecular Sciences, MDPI, 30 Sept. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6801685/.
Groen BBL, Hamer HM, Snijders T, van Kranenburg J, Frijns D, Vink H, et al. Skeletal muscle capillary density and microvascular function are compromised with aging and type 2 diabetes. Journal of Applied Physiology. 2014;116(8):998–1005. pmid:24577061
Eivazi M, Abadi L. Low Back Pain in Diabetes Mellitus and Importance of Preventive Approach. Health Promotion Perspectives. 2012;2(1):80–8. pmid:24688921
The pelvis is designed to bear and distribute the weight of the body along with regular everyday movement. It is built to properly distribute weight between the upper and lower body that utilizes the core muscles, ligaments, and joints creating a complex pelvic girdle that helps the body function properly. The bones of the pelvis house and protect organs like the:
Reproductive system
Bladder
Below the digestive tract
When pain in the pelvis presents, daily physical activities can become difficult to get through. Chiropractic treatment combined with lifestyle adjustments can bring pain relief and strengthen the pelvis muscles/bones to maintain optimal function.
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Causes of Pelvic Pain
When pain presents there can be a variety of underlying causes contributing to it. Certain causes are more serious than others. This is why seeking professional medical guidance is highly recommended for the best outcomes. Possible causes include:
These are a few causes that can contribute to mechanical changes and imbalances within the pelvis anatomy. If the pain is thought to be caused by an internal organ issue with nausea, fever, vomiting, or severe pain contact a healthcare provider immediately.
Chiropractic Relief
The pelvis can be thought of as a direct continuation of the spine. The lowest fused five vertebrae are known as the sacrum and are part of the pelvic girdle complex. Individuals dealing with pelvic pain typically experience the sensation within the joints themselves. These are the pubic symphysis and/or sacroiliac joints. These joints interact with the entire skeletal system. Learning how they operate can help bring relief and recovery. This is where a chiropractor can help.
Chiropractors are experts in total body alignment, restoring balance to the pelvis and spine. Plus through the treatment, they help increase the body’s natural ability to heal itself. When the lower back or pelvis is out of alignment the entire body along with its systems can be thrown off balance causing dysfunction. Chiropractic promotes and increases balance with pelvic adjustments and diverse therapies that include:
A professional chiropractor is one of the best options for the management and alleviation of pelvis pain. Pelvis misalignment can impede nerve energy and adequate blood flow. Chiropractic restoration strengthens and maintains optimal long-lasting results. Whether the pelvic pain comes from an injury, pregnancy, or pelvic shift/imbalance, a chiropractic provider can help address and alleviate the pain.
Body Composition
Lifestyle Adjustments for Optimal Kidney Health
The kidneys are small organs that work twenty-four-seven to filter blood and flush waste. In one day the kidneys pump more than 400 gallons of recycled blood throughout the body. When the kidneys do not function properly the body can be engulfed with waste. This is why it is vital to keep them healthy. Individuals usually don’t realize how an unhealthy lifestyle can harm/injure the kidneys. Chronic kidney disease slowly progresses over years, and it is not reversible. Incorporating some basic healthy lifestyle adjustments can lower the risk of developing kidney-related diseases. Here are a few lifestyle adjustments that can keep the kidneys healthy.
Drinking plenty of water
An adequate supply of water in the kidneys flushes out sodium, urea, and toxins helping avoid kidney stones. The goal is to drink eight 8-ounce glasses of water every day. Everyone’s water levels are different but body composition analysis can calculate what a normal level should be.
Healthy foods maintain a healthy body
Poor diet and visceral fat gain have been linked to chronic kidney disease. Reducing visceral fat can be achieved by eating a restricted caloric diet of vegetables, fruit, and lean protein, as well as cutting back on processed foods.
Be cautious consuming supplements, antibiotics, and over the counter medications
Regular use of common medications and supplements can cause kidney damage and disease. Consult with a doctor before taking medications and supplements if there is kidney function impairment.
Fitness and activity
Individuals need to participate in regular cardiovascular and weight-resistance physical activity/exercise. High blood sugar levels have been shown to stress the kidneys. Building adequate muscle mass helps control blood sugar.
Smoking and kidney health issues
Smoking narrows the blood vessels in the kidneys. This reduces proper blood flow and accelerates kidney malfunction.
Disclaimer
The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.
Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG* email: coach@elpasofunctionalmedicine.com phone: 915-850-0900 Licensed in Texas & New Mexico
Kim DH, Cho D, Dickman CA, Kim I, et al. Surgical Anatomy & Techniques to the Spine. 2nd Ed. Saunders, Elsevier, Inc. Philadelphia, PA.
Lirette LS, Chaiban G, Tolba R, Eissa H. Coccydynia: An Overview of the Anatomy, Etiology, and Treatment of Coccyx Pain. Ochsner J. 2014 Spring;14(1): 84-87.
Individuals are realizing the enhancements that chiropractic produces along with lifestyle adjustments. Chiropractic is about total body health. This includes:
Alleviating pain from injuries and musculoskeletal conditions
Reversing low energy levels
Healthy lifestyle adjustment support
Neck Pain
Back Pain
Chronic Pain
Herniated Disc/s
Headaches
Migraines
Sciatica
Sports Injuries
Healthy living and regular chiropractic adjustments will elevate the body’s health to new levels.
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Chiropractic unlocks the body’s potential
Getting to the root cause of any symptoms that are presenting and addressing themis essential before the body can be at its optimum. A common root cause of pain, low energy, and various general health complaints is spinal misalignment. Poor spinal alignment leads to poor nerve energy flow and poor blood circulation. When the body and nervous system function incorrectly, there is interference with the body’s ability to process normal functions that leads to various forms of dysfunction. A chiropractor can recognize the smallest of changes in the spine that could be affecting the body’s health.
Good Health to Optimal Health
Restoring spinal alignment is the first step in improving body health. If condition/s are present, first the pain will need to be reduced and under management, then the energy can be increased. A chiropractor will recommend lifestyle adjustments to start building a routine to take good health to optimal health. Recommendations include:
Physical Activity/Exercise
Regular physical activity/exercise for weight management, building muscle and maintaining balance. Specific exercises could be recommended for spinal alignment and core strength reinforcement.
Health Coaching/Diet
The nutrients consumed can have positive and negative effects on the body’s ability to function and heal. A health coach and nutritionist can recommend a nutrition plan that will elevate the body’s health to new levels, increasing energy and helping with weight loss if it is necessary.
Stress management techniques
Stress is a major player when it comes to poor health. Chiropractic can help develop techniques and strategies to manage stress and reduce the strain on the body’s systems. This could include sleep hygiene, mindfulness, and more.
Neutral spine training
Healthy posture is highly neglected during daily activities, especially when sitting or lying down. A chiropractor will educate the individual on how to hold the spine and posture optimally to reduce awkward positions and unnecessary strain.
Consult a Chiropractic Provider
When making lifestyle changes, a vital component is learning how to incorporate the new adjustments consistently. This encourages the adjustment into becoming a healthy habit that can maintain optimal body health.
Body Composition
Reducing stress levels
There are various techniques that support relaxation, and help turn off the stress response. Here are a few science-backed options:
Stress-related eating is associated with an increased craving for calorie-dense and highly palatable/tasty usually unhealthy foods. When stress rises, food cravings rise triggering fat gain.
Disclaimer
The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.
Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG* email: coach@elpasofunctionalmedicine.com phone: 915-850-0900 Licensed in Texas & New Mexico
References
Hawk, Cheryl et al. “Best Practices for Chiropractic Management of Patients with Chronic Musculoskeletal Pain: A Clinical Practice Guideline.” Journal of alternative and complementary medicine (New York, N.Y.) vol. 26,10 (2020): 884-901. doi:10.1089/acm.2020.0181
Walsh, Roger. “Lifestyle and mental health.” The American psychologist vol. 66,7 (2011): 579-92. doi:10.1037/a0021769
Stonerock, Gregory L, and James A Blumenthal. “Role of Counseling to Promote Adherence in Healthy Lifestyle Medicine: Strategies to Improve Exercise Adherence and Enhance Physical Activity.” Progress in cardiovascular diseases vol. 59,5 (2017): 455-462. doi:10.1016/j.pcad.2016.09.003
A whiplash injury can cause pain for months, even years after the accident/incident. It can cause persistent pain in the neck, shoulders, back, as well as, headaches, and sleep problems. Waiting to see if it will go away is not recommended. Chiropractic treatment can effectively and successfully expedite the healing process getting back to normal life as quickly as possible. Chiropractors treat whiplash successfully using a combination of techniques, approaches, and exercises for pain relief, recovery, and long-term spinal health. The extent and severity of the whiplash injury determine what type of chiropractic treatment will be implemented.
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The Severity of a Whiplash Injury
Whiplash injuries are often the result of:
Automobile accidents
Work injuries
Sports
Amusement park rides
It is primarily an injury of the neck muscles and ligaments, but can also damage the vertebral discs. It is not considered a serious or life-threatening injury, but it can cause long-term complications and severe chronic pain. The biggest risk comes from the delayed presentation of symptoms. It can take days and sometimes weeks for the effects of the injury to present. Individuals that are older or those with arthritis are more likely to have severe and long-term issues.
Other Symptoms
Typical symptoms like neck pain, blurry vision, stiffness, and dizziness are well known. These can range from mild to severe, and last for a few days, weeks, or, in severe cases, years. However, there are some symptoms that most don’t know about and include:
Individuals should be alert for signs/symptoms that the injury requires immediate medical attention. If any of the following are experienced seek immediate care.
The arms, shoulders, or legs are numb, tingling, and/or weak
The neck pain and stiffness return after going away
Bowel or bladder problems could indicate nerve damage
Chiropractic
Chiropractic treatment depends on the individual case. A doctor of chiropractic will determine the right treatment plan by the:
The severity of the pain
Location of the injury
Accompanying symptoms
Medical history
X-rays will be taken of the affected area to rule out any other trauma or injury. The chiropractor will evaluate the entire spine. This is based on how one part of the body influences other areas with the objective being to get the whole body functioning successfully at optimal levels.
Treatment Options
Some of the more common treatments for whiplash include:
Initial
Visiting a chiropractor a short time after the injury means the neck will be inflamed. The doctor will utilize gentle, anti-inflammatory options like:
Cold therapy
Ultrasound
Stretching
Electrical therapy
Laser therapy
Spinal Manipulation
There are different types of spinal manipulation, these include:
Specific Manipulation
This type involves a gentle but firm thrusting, usually done with the hands to the soft tissue areas. It stimulates the nervous system to realign subluxations, and restore mobility/flexibility of the spinal joints and vertebrae.
Flexion Distraction Technique
This is also a hands-on technique that treats slipped and bulging discs. This type of treatment utilizes a pumping motion on the disc/s and not the spine itself.
Instrument Assistance
This treatment is used for patients with degenerative disc disease. Special instrument assistance is often used in combination with hands-on care.
Massage
Massage promotes healing, reduces pain, and improves blood circulation in and around the affected area. It helps relieve tension/stress in the shoulder and neck.
Stretching and Trigger Point Therapy
The muscles and tendons can become tight. A chiropractor will gently stretch the area to relieve pain, ease tension, and reduce tension headaches. Trigger point therapy uses persistent pressure by the chiropractor’s fingers. It relaxes and releases the tight areas.
McKenzie Exercises
McKenzie exercises help reduce disc tears common to these types of injuries. The chiropractor will show how to perform these simple movements at home as part of the recovery.
What to do outside of the clinic
A chiropractor will offer tips and guidance on how to successfully avoid worsening the injury or create new injury/s. Stretches and exercises will be recommended to strengthen and maintain flexibility. Depending on an individual’s:
Overall health
Posture
Work/Occupation
Lifestyle factors
They will offer recommendations to avoid long-term issues.
Body Composition
Successfully regaining fitness after an injury
It is difficult to predict how long it will take to regain a previous level of fitness after an injury. Retraining to peak condition depends on the injury and how much damage was done. A key factor is to not adopt a sedentary lifestyle.Muscle memory can help as the muscles have special cells in the fibers that can recollect previous movements. This means when back to working out after an extended layoff, the body is able to regain the lost muscle. Some tips to help get back into shape:
Ease back into working out to avoid/worsen the injury
Wait a month before starting a less-intense version of a regular workout
Patience and persistence are essential to regaining fitness successfully.
Disclaimer
The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.
Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG* email: coach@elpasofunctionalmedicine.com phone: 915-850-0900 Licensed in Texas & New Mexico
References
Dagenais, Simon, and Scott Haldeman. “Chiropractic.” Primary care vol. 29,2 (2002): 419-37. doi:10.1016/s0095-4543(01)00005-7
Ritchie, Carrie et al. “Medical and allied health service use during acute and chronic post-injury periods in whiplash injured individuals.” BMC health services research vol. 20,1 260. 30 Mar. 2020, doi:10.1186/s12913-020-05146-0
Ferrari, Robert, and Anthony Science Russell. “Survey of general practitioner, family physician, and chiropractor’s beliefs regarding the management of acute whiplash patients.” Spine vol. 29,19 (2004): 2173-7. doi:10.1097/01.brs.0000141184.86744.37
Belly fat is a gateway to back pain/spinal issues that can lead to various health problems. The bulging belly population has grown a bit since the beginning of the COVID-19 pandemic. 37% of individuals have gained weight since it began, according to a global Ipsos survey. If back pain is presenting and there is excess weight around the abdomen known as abdominal obesity, this could be a contributing factor.
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Belly fat and posture
When the natural curves of the spine are normal, the core is stable and well-supported. Excessive weight, including a large abdomen, shifts these curves out of correct alignment. Excessive abdominal fat has been associated with lordosis, which is an excessive inward curve of the spine toward the lower back. One study found that severely obese individuals had pain and changes in posture. This was especially visible in the spine, knees, and feet.
Front-loading shift
The back pain felt from a bulging belly can be caused by a shift in posture and body mechanics. Studies show these can have a negative impact on back pain and body positioning. All or most of the weight is placed on the lower back.
Overloaded discs
Abdominal obesity can damage/injure the discs/shock absorbers of the spine. This leads to:
And a bulging belly can flatten the height of the intervertebral discs.
Fat pollutants in the blood
Fat can accumulate and secrete toxins that contribute to swelling and inflammation that can be painful. Over time, these toxins wear down components of the skeletal system.A study found potential links between obesity and degenerative disc disease. Scientists found a connection in obese men, but not obese women. This is believed to be because men tend to store fat in their bellies, and women tend to store fat in the buttocks and thighs.
Damage to the musculoskeletal system
The bones constantly renew themselves, but when there is excess body fat it can interfere with the process. This has the potential to turn into osteoporosis over time. Studies associate visceral fat with lower bone mineral density, and an increase in the risk of fractures.
Ankylosing spondylitis treatment and fat interference
Ankylosing spondylitis is an inflammatory disease that causes chronic back pain and can cause the vertebrae to fuse. The back can be extremely stiff, and the condition can lead to a permanently hunched posture. There are medications to improve symptoms and slow the disease. However, being overweight reduces the drugs’ effectiveness. This is because belly fat can cause medication absorption problems.
Rare spinal condition linked to obesity
Obesity along with a high Body Mass Index increases the risk of a rare condition called spinal epidural lipomatosis or SEL. This is an overgrowth of body fat in the spinal canal. Spinal epidural lipomatosis can cause various types of back pain. This is why it is recommended to have a doctor examine and evaluate any aches or pains.
Body Composition
Kombucha beneficial for gut bacteria
Kombucha contains a wide variety of bacteria and fungi that helps ferment the sugar in kombucha drinks. It is able to affect the existing microbes in the gut by inhibiting the growth of various gut-dwelling pathogens. These include:
It is a probiotic drink made from fermenting green or black tea
It is made up of healthy bacteria that produce acetic acid that is beneficial for blood sugar, insulin levels, and body composition
It helps the body process food by lowering insulin levels after a meal
It contains polyphenols that reduce oxidative stress, to help fight disease risks
It destroys unhealthy bacteria in the gut
It helps increase healthy bacteria
Kombucha can be thought of as a natural antibiotic. However, it does not come with the weight-gain side effect. Improving the health of the gut through fermented foods like kombucha help reduce the risk for weight gain/obesity, as well as restore gut health for those trying to lose weight by creating a healthy gut environment.
Disclaimer
The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.
Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG* email: coach@elpasofunctionalmedicine.com phone: 915-850-0900 Licensed in Texas & New Mexico
Many individuals enjoy riding all-terrain vehicles, or ATVs. It is a fun pastime and it gets individuals outdoors. However, when driving/riding any type of motor vehicle there is potential for crashes and accidents that can result in severe injuries. Unfortunately, many individuals get on an ATV without properly understanding how the vehicle operates, safety measures, and what to do in an emergency. Several facts about ATV accidents, provided by the Consumer Product Safety Commission:
130,000+ individuals are injured every year from ATV accidents
Over 700 individuals are killed in these accidents every year
Around one-third of the individuals killed are under the age of 16.
Many of the accidents could have been prevented if proper safety protocols were followed
Many of these accidents are based on negligence or recklessness of the driver or other individual/s doing the same in close proximity. The causes range from:
Speeding recklessly
Steep hill-climbing
Rollovers
Drunk driving
Exceeding capacity
Many of these vehicles are designed to hold one passenger only. When a second or third passenger is on the vehicle, the accidents are usually of the secondary passengers falling or getting thrown off. In other cases, the passenger is not able to shift their weight with the driver, resulting in throwing the entire vehicle off-balance.
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ATV
Today ATVs are used for various jobs including border patrol, construction, emergency medical response, snow plowing, and maintaining farmland. They can be fun, but they can also be extremely dangerous if not properly ridden. Every year faster, and more powerful ATVs arrive on the market for purchase. The first ATVs had around 7-horsepower, an 89 cc engine, and weighed about 200 pounds. Today, some have engines that are 600 ccs, with 50 horsepower, weigh over 400 pounds, and can go up to 100 miles per hour. These are powerful machines that can cause severe injuries.
Injuries typically happen to men around 18 to 30 years of age
80 percent of injuries impact the driver and not the passenger
The most common injury cause is associated with flips and/or rolls
When this happens, both the driver and passenger can get thrown and in some cases, pinned underneath.
Symptoms and Injuries
Common ATV injuries include:
All around body pain
Muscle stiffness
Fractures
Broken bones
Dislocation/s
Whiplash
Headaches
Migraines
Concussion
Neurologic injuries
Spinal cord damage
Chronic pain
Blurred Vision
Chiropractic and Physical Therapy
Just like automobile accident injuries, there can be delayed symptoms that begin to present over days or weeks. Seeking the proper treatment as soon as possible is important to decrease inflammation and swelling before the injury/s worsens, or leads to other debilitating conditions. Injury Medical Chiropractic and Functional Medicine Clinic can help restore mobility and flexibility after an ATV accident. A combination of physical therapy, chiropractic adjustments, and massage will help with:
Keep a phone or other communication device in case of an emergency
Body Composition
Phase Angle values can determine what’s going on in the body
It can help identify health risks, address underlying health issues, and track the progress of lifestyle changes like diet and exercise. For many individuals phase angle analysis has helped them make data-driven health and wellness decisions. Many medical practices are using it to personalize a patient’s treatment plan. Lifestyle factors that are likely to impact phase angle include:
The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.
Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG* email: coach@elpasofunctionalmedicine.com phone: 915-850-0900 Licensed in Texas & New Mexico
Determining if sciatica pain and symptoms are showing improvement can be as simple as the pain significantly reducing or it could be a bit more complex, depending on the severity of the condition. Chiropractic treatment keeps track of the location and movement of the pain as a reliable indicator that complete relief is getting closer. When the pain retreats up the leg, it is a sign of improvement even with back and buttock aches/pain that feel like it’s worsening.
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Various Symptoms
The most common symptoms include:
Tingling
Numbness
Sharp pain
Dull pain
Radiating/spreading pain
A feeling like insects crawling or water trickling down the leg
Changing sensations in the buttock, back, leg, or foot
Does It Get Worse Before Getting Better?
Sciatica can get worse before it gets better. This is known as centralization where the pain moves or retreats back towards the midline of the spine after repeated movements or guided/chiropractic positioning and adjusting. It can be misleading, making the individual think the sciatica is worsening, or that something has caused a sciatica flare-up. However, healing is taking place.The furthest location away from the low back is the area to pay attention to. It’s different for individuals. It could be the:
Foot
Calf
Back of the thigh
No matter where the pain is pay attention to that particular area. If it feels like the sciatica is getting worse, take a moment to determine where the pain is presenting. If the pain has retreated and there is no pain in the foot, calf, or leg, the sciatica is getting better. What happens is the retreating pain going up the spine increases the pain in the back and buttocks. This means there is an improvement.
Sciatica Getting Worse
How to tell if it’s getting worse? An increase in pain could indicate that it is getting worse. But, the key is to pay attention to the location and movement of the pain. When it gets worse the pain is advancing, for example, if there was pain only in the back and buttock yesterday, and today the pain is radiating down the back of the leg into the calf, then the sciatica is getting worse.
Length of Time Sciatic Nerve Pain Lasts
For most individuals, sciatic nerve pain lasts from two to six weeks.
The acute pain lasts around 1 to 2 weeks, with lingering discomfort as the condition heals
There are factors that can cause sciatica to remain longer, or increase the chances of returning This includes:
Tight hamstrings
Weight gain
Pregnancy
Poor posture
Improper lifting
Sciatica that lasts more than six weeks is considered chronic. Medical intervention should be sought out if it lasts this long. Non-invasive treatment like chiropractic or physical therapy is recommended to help speed the healing process and reduce pain.
Permanent Cure
Most sciatica cases are caused by a spinal disc disorder in the lower back. Around 85% of sciatica cases are disc-related. There is a chance that sciatica can return. For most individuals, it only takes a small amount of work to keep sciatica at bay. Staying healthy and flexible are two ways to prevent sciatica from returning. This can be done through:
Healthy diet
Maintain a healthy weight
Staying active with 2 ½ hours of physical activity/exercise a week
Maintain proper posture
Regular stretching
Quitting smoking
If overweight it is highly recommended to lose weight. One study showed that obesity increased the risk of hospitalization by 36%. Other factors that increase the potential for sciatica are frequent intense physical activity levels in sports, exercise, DIY projects, etc.
Chiropractic Improvement
Whether dealing with sciatica during pregnancy, from tight hamstrings, or piriformis syndrome, chiropractic can help. A chiropractor can bring relief through:
Surgery is rarely needed and only as a last resort. Chiropractic care will generate improvement and will educate the individual on what to do to prevent sciatica from flaring up.
Body Composition Improvement
Essential Fat vs Storage Fat
There is essential fat in the body. It has a significant role in overall health and is essential for survival. Essential fat is present in the:
Organs
Bone marrow
Nerve cells
Brain
Essential fat helps with:
Maintaining sufficient energy reserves that function as a metabolic fuel
Conserves body heat and functions as an insulator
Protects the internal organs and joints acting as a soft cushion
Non-essential/storage fat is adipose tissue that accumulates as an energy reserve. Storage fat affects body shape and appearance.
Disclaimer
The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.
Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG* email: coach@elpasofunctionalmedicine.com phone: 915-850-0900 Licensed in Texas & New Mexico
A good portion of the population deals with night back pain. But there is another group that can attribute their back pain to sleep apnea. The American Academy of Sleep Medicine says that 26% of adults between 30 and 70 have this disorder. Sleep apnea back pain can turn into a vicious cycle. Unrestful sleep caused by sleep apnea can make an individual more susceptible to pain. Back pain can cause sleep problems, and the cycle begins again.
Contents
Sleep Apnea
Sleep apnea is a chronic sleep disorder in adults in which breathing repeatedly stops and starts. Symptoms include:
Excessive sleepiness during the day
Snoring
Abrupt waking during sleep
Risk factors include:
Obesity
Smoking
Diabetes
Narrow airway
History of sleep apnea in family
There is ongoing research about risk factors for sleep apnea.
The Sleep Apnea and Back Pain Connection
Back pain could be a symptom of a vertebral fracture. Sleep apnea has been found to be associated with a higher risk of vertebral fractures. Research has found a connection between obstructive sleep apnea and vertebral fractures in women. The study found that women with a history of obstructive sleep apnea had an increased risk of vertebral fracture compared to individuals with no history of sleep apnea. Research is looking into how sleep apnea impacts bone health, specifically in the vertebrae. Doctors believe there are multiple ways in which sleep apnea can affect bone health like:
Smoking can increase the severity by lowering the functionality of the airway causing inflammation.
CPAP machines or continuous positive airway pressure, have proven to be beneficial.
Treatment options need to be discussed with a healthcare provider if diagnosed with this condition. Treatment is important because if left untreated it can lead to serious health issues increasing the risk for:
High blood pressure
Heart disease
Type 2 diabetes
Metabolic syndrome
Post-surgery complications
Better Sleep
If experiencing sleep apnea neck or back pain, make an appointment to see a doctor for an accurate diagnosis. A treatment plan that works for the individual will be developed to ease symptoms, resulting in back pain alleviation and better sleep.
Body Composition
Proper Sleep and Fat Loss
Losing fat mass is strongly linked to proper sleep. For the body to lose fat the body needs to be in a caloric deficit, which means more energy gets used than the amount of energy the body takes in. This can be accomplished by restricting calories through diet and burning more calories through exercise. This can be referred to as calories in/calories out.
Losing sleep can sabotage fat loss goals significantly altering the body’s hormonal profile. This includes hormones that regulate appetite. Ghrelin is associated with hunger, and leptin is associated with feeling full. Ghrelin spikes right before a meal prompting an individual to eat. Losing sleep interferes with the body’s ghrelin/leptin balance. Thisresults in an increase in ghrelin and a reduction in leptin levels.
Disclaimer
The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.
Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG* email: coach@elpasofunctionalmedicine.com phone: 915-850-0900 Licensed in Texas & New Mexico
References
Intro: Rheumatology International. (May 2013) “Prevalence and severity of insomnia in chronic low back pain patients” pubmed.ncbi.nlm.nih.gov/23124732/
How Sleep Apnea and Back Pain are Related: Journal of Bone and Mineral Research. (September 2020) “Obstructive Sleep Apnea and Risk for Incident Vertebral and Hip Fracture in Women” asbmr.onlinelibrary.wiley.com/doi/epdf/10.1002/jbmr.4127
Going through traumatic accidents that result in injuries can cause injury-related stress and anxiety for individuals. It is understandable that stress and anxiety are high as individuals figure out how to navigate through the situation. Therefore, it is very important to find ways to manage stress and anxiety because if they go unchecked it could become chronic leading to poor health and quality of life.
Contents
Stress/Anxiety Affects Health
Injury related stress and anxiety can be exacerbated through different factors. These can include:
Medical bills
Employment
Relationships
Independence
The causes/reasons can vary however, the physical response the body goes through is the same. A stress-inducing situation can leave an individual feeling threatened and generate a physical stress response. The body responds to stress by releasing hormones that shift the body into survival mode. This requires a lot of energy placing massive strain on the body. This is an important mechanism for healthy living. However, if it begins to present on a regular basis it can lead to negative health issues that include:
The body needs time every day to recover and rejuvenate. This is not possible when the body is constantly entering a heightened state of stress. Traditional treatment can lead to the over-prescription of medications that come with their own side effects. Effective injury-related stress treatment addresses issues like:
Injury-related stress and anxiety affect mental health and can lead to physical symptoms and disease. These include:
Chronic pain
Sleep problems
Gastrointestinal issues
Obesity
Asthma and breathing problems
Alzheimer’s, dementia, and memory loss
Chiropractic Treatment and Care
A healthy brain and spinal cord are vital to the body’s optimal health. When nerve energy and blood flow get blocked it can worsen injury-related stress and anxiety. Chiropractic delivers results helping to better manage mental health by addressing underlying issues with spinal misalignment. When the spine is properly aligned neural health is optimized for everyday functions. This increases vitality and an overall sense of well-being. With brain function improved adjusting to the injury and its effects no longer cause intense stress. Individuals cannot remove all the stressors and anxiety-inducing events from their lives, but proper spinal alignment can help build resilience for whatever situations life throws.
Body Composition
Recovery and Swelling
Recovery is an essential part of maintaining optimal body health. This goes for regular work, working out, athlete’s training, and just participating in physical activity. A significant sign that the body has gone through intense physical exertion and needs recovery time is swelling. Swelling presents for different reasons. It is the body’s response to tiny, microscopic tears in the muscle that happens from constant and intense use. Running or lifting heavy objects are two examples that cause swelling. Swelling can be seen in body composition analysis results. An increase in Lean Body Mass reflects an increase in water. Recovery is about giving the body a chance to:
Relax
Recuperate
Recover from the swelling with the end goal of resuming physical activities
Disclaimer
The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.
Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG* email: coach@elpasofunctionalmedicine.com phone: 915-850-0900 Licensed in Texas & New Mexico
References
Pickar, Joel G. “Neurophysiological effects of spinal manipulation.” The spine journal : official journal of the North American Spine Society vol. 2,5 (2002): 357-71. doi:10.1016/s1529-9430(02)00400-x
Coleman, Brian C et al. “Factors Associated With Posttraumatic Stress Disorder Among Veterans of Recent Wars Receiving Veterans Affairs Chiropractic Care.” Journal of manipulative and physiological therapeutics vol. 43,8 (2020): 753-759. doi:10.1016/j.jmpt.2019.10.016
Jamison, J R. “Stress management: an exploratory study of chiropractic patients.” Journal of manipulative and physiological therapeutics vol. 23,1 (2000): 32-6. doi:10.1016/s0161-4754(00)90111-8
The deadlift is a weight training exercise that helps build muscle, strength, and stamina. It works legs, core, buttocks, and the back when performed correctly. Using an improper form or overdoing it can cause injury to the lower back. Recovering from a deadlifting injury usually takes a couple of days or a week. However, this depends on the severity of the injury. Recovery can be helped through:
Home remedies
Chiropractic treatment
Massage
Natural back pain relief tips
Contents
Back Injury After Deadlifting
Most individuals will feel sore after a strenuous workout. But there is a difference between soreness and injury. Most of the time injuries from deadlifts are caused by not using proper form. Getting the form right is not easy, it does take practice, so do not feel bad if an injury presents.
Soreness vs Injury
Most of the time telling the difference between natural soreness from a workout and pain from an injury is pretty straightforward. But sometimes it is not as easy to tell the difference. Soreness is typically characterized by:
Stiffness
Tightness
Muscle ache
Fades after two or three days
Muscle soreness tends to be shallow and spread out over a muscle group. Pain from an injury causes sharp and persistent pain, especially with certain movements. Injury pain is deeper and can be described as stabbing or sharp.
Common Deadlifting Injuries
The deadlift has a wide range of motion and incorporates several different joints. Most injuries sustained during a deadlift are low-back injuries. Usually a sprain or a strain. But it is possible to sustain a more serious injury like a herniated disc.
Sprains vs Strains
Sprains and strains are different although many use the terms interchangeably.
A sprain happens when the ligaments that hold a joint together tear.
A strain happens when the muscles tear or are overworked to the point of injury.
Herniated Disc
A herniated disc happens when the gel-like fluid cushion between the vertebrae begins to protrude out. This can cause pain from the disc pressing on surrounding nerves or go unnoticed. Fortunately, sprains, strains, and herniated discs can all be treated conservatively. Seeing a medical professional is recommended to rule out serious conditions.
Injury Lower Back Pop
Some individuals experience an audible pop in the spine during a deadlift. For those that experience a pop but no pain accompanying it, it is likely gas escaping from a joint in the back. Those that experience discomfort or pain with the popping are encouraged to seek out medical attention.
Healing a Back Injury
Healing a back injury depends on the severity. The more severe, the longer it will take to heal. Most injuries can be addressed at home. Individuals that cannot stand up straight or there is debilitating pain with normal movements should see a medical professional like a:
Physical therapist
Chiropractor
Physician
Rest and let the body recover
It can be tempting to get back to the gym as soon as possible, but this is not recommended until the back truly feels normal. It is recommended to rest for a few days, allowing any swelling, inflammation to go down.
Ice and heat
Applying ice to the back every few hours for 15 to 20 minutes is recommended for the first three days, then heat can be incorporated. After three days if there is still pain, incorporate heat to get more blood flowing in and around the area. Use the ice for 15 to 20 minutes, wait 30 minutes, then apply the heat for 15 minutes.
Chiropractor
Seeing a chiropractor during any stage of recovery can be beneficial. As chiropractors are musculoskeletal specialists that can realign the body back to its proper form. If four days or more have passed and the pain is not going away, make an appointment with a certified chiropractor or spine specialist.
Time of Recovery
Most individuals recover within a week or two. For more severe injuries, like a herniated disc can take 6 to 8 weeks. Seeing a medical professional can help speed the process and promote healing. Additional tips include:
Deadlifting can be done safely and properly without sustaining an injury. A personal trainer or a sports chiropractor can analyze an individual’s lifting form and offer recommendations to prevent injury.
Body Composition
Foods Good for Collagen Production
Healthy nutrition can facilitate optimal collagen synthesis without supplementation. Protein sources that work with non-essential amino acids contribute to increased collagen production. High-quality protein sources support this process. Vegetarian protein sources include legumes or tofu are good alternatives. Collagen synthesis requires vitamin C, copper, and zinc.
Vitamin C regulates the synthesis pathway
Zinc stimulates the body to produce more collagen
Copper activates an enzyme that helps mature/strengthen the collagen
Sources of copper include nuts, seeds, whole grains, and chocolate
Most importantly is plenty of vitamin C-rich foods like:
Bell peppers
Broccoli
Citrus fruits
Leafy greens
Tomatoes
Disclaimer
The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.
Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG* email: coach@elpasofunctionalmedicine.com phone: 915-850-0900 Licensed in Texas & New Mexico
References
Bengtsson, Victor et al. “Narrative review of injuries in powerlifting with special reference to their association to the squat, bench press and deadlift.” BMJ open sport & exercise medicine vol. 4,1 e000382. 17 Jul. 2018, doi:10.1136/bmjsem-2018-000382
Millions of Americans experience back pain each day: Centers for Disease Control and Prevention (2020) “Acute Low Back Pain.” www.cdc.gov/acute-pain/low-back-pain/
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