Chiropractors understand the need to treat the whole body to reduce and alleviate pain. Many types of pain are caused by inflammation. Inflammation is a natural and healthy response to injury; however, chronic inflammation is not. Low-grade chronic inflammation can lead to health problems like obesity, diabetes, arthritis, dementia, heart disease, stroke, and cancer. If not treated, chronic inflammation can spread throughout the body, causing pain and aggravation. When it comes to nutritional health, the foods can worsen chronic pain. Chiropractors and doctors recommend an anti-inflammation diet for chronic pain.
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Anti-Inflammation Diet
When the body gets injured, the nervous system sends signals to the immune system to send chemicals and new red and white blood cells needed for healing. The immune system works correctly when it fights infection by activating when the body recognizes anything foreign entering the system. This could be plant pollen, chemicals, or invading microbes. Studies show that individuals get 50 percent of their calories from sugar, white flour, vegetable oil, and industrial seed oils. These foods are known to increase inflammation in the body. Eating foods that trigger the immune system, like refined white flours or sugar, creates inflammation that does not turn off because the information sent constantly signals an injury exacerbating inflammation and pain.
Foods That Cause Inflammation
The following foods should be avoided or limited as much as possible:
Sugary beverages and soda drinks.
Margarine and lard.
Gluten and white pasta.
Refined carbohydrates in white bread and pastries.
Processed meat like sausages and hot dogs.
Red meat like steaks and burgers.
Fried foods that are high in trans fats, like chips and fries.
Excessive alcohol.
Some of these foods have been associated with chronic diseases that include:
Foods high in natural antioxidants include apples and blueberries. Antioxidants are reactive molecules that can reduce the number of free radicals in the diet. A free radical is a molecule that has the potential to alter and damage the cells in the body. Damaged cells increase the risk of disease development.
Chiropractic Inflammation Relief
Chiropractic physiotherapy strengthens the body by strengthening the immune system removing any blockage. This maintains the natural flow of blood and nutrients throughout the body, increasing the immune system’s defense. Changing to an anti-inflammation diet can help boost the immune system but can be a challenging adjustment. Discuss available options to manage pain relief and inflammation.
Body Composition
Muscle Is Not Just For Athletes
Many individuals think that muscle gain is only necessary for athletes. Not everyone wants to be muscular, but everyone needs to be able to fight off sickness from infection/s. Muscle is made up primarily of water and protein. Protein is an essential macronutrient that the body needs to function correctly. When the body enters a stressed state like becoming sick, the body’s protein demands suddenly increase up to four times the amount usually required. If the body does not get the necessary protein from the food, it will begin to take what it needs from the muscles and start breaking them down. If muscles aren’t sufficiently developed or underdeveloped, the body becomes reduced in its ability and strength to fight off infections and increases the chances for future ones.
References
Haß, Ulrike et al. “Anti-Inflammatory Diets and Fatigue.” Nutrients vol. 11,10 2315. 30 Sep. 2019, doi:10.3390/nu11102315
Owczarek, Danuta et al. “Diet and nutritional factors in inflammatory bowel diseases.” World journal of gastroenterology vol. 22,3 (2016): 895-905. doi:10.3748/wjg.v22.i3.895
Sears, Barry. “Anti-inflammatory Diets.” Journal of the American College of Nutrition vol. 34 Suppl 1 (2015): 14-21. doi:10.1080/07315724.2015.1080105
Sciatic nerve injury happens from trauma to the nerve and can cause numbness, tingling, loss of muscle power, and pain. The traumatic experience can be a muscle spasm that pulls and/or pinches the sciatic nerve, force/pressure impact injury, over-stretching injury, or a laceration/cutting injury. A slipped disk, or herniated disk, is the most common cause of irritation on the sciatic nerve. A slipped disk occurs when one becomes slightly dislodged, pushing out from the spine. This places pressure/compression on the sciatic nerve.
Trauma to the lower back, buttocks, or leg from an automobile accident, sports injury, work injury.
Medical treatment causes:
Direct surgical trauma.
Total hip replacement surgery can cause nerve compression and stretch during the procedure, causing damage to the sciatic nerve resulting in dysfunction.
Injection injuries via intramuscular injection in the gluteal region. This is a situation where there is a loss of movement and or lack of sensation at the affected lower extremity with or without pain.
Injection palsy can begin suddenly or hours following damage to the sciatic nerve.
A misplaced intramuscular injection at the gluteal region is the most common cause of injury. It is attributed to frequent injections or poor techniques resulting from inadequately trained or unqualified staff.
Complaints of radiating pain in the leg, which follows a sensory nerve pattern.
Pain radiates below the knee, into the foot.
Complaints of low back pain, which is often less severe than leg pain.
Report of electrical, burning, numbing sensations.
Diagnosis
A detailed subjective and objective physical examination is necessary to figure out the severity of the sciatic nerve injury. Diagnostic studies include:
Chiropractic and physical therapy exercises and stretches improve nerve regeneration after nerve damage.
Electrical Muscle Stimulation
TENS and Electroacupuncture have been shown to help enhance nerve regrowth.
Bio-laser stimulation can help with nerve nutrition and regeneration.
Joint or Soft Tissue mobilization
Helps to retain muscle, nerve, and soft tissue flexibility and prevent deformity.
Balance Training
Coordination, strength, and flexibility exercises help to restore balance.
Splinting
In the early stages after a sciatic nerve injury, bracing may be needed to prevent deformity and new injury or re-injury risks.
Ankle Foot Orthosis – AFO can help prevent foot drop, muscle damage, and falls risk.
Body Composition
Optimize Diet for Fat Loss
Individuals that want to lose fat need to create a calorie deficit. Individuals need to consistently eat less than they need for Total Daily Energy Expenditure – TDEE. The safest way to handle a caloric reduction is to reduce calorie intake in small doses like 200-300 calories, for example. After a week or two, perform a body composition analysis. If Fat Mass numbers begin to drop or not, adjust calorie needs accordingly. Restricting calories is the most common way, a deficit can also be created by increasing calorie needs through exercise.
References
Kline, D G et al. “Management and results of sciatic nerve injuries: a 24-year experience.” Journal of neurosurgery vol. 89,1 (1998): 13-23. doi:10.3171/jns.1998.89.1.0013
Schmalzried, TP et al. “Update on nerve palsy associated with total hip replacement.” Clinical Orthopedics and related research,344 (1997): 188-206.
Shim, Ho Yong et al. “Sciatic nerve injury caused by a stretching exercise in a trained dancer.” Annals of rehabilitation medicine vol. 37,6 (2013): 886-90. doi:10.5535/arm.2013.37.6.886
Suszyński, Krzysztof et al. “Physiotherapeutic techniques used in the management of patients with peripheral nerve injuries.” Neural regeneration research vol. 10,11 (2015): 1770-2. doi:10.4103/1673-5374.170299
Chiropractic and spinal health. Most individuals seek out chiropractic care only after an injury and when pain presents. Because traditional medical care tends to focus on treating disorders and diseases, individuals are used to seeking care only when something is imbalanced. For many, chiropractic is known for its ability to resolve back and neck pain, correct postural misalignments, manage acute or chronic conditions and accelerate the healing of injuries. Chiropractic is different in that it is a tool for increasing overall wellness and vitality when no injury or imbalance is present.
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Chiropractic and Spinal Health
Chiropractic is an invaluable treatment that raises the baseline of an individual’s health by:
Increasing performance
Extending lifespan and longevity
Improving overall comfort
Increasing agility in the body
Chiropractic helps to achieve these transformational results by improving the function of the:
Circulatory system
Immune system
Respiratory system
Muscular system
Nervous system
Skeletal system
Circulation Increased
The circulation system includes the heart and its chambers, arteries, veins, lungs, lobes, and capillaries. The structures within this system move blood, nutrients, and waste throughout the body. The quality of health and life depends on the level of functioning in this system. The better and more efficient the tissues receive clean blood, nutrients, and oxygen, the better the body is able to utilize these building blocks to achieve whatever function is required. The slower and more unclean these building blocks, the lower quality of function. The nervous system is the communication system that includes the brain, spinal cord, and nerves that run throughout the body. Everything in the body and the work functions as a result of this communication system.
The circulatory system relies on the communication that runs through the nervous system, which is housed in the spine. If the spine is misaligned, moving improperly, or sustaining an injury, it can interfere with the function of the communication. Regular chiropractic care increases the health levels of the nervous system by keeping the spine as healthy and flexible as possible. The muscles are kept loose, which promotes blood flow, and the flow and movement of waste in the lymphatic system. Individuals that receive regular adjustments report:
Enhanced perception of sensations in their extremities.
Warmer hands and feet.
Improved cognitive response and clarity.
Decrease or eliminate tingling and numbness.
Maintaining the proper range of motion of the spine also facilitates better function and movement of the whole body.
Immune Response Improvement
Regular chiropractic improves immune responses that leads to improved response against foreign invaders and disease,fewer instances of illness, exhaustion, fatigue, and inflammation. When expert chiropractic and spinal health intervention is delivered it helps to realign bones and joints, alleviate muscle tension, and restore nerve function. The body immediately experiences a decrease in stress, downregulation of stress hormones and chemicals in the body leads to a reduction in inflammation.
Increased Mobility & Flexibility
Chiropractic helps to improve physical mobility and flexibility in the muscular and skeletal systems. This is accomplished through manual manipulation to restore ideal posture and achieve a balanced skeletal structure. Manual manipulation is also used to soften and relax tense muscles which have developed abnormalities to compensate for incorrect posture. When skeletal structure, muscular imbalances, and strain are corrected, the result is improved mobility and flexibility.
Pain Symptoms Are Decreased
Pain originates from the nervous, muscular, and skeletal systems. Chiropractic can help with back pain, neck pain, shoulder pain, migraines, nerve and sciatic pain, and other conditions and forms of discomfort. The origin of the pain can include:
Postural imbalance
Muscle tension
Damage from accident or injury
Spinal degeneration
Chiropractic and spinal health care helps soothe and de-inflame the comprised areas, allowing the natural healing systems to intervene and promote long-term reduction of discomfort and pain.
Bending, Standing, Sitting Activities Improve
For many individuals, bending, standing, and sitting are normal movements they engage in every day. This can be part of work occupation, school, house chores, etc, and for many these movements and positions can become painful over long durations of time and when it is repetitive. Regular chiropractic and spinal health treatment can restore optimal posture in the body, soothe strained and tense muscles, and resolve disrupted nerve energy flow which often leads to nerve pain like sciatica.
Body Composition
Pregnancy Hypertension
Hypertension in pregnancy falls into one of three categories. It can range from benign and easily controlled to serious with increased medical risks. This makes monitoring blood pressure important to individual health risks. The risks for hypertension in pregnancy include:
Preeclampsia develops after 20 weeks of pregnancy and is associated with a sharp spike in blood pressure levels. Notable symptoms include:
Sudden fluid swelling
Chronic headaches
Changes in vision
Nausea
Vomiting
Weight gain
References
Brown, Richard A. “Spinal Health: The Backbone of Chiropractic’s Identity.” Journal of chiropractic humanities vol. 23,1 22-28. 8 Sep. 2016, doi:10.1016/j.echu.2016.07.002
Bussières, André E et al. “Spinal Manipulative Therapy and Other Conservative Treatments for Low Back Pain: A Guideline From the Canadian Chiropractic Guideline Initiative.” Journal of manipulative and physiological therapeutics vol. 41,4 (2018): 265-293. doi:10.1016/j.jmpt.2017.12.004
Maher, Jennifer L et al. “Exercise and Health-Related Risks of Physical Deconditioning After Spinal Cord Injury.” Topics in spinal cord injury rehabilitation vol. 23,3 (2017): 175-187. doi:10.1310/sci2303-175
Meeker, William C, and Scott Haldeman. “Chiropractic: a profession at the crossroads of mainstream and alternative medicine.” Annals of internal medicine vol. 136,3 (2002): 216-27. doi:10.7326/0003-4819-136-3-200202050-00010
The temporomandibular (tem-puh-roe-man-dib-u-lur) joint TMJ acts as a sliding hinge that connects the jawbone to the skull. There is one joint on each side of the jaw. TMJ jaw disorders are also known as temporomandibular disorders – TMD. These disorders affect the connecting point between the jaw and the skull that causes swelling and pain in the joint and the muscles that control movement. The disorder can be caused by a combination of factors, like stress, genetics, arthritis, or injury. The symptoms, pain, and discomfort are often temporary and can be relieved with self-care and nonsurgical treatment like chiropractic.
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Jaw Disorders
If the jaw is not moving correctly or becomes imbalanced, it can stress the temporomandibular joint. If this happens, the jaw muscles and the neck and shoulder muscles can tense up and over time become fatigued as they overwork to compensate and keep the jaw balanced. The bones that interact in the joint are covered with cartilage and are separated by a small shock-absorbing disc to maintain smooth movement. Jaw disorders can happen if:
The disc erodes or moves out of alignment.
The joint’s cartilage is damaged by arthritis.
The joint is damaged by impact trauma like hitting the head from a fall or sports accident.
Individuals that have been in an automobile accident.
Other factors include:
Tension or stress can cause individuals to grind or clench their teeth, known as bruxism.
Symptoms of TMJ vary from case to case. These symptoms might include:
Problems with opening or closing the mouth
Difficulty or pain while chewing
Pain or tenderness of the jaw
Pain in one or both of the temporomandibular joints
Aching facial pain
Neck and shoulder pain
Headaches
Aching pain in and around the ear
Dizziness
Locking of the joint
Clicking sound
Grating sensation
Chiropractic Relief
Chiropractors can help with TMJ by alleviating tension and dysfunction in the shoulder, neck, and jaw. Once the dysfunction is relieved, it reduces the pressure on various nerves. Treatment includes:
Manipulation of the jaw joint so it can move easily
Not all carbs are equal, with some having a more significant effect on insulin levels than others. For individuals with diabetes or insulin resistance, this is important. A food’s Glycemic Index – ranging from 0 to 100 – indicates how a particular carbohydrate will affect blood sugar and insulin levels.
Foods that digest quickly are high on the index.
Foods that digest slowly are lower on the index.
Foods high on the GI scale, include potatoes and white bread, are quickly broken down. This is what happens when going through a sugar rush that comes crashing down minutes later. Foods low on the GI scale, include sweet potatoes and whole oats, are digested gradually. This results in a steady rise in blood sugar levels. The following factors may influence the GI scale:
Food processing
The more processed the food, the higher the GI.
Fat and acid content
Foods high in fat, acid, or carbs eaten with fat or acid tend to have a lower GI.
Fiber content
Fiber slows down the rate of digestion, leading to a gradual, healthy rise in blood sugar levels.
Ripeness
Ripened fruits tend to have a higher GI than unripened fruit.
References
Alcantara, Joel et al. “Chiropractic care of a patient with temporomandibular disorder and atlas subluxation.” Journal of manipulative and physiological therapeutics vol. 25,1 (2002): 63-70. doi:10.1067/mmt.2002.120415
DeVocht, James W et al. “A pilot study of a chiropractic intervention for management of chronic myofascial temporomandibular disorder.” Journal of the American Dental Association (1939) vol. 144,10 (2013): 1154-63. doi:10.14219/jada.archive.2013.0034
Pavia, Steven et al. “Chiropractic Treatment of Temporomandibular Dysfunction: A Retrospective Case Series.” Journal of chiropractic medicine vol. 14,4 (2015): 279-84. doi:10.1016/j.jcm.2015.08.005
Rubis, Lisa M et al. “A collaborative approach between chiropractic and dentistry to address temporomandibular dysfunction: a case report.” Journal of chiropractic medicine vol. 13,1 (2014): 55-61. doi:10.1016/j.jcm.2013.10.003
When stress is placed on the shins with physical activity from walking, running, or exercise, the connective tissues attaching the leg muscles to the tibia can become inflamed, causing medial tibial stress syndrome, more commonly known as shin splints. This inflammation is caused by tiny tears in the muscles and tendons of the shin. Chronic shin pain could be related to foot arch problems, underlying issues with the muscles, or shoes that don’t support the feet properly. Although it usually goes away within a few days, it’s important to monitor to ensure that it does not progress into a stress fracture. A chiropractor can offer treatments to relieve the pain and help prevent shin splints from recurring.
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Medial Tibial Stress Syndrome
Medial tibial stress syndrome can impact anyone. It can come from walking far distances or in awkward positions like going downstairs with small steps, jumping rope, and playing with the kids on the playground can all cause burning, tightness, and pain in the shins. Shin splints affect individuals differently. For some, the pain recedes when the triggering activity is stopped. For others, the pain can become a chronic condition that results in continuous pain, even when at rest.
The Shin
The shin is a part of the tibia bone in the lower leg.
This bone absorbs the shocks when moving through daily activities.
The muscles that run along the shin support the foot’s arch and raise the toes during movement.
Medial tibial stress syndrome is caused by excessive force on the shinbone and the tissue around it, which causes the muscles to swell and increases pressure around the bone.
If left untreated, small tears in the muscle and the bone can form, leading to chronic pain and stress fractures.
Medial tibial stress syndrome is more likely to happen from:
Not stretching before physical activity or exercise.
Constantly walking or running on hard surfaces.
Wearing the wrong shoes that don’t provide enough cushioning or arch support.
Over-exertion on the body with activity and movement.
The body is not given the proper amount of time to recover.
Athletes often experience shin splints when they’ve intensified their training routine or changed it up.
Symptoms
Pain during exercise or activity.
Pain in the front of the lower leg.
Soreness in the lower leg.
Swelling in the lower leg.
Shin is hot to the touch.
Treatment
Whenever pain is being experienced, some muscles will either get tight or weak in response. By identifying the weak and/or tight muscles, a chiropractor can prescribe stretches and exercises that will help alleviate the pain and prevent it. One of the main principles of chiropractic is to treat the body as an interconnected system. A chiropractor may work on an unrelated part of the body to treat the symptomatic area. For example, they may work to align the spine and pelvis to lessen the impact on the lower legs.
Part of a treatment plan may include:
Soft Tissue Mobilization
A handheld instrument loosens tight tissues during soft tissue mobilization therapy and breaks scar tissue around the tibia.
Massaging tight muscles in the leg keeps them loose and alleviates the pain.
Percussion massage can be added to reduce muscle knots, improve blood flow, and loosen up scar tissue.
The treatment relieves pain and can help avoid shin splints when returning to normal activities.
Ultrasound and Low Laser Therapy
Ultrasound and low laser therapy use heat to warm the deep tissues in the lower leg gently.
The treatment eases pain, reduces inflammation, swelling, and increases blood flow.
Kinesio Taping
Applying flexible Kinesio tape to the foot and lower leg can reduce stress on the shins.
The chiropractor or physical therapist will show how to apply the tape correctly.
Foot Orthotics
Individuals may be more likely to develop shin splints if they have high or low arches or their feet tend to roll inward or outward when walking.
Prescription foot orthotics can be made to keep the feet properly balanced and supported.
Stretching Exercises
Shin splints could be related to tight muscles in the back of the calf and weak muscles in the front of the lower leg.
A chiropractor or physical therapist will show stretching and strengthening exercises to maintain muscle balance.
Body Composition
Retaining Water Due To Salt Intake
Salt/sodium is everywhere and hard to avoid.
It might not be a surprise that a single patty cheeseburger contains over 500 mg of sodium – almost a quarter of the daily recommended level, but it is a surprise to know that the ranch dressing on a salad contains as much as 270 mg or a tablespoon of soy sauce on a healthy, vegetable-only stir-fry has 879 mg of sodium. The Mayo Clinic estimates that the average individual consumes about 3,400 mg of sodium a day: close to double what is recommended. Sodium is linked with water retention, and it is the kidneys’ job to expel unneeded sodium out of the body. Until the kidneys activate, an individual will temporarily be retaining extra water. If daily water and sodium intake habits change daily, this can contribute to water retention, causing fluctuations in daily weight. So, if an individual was on a diet but flooded the body with more salt than usual, expect to see a temporary increase in weight.
References
Bates, P. “Shin splints–a literature review.” British journal of sports medicine vol. 19,3 (1985): 132-7. doi:10.1136/bjsm.19.3.132
Chiropractic Economics: The Science Behind Percussion Massage.
Gross, ML et al. “Effectiveness of orthotic shoe inserts in the long-distance runner.” The American journal of sports medicine vol. 19,4 (1991): 409-12. doi:10.1177/036354659101900416
Heer, Martina et al. “Increasing sodium intake from a previous low or high intake affects water, electrolyte and acid-base balance differently.” The British journal of nutrition vol. 101,9 (2009): 1286-94. doi:10.1017/S0007114508088041
McClure, Charles J. and Robert Oh. “Medial Tibial Stress Syndrome.” StatPearls, StatPearls Publishing, 11 August 2021.
A healthy diet and proper nutrition are essential for the body’s overall health and physical wellness. Improper nutrition can lead to the body’s inability to repair muscle, affect muscle density, affect fluid levels in the cells, organ function, and nerve function. Individuals who receive chiropractic treatment regularly tend to experience fewer colds and illnesses, reduced aches and pains, and improved mood overall. There are nutritional options and certain foods individuals are recommended to follow to get the most benefits from the chiropractic treatment. A healthy diet, proper hydration, exercise, and rest can help keep the body on the road to optimal health.
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Poor Diet Inflammation
A poor diet and bad eating habits cause the body not to operate efficiently. The body becomes weary and tired, causing it to break down. Those who favor processed foods, sugar, and empty calories that have no nutritional value put their bodies at risk for inflammation. Inflammation can lead to muscle pain, joint pain, and other health conditions. Chronic inflammation over time can lead to:
DNA damage
Tissue death
Internal scarring
All are linked to the development of several diseases, including cancer.
Physical Wellness Foods
Individuals begin to feel much better and healthier when eating whole foods. It can be hard to make the switch for those that have been eating poorly for years, but once begun, most individuals feel better almost immediately.
Steamed Vegetables
Eat a variety of tolerable vegetables.
Steaming improves the utilization/availability of the food substances and reduces the irritating residue in the gut, allowing it to restore itself.
For anti-inflammation, it is recommended to avoid tomatoes, potatoes, eggplant, and bell peppers.
Nuts
Any nut that is tolerable except peanuts, like almonds, cashews, brazil nuts, sunflower seeds, and walnuts are all recommended.
Legumes
Any legumes tolerable like split peas, lentils, kidney beans, pinto beans, soybeans, mung beans, garbanzo beans, and adzuki beans.
Grains
It is recommended to eat one to two cups of cooked grains per day.
These include millet, basmati or brown rice, quinoa, barley, buckwheat, oatmeal, and amaranth.
It is recommended not to eat wheat, whole grain, or otherwise.
No bread, plan meals so that bread is not required, as bread can raise sugar levels and increase an inflammatory marker.
Fish
Deep-sea fish is preferred that includes salmon, halibut, cod, sardines, tuna, mackerel.
The fish should be poached, baked, steamed, or broiled.
No shellfish or swordfish.
Chicken and Turkey
Eat only white meat and do not eat the skin.
The chicken should be baked, broiled, or steamed.
Free-range or organic chicken is preferable.
Fruit
Raw is best, can be baked at a low temp and made into juice.
One of the essential things that chiropractors recommend is to cut out artificial sweeteners and excess sugar.
Small amounts of maple syrup, rice syrup, barley syrup, and honey can be used.
Sugar cravings can be avoided by eating protein with each meal.
Water and Herbal Teas
Drink 8 to 10 glasses of water every day.
Drink 2 to 4 cups of herbal tea, sipped slowly in the evening.
Body Composition
Antibiotics
Antibiotics are designed to cure bacterial infections by killing invading bacteria. However, antibiotics don’t separate the good bacteria from the bad. As a result, antibiotic therapy of only three to four days can alter gut microbe population and diversity. Studies have shown that children are particularly at risk as reduced gut bacteria diversity has been linked with childhood obesity. For this reason, make sure to follow a physician’s instructions when using antibiotics. Spending time outdoors regularly can help increase the body’s exposure to microbial diversity. Gardening is a great way to get dirty with soil to reacquaint the gut flora and maintain the body’s physical wellness.
References
Fritsche, Kevin L. “The science of fatty acids and inflammation.” Advances in nutrition (Bethesda, Md.) vol. 6,3 293S-301S. 15 May. 2015, doi:10.3945/an.114.006940
Kapczuk, Patrycja et al. “Żywność wysokoprzetworzona i jej wpływ na zdrowie dzieci i osób dorosłych” [Highly processed food and its effect on health of children and adults]. Postepy biochemii vol. 66,1 23-29. 23 Mar. 2020, doi:10.18388/pb.2020_309
Ricker, Mari Anoushka, and William Christian Haas. “Anti-Inflammatory Diet in Clinical Practice: A Review.” Nutrition in clinical practice: official publication of the American Society for Parenteral and Enteral Nutrition vol. 32,3 (2017): 318-325. doi:10.1177/0884533617700353
Serafini, Mauro, and Ilaria Peluso. “Functional Foods for Health: The Interrelated Antioxidant and Anti-Inflammatory Role of Fruits, Vegetables, Herbs, Spices and Cocoa in Humans.” Current pharmaceutical design vol. 22,44 (2016): 6701-6715. doi:10.2174/1381612823666161123094235
Wahlqvist, Mark L. “Food structure is critical for optimal health.” Food & function vol. 7,3 (2016): 1245-50. doi:10.1039/c5fo01285f
The thoracic spine, also known as the upper or middle back, is designed for stability to anchor the rib cage and protect the organs in the chest. It is highly resistant to injury and pain. However, when thoracic back pain does present, it is usually from long-term posture problems or an injury. Thoracic back pain is less common than lower back and neck pain, but it does affect up to 20% of the population, particularly women. Treatment options include chiropractic for quick and long-term pain relief.
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Thoracic Back Pain and Soreness
The thoracic area is vital for various functions related to:
Upper back pain usually feels like a sharp, burning pain localized to one spot or a general achiness that can flare up and spread out to the shoulder, neck, and arms.
Types of Upper Back Pain
These include:
Myofascial pain
Spine degeneration
Joint dysfunction
Nerve dysfunction
General spinal misalignments
Depending on what specific tissues are affected, pain can occur with breathing or arm use. It is recommended to have a healthcare professional perform an examination and get an accurate diagnosis. A chiropractor understands the delicate balance and functions that the thoracic spine provides and can develop a proper treatment plan.
Chiropractic
Treatment options will depend on the symptoms, underlying dysfunctions, and individual preferences. Recommendations for treatment often include:
Spine adjustments to improve alignment and nerve integrity.
Posture training to maintain spinal alignment.
Therapeutic massage.
Exercise training to restore muscular balance.
Non-invasive pain-relieving techniques.
Health coaching.
Body Composition
Plant-Based Diets for Weight Loss
Individuals who follow vegan, vegetarian, and semivegetarian diets have reported and shown they are less likely to be overweight or obese. This can indicate that reducing intake of meat and animal products is beneficial for weight loss. Studies have found that individuals who follow a vegan diet may lose more weight than individuals on a more conventional weight loss diet, even with similar calories consumed, and often have significant improvements in blood sugar and inflammation markers.
Plant-Based Protein and Muscle Gain
Some plant-based proteins are just as effective as animal protein at promoting muscle gain. A study found that supplementing rice protein following resistance training had similar benefits to whey protein supplementation. Both groups had:
Briggs AM, Smith AJ, Straker LM, Bragge P. Thoracic spine pain in the general population: prevalence, incidence and associated factors in children, adolescents and adults. A systematic review. BMC Musculoskelet Disord. 2009;10:77.
Cichoń, Dorota et al. “Efficacy of Physiotherapy in Reducing Back Pain and Improve Joint Mobility in Older Women.” Ortopedia, traumatologia, rehabilitacja vol. 21,1 (2019): 45-55. doi:10.5604/01.3001.0013.1115
Fouquet N, Bodin J, Descatha A, et al. Prevalence of thoracic spine pain in a surveillance network. Occup Med (Lond). 2015;65(2):122-5.
Jäger, Ralf et al. “Comparison of rice and whey protein isolate digestion rate and amino acid absorption.” Journal of the International Society of Sports Nutrition vol. 10,Suppl 1 P12. 6 Dec. 2013, doi:10.1186/1550-2783-10-S1-P12
Joy, Jordan M et al. “The effects of 8 weeks of whey or rice protein supplementation on body composition and exercise performance.” Nutrition journal vol. 12 86. 20 Jun. 2013, doi:10.1186/1475-2891-12-86
Medawar, Evelyn et al. “The effects of plant-based diets on the body and the brain: a systematic review.” Translational psychiatry vol. 9,1 226. 12 Sep. 2019, doi:10.1038/s41398-019-0552-0
Newby, PK et al. “Risk of overweight and obesity among semivegetarian, lactovegetarian, and vegan women.” The American journal of clinical nutrition vol. 81,6 (2005): 1267-74. doi:10.1093/ajcn/81.6.1267
Pope, Malcolm H et al. “Spine ergonomics.” Annual review of biomedical engineering vol. 4 (2002): 49-68. doi:10.1146/annurev.bioeng.4.092101.122107
A nerve injury is often caused by a sudden traumatic event, like a slip and fall, personal or work injury, an automobile accident, or a sports injury. Overall stresses of the body from poor posture and being overweight can also lead to nerve pain over time, known as cumulative trauma. Where ligaments and bones are not aligned correctly, nerve pain and damage can occur. When nerve pain presents, there is pressure being placed on that nerve/s. Nerve pain symptoms include burning, tingling, or numbness-type sensations in the tissues controlled by that nerve. Orthopedic and neurologic testing will determine what specific nerve is affected. Chiropractic adjustments realign the spine and relieve the pressure on the nerve, thus eliminating the pain and correcting the problem.
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Nerve Injury
Too much pressure from surrounding tissues compresses and irritates the nerve and interrupts its ability to function correctly. Pinched nerves are most vulnerable at points in the body where they pass through narrow spaces and have little to no soft tissue protection. Symptoms include:
Pins and Needles Sensation
Numbness
Pain
Weakness
A pinched nerve can decrease the range of motion and cause muscle spasms. If left untreated, a nerve injury can leave an individual with chronic pain and lead to permanent nerve damage.
Tingling and Numbness
Tingling and numbness are unusual or unpleasant physical sensations, most commonly experienced in the arms, hands, fingers, legs, feet, and toes. Tingling and numbness come in two forms:
To determine the appropriate course of treatment, a doctor of chiropractic must diagnose the cause of the nerve injury. Depending on the nature or severity of the sensation, the examination will include:
Muscle tests
Range-of-motion tests
Neurological tests
Orthopedic tests
The chiropractor will palpate the effective areas and order imaging tests like X-rays if necessary. If further testing is needed to diagnose the source of the nerve injury, the doctor may order an MRI or CT scan. Once the underlying condition is diagnosed, a chiropractor will develop a treatment plan to eliminate irritation, correct misalignments causing pressure, and restore proper nerve function. Treatment plans vary from case to case but can include:
Therapeutic Massage
Body adjustments
Spinal manipulation
Heat and Ice
The objective is to relieve/release the pressure on the nerves. Chiropractic adjustments help reposition the muscles and nerves. Deep-tissue massage helps to release tension and eliminate toxins that worsen the sensations. Treatment improves circulation and relieves pressure on the neural pathways necessary to restore normal neural signaling between the body and the brain.
Body Composition
Why The Brain Needs Sugar
The brain needs half of all the body’s energy supply because of its complex nerve cell system. The brain requires glucose for brain cell energy. Because neurons can’t store energy, they need a continuous fuel supply to function correctly from the bloodstream. The ability to think, learn and recall information is closely associated with glucose levels. When blood glucose levels are low, the ability to think is inhibited as the production of chemical messengers/neurotransmitters, are reduced, disrupting communication between the neurons. Natural sugar can boost brain health because it requires glucose for functioning. Sugar is released slowly into the bloodstream when taken naturally from sources like apples and bananas, keeping the energy levels steady, without craving more sugar.
References
Ameh, Victor, and Steve Crane. “Nerve injury following shoulder dislocation: the emergency physician’s perspective.” European journal of emergency medicine: official journal of the European Society for Emergency Medicine vol. 13,4 (2006): 233-5. doi:10.1097/01.mej.0000206190.62201.ad
Nichols, J S, and K O Lillehei. “Nerve injury associated with acute vascular trauma.” The Surgical clinics of North America vol. 68,4 (1988): 837-52. doi:10.1016/s0039-6109(16)44589-5
Ruggiero, S L. “Trigeminal nerve injury and repair.” The New York state dental journal vol. 62,8 (1996): 36-40.
Welch, J A. “Peripheral nerve injury.” Seminars in veterinary medicine and surgery (small animal) vol. 11,4 (1996): 273-84. doi:10.1016/s1096-2867(96)80020-x
WOODHALL, B. “Peripheral nerve injury.” The Surgical clinics of North America (1954): 1147-65. doi:10.1016/s0039-6109(16)34299-2
Chiropractic can enhance the effectiveness of an exercise program. Chiropractic works on the neuromusculoskeletal system, which comprises the nervous, muscular, and skeletal systems. It produces an indirect effect on the immune system, involving the body’s processes resulting from exercise and muscle development. Most individuals are familiar with the benefits of regular exercise and physical activity. Regular physical activity and exercise:
Increases circulation
Improves strength
Increases immune system function
Produces brain-boosting endorphins and chemicals
Improves mood
Increase muscle mass
Contributes to enhanced flexibility and mobility
Exercise-boosting practices can multiply the effectiveness of a workout program. Exercise-enhancing methods that are well known include:
Incorporating rest days
Staying hydrated
Consistent and high-quality sleep
Utilizing supplements that enhance the body’s ability to produce and sustain muscle.
A chiropractor can develop a personalized treatment plan to support and enhance an individual’s workout/exercise program. This plan can include specific interventions to improve alignment or maintain muscle relaxation and prescribed stretches and movements to decrease the strain from an exercise regimen.
Contents
Nervous System
Chiropractic helps to balance the nervous system. Treatment allows pressure to be removed from compressed, bruised, and severed nerves. Chiropractic decreases and eliminates pain originating from inflamed muscles, joints, and tissues. When it comes to exercising, nerve pain usually originates from vigorous movement. Swelling and inflammation in the body can cause nerves to become inflamed or compressed. Misalignment in the spinal structure and joints can occur during strenuous exercise, particularly when weight resistance is involved. It can also constrict/pinch nerves, contributing to sciatic pain, which originates in the lower back and spreads down the gluteal muscles and back of the legs. Chiropractic can help:
Reduce pain and discomfort
Improve physical responsiveness
Decrease inflammation
Improve immune function
Muscular System
The muscular system is interconnected with the nervous and skeletal systems. Manual chiropractic manipulation helps to:
Reduce pain in inflamed muscles that have been utilized during exercise
Release tense and strained muscles
Remove muscular knots
Accelerate muscle repair
Improve exercise performance
Skeletal System
The skeletal system is the foundation for all physical movements and activities. It plays a role in physical activity/exercise, recovery, and the development of strength and musculature. During exercise routines, the joints can become misaligned, especially with weight-bearing or lifting activities. Chiropractic for the skeletal system can:
Rebalance the system
Realign bones and joints
Decrease muscular strain
Improve posture and form
Reduce and eliminate pain in the knees, wrists, and shoulders
Increase the body’s capacity for taking on additional weight healthfully
Keep The Chiropractor Informed
To receive enhanced exercise and performance-related benefits from chiropractic care, individuals must keep their chiropractor informed of goals and style of physical activity. The more the chiropractor knows about the types of exercises, the more they will provide a customized treatment plan for an individual’s specific needs. Any injury or strain experienced during an exercise session or a specific part of the body seems to be recovering at a slower rate than the rest of the body, inform the chiropractor. They can survey posture, stance, determine imbalances, and discover other body areas that may be over-straining to compensate.
Time Sessions Appropriately
Depending on the type of physical activity and exercises, individuals may be advised to seek care on rest days or the same days of the workout. Discuss with the chiropractor what days of the week are best for treatment and before or after workouts.
Health Goals
Movement and exercise practices are unique and vary with each individual. Individuals have different goals for their regimens that range from:
Increasing flexibility and agility
Building strength, endurance, and muscle mass.
Identify health goals and share them with the chiropractor. Depending on the purpose of the exercise routine, treatment may vary to support and enhance specific objectives.
Body Composition
Improve Insulin Sensitivity
When consuming carbohydrates, it is broken down into sugar. The body needs a certain amount of sugar to function. However, cellular damage occurs if the levels become too high for too long, like in diabetes. Insulin’s role is to guide excess sugar – glucose into the safety of the cells. However, more individuals are experiencing high blood insulin levels, called hyperinsulinemia. It’s dangerous to let glucose levels remain elevated, which is why more insulin is produced to bring the blood sugar down. After a time, constant hyperinsulinemia results in a condition called insulin resistance, where the cells become resistant to the effects of insulin and less effective.
Insulin Sensitivity and Weight Loss
A high insulin level in the blood can trigger weight gain and make it difficult to shed excess fat. Research shows that high insulin:
Erion, Karel A, and Barbara E Corkey. “Hyperinsulinemia: a Cause of Obesity?.” Current obesity reports vol. 6,2 (2017): 178-186. doi:10.1007/s13679-017-0261-z
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
Hoogvliet, Peter et al. “Does the effectiveness of exercise therapy and mobilization techniques offer guidance for the treatment of lateral and medial epicondylitis? A systematic review.” British journal of sports medicine vol. 47,17 (2013): 1112-9. doi:10.1136/bjsports-2012-091990
Peluso, Marco Aurélio Monteiro, and Laura Helena Silveira Guerra de Andrade. “Physical activity and mental health: the association between exercise and mood.” Clinics (Sao Paulo, Brazil) vol. 60,1 (2005): 61-70. doi:10.1590/s1807-59322005000100012
Individuals believe that maintaining a straight/flat back is healthy. However, the back is made up of natural curves that allow flexibility and optimal movement. If there is a lack of these curves, it can lead to spine issues, discomfort, and pain. A common problem to develop from a spine lacking natural curvature is abnormal kyphosis. This is when the natural curve in the thoracic spine – mid-back or lumbar spine – low back disappears, which results in a flat back. Restoring the curvature can be challenging, as flatback syndrome requires chiropractic adjustments to gently shift and realign the spine back into a healthy curve and re-train the spine to maintain the curve.
Contents
Causes of Flat Back Syndrome
Flatback syndrome is usually a result of muscle tightness in the lower back muscles, specifically in the psoas muscle. Or it could be degenerative disc disease, where the cartilage supporting the spine begins to weaken. Other causes include arthritis and osteoporosis. Practicing unhealthy posture habits can worsen these conditions, speeding up the loss of the spine’s curvature. Loss of spinal curvature does not occur rapidly, as the body will begin to present with symptoms. The following symptoms could be an indication:
Fatigue when trying to stand upright
Balance problems
Restricted mobility
Muscle spasms
Chronic low back pain
Thigh pain
Groin pain
Disc herniation
Back pain and problems with balance are the earliest warning signs of flatback syndrome.
Symptoms
Flatback symptoms usually get worse as the day progresses, with a sense of fatigue and increasing difficulty to stand upright. Individuals tend to flex or bend their hips and knees to get into an upright position. This can become an exhausting process as the day progresses. Individuals can also have symptoms of sciatica and/or spinal stenosis with leg pain and weakness that gets worse when walking. Neck and upper back pain can begin to present while straining to align themselves. The symptoms become disabling, often requiring pain medications that limit the individual’s ability to perform daily activities.
Realignment Treatment
A chiropractor must determine the severity of the deviation through a thorough assessment and examination. This shows the loss of curvature to help a chiropractor plan a realignment/remodeling adjustment schedule. Restoring a natural kyphosis is done through a combination of adjustments and bracing. Scheduled spinal adjustments will realign and shift the vertebrae back to neutral, while a back brace supports to prevent any deviation. Stretching and exercising relevant muscle groups is also part of a chiropractic treatment plan. An example is core exercises for strengthening the muscles supporting the spine.
Body Composition
Personalized Nutrition
Because the body is so complex and dynamic, there is no perfect fit when it comes to diet, exercise, or a combination. Fad diets typically recommend that individuals adhere to the same eating guidelines, indicating they will reach an expected result like fat loss. These diets work because they focus on a simple reduction in calorie intake, especially processed and fast foods. The problem is that some of these fad diets can restrict critical nutrients that negatively affect an individual’s health. More information about an individual’s body and how it works is an excellent resource in improving body composition and overall health. Personalized nutrition is an innovative and favorable approach to preventing and treating obesity and related conditions. This approach identifies:
Genetic markers
Dietary patterns
Environment
Metabolism
Educated recommendations can be made based on these factors.
References
Drabsch, Theresa, and Christina Holzapfel. “A Scientific Perspective of Personalised Gene-Based Dietary Recommendations for Weight Management.” Nutrients vol. 11,3 617. 14 Mar. 2019, doi:10.3390/nu11030617
Farcy, J P, and F J Schwab. “Management of flatback and related kyphotic decompensation syndromes.” Spine vol. 22,20 (1997): 2452-7. doi:10.1097/00007632-199710150-00025
Lee, Chang-Hyun, et al. “‘Lumbar Degenerative Kyphosis’ Is Not Byword for Degenerative Sagittal Imbalance: Time to Replace a Misconception.” Journal of Korean Neurosurgical Society vol. 60,2 (2017): 125-129. doi:10.3340/jkns.2016.0607.001
Lu, Daniel C, and Dean Chou. “Flatback syndrome.” Neurosurgery clinics of North America vol. 18,2 (2007): 289-94. doi:10.1016/j.nec.2007.01.007
Wiggins, Gregory C et al. “Management of iatrogenic flat-back syndrome.” Neurosurgical focus vol. 15,3 E8. 15 Sep. 2003, doi:10.3171/foc.2003.15.3.8
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