Text neck is the term used to describe the neck pain and damage sustained from looking down at your cell phone, tablet, or other wireless devices too frequently and for too long.
Children & Teens Especially At Risk For Suffering Symptoms Of Text Neck.
Recently, a patient came in to my practice complaining of severe upper back pain. He woke up and was experiencing severe, acute, upper back muscle strain. I told him I believe the pain is due to the hours he was spending hunched over his cell phone. Diagnosis: Text neck.
This posture of bending your neck to look down does not occur only when texting. For years, we’ve all looked down to read. The problem with texting is that it adds one more activity that causes us to look down�and people tend to do it for much longer periods. It is especially concerning because young, growing children could possibly cause permanent damage to their cervical spines that could lead to lifelong neck pain.
Poor neck posture of all kinds, not just from texting, can lead to strain or sprain.
How Common Is Text Neck?
A recent study shows that 79% of the population between the ages 18 and 44 have their cell phones with them almost all the time�with only 2 hours of their waking day spent without their cell phone on hand.1
First, prevention is key. Here are several pieces of advice for preventing the development or advancement of text neck:
Hold your cell phone at eye level as much as possible. The same holds true for all screens�laptops and tablets should also be positioned so the screen is at eye level and you don’t have to bend your head forward or look down to view it.
Take frequent breaks from your phone and laptop throughout the day. For example, set a timer or alarm that reminds you to get up and walk around every 20 to 30 minutes.
If you work in an office, make sure your screen is set up so that when you look at it you are looking forward, with your head positioned squarely in line with your shoulders and spine.
The bottom line is to avoid looking down with your head bent forward for extended periods throughout the day. Spend a whole day being mindful of your posture�is your head bent forward when you drive? When you watch TV? Any prolonged period when your head is looking down is a time when you are putting excessive strain on your neck.
Keeping the neck straight and your phone at eye level can help prevent text neck.
Rehabilitation Is Important
Many people don’t know this, but you need to have strong core muscles�the abdominal and lower back muscles�to support your upper body, including your neck. Your core muscles usually do not get enough exercise during normal daily activities, so you need to do specific exercises to target these muscles.
You also need strong and flexible muscles the neck to minimize strain on your cervical spine and help support the weight of your head. Again, your neck will not get sufficient stretching and strengthening during normal daily activities, so it is best to learn specific neck exercises with the help of a health professional.
Some people will also benefit from a more comprehensive treatment plan, such as a combination of manual adjustments, massage therapy, and cold laser therapy.
Chiropractic Leads the Charge Against �Text Neck Syndrome�
( Los Angeles Times) Dr. Dean Fishman, a chiropractor in Florida, was examining an X-ray of a 17-year-old patient�s neck in 2009 when he noticed something unusual. The ghostly image of her vertebral column showed a reversal of the curvature that normally appears in the cervical spine � a degenerative state he�d most often seen in middle-aged people who had spent several decades of their life in poor posture.
�That�s when I looked over at the patient,� Fishman says. She was slumped in her chair, head tilted downward, madly typing away on her cellphone. When he mentioned to the patient�s mother that the girl�s posture could be causing her headaches, he got what he describes as an �emotional response.� It seemed the teen spent much of her life in that position. Right then, Fishman says, �I knew I was on to something.�
The flexed neck can put strain on cervical disks. (Zephyr / Getty Images/Brand X)
He theorized that prolonged periods of tilting her head downward to peer into her mobile device had created excessive strain on the cervical spine, causing a repetitive stress injury that ultimately led to spinal degeneration. He began looking through all the recent X-rays he had of young people � many of whom had come in for neck pain or headaches � and he saw the same thing: signs of premature degeneration.
Fishman coined the term �text neck� to describe the condition and founded the Text Neck Institute (text-neck.com), a place where people can go for information, prevention and treatment.
�The head in neutral has a normal weight� of 10 to 12 pounds, says Fishman, explaining that neutral position is ears over shoulders with shoulder blades pulled back. �If you start to tilt your head forward, with gravity and the distance from neutral, the weight starts to increase.�
A recent study in the journal Surgical Technology International quantified the problem: As the head tilts forward 15 degrees from neutral, the forces on the cervical spine and supporting musculature increase to 27 pounds. As the tilt increases, the forces increase to 40 pounds at 30 degrees, 49 pounds at 45 degrees and 60 pounds at 60 degrees.
�When your head tilts forward, you�re loading the front of the disks,� says Dr. Kenneth Hansraj, study author and chief of spine surgery at New York Spine Surgery & Rehabilitation Medicine. Though the study didn�t look at long-term effects of this position, Hansraj says that, after seeing approximately 30,000 spinal surgery patients, he�s witnessed �the way the neck falls apart.�
He explains, �When you�re eccentrically loading the spine, you�re going to get cracks in the disks, slipped disks or herniated disks. This leads to stenosis or blockage of the spine.�
In addition, Fishman says, text-neck posture can lead to pinched nerves, arthritis, bone spurs and muscular deformations. �The head and shoulder blades act like a seesaw. When the head goes forward, the shoulder blades will flare out � and the muscles start to change over time.�
Much like tennis elbow doesn�t occur only in people who play tennis, text neck isn�t exclusive to people who compulsively send text messages. Hansraj says people in high-risk careers include dentists, architects and welders, whose heavy helmets make them especially vulnerable. He adds that many daily activities involve tilting the head down, but they differ from mobile-device use in intensity and propensity.
I�ve noticed a LOT of adolescents slumped over their phone sitting in the passenger seat of their parent�s cars�.there will be a whole range of physical and emotional problems that result from this behavior, believe these printed words! See you in the future!
�Washing dishes is something nobody enjoys, so you do it quickly. And while your head is forward, it�s probably tilted at 30 or 40 degrees,� he says. People tend to change position periodically while reading a book, and they glance up frequently while holding an infant. But mobile devices are typically held with the neck flexed forward at 60 degrees or greater, and many users, particularly teens, use them compulsively. The study reports that people spend an average of two to four hours a day with their heads tilted at a sharp angle over their smartphones, amounting to 700 to 1,400 hours a year.
To remedy the problem, Hansraj has a simple message: �Keep your head up.� While texting or scrolling, people should raise their mobile devices closer to their line of sight. The Text Neck Institute has developed the Text Neck Indicator, an interactive app that alerts users when their smartphones are held at an angle that puts them at risk for text neck ($2.99, available for Android; in development for iPhone).
Fishman also recommends that people take frequent breaks while using their mobile devices, as well as do exercises that strengthen muscles behind the neck and between the shoulder blades in order to increase endurance for holding the device properly.
He adds, �I�m an avid technology user � and I use it in the proper posture.�
Exercises To Ease The Strain Of �Text Neck�
If you�re not mindful of your body alignment, engaging with mobile devices for long periods of time can wreak havoc on your spine. This behavior can result in muscle strain, a straightening of the normal curvature of the cervical spine, disk compression, slipped disks, pinched nerves and arthritis. Here are some exercises that can help prevent and relieve �text neck�:
Neck Stretches
Increasing the range of motion in the neck keeps the cervical spine flexible and helps maintain its normal curvature. Gentle stretches relieve neck tension as well as lengthen muscles that may have shortened due to chronic poor posture.
First, relax your shoulders and nod your head �yes� and �no� slowly a few times. Then, holding one arm behind your back, grasp the side of your head with your opposite hand and press gently, tilting your head to the side until you feel a gentle stretch. Hold for 20 seconds. Next, tilt your chin up and hold for 20 seconds; tilt your chin down and hold for 20 seconds. Repeat on the other side.
Chest Opener
Expanding the chest muscles helps to counteract slumped posture.
Stand in a doorway with your arms held out from the body like a T, forearms resting on each doorjamb at a 90-degree angle to upper arms. Next, lean your body forward through the doorway, leading with your sternum until you feel a gentle stretch across your chest. Hold for 20 seconds. Now move your arms up the door jamb so they are positioned like a V and repeat the forward stretch, again holding for 20 seconds.
Shoulder, Upper Back & Neck Muscle Strengtheners
Strong muscles in the back of the neck and between the shoulder blades will support proper posture, preventing muscle strain and spinal degeneration. With more strength, you will be able to comfortably hold your mobile device in your line of sight without having to bend your neck forward and hunch over. Here are two exercises that help strengthen these postural support muscles:
Wall Angels
If you�ve ever made snow angels, you can use a similar movement to strengthen your shoulder muscles while standing against a wall. First, stand with your heels, back and head resting against a wall. Hold arms perpendicular to the body with the forearms pointing upward at a 90-degree angle to your upper arms. Press your shoulder blades back and down. Keeping your arms bent at a 90-degree angle, move them slowly overhead without letting them lift from the wall. Next, move arms slowly down until your upper arms touch the sides of your body. (Forearms are still perpendicular to upper arms, and shoulder blades are still locked down.) Do 12 repetitions.
Sky Diver
Lying face-down on a mat or other firm, comfortable surface, hold your arms straight over your head at an angle so your body forms the shape of a Y. Lift your upper torso from the mid-back, leading with your sternum and keeping your chin down so your neck is aligned with your spine. Hold for 30 seconds, then release. Next, still lying face-down, hold your arms straight out to the sides so your body forms the shape of a T. Rotate your arms so your thumbs are pointing skyward. Once again, lift your upper torso from the mid-back, leading with your sternum and keeping your chin down. While maintaining the upper body lift, pinch your shoulder blades together as you slowly lift and lower your arms for 12 repetitions.
Text neck is the term used to describe the neck pain and damage sustained from looking down at your cell phone, tablet, or other wireless devices too frequently and for too long.��For Answers to any questions you may have please call Dr. Jimenez at�915-850-0900
Scroll through the list of the most expensive Google search terms and you�ll find phrases like �Top personal injury lawyers� and �El Paso accident lawyer.� A recent study conducted by the U.S. Chamber of Commerce�s Institute for Legal Reform, or ILR, found that some of these ads cost personal injury lawyers nearly $700 every time someone clicks on it.
This large cost is indicative of a growing trend that should trouble any Texan who values the integrity of our civil justice system. The increasing volume of misleading personal injury lawyer advertising is putting greed ahead of justice. Furthermore, this devious practice can clog courts with questionable lawsuits, delaying or denying justice for those with legitimate legal claims.
According to the ILR study, personal injury lawyers in the U.S. were projected to spend a total of $892 million in television advertising in 2015, up from $531 million in 2008. The vast sums invested in these largely unregulated ads prove that lining the pockets of personal injury lawyers is paramount to consumer safety and well-being.
The recent U.S. chamber study placed several Texas cities atop the national rankings of personal injury lawyer advertising. The 68 percent growth in personal injury lawyer advertising on television during the past eight years has been most evident in Houston, ranked among the top 10 U.S. television markets for trial lawyer advertising in 2015.�
As more Texans rely on the Internet and television for health information, it�s important to distinguish between helpful resources and misleading lawsuit advertising. Many ads attempt to shape consumers� decisions, steering them away from doctors and toward questionable lawsuits.
Consumers need to understand the motives behind personal injury lawyer advertising. Personal injury lawyers are acting in their own self-interest, which is often not in the best interest of patients. Texans should guard against personal injury lawyers and recruiters who make contact to enlarge their own bank accounts. It�s nothing more than �ambulance chasing.�
Consumers with questions about their medical care and health should ask their doctor, not a personal injury lawyer. Additionally, patients should be wary of any attempt by a personal injury lawyer to steer them to a specific doctor.
Misleading personal injury advertising can put people�s health at risk. However, there is a way to avoid the consequences of this greedy practice.
It appears that the idea that lawyers can influence a client’s decision on the choice of their doctor has created various topics of interest, as the contributors of TALA have become more vocal on this trend. Patients should be aware that these situations exist and have also been known to occur in El Paso, Texas.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Additional Topics: Neck Pain and Auto Injury
Neck pain is characterized as the most prevalent symptom after being involved in an automobile accident. During an auto collision, the body is exposed to a sheer amount of force due to the high speed impact, causing the head and neck to jolt abruptly back-and-forth as the rest of the body remains in place. This often results in the damage or injury of the cervical spine and its surrounding tissues, leading to neck pain and other common symptoms associated with whiplash-related disorders.
When older women fracture a hip, they usually don’t get bone density tests that might show whether they need treatment to help prevent more broken bones, a recent U.S. study suggests.
“Osteoporosis screening after hip fracture is so important because there are a number of highly effective and relatively low-risk treatments available that can substantially reduce future fracture risk,” said lead study author Catherine Gillespie of the AARP Public Policy Research Institute and George Washington University in Washington, D.C.
For the study, researchers examined insurance data on medical care and prescription use for 8,359 women over 50 who had a hip fracture between 2008 and 2013.
None of the women had a prior history of osteoporosis, hip fracture, or taking medications to improve bone density.
More than half of the women in the study were at least 80 years old when they first fractured their hip. Most had multiple chronic medical problems.
Within six months of experiencing their first hip fracture, just 17 percent of the women got tested for osteoporosis or received a treatment for the condition, researchers report in the Journal of Bone and Mineral Research.
After one year, only 23 percent of the women had been screened or put on treatment for osteoporosis.
During the study period, use of bone mass measurement tests increased among women 65 and older but declined among women from 50 to 64.
Over the same timeframe, the rate of osteoporosis drug use remained constant for women aged 50 to 64 but declined among older women in the study.
Seeing a primary care doctor after fracture was the strongest and most consistent predictor of osteoporosis assessment or treatment, the study found. Women with private health insurance and higher income also appeared more likely to get screening and treatment.
One limitation of the study is that researchers lacked data on women who were uninsured or covered by Medicaid, the government health program for the poor.
They also lacked data on some interventions used to strengthen bones and help prevent future falls such as calcium and vitamin D supplements, counseling on exercise and fall prevention, or home repairs and modifications to make day-to-day life safer to navigate.
Even so, the study confirms a long recognized gap in routine osteoporosis care for patients with hip fractures, said Dr. Matthew Drake, a researcher at the Mayo Clinic in Rochester, Minnesota, who wasn’t involved in the study.
“Almost all patients who have a hip fracture should be screened for osteoporosis as this will allow their provider to assess their bone mineral density, and will also establish a baseline so that if pharmacologic or other treatment approaches are chosen there is data against which to compare later in order to determine how the therapy is working,” Drake said by email.
“If a woman or man has a hip fracture, she/he should speak with her/his doctor about getting screened for osteoporosis and strongly consider starting therapy,” Drake added. “As this study clearly shows, this screening and treatment continues to occur at a rate which is abysmal.”
SOURCE: http://bit.ly/2m4InBt Journal of Bone and Mineral Research, online February 23, 2017.
Neck pain that is not caused by whiplash or other trauma has a postural component as part of the underlying problem. Sitting atop the body, the health of the neck is subject to the �curvature of the spine below and the position of the head above.
See Chronic Neck Pain: What Condition Is Causing My Neck Pain?
The neck muscle pain can be caused by the following neck muscles becoming tight:Scalene muscles (three pairs of muscles that help rotate the neck)
Suboccipital muscles (four pairs of muscles used to rotate the head)
Pectoralis minor muscles (a pair of thin triangular muscles at the upper part of the chest)
Subscapularis muscles (a pair of large triangular muscles near each shoulder joint)
Levator scapulae muscles (a pair of muscles located at the back and side of the neck).
If the alignment of the head and spine is not optimal, the neck can be predisposed to injury and/or the degenerative effects of wear and tear over time.
The most common condition that contributes to neck pain is forward head and shoulder posture.
Forward head posture is when the neck slants forward placing the head in front of the shoulders.
This head position leads to several problems:
The forward pull of the weight of the head puts undue stress on the vertebrae of the lower �neck, contributing to degenerative disc disease and other degenerative neck problems.
Similarly, this posture causes the muscles of the upper back to continually overwork to counterbalance the pull of gravity on the forward head.
This position is often accompanied by forward shoulders and a rounded upper back, which not only feeds into the neck problem but can also cause shoulder pain.
The more time spent with a forward head posture, �the more likely it is that one will develop neck and shoulder problems.
Poor Posture Effects On the Lower Cervical Vertebrae
The part of the neck that is particularly vulnerable to forward head posture is the lower part of the neck, just above the shoulders.
See Cervical Spine Anatomy and Neck Pain
The lower cervical vertebrae (C5 and C6) may slightly slide or shear forward relative to one another as a result of the persistent pull of gravity on a forward head. This shear force can be a problem for patients with jobs that require them to look down or forward all day, such as pharmacists who spend many hours counting pills or data entry workers who look at a computer screen.
Prolonged shearing of the vertebrae from forward head posture eventually irritates the small facet joints in the neck as well as the ligaments and soft tissues.
This irritation can result in neck pain that radiates down to the shoulder blades and upper back, potentially causing a variety of conditions, including:
Trigger points in the muscles, which are points of exquisite tenderness that are painful to touch, along with limited range of motion
Disc degeneration problems, which may potentially lead to cervical degenerative disc disease, cervical osteoarthritis, or a cervical herniated disc.
BRAIN BASED POSTURAL CORRECTION
The neurologic system controls and coordinates all other systems of the body? What system provides the physical framework for all other systems of the body to resist gravity and function within our environment? The Posture System. These intricate systems work together to control and coordinate all experiences and actions throughout our lives.
Postural Neurology is defined as the network of neural impulses to support proper functional alignment of the Posture System. The purpose of Postural Neurology is to develop plasticity of proper structural alignment through brain based treatment protocols.
Why implement Postural Neurology into your practice? Quite simply, every musculoskeletal problem is at some level a neurologic problem. Neurology dictates movement, structure, and the function of your Posture System, overseeing and refining every single movement that you do on a daily basis.
It is an outdated system of healthcare to look at one part of the body, the site of injury or pain, and make assumptions about that person�s health and ability to function.
Identifying the area of injured tissue, then creating a rehabilitation plan around that injuryis less than adequate. The new system is all about function and whole posture patterns.
Segmental Rehabilitation & Brain Based Postural Correction
If the patient says �I hurt here,� or you test a weak muscle �here.� It does not mean that the problem lives �here.� This is simply information telling us that there is pain or dysfunction that is being expressed in that end organ. There is absolutely no indication that the problem is in that tissue. The noxious stimulus being interpreted by the brain is nothing more than a sensory input. The weak muscular output is nothing more than an insufficient motor plan.
This is the difference between segmental and brain based thinking. Segmental healthcare professionals do not see beyond the �hurt� or �weak� segment, oblivious to compensation patterns that are dampening function in the rest of the body.
Compartmentalized thinking is not adequate for a system as dynamically developed and as functionally managed as the human body. It simply won�t cut it.
This guide introduces you to the Neurology of the Posture System, so you can understand the functional output of the brain and how it contributes to upright postural design.
Motor Cortex:�
The primary motor cortex is located in the frontal lobe of the brain.
The frontal lobe is the center of human development including executive decision-making, language, and problem-solving.
Located within the Motor cortex is the Motor Homonculus. The Motor Homonculus is a map of motor output for each part of your human anatomy. Within this map, the amount of cortex devoted to any given body region is proportional to how richly innervated that region is, not to the body region�s physical size. Areas of the body with greater or more complex sensory or motor connections
are represented as larger in the homunculus such as the hands, lips, and the face.
The primary motor cortex receives signals from the pre-motor cortex to make a movement.
The primary motor cortex then sends the information to make that movement from the cortex down the spinal cord to the skeletal muscle of that body region.
Motor movement occurs contralaterally, meaning that your left motor cortex controls movement on the right side of your body. Your right motor cortex controls movement on the left side of your body. Every action occurs in this fashion, in response to a descending signal from the brain to the body.
Is the Motor Cortex important to Posture?
The motor cortex controls motor function. The Posture System is never actually �static,� we are dynamic beings who are always in motion. The motor cortex is constantly making small movements (even minute movements) necessary to prevent falling over, and to interact within our environment. Optimal dynamic posture begins in the motor cortex and is regulated by the cerebellum.
Can I check for weakness of the Motor Cortex?�
You can check for weakness�of motor output by performing muscle tests. If a muscle on the left side is weak,
this is information to do further muscle tests to confirm for weakness of the right motor cortex.
�Sensory Cortex:
The somatosensory cortex of the parietal lobe is the center for
sensation. This is where you perceive your world and how you process all of the tactile and
proprioceptive information received from your external environment.
Just as the motor cortex is a map whose arrangement gives preference to the highly innervated parts of the body, so does the sensory homunculus. The sensory homunculus is the primary mechanism of cortical processing for sensoryinformation originating at body surfaces and other tissues.
Is the Sensory Cortex important to Posture?
The sensory cortex is very important for posture because the sensory cortex lights up with activation from novel stimuli such as proprioceptive signals and mechanoreceptor feedback
from complex movements. Lack of movement is the worst thing for your sensory cortex. In fact, with lack of stimulation to an area of the sensory cortex, the sensory map �blurs� together with less representation of that body part in the brain.
For example, when patients present an injured knee and they have worn a brace that limits their range of motion. This limited motor output of the knee results in less tactile and proprioceptive
feedback from the knee, the brain then thinks that the knee is �less important� and blurring of the cortical representation of the hip and ankle will begin to occur over the knee.
Less awareness of our body leads to poor activation and neglect of that area. To keep your patients healthy, keep them moving and activating all joints of the body.
Can I check for weakness of the Sensory Cortex?
You can check for dysfunction of the sensory cortex by performing sensory tests such as light touch,
vibration, temperature, painful stimuli, and joint position. If the patient presents with decreased sensory recognition, the contralateral sensory cortex is weak.
Meaning, that if the left side of the body cannot detect tactile sensation, this is a weakness of the right sensory cortex.
Cerebellum:
The cerebellum works in conjunction with the contralateral motor
cortex to coordinate fine movements. The cerebellum is an �inhibitor,� it reduces any extra or unnecessary motor movements to perform the desired action as accurately as possible.
The cerebellum receives input from sensory systems of the spinal cord and from other parts of the brain, and integrates these inputs to fine-tune motor activity, providing feedback to the motor cortex of how movements can be smoother and more precise. When patients have deficits of the cerebellum
they have excess movement, such as a tremor or a wide stance because they can�t balance with their feet together. Their equilibrium and ability to perform controlled motor movements is compromised.
Is the Cerebellum important to Posture?�
The cerebellum coordinates all movement, to more
precisely regulate fine movements. Proper cerebellar output means that the patient can perform their intended movement without recruiting other muscles. They are on target and on point with coordinated functions of the Posture System. Cerebellar deficits on the other hand affect the patient�s posture, they have compromised postural stability and uncoordinated dynamic postures.
Can I check for weakness of the Cerebellum?
You can check for cerebellar weakness by performing a Romberg�s test. Have the patient stand with their feet together, close their eyes, and see if they sway to one side. The patient will sway toward the side of cerebellar dysfunction.
Brainstem:
The brainstem is the center of postural control. The brainstem is made up of the midbrain, the pons, and the medulla and is the house of the nuclei of 10 of 12 of Cranial Nerves.
Each of the cranial nerves provides important sensory and motor functions for the body. Of particular importance to the Posture System are the visual and vestibular nuclei that reside in the brainstem.
The visual system controls your orientation in space, literally how you see the world. Visual fibers descend to the cervical spine controlling head posture. Visual deficits result in forward head posture, lateral head tilt, and head rotation.
The vestibular system controls balance and extension. Flexor dominant posture is weak posture; upright extended posture is healthy and optimal for better function. This system is of utmost importance for upright postural stabilization and balance.
The brainstem also controls involuntary systems of your autonomicnervous system that regulate life-sustaining processes such as breathing, heart rate, sexual function, and digestion. Plus, the brainstem modulates postural tone, and inhibits flexion toward gravity.
Is the Brainstem important to Posture?
This is the primary control center of postural stabilization! The brainstem inhibits flexion, and in conjunction with the vestibular system activates extension. Descending fibers from the cranial nerve nuclei of the eyes control your head posture, and the ability to keep your eyes parallel to the horizon during dynamic movement.
Understanding the brainstem is an important connection for all posture professionals. Your posture depends upon the functional output of the brainstem.
Can I check for weakness of the Brainstem?
Checking posture provides valuable insight into the function of the brainstem. Noted flexion of the Posture System or head posture distortion patterns indicates that there is weakness of the brainstem.
The Cranial Nerves also provide valuable insight of the function of the brainstem. Dysfunction of the cranial nerves means that there is ipsilateral weakness of the brainstem.
Spinal Pathways:�
The spinal chord and its pathways are the communication system to and from the brain and the body. The descending motor pathways stimulate movement and postural control. The ascending sensory pathways carry information of sensation to be processed and �understood� in the brain.
The brain and the body are in constant communication to perform efficient movements, to stabilize without falling, and to detect signals from the environment that require a response. Sensorimotor integration happens in your spine, this is the communication highway of the nervous system.
Are the Spinal Pathways important to Posture?
The pathways are invaluable to your postural design. Pathways from the motor cortex send information to create dynamic movements,�and pathways from the brainstem descend to stabilize your postural tone. Ascending pathways from the body to the brain ignite the sensory homunculus for perception, and carry information from the primary sensors of your body for proprioception, vision, hearing, touch, smell, taste, etc.
Can I check for weakness of the Spinal Pathways?
There are many different pathways. When you understand the function of that pathway you can design a test for it. For example, the corticospinal tract descends from the motor cortex to the spine
to create motor output. Dysfunction of this pathway would present as weakness on muscle tests.
The spinothalamic tract is an ascending tract from the spine to the thalamus that recognizes stimuli associated with pain and temperature. To test this tract you would test sensory integration of hot, cold, and painful stimuli.
Neck pain that is not caused by whiplash or other trauma has a postural component as part of the underlying problem. Sitting atop the body, the health of the neck is subject to the �curvature of the spine below and the position of the head above.�For Answers to any questions you may have please call Dr. Jimenez at�915-850-0900
Peripheral neuropathy most commonly develops in patients who’ve been previously diagnosed with pre-diabetes. According to researchers from the University of Utah, early interventions can allow people to maintain their overall health and wellness. Further research studies have revealed that peripheral nerve damage begins with pre-diabetes and obesity.
Approximately more than one in three adults in the United States, about 86 million people, have pre-diabetes. Without the proper body weight and moderate physical activity, 15 to 30 percent of these individuals could develop type 2 diabetes within 5 years.
“We now know a lot more than we did 3 to 5 years ago about neuropathic pain in patients with pre-diabetes. Neuropathy affects patients with pre-diabetes in a continuum,” stated Dr. Rob Singleton, MD, and professor of neurology at the University of Utah in Salt Lake City. “We think obesity and the dysfunction of lips or fats are what’s actually causing the issues.”
During another research study conducted and published by researchers from the University of Michigan in JAMA Neurology, peripheral neuropathy was also commonly diagnosed in patients with obesity, regardless if they had normal blood sugar levels when compared with lean, control patient participants. This same study additionally confirmed that the rate of neuropathy increased in individuals with pre-diabetes and diabetes, leading the researchers to conclude that pre-diabetes, diabetes and obesity are possible metabolic drivers of peripheral neuropathy.
Dr. Singleton and his team of researchers have been studying peripheral neuropathy associated with pre-diabetes and metabolic syndrome as well as which forms of treatment may work best for the condition. Metabolic syndrome is characterized as the group of risk factors which increases the chance of experiencing heart disease, diabetes and stroke. Risk factors include: high blood pressure; elevated blood glucose, high cholesterol and abdominal fat. Throughout their research, they discovered that many patients with metabolic syndrome had pre-diabetes and peripheral neuropathy.
�We have demonstrated that in pre-diabetics with neuropathic pain, exercise can reduce neuropathic pain and can increase the intradermal nerve fibers in the thigh and ankle. We are in the process now of replicating that study,� Dr. Rob Singleton explained in an interview with an endocrinology advisor. �You need to improve lipid, or cholesterol, function and glucose levels. Lifestyle issues have to be addressed.�
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The Relation Between Pre-Diabetes & Peripheral Neuropathy
New research studies have evaluated the relationship between pre-diabetes and peripheral neuropathy. In a study published in Diabetes Care, Dr. Christine Lee, PhD, of the University of Toronto, determined that pre-diabetes created similar risks towards nerve damage and dysfunction, which often lead to the development of peripheral neuropathy, as those caused by diabetes.
Evidence suggests that peripheral neuropathy begins in the early stages of the diabetes pathogenesis. Dr. Lee and other researchers evaluated 467 individuals. The researchers found that peripheral neuropathy was common in 29 percent of adults with normal glucose levels as compared to 49 percent in adults diagnosed with pre-diabetes and 50 percent in adults diagnosed with diabetes. The researchers also established that pre-diabetes, or a progression of elevated glucose levels in the course of 3 years concluded an increased risk of developing peripheral neuropathy and nerve damage or dysfunction.
“Early interventions such as lifestyle changes involving proper diet and exercise, could be ultimately essential towards preventing severe nerve complications,” stated Dr. Christine Lee. Another study published in Diabetes Care by Dr. Rob Singleton in 2006, supported this statement. Dr. Singleton and other researchers concluded that dietary changes and physical activity can result in cutaneous reinnervation as well as improved symptoms in patients with pre-diabetes.
Peripheral Nerve Damage Before Diabetes
Its fundamental to acknowledge that the nerve injury which occurs with peripheral neuropathy can occur before diabetes develops. As a matter of fact, current research studies have shown that obesity, even with normal blood sugar levels, has been associated with causing peripheral neuropathy as well as pre-diabetes.
Fortunately, more and more research studies and evidence on the issue has been published to help enlighten doctors and the public. Although it is essential to maintain fasting glucose levels between 70 to 80 mg/dL, it is equally important to manage a healthy weight, LDL cholesterol and triglycerides. All of this can be achieved without the use of medication or bariatric procedures. Natural treatments and holistic care options are also available to help control the symptoms of the disease.
Nerve dysfunction, characterized by symptoms of pain, tingling sensations and numbness are common among individuals with diabetes. However, new research studies have found that nerve injuries can also occur as a result of obesity, where patients are diagnosed with pre-diabetes.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .�
Neck pain is characterized as the most prevalent symptom after being involved in an automobile accident. During an auto collision, the body is exposed to a sheer amount of force due to the high speed impact, causing the head and neck to jolt abruptly back-and-forth as the rest of the body remains in place. This often results in the damage or injury of the cervical spine and its surrounding tissues, leading to neck pain and other common symptoms associated with whiplash-related disorders.
Waving white pom poms in the air, dozens of grey-haired cheerleaders in matching red and white uniforms hop and skip to K-pop music that fills the practice room.
Halfway into their two-hour practice session, most of the elderly dancers are panting and sweating, but do not let their bad knees or back pain stop them from what they say is keeping them healthy and youthful.
“Because I come here, I don’t need to take any medicine,” said 82-year-old Oh Geum-Nyu. “Although I’m ageing on the outside, this keeps me young at heart.”
Oh is one of the oldest members of Cheer Mommy, a 30-member cheerleading squad with an average age of 75, based in Samcheok, on South Korea’s east coast.
Life expectancy in Asia’s fourth-largest economy is accelerating rapidly, and for women born in 2030 it could stretch to nine decades on average, the longest in the world, according to research published in The Lancet medical journal.
The study by researchers at Imperial College London noted improved nutrition and broader access to health care as some of the reasons behind the phenomenon.
Some South Korean experts also point to social factors behind longevity.
“Their love for informal gatherings and forging new personal bonds can be a source of energy,” said Chung Soon-Dool, a social welfare professor at Ewha Women’s University in Seoul.
Most South Korean women in their 60s and older spent much of the lives in a strongly patriarchal society where women were expected to stay at home and raise the children.
Some are now embracing pursuits of their own choosing for the first time after retiring as the “caretaker”.
“I was done raising my seven grandchildren when my friend told me about this place,” said Cheer Mommy member Ahn Young-Ja, 65.
Lee Pal-Soon, 82, who also takes singing classes when she is not cheerleading, said she was enjoying the “second chapter” of her life after marrying off her five children.
Some are choosing to keep their brains active by going back to school, such as 88-year-old Kim Soon-Sil, who is among some 370 students aged 60 and up studying at Ilsung Women’s School in Seoul.
Kim, who grew up under Japan’s 1910-1945 colonial rule of Korea, had to leave school at 13 and it was not until seven decades later that she could fulfill her longing to continue her studies in history and English.
“I can feel small changes to my health every day, but if my health permits, I want to enroll in university,” said Kim.
South Korea’s government has rolled out various welfare programmes to accommodate its rising senior population — its men are also set to become the world’s longest-lived, according to the Imperial College study — including opening more community centres and organising leisure activities for the elderly.
But experts say the cost could become crippling in the face of a looming demographic crisis in the country with the world’s lowest birthrate.
Around 6.5 million out of the country’s 50 million population were 65 years or older in 2015, and in the next 10 years, one out of five South Koreans will be retired, according to a Statistics Korea report in December.
The country’s working age population started declining last year, it said, and by 2065 it will be overtaken by the number of retirees.
“It’s the question of who will cover the increase in social security cost,” said Professor Chung. “It wouldn’t be a problem if the number of young people were also rising, but that’s not the case.”
Authorities need to consider raising the retirement age, said Ha Jung-Hwa, social welfare professor at Seoul National University.
“It’s important the government introduces new policies to keep healthy and skilled senior citizens longer in the job market,” she said.
Cheer Mommy started out as a local authority leisure programme, but the elderly squad now regularly travels across the country to compete in national tournaments against rivals decades their juniors.
With the youngest member aged 63, the choreography lacks dynamic stunts like back flips or somersaults. It takes them twice as long to remember the routines, and instructor Yoon Bok-Ja said: “They are slow like turtles but they don’t give up until they are perfect.”
The bubbly grannies quickly changed into their next uniform — graffiti-printed jerseys, white tracksuit bottoms and black baseball caps — for a number set to Gangnam Style star Psy’s latest hit Daddy, chanting: “Hip hop! Youth! To 100 years!”
Your diet plays a crucial role in your mental well being and physical health, as they are intricately connected. Have you ever thought about everyday spices
Consider adding these 10 spices below to your current diet, or better yet cook with them to improve overall brain health, and help prevent, or at the very least stave off future cognitive decline. These top spices have been studied extensively by world renowned psychiatrist Dr. Daniel Amen, and is widely discussed in many of his journal publications and books, including one of his latest Change Your Brain, Change Your Life. He recommends the 10 spices below to be incorporated into your every diet to have a happier and healthier brain.
Used in your morning cup of coffee or tea, added into pastries, cakes and cookies, even sprinkled over your breakfast cereal and oatmeal, sugar is that sweet, short-chain, soluble carbohydrate which is most commonly found in most of the foods we consume today. Sugar is also hidden in many of the favorite treats we eat on a daily basis, such as fruit juices, sodas, candies, ice cream and almost all processed foods, including popular condiments like ketchup.
Although it’s common for people to regularly ingest sugar in every meal, how much sugar is acceptable to consume? More importantly, can excessive sugar cause negative side effects to your health? What is the exact function of sugar in the body? These are only several of the fundamental questions we must ask ourselves before we continue to eat foods with high amounts of sugar.
Dr. Alex Jimenez D.C.,C.C.S.T’s insight:
On average, people consume sugar from their favorite snacks and foods on a daily basis, however, processed foods and beverages can have an excessive amount of sugar which may affect the body’s overall health and wellness. The human body is not designed to handle the excess sugar and its regular consumption can lead to a variety of complications, including diabetes. For more information, please feel free to ask Dr. Jimenez or contact us at (915) 850-0900.
Used in your morning cup of coffee or tea, added into pastries, cakes and cookies, even sprinkled over your breakfast cereal and oatmeal, sugar is that sweet, short-chain, soluble carbohydrate which is most commonly found in most of the foods we consume today. Sugar is also hidden in many of the favorite treats we eat on a daily basis, such as fruit juices, sodas, candies, ice cream and almost all processed foods, including popular condiments like ketchup.
Although it’s common for people to regularly ingest sugar in every meal, how much sugar is acceptable to consume? More importantly, can excessive sugar cause negative side effects to your health? What is the exact function of sugar in the body? These are only several of the fundamental questions we must ask ourselves before we continue to eat foods with high amounts of sugar.
Contents
Excessive Sugar: Is it Bad for Your Health?
According to a research study released in February 2015, the average American today consumes approximately 32 teaspoons, or 126 grams, of sugar per day, amounting to 134 pounds of sugar per year. Moreover, people are ingesting excessive amounts of sugar in the form of fructose or high-fructose corn syrup. While this highly processed form of sugar is cheaper, it is also 20 percent sweeter than regular table sugar, which is why most food and beverage manufacturers utilize the product, allowing them to save more money in the long run.
Knowing these statistics, our concern is that the human body is actually not designed to consume excessive sugar, much less in the form of fructose. As a matter of fact, the body metabolizes fructose differently than sugar. Fructose is actually a hepatotoxin, meaning it is toxic to the liver, and it is metabolized directly into fat, which can result in a variety of issues that can have significant effects to your health.
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The Effects of Consuming Too Much Sugar
Dr. Robert Lustig, a professor of Clinical Pediatrics in the Division of Endocrinology in the University of California and a pioneer in decoding sugar metabolism, explained that the human body is capable of safely metabolizing at least six teaspoons of added sugar per day. However, because most Americans are consuming over three times that amount, the majority of the excess amounts of sugar in the body are metabolized into body fat, which can lead to other debilitating chronic metabolic diseases.
The following are several side effects which occur due to excessive sugar:
It overloads and damages your liver. Excess sugar or fructose can have similar effects to that of alcohol. All the fructose you eat travels directly to one single organ: the liver. This can severely affect the organ, leading to potential liver overloads and damage.
It tricks the body into gaining weight and affects insulin and leptin signaling. Fructose can fool your metabolism by stopping the body�s appetite-control system. Also, it fails to stimulate insulin, failing to suppress ghrelin, otherwise known as the hunger hormone, that then fails to stimulate leptin, also known as the satiety hormone. This causes you to eat more, developing insulin resistance.
It causes metabolic dysfunction. Eating excess amounts of sugar can cause a variety of symptoms to develop, identified as classic metabolic syndrome. These symptoms include: weight gain; abdominal obesity; decreased HDL and increased LDL; elevated blood sugar; elevated triglycerides; and high blood pressure.
It increases your uric acid levels. Increasingly high levels of uric acid are considered to be a major risk factor for heart and kidney disease as well as the leading cause of Gout. As a matter of fact, the connection between fructose, metabolic syndrome, and uric acid levels in the body has become so clear that an individual’s uric acid levels can be utilized as a marker for fructose toxicity. According to recent research studies, the safest range of uric acid is between 3 to 5.5 milligrams per deciliter. If your uric acid level is higher than this, then it�s clear that you are at risk of experiencing the negative health impacts caused by excess sugar or fructose.
Sugar Increases Your Risk of Disease
One of the most severe effects of eating too much sugar is its potential to damage the liver, leading to a condition known as non-alcoholic fatty liver disease, or NAFLD. The same disease that you can get from excessive alcohol intake can also be caused by excessive sugar or fructose intake. Dr. Lustig described the three similarities between alcohol and fructose:
The liver metabolizes alcohol the same way as sugar, since both serve as substrates for converting dietary carbohydrates into fat. This promotes insulin resistance, fatty liver, and dyslipidemia, or abnormal fat levels in the blood.
Fructose causes superoxide free radicals to form, resulting in inflammation, a condition that can be also caused by acetaldehyde, a metabolite of ethanol.
Fructose can directly and indirectly stimulate the brain�s hedonic pathway, or addiction pathway, creating habituation and dependence, the same way that ethanol does.
While these are some of the most commonly known ways that excess amounts of sugar or fructose can negatively affect the body, there are other ways the body can be affected as well. Evidence from several of America�s most respected institutions now confirms that sugar is a primary dietary factor that drives the development of chronic disease and obesity.
One study found that fructose is readily used by cancer cells to increase their proliferation, in other words, it feeds the cancer cells, promoting cell division and speeding their growth which allow the cancer to spread faster.
Alzheimer�s disease is another deadly illness that can arise from excessive sugar consumption. A growing body of research found a powerful connection between a high-fructose diet and the risk of developing Alzheimer�s disease through the same pathway that causes type 2 diabetes. According to some experts, Alzheimer�s and other brain disorders may be caused by the constant burning of glucose by the brain.
Other diseases that are linked to metabolic syndrome that may potentially develop from excess sugar include:
Type 2 Diabetes
Hypertension
Heart Disease
Peripheral Neuropathy
Polycystic Ovarian Syndrome
Lipid (cholesterol) problems
Dementia (Alzheimer�s disease)
Cancer
How to Manage Your Sugar Consumption
Sugar, in its natural form, is not bad as long as it�s consumed in moderation. This means avoiding all sources of fructose, particularly that found in processed foods and beverages such as soda. Approximately 74 percent of processed foods contain hidden added sugar under more than 60 different names. Ideally, you should consume more whole foods and less processed foods.
Furthermore, it’s recommended to limit the consumption of refined carbohydrates, such as waffles, cereals, bagels, etc. and grains, as these can break down sugar in your body, increasing your insulin levels and causing insulin resistance.
As a general recommendation, its advised for people to keep their total fructose consumption below 25 grams per day, including that from whole fruit. Keep in mind that although fruits are rich in nutrients and antioxidants, they also naturally contain fructose, and if consumed in high amounts, they may actually worsen your insulin sensitivity and raise your uric acid levels.
Remember that artificial sweeteners like aspartame and sucralose should also be ultimately avoided, since they can develop a completely different set of health complications which may be far worse than the issues sugar or corn syrup can cause.
Avoiding the Cravings
More evidence from recent studies has revealed that obesity, pre-diabetes and diabetes can be driving factors for, not only chronic conditions such as peripheral neuropathy, but also for a diversity of other chronic diseases, including cancer. It�s essential to realize that you don�t have to give up sugar completely but you must reduce it significantly from your diet. Research studies have demonstrated that no one should be consuming more than 6 teaspoons of sugar per day, including fruit sugar as well.
In order to become healthy and fight off chronic illness, here are some additional dietary tips to remember:
Increase your consumption of healthy fats, such as omega-3, saturated, and monounsaturated fats. Your body needs health-promoting fats from animal and vegetable sources for optimal functioning. In fact, emerging evidence suggests that healthy fats should make up at least 70 percent of your diet. Some of the best sources include: organic butter from raw milk; virgin olive oil; coconut oil; ghee; raw nuts like pecans and macadamia; free-range eggs; avocado; and wild Alaskan salmon.
Drink pure, clean water. Simply swapping out all the sweetened beverages like sodas and fruit juices for pure water can go a long way towards improving your health. The best way to gauge your water needs is to observe the color of your urine, it should be a light, pale yellow, and the frequency of your bathroom visits, ideally, this is around seven to eight times per day.
Add fermented foods to your meals. The beneficial bacteria in these healthful foods can support your digestion and provide detoxification support which helps lessen the fructose burden on your liver. Some of the best choices include: kimchi; natto; organic yogurt and kefir made from grass-fed milk; and fermented vegetables.
How to Give Up Your Sugar Cravings
Sugar is highly addictive and can often affect dependency centers in the brain and it can have an emotional component as well. In order to suppress sugar cravings, it�s essential to detox. A variety of healthcare professionals can help design appropriate sugar detox programs. Such programs can be great for detoxing the body from unwanted chemicals, eliminating sugar addiction and decreasing inflammation.
The temptation to eat or indulge in sugary foods will always be there, especially with the abundance of processed foods and fast foods everywhere. However, most sugar cravings arise because of an emotional challenge. If this is what causes you to crave sugar, there are solutions such as the Emotional Freedom Technique, or EFT, that can help. This technique is a simple and effective strategy to help control your emotional food cravings. Ultimately, seeking medical help or support to decrease your sugar consumption can be the best first step to cleanse your body and improve your overall health and wellness.
On average, people consume sugar from their favorite snacks and foods on a daily basis, however, processed foods and beverages can have an excessive amount of sugar which may affect the body’s overall health and wellness. The human body is not designed to handle the excess sugar and its regular consumption can lead to a variety of complications, including diabetes.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .�
Neck pain is characterized as the most prevalent symptom after being involved in an automobile accident. During an auto collision, the body is exposed to a sheer amount of force due to the high speed impact, causing the head and neck to jolt abruptly back-and-forth as the rest of the body remains in place. This often results in the damage or injury of the cervical spine and its surrounding tissues, leading to neck pain and other common symptoms associated with whiplash-related disorders.
Over 3 million people in the United States have been diagnosed with type I diabetes. This disorder is considered an auto-immune condition where the immune system destroys the insulin producing Beta cells of the pancreas. A new case study showed how chiropractic adjustments dramatically improved a 4 year old child�s ability to manage this disorder.
A large UK study has revealed that type 1 diabetes has increased 5-fold in children less than 5 years of age between the years of 1985 and 2004. During those same years there was a doubling in children under 15 years of age being diagnosed with type I diabetes. Studies in other European countries and the US have shown similar results.
Environmental Risk Factors
The most common risk factors include exposure to environmental toxins and other stressors. The list of toxins includes pesticides, herbicides, and household cleaning agents. Additionally, food allergens such as pasteurized cow�s milk, gluten and processed soy, peanuts, & eggs are thought to be possible triggers. Low maternal and infant vitamin D3 levels and less than 6 months of breast feeding appear to be very serious risk factors as well. Birth trauma affecting the upper cervical spine has been hypothesized as a risk factor by some experts.
A recent case study published in the November 2011 edition of the Journal of Pediatric, Maternal, & Family Health documents a case of a 4 year old child, who had terrific results stabilizing her blood sugar through chiropractic care.
The child�s mother described her as being a very healthy baby, who was not vaccinated at all and was breastfed for a full 12 months. She was officially diagnosed with type I diabetes at 2 years of age. The family ate a healthy, whole food based diet and avoided processed foods and other environmental toxins.
Understanding the role of Neuroendoimmunology
The nervous, endocrine and immune system are hardwired and work together to create optimal responses for the body to adapt and heal appropriately. The new study of neuroendoimmunology looks closely at this intimate relationship between bodily systems.
Neural dysfunctions due to spinal subluxations are stressful to the body and cause abnormal changes that lead to a poorly coordinated immune response. Chiropractic adjustments have been shown to reduce subluxations and boost the coordinated responses of the nervous, endocrine, and immune systems.
The patient was diagnosed with spinal subluxations in the upper cervical region. She began chiropractic care and was seen a total of 24 times over a 2 month period. During this 2 month period, she experienced a decrease in hemoglobin A1C from 7.2% to 6.5%. She also decreased the amount of insulin used from 15 units to 11 units per day.
These results are quite remarkable because the literature states that intensive medical treatment of type I diabetes often does not succeed in lowering A1C levels under 7.0%. Chiropractic care works by optimizing the neural connections throughout the body.
This enhanced brain-body connection works to better coordinate immunity and hormone function throughout the body. This improvement in type I diabetes management is most likely a result of better cellular communication.
Dr. Alex Jimenez D.C.,C.C.S.T’s insight:
Over 3 million people in the United States have been diagnosed with type I diabetes.�A new case study showed how chiropractic adjustments dramatically improved the ability to manage this disorder.�For Answers to any questions you may have please call Dr. Jimenez at 915-850-0900
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