Low back pain is one of the most prevalent symptoms that lead people to seek diagnosis and treatment with a healthcare professional. When the individual�s low back pain is accompanied with pain in one or both legs or buttocks, resulting in symptoms similar to sciatica, it may be an indicator that the patient may have a lumbar disc herniation, also referred to as a herniated disc, ruptured disc, or slipped disc.
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Anatomy of the Lumbar Spine
The lumbar spine consists of five vertebrae that extend through the length of the ribcage and pelvis. From top to bottom, these vertebrae are medically labeled L1 through L5 and they�re each separated by intervertebral discs. The discs are made up of a fibrous tissue known as the annulus with a soft nucleus found at the center of each disc. These discs are fundamental towards the proper function of the spine, performing the important roles of shock absorption and distribution of pressure.
In the instance the annulus becomes ruptured or torn, the nucleus can become separated from the disc. This complication can decrease the disc�s ability to properly separate the vertebrae, an issue which often leads to increased pressure due to the compression or impingement of the spinal nerves found between each vertebrae of the spine. Individuals with a lumbar disc herniation and symptoms of sciatica commonly experience pain and discomfort related to the pinching of the nerves, which can in turn radiate down the legs.
Generally, a herniated disc is caused by the natural degeneration of the body�s structures as we age. If not diagnosed or treated in time, however, this simple wear and tear complication can develop into a more serious injury or condition. In addition, intervertebral discs can also tear due to trauma from heavy lifting or as a result of a sudden injury, such as an automobile accident or a work injury.
Diagnosing a Lumbar Disc Herniation
A chiropractor can properly diagnose a variety of injuries or conditions relating to the musculoskeletal and nervous system, including a lumbar disc herniation. During the first consultation, the chiropractor will conduct a thorough physical exam, including a comprehensive review of your medical history and test results. Using this, the healthcare professional will be able to determine the source of the symptoms. In many cases, the specialist may require additional tests to confirm the presence of a specific injury and/or condition. Most chiropractic offices will provide you with up to date information about your diagnosis, as well as the risks and benefits of each treatment option. Chiropractors will work with the individual personally to decide on the best treatment option for their complication.
Treating a Lumbar Disc Herniation
Chiropractic adjustments and manual manipulations are the most common forms of treatment provided by a doctor of chiropractic, or DC. Using this gentle techniques, the healthcare specialist will carefully realign the spine, correcting the subluxations in order to decrease and eliminate the symptoms caused by nerve compression or impingement. Chiropractors may also redirect a patient to receive other types of treatment depending on the severity of their issue. Chiropractic care can help restore an individual�s strength, mobility and flexibility, offering a wide variety of benefits. Chiropractic treatment is well-known for its natural benefits, including the enhancement of many functions of the body.
Chiropractic Can Improve Sex Life
Many people visit the chiropractor with back pain, but after several sessions of treatment, they often return reporting that their sex life has improved. Jason Helfrich, co-founder and CEO of 100% Chiropractic, stated that the body can positively respond in many aspects when the unnecessary pressure on the nervous system is decreased or removed.
Every function of the body is controlled by the nervous system, however, when the spine is misaligned, known as a subluxation, the nerves traveling between the brain and the rest of the body, these can become blocked, compromising the body�s ability to function properly. A chiropractor�s goal is to remove these subluxations, since they can both cause pain and impede feeling. But treatment can help more than just improve symptoms of back pain. The lumbar region of the spine is where the nerves that extend into your reproductive regions are found. Correcting misalignments in the lower spine can improve nerve flow to your sexual organs, increasing things like blood flow to your clitoris or the penis.
�Correcting a spinal subluxation also allows the organs to send messages to the brain more easily. This means that not only do you become physically aroused faster, but your brain also registers that ready-for-action, heightened sense of pleasure more quickly, so you move past the mental obstacles that may be keeping you from orgasming�, quoted Helfrich.
Other Adjustments for an Improved Sex Life
Libido and fertility need a proper balance of estrogen, progesterone, and other hormones, many of which are released in the upper cervical and neck area of the body. If there are any misalignments or subluxations in the upper region of the spine, the nerve transmissions exiting the brain can be interrupted due to the compression or impingement of these tissues, which will ultimately have an effect all the way down to the reproductive organs, among others.
Including fertility is affected by the nerves and hormones coming out of the spine, as they control the reproductive cycle.
Beyond all of the physiological benefits of spinal adjustments and manual manipulations, chiropractic treatment can also simply give the muscles more range of motion. This means you can try previously difficult positions under the sheets, enhancing an individual�s sex life further.
�We want to improve people�s health, and health is about living life as its intended. Having a great sex life is huge part of that�, Jason Helfrich concluded.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
By Dr. Alex Jimenez
Additional Topics: Low Back Pain After Auto Injury
After being involved in an automobile accident, the sheer force of the impact can cause damage or injury to the body, primarily to the structures surrounding the spine. An auto collision can ultimately affect the bones, muscles, tendons, ligaments and other tissues surrounding the spine, commonly the lumbar region of the spine, causing symptoms such as low back pain. Sciatica is a common set of symptoms after an automobile accident, which may require immediate medical attention to determine its source and follow through with treatment.
The Patriot Project is a grass roots movement to provide chiropractic care to all Active Military, their Families, Wounded Warriors & All Gold Star Dependents.
The Patriot Project was found by Dr. Tim Novelli, and this inspired organization started after one life changing weekend.
No one tells the story better than the man himself.
It�s a little known fact that chiropractic care is included in veteran�s health benefits, and it�s an underutilized option.�The Patriot Project aims to change this by making chiropractic care readily available to our service members.
With adequate funding, The Patriot Project plans to develop a USO-type chiropractic care tour, visiting military bases at home and around the world, including all active forward operating bases like those in Afghanistan and Iraq.
We are calling on all chiropractors to help by becoming a patriot. �Participating doctors will make time available to�treat at least one armed-service member a week at no�charge. He/she will also help us collect patient testimonials, which will be used to further our cause in Congress.
Mission Statement
-To provide chiropractic care to active military, their families, wounded warriors, and Gold Star Dependents.
-To make full chiropractic benefits in TRICARE care readily available for ALL active duty military, retirees and veterans.
-To have chiropractic physicians commissioned as officers in all armed services.
-To have chiropractic physicians embedded in all forward operating bases of combat.
-To have a Chiropractic Department in every VA hospital and clinic.
-To educate veterans with service related disabilities; they have chiropractic benefit coverage through the Veterans Administration.
Why is The Patriot Project so important?
Military Heroes & Chiropractic
In 2002, President George W. Bush signed Public Law 107-135, legislation that ensured that chiropractic would become a permanent benefit for recipients of veterans� health care services. As a result, chiropractic care was gradually added to more than 30 VA medical centers.
In the remaining 120 VA treatment facilities, however�including those in several major metropolitan areas, the chiropractic care benefit has remained virtually nonexistent.
All veterans with service related disabilities are supposed to have access to chiropractic care; if not at a hospital then in the civilian community. Chiropractic treatment is a standard VA benefit. No VA facility can state that they do not provide these essential health benefits.
Chiropractic physicians are considered specialists with the Veteran Administration and with the Department of Defense, which means the Veteran must request from their PCP an approval for them to receive chiropractic treatment.
Problem #1: Vets DO NOT KNOW they have chiropractic benefits.
Problem #2: There is no listing of chiropractic benefit within the VA HealthCare Benefit section within their website except under ancillary services.
Problem #3: Vets DO NOT KNOW the benefit they can obtain from chiropractic treatment which includes acupuncture.
Problem #4: Vets DO NOT KNOW they can appeal their PCPs denial of their requests for chiropractic treatment.
Problem #5: Armed forces families do not have chiropractic benefits.
Problem #6: Veterans reliance upon medications results in a high probability of developing additional health problems and or even developing life threatening/ending situations.
Some veterans have found their local VA is reluctant to send them for fee-basis care outside the VA facility, and have required they jump through many hoops to get a referral for a Doctor of Chiropractic. This is against VA policy and does not go along with the VA�s own stated mission to be �veteran-centered.�
Many times the VA facility is trying to save money by denying fee-basis care delivered by doctors of chiropractic, even though they spend a great deal on numerous other treatments. VA facilities are unaware that chiropractic treatment can reduce their facilities cost.
Medical literature has revealed that when insurance company limit/reduce chiropractic treatment benefits, their total costs for healthcare, actually increased.
A patient receiving regular chiropractic care experiences reduced hospital admissions, surgeries, and pharmaceutical costs.
Studies indicate that greater chiropractic coverage, despite increased visits to a DC, results in significant net savings in both indirect and direct costs.
Chiropractic care could reduce Medicare costs�both payment for all services and average per claim payment.
Chiropractic patients typically pay less and are more satisfied with their treatment than MD patients.
Chiropractic care can be used to control health care costs.
Chiropractic patients reach maximum medical improvement sooner than when treated by a medical doctor.
Chiropractic treatment is not an add-on, it is a direct substitution for other treatment.
Conclusion:
Services delivered by doctors of chiropractic are part of the standard VA benefits and no VA facility can say �do not provide� these essential health benefits. Some veterans have found their local VA is reluctant to send them for fee-basis care outside the VA facility, and have required they jump through many hoops to get a referral for a Doctor of Chiropractic. This is against VA policy and does not go along with VA�s own stated mission to be �veteran-centered.�
The Patriot Project is determined to change this, with your help.
To learn more about how you can join and help the Patriot Project, click below
It�s a little known fact that chiropractic care is included in veteran�s health benefits, and it�s an underutilized option.�The Patriot Project aims to change this by making chiropractic care readily available to our service members.
Most people don�t go to a chiropractor for a better sex life, but that extra benefits is a pretty happy accident. �People come in with back pain, but after adjustments, they come back and tell me their sex life is so much better,� says Jason Helfrich, co-founder and CEO of 100% Chiropractic. �It�s no surprise to us�it�s amazing what the body will do when you take away the pressure on the nervous system.�
And what are those amazing feats, exactly?
Let�s start with what a chiropractor really does. Every function in your body is controlled from the nervous system, but when vertebra are off position�known as a subluxation�the nerves traveling between your brain and your muscles can become blocked, compromising your body�s ability to function as it needs to. Every chiropractor�s goal is to remove these subluxations, since they can both cause pain and impede feeling, Helfrich says.
But these fixes help more than just back pain. The lumbar region (your lower back) is a huge hub for the nerves that extend into your reproductive regions. Removing lumbar subluxations can improve nerve flow to your sexual organs, increasing things like blood flow to your clitoris or, for your husband, the penis.
The flow of nerve signals is a two-way street, though, meaning that adjustments also allow your organs to send messages to the brain more easily. This means that you not only do you become physically aroused faster, but your brain also registers that ready-for-action, heightened sense of pleasure more quickly, so you move past the mental obstacles that may be keeping you from orgasming, Helfrich explains.
The other key adjustment area for a better sex life?
Right below your brain stem, around the vertebrae known as C1 and C2. �Libido and fertility require a delicate balance of estrogen, progesterone, and other hormones, many of which are released in the upper cervical and neck area,� he explains. If there are any blockages right out of the brain, the impingement up there will have an effect all the way down.
Even your fertility is affected by the nerves and hormones coming out of the spine, as they control your reproductive cycle.
But beyond all of the physiological benefits of tweaking your spine to perfection, chiropractic adjustments can also simply give your muscles more range of motion. This means you can try previously impossible positions under the sheets.
�We want to improve people�s health, and health is about living life as its intended. Having a great sex life is huge part of that,� Helfrich adds. No arguments here!
Most people don�t go to a chiropractor for a better sex life, but the extra benefit is a pretty happy accident. �People come in with back pain, but after an adjustment, they come back and tell me their sex life is so much better.�
Walk into any gym or health club and you�ll find people exercising�their core. Coretraining has�taken the world by storm, and for good reason, as every DC knows. Strengthening the�core creates stability and better movement and helps prevent lower back pain. To help patients get the most from�their efforts, it�s important they understand what they�re doing. You can explain the difference between the local and global muscles, as I�ve outlined�below, and help your patients�perform core work safely and effectively.
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What Is the Core?
I like to tell patients that their core is a shorthand way of referring to all the muscles of their�lower back/pelvis/hip area. It�s where your center of gravity is located and where movement begins. A strong core stabilizes the spine and pelvis and supports you as you move. The core has 29 pairs of muscles that�fall into two categories:
��Local Muscles. Patients can think�of local muscles as the deeper muscles, the ones close to the�spine and responsible for stabilization.�They don�t have much ability to move the�joints. The local muscles are further broken down into primary and secondary categories. The primary local muscles are the transverse abdominus and multifidi (the two most critical muscles for providing stability). The secondary local muscles are the internal obliques, quadratus lumborum, diaphragm and pelvic floor muscles.
��Global Muscles.�The global muscles are the outermost layer of muscle�they�re the ones you can feel through your skin. They�re responsible for moving joints. The global muscles in the core are the rectus abdominus, external obliques, erector spinae, psoas major and iliocostalis.
The core should operate as an integrated functional unit, with the local and global muscles working together to allow easy, smooth, pain-free movement. When the muscles work together optimally, each component distributes, absorbs and transfers forces. The kinetic chain of motion functions efficiently when you do something dynamic, like exercise or run.
Core Injury
An injury to one of the core muscles usually means an episode of lower back pain for your patient. When that happens, the deep stabilizers change how they work as a way to compensate for the injury and protect the area. The stabilizers now have delayed action; they�re turned on only after you move, instead of as you move. Because now they�re not functioning as they should, the�brain recruits the�global muscles to compensate. That causes a core imbalance. The result: pain in the lower back, pelvis and glutes (the big muscles you sit on).
Exercises designed to help get patients� core muscles back in balance are the best way to prevent re-injury and avoid lower back pain. Traditional abdominal exercises are often recommended to strengthen the global muscles. These exercises can actually increase pressure on the lower spine. Similarly, traditional lower back hyperextension exercises meant to stretch out the lower spine also may actually increase pressure on it. A better approach to preventing lower back pain is restoring stability with the core exercises below.
Abdominal Brace
The abdominal brace activates all the contracting muscles in the abdominal wall, without involving the nearby obliques and rectus muscles. This exercise strengthens the connection between the global muscles and the deep local muscles. This helps restore the balance between them and improves spinal stiffness.
To get an idea of how the muscles in your core work, place your thumbs in the small of your back on either side of your spine. Next, do a hip hinge: bend forward from the hips about 15 degrees. You should feel the muscles in your lower back move as you bend and stand back up again.
To do the brace, stand upright and suck in your stomach, as if you were about to get punched. Hold hat for 10 seconds, then relax. Repeat 20 times; do three sets.
You�ll know you�re doing the brace correctly if you poke your extended fingertips right into your side below your ribs and then brace. You should feel the muscles move under your fingertips.
Curl-Ups
Curl-ups train the rectus abdominus, the long abdominal muscle that runs vertically from your breastbone all the way down on both sides of your bellybutton.
Start by lying on your back with your hands palm-up beneath your lower back. Bend one leg and put the foot flat on the floor; extend the other leg. Hold your head and neck stiffly locked onto your ribcage�imagine them as one unit. Lift your head and shoulders slightly off the floor by three or four inches and hold that position for 20 seconds. Your elbows should touch the floor while you do this. Relax and gently lie back again. Repeat 10 times. Switch legs and repeat 10 times gain. Do three sets.
Tip: If your patient has�neck discomfort doing this, have them push their�tongue against the roof of the�mouth�to help�stabilize the neck muscles.
Side Bridge
The side bridge, also called the side plank, trains the quadratus lumborum, lateral obliques, and transverse abdominus muscles, all local muscles that help stabilize the�spine.
Start by lying on your side. Place your top leg in front of your bottom leg (the heel of your top foot should touch the toe of the bottom foot). Raise your body using the down-side shoulder and elbow. Cap the opposite shoulder with your free hand. Hold for as long as you can, aiming for 30 seconds. Switch sides and repeat.
Bird Dog
This exercise is great for training the back extensors, including the longissimus, iliocostalis and multifidii.
Start on your hands and knees (quadruped position). Raise and extend the opposite arm and leg simultaneously, like a dog pointing to where the bird is. �Hold or eight seconds, then return to the quadruped position. Repeat eight times, then switch arms and legs and repeat for eight reps. Do three sets.
Conclusion
All the muscles of the�core must work together to produce efficient and effective movement. The core is the center of the�body�s motion�training it is a critical part of any exercise routine. Teaching your�patients proper technique for core training will result in�big benefits for them now and in the future.
Share this Core Strengthening guide with patients, courtesy of WebExercises
Walk into any gym or health club and you�ll find people exercising�their core. Core training has�taken the world by storm, and for good reason, as every DC knows. Strengthening the�core creates stability, better movement and helps prevent lower back pain.
Athletes who perform daily rigorous training and/or participate in regular competitions can often be at a higher risk of suffering an injury or developing an injury. Because most sports or physical activities require the repetitive and constant use of the lower extremities, experiencing a complication which affects the lower back, buttocks, thighs and even the feet of the athlete can ultimately alter their performance.
Medial tibial stress syndrome, commonly referred to as shin splints, is not considered to be a medically serious condition, however, it can challenge an athlete�s performance. Approximately 5 percent of all sports injuries are diagnosed as medial tibial stress syndrome, or MTSS for short.
Shin splints, or MTSS, occurs most frequently in specific groups of the athletic population, accounting for 13-20 percent of injuries in runners and up to 35 percent in military service members. Medial tibial stress syndrome is characterized as pain along the posterior-medial border of the lower half of the tibia, which is active during exercise and generally inactive during rest. Athletes describe feeling discomfort along the lower front half of the leg or shin. Palpation along the medial tibia can usually recreate the pain.
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Causes of Medial Tibial Stress Syndrome
There are two main speculated causes for medial tibial stress syndrome. The first is that contracting leg muscles place a repeated strain upon the medial portion of the tibia, producing inflammation of the periosteal outer layer of bone, commonly known as periostitis. While the pain of a shin splint is felt along the anterior leg, the muscles located around this region are the posterior calf muscles. The tibialis posterior, flexor digitorum longus, and the soleus all emerge from the posterior-medial section of the proximal half of the tibia. As a result, the traction force from these muscles on the tibia probably aren�t the cause of the pain generally experienced on the distal portion of the leg.
Another theory of this tension is that the deep crural fascia, or the DCF, the tough, connective tissue which surrounds the deep posterior muscles of the leg, may pull excessively on the tibia, causing trauma to the bone. Researchers at the University of Honolulu evaluated a single leg from 5 male and 11 female adult cadavers. Through the study, they confirmed that in these specimens, the muscles of the posterior section of muscles was introduced above the portion of the leg that is usually painful in medial tibial stress syndrome and the deep crural fascia did indeed attach on the entire length of the medial tibia.
Doctors at the Swedish Medical Centre in Seattle, Washington believed that, given the anatomy, the tension from the posterior calf muscles could produce a similar strain on the tibia at the insertion of the DCF, causing injury.
In a laboratory study conducted using three fresh cadaver specimens, researchers concluded that strain at the insertion site of the DCF along the medial tibia advanced linearly as tension increased in the posterior leg muscles. The study confirmed that an injury caused by tension at the medial tibia was possible. However, studies of bone periosteum on individuals with MTSS have yet to find inflammatory indicators to confirm the periostitis theory.
The second theory believed to cause medial tibial stress syndrome is that repetitive or excessive loading may cause a bone-stress reaction in the tibia. When the tibia is unable to properly bear the load being applied against it, it will bend during weight bearing. The overload results in micro damage within the bone, not just along the outer layer. If the repetitive loading exceeds the bone�s ability to repair, localized osteopenia can occur. Because of this, some researchers consider a tibial stress fracture to be the result of a continuum of bone stress reactions that include MTSS.
Utilizing magnetic resonance imaging, or MRI, on the affected leg can often display bone marrow edema, periosteal lifting, and areas of increased bony resorption in athletes with medial tibial stress syndrome. This supports the bone-stress reaction theory. An MRI of an athlete with a diagnosis of MTSS can also help rule out other causes of lower leg pain, such as a tibial stress fracture, deep posterior compartment syndrome, and popliteal artery entrapment syndrome.
Risk factors for MTSS
While the cause, set of causes or manner of causation of MTSS is still only a hypothesis, the risk factors for athletes developing it are well-known. As determined by the navicular drop test, or NDT, a large navicular drop considerably corresponds with a diagnosis of medial tibial stress syndrome. The NDT measures the difference in height position of the navicular bone, from a neutral subtalar joint position in supported non-weight bearing, to full weight bearing. The NDT explains the degree of arch collapse during weight bearing. Results of more than 10 mm is considered excessive and can be a considerable risk factor for the development of MTSS.
Research studies have proposed that athletes with MTSS are most frequently female, have a higher BMI, less running experience, and a previous history of MTSS. Running kinematics for females can be different from that of males and has often been demonstrated to leave individuals vulnerable to suffer anterior cruciate ligament tears and patellofemoral pain syndrome. This same biomechanical pattern may also incline females to develop medial tibial stress syndrome. Hormonal considerations and low bone density are believed to be contributing factors, increasing the risk of MTSS in the female athlete as well.
A higher BMI in an athlete demonstrates that they have more muscle mass rather than being overweight. The end result, however, is the same in that the legs bear a considerably heavy load. It�s been hypothesized that in these cases, the bone growth accelerated by the tibial bowing may not advance quickly enough and injury to the bone may occur. Therefore, those with a higher BMI may need to continue their training programs gradually in order to allow the body to adapt accordingly.
Athletes with less running experience are more likely to make training errors, which may be a common cause for medial tibial stress syndrome. These include but are not limited to: increasing distance too quickly, changing terrain, overtraining, poor equipment or footwear, etc. Inexperience may also lead the athlete to return to activity before the recommended time, accounting for the higher prevalence of MTSS in those who had previously experienced MTSS. A complete recovery from MTSS can take from six months up to ten months, and if the original injury does not properly heal or the athlete returns to training too soon, chances are, their pain and symptoms may return promptly.
Biomechanical Analysis
The NDT is used as a measurable indication of foot pronation. Pronation is described as a tri-planar movement consisting of eversion at the hindfoot, abduction of the forefoot and dorsiflexion of the ankle. Pronation is a normal movement of the body and it is absolutely essential in walking and running. When the foot impacts the ground at the initial contact phase of running, the foot begins to pronate and the joints of the foot acquire a loose-packed position. This flexibility helps the foot absorb ground reaction forces.
During the loading response phase, the foot further pronates, reaching peak pronation by approximately 40 percent during stance phase. In mid stance, the foot moves out of pronation and back to a neutral position. During terminal stance, the foot supinates, moving the joints into a fastened position, creating a rigid lever arm from which to generate the forces for toe off.
Starting with the loading response phase and throughout the rest of the single leg stance phase of running, the hip is stabilized and supported as it is extended, abducted and externally rotated by the concentric contraction of the hip muscles of the stance leg, including the gluteals, piriformis, obturator internus, superior gemellus and inferior gemellus. Weakness or fatigue in any of these muscles can develop an internal rotation of the femur, adduction of the knee, internal rotation of the tibia, and over-pronation. Overpronation therefore, can be a result of muscle weakness or fatigue. If this is the case, the athlete may have a completely normal NDT and yet, when the hip muscles don�t function as needed, these can overpronate.
In a runner who has considerable overpronation, the foot may continue to pronate into mid stance, resulting in a delayed supination response, causing for there to be less power generation at toe off. The athlete can make the effort to apply two biomechanical fixes here that could contribute to the development of MTSS. First of all, the tibialis posterior will strain to prevent the overpronation. This can add tension to the DCF and strain the medial tibia. Second, the gastroc-soleus complex will contract more forcefully at toe off to improve the generation of power. However, it�s hypothesized that the increased force within these muscle groups can add further tension to the medial tibia through the DCF and possibly irritate the periosteum.
Evaluating Injury in Athletes
Once understood that overpronation is one of the leading risk factors for medial tibial stress syndrome, the athlete should begin their evaluation slowly and gradually progress through the procedure. Foremost, the NDT must be performed, making sure if the difference is more than 10mm. Then, it�s essential to analyze the athlete�s running gait on a treadmill, preferably when the muscles are fatigued, such as at the end of a training run. Even with a normal NDT, there may be evidence of overpronation in running.
Next, the athlete�s knee should be evaluated accordingly. The specialist performing the evaluation should note whether the knee is adducted, whether the hip is leveled or if either hip is more than 5 degrees from level. These can be clear indications that there is probably weakness at the hip. Traditional muscle testing may not reveal the weakness; therefore, functional muscle testing may be required.
Additionally, it should be observed whether the athlete can perform a one-legged squat with arms in and arms overhead. The specialist must also note if the hip drops, the knee adducts and the foot pronates. Furthermore, the strength of the hip abductors should be tested in side lying, with the hip in a neutral, extended, and flexed position, making sure the knee is straight. All three positions with the hip rotated in a neutral position and at end ranges of external and internal rotation should also be tested. Hip extensions in prone with the knee straight and bent, in all three positions of hip rotation: external, neutral and internal can also be analyzed and observed to determine the presence of medial tibial stress syndrome, or MTSS. The position where a healthcare professional finds weakness after the evaluation is where the athlete should begin strengthening activities.
Treating the Kinetic Chain
In the presence of hip weakness, the athlete should begin the strengthening process by performing isometric exercises in the position of weakness. For example, if there is weakness during hip abduction with extension, then the athlete should begin isolated isometrics in this position. Until the muscles consistently activate isometrically in this position for 3 to 5 sets of 10 to 20 seconds should the individual progress to adding movement. Once the athlete achieves this level, begin concentric contractions, in that same position, against gravity. Some instances are unilateral bridging and side lying abduction. Eccentric contractions should follow, and then sport specific drills.
In the case that other biomechanical compensations occur, these must also be addressed accordingly. If the tibialis posterior is also displaying weakness, the athlete should begin strengthening exercises in that area. If the calf muscles are tight, a stretching program must be initiated. Utilizing any modalities possible might be helpful towards the rehabilitation process. Last but not least, if the ligaments in the foot are over stretches, the athlete should consider stabilizing footwear. Using a supported shoe for a temporary period of time during rehabilitation can be helpful to notify the athlete to embrace new movement patterns.
MTSS and Sciatica
Medial tibial stress syndrome, otherwise known as shin splints, ultimately is a painful condition that can greatly restrict an athlete�s ability to walk or run. As mentioned above, several evaluations can be performed by a healthcare professional to determine the presence of MTSS in an athlete, however, other conditions aside from shin splints may be causing the individuals leg pain and hip weakness. That is why it�s important to also visit additional specialists to ensure the athlete has received the correct diagnosis for their injuries or conditions.
Sciatica is best referred to as a set of symptoms that originate from the lower back and is caused by an irritation of the sciatic nerve. The sciatic nerve is the single, largest nerve in the human body, communicating with many different areas of the upper and lower leg. Because leg pain can occur without the presence of low back pain, an athlete�s medial tibial stress syndrome could really be sciatica originating from the back. Most commonly, MTSS can be characterized by pain that is generally worse when walking or running while sciatica is generally worse when sitting with an improper posture.
Regardless of the symptoms, it�s essential for an athlete to seek proper diagnosis to determine the cause of their pain and discomfort. Chiropractic care is a popular form of alternative treatment which focuses on musculoskeletal injuries and conditions as well as nervous system disorders. A chiropractor can help diagnose an athlete�s MTSS as well as overrule the presence of sciatica as a cause of the symptoms. In addition, chiropractic care can help restore and improve an athlete�s performance. By utilizing careful spinal adjustments and manual manipulations, a chiropractor can help strengthen the structures of the body and increase the individual�s mobility and flexibility. After suffering an injury, an athlete should receive the proper care and treatment they need and require to return to their specific sport activity as soon as possible.
Chiropractic and Athletic Performance
In conclusion, the best way to prevent pain from MTSS is to decrease the athlete�s risk factors. An athlete should have a basic running gait analysis and proper shoe fitting as well as include hip strengthening in functional positions as part of the strengthening program. Furthermore, one must ensure the athletes fully rehabilitate before returning to play because the chances of recurrence of medial tibial stress syndrome can be high.
Chiropractic care is an effective form of alternative treatment which is commonly preferred by many athletes as it can help with the recovery of an injury and/or condition without the need for medications or surgery. Most athletes are specially trained to prevent injuries, however, the constant and repetitive overworking of the structures of the body can gradually begin to degenerate, leading to issues like shin splints which may potentially manifest symptoms of sciatica if left untreated for an extended period of time.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .�
By Dr. Alex Jimenez
Additional Topics: Low Back Pain After Auto Injury
After being involved in an automobile accident, the sheer force of the impact can cause damage or injury to the body, primarily to the structures surrounding the spine. An auto collision can ultimately affect the bones, muscles, tendons, ligaments and other tissues surrounding the spine, commonly the lumbar region of the spine, causing symptoms such as low back pain. Sciatica is a common set of symptoms after an automobile accident, which may require immediate medical attention to determine its source and follow through with treatment.
Sometime after Kyle Gibson starts for the Twins in their home opener Monday afternoon, the durable young right-hander will connect with perhaps the most important member of his support team this year: his Chiropractor.
Gibson is still just 28, smack in the prime of his career, but there were times during the second half last season when his lower back started to bark at him. In early August in Toronto, for instance, he was shelled for eight earned runs in just 4 2/3 innings.
�I had a problem in Toronto,� Gibson said.
�There were a couple starts where I didn�t sit down in between innings,� Gibson said, �because if I sat down, my hips just got tight.�
Meanwhile, fellow Twins pitcher Trevor May, 26, was dealing with lower back issues of his own. In May�s case, the additional pounding of making multiple relief appearances without much recovery time had caused issues with the hip and lower-back area of his left (landing) leg, as well.
May�s physical woes left him unavailable for days at a time while the Twins chased their first postseason berth since 2010. Massage and electronic stimulation could only do so much to keep May on the mound.
A few sporadic sessions with a chiropractor didn�t provide immediate results, so May discontinued them.
Upon returning to Seattle this offseason, the yoga devotee decided to up the ante and visit a chiropractor weekly for hour-long sessions. This time, he began to see the benefits.
�A couple weeks before spring training, I felt it coming on a little bit again,� May said. �I was like, what is going on? I got it adjusted and my chiropractor said, �Man, you are way, way out of whack.� He explained to me where my pain was and why the hip was pressing against where it was and if we get that moved back, just lengthened out, it�s going to be really sore for a few weeks, but then it�s just going to go back to normal.�
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OVERCOMING FEARS
In 2014, his first full season in the majors, Gibson saw a chiropractor a few times at the recommendation of Twins closer Glen Perkins.
Gibson missed a start in late July after getting shelled at home for six earned runs against the Tampa Bay Rays.
�One of Perk�s guys came in and adjusted me,� recalled Gibson, who threw seven shutout innings at Kansas City his next time out.
That never led to a regular appointment, partly because of Gibson�s relative youth but also because of a long-held fear of what a chiropractor might do to a young athlete�s spine.
�My view of them was, �OK, I want you to lay on a table and I�m going to pop your back and you can come back in a week,� � Gibson said. �Once you start doing it, you�ve got to keep doing it the rest of your life. That was my view.�
A conversation with May early in spring training this year left him more open to chiropractic manipulation.
Hoping to build on the gains of a breakthrough 2015 but still bothered by soreness in his lower back, Gibson asked May for feedback on his chiropractor. May, who by then was going once at week to Darin Stokke at Lifestyles Chiropractic, had nothing but good things to say about the sessions.
Dr. Stokke
�We found that baseball players get skeletally out of line,� May said. �They do one motion one way much harder (than most people), and my hips were really, really out of line. Seeing a chiropractor consistently has helped me make sure I�m getting readjusted and staying in line as much as possible.�
While initially there was some concern that the bullpen simply did not agree with May�s back, his chiropractic sessions convinced him (and the Twins) that he could manage the additional workload with proper preparation.
What derailed him in September 2015, as it turns out, was a problem with the set joint, where the left hip and lower back meet.
�It was all muscular,� May said. �It was just because one hip was closer to the spine than the other side. The other side was normal. (The left side) was just pressing so much and you get so much inflammation. It was just a perfect storm. It was just a little extra torque being in the �pen. That�s why it was bothering me. Now I�m on top of it.�
As May explained it to Gibson, realignment of the spine would allow the overtaxed areas of a pitcher�s core to meet the challenge of persistent pounding.
�Letting those muscles unflare and then heal and rebuild them back to where they�re supposed to be, that�s what we�re doing,� May said.
After doing some �normal treatment stuff� as a warmup, Stokke would check May�s alignment much the way a tire installer might need to check an automobile before sending it back out into traffic.
�He checks where you legs are,� May said. �If he sees you�re out of line, he puts you back in line, and the next day I try to do some exercises and heavy strength stuff, just to build those muscles back up. I�m seeing soreness go and I feel more in line and healthier.�
BELIEF SYSTEM
Despite taking the loss in his season debut in Baltimore, Gibson reports much the same results from his twice-weekly chiropractic sessions this spring.
�Toward the beginning of spring training my back started getting sore again,� Gibson said. �Going twice a week helped get things moving in the right direction.�
Now that he feels his lower-back problems are under control, Gibson plans to scale back to a single visit per homestand. That way he won�t have to find somebody to visit on the road, while also limiting those realignment sessions to perhaps two per month.
�It has made a big difference in my hips and just everything,� said Gibson, who set career highs for starts (32) and innings (194 2/3) last season. �My skeletal system was basically allowing my muscular system to stay tight and not function properly. That caused some nerve irritation.�
While May features the classic �drop and drive� delivery, Gibson is from the �tall and fall� school that should, in theory, produce less strain on a pitcher�s hips and back. That didn�t prove to be the case over Gibson�s first few seasons in the majors, so he finally realized adjustments were needed.
�Some of my problem was just that I had some tight hips pulling my pelvis out of line and causing some irritation in the nerve,� Gibson said. �There were certain things I realized I could pitch through. You find ways to get around certain sorenesses and aches and pains.�
If the Twins can get 200 innings out of Gibson and 65 to 75 relief appearances out of May, they won�t just have a better chance to end a postseason drought that has reached five years and counting. They could have additional members of their pitching staff lining up for realignment sessions.
Kyle Gibson, last season his lower back started to bark at him. The durable young right-hander connected with the most important member of his support team, his Chiropractor. While Trevor May, was dealing with lower back issues of his own. In May�s case, the additional pounding of making multiple relief appearances without much recovery time had caused issues with his�hip and lower-back area of his left (landing) leg, as well.
Complications affecting the lumbar region of the spine can affect a wide amount of the population at least once throughout their lifetime. Low back pain is one of the most frequently reported symptoms, together with various other symptoms, causing pain and discomfort. Although low back pain can include several other symptoms, a collection of specific symptoms could signal the presence of another disorder: sciatica.
Affecting millions among the American population, sciatica can be characterized within a range of minor irritation to a severe, disabling complication. Despite how frequently its diagnosed and treated, there�s an assortment of information about the condition that many individuals do not yet understand and its often a topic of confusion among the general population.
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What is Sciatica?
First of all, sciatica can best be described as a group of symptoms from an injury or an underlying medical condition rather than a singular disorder. The term is used to specify symptoms of pain, tingling and numbness sensations, or weakness that often originates on the lower back and radiates through the sciatic nerve found in either leg.
Also, when it comes to sciatica, the common injuries or underlying conditions causing the symptoms differ greatly based on age. Adults under the age of 60 frequently develop sciatica as a result of a lower back, or lumbar, herniated disc, degenerative disc disease, and isthmic spondylolisthesis. Adults over the age of 60 frequently develop sciatica as a result of degenerative changes, such as lumbar spinal stenosis and degenerative spondylolisthesis. Occasionally, pregnancy, or injuries such as muscle strains and bone fractures, which may create scar tissue, can also begin to develop sciatica symptoms.
In addition, the initial location of the nerve compression can affect the overall symptoms of sciatica as well as create new ones. Five nerve roots found on the low back region connect to form the large sciatic nerve. Symptoms can generally be defined by which of these five nerve roots becomes compressed or irritated. For example, numbness on the feet is common when the nerve root near the L5 vertebra in the lumbar region is pinched. Then, it�s also possible to experience multiple symptoms. Various nerve roots can become compressed at the same time, causing a combination of symptoms, such as pain or a tingling sensation on the outside area of the foot while simultaneously causing stiffness on the leg.
Treatment for Sciatica
When seeking treatment, an individual�s source of their sciatica symptoms can help determine the appropriate care plan in order to relieve pain and discomfort. A chiropractor for example, will diagnose an individual for any injuries or underlying conditions that could be causing their sciatica symptoms as well as determine the location of the nerve impingement to recommend a proper set of stretches and exercises. The specific exercises can vary depending on the location of the nerve damage or injury. Certain symptoms of sciatica may require immediate medical attention. It is rare for sciatica symptoms to require immediate surgery but if an individual experiences worsening neurological symptoms that begin to affect both legs, if there is bladder or bowel incontinence, or if symptoms occur directly after trauma from an accident, its essential for the individual to seek immediate medical attention.
Chiropractic and Sciatica
Sciatica is also known as lumbar radiculopathy or may often be referred to as pinched or compressed nerve pain. Many individuals may find these terms confusing when they are used interchangeably but these refer to the same diagnosis. Furthermore, sciatica is a frequent term used to describe a variety of symptoms on the legs, however, leg pain may not always be due to sciatica. A piriformis muscle complication or a sacroiliac joint issue can also cause pain and discomfort that travels down the leg similar to sciatica.
A majority of individuals whom experience sciatica can achieve relief from their symptoms within 6 to 12 weeks without relying on surgery. In fact, studies have shown that the long-term results of surgery and non-surgical treatments are similar. Faster pain relief may occur through surgery but, after a year, both surgical and non-surgical approaches produce identical outcomes. Throughout an individual�s treatment for sciatica, the application of ice and/or heat therapy, gentle stretching, and low-impact exercises, such as walking, can help ease sciatic nerve pain during the process of rehabilitation.
The symptoms of sciatica can manifest due to a broad variety of factors, including trauma from an injury or an aggravated condition. It’s essential to be able to identify these signs in order to seek the proper care and treatment for the specific complication. Chiropractic care is a common form of treatment utilized to help reduce and improve the symptoms of sciatica.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
By Dr. Alex Jimenez
Additional Topics: Low Back Pain After Auto Injury
After being involved in an automobile accident, the sheer force of the impact can cause damage or injury to the body, primarily to the structures surrounding the spine. An auto collision can ultimately affect the bones, muscles, tendons, ligaments and other tissues surrounding the spine, commonly the lumbar region of the spine, causing symptoms such as low back pain. Sciatica is a common set of symptoms after an automobile accident, which may require immediate medical attention to determine its source and follow through with treatment.
The spine is a complex structure that consists of bone, muscle, tendons, ligaments, nerves and other tissues. Spine fitness is essential towards maintaining the body�s optimal performance as it functions to support an upright posture, provides flexibility to allow the body to bend and twist freely, and protect the spinal cord. While a healthy back can easily be taken for granted, a�back injury�or other type of complication may result in long-lasting consequences that could alter an individual�s aspect of daily life.
Unfortunately,�back injuries�are among the most common types of complications suffered after an automobile accident. Each day, thousands of individuals are involved in head-on, side-impact, and rear-end auto collisions, often leading to spinal injuries even during minor car crashes. Depending on the force of the impact, a single or multiple areas of the back may be affected. Automobile injuries can range from mild sprains and bruises to fractured vertebrae and spinal cord damage.
If you�ve had a car accident, it�s essential to take note of any symptoms of�back pain, as there are a variety of spine complications which could result after experiencing an auto collision.
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Central Sensitization & Auto Injuries
Recovering From Auto Injuries
Disc Herniation
One type of spine injury among individuals who have suffered from an auto accident is a�herniated disc, or a slipped/ruptured disc. Discs are small, sponge-like structures found within the spinal column which function as cushions to separate and protect the vertebrae from the others while providing the spine with smooth flexibility. The force from an auto accident impact can damage a disc, causing it to break or deform, affecting its ability to cushion the bones of the spine.
Furthermore, a damaged disc can also place unnecessary pressure directly on the nerves surrounding it, leading to symptoms of pain, numbness and weakness on the region of the body where the affected nerve travels to.
Disc injuries to the�lower back�frequently lead to a group of symptoms commonly referred to as sciatica, which is characterized by radiating pain, numbness and tingling sensations in the leg and/or buttock on either side, or occasionally, in both sides, depending on the type of injury. The symptoms associated with sciatica can be impairing and may worsen over time if left untreated.
Auto Injury Back Pain
Spinal Cord Distress
Spinal cord injuries occur from the impact of an automobile accident. It sends a direct blow to the spine, that damages the delicate bundle of nerves within it. The spinal cord is the most important structure between the body and the brain. It is a vital link between the brain and the body, functioning to carry essential information back-and-forth from the brain to the central nervous system, facilitating motor control and sensory function. Spinal cord injuries impair the brain�s ability to communicate effectively with the rest of the body, resulting in paralysis and/or lack of sensation in all or part of the body. The more severe an injury to the spinal cord is, the more of the body will be affected.
Compression Fracture aka Bone Break
Car accidents can also cause compression fractures. Compression fractures or cracks in the bones of the spine may cause the vertebrae to collapse and deform. This can permanently alter the shape and structure of the spine.
Symptoms of a compression fracture include pain and postural changes as well as breathing difficulties. Due to the fact that compression fractures are common among older adults, many individuals mistake the symptoms for�signs of aging�or arthritis. An estimated two-thirds of compression fractures go undiagnosed.
While cars are built to withstand the great force of a collision, the human body is not. The complex structures of the body, especially the spine, are vulnerable even in low speed collisions, resulting in injuries or conditions more often than not. An individual who�s been injured in an accident should seek immediate medical attention in order to diagnose any possible injuries or conditions as early as possible to begin treatment.�Chiropractic care�can effectively treat a variety of spinal complications, including auto injuries. Through the use of spinal adjustments and manual manipulations, a chiropractor can gradually help restore the individual�s natural mobility and flexibility, as well as progressively strengthen the structures surrounding the spine to relieve the symptoms and restore the individual�s lifestyle.
After being involved in an automobile accident, injuries inflicted to the spine can be a common complication for many individuals. From herniated discs to compression fractions, the force of an auto collision can place great amounts of stress on the complex structures of the spine, often leading to damage, injuries and even aggravate an existing condition.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
The Clinic & Crossfit:
A Clients Story
Jacqulyn Quevas is up on her feet a lot as a hair stylist and she was�searching for�and overall become healthier and once she found Push-as-Rx ��, her amazing journey began. The motivation and enthusiasm of the trainers at Push as Rx has greatly influenced Jacqulyn.
The clinic and PUSH-as-Rx �� system is leading the field with laser focus supporting our youth sport programs.� The PUSH-as-Rx �� System is a sport specific athletic�program�of reactive agility, body mechanics and extreme motion dynamics. Through detailed and continued assessments of the athletes in motion and under stress loads offer a clear scientific picture of body dynamics. This system also has helped many athletes come back from injury faster, stronger, and ready to safely return to their sport without losing a beat after recovery. Results demonstrate clear improved agility, speed, decreased reaction time and advantageous postural-torque mechanics.� PUSH-as-Rx �� offers specialized extreme performance enhancements to our athletes no matter the age.
If you�ve had a car accident, it�s essential to take note of any symptoms of�back pain, as there are a variety of spine complications which could result after experiencing an auto collision.
Low back pain is a common symptom reported among the majority of the population. Generally caused by direct trauma from an injury or as a result of an aggravated condition, low back pain can greatly restrict an individual’s daily activities, affecting their overall physical as well as mental performance. Although there’s a variety of factors which can lead to back pain along the lumbar area of the spine, an incorrect sitting posture over an extended period of time has been known to be one of the leading causes for this well-known symptom.
Sitting is one of the most difficult positions for the body to maintain. Improper sitting postures�for prolonged periods of time while hunched over in a chair can build excessive pressure on the spine and affect the blood circulation in the legs. For an individual that spends their workdays sitting down, the long term result of an improper posture can greatly alter the individual�s overall health.
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Proper Posture While Sitting
Sitting for extended periods of time while hunching over a desk can cause discomfort, numbness and spine misalignment over time if the improper sitting posture is not corrected. Holding the body upright can also further increase pressure and tension in muscles, ligaments, joints, and other tissues surrounding the spine. A sedentary lifestyle where the individual doesn�t take frequent breaks throughout their workday to stand and stretch can gradually lead to cardiovascular disease due to the decreased blood flow, tightened hip flexors, shortened hamstrings, pinched nerves and many other physical injuries and/or conditions in the long run.
How Chiropractic Differs from Traditional Care
Aches and pains on the body, particularly around the spine, herniated discs, nerve complications and painful joints are direct results of working while in improper sitting postures for prolonged hours of the day. When you’re in a seated position, a lot of pressure is being placed directly on the spine and its surrounding structures. Our bodies were designed to stand upright and maintaining a seated position can be physically stressful.
“The weight is distributed while in a standing position,” explained Kelly McGonigal, Ph.D., a health psychologist at Stanford University and a leading expert in neck and back pain, �That’s not the case with sitting. McGonigal added, “When you sit, you distort the natural curve of the spine, which means your back muscles have to do something to hold your back in shape because you’re no longer using the natural curves of the spine to lift yourself up against gravity.”
Approximately 80 percent of individuals in the United States alone may experience some form of chronic pain in their lifetime. Ultimately, working on a sitting position for extended periods of time per day is putting a tremendous mental and physical stress on our bodies.
Correcting Posture
Maintaining good posture when sitting helps preserve the three natural curves of a healthy spine; the cervical curvature, the thoracic curvature, and the lumbar curvature. The normal curvatures of the spine should form a slight S-shape. An excessive curve in the spine could suggest a possible underlying condition and may present symptoms of pain and discomfort, among other uncomfortable symptoms.
The key to maintaining a proper posture is to avoid slouching by sitting up straight as well as sitting all the way back in your chair. Additionally, the chair should be tucked in close to the desk. Placing a pillow or cushion directly behind your lower back area, or the lumbar spine, can help sustain good posture by providing enough support and allowing the spine to naturally curve inward. Furthermore, it�s also recommended to stand and stretch about every 20 minutes to give your body a break from long held positions, release pressure that is being built up on the spine and restore the body�s regular circulation by pushing the blood out of your legs. Doing this consistently throughout your day can prevent the muscles, ligaments and other tissues of the body from getting strained. Simple stretches at your desk, such as twisting, turning the head from side-to-side and chin tucks upward towards the ceiling can also help. These movements will ultimately help to relieve an individual�s chronic pain as well as restore an individual�s health progressively over time and improve their overall well-being.
Sitting is one of the most difficult positions for the body to maintain. Sitting for prolonged periods of time while hunched over in a chair can build excessive pressure on the spine and affect the blood circulation in the legs. For an individual that spends their workdays sitting down, the long term result of an improper posture can greatly alter the individual�s overall health.
While for many individuals sitting behind a desk for a prolonged period of time each day is an inevitable and often necessary part of their lifestyle, practicing a proper posture as well as seeking the proper care once the symptoms of low back pain manifest can change the effect of the issue. Chiropractic care as well as physical therapy and other forms of treatment, are available to the public to help reduce their painful symptoms and restore their original functionality. The spine is one of the body’s most important structures and it’s essential to maintain its health to achieve overall wellness.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
Chiropractic care is a natural treatment utilized to provide regular health maintenance to the spine, intervertebral discs, nerves and other tissues surrounding these structures, without the use of drugs or surgery. It focuses on the proper alignment of the joints in the body, particularly the spine, to reduce spinal nerve stress, promoting overall wellness.
Chiropractic is a well-known, alternative treatment option used to treat a variety of injuries and conditions, most commonly to improve symptoms of neck and back pain. From athletes to the general population, chiropractic treatment has been regarded as a safe and effective form of care, most recently, it�s even been utilized for women throughout pregnancy.
While it�s not commonly considered, chiropractic care can offer tremendous benefits for patients during their pregnancy and there have been no known contraindications to chiropractic treatment throughout this stage of a woman�s life.
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Is Chiropractic Care Safe During Pregnancy?
All doctors of chiropractic, or chiropractors, are trained to work with women who are pregnant. Investing in the fertility and overall health and wellness of women throughout their pregnancy or those whom are trying to conceive is a routine care for a majority of chiropractors.
Many chiropractors take a specific interest in prenatal and postnatal care and they may pursue additional training to specialize in the treatment of pregnant women. The following represents designations of chiropractors who�ve taken advanced steps in working with infertility and pregnancy health and wellness.
DACCP � Diplomate with ICPA reflecting highest level of advanced training
CACCP � Certified with the ICPA reflecting advanced training
Member of ICPA reflecting special interest
Webster Certified � trained to work specifically with pelvic balance in pregnancy
Chiropractors which have acquired professional training to work with pregnant women commonly utilize special chiropractic tables that adjust to a woman�s pregnant body. They are also trained to utilize treatment methods and techniques which avoid the use of unnecessary pressure on the abdomen. In addition, a doctor of chiropractic will provide the patient with the most appropriate set of stretches and exercises that are safe to perform during pregnancy.
The Importance of Chiropractic During Pregnancy
Throughout the pregnancy process, a woman�s body will undergo a variety of physiological and endocrinological changes in preparation for creating the best environment for the development of the baby. Furthermore, the body will have to adjust to its new body mechanics, especially the normal structure and function of the spine. Several pregnancy body changes include: a protruding abdomen; increased back curve; pelvic alterations; and postural adaptations.
These new adjustments can challenge the structure and function of the body, to the point that a misalignment of the spine of other joints as well as the irritation and inflammation of the tissues can occur. Ultimately, restoring the original alignment of the spine and the balance of the pelvis in relation to the rest of the body is one of the main reasons why chiropractic care is essential throughout a woman�s pregnancy.
A misalignment of the spine or pelvis, also known as a subluxation, can reduce the amount of room available for the proper development of the baby. This restriction is medically referred to as an intrauterine constraint. Also, the misalignment of these specific structures can make it difficult for the baby to get into the best possible position for delivery, affecting the mother�s ability to have a natural, non-invasive birth. Breech and posterior positions can interfere with the ease of labor, leading to the use of other medical interventions, such as c-sections.
Maintaining the spine�s natural alignment helps the entire body function effectively. Because the nervous system is the master communication system between the brain and the rest of the body, including the reproductive system, ensuring the connection between these is not interfered by a subluxation is fundamental to guarantee the well-being of the individual.
Benefits of Chiropractic Treatment Throughout Pregnancy
Chiropractic during pregnancy can provide a substantial amount of benefits for pregnant women. These benefits include: maintaining overall health and wellness throughout pregnancy; helps control symptoms of nausea; reduces labor and delivery time, relieved neck, back and joint pain; and it can help prevent a potential cesarean delivery.
Talking to a Health Care Provider
As the amount of women who seek to take advantage of the benefits chiropractic care can offer throughout their pregnancy increases, more healthcare providers have begun to seek the services of doctors of chiropractic who specialize in the treatment of pregnant women. When considering chiropractic to maintain overall health and wellness during pregnancy, or when searching for an alternative treatment option for an injury or condition while pregnant, make sure to discuss these options with your healthcare provider. Chiropractic care should not be utilized as a sole source of treatment and maintenance during pregnancy, however, chiropractic can be used in collaboration with other medical services to ensure the patient receives the best care throughout their pregnancy.
Kinesio Taping Can Benefit Pregnancy
Aside from chiropractic care, there are other treatment methods and techniques which can also benefit women throughout their pregnancy. Many individuals use kinesio tape, also known as elastic therapeutic tape, an elastic cotton strip with an acrylic adhesive that comes in a variety of colors. Kinesio tape is generally utilized in athletes to treat a variety of injuries or conditions, however, applying the elastic therapeutic tape on pregnant women can help relieve many pregnancy discomforts, providing other great benefits.
The elastic therapeutic tape, or kinesio tape, functions by treating as well as helping to recover from and prevent injuries. With its acrylic adhesive, it serves to lift the skin and promote better blood circulation. Used universally today by the growing population, kinesio tape has even been utilized by the elderly to treat normal home injuries. Apart from treating injuries, elastic therapeutic tape can help stabilize and correct posture.
When it�s applied properly by a professional, the natural elasticity of the tape will gently lift the skin to help relieve pressure from pain receptors. Once it�s applied, the individual�s circulation will improve, working immediately and continuing to provide relief 24/7 for approximately 3 to 5 days per application. In addition, kinesio taping helps ease the body�s natural healing process, allowing for the individual�s original range of motion to improve by also providing stability and support to the surrounding muscles, joints and other tissues, as well as reducing pain and discomfort, swelling and controlling inflammation as a result of the improved blood flow.
A variety of benefits kinesio tape can offer include: prevention of injury; treatment and rehabilitation; promotes blood circulation; posture correction; optimized performance; near immediate treatment; stays on up to 3 to 5 days throughout treatment; able to shower and sleep with it for continuous relief; no heavy bracing; and it offers no restrictions due to its elasticity.
How Kinesio Tape Helps Pregnant Women
During pregnancy, the use of elastic therapeutic tape can be a safe and effective treatment option for pregnancy discomfort as well as for other types of injuries and conditions. Low back pain and pelvic pain can be common issues that affect pregnant women.
Kinesio tape is a drug-free alternative, similar to chiropractic care, that can offer pregnant women additional relief from the well-known symptoms which develop during pregnancy, including back pain, swollen feet, sciatica, and carpal tunnel, among others. Because of this, elastic therapeutic taping can be one of the most ideal options for expecting mothers who seek natural relief from the common symptoms associated with pregnancy.
Kinesio tape can also function similarly to a support belt or belly band, with the proper placement of the colorful tape to either the back or abdomen. The most frequent postural pain and discomfort pregnant women experience can be relieved using the kinesio tape in this manner as it will help distribute the weight of the additional pounds. It can also greatly reduce fatigue as well. In comparison to purchasing support belts and belly bands, elastic therapeutic tape can be considerably more economic in the long run. For most pregnant women, symptoms of pain and discomfort while pregnant can make sleeping difficult. Nonetheless, because these tapes can be worn while sleeping, they can provide continuous relief and a much needed rest.
Many healthcare professionals are trained to apply elastic therapeutic tape, however, one can learn to apply them themselves. Using kinesio tape can be challenging and difficult to apply at first. It�s important to allow a primary care physician, chiropractor or other healthcare specialist to demonstrate the proper way to apply kinesio tape before attempting to apply it yourself. Some elastic therapeutic tape may need to be altered before being applied to achieve a specific function. Always make sure the skin is dry and clean before applying the tape to ensure it lasts longer. To remove the tape, use baby oil on the strips to gently loosen the adhesions.
Technique #1: Belly Belt
This first technique functions by lifting the lower belly to help relieve painful symptoms as a result of the increased amount of pressure being placed onto the pelvic flooring. Begin by attaching one strip of tape firmly at the middle of the lower belly. Then, follow by pulling both sides of the tape upward to lift the belly, attaching the ends securely. If you need to apply more strips, repeat the process using a second strip and check how it feels for you.
Technique #2: Front Sling
This technique is excellent for providing frontal support for pregnant women. Using two strips of kinesio tape, attach the ends firmly at the bottom, pulling each strip upwards and securing them under the breasts. Women with smaller and/or shorter torsos can cut the elastic therapeutic tapes in half and follow the same application process.
Technique #3: Baby Belt
This technique can be significantly helpful for pregnant women whose bellies are protruding outwards quite a bit. Using two strips of kinesio tape, you are going to form an �X� at your belly button, beginning from the bottom, just above the hip bones. While pulling the tape across the belly, make sure to pull firmly in order for the tape to hold your belly in place securely.
Technique #4: Maximum Support
This fourth technique is for pregnant women who experience full belly pain. If you have lower back pain as well as belly pain, you can combine this technique with the following technique (see next technique). Using 4 strips of elastic therapeutic tape, beginning at one hip, apply the tape and pull it diagonally across your belly button up to the opposite ribcage. With a second strip, follow the same procedure as before on the opposite side. Next, take a strip of kinesio tape and apply it from the bottom, up on each side of the navel. Make sure to firmly attach the elastic therapeutic tape at the bottom and then pull upwards to anchor it at the top above the diaphragm.
Technique #5: Lower Back & Belly Support
If you need both lower belly and back support, this one is good for you. You will need two strips.. Using one strip you will have someone attach one end to one side of your lower back and firmly stretch it across, anchoring on the other side. With your second strip, you will stretch only the middle by pulling at both ends, attaching the middle part of the tape first to your lower abdomen. Then, you will firmly pull each side upward to secure. It should feel as if you are �lifting� up your belly. The discomfort should go away immediately.
Technique #6: Frontal Belly Support
The next technique is perfect for pregnant women who�ve only experienced discomfort in the front and lower abdominal regions. Utilizing two strips of elastic therapeutic tape, with the first strip, begin by applying it at the pubic line then pull upward, attaching the end of the tape right under the diaphragm. With the second strip, begin by applying it at one end of the lower belly, above the pubic line, and stretch it across. With smaller women, it might be necessary to cut the strips in half and follow the same procedure.
Technique #7: Diaphragm Support
This final technique is considered fundamental for when the baby gets so big that they begin to push into the diaphragm and can make normal breathing difficult. For this procedure, only one strip of elastic therapeutic tape is necessary. Smaller pregnant women may have to cut the strip in half and follow the same procedure. Foremost, you will need to firmly attach and hold the strip at one end while pulling it across to the other side, focusing on pulling it downward. The point is to bring the top of the belly down to ease the diaphragm.
It�s important to consult your healthcare provider or chiropractor before attempting any of the following kinesio tape techniques by yourself to discuss whether kinesiology taping is appropriate for you. Furthermore, be sure to notify your healthcare practitioner if you have sensitive skin to ensure you do not react negatively from the tape adhesive. Once the kinesio tape is applied, a healthcare professional can provide careful instructions on how you can preserve the usefulness of the tape while showering, bathing and dressing.
The above information is by no means a replacement to a consultation with a licensed healthcare provider. Consultation with a chiropractor or other healthcare provider is recommended for any individual suffering from symptoms due to an injury or condition. If you are not experienced with using elastic therapeutic tape, allow a medical doctor, chiropractor, physical therapist or other experienced healthcare provider to demonstrate how to properly apply the tape for use at home.
Massage for Pregnant Women
Just as chiropractic treatment and various techniques using elastic therapeutic tape can benefit women throughout their pregnancy, massage can also be a helpful alternative to provide further relief to pregnant women. The goal of every pregnancy massage is to provide unique and special needs to expecting mothers.
Certified pregnancy massage therapists are qualified and experienced to perform the specially designed massage techniques on women to help relieve the most common pregnancy symptoms, making sure to protect both mother and child during the massage.
Pregnancy massage can differ greatly from others and it is often unique in its application. During the massage, the pregnant women is carefully supported using cushions and pillows to provide the expectant mother with superior comfort. This type of massage is above all very gentle and deep tissue techniques are never utilized as a safety precaution. In addition, many areas of the body are avoided to protect both mother and child, providing extra attention only to specific areas of the body which are particularly affected by pregnancy, such as the back and/or the feet. Regardless of these safety precautions, pregnancy massage is generally not advised during the first trimester.
The gentle pregnancy massage can tremendously help both physical and emotional pain and discomfort in pregnant women and the psychological benefit of itself can be greatly therapeutic. In addition to stress and anxiety reduction, a pregnancy massage can help reduce common symptoms associated with pregnancy, such as swollen ankles and lower back pain.
In conclusion, a woman�s overall health and wellness is fundamental throughout their pregnancy and alleviating painful symptoms along with those common discomforts associated with the stages of pregnancy can help provide comfort to expecting mothers. From chiropractic care and the application and use of elastic therapeutic tape to pregnancy massages, there are a variety of safe, efficient and beneficial alternative treatments and techniques that can help pregnant women throughout their pregnancy without the need of drugs. The above mentioned treatment options are natural alternative which have been considered by many women. If you are in need of relief or simply wish to enjoy the benefits of these procedures, make sure to discuss them with your healthcare provider before following through with these treatments.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
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