When the body shifts out of homeostasis or when something in the body is out of balance, the body sweats. Sweating is a process known as perspiration that releases salt-based fluids from the body’s sweat glands to help the body stay cool and regulate body temperature. Sweat is commonly found under the arms, on the feet, and on the palms of the hands. Body temperature, outdoor temperature, or emotional state changes can cause sweating.
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Sweating
An individual has around 2-4 million sweat glands, which begin to become fully active during puberty. There are two types of sweat glands: eccrine and apocrine. The most common areas of sweating include:
Face.
Armpits.
Palms of the hands.
Soles of the feet.
Sweating in normal amounts is an essential bodily process.
Not sweating enough or sweating too much can cause problems.
Sweat is mostly water but contains small amounts of salt.
Sweat also contains electrolytes and minerals – including potassium, chloride, magnesium, zinc, copper, proteins, urea, and ammonia.
Electrolyte levels need to be replenished after heavy sweating.
Causes
Sweating is normal. However, a variety of causes can stimulate increased sweating.
High Temperature
Elevated body temperature.
Elevated outdoor temperature.
Are the primary cause of increased sweating.
Emotions and stress
Emotions and conditions can also make the body break out in a heavy sweat.
Emotional stress
Anxiety
Anger
Fear
Embarrassment
Foods
Sweating may be a response to certain foods. This type of sweat is known as gustatory sweating, which can be caused by:
Spicy foods
Caffeinated drinks – like soda, coffee, and tea.
Alcoholic beverages.
Medications
Illness and Medications
Sweating may be caused by medication use and certain illnesses:
Individuals can become dehydrated and have an increased risk of heatstroke.
Chiropractic Adjustments
The nervous system coordinates and oversees all functions of the body. Some can be consciously controlled, and others are automatic. The autonomic nervous system– ANS regulates involuntary processes, including blood pressure, heart rate, digestion, respiration, gland function, sweating, etc. The ANS is divided into the sympathetic and parasympathetic systems.
The sympathetic nervous system – when activated, creates a state of elevated activity and attention or the fight or flight response.
This process increases blood pressure and heart rate, preparing the body to respond to various stressors.
The parasympathetic nervous system promotes resting and digesting processes that lower heart rate and blood pressure.
The parasympathetic calms the body.
Chiropractic adjustments have been known to affect the autonomic nervous system. This is achieved by increasing parasympathetic activity/relaxation and down-shifting the sympathetic/fight or flight response and inflammation. A chiropractic adjustment can remove subluxations, which cause interferences in the nervous system. Chiropractic restores and improves the brain and body system communication.
Thoracic Spine Pain
References
Baker, Lindsay B. “Physiology of sweat gland function: The roles of sweating and sweat composition in human health.” Temperature (Austin, Tex.) vol. 6,3 211-259. 17 Jul. 2019, doi:10.1080/23328940.2019.1632145
Cabanac, M. “Temperature regulation.” Annual Review of Physiology vol. 37 (1975): 415-39. doi:10.1146/annurev.ph.37.030175.002215
Cui, Chang-Yi, and David Schlessinger. “Eccrine sweat gland development and sweat secretion.” Experimental dermatology vol. 24,9 (2015): 644-50. doi:10.1111/exd.12773
Kiani, Aysha Karim, et al. “Neurobiological basis of chiropractic manipulative treatment of the spine in the care of major depression.” Acta bio-medica : Atenei Parmensis vol. 91,13-S e2020006. 9 Nov. 2020, doi:10.23750/abm.v91i13-S.10536
McCutcheon, L J, and R J Geor. “Sweating. Fluid and ion losses and replacement.” The Veterinary clinics of North America. Equine practice vol. 14,1 (1998): 75-95. doi:10.1016/s0749-0739(17)30213-4
It’s not unusual for runners to experience tingling, pins and needles, and numbness in their feet while running. Running foot numbness is a relatively common problem for runners and can be easily remedied. Numbness will present in one part of the foot or just the toes. Sometimes it can spread throughout the whole foot. Different causes, most of which are not serious, can be easily dealt with. Serious causes can be treated with chiropractic, massage, decompression therapy, and functional medicine.
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Running Foot Numbness
Reasons, why the feet experience numbing sensations when running, include:
Improper footwear.
Laces that are tied too tightly.
Foot strike pattern.
Foot structure.
Training schedule.
Muscle tightness.
Compressed nerve.
Medical conditions like neuromas or peripheral neuropathy.
Footwear
A common cause of running foot numbness is having overly tight shoes that place added pressure on nerves.
If this could be the reason, the remedy is to get new shoes.
Try to find a store that specializes in running shoes and ask for help.
Footwear professionals look at the size of the foot, the shape, and running gait.
For example, individuals with a wide foot may need a style with a wider/larger toebox or the front of the shoe that houses the forefoot.
Get a pair that’s one-half to a full size larger than a regular everyday shoe size.
This is because when running, the feet swell, especially in hot and humid weather.
Going up a half or whole size will also accommodate thicker socks for individuals that run in cold weather.
Sometimes numbness can result from biomechanical issues that can be corrected with the proper shoe.
Tight Laces
Sometimes it’s not the shoes but the laces that are too tight.
Pulling a little tighter to get a firm fit around the ankle is common, but this can entrap nerves on top of the foot at the ankle/anterior tarsal tunnel, similar to the carpal tunnel in the wrist.
This can be problematic for individuals with high arches.
Loosening the laces are recommended.
However, runners may feel insecure with looser laces.
Experimenting with different lacing techniques is recommended to find one that keeps the shoes comfortable without creating undue pressure over the top of the foot.
Using padding under the tongue of the shoe can help.
Foot Fall Pattern
Sometimes running form can put pressure on nerves that, lead to numbness.
Overstriding– Landing heel first with the foot ahead of the body’s center of gravity places the feet on the ground for too long.
Correcting this issue can be achieved by shortening the stride and focusing on landing on the midsole.
This way, the feet will land directly under the body.
Running like stepping on hot coals is recommended, keeping the movements light and quick.
Correcting overstriding saves energy and lowers the risk of shin splints.
A sports chiropractor, physical therapist, or running coach can help fine-tune form for specific guidance.
Foot Structure
The anatomy of the feet, specifically the arches, can contribute to running foot numbness.
Flat feet mean the entire bottom of each foot is in contact with the floor when barefoot.
Overly flexible feet are more likely to experience nerve compression.
This can be corrected with shoe orthotic inserts.
Over-the-counter orthotics may work, but custom orthotics are another option if they don’t.
Muscle Tightness
Stiff, inflexible muscles can lead to anatomical conditions that generate nerve pressure.
Warm-up exercises before running will get the muscles loose and ready.
Stretching is very important before and after running.
Individuals prone to muscle tightness should include flexibility exercises.
Yoga can improve flexibility and body alignment.
Foam rollers and other massage tools will work out kinks in areas where tightness forms and affects nerves, like the quadriceps, calves, hamstrings, and I.T. band.
Regular sports massage and chiropractic can help keep the body pliable.
Sciatic Nerve Issues
A compressed nerve causes a decrease in the sensation to the areas the nerve supplies.
Foot numbness, especially around the heel or the sole, can be caused by sciatic nerve compression.
The pain from sciatica might originate in the back but can end up causing numbness in the feet and/or toes.
Poor posture, tight piriformis muscles, or other back injuries can also cause sciatica.
A chiropractor or physical therapist can prescribe decompression therapy, MET stretches, and rehabilitative exercises.
Prevention
Most of the time, running foot numbness can be treated by adjusting footwear or technique. Here are a few tips for injury prevention:
Evaluate Shoes
First, make sure the shoelaces are not overly tight.
If the shoes are uncomfortable when running, look for another set and get a custom fitting.
Running Form
Avoid overstriding by focusing on landing on the midsole instead of the heel.
This will take the pressure off of the feet.
Foot Orthotics
Individuals with flat feet, high arches, or overly flexible feet should consider orthotics.
Avoid Overtraining
Work rest days into the training schedule and gradually build up to avoid overuse injuries.
Stretch to prevent muscle imbalances, keep muscles loose, and improve the range of motion.
Chiropractic and Physical Therapy
If symptoms don’t improve, see a doctor, podiatrist, or chiropractor so they can rule out conditions and develop a personalized treatment plan.
Benefits of Custom Foot Orthotics
References
Aldridge, Tracy. “Diagnosing heel pain in adults.” American family physician vol. 70,2 (2004): 332-8.
Atik, Aziz, and Selahattin Ozyurek. “Flexible flatfoot.” Northern Clinics of Istanbul vol. 1,1 57-64. 3 Aug. 2014, doi:10.14744/nci.2014.29292
Jackson, D L, and B L Haglund. “Tarsal tunnel syndrome in runners.” Sports medicine (Auckland, N.Z.) vol. 13,2 (1992): 146-9. doi:10.2165/00007256-199213020-00010
Souza, Richard B. “An Evidence-Based Videotaped Running Biomechanics Analysis.” Physical Medicine and rehabilitation clinics of North America vol. 27,1 (2016): 217-36. doi:10.1016/j.pmr.2015.08.006
Sridhara, C R, and K L Izzo. “Terminal sensory branches of the superficial peroneal nerve: an entrapment syndrome.” Archives of physical medicine and Rehabilitation vol. 66,11 (1985): 789-91.
Supplements To Ease Headaches: Individuals dealing with headaches or migraines should consider incorporating supplements to ease headaches’ severity and frequency. Nutrition and food habits affect all systems in the body. Although slower to take effect than medications, if a diet is used correctly to heal the body and maintain health, other treatments may not be necessary or require less. Many health providers understand that food is a medicine that can assist healing therapies like massage and chiropractic care, which makes the treatment more effective when used with dietary adjustments.
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Supplements To Ease Headaches
An unhealthy lifestyle and diet are not the only contributing factor to headaches. Others include:
The goal of functional medicine is to help individuals reach their health and wellness goals that, include:
Regularly active lifestyle.
Optimal breathing patterns.
Quality sleep patterns.
Thorough hydration.
Healthy nutrition.
Improved digestive health.
Improved mental health.
Improved musculoskeletal health.
Pain Receptors – Headache
Pain and discomfort symptoms present when various head structures become inflamed or irritated. These structures include:
Nerves of the head and neck.
Muscles of the neck and head.
The skin of the head.
Arteries that lead to the brain.
Membranes of the ear, nose, and throat.
Sinuses that form part of the respiratory system.
The pain can also be referred, meaning that pain in one area can spread to nearby areas. An example is headache pain developed from neck stiffness and tightness.
Causes
Foods
Determining whether food sensitivities cause or contribute to headaches or migraines can be challenging. Nutritionists and dieticians recommend keeping a food journal to keep track of foods, snacks, drinks, alcohol intake, how the body reacts, and how the individual feels.
This process can help recognize foods or eating patterns that may contribute to headaches.
An integrative health practitioner can support this process and help identify sensitivities.
By eliminating and avoiding processed foods, headaches may be alleviated. This includes limited exposure to artificial colors, sweeteners, flavors, and other unnatural additives.
Foods naturally high in magnesium include legumes, almonds, broccoli, spinach, avocados, dried figs, and bananas.
Ginger Root
Ginger root is a natural remedy for nausea, diarrhea, upset stomach, and indigestion.
Ginger root extract can be taken in supplement form or fresh ginger added to meals and teas.
Coriander Seeds
Coriander syrup is effective against migraine pain.
A method to relieve a headache is to pour hot water over fresh seeds and inhale the steam.
To increase the effectiveness, place a towel over your head.
Celery or Celery Seed Oil
Celery can reduce inflammation and lower blood pressure.
However, pregnant women or individuals with kidney conditions, low blood pressure, taking thyroid medication, blood thinners, lithium, or diuretics should not use celery seed.
Peppermint and Lavender Essential Oils
Both have a natural numbing and cooling effect that helps relieve headache pain.
Peppermint oil has also been found to be a natural antibacterial, antiviral, antifungal, antiparasitic, and pain reliever.
Lavender oil can eliminate nervous tension, enhance blood circulation, and relieve pain.
Both are effective pain relief tools for headache and migraine sufferers.
Butterbur
This shrub grows in Europe, some parts of Asia, and North America.
A study found that individuals who consumed 75 mg of the extract twice daily reduced migraine attacks’ frequency.
Feverfew
A herb plant whose dried leaves have been found to relieve symptoms associated with headaches, migraines, menstrual cramps, asthma, dizziness, and arthritis.
Feverfew can be found in supplements.
It can alter the effects of certain prescription and non-prescription medications.
There is plenty of evidence to support the benefits of healthy nutrition. Combined with a healthy diet and lifestyle, these supplements can help relieve headaches. As with any supplement, talk to a doctor before starting a supplement regimen.
Chiropractic Care For Migraines
References
Ariyanfar, Shadi, et al. “Review on Headache Related to Dietary Supplements.” Current Pain and headache report vol. 26,3 (2022): 193-218. doi:10.1007/s11916-022-01019-9
Bryans, Roland, et al. “Evidence-based guidelines for the chiropractic treatment of adults with headache.” Journal of Manipulative and physiological therapeutics vol. 34,5 (2011): 274-89. doi:10.1016/j.jmpt.2011.04.008
Diener, H C et al. “The first placebo-controlled trial of a special butterbur root extract for the prevention of migraine: reanalysis of efficacy criteria.” European Neurology vol. 51,2 (2004): 89-97. doi:10.1159/000076535
Kajjari, Shweta, et al. “The Effects of Lavender Essential Oil and its Clinical Implications in Dentistry: A Review.” International Journal of clinical pediatric dentistry vol. 15,3 (2022): 385-388. doi:10.5005/jp-journals-10005-2378
Maier, Jeanette A et al. “Headaches and Magnesium: Mechanisms, Bioavailability, Therapeutic Efficacy and Potential Advantage of Magnesium Pidolate.” Nutrients vol. 12,9 2660. 31 Aug. 2020, doi:10.3390/nu12092660
Mansouri, Samaneh, et al. “Evaluating the effect of Coriandrum sativum syrup on being migraine-free using mixture models.” Medical Journal of the Islamic Republic of Iran vol. 34 44. 6 May. 2020, doi:10.34171/mjiri.34.44
Pareek, Anil, et al. “Feverfew (Tanacetum parthenium L.): A systematic review.” Pharmacognosy Reviews vol. 5,9 (2011): 103-10. doi:10.4103/0973-7847.79105
Skypala, Isabel J et al. “Sensitivity to food additives, vaso-active amines and salicylates: a review of the evidence.” Clinical and translational allergy vol. 5 34. 13 Oct. 2015, doi:10.1186/s13601-015-0078-3
A big part of sports is avoiding and preventing injuries, as injury prevention is far better than rehabilitation and recovery. This is where prehabilitation comes in. Prehabilitation is a personalized, constantly evolving, and developing strengthening exercise program. The program aims to provide sports-specific targeted exercises and activities to maintain athletes’ physical abilities and mental preparedness for their sport. The first step is for an athletic trainer, sports chiropractor, and physical therapist to examine the individual.
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Prehabilitation
Everybody is different when it comes to developing an effective prehabilitation program. Every individual’s program should be progressive and re-evaluated to adapt and adjust to the athlete’s needs. The first step is learning to prevent injuries and following basic injury prevention protocols. Knowing what to do when the body sustains an injury, like home treatment and when it’s time to see a doctor.
Athletes
Athletes of all levels are recommended to incorporate a prehabilitation program into their training. As athletes engage in their sport, their bodies adjust to the physical demands of practicing, playing, and training. Imbalances can happen naturally with normal activity but become more pronounced with each practice, game, and training session and often are the cause of injury. The repetitive movements and regular stresses can cause neuromusculoskeletal symptoms to present. This includes:
Tightness of muscle groups.
Pain and discomfort symptoms.
Stabilization issues.
Strength imbalances.
Program
A chiropractic therapist will measure the individual’s range of motion and strength, biomechanics, evaluate medical history, and present health status. Individuals with an injury or a condition can also benefit from prehabilitation.
Each program is personalized and will address total body balance, sports-specific needs, and weaknesses.
The exercises will balance strength, coordination, range of motion, and stabilization.
The premise is looking at and comparing movements from left to right, front to back, and upper to lower body.
Activities can be subtle, focused exercises or a complex movement sequence to stabilize or improve a specific skill.
Programs focus on strengthening and stabilizing the core, abdominals, hips, and back.
Instability is common and often presents from a lack of core training, as athletes tend to focus on what parts of the body their specific sport utilizes, leaving the core without a regular training routine.
A prehabilitation program has to be constantly updated to adjust to the individual’s progress.
Tools like foam rollers, balance boards, weights, and exercise balls are used.
Training
Prehabilitation should start before any acute or chronic injury occurs, but often it takes a few injuries for individuals to decide to get into a prehabilitation program. Depending on an athlete’s training cycle, prehabilitation can be incorporated into practice or as an independent workout and become part of an athlete’s training routine. A session can include the following:
Warm-up and cool-down exercises.
Exercises to perform while resting or waiting during practice.
A targeted workout on specific weaknesses.
A complete workout for days off or active rest days.
Mini workouts for when traveling and recovery days.
For athletes, feeling challenged and motivated can be the difference between success and failure. Working with a trainer, sports chiropractor, and therapists who know sports, understand athletic needs, and communicate well, will contribute to a successful prehabilitation program.
Improving Athletic Performance
References
Durrand, James et al. “Prehabilitation.” Clinical medicine (London, England) vol. 19,6 (2019): 458-464. doi:10.7861/clinmed.2019-0257
Giesche, Florian, et al. “Evidence for the effects of prehabilitation before ACL-reconstruction on return to sport-related and self-reported knee function: A systematic review.” PloS one vol. 15,10 e0240192. 28 Oct. 2020, doi:10.1371/journal.pone.0240192
Halloway S, Buchholz SW, Wilbur J, Schoeny ME. Prehabilitation Interventions for Older Adults: An Integrative Review. Western Journal of Nursing Research. 2015;37(1):103-123. doi:10.1177/0193945914551006
Smith-Ryan, Abbie E et al. “Nutritional Considerations and Strategies to Facilitate Injury Recovery and Rehabilitation.” Journal of athletic training vol. 55,9 (2020): 918-930. doi:10.4085/1062-6050-550-19
Vincent, Heather K, and Kevin R Vincent. “Rehabilitation and Prehabilitation for Upper Extremity in Throwing Sports: Emphasis on Lacrosse.” Current sports medicine reports vol. 18,6 (2019): 229-238. doi:10.1249/JSR.0000000000000606
Vincent, Heather K et al. “Injury Prevention, Safe Training Techniques, Rehabilitation, and Return to Sport in Trail Runners.” Arthroscopy, sports medicine, and rehabilitation vol. 4,1 e151-e162. 28 Jan. 2022, doi:10.1016/j.asmr.2021.09.032
Gelatin is a stabilizer and thickener used to make desserts like fruit gelatin, pudding, mousse, marshmallows, candy, cakes, ice cream, and certain yogurts. It is also used in some shampoos and skincare products. Because animal products are used to make gelatin, it is not a vegan-friendly food, and even some non-vegans choose not to eat it. However, there are gelatin alternatives that are made from non-animal sources. The use of gelatin may provide certain health benefits, and there are some medical uses for pharmaceutical-grade gelatin.
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Gelatin Health
Gelatin is affirmed as generally recognized as safe/GRAS by the U.S. Food and Drug Administration. Gelatin is made by boiling the skin, tendons, ligaments, or bones of animals – cows or pigs in water. This process releases collagen, a protein that provides structure and is the most abundant in the human body. Once the collagen is extracted, it is:
Concentrated
Filtered
Cooled
Extruded
Dried
Alternatives
Thickening agents can be made from different ingredients. These include:
Agar-agar
Also called agar, this thickener is made from cooked and pressed seaweed.
This gelling agent is available online and in some supermarkets in powdered, flaked, and bar form.
When cooking with it, substitute agar for gelatin using equal amounts if using the powder.
If using flakes, a tablespoon equals about a teaspoon of the powder.
Certain citrus fruits require more agar when substituting.
Agar does not gel well for recipes that include uncooked mangoes, papaya, and pineapple.
Pectin
Pectin is a gelling agent found naturally in apples and citrus fruits.
Food manufacturers use pectin to make some yogurts and candies and enhance fruit-based beverages.
It can also thicken jams, jellies, and other foods.
This thickener is usually for making softer gels and puddings.
Benefits
Improved Bone Health
A benefit of gelatin is the protection of bones; however, evidence supporting its use is limited.
An early study found that hydrolyzed gelatin, such as pharmaceutical grade, may help reduce pain symptoms in individuals with knee or hip osteoarthritis.
Researchers thought that it could have a beneficial effect on cartilage metabolism.
A study found that adding gelatin to an intermittent exercise program improved collagen synthesis and could aid in injury prevention and tissue repair.
Treatment of Diarrhea
Some studies have suggested that gelatin tannate, which contains tannic acid, can reduce chronic diarrhea.
One study found that using gelatin tannate and other products like probiotics could be effective.
However, further research is needed.
Recipe Alternative
Individuals following specific diets or nutritional plans can use gelatin to thicken foods instead of ingredients that they are avoiding or removing from their eating plan.
It can be used by those following low or no – carb or grain-free diets.
Individuals with wheat allergies, celiac disease, non-celiac gluten sensitivity, or who follow a gluten-free diet can use gelatin or other thickeners instead of flour.
Adding flour to foods like soups and stews can increase the carbohydrate count.
Cornstarch is one replacement that thickens when food is heated, like flour; however, gelatin thickens when food is cooled.
For example, some chefs use 1 ½ teaspoons of gelatin per cup of stock to thicken soups.
Nutrition
The USDA provides the following nutrition information for a single envelope or around one tablespoon/7 grams of gelatin.
Carbohydrates
There are about 30 calories per tablespoon, and none of the calories are from carbohydrates.
There are 0 grams of total carbohydrates, 0 grams of sugar, and 0 grams of fiber.
Because there are no carbohydrates, it will not impact blood sugar levels.
However, it is not usually consumed by itself.
It is commonly used to thicken desserts with sugar and carbohydrates that can elevate blood sugar levels.
Fats
There is no fat in a tablespoon serving of gelatin.
A 100-gram serving contains less than a gram of fat.
Protein
Gelatin provides about 6 grams of protein in one tablespoon serving.
It should not be considered a high-protein food.
Vitamins and Minerals
The powder does not contribute any significant micronutrients.
Does not provide vitamins or minerals.
Storage and Safety
It should be kept in a sealed container and stored in a cool, dry place.
It should stay fresh for about three years when unopened and stored correctly.
It should not be frozen.
Chiropractic Success Story
References
Blanco, Francisco J, and Ronald K June 2nd. “Cartilage Metabolism, Mitochondria, and Osteoarthritis.” The Journal of the American Academy of Orthopaedic Surgeons vol. 28,6 (2020): e242-e244. doi:10.5435/JAAOS-D-19-00442
Daneault, Audrey, et al. “Biological effect of hydrolyzed collagen on bone metabolism.” Critical Reviews in food science and Nutrition vol. 57,9 (2017): 1922-1937. doi:10.1080/10408398.2015.1038377
Florez, Ivan D et al. “Gelatin tannate for acute diarrhea and gastroenteritis in children: a systematic review and meta-analysis.” Archives of Disease in Childhood vol. 105,2 (2020): 141-146. doi:10.1136/arch dis child-2018-316385
Hölzl, Katja, et al. “Gelatin methacryloyl as an environment for chondrocytes and cell delivery to superficial cartilage defects.” Journal of tissue engineering and regenerative medicine vol. 16,2 (2022): 207-222. doi:10.1002/term.3273
Lopetuso, L et al. “Gelatin tannate and tyndallized probiotics: a novel approach for the treatment of diarrhea.” European Review for Medical and pharmacological sciences vol. 21,4 (2017): 873-883.
Shaw, Gregory, et al. “Vitamin C-enriched gelatin supplementation before intermittent activity augments collagen synthesis.” The American Journal of clinical nutrition vol. 105,1 (2017): 136-143. doi:10.3945/ajcn.116.138594
Tehranzadeh, J et al. “Cartilage metabolism in osteoarthritis and the influence of viscosupplementation and steroid: a review.” Acta radiologica (Stockholm, Sweden : 1987) vol. 46,3 (2005): 288-96. doi:10.1080/02841850510016027
Throughout the world, pain and stress are related to musculoskeletal disorders affecting joints and muscles. Many musculoskeletal disorders will have correlating symptoms with overlapping risk profiles that can make a person’s life difficult. Pain and stress have two forms: acute and chronic, which are associated with numerous everyday factors that a person goes through. Even though pain and stress can impact a person’s life, there are multiple ways to reduce these two by calming the mind and doing meditative breathing techniques to relax the body and clear the mind. What is truly amazing is that meditative breathing techniques can be combined with stretching techniques like MET (muscle energy techniques. Today’s article looks at how stress and pain affect the musculoskeletal system, the breathing connection for musculoskeletal pain, and how MET therapy is combined with breathing exercises. We utilize and provide valuable information about our patients to certified medical providers who use soft tissue stretching methods like MET to reduce musculoskeletal stress on the body. We encourage patients by referring them to our associated medical providers based on their findings. We support that education is a marvelous way to ask our providers the most interesting questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., incorporates this information as an educational service. Disclaimer
Stress & Pain Affect The Musculoskeletal System
Have you been dealing with shoulder, neck, or back pain? What about feeling an overwhelming pressure that is causing you to stress out? Or do you feel muscle pain and joint stiffness affecting your daily routine? Many of these issues correspond with stress and pain from numerous factors associated with the musculoskeletal system. Research studies revealed that pain and stress are considered two sides of the same coin regarding the musculoskeletal system. Pain and stress are two distinguished symptoms that overlap each other when musculoskeletal disorders affect the body. Pain is a collection of emotional and sensory perceptions that work with musculoskeletal motor behavior. At the same time, stress is characterized by challenging emotional or physiological events that cause adaptive or maladaptive changes to regain homeostasis. With these two factors working together to affect the musculoskeletal system, the body may develop symptoms and cause the individual to be miserable.
The Breathing Connection For Musculoskeletal Pain & Stress
One of the major correspondents that work with pain and stress is anxiety. In “Clinical Applications of Neuromuscular Techniques,” authors Dr. Leon Chaitow, N.D., D.O., and Judith Walker DeLany, L.M.T., mentioned that anxiety aggravates all chronic pain and stress. However, there is a solution to reduce pain and stress in the musculoskeletal system. When pain and stress are combined with anxiety, it can cause breathing disorders and produce inflammatory cytokines and elevated cortisol levels to contribute. But incorporating some deep breathing techniques can help reduce stress and pain affecting the body. Research studies have revealed that slow deep breathing has been known to reduce the effects of musculoskeletal pain and help lower cortisol levels. Breathing techniques are popular in meditation and yoga practices. Deep breathing and mindfulness can help the body relax from everyday factors and calm the individual. Additional studies have mentioned that breathing exercise programs effectively improve lung function, reduce musculoskeletal pain associated with the back, and help improve a person’s quality of life.
The Natural Way To Heal- Video
Have you been dealing with musculoskeletal pain throughout your entire body? Do you feel constantly stressed throughout your whole life? Or have you felt anxious that it is making your muscles tense constantly? When many people feel constant stress and are in pain, it can lead to musculoskeletal disorders that can cause many individuals to be miserable. When this happens, overlapping risk profiles affect the musculoskeletal, organs, and nervous systems. At the same time, fortunately, numerous treatments can help reduce pain and stress that is affecting the body. Chiropractic care is non-invasive and can help many individuals be mindful of their bodies. The video above explains how chiropractic care can help realign the body from spinal subluxation and mitigate the effects of muscle pain and stress in the muscle fibers.
MET Therapy Combined With Breathing Exercises
When the body has been dealing with musculoskeletal pain on top of stress, it can cause the individual to be miserable and try to find some relief. Luckily there are available treatments that can help restore the body naturally and reduce the effects of stress and pain. Treatment like MET (muscle energy technique) and breathing exercises allow the muscles to relax and properly stretch to relieve muscle pain. Research studies have revealed that breathing exercises and MET therapy can reduce a person’s symptoms and help regain the muscle and joint range of motion. These two combined treatments can help many individuals dealing with musculoskeletal pain associated with stress to be more aware of what is affecting their bodies. They can help them along their health and wellness journey without medicine.
Conclusion
Overall, pain and stress are part of numerous conditions and disorders that can affect the musculoskeletal system and cause overlapping risk profiles that can cause the individual to be miserable. When pain and stress affect the body, it can cause the muscles, tissues, ligaments, joints, and organs to work harder than before and develop chronic musculoskeletal disorders. Fortunately, treatments like MET (muscle energy technique) and breathing exercises allow the body to relax and help reduce muscle pain symptoms affecting the body. When a person incorporates these treatments as part of their daily routine, they can become more aware of what is affecting their bodies and improve what is going on in their daily lives. This allows them to continue their health and wellness journey pain-free.
References
Abdallah, Chadi G, and Paul Geha. “Chronic Pain and Chronic Stress: Two Sides of the Same Coin?” Chronic Stress (Thousand Oaks, Calif.), U.S. National Library of Medicine, Feb. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5546756/.
Anderson, Barton E, and Kellie C Huxel Bliven. “The Use of Breathing Exercises in the Treatment of Chronic, Nonspecific Low Back Pain.” Journal of Sport Rehabilitation, U.S. National Library of Medicine, 24 Aug. 2016, pubmed.ncbi.nlm.nih.gov/27632818/.
Chaitow, Leon, and Judith Walker DeLany. Clinical Applications of Neuromuscular Techniques. Churchill Livingstone, 2003.
Joseph, Amira E, et al. “Effects of Slow Deep Breathing on Acute Clinical Pain in Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.” Journal of Evidence-Based Integrative Medicine, U.S. National Library of Medicine, 2022, www.ncbi.nlm.nih.gov/pmc/articles/PMC8891889/.
Zaccaro, Andrea, et al. “How Breath-Control Can Change Your Life: A Systematic Review on Psycho-Physiological Correlates of Slow Breathing.” Frontiers in Human Neuroscience, U.S. National Library of Medicine, 7 Sept. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC6137615/.
The biceps curl is an exercise to build strength in the upper arm. Curls are a common exercise used in upper-body strength training. Specifically, the curl works the muscles in the front of the upper arm. It’s recommended for achieving strength and definition and provides core and stability challenges. Injury Medical Chiropractic and Functional Medicine Clinic can educate individuals on fitness, strength training, nutrition, and injury prevention.
Contents
Bicep Curls
Located at the upper arm, the biceps comprise a short and long head that operates as a single muscle.
The bicep heads begin at different places around the shoulder/scapula region,
They have a common insertion point on the elbow tendon.
Together allow the bending of the arm at the elbow joint to curl and pull weight.
Curls work the muscles at the front of the upper arm and the lower arm. The brachialis and brachioradialis.
Dumbbells
Different equipment and grips can be used, including dumbbell weights, kettlebells, barbells, resistance bands, or cable machines. Select equipment with enough weight that can be lifted ten times using proper form, ensuring the last three repetitions are challenging to the point of being unable to raise another. From there, use this same weight to perform eight repetitions or slightly lower the weight and perform ten repetitions.
Begin by standing with the feet about hip-width apart.
Keep the abdominal/core muscles engaged.
Hold one dumbbell in each hand.
Relax the arms down at the sides with palms facing forward.
Keep the upper arms stable and shoulders relaxed.
Bend at the elbow and lift the weights so the dumbbells approach the shoulders.
Raise the dumbbells to eye or forehead level for a full range of motion.
Tension will be felt in the muscles in the front of the upper arm.
Keep movements smooth and controlled.
The elbows should stay tucked in close to the body.
Be careful to keep the wrist straight and rigid.
Flexing the wrist while bending the elbow won’t target the biceps effectively and can result in a wrist or elbow injury.
Exhale while lifting.
Lower the weights to the starting position.
For most, one set of 12 to 15 repetitions is adequate.
Train to failure performing the desired reps, staying within 3 to 5 repetitions of total failure.
When able, slightly increase weight and/or reps over time to increase muscle and strength.
Both biceps can be worked out by alternating arms.
Get the most out of the workout by avoiding these errors.
Rushing Through
Focus on proper form and avoid rushing through the workout.
Lift the weights with a smooth motion.
Take as much time to lower the weight as when lifting it.
Lowering the weight slowly can help build more muscle, making the most of the workout.
Improper Elbow Position
The position of the elbows should remain close to the side of the body.
Only the lower arm should move until the end of the movement when the elbows rise. This is a complete range of motion.
If the elbows move away from the torso or swing behind the body, there is probably too much weight.
Avoid Swinging the Weights
Focus on maintaining a tall, upright spine and a tight core.
The shoulders or torso should not swing the weights up when doing the curl.
It can feel like swinging, twisting, or heaving movements.
Don’t let the hips hinge, or the lower body assist the movement.
Keep the elbows at the sides until they naturally rise at the end of the motion.
Keep the shoulders relaxed
Make sure the shoulders don’t move forward to initiate the movement.
Use lighter weights or reduce the number of repetitions if this happens.
Safety
This exercise is generally recommended for most individuals. However, getting clearance from a primary caregiver before beginning any exercise routine is recommended.
Individuals with an arm injury or who experience pain during the motion should not perform the exercise without a doctor’s approval.
Don’t try to lift weights that are too heavy.
After a few lifts, expect to feel fatigued and a burning sensation in the biceps and forearm muscles.
This is the desired effect to get the muscles strong and growing.
Do not force extra repetitions once proper form cannot be achieved.
These muscles are in constant use when picking things up.
Consistently performing the biceps curl will help build strength in the upper arm.
Individuals learn to use their arm muscles correctly and with the core muscles.
Unlocking Athletic Potential with Chiropractic
References
Coratella, Giuseppe, et al. “Biceps Brachii and Brachioradialis Excitation in Biceps Curl Exercise: Different Handgrips, Different Synergy.” Sports (Basel, Switzerland) vol. 11,3 64. 9 Mar. 2023, doi:10.3390/sports11030064
Coratella, Giuseppe, et al. “Bilateral Biceps Curl Shows Distinct Biceps Brachii and Anterior Deltoid Excitation Comparing Straight vs. EZ Barbell Coupled with Arms Flexion/No-Flexion.” Journal of functional morphology and Kinesiology vol. 8,1 13. 19 Jan. 2023, doi:10.3390/jfmk8010013
Marchetti, Paulo H et al. “Seated row and biceps curl exercises present similar acute responses on muscle thickness, arm circumference, and peak force for elbow flexors after a resistance training session in recreationally-trained subjects.” The Journal of sports medicine and physical fitness vol. 60,11 (2020): 1415-1422. doi:10.23736/S0022-4707.20.10996-4
Sato, Shigeru, et al. “Elbow Joint Angles in Elbow Flexor Unilateral Resistance Exercise Training Determine Its Effects on Muscle Strength and Thickness of Trained and Non-trained Arms.” Frontiers in physiology vol. 12 734509. 16 Sep. 2021, doi:10.3389/fphys.2021.734509
Schoenfeld, Brad Jon, et al. “Differential effects of attentional focus strategies during long-term resistance training.” European Journal of sports science vol. 18,5 (2018): 705-712. doi:10.1080/17461391.2018.1447020
Around the world, many individuals will have some reaction to the foods they consume. This type of reaction can lead to a series of unwanted symptoms that affect not only the vital organs of the body but also the musculoskeletal system. This allergic reaction can cause inflammatory effects that lead to joint pain and swelling while affecting a person’s quality of life. Inflammation is the body’s natural defense response from the immune system to repair the body inside and out. When food allergies start to affect the entire body, it can cause the individual to be in constant pain, and many individuals will go to treatments to reduce the symptoms caused by food allergic reactions; however, the residual effects of the allergic reaction can still interfere with the body and affect the musculoskeletal system. Today’s article focuses on food allergies, how they are associated with inflammation in the musculoskeletal system, and how MET therapy can help relieve inflammation associated with food allergies. We utilize and provide valuable information about our patients to certified medical providers who use soft tissue stretching methods like MET to reduce inflammation associated with food allergies affecting the musculoskeletal system. We encourage patients by referring them to our associated medical providers based on their findings. We support that education is a marvelous way to ask our providers the most interesting questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., incorporates this information as an educational service. Disclaimer
What Are Food Allergies?
Have you been dealing with muscle swelling in different locations of your body? Do you see redness or feel a burning sensation in your muscles? Or do your muscles and joints feel achy throughout the day? Many of these pain-like symptoms are associated with inflammatory effects caused by food allergies. Research studies have revealed that food allergies are often defined as an immune reaction to food proteins that many individuals worldwide and, when indigested, are responsible for various symptoms that involve the skin, gastrointestinal tract, and respiratory tract. Many individuals would often confuse a food allergy with food intolerance since the musculoskeletal and gastrointestinal systems are caused by inflammation. Research studies have found that food intolerances are non-immunological responses that cause numerous symptoms and hypersensitivity to the body. Many factors correlate to food intolerances, and food allergies can affect the musculoskeletal system with pain-like symptoms like inflammation.
Food Allergies Associated With Inflammation In The Musculoskeletal System
When food allergies or food intolerances occur in the body, it can cause the individuals to have unwanted pain-like symptoms to cause inflammation to appear in the body. When it comes to inflammation in the body, it is produced by the immune system. It helps repair old cells and attack foreign invaders affecting the musculoskeletal system. In “Clinical Applications of Neuromuscular Techniques,” Dr. Leon Chaitow, N.D., D.O., and Dr. Judith Walker DeLany, L.M.T. stated that specific individualized pathophysiological responses exist to many foods and liquids that are being taken accounted for a significant amount of overlapping symptoms being produce. The book also states that it includes pain and discomfort to the musculoskeletal system. To that point, to figure out these presenting symptoms, whatever allergic pathogen is being derived from the food itself could be the result. Additional studies mentioned that food allergies and tolerances are sometimes not established when inflammation from the GI tract and causing pain-like symptoms associated with the musculoskeletal system. Fortunately, there are various treatments to reduce the effects of food allergies and intolerances while restoring the musculoskeletal system.
The Benefits Of A Healthy Diet & Chiropractic Care-Video
Have you been dealing with gut inflammation that is affecting your musculoskeletal system? Are you experiencing aches and pains throughout your entire body? Or do you have joint issues that are causing you limited mobility? Many of these issues are associated with food intolerances and allergies that can cause inflammation of the musculoskeletal system leaving the individual in pain. Fortunately, there are many ways to reduce the effects of inflammation associated with food allergies. The video above explains how eating the right foods while being considerate of food allergies can be combined with treatment like chiropractic care, which can help reduce inflammation while realigning the body through manual manipulation. Chiropractors also use soft tissue techniques like MET to help regain joint mobility and reduce the effects of inflammation-causing muscle and joint stiffness.
MET Therapy Relieving Inflammation Associated With Food Allergies
Therapies like soft tissue massages, massage therapy, physical therapy, or chiropractic care all work together with having a nutritional diet plan to prevent flare-ups from food allergies and intolerances. Research studies have found that MET helps stretch the affected muscles induced by inflammation associated with food allergies. This technique allows the body to naturally heal itself and prevent inflammation from exceeding more into the body. Combined with anti-inflammatory foods, many individuals know what food they can and can not consume. Additionally, it allows them to be more mindful of their bodies and sends them on the right track of their health and wellness journey.
Conclusion
Overall, many individuals often confuse food allergies and food intolerances, which can cause the musculoskeletal system to be dealing with symptoms of inflammation and pain. Since inflammation is the body’s natural defense system, it is important to be mindful of what is consumed to prevent overlapping risk profiles from causing muscle and joint pain. Luckily, numerous treatments are available to reduce the effects of chronic inflammation associated with food allergies and help the body naturally heal itself. Combining treatments like MET and a healthy nutritional diet can help the body reduce the effects of inflammation from affecting the musculoskeletal system while also allowing the individual to make smart choices in their health and wellness journey.
References
Chaitow, Leon, and Judith Walker DeLany. Clinical Applications of Neuromuscular Techniques. Churchill Livingstone, 2003.
Lopez, Claudia M, et al. “Food Allergies – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 31 Jan. 2023, www.ncbi.nlm.nih.gov/books/NBK482187/.
Ohtsuka, Yoshikazu. “Food Intolerance and Mucosal Inflammation.” Pediatrics International : Official Journal of the Japan Pediatric Society, U.S. National Library of Medicine, 2015, pubmed.ncbi.nlm.nih.gov/25442377/.
Sbardella, Silvia, et al. “Muscle Energy Technique in the Rehabilitative Treatment for Acute and Chronic Non-Specific Neck Pain: A Systematic Review.” Healthcare (Basel, Switzerland), U.S. National Library of Medicine, 17 June 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8234422/.
The function of the arm is to allow for movement of the wrist and hand. Various muscles initiate the arm’s actions, large muscles flex and extend, pronate and supinate, and the more sensitive muscles allow fine motor control. Lifting capacity and grip strength come from the arm muscles, making them essential for all types of activities. Because of the many functions and jobs the hands and arms do, added stress is placed on them. Arm discomfort symptoms, radiating pain, weakness, numbness, and tingling are common conditions. Chiropractic care can relieve injury symptoms and restore mobility and function.
Contents
Arm Discomfort Symptoms
The muscles of the upper arm, the biceps, and the triceps, control the movement and positioning of the elbow joint, and the muscles of the forearm control the wrist and hand. There are 30 bones from the top of the arm to the tip of the finger that include:
The humerus in the upper arm.
Ulna and radius in the forearm.
Carpal bones in the wrist.
Metacarpals and phalanges make up the hand and fingers.
The joints allow movement between the bones and are stabilized by ligaments and joint capsules.
Symptoms
Discomfort or Radiation
Symptoms vary based on the severity of the injury but commonly include.
Numbness and tingling in the elbow, forearm, or hand can develop.
Pain sensations often radiate to other areas.
Causes
Individuals that work with their hands related to work, home tasks, sports, or hobby activities, such as construction workers, hair stylists, store cashiers, graphic artists, automotive technicians, carpenters, painters, butchers, and more, have an increased risk of injury and developing chronic conditions. Work that involves manually cutting, writing, typing, gripping, operating motorized tools, hair clippers, working with animals, etc., makes the arms susceptible to injury from the constant stress on the ligaments. Common overuse injuries affecting the upper extremity include:
Carpal Tunnel Syndrome and Cubital Tunnel Syndrome
These conditions involve the nerves of the forearm.
Prolonged or repetitive bending or flexing of the wrist or elbow can generate swelling pressure that compresses the nerve/s.
Symptoms include numbness, coldness, tingling, and/or weakness in the hand and fingers.
Tennis, Golfer, and Pitcher Elbow
These conditions involve the inflammation of the tendon structures surrounding the elbow joint.
Repeating the same motion over and over causes damage.
This leads to tenderness and pain inside and surrounding the elbow.
De Quervain’s syndrome affects tendon structure in the wrist.
Swelling near the base of the thumb.
Individuals have difficulty grasping objects.
This is common for landscapers, gardeners, and sports where constant gripping is involved.
Tendonitis
Tendons attach muscles and bones
The condition causes tendon inflammation, presenting pain in the area around single or multiple joints.
Common types include wrist tendonitis, pitcher’s shoulder, and swimmer’s shoulder.
Tendon Tears
Overuse and frequent stress from continuous motion can wear tendons to the point of partial or complete tearing.
Rotator cuff tears in the shoulder are often caused by overuse wearing down.
Chiropractic Treatment
Chiropractic and massage therapy can rehabilitate arm injuries, restore function and reduce arm discomfort symptoms. Treatment includes:
Ice or heat treatment.
Manual therapy – soft tissue massage and trigger point alleviation.
Joint mobilization.
Taping or bracing support.
Rehabilitation targeted exercises.
Work and sports modification training.
Training on upper extremity overuse, practicing caution, and knowing when to seek professional medical help.
Shoulder Pain Rehabilitation
References
Bass, Evelyn. “Tendinopathy: why the difference between tendinitis and tendinosis matters.” International Journal of therapeutic massage & Bodywork vol. 5,1 (2012): 14-7. doi:10.3822/ijtmb.v5i1.153
Cutts, S et al. “Tennis elbow: A clinical review article.” Journal of Orthopaedics vol. 17 203-207. 10 Aug. 2019, doi:10.1016/j.jor.2019.08.005
Hoe, Victor C W, et al. “Ergonomic design and training for preventing work-related musculoskeletal disorders of the upper limb and neck in adults.” The Cochrane Database of systematic reviews vol. 2012,8 CD008570. 15 Aug. 2012, doi:10.1002/14651858.CD008570.pub2
Konijnenberg, H S et al. “Conservative treatment for repetitive strain injury.” Scandinavian Journal of Work, Environment & Health vol. 27,5 (2001): 299-310. doi:10.5271/sjweh.618
Luger, Tessy, et al. “Work-break schedules for preventing musculoskeletal symptoms and disorders in healthy workers.” The Cochrane Database of systematic reviews vol. 7,7 CD012886. 23 Jul. 2019, doi:10.1002/14651858.CD012886.pub2
Pitzer, Michael E et al. “Elbow tendinopathy.” The Medical Clinics of North America vol. 98,4 (2014): 833-49, xiii. doi:10.1016/j.mcna.2014.04.002
Verhagen, Arianne P et al. “Conservative interventions for treating work-related complaints of the arm, neck or shoulder in adults.” The Cochrane Database of systematic reviews vol. 2013,12 CD008742. 12 Dec. 2013, doi:10.1002/14651858.CD008742.pub2
Zaremski, Jason L et al. “Sport Specialization and Overuse Injuries in Adolescent Throwing Athletes: A Narrative Review.” Journal of athletic training vol. 54,10 (2019): 1030-1039. doi:10.4085/1062-6050-333-18
Breathing nourishes the whole body and regulates important functions like heart rate and blood pressure. It also reinforces proper body mechanics to lessen the stress on the body when moving. Busy lives combined with sedentary work and lifestyle can condition the body to take only quick, shallow breaths, which can weaken lung muscles and cause tension to build, worsening posture and leading to other adverse symptoms and conditions. Learning deep breathing can positively affect heart rate, mental alertness, and blood pressure and improve posture. Injury Medical Chiropractic and Functional Medicine Clinic can create personalized postural treatment and training plans.
Contents
Breathing and Posture
Inhalation causes the lungs to get filled with air, and exhalation releases and empties the lungs. For the lungs to work optimally, the rib cage needs to expand constantly in a gentle, rhythmic way. The respiratory muscle/diaphragm muscle needs to go up and down with each breath cycle. This can only happen when the muscle is not contracted or tense. Tension in the upper body can increase unhealthy postures and undermine health. Continued unhealthy postures at school, work, and home will compress the ribs, intercostal muscles, diaphragm, and base of the neck. This prevents the ribcage from expanding fully, which impairs optimal breathing. Over time, the strength of the respiratory muscles weakens.
Healthy Posture
Proper body alignment reduces strain on supportive structures like ligaments, muscles, joints, and discs. A healthy posture allows individuals to breathe more easily, move more efficiently, relax, and sleep better.
Symptoms Of Unhealthy Posture
Research shows that prolonged practice of unhealthy posture can lead to health problems, including:
Aching and chronic pain in the back, neck, and shoulders.
Tight, sore muscle knots/trigger points.
Tension headaches, limited sleep, and digestive problems.
Brain fog.
Shifting moods.
Digestive problems.
Breathing from the chest relies on secondary muscles around the neck and collarbone instead of the diaphragm. Shallow breathing patterns accompanied by unhealthy postures cause muscles in the upper body to function improperly. The longer the body sits, the less the body can resist the force of gravity and maintain a stable core. Tight muscles around the chest cause rounded shoulders and forward head posture, further weakening the muscles that help maintain an upright posture. Chest and rib discomfort symptoms can result from the tight intercostal muscles and inadequate expansion of the ribs.
Chiropractic Treatment
Shallow breathing can be reversed by regular physical activity, and sessions of respiratory muscle training will help to improve posture and quality of life. Deep or belly breathing involves learning to use the abdominal muscles. Inhaling slowly and deeply through the nose fills the lungs with air and expands the stomach. Learning to breathe deep regularly provides benefits like stress reduction, improved cardiovascular health, stronger lungs, and improved cognitive performance.
Posture correction techniques relieve back and neck pain, improve muscle and joint function, maintain brain health, increase mood stability, and improve spinal health.
Learning how to breathe deeply takes practice.
One beginning technique is to breathe deeply and count to 4 before slowly releasing the breath with another count to 4.
Individuals will notice their abdomen, ribs, and chest push forward as they breathe.
The shoulders, neck, and spine properly align during this action.
Place a hand on the abdomen to check for correct breathing.
It should move outwards slightly as air fills the lungs.
Real Patients, Real Results
References
Albarrati, Ali, et al. “Effect of Upright and Slouched Sitting Postures on the Respiratory Muscle Strength in Healthy Young Males.” BioMed research international vol. 2018 3058970. 25 Feb. 2018, doi:10.1155/2018/3058970
Aliverti, Andrea. “The respiratory muscles during exercise.” Breathe (Sheffield, England) vol. 12,2 (2016): 165-8. doi:10.1183/20734735.008116
Pickering, Mark, and James F X Jones. “The diaphragm: two physiological muscles in one.” Journal of Anatomy vol. 201,4 (2002): 305-12. doi:10.1046/j.1469-7580.2002.00095.x
Sheel, A William. “Respiratory muscle training in healthy individuals: physiological rationale and implications for exercise performance.” Sports medicine (Auckland, N.Z.) vol. 32,9 (2002): 567-81. doi:10.2165/00007256-200232090-00003
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