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Mobility & Flexibility

Back Clinic Mobility & Flexibility: The human body retains a natural level to ensure all its structures are functioning properly. The bones, muscles, ligaments, tendons, and other tissues work together to allow a range of movement and maintaining proper fitness and balanced nutrition can help keep the body functioning properly. Great mobility means executing functional movements with no restrictions in the range of motion (ROM).

Remember that flexibility is a mobility component, but extreme flexibility really is not required to perform functional movements. A flexible person can have core strength, balance, or coordination but cannot perform the same functional movements as a person with great mobility. According to Dr. Alex Jimenez’s compilation of articles on mobility and flexibility, individuals who don’t stretch their body often can experience shortened or stiffened muscles, decreasing their ability to move effectively.


Joint Manipulation Health Benefits

Joint Manipulation Health Benefits

Individuals at work, school, etc, perform all kinds of repetitive physical tasks that put their bodies through a great deal of musculoskeletal stress, what are the effects and benefits of joint manipulation therapy for pain relief?

Joint Manipulation Health Benefits

Joint Manipulation Health Benefits

Joint manipulation is a form of manual therapy that involves applying force to the spinal or peripheral joints to:

  • Relieve pain symptoms.
  • Realign the joints to their proper position.
  • Restore flexibility.
  • Improve mobility.
  • Increase range of motion.

Chiropractors, massage, and physical therapists use various manipulation techniques to help move and feel better after an injury or illness that causes loss of functional mobility. Here we explain joint manipulation, its applications, and if the technique is safe for you and your condition.

Joint Popping

  • The joints in the body are places where two or more bones come together to allow movement.
  • On the ends of a bone is a lining of hyaline cartilage.
  • The cartilage allows the joint surfaces to glide/slide smoothly.
  • If the cartilage is injured or damaged, pain and limited motion can present.
  • When a joint doesn’t move properly, the muscles surrounding that joint don’t contract properly.
  • If a joint is dysfunctional for some time, significant muscle wasting and atrophy can occur around the joint, leading to difficulty with mobility like standing, walking, or reaching. (Hurley MV.1997)

The body is made up of cells that breathe by converting energy and releasing waste materials. One type of waste material from cell respiration is carbon dioxide. The gas is transported through the blood and delivered out of the body while breathing. Small pockets of gas can get trapped in the joints that expand and contract as pressure around the joint changes during movement, known as cavitation. When the gas is released through joint manipulation, there can be a popping or snapping sound as the joint is moved. Once the gas is released, joint pressure is decreased and mobility is increased. (Kawchuk, et al., 2015)

Causes

Non-medical

There are non-medical and medical causes of joint dysfunction and derangement that include:

  • Overuse and repetitive strain.
  • Unhealthy sitting and/or standing posture.
  • Lack of physical activity.
  • Over-stretching or stretching incorrectly.

In these situations, the joints can be temporarily placed in a dysfunctional/compromised position. When moving to the correct position, a popping sound can present as built-up pressure is released.

Medical

Joint problems can occur from medical conditions that can include:

  • Herniated cervical or lumbar discs.
  • Spinal arthritis.
  • Rheumatoid arthritis.
  • Osteoarthritis.
  • Joint contracture after being immobilized for some time.

In these cases, a medical problem can be causing a limitation in the joint’s position and movement. (Gessl, et al., 20220)

Benefits

If a chiropractic practitioner determines there is joint dysfunction then manipulation may be a treatment option. The benefits include:

Pain Relief

  • When a chiropractor or therapist gets an injured joint moving properly, the receptors in and around the area get reset allowing for pain relief.

Improved Muscle Activation

  • As a chiropractor manipulates a joint into its correct anatomical position, the surrounding muscles can flex and contract properly.

Improved Range of Motion

  • The joint is repositioned for proper movement.
  • This improves the range of motion and relieves tightness and stiffness.

Improved Functional Mobility

  • Once a joint is manipulated, the improved range of motion and muscle activation around the joint can lead to improved overall functional mobility. (Puentedura, et al., 2012)

Candidates

Joint manipulation is a safe manual therapy technique for certain individuals. (Puentedura, et al., 2016) This includes:

  • Individuals with acute neck, back, or peripheral joint pain.
  • Adults aged 25 to 65 with no serious medical conditions.
  • Athletes who have been injured from their sport.
  • Individuals who have been immobilized after injury or surgery.

Joint manipulation is not recommended for everyone and can be dangerous or lead to injury in individuals with certain conditions. (Puentedura, et al., 2016) These include individuals with:

Osteoporosis

  • Weakened bones may fracture if a high-velocity force is applied to a joint via manipulation

Joint fractures

  • Individuals with a joint fracture, should not have that specific joint manipulated.

Post Spinal Fusion Surgery

  • Individuals that have had spinal fusion in the neck or lower back should avoid spinal joint manipulations or adjustments for at least one year after the procedure.
  • The bones need time to heal thoroughly.
  • Manipulation can cause a failure of the fusion.

Individuals with Arterial Insufficiency In Their Neck

  • A rare but dangerous side effect of a neck adjustment is the risk of tearing an artery in the neck known as the vertebrobasilar artery. (Moser, et al., 2019)

If there is pain, loss of movement, or decreased mobility after an injury or surgery, a chiropractic adjustment with joint manipulation can be beneficial to help regain movement. Manual techniques can help improve joint mobility, alleviate pain, and increase strength and stability around the joints. Joint manipulation isn’t for everyone and is recommended to consult with a healthcare professional to see if it is safe for your specific condition.


Arthritis Explained


References

BASTOW J. (1948). Indications for joint manipulation. Proceedings of the Royal Society of Medicine, 41(9), 615.

Gessl, I., Popescu, M., Schimpl, V., Supp, G., Deimel, T., Durechova, M., Hucke, M., Loiskandl, M., Studenic, P., Zauner, M., Smolen, J. S., Aletaha, D., & Mandl, P. (2021). Role of joint damage, malalignment, and inflammation in articular tenderness in rheumatoid arthritis, psoriatic arthritis, and osteoarthritis. Annals of the rheumatic diseases, 80(7), 884–890. doi.org/10.1136/annrheumdis-2020-218744

Hurley M. V. (1997). The effects of joint damage on muscle function, proprioception, and rehabilitation. Manual therapy, 2(1), 11–17. doi.org/10.1054/math.1997.0281

Kawchuk, G. N., Fryer, J., Jaremko, J. L., Zeng, H., Rowe, L., & Thompson, R. (2015). Real-time visualization of joint cavitation. PloS one, 10(4), e0119470. doi.org/10.1371/journal.pone.0119470

Moser, N., Mior, S., Noseworthy, M., Côté, P., Wells, G., Behr, M., & Triano, J. (2019). Effect of cervical manipulation on the vertebral artery and cerebral hemodynamics in patients with chronic neck pain: a crossover randomized controlled trial. BMJ open, 9(5), e025219. doi.org/10.1136/bmjopen-2018-025219

Puentedura, E. J., Cleland, J. A., Landers, M. R., Mintken, P. E., Louw, A., & Fernández-de-Las-Peñas, C. (2012). Development of a clinical prediction rule to identify patients with neck pain likely to benefit from thrust joint manipulation to the cervical spine. The Journal of orthopedic and sports physical therapy, 42(7), 577–592. doi.org/10.2519/jospt.2012.4243

Puentedura, E. J., Slaughter, R., Reilly, S., Ventura, E., & Young, D. (2017). Thrust joint manipulation utilization by U.S. physical therapists. The Journal of manual & manipulative therapy, 25(2), 74–82. doi.org/10.1080/10669817.2016.1187902

Advanced Oscillation Protocols For Spinal Decompression

Advanced Oscillation Protocols For Spinal Decompression

In many individuals with spinal issues, how does spinal decompression compared with traditional care restore muscle strength?

Introduction

Many people unknowingly put pressure on their spines during daily activities, causing intervertebral disc compression and tightness in surrounding ligaments, muscles, nerve roots, and tissues. Repetitive motions and aging can also lead to intervertebral disc cracking and misalignment, resulting in pain and discomfort in the three common areas: the back, neck, and shoulders. Spinal stenosis is a spinal condition where the spinal cord is compressed and narrow and can cause symptoms of muscle weakness and pain to the upper and lower body extremities if left untreated. This article explores how non-surgical treatments like advanced oscillation and spinal decompression can restore muscle strength and alleviate the effects of spinal stenosis. By working with certified medical providers who use our patients’ information to treat individuals suffering from spinal stenosis. We inform them about non-surgical treatments to regain spinal mobility and restore muscle strength. We encourage our patients to ask essential questions while seeking education from our associated medical providers about their situation. Dr. Alex Jimenez, D.C., provides this information as an educational service. Disclaimer

 

Spinal Stenosis Causing Muscle Strength Issues

Do you find yourself struggling to hold onto objects while doing activities? Are you experiencing strange sensations like numbness or tingling in your arms or legs? Or you’re dealing with chronic back and neck pain that won’t go away. These issues can all be related to problems with your spine, which can cause your muscles to weaken and lead to conditions like low back pain, sciatica, and spinal stenosis.

 

 

Research shows that spinal stenosis is a common condition caused by nerve root impingement or ischemia in the spinal canal. This can lead to pain, weakness, sensory loss in your extremities, and tingling or numbness in your hands or feet. Additionally, studies have found that spinal stenosis in the lumbar spine can increase your risk of developing locomotive syndrome, which can further affect the muscle strength in your arms and legs. {Kasukawa, 2019

 

Strong muscles are important for daily movements, such as using your arms, legs, hands, and feet. However, spinal stenosis affects your muscle strength. In that case, it can cause various issues, including numbness or tingling in your upper and lower limbs, severe pain when walking but relief when sitting or resting, decreased grip strength, sciatic pain that mimics and reduced walking distance. While spinal stenosis can be caused by normal or traumatic factors that affect the mobility, flexibility, and stability of the upper and lower muscle quadrants in the body, several available treatments can alleviate the effects of spinal stenosis and help restore muscle strength to the body.

 


Discovering The Benefits Of Chiropractic Care-Video

Many people experiencing musculoskeletal pain symptoms related to spinal stenosis use over-the-counter medication, hot/cold therapy, and stretching to alleviate the referred pain. Traditional surgery is an effective option to remove the damaged disc that is aggravating the nerve root and relieve the spinal column. However, this surgery is typically only recommended when other treatments have failed and can be expensive. {Herrington, 2023} Nevertheless, numerous cost-effective non-surgical treatments are available to help reduce the pain-like symptoms caused by spinal stenosis and alleviate associated symptoms. Chiropractic care and spinal decompression are non-surgical treatments that use mechanical and manipulated techniques to realign the body and minimize nerve entrapment that causes pain-like symptoms. The video above provides more information about how non-surgical treatments can assist many individuals in maintaining mobility and flexibility by providing a personalized treatment plan to prevent the recurrence of musculoskeletal and spinal conditions.


Advanced Oscillation For Spinal Stenosis

Many people opt for non-surgical treatments such as chiropractic care, massage therapy, spinal decompression, and advanced oscillation to alleviate pain. In “The Ultimate Spinal Decompression,” written by Dr. Eric Kaplan, D.C., FIAMA, and Dr. Perry Bard, D.C., it is noted that advanced oscillation therapy can be tailored to an individual’s needs, helping to minimize pain symptoms caused by spinal stenosis. Advanced oscillation settings can help reduce inflammation and muscle spasms associated with spinal stenosis while promoting the replenishment of nutrients in the spine. In addition, advanced oscillation can help the body restructure and re-tone the targeted spinal structures, loosening them up and reducing nerve entrapment. Advanced oscillation is one of the non-surgical treatments that synergizes well with spinal decompression.

 

Spinal Decompression To Restore Muscle Strength

Now spinal decompression has a unique ability to reduce the effects of spinal stenosis as it is safe on the spine, cost-effective, and non-invasive. What spinal decompression therapy does to the body is like advanced oscillation. It uses gentle traction to reduce intervertebral disc pressure through negative pressure, allowing oxygen, fluids, and nutrients to the spinal disc and releasing the aggravating nerve root. {Choi, 2015} Spinal decompression can also help restore disc height from the spine, allowing the compressed disc causing spinal stenosis to be put back into its original space. {Kang, 2016} When many individuals start thinking about their health and wellness, non-surgical treatments can give them a positive experience and improve their pain.

 


References

Choi, J., Lee, S., & Hwangbo, G. (2015). Influences of spinal decompression therapy and general traction therapy on the pain, disability, and straight leg raising of patients with intervertebral disc herniation. Journal of Physical Therapy Science, 27(2), 481–483. doi.org/10.1589/jpts.27.481

Herrington, B. J., Fernandes, R. R., Urquhart, J. C., Rasoulinejad, P., Siddiqi, F., & Bailey, C. S. (2023). L3-L4 Hyperlordosis and Decreased Lower Lumbar Lordosis Following Short-Segment L4-L5 Lumbar Fusion Surgery is Associated With L3-L4 Revision Surgery for Adjacent Segment Stenosis. Global Spine Journal, 21925682231191414. doi.org/10.1177/21925682231191414

Kang, J.-I., Jeong, D.-K., & Choi, H. (2016). Effect of spinal decompression on the lumbar muscle activity and disk height in patients with herniated intervertebral disk. Journal of Physical Therapy Science, 28(11), 3125–3130. doi.org/10.1589/jpts.28.3125

Kaplan, E., & Bard, P. (2023). The Ultimate Spinal Decompression. JETLAUNCH.

Kasukawa, Y., Miyakoshi, N., Hongo, M., Ishikawa, Y., Kudo, D., Kijima, H., Kimura, R., Ono, Y., Takahashi, Y., & Shimada, Y. (2019). Lumbar spinal stenosis associated with progression of locomotive syndrome and lower extremity muscle weakness. Clinical Interventions in Aging, Volume 14, 1399–1405. doi.org/10.2147/cia.s201974

Munakomi, S., Foris, L. A., & Varacallo, M. (2020). Spinal Stenosis And Neurogenic Claudication. PubMed; StatPearls Publishing. www.ncbi.nlm.nih.gov/books/NBK430872/

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Facet Syndrome Protocols For Spinal Decompression

Facet Syndrome Protocols For Spinal Decompression

In many people with facet joint syndrome, how does spinal decompression compare to traditional spinal surgery alleviate low back pain?

Introduction

Many people around the globe experience lower back pain for various reasons, such as lifting or carrying heavy objects, sedentary jobs, or traumatic events that can cause spinal injuries. The spine has a crucial role in providing mobility and flexibility without discomfort. The facet joints and spinal discs work together to generate healthy movement and stability within each segment. However, when the muscles, ligaments, and tissues surrounding the spinal disc are overstretched or compressed due to normal or traumatic factors, it can aggravate the nerve roots and cause discomfort. As we age or carry excess weight, our spinal discs can experience wear and tear, leading to facet joint syndrome. This syndrome is often associated with lower back pain caused by injured facet joints. This article will explore how facet joint syndrome is linked to lower back pain and how non-surgical treatments can help alleviate it. We work with certified medical providers who use our patients’ valuable information to treat individuals suffering from facet joint syndrome affecting spine mobility and causes low back pain. We also inform them about non-surgical treatments to regain spinal mobility and reduce pain-like symptoms that correlate with this spinal condition. We encourage patients to ask essential questions and seek education from our associated medical providers about their situation. Dr. Jimenez, D.C., provides this information as an educational service. Disclaimer

 

Facet Joint Syndrome

Are you experiencing pain that radiates down to your legs, especially when standing? Do you constantly hunch over, affecting your posture during everyday activities? Have you noticed numbness or loss of sensation in your feet or buttocks? As we age or experience traumatic injuries, the facet joints on either side of our spine can become damaged, resulting in a condition called facet joint syndrome. Research indicates that environmental conditions can cause joint degeneration, leading to symptoms similar to other spinal conditions. Cartilage erosion and inflammation on the spine are common signs of facet joint syndrome, often associated with musculoskeletal disorders like low back pain.

 

Low Back Pain Associated With Facet Syndrome

Research studies musculoskeletal disorders like low back pain are associated with facet syndrome. When the facet joints start to degenerate from repetitive overuse motions caused by everyday activities, it can cause micro instabilities to the facet joints while compressing the surrounding nerve roots. When this happens, many individuals will experience low back pain and sciatic nerve pain conditions that cause them to be unstable while walking. Additional research studies stated that low back pain associated with facet syndrome can cause symptoms of restricted movement, reduce the quality of life and greatly impact the entire lumbar vertebral structure. Since low back pain is a common problem many individuals have, the combination with facet syndrome can trigger reactive muscle spasms, a protective mechanism in the spine to cause the individual to have difficulty moving comfortably and experience severe sudden pain. To that point, low back pain associated with facet syndrome causes the person to be dealing with constant ongoing pain, making a normal lifestyle almost difficult.

 


Discover The Benefits Of Chiropractic Care-Video

Low back pain associated with facet joint syndrome should not make life difficult. Numerous treatments pertain to relieving the pain-like symptoms and help slow the process of facet syndrome from causing more issues to the spine. Non-surgical treatments like chiropractic care can help reduce the effects of facet syndrome as they can provide benefits to restore spinal mobility. The video above explores the benefits of chiropractic care, as chiropractors will discuss the recommended course of personalized treatment with you. Non-surgical treatments are safe, gentle on the spine, and cost-effective as they help regain your body’s mobility from facet syndrome. At the same time, non-surgical treatments like chiropractic care can be combined with other non-surgical therapies that can help restart the body’s natural healing process to allow the compressed spinal disc and joint to be rehydrated.


Spinal Decompression Alleviating Facet Syndrome

According to research studies, non-surgical treatments like spinal decompression can help reduce the effects of facet syndrome as it can help improve the spine;’s mobility through gentle traction and can help stretch out the affected muscles associated with low back pain by taking pressure off the aggravating nerve root. In “The Ultimate Spinal Decompression,” Dr. Eric Kaplan, D.C., FIAMA, and Dr. Perry Bard, D.C., mentioned that when individuals are going in for spinal decompression, they might experience a “popping sensation” as the jammed facet joints are being open for treatment. This is normal for early facet arthropathy and can occur within the first few treatment sessions. At the same time, spinal decompression can gently stretch the adjacent compressed nerve root and find instant relief. After the treatment, many individuals can combine other treatments like physical therapy to reduce the painful symptoms from returning. Non-surgical treatments like spinal decompression and chiropractic care can help revitalize the spine affected by facet joint syndrome and help restore a person’s quality of life.

 


References

Alexander, C. E., Cascio, M. A., & Varacallo, M. (2022). Lumbosacral Facet Syndrome. PubMed; StatPearls Publishing. pubmed.ncbi.nlm.nih.gov/28722935/

Curtis, L., Shah, N., & Padalia, D. (2023). Facet Joint Disease. PubMed; StatPearls Publishing. www.ncbi.nlm.nih.gov/books/NBK541049

Du, R., Xu, G., Bai, X., & Li, Z. (2022). Facet Joint Syndrome: Pathophysiology, Diagnosis, and Treatment. Journal of Pain Research, 15, 3689–3710. doi.org/10.2147/JPR.S389602

Gose, E., Naguszewski, W., & Naguszewski, R. (1998). Vertebral axial decompression therapy for pain associated with herniated or degenerated discs or facet syndrome: An outcome study. Neurological Research, 20(3), 186–190. doi.org/10.1080/01616412.1998.11740504

Kaplan, E., & Bard, P. (2023). The Ultimate Spinal Decompression. JETLAUNCH.

Disclaimer

Degenerative Disc Protocols Implemented For Spinal Decompression

Degenerative Disc Protocols Implemented For Spinal Decompression

In many individuals with degenerative disc disease, how does spinal decompression compare to spinal surgery improve spine flexibility?

Introduction

The spine is essential to the body’s musculoskeletal system, enabling individuals to perform daily movements while maintaining proper posture. The spinal cord is safeguarded by surrounding ligaments, soft tissues, muscles, and nerve roots. The spinal discs between the spinal column act as shock absorbers to reduce stress from axial overload and promote body mobility and flexibility. The spinal discs can naturally degenerate as a person ages, leading to degenerative disc disease. This condition can result in several spinal issues that can impact the spine’s flexibility. This article explores how degenerative disc disease affects the spine and the treatments available to restore its flexibility. We work with certified medical providers who use our patients’ valuable information to treat individuals suffering from degenerative disc disease affecting their spine’s flexibility. We also inform them about non-surgical treatments to regain spinal mobility and reduce pain-like symptoms. We encourage patients to ask essential questions and seek education from our associated medical providers about their condition. Dr. Jimenez, D.C., provides this information as an educational service. Disclaimer

 

How Does Degenerative Disc Disease Affect The Spine?

 

Do you experience neck or lower back pain after a long workday? After physical activity, do you find temporary relief by twisting or turning your torso? Are you experiencing radiating pain in your upper or lower extremities that worsens when standing? These symptoms are common as the body ages over time. Muscles, organs, ligaments, and joints can all be affected, including the spine and intervertebral discs. Research studies reveal that disc degeneration frequently occurs in the spine, leading to changes that can cause misalignment and spinal issues. Degenerative disc disease can disrupt the structure of spinal discs, resulting in pain-like symptoms and accelerating degenerative changes to the spine. Regardless of age, various habits and lifestyle choices can contribute to degeneration. As additional research studies have provided, this condition is characterized by a tension-resisting annulus fibrosus and compression-resisting nucleus pulposus, causing pain and discomfort.

 

The Symptoms Correlating With Degenerative Disc Disease

Degenerative disc disease is when the spinal disc in the spine experiences wear and tear due to natural aging. The initial indication of this disease is disc cracking caused by repetitive motion trauma. The symptoms associated with this disease are similar but may vary based on the affected spine location. Research shows that degenerative disc disease can cause micro tears in the spinal disc, leading to decreased fluids and water intake, disc space loss, disc bulging, and irritation of the adjacent nerves. This can affect surrounding muscle tissues and disc facet joints, narrowing the spinal canal. Additional studies reveal that people with degenerative disc disease may experience various symptoms that can hinder their ability to function properly. Some common symptoms include:

  • Pain in the arms, legs, and feet
  • Sensory abnormalities (loss of sensation in the hands, feet, fingers, and back)
  • Muscle tenderness and weakness
  • Instability
  • Inflammation
  • Visceral-somatic & somatic-visceral condition

If someone experiences pain-like symptoms in conjunction with degenerative disc disease can negatively impact their quality of life and potentially lead to long-term disability. Fortunately, treatments can slow the degenerative process and alleviate the pain-like symptoms.

 


Secrets Of Optimal Wellness- Video

When individuals experience pain related to degenerative disc disease, they often seek ways to alleviate it. Some may consider spinal surgery to remove the affected disc and ease the pain caused by the irritated nerve. However, this option is typically only pursued if other treatments have failed and can be expensive. Fortunately, non-surgical treatments are cost-effective and safe, gently addressing the affected area for relief. Non-surgical treatments can be customized to the individual’s specific pain and condition, including spinal decompression, MET therapy, traction therapy, and chiropractic care. These methods work to realign the body and promote natural healing by rehydrating the spine, ultimately restoring flexibility.


Treatments To Improve Spinal Flexibility

Individuals with degenerative disc disease can benefit from non-surgical treatments tailored to their needs. These treatments involve an assessment by a pain specialist, such as a physical therapist, massage therapist, or chiropractor, who will identify the source of the pain and use various techniques to reduce pain, improve flexibility in the spine, and loosen stiff muscles that have been affected by the disease. Additionally, non-surgical treatments can help restore sensory and mobility function to the spine and address factors that may exacerbate the degenerative process.

 

Spinal Decompression Protocol For Degenerative Disc Disease

Research studies suggest that spinal decompression can effectively reduce the degenerative process of spinal discs through gentle traction. During a spinal decompression treatment, the individual is strapped into a traction machine. The machine gradually stretches the spine to create negative pressure on the spinal disc, which helps to rehydrate it and increase nutrient intake, thereby jumpstarting the healing process. According to Dr. Eric Kaplan, D.C., FIAMA, and Dr. Perry Bard, D.C., in their book “The Ultimate Spinal Decompression,” individuals with degenerative disc disease may require higher pressure during spinal decompression treatment due to its symptomatic problems. Spinal decompression can help restore disc height and be a viable solution for those looking to improve their health.

 


References

Choi, E., Gil, H. Y., Ju, J., Han, W. K., Nahm, F. S., & Lee, P.-B. (2022). Effect of Nonsurgical Spinal Decompression on Intensity of Pain and Herniated Disc Volume in Subacute Lumbar Herniated Disc. International Journal of Clinical Practice, 2022, 1–9. doi.org/10.1155/2022/6343837

Choi, Y.-S. (2009). Pathophysiology of Degenerative Disc Disease. Asian Spine Journal, 3(1), 39. doi.org/10.4184/asj.2009.3.1.39

Kaplan, E., & Bard, P. (2023). The Ulitimate Spinal Decompression. JETLAUNCH.

Liyew, W. A. (2020). Clinical Presentations of Lumbar Disc Degeneration and Lumbosacral Nerve Lesions. International Journal of Rheumatology, 2020, 1–13. doi.org/10.1155/2020/2919625

Scarcia, L., Pileggi, M., Camilli, A., Romi, A., Bartolo, A., Giubbolini, F., Valente, I., Garignano, G., D’Argento, F., Pedicelli, A., & Alexandre, A. M. (2022). Degenerative Disc Disease of the Spine: From Anatomy to Pathophysiology and Radiological Appearance, with Morphological and Functional Considerations. Journal of Personalized Medicine, 12(11), 1810. doi.org/10.1155/2020/2919625

Taher, F., Essig, D., Lebl, D. R., Hughes, A. P., Sama, A. A., Cammisa, F. P., & Girardi, F. P. (2012). Lumbar Degenerative Disc Disease: Current and Future Concepts of Diagnosis and Management. Advances in Orthopedics, 2012, 1–7. doi.org/10.1155/2012/970752

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MET Therapy’s Approach To Chronic Pain Problems

MET Therapy’s Approach To Chronic Pain Problems

Introduction

The musculoskeletal system comprises muscles, ligaments, and tissues surrounding the skeletal structure and vital organs. These components have various functions, including transporting blood and nutrients throughout the body and facilitating movement. However, chronic conditions or aging can cause pain-like symptoms, disrupting daily life and leading to disability. There are many available treatments, both surgical and non-surgical, that can help alleviate chronic pain. This article will explore how chronic pain affects individuals and how treatments like Muscle Energy Technique (MET) therapy can help address it. We work with certified medical providers who use our patients’ valuable information to treat individuals suffering from muscle pain while informing them about non-surgical treatments like MET therapy that can help reduce the effects of chronic pain associated with the musculoskeletal system. We encourage patients to ask essential questions and seek education from our associated medical providers about their condition. Dr. Jimenez, D.C., provides this information as an educational service. Disclaimer

 

How Does Chronic Pain Affect The Individual?

Have you been dealing with shooting pain in your joints or muscles? When you wake up in the morning, do you feel constant stiffness in your joints? Or do you experience muscle pain slowly throughout the entire day? When it comes to chronic pain in the musculoskeletal system, it can be hard to pinpoint where the pain is located in the body. Research studies reveal that chronic musculoskeletal pain is a challenge for the individual and their doctors and a main contributor to disability worldwide. Chronic musculoskeletal pain can be non-specific and specific depending on the severity and factors contributing to its development. For many individuals experiencing chronic pain associated with the musculoskeletal system, the homeostatic and adaptive function in their muscle fibers has been stretched past their limits.

 

 

Additional research studies stated that factors like mechanical forces, ischemia, and even inflammation are all primary stimuli for chronic muscle pain. Factors like lifting/carrying heavy objects, persistent sitting, physical inactivities, and dietary habits all correlate to chronic muscle and joint pain, as repetitive motions or prolonged inactivity can either shorten or overstretch the muscle fibers. At the same time, chronic musculoskeletal diseases like fibromyalgia and myofascial pain syndrome can cause the affected muscles to stiffen, contract, and tender to the touch, which then causes the other surrounding muscles to take over and compensate for the pain. To that point, chronic musculoskeletal pain can cause many individuals to decrease their productivity, call off work constantly, and lead a life of disability.


From Consultation To Transformation- Video

Have you been dealing with constant muscle and joint pain throughout your life? Has the pain been unbearable that it is affecting your routine? Or do you feel aches or stiffness in your sides or different body areas? Throughout the entire world, many individuals suffer from chronic musculoskeletal pain at one point in their lives, and it has become a social/economic burden. Research studies reveal that chronic pain associated with musculoskeletal disorders can affect many other aspects of a person’s life. When chronic pain starts to affect a person’s ability to function, it can have a negative effect on the person’s mental health. When chronic pain is associated with musculoskeletal disorders, it also correlates with work, as many individuals with chronic pain have reduced work productivity, lost wages, and lost hours that can take a toll on their income. However, there is hope, as many affordable treatments can reduce the effects of chronic musculoskeletal pain and its associated symptoms. Non-surgical treatments like chiropractic care and MET therapy can help many individuals with chronic musculoskeletal pain find the relief they deserve. The video above explains how non-surgical treatments approach chronic musculoskeletal pain, from assessing patients through consultation to transforming their health and wellness. By taking back their health, many individuals can find relief from their pain and get back to their routines.


MET Therapy’s Approach To Chronic Pain

 

Non-surgical treatments like MET (muscle energy technique) therapy has a unique approach to reducing chronic pain in the musculoskeletal system. In the book, “Clinical Applications of Neuromuscular Techniques,” Dr. Leon Chaitow, N.D., D.O., and Dr. Judith Walker DeLany, L.M.T., mentioned that the fascia and the characteristics of the connective tissues are relevant for MET by commencing stretching the affected muscles that are in chronic pain and use biomechanical forces to initiate a low intense force to lengthen the tissues and increase their flexibility. MET therapy helps many individuals with chronic pain associated with musculoskeletal disorders, as research studies reveal that MET therapy can help increase the strength of weakened muscles and help increase the spinal ROM. MET therapy is non-surgical, cost-effective, and safe to reduce chronic pain associated with musculoskeletal disorders. 

 

Identifying The Patterns

Many pain specialists who incorporate MET will begin by assessing the individual with chronic pain associated with musculoskeletal disorders. They will get examined by testing their range of motion, spinal and joint mobility, and any additional factors to develop a personalized plan that caters to the individual. Once the pain issue is found, the individual will work with other medical professionals to help strengthen their muscles and help reduce the pain-like symptoms that are causing them. To that point, MET therapy combined with other treatments is beneficial for those with chronic illnesses and needs relief from pain.

 

Conclusion

Many individuals suffering from chronic musculoskeletal pain often experience limited mobility, shortened muscles, and referred pain in different areas of their bodies. Chronic musculoskeletal pain is a social/economic problem that has affected many individuals and left them missing out on important life events. Treatments like MET (muscle energy technique) therapy can help reduce pain by stretching the muscle fibers to alleviate pain and restore joint mobility to the body. When many individuals start to utilize MET therapy, it can reduce chronic pain and allow them to get back their health and wellness.

 

References

Bains, D., Chahal, A., Shaphe, M. A., Kashoo, F. Z., Ali, T., Alghadir, A. H., & Khan, M. (2022). Effects of Muscle Energy Technique and Joint Manipulation on Pulmonary Functions, Mobility, Disease Exacerbations, and Health-Related Quality of Life in Chronic Obstructive Pulmonary Disease Patients: A Quasiexperimental Study. BioMed Research International, 2022, 1–9. doi.org/10.1155/2022/5528724

Bonanni, R., Cariati, I., Tancredi, V., Iundusi, R., Gasbarra, E., & Tarantino, U. (2022). Chronic Pain in Musculoskeletal Diseases: Do You Know Your Enemy? Journal of Clinical Medicine, 11(9), 2609. doi.org/10.3390/jcm11092609

Chaitow, L., & Delany, J. (2002). Clinical application of neuromuscular techniques. Vol. 2, The lower body. Churchill Livingstone.

El-Tallawy, S. N., Nalamasu, R., Salem, G. I., LeQuang, J. A. K., Pergolizzi, J. V., & Christo, P. J. (2021). Management of Musculoskeletal Pain: An Update with Emphasis on Chronic Musculoskeletal Pain. Pain and Therapy, 10(1). doi.org/10.1007/s40122-021-00235-2

Gregory, N. S., & Sluka, K. A. (2014). Anatomical and Physiological Factors Contributing to Chronic Muscle Pain. Current Topics in Behavioral Neurosciences, 20, 327–348. doi.org/10.1007/7854_2014_294

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MET Therapy Protocol For Muscle Pain

MET Therapy Protocol For Muscle Pain

Introduction

Regarding the musculoskeletal system, the various muscles, tissues, and ligaments help protect the spine and vital organs that make the body functional. These muscles are sectioned into different groups that help provide movement and motion to the host without feeling pain. However, when normal factors or traumatic forces begin to affect the musculoskeletal system, it can cause unnecessary stress on the muscle fibers. These environmental factors can lead to muscle pain and correlating symptoms affecting the upper and lower body portions. When muscle pain affects the body, it can mask other pre-existing conditions that can make the individual feel miserable. Fortunately, many individuals will go to therapy treatment to reduce the effects of muscle pain and have a personalized plan that they can follow to prevent muscle pain from returning in the future. Today’s article focuses on one of the non-surgical treatments known as MET (muscle energy technique) therapy that can help reduce the effects of muscle pain and what is the protocol treatment plan to relieve muscle pain in the body. We work with certified medical providers who use our patients’ valuable information to treat individuals suffering from muscle pain while informing them about non-surgical treatments like MET therapy that can help reduce the effects of musculoskeletal pain. We encourage patients to ask essential questions and seek education from our associated medical providers about their condition. Dr. Jimenez, D.C., provides this information as an educational service. Disclaimer

 

How Does Muscle Pain Affect The Body?

Do you experience muscle aches, stiffness, or pain in one or more parts of your body? These pain-like symptoms are often caused by muscle pain. Research studies revealed that free nerve endings in muscle fibers can send pain signals to the brain, leading to decreased productivity and economic burden. Overstretching muscles during daily routines can cause trigger points, small nodules in muscle fibers that cause stiffness and contraction. This can lead to misalignment and additional problems over time.

 

 

Muscle pain can be a symptom of different conditions, with severity ranging from acute to chronic. Research studies stated that when musculoskeletal pain affects more than 30% of the world, it can significantly impact an individual’s life. This type of pain can be related to sensory innervation of the bones, joints, and muscles and can negatively affect a person’s daily routine. However, there are various ways to reduce muscle pain, which individuals can incorporate to relieve muscle pain and reduce its chances of returning.


Movement As Medicine- Video

When it comes to musculoskeletal pain, it can have a significant impact on a person’s body. It can affect their daily routine, causing them to have limited mobility and feel miserable. Musculoskeletal pain causes the involved muscle fibers to stiffen up and contract. This causes the surrounding muscles to compensate for the pain the affected muscle feels and causes body misalignment. However, all is not lost, as available treatments can help reduce the effects of muscle pain and can bring back a person’s mobility. One of these treatments is MET (muscle energy technique) therapy. Research studies reveal that MET is an osteopathic technique that many pain specialists like chiropractors and massage therapists use to improve musculoskeletal function by mobilizing joints, stretching tight muscles and facia to reduce pain, and improving circulation and lymphatic flow. Since many individuals don’t stretch their bodies as often as needed, their muscles can become tight and stiff, which causes the development of muscle pain. So by utilizing MET therapy, a person dealing with muscle pain can regain mobility. MET therapy can also be combined with other treatments like chiropractic care to help realign the body out of subluxation and strengthen/lengthen tight muscles. The video above explains how movement is used as medicine to reduce the effects of muscle pain.


MET Treatment Protocol

 

According to “Clinical Application of Neuromuscular Techniques,” written by Leon Chaitow, N.D., D.O., and Judith Walker DeLany, L.M.T., when the body is experiencing restricted joints, incorporating MET therapy can indicate where the problem is located in the soft musculoskeletal tissues. When it comes to many individuals going to MET therapy for muscle pain, many doctors have their protocol approach when assessing patients for muscle pain treatment.

 

Looking At Body Language

When assessing patients with muscle pain, looking at their body language and how they carry themselves is important. Many doctors and pain specialists should note how the individual is breathing, their posture, and if there is any perspiration on the skin. By taking note of how the individual looks physically, many doctors will begin to formulate a treatment plan while communicating with the patient to gather more information and create a trusting relationship. Afterward, the doctor can start the physical examination to locate where the pain is in the body.

 

Physical Examination

The MET treatment protocol’s physical examination portion allows the doctor to go through a sequential assessment involving observation, joint and muscle testing, palpations, evaluation of accessory movement, etc., to create a basic formula to create a personalized treatment plan. The physical examination of MET allows the muscles to influence muscle contractions on the surrounding fascia and alter the muscle’s physiology by reflex mechanisms. These stretches help the restricted joints be re-mobilized, and help stretch the tightened muscles to feel relief from metabolic waste.

 

Therapeutic Plan

The therapeutic plan for MET treatment is personalized and customizable for the individual to follow through to reduce muscle pain from re-occurring in the body. Many doctors specializing in MET therapy work with other associated medical providers to ensure that the person in pain has the help they need. Physical therapy, dietary nutrition, non-surgical treatments, and health coaches all work together to create a personalized health and wellness plan to make sure that muscle pain and its associated factors are being treated. This allows individuals to be more mindful of their bodies and regain their health and wellness.

 

Conclusion

Muscle pain can affect a person’s ability to move around and can affect multiple areas in the upper and lower body portions. Muscle pain correlates to tight muscle fibers that become stiff and can develop trigger points in the fascia and cause restricted movement. When this happens, it can cause the individual to miss out on daily activities and prevent them from working. Luckily available treatments can help reduce muscle pain by re-mobilizing the joints and stretching out the tight muscle. MET, or muscle energy technique therapy, helps stretch muscle fascia and mobilize joints to regain the body’s range of motion and help reduce muscle pain. Many people who incorporate MET into their daily routine can restore mobility and continue their health and wellness journey.

 

References

Disclaimer

Stretches For Sitting and Standing Jobs: EP Back Clinic

Stretches For Sitting and Standing Jobs: EP Back Clinic

Sitting at a desk or standing at a workstation in the same position for hours at a time every day or night can strain the body’s neuromusculoskeletal system. This causes hunching of the shoulders which leads to body tension, headaches, and neck, shoulder, back, leg, and foot pain. Taking regular breaks to move and stretch out provides various benefits that include pain symptom relief, increased circulation, improved posture, increased energy, muscle relaxation, and improve overall health. Here we look at stretches for sitting and standing jobs.

Stretches For Sitting and Standing Jobs: EP Chiropractic Clinic

Stretches For Sitting and Standing Jobs

Sitting or standing for too long can affect an individual’s health. The body is made to move and not remain in one position for long periods. Standing and sitting for a prolonged period of time increases the risk for chronic conditions, sleep disorders, digestion issues, weight gain, obesity, heart disease, cancer, and diabetes. To help break the cycle of staying in one position, experts recommend taking movement breaks for one to three minutes every 30 to 45 minutes, or at least once an hour.

Individuals are encouraged to find ways to set up a job/work system where they are not limited to just sitting or standing but have a balance where they can move around, do some desk work, move some more, and so on where the body is regularly engaging all the muscles and not only using a few that often leads to overworked muscles and overcompensating postures that lead to injuries. This can be using a standing desk, taking quick short walks, or doing some stretches. Movement loosens up the body and helps maintain mental focus.

Flexibility Breaks

The following stretches for sitting and standing jobs are recommended to be done as often as possible to develop healthy habits.

  • Set an alarm for every 45 to 55 minutes and perform the stretches.
  • Hold each stretch for at least 15-30 seconds.
  • Avoid exercises or stretches that cause discomfort or pain.

Chest Stretch

Many individuals begin to hunch forward. Therefore, it is essential to stretch the pectoral/chest muscles and shoulders. Individuals with shoulder problems or injuries should avoid this stretch.

  • Stand with the feet shoulder-width apart.
  • The stretch can be performed seated in a chair.
  • Move the arms behind the body and, if possible, interlock the fingers together.
  • Straighten the arms and gently lift the hands up until you feel a stretch in the chest.
  • Hold for 10 to 30 seconds.
  • Repeat 5-10 times.
  • Individuals can also use a resistance band and hold it overhead.
  • Individuals can put their forearms on either side of a doorway, and gently press forward until the stretch is felt in the chest.

Upper Back Stretch

The upper back stretch will help get circulation moving in all the muscles between the shoulder blades as well as the traps and the shoulders.

  • Begin in a seated or standing position.
  • Stretch the arms straight out.
  • Place one hand on top of the other.
  • Reach away with your arms.
  • Relax and gently bend the head down.
  • Imagine the arms curving up and over an imaginary sphere.
  • Hold the stretch for 10 to 30 seconds.

Neck Stretch

​Tension in the neck can lead to headaches and upper back pain. Forward head posture is common when working at a desk/workstation, which places extra weight and stress on the neck muscles. The head can weigh up to 11 pounds. Staying aware of posture and regular stretching can provide relief.

  • Start in a sitting position, with the back straight and the shoulders back.
  • Reach down and grab the side of the chair with your hand.
  • Gently pull on the chair, while tilting the head in the opposite direction, feeling the stretch down the side of the neck and shoulder.
  • Hold for 10 to 30 seconds and repeat on the other side.
  • Repeat five to 10 times on each side.

Inner Thigh Stretch

Stretching the inner thigh is important for the hips and groin. This stretch helps open the hips and gets rid of tightness and tension in the lower body.

  • In a seated position, widen the legs, toes outward, and lean forward with the elbows on the thighs.
  • Keep the back straight and the abs contracted.
  • Gently press forward while using the elbows to push the thighs out until a stretch is felt in the inner thighs.
  • Hold for 10 to 30 seconds.
  • Repeat as many times as necessary to get a thorough stretch.

Regular stretching will help to improve the range of motion and help the muscles move more efficiently. Stretching may also help individuals reach or maintain a healthy weight for improved posture.


Benefits of Stretching


References

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Fathollahnejad, Kiana, et al. “The effect of manual therapy and stabilizing exercises on the forward head and rounded shoulder postures: a six-week intervention with a one-month follow-up study.” BMC Musculoskeletal Disorders vol. 20,1 86. 18 Feb. 2019, doi:10.1186/s12891-019-2438-y

Feldman, Anatol G. “The Relationship Between Postural and Movement Stability.” Advances in experimental medicine and biology vol. 957 (2016): 105-120. doi:10.1007/978-3-319-47313-0_6

Korakakis, Vasileios, et al. “Physiotherapist perceptions of optimal sitting and standing posture.” Musculoskeletal Science & Practice vol. 39 (2019): 24-31. doi:10.1016/j.msksp.2018.11.004

Lurati AR. Health issues and injury risks associated with prolonged sitting and sedentary lifestyles. Workplace Health Saf. 2018;66(6):285-290. doi:10.1177/2165079917737558

Nakphet N, Chaikumarn M, Janwantanakul P. Effect of different types of rest-break interventions on neck and shoulder muscle activity, perceived discomfort and productivity in symptomatic VDU operators: A randomized controlled trial. Int J Occup Saf Ergon. 2014;20(2):339-53. doi:10.1080/10803548.2014.11077048

Sanders, Martha J, and Claudia Michalak Turcotte. “Posture makes perfect.” Today’s FDA: official monthly journal of the Florida Dental Association vol. 25,2 (2013): 62-5.

Shaghayegh Fard, B et al. “Evaluation of forward head posture in sitting and standing positions.” The European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society vol. 25,11 (2016): 3577-3582. doi:10.1007/s00586-015-4254-x