Sports Spine Specialist Chiropractic Team: Athletes strive to achieve their body’s maximum performance by participating in numerous training regimens consisting of strenuous exercises and physical activity and ensuring they meet all of their body’s nutritional requirements. Through proper fitness and nutrition, many individuals can condition themselves to excel in their specific sport. Our training programs are designed for athletes that look to gain a competitive edge in their sport.
We provide sport-specific services to help increase an athlete’s performance through mobility, strength, and endurance. Occasionally, however, the excess workouts can lead many to suffer injuries or develop underlying conditions. Dr. Alex Jimenez’s chronicle of articles for athletes displays in detail the many forms of complications affecting these professionals while focusing on the possible solutions and treatments to follow to achieve overall well-being.
An exercise routine is highly important for anyone trying to get a kick start on their health and wellness journey. It could be simple as walking around the park for 30 minutes, going to the community pool to swim, or taking a group fitness class with friends. Incorporating an exercise regime can even help reduce the effects of musculoskeletal disorders and their associated symptoms from causing pain in the muscles and joints in the body. Even though many individuals have busy lives, it is important to ensure that their bodies are getting enough exercise to feel less joint and muscle pain while improving other systems that benefit from training. Today’s article looks at how to keep a constant exercise routine, how exercise can help musculoskeletal disorders, and how the MET technique is combined with physical activity. We provide and mention valuable information about our patients to certified medical providers who offer available therapy treatments like the MET technique combined with physical activities for individuals dealing with musculoskeletal pain disorders. We encourage each patient by referring them to our associated medical providers based on the patient’s diagnosis findings appropriately. We acknowledge that education is a spectacular way when asking our providers the most helpful questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., utilizes this information as an educational service. Disclaimer
Keeping A Constant Exercise Routine
Have you been feeling sluggish throughout the day? Do you believe you don’t have enough time to exercise and feel stressed? Or have you been experiencing unwanted pain and stiffness in your muscles and joints? Many individuals experiencing these issues in their bodies could not be getting enough exercise to reduce these musculoskeletal disorders. When it comes to many individuals trying to keep a constant exercise routine to better their health may be difficult but not impossible. There are many ways to incorporate a daily consistent exercise routine by making small changes in your daily life routine. Walking with friends or pets, attending a group fitness class, or doing squats at home can benefit muscle growth and promote motivation to continue these small changes. However, some of the reasons that many people need to exercise more are to need more time. Studies reveal that most people often refrain from any form of exercise due to needing more time out of their busy schedules. People who do not exercise regularly are potentially at risk of developing health-related problems and disorders linked to the musculoskeletal system.
Exercise For Musculoskeletal Disorders
When the musculoskeletal system is linked to health-related problems due to physical inactivity, when the body is not getting enough exercise, it can cause muscle and joint pain and other associated symptoms that can affect mobility. Research studies have revealed that pain in specific areas of the body, which includes the back, neck, and shoulders, is often due to extended periods of sitting down and inactivity that cause many people to develop musculoskeletal disorders. When pain and discomfort affect the body, it can cause visceral-somatic pain in different body areas. Not only that, but the various muscles in the upper and lower extremities of the body will become shortened and weak over time, leading to disability and poor posture. Now all is not lost, as there are ways to reduce the effects of musculoskeletal disorders and incorporate exercise as part of a person’s daily routine.
Lumbar Spine Injuries in Sports: Chiropractic Healing-Video
Have you been dealing with back, neck, or shoulder issues? Have you been feeling sluggish after a long, hard day at work? Or do you want to incorporate more exercise into your daily routine? Many individuals have been dealing with musculoskeletal issues in their bodies due to being physically inactive or not having enough time in their day. When this happens, it causes numerous disorders associated with the musculoskeletal system that correlate with the pain. However, making small changes in a routine is achievable by setting time aside for a few minutes and moving around to prevent issues from affecting the body. Studies reveal that performing exercise interventions for a few minutes may help reduce the effects of musculoskeletal complaints and boost work abilities. Additionally, exercises combined with chiropractic care can further reduce the impact of musculoskeletal disorders that are taking effect in the various joint and muscles by restoring the body and causing it to heal naturally. The video above explains how chiropractic care is incorporated into musculoskeletal disorders and helps relieve the pain-like symptoms associated with spinal subluxation.
The MET Technique & Exercise
Now, an exercise regime can help reduce pain-like effects on the musculoskeletal system and help with muscle growth. According to “Clinical Applications of Neuromuscular Techniques,” by Leon Chaitow, N.D., D.O., and Judith Walker DeLany, L.M.T., each variation of exercise training, like strength and endurance training involves different muscle fibers in the body and helps with muscle growth. Now it is best to start slowly and build up to improving the body’s endurance to prevent injuries from affecting the muscle groups. Hence why available treatments utilize the MET technique combined with exercise to help stretch and strengthen the muscles and revitalize the joints. According to research studies, combining the MET technique and stretching before exercising has improved muscle and joint mobility and increased the body’s range of motion without pain. Incorporating stretching and exercise can help the body from developing future musculoskeletal issues and can be part of any daily routine for the busy worker.
Conclusion
With people having a busy schedule, incorporating a few minutes of exercising can benefit the individual and their musculoskeletal system. When the body is dealing with musculoskeletal issues associated with physical inactivity, it can lead to future disorders that can cause the body to deal with pain and immobility. Hence, small changes in a routine, like walking or exercising for a few minutes, can benefit the body in the long haul. Additionally, incorporating treatment techniques like the MET combined with exercise helps stretch and strengthen the musculoskeletal system, allowing the body to restore itself naturally to prevent further injuries.
References
Chaitow, Leon, and Judith Walker DeLany. Clinical Application of Neuromuscular Techniques. Churchill Livingstone, 2002.
Iversen, Vegard M, et al. “No Time to Lift? Designing Time-Efficient Training Programs for Strength and Hypertrophy: A Narrative Review.” Sports Medicine (Auckland, N.Z.), U.S. National Library of Medicine, Oct. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8449772/.
Phadke, Apoorva, et al. “Effect of Muscle Energy Technique and Static Stretching on Pain and Functional Disability in Patients with Mechanical Neck Pain: A Randomized Controlled Trial.” Hong Kong Physiotherapy Journal : Official Publication of the Hong Kong Physiotherapy Association Limited = Wu Li Chih Liao, U.S. National Library of Medicine, 14 Apr. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC6385145/.
Shariat, Ardalan, et al. “Office Exercise Training to Reduce and Prevent the Occurrence of Musculoskeletal Disorders among Office Workers: A Hypothesis.” The Malaysian Journal of Medical Sciences : MJMS, U.S. National Library of Medicine, July 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5025063/.
Tersa-Miralles, Carlos, et al. “Effectiveness of Workplace Exercise Interventions in the Treatment of Musculoskeletal Disorders in Office Workers: A Systematic Review.” BMJ Open, U.S. National Library of Medicine, 31 Jan. 2022, www.ncbi.nlm.nih.gov/pmc/articles/PMC8804637/.
Athletes, pros, semi-pros, weekend warriors, fitness enthusiasts, and physically active and healthy individuals can feel cheated when they suffer an injury. Sports injury recovery involves rest, physical therapy, chiropractic realignment, and rehabilitation. However, it can be all for naught if the individual doesn’t recover mentally and emotionally. Coping with the stress of an injury, being sidelined and moving beyond the negative, and focusing more on positive strategies is important and requires physical and psychological toughness.
Coping With Sports Injuries
Incorporating sports psychology techniques is importantas individuals can experience injury-related emotions like anxiety, sadness, frustration, anger, denial, isolation, and depression. Dealing with an injury and using the off time to reflect and gain new perspectives allows the athlete to improve their objectives by being more focused, flexible, and resilient.
Strategies That Can Help
Understand The Injury
Knowing the cause, treatment, and prevention of the specific injury results in deeper understanding and less fear or anxiety. Talking with a doctor, sports chiropractor, trainer, coach, and psychological therapist can help individuals learn what they need to do to recover quickly and optimally. A few things to consider the following include:
Getting a second opinion is recommended, especially if surgery is being advised.
Focus On Recovering
Instead of focusing on being unable to play, losing strength, relearning movements, and the length of time it may take, accepting that the body is injured and needs to be repaired to return to play is more beneficial. Taking responsibility for the recovery process generates positive outcomes and builds confidence.
Stay Committed
Getting discouraged and missing therapy sessions is expected, especially at the beginning when unable to perform, and pain symptoms are presenting. To get the most out of rehabilitation, stay focused on what needs to be done, not what’s being missed.
To expedite healing, stay committed, and maintain a positive attitude to overcoming the injury.
Apply the same mindset and motivation as you would when practicing the game to the treatment and therapy sessions.
Listen to what the doctor, chiropractor, therapist, and athletic trainer recommend, just as you would a coach.
Set small goals to build momentum and maintain balance, with the end goal of fully recovering and returning to the game.
Self-talk is important to reflect on progress, setbacks, new perspective on the game, and what you want to achieve.
Strengthen the Mind
Research shows that the healing process can happen faster by using mental techniques like imagery and self-hypnosis. These techniques use all senses to generate mental images, emotions, and sensations of the desired outcome. They are used for improving sports skills and techniques, game anxieties, and injury recovery.
Support
A common response after an injury is self-isolating from the team, coaches, family, and friends. However, maintaining contact with others during recovery is highly recommended as all these individuals are there when you need advice, to vent feelings, or to raise your spirits when feeling discouraged. Knowing you don’t have to face the injury alone can push you to keep going.
Alternate Fitness
Individuals going through injury treatment will undoubtedly go through physical strengthening, stretching, etc. But depending on the type of injury, individuals can modify their sports training or add safe and gentle alternate forms of exercise to maintain conditioning and strength for their sport. This can encourage recovery, as the individual is still participating and working to return to play. Talk with the doctor, chiropractor, trainer, or therapist to help create an alternative workout program around the specific sport.
With a proper diagnosis and treatment plan, taking rehabilitation and recovery slow, setting realistic goals, and maintaining a positive mindset, coping with injuries can be a successful learning journey.
Unlocking Pain Relief
References
Clement, Damien, et al. “Psychosocial responses during different phases of sport-injury rehabilitation: a qualitative study.” Journal of athletic training vol. 50,1 (2015): 95-104. doi:10.4085/1062-6050-49.3.52
Johnson, Karissa L, et al. “Exploring the Relationship Between Mental Toughness and Self-Compassion in the Context of Sports Injury.” Journal of sport rehabilitation vol. 32,3 256-264. 1 Dec. 2022, doi:10.1123/jsr.2022-0100
Leguizamo, Federico et al. “Personality, Coping Strategies, and Mental Health in High-Performance Athletes During Confinement Derived From the COVID-19 Pandemic.” Frontiers in public health vol. 8 561198. 8 Jan. 2021, doi:10.3389/fpubh.2020.561198
Rice, Simon M et al. “The Mental Health of Elite Athletes: A Narrative Systematic Review.” Sports medicine (Auckland, N.Z.) vol. 46,9 (2016): 1333-53. doi:10.1007/s40279-016-0492-2
Smith, A M et al. “The psychological effects of sports injuries. Coping.” Sports medicine (Auckland, N.Z.) vol. 9,6 (1990): 352-69. doi:10.2165/00007256-199009060-00004
How a person walks or their gait performance can determine how their body’s balance and stability are functioning. Since the body has many muscles, ligaments, and tissues in the musculoskeletal system protecting the spine and the vital organs that work together to maintain proper functionality when a person is in motion; however, the body can succumb to numerous issues that can affect a person’s gait performance and cause the upper and lower extremities to develop myofascial trigger points in the muscle fibers. When these issues begin to cause dysfunction in the body, it can lead to many disorders associated with gait disturbances. Today we will focus on how to approach gait disturbances, how trigger points affect gait performances, and how treatment techniques like MET can help. We provide information about our patients to certified medical providers that offer available therapy techniques like MET (muscle energy techniques) for individuals dealing with gait disturbances associated with trigger points that correlate to how a person walks. We encourage each patient appropriately by referring them to our associated medical providers based on their diagnosis results. We accept that education is a spectacular way when asking our providers the most crucial questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., assesses this information as an educational service. Disclaimer
How To Approach Gait Disturbances?
Have you been dealing with mobility issues when walking? How about feeling stiffness in your hips or lower body extremities? Or have you experienced headaches or neck pain? Many of these issues are associated with gait disturbances that can affect your ability to walk. When it comes to gait disturbances, studies reveal that underlying systemic disorders or other environmental factors could trigger the prevalence of gait disturbances. Regarding gait disturbances, it is important to know that as the body ages, it can cause issues to the musculoskeletal system naturally, and environmental factors can further affect the central nervous system to cause gait disturbances. Additional studies have mentioned that gait disorders in the elderly could potentially lead to various issues that affect a person’s quality of life. When approaching gait disturbances, many doctors will examine to see the causes of these gait disturbances that correlate with the musculoskeletal system. It could be:
Orthopedic problems
Neurological conditions
Musculoskeletal disturbances
Metabolic disturbances
Many of these issues can cause the lower half of the body to shift the skeletal joints, leading to tight, stiff muscles and developing tiny hard nodules in the muscle fibers that can further affect gait performance.
How Do Trigger Points Affect Gait Performances
So how can these tiny hard nodules affect gait performance in the body? These small hard nodules are trigger points and often correlate with overlapping risk profiles associated with musculoskeletal disorders. “Clinical Application of Neuromuscular Techniques,” written by Leon Chaitow, N.D., D.O, and Judith Walker DeLany, L.M.T., mentioned that various additional causes and maintaining factors may be associated with dysfunctional patterns that correlate with trigger point involvement. The book also says that different influences affecting the muscles can increase trigger point activity while inducing influences from acute or chronic soft tissue dysfunction. Research studies reveal that myofascial pain syndrome is a collection of sensory, motor, and autonomic symptoms that correlate with musculoskeletal symptoms like local/referred pain, decreased range of motion, and muscle weakness. When trigger points are causing problems in the muscle fibers, it can affect a person’s gait performance and cause them to lose function when walking.
Balance Issues Associated With Myofascial Trigger Points-Video
Have you been dealing with balancing issues when walking? Do your muscles feel tight in certain areas? Or do constant headaches or neck pain affect your day? The video above explains what can cause balancing issues that affect gait performance and cause numerous symptoms like headaches and neck pain. Many balance issues are associated with myofascial trigger points affecting your gait performance. Myofascial trigger points can overlap risk profiles that can affect the muscle fibers in the body. Many correlating factors can affect a person’s gait performance, leading to musculoskeletal disorders related to trigger points. When musculoskeletal disorders are correlated with myofascial trigger points, it can decrease a person’s health and wellness if not treated early on. Fortunately, some treatments incorporate techniques to reduce muscle and joint pain while alleviating symptoms associated with myofascial trigger points.
How The MET Technques Helps With Gait Performance & Trigger Points
When a person is dealing with imbalances affecting their gait performance and having overlapping risk profiles associated with trigger points, treatment techniques can help improve their gait while reducing pain-like symptoms. Many pain specialists will use the MET technique (muscle energy technique) to help stretch affected muscles that are stiff and help regain mobility back to the body. Therapies like chiropractic care utilize this technique combined with spinal manipulation to help realign the body while loosening up stiff muscles affecting gait performance. When a person continues treatment care to regain mobility, it allows them to be aware of how they walk and carry themselves without pain.
Conclusion
How a person walks is how their balance and stability function in different environments. A person’s gait performance has to maintain the functionality that allows the various muscles, ligaments, and tissues in the musculoskeletal system to move. When environmental factors or musculoskeletal disorders affect the different muscles, it can cause overlapping issues that affect gait performance. To that point, it leads to stiffness and pain associated with trigger points. Luckily techniques like the MET combined with chiropractic care can help realign the body and loosen up stiff muscles and joints to regain mobility back to the body and help improve overall gait performance.
References
Chaitow, Leon, and Judith Walker DeLany. Clinical Application of Neuromuscular Techniques. Churchill Livingstone, 2002.
Marshall, Frederick J. “Approach to the Elderly Patient with Gait Disturbance.” Neurology. Clinical Practice, U.S. National Library of Medicine, June 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3613197/.
Pirker, Walter, and Regina Katzenschlager. “Gait Disorders in Adults and the Elderly : A Clinical Guide.” Wiener Klinische Wochenschrift, U.S. National Library of Medicine, Feb. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5318488/.
Aerobic Exercise Health: The body adapts differently to different types of exercise. Aerobic, cardio, and endurance all refer to activities stimulating heart and breathing rates to provide the muscles with oxygenated blood. The oxygen is delivered by blood pumped from the heart through the arteries and returns to the heart through the veins. This explains all the heavy breathing during workouts. Aerobic exercise increases energy production in the muscle cells and blood delivery in the cardiovascular system.
Aerobic Exercise Health
The Heart
All the muscles get to rest on and off when in use. The heart is a unique muscle that pumps blood through the body that never gets time off. This is why it is important to strengthen the heart. With aerobic exercise, the heart’s chamber/left ventricle gets larger, producing more blood per pump to the rest of the body. This improves cardiac output for the blood pumped by the heart per minute. When the heart is stronger, pumping more blood per beat means it doesn’t have to beat as rapidly. A lower resting heart rate is associated with a reduced risk of cardiovascular disease and promotes long and healthy life.
Vascular
Each time the heart beats, blood pumps from the left ventricle into the aorta and flows into a branching vessel network. Every artery in the body provides resistance to the circulation that the heart pushes against. The resistance provided can vary, depending on overall health and health conditions.
Aerobic exercise training reduces the workload by reducing arterial stiffness.
Aerobic exercise increases heart rate, pushing more blood through the arteries.
The inner wall of the arteries recognizes the increased blood flow causing the arteries to widen.
With regular training, the arteries acclimate and become more effective at expanding with each rush of blood.
No aerobic activity can cause the arteries to stiffen, causing circulation problems.
Aerobic exercise impacts the vascular system by promoting capillary growth.
Capillaries are microscopic vessels where oxygen diffuses from red blood cells to the muscle and other cells.
The body stimulates a molecule called vascular endothelial growth factor to grow additional capillaries to regulate energy demand more efficiently.
Older individuals benefit from aerobic activity similarly to young individuals.
Metabolic
Along with cardiovascular benefits, aerobic exercise increases the muscles’ energy production. The energy is produced in muscle cells primarily through an oxidative energy system. Oxidative energy production takes place within cells called mitochondria. Once blood delivers oxygen to the muscle cells, it can be used to produce energy that powers the muscles.
Aerobic exercise training improves the muscle cells’ ability to burn fat by generating more mitochondria and enhancing functionality.
Following each training session, the body burns more fat than usual.
Aerobic training can increase resting metabolic rate, resulting in more calories burned.
It can increase post-exercise oxygen consumption/EPOC, resulting in increased calorie burn after training in addition to calories burned during exercise.
Muscle
The muscles adapt from aerobic training. Muscles are made up of various fiber types.
Aerobic exercise training primarily influences type 1 fibers, known as slow-twitch fibers.
The name comes from the proteins responsible for their contractions.
Relative to type 2a fibers/fast-twitch, type 1 fibers contract more slowly but have an increased capacity to contract over and over for longer.
Aerobic training results in hypertrophy of type 1 muscle fibers by adding more slow-twitch proteins.
Strengthening the heart and making arteries more flexible directly impacts health and physical function. Aerobic exercise strengthens and trains the heart to circulate blood efficiently. Injury Medical Chiropractic and Functional Medicine Clinic can develop a personalized health plan for your needs.
Aerobic Exercise Health: Dance Workout
References
Arbab-Zadeh, Armin, et al. “Cardiac remodeling in response to 1 year of intensive endurance training.” Circulation vol. 130,24 (2014): 2152-61. doi:10.1161/CIRCULATIONAHA.114.010775
Gavin, Timothy P et al. “No difference in the skeletal muscle angiogenic response to aerobic exercise training between young and aged men.” The Journal of physiology vol. 585, Pt 1 (2007): 231-9. doi:10.1113/Physiol.2007.143198
Hellsten, Ylva, and Michael Nyberg. “Cardiovascular Adaptations to Exercise Training.” Comprehensive Physiology vol. 6,1 1-32. 15 Dec. 2015, doi:10.1002/cphy.c140080
Nauman, Javaid, et al. “Temporal changes in resting heart rate and deaths from ischemic heart disease.” JAMA vol. 306,23 (2011): 2579-87. doi:10.1001/jama.2011.1826
Popel, A S. “Theory of oxygen transport to tissue.” Critical reviews in biomedical engineering vol. 17,3 (1989): 257-321.
Seals, Douglas R et al. “Aerobic exercise training and vascular function with aging in healthy men and women.” The Journal of physiology vol. 597,19 (2019): 4901-4914. doi:10.1113/JP277764
Sports exercise medicine – SEM addresses and treats physical activity/sports-related injuries using chiropractic care, physical therapy, therapeutic massage, functional nutrition, and targeted rehabilitation exercises. Sports medicine aims to prevent injury and keep individuals safe when pursuing their training goals. It combines general medical education with sports science principles, exercise physiology, biomechanics, orthopedics, nutrition, and sports psychology.
Sports Exercise Medicine
Sports medicine specialists focus on medical, therapeutic, and functional aspects to rehabilitate and strengthen the body to improve physical performance. Conditions include:
A sports exercise medicine team can include medical and non-medical specialists. This includes:
Coaches
Athletic trainers
Personal trainers
Chiropractors
Physical therapists
Nutritionists
Physicians
Surgeons
Sports psychologists
Sports exercise medicine is not a medical specialty but means the health care providers have undergone training focused on the medical aspects of physical activities/sports, fitness, and exercise.
Doctors and Physicians
Sports medicine physicians are medical doctors who specialize in diagnosing and treating sports and exercise-related injuries and conditions. These physicians are certified in family medicine, emergency medicine, pediatrics, internal medicine, or orthopedics. They are qualified to treat:
Muscle, bone, joint, and nerve injuries.
Head injuries.
Chronic conditions.
Return-to-play decisions.
Injury prevention.
Nutrition and supplements.
Orthopedic surgeons focus on the surgical treatment, repair, and restoration of sports and physical activity injuries.
Psychologists
Sports psychology focuses on athletes’/sports enthusiasts’ mental and emotional states. Athletes go through various stresses that a sports psychologist can train to regulate anxiety and improve focus specifically on their sport. They use tools and techniques like psychotherapy, stress management, and goal-setting to help athletes maintain mental and emotional balance during competition or injury recovery. Professional sports teams employ psychologists to help prepare the team for competition or develop strategies to overcome mental or emotional challenges affecting performance.
Sports Science
Sports science is the focused study of physiology, anatomy, and psychology related to human movement and physical activity. Exercise science is primarily focused on clinical research, including:
Physiological responses to exercise.
Effectiveness of exercise techniques.
Impact of performance supplements.
Chiropractic Sports Physician
Chiropractic care is a non-invasive, medication-free treatment alternative that can help individual athletes find relief from various musculoskeletal issues. A chiropractic sports physician has the tools and skills necessary to optimize the performance of an individual’s musculoskeletal and nervous systems. This specialized training allows sports chiropractors to provide therapies to heal injuries effectively, maintain strength and prevent injury. The benefits of applying chiropractic medicine include the following:
It is a non-invasive treatment.
Improves overall range of motion.
Reduces and alleviates discomfort symptoms.
Stretches and strengthens the body.
Assists in post-surgical repair.
Decreases recovery time.
Sport Rehabilitation
References
Brown, G J. “Sports medicine at work.” British journal of sports medicine vol. 33,1 (1999): 5.
Hsu, Joseph R et al. “Clinical Practice Guidelines for Pain Management in Acute Musculoskeletal Injury.” Journal of orthopedic trauma vol. 33,5 (2019): e158-e182. doi:10.1097/BOT.0000000000001430
Kaufman, Matthew W et al. “The Impact of Supplements on Sports Performance for the Trained Athlete: A Critical Analysis.” Current sports medicine reports vol. 21,7 232-238. 1 Jul. 2022, doi:10.1249/JSR.0000000000000972
King, J B. “Sports medicine.” Journal of the Royal Society of Medicine vol. 79,8 (1986): 441-2. doi:10.1177/014107688607900803
Kreher, Jeffrey B, and Jennifer B Schwartz. “Overtraining syndrome: a practical guide.” Sports health vol. 4,2 (2012): 128-38. doi:10.1177/1941738111434406
McCrory, P. “What are sports and exercise medicine?.” British journal of sports medicine vol. 40,12 (2006): 955-7.
When it comes to the body, the various muscles, tissues, joints, and organs provide functionality and movement when it is in motion. Everyone worldwide cares for their bodies by resting them when needed, eating numerous foods to provide energy, and staying active to live longer. However, over time, many factors can contribute to the body by causing many individuals to develop musculoskeletal issues that can affect a person’s posture and the sensory-motor functions that the body provides to maintain motion and stability. In today’s article, we examine muscle imbalances, how it affects the body’s gait pattern, and how the MET technique can help with muscle imbalances. We provide information about our patients to certified medical providers that offer available therapy techniques like MET (muscle energy techniques) for individuals dealing with chronic conditions associated with muscle imbalances that could affect a person’s gait pattern and lead to pain in the muscles and joints. We encourage each patient appropriately by referring them to our associated medical providers based on their diagnosis results. We accept that education is a spectacular way when asking our providers the most crucial questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., assesses this information as an educational service. Disclaimer
What Are Muscle Imbalances?
Have you been dealing with tight back, shoulders, and hip muscles? Do you feel one side of your body is weaker than the other? Or do you feel unstable when walking? Many people who are experiencing these issues are associated with muscle imbalances that are affecting their bodies. So what are muscle imbalances, and how does it affect the body? Well, according to “Clinical Applications of Neuromuscular Techniques,” written by Leon Chaitow, N.D, D.O, and Judith Walker DeLany, L.M.T., stated that the soft tissues in our bodies are often changed from their normal elastic, pliable, and toned functional status to short, fibrous and weak function in the different muscle groups. Since the body compensates (without any chronic symptoms) to everyday activities, when the body’s muscles and tissues are exhausted, it can cause the symptoms to develop over time, causing pain, muscle restriction, and limited range of motion to the body. Thus, these symptoms often correlate to musculoskeletal disorders, leading to muscle imbalances.
Other issues that can cause muscle imbalances in the body could result from muscle injuries from traumatic forces. Research studies have revealed that repetitive motions from traumatic injuries could result in microtrauma tears to the muscles and tendons, which can develop into muscle-referred pain and increase the risk of chronic joint inflammation. To that point, it can lead to referred pain in different body areas and affect a person’s stability. When the body is dealing with traumatic injuries that affect the muscles over time, many people shift how they walk or change their postures to compensate for the pain, which can change their gait patterns.
How Does It Affect The Body’s Gait Pattern?
When a person is walking, their entire body is in motion, and over time their posture will change depending on the upper body’s weight bearing down to the hips and lower extremities. Studies reveal that loss of muscle strength can be characterized by musculoskeletal disorders like osteoarthritis that can cause pain symptoms, reduce physical function, decrease range of motion, and muscle/joint instability. So how would muscle imbalances affect the body’s gait pattern? First, we must look at the influences that the neurological and metabolic functions of the central nervous system provide on the musculoskeletal system. The central nervous system sends neuron signals to each muscle group from the upper and lower extremities to allow the individual to walk, run, and do other motor functions. When muscle imbalances are associated with traumatic injuries, it can cause the body to be hunched over over time, causing the short muscles to be tight and the long muscles to be weak. To that point, it can lead to a chain of dysfunctional phases of the gait cycle and its associated symptoms. Some of the signs that can affect a person’s gait pattern include:
Associated joint restriction on the hips
Muscle tension on the pelvis and lower extremities
Muscle tightness in the cervical-thoracic region of the back
Trigger points on the lower extremities causing referred pain
How Muscle Imbalances Associate With Low Back Pain- Video
Have you been dealing with pain in your joints or muscles? Do you find it difficult to walk or carry heavy objects? Or have you been experiencing tight hips and shoulders? Many of these issues are due to muscle imbalances associated with traumatic injuries. The video above explains how muscle imbalances could be related to low back pain. When environmental factors or traumatic forces begin to affect the muscles and joints in the body, it can change a person’s gait pattern (how they walk) and develop into chronic issues affecting the body. When the muscles are imbalanced and cause gait problems, it can lead to muscle and joint pain associated with poor posture and other chronic conditions. When this happens, it can lead to dysfunctional phases of the gait pattern. Luckily there are many treatments and techniques to reduce pain and restore gait function to the body.
How The MET Technique Help With Muscle Imbalances
Going to therapy treatments to restore muscle functionality, enable the body to recover naturally, and reduce the chances of future injuries to come back. When the body is dealing with muscle imbalances, there are many treatments and techniques that many pain specialists, like chiropractic care that are utilized to restore the body and prevent injuries from re-occurring. One of the techniques is called the MET technique (muscle energy technique). The MET technique is a form of manual therapy that uses isometric stretches to reduce pain in the soft tissues and lengthen weak muscles. Studies reveal that when pain specialists use the MET technique combined with other treatments like physical therapy and spinal manipulation, it can help reduce the pain affecting the muscle fibers while restoring the body to normalcy and lengthening tight muscles. When the MET technique is combined with other forms of therapy, it can help stretch and strengthen the weak muscles and allows the individual to be aware of how their posture is being corrected.
Conclusion
It is important to everyone that different factors and injuries could result from muscle imbalances that can affect your posture. Muscle imbalances in the body can lead to unwanted symptoms of muscle weakness, pain, and dysfunctional gait patterns that correlate with musculoskeletal disorders. Going to therapy treatments and incorporating techniques like MET, physical activities, and chiropractic care can help the body be restored and prevent future injuries from returning and affecting a person’s health and wellness.
References
Chaitow, Leon, and Judith Walker DeLany. Clinical Applications of Neuromuscular Techniques. Churchill Livingstone, 2003.
Joshi, Reema, and Nishita Poojary. “The Effect of Muscle Energy Technique and Posture Correction Exercises on Pain and Function in Patients with Non-Specific Chronic Neck Pain Having Forward Head Posture-a Randomized Controlled Trail.” International Journal of Therapeutic Massage & Bodywork, U.S. National Library of Medicine, 1 June 2022, www.ncbi.nlm.nih.gov/pmc/articles/PMC9134480/.
Neme, Jamil R. “Balancing Act: Muscle Imbalance Effects on Musculoskeletal Injuries.” Missouri Medicine, U.S. National Library of Medicine, 2022, www.ncbi.nlm.nih.gov/pmc/articles/PMC9324710/.
Vodička, Tomáš, et al. “Could the Evaluation of Muscle Strength Imbalances Be Used as a Predictor of Total Hip Arthroplasty?” International Journal of Environmental Research and Public Health, U.S. National Library of Medicine, 11 May 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8150769/.
Spinal Stenosis Walking Issues:Stenosis means a narrowing. Spinal stenosis can happen in any spine region, but the neck and lower back are the most common locations. The spinal canal becomes narrower and can cause the nerves to become compressed, pinched, and irritated and can extend from the lumbar spine through the hips, buttocks, legs, and feet. Individuals with lumbar spinal stenosis may have difficulty walking caused by sensations of discomfort like numbness, electrical shocks, and pain, requiring the need to lean forward to relieve pressure and symptoms. Additionally, symptoms are likely to worsen the longer the walk. Chiropractic treatment can treat spinal stenosis because it corrects and re-aligns the spine, thus reducing pressure on the spinal cord, joints, and nerve roots.
Spinal Stenosis Walking Issues
The spine is made up of interlocking vertebrae. The regions are cervical, thoracic, lumbar, and sacral bones with a foramen opening. These openings form the protective tunnel/spinal canal surrounding the spinal cord. The spinal cord is a group of nerves that run through the tunnel. The narrowing suffocates the nerves supplying the lower extremities that can influence walking activity.
Symptoms
There may be no symptoms with early lumbar spinal stenosis. Most individuals develop symptoms gradually and may begin to notice them while walking or standing. These can include:
Lower back pressure sensations when standing upright or walking.
Leg numbness, tingling, weakness, burning, and/or cramping.
Muscle weakness.
Persistent pain in the back, hips, buttocks, or legs while walking.
Difficulty lifting the top part of the foot – known as drop foot.
Loss of sensation in the feet.
A weak foot that drops/slaps down when walking.
Loss of sexual ability.
In more serious cases, severe numbness, bladder problems, and inability to stand.
Individuals begin to lean forward when symptoms start, bringing relief by reducing the pressure on the nerves. However, constantly leaning forward leads to other posture and health problems.
Diagnosis
A doctor or chiropractor will ask questions about symptoms and medical history and perform a complete physical examination to diagnose lumbar spinal stenosis. During the physical examination, a healthcare provider will look for signs, such as loss of sensation, weakness, and abnormal reflexes.
Tests:
X-rays of the lumbar spine may show bone growths called spurs that push on spinal nerves and/or narrowing of the spinal canal.
Imaging tests – A CT or MRI scan can provide a detailed look at the spinal canal and nerve structures.
Other studies include – bone scans, myelogram, which is a CT scan that uses a color dye, and EMG, which is an electrical test of muscle activity.
Chiropractic Treatment
Chiropractic care combined with physical therapy is a tried-and-true treatment for spinal stenosis. A chiropractic treatment plan can include targeted and passive exercise programs. Targeted exercises involve strengthening the core and back muscles. Passive treatments include hot and cold therapy, massage, decompression, and electrical stimulation. The objective of chiropractic therapy is to:
Strengthen muscles in the core and legs
Correct posture and body mechanics.
Improve mobility.
Maintain ability to perform day-to-day activities.
Recommend stretches.
Educate on how to keep the spine and back muscles safe.
Train on using devices like a back brace, cane, or walker properly.
Advise about shoe inserts and splints.
Suggest work and home environment modifications, such as ergonomics and cushions.
Chiropractic Relief
References
Conway, Justin, et al. “Walking assessment in people with lumbar spinal stenosis: capacity, performance, and self-report measures.” The spine journal: official North American Spine Society journal vol. 11,9 (2011): 816-23. doi:10.1016/j.spinee.2010.10.019
Lurie, Jon, and Christy Tomkins-Lane. “Management of lumbar spinal stenosis.” BMJ (Clinical research ed.) vol. 352 h6234. 4 Jan. 2016, doi:10.1136/bmj.h6234
Macedo, Luciana Gazzi, et al. “Physical therapy interventions for degenerative lumbar spinal stenosis: a systematic review.” Physical therapy vol. 93,12 (2013): 1646-60. doi:10.2522/ptj.20120379
Tomkins-Lane, Christy C et al. “Predictors of walking performance and walking capacity in people with lumbar spinal stenosis, low back pain, and asymptomatic controls.” Archives of physical medicine and rehabilitation vol. 93,4 (2012): 647-53. doi:10.1016/j.apmr.2011.09.023
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