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Athletes

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.


Walking Energy Snacks: El Paso Back Clinic

Walking Energy Snacks: El Paso Back Clinic

Walking is a great physical exercise activity that requires endurance. When walking for two hours or more, refueling energy stores can be done with portable walking energy snacks. These are foods that can be taken along and eaten while on the move. This includes fruits, vegetables, energy bars, trail mix, energy gels, and sports drinks that can replenish the body. However, depending on when an individual goes for a walk, they need to think about breakfast or lunch nutrition before engaging in the walk. This will help to get the most benefits from the snacks, as well as, what to have after the workout for recovery.

Walking Energy Snacks: EP's Functional Chiropractic Clinic

Walking Energy Snacks

Individuals walking for a long time will want a snack – before, during, and after. There are various options to choose from. Individuals may want to experiment with various snack and drink options to find the right balance of carbs, fat, and protein so that the body gets the energy it needs without feeling weighed down or hungry soon after. The ideal walking energy snacks should be healthy, full of energy, and easy to eat on the move.

Fruit Snacks

  • Fruit snacks are great for the all-natural carbohydrate burst.
  • Bananas are great for potassium.
  • Apples, oranges, and raisins are also recommended packable snacks.
  • For certain individuals, the fiber in some fruits can get digestion moving, requiring a restroom, so plan ahead.
  • Some individuals can eat fruit regularly but may have an upset stomach during walking, which is why experimentation may be necessary.

Energy Bars

  • Nutrition bars can provide vitamins and minerals and protein but can be high in calories.
  • Check the labels to choose the balance of ingredients that’s best for you.
  • Energy bars offer a healthy combination of carbohydrates, protein, and fat.​
  • They are convenient for a snack when on a walk.
  • Most products utilize peanuts/other nuts or soy for protein.
  • Individuals may want to avoid chocolate-covered bars, as they can melt.

Trail Mix

  • Trail mixes are the original energy bar.
  • Individuals can mix their own, buy in bulk, or pre-packaged.
  • Trail mix contains nuts for protein, raisins or other dried fruit for carbohydrates, and chocolate or carob for taste.
  • The salted varieties can help replace electrolytes.
  • Be aware of portion control, as trail mix is often high in fat and calories.

Energy Gels

  • Energy gels provide a carbohydrate boost designed for individuals doing endurance events and activities.
  • Energy gels need to be taken with water for carbohydrate digestion.
  • There are some that can be taken without water but may not provide as much energy.
  • For individuals that walk fast and breathe hard, energy gels can be safer than chewing and possibly choking.
  • Newer brands are trying to be natural and less sweet.

Energy and Sports Drinks

  • Water is not enough to keep the body hydrated on long walks.
  • Sports drinks with sugar and salt replenish H2O and electrolyte levels more thoroughly when walking for more than an hour helping to prevent dehydration and hyponatremia/low salt levels.
  • It is recommended to avoid:
  • High-caffeine energy drinks in small cans, as they have too much caffeine and not enough hydrating water.
  • Sports and energy drinks with additives and herbs, which do not help on walks, and look for those with salt and carbohydrate replacement.

Ankle Sprain Recovery


References

Francois, Monique E et al. “’Exercise snacks’ before meals: a novel strategy to improve glycaemic control in individuals with insulin resistance.” Diabetologia vol. 57,7 (2014): 1437-45. doi:10.1007/s00125-014-3244-6

Islam, Hashim, et al. “Exercise Snacks: A Novel Strategy to Improve Cardiometabolic Health.” Exercise and sport sciences review vol. 50,1 (2022): 31-37. doi:10.1249/JES.0000000000000275

Marangoni, Franca, et al. “Snacking in nutrition and health.” International Journal of food sciences and Nutrition vol. 70,8 (2019): 909-923. doi:10.1080/09637486.2019.1595543

McCubbin, Alan J et al. “Sports Dietitians Australia Position Statement: Nutrition for Exercise in Hot Environments.” International Journal of sports nutrition and exercise metabolism vol. 30,1 (2020): 83-98. doi:10.1123/ijsnem.2019-0300

Moore, Daniel R et al. “Walking or body weight squat “activity snacks” increase dietary amino acid utilization for myofibrillar protein synthesis during prolonged sitting.” Journal of applied physiology (Bethesda, Md.: 1985) vol. 133,3 (2022): 777-785. doi:10.1152/japplphysiol.00106.2022

Njike, Valentine Yanchou, et al. “Snack Food, Satiety, and Weight.” Advances in nutrition (Bethesda, Md.) vol. 7,5 866-78. 15 Sep. 2016, doi:10.3945/an.115.009340

Overtraining Syndrome: El Paso Back Clinic

Overtraining Syndrome: El Paso Back Clinic

Individuals can become overly passionate about exercising. However, constantly training the body without taking enough time to rest and recover can impact athletes and fitness enthusiasts physically and mentally and lead to overtraining syndrome. Excessive training can cause decreases in athletic physical performance that can be long-lasting, sometimes taking several weeks or months to recover. Individuals who don’t learn to manage overtraining can have injuries and more frequent illnesses and infections. And the psychological effects can also lead to negative mood changes. Learn the signs and how to cut back to prevent injury and/or burnout.

Overtraining Syndrome: EP's Chiropractic Injury Team

Overtraining Syndrome

Athletes and fitness lovers often exercise longer and harder than average to reach peak performance. Even individuals just getting started with exercise can push their limits as they try to figure out what works for them. This means taking into consideration the following:

  • The mental side of training.
  • How to get and stay motivated.
  • How to set up a safe and effective program with balanced cardio and strength training.
  • How to avoid skipping workouts when things get in the way.
  • Exercising too much is a mistake many beginners make, putting themselves at risk for injury.

Overtraining syndrome is when the body goes through and feels:

  • Extreme fatigue.
  • Physical performance problems.
  • Mood changes.
  • Sleep disturbances.
  • Other issues due to working out or training too much and/or too hard without giving the body enough time to rest.

Overtraining is common among athletes who train beyond their body’s ability to recover, usually when preparing for a competition or event. Conditioning for athletes and enthusiasts requires a balance between work and recovery.

Signs and Symptoms

There are several signs to look for, with the more common symptoms being:

  • Mild muscle or joint soreness, general aches, and pains.
  • Decreased training capacity, intensity, or performance.
  • Lack of energy, constantly tired, and/or drained.
  • Brain fog.
  • Insomnia.
  • Decreased appetite or weight loss.
  • Loss of enthusiasm for the sport or exercise.
  • Irregular heart rate or heart rhythm.
  • Increased injuries.
  • Increased headaches.
  • Feeling depressed, anxious, or irritable.
  • Sexual dysfunction or decreased sex drive.
  • Lower immunity with an increase in colds and sore throats.

Prevent Overtraining

  • Predicting whether there is a risk of overtraining can be tricky because every person responds differently to various training routines.
  • Individuals have to vary their training throughout and schedule adequate time for rest.
  • Individuals who believe they may be training too hard should try the following strategies to prevent overtraining syndrome.

Take Note of Mental and Mood Changes

Methods exist to test for overtraining objectively.

  • One is taking note of psychological signs and symptoms associated with changes in an individual’s mental state can be an indicator.
  • Decreased positive feelings for exercise, physical activities, and sports.
  • Increased negative emotions, like depression, anger, fatigue, and irritability, can appear after a few days of intense training.
  • If these feelings and emotions begin to present, it is time to rest or dial the intensity down.

Training Log

  • A training log that notes how the body feels daily.
  • It can help individuals notice downward trends and decreased enthusiasm.
  • This can help individuals learn to listen to their body’s signals and rest when necessary.

Monitor Heart Rate

  • Another option is to track changes in heart rate over time.
  • Monitor heart rate at rest and specific exercise intensities while training, and record it.
  • If the heart rate increases at rest or a given intensity, this could be a risk indicator, especially if symptoms develop.
  • Track resting heart rate each morning.
  • Individuals can manually take a pulse for 60 seconds immediately after waking up.
  • Individuals can also use a heart rate monitor or fitness band.
  • Any marked increase from the norm may indicate that the body has not fully recovered.

Treatment

Rest and Recovery

  • Reduce or stop the exercise and allow the mind and body a few rest days.
  • Research on overtraining shows that complete rest is the primary treatment.

Take Extra Rest Days

  • Starting anything new will usually make the body sore.
  • Be prepared for the aches and take extra rest days when needed.
  • The body won’t have the same energy levels from day to day or even from week to week.

Consult A Trainer

  • Not sure where to start or how to approach working out safely.
  • This is the time to meet with a professional who can look at physical and medical history, fitness level, and goals.
  • They can develop a customized program to meet specific needs.

Nutrition and Hydration

  • Maintain optimal body hydration with plenty of H2O/water and rehydrating drinks, vegetables, and fruits.
  • Staying properly hydrated is key to both recovery and prevention.
  • Getting enough protein and carbohydrates supports muscle recovery.
  • Carbs are important for endurance, and protein is important for muscular strength and power.

Sports Chiropractic Massage

  • Research shows that sports massage benefits muscle recovery and can improve delayed onset muscle soreness/DOMS.
  • Massage keeps muscles loose and flexible and increases blood circulation for expedited recovery.

Relaxation Techniques

  • Stress-reduction techniques such as deep breathing and progressive muscle relaxation exercises can improve rest and recovery.

Total recovery from overtraining syndrome can take a few weeks or longer, depending on the individual’s health status and how long the excessive training has gone on. A physician can refer individuals to a physical therapist or sports chiropractor, who can develop a personalized recovery plan to get the body back to top form.


Military Training and Chiropractic


References

Bell, G W. “Aquatic sports massage therapy.” Clinics in sports medicine vol. 18,2 (1999): 427-35, ix. doi:10.1016/s0278-5919(05)70156-3

Carrard, Justin, et al. “Diagnosing Overtraining Syndrome: A Scoping Review.” Sports Health vol. 14,5 (2022): 665-673. doi:10.1177/19417381211044739

Davis, Holly Louisa, et al. “Effect of sports massage on performance and recovery: a systematic review and meta-analysis.” BMJ open sport & exercise medicine vol. 6,1 e000614. 7 May. 2020, doi:10.1136/bmjsem-2019-000614

Grandou, Clementine, et al. “Symptoms of Overtraining in Resistance Exercise: International Cross-Sectional Survey.” International Journal of sports physiology and Performance vol. 16,1 (2021): 80-89. doi:10.1123/ijspp.2019-0825

Meeusen, Romain, et al. “Brain neurotransmitters in fatigue and overtraining.” Applied physiology, nutrition, and metabolism = Physiologie applique, nutrition et metabolisme vol. 32,5 (2007): 857-64. doi:10.1139/H07-080

Peluso, Marco Aurélio Monteiro, and Laura Helena Silveira Guerra de Andrade. “Physical activity and mental health: the association between exercise and mood.” Clinics (Sao Paulo, Brazil) vol. 60,1 (2005): 61-70. doi:10.1590/s1807-59322005000100012

Weerapong, Pornratshanee, et al. “The mechanisms of massage and effects on performance, muscle recovery, and injury prevention.” Sports medicine (Auckland, N.Z.) vol. 35,3 (2005): 235-56. doi:10.2165/00007256-200535030-00004

Joint Injury Rehabilitation Exercises: El Paso Back Clinic

Joint Injury Rehabilitation Exercises: El Paso Back Clinic

Joints are the musculoskeletal areas where two bones connect. The joints have soft tissues around them, like cartilage, tendons, and ligaments. Cartilage is the flexible tissue that covers the ends of the bones at a joint. The tendons are bands between the muscles and bones that connect everything to initiate joint movement. And the ligaments are a kind of bridge that connects the bones of the joints to keep the body stable when in motion. After an injury, the joints need to be worked out, stretched, and massaged to return to proper function and support. A chiropractic personalized rehabilitation program will include exercises that target joint stability.

Joint Injury Rehabilitation Exercises: EP Chiropractic

Joint Injury Rehabilitation

The shoulders, elbows, wrists, knuckles, hips, knees, and ankles are joints. The spine is also made up of joints. The first step for achieving joint stability after a lower-body injury is to assess the joints for:

A physician, chiropractor, or therapist will check the joint and test for weakness or deficits in soft tissues, tendons, ligaments, and cartilage.

  • Individuals can have conditions, diseases, or injuries that affect the joints, causing dysfunction.
  • Correcting deficits may require taping, bracing, exercises, or surgery.
  • Joint stability is attained through specific exercises that target balance, proprioception, range of motion, flexibility, strength, and endurance.
  • Individuals must participate in their rehabilitation program to fully recover from their injuries.

Proprioception and Neuromuscular Training

Neuromuscular training and proprioception are essential to joint stability.

  • Neuromuscular control is an unconscious response to joint motions without awareness.
  • It is how workers or athletes adjust to uneven pavement or shift their weight to stay balanced on an incline or stairs.
  • Proprioception is the ability to sense the body’s orientation in the environment.
  • It allows body movement and responds without consciously thinking about where the body is in space.
  • The information signals detect joint position, limb movement, direction, and speed.
  • A joint with a high level of neuromuscular control and a trained proprioceptive system can respond appropriately to various forces placed upon it during activity, decreasing the risk of injury.
  • Proprioceptive exercises train joint proprioceptors to adapt before initiating a potentially damaging/injurious movement.

Targeted Training

  • Specific to the individual’s injury, specific exercises are incorporated to regain/relearn skill sets and reset automatic movement patterns.
  • Skills training improves the ability to make adjustments quickly and decreases the potential for worsening or creating another injury.
  • Research has found that individuals who participate in neuromuscular retraining have improved muscular activation and reaction to changes compared to those who do not incorporate retraining exercises.
  • Trainers and therapists use neuromuscular exercises to prevent and rehabilitate ACL injuries.

Lower Extremities Rehabilitation Exercises Therapy

The following example of an exercise rehabilitation program can be used to rehabilitate the lower extremities. The exercises should be done slowly over several weeks. Therapeutic exercises should be combined with an appropriate and gradual range of motion and strengthening program. Individuals should always work with a chiropractor and physical therapist to develop the most suitable program for specific injuries and limitations.

One-Leg Balance

  • Try to stand on one leg for 10 to 30 seconds.

One-Leg Balance with Eyes Closed

  •  Stand on one leg for 10 to 30 seconds with your eyes closed.

Balance Board with Half-Squats

  • Balance on a wobble board.
  • Perform ten slow, controlled half-squats.

Step-Ups

  • Step up onto a balance board.
  • Place a balance board, soft pillow, or foam pad 6 to 8 inches above the starting point.
  • Step up ten times.

Step Downs

  • Step down onto the balance board.
  • Place a balance board, soft pillow, or foam pad 6 to 8 inches lower than the starting point.
  • Step down ten times.

Single-Leg Hops

  • Hop forward and focus on landing properly.

Single-Leg Spot Jumps

  • Hop from one spot to another spot on the floor.

Transform Your Body


References

Akbar, Saddam, et al. “Effects of neuromuscular training on athletes’ physical fitness in sports: A systematic review.” Frontiers in physiology vol. 13 939042. 23 Sep. 2022, doi:10.3389/fphys.2022.939042

Borrelli, Joseph Jr et al. “Understanding Articular Cartilage Injury and Potential Treatments.” Journal of orthopedic trauma vol. 33 Suppl 6 (2019): S6-S12. doi:10.1097/BOT.0000000000001472

Cote, Mark P, et al. “Rehabilitation of acromioclavicular joint separations: operative and nonoperative considerations.” Clinics in sports medicine vol. 29,2 (2010): 213-28, vii. doi:10.1016/j.csm.2009.12.002

Jeong, Jiyoung, et al. “Core Strength Training Can Alter Neuromuscular and Biomechanical Risk Factors for Anterior Cruciate Ligament Injury.” The American Journal of sports medicine vol. 49,1 (2021): 183-192. doi:10.1177/0363546520972990

Porschke, Felix, et al. “Return to work after acromioclavicular joint stabilization: a retrospective case-control study.” Journal of orthopedic surgery and Research vol. 14,1 45. 12 Feb. 2019, doi:10.1186/s13018-019-1071-7

Vařeka, I, and R Vařeková. “Kontinuální pasivní pohyb v rehabilitaci kloubů po úrazech a operacích” [Continuous passive motion in joint rehabilitation after injury and surgery]. Acta Chirurgie orthopaedicae et traumatologiae Cechoslovaca vol. 82,3 (2015): 186-91.

Olympic Athlete Discipline: El Paso Back Clinic

Olympic Athlete Discipline: El Paso Back Clinic

Olympic athletes are so fit they make everything look easy. It is one of the most amazing examples of athletic prowess to behold. Attempting these feats of athleticism could lead to injury without proper training and conditioning. However, you can draw inspiration from these incredible skills and commitment to reach your fitness goals. Individuals can emulate the Olympic athlete’s discipline to get the most out of physical activity and workouts.

Olympic Athlete Discipline: EP's Chiropractic Specialist Team

Olympic Athlete Discipline

This is not about the literal workout routines these athletes engage in but the mental state and discipline that keeps them motivated, especially when things get tough. This can help individuals get the most out of every workout. When momentum or motivation starts to dwindle, look to Olympic athletes and then apply that discipline to recharge motivation and achieve the goal.

Learn to Train Daily

Many can succumb to weekend warrior syndrome. After sitting on the couch after a long day of work all week, individuals try to make up for the inactivity by overexerting themselves with hours of exercise on the weekend. This is a perfect setup for injury.

  • Instead, train, work out, exercise, and move around daily. Professional athletes know they won’t get the top results in one shot.
  • They approach it in incremental steps for a solid foundation and understanding of the final and optimal result.
  • Daily physical activity and exercise maintain body conditioning, strength, and overall fitness.
  • And makes the body more efficient at burning fat.

Maintain Goal Focus

  • Olympic athletes have specific goals in their training. There has to be when competing against the best athletes in the world and winning.
  • Individual health and fitness goals may be smaller, but they are just as important and should be treated as such for motivation to exercise each day.
  • Keep goals simple, specific, and reachable/doable when setting them.
  • SMART goals are Specific, Measurable, Achievable, Realistic, and Time-based.
  • Use daily reminders of what the goal is and strategies to achieve it.

Utilize Specific Training

  • Olympic athletes must have incredible endurance, strength, and skill sets to complete their event.
  • They must incorporate specific training drills, exercises, stretches, nutrition, etc., to improve and advance.
  • Whatever the goal, make sure the training is appropriate.
  • If trying to build muscle, focus on heavy strength training and consuming quality calories.
  • If the goal is to lose weight, break down the goal into achievable steps to get there, like.
  • What type of workouts are needed?
  • Consulting a nutritionist for recommendations.

Fuel the Body for Top Performance

  • Individuals can be concerned about food and whether it contains too much fat or calories.
  • Olympic athletes worry about getting the right nutrients and calories to fuel their bodies for competition.
  • Use a similar approach and ask what is the best thing I should eat right now for the workout and…
  • What foods will maintain optimal body health?

Listen to The Body and Rest

  • Olympic athletes have to learn to maintain the balance of maintaining top performance and not getting burnt out.
  • This is when they know to listen to their bodies, extend recovery days, or take a mini-vacation.
  • Overtraining can lead to injury, frustration, discouragement, and loss of motivation.
  • Know the signs of overtraining and take a break.

Focus on Proper Form

  • Whatever the activity, make sure proper form is followed.
  • For example, distance runners hold their heads high, have relaxed faces and upper bodies, have a natural arm swing, and do not overstride.
  • Apply the same form principles to stretches and exercises.

Stronger Body = Better Life


References

Casa, Douglas J et al. “Fluid Needs for Training, Competition, and Recovery in Track-and-Field Athletes.” International Journal of sports nutrition and exercise metabolism vol. 29,2 (2019): 175-180. doi:10.1123/ijsnem.2018-0374

Bailey RR. Goal Setting and Action Planning for Health Behavior Change. Am J Lifestyle Med. 2019;13(6):615-618. doi:10.1177/1559827617729634

Hackett, Daniel, et al. “Olympic weightlifting training improves vertical jump height in sportspeople: a systematic review with meta-analysis.” British Journal of sports medicine vol. 50,14 (2016): 865-72. doi:10.1136/bjsports-2015-094951

Huebner, Marianne, et al. “The Masters’ athlete in Olympic weightlifting: Training, lifestyle, health challenges, and gender differences.” PloS one vol. 15,12 e0243652. 4 Dec. 2020, doi:10.1371/journal.pone.0243652

Kreher JB, Schwartz JB. Overtraining Syndrome: A Practical Guide. Sports Health. 2012;4(2):128-138. doi:10.1177/1941738111434406

Swift DL, Johannsen NM, Lavie CJ, Earnest CP, Church TS. The Role of Exercise and Physical Activity in Weight Loss and Maintenance. Prog Cardiovasc Dis. 2014;56(4):441-447. doi:10.1016/j.pcad.2013.09.012

Starting Swimming Exercises For Back Health: EP Back Clinic

Starting Swimming Exercises For Back Health: EP Back Clinic

Individuals dealing with or managing chronic back pain should incorporate swimming exercises. Swimming is a low-impact aerobic conditioning exercise that’s easy on the back and healthy for the spine. When an individual struggles with back problems, they may be tempted to rest and avoid physical activity/exercise. Total rest is not recommended as it can cause the muscles that support the back to weaken or atrophy. When the muscles weaken, they cannot stabilize the spine or body correctly, which causes conditions to worsen or contribute to new injuries. Starting swimming exercises can expand the spine, relieve painful pressure or strain on the back and strengthen the muscles for spinal health.

Starting Swimming Exercises For Back Health: EP Chiropractic

Starting Swimming Exercises

Swimming does not impact the spine and other musculoskeletal structures because the water suspends the body.

  • Swimming is a full-body, low-impact exercise which is excellent for individuals of all ages and all body shapes and sizes.
  • Talk to a healthcare professional about any questions or concerns about how swimming may impact your body.
  • Swimming benefits include stress relief, a strengthened musculoskeletal system, and support in heart health.

Swimming for Back Problems

Relaxes The Nervous System

  • Tense muscles can cause or contribute to back problems and pain symptoms and aggravate spinal conditions.
  • Swimming exercises release endorphins to relax the nervous system and tense muscles.

Relieves Pressure on Joints

  • The water lightens the body relieving pressure on the joints and muscles.

Builds Muscle to Support the Spine

  • The resistance and movement strengthen the whole body with the joints and spine supported.
  • Swimming engages muscles not always used, specifically those needed to improve spinal stability.

Exercises for Back Relief

Checking with a physician before exercising is recommended, especially if starting a new exercise routine. When you meet with the Injury Medical Chiropractic and Functional Medicine Cline team, we can determine if starting swimming exercises would benefit you. Once cleared, here are some swimming exercises that could help bring relief:

Walking

  • Walking around the pool means movement that the body needs to heal and build muscle without aggravating symptoms.

Aerobics

  • Water aerobics is perfect for working on cardiovascular health needed to build strength.
  • Increase mobility and flexibility.

Swimming Laps

  • Start slow when swimming laps, maybe only twice a week at first.
  • The different types of strokes work various muscles in the hips, chest, and back.
  • Treading water is a great way to get the body used to the movements.
  • A swim coach can provide tips on the proper technique and form.

Swim Exercise Tools and Accessories

Proper swimming equipment can make the exercise sessions much more enjoyable.

Swim Cap

  • Swim caps protect the hair from the water’s elements and keep hair from blocking the view.

Goggles

  • Goggles protect the eyes and help to see better underwater.
  • Look for a comfortable pair that doesn’t leak.

Sun protection and clothing

  • A day in the sun and water increases the risk of exposure to UV rays.

Waterproof Headphones

  • For listening to music or podcasts while swimming.

Kickboard

  • Many pools can provide kickboards that swimmers can borrow during their time there.
  • Lean the upper body on the board and kick, focusing on lower body movements.

Pull Buoy

  • Pull buoys help focus on the upper body and arm work.
  • It is placed between the upper thighs to help the legs float as the individual pulls with their arms.

It is recommended to take some lessons to learn how the body moves through the water. Once a basic understanding of balance and buoyancy is met, individuals can propel through the water more efficiently.


Sciatica Secrets Revealed


References

Bartels, Else Marie, et al. “Aquatic exercise for the treatment of knee and hip osteoarthritis.” The Cochrane Database of systematic reviews vol. 3,3 CD005523. 23 Mar. 2016, doi:10.1002/14651858.CD005523.pub3

Cole, A J et al. “Spine pain: aquatic rehabilitation strategies.” Journal of Back and musculoskeletal rehabilitation vol. 4,4 (1994): 273-86. doi:10.3233/BMR-1994-4407

Ferrell, M C. “The spine in swimming.” Clinics in sports medicine vol. 18,2 (1999): 389-93, viii. doi:10.1016/s0278-5919(05)70153-8

Su, Yanlin, et al. “Swimming as Treatment for Osteoporosis: A Systematic Review and Meta-analysis.” BioMed research international vol. 2020 6210201. 15 May. 2020, doi:10.1155/2020/6210201

Wirth, Klaus, et al. “Strength Training in Swimming.” International Journal of environmental research and public health vol. 19,9 5369. 28 Apr. 2022, doi:10.3390/ijerph19095369

Exercises To Help Digestion: El Paso Back Clinic

Exercises To Help Digestion: El Paso Back Clinic

Regular exercise and physical activity help with cardiovascular health, improved mood, better management of chronic conditions, and can help digestion. For individuals with any GI distress or inflammatory bowel disease that has caused digestive enzyme deficiencies, exercise, and physical movement have been found to provide digestive aid. Here we look at activities to help digestion.

Exercises To Help Digestion: EP Chiropractic Team

Exercises To Help Digestion

When exercising the body, the cardiac output/volume of blood the heart pumps every minute increases as the demand for oxygenated blood throughout the body increases, particularly in the working muscles. During exercise, the same increase in blood circulation happens within the digestive system’s muscle groups. The blood flow to digestive organs causes peristalsis, which is involuntary constriction and relaxation of the muscles in the digestive tract. This process helps move food efficiently through the gastrointestinal tract. Exercise supports the growth of beneficial gut bacteria to maintain a healthy digestive system.

  • Exercise helps relieves stress which means lower amounts of cortisol.
  • Research has found that elevated cortisol levels are associated with compromised digestive function.
  • Chronic cortisol production can cause:
  • Increased intestinal permeability.
  • Impaired absorption of micronutrients.
  • Abdominal pain or discomfort.

Types of Exercise

  • Sticking to moderate-intensity workouts supports a healthy gut microbiome and reduces inflammation.
  • Whereas high-intensity exercise sends blood away from the core and toward the extremities to power the muscles, which does not help digestion.
  • High-intensity exercise may trigger an inflammatory response, leading to abdominal pain or discomfort, diarrhea, and cramps.

Moderate-intensity exercise activities to try include:

Yoga

  • Yoga is a great stress reduction tool, helping to reduce inflammation that can lead to various gut issues, including constipation and stomach pain.
  • Left untreated, chronic inflammation can cause inflammatory bowel disease symptoms to flare.
  • Yoga places mild pressure on the digestive organs in certain positions, which can help digestion.

Walking

  • Walking 30 to 40 minutes three to four times a week can make a digestive difference.
  • Walking stimulates blood flow to the intestinal muscles, which helps activate the lymphatic system.
  • The gut’s lymphatic system helps to absorb and transport lipids and other nutrients throughout the body during digestion.
  • The system activates through walking or manual lymphatic massage can improve constipation.

Tai Chi

  • Tai chi has been shown to improve immune function and inflammation of the gut and is a helpful tool for maintaining homeostasis/gut balance.
  • This is a form of moderate-intensity exercise and meditative practice.
  • The emphasis is on slow controlled movements and deep breathing.
  • This makes it recommended for individuals looking to improve digestion and those with gastrointestinal conditions.

Pilates

  • Pilates is the practice that targets abdominal muscles and utilizes diaphragmatic breathing to help individuals perform a series of movements to strengthen and elongate the body’s muscles.
  • Individuals who perform this exercise often report relief from bloating and gas.
  • Exercises like rolling like a ball or the swan dive are great for the digestive organs.

Digestion Goals

Whether new to exercise or returning, a plan can help you get there. Meeting with a fitness trainer or sports chiropractor is a great place to begin if you have limited knowledge about what works best for your body and schedule.

  • A certified trainer can help guide you toward an achievable program that focuses on gut health.
  • Individuals with a GI disorder should talk with their doctors before starting a new exercise plan.
  • This does not mean you can’t do intense exercises like running; you’ll want to work with a doctor to set up a program that doesn’t cause flare-ups.
  • Aim for roughly three hours of moderate-intensity weekly exercise to support a healthy digestive system.
  • Sit less and move more.
  • Do at least two or more muscle-strengthening activities of moderate intensity every week.
  • An anti-inflammatory diet may aid digestion.

Benefits of Stretching


References

Cherpak, Christine E. “Mindful Eating: A Review Of How The Stress-Digestion-Mindfulness Triad May Modulate And Improve Gastrointestinal And Digestive Function.” Integrative medicine (Encinitas, Calif.) vol. 18,4 (2019): 48-53.

Drouin, Jacqueline S et al. “Comparisons between Manual Lymph Drainage, Abdominal Massage, and Electrical Stimulation on Functional Constipation Outcomes: A Randomized, Controlled Trial.” International Journal of environmental research and public health vol. 17,11 3924. June 1. 2020, doi:10.3390/ijerph17113924

Hamasaki, Hidetaka. “Exercise and gut microbiota: clinical implications for the feasibility of Tai Chi.” Journal of integrative medicine vol. 15,4 (2017): 270-281. doi:10.1016/S2095-4964(17)60342-X

Joyner, Michael J, and Darren P Casey. “Regulation of increased blood flow (hyperemia) to muscles during exercise: a hierarchy of competing physiological needs.” Physiological Reviews vol. 95,2 (2015): 549-601. doi:10.1152/physrev.00035.2013

LeBouef T, Yaker Z, Whited L. Physiology, Autonomic Nervous System. [Updated 2023 May 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK538516/

Singhal, Rashi, and Yatrik M Shah. “Oxygen battle in the gut: Hypoxia and hypoxia-inducible factors in metabolic and inflammatory responses in the intestine.” The Journal of biological chemistry vol. 295,30 (2020): 10493-10505. doi:10.1074/jbc.REV120.011188

van Wijck, Kim, et al. “Physiology and pathophysiology of splanchnic hypoperfusion and intestinal injury during exercise: strategies for evaluation and prevention.” American Journal of Physiology. Gastrointestinal and liver physiology vol. 303,2 (2012): G155-68. doi:10.1152/ajpgi.00066.2012

Body Stiffness: El Paso Back Clinic

Body Stiffness: El Paso Back Clinic

Body stiffness is common, especially as the body ages. Stiffness can result from intense work, lack of physical exercise, or specific conditions. The reasons vary from individual to individual. Some feel stiff when they wake up, while others become stiff after stopping physical activity. For others, stiffness can result from practicing unhealthy postures, intense workouts, or something new that the body is beginning to get used to. There are several ways to prevent and treat stiffness, no matter the cause, including targeted physical movements, posture corrections, body decompression, chiropractic realignment, stretches, and therapeutic massage.

Body Stiffness: EP's Chiropractic Injury Specialists

Body Stiffness

Knowing the cause of body stiffness and how to relieve it can help prevent and treat the condition so the body can function better. It’s vital to see a health care professional immediately if stiffness results from an injury, accompanied by pain, it does not go away with home treatments, or if an insect bite or infection could be the cause.

  • Individuals should speak to a healthcare professional for frequent stiffness that interferes with their quality of life.
  • Most of the time, stiffness can be treated at home and reduced through preventative measures.
  • Stay active but not too hard until the body gets used to the activity.
  • Various relief methods include a warm bath, massage shower, or self-massage.

Intense Work or Exercise

  • The muscles incur tiny tears when exercising or performing heavy labor, especially when the body is not used to the intensity or duration.
  • These tears are normal and help build larger and stronger muscles.
  • Individuals may feel stiff and sore for 24-72 hours as the body repairs itself.
  • Inflammation surrounding the joints/synovial fluid after heavy activity or repetitive movements is another cause.

Inactivity

  • Moving around generates the synovial fluid that lubricates the joints.
  • When body movement stops, like going to sleep or long periods spent sitting, working, or watching tv, fluid production slows down, resulting in body stiffness.
  • The lack of fluid after movement can make the body feel stiff when returning to activity.

Unhealthy Posture

  • The body can become stiff and sore when routinely holding the body in a way that strains the muscles, tendons, and ligaments.
  • Sitting or standing incorrectly from an unhealthy workstation setup or postural habits contributes to stiffness and musculoskeletal problems.

Medical Conditions

  • Medical conditions can cause stiffness like rheumatoid arthritis, Lyme disease, thyroid disease, strains and sprains, and low vitamin D levels.
  • See medical attention if you suspect any medical causes are behind the body stiffness.

Prevention

Depending on the reason behind body stiffness, there are ways to prevent it.

Warm-Up

  • Warming up before any physical activity loosens up the muscles before fully engaging.
  • Soreness will present and is part of the muscle repair process.
  • Properly warming up can help the repair go faster.

Mobility and Flexibility Breaks

  • Taking breaks from inactivity by getting up and moving around, walking, or performing mobility movements could increase the secretions of joint fluid, prevent stiffness, and relieve the effects of poor postural habits you may have been making.
  • Set a timer to break up periods of inactivity and move around.
  • Get up for 5 minutes every hour to move the muscles and get the blood flowing.

Stay Aware of Posture and Form

  • Postural awareness can help prevent muscle strain that leads to stiffness.
  • Adjusting the workspace and posture can help prevent stiffness.
  • The posterior chain: head, neck, torso, and legs are aligned with the feet flat on the floor and back supported.

Stay Active

  • Maintaining muscle movement maintains blood circulation, which can help reduce stiffness.
  • Exercise helps reduce inflammation, increases synovial fluid production, and helps strengthen the muscles.

Active Recovery

  • Participating in active recovery can help bring blood flow to the muscles and prevent inflammation.
  • Light cardiovascular activities include swimming, cycling, walking, or bodyweight movements.

Anti-Inflammatory Nutrition

  • Anti-inflammation nutrition like the Mediterranean diet, which includes healthy fats, plenty of fruits and vegetables, lean proteins, seafood, and whole grains, can help reduce aches and stiffness.
  • Getting enough vitamin D can reduce stiffness.

Chiropractic Flexibility Restoration

Chiropractic adjustments, decompression, MET, and therapeutic massage techniques can relieve muscle soreness and stiffness and restore body function. The chiropractic team will evaluate the individual, diagnose the cause/s, and develop a personalized treatment plan. The team will provide posture training, stretching the body, using a percussive massager or foam roller to break tight, stiff muscles and release adhesions of tissues.


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References

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Schleip, Robert, and Werner Klingler. “Active contractile properties of fascia.” Clinical Anatomy (New York, N.Y.) vol. 32,7 (2019): 891-895. doi:10.1002/ca.23391

Shimoyama, Daisuke, et al. “Reliability of shoulder muscle stiffness measurement using strain ultrasound elastography and an acoustic coupler.” Journal of medical ultrasonics (2001) vol. 48,1 (2021): 91-96. doi:10.1007/s10396-020-01056-0

Trube, Niclas, et al. “How muscle stiffness affects human body model behavior.” Biomedical engineering online vol. 20,1 53. 2 Jun. 2021, doi:10.1186/s12938-021-00876-6

Weerapong, Pornratshanee, et al. “The mechanisms of massage and effects on performance, muscle recovery, and injury prevention.” Sports medicine (Auckland, N.Z.) vol. 35,3 (2005): 235-56. doi:10.2165/00007256-200535030-00004