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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.


The Benefits Of Foam Rolling To Reduce Trigger Point Pain

The Benefits Of Foam Rolling To Reduce Trigger Point Pain

Introduction

When exercising, it is very important to warm each muscle group to prevent injuries from occurring when working out. Stretching the arms, legs, and back can loosen up stiff muscles and increase blood flow to allow each muscle fiber to warm up and allow maximum power when each set is performed. One of the best ways to reduce muscle fatigue or stiffness before working out is to foam roll each muscle group for at least 1-2 minutes max to provide optimal functionality. Foam rolling allows the muscles to warm up before an extensive workout session. Still, it can also offer many benefits when combined with other therapies to reduce pain-like symptoms like trigger point pain from causing further injuries from reoccurring in the body. Today’s article focuses on the benefits of foam rolling, how it reduces trigger point pain, and how it is combined with chiropractic care to achieve optimal health and wellness. We refer patients to certified providers incorporating techniques and therapies for individuals dealing with trigger point pain affecting different body areas. By locating where the trigger points are coming from, many pain specialists utilize a treatment plan to reduce the effects that trigger points are causing on the body while suggesting different tools, like using a foam roller to reduce pain in the other muscle groups. We encourage and appreciate each patient by referring them to associated medical providers based on their diagnosis when it is appropriate. We understand that education is a terrific way when asking our providers intricated questions at the patient’s request and understanding. Dr. Jimenez, D.C., only utilizes this information as an educational service. Disclaimer

The Benefits Of Foam Rolling

Have you been dealing with pain-like symptoms in different parts of your body? Do you feel stiffness in your muscles? Or have you been feeling exhausted throughout the entire day? Many people often feel stressed, overworked, and exhausted after a long day and need to find different ways to relieve stress. Whether going to the gym to work out or yoga class, many people should warm up for about 5-10 minutes to work out each muscle group to reduce muscle fatigue and stiffness. One of the tools that people should utilize is using a foam roller. Studies reveal that foam rolling before working out can improve muscle performance and flexibility and, at the same time, alleviate muscle fatigue and soreness. 

 

Incorporating foam rolling as part of your warm-up can prevent issues like trigger point pain from causing more problems in the affected muscle group and causing more harm. Foam rolling has been known as a self-myofascial release (SMR) tool for many athletic people to relieve delay-onset muscle soreness (DOMS) and can help the recovery process for muscular performance. Studies show that when athletes have DOMS, their muscles are tender and stiff that which causes restricted movement. By foam rolling, each sore muscle group can get rolled out on a dense foam roll from the person’s body weight to apply pressure on the soft tissue. When performed correctly, the body’s range of motion will increase, and soft tissue restriction is prevented.

 

Foam Rolling To Reduce Trigger Point Pain

 

When the body has been overworked, the muscle fibers will start to overstretch and cause various issues in different body parts. When this happens, tiny, hard nodules form over time and cause referred pain to other body locations in each muscle group. This is known as myofascial pain syndrome or trigger points. Studies reveal that trigger point pain is when the affected muscles are either acute or chronic and cause pain in the surrounding connective tissues. Dr. Travell, M.D.’s book, “Myofascial Pain and Dysfunction,” mentioned that myofascial pain could cause somato-visceral dysfunction in the body as the affected muscles and nerves are correlated with the corresponding vital organs. This means that if someone is dealing with back pain, it could be an issue with their gut system. Now how does foam rolling help prevent trigger point pain? As mentioned earlier, foam rolling each muscle group can alleviate muscle soreness and improve blood circulation. Studies reveal that foam rolling on the muscle group affected by trigger point pain can increase blood flow to the affected muscle and reduce fascial inflammation in the body.

 


What Foam Rolling Does To The Body- Video

Have you been dealing with muscle soreness? Do you feel like you are constantly bending over or shuffling your feet? Or have you been experiencing constant aches and pains when stretching? If you have been dealing with these musculoskeletal issues, why not incorporate foam rolling as part of your routine? Many individuals have some pain that is affecting their muscles that is causing them pain. Regarding reducing pain, incorporating foam rolling on the affected muscles can increase blood flow to the muscle and reduce any symptoms associated with chronic conditions. Studies reveal that the combination of foam rolling and stretching before working out can provide these amazing benefits, which include the following:

  • Ease muscle pain
  • Increase range of motion
  • Reduce cellulite
  • Relieve back pain
  • Relive trigger points in muscles

The video above gives an excellent explanation of what foam rolling does to the body and why it provides relief to those different muscle groups. When people merge foam rolling with other treatments, it can benefit their health and wellness.


Foam Rolling & Chiropractic Care

 

As stated earlier, other various treatments can combine foam rolling to promote a healthy body. One of the treatments is chiropractic care. Chiropractic care incorporates mechanical and manual manipulation of the spine, especially in subluxation or spinal misalignment. When the spine is misaligned, it can cause muscle strain and mobility issues that can affect the body over time. So how does foam rolling play a part in chiropractic care? Well, a chiropractor or doctor of chiropractic can develop a plan to help manage the pain while treating the condition affecting the body. Since foam rolling is utilized in a warm-up session in association with physical therapy, many individuals who work with a personal trainer can incorporate foam rolling as part of their warm-up to loosen up stiff muscles and go to regular chiropractic treatments to improve muscle strength, mobility, and flexibility.

 

Conclusion

There are many beneficial properties that foam rolling can provide to the body. Foam rolling can allow blood circulation to the muscles while reducing muscle fatigue and soreness. Incorporating foam rolling as part of a daily warm-up can also prevent trigger points from forming in the muscle groups and can work out the tight knots that the muscle has occurred. At the same time, treatments like chiropractic care and physical therapy can combine foam rolling to promote health and wellness in the body and prevent muscle pain.

 

References

Konrad A, Nakamura M, Bernsteiner D, Tilp M. The Accumulated Effects of Foam Rolling Combined with Stretching on Range of Motion and Physical Performance: A Systematic Review and Meta-Analysis. J Sports Sci Med. 2021 Jul 1;20(3):535-545. doi: 10.52082/jssm.2021.535. PMID: 34267594; PMCID: PMC8256518.

 

Pagaduan, Jeffrey Cayaban, et al. “Chronic Effects of Foam Rolling on Flexibility and Performance: A Systematic Review of Randomized Controlled Trials.” International Journal of Environmental Research and Public Health, U.S. National Library of Medicine, 4 Apr. 2022, www.ncbi.nlm.nih.gov/pmc/articles/PMC8998857/.

Pearcey, Gregory E P, et al. “Foam Rolling for Delayed-Onset Muscle Soreness and Recovery of Dynamic Performance Measures.” Journal of Athletic Training, U.S. National Library of Medicine, Jan. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4299735/.

Shah, Jay P, et al. “Myofascial Trigger Points Then and Now: A Historical and Scientific Perspective.” PM & R : the Journal of Injury, Function, and Rehabilitation, U.S. National Library of Medicine, July 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4508225/.

Travell, J. G., et al. Myofascial Pain and Dysfunction: The Trigger Point Manual: Vol. 2:the Lower Extremities. Williams & Wilkins, 1999.

Wiewelhove, Thimo, et al. “A Meta-Analysis of the Effects of Foam Rolling on Performance and Recovery.” Frontiers in Physiology, U.S. National Library of Medicine, 9 Apr. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6465761/.

Disclaimer

Plantar Fasciitis & Trigger Points On The Feet

Plantar Fasciitis & Trigger Points On The Feet

Introduction

Everyone worldwide knows that feet are important. The feet allow many individuals to run, walk, or jog for long periods without feeling pain for a moderate amount of time. To that point, the various muscles and tendons surrounding the foot provide full body flexion, extension, and stability. Even though it is very easy to get in the recommended amount of steps into being healthy, around 75% of individuals will have foot pain that can impact their ability to walk. One of the most common foot pains is plantar fasciitis, which can become a painful foot condition if it is not treated as soon as possible. Today’s article looks at plantar fasciitis, its symptoms, how trigger points correlate, and treatments for it. We refer patients to certified providers incorporating techniques and therapies for individuals dealing with plantar fasciitis. By locating where the trigger points are coming from, many pain specialists can develop a treatment plan to reduce the effects that plantar fasciitis is causing on the feet. We encourage and appreciate each patient by referring them to associated medical providers based on their diagnosis when it is appropriate. We understand that education is a terrific way when asking our providers intricated questions at the patient’s request and understanding. Dr. Jimenez, D.C., only utilizes this information as an educational service. Disclaimer

What Is Plantar Fasciitis?

 

Have you been dealing with constant heel pain? Do you feel pain shooting up your leg when you step or walk? Or do you feel a stabbing ache in your heel? Many of these pain issue people are dealing with correlate with plantar fasciitis. Studies reveal that plantar fasciitis results from degenerative irritation on the plantar fascia and its ligaments. This causes the muscle ligaments to become inflamed, swollen, and weak, which then causes the bottom of the foot or heel to hurt when a person is walking or standing. To that point, when there is a repetitive strain on the feet, it causes microtears in the plantar fascia. The plantar fascia in the foot plays an important role as it comprises three segments that support the medial arch and shock absorption when stepping down. As one of the most common causes of heel pain, the residual pain from plantar fasciitis tends to be a sharp, stabbing sensation. Plantar fasciitis is more prominent in middle-aged people. Still, anyone at any age can develop plantar fasciitis, especially if they have labor jobs requiring them to be constantly on their feet.

 

Symptoms Of Plantar Fasciitis

Since around 2 million Americans could potentially develop plantar fasciitis, it is important to know that when a person has been on their feet constantly, there will be inflammation along the tissues in the feet. Many individuals with a busy lifestyle that requires them to be on their feet frequently would often ignore the pain or discomfort. Some of the symptoms that plantar fasciitis causes include the following:

  • Pain on the bottom of the heel
  • Pain in the arch 
  • Pain that is usually worse when waking up
  • Pain that increases over months
  • Swelling on the bottom of the heel

However, when the pain becomes overbearing, many people would often think they have sore feet or low back pain from being overly tired from work, under constant stress, or over-exerting their bodies. When this happens, many would think the pain would go away in a few days after resting for a short period.

 

Trigger Points Associated With Plantar Fasciitis

 

Now many individuals would often think that plantar fasciitis just only affects the heels, however, it can affect any part of the structure of the foot since all the surrounding muscle tissues are at risk of inflammation. When people start to ignore the pain and discomfort that plantar fasciitis is causing on the feet, it can overlap and develop trigger points in other areas of the body:

  • Ankles
  • Knees
  • Hips
  • Lower back

Studies reveal that trigger points or myofascial pain syndrome are hard, discrete, small nodules that are along the taut musculoskeletal band that causes numerous issues like inflammation, hypersensitivity, and pain to the affected muscle groups in the body. According to “Myofascial Pain and Dysfunction” written by Dr. Travell, M.D., it mentions that when the deep intrinsic muscles that work with the plantar fascia are affected by trigger points, would cause symptoms of numbness and the feeling of swelling in the foot. This causes many people to have limited mobility and have intense pain when walking, which can negatively impact their lifestyle.

 


An Overview Of Plantar Fasciitis- Video

Have you been dealing with aching feet? Do you feel a sharp, radiating pain in your feet? Or do you have difficulty walking? Many often think they are dealing with sore feet or other issues causing them pain. Around 75% of Americans often have foot pain affecting their ability to walk, and one of them is plantar fasciitis. The video above explains plantar fasciitis and how it can affect the feet. When the plantar fascia tendons become overused, it causes micro-tears in the muscle ligaments. When added compressive force starts to push against the heel boner, it can lead to a pathological state whereby the plantar fascia degenerates and creates dysfunction and pain. When this happens, it can lead to other conditions like trigger point pain along the muscle fibers in the foot. The pain and tenderness caused by trigger points in the plantar muscles may mask as plantar fasciitis. To that point, when plantar fasciitis becomes an issue and causes the individual to be in immense pain, it can become problematic. As luck would have it, treatments are available to reduce the pain from plantar fasciitis.


Treatments For Plantar Fasciitis

 

When treating plantar fasciitis, many available treatments can reduce the inflammatory effects in the heel and prevent trigger points from coming back. One of the available treatments is chiropractic care. Chiropractic care is an alternative treatment option to prevent, diagnose, and treat numerous injuries and conditions associated with the spine, primarily subluxations or spinal misalignments. Chiropractic focuses on restoring and maintaining the overall health and wellness of the musculoskeletal and nervous systems through spinal manipulation and adjustments. A chiropractor can carefully re-align the spine, improving a patient’s strength, mobility, and flexibility. Regarding plantar fasciitis, chiropractic care can work with other treatments, including physical therapy, massage, and even injections, to manage the pain and treat the condition. Even though plantar fasciitis takes several months to heal, chiropractic care can involve a precise technique that involves adjustments to the feet, ankles, and spinal alignment. This provides several benefits, which include the following:

  • Reduces Stress in the Plantar Fascia 
  • Promotes Healing 
  • Provides Effective Pain Management 
  • Reduces the Risk of Further Injury 

 

Conclusion

As many individuals worldwide are on their feet constantly, foot pain can hinder one’s ability to move. One of the most common foot pain is plantar fasciitis which can correlate with trigger points along the various muscles of the foot. Plantar fasciitis results from degenerative irritation on the plantar fascia and its ligaments, which causes sharp, stabbing pain on the heel. When this happens, it can cause the heel to be inflamed, swollen, and weak. To that point, it causes instability and pain when walking. However, plantar fasciitis can be treated when it is caught early through various treatments like chiropractic care. Chiropractic care can reduce the stress in the plantar fascia and help reduce the risk of further injuries. Combined with other therapies, many people can function normally and regain their walking ability without pain.

 

References

Buchanan, Benjamin K, and Donald Kushner. “Plantar Fasciitis – StatPearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 30 May 2022, www.ncbi.nlm.nih.gov/books/NBK431073/.

Petrofsky, Jerrold, et al. “Local Heating of Trigger Points Reduces Neck and Plantar Fascia Pain.” Journal of Back and Musculoskeletal Rehabilitation, U.S. National Library of Medicine, 2020, pubmed.ncbi.nlm.nih.gov/31594202/.

Shah, Jay P, et al. “Myofascial Trigger Points Then and Now: A Historical and Scientific Perspective.” PM & R : the Journal of Injury, Function, and Rehabilitation, U.S. National Library of Medicine, July 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4508225/.

Travell, J. G., et al. Myofascial Pain and Dysfunction: The Trigger Point Manual: Vol. 2:the Lower Extremities. Williams & Wilkins, 1999.

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Agility Enhancement: El Paso Back Clinic

Agility Enhancement: El Paso Back Clinic

Agility is the ability to accelerate, decelerate, stabilize, and quickly change directions with proper form and posture. Everyone, athletes and non-athletes, use agility every day. This can be maneuvering around objects during a jog, shifting movements or positions when walking through a crowd, reaching toward the highest shelf, or carrying things upstairs. These controlled reactions require a balance of coordination, speed, stamina, and strength. Injury Medical Chiropractic and Functional Medicine Clinic can provide agility enhancement through adjustments, massage, and decompression to relax the body, strengthen the muscles, and improve circulation and nerve function.

Agility Enhancement: EP's Chiropractic Functional TeamAgility Enhancement

Individuals need skill and control to react to a stimulus or movement. Agility requires muscular coordination, efficiency, and cohesiveness between the upper and lower body. Agility and reaction time are two components of neuromusculoskeletal health that work together. Agility enhancement can improve cognitive ability, power production, and physical performance. Agility enhancement improves overall physical skills, including:

  • Balance
  • Stability
  • Coordination
  • Body Control
  • Cognition
  • Recovery time

Chiropractic Care

Chiropractic improves agility neurologically through improved circulation and energy flow in the nervous system.

Injury Treatment and Prevention

Agility enhancement can help with injury prevention, as agility training increases control, balance, and flexibility. It teaches the correct body placement while moving to protect the knees, shoulders, and lower back. It also helps to strengthen the muscles and improve the resiliency of the connective tissue allowing them to shorten and lengthen rapidly. This helps prevent injuries and relieves pain and stiffness associated with muscle overuse.

  • Stiffness often occurs from the overuse of muscles.
  • Stiffness reduces flexibility, increasing the risk of injury and affecting movement and physical capabilities.
  • Stiffness can even occur from changes in everyday routines.
  • Chiropractic prevents the muscles from tensing up, reducing stiffness and increasing your range of motion.
  • Chiropractic helps strengthen the musculoskeletal system, which makes it easier to maintain normal balance.
  • Chiropractic can strengthen the muscles by making the muscle fibers more excitable, contributing to quicker reaction time.

We create rehabilitation and strength and conditioning treatment plans that are individualized for each individual. This program entails the following:

  • Chiropractic assessment.
  • Therapeutic massage.
  • Rehabilitation exercises.
  • Strengthening of the whole body.
  • Posture, mobility, and performance education for improved movement.
  • Health and nutritional recommendations.

Our treatment programs are designed to improve each individual’s whole body health and decrease the risk of injury.


Improve Balance And Agility


References

Ali, Kamran, et al. “Comparison of Complex Versus Contrast Training on Steroid Hormones and Sports Performance in Male Soccer Players.” Journal of chiropractic medicine vol. 18,2 (2019): 131-138. doi:10.1016/j.jcm.2018.12.001

Järvinen, Tero A H, et al. “Muscle injuries: optimizing recovery.” Best practice & research. Clinical rheumatology vol. 21,2 (2007): 317-31. doi:10.1016/j.berh.2006.12.004

Lennemann, Lynette M et al. “The influence of agility training on physiological and cognitive performance.” Journal of strength and conditioning research vol. 27,12 (2013): 3300-9. doi:10.1519/JSC.0b013e31828ddf06

Miners, Andrew L. “Chiropractic treatment and the enhancement of sports performance: a narrative literature review.” The Journal of the Canadian Chiropractic Association vol. 54,4 (2010): 210-21.

Foot Pain, Plantar Fasciitis, & Trigger Point Pain

Foot Pain, Plantar Fasciitis, & Trigger Point Pain

Introduction

The various muscles and tendons surrounding the foot play an important role as they provide stability to the lower parts of the body and allow the individual to move and flex their feet. These various muscles and tendons help support the ankles and allow leg movement. Many people will be on their feet constantly as the world moves and sometimes have to deal with various issues affecting their ability to walk. As the body naturally ages, many people will begin to shuffle their feet around, which causes strain on the foot muscles and can affect the calves and legs over time. To that point, it can lead to foot pain and other conditions that can affect the individual. Other issues that can affect the feet and its muscle could be incorrect footwear, how they are standing, or how they walk. When this happens, conditions like plantar fasciitis and trigger point pain can affect the feet differently. Today’s article focuses on the superficial intrinsic foot muscles, how trigger points and plantar fasciitis correlate with foot pain, and how to strengthen the foot muscles. We refer patients to certified providers incorporating techniques and therapies in the lower body extremities of trigger points affecting the feet. This helps many people with trigger point pain symptoms associated with plantar fasciitis along the intrinsic foot muscles. We encourage and appreciate each patient by referring them to associated medical providers based on their diagnosis when it is appropriate. We understand that education is a terrific way when asking our providers intricated questions at the patient’s request and understanding. Dr. Alex Jimenez, D.C., only utilizes this information as an educational service. Disclaimer

The Superficial Intrinsic Foot Muscles

 

As stated earlier, the foot has various muscles and tendons that allow stability to the ankles and allow movement when a person is walking. The foot has two muscle groups: the extrinsic and intrinsic muscles. Today we will look at the intrinsic foot muscles and how important these muscles are in the foot. Studies reveal that the intrinsic foot muscles are highly important as they are contained to the foot and contribute to supporting the medial longitudinal arch. The intrinsic foot muscles are superficial and help keep the toes straight while providing flexion and extension when in motion. The foot has about 29 muscles, including 10 surrounding the foot and ankle, while the other 19 are intrinsic and provide the roles for gait and posture. The 19 intrinsic muscles have the following:

  • Abductor Hallucis
  • Quadratus Plantae
  • Flexor Hallucis Brevis
  • Flexor Digitorum Brevis
  • Abductor Digiti Minimi
  • Flexor Digiti Minimi
  • The Interossei Muscles
  • The Lumbricals

These muscles allow individuals to walk, run, or jog without pain. However, when the intrinsic muscles become impaired, studies reveal that intrinsic foot muscle function could be linked to various foot conditions that affect a person’s walking ability.

 

How Does Foot Pain Correlate With Plantar Fasciitis & Trigger Points?

Studies reveal that foot pain can cause an unpleasant sensory and emotional experience as many factors can affect how a person is walking and can lead to various issues affecting the lower extremities’ mobility. When multiple issues affect how a person walks, the intrinsic muscle and other muscles surrounding the ankle and foot could become strained and overlap with other foot conditions. When foot pain affects the intrinsic foot muscles, co-existing muscle impairments could affect the alignment, motion, load distribution, and muscle performance that involves the legs. When these impairments are causing foot pain, it can correlate with trigger points and conditions like plantar fasciitis that can affect a person walking. But how does foot pain connect with plantar fasciitis and trigger points?

 

According to Dr. Travell, M.D.’s book “Myofascial Pain and Dysfunction,” when tension starts to overload the foot, the intrinsic muscles develop tiny nodules in the muscle fibers and reduce the muscle strength of the medial arch. To that point, it can collapse and cause the foot to develop inflammation associated with repetitive actions that cause plantar fasciitis in the feet. When this happens, it can affect a person’s ability to walk, run, stand, and affect the lower extremities’ mobility. If it is not treated right away, it can cause muscle and joint pain in the hips, legs, knees, and lower back.

 


An Overview Of The Intrinsic Foot Muscles-Video

Have you been dealing with issues on your feet? Do you find it difficult to step down or walk? Or have you been rubbing your feet constantly to reduce the soreness in your feet? Many of these issues correlate with trigger points affecting the intrinsic foot muscles that could cause foot issues like plantar fasciitis. The foot has various muscles, like the intrinsic muscles, that allow gait and stability to the body. Multiple factors affecting the intrinsic foot muscles can lead to instability, muscle strain, tendon stress, and muscle and joint pain. This can affect how a person moves throughout the day and their quality of life. The video above explains where each different muscles are, which ones are extrinsic and intrinsic, and how each muscle helps with foot function. When various issues begin to affect the foot and cause mobility issues, multiple techniques are available to help strengthen the foot muscles and prevent future problems from affecting the feet.


Strengthening The Foot Muscles

 

Regarding trigger point pain affecting the intrinsic foot muscles, various techniques can reduce the pain-like symptoms of trigger points and prevent foot issues like plantar fasciitis from re-occurring. Studies reveal that light, non-weight-bearing exercises like cycling and swimming can minimize muscle overload on foot. Other ways to strengthen the intrinsic foot muscles are by stretching the toe flexors to help improve stability and prevent hypermobility in the foot. Other techniques that can reduce trigger points in the foot’s muscle fibers include using a cylindrical or spherical object and rolling under the arches to massage and loosen stiff muscles. Many of these techniques could help restore foot functionality and stability while reducing future issues like plantar fasciitis in the feet. To that point, allow people to walk pain-free again.

 

Conclusion

The foot has 29 muscles, including ten extrinsic muscles surrounding the foot and ankle and 29 intrinsic muscles on the foot. The intrinsic muscles are highly important for foot functionality as they are superficial and contribute to supporting the medial longitudinal arch. The intrinsic foot muscles also help keep the toes straight and allow flexion and extension when in motion. These muscles also help a person walk and stabilize the ankle. When various factors affect a person’s walking ability, it can lead to muscle strain and tendon stress to the foot, leading to the development of trigger points in the intrinsic muscle fibers and causing pain. This could cause foot conditions like plantar fasciitis and other co-existing muscle impairments that can affect the lower extremities’ mobility while causing muscle and joint pain in the hips, legs, knees, and lower back. Luckily there are available techniques that can help massage, stretch, and strengthen the intrinsic foot muscles while reducing trigger points and their associated symptoms from re-occurring. To that point, these techniques can allow many individuals to walk without feeling pain.

 

References

Card, Ryan K, and Bruno Bordoni. “Anatomy, Bony Pelvis and Lower Limb, Foot Muscles.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 27 Feb. 2022, www.ncbi.nlm.nih.gov/books/NBK539705/.

Gooding, Thomas M, et al. “Intrinsic Foot Muscle Activation during Specific Exercises: A T2 Time Magnetic Resonance Imaging Study.” Journal of Athletic Training, U.S. National Library of Medicine, Aug. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5094843/.

Hawke, Fiona, and Joshua Burns. “Understanding the Nature and Mechanism of Foot Pain.” Journal of Foot and Ankle Research, U.S. National Library of Medicine, 14 Jan. 2009, www.ncbi.nlm.nih.gov/pmc/articles/PMC2631512/.

Hayter, Matt. “Why Do We Need the Intrinsic Muscles of the Foot? [Guide 2022].” Dynamic Podiatry, 2022, www.dynamicpodiatry.com.au/what-are-the-intrinsic-muscles-of-the-foot-guide-2019/#intrinsic.

Lim, Ang Tee, et al. “Management of Plantar Fasciitis in the Outpatient Setting.” Singapore Medical Journal, U.S. National Library of Medicine, Apr. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4853481/.

Soysa, Achini, et al. “Importance and Challenges of Measuring Intrinsic Foot Muscle Strength.” Journal of Foot and Ankle Research, U.S. National Library of Medicine, 26 Nov. 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3544647/.

Travell, J. G., et al. Myofascial Pain and Dysfunction: The Trigger Point Manual: Vol. 2:the Lower Extremities. Williams & Wilkins, 1999.

Disclaimer

Power Walking: El Paso Back and Functional Wellness Clinic

Power Walking: El Paso Back and Functional Wellness Clinic

Power walking is a fast-paced walking activity quicker than a typical walking pace. It is an exercise technique emphasizing speed and arm motion to increase health benefits. It’s not as high impact as jogging but significantly increases heart rate. Adding power walking to an overall health regimen can improve cardiovascular, joint, muscle, and overall wellness.

Power Walking: EP's Chiropractic Functional Wellness TeamPower Walking

  • Power walking is considered from 3 mph to 5 mph and focuses on speed and arm motion to increase heart rate.
  • Power walking demands more from the cardiovascular system.
  • Because it requires more steps per minute, the heart rate will increase more than from a regular walk.
  • This makes for a more intense cardiovascular workout that burns more calories.

Benefits

Power walking is a great way to improve fitness, heart and joint health, and mental well-being. It has been shown to decrease diabetes risk and lower high blood pressure and some cancers. Other benefits include:

Improves Life Span

  • The National Institutes of Health recognize the benefits of walking, including a reduced risk of all-cause mortality.

Cardiovascular

  • Power walking will raises the heart rate into the moderate-intensity zone.
  • This zone improves cardiovascular health, lowering resting heart rate and strengthening the heart.

Lowers Risk of Health Conditions

  • Lowers the risk of several conditions like heart disease, dementia, and type 2 diabetes.
  • Improves sleep quality, reduces sleep disorders’ risks, increases brain function, and supports bone health.

Strengthens Muscles and Bones

  • It releases pressure from the joints and the muscles and increases the body’s overall range of motion.

Quality of Life

  • It improves the quality of life as the body becomes more fit.
  • Reduces risk of illnesses.
  • Mental abilities and performance improve with increased circulation.
  • Attention, concentration, and motivation improve.

Technique Overview

Optimal power walking technique will maximize benefits and prevent injuries. Some recommended guidelines to follow:

Posture Awareness

The right posture will help the body maintain speed and will help protect/prevent injury.

  • Eyes forward, shoulders back, and head upright.
  • Pull your belly button in toward the spine to engage the core muscles.
  • If you start to slump forward, take a moment to correct your body position.
  • If you start holding tension in the shoulders and neck, take a moment to relax and release them.

Gently Swing Arms

  • Arms bent at around 90 degrees.
  • Move the arms up and back so the opposite arm and leg advance together.
  • If the right foot is stepping forward, the left arm should also go forward.
  • Adding arm motion increases speed.
  • Focus on controlling the range of motion.
  • The hand should not rise higher than the collarbone and should not cross the body’s center.

Walking Pattern

  • With every step, land on the heel and roll the foot toward the toes.
  • Concentrate on moving the hips forward and not side to side.

Movement

  • Use short strides and try for a quick pace.
  • Studies have shown that taking more steps per minute can positively impact insulin levels, body mass index, and waist circumference.
  • Gradually work up to longer distances and increased speed.

Chiropractic

Chiropractic care can improve exercise experience, athletic performance, and sports performance. A few benefits include the following:

  • Increased limberness of the joints, ligaments, and tendons.
  • Increased elasticity and flexibility of the muscles.
  • Nervous system support improving response time, speed, and endurance.

Physical activity, no matter what intensity, is vital for health. If you are considering beginning an exercise program, talk to your doctor about developing a training program.


How To Walk Faster


References

Dunlop DD, et al. (2019). One hour a week: Moving to prevent disability in adults with lower extremity joint symptoms. DOI: 10.1016/j.amepre.2018.12.017

Mayo Clinic Staff. (2019). Walking: Trim your waistline, and improve your health. mayoclinic.org/healthy-lifestyle/fitness/in-depth/walking/art-20046261

Sharma, Ashish, et al. “Exercise for mental health.” Primary care companion to the Journal of clinical psychiatry vol. 8,2 (2006): 106. doi:10.4088/pcc.v08n0208a

Tudor-Locke, Catrine, et al. “Step-Based Physical Activity Metrics and Cardiometabolic Risk: NHANES 2005-2006.” Medicine and science in sports and exercise vol. 49,2 (2017): 283-291. doi:10.1249/MSS.0000000000001100

Skiing Training: El Paso Back Clinic

Skiing Training: El Paso Back Clinic

Skiing sports require balance, strength, endurance, and muscle power. It is recommended to start training for ski season about eight to twelve weeks before heading to the slopes. However, any amount of training is better than no training; as long as you stay consistent and focus on exercises that enhance skiing or snowboarding, even a few weeks of fitness training can make a difference. A ski conditioning workout can help you ski better, stay out longer, prevent injuries, and have more fun.Skiing Training: Injury Chiropractic Functional Wellness

Skiing

Before beginning any training plan, check with your doctor or a certified training professional. The recommended strategy is a cardio and strength workout routine that trains and strengthens the lower-body muscles, including the quads, hamstrings, and glutes. This will improve mobility and balance to help control the skis better and support body parts like the knees, which are more prone to skiing injuries.

General Overview of Training

Increase Muscle Power

  • Strengthen the quads, glutes, hamstrings, and hips.

Posture and Balance

  • Train the core and the muscles around the hips, which helps provide stability.

Increase Endurance

  • Condition the body to handle vigorous conditions.

Increase Cardiovascular Function

  • Cardiovascular activities include running, biking, or interval training to strengthen the lungs and heart.

Training Schedule

Starting

  • With skiing, you’ll need a combination of cardio and strength training and enhanced aerobic fitness for the higher altitude.
  • Individuals are encouraged to start around six to eight weeks before ski season because it takes around that amount of time to experience the benefits.
  • The muscles need time to recover and repair themselves between sessions.
  • As aforementioned, you can still exercise even if you have missed the training window.

Cardio

  • Cardio increases lung capacity and heart rate.
  • The best cardio exercises for getting into ski shape work the entire body.
  • Pick an enjoyable activity: jogging, biking, and high-intensity interval training/HITT.
  • The goal should be 30 minutes of cardio activity 2-3 times a week to prepare the heart and lungs for downhill runs.

Recommended workouts for getting into ski shape:

  • Elliptical trainer – The elliptical trainer is highly recommended for ski training, as it mimics the same upper-body and lower-body movements used in Nordic skiing.
  • Stair climber
  • Running

Other recommended workouts:

  • Biking
  • Jumping jacks
  • High-intensity interval training (HITT)

Strength Training

Recommended strength training exercises will help with the following:

  • Leg strength
  • Lower body strength
  • Core muscle strength
  • Balance
  • Endurance
  • Muscle power

Keep the following in mind:

  • Make the exercises fit your body.
  • Move at your own pace.
  • If something hurts or doesn’t feel right, modify the activity or skip it.
  • Increase the number of sets or add more resistance/weight as the training progresses.

Warm-up:

  • Start the workout with five to 10 minutes of easy cardio activity.
  • This could be a short session on a treadmill, jumping jacks, or a quick jog.

Guidelines as you progress through the workout:

  • Inhale during initial exertion, and exhale as you return to the starting position.
  • Maintain breathing patterns during faster exercises.
  • Rest at the end of each exercise.

Walking Lunge with Rotation Exercise

This exercise works the glutes, quads, hamstrings, and abdominals and improves core rotation.

  • Stand with your feet slightly apart.
  • Step one foot forward into a lunge.
  • As you step forward, rotate your body to the side in the direction of your lead knee.
  • Arms should be at chest height, slightly elevated from the sides.
  • Drive up and through your forward leg to take the next lunge.
  • Repeat ten times on each side for a total of 20.

Tips and modifications:

  • If you don’t have enough space, you can stay in one spot and alternate lunging.
  • Make it easier by keeping the back leg straight.
  • Make sure that your knees do not go inward.
  • Stay in a straight line with your foot and hip.

Lateral Ski Jump Exercise

This power exercise prepares for the explosive ski movements and energy bursts needed to control the descent.

  • Stand with your feet hip-width apart and knees slightly bent, balancing on one leg.
  • Jump to the side, landing on the other leg.
  • Think about landing softly with your knee slightly bent.
  • Jump to the other side, landing softly on the other leg.
  • Swing the arms sideways across your body like a speed skater.
  • Repeat 15 on each side.

Tips and modifications:

  • Make smaller jumps to the side
  • Move slower
  • Touch your toe to the ground instead of keeping it off the floor.

Chop Exercise

This exercise will strengthen the core to initiate turns using the core rather than the arms or shoulders and help prevent lower back pain.

  • Use a resistance band that you can secure slightly above the shoulders.
  • Stand sideways to where the band is anchored.
  • Position yourself so that you can reach up evenly with your shoulder to grab the free end of the band with both hands.
  • Your knees should be slightly bent.
  • Pull the band down across your body while turning your body.
  • Think about the trunk doing most of the work for this exercise, not the arms and shoulders.
  • Keep your arms as straight as you can as you pull the band down
  • The arms should act as guides, with the obliques and back muscles generating the pulling and rotating power.
  • Do this 15 times, then repeat facing the other way.
  • Rest for 90 seconds before moving on to the next exercise.

Tips and modifications:

  • Adjust the band resistance level by shortening it to increase resistance or lengthening it to ease resistance.
  • The goal is to feel tired at the end of the reps but not so exhausted that you struggle to finish.

Hip Roll Exercise

This exercise strengthens the muscles of the hips, including the glutes, to help prevent knee pain. There’s a direct relationship between hip strength and knee control. When hip strength is weak, the knees tend to shift inward.

  • Stand on your left leg.
  • Lean your body forward at the hips, keeping the back straight.
  • Lift your right leg back behind you, slightly off the ground.
  • Rotate or roll your hip away from your standing foot.
  • Maintain the body in a straight line as you roll your hips back.
  • Repeat 10-15 times on each side.

Tips and modifications:

  • If balancing is difficult, hold on to the back of a chair or keep your toes on the ground.

Whether you’re going alpine or Nordic skiing, these are just a few exercises designed to help all types and levels of recreational skiers and snowboarders. Always check with your doctor before starting any exercise routine, and it is recommended to consult a ski instructor or personal trainer for more comprehensive and intense workouts.


Ski Team Workout


References

Laskowski, E R. “Snow skiing.” Physical medicine and rehabilitation clinics of North America vol. 10,1 (1999): 189-211.

Nagle, Kyle B. “Cross-Country Skiing Injuries and Training Methods.” Current sports medicine reports vol. 14,6 (2015): 442-7. doi:10.1249/JSR.0000000000000205

Steadman, J R et al. “Training for Alpine skiing.” Clinical orthopedics and related research,216 (1987): 34-8.

Therell, Terese, et al. “Effects of Core Strength Training on Skiing Economy in Elite Junior Cross-Country Skiers.” Research quarterly for exercise and sport vol. 93,3 (2022): 608-614. doi:10.1080/02701367.2021.1887441

5 Things Your Sports Chiropractor Wishes You Would Stop Doing

5 Things Your Sports Chiropractor Wishes You Would Stop Doing

Sports Chiropractor: To figure out what these professionals dont want you to do before making an appointment, Runners World asked two chiropractors who specialize in running about what common training flaws are leading to patients ending up in their offices over and over again.

RELATED: When Should You See a Sports Chiropractor?

DONT Buy Shoes For Looks

sports chiropractor

 

While studies go back and forth on whether or not specific types of running shoes lead to injury, it’s still a good idea to opt for a proper fit over a pair of kicks that look cool or that you got for cheap. Ian Nurse, D.C., founder of Wellness in Motion Boston and a sub-2:30 marathoner, believes that many running injuries can start from not having the right shoes on your feet.

The nurse recommends going to a run specialty store and having someone watch your gait outside or on the treadmill. This will allow someone at the store to find a range of shoes that might work best for your specific running/walking mechanics. (You can find a nearby running store by checking out our Store Finder.) From there, you can go by what feels the best when running.

RELATED: How to Buy the Right Running Shoes

sports chiropractor

The nurse said he also asked his patients if there had been a change in running shoes from one style to another. For example, switching to a zero-drop shoe from a normal shoe, without easing into them, may increase your risk of injury. Like a fitter at a running store, a sports chiropractor like a Nurse may even look at your running gait in the office to diagnose imbalances in your foot’s motion mechanics.

The whole biomechanics starts in your foot, Nurse said. We all have different foot strikes. If it hits the ground in a certain way, the shoe has to support that. If you are a forefoot striker, rearfoot striker, overpronator, or under pronator, all of those foot strikes can lend themselves to various running injuries.

DONT Do Static Stretching Before A Run

sports chiropractor

Holding a static stretch for longer than 10 seconds can take away from your explosive muscular power before a run, according to Derek Vinge, D.C. at Fit Chiropractic & Sports Therapy in Courtenay, British Columbia. One study even showed that stretching cold muscles before a tough 3K left individuals starting their runs slower and at a greater perceived effort. And when your muscles aren’t signaling properly, it can lead to small injuries turning into larger problems over time.

You are better off with a series of dynamic stretches like lunges and squats to get the blood flowing in the body. (This 2-minute warmup should do the trick.) The benefits will be noticeable if you add five to 10 minutes of dynamic stretching before hitting the roads or trails.

If you do some activation and dynamic warmups, you will be a stronger, faster runner. I also forget to do a busy stretch, and I think maybe it is a time thing where you tell yourself  I’ll do this later. I’ll deal with it later, Vinge said.

DONT Overdo It On Foam Rollers

sports chiropractor

Foam rolling and other ways to work out a knot or refresh your legs can be a good thing in moderation. But less sometimes is more, according to Nurses.

I see a lot of people who tend to go overboard on that, Nurse said. They do so much foam rolling on their IT band and quads and are even more in pain. It’s more like a finesse, where you are trying to get blood flow into the area, but you aren’t trying to beat up the room so badly that you are causing more damage.

RELATED: 14 Foam Rollers, Balls, and Sticks to Work Knots Out

Stop if you’re working out on a foam roller and something continues to hurt or gets worse. Overdoing a problem spot may inflame it more. If you’re feeling relatively good, the Nurse suggests doing light work on the foam roller after a run to hit any problem areas for one to two minutes.

DONT Clam Up When You Get Into The Office

sports chiropractor

It would be best if you didn’t arrive at an office visit with pages and notes from WebMD. But you shouldn’t be silent and think a sports chiropractor has all the answers just by looking at you.

Going into an appointment, think about what has been consistently driving you crazy on a stiff run neck, a cranky left ankles that will allow a dog to focus on what’s bothering you.

Runners know their bodies a lot better than a lot of people, Nurse said. As we run, we are constantly checking in on different body parts, and people can recognize what is wrong, and they can tell if their gait is altered and what is hanging them up. The information I get from my patients helps me a lot.

DONT Forget To See Someone If You Need It & Listen To Your Sports Chiropractor

sports chiropractor

With training goals and miles to complete, runners often dont admit when there is something wrong. It’s almost a badge of honor to stay off the table for long periods.

But Vinge thinks there’s more to what he does than fixing injuries. Once an underlying issue is taken care of, you can teach your body to perform at a higher level than you thought was possible.

After they start to get better, then we can work on other issues to get some more performance out of them, said Vinge. If you’ve never been looked at, you have no idea what’s going wrong.