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 human body has muscles surrounding and protecting the spine to prevent pain and disability. The spine is divided into three sections in the body: cervical, thoracic, and lumbar, which form an S-shape curve to promote stability and good posture. The spine has several discs, facet joints, and spinal nerves that work with the surrounding muscles, making the body mobile. However, various factors can pressure the spine, compressing the spinal discs and invoking referred pain to the surrounding muscles and tissues in different locations, leading to overlapping risk profiles if left untreated. This article focuses on the lumbar spine, explaining what vertebral pain syndrome is and how non-surgical treatments such as spinal decompression can restore mobility to the lumbar spine. We utilize and incorporate valuable information about our patients to certified medical providers using non-surgical therapies like spinal decompression to alleviate vertebral pain syndrome associated with the lumbar spine. We encourage while referring patients to associated medical providers based on their findings while supporting that education is a remarkable tool to ask our providers the essential questions at the patient’s request. Dr. Jimenez, D.C., comprises this information as an educational service. Disclaimer
An Overview Of the Lumbar Spine
We will concentrate on the lumbar spine, one of the three spine sections. The lumbar spine or low back begins at the T12 (the last thoracic vertebra) and ends at the S1 (the sacrum). It comprises five vertebrae with a common structure supporting the low back. These vertebrae are as follows:
The body
Pedicles
Laminae
Transverse processes
Spinous process
Superior/inferior articular processes
The lumbar spine has bigger and stronger bones that provide stability to the upper and lower parts of the body. Research studies reveal that the lumbar spine performs three essential functions that enable the body to function properly:
It supports the upper body.
It absorbs axial forces that move from the head to the trunk. This allows the muscles in the trunk to move without causing pain.
The lumbar spine forms a canal that safeguards the spinal cord and nerves.
The Structures Of the Lumbar Spine
The spine comprises several structures, including the vertebrae, spinal cord, spinal nerves, facet joints, and intervertebral discs. Each structure plays a unique role in keeping our bodies functioning properly. The vertebrae protect the spinal cord and nerves from injury, while the facet joints guide the motion of the vertebrae and help maintain stability. The spinal cord and nerves work with the central nervous system to send signals from the brain to the body for coordinating reflex actions. Intervertebral discs act as shock absorbers, allowing the spine to be flexible. Muscles, tissues, and ligaments protect the entire lumbar spine structure from pain. However, traumatic injuries or unwanted pressures can cause misalignment and low back pain. Low back pain is a common musculoskeletal complaint, and several factors can contribute to its development, often confused with vertebral pain syndrome associated with the lumbar spine, as research studies reveal.
Move Better, Live Better- Video
Do you have stiffness in your lower back or experience constant aches in certain regions? These may be signs of low back pain related to vertebral pain syndrome. Research shows that pathologic degeneration in the lumbar spine can cause low back pain, affecting all components. Several mechanical, traumatic, nutritional, and genetic factors contribute to spinal degeneration. However, non-surgical treatments can help reduce muscle pain and alleviate unwanted pressure on spinal discs. Chiropractic care and spinal decompression are two treatments that enhance mobility and function in the spine, relieving pain. The video above talks more about these treatments.
What Is Vertebral Pain Syndrome?
Experiencing pressure on the lumbar spine can result in various issues that can worsen low back pain. One of these issues is called vertebral pain syndrome. In “The Ultimate Spinal Decompression,” Dr. Eric Kaplan, D.C., FIAMA, and Dr. Perry Bard, D.C., explain that this syndrome occurs when environmental factors start affecting the lumbar spine. It can be caused by visceral pain in the lower back that disrupts neuron signals in the lumbar spine. This can irritate spinal nerves, leading to referred pain in the lower body. The book also mentions that vertebral pain syndrome can happen when the vertebrae end plates on spinal discs wear thin, causing pressure to move with the disc. This can inflame the spine, causing chronic low back pain.
How Spinal Decompression Alleviate Vertebral Pain Syndrome
How can non-surgical spinal decompression treatments help alleviate vertebral pain syndrome in the lumbar spine? Research studies revealed that spinal decompression could reduce pressure on the spinal disc and gently stretch the spine, restoring disc height. This treatment can relieve many people from low back pain and its associated symptoms. Moreover, it can rehydrate spinal discs by promoting the flow of blood and nutrients, which aids in the healing process to reduce the effects of vertebral pain syndrome.
Conclusion
Taking care of your spine is crucial as everyday factors can put pressure on it, causing damage to the spinal discs. This can lead to vertebral pain syndrome, which can cause lumbar back pain and referred pain linked to visceral problems. Luckily, spinal decompression therapy can ease the effects of this syndrome by gently stretching the spine and restoring hydration to the discs. Incorporating spinal decompression into your routine allows you to enjoy a pain-free life without worrying about lower back pain.
Kang, J.-I., Jeong, D.-K., & Choi, H. (2016). Effect of spinal decompression on the lumbar muscle activity and disk height in patients with herniated intervertebral disk. Journal of Physical Therapy Science, 28(11), 3125–3130. doi.org/10.1589/jpts.28.3125
Kaplan, E. & Bard, P. (2023). The Ultimate Spinal Decompression. JETLAUNCH.
Manfrè, L., & Van Goethem, J. (2020). Low Back Pain (J. Hodler, R. A. Kubik-Huch, & G. K. von Schulthess, Eds.). PubMed; Springer. www.ncbi.nlm.nih.gov/books/NBK554336/
The hips play a crucial role in maintaining stability and mobility in the body. However, incorrect actions can lead to misalignment and pain in the hip muscles, causing discomfort and affecting other muscles and joints. This article focuses on the hip flexor muscles and how assessing them with MET therapy can reduce pain and restore hip mobility. We utilize and incorporate valuable information about our patients to certified medical providers using MET therapy to relieve chronic muscle pain associated with the hip flexor muscles. We encourage and refer patients to associated medical providers based on their findings while supporting that education is a remarkable and fantastic way to ask our providers the essential questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., comprises this information as an educational service. Disclaimer
What Are The Hip Flexor Muscles?
Do you have any pain in your hips? Does shifting your weight from one side to the other help relieve the pain? Do you feel pain shooting down from your hips to your legs? These symptoms may be due to pain in your hip flexor muscles. Research studies reveal that these muscles support other muscle groups like the trunk and legs, allowing for proper muscle activity when lifting your legs straight during functional tests for the hips and pelvis. The hip flexors in your hips consist of six muscles that aid in stability and mobility:
Psoas Major
Iliacus
Rectus Femoris
Sartorius
Adductor Longus
Tensor Fasciae Latae
Additional studies have revealed that the hip flexor muscles are crucial in supporting the lower back and maintaining stability. These six muscles aid in hip movements such as deep flexion, adduction, and external rotation, among other functions. The relationship between the hip flexors and the lumbar spine is particularly strong. However, if these muscles become tight, it can negatively affect performance and lead to other issues.
Hip Pain Associated With The Musculoskeletal System
Hip pain can be caused by tight hip flexor muscles, which can be affected by various factors such as health issues, injuries, or environmental factors. Research studies have shown that lower extremity injuries can reduce performance and cause pain-like symptoms associated with the musculoskeletal system. Tight hip flexors can be caused by prolonged sitting, incorrect lifting, or repetitive actions, leading to stretched or shortened muscles and the development of nodules. This can contribute to musculoskeletal disorders and uneven hips. Various treatments are available to realign the body and strengthen the hip flexor muscles.
Non-Surgical Solution: Chiropractic Care- Video
Do you struggle with instability while walking or find yourself leaning more on one leg than the other? Perhaps you experience constant hip pain. Misalignment in the hips caused by environmental factors can lead to instability and pain-like symptoms associated with tight hip flexor muscles. These issues can cause musculoskeletal disorders that overlap and result in spinal subluxation. Research studies mentioned that it could be difficult to diagnose hip pain because it often presents as referred pain from the lumbar spine or knee joint. This means uneven or tight hips could cause low back or knee pain. Treatments are available to reduce hip pain and gently stretch flexor muscles. The video above demonstrates how chiropractic care can offer non-surgical solutions to realign the body and relieve stress in the surrounding muscles.
Assessing The Hip Flexors With MET Therapy
If you are experiencing stiffness or pain in your hips due to tight hip flexors, you can improve your mobility and prevent future issues in several ways. Studies have revealed that physical therapy involving RICE (rest, ice, compression, and elevation) can help restore muscle strength and range of motion. Soft tissue treatment combined with physical therapy can also be effective in restoring hip mobility. In their book “Clinical Application of Neuromuscular Techniques,” Dr. Judith Walker DeLany, L.M.T., and Dr. Leon Chaitow, N.D., D.O. explain that Muscle Energy Techniques (MET) can gently stretch the hip flexor muscles and restore mobility and range of motion in the hip joint. MET therapy can lengthen tight hip flexor muscles, reduce referred pain, and improve the hip’s function.
Conclusion
When the hips and the muscles around them start to cause pain that spreads to the rest of the body, it can lead to uncomfortable symptoms that cause people to shift their weight to compensate for the pain. This can happen because of environmental factors like sitting for too long or overstretching the muscles, which makes the hip flexors tight and can lead to pain in the hips and lower back. However, physical therapy combined with muscle energy techniques (MET) can help relieve the pain and realign the hips with the body. These treatments let the body naturally heal the affected muscles so that people can be pain-free.
References
Ahuja, Vanita, et al. “Chronic Hip Pain in Adults: Current Knowledge and Future Prospective.” Journal of Anaesthesiology, Clinical Pharmacology, 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC8022067/.
Chaitow, Leon, and Judith Walker DeLany. Clinical Applications of Neuromuscular Techniques. Churchill Livingstone, 2003.
Konrad, Andreas, et al. “The Influence of Stretching the Hip Flexor Muscles on Performance Parameters. A Systematic Review with Meta-Analysis.” International Journal of Environmental Research and Public Health, 17 Feb. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC7922112/.
Mills, Matthew, et al. “Effect of Restricted Hip Flexor Muscle Length on Hip Extensor Muscle Activity and Lower Extremity Biomechanics in College-Aged Female Soccer Players.” International Journal of Sports Physical Therapy, Dec. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4675195/.
Tyler, Timothy F, et al. “Rehabilitation of Soft Tissue Injuries of the Hip and Pelvis.” International Journal of Sports Physical Therapy, Nov. 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC4223288/.
Yamane, Masahiro, et al. “Understanding the Muscle Activity Pattern of the Hip Flexors during Straight Leg Raising in Healthy Subjects.” Progress in Rehabilitation Medicine, 16 Feb. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC7365227.
Power is the combination of strength and speed over time. Strength is how much force an individual can exert. Powerishow fast an individual can exert force. Strength training for power, aka power training, is being able to exert a certain amount of force in a given time. Power can be built with weight training. However, power strength training is not just for weightlifters. Many athletes like football, basketball, and volleyball players, sprinters, dancers, and wrestlers build strength to increase power, improve explosiveness, increase their vertical leap/jump, and give their bodies a break from heavy weight training.
Power Strength Training
Building strength is one factor, but becoming powerful requires another element in training. Biologically, individuals train the muscles to elongate and contract fast so the body can perform a certain set of movements.
Benefits
The benefits of power strength training.
Promotes Active Body Rest
Power training gives the mind and body a break from heavy training.
Provides the tendons, joints, and central nervous system a rest.
Offers a fun and healthy change with jumping, throwing, swinging, etc.
A study found individuals with knee osteoarthritis that participated in high-intensity strength training, compared with low-intensity, had a reduction in knee pain symptoms.
Improves Vertical Jump
Vertical jump or leap is how high an individual can jump and is a common parameter for assessing athletic ability.
It is an integral part of movement training programs to improve sports performance.
Research has shown that power strength and jump training can improve jump height.
Training Program
Before starting any exercise program, it is recommended to talk with a doctor. Key components to focus on when training for power.
Going above this frequency can be intense on the body and central nervous system.
Limiting sessions to a few times a week gives the body time to recover.
Equipment
Because power training involves a combination of increasing force and speed, using the right equipment that allows both is important. However, there are ways to improve without equipment.
For practicing jumps, increase the force by increasing the distance using a taller box.
For practicing push-ups on the floor, increase the force by pushing with more power so the hands come off the ground.
To improve power by increasing speed, exercises can be performed faster or with decreased rest between sets.
Weight
The weight depends on an individual’s one-rep max or the heaviest weight that can be lifted in a single repetition.
This is essentially an individual’s record for whatever type of weightlifting is being done.
Power training movement options: Plyometrics, Ballistic, or Dynamic.
Plyometrics includes activities like squats or jump lunges, common with football and basketball players.
Ballistic training includes activities like a back squat for football or soccer players.
Dynamic training works for sports-specific training motions like golf swinging or tennis serving.
Nutrition
Whether cardio or strength training, adequate caloric intake is important regardless of workout type, this means having a healthy balance of the three macronutrients: carbohydrates, fat, and protein.
Carbohydrates could be the most important, as research has shown that high-intensity exercise like power training improves when eating carbohydrates before, during, and after the workout.
Fat is necessary, and a daily intake below 20% of calorie intake can decrease the absorption of various essential nutrients.
It is recommended to consume 1.2-1.7 grams of protein per kilogram of individual body weight.
As with any exercise, training takes time, and it’s important to gradually progress only when the body is prepared. Incorporating the elements of a healthy lifestyle includes a balanced, nutrient-rich diet and proper sleep and rest days. This will help get the most benefits and prevent injuries.
Improving Athletic Performance Through Chiropractic
References
Balachandran, Anoop T et al. “Comparison of Power Training vs. Traditional Strength Training on Physical Function in Older Adults: A Systematic Review and Meta-analysis.” JAMA Network Open vol. 5,5 e2211623. 2 May. 2022, doi:10.1001/jamanetworkopen.2022.11623
Maestroni, Luca, et al. “Strength and Power Training in Rehabilitation: Underpinning Principles and Practical Strategies to Return Athletes to High Performance.” Sports medicine (Auckland, N.Z.) vol. 50,2 (2020): 239-252. doi:10.1007/s40279-019-01195-6
Marián, Vanderka, et al. “Improved Maximum Strength, Vertical Jump and Sprint Performance after 8 Weeks of Jump Squat Training with Individualized Loads.” Journal of sports science & Medicine vol. 15,3 492-500. 5 Aug. 2016
Peebles, Alexander T et al. “Landing biomechanics deficits in anterior cruciate ligament reconstruction patients can be assessed in a non-laboratory setting.” Journal of orthopedic research: official publication of the Orthopaedic Research Society vol. 40,1 (2022): 150-158. doi:10.1002/jor.25039
Suchomel, Timothy J et al. “The Importance of Muscular Strength: Training Considerations.” Sports medicine (Auckland, N.Z.) vol. 48,4 (2018): 765-785. doi:10.1007/s40279-018-0862-z
Wesley, Caroline A et al. “Lower Extremity Landing Biomechanics in Both Sexes After a Functional Exercise Protocol.” Journal of athletic training vol. 50,9 (2015): 914-20. doi:10.4085/1062-6050-50.8.03
Westcott, Wayne L. “Resistance training is medicine: effects of strength training on health.” Current sports medicine reports vol. 11,4 (2012): 209-16. doi:10.1249/JSR.0b013e31825dabb8
Everyone, at some point, has some form of physical activity that helps them release the stresses of everyday factors. Whether for athletic training or to keep a healthy lifestyle, exercising for at least 30 minutes to an hour can help promote muscle growth and toning, reducing stress and high blood pressure. However, many individuals would often not be able to find time to exercise, which can lead to many problems in their bodies. When many individuals are physically inactive, it can lead to musculoskeletal pain, weak muscles, and other chronic conditions. To that point, it can make the person miserable and cause disability. Luckily numerous therapies can help reduce the effects of pain-like symptoms associated with physical inactivity and can help restore the body. Today’s article focuses on how MET (muscle energy techniques) therapy uses a chair and abdominal exercises to help promote spinal flexibility, reduce abdominal weakness, and strengthen low back and pelvic muscles. We utilize and incorporate valuable information about our patients to certified medical providers using the chair and abdominal exercises in MET therapy. We encourage and refer patients to associated medical providers based on their findings while supporting that education is a remarkable and fantastic way to ask our providers the essential questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., comprises this information as an educational service. Disclaimer
Chair Exercises In MET Therapy
Are you experiencing muscle pain in specific areas of your body? Do your legs feel tired after a long day at work or when you bend down to pick something up? These musculoskeletal pain symptoms are often caused by physical inactivity, which can cause muscles to become weak and short. This can lead to various health issues related to musculoskeletal pain if not addressed. However, you can help reduce these effects by incorporating everyday objects like a chair into your exercise routine. Research studies have revealed that chair-based exercises can provide cognitive and psychological benefits while reducing the risk of injury. Additionally, using a chair for exercise can improve spinal flexibility.
Chair-Based Exercises For Spinal Flexibility
When doing chair-based exercises to enhance spinal flexibility in MET therapy, it’s crucial to ensure that each repetition is pain-free and comfortable. Stick to the recommended sets given by your trainer or physical therapist.
Sit in a chair so the feet are planted on the floor, and the palms are resting at the knees.
Lean forward so the chair’s arms support the upper body weight; this allows the elbows to bend outward and the head to hang backward.
Hold the position for three deep breaths to allow the lower back to stretch.
On exhalation, ease yourself forward until you feel a slight increase in the stretch, not feeling pain, and repeat the three deep breath cycles.
Repeat the sequence until you can not go further than you can without discomfort or pain.
Return to the chair and rest for a few minutes to allow the lower back muscles to relax.
Unlocking Athletic Potential with Chiropractic Care-Video
Are you experiencing musculoskeletal problems that are affecting your athletic performance? Do you feel muscle weakness in your abdominals, low back, or pelvis? Or is the right exercise not working out for you? These issues are often associated with physical inactivity and can cause pain. Physical inactivity can be caused by various factors, which can impact your daily life and prevent you from exercising. Fortunately, there are many ways to incorporate physical activity into your healthy lifestyle. Chiropractic care and MET therapy are two treatments that can be combined with physical activity to reduce muscle and joint pain. Research studies have revealed that MET, or muscle energy techniques, are a type of soft tissue treatment that pain specialists use to stretch tight muscles and fascia, mobilize joints, reduce pain, and improve circulation in the lymphatic system. This treatment can help relieve pain and naturally restore the body when combined with exercise. Watch the video above to learn more information about how combining treatments and physical activity can help you kickstart your wellness journey to better health.
Abdominal Exercises In MET Therapy
Many people may not be physically active due to weak abdominal muscles, which can cause low back pain in the musculoskeletal system. In the book “Clinical Applications of Neuromuscular Techniques” by Judith Walker DeLany, L.M.T. and Leon Chaitow, N.D., D.O., suggests that combining exercise with MET therapy can help strengthen weak abdominal muscles and even alleviate low back pain. As research studies reveal, this combination can eliminate factors that weaken the abdominal muscles and activate deep and superficial muscles to improve core stability. Below are some abdominal exercises commonly used in MET therapy.
Exercises For Abdominal Weakness
Lie on a yoga mat or carpeted floor with a pillow under your head.
Bend one knee at the hip and hold it with both hands.
Inhale and exhale deeply, and pull the knee to the side of the shoulder as far as you can comfortably.
Repeat twice and rest the leg on the floor.
Repeat the sequence on the other leg.
This exercise sequence helps stretch the numerous abdominals and low back muscles associated with abdominal weakness. Additionally, this exercise sequence helps restore muscle tone in the abdominals and reduce muscle tightness in the back.
Exercises For Low Back & Pelvic Muscles
Lie on your back and keep your legs straight.
By keeping the low back flat throughout the exercise, inhale and exhale as you draw your right hip toward the shoulders.
Allow the left heel to press on the surface and away from you; try to make the left leg longer while keeping the low back flat.
Hold this position briefly before inhaling and relaxing, then switch to the other leg.
Repeat the sequence for five times on each side.
This exercise sequence helps stretch and tone the muscles along the pelvis and lower back. This exercise is effective for many individuals with low back pain associated with physical inactivity.
Conclusion
To prevent musculoskeletal issues from affecting our bodies, it’s important to exercise for at least 30 minutes to an hour daily. Combining physical activities with MET therapy can help stretch and strengthen weakened muscles while promoting natural healing to prevent future problems. Using a chair or doing abdominal exercises can stabilize core muscles and aid natural recovery. Focusing on our health and wellness can lead to a better lifestyle.
References
Calatayud, Joaquín, et al. “Tolerability and Muscle Activity of Core Muscle Exercises in Chronic Low-Back Pain.” International Journal of Environmental Research and Public Health, 20 Sept. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6801665/.
Chaitow, Leon, and Judith Walker DeLany. Clinical Applications of Neuromuscular Techniques. Churchill Livingstone, 2003.
Furtado, Guilherme Eustáquio, et al. “Combined Chair-Based Exercises Improve Functional Fitness, Mental Well-Being, Salivary Steroid Balance, and Anti-Microbial Activity in Pre-Frail Older Women.” Frontiers in Psychology, 25 Mar. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8026892/.
Thomas, Ewan, et al. “The Efficacy of Muscle Energy Techniques in Symptomatic and Asymptomatic Subjects: A Systematic Review.” Chiropractic & Manual Therapies, 27 Aug. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6710873/.
When it comes to our muscles, many of us often don’t stretch each muscle group at least two to three times per week. From waking up in the morning, we stretch our arms, legs, and back to relieve any stiffness or soreness from the previous day. However, many individuals deal with musculoskeletal issues that can affect not only the back and the neck but also the upper and lower extremities of the body, causing pain-like symptoms that can worsen throughout the entire day if not treated right away. When this happens, musculoskeletal pain can lead to overlapping risk problems that can cause the body to be misaligned and dysfunctional. Hence why numerous therapies help reduce the effects of musculoskeletal pain and help restore the body naturally. Today’s article looks at how musculoskeletal pain affects the body and how treatments like MET can be used as self-help methods to reduce musculoskeletal pain. We utilize valuable information about our patients to certified medical providers using MET therapy to relieve musculoskeletal pain by incorporating various exercises and stretches. We encourage and refer patients to associated medical providers based on their diagnosis while supporting that education is a remarkable and fantastic way to ask our providers the essential questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., comprises this information as an educational service. Disclaimer
Musculoskeletal Pain Affecting The Body
Are you experiencing muscle stiffness or weakness in your back, neck, or shoulders? Do you feel pain when stretching or hunched over due to discomfort? Musculoskeletal pain is a common issue that can interfere with daily activities. Research studies show that this type of pain can cause symptoms that overlap with neuropathic or visceral pain. This means that problems with one muscle or organ in the body can lead to pain in other areas, causing significant discomfort.
Further research has shown that musculoskeletal pain can originate in the muscle tissues and persist for over three months, affecting many individuals’ social and emotional skills, work productivity, and independence. Several environmental factors like obesity, stress, poor sleep, inadequate nutrition, and lack of physical activity can overwork the muscles and joints, leading to trigger points and muscle strain in the musculoskeletal system, resulting in bodily misalignment.
Improving Athletic Performance Through Chiropractic- Video
Are you experiencing pain in specific areas of your body? Does the pain worsen when you are active or when you stretch? These pains are often associated with musculoskeletal issues, which can greatly affect your daily life. Research studies have revealed that musculoskeletal pain can significantly reduce a person’s productivity and job performance. Fortunately, several treatments are available to alleviate musculoskeletal pain and its symptoms. Many people seek chiropractic care or MET therapy to help realign their spine, stretch their muscles, and improve joint mobility. The video above demonstrates how chiropractic care uses manual manipulation to relieve musculoskeletal pain by stretching the muscles and realigning the spine.
MET Self-Help Methods For Musculoskeletal Pain
According to a book called “Clinical Applications of Neuromuscular Techniques” by Dr. Leon Chaitow, N.D., D.O., and Dr. Judith Walker DeLany, L.M.T., musculoskeletal pain can cause the soft tissues in the body to shorten and lead to disability. To alleviate the effects of musculoskeletal pain, people often seek the help of pain specialists such as chiropractors or massage therapists. These specialists often use muscle energy techniques (MET) to stretch the soft tissues and muscles and provide relief. Below are some exercises and techniques that are commonly used in MET therapy.
MET Neck Relaxation Techniques
The neck comprises soft tissues and is part of the musculoskeletal system. Two relaxation techniques can stretch out the shortened muscles to relieve soreness and stiffness in the scalene muscles. These techniques can help release tightness and improve the neck’s range of motion.
Phase 1:
Sit close to the table with the elbows and hands resting on the table surface on each side of the face.
Turn your head to the right or left as far as you can comfortably in one direction while letting your hands move with your face until you reach a pain-free rotation limit.
Afterward, use your left hand as resistance when turning your head to the left while using 25% or less of your strength to build up a force to match the resistance and start turning your head slowly.
Hold this push for 7-1o seconds and slowly stop turning your head to the left or right.
Return to a neutral position and turn to the right or left again to see how far you can stretch without pain.
You should notice the neck stretch is farther than it was previously.
This is known as post-isometric relaxation in MET therapy, as it allows the tight muscles to relax and stretch farther without pain than before.
Phase 2:
While lying on the table, the hands and elbows should be on the sides of the face.
Turn your head to the right to stretch as far as you can comfortably in one direction.
Use your right hand as resistance to attempt to turn without pain by using only 25% or less of your strength.
Slowly turn your head and maintain the turn and resistance for 7-10 seconds.
Slowly stop the resistance effort to see how far your neck can turn without pain. If you are experiencing pain, you use too much strength and reduce the contraction level where no pain is experienced.
This is known as reciprocal inhibition in MET therapy, as it achieves a different release for tight neck muscles.
Flexion Exercises Using MET
Flexion exercises in MET therapy help stretch the postural muscles and legs, feeling stiff. This allows spine flexibility while stretching out and reducing mechanical stresses in the surrounding muscles.
While sitting on the floor, your legs should be straight out, and your toes pointed towards the ceiling.
Bend comfortably as far as you can and grasp one leg with each hand.
Hold the position for 30 seconds and do four deep breathing cycles while allowing your head to hang down and relax into the stretch. *You will feel the stretch on your lower back and the back of your legs.
As you release during the fourth breathing cycle, ease yourself further down the legs and hold for another 30 seconds.
After 30 seconds, slowly return to an upright position by lightly pushing upwards from the hands.
Alternatively, you can bend one leg and do the same sequence on each leg to stretch out any leg muscles that are cramping or stiff. This flexion exercise help reduces pain and prevents trigger points from re-forming in the muscle fibers.
Extension Exercises Using MET
The extension exercises in MET therapy help the muscles and joints in the body group to increase movement without pain. This allows the body to be mobile and reduces the effects of musculoskeletal pain.
Lie on your stomach on a carpeted floor with a pillow to support your head and neck while your legs are together.
Bend your knees as comfortably as possible, and bring your heels towards your backside.
Now slowly grasp your legs and gently bend backward as far as possible without pain. Your back should be slightly arched.
Lift your head and shoulders gently to increase the arch in your back slowly and without pain.
Hold the position for four slow deep breaths, and hold your breath for 15 seconds on the last breathing cycle.
As you release, bring your body down slowly, from the legs to the stomach and finally, the shoulders and neck to rest.
This extension exercise, known as the boat position, helps lengthen and stretch the back and leg muscles while reducing pain and restoring mobility in the spine.
Conclusion
It is crucial to be aware of musculoskeletal pain in your body, whether in the morning or during work. This type of pain can lead to discomfort in other areas and even impair your ability to function. Fortunately, MET therapy can alleviate musculoskeletal pain by stretching the muscles and tissues and providing immediate relief. By utilizing stretching and physical therapy, you can help your body heal naturally and be more mindful of what triggers pain. Stretching can also prevent future injuries and promote a pain-free lifestyle.
References
Buck, Rhiannon, et al. “Working with Musculoskeletal Pain.” Reviews in Pain, June 2009, www.ncbi.nlm.nih.gov/pmc/articles/PMC4590039/.
Chaitow, Leon, and Judith Walker DeLany. Clinical Applications of Neuromuscular Techniques. Churchill Livingstone, 2003.
El-Tallawy, Salah N, et al. “Management of Musculoskeletal Pain: An Update with Emphasis on Chronic Musculoskeletal Pain.” Pain and Therapy, June 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8119532/.
Puntillo, Filomena, et al. “Pathophysiology of Musculoskeletal Pain: A Narrative Review.” Therapeutic Advances in Musculoskeletal Disease, 26 Feb. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC7934019/.
Gymnastics is a demanding and challenging sport. Gymnasts train to be powerful and graceful. Today’s moves have become increasingly technical acrobatic moves with a much higher degree of risk and difficulty. All the stretching, bending, twisting, jumping, flipping, etc., increases the risk of neuromusculoskeletal injuries. Gymnastics injuries are inevitable. Bruises, cuts, and scrapes are common, as are overuse strains and sprains, but severe and traumatic injuries can occur. Injury Medical Chiropractic and Functional Medicine Team can treat and rehabilitate injuries and help to strengthen and prevent injuries. The therapy team will thoroughly evaluate the individual to determine the injury/s severity, identify any weaknesses or limitations, and develop a personalized plan for optimal recovery, stability, and strength.
Gymnastic Injuries
One of the main reasons injuries are more prevalent is because today’s athletes start earlier, spend more time practicing, perform more complex skill sets, and have higher levels of competition. Gymnasts learn to perfect a skill and then train to make their bodies look elegant while executing the routine. These moves require precision, timing, and hours of practice.
Injury Types
Sports injuries are classified as:
Chronic Overuse injuries: These cumulative aches and pains occur over time.
They can be treated with chiropractic and physical therapy and prevented with targeted training and recovery.
Acute Traumatic injuries: These are typically accidents that happen suddenly without warning.
These require immediate first aid.
Most Common Injuries
Gymnasts are taught how to fall and land to lessen the impact on the spine, head, neck, knees, ankles, and wrists.
Back
Common back injuries include muscle strains and spondylolysis.
Bruises and Contusions
Tumbling, twisting, and flipping can result in various bruises and contusions.
Muscle Soreness
This is the sort of muscle soreness experienced 12 to 48 hours after a workout or competition.
Proper rest is necessary for the body to recover fully.
Overtraining Syndrome
Overtraining syndrome happens when individuals train beyond the body’s ability to recover.
Strength and/or flexibility imbalances – one side is stronger.
Chiropractic Care
Our therapists will start with an evaluation and a biomechanical assessment to identify all the factors contributing to the injury. This will consist of a thorough medical history to understand overall health status, training schedule, and the physical demands on the body. The chiropractor will develop a comprehensive program that includes manual and tool-assisted pain relief techniques, mobilization work, MET, core strengthening, targeted exercises, and injury prevention strategies.
Facet Syndrome Chiropractic Treatment
References
Armstrong, Ross, and Nicola Relph. “Screening Tools as a Predictor of Injury in Gymnastics: Systematic Literature Review.” Sports medicine – open vol. 7,1 73. 11 Oct. 2021, doi:10.1186/s40798-021-00361-3
Farì, Giacomo, et al. “Musculoskeletal Pain in Gymnasts: A Retrospective Analysis on a Cohort of Professional Athletes.” International journal of environmental research and public health vol. 18,10 5460. 20 May. 2021, doi:10.3390/ijerph18105460
Kreher, Jeffrey B, and Jennifer B Schwartz. “Overtraining syndrome: a practical guide.” Sports Health vol. 4,2 (2012): 128-38. doi:10.1177/1941738111434406
Meeusen, R, and J Borms. “Gymnastic injuries.” Sports medicine (Auckland, N.Z.) vol. 13,5 (1992): 337-56. doi:10.2165/00007256-199213050-00004
Sweeney, Emily A et al. “Returning to Sport After Gymnastics Injuries.” Current sports medicine reports vol. 17,11 (2018): 376-390. doi:10.1249/JSR.0000000000000533
Westermann, Robert W et al. “Evaluation of Men’s and Women’s Gymnastics Injuries: A 10-Year Observational Study.” Sports Health vol. 7,2 (2015): 161-5. doi:10.1177/1941738114559705
The body’s core muscles are used for stability, balance, lifting, pushing, pulling, and movement. Engaging the core muscles means bracing and tightening the abdominal muscles, which include the latissimus dorsi/lats, paraspinal muscles, gluteus maximus/glutes, and trapezius/traps. When engaged, the trunk muscles help maintain spinal stability, support the spine and pelvis in sitting and resting positions and during dynamic movements, and help prevent injury.
Engaging The Core
To know how to engage the core, individuals need to understand what the core is. The most important muscles for engaging the core include: These muscles are involved every time the body inhales and exhales, in posture control, and when using the bathroom, they start and stop the process.
Rectus Abdominis
The rectus abdominis muscle is responsible for the six-pack.
It’s a long, flat muscle that extends from the pubic bone to the sixth and seventh ribs.
The rectus abdominis is primarily responsible for bending the spine.
External Obliques
These are the muscles on either side of the rectus abdominis.
The external obliques allow the torso to twist, bend sideways, flex the spine, and compress the abdomen.
Internal Obliques
The internal obliques lie below the external obliques.
They work with the external obliques in the same functions.
Transverse Abdominis
This is the deepest layer of muscle in the abdomen.
It completely wraps around the torso and extends from the ribs to the pelvis.
The transverse abdominis are not responsible for spine or hip movement but for stabilizing the spine, compressing the organs, and supporting the abdominal wall.
Latissimus Dorsi
Commonly known as the lats, these muscles run along both sides of the spine from just below the shoulder blades to the pelvis.
The lats help stabilize the back, especially when extending the shoulders.
They also contribute to body ability when twisting from side to side.
Erector Spinae
The erector spinae muscles are on each side of the spine and extend down the back.
These muscles are responsible for extending and rotating the back and side-to-side movement.
These are considered postural muscles and are almost always working.
What Not To Do
Individuals learn from mistakes, which might make learning how to engage the core easier by understanding what not to do. Common examples of failing to or not engaging the core correctly.
The back slumps when sitting down – the upper body lacks strength and stability.
When bending, the stomach sticks out more.
Swaying or leaning far to one side when walking – lack of lower body strength causes balance and stability problems.
The lower abdomen and back present with discomfort and pain symptoms.
Training
Engaging the core decreases the chance of sustaining an injury at home, work, or exercising and can help with chronic back pain. It creates a stable musculature around the spine that keeps the vertebrae from over-flexing, over-extending, and bending too far to one side. Engaging the core muscles can mean different things, depending on what is trying to be achieved.
For example, if doing bending work, the muscles needed, and the order in which they contract differs from when trying to maintain balance while standing on one leg.
The muscles engaged will differ in their movement depending on whether an individual is:
Trying to move the spine or stabilize it.
Pushing or pulling weight.
Standing, sitting, or lying down.
For a strong and functional core, the objective is to be able to engage the core in any situation. Engaging the core can be challenging, but with training and practice, the body becomes stronger. Practice engaging the core throughout daily activities that include.
Bracing the core while standing, sitting at a workstation or desk, and walking.
Day-to-day activities, like reaching for something from a high shelf, grocery shopping, and taking the stairs.
Injury Medical Chiropractic and Functional Medicine Clinic can create a personalized program to address musculoskeletal issues, core training, targeted exercise, stretching, nutrition, massage, and adjustments to get the body to optimal health and maintain health.
The Non-Surgical Solution
References
Eickmeyer, Sarah M. “Anatomy and Physiology of the Pelvic Floor.” Physical Medicine and rehabilitation clinics of North America vol. 28,3 (2017): 455-460. doi:10.1016/j.pmr.2017.03.003
Lawson, Samantha, and Ashley Sacks. “Pelvic Floor Physical Therapy and Women’s Health Promotion.” Journal of Midwifery & Women’s Health vol. 63,4 (2018): 410-417. doi:10.1111/jmwh.12736
Seaman, Austin P et al. “Building a Center for Abdominal Core Health: The Importance of a Holistic Multidisciplinary Approach.” Journal of gastrointestinal surgery: official journal of the Society for Surgery of the Alimentary Tract vol. 26,3 (2022): 693-701. doi:10.1007/s11605-021-05241-5
Vining, Robert, et al. “Effects of Chiropractic Care on Strength, Balance, and Endurance in Active-Duty U.S. Military Personnel with Low Back Pain: A Randomized Controlled Trial.” Journal of Alternative and complementary medicine (New York, N.Y.) vol. 26,7 (2020): 592-601. doi:10.1089/acm.2020.0107
Weis, Carol Ann, et al. “Chiropractic Care for Adults With Pregnancy-Related Low Back, Pelvic Girdle Pain, or Combination Pain: A Systematic Review.” Journal of Manipulative and physiological therapeutics vol. 43,7 (2020): 714-731. doi:10.1016/j.jmpt.2020.05.005
Zachovajeviene, B et al. “Effect of the diaphragm and abdominal muscle training on pelvic floor strength and endurance: results of a prospective randomized trial.” Scientific Reports vol. 9,1 19192. 16 Dec. 2019, doi:10.1038/s41598-019-55724-4
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