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Lower Back Pain

Back Clinic Lower Back Pain Chiropractic Team. More than 80% of the population suffers from back pain at some point in their lives. Most cases can be linked to the most common causes: muscle strain, injury, or overuse. But it can also be attributed to a specific condition of the spine: Herniated Disc, Degenerative Disc Disease, Spondylolisthesis, Spinal Stenosis, and Osteoarthritis. Less common conditions are sacroiliac joint dysfunction, spinal tumors, fibromyalgia, and piriformis syndrome.

Pain is caused by damage or injury to the muscles and ligaments of the back. Dr. Alex Jimenez compiled articles outline the importance of understanding the causes and effects of this uncomfortable symptom. Chiropractic focuses on restoring a person’s strength and flexibility to help improve symptoms of lower back pain.


Relaxing The Low Back Muscles

Relaxing The Low Back Muscles

Relaxing the low back muscles. The low back supports the weight of the upper body and provides mobility. The lumbar spine/low back is a complex structure of interconnecting:

  • Bones
  • Joints
  • Nerves
  • Ligaments
  • Muscles
  • All work together to provide support, strength, and flexibility.

However, this complex structure is highly susceptible to injury and pain. The muscles in the low back support the spinal column and are responsible for flexing, rotating the hips when walking. The nerves in the low back supply sensation and power the muscles in the pelvis, legs, and feet. The most common acute low back pain cases are brought on from injury to the:

  • Muscles
  • Ligaments
  • Joints
  • Discs

The body also reacts to injury by triggering an inflammatory response. Inflammation can cause severe pain. The key is relaxing the muscles and keeping them loose.

Relaxing The Low Back Muscles

Lower back pain causes

The most common cause is muscle spasms, which can be triggered by:

  • Constant improper posture
  • Repetitive and overuse motions
  • Chronic inflammation brought on by underlying condition/s
  • Quick awkward movements like twisting, reaching, and/or bending at the wrong angle can set off pain symptoms.
  • If the same back muscles are getting strained and/or pulled continuously, this could indicate an underlying problem with a misaligned vertebra.

Correct improper postures

Improper posture and body positioning eventually present with discomfort and pain. Individuals are constantly hunched over and slumped in front of computers and devices, along with sitting with crossed legs, sleeping on a non-supportive mattress, and there is a perfect recipe for low back pain. Adjusting sitting, desk, and computer ergonomics and using smart devices with posture awareness will go a long way to correct improper posture.

Stretch and loosen tight muscles

Stretch out throughout the day and before going to bed. Sitting all day at work, then going home and sitting all evening is not healthy for the body’s muscles. The muscles shorten, as do the ligaments and tendons. Stretching keeps the body loose and limber. Try out different forms of stretching, as well as foam rolling for the back.

Get the body moving

Cramped or pulled muscles need time to recover. Too much rest or being completely inactive makes sense but is not recommended. Light movement keeps the blood flowing, especially in and around the injured/sore area. This increases healing and shortens recovery time.  Just some light walking is recommended. Getting up and moving while relaxing around the house will get the muscles back in shape.


Body Composition


Benefits of collagen

Gastrointestinal Health

Collagen generates a protective barrier effect on the intestinal mucosa that lines the digestive tract. One study found that collagen supplementation protects against the breakdown of the intestinal wall after a burn injury. A lack of collagen from aging or other factors could impair the structure of the intestinal mucosa. This could lead to digestive problems like leaky gut syndrome and irritable bowel syndrome.

Joint Health and Mobility

Collagen provides structure and cushion in the joints. As the body ages, the cushion wears down, and joint mobility decreases. This increases the risk of injury. Taking collagen supplements can help improve symptoms of osteoarthritis, rheumatoid arthritis, and other conditions.

References

Finta, Regina et al. “The effect of diaphragm training on lumbar stabilizer muscles: a new concept for improving segmental stability in the case of low back pain.” Journal of pain research vol. 11 3031-3045. 28 Nov. 2018, doi:10.2147/JPR.S181610

Lugo, James P et al. “Efficacy and tolerability of an undenatured type II collagen supplement in modulating knee osteoarthritis symptoms: a multicenter randomized, double-blind, placebo-controlled study.” Nutrition journal vol. 15 14. 29 Jan. 2016, doi:10.1186/s12937-016-0130-8

National Institute of Neurological Disorders and Stroke. Pain: Hope Through Research. www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Hope-Through-Research/Pain-Hope-Through-Research. June 9, 2017.

Back Pain Phone Apps: Finding The Right One For You

Back Pain Phone Apps: Finding The Right One For You

Recent studies have begun to show that back pain apps can enhance the body’s recovery when combined with conservative treatments and physical activity/exercise. Low back pain – LBP can interfere with everyday activities, work, school, and sleep making life miserable. All around the world low back pain is one of the leading causes of disability. Studies have shown how physical activity/exercise, mindfulness, and spinal manipulation can reduce symptoms more effectively. Exercise has been shown to reduce anxiety and increase positive outlook/mood. However, the biggest problem for individuals is finding activities/exercises that they can enjoy and sticking with them. Individuals that use back pain apps have reported the benefits of being guided through the exercises and meditation that help decrease their pain.

Back Pain Phone Apps: Finding The Right One For You

Back Pain Apps

Several back pain apps utilize the brain and body connection. They provide exercises for the body and meditation to help the mind relax and work out and through the pain. The brain is the computer, the software is the mind and the hardware is the body. The brain is linked to the nervous system. Apps that help with psychosocial and behavioral issues have shown the ability to reverse the negative thinking of individuals with chronic pain. For individuals that don’t like exercising, there are apps to help address various barriers and obstacles.

  • They’re ready when and where you are
  • They track progress
  • They match guidance messages based on responses
  • They provide positive reinforcement

Before starting, if the answer is yes to any of the following questions consult with a physician first:

  • Is leg pain presenting?
  • Is there constant pain at night?
  • Is there a history of a recent accident or injury?

Effectiveness of Apps

A 12-week controlled trial in 2019, of individuals with low back pain, found that those who used an app did statistically better, in reducing their pain compared to the control group. The trial consisted of:

  • Activity tracking
  • Symptom tracking
  • Sensor-guided exercise therapy
  • Cognitive-behavioral therapy
  • Team behavioral coaching
  • Individual behavioral coaching
  • Educational information and knowledge

Those in the treatment group that completed the program found their pain level (based on a 100-point scale) had reduced 62% from a level of 44 to 14. Compared to an 8% reduction in the control group. However, scientific evidence on specific apps is limited and requires further research. However, the apps that scientists studied include:

A study in JMIR mHealth and UHealth found the apps below to help manage mind-body pain and the stress that comes with it. They were:

A review of 25 apps for low back pain found the higher the price, the higher the app scored in the scientific study. The apps with the top scores included:

  • Strengthening exercises
  • Stretching
  • Core stability exercises
  • They were:
  • Interesting
  • Entertaining
  • Interactive
  • Customizable

The Lower Back Pain App, developed by a physiotherapist, scored the highest. It is a 10-week program where users are directed each week to perform three exercises twice daily. The exercises focus on:

  • Spinal mobility
  • Stability
  • Muscle strengthening
  • Instructions are given through videos and writing.

Back Pain Specific Apps

A variety of back pain-specific applications are available. Try them out and see which fits your style. They are there to guide, strengthen the body, help relax, and lessen the pain.


Body Composition


Chronic Stress

Chronic stress is like poison to the body. It negatively impacts every aspect of the body’s health and is more dangerous because of its ability to present without realizing it. One of the body’s systems responsible for handling difficult situations is the immune system. Specifically, cells of the immune systems have receptors that recognize stress hormones like cortisol. Acute stress can cause immune system problems by increasing the release of inflammatory cytokines that are a special type of immune cell. Stress, immunity, and disease can affect each other. But these relationships can be moderated by:

What is important is to develop a healthy strategy to relieve the symptoms of stress like meditating, exercising, and spending time with friends/family.

References

Best Evidence Rehabilitation for Chronic Pain Part 3: Low Back Pain www.ncbi.nlm.nih.gov/pmc/articles/PMC6679058/

Current Directions in Stress and Human Immune Function. Current opinion in psychology vol. 5 (2015): 13-17. doi:10.1016/j.copsyc.2015.03.007 www.ncbi.nlm.nih.gov/pmc/articles/PMC4465119/

The Role of Psychosocial Processes in the Development and Maintenance of Chronic Pain pubmed.ncbi.nlm.nih.gov/27586832/#affiliation-1

Assessment of the Quality of Mobile Applications (Apps) for Management of Low Back Pain Using the Mobile App Rating Scale (MARS) www.ncbi.nlm.nih.gov/pmc/articles/PMC7763508/#B12-ijerph-17-09209

Surgical versus nonsurgical treatment of chronic low back pain: A meta-analysis based on current evidence pubmed.ncbi.nlm.nih.gov/26406211/

Randomized controlled trial of a 12-week digital care program in improving low back pain www.ncbi.nlm.nih.gov/pmc/articles/PMC6550254/#CR8

Evaluation of Self-Management Support Functions in Apps for People With Persistent Pain: Systematic Review mhealth.jmir.org/2019/2/e13080/

App-based multidisciplinary back pain treatment versus combined physiotherapy plus online education: a randomized controlled trial www.nature.com/articles/s41746-019-0109-x

Playing Tennis With Back Pain

Playing Tennis With Back Pain

Tennis is a sport that can be enjoyed by individuals of all ages and provides optimal physical activity and cardiovascular exercise. Although it can be leisurely, it does require being light on the feet with quick, starting, stopping, turning, and twisting movements for those new to playing tennis. If back pain is present, playing can be difficult. One study showed almost 40% of tennis players missed one or more tournaments because of low back pain/problems. A 2016 study found that tennis players with low back pain have difficulty moving their muscles with ease.

Playing Tennis With Back Pain

Know and Understand the Risks

Playing tennis has its risks when it comes to back pain. What can bring on or worsen back pain are the repetitive motions, like swinging, serving, volleying, and the uneven force placed on the body. This force is the power and momentum that is used for certain swings like serving and forehands. What happens is it does not evenly distribute through the body, increasing the potential to cause strains and sprains. For example, the serving motion repeatedly puts a hyperextension force through the spine. The result is overuse injuries.

Preparation

No one wants to injure their back for those new to tennis and those who have been playing for years. This is where off-court conditioning comes in and preventive measures. This includes:

  • Work on endurance and stamina
  • Strengthen the core muscles without aggravating the back
  • Ease into playing
  • Don’t play for too long when starting or multiple days in a row
  • Gradually increase the frequency and intensity
  • Focus on the fundamental skills rather than trying to blast the ball like the pros.
  • Trying to smash the ball too soon can result in a rotator cuff injury.

Stay Aware of Your Body

Playing tennis can cause an individual to become distracted; however, it’s crucial to be mindful of the body and what’s going on.

  • Pay attention to the heat.
  • Humidity
  • Proper rest between games
  • Hydration to prevent muscle cramping
  • Stretching before and after playing
  • Warming up and cooling down
  • Take a break and stretch out if pain symptoms present.
  • Never play through the pain that could result in worsening or creating new injuries.
  • Pay attention to proper form.
  • Apply modifications to prevent and avoid worsened back pain. This could be serving more simply or hitting around a stroke that generates pain symptoms.

Cooling Down

After a match, rehydrate the body and cool down. This could be a little walking around the court, if possible getting in a pool or water splash park, and let the musculoskeletal system recover. Do some spinal exercises afterward, like yoga poses. Applying anti-inflammatory creams or gels can help keep the muscles loose and promote circulation. Anti-inflammatory foods can help with pain and inflammation.

Spinal Conditions

There are individuals with spinal conditions that should not play tennis. These include:

  • Acute disc herniation
  • Active bone injury/s – fractures and stress fractures
  • Spinal instability – spondylolisthesis
  • Post-spine surgery
  • A spinal condition involving nerves and/or the spinal cord

Consult a doctor before adding tennis to a physical regimen.  Tennis is an aerobic activity that has several benefits. It keeps the body physically active for mental and physical wellness. The hormones released can help mitigate musculoskeletal pain and negative emotions like depression and anxiety that can come from experiencing back pain.


Body Composition


Magnesium

Magnesium supports a healthy immune system. It helps maintain:

  • Healthy bone structure
  • Muscle function
  • Insulin levels
  • Facilitates the body with energy
  • Acts as a calcium blocker
  • Reduces cramping
  • Aids muscle relaxation after exercise/physical activity

Magnesium is essential in several biochemical reactions; a slight deficiency can increase cardiovascular disease risk. Deficiency can also lead to an increased risk of insulin resistance. Magnesium-rich foods are also high fiber foods. Dietary fiber helps with:

  • Digestion
  • Helps control weight
  • Reduces cholesterol
  • Stabilizes blood sugar

Recommended sources of Magnesium include:

  • Green vegetables – spinach, swiss chard, and turnip greens
  • Nuts – almonds and cashews
  • Seeds
  • Legumes
  • Cocoa
References

Clinics in Sports Medicine. (April 1988) “Low back pain in the competitive tennis player.” europepmc.org/article/med/2968850

Journal of Science and Medicine in Sport. (April 2016) “Trunk muscle activation, fatigue and low back pain in tennis players” www.sciencedirect.com/science/article/abs/pii/S1440244015000845

Jahnen-Dechent, Wilhelm, and Markus Ketteler. “Magnesium basics.” Clinical kidney journal vol. 5,Suppl 1 (2012): i3-i14. doi:10.1093/ndtplus/sfr163

Katz, David L et al. “Cocoa and chocolate in human health and disease.” Antioxidants & redox signaling vol. 15,10 (2011): 2779-811. doi:10.1089/ars.2010.3697

Wang, Jinsong, et al. “Dietary magnesium intake improves insulin resistance among non-diabetic individuals with metabolic syndrome participating in a dietary trial.” Nutrients vol. 5,10 3910-9. 27 Sep. 2013, doi:10.3390/nu5103910

Lower/Lumbar Back Total Disc Replacement or Fusion Options

Lower/Lumbar Back Total Disc Replacement or Fusion Options

Many doctors/surgeons rely on the widely adopted lumbar spinal fusion. However, experts have asserted that lumbar total disc replacement or TDR should be made available and increased for treating degenerative disc disease and other spinal conditions. Individuals interested in total disc replacement, the ability to have it done, and if insurance will pay? What to know about TDR and fusion before deciding and moving forward.

Lower/Lumbar Back Total Disc Replacement or Fusion Options

Total Disc Replacement

Spinal fusion has been the traditional approach for relieving lower back pain. In this procedure, a bone graft is inserted between two or more vertebrae. This eliminates movement that causes pain or could be dangerous to the individual. Total disc replacement demands more on a technical level than spinal fusion. However, the worn-out, injured, or damaged disc is fully replaced, even a completely degenerated disc, with a metal and/or plastic one. Benefits from lumbar TDR surgery include:

  • Shown to be a safe procedure with minimal complications
  • Significant improvement in health and quality of life
  • High rates of successful outcomes
  • Mobility is preserved

Who Needs Disc Replacement?

Low back problems affect more than a third of the population. This can come from:

  • Personal
  • Work
  • Sports
  • Automobile injuries
  • Aging
  • All are risk factors

Fusion or Total disc replacement

Fusion reduces and eliminates motion around the affected area which also changes with the spine’s mechanics. It can also place increased stress on the surrounding segments. However, the lack of motion is to eliminate the pain. Total disc replacement does increase mobility, but it can’t fully relieve the pain.  It can relieve pain generated from the disc but not from other causes. TDR has been shown to:

  • Provides motion preservation
  • Reduces staying at the hospital
  • Provides long-term durability
  • Lower reoperation rates compared to fusion

Total disc replacement issues:

  • The procedure is more time-consuming
  • A lot of time making decisions
  • A lot of time preparing

An example could be the patient has a narrow disc space. Looking at the X-rays of the discs above and below, the surgeon has to make sure they choose the right size. Next, the narrow space needs to be mobilized back to a normal height that cannot be too high or too short. Finally, the surgeon has to make sure that the disc is anchored and fits properly.

Why Surgeons Still Choose Fusion?

Despite the benefits, there are reasons why surgeons still choose fusion.

  • There are strict rules as to when TDR can be used. This means insurers are prone only to approve fusion procedures.
  • The surgical technique is challenging. TDR surgery is a highly demanding procedure. As a result, many doctors specializing in fusion for 20 years or more can be reluctant to perform the procedure.
  • Complications and revision surgeries. Reoperations are sometimes necessary, but this happens in both fusion and TDR.

Individual Needs

Fortunately, most individuals with lower back problems never need total disc replacement. And those that do have severe pain/conditions are recommended to try non-invasive/surgical treatment. This ranges from:

  • Chiropractic
  • Physical therapy
  • Massage

Imaging and lab tests will be required. However, if an operation is necessary, ask questions about both procedures. For example, if a surgeon insists that fusion is the only option, ask why total disc replacement is not an option?


Body Composition Testing


Protein and Weight Loss

Protein is one of three basic macronutrients found in food. Proteins are made up of smaller units called amino acids. There are 22 amino acids, with 9 of these being essential. This means the body needs them, as the body cannot produce them. These essential amino acids can be obtained by eating protein-rich foods like:

  • Eggs
  • Meat
  • Fish
  • Vegetarian/vegan options include:
  • Nuts
  • Seeds
  • Beans
  • Tofu

Generally, all the essential amino acids cannot be obtained from just one food. Therefore it is recommended to eat a variety of animal and plant-based proteins. Protein is in almost every structure and function of the body.

Antibodies

These proteins fight off any infections, bacteria, etc.

Repair, maintenance, and structural

Proteins are the building blocks of the body’s muscles, bones, skin, and hair.

Hormones

Chemical messenger proteins are how cells and organs communicate. For example, Growth Hormone affects muscle gain and fat loss.

Enzymes

Not all proteins are enzymes; however, all enzymes are proteins. These proteins are catalysts or starters for chemical reactions in the body.

Transportation and storage

Some proteins carry molecules where they are needed. For example, hemoglobin or the red blood cells carry oxygen to cells, then transport carbon dioxide away.

Not getting enough protein in one’s diet can have serious consequences on the body’s health. Without enough protein, the muscles can begin to atrophy or waste away, taking Lean Body Mass, strength, and energy away as well.

General Disclaimer *

The information herein is not intended to replace a one-on-one relationship with a qualified healthcare professional or licensed physician and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. In addition, we provide copies of supporting research studies available to regulatory boards and the public upon request.

We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, ATN*

email: coach@elpasofunctionalmedicine.com

phone: 915-850-0900

Licensed in: Texas & New Mexico*

References

Salzmann, Stephan N et al. “Lumbar disc replacement surgery-successes and obstacles to widespread adoption.” Current reviews in musculoskeletal medicine vol. 10,2 (2017): 153-159. doi:10.1007/s12178-017-9397-4

Hopkins overview of Lumbar TDR (for consumers) www.hopkinsmedicine.org/health/treatment-tests-and-therapies/lumbar-disk-replacement

“Comparison of Lumbar Total Disc Replacement With Surgical Spinal Fusion for the Treatment of Single-Level Degenerative Disc Disease: A Meta-Analysis of 5-Year Outcomes From Randomized Controlled Trials”, Zigler J, et al., Global Spine Journal, June 2018, PMC602295 www.ncbi.nlm.nih.gov/pmc/articles/PMC6022955/

“Overview of Lumbar TDR” (for consumers); Johns Hopkins Medical Center www.hopkinsmedicine.org/health/treatment-tests-and-therapies/lumbar-disk-replacement

Lower Back Muscle Knots Can Be Broken Down With Chiropractic

Lower Back Muscle Knots Can Be Broken Down With Chiropractic

Muscle knots are common and can occur anywhere on the body. They can cause aching and pain in the muscles and joints. When examining a muscle knot also known as myofascial trigger points, it can feel swollen, tense, or like a bump. A particular area where these knots present is in the low back. This happens from excessive wear-and-tear on the lower spine from work, school, daily tasks, and chores. This causes the muscle fibers to tear, and with restricted or no time to rest the area and let it heal properly leads to the fibers bunching/clumping together forming a painful knot.11860 Vista Del Sol, Ste. 128 Lower Back Muscle Knots Can Be Broken Down With Chiropractic

Muscle Knots In The Lower Back

A muscle knot in the lower back causes aching, soreness, and full-on pain. They tighten and contract even when the muscle is resting. The affected area often becomes inflamed or swollen causing pain and aches to radiate/spread to the gluteal muscles, as well.

Development

These knots develop when the tissue fibers pull apart and bunch up together. They start to stick together and with time the area becomes thicker. This results in the muscle knot. They can be caused by:

  • Stress
  • Tension
  • Poor posture
  • Muscle overuse
  • Muscle strain
  • Sedentary habits

Body dehydration and an unhealthy diet can also contribute to muscle knots. They look like a small bump under the skin. The bump can be red and is usually tender/sore when touched. However, not all muscle knots are visible, but when touched there is soreness and/or pain.

Do They Go Away?

They can go away on their own, but this comes from proper rest and recovery time. However, muscle knots should not be ignored, as even the smallest knot can compress surrounding nerves and muscle tissues. This can cause irritation and weakness. Larger muscle knots could cause movement/mobility issues.

Therapies

Stretching

Stretching will help stretch out and release tight muscle knots. Stretching loosens the muscle fibers and prevents them from becoming attached. Stretches to release a muscle knot include:

Start with these simple stretches/exercises and slowly work up to more vigorous ones.

Chiropractic Care

Chiropractic care can break down muscle knots through various adjustments. They are experts on the musculoskeletal system and understand where the problem is occurring along with the connected muscles.

  • A chiropractor will palpate the spot where the most pain presents and the surrounding area.
  • They will begin with a soft massage. This warms up the area getting the blood circulating. The blood circulation helps prevent pain making the adjustment/s far more effective.
  • Then pressing on nearby joints that the muscle knot is connected to breaks up the tight fibers.
  • Then the section/area is stretched out. This extends the fibers and prevents them from winding back into a knot.
  • They will recommend stretches and exercises

Therapeutic Massage

A massage helps to release tension and encourages muscle knots to loosen up and break down. A massage therapist will perform a deep tissue massage or a Swedish massage. Massage helps to release endorphins, which are the body’s natural painkiller. These calm the body and reduce pain. They will also recommend simple massages at home. These can include:

  • Rolling a massage ball/roller on the muscle knot
  • Self-massage using the fingers in circular motions on the affected area

Heat and Ice

Hot and cold therapy can calm and prevent inflammation. Heating pads are best if the area has stiffness or is painful. The heat relaxes tight muscles and increases blood flow. Cold therapy stops the swelling. If the muscle knot gets bigger or begins turning red, icing the area is recommended. Alternating between the two can eliminate symptoms and assist with quicker healing.


Body Composition


Building Functional Strength

There are exercises to improve functional strength. Functional training targets specific areas:

These types of exercises should be incorporated into a workout routine. One exercise is:

Pushup to Arm and Hip Raise

The muscles worked include:

  • Pectoralis major/minor
  • Rectus abdominus
  • Obliques
  • Deep abdominals
  • Hip abductors and rotators
  • Scapula stabilizers

To do the exercise

  • Start with doing a normal pushup.
  • When the top of the movement is reached
  • Lift one arm up, turn the shoulder, and reach up
  • Then lift the outside leg up as high as possible and hold for 10 seconds
  • Repeat on the other side
  • Do 6-10 repetitions on each side

This exercise builds shoulder, arm, and hip strength. It engages the core and abdominal muscles and improves flexibility in the shoulders, back, and hips.

Disclaimer

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico

References

Cramer, Holger et al. “Postural awareness and its relation to pain: validation of an innovative instrument measuring awareness of body posture in patients with chronic pain.” BMC musculoskeletal disorders vol. 19,1 109. 6 Apr. 2018, doi:10.1186/s12891-018-2031-9

Malanga, Gerard A et al. “Mechanisms and efficacy of heat and cold therapies for musculoskeletal injury.” Postgraduate medicine vol. 127,1 (2015): 57-65. doi:10.1080/00325481.2015.992719

Gaining Relief From Back Pain During Menstrual Cycle

Gaining Relief From Back Pain During Menstrual Cycle

Women are familiar with abdominal cramps, Pre Menstrual Syndrome, and headaches that accompany their menstrual cycle. However not as many are aware of backache to throbbing back pain sometimes before and/or after a monthly cycle. Many women go to over-the-counter pain medication like ibuprofen. In a study, the regular use of NSAIDs found that it can lead to:

  • Stomach problems
  • Bleeding ulcers
  • Fluid retention
  • High blood pressure
  • Kidney
  • Heart problems

11860 Vista Del Sol, Ste. 128 Gaining Relief From Back Pain During Menstrual Cycle

Why Back Pain Presents During Menstrual Cycle

When the uterus is in a contracting state, the nerves around the pelvis feel the sensations. The uterus only contracts for a few seconds, but repeatedly for hours. Sometimes, the uterus compresses blood vessels in the region. This can limit or completely block the blood vessels supplying the muscles around the pelvis. This is a major contributor to back pain during a period. This is known as referred pain, which means the body feels the pain in one area, in this case, the lower back. But the pain is caused by another area of the body, the uterus. This can cause cramping and low back pain before, during, and after a period. If cramps and back pain become debilitating or worsen over time, it could indicate:

  • Fibroids
  • Endometriosis
  • Infection
  • Pelvic inflammatory disease
  • If fever is present along with back pain seek professional help as soon as possible.

Here are a few ways that can help bring relief from back pain during the monthly cycle.

Heat Therapy

Heat generates increased blood circulation, specifically where it is applied. Therefore any blood vessels that are blocked by the uterus will have improved circulation to the muscles surrounding the uterus, allowing them to relax. This could be the use of:

  • Heating pads
  • Hot water bottle
  • Warm bath or shower

If at work, many pharmacy stores and regular stores sell heat patches that are applied with adhesive tape. These can be used on the lower abdomen or lower back, providing soothing heat.

Light Exercises

Most doctors refer to exercise throughout the month, just not during the period. As staying in shape will maintain the body’s proper circulation and keep the muscles strong. However, some women can perform light exercises like yoga or swimming. This helps decrease back pain even on the first or second day of a menstrual cycle which for many women is the heaviest and most painful.

Meditate

Meditation can help gain control and insight from feelings about life situations. It takes practice, but once an individual gets the hang of it they are amazed at how much pain can be reduced with a 15-minute meditation session.

Supplemental Support

Taking omega 3’s and magnesium supplements can help with the pain. Omega 3s reduce blood clotting and improve circulation. They are natural anti-inflammatories that decrease prostaglandin, which is associated with backaches and cramps. Magnesium supplements, especially those that contain vitamin B6, can help relieve back pain before and after a period. Magnesium can also be found in:

  • Beans
  • Beets
  • Salmon
  • Shrimp

Chiropractic Care

The uterus, like every organ in the body, sends and receives nerve signals, from the brain to the uterus. The menstrual cycle has a close relationship with the spine because of its location. Regular chiropractic adjustments can maintain proper communication between the brain and uterus. Chiropractic realigns the entire spine back to its proper position. This relieves the pressure on the nerves of the reproductive organs. Seeing a chiropractor is the right step towards stopping the pain and healing the body naturally.


Body Composition


Weight and Strength Training For Women

Key points to remember include:

  • Women can gain as much muscle as men
  • Protein helps with body composition but there should be a balance of carbohydrates and dietary fat.
  • Positive body composition changes can be seen with higher load volume and less explosive tempo that is combined with shorter rest periods when weight or strength training.
  • When lifting weights or resistance training, it could be difficult to gain muscle mass if on birth control, near the perimenopausal stage, or officially on menopause.

One of the benefits of weight and strength training is that it can help an individual feel better about themselves. Weight training is associated with significant improvements in:

  • Body image
  • Quality of life
  • Physical activity behaviors
  • Overall satisfaction
  • Well  being

Disclaimer

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico

References

Brynhildsen, J O et al. “Does the menstrual cycle and use of oral contraceptives influence the risk of low back pain? A prospective study among female soccer players.” Scandinavian journal of medicine & science in sports vol. 7,6 (1997): 348-53. doi:10.1111/j.1600-0838.1997.tb00165.x

Forozeshfard, Mohammad et al. “Short term effects of Kinesio taping on pain and functional disability in young females with menstrual low back pain: A randomized control trial study.” Journal of back and musculoskeletal rehabilitation vol. 29,4 (2016): 709-715. doi:10.3233/BMR-160673

Seguin, Rebecca A et al. “Strength Training Improves Body Image and Physical Activity Behaviors Among Midlife and Older Rural Women.” Journal of extension vol. 51,4 (2013): 4FEA2.

Belly Fat Can Cause Back Pain and Injury

Belly Fat Can Cause Back Pain and Injury

Belly fat is a gateway to back pain/spinal issues that can lead to various health problems. The bulging belly population has grown a bit since the beginning of the COVID-19 pandemic. 37% of individuals have gained weight since it began, according to a global Ipsos survey. If back pain is presenting and there is excess weight around the abdomen known as abdominal obesity, this could be a contributing factor.

11860 Vista Del Sol, Ste. 128 Belly Fat Can Cause Back Pain and Injury

Belly fat and posture

When the natural curves of the spine are normal, the core is stable and well-supported. Excessive weight, including a large abdomen, shifts these curves out of correct alignment. Excessive abdominal fat has been associated with lordosis, which is an excessive inward curve of the spine toward the lower back. One study found that severely obese individuals had pain and changes in posture. This was especially visible in the spine, knees, and feet.

Front-loading shift

The back pain felt from a bulging belly can be caused by a shift in posture and body mechanics. Studies show these can have a negative impact on back pain and body positioning. All or most of the weight is placed on the lower back.

Overloaded discs

Abdominal obesity can damage/injure the discs/shock absorbers of the spine. This leads to:

And a bulging belly can flatten the height of the intervertebral discs.

Fat pollutants in the blood

Fat can accumulate and secrete toxins that contribute to swelling and inflammation that can be painful. Over time, these toxins wear down components of the skeletal system. A study found potential links between obesity and degenerative disc disease. Scientists found a connection in obese men, but not obese women. This is believed to be because men tend to store fat in their bellies, and women tend to store fat in the buttocks and thighs.

11860 Vista Del Sol, Ste. 128 Belly Fat Can Cause Back Pain and Injury

Damage to the musculoskeletal system

The bones constantly renew themselves, but when there is excess body fat it can interfere with the process. This has the potential to turn into osteoporosis over time. Studies associate visceral fat with lower bone mineral density, and an increase in the risk of fractures.

11860 Vista Del Sol, Ste. 128 Belly Fat Can Cause Back Pain and Injury

Ankylosing spondylitis treatment and fat interference

Ankylosing spondylitis is an inflammatory disease that causes chronic back pain and can cause the vertebrae to fuse. The back can be extremely stiff, and the condition can lead to a permanently hunched posture. There are medications to improve symptoms and slow the disease. However, being overweight reduces the drugs’ effectiveness. This is because belly fat can cause medication absorption problems.

Rare spinal condition linked to obesity

Obesity along with a high Body Mass Index increases the risk of a rare condition called spinal epidural lipomatosis or SEL. This is an overgrowth of body fat in the spinal canal. Spinal epidural lipomatosis can cause various types of back pain. This is why it is recommended to have a doctor examine and evaluate any aches or pains.

Body Composition

Kombucha beneficial for gut bacteria

Kombucha contains a wide variety of bacteria and fungi that helps ferment the sugar in kombucha drinks. It is able to affect the existing microbes in the gut by inhibiting the growth of various gut-dwelling pathogens. These include:

  1. It is a probiotic drink made from fermenting green or black tea
  2. It is made up of healthy bacteria that produce acetic acid that is beneficial for blood sugar, insulin levels, and body composition
  3. It helps the body process food by lowering insulin levels after a meal
  4. It contains polyphenols that reduce oxidative stress, to help fight disease risks
  5. It destroys unhealthy bacteria in the gut
  6. It helps increase healthy bacteria

Kombucha can be thought of as a natural antibiotic. However, it does not come with the weight-gain side effect. Improving the health of the gut through fermented foods like kombucha help reduce the risk for weight gain/obesity, as well as restore gut health for those trying to lose weight by creating a healthy gut environment.

Disclaimer

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP, CIFM, CTG*
email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico

References

Osong Public Health and Research Perspectives. (2016) “Influence of Obesity on Postural Stability in Young Adults.” www.ncbi.nlm.nih.gov/pmc/articles/PMC5194219/

Obesity Surgery. (2005) “Postural changes in morbidly obese patients.” pubmed.ncbi.nlm.nih.gov/16105399/

Arthritis Research & Therapy. (2017) “Fat mass and fat distribution are associated with low back pain intensity and disability: results from a cohort study.” arthritis-research.biomedcentral.com/articles/10.1186/s13075-017-1242-z

Clinical and Investigative Medicine. (2014) “Visceral fat reflects disease activity in patients with ankylosing spondylitis.” pubmed.ncbi.nlm.nih.gov/24895992/

European Spine Journal. (2012). “Rapid progression of spinal epidural lipomatosis.” www.ncbi.nlm.nih.gov/pmc/articles/PMC3369035/