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.
Industrialization/modernization has impacted our food, the way we eat and our weight. Processed fast food can be purchased pretty much anywhere. We no longer expend physical energy to hunt and forage for food. Because of this back pain is probably the most common and most troublesome condition that individuals experience. Eight out of 10 will struggle with back pain at some point in their life. Low chronic back pain can become aggravated by a variety of triggers.
Mechanical stress
Excessive strain
Muscle weakness
Poor sleep position
No exercise
Excessive weight
These can all contribute to making back pain even worse. Obesity is defined as a disease. It is a serious disorder that affects adults and children. Being overweight can contribute to the development of coronary heart disease, diabetes, high blood pressure, and colon cancer. And it can also contribute to symptoms associated with:
Osteoporosis
Osteoarthritis
Rheumatoid arthritis
Degenerative disc disease
Spinal stenosis
Spondylolisthesis
Osteoporosis coupled with a sedentary lifestyle and an unhealthy diet can affect the density and the strength of the bones. When the structural integrity of the spine is compromised there is a higher risk for fracture. Vertebral fractures can be painful and disabling. Those diagnosed with osteoporosis probably have lost between 25% to 30% of bone density.
Being Overweight Affects the Spine
The spine carries the body’s weight and distributes the weight in an equal manner when resting and during activity. When there is excess weight the spine is forced to compromise which can lead to injuries and structural damage. The area of the spine that is the most vulnerable is the low back or lumbar spine.
Exercise is Important
When we don’t exercise it leads to:
Poor flexibility
Weak back muscles
Weak pelvis
Weak thighs
This can increase the lower back’s curve, which causes the pelvis to tilt forward in an unhealthy manner. This is detrimental to proper posture and when our posture weakens, the rest of the body follows.
Age Relation
These disorders of the spine might be thought of as the normal aging process. This is true that as we age, the body tissues begin to change and the spine’s disc wear down. But, if you are overweight, chances are you have, or will have pain in the back.
Weight Loss Reduces Back Pain
Weight loss can contribute to a partial or complete reduction in the back pain symptoms. The research between weight loss and back pain is still ongoing but numerous practitioners report cases of patients experiencing a serious reduction in pain after losing the excess weight. Because the extra weight is taken off the spine further stress is avoided. Especially when a chiropractor realigns the vertebral column. According to the American Spine Society, individuals that stay around 10 pounds of their proper weight are those least likely to experience back problems.
Back Health and Physical Activity
Chiropractic is one of the most popular treatments for back pain. With chiropractic adjustments, pain is alleviated but also the root cause of the problems is corrected. Spinal adjustments can help even more when combined with a proper diet and weight loss treatment program.
Besides weight loss, exercising and strengthening the core muscles can guarantee the proper distribution of the body�s weight. Stronger muscles, less weight, and better posture will provide amazing long-term benefits. If you want to know how to incorporate weight loss and exercise in your daily routine, speak to your chiropractor. They are ready to guide you along the way. If you aren�t currently seeing a chiropractor, give us a call. We�re here to help!
Chiropractic Weight Loss
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While chiropractic adjustments and associated therapies can ease back pain symptoms and aid in healing, lifestyle changes like a healthy diet are just as important. The more a patient can get to their ideal weight, the easier it becomes to treat and eliminate the back pain.
Lumbago is a term that means mild to extreme pain in the muscles and joints of the lower spine/back. The pain can be acute or chronic and affects both young and older individuals. The spine is a very intricate structure and when one component fails to function properly it can affect the entire body, causing pain and loss of mobility. Back pain costs about $100 billion in medical bills, disability, and lost workdays.
Tiny bones, known as vertebrae, are stacked on top of each other, which forms the spine. The way these bones are joined facilitates movement, flexibility, and range of motion. In between�each vertebra are small, fluid-filled discs that are the padding/cushions between the bones. When these discs become damaged, injured, or shift out of place it can affect the surrounding nerves, muscles, and ligaments causing pain and making movement difficult.
At some point, an individual will experience some form of back pain. This could be a sore back from yard work, tough manual labor or hard workout, etc. This is a normal occurrence and can be taken care of at home. If you have a sprained or strained back but not a serious injury icing can help reduce swelling, muscle spasms, and pain for the first 24 to 48 hours after the injury. After 48 hours, switch to heat to warm and relax the sore muscle tissues.
Causes
There are a variety of conditions that can cause low back pain. The more common conditions:
Herniated Disc is one of the most common spinal disc issues.
Osteoarthritis or Spondylosis
Osteoporosis
Rheumatoid Arthritis
Scoliosis
Spinal Stenosis
Spinal Tumor
Factors that can contribute to back pain and can exacerbate the pain during episodes of lumbago.
Exposure to a cold damp environment
Poor posture
Sudden movement/s
Coughing
Sneezing
Lumbago Symptoms
Common symptoms of lumbago.
The pain can radiate into the buttocks, thigh/s, and the groin and can cause tingling/numbing/electrical sensations to be felt in the low back, buttocks, and legs and feet.
The pain can be aggravated when moving around. Bending forward, backward and side-to-side can limit mobility.
Spine muscle spasms can cause the back to feel stiff with a constant soreness.
The pain can affect proper posture, which causes individuals to walk bent or hunched to one side.
Lumbago rarely causes serious symptoms that need immediate medical attention.
See A Chiropractor
A chiropractor can help you create a natural, non-surgical treatment/exercise/health plan to control low back pain and prevent future episodes of lumbago. Treatments include physical therapy, chiropractic, supplements, and alternative medicine like acupuncture.
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Everyone needs to take care of their back/spine because it is what holds us up as long as we keep it straight and strong.�Strengthening the core�can help prevent a weak and misaligned spine from getting worse�and helps to eliminate pain. Back safety should be priority one, as it affects all aspects of your life. Not only are you protecting your back, but preventing future injury.
Sacroiliac joint dysfunction and its symptoms can also be a cause for low back pain conditions and disorders.
This condition is also known as:
Sacroiliitis
SI joint inflammation
SI joint syndrome
Sacroiliac joint dysfunction
SI joint strain
It can make regular activities like sitting, standing, walking, and sleeping frustrating, difficult and unbearable. It has been found in around 30-35% of individuals.�Many individuals can spend months or even years dealing with symptoms but are never aware that it’s not the correct diagnosis. Sacroiliac joint dysfunction can sometimes be difficult to diagnose. These joints are so close to the hip and low back, that it is common for sacroiliac joint dysfunction to be mistaken for other causes/conditions of low back pain, like a herniated, slipped or bulging disc.
Sacroiliac Joint Dysfunction Symptoms
When low back pain is present, it can be quite difficult for a doctor to figure out the exact source/cause of your pain.
These are a few recognizable symptoms of sacroiliac joint dysfunction.
Low back pain is the most common.
Pain could also present in the hips, buttocks, thighs, and possibly the groin area.
The pain can be so severe that just touching the area is unbearable.
Other activities that can cause symptoms:
Common movements like climbing stairs, sitting down/getting up out of a seat, can cause pain. Pain can also be aggravated from standing or walking for extended periods but improve when relaxed or lying down. Stiffness or a burning sensation in the pelvis can also present.
Causes of Joint Dysfunction
A variety of conditions can cause sacroiliac joint dysfunction. The most common:
Arthritis
Joint pain can be caused by spinal osteoarthritis because as the cartilage around the sacroiliac joint wears down, the bones can start to rub against each other. Ankylosing spondylitis is an inflammatory arthritis that affects the spine that can also cause joint dysfunction.
Pregnancy
Pregnant women can experience low back pain or pelvic pain from sacroiliac dysfunction because the joints get stretched and lose their elasticity during pregnancy. Hormone changes and added weight during pregnancy can place added stress on the sacroiliac joints.
Accident Trauma
High impact from an auto accident, slip and fall injury, or sports injury could damage the sacroiliac joint/s.
Viral Infection
Infections are extremely rare but could be another cause of joint pain.
There are a variety of treatment options that can help reduce and prevent low back pain.
Exercise/Physical Therapy
Exercise and physical therapy are therapies that doctors highly recommend before other treatments like pain medications or surgery. Exercise, chiropractic and physical therapy can help manage pain and other symptoms. Consult your doctor before starting any physical therapy or exercise program. Your doctor can recommend a chiropractor or therapist that can help get you started with the proper exercise treatment plan.
Physical Therapy
Physical therapy can help reduce stress on the joints, that are strained and tight. It also helps maintain joint flexibility. A physical therapist will perform passive and active treatment therapies to help manage joint pain.
Passive treatments – the physical therapist does the majority of the work. An example of passive treatment applying heat or ice along with massaging the area.
Active treatments – the patient participates in the treatment with at-home exercise routines is an example of active treatment.
A combination of passive and active treatment provides the best outcomes and offers the most benefits, as the patient has the know-how of proper posture, exercises that they can do and injury prevention. A chiropractor and physical therapist can build a physical therapy program to help address your symptoms.
Exercise
With sacroiliac joint dysfunction, you do not have to do hard intense exercise. The benefits come from a consistent gentle exercise routine with an emphasis on consistency. Exercising stretches and strengthens muscles of the low back muscles and helps maintain joint flexibility.
An overall exercise plan should incorporate the three main types:
Sacroiliac joint dysfunction is known to cause low back pain, but diagnosing can be hard for some doctors. Especially those that do not have a great deal of experience in sacroiliac joint pain. However,�chiropractors specialize in this area as the SI joint is an important part of the musculoskeletal system.
There are different types of topical medications, different ways of delivery and are available for patients with back and neck pain. A physician may combine one or more types of medication for maximum relief or as a way of�limiting the side effects of larger doses of only one medication. Strong dose compounds and controlled drugs are�only�available with a doctor’s prescription.
Medicines with a low potency and low risk of side effects are available at stores and local pharmacies over-the-counter. But remember medications sold over the counter without a prescription doesn’t mean they are safe to use as much as possible. Please read the label and follow the instructions. Taking higher doses, even acetaminophen e.g. Tylenol can cause liver damage. Discussing these medications with a doctor or pharmacist before purchase would be wise. Your physician should know if you plan to continue using over-the-counter medications.
Medicines with a low potency and low risk of side effects are available at stores and local pharmacies over-the-counter. But remember medications sold over the counter without a prescription doesn’t mean they are safe to use as much as possible. Please read the label and follow the instructions. Taking higher doses, even acetaminophen e.g. Tylenol can cause liver damage. Discussing these medications with a doctor or pharmacist before purchase would be wise. Your physician should know if you plan to continue using over-the-counter medications.
Inform your physician about all the products you take including herbal remedies to decrease the risk of side effects or potential severe drug interactions. When acute pain is present, injections either intravenous or intramuscular injected into the muscles are used. For chronic pain, medications are used and are typically in pill form. Both methods have limitations and different�delivery�approaches may be considered. This includes inhalation or topical on top of the skin applications.
Topical Pain Alleviators
These type of medications come prepared and are applied to the skin via:
Topical medications aim to reduce inflammation and soothe nerve and muscle pain. Some are available with a doctor’s prescription and others are over-the-counter. Medication administered�through the skin is becoming more popular.
Skin Cells
The skin is the largest organ of the body. It serves as�water barrier protection, it regulates body temperature, controls fluid loss, and is important to homeostasis/healthy internal balance.
It is made up of many layers and is supported by a complex blood supply. The blood vessels are in a framework of connective tissue including fat and fascia that holds the tissues together. Below that layer is the bone and muscle. There are also nerve endings that relay touch, temperature, and pain signals from the skin to the spinal cord, to the brain.
Compounds�have been developed to safely carry the various medicines through the skin into the blood. These compound enhancers are able to penetrate the skin by opening normally closed channels for a quick time to help the skin absorb the medication/s and then close back up.
Spine Pain
Spine physicians and pain specialists often first recommend topical pain-relievers to help relieve the symptoms of back and neck pain/conditions.
Topical medicines may be used to treat the pain associated with:
Neck strain
Low back strain
Whiplash
Muscle inflammation
Spasms
Osteoarthritis
Rheumatoid arthritis
Certain types of nerve pain
Topical Advantages
Bases like creams, ointments, gels, and sprays make application easy.
Symptom relief is faster than oral medicines.
Symptoms reduce at a steady rate.
Relief can last longer.
Not as much medicine is needed when applied in topical form.
As the medication is diffused through the skin and enters the bloodstream, it bypasses the digestive system reducing any unwanted�side effects, like an irritated stomach.
Topical Disadvantages
Blood flows in different ways to different parts of the body. Education about the product is essential to know where to apply the product like the arm or abdomen and how often.
Blood flow to certain parts of the body can change over time. For example, when it’s cold the blood vessels in the skin contract which decreases the absorption of the medicine, while sweating can open the pores too much and allow too much medication to be absorbed too quickly or wash it away completely.
The skin could present a negative reaction. Therefore patients need to know what to do if an allergic or other reaction takes place.
The skin nerves are different from the spinal nerves, so certain types of neck/back pain may not respond well to topical treatment.
Spinal conditions/disorders deep in the body will not respond well to topical therapy.
Is it right
Are topical pain-alleviating medications the right for you? The best person to ask is your doctor or healthcare provider. Upon a final diagnosis and medical history, your doctor should offer various treatments/therapies for pain management.
Conclusion
Patches and creams can be used to deliver a wide variety of medications. These topicals are becoming popular because of their convenience and, reduction of negative side-effects.
For individuals with muscle or tendon inflammation, applying a topical to the affected area limits the amount of medication going to other areas of the body that do not need it.
For those that have stomach problems and find it difficult to digest anti-inflammatories, these topicals could be all they need to stay active.
Individuals with chronic neck or back pain should discuss these medications with their pain specialist, physician or chiropractor to see if one of these topicals might work for them.
El Paso, TX Neck Pain Chiropractic Treatment
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Everyone needs to take care of their back/spine because it is what holds us up as long as we keep it straight and strong.�Strengthening the core�can help prevent�a weak and misaligned spine from getting worse�and helps to eliminate pain.
Back safety should be priority one, as it affects all aspects of your life. Not only are you protecting your back, but are preventing future injury. We all need to pay attention to proper body positioning and�body mechanics, as it will pay off in the long run.
Living in the desert means we don’t have to deal with digging/shoveling through snow and ice, but there are still proper techniques, tools, body mechanics, posture, and core strength that we should pay attention to and apply to guard our spines and general health. It is no surprise that when shoveling many individuals experience muscle fatigue, low back strain, vertebral disc damage (herniated disc), and even spinal fractures.
A great deal of these injuries come from excessive stress to spinal structures by slip and fall accidents. Shoveling is a frequent cause of back pain and injuries. Injuries are not only limited to the musculoskeletal system but excessive shoveling can also place added stress on the cardiovascular system.� Any hint of shortness of breath or chest pain, stop shoveling immediately but if symptoms continue, seek medical attention.
A study published indicated when handling heavy material with a shovel, the L5-S1 disc has been identified as the weakest link in the body. The most severe injuries along with pain are likely to occur in the back. Here are some tips to prevent injury.
Shoveling Basics
Shoveling can be compared to weight lifting and intense aerobic exercise. To help your body function correctly consider the following tips:
Eat long before shoveling so you have fuel but don’t cramp up.
Avoid caffeinated drinks/beverages. Stimulants can increase heart rate and cause blood vessels to constrict.
If you experience pain, stop immediately and get assistance.
Pace yourself when shoveling.
Take plenty of breaks.
Drink plenty of water to rehydrate your body.
For snow, if the ground is icy or slick, throw sand or salt to help create traction. But still be aware that some areas can still be uneven and cause you to slip, trip, or fall.
Proper Clothing
Consider the weather before beginning the job.
When it’s cold dress in layers, wear gloves, and a hat because a good amount of body heat is lost through the head. If icy cold, use a scarf.
Wear clothing that is easy to move around in.
Proper boots are essential for maintaining balance, traction and keeping feet warm/dry.
Choose specialized work/blister-free gloves or thicker gloves, that allow for a good grip on the handle.
The Shovel That’s Right for You and the Job
Shovels come in different materials, purposes, shapes, and sizes.
Choose an ergonomic shovel with a curved handle. These shovels help keep your back straight and reduce spinal stress.
Hardware stores stock ergonomically designed shovels of all types.
For snow maybe try a shovel with a plastic blade instead of metal as it’s lightweight.
Sometimes a smaller blade is the way to go. You don’t shovel as much per load, but it weighs less and puts less strain on the spine.
Don’t go for a cheap model if the job you are doing is heavy-duty. Your body will thank you.
Once you have your shovel take some time to learn the proper technique.
Technique is Key
Take some time to stretch and prepare your body as warm muscles work better.
Hand placement on the shovel is very important! Don�t grip with the hands close to each other.
Keep some distance between the hands. This will give you more leverage and make it easier to lift.
Think about proper posture and maintaining the natural curve of your spine.
Address the task directly.
Stand with your feet shoulder-width apart to stay balanced.
Try to keep the shovel close to your body. Holding a shovelful with arms outstretched puts added weight on your spine.
Bend at the knees and not the waist or back.
Tighten your stomach muscles as you lift.
Lift with your legs and not your back.
Dump the material in front of you. If you need to move the material to the side, move your feet.
Do not twist your body.
Scoop small amounts into the shovel
Walk to where you want to dump it.
Do not throw over your shoulder.
Go forward with the material.
Pace yourself. Take frequent breaks and stretch your back and body.
Power Equipment
Power equipment is terrific, but if it’s not used correctly, you can still strain or injure your back.
Example: Snowblowers are designed to remove snow at a certain speed but pushing or forcing the equipment to go faster is defeating the purpose of the machine doing the work for you.
You may not realize that you hurt your back. But that little twinge you felt could change your life forever. Getting back to 100% of where you were before the injury could take time and treatment. So, do not take this activity lightly and remember prevention is the best defense.
El Paso, TX Lower Back Pain Chiropractic Care
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Injuries that are caused by repetitive movements often develop gradually.�It�s not until the symptoms get very painful and debilitating that the individual realizes that something is wrong. Don�t wait, as soon as you feel a tingle, slight pinch, or a little soreness and feel that it’s from your work, get in touch with a doctor or chiropractor.
Around 70% of America’s workforce sits in an office chair for most of the day. Then we spend extended time sitting down eating, studying, watching T.V., and driving. All of this time spent sitting is taking its toll on our bodies.
Effects of When We Sit Too Long
Sitting places added stress and pressure on the back because it transfers the body’s full weight onto the buttocks and thighs. Sitting for long periods can cause pressure to increase on the discs, which can lead to severe/chronic back pain. Sitting also takes a toll on the lower extremities. As the blood stays�in the legs and feet this creates a sluggish return of blood to the heart.
In addition to sitting proper body mechanics are not implemented. Most of us sit with an improper posture, which can not only cause physical discomfort but also contributes to other health problems, which include:
Abdominal pain
Back pain
Eyestrain
Leg pain
Neck pain
Repetitive movement/motion injuries
Using a well-made ergonomic chair can help reduce fatigue, discomfort, increase blood flow, reduce injury, and increase job productivity.
An Ergonomic Chair
If it is to be used at a computer station or on a factory�machine, it needs to be able to handle the tasks and fit the worker’s size. Here are some recommendations to help you pick a quality chair that will increase comfort and reduce injury.
Casters
Use a chair with casters either in the form of a pivoting roller/with wheels and a 5-point base to make movement easier. There are different types of casters, some for carpet use, and soft wheel casters for hard surfaces like tile and linoleum. Rubber locking casters can help prevent tipping. Also, choose a chair that swivels easily.
Seat Pan
The seat pan supports the majority of your weight. A chair with the cushion made from a dense, foam padding or spring coils is better than a basic cushion that loses its shape and compresses which causes discomfort, imbalance, and hip/back fatigue. The pan should be at least one inch wider than the hips and thighs on each side. The front part of the seat should slope down a little and allow a fist-sized space between the back of your knees and the front edge of the seat pan to reduce pressure on the back of the thighs.
Also, a chair with tilting adjustments allows the individual the ability to a forward working posture or a properly reclined posture. Some seat pans also have a sliding mechanism that can be beneficial. This means small and tall users are able to adjust the distance of the seat pan from the backrest.
The Backrest
Adequate back support is the most essential element of a backrest. Inadequate back support places added pressure on the spine. The backrest should be small enough to fit the small of the back, the pelvis, and back of the rib cage or be curved. Both provide adequate support. A lot of the chairs come with a built-in adjustment, that can be adjusted by turning a knob on one side or under the chair. Chairs with back supports that are large enough to provide mid-back and upper back support are an added bonus.
Armrests
Chairs with adjustable height and width are necessary with a chair with armrests. The armrest should be made of soft comfortable material and be 2 inches wide for adequate surface area.
Seat Height
Pretty much all chairs come with a seat height adjustment. A properly�adjusted�seat means that your feet can rest properly on the floor while the upper body is aligned with the computer, display, and keyboard. Hydraulic adjustments are standard on most chairs, but there are pneumatic adjustments that allow you to adjust the seat height while sitting on the chair. Keep in mind the mechanism to adjust the seat should be easy to reach.
Chair Reclining and Tilt Adjustment
The chair recline/tilt adjustment changes the angle of the entire seat. Like with the backrest angle adjustability, a reclined chair transfers upper body weight to the backrest of the chair. However, locking the backrest in one position is not recommended or beneficial for the back.
Considerations
Footrests
For most a footrest is not necessary. But if additional foot support is necessary, a floor-mounted rest will allow you to rest your feet in a comfortable position.
Fabric Types
Keep in mind the cleaning and maintenance that goes into the chair when choosing which. Upholstery is the most common covering but is not the easiest to keep clean. Vinyl and leather covers are easy to clean but don’t breathe well and can generate heat in the legs.
Safe Sitting
Other than using an ergonomic chair, here are some precautions to minimize discomfort and injury while sitting:
Do not stay in one position for a long time.
Change postures often.
Shift between sitting and standing, 20 minutes of standing then 20 of sitting.
Try to keep your feet flat on the floor.
Sit with proper posture upright with your back and shoulders against the backrest.
Do not use the armrests to slouch.
Elbows and arms should rest lightly to promote circulation.
Make sure the shoulders are relaxed and slightly dropped when on the keyboard.
�Stay In a Neutral Posture
With the back supported and straight
The hips slightly higher than the knees
Keep between 2-4 inches of the chair edge and behind the knees
Maintain an equal balance of weight on the seat
Most Important
Take frequent breaks
Stand up and move around
Stretch
Be aware of your posture while your sitting
Correct yourself if you are slouching or moving out of the proper posture
Take deep breaths
This will increase blood flow and reduce fatigue.�Small changes will go a long way and keep you comfortable and healthy.
Work smarter not harder
Because we spend so much time in a chair we need to have the right one that will protect our spines. Think of the chair as a piece of�work�equipment to optimize productivity. Ergonomics utilized to the fullest means less back pain and better focus.
When your body is truly healthy, you will arrive at your optimal health and proper physiological state. �We want to help you live a new and improved lifestyle. Over the last two decades, while researching and testing we have learned what works effectively at decreasing pain while increasing human vitality.
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Ergonomic chairs have come a long way, and they do help reduce spine problems, pain, and improve movement.�Improving spinal health and hygiene at work�is as simple as�taking breaks for light stretching,walking around, and utilizing ergonomic office products to stay fit and injury-free. Whatever you choose, understand how your back and neck are moving/functioning during the workday/night by using ergonomic fundamentals that will keep your body/mind healthy and prevent office injuries.
Back/spine injuries now rank either second or third overall for workplace injury/s. According to the Bureau of Labor Statistics, every year there are over 900,000 cases of back injuries that account for 1 in 4 non-fatal job-related injuries that involve work days missed.�
Backcare & Standing Work
Back injuries can be painful, debilitating, and life-changing. 8 out of 10 people will experience a back/spine injury that can lead to chronic pain and health conditions. We all need to know, especially those of us that work standing up is firsthand knowledge of how important it is learning how to improve spine health and take steps to prevent back injury.
In order to prevent low back disorders means that there needs to be an understanding�of the spine when working along with knowledge of back injury risk factors.
Back/Spine Basics
The spine is a flexible structure that consists of 24 bones that move, shift, and contort, called vertebrae. There are:
7 in the neck
12 in the chest
5 in the low back
These are connected by ligaments and separated by pads of cartilage, called intervertebral discs. These are the shock absorbers that allow the flexible movement of the spine, specifically at the neck and the low back.
When we stand, the spine naturally curves inwards and outwards. The inward curve is called lordosis, and curves towards the front of the body at the lower back and neck area. The outward curve is called kyphosis, and curves towards the back of the body around the chest area. When we bend over the vertebrae of the lower back change position and shift from being in lordosis to kyphosis when completely bent over and then back again when upright. With this information, it is easy to see how much we move around, bend, stretch and reach during a regular day. The lower back gets used the most, which is why low back pain and injury/s and disorders are the most common.
The National Institute of Occupational Safety and Health concluded: �muscle strain is the most common type of work or nonwork back pain� (Bernard, 1997). This is good news for chiropractors and ergonomists because it means that we can find ways to reduce/change the way we work and the effort involved to minimize injury risks.
Keeping the intervertebral discs healthy plays an extremely significant role in preventing back/spine injuries. If these discs get damaged and start to degenerate,�flexibility begins to fade away, stiffness and soreness sets in and the ability to absorb the daily pressure/forces that comes with standing, moving and working.
There is not a normal blood supply to the intervertebral discs. Instead, as the discs change shape when we move around, the nutrients that they need are absorbed into the discs as the waste products are pumped out. This is why moving the body and staying active is very important. Because as you move you are literally feeding your spine and expelling the bad stuff. Intermittently changing postures and positions helps change the force and weight on the discs so that not all one area is taking the brunt of the force. Remember to move around and keep your spine as healthy as possible.
Risk factors
Major risk factors for back injuries include:
Awkward postures
Bending
Twisting�
Heavy physical tasks
Lifting
Forceful movements
Whole-body vibration aka W.B.V.
Static or unmoving work postures
These risks can happen separately or could be a combination of them all, and if these risks are taking place at any one time the higher probability of an injury/s.
Standing Work
When we stand, the pressure on the�lower back discs is relatively low. Not that there is pressure but it is much lower than when seated with an unsupported backrest like bleachers for example. Standing up uses 20% more energy than sitting does. When we need to bend down to pick up objects or reach to get overhead objects there is an increase in the forces and pressure on the lower back, and this is when an injury is likely to happen.
Tips to Minimize Injury
Here are some tips to help minimize your risks of back/spine injury when you are doing standing work:
Moving around is important to keep the spine healthy. Moving will help improve circulation and reduce muscle fatigue.
Taking consistent short breaks will help reduce fatigue, discomfort and work other muscles.
Gentle stretching during some of these breaks helps to ease muscle tension and gets circulation pumping.
Pay attention to your posture and the way you stand as you work.
Lean on a solid support to help reduce fatigue when you are standing with a support that you can put your back up against, lean against sideways, lean forwards against and to hold on to will increase safety.
Keep your back strong and try to do exercises that will strengthen the back muscles. Activities, like Yoga, Crossfit, HITT or workouts focused on the spine for flexibility are the way to go.
Maintain a stable posture with your feet on a firm surface.
Avoid twisting the lower back around to reach for things.
Move your feet so that your whole body changes position.
Minimize bending, but when you have to, bend for objects in front of you and bend at the knees instead of the back. When bending for objects that are to the side of you change your stance so you are facing the object, and then bend down at the knees.
Don’t overreach but if you have to reach up to a high area to get something use a step-ladder.
Don’t reach over objects and move the obstruction or change your position before reaching for whatever it is.
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The one size fits all method just doesn�t cut it. A more focused approach for every individual leads to better results. Patients find that placing their bodies in certain positions and certain physical activities can:
Activate
Aggravate
Deactivate�their back pain.
Patients also find the pain being either better or worse. Understanding why sitting, standing, and walking can change the severity of low back pain can be helpful in diagnosis. These are important cues that help to diagnose and treat low back pain. People sit, stand, and walk all day. This is why so much research has been conducted on how these specific positions and activities contribute to low back pain.
IFM's Find A Practitioner tool is the largest referral network in Functional Medicine, created to help patients locate Functional Medicine practitioners anywhere in the world. IFM Certified Practitioners are listed first in the search results, given their extensive education in Functional Medicine
