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.
One of the most prevalent types of pain worldwide is lumbar back pain, which affects many people and can be costly. This type of pain can be triggered by several environmental factors, which can overlap and cause referred pain throughout the body. Some factors linked to low back pain include those that impact people working for a living.
Age
Physical inactivity
Excess weight
Improper lifting
Excessive sitting
Stress
Wear and tear on the spinal discs
When environmental factors cause spine misalignment, the surrounding muscles become weak, tense, and strained. This can result in the body shifting its weight to alleviate pain. However, many non-surgical treatments are available to relieve low back pain and realign the spine. In this article, we will discuss how lumbar back pain affects the body and how non-surgical therapies such as vertebral axial decompression can help to reduce it. We utilize and incorporate valuable information about our patients to certified medical providers using non-surgical treatments like vertebral axial decompression to relieve pain associated with the lumbar spine. 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 Is Lumbar Back Pain?
Research studies suggest that lumbar back pain is commonly experienced as a symptom in the midline or sacral region of the body. This pain can develop gradually due to unwanted pressure and weight on the spinal discs, which compresses the nerve roots surrounding the spinal cord. Based on additional studies, lumbar back pain is often categorized into two types for diagnosis.
Specific low back pain: overlapping symptoms are caused by pathological mechanisms like, herniated discs, infections, musculoskeletal disorders, fractures, or disc degeneration.
Non-specific low back pain: where overlapping symptoms are causing pain in the lumbar region without a specific cause. This form of low back pain causes referred pain to different locations.
Many individuals commonly suffer from non-specific lower back pain, which can be triggered by environmental factors and affect their daily function. However, there are methods to alleviate lumbar back pain without surgery.
From Injury to Recovery with Chiropractic Care-Video
Nobody must suffer from lumbar back pain, as many effective treatments are available to help realign the body back to normal. Non-surgical treatments like chiropractic care and decompression therapy can reduce the effects of lumbar back pain and realign the spine. These treatments can restore blood flow and nutrients to spinal discs, relieve the affected muscles, and be personalized to an individual’s health and wellness plan. This may include physical therapy to strengthen weak muscles surrounding the lumbar, nutritional advice to incorporate healthy whole foods to feed the body, and mindfulness practices to reduce the effects of stress on the body. Check out the video above to learn how to identify the root cause of health issues related to lumbar back pain and take steps toward your health and wellness journey.
What Is Vertebral Axial Decompression?
If you’re experiencing lumbar back pain, there are a variety of non-surgical and non-invasive treatments that can help alleviate the discomfort. One such treatment is decompression therapy, which involves gently pulling the spine to reduce pain and rehydrate the spinal disc. In this article, we’ll discuss vertebral axial decompression, a specific type of therapy. According to Dr. Eric Kaplan, D.C., FIAMA, and Dr. Perry Bard, D.C.’s book, “The Ultimate Spinal Decompression,” vertebral axial decompression can effectively reduce lumbar pain. Vertebral axial decompression (VAX-D) was developed by Dr. Allen Dyer, M.D., Ph.D. The book also explains that VAX-D uses a logarithmic time force curve to apply tension to the spinal column, bypassing muscle guarding reflexes in the lumbar spine and reducing disc pressure. Overall, vertebral axial decompression can be a useful treatment option for those with lumbar back pain.
How Does It Reduce Lumbar Back Pain?
Many individuals who suffer from lumbar back pain experience associated pain symptoms that affect their legs and feet. This is referred to as sciatica or leg pain associated with pressure on the spinal discs. Vertebral axial decompression is one effective solution to reduce this pressure and alleviate nerve root aggravation. Research studies have shown that this treatment can improve mobility, reduce pain in the lumbar spine, and minimize the effects of lumbar back pain. By lowering intradiscal pressure, vertebral axial decompression allows for better blood flow and nutrient absorption to rehydrate spinal discs.
Conclusion
Lumbar back pain is a common and costly issue that causes misalignment in the body by putting pressure on the spinal disc, resulting in referred pain in various body parts. Environmental factors can contribute to the development of this condition, causing muscles and nerves to become tense, weak, or strained. Fortunately, many treatments are available to alleviate lumbar spine pain and relieve pressure from the spinal discs. Decompression therapy is effective in restoring mobility and reducing pain. Vertebral axial decompression is a non-surgical option that gently stretches the spine and rehydrates the spinal disc, revitalizing the body.
References
Casser, Hans-Raimund, et al. “Acute Lumbar Back Pain.” Deutsches Arzteblatt International, 1 Apr. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4857557/.
Goose, E E, et al. “Vertebral Axial Decompression Therapy for Pain Associated with Herniated or Degenerated Discs or Facet Syndrome: An Outcome Study.” Neurological Research, Apr. 1998, pubmed.ncbi.nlm.nih.gov/9583577/.
Kaplan, Eric, and Perry Bard. The Ultimate Spinal Decompression. JETLAUNCH, 2023.
Koes, B W, et al. “Diagnosis and Treatment of Low Back Pain.” BMJ (Clinical Research Ed.), 17 June 2006, www.ncbi.nlm.nih.gov/pmc/articles/PMC1479671/.
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/.
A joint is where two bones meet. The two sacroiliac or SI joints connect the spine, pelvis, and hips. This strong joint balances and transmits stress from the upper body to the pelvis and legs. The joints can suffer a sprain causing pain and discomfort symptoms. There can also be the feeling of tightness wrapping around the waist and dull aching across the low back as the surrounding muscles tighten up as a form of protection, also known as muscle guarding. A correct diagnosis is vital to avoid any potentially serious complications. Chiropractors are experts on neuromusculoskeletal problems and can treat, heal, and strengthen the body through various MET, mobilization, and manipulation techniques.
Sacroiliac Sprain
The main function is to balance the upper and lower body forces. The sacroiliac joints are surrounded by muscle, connective tissue, nerves designed to withstand large stresses and a complex system of ligaments, further strengthening the joints.
Injury Causes
Sacroiliac sprains can be caused by direct trauma to the pelvis from a fall or automobile collision or jobs and sports that involve a lot of bending and twisting. However, sometimes there is no distinct cause. Common causes include:
Repetitive microtrauma is excessive/repetitive movements like prolonged twisting, bending, or lifting at work, home, physical activities, and sports.
The joint can be pushed out of alignment.
Muscular imbalance or weakness in the muscles surrounding the sacroiliac joints can cause problems to develop over time, presenting little or no symptoms.
The tissues around a sacroiliac joint also can be stretched or torn.
Trauma such as a fall or road traffic accidents
Problems with the hips, knees, and feet can generate increased pressure on the joint, which can become painful over time due to repetitive strain.
Pregnancy hormones released to promote pelvis relaxation can increase the risk of SI sprain injury.
Excessive stress on the joint can cause microscopic damage to the ligaments surrounding the joint. The joint then becomes inflamed and presents with pain and sensations of discomfort. The body responds by contracting the muscles to prevent further damage. However, the muscle spasms may not stop, resulting in more pain. Referred pain is common from the muscles that go into spasm, with the most affected being the piriformis, gluteal/buttock, and psoas muscles.
Signs and Symptoms
Tenderness over the affected joint and area.
Pain symptoms on one or both sides above the joints and into the buttocks.
Standing or working with increased weight on one leg increases pain symptoms.
Pain after lifting or twisting that develops a little while later.
Pain travels to the back of the leg, front of the thigh, and the groin.
Pain gets worse when sitting and bending forward.
Lying down eases the symptoms.
Most cases report no loss of strength, tingling, or numbing sensations.
Chiropractic Treatment
Chiropractic treatment will relieve the pain symptoms, but there are stages of treatment, each with specific goals before moving to the next.
The objective of the initial stage is to decrease pain and inflammation.
The second stage is stabilizing and restoring proper musculoskeletal function.
Rehabilitation and targeted stretches and exercises will be introduced as the treatment continues.
In the maintenance stage, there should be no pain, and the individual should be able to perform normal daily activities and return to normal life.
Recovery time for a sacroiliac sprain can be 4-6 weeks but can take months to heal completely.
Chiropractic Approach for Pain Relief
References
BIDWELL, A M. “Treatment of sacroiliac sprain by manipulation.” The Medical World vol. 65,1 (1947): 14-6.
Evans, P. “Sacroiliac sprain.” American family physician vol. 48,8 (1993): 1388; author replies 1390.
LeBlanc, K E. “Sacroiliac sprain: an overlooked cause of back pain.” American family physician vol. 46,5 (1992): 1459-63.
Sun, Chao, et al. “Cost and outcome analyses on the timing of first independent medical evaluation in patients with a work-related lumbosacral sprain.” Journal of Occupational and environmental medicine vol. 49,11 (2007): 1264-8. doi:10.1097/JOM.0b013e318156ecdb
The lumbar/low back muscles support the upper body’s weight and are involved in moving, twisting, bending, pushing, pulling, and reaching. These repetitive actions can result in a lumbar strain, which is muscle damage or injury to the tendons or muscles of the lower back, causing spasms, soreness, and pain. A lumbar strain can be the source of severe pain symptoms; it can be debilitating and, if left untreated, can lead to chronic conditions. Injury Medical Chiropractic and Functional Medicine Clinic can relieve symptoms, realign the body, relax, rehabilitate, strengthen muscles, and restore function.
Lumbar Strain
The lumbar vertebra makes up the region of the spine in the lower back. Sudden injuries or overuse injuries can damage the tendons and muscles. Lumbar muscle strain is caused when the muscle fibers are abnormally stretched or torn. Lumbar strain can be acute/sudden or chronic/lingering. A strain that has been present for days or weeks is referred to as acute. It is considered chronic if it has persisted for over three months. It can occur at any age but is most common in individuals in their forties. Increased risk factors can include:
Weakened back or abdominal muscles can cause
Tight hamstrings can pull the low back muscles down.
Excessive lower back curvature.
Forward-tilted pelvis.
Symptoms
Lumbar strain can have varied signs and symptoms depending on the location, damage, and cause of injury. The damage can range from simple overstretching injuries to partial or complete tears of varying degrees. The tears cause inflammation in the surrounding area, resulting in back spasms and difficulty moving. A muscle spasm is a cramp caused by a sudden and involuntary contraction or twitch and can be one of the symptoms of a lumbar strain. Other symptoms can include:
Muscle spasms either with activity or when resting.
Stiffness in the low back.
Difficulty standing or walking, with slight relief when resting.
Trouble doing simple tasks like bending or climbing stairs.
Low back pain can radiate into the buttocks without affecting the legs.
The lower back may be tender and sore to the touch.
Decreased muscle strength.
Restricted or limited range of motion.
Inability to maintain healthy posture because of stiffness and/or pain.
Discomfort symptoms that persist.
Discomfort ranges from mild aches to sharp, debilitating pain.
Intermittent flare-ups.
Causes
There are often multiple underlying risk factors contributing to the injury or damage. A few of the most common causes:
Depending on the severity, a doctor or health care provider could recommend chiropractic treatment and physical therapy. The chiropractor will perform an evaluation, combined with the doctor’s diagnosis, to develop a customized/personalized treatment plan. Treatment may include:
Ice and heat therapy
Massage to stimulate blood circulation
Percussive muscle stimulation
Pelvic traction
Ultrasound
Stretching exercises
Exercises to do at home for long-term relief.
It is a safe option to loosen tight back muscles, relieve pain, and promote lower back healing.
Spine Injuries In Sports
References
Ball, Jacob R et al. “Lumbar Spine Injuries in Sports: Review of the Literature and Current Treatment Recommendations.” Sports medicine – open vol. 5,1 26. 24 Jun. 2019, doi:10.1186/s40798-019-0199-7
Domljan, Z et al. “Lumbalni strain-sindromi” [Lumbar strain syndromes]. Reumatizam vol. 38,5-6 (1991): 33-4.
Li, H et al. “Rehabilitation effect of exercise with soft tissue manipulation in patients with a lumbar muscle strain.” Nigerian journal of clinical practice vol. 20,5 (2017): 629-633. doi:10.4103/njcp.njcp_126_16
Williams, Whitney, and Noelle M Selkow. “Self-Myofascial Release of the Superficial Back Line Improves Sit-and-Reach Distance.” Journal of sport rehabilitation vol. 29,4 400-404. 18 Oct. 2019, doi:10.1123/jsr.2018-0306
The human body has numerous musculoskeletal muscles that allow the host to do various movements without pain or discomfort. Each muscle group has tendons, muscles, ligaments, and connective tissues surrounding the skeletal joint and protecting the skeletal structure. Each muscle group in the body allows different functions, from turning the neck from side to side to enabling the legs to provide motion when walking. Now naturally, the body ages over time, which can lead to muscle weakness in the muscle groups and affect the connective tissues, or various disruptors can develop in a healthy body that can also affect the muscles and connective tissues. Fortunately, the multiple muscle groups and connective tissues are affected by overlapping risk profiles. In that case, there are many treatments and techniques that many pain specialists utilize to restore the body and relieve pain-like symptoms associated with musculoskeletal disorders. Today’s article examines connective tissues, how conditions can affect the connective tissues, and how the MET technique stretches or strengthens the body’s connective tissue. We provide information about our patients to certified medical providers that offer available therapy techniques like MET (muscle energy techniques) for individuals dealing with chronic conditions associated with disorders affecting the body’s connective tissues that can correlate and develop with overlapping pain profiles. We encourage each patient appropriately by referring them to our associated medical providers based on their diagnosis results. We accept that education is a spectacular way when asking our providers the most crucial questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., assesses this information as an educational service. Disclaimer
What Are Connective Tissues?
The human body is a multiplex machine that is composed of many tissues that surround the skeletal joints and vital organs with the basic functions that the body produces. Research studies reveal that, as the name has implied, connective tissues in the body refer to the several different body tissues that connect and support the other tissues by binding them to the body. Now there are three different categories that connective tissue can be broken down into:
Loose connective tissue
Dense connective tissue
Specialized connective tissues
These three different connective tissue categories have functions that allow the body to perform properly and provide support to the rest of the musculoskeletal system. The dense connective tissues make up the body’s tendons and ligaments that move the hands and feet while having a higher collagen fiber density. The loose connective tissues help keep the vital organs in place. And finally, the specialized connective tissues are composed of adipose tissues, cartilage, lymphoid tissues, etc. When the body begins to age naturally or is dealing with issues affecting the connective tissues, it can develop musculoskeletal disorders associated with the connective tissue.
Disorders Affecting The Connective Tissues
Have you been experiencing muscle pain or weakness in your body? Do your hands or feet feel tired? Or do you feel stiffness and pain in your joints? Many pain-like symptoms are associated with musculoskeletal disorders affecting the body’s connective tissues. As stated earlier, when the body begins to age naturally, the various muscles in the body can develop into musculoskeletal disorders associated with the connective tissues. Aging can affect connective tissue function as the cartilage from the specialized connective tissues has less elasticity and changes the proteoglycan both quantitatively and qualitatively, according to the book, “Clinical Applications of Neuromuscular Techniques,” written by Leon Chaitow, N.D., D.O., and Judith Walker DeLany, L.M.T. Additional research studies have revealed that environmental factors associated with the body’s immune system can affect the connective tissues. This is known as connective tissue disorder, and it can be comprised of numerous conditions that can affect the immune system and cause overlapping symptoms in the musculoskeletal system. This includes some of the following:
Inflammation in the joints causes them to lock up
Muscle weakness where myofascial entrapment affects the muscle fibers
Fatigue
Vitamin deficiency
An Introduction To MET- Video
Have you been feeling stiffness in your muscles or joints? Does it hurt when you are bending over and lifting heavy objects? Or are you feeling tired constantly? When the body deals with these issues, it can affect more than the muscles and connective tissues. This can lead to symptoms of stiffness and aches in the joints while restricting the range of motion to the muscles. When this happens to the body, many pain specialists utilize MET (muscle energy technique) and relieve those symptoms. Studies reveal that MET is a manual treatment for soft tissue, helping mobilize the joints and stretch tight muscles and fascia to improve circulation to the connective tissues and drain the lymphatic system. The video above introduces how MET is used on the body.
The MET Technique On Connective Tissues
Research studies reveal that since the muscles and joints are being held together by connective tissues, using the MET technique allows pain specialists to stretch the muscles and joints to release tension and other symptoms associated with pain. When pain specialists use the MET technique on the body, it can help strengthen the weaker muscles while paying attention to how short the muscles are affecting the body. While the MET technique can help support the muscles with combined physical therapy, it can help stretch the tight muscles and overworked connective tissues. This allows the body to be restored and get back to normal. Many pain specialists like chiropractic care allow the MET technique to stretch the trapped connective tissues and free the body’s structures to correct postural imbalances.
Conclusion
The body’s connective tissues support each muscle, organ, and skeletal structure. When issues affect the body, the various muscle groups, and connective tissues start to develop overlapping symptoms associated with pain. When pain-like symptoms affect the body, many people will go to a pain specialist and be treated using the MET technique to restore the muscles and body and return to normal.
References
Chaitow, Leon, and Judith Walker DeLany. Clinical Applications of Neuromuscular Techniques. Churchill Livingstone, 2003.
Kamrani, Payvand, et al. “Anatomy, Connective Tissue.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 24 Jan. 2022, www.ncbi.nlm.nih.gov/books/NBK538534/.
Page, Phil. “Current Concepts in Muscle Stretching for Exercise and Rehabilitation.” International Journal of Sports Physical Therapy, U.S. National Library of Medicine, Feb. 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3273886/.
Rao, Vijay, and Simon Bowman. “Latest Advances in Connective Tissue Disorders.” Therapeutic Advances in Musculoskeletal Disease, U.S. National Library of Medicine, Aug. 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC3728978/.
Thomas, Ewan, et al. “The Efficacy of Muscle Energy Techniques in Symptomatic and Asymptomatic Subjects: A Systematic Review.” Chiropractic & Manual Therapies, U.S. National Library of Medicine, 27 Aug. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6710873/.
Every day, the body is in constant rest or active motion when needed, from working to exercising and getting adequate rest to repeat the cycle. However, as the body is in this dynamic/rest motion, unintentionally, many individuals will be hunched forward, causing their posture to be slouched for long periods. To that point, it can cause the surrounding neck, shoulder, and back muscles to be pulled and overly stretched, causing pain when the individual gets out of the reclined position. When a person is constantly being hunched over, the action alone could lead to poor posture, which can cause misalignment to the spine and be associated with many chronic conditions that affect their way of life. Fortunately, various treatments can help alleviate poor posture and its associated symptoms. Today’s article examines what defines good posture, the influences that can affect body posture, and how treatment techniques like MET (muscle energy technique) can help improve posture. We mention our patients to certified medical providers that provide available therapy treatments like MET (muscle energy techniques) for individuals suffering from chronic conditions associated with poor posture that can correlate with overlapping risk profiles. We encourage each patient when it is appropriate by referring them to associated medical providers based on their diagnosis or needs. We understand and accept that education is a marvelous way when asking our providers crucial questions at the patient’s request and acknowledgment. Dr. Alex Jimenez, D.C., uses this information as an educational service. Disclaimer
What Defines Good Posture?
Have you been experiencing referred pain in your neck, shoulders, or lower back? Do you feel pain when stretching after being hunched over throughout the day? Or have you noticed that your neck is slanted, which causes your head to poke in front of your shoulders? Many of these issues are correlated with poor posture. Many of us have heard the saying from our parents, “Stand up straight!” And this is a reminder that having good posture correlates with good spinal health. The book, “Clinical Applications of Neuromuscular Techniques,” written by Leon Chaitow, N.D., D.O, and Judith Walker DeLany, L.M.T, mentions that posture is used to describe the static state of the spine. There are two different types of posture: static and dynamic. Static posture is when the body is in motion, while dynamic posture is when the body is resting. So good posture allows the spine to naturally curve with minimal pain affecting the cervical, thoracic, and lumbar regions.
Influences That Affect Body Posture
As stated early, many of us unintentionally hunch our bodies over time. This is one of the issues as we constantly look down on our phones, and as we get older, it can affect our ability to balance ourselves. Research studies reveal that improper posture can affect static and dynamic balance as we age. This means that when we are constantly hunched over as older adults, we are more prone to the risk of falling and causing long-term disability to our bodies. Additional research studies also mentioned that chronic conditions like forward head posture (which correlates to constantly looking down at the phone) could cause a persistent and abnormal contraction of the neck and shoulder muscles to become dysfunctional. To that point, it can cause pressure on the muscles, fascia, and nerves in the cervical-thoracic regions of the body. When bad posture affects the body over time, it can develop into musculoskeletal disorders if not treated immediately.
5 Way To Improve Posture- Video
Have you felt muscle strain on your neck, shoulders, and back? Have you felt relief when you stretch after being hunched over? Do you feel unstable when walking? These issues could be correlated with your posture if you have been experiencing these issues. When it comes to the body, it is important to make sure that maintaining good posture is not just to please your parents but to have a healthy spine. When we are constantly hunched over, it can cause the muscles and connective tissues to have gravitational strain and shorten the length of the muscles. However, realizing that you have poor posture early on can be treated. The video above shows the five best ways to improve your posture and how to strengthen the back, neck, and shoulder muscles from developing chronic conditions. Exercise alone can not be the only solution; combining it with chiropractic therapy allows the body to be fully restored with various techniques to reduce pain-like symptoms.
How The Met Technique Helps Improve Posture
So how would chiropractic care help with improving posture? Many chiropractors use techniques like MET (muscle energy technique) and spinal manipulation to help restore the body to realignment. Studies reveal that the combinations of MET and stretching can help lengthen the short muscles and restore range of motion to the body. Chiropractors use their hands and various tools to help realign the spine from subluxation and return the body to normal while freeing the tense muscles. Chiropractic care decreases the body’s risk of back injuries while reducing wear and tear on the muscles and joints, contributing to poor posture.
Conclusion
Overall, it is important to maintain good posture to prevent unwanted chronic issues from causing pain-like symptoms to the body. Recognizing the problems contributing to poor posture, treatment, and exercise can help stretch and strengthen the back muscles from hunching over. Maintaining good posture allows the body to be pain-free and prevents many unwanted symptoms from developing.
References
Chaitow, Leon, and Judith Walker DeLany. Clinical Applications of Neuromuscular Techniques. Churchill Livingstone, 2003.
Cohen, Rajal G, et al. “Lighten up! Postural Instructions Affect Static and Dynamic Balance in Healthy Older Adults.” Innovation in Aging, U.S. National Library of Medicine, 24 Mar. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7092748/.
Lee, Joon-Hee. “Effects of Forward Head Posture on Static and Dynamic Balance Control.” Journal of Physical Therapy Science, U.S. National Library of Medicine, Jan. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4756019/.
Phadke, Apoorva, et al. “Effect of Muscle Energy Technique and Static Stretching on Pain and Functional Disability in Patients with Mechanical Neck Pain: A Randomized Controlled Trial.” Hong Kong Physiotherapy Journal : Official Publication of the Hong Kong Physiotherapy Association Limited = Wu Li Chih Liao, U.S. National Library of Medicine, 14 Apr. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC6385145/.
Prolonged standing can cause the pelvis to push backward, increasing the curve of the lower back/lumbar region. This increased pressure on the soft tissues surrounding the spine causes the lower back muscles to tighten and/or spasm, resulting in discomfort in the joints and nerves. Weakened core muscles and unhealthy posture/postural syndrome are the most common causes, but injury, aging, congenital malformations, or a disease/condition can also contribute to the symptoms. Injury Medical Chiropractic and Functional Medicine Clinic has a top team of professional therapists to evaluate the problem, diagnose the cause/s accurately, and develop a customized treatment and rehabilitation plan.
Prolonged Standing Back Discomfort
Back Structure
The lower back is one of the most used areas of the spine, moving around and bending during a normal day. When the body stands, the spine naturally curves both in and outwards.
The inward curve, called lordosis, curves towards the front of the body at the lower back and neck regions.
The outward curve, called kyphosis, curves towards the back of the body at the chest.
When bending over while standing, the five lumbar vertebrae of the lower back change position and shift from lordosis to kyphosis when bent completely.
When standing up from bending, the lumbar vertebrae change position again and return to the lordosis position.
Causes
The facet joints allow movement between each spine level. The standing spinal curvature can increase contact between the facet joints. As the body ages, the facet joints and discs begin to wear out, which can cause the discs and facet joints to become inflamed. Prolonged standing during normal daily activity combined with inflammation in these joints can aggravate the inflammation and cause symptoms. Regular routines and habits may contribute to low back discomfort during prolonged standing. These include:
Sleeping on a sinking or unsupportive mattress.
Practicing unhealthy postures that cause imbalances with proper weight distribution.
Not wearing proper footwear and/or supportive orthotics forces the lower spine into increased curvature and can compress the facet joints.
Not getting enough physical activity that strengthens the core.
Chiropractors are experts on the musculoskeletal system. They will:
Listen to the patient about symptoms, medical history, and occupation.
A physical examination of muscle tone, strength, and range of motion.
Therapeutic massage, electric muscle stimulation, and ultrasound therapy can help reduce muscle inflammation and increase circulation to injured soft tissues.
Chiropractic adjustments will reset joints, removing pressure from the surrounding muscles and nerves.
Targeted therapeutic strength training is recommended for core and leg muscles to improve hip flexibility.
Non-surgical decompression or traction, either with a machine or suspension, can reverse the pressure in spinal discs.
Standing Lower Back Relief Exercises
References
Hasegawa, Tetsuya, et al. “Association of low back load with low back pain during static standing.” PloS one vol. 13,12 e0208877. 18 Dec. 2018, doi:10.1371/journal.pone.0208877
Jo, Hoon, et al. “Negative Impacts of Prolonged Standing at Work on Musculoskeletal Symptoms and Physical Fatigue: The Fifth Korean Working Conditions Survey.” Yonsei medical journal vol. 62,6 (2021): 510-519. doi:10.3349/ymj.2021.62.6.510
Ognibene GT, Torres W, von Eyben R, Horst KC. Impact of a sit-stand workstation on chronic low back pain: randomized trial results. J Occup Environ Med. 2016;58(3):287-293. Abstract. www.ncbi.nlm.nih.gov/pubmed/26735316. Accessed March 2, 2017.
Parry, Sharon P et al. “Workplace interventions for increasing standing or walking for decreasing musculoskeletal symptoms in sedentary workers.” The Cochrane database of systematic reviews vol. 2019,11 CD012487. November 17, 2019, doi:10.1002/14651858.CD012487.pub2
Rodríguez-Romero, Beatriz, et al. “Thirty Minutes Identified as the Threshold for Development of Pain in Low Back and Feet Regions, and Predictors of Pain Intensity During 1-h Laboratory-Based Standing in Office Workers.” International journal of environmental research and public health vol. 19,4 2221. February 16, 2022, doi:10.3390/ijerph19042221
Smith, Michelle D et al. “The Influence of Using a Footstool during a Prolonged Standing Task on Low Back Pain in Office Workers.” International journal of environmental research and public health vol. 16,8 1405. April 18. 2019, doi:10.3390/ijerph16081405
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