Back Clinic Therapeutic Massage Team. We all want to relax. In our hectic lives, it’s hard to find time for R&R. If you deal with this in your life, a massage is in order. Massage therapy is a general term that refers to various types of soft tissue manipulation for therapeutic purposes. It involves manually working on the body with gentle pressure or through the use of mechanical aids. Depending on the way the massage is applied, it can be used to provide relaxation and well-being.
Healthcare providers recognize massage therapy as a legitimate therapy for lower back pain. It utilizes manual manipulation to improve circulation, relax muscles, improve range of motion, and increase endorphin levels. This therapy usually follows some medical treatment. Types of therapy include neuromuscular, sports, and Swedish.
For example, Neuromuscular therapy, which is the most effective treatment for low back pain, consists of alternating levels of pressure applied to muscles to alleviate the muscle spasms. First of all, make sure to drink plenty of water following a massage. With massaging procedures, the tissues of your body will be stimulated, resulting in the release of toxins.
Drinking at least 10 glasses of water throughout the day will flush out the toxins. Aim to drink 2-3 glasses within the first hour or so and then at least 8 more within the next 24 hours. In the hour following the massage, drink several glasses and then continue with eight more in the next 23 hours.
Body stiffness is common, especially as the body ages. Stiffness can result from intense work, lack of physical exercise, or specific conditions. The reasons vary from individual to individual. Some feel stiff when they wake up, while others become stiff after stopping physical activity. For others, stiffness can result from practicing unhealthy postures, intense workouts, or something new that the body is beginning to get used to. There are several ways to prevent and treat stiffness, no matter the cause, including targeted physical movements, posture corrections, body decompression, chiropractic realignment, stretches, and therapeutic massage.
Body Stiffness
Knowing the cause of body stiffness and how to relieve it can help prevent and treat the condition so the body can function better. It’s vital to see a health care professional immediately if stiffness results from an injury, accompanied by pain, it does not go away with home treatments, or if an insect bite or infection could be the cause.
Individuals should speak to a healthcare professional for frequent stiffness that interferes with their quality of life.
Most of the time, stiffness can be treated at home and reduced through preventative measures.
Stay active but not too hard until the body gets used to the activity.
Various relief methods include a warm bath, massage shower, or self-massage.
Intense Work or Exercise
The muscles incur tiny tears when exercising or performing heavy labor, especially when the body is not used to the intensity or duration.
These tears are normal and help build larger and stronger muscles.
Individuals may feel stiff and sore for 24-72 hours as the body repairs itself.
Inflammation surrounding the joints/synovial fluid after heavy activity or repetitive movements is another cause.
Inactivity
Moving around generates the synovial fluid that lubricates the joints.
When body movement stops, like going to sleep or long periods spent sitting, working, or watching tv, fluid production slows down, resulting in body stiffness.
The lack of fluid after movement can make the body feel stiff when returning to activity.
Unhealthy Posture
The body can become stiff and sore when routinely holding the body in a way that strains the muscles, tendons, and ligaments.
Sitting or standing incorrectly from an unhealthy workstation setup or postural habits contributes to stiffness and musculoskeletal problems.
Medical Conditions
Medical conditions can cause stiffness like rheumatoid arthritis, Lyme disease, thyroid disease, strains and sprains, and low vitamin D levels.
See medical attention if you suspect any medical causes are behind the body stiffness.
Prevention
Depending on the reason behind body stiffness, there are ways to prevent it.
Warm-Up
Warming up before any physical activity loosens up the muscles before fully engaging.
Soreness will present and is part of the muscle repair process.
Properly warming up can help the repair go faster.
Mobility and Flexibility Breaks
Taking breaks from inactivity by getting up and moving around, walking, or performing mobility movements could increase the secretions of joint fluid, prevent stiffness, and relieve the effects of poor postural habits you may have been making.
Set a timer to break up periods of inactivity and move around.
Get up for 5 minutes every hour to move the muscles and get the blood flowing.
Stay Aware of Posture and Form
Postural awareness can help prevent muscle strain that leads to stiffness.
Adjusting the workspace and posture can help prevent stiffness.
The posterior chain: head, neck, torso, and legs are aligned with the feet flat on the floor and back supported.
Stay Active
Maintaining muscle movement maintains blood circulation, which can help reduce stiffness.
Exercise helps reduce inflammation, increases synovial fluid production, and helps strengthen the muscles.
Active Recovery
Participating in active recovery can help bring blood flow to the muscles and prevent inflammation.
Light cardiovascular activities include swimming, cycling, walking, or bodyweight movements.
Anti-Inflammatory Nutrition
Anti-inflammation nutrition like the Mediterranean diet, which includes healthy fats, plenty of fruits and vegetables, lean proteins, seafood, and whole grains, can help reduce aches and stiffness.
Getting enough vitamin D can reduce stiffness.
Chiropractic Flexibility Restoration
Chiropractic adjustments, decompression, MET, and therapeutic massage techniques can relieve muscle soreness and stiffness and restore body function. The chiropractic team will evaluate the individual, diagnose the cause/s, and develop a personalized treatment plan. The team will provide posture training, stretching the body, using a percussive massager or foam roller to break tight, stiff muscles and release adhesions of tissues.
Enhance Your Lifestyle
References
Mailey, Emily L et al. “Comparing the effects of two different break strategies on occupational sedentary behavior in a real-world setting: A randomized trial.” Preventive medicine reports vol. 4 423-8. 9 Aug. 2016, doi:10.1016/j.pmedr.2016.08.010
Schleip, Robert, and Werner Klingler. “Active contractile properties of fascia.” Clinical Anatomy (New York, N.Y.) vol. 32,7 (2019): 891-895. doi:10.1002/ca.23391
Shimoyama, Daisuke, et al. “Reliability of shoulder muscle stiffness measurement using strain ultrasound elastography and an acoustic coupler.” Journal of medical ultrasonics (2001) vol. 48,1 (2021): 91-96. doi:10.1007/s10396-020-01056-0
Trube, Niclas, et al. “How muscle stiffness affects human body model behavior.” Biomedical engineering online vol. 20,1 53. 2 Jun. 2021, doi:10.1186/s12938-021-00876-6
Weerapong, Pornratshanee, et al. “The mechanisms of massage and effects on performance, muscle recovery, and injury prevention.” Sports medicine (Auckland, N.Z.) vol. 35,3 (2005): 235-56. doi:10.2165/00007256-200535030-00004
Percussive massage guns have become a standard tool in osteopathy, physical and massage therapy, and chiropractic care. They provide rapid bursts of force into muscle tissues to quickly loosen and relax the muscles to alleviate soreness, stiffness and increase circulation. Percussive massager therapy devices can be a healthy part of an exercise and recovery routine. They allow individuals to give themselves quick, powerful massages anytime and anywhere. But they need to be used correctly to reap the benefits.
Percussive Massager
These devices can be found in stores and online. Many are on the market, making it tough to separate high-quality massagers from low-quality ones. With a little research and advice from a physical therapist or chiropractic professional, they can help the individual get the right one and training on how to use them to maintain a healthy musculoskeletal system.
Percussive Therapy
Massage guns utilize percussive therapy or vibration therapy, sometimes simultaneously. Percussion and vibration therapy are slightly different. They are soft tissue manipulation, which reduces muscle soreness and post-physical activity, and workout fatigue.
Vibration therapy uses vibration movements to relax the body, alleviate stress and improve circulation.
Vibration therapy applies force to targeted areas but with less intensity.
This type of soft tissue therapy is generally defined as reaching eight to 10 millimeters into the soft tissues.
Vibration therapy is often recommended for individuals with chronic pain conditions, overly sensitive muscles, or a medical condition that prevents them from using percussive therapy.
Percussive therapy involves the application of force to muscles and fascia to break up adhesions and increase circulation to sore and sensitive areas.
Percussive therapy extends deeper into the muscles and reaches deep into soft tissue, estimated to be about 60% deeper.
Using It Properly
It’s important to know how to use the machine to get the most out of a percussive massager. Using the massager incorrectly can lead to further injury or the development of new injuries.
Before Workouts
A pre-workout massage session can help warm up the body by increasing circulation and improving the range of motion of the muscles that will be engaged during the workout. Spend one to two minutes massaging each muscle group that will be worked out, plus 30 seconds on supporting muscle groups. For example, here is a pre-workout massage for a leg workout.
Sixty seconds on each quadricep.
Sixty seconds on each hamstring.
Thirty seconds on the lower back.
Thirty seconds on each calf.
Circulation increases in less than five minutes, and the muscles are ready for exercise. However, this does not replace proper warming-up like dynamic stretching and light cardio to increase heart rate.
After Workouts
After working out, a percussive massage can be part of the cool-down.
Post-workout percussive therapy can help return the body from a heightened state to a resting state.
Percussive therapy helps reduce inflammation, which helps reduce post-workout muscle soreness is thought to occur due to microscopic tears in muscle fibers and inflammation in the tissues.
Percussive therapy maintains increased circulation after a workout, providing oxygen and nutrients to tired muscles.
The massage helps relax the nervous system by reducing soreness and pain signals, similar to a TENS unit.
Sore Muscles
The muscles may still be sore a day or two after working out. This is called delayed-onset muscle soreness/DOMS.
A percussive massage can help but may not completely alleviate DOMS but it will provide temporary relief.
The massager’s speed and depth settings should be adjusted to where they don’t cause pain.
Sore muscles tend to remain sensitive, and it is recommended to use the lower settings.
Once a setting feels good, use the massager for one to two minutes on each sore area.
How Not to Use
Individuals are recommended to consult a doctor if not sure of percussive massage therapy and should avoid using a percussive massager on:
Musculoskeletal injuries – sprains and strains.
Bony areas.
Areas of severe or unexplained pain.
Sensitive areas.
Bruises or open wounds.
Individuals with arthritis, osteoporosis, fibromyalgia, or other musculoskeletal conditions.
Percussive massage devices are safe to use for muscle soreness and as a tool to improve fitness.
Individuals can safely use a percussive massager every day as long as they use proper techniques and don’t exceed the recommended usage time, usually provided with instructions on how long to use the device during a session. And some massagers have an automatic shut-off so the individual doesn’t exceed the recommended time.
Revitalize and Rebuild with Chiropractic
References
Cheatham, Scott W et al. “Mechanical Percussion Devices: A Survey of Practice Patterns Among Healthcare Professionals.” International journal of sports physical therapy vol. 16,3 766-777. 2 Jun. 2021, doi:10.26603/001c.23530
Dupuy, Olivier, et al. “An Evidence-Based Approach for Choosing Post-exercise Recovery Techniques to Reduce Markers of Muscle Damage, Soreness, Fatigue, and Inflammation: A Systematic Review With Meta-Analysis.” Frontiers in physiology vol. 9 403. 26 Apr. 2018, doi:10.3389/fphys.2018.00403
García-Sillero, Manuel et al. “Acute Effects of a Percussive Massage Treatment on Movement Velocity during Resistance Training.” International journal of environmental research and public health vol. 18,15 7726. 21 Jul. 2021, doi:10.3390/ijerph18157726
Hotfiel, Thilo, et al. “Advances in Delayed-Onset Muscle Soreness (DOMS): Part I: Pathogenesis and Diagnostics.” “Delayed Onset Muscle Soreness – Teil I: Pathogenese und Diagnostik.” Sportverletzung Sportschaden : Organ der Gesellschaft fur Orthopadisch-Traumatologische Sportmedizin vol. 32,4 (2018): 243-250. doi:10.1055/a-0753-1884
Imtiyaz, Shagufta, et al. “To Compare the Effect of Vibration Therapy and Massage in Prevention of Delayed Onset Muscle Soreness (DOMS).” Journal of Clinical and diagnostic research: JCDR vol. 8,1 (2014): 133-6. doi:10.7860/JCDR/2014/7294.3971
Konrad, Andreas, et al. “The Acute Effects of a Percussive Massage Treatment with a Hypervolt Device on Plantar Flexor Muscles’ Range of Motion and Performance.” Journal of sports science & Medicine vol. 19,4 690-694. 19 Nov. 2020
Muscle knots or trigger points are tissues/segments of muscle fibers stuck in a contracted state and balled up or become entangled. To the touch, they can feel like small bumps, nodules, or knots. They are primarily found in muscles, but they can also be found in tendons, fascia, periosteum, and ligaments. Tight muscles can limit flexibility, increase discomfort and pain symptoms, and cause further injury that can develop into chronic conditions. Trigger points can develop in all muscles and multiple muscles simultaneously. The Injury Medical Chiropractic and Functional Medicine Team can create a personalized treatment plan for trigger point alleviation.
Muscle Knots Trigger Points
When muscle fibers are stuck in contraction, blood circulation decreases in and around the affected area, and the necessary nutrients and oxygen cannot be delivered. The excessive accumulation of the chemicals – acetylcholine, and calcium leads to a lack of oxygen in the area, which causes muscle fiber contraction and spasms. As the muscle fibers overly contract, they form a knot. Waste materials build up in the fibers as the blocked circulation doesn’t allow removal. This irritates the trigger point, which reacts by sending out pain signals. The brain responds by telling the body not to use that muscle, causing the muscle to tighten, become weak, and lose range of motion. The other muscles have to work harder to compensate.
Trigger Point Types
Active and Latent
One type is an active trigger point.
The trigger point causes pain and discomfort even when the muscle or tissue rests.
The other type is latent, which means that the point does not cause pain or is sometimes even noticed until pressure is applied to the point or area.
Because key trigger point muscles are weakened, the muscles around that point need to work harder, causing multiple knots to form.
Referred pain happens when a satellite trigger point causes sensations in a different area from the point itself.
Causes
The main causes include the following:
Direct Trauma
Muscle trauma or injury can cause fibers not to heal properly, causing segments to stay deprived of oxygen and knotted.
Excessive and Extended Exercising
During exercise/physical activity, profound muscle strain and injury can occur from pushing too hard for too long without proper recovery and repair.
Maintaining Healthy Posture
Unhealthy postures can cause tension, stiffness, and aches and pains.
Stress and Fatigue
Emotional and physical stress takes a toll on the body, which can result in excessive muscle contraction.
Most of the time, it happens subconsciously without realizing that the body is tensing up.
This is why engaging in relaxation activities, including therapeutic massage, is important.
Inactivity
Lack of physical activity and a sedentary lifestyle can cause muscle spasms and over-contracting, leading to muscle knots.
Medical Conditions
Conditions that affect muscles, like arthritis and fibromyalgia or medications, can cause muscle spasms and the development of trigger points.
Chiropractic and Massage Therapy
Chiropractic and therapeutic massage is an effective treatment to relieve muscle knots and symptoms and restore the body to optimal function. Massage uses various techniques to increase blood circulation, break down inflexible scar tissue and stretch and loosen muscles. Pain and discomfort decrease by allowing the muscles to move and restoring blood flow.
Massage Therapy Chiropractic Care
References
Barbero, Marco, et al. “Myofascial pain syndrome and trigger points: evaluation and treatment in patients with musculoskeletal pain.” Current Opinion in Supportive and palliative care vol. 13,3 (2019): 270-276. doi:10.1097/SPC.0000000000000445
Cheung, Karoline, et al. “Delayed onset muscle soreness: treatment strategies and performance factors.” Sports medicine (Auckland, N.Z.) vol. 33,2 (2003): 145-64. doi:10.2165/00007256-200333020-00005
Money, Sarah. “Pathophysiology of Trigger Points in Myofascial Pain Syndrome.” Journal of Pain & palliative care pharmacotherapy vol. 31,2 (2017): 158-159. doi:10.1080/15360288.2017.1298688
Moraska, Albert F et al. “Responsiveness of Myofascial Trigger Points to Single and Multiple Trigger Point Release Massages: A Randomized, Placebo-Controlled Trial.” American Journal of physical medicine & Rehabilitation vol. 96,9 (2017): 639-645. doi:10.1097/PHM.0000000000000728
Weerapong, Pornratshanee, et al. “The mechanisms of massage and effects on performance, muscle recovery, and injury prevention.” Sports medicine (Auckland, N.Z.) vol. 35,3 (2005): 235-56. doi:10.2165/00007256-200535030-00004
Massage is part of integrative medicine and can be used for various medical conditions. In massage therapy, a therapist rubs and kneads the body’s soft tissues, including muscle, connective tissue, tendons, ligaments, and skin. The therapist varies the amount of pressure and movement. Individuals often start feeling the effects right away. One of the benefits is increased temperature. Increased temperature amplifies blood flow and circulation, enabling muscular and connective tissues to release restriction, and muscle tightness, relieve tension, and improve movement. A massage therapist will use different techniques to increase the temperature to treat various conditions.
Increased Temperature
Some patients want to know why their muscles heat up or burn during a massage. Muscles burn because of the accumulation of waste in the cells. The waste products are released as a result of massage. The muscles release lactate, a byproduct of glucose. The effects of deep tissue massage are almost the same as the effects of exercise. During the massage:
The demand for oxygen in the tissues increases.
Because of this, blood flow circulation to these tissues increases.
This is necessary to supply oxygen and glucose.
It excretes waste substances and toxins.
Muscle heat or burn during massage differs for everybody. Some individuals don’t feel it at all. The session can be so intense that the muscles can’t clear the lactate/toxins fast enough, causing the burning sensation.
Fascia Circulation
The temperature of the fascia can also be increased. Fascia is the thick, fibrous layer of connective tissues beneath the skin that can often become restrictive. Increased temperature in the superficial and deep tissues releases, relaxes, and loosens tight, tense, shortened, and/or injured areas, allowing muscular tissues to increase in elasticity, flexibility, and relaxation. Heart rate is raised, improving circulation and increasing the delivery of oxygen and nutrients to the affected areas and the rest of the body.
Myofascial release involves slowly applying pressure to the area using flattened hands and fingers.
The slow, soft pressure increases the temperature of the fascia.
As the hands and fingers get deeper within, they slowly move around, spreading the fascia.
This releases the tightness and relieves the pain.
An individual’s posture can improve when the temperature is increased. Muscular tension and tightness can cause increased pain symptoms, not allowing healthy posture.
Muscle Burn Relief
Rehydrate
Drink plenty of water after the session is over.
Water maintains proper circulation for excreting waste products and nourishes the muscle cells with fresh nutrients and oxygen.
Avoid coffee and alcohol as they increase urination and blood osmolality and dehydrate the body.
Stretching
Stretching before and after a session can relieve muscle soreness.
Stretching exercises increase blood flow.
Stimulates the release of synovial fluid around the joints.
Sleep
Get plenty of rest after a session.
The body knows how to restore itself; during sleep, it reduces cortisol secretion.
It increases the stimulation of antioxidative hormones to go after free radicals.
Herbal Remedies
Herbal remedies like ginger, garlic, cloves, and cinnamon increase blood circulation, reducing pain and swelling.
They have anti-inflammatory properties that help with muscle burn and soreness.
After a session, a little peppermint or CBD oil can relieve the sore parts.
Chiropractic Success Story
References
Dion LJ, et al. Development of a hospital-based massage therapy course at an academic medical center. International Journal of Therapeutic Massage and Bodywork. 2015; doi:10.3822/ijtmb.v8i1.249.
Rodgers NJ, et al. A decade of building massage therapy services at an academic medical center as part of a healing enhancement program. Complementary Therapies in Clinical Practice. 2015; doi:10.1016/j.ctcp.2015.07.004.
Individuals can experience back muscle rigidity for years and not realize it. This is because the muscles tighten incrementally, and slowly the body begins to acclimate to the feeling and positioning that it becomes normal. And it continues with gradually increased aches and pains. Not until an individual has experienced a therapeutic massage and chiropractic adjustment do they realize just how tight and stiff they were. This is when individuals realize how their musculoskeletal system works and need to maintain loose, flexible muscle tissue for mobility and function. Injury Medical Chiropractic and Functional Medicine Clinic can treat, rehabilitate, educate, and improve an individual’s overall health.
Muscle Rigidity
When the body needs to move, the brain sends a nerve signal to the muscles in that region, causing the muscles to tighten or contract. Muscles can contract a little or a lot, depending on the activity. After contracting, the muscles relax until the next time they are needed. Muscle rigidity happens when a muscle or a group of muscles stays fully or partly contracted for an extended period. The nerve signals keep telling the muscle to contract even when the muscle is no longer needed. This can last for several hours or days.
The longer the muscle remains contracted, the more symptoms present and persist. Muscle rigidity is often triggered by stress. Stress affects the body’s nervous system, including nerves and their function. The nervous system can respond to stress by generating additional pressure on the blood vessels, reducing blood circulation, and causing tension and pain.
Causes
Certain medications, such as statins, can cause muscle rigidity, and several conditions can also contribute to it. These include:
Dehydration is a condition as a result of not drinking enough water.
A repetitive strain injury is an injury to the muscles or nerves due to muscle overuse.
Pinched nerves.
Delayed-onset muscle soreness is stiffness and pain that develops hours or days after strenuous physical activity and exercise.
Chronic fatigue syndrome is a condition that causes extreme fatigue, sleep problems, and pain.
Myofascial pain syndrome is a chronic disorder where pressure on sensitive muscle points causes pain.
Rheumatoid arthritis is a chronic inflammatory disorder affecting the joints.
Fibromyalgia is a chronic disorder that can cause muscle soreness, pain, and rigidity.
Claudication is a condition in which cramping occurs due to a lack of blood flow to the muscles, usually in the legs.
Lyme disease and Rocky Mountain spotted fever wick-borne illnesses that can cause nerve damage.
Amyotrophic lateral sclerosis is a neurodegenerative disease that causes nerve problems and a loss of voluntary muscle control.
Chronic exertional compartment syndrome is a muscle and nerve condition that causes pain and swelling.
Dystonia is a condition that causes random/involuntary muscle contractions.
Lupus is a chronic inflammatory disease that can cause joint pain and stiffness.
Parkinson’s disease is a neurological disease that affects movement.
Polymyalgia rheumatica is a chronic inflammatory disease that can cause muscle pain and stiffness.
Bacterial and Viral infections.
Treatment
The objective of treatment is to train the muscles to relax completely. The specific treatment used can vary depending on the cause and severity.
Chiropractic
Chiropractic treatment will address the condition or injury and then the muscle rigidity. Treatment involves massaging (manually and percussively) the areas to relax and stretch the tight tissues. Chiropractic releases and realigns the misaligned joints and bones to their proper position. The central nervous system recognizes the new positioning as naturally energy efficient. However, there will still be aches and soreness as the body adjusts until it becomes more consistent and normal for the individual.
Home Therapy
Home therapy is recommended with physical therapy and/or chiropractic to maintain flexibility and make necessary changes/adjustments to a treatment plan as the patient progresses and the muscles start to adhere to the massaging, manipulation, and training. They can include the following:
Applying a warm compress or heating pad to the affected area increases circulation.
Targeted gentle stretches.
Avoiding certain activities that could trigger the muscle to become rigid again until the body is ready.
Chandwani D, Varacallo M. Exertional Compartment Syndrome. [Updated 2022 Sep 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK544284/
Chu, Eric Chun-Pu et al. “Chiropractic care of Parkinson’s disease and deformity.” Journal of medicine and life vol. 15,5 (2022): 717-722. doi:10.25122/jml-2021-0418
Joshi, Aditi et al. “Effectiveness of Myofascial Release (MFR) vs. High-Frequency Transcutaneous Electrical Nerve Stimulation (TENS) for Pain Relief and Functional Improvement in College Students With Trapezius Myalgia.” Cureus vol. 14,10 e29898. 4 Oct. 2022, doi:10.7759/cureus.29898
Tan, Xueli, et al. “The efficacy of music therapy protocols for decreasing pain, anxiety, and muscle tension levels during burn dressing changes: a prospective randomized crossover trial.” Journal of burn care & research: official publication of the American Burn Association vol. 31,4 (2010): 590-7. doi:10.1097/BCR.0b013e3181e4d71b
Arteries carry blood from the heart to the rest of the body. The veins transport blood back to the heart, and the valves in the veins stop the blood from flowing backward. When the veins have difficulties sending blood from the limbs back to the heart, this is known as venous insufficiency. With this condition, the blood does not flow back properly to the heart, causing blood to accumulate in the veins of the legs. Chiropractic care, therapeutic massage, and functional medicine can increase and improve circulation and help manage symptoms.
Venous Insufficiency
The circulatory system is responsible for transporting blood, oxygen, and nutrients to the cells in the body. This system consists of the heart, arteries, veins, and capillaries. When blood circulation is restricted, it can lead to a buildup of toxins and waste products, which can cause various health problems, including fatigue, muscle cramps, and dizziness. Unhealthy circulation can also contribute to other health conditions like heart disease, stroke, and diabetes. The most common causes of venous insufficiency include:
Blood clots
Varicose veins
A family history of venous insufficiency.
Deep vein thrombosis.
When forward flow through the veins is obstructed, such as in the case of a blood clot, blood builds up below the clot, which can lead to venous insufficiency.
In varicose veins, the valves can be missing or damaged, and blood leaks back through the defective valves.
In some cases, weakness in the leg muscles that push blood forward can also contribute to venous insufficiency.
Venous insufficiency is more common in women than men and is more likely in adults over 50.
Circulation Symptoms
There are different symptoms associated with unhealthy circulation, and can include:
A doctor will perform a physical examination and take a complete medical history. They may order imaging tests to locate the source of the problem. These tests may include a venogram or a duplex ultrasound.
Venogram
A doctor will insert an intravenous contrast dye into the veins.
Contrast dye causes the blood vessels to appear opaque on the X-ray image, which helps the doctor see them on the image.
This dye will give the doctor a clear image of the blood vessels.
Duplex Ultrasound
A duplex ultrasound tests the speed and direction of blood circulation in the veins.
A technician will place gel on the skin and press a small hand-held instrument on and around the area.
The instrument uses sound waves that bounce back to a computer and produce images of blood circulation.
Treatment
Treatment will depend on various factors, including the reason for the condition and individual health status and history. Other factors a doctor will consider include:
These special stockings apply pressure on the ankle and lower leg.
They help improve blood circulation and reduce leg swelling.
Compression stockings come in a range of prescription strengths and lengths.
Strategies
Treatments can include several methods.
Improving Circulation
Chiropractic adjustments and vascular massage therapy on the legs can help improve blood circulation. Massage therapies such as vascular and lymphatic drainage massages aim to increase circulation, improve tissue nutrition, and can benefit patients with varicose veins and chronic venous insufficiency.
The technique for lymphatic drainage involves light strokes to move lymph fluid into lymph vessels.
The technique used to improve circulation involves short strokes to move blood from the valves to the veins.
However, massage therapy is not for all patients with vein diseases and conditions.
Massage therapy is not recommended for patients with advanced-stage vein disease, in which large and bulging veins, ulcerations, and discoloration are present.
Massaging the area could cause the weakened veins to burst, worsening the condition.
Massage therapy is also unsafe for patients with deep vein thrombosis (DVT), as it could dislodge a clot and cause it to travel.
Medications
Medications may be prescribed. These include:
Diuretics – medications that draw extra fluid from the body and are excreted through the kidneys.
Anticoagulants – medicines that thin the blood.
Pentoxifylline – medicine that helps improve blood circulation.
Surgery
More serious cases may require surgery. A doctor may suggest one of the following surgical procedures:
Surgical repair of the veins or valves.
Removing the damaged vein.
Minimally invasive endoscopic surgery – The surgeon inserts a thin tube with a camera to see and tie off damaged veins.
Laser surgery – A treatment that uses laser light to fade or close off damaged veins.
Vein bypass – A healthy vein is transplanted from a different body area. Generally used only in the upper thigh and as a last option for severe cases.
Venous Insufficiency: What You Need To Know
References
Annamaraju P, Baradhi KM. Pentoxifylline. [Updated 2022 Sep 19]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK559096/
Evrard-Bras, M et al. “Drainage lymphatique manuel” [Manual lymphatic drainage]. La Revue du praticien vol. 50,11 (2000): 1199-203.
FIELDS, A. “Leg cramps.” California medicine vol. 92,3 (1960): 204-6.
Felty, Cindy L, and Thom W Rooke. “Compression therapy for chronic venous insufficiency.” Seminars in vascular surgery vol. 18,1 (2005): 36-40. doi:10.1053/j.semvascsurg.2004.12.010
Mayo Clinic Staff. (2017). Varicose veins.mayoclinic.org/diseases-conditions/varicose-veins/diagnosis-treatment/drc-20350649
Patel SK, Surowiec SM. Venous Insufficiency. [Updated 2022 Aug 1]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK430975/
Youn, Young Jin, and Juyong Lee. “Chronic venous insufficiency and varicose veins of the lower extremities.” The Korean journal of internal medicine vol. 34,2 (2019): 269-283. doi:10.3904/kjim.2018.230
There is a multitude of reasons why back muscles tighten and stiffen up. Muscles pull the bones and joints. Overuse and/or injuries can pull the bones, joints, and tendons out of place, thus causing the muscles to stay in a flexed or stretched position, the inability for the muscles to relax and return to their normal position, resulting in symptoms of discomfort, stiffness, and pain. Individuals can have reoccurring bouts of tight muscles, eventually becoming chronic. Chronic muscle tension can pull the spine out of alignment even if there is no specific injury. The Injury Medical Chiropractic and Functional Wellness Team can relieve tight back muscle tension and restore positioning, mobility, and function.
Muscles are the Key
Muscles make the body move and greatly impact the skeletal and nervous systems. When a muscle is overstretched or pulled, there is not just injury to the muscles but the potential for injury to the bones and tendons in the area. This, in turn, can pinch nerves and cause problems with the nervous system, especially in pain signal transmissions.
Symptoms
Symptoms will depend on the cause and severity. The most common include:
Constant or chronic muscle achiness, soreness, stiffness, and tightness.
Even after stretching or flexing, there is a dull aching or pain.
More serious symptoms may include:
Electrical or burning sensations
Sharp or stabbing pain.
Weakness in the legs or arms
Tingling or numbness in the legs, arms, or chest.
Chest discomfort symptoms.
Causes
Aging
The older a person is, the more likely they will experience back discomfort symptoms. Back issues most likely occur in 30- to 50-year-olds.
The aging process naturally wears the body.
Thinning bones
Muscle mass reduction
Fluid loss between joints in the spine.
All these can cause back issues and problems.
Unhealthy posture
Constant pressure on the spine can lead to general back discomfort symptoms. Practicing unhealthy posture can generate this pressure. The muscles and ligaments must work harder to keep the body balanced because the muscles are out of position, and the other muscles can’t perform their job properly. Overworking and overuse lead to tight back muscles, aches, and pain.
Muscle sprain or strain
Sprains are the tearing or stretching of ligaments. Strains are the tearing or stretching of muscles and tendons. Lifting heavy objects without proper form can easily cause a back sprain or strain. Sprains and strains can also occur after an awkward, sudden, or jerking movement.
Herniated disc
A herniated, slipped, or ruptured disc puts pressure on a nerve/s. This can stress the surrounding muscles causing tension to build up.
Fall or other injuries
Tight back muscles can result from the following:
A fall
Vehicle accident
Force Trauma
Sports accident
Weight gain
Added weight stresses and pulls the body down. This causes unhealthy posture and muscle tension.
Chiropractic Functional Wellness
Usually, tight muscles can be relieved with a hot bath or cold therapy. Reoccurring bouts of, or chronically tense back muscles, are signals that something is wrong and should not be ignored. Chiropractic care can release and relax tight back muscles and get them back into a natural state by re-aligning the spine through tissue manipulation, decompression, massage, and adjustments. The various treatment methods will relieve the discomfort, pain, tension, and realign the spinal column, and strengthen the body. When spinal components are put back into their proper place, the surrounding muscles no longer need to provide a counter-balance to the misalignment and begin to relax. Chiropractors can also recommend ways to improve posture and strengthen muscles to incur less wear and tear.
Chiropractic Back Therapy
References
Furlan, Andrea D et al. “Complementary and alternative therapies for back pain II.” Evidence report/technology assessment,194 (2010): 1-764.
Geneen, Louise J et al. “Physical activity and exercise for chronic pain in adults: an overview of Cochrane Reviews.” The Cochrane database of systematic reviews vol. 4,4 CD011279. 24 Apr. 2017, doi:10.1002/14651858.CD011279.pub3
Mayo Clinic Staff. (2017). Back pain: Symptoms. mayoclinic.org/diseases-conditions/back-pain/basics/symptoms/con-20020797
Miake-Lye, Isomi M et al. “Massage for Pain: An Evidence Map.” Journal of alternative and complementary medicine (New York, N.Y.) vol. 25,5 (2019): 475-502. doi:10.1089/acm.2018.0282
Nahian, Ahmed, et al. “Osteopathic Manipulative Treatment: Facial Muscle Energy, Direct MFR, and BLT Procedure – for TMJ Dysfunction.” StatPearls, StatPearls Publishing, 12 September 2022.
Rahman Shiri, Jaro Karppinen, Päivi Leino-Arjas, Svetlana Solovieva, Eira Viikari-Juntura, The Association Between Obesity and Low Back Pain: A Meta-Analysis, American Journal of Epidemiology, Volume 171, Issue 2, 15 January 2010, Pages 135–154, doi.org/10.1093/aje/kwp356
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Muscles are the Key
