You get up with it. You go to sleep with it. An incredible number of men and women live with chronic back or neck pain every day. What’s chronic pain? It is technically defined as pain that lasts for 12 weeks or more�even after pain isn’t any longer acute (short-term, serious pain) or the injury has healed.
Accurate Analysis
Getting an exact identification of the reason for neck pain or your back is vital to the outcome of your treatment plan. Depending on the severity and cause of your pain that is chronic, you might need to find out different specialists in addition to your own primary care physician�pain medicine specialist, orthopaedic spine surgeon, neurosurgeon, physiatrist, rheumatologist, physical therapist among others. Over time your chronic pain need to be reevaluated, and may transform, which might affect the way it is handled.
Your chronic back or neck pain treatment generally features a variety of treatments to maximize results that are great. A number of the treatments your doctor prescribes and recommends may include:
Physical Therapy:
Extending and strengthening muscles is vital in the treatment of neck pain or chronic back.
Chiropractic Care:
Depending on your own diagnosis, chiropractic care may be recommended by your doctor. Studies have demonstrated that two weeks of day-to-day exploitation by a chiropractor can result in considerable progress in a few patients with persistent low back pain and referred leg pain.
Medicines:
There are lots of different prescription medications to take care of neuropathic pain, inflammation, muscle spasms, and pain. Additionally, you will find drugs to treat conditions that often accompany chronic pain, including drugs that will help you sleep, alleviate depression, and reduce nervousness.
Processes:
Your doctor may recommend a spinal cord stimulator, spinal injections, drug heart, or spine surgery. You can get a second opinion, in the event you might be uncertain about the treatment plan recommended.
Coping skills:
Never underestimate the power of your head. Your mood and mental perspective can greatly make an impact on your level of pain. Talk with a trained specialist to understand relaxation and coping skills.
Complementary Treatments:
Many physicians recommend acupuncture and other types of traditional Chinese medicine. Speak to your doctor about these choices.
A couple of words about …. age, fitness, body weight
You probably involve some control over body weight and your level of fitness, although you can�t stop aging or its effects. While you can�t stop the clock on the cellular changes that are recognized to accompany aging�such as loss of muscle mass and bone density �you can take little steps today to build a more stronger�you tomorrow.
It�s understood that patients with chronic back or neck pain may not feel like being active, going to the gym and even adhering to a home exercise program. Yet, being active can help chronic pain because during exercise your body releases endorphins�your body�s natural painkiller.
Moreover, by teaming up together with and/or your physician physical therapist you can start to build abdominal muscles that are strong �essential to your own body�s center strength which helps support your back.
Did you know that by simply losing even 5 to 10 pounds you can reduce back pain? It�s true. Carrying around extra weight translates to added stress to the low back that may exacerbate pain.
Conclusion
In many instances, aggressive and early treatment of chronic back or neck pain can make a life-changing difference. But remember that knowledge is power: Be certain you comprehend your alternatives before deciding which route to take.
Viewers can�t get enough of the informative clip that sees a chiropractor helping a patient suffering from lower back pain.�Dr Jeffrey Gerdes of the ChiroCare and Rehab centre based in North Carolina, US, talks his way through the demonstrationHis patent tells him: �I�m getting excruciating pains in my back and they�re very instant and they�re immobilising.�It�s so excruciating that I have to stop for a second and re-coup so I�m not sure what�s happening.� The doctor asks her to lie on her side and gently cracks her back.
CRACKING:
But the sound that emerges leaves him stunned. �Wow, gosh that was loud,� Dr Jeffrey says.Viewers can�t get enough of the footage, with more than 876,000 people watching the clip on the chiropractor�s YouTube channel.But many seem to have been distracted more by the stunner getting treatment than the actual techniques involved.�Well, did anyone else manage to take any of that in?� one viewer said.
(HealthDay News) — Blood tests to diagnose and monitor rheumatoid arthritis may be thrown off by obesity in women, a new study suggests.
“Physicians might assume that high levels of inflammation mean that a patient has rheumatoid arthritis or that their rheumatoid arthritis requires more treatment, when in fact a mild increase in levels of inflammation could be due to obesity instead,” explained study author Dr. Michael George, who’s with the University of Pennsylvania Health System in Philadelphia.
Blood tests for C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) can help physicians check the severity of inflammation in rheumatoid arthritis patients, the researchers said.
Previous studies have suggested that obese women may normally have higher CRP and ESR levels. So, the authors of this study decided to take a closer look at the issue.
The study included information from more than 2,100 people with rheumatoid arthritis. The researchers then compared that information to data from the general population.
A higher body mass index (BMI — an estimate of body fat based on weight and height) was associated with greater CRP in women with rheumatoid arthritis and women in the general population, especially in severely obese women. There was also a modest association between obesity and ESR.
Conversely, in men with rheumatoid arthritis, a lower BMI was associated with greater CRP and ESR.
The findings may help improve understanding of the link between weight and inflammation. It may also help doctors learn more about how this relationship differs between women and men, the study authors added.
The findings were published April 10 in the journal Arthritis Care & Research.
“Our results suggest that obesity may lead to increased levels of CRP and ESR in women with rheumatoid arthritis,” George said in a journal news release.
“The increase in these levels of inflammation was not because rheumatoid arthritis was worse in these women,” he said.
“In fact, we found that obesity leads to very similar increases in these lab tests even in women without rheumatoid arthritis,” he added.
Doctors should be careful when interpreting the results of these lab tests since both rheumatoid arthritis and obesity can contribute to inflammation levels, George said.
News stories are written and provided by HealthDay and do not reflect federal policy, the views of MedlinePlus, the National Library of Medicine, the National Institutes of Health, or the U.S. Department of Health and Human Services.
Exercise can help with back pain�you’ve probably heard that before. And Pilates tops the list of “helpful for your back” exercises.
This shows 4 Pilates moves to prevent pain. Of course, talk to your doctor before beginning an exercise plan.
Warm-up Your Spine with this Exercise
Cat/Cow
The cat/cow stretch lengthens and strengthens the muscles along your spine.
Start on hands (shoulder-distance apart) and knees (hip-distance apart).
Inhale and look up as you slightly arch your spine. Then exhale, engage your abdominal muscles, and draw your belly button toward your spine as you gaze at your navel. Repeat 5 to 10 times every day.
Chest Lift
Not Your Average Sit-up
The chest lift is similar to a basic crunch. The difference? This move deeply targets your abs.
Lie on your back with knees bent and feet flat (hip-distance apart). Bring hands behind head with fingertips touching. Elbows are wide open.
Inhale, and then as you exhale, pull belly button toward the spine and lift the shoulders off the ground (leading with chest). Really use your abs to lift�not your neck. Inhale again as you release toward the ground. Repeat 6 to 8 times daily.
Pelvic Curl
A Pose to Help Ease Low Back Pain
Doing this exercise regularly teaches you how to engage your abs to help support and lengthen the low back.
Start by lying on your back with knees bent and feet flat (hip-distance apart).
Arms are straight along the sides of your body and palms are touching the ground. Inhale deeply and engage your abs as you lift your hips off the floor�vertebra by vertebra.
Exhale and roll back down very slowly, engaging core muscles. Link breath with movement. Repeat 3 to 5 times daily.
Child�s Pose
An Easy, Restorative Stretch
This move really stretches tight, sore low back muscles.
From hands and knees, bring hips toward heels, and stretch arms in front of you so palms are touching the ground.
Press forehead gently to the floor and do some deep belly breathing. Bring hands toward the legs to slowly sit up. Repeat 3 times daily.
Chiropractic care may be able to bring about relief for allergy sufferers. Allergy symptoms may be triggered by misalignments in the neck and upper back, which contain nerves important for the body’s respiratory and immune systems. These misalignments are believed to interfere with the communication between these systems and the brain and cause or worsen allergy symptoms. Advanced Chiropractic Wellness offers adjustments which are targeted to reduce the effects of allergies on the body.
Allergies Result When The Body’s Immune System Is Triggered To Action By Substances That Should Be Considered Innocuous
Typically, this results in the release of excess histamine, which causes the characteristic watery and itchy eyes, stuffy nose, and increased sinus pressure. The sinus pressure may cause extremely painful headaches on top of the general discomfort of the other two. In some cases, body parts may also swell. The eye area is most commonly affected by such puffiness.When all of these symptoms are put together, it can cause serious suffering. Many people find that they can’t go outdoors during the height of the seasons in which their allergy triggers are released. Such triggers include the pollen from juniper and elm trees. This pollen is among the first of the allergens to hit in the spring, so Illinois residents will be encountering it soon if they aren’t already.
Later, Flower Pollen, Molds & Dust Take The Place Of The Tree Pollen
“After a full winter, nobody wants to have to stay indoors breathing filtered air. It’s time to go out and have fun! Yet for many, allergy medication isn’t a good solution. Drowsiness is a common side-effect, and even the non-drowsy types have side-effects of their own. What people need is a solution that addresses the problem at its roots,” said Dr. Scott Stratton, a chiropractor at Advanced Chiropractic Wellness.This solution, according to Dr. Stratton, is chiropractic realignment of the vertebrae that contain the nerves that communicate between the brain and the body’s respiratory and immune systems. The theory is that misalignment here causes miscommunication between these systems, resulting in exaggerated bodily responses to allergens.”When the brain and body can’t get a clear signal pathway between each other, only some of the needed information makes it through. Then, both sides have to try to fill in missing information, and this results in bad guesses. Chiropractic realignment clears up the signal and allows the brain and body to make appropriate responses to its environment,” Dr. Stratton explained.About Advanced Chiropractic WellnessThe Advanced Chiropractic Wellness clinic offers chiropractic care, lifestyle counseling, laser treatments, and more. They take a holistic approach that aims to improve a patient’s overall health instead of simply treating specific symptoms.
Bone growth stimulation (BGS) is a therapy your surgeon may prescribe following a spinal fusion procedure. A bone growth stimulator is an auxiliary device worn following cervical (neck) or lumbar (low back) spine surgery. BGS may be used to assist spinal bone fuse after a fusion procedure or as a treatment for failed fusion. Naturally, you’ve questions about this technology.
Spinal column with implant, screw placement and fusion
The info provided in this patient guide can assist you to learn:
Bone heals
Risk factors for a poor or failed fusion
Role of bone growth stimulation in spine fusion aftercare
Questions to ask your back surgeon
“Bone growth stimulation to be used in both the cervical and lumbar spine has demonstrated to substantially help fusion results. Having been a study centre for this particular technology, I’ve used bone growth stimulation in most my post-operative cervical and lumbar patient instances. The patient assessment standards I use contains:
Multi-level fusions; more than one degree of the back is fused
Co-morbidities (risk factors) that could hinder bone healing and growing”
�Gerard J. Girasole, MD
Orthopaedic Surgeon
Orthopaedic & Sports Medicine Center
About Spinal Fusion
Spinal fusion is done to stop motion of neurologic deficit and the spine. During the procedure two or more vertebral bodies are joined together using instrumentation and bone graft. Spinal instrumentation includes poles, screws, plates, and interbody devices (implants). Bone graft may comprise your own bone (autograft), donor bone (allograft), or alternative forms of graft.
Bone graft helps stimulate new bone to grow through three stages:
Inflammatory period: cells start to form new tissue
Repair period: small blood vessel ingrowth begins
Remodeling phase: bone structure becomes powerful
Spinal instrumentation creates an internal cast, allowing the inflammatory procedure to stimulate bone healing. With time, new bone grows into and about the implanted instrumentation healing into a construct that is sound.
Some patients are at risk for spinal fusion to fail. A failed fusion is called pseudarthrosis or nonunion. Pseudarthrosis and nonunion are medical terms your surgeon may utilize to identify a fusion dilemma.
Common Spinal Issues Treated Surgically With Fusion Include:
Degenerative disk disease
Fracture
Herniated disc
Spinal stenosis
Lumbar
Adult degenerative scoliosis
Spondylolisthesis
How Does A Bone Growth Stimulator Help Spinal Fusion?
A BGS sends electric signals to the fusion site. The electrical signals activate the body’s natural bone healing process, which may be impaired in at-risk patients.
Bone Growth Stimulation Has Been Put To Use For Decades To Help Bone Heal
Over 50 years ago scientists found that low-level electrical fields arouse the entire body’s bone-healing process. Other improvements included finding several types of energy that stimulate bone development, electromagnetic coil technology and only better devices � supported by clinical and scientific research�have enhanced bone healing in patients who undergo spinal fusion.
Different Types Of Bone Growth Stimulators
All bone growth stimulators are different. Certain types are designed to be surgically implanted (internal BGS) and other stimulators are worn outside the body (external BGS). Other differences include how stimulation is transmitted to the back and the kind of magnetic field or electric current created by the apparatus.
Chiropractic care focuses on the diagnosis, treatment and prevention of a variety of injuries and conditions associated with the musculoskeletal and nervous system. Specializing on the spine and its surrounding structures, chiropractic treatment commonly utilizes spinal adjustments and manual manipulations to restore the proper function of the body, however, many chiropractors use other therapies to treat patients.
The following are other common therapeutic treatment methods that chiropractors can additionally offer along with a brief description of each.
Rehabilitation Stretches
After an individual has experienced an injury or aggravated a previous condition, rehabilitation stretches can be essential to prevent the formation of scar tissue. Even after the damage has healed, maintaining a regular program of stretches recommended by a healthcare professional or chiropractor can help maintain and improve flexibility and mobility as well as help protect the tissues from suffering further injury. Your chiropractor will instruct you on the best stretching techniques for you depending on your specific injury or condition and they will supervise you throughout the process.
Rehabilitation Exercises
Together with the recommended set of stretches, a healthcare specialist or chiropractor can follow up by recommending specific exercises to strengthen the structures surrounding the spine of patients with neck and back complications. Strengthening exercises can help eliminate symptoms of pain as well as help prevent the degeneration of the muscles, promotes joint health and can increase strength, stability and range of motion to protect the body from suffering further injuries or aggravating conditions.
Your chiropractor will demonstrate how to do the exercises and supervise you until you are comfortable doing them on your own. It’s fundamental to keep up with your exercises as recommended by your healthcare provides. Research studies have demonstrated that individuals who follow their specific exercise instructions carefully heal faster than those who do not.
Traction
Many chiropractors utilize traction devices to apply traction to different areas of the body in order to distract different regions of the spine. This treatment helps separate the vertebrae, decompressing the discs to reduce and eliminate nerve root pressure.
Soft-Tissue Manual Therapy
Many chiropractors will utilize a variety of hands-on soft tissue therapies to help improve the function of the soft tissues, including muscles, ligaments, tendons and joint capsules. Soft-tissue manual therapies such as the pin and stretch, best known as the active release technique, or ART, and instrument-assisted soft tissue mobilization, best known as the Graston technique, are some of the most common soft-tissue manual therapies used.
Muscular Stimulation
Muscle stimulation is performed by transmitting light electrical pulses to specific areas of the body through electrodes placed against the skin. There’s a variety of electrical stimulation therapies available. Several types can be more beneficial towards eliminating pain, reducing inflammation and for treating muscle spasms while others may actually cause muscles to contract in order to reduce muscle atrophy. Some forms of electrical muscular stimulation can have a combination of benefits and effects.
TENS
A transcutaneous electric nerve stimulation or TENS unit is a small, battery-powered, portable muscle stimulation machine which can be utilized at home to help control pain. Variable intensities of electric current can be utilized by healthcare professionals to control the symptoms of pain. This treatment is recommended to help patients get through periods of severe or acute pain caused by their specific type of injury or condition. TENS units are generally not recommended for chronic pain, however. As a matter of fact, a 2009 report from the American Academy of Neurology determined that transcutaneous electric nerve stimulation units may not be effective for treating chronic low back pain.
Ultrasound
Therapeutic ultrasound is a form of deep heat therapy created by sound waves. When applied to soft tissues and joints, the sound waves function as a form of micro-massage which helps decrease pain, reduce swelling, stiffness and spasms as well as increase blood flow.
Ice and Heat Therapy
The application of ice and heat have been used for many years to treat many painful injuries and conditions. Ice therapy is often recommended to reduce swelling and help control pain immediately after an injury. Heat therapy is often recommended to relax the muscles, increase circulation, and can provide relief to patients with chronic pain. According to the patient’s condition, a combination of ice and heat can be used.
Nutritional Counseling
Research studies have concluded that following an improper diet and nutrition can provide imbalances in the body which may contribute to a variety of serious illnesses, such as heart disease, stroke, diabetes, and even cancer. Many chiropractors are especially trained in diet and nutritional counseling. Your chiropractor can design a nutritional program depending on your needs in order to help you maintain overall health and wellness as well as to minimize the risk of developing these serious health conditions.
Lifestyle Modification Counseling
Good health is much more than the absence of pain or disease. The lifestyle choices you make on a daily basis can greatly affect your entire well-being. Over time, a lifestyle of unhealthy lifestyle choices can ultimately lead to a wide array of health complications. Examples of lifestyle choices and behaviors that can have negative effects on your health include:
lack of regular exercise
smoking
poor diet
excessive mental stress
over-reliance on medication
excessive consumption of alcohol
poor posture
improper lifting
A healthcare specialist or chiropractor will discuss a patient’s lifestyle choices and habits in order to help them identify which of them could be considered an unhealthy health habit. These can then be altered and modified using practical strategies.
Chiropractic care focuses on using much more than spinal adjustments and manual manipulations to ensure the patient achieves their health goals. Doctors of chiropractic use a variety of treatment modalities to help the body naturally heal itself and return the patient to healthier life.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
By Dr. Alex Jimenez
Additional Topics: What is Chiropractic?
Chiropractic care is an well-known, alternative treatment option utilized to prevent, diagnose and treat a variety of injuries and conditions associated with the spine, primarily subluxations or spinal misalignments. Chiropractic focuses on restoring and maintaining the overall health and wellness of the musculoskeletal and nervous systems. Through the use of spinal adjustments and manual manipulations, a chiropractor, or doctor of chiropractic, can carefully re-align the spine, improving a patient�s strength, mobility and flexibility.
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