by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Chiropractic, Posture, Spine Care
The McKenzie system is a way of evaluating and treating spinal disorders. It’s practiced commonly throughout the entire world. Physical therapists contain the bulk of McKenzie practitioners but physicians and chiropractors practice the process additionally.
Numerous exercise regimens have been recommended for treating spinal pain. Although the dependability of McKenzie’s classification and evaluation system was challenged in the literature, this method of spinal rehabilitation has provided considerable relief of pain for patients that were innumerable. Like all spinal exercise plans, the precise prescription of exercise should be customized to the individual ‘s physical examination findings.
Training
Training includes a sequence of four courses over a specific amount of time culminating in a certification assessment. For many who pursue additional training, a diploma program (consisting of a 3 month residency) is offered. The McKenzie Institute is a not-for-profit organization that oversees the education and training of clinicians that are interested.
Spinal TechniqueIn the McKenzie system, clinicians perform a thorough history and evaluation. This consists of finding the patient’s response to duplicated, end-range spinal movements. The patient is then given a “mechanical analysis.” Most patients are diagnosed with derangement, dysfunction or postural syndromes. Patients are treated by a composite of postural alterations, specific exercises, and in a few instances, spinal mobilization or manipulation.
Common Analysis
The most common diagnosis is the derangement syndrome. It is believed to result from an alteration in the structure and mechanics of the intervertebral disc. In the derangement syndrome, positions and exercises that “centralize” the pain (move it closer to the back) are highlighted. Those movements and positions that peripheralize the pain (move it away from the back) are averted.
Patients Take An Active Role In Recovery
The patient must take an active part in their own healing. The process was created to accomplish favorable results in as few treatments as possible. It is hoped that continuance of appropriate positions of maintenance as well as exercises will prevent recurrence. Patients will probably have the capacity to treat themselves, without intervention, if pain does recur.
The process was examined extensively and is supported by research. For more information, get in touch with a certified professional. Patients are counseled to seek treatment from a certified or a diplomaed clinician although McKenzie techniques are used by many professionals. Credentialed practicioners will have the initials Cert. MDT, or Dip.
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by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Chiropractic, Lower Back Pain, Sciatica
Sciatica is a pain that radiates down the back, though the buttocks, and into the leg. The most common question people ask is: how long is this going to last? We want to know how long each attack will last and how long between flare-ups, but the answer may be more complicated than just simply giving a definite length of time. There are unfortunate individuals who have pain that doesn�t go away, often leaving them with suffering from chronic and persistent pain.
What most doctors and medical professionals can agree on is that there is no universally applicable answer to this question. This article will address questions such as, does sciatica go away on its own? What does sciatica feel like? And can sciatica go away? We will also discuss the causes of sciatica pain, severe complications of sciatica, and sciatica relief.
What Does Sciatica Feel Like?
Sciatica is a pain in the lower back or hip that radiates down into the buttocks and into the back of the leg along the sciatic nerve, with the pain often terminating in the foot. It is often the result of a pinched or inflamed sciatic nerve, which can occur after an injury, muscular strain, or herniated vertebral disc. Sciatic pain typically goes away on its own within a few weeks.
This type of pain can be difficult to describe, as it can take a number of different forms. It may feel like more of a cramping or numbing pain sensation that worsens when you sit, sneeze, or cough. It may be described as numbness combined with an electrical or burning sensation running down the leg, or even just as �pins and needles� along the leg. Pain associated with sciatica can be accompanied with muscle weakness, and it sometimes results in loss of bowel and bladder control, which would require emergency care treatment.
Current statistics show that 80 to 90 percent of all patients recover within six weeks without surgery.
How Long Does Sciatica Last?
Acute Sciatica Attacks
Acute attacks are by far the most common complaint in those with sciatic pain, with symptoms coming and going. The frequency of flare-ups can vary from patient to patient, with some having more episodes and others only having them on occasion. The following are some of the facts associated with acute episodes of sciatica:
- Attack episodes do not typically last long in patients with a limited history of attacks�less than five years. These patients have occasional bouts of sciatic pain they might endure for about a week or two that gets better on its own. However, some may find these flare-up periods severely debilitating, as they are not accustomed to the pain, frequently leading to feelings of anxiousness and stress.
- There is no clear evidence of any triggers that lead to flare-ups of sciatica pain, but certain physical and emotional instigators may be potential causes.
- Statistically, acute pattern flare-ups may occur between two to six times a year, but there are patients who experience more or even less.
Chronic Sciatica Attacks
As the name suggests, chronic symptoms exist over longer periods of time or virtually all the time. This category of sciatic pain is often described as a pain that never really goes away. The severity of the symptoms, however, is often not as intense as it was when they first developed sciatica. Over time, their tolerance for pain has increased, allowing them to endure it for lengthy periods of time. The following are some facts associated with chronic episodes of sciatica:
- Chronic pain sufferers often report their symptoms to be less severe over time, along with decreased levels of anxiety and fear that once was associated with the condition
- It is rare for a person to just suddenly develop chronic sciatica from nowhere and have the pain remain for an extended period of time
- Chronic sciatic is, unfortunately, a lifelong condition, as it is one of the most difficult pain disorders to resolve
While there are cases of individuals who make full recovery from sciatic pain, the harsh truth of the matter is that the majority of patients will have some degree of pain for the rest of their lives. Sciatica does not respond well to most forms of treatment, with no accurate explanation for its cause.
Complications Of Sciatica
While most people fully recover from sciatic pain, it can still potentially cause some serious complications, such as:
When To See A Doctor?
Experiencing sciatic type symptoms should prompt you to go see your doctor right away, as it can drastically reduce the length of time you suffer from the condition. Your doctor may also help you determine if you are at risk for any further complication and provide treatment that is best for you. While mild sciatic pain can go away in time, it�s a good rule of thumb to call your doctor if you are finding your pain to be particularly unbearable.
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Sources:
http://sciaticpaintreatment.southfloridapersonaltraining.com/How-Long-Does-Sciatica-Last.html
http://www.mayoclinic.org/diseases-conditions/sciatica/basics/symptoms/con-20026478
http://www.sciatica-pain.org/how-long-does-sciatica-last.html
https://www.drweil.com/health-wellness/body-mind-spirit/back-pain/sciatica/
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Chiropractic, Wellness
Ear problems can be excruciatingly painful, especially in children. With 10 million new cases every year, ear infections (otitis media) are the most common illness affecting babies and young children and the number one reason for visits to the pediatrician�accounting for more than 35 percent of all pediatric visits.
Almost half of all children will have at least one middle ear infection before they�re a year old, and two-thirds of them will have had at least one such infection by age 3. The symptoms can include ear pain, fever, and irritability. Otitis media can be either bacterial or viral in origin, and frequently results from another illness such as a cold. For many children, it can become a chronic problem, requiring treatment year after year, and putting the child at risk of permanent hearing damage and associated speech and developmental problems.
Standard treatment for most cases of otitis media is with antibiotics, which can be effective if the culprit is bacterial (antibiotics, of course, do nothing to fight off viruses). But, according to many research studies, antibiotics are often not much more effective than the body�s own immune system. And repeated doses of antibiotics can lead to drug-resistant bacteria that scoff at the drugs, while leaving the child screaming in pain.
Frequent ear infections are also the second most common reason for surgery in children under 2 (with circumcision being the first). In severe cases�for example, when fluids from an ear infection haven�t cleared from the ear after several months, and hearing is affected�specialists sometimes prescribe myringotomy and tympanostomy, more commonly known as �ear tubes.� During the surgical procedure, a small opening is made in the eardrum to place a tube inside. The tube relieves pressure in the ear and prevents repeated fluid buildup with the continuous venting of fresh air. In most cases, the membrane pushes the tube out after a couple of months and the hole in the eardrum closes. Although the treatment is effective, it has to be repeated in some 20 to 30 percent of cases. And this kind of surgery requires general anesthesia, never a minor thing in a small child. If the infection persists even after tube placement and removal, children sometimes undergo adenoidectomy (surgical removal of the adenoids)�an option that is effective mostly through the first year after surgery.
Before yet another round of �maybe-they�ll-work-and-maybe-they-won�t� antibiotics or the drastic step of surgery, more parents are considering chiropractic to help children with chronic ear infections. Dr. Joan Fallon, a chiropractor who practices in Yonkers, New York, has published research showing that, after receiving a series of chiropractic adjustments, nearly 80 percent of the children treated were free of ear infections for at least the six-month period following their initial visits (a period that also included maintenance treatments every four to six weeks).
�Chiropractic mobilizes drainage of the ear in children, and if they can continue to drain without a buildup of fluid and subsequent infection, they build up their own antibodies and recover more quickly,� explains Dr. Fallon. She�d like to see her pilot study used as a basis for larger-scale trials of chiropractic as a therapeutic modality for otitis media.
Dr. Fallon uses primarily upper-cervical manipulation on children with otitis media, focusing particularly on the occiput, or back of the skull, and atlas, or the first vertebra in the neck. �Adjusting the occiput, in particular, will get the middle ear to drain. Depending on how chronic it�s been and on where they are in their cycle of antibiotics, children generally need to get through one bout of fluid and fight it off themselves.� That means, for the average child, between six and eight treatments. If a child�s case is acute, Dr. Fallon will check the ear every day, using a tympanogram to measure the ear and track the movement of the eardrum to make sure that it�s draining. �I�ll do adjustments every day or every other day for a couple of days if they�re acute, and then decrease frequency over time.�
Dr. Fallon, whose research garnered her the acclaim of childrearing magazines like�Parenting�and�Baby Talk, often sees great success when she treats a child for otitis media. �Once they fight it themselves, my kids tend to do very well and stay away from ear infections completely. Unless there are environmental factors like smoking in the house, an abnormally shaped Eustachian tube, or something like that, they do very well,� she says.
�I have two large pediatric groups that refer to me on a regular basis. In the winter, when otitis is most prevalent, I see five or six new children each week from each group,� says Dr. Fallon. �It�s safe and effective and something that parents should try, certainly before inserting tubes in their children�s ears.�
Chiropractic Care Can Help�
Come on in and talk to us about your child�s ear infections. Doctors of chiropractic are licensed and trained to diagnose and treat patients of all ages and will use a gentler type of treatment for children.�However, Texas chiropractors can answer any questions a patient�may have and refer them to a specialist, they must remain within the scope of their field which is the�Muscular�and the�Musculoskeletal system.
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Source:
Dr. Matthew C. Supran, PA
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Chiropractic, Veterans
Hundreds of thousands of veterans of the Persian Gulf War returned home with puzzling health issues that doctors couldn’t explain. Now, 25 years later, Gulf War Illness (GWI) continues to affect 25-32 percent of the 700,000 U.S. veterans who served in the 1990-1991 war.
The condition is characterized by symptoms such as chronic headache, cognitive difficulties, debilitating fatigue, widespread pain, respiratory problems, sleep problems, gastrointestinal problems, and other unexplained medical abnormalities.
Twenty years of scientific research has traced these symptoms to Gulf War chemical exposures and the drugs taken during deployment that were meant to prevent or counteract these exposures. However, the vast majority of these studies have focused on neurological effects, but none have fully explained the body’s pathways GWI uses to affect the brain.
Now, a study from the University of South Carolina has found a gastrointestinal link that could not only help explain the health issues facing veterans, but may also point to new treatment options.
Researchers found that the chemicals, etc. that veterans were exposed to altered the microbiome � the bacteria that inhabit the gut. The affected microbiota then produce endotoxins, which pass through a thinned lining of the gut (called a leaky gut) and into the blood where they circulate throughout the body.
These compounds trigger an inflammatory response that, in turn, initiates several neurological abnormalities commonly observed in GWI.
“Humans and animals have specific types of bacteria that help aid various physiological processes, including digestion, absorption, immunity and gut integrity, and when external factors change the bacterial composition in our digestive systems, we have problems,” says researcher Saurabh Chatterjee. “Obesity, metabolic syndrome, inflammatory bowel syndrome, and liver disease have already been linked with changes in bacterial composition of the gut.”
The study showed that not only did exposures to the suspected causes of� GWI lead to inflammation in the intestines, they also lead to inflammation in the brain.
“Usually, the gut is very selective about letting only certain elements from what we eat and drink into our blood � thanks to good bacteria,” Chatterjee explained. “But when the composition changes due to an increase in certain bad bacteria, this causes disruption to the mucosal lining of the intestinal walls � leading more intestinal contents to leak into the blood.”
Once in the blood, the toxins travel throughout the body and affect different organs, including the brain. Once in the brain, the toxins cause the inflammation and neurological symptoms that previous studies have extensively linked to GWI.
“We know that many diseases like obesity, liver disease, and inflammatory bowel syndrome can be cured or at least decreased by consuming good bacteria, like probiotics,” Chatterjee said. “Now that this connection has been established, it opens the door to new studies where GWI patients take probiotics for a longer period of time and, hopefully, see improvement in symptoms connected with metabolic syndrome, gastrointestinal disturbances, and maybe even neuroinflammation.”
Recent studies have indicated that gut bacteria have an impact on a wide range of health issues. UCLA researchers found that mice fed beneficial bacteria produced microbes known to prevent cancer. Researchers suggested ingesting probiotics like yogurt or probiotic supplements could help prevent cancer from developing.
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Chiropractic
Surgery is a common approach to treat carpal tunnel syndrome. But, physical therapy may work just as well, a new study indicates.
Researchers found that physical therapy — particularly so-called manual therapy — improved hand and wrist function and reduced pain as effectively as a standard operation for the condition.
Moreover, after one month, physical therapy patients reported better results than those who underwent surgery.
“We believe that physical therapy should be the first therapeutic option for almost all patients with this condition,” said lead study author Cesar Fernandez de las Penas.
“If conservative treatment fails, then surgery would be the next option,” said de las Penas, a professor of physical therapy at King Juan Carlos University in Alcorcon, Spain.
Also, one extra benefit of therapy over surgery may be cost savings, he noted.
Carpal tunnel syndrome occurs when the median nerve, which runs from the forearm into the palm of the hand, becomes squeezed at the wrist. It often arises from repetitive motions required for work, such as computer use or assembly line work.
Symptoms usually start gradually, with patients noticing numbness and weakness in the hand and wrist.
Surgery for the condition generally involves cutting a ligament around the wrist to reduce pressure on the median nerve, according to the U.S. National Institutes of Health.
For this study, de las Penas and his colleagues followed 100 women from Madrid who had carpal tunnel syndrome. Half were treated with physical therapy and half underwent surgery.
For three weeks, the therapy patients received weekly half-hour manual therapy sessions — meaning therapists only used their hands. The therapists focused on the neck and the median nerve. They also applied manual physical therapy to the shoulder, elbow, forearm, wrist and fingers. On their own, patients performed neck-stretching exercises at home.
After one month, the therapy group reported greater daily function and greater “pinch strength” between the thumb and forefinger compared to the surgery patients. After three, six and 12 months, however, improvements were similar in both groups. All participants experienced similar reductions in pain.
Study co-author Joshua Cleland is a professor with the physical therapy program at Franklin Pierce University in Rindge, N.H. “Manual physical therapy may be just as beneficial in improving function and symptom severity as surgery despite the severity of their condition,” he said, noting that 38 percent of those in the therapy group had “severe” carpal tunnel syndrome.
“These manual physical therapy techniques are commonly used here in the United States as well and should become a standard of practice for physical therapists working with patients who have carpal tunnel syndrome,” Cleland said.
Dr. Daniel Polatsch is co-director of the New York Hand and Wrist Center at Lenox Hill Hospital in New York City. He treats several hundred cases of carpal tunnel syndrome each year, of which 15 to 20 percent require surgery.
Treatment should be decided on a case-by-case basis, Polatsch said. Mild cases may be treated with conservative approaches that can include splinting, injections, therapy and activity modification, he added.
“Surgery is necessary when there is muscle weakness or atrophy from the nerve being compressed at the wrist,” he said.
Polatsch added that this type of surgery is generally safe and effective.
Still, operations can have complications, said Cleland. He cited a previous research finding that “approximately 25 percent of individuals undergoing surgery for carpal tunnel syndrome experience treatment failure with half of those requiring an additional surgical procedure.”
According to the researchers, almost half of all work-related injuries are linked to carpal tunnel syndrome. And, more than one-third who undergo surgery for the condition are not back at work eight weeks later.
Because this was a small study focusing only on women, the study authors said that future studies need to examine men.
The study results were published in the March issue of the Journal of Orthopedic & Sports Physical Therapy.
by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Massage, Spine Care, Wellness
Massage is a popular therapy used to relieve fluid retention, spasms, inflammation, muscle tension, pains and stiffness. Other benefits include improved circulation (blood and lymph), general flexibility, range of movement, and increased tissue elasticity (eg, scar tissue).
Another kind of massage contains full-body massage, which often leaves the patient feeling relaxed and free of anxiety.
How Can Massage Function to Relax Muscles?
As the therapist uses their hands or specialized tools to rhythmically knead, wipe, and stroke (effluerage) muscles, circulation is stimulated. Blood flow is essential to helping muscles eliminate waste products, such as lactic acid, that may accumulate in muscles from spasms and delivers oxygen and nutrients.
Following trauma, muscles may act as mini-splints like a cast on a broken arm to safeguard and limit motion. An average example is somebody who uses a computer for a prolonged time period without taking a break to stretch the neck. The result: a stiff, aching neck and occasionally pain. Taking regular breaks to rub (mini-massage) and stretch the neck will boost circulation to the muscles.
What’s Swedish Massage?
This really is one of the most famous types of massage in America. Often, a lotion or oil is used to lessen skin friction. The therapist combines light stroking in one way with deep pressure in another to loosen muscles. The treatment expedites blood flow to flush uric acid, lactic acid, and other waste products from the muscles. Ligaments and tendons are stretched, increasing their suppleness. Nerves are excited and relaxed, and anxiety is relieved. The general goal is to loosen muscles.
What Is Deep Tissue Massage?
Long-term muscle tension is targeted by this technique. The therapist’s strokes are slower, using more direct pressure and friction. Determined by the texture of the deeper layers of tissue and muscle felt, the therapist occasionally adjusts intensity, strokes, and their hand positions to work the tissues to release tension.
What Is Myofascial Release?
Myofascial release, or soft tissue mobilization, is a therapy used to release tension in the fascia. Fascia are sheets of fibrous tissue that encase and support muscles. Following injury, the fascia and muscles may shorten limiting the flow of blood. The techniques used in myofascial release loosen muscle tension and break up fascial adhesions.
What’s Trigger Point and Myotherapy?
The treatment goals include alleviating muscle spasms, enhancing circulation, and releasing trigger points.
The therapist extends the muscle using a technique called Stretch and Spray as trigger points are released. This technique incorporates a superficial cooling agent such as Fluori-Methane, a local anesthetic that depresses nerve reaction. The anesthetic is sprayed over muscles as they may be softly stretched, soothing tight muscles.
Are There Other Kinds of Massage?
There are many kinds of massage; only a few are mentioned here. Shiatsu is an old oriental treatment predicated on acupressure, as is Jin Shin Jyutsu. Reiki is a Japanese type of massage that attempts to correct the entire body’s energy.�Rolfing can be uncomfortable; the goal is to adjust the muscle fascia to its fullest extension.
A Word of Caution
Speak to your doctor, before getting a massage for back pain or neck pain. She or he may have the ability to refer you to a licensed or certified massage therapist.
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by Dr Alex Jimenez DC, APRN, FNP-BC, CFMP, IFMCP | Chronic Back Pain, Injury Care, Posture, Wellness
Ergonomics is a scientific discipline that’s been in existence for many years. Keeping their work environments safe and efficient and traditionally concerned with factory workers, ergonomic professionals have expanded their work to include all types of workers from laborers to seniors to office workers & students.
In addition, it looks for means to adjust our environment to lower the risks of illness and harm, enhance productivity, and improve the caliber of our work life.
The Goals of Ergonomics
The profession of ergonomics has two main concentrations (which frequently overlap):
1. Industrial ergonomics – occasionally called work-related biomechanics – is concerned with the physical aspects of work including force, position, and repetitive movements.
2. Human factors ergonomics looks as the psychological features of work like mental anxiety and decision-making.
The aims of ergonomics contain the following:
- Reduce work-related injury and illness
- Help include workers’ compensation costs for companies
- Enhance the standard of work
- Reduce absenteeism
- Help companies comply with government regulations regarding work surroundings
Ergonomics professionals include:
- Engineers
- Security professionals
- Industrial hygienists
- Physical therapists
- Occupational therapists
- Nurse practitioners
- Chiropractors
- Occupational doctors
How Ergonomics Enhances Work & Safety
The association between work injury and illness is old. It is even believed that Ancient Man concerned himself with developing the right tools that allowed for the efficiency and least amount�of distress.
Now, we continue to look for ways to boost the relationship between our “tools” and�our jobs. One means to do that is to look at the risk factors in the workplace. These are able to be divided into 3 areas: physical characteristics, environmental features, and workplace hazards.
1. Physical Characteristics Of Work:
- Bearing
- Drive
- Repetition
- Duration
- Recovery time
- Velocity/acceleration
- Heavy exertion that is dynamic
2. Segmental Vibration Environmental Characteristics Of Work:
- Heat
- Cold
- Lighting
- Sound
- Entire body vibration
3. Workplace Dangers:
- Physical pressure
- Mental pressure
- Workload
- Hours (shifts, overtime)
- Slips and falls
- Fire
- Exposure hazards (electrical, chemical, biological, radiation)
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