Back Clinic Chiropractic. This is a form of alternative treatment that focuses on the diagnosis and treatment of various musculoskeletal injuries and conditions, especially those associated with the spine. Dr. Alex Jimenez discusses how spinal adjustments and manual manipulations regularly can greatly help both improve and eliminate many symptoms that could be causing discomfort to the individual. Chiropractors believe among the main reasons for pain and disease are the vertebrae’s misalignment in the spinal column (this is known as a chiropractic subluxation).
Through the usage of manual detection (or palpation), carefully applied pressure, massage, and manual manipulation of the vertebrae and joints (called adjustments), chiropractors can alleviate pressure and irritation on the nerves, restore joint mobility, and help return the body’s homeostasis. From subluxations, or spinal misalignments, to sciatica, a set of symptoms along the sciatic nerve caused by nerve impingement, chiropractic care can gradually restore the individual’s natural state of being. Dr. Jimenez compiles a group of concepts on chiropractic to best educate individuals on the variety of injuries and conditions affecting the human body.
The nervous system communicates with the entire body and reacts to internal and external changes using electrical and chemical impulses to send and receive messages. Messages travel/synapse from one neuron to another using specialized chemicals known as neurotransmitters. Paresthesia refers to sensations of numbness, tingling, prickling, skin crawling, itching, or burning, usually in the arms, hands, legs, and/or feet, but can affect other areas of the body. Chiropractic care, massage therapy, decompression therapy, and functional medicine can relieve tissue and nerve compression, improve flexibility, range of motion, and mobility, and strengthen the muscles surrounding the affected nerve to maintain optimal health and prevent worsening or further injury.
Paresthesia
The sensation comes on without warning and is usually painless and described as tingling or numbness. There are different causes of paresthesia, including:
Some individuals have chronic or long-term paresthesia, which can be a sign of a more serious nerve injury or condition. Added physical stress can cause surrounding tissues to irritate or entangle the nerve leading to building pressure. This pressure causes paresthesia in the area interrupting circulation and function. A pinched nerve can happen anywhere in the body, like the neck, shoulder, wrist, back, and face.
A herniated disc in the lower spine can cause back pain and paresthesia in the leg or foot on the affected side.
Carpal tunnel syndrome is a pinched nerve in the wrist that causes numbness and tingling in the hand and fingers.
Pinched nerve symptoms can be intermittent or constant.
Usually, a temporary sensation is caused when pressure is placed on the affected nerve.
Once that pressure is relieved, the discomfort goes away.
Individuals with an Increased Risk
Overuse Injury
Individuals with jobs or hobbies requiring repetitive motions are at a higher risk for nerve compression, paresthesia, or injury.
Anyone can get a pinched nerve, and most individuals will experience paresthesia at some point.
Weight and water gain can cause swelling and increase pressure on nerves.
Thyroid Disease
This puts individuals at risk for carpal tunnel syndrome.
Rheumatoid arthritis
This causes inflammation, which can also compress nerves in the joints.
Diagnosis
To diagnose paresthesis, a doctor will look at the individual’s medical history and ask questions about the symptoms. They will perform a physical examination and, depending on the findings, may recommend tests that can include:
Nerve Conduction Study
This measures how fast nerve impulses travel in the muscles.
Electromyography – EMG
To look at the electrical activity of how nerves and muscles interact.
Magnetic Resonance Imaging – MRI
This looks at the different areas of the body in high definition.
Ultrasound
Used to produce images, this can be applied to the smaller areas to look for nerve compression or damage.
Chiropractic
Treatment options depend on the cause of the paresthesia. Body misalignments can cause nerve interference that can lead to health problems such as migraines, or can disrupt nerve communication and block proper circulation. Chiropractic care focuses on treating the nervous system and is a safe and effective method for treating nerve problems that cause discomfort and sensations. After a thorough examination of problem areas, massage, decompression, and chiropractic adjustments will:
Bova, Joseph, and Adam Sergent. “Chiropractic management of a 24-year-old woman with idiopathic, intermittent right-sided hemiparesthesia.” Journal of chiropractic medicine vol. 13,4 (2014): 282-6. doi:10.1016/j.jcm.2014.08.002
Christensen, Kim D, and Kirsten Buswell. “Chiropractic outcomes for managing radiculopathy in a hospital setting: a retrospective review of 162 patients.” Journal of chiropractic medicine vol. 7,3 (2008): 115-25. doi:10.1016/j.jcm.2008.05.001
Freihofer, H P Jr. “Parästhesien” [Paresthesia]. Schweizerische Monatsschrift fur Zahnheilkunde = Revue mensuelle suisse d’odonto-stomatologie vol. 89,2 (1979): 124-5.
Karne, Sampada Swapneel, and Nilima Sudhakar Bhalerao. “Carpal Tunnel Syndrome in Hypothyroidism.” Journal of Clinical and diagnostic research: JCDR vol. 10,2 (2016): OC36-8. doi:10.7860/JCDR/2016/16464.7316
Many of us are moving around from one location to another. When we are on our feet all the time, it can cause the muscles of the lower extremity to become tight and ache that we need to sit down and rest. When the body is resting, our posture tends to be hunched over, and it causes the postural muscles to over-stretch and cause pain when we get up from our rested position. Whether sitting on the couch or a chair, our posture tends to be reclined where it may seem comfortable, but it causes pain to our musculoskeletal system in our neck, shoulders, and back. To that point, when we get out of the reclined position, it can also affect the legs, calves, and feet. Today’s article focuses on the postural muscles, how postural pain affects the gastrocnemius-soleus muscles, and how MET treatment can help the postural muscles. We utilize valuable information about our patients to certified medical providers using MET treatment to mitigate postural effects on the musculoskeletal system. 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
What Are The Postural Muscles?
Have you been dealing with low back pain? What about feeling a tingling or numbing sensation down your calves or feet? Or do your back muscles constantly ache from sitting down for long periods? Many of these are signs and symptoms that you are experiencing pain in your postural muscles. Studies reveal that the postural muscles interact between the musculoskeletal system and the central nervous system’s afferent and efferent pathways. In the human body, three curves maintain mobility, stability, and balance to resist longitudinal pressures: cervical, thoracic, and lumbar. The postural muscles work with the lower body extremities to support the weight of the upper body extremities. Additional research shows that postural stability and balance control are interlinked with a dynamic process and allow the muscles in the lower portions of the body, like the legs and calf, to help stabilize the upper body’s weight. We will look at the gastrocnemius and soleus muscles as they help maintain good posture, balance, and stability.
Postural Pain Affects The Gastrocnemius-Soleus Muscles
Repetitive motions associated with environmental factors can cause the gastrocnemius and soleus muscles to shorten and cause symptoms of muscle weakness, cramping, and instability in calves and legs. The gastrocnemius and soleus muscles have a beautiful relationship as they help form the calf muscles that allow movement and stability to the entire body. Now how would postural pain affect these muscles? According to research studies, when numerous factors start to affect the body’s posture, whether it is prolonged standing, sitting, bending, twisting, or awkward positions, it causes muscle strain to the body, and it can cause negative effects on the surrounding muscles. For example, say you are in an awkward position and start to feel a numbing sensation down to your legs and low back pain. When you release your body from the uncomfortable position, the blood flow and neuron signals will go haywire as the blood tries to get the muscles working again, and the signals are trying to reach back to the brain.
The Root Cause Of Pain- Video
Do your legs feel heavy constantly? Are you experiencing balancing issues when walking? Or have you been experiencing pain in your lower back, and it’s traveling down to your legs? If you are dealing with these issues, it could result from postural pain associated with your calves’ gastrocnemius and soleus muscles. Poor posture causes numerous pain-like symptoms, leading to muscle weakness or numbness in the legs and calves. When this happens, it can lead to instability and mobility issues that can turn into chronic conditions if not treated immediately. The video above explains how numerous factors can cause pain, leading to underlying musculoskeletal conditions that can cause the body to be misaligned. Luckily all is not lost, as there are multiple treatments to reduce pain and realign the body out of subluxation. Treatments like MET therapy, chiropractic care, and physical and nutritional therapy can help many individuals with pain-like symptoms. They can help stretch, lengthen, and reduce the effects of postural pain.
MET Treatment On The Postural Muscles
When it comes to reducing pain in the postural muscles, many individuals will find ways to treat the pain. In “Clinical Applications of Neuromuscular Techniques,” authors Leon Chaitow, N.D., D.O., and Judith Walker Delany, L.M.T., state that when it comes to reducing pain in both the gastrocnemius and soleus muscles, many pain specialists use muscle energy techniques or MET to help treat the soft tissues that surround the calves by using stretching techniques and isometric contractions to lengthen the shortened muscles that are causing the calves to cramp. Utilizing MET treatment on the postural muscles allows the affected muscles to be stretched gently and, combined with other therapies, can prevent future injuries from reoccurring. Additionally, it will enable the individual to be more mindful of their posture to avoid these issues from escalating.
Conclusion
Overall, it is important to ensure that having a good posture can prevent issues from affecting the lower portions of the body and causing pain in the calf muscles. When the calf muscles begin to deal with pain, it can cause the individual to be unstable and lose their balance. Incorporating soft tissue therapies like MET allow the muscles to be stretched and relaxed while restoring blood flow to the legs and help many individuals walk without feeling pain.
References
Carini, Francesco, et al. “Posture and Posturology, Anatomical and Physiological Profiles: Overview and Current State of Art.” Acta Bio-Medica : Atenei Parmensis, 28 Apr. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC6166197/.
Chaitow, Leon, and Judith Walker DeLany. Clinical Applications of Neuromuscular Techniques. Churchill Livingstone, 2003.
Ludwig, Oliver, et al. “Neuromuscular Performance of Balance and Posture Control in Childhood and Adolescence.” Heliyon, 31 July 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7398941/.
Swain, Christopher T V, et al. “No Consensus on Causality of Spine Postures or Physical Exposure and Low Back Pain: A Systematic Review of Systematic Reviews.” Journal of Biomechanics, 26 Mar. 2020, pubmed.ncbi.nlm.nih.gov/31451200/.
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 musculoskeletal system allows the various muscle groups to surround the bones and joints through ligaments and muscle tissues that help with mobility and stabilizes the skeletal structure from pain. As the body ages naturally, the muscles, bones, and joints get affected as numerous factors begin to cause the body to be dysfunctional. Many of these factors could take a toll on the body and cause bone mass density loss, leading to osteoporosis. A person experiencing osteoporosis can generate overlapping risk profiles affecting the body’s muscles and joints, leading to painful symptoms. Today’s article looks at osteoporosis, how it affects the muscles and joints, and how numerous treatments can help reduce osteoporosis symptoms. We utilize information about our patients to certified medical providers using MET therapy to mitigate the effects of osteoporosis on the musculoskeletal system. We encourage patients by referring them to associated medical providers based on their diagnosis while supporting that education is a remarkable way to ask our providers the most interesting and essential questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., comprises this information as an educational service. Disclaimer
What Is Osteoporosis?
If you’ve been experiencing severe back or hip pain or struggling to breathe, you may be experiencing osteoporosis. This condition causes bones to become porous, making them brittle and weak, and it affects around 200 million people worldwide, with women being more commonly affected than men, as studies revealed. Many risk factors can cause bones to deteriorate quickly and become weaker, leading to an increased risk of fragility, fracture, and muscle and joint pain. Additional studies have revealed that some risk factors that can lead to osteoporosis development include:
Race
Ethnicity
Age
Sex
Metabolic syndrome
Osteoporosis can often go undetected for a long time, with individuals only noticing symptoms such as a forward-curved upper back or a broken bone.
Osteoporosis Affecting The Muscles & Joints
Osteoporosis can affect the body’s bones, muscles, and joints, especially major skeletal portions like the spine, hips, wrists, and shoulders. Studies have shown that individuals with or without trauma can experience symptoms like pain due to osteoporosis caused by hormone deficiency. “Clinical Applications of Neuromuscular Techniques” by Dr. Leon Chaitow, N.D., D.O., and Dr. Judith Walker DeLany, L.M.T., explain that bone density can decrease when bone resorption happens faster than bone formation. This decrease in bone density could lead to joint fractures and cause musculoskeletal disorders that affect a person’s stability and mobility, leading to complaints in the upper and lower body extremities.
An Overview Of Osteoporosis-Video
Are you experiencing pain in your arms or legs? Do your joints ache more than usual or do you have persistent back pain? These symptoms are often associated with osteoporosis, a chronic condition where bones become weak and brittle due to fractures or trauma. Osteoporosis can go undetected for an extended time, and when it affects bone density, it can also impact surrounding muscles and joints, leading to various musculoskeletal conditions. The video above explains osteoporosis, including risk factors and treatment options such as chiropractic care to reduce its effects.
Treatments To Reduce Osteoporosis Symptoms
If you risk developing osteoporosis, it’s best to consult your primary doctor for confirmation. Once confirmed, you have several options for your next steps, such as incorporating exercises, vitamins, minerals, and supplements for bone health, lifestyle changes, and utilizing treatments like MET therapy or chiropractic treatments. MET therapy can help restore bone density and promote a mindful approach to one’s body and lifestyle when combined with proper nutrition and exercise. Studies show that individuals with osteoporosis can use MET therapy to reduce pain and improve range of motion in affected joints. Pain specialists often use MET to stretch and shorten muscles to help restore the body to normal.
Conclusion
Osteoporosis is a chronic silent disease that affects the bones silently, causing pain and correlating with numerous factors that can increase its progression. When bones become porous, weak, and brittle, it can lead to pain-like symptoms in the musculoskeletal system. This can cause chronic issues that misalign the body, leading to mobility and stability problems. Fortunately, numerous ways exist to prevent and reduce the effects of osteoporosis. Some effective measures include incorporating vitamins and supplements for bone health, exercising for 30 minutes to an hour, and getting MET therapy to restore the body’s range of motion. These small changes can greatly impact an individual’s health and wellness journey.
References
Chaitow, Leon, and Judith Walker DeLany. Clinical Applications of Neuromuscular Techniques. Churchill Livingstone, 2003.
Porter, Joann L, and Matthew Varacallo. “Osteoporosis.” In: StatPearls [Internet]. Treasure Island (FL), 4 Sept. 2022, www.ncbi.nlm.nih.gov/books/NBK441901/.
Pouresmaeili, Farkhondeh, et al. “A Comprehensive Overview on Osteoporosis and Its Risk Factors.” Therapeutics and Clinical Risk Management, 6 Nov. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC6225907/.
Sözen, Tümay, et al. “An Overview and Management of Osteoporosis.” European Journal of Rheumatology, Mar. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5335887/.
Thomas, Ewan, et al. “The Efficacy of Muscle Energy Techniques in Symptomatic and Asymptomatic Subjects: A Systematic Review.” Chiropractic & Manual Therapies, 27 Aug. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6710873/.
When it comes to our bodies, many functioning systems help the body regulate its temperature, provide mobility and stability when in motion, and protect the host from pathogens that enter inside to cause havoc. One of the systems that helps the body is the endocrine system, which produces many hormones to keep the body functioning properly. The thyroid, a small, butterfly-shaped organ at the base of the neck, produces the hormones in the body. The thyroid helps regulate hormone production; however, when pathogen factors affect the body’s hormonal production, it can lead to musculoskeletal pain and dysfunction. Today’s article examines how the thyroid produces hormones, how hormone imbalances are connected with musculoskeletal pain, and how MET therapy can help restore hormone imbalances from affecting the body in the future. We utilize information about our patients to certified medical providers using soft tissue therapies like MET to reduce musculoskeletal pain associated with hormonal imbalances. We encourage patients by referring them to associated medical providers based on their diagnosis while supporting the fact that education is a marvelous way to ask our providers the most interesting questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., incorporates this information as an educational service. Disclaimer
How Does The Thyroid Produce Hormones?
Do you feel muscle weakness or pain in certain parts of your body? Do you feel out of breath after walking for a short distance? Or do you feel sluggish throughout the entire day? When many individuals are dealing with these numerous issues, it could be due to their hormones being imbalanced from their thyroids. When it comes to the body, the endocrine system is the mastermind of producing different hormones for the body to help regulate all the biological processes. One of the vital organs of the endocrine system is the thyroid. Studies reveal that the thyroid is an endocrine gland located in the inferior anterior neck of the body and produces T4 and T3 hormones for the body to function properly. The thyroid hormones affect many of the vital organs and body tissues as they help with the following:
Cardio output and increased resting heart rate
Increases BMR (basal metabolic rate), heat production, and oxygen consumption
Stimulates resting respiratory rate and the nervous system
Plays a role in reproductive health and other endocrine organ function
Additional studies have revealed that thyroid hormones help control the body’s metabolism, growth, and other bodily functions while having a casual relationship with the HPT (hypothalamic-pituitary-thyroid) axis. What this relationship does is that it makes sure that the body is working properly in any environment. However, when unwanted pathogens start to affect thyroid hormone production, it can cause a hormone imbalance and lead to unwanted pain-like symptoms in the vital organs and musculoskeletal tissues.
Hormone Imbalances & Musculoskeletal Pain
When unwanted pathogens are associated with environmental factors affecting the body, it can lead to pain-like symptoms that can lead to musculoskeletal pain. In the book, “Clinical Applications of Neuromuscular Techniques,” written by Dr. Judith Walker DeLany, L.M.T., and Leon Chaitow, N.D., D.O., stated that there is a connection between hormonal imbalances and musculoskeletal pain as there are many environmental factors that can influence how much or how little hormone production is being produced from the thyroid. The book also mentions that some of the clinical signs of thyroid hormone deficiency include:
Dry skin and thinning hair
Unnatural fatigue
Unexplained weight increase
Aching muscles
Mental confusion
When the body is dealing with hormone imbalances associated with musculoskeletal pain, studies reveal that symptoms of fatigue, anxiety, irritability, and increased oxidative stress can cause the muscular tissues and ligaments to be weak and cause overlapping risk profiles when the body is in motion. To that point, hormone imbalances could lead to muscle and joint pain associated with myofascial trigger points and muscle shortness.
Finding Hormonal Harmony- Video
Have you been experiencing muscle or joint pain? Do you often feel anxious or irritable constantly? Or have you noticed that you are extremely sensitive to the cold? Many of these pain-like issues are signs and symptoms associated with hormone imbalances in the body and can lead to musculoskeletal pain. The body needs hormones to help regulate body temperature, control the body’s metabolism, and help stimulate the endocrine and body systems. Hormones are secreted from the thyroid and travel to the important muscles, organs, and tissues through the bloodstream to assist and help each body section function properly. When pathogens start to disrupt hormone production, the thyroid can overproduce or underproduce hormone secretion and cause many overlapping risk profiles to the body and musculoskeletal system. Fortunately, there are many ways to regulate hormones and reduce the effects of musculoskeletal pain. The video above explains that increasing certain vitamin intake, eating healthy, whole-nutritional foods, and getting adequate exercise and sleep can regulate hormone production and reduce the effects of musculoskeletal pain. These various treatments can be combined with therapy to help realign the body and restore it naturally.
MET Therapy Restoring Hormone Imbalances
Many available therapies can reduce the effects of hormonal imbalances associated with musculoskeletal pain. Treatments like MET (muscle energy techniques) allow many pain specialists to use soft tissue techniques to reduce pain-like symptoms and will enable the body to restore itself naturally. Research studies have revealed that soft tissue therapies like MET can reduce pain, improve body function, and reduce disability. MET therapy can be combined with nutritional foods, hormone therapies, and bodywork strategies that can help regulate hormone production in the thyroid. When a person starts to go to treatment for any ailments affecting their body, it allows these individuals to be more mindful of what is happening to their bodies and make small meaningful changes to their health and wellness.
Conclusion
When it comes to maintaining the body’s health and wellness, it’s important to ensure that unwanted pathogens don’t start affecting thyroid hormone production. The thyroid is a small gland located at the base of the neck that secretes out hormones to the rest of the body. When the thyroid over or under-produces hormones in the organs, muscles, and tissues, it can lead to pain-like symptoms that affect the body’s system and potentially lead to musculoskeletal disorders. Treatments like MET therapy combined with nutritional whole foods and exercises can reduce the effects of hormone imbalances associated with musculoskeletal disorders. This amazing combination allows the body to heal naturally and allows the individual to be pain-free.
References
Armstrong, Maggie, et al. “Physiology, Thyroid Function – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), 13 Mar. 2023, www.ncbi.nlm.nih.gov/books/NBK537039/.
Chaitow, Leon, and Judith Walker DeLany. Clinical Applications of Neuromuscular Techniques. Churchill Livingstone, 2003.
Day, Joseph M, and Arthur J Nitz. “The Effect of Muscle Energy Techniques on Disability and Pain Scores in Individuals with Low Back Pain.” Journal of Sport Rehabilitation, May 2012, pubmed.ncbi.nlm.nih.gov/22622384/.
Shahid, Muhammad A, et al. “Physiology, Thyroid Hormone – StatPearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), 8 May 2022, www.ncbi.nlm.nih.gov/books/NBK500006/.
VandeVord, Pamela J, et al. “Chronic Hormonal Imbalance and Adipose Redistribution Is Associated with Hypothalamic Neuropathology Following Blast Exposure.” Journal of Neurotrauma, 1 Jan. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4700394/.
The body’s core muscles are used for stability, balance, lifting, pushing, pulling, and movement. Engaging the core muscles means bracing and tightening the abdominal muscles, which include the latissimus dorsi/lats, paraspinal muscles, gluteus maximus/glutes, and trapezius/traps. When engaged, the trunk muscles help maintain spinal stability, support the spine and pelvis in sitting and resting positions and during dynamic movements, and help prevent injury.
Engaging The Core
To know how to engage the core, individuals need to understand what the core is. The most important muscles for engaging the core include: These muscles are involved every time the body inhales and exhales, in posture control, and when using the bathroom, they start and stop the process.
Rectus Abdominis
The rectus abdominis muscle is responsible for the six-pack.
It’s a long, flat muscle that extends from the pubic bone to the sixth and seventh ribs.
The rectus abdominis is primarily responsible for bending the spine.
External Obliques
These are the muscles on either side of the rectus abdominis.
The external obliques allow the torso to twist, bend sideways, flex the spine, and compress the abdomen.
Internal Obliques
The internal obliques lie below the external obliques.
They work with the external obliques in the same functions.
Transverse Abdominis
This is the deepest layer of muscle in the abdomen.
It completely wraps around the torso and extends from the ribs to the pelvis.
The transverse abdominis are not responsible for spine or hip movement but for stabilizing the spine, compressing the organs, and supporting the abdominal wall.
Latissimus Dorsi
Commonly known as the lats, these muscles run along both sides of the spine from just below the shoulder blades to the pelvis.
The lats help stabilize the back, especially when extending the shoulders.
They also contribute to body ability when twisting from side to side.
Erector Spinae
The erector spinae muscles are on each side of the spine and extend down the back.
These muscles are responsible for extending and rotating the back and side-to-side movement.
These are considered postural muscles and are almost always working.
What Not To Do
Individuals learn from mistakes, which might make learning how to engage the core easier by understanding what not to do. Common examples of failing to or not engaging the core correctly.
The back slumps when sitting down – the upper body lacks strength and stability.
When bending, the stomach sticks out more.
Swaying or leaning far to one side when walking – lack of lower body strength causes balance and stability problems.
The lower abdomen and back present with discomfort and pain symptoms.
Training
Engaging the core decreases the chance of sustaining an injury at home, work, or exercising and can help with chronic back pain. It creates a stable musculature around the spine that keeps the vertebrae from over-flexing, over-extending, and bending too far to one side. Engaging the core muscles can mean different things, depending on what is trying to be achieved.
For example, if doing bending work, the muscles needed, and the order in which they contract differs from when trying to maintain balance while standing on one leg.
The muscles engaged will differ in their movement depending on whether an individual is:
Trying to move the spine or stabilize it.
Pushing or pulling weight.
Standing, sitting, or lying down.
For a strong and functional core, the objective is to be able to engage the core in any situation. Engaging the core can be challenging, but with training and practice, the body becomes stronger. Practice engaging the core throughout daily activities that include.
Bracing the core while standing, sitting at a workstation or desk, and walking.
Day-to-day activities, like reaching for something from a high shelf, grocery shopping, and taking the stairs.
Injury Medical Chiropractic and Functional Medicine Clinic can create a personalized program to address musculoskeletal issues, core training, targeted exercise, stretching, nutrition, massage, and adjustments to get the body to optimal health and maintain health.
The Non-Surgical Solution
References
Eickmeyer, Sarah M. “Anatomy and Physiology of the Pelvic Floor.” Physical Medicine and rehabilitation clinics of North America vol. 28,3 (2017): 455-460. doi:10.1016/j.pmr.2017.03.003
Lawson, Samantha, and Ashley Sacks. “Pelvic Floor Physical Therapy and Women’s Health Promotion.” Journal of Midwifery & Women’s Health vol. 63,4 (2018): 410-417. doi:10.1111/jmwh.12736
Seaman, Austin P et al. “Building a Center for Abdominal Core Health: The Importance of a Holistic Multidisciplinary Approach.” Journal of gastrointestinal surgery: official journal of the Society for Surgery of the Alimentary Tract vol. 26,3 (2022): 693-701. doi:10.1007/s11605-021-05241-5
Vining, Robert, et al. “Effects of Chiropractic Care on Strength, Balance, and Endurance in Active-Duty U.S. Military Personnel with Low Back Pain: A Randomized Controlled Trial.” Journal of Alternative and complementary medicine (New York, N.Y.) vol. 26,7 (2020): 592-601. doi:10.1089/acm.2020.0107
Weis, Carol Ann, et al. “Chiropractic Care for Adults With Pregnancy-Related Low Back, Pelvic Girdle Pain, or Combination Pain: A Systematic Review.” Journal of Manipulative and physiological therapeutics vol. 43,7 (2020): 714-731. doi:10.1016/j.jmpt.2020.05.005
Zachovajeviene, B et al. “Effect of the diaphragm and abdominal muscle training on pelvic floor strength and endurance: results of a prospective randomized trial.” Scientific Reports vol. 9,1 19192. 16 Dec. 2019, doi:10.1038/s41598-019-55724-4
It’s not unusual for runners to experience tingling, pins and needles, and numbness in their feet while running. Running foot numbness is a relatively common problem for runners and can be easily remedied. Numbness will present in one part of the foot or just the toes. Sometimes it can spread throughout the whole foot. Different causes, most of which are not serious, can be easily dealt with. Serious causes can be treated with chiropractic, massage, decompression therapy, and functional medicine.
Running Foot Numbness
Reasons, why the feet experience numbing sensations when running, include:
Improper footwear.
Laces that are tied too tightly.
Foot strike pattern.
Foot structure.
Training schedule.
Muscle tightness.
Compressed nerve.
Medical conditions like neuromas or peripheral neuropathy.
Footwear
A common cause of running foot numbness is having overly tight shoes that place added pressure on nerves.
If this could be the reason, the remedy is to get new shoes.
Try to find a store that specializes in running shoes and ask for help.
Footwear professionals look at the size of the foot, the shape, and running gait.
For example, individuals with a wide foot may need a style with a wider/larger toebox or the front of the shoe that houses the forefoot.
Get a pair that’s one-half to a full size larger than a regular everyday shoe size.
This is because when running, the feet swell, especially in hot and humid weather.
Going up a half or whole size will also accommodate thicker socks for individuals that run in cold weather.
Sometimes numbness can result from biomechanical issues that can be corrected with the proper shoe.
Tight Laces
Sometimes it’s not the shoes but the laces that are too tight.
Pulling a little tighter to get a firm fit around the ankle is common, but this can entrap nerves on top of the foot at the ankle/anterior tarsal tunnel, similar to the carpal tunnel in the wrist.
This can be problematic for individuals with high arches.
Loosening the laces are recommended.
However, runners may feel insecure with looser laces.
Experimenting with different lacing techniques is recommended to find one that keeps the shoes comfortable without creating undue pressure over the top of the foot.
Using padding under the tongue of the shoe can help.
Foot Fall Pattern
Sometimes running form can put pressure on nerves that, lead to numbness.
Overstriding– Landing heel first with the foot ahead of the body’s center of gravity places the feet on the ground for too long.
Correcting this issue can be achieved by shortening the stride and focusing on landing on the midsole.
This way, the feet will land directly under the body.
Running like stepping on hot coals is recommended, keeping the movements light and quick.
Correcting overstriding saves energy and lowers the risk of shin splints.
A sports chiropractor, physical therapist, or running coach can help fine-tune form for specific guidance.
Foot Structure
The anatomy of the feet, specifically the arches, can contribute to running foot numbness.
Flat feet mean the entire bottom of each foot is in contact with the floor when barefoot.
Overly flexible feet are more likely to experience nerve compression.
This can be corrected with shoe orthotic inserts.
Over-the-counter orthotics may work, but custom orthotics are another option if they don’t.
Muscle Tightness
Stiff, inflexible muscles can lead to anatomical conditions that generate nerve pressure.
Warm-up exercises before running will get the muscles loose and ready.
Stretching is very important before and after running.
Individuals prone to muscle tightness should include flexibility exercises.
Yoga can improve flexibility and body alignment.
Foam rollers and other massage tools will work out kinks in areas where tightness forms and affects nerves, like the quadriceps, calves, hamstrings, and I.T. band.
Regular sports massage and chiropractic can help keep the body pliable.
Sciatic Nerve Issues
A compressed nerve causes a decrease in the sensation to the areas the nerve supplies.
Foot numbness, especially around the heel or the sole, can be caused by sciatic nerve compression.
The pain from sciatica might originate in the back but can end up causing numbness in the feet and/or toes.
Poor posture, tight piriformis muscles, or other back injuries can also cause sciatica.
A chiropractor or physical therapist can prescribe decompression therapy, MET stretches, and rehabilitative exercises.
Prevention
Most of the time, running foot numbness can be treated by adjusting footwear or technique. Here are a few tips for injury prevention:
Evaluate Shoes
First, make sure the shoelaces are not overly tight.
If the shoes are uncomfortable when running, look for another set and get a custom fitting.
Running Form
Avoid overstriding by focusing on landing on the midsole instead of the heel.
This will take the pressure off of the feet.
Foot Orthotics
Individuals with flat feet, high arches, or overly flexible feet should consider orthotics.
Avoid Overtraining
Work rest days into the training schedule and gradually build up to avoid overuse injuries.
Stretch to prevent muscle imbalances, keep muscles loose, and improve the range of motion.
Chiropractic and Physical Therapy
If symptoms don’t improve, see a doctor, podiatrist, or chiropractor so they can rule out conditions and develop a personalized treatment plan.
Benefits of Custom Foot Orthotics
References
Aldridge, Tracy. “Diagnosing heel pain in adults.” American family physician vol. 70,2 (2004): 332-8.
Atik, Aziz, and Selahattin Ozyurek. “Flexible flatfoot.” Northern Clinics of Istanbul vol. 1,1 57-64. 3 Aug. 2014, doi:10.14744/nci.2014.29292
Jackson, D L, and B L Haglund. “Tarsal tunnel syndrome in runners.” Sports medicine (Auckland, N.Z.) vol. 13,2 (1992): 146-9. doi:10.2165/00007256-199213020-00010
Souza, Richard B. “An Evidence-Based Videotaped Running Biomechanics Analysis.” Physical Medicine and rehabilitation clinics of North America vol. 27,1 (2016): 217-36. doi:10.1016/j.pmr.2015.08.006
Sridhara, C R, and K L Izzo. “Terminal sensory branches of the superficial peroneal nerve: an entrapment syndrome.” Archives of physical medicine and Rehabilitation vol. 66,11 (1985): 789-91.
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