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.
Sciatica From Working Out: There are benefits from strenuous exercise and a level of acceptance of the discomfort that goes with exertion. While this is true to a certain degree, when individuals feel the pump and are in the workout zone, it can be very easy to take off and overdo it. This is when the body and the back become susceptible to injuries. Sciatica from working out occurs when added pressure on the sciatic nerve results in a compressed/pinched nerve. Left untreated can lead to further back problems and other health issues. The Injury Medical Chiropractic and Functional Medicine Team can relieve the compression, release the nerve, relax the muscles, and restore function.
Sciatica From Working Out
Microtrauma
Building muscle and increasing strength require a certain amount of physical damage to the muscles for successful progress. Intense and heavy exercise tear the muscle tissues causing microtrauma that triggers a healing response that creates muscle mass. These micro-injuries can cause the back muscles to tighten up, shifting the spine out of alignment, causing the discs to slip and compress nerves, or by tight leg muscles like the piriformis swelling and squeezing the sciatic nerve.
Causes
Rest and Recovery
It’s important to understand that proper recovery is essential to an exercise program.
It can take up to 72 hours to recover from the microtears.
Individuals that go right back for a similar workout can aggravate existing micro tears while creating more, resulting in a downward cycle of symptoms that can lead to other problems or become a chronic condition.
Rotating to exercises that go easy on the back and leg muscles assists in the normal healing and development of muscle tissue.
Not Warming up Before Workout
Not warming up before exercising can cause injuries.
When muscles are cold and not warmed up properly, they can become stiff and inflexible, causing them to strain and tear when exposed to sudden, intense exertion.
Before performing any exercise, always start with a low-impact, gentle warm-up.
Not Stretching Properly or at All
Full-body stretching is necessary as the torn, tight muscles need to be relaxed and kept loose.
Make sure to stretch the hamstrings and hips thoroughly.
After each workout, take 10 minutes and stretch.
Not Stretching After
Always do some stretching after a workout.
Stretching after can help prevent muscle fatigue and soreness from a lactic acid buildup.
Starting With Heavy Weights
Many injuries happen because individuals start too heavy.
Challenging the body’s performance is part of the process but should be done in small steps.
Start with lighter weights and add more gradually.
Improper Posture and Form
A leading cause of back problems is poor posture and form.
Curving the back while lifting weights is the most error.
Overarching can also cause injury.
When performing push-ups or planks, avoid sinking the hips.
Hard Surfaces
For runners, hard surfaces like concrete or asphalt force the body and back to absorb most of the impact.
This compresses the vertebrae, which can irritate the sciatic nerve.
Rotate by using running trails or a treadmill.
Work on running with a shorter stride to reduce bounce and impact.
Incorporate cross-training.
Rotate upper body strength training to give the legs, gluteals, and back muscles a rest.
Chiropractic Rehabilitation
Chiropractic care, massage, and decompression therapy can relieve sciatica pain. Using spinal manipulation techniques and other therapies, chiropractors can alleviate the pressure on the nerve. Treatment involves:
X-rays are taken so that the chiropractor can understand the cause.
Massaging the muscles to relax and release them and increase circulation.
Stretching and applying controlled pressure to the joints.
Specific exercises and stretches will be recommended to do at home.
Health coaching and nutrition and wellness recommendations.
Personalized Sciatica Treatment
References
Bonasia DE, Rosso F, Cottino U, Rossi R. Exercise-induced leg pain. Asia Pac J Sports Med Arthrosc Rehabil Technol. 2015;2(3):73-84. doi:10.1016/j.asmart.2015.03.003
Cook CE, Taylor J, Wright A, Milosavljevic S, Goode A, Whitford M. Risk factors for first-time incidence sciatica: a systematic review. Physiother Res Int. 2014 Jun;18:65-78. doi:doi:10.1002/pri.1572
Koes BW, van Tulder MW, Peul WC. Diagnosis and treatment of sciatica. BMJ. 2007;334(7607):1313‐1317. doi:10.1136/bmj.39223.428495.BE
Lewis RA, Williams NH, Sutton AJ, et al. Comparative clinical effectiveness of management strategies for sciatica: a systematic review and network meta-analyses. (PDF). Spine J. 2015;15(6):1461-77. doi:10.1016/j.spinee.2013.08.049
Salehi, Alireza, et al. “Chiropractic: Is it Efficient in Treatment of Diseases? Review of Systematic Reviews.” International Journal of community-based nursing and midwifery vol. 3,4 (2015): 244-54.
When issues like autoimmune disorders start to affect the body for no reason, it can lead to chronic problems and conditions that can affect the various muscles and vital organs that cause overlapping risk profiles to the host. The body is a complex machine that allows the immune system to release inflammatory cytokines to the affected area when a person has acute or chronic pain. So when a person has an autoimmune disorder like fibromyalgia, it can affect their quality of life while amplifying painful sensations in their musculoskeletal system. Today’s article focuses on fibromyalgia and its systems, how this autoimmune disorder correlates with myofascial pain syndrome, and how chiropractic care can help reduce fibromyalgia symptoms. We refer our patients to certified providers that incorporate techniques and various therapies for many individuals with fibromyalgia and its correlating symptoms, like myofascial pain syndrome. We encourage and appreciate each patient by referring them to associated medical providers based on their diagnosis when it is appropriate. We understand that education is a fantastic way when asking our providers intricated questions at the patient’s request and understanding. Dr. Jimenez, D.C., only utilizes this information as an educational service. Disclaimer
What Is Fibromyalgia?
Have you been dealing with unquestionable pain that is affecting your daily life? Do you feel fatigued when you are barely getting out of bed? Or have you been dealing with brain fog and aches all over your body? Many of these symptoms overlap with an autoimmune disorder known as fibromyalgia. Studies reveal that fibromyalgia is an autoimmune condition characterized by widespread chronic musculoskeletal pain that can correlate with neurosensory disorders that affect the nervous system. Fibromyalgia can affect about 4 million adults in America and roughly 2% of the general adult population. When people with fibromyalgia go through a physical examination, the test results would appear to be normal. That is because fibromyalgia can include multiple tender points in specific body areas and manifest as a primary or secondary condition while extending far beyond the defining criteria. Additional studies reveal that the pathogenesis of fibromyalgia could potently be linked with other chronic factors that affect the following systems:
Inflammatory
Immune
Endocrine
Neurological
Intestinal
The Symptoms
Many individuals, especially women, have fibromyalgia, which causes symptoms of multiple somato-visceral issues. To that point, it can often overlap and accompany fibromyalgia. Unfortunately, fibromyalgia is challenging to diagnose since the pain can last for several months to years. Studies have shown that even though fibromyalgia is challenging to diagnose when many other factors like genetics, immunological, and hormonal factors potentially play a part in this autoimmune disorder. Also, additional symptoms and specific diseases like diabetes, lupus, rheumatic diseases, and musculoskeletal disorder can be associated with fibromyalgia. Some of the following symptoms that many fibromyalgia individuals deal with include:
Have you been having trouble getting a good night’s sleep? Do you feel pain in different areas of your body? Or have you been dealing with cognitive issues like brain fog? Many of these symptoms correlate with an autoimmune disorder known as fibromyalgia. Fibromyalgia is an autoimmune disorder that is challenging to diagnose and can cause immense pain to the body. The video above explains how to notice the signs and symptoms of fibromyalgia and what associated conditions correlate with this autoimmune disorder. Since fibromyalgia causes widespread musculoskeletal pain, it can even affect the peripheral and central nervous systems. This causes the brain to send out neuron signals to cause an increase in sensitivity to the brain and spinal cord, which then overlaps with the musculoskeletal system. Since fibromyalgia causes pain to the body, it can present unrecognized symptoms that can be difficult to recognize and can be arthritis-related.
How Fibromyalgia Is Correlated With Myofascial Pain Syndrome
Since fibromyalgia can correlate with different chronic conditions, one of the most chronic disorders can mask the effects of fibromyalgia in the body: myofascial pain syndrome. Myofascial pain syndrome, according to Dr. Travell, M.D.’s book, “Myofascial Pain Syndrome and Dysfunction,” mentions that when a person has fibromyalgia causes musculoskeletal pain, overtime if not treated, can develop trigger points in the affected muscles. This causes muscle stiffness and tenderness in the taut muscle band. Additional studies mentioned that since myofascial pain syndrome and fibromyalgia have common muscular pain symptoms, they can cause tenderness and refer pain to different body locations. Fortunately, available treatments can help reduce the muscular pain symptoms caused by fibromyalgia associated with myofascial pain syndrome.
Chiropractic Care & Fibromyalgia Associated With Myofascial Pain
One of the available treatments that can help relieve the muscular pain from fibromyalgia associated with myofascial pain syndrome is chiropractic therapy. Chiropractic therapy is a safe, non-invasive treatment option that can help alleviate symptoms of body pain and swelling from a spinal subluxation. Chiropractic care uses manual and mechanical manipulation to re-align the spine and improve nerve circulation while increasing blood flow back to the joints and muscles. Once the body has been re-balanced from chiropractic therapy, the body can manage symptoms better and reduce the effects of fibromyalgia. Chiropractic therapy also provides a customized treatment plan and works with associated medical professionals to achieve maximum results and ensure the highest quality of life for the individual.
Conclusion
Fibromyalgia is one of the most common autoimmune disorders that affect most of the population and can be challenging to diagnose. Fibromyalgia is characterized by widespread chronic musculoskeletal pain that can correlate with neurosensory disorders and cause pain symptoms in the body. People with fibromyalgia also deal with myofascial pain syndrome, as both disorders cause muscle and joint pain. Luckily, treatments like chiropractic therapy allow spinal manipulation of the body to be re-aligned and restore functionality to the host. This reduces the symptoms caused by fibromyalgia and causes the individual to be pain-free and function normally.
References
Bellato, Enrico, et al. “Fibromyalgia Syndrome: Etiology, Pathogenesis, Diagnosis, and Treatment.” Pain Research and Treatment, U.S. National Library of Medicine, 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3503476/.
Bhargava, Juhi, and John A Hurley. “Fibromyalgia – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 10 Oct. 2022, www.ncbi.nlm.nih.gov/books/NBK540974/.
Gerwin, R D. “Myofascial Pain and Fibromyalgia: Diagnosis and Treatment.” Journal of Back and Musculoskeletal Rehabilitation, U.S. National Library of Medicine, 1 Jan. 1998, pubmed.ncbi.nlm.nih.gov/24572598/.
Simons, D. G., and L. S. Simons. Myofascial Pain and Dysfunction: The Trigger Point Manual: Vol. 2:the Lower Extremities. Williams & Wilkins, 1999.
Siracusa, Rosalba, et al. “Fibromyalgia: Pathogenesis, Mechanisms, Diagnosis and Treatment Options Update.” International Journal of Molecular Sciences, U.S. National Library of Medicine, 9 Apr. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8068842/.
Inflammatory bowel disease, or IBD, causes inflammation of the digestive tract lining, which often involves the deeper layers. Gastrointestinal or GI problems of the stomach and intestines often include diarrhea, weight loss, rectal bleeding, fatigue, and back pain. The inflammation can reach the spine’s joints, causing stiffness, discomfort, and pain symptoms. Injury Medical Chiropractic and Functional Medicine Clinic can help manage symptoms and guide individuals on treatment options.
IBD Back Pain
IBD is a set of conditions associated with chronic or intermittent inflammation of the gastrointestinal tract. It includes Crohn’s disease – CD and ulcerative colitis – UC. Although there are genetic components that predispose individuals to IBD, environmental factors appear to contribute the most. Research shows that IBD is likely related to disturbances in the gut’s flora, which include:
Other environmental factors associated with IBD include the long-term use of birth control pills and nonsteroidal anti-inflammatory drugs/NSAIDs. Research theorizes that as the gut becomes inflamed, its normal integrity and structure become compromised and begin to leak out, causing an immune system overreaction response. This can cause non-gastrointestinal symptoms that include:
IBD can cause low back pain as the IBD can inflame the spine’s joints, especially the sacrum, as well as cause abdominal cramps and rectal sensations that radiate to the low back area. However, irritation, inflammation, or infection of any central, abdominal, or pelvic organs can cause low back pain.
Diagnosis
Diagnosis requires a physical examination of the colon – a sigmoidoscopy or a colonoscopy is used.
Both procedures take a biopsy of the intestinal tissues, which is studied to determine the extent and degree of inflammation.
Depending on the circumstances, an X-ray could be used to show the depth or extent of the condition.
Chiropractic Management
A chiropractor can help individuals decrease or completely alleviate musculoskeletal symptoms by realigning the spine and pelvis and massaging, releasing, and relaxing the muscles, which increases circulation and soothes inflammation. The reason why chiropractic care can effectively treat IBD is its ability to stabilize the internal systems. When the central nervous system and immune system communicate and function properly, this prevents the immune system from attacking the body’s tissue cells, preventing inflammation. The chiropractic whole-body approach can also help with recommendations regarding lifestyle changes and nutritional anti-inflammatory modifications.
Ulcerative Colitis
References
Centers for Disease Control and Prevention. “What Is Inflammatory Bowel Disease (IBD)?” 2022, www.cdc.gov/ibd/what-is-IBD.htm
Danese S, Fiocchi C. Etiopathogenesis of inflammatory bowel diseases. World J Gastroenterol. 2006;12(30):4807-4812. doi:10.3748/wjg.v12.i30.4807
Limsrivilai, Julajak et al. “Systemic Inflammatory Responses in Ulcerative Colitis Patients and Clostridium difficile Infection.” Digestive diseases and sciences vol. 63,7 (2018): 1801-1810. doi:10.1007/s10620-018-5044-1
van Erp, S J et al. “classifying Back Pain and Peripheral Joint Complaints in Inflammatory Bowel Disease Patients: A Prospective Longitudinal Follow-up Study.” Journal of Crohn’s & colitis vol. 10,2 (2016): 166-75. doi:10.1093/ecco-jcc/jjv195
Zeitz, Jonas, et al. “Pain in IBD Patients: Very Frequent and Frequently Insufficiently Taken into Account.” PloS one vol. 11,6 e0156666. 22 Jun. 2016, doi:10.1371/journal.pone.0156666
Making healthy posture adjustments is a process, especially for individuals that have been practicing unhealthy postures for years. Not only does the body have to relearn how to position itself correctly, but the muscles, especially those that haven’t been working, also have to adjust. This takes time and is usually at the beginning of postural training that individuals want to give up. This is because of the discomfort and soreness that goes with reactivating the core muscles. This is why it is recommended to go through the process with chiropractic care. A chiropractic therapy team can relieve sore muscles, strengthen the body, and help individuals gradually develop and maintain a healthy posture.
Posture Adjustments
Unhealthy postures shift the body out of balance, straining and stressing the muscles, especially those that have to work overtime every day. This causes the muscles to stiffen and tighten up to the point that they begin to pull the skeletal system in different directions, causing various symptoms that can lead to chronic conditions. Muscles can stay tight for years, with individuals getting used to the feeling. Individuals stretch out, thinking the muscles are loose but don’t realize that they return to their tight position because of the unhealthy muscle memory that developed.
Muscle Imbalance
Muscle imbalances usually progress over time and are typically caused by daily habitual physical routines.
This causes premature and advanced wear and tear on the body.
Postural Dysfunction
Individuals all have positions they spend a lot of time in.
Postural dysfunction begins with unhealthy positioning that shifts the spine and other joints out of balance and alignment.
The muscles become compromised, which leads to various neuromusculoskeletal symptoms.
Muscle fatigue and weakness occur from being overworked.
Headaches can present throughout the day.
Chiropractic Realignment
The muscles have become like tough meat, and the underlying imbalances are straining the neuromusculoskeletal system. The muscle tissues need to be broken up/tenderized and loosened up. Then they can be thoroughly stretched and strengthened to optimal health. Chiropractic care will identify and correct the underlying imbalance, and massage therapy will break up and release the compacted muscle tissue. A personalized treatment plan will consist of the following:
Mobilizing the joints and stretching/releasing shortened tight muscles and soft tissues.
Strengthening the elongated, weaker muscles to correct the body’s alignment and movement control.
Health coaching to identify and recommend lifestyle and nutritional adjustments.
This will restore the bio-mechanical systems, ensuring that equal muscle length and strength on both sides of the system joint or motion segment are maintained.
Posture Adjustments and Foot Orthotics
References
Aino, Masaki, et al. “Comparison of spinal column alignment and autonomic nervous activity using the intersegmental tenderness test in the segment above.” Journal of physical therapy science vol. 33,8 (2021): 570-575. doi:10.1589/jpts.33.570
Creze, Maud, et al. “Posture-related stiffness mapping of paraspinal muscles.” Journal of anatomy vol. 234,6 (2019): 787-799. doi:10.1111/joa.12978
Joshi, Reema, and Nishita Poojary. “The Effect of Muscle Energy Technique and Posture Correction Exercises on Pain and Function in Patients with Non-specific Chronic Neck Pain Having Forward Head Posture-a Randomized Controlled Trail.” International journal of therapeutic massage & bodywork vol. 15,2 14-21. 1 Jun. 2022, doi:10.3822/ijtmb.v15i2.673
Langford, M L. “Poor posture subjects a worker’s body to muscle imbalance, nerve compression.” Occupational health & safety (Waco, Tex.) vol. 63,9 (1994): 38-40, 42.
McLean, Linda. “The effect of postural correction on muscle activation amplitudes recorded from the cervicobrachial region.” Journal of electromyography and kinesiology: official journal of the International Society of Electrophysiological Kinesiology vol. 15,6 (2005): 527-35. doi:10.1016/j.jelekin.2005.06.003
Szczygieł, Elżbieta et al. “The Impact of Deep Muscle Training on the Quality of Posture and Breathing.” Journal of motor behavior vol. 50,2 (2018): 219-227. doi:10.1080/00222895.2017.1327413
The body is a complex machine with various muscles, tendons, ligaments, and vital organs that each play a specific role in maintaining functionality and stability to the host. The body allows movement and mobility from the neck down to the feet. When the body suffers from pain or has been affected by various issues that correlate with pain, two things can occur, one, where acute pain can affect the body and cause the individual to be sore for a few days or two, where the body suffers from chronic pain that leads to the development of myofascial pain syndrome that can lead to referred pain in different muscle groups and cause the body to dysfunction. Today’s article examines how to diagnose myofascial pain syndrome, how the body reacts to this condition, and how various treatments can reduce myofascial pain syndrome in the body. We refer patients to certified providers incorporating techniques and therapies for individuals dealing with myofascial pain syndrome affecting different body areas and causing functionality. By locating where the trigger points are coming from, many pain specialists utilize a treatment plan to reduce the effects that trigger points are causing on the body while coming up with a diagnosis to minimize the referred pain impacting the body. We encourage and appreciate each patient by referring them to associated medical providers based on their diagnosis when it is appropriate. We understand that education is a terrific way when asking our providers intricated questions at the patient’s request and understanding. Dr. Jimenez, D.C., only utilizes this information as an educational service. Disclaimer
How To Diagnose Myofascial Pain Syndrome
Have you been experiencing pain in different locations in your body? Do you have any areas of complaint that affect your daily lifestyle? Or do you have issues of stability and mobility when you are out and about? More often than not, approximately 25% of Americans are in some pain that can impact their lives and, if not treated right away, can cause the body to be dysfunctional. When there is constant pain in the body, it can cause overlapping risk profiles, known as myofascial pain syndrome. Myofascial pain syndrome is often defined as pain that originates along the musculoskeletal muscle groups and causes hyperirritable spots within the muscle fibers’ taut band, causing trigger points to develop. This means repetitive motions cause muscle strain and tightness along the muscle fibers when the body goes through repetitive movements daily.
When many people are dealing with myofascial pain syndrome, they would go to their primary doctor and explain that they are dealing with pain in different areas of their bodies, including their head, neck, shoulders, back, hips, etc. Afterward, their doctors conduct an examination to see where the issue is occurring. Many doctors often ask numerous questions to their patients about their daily activities before coming up with a diagnosis that myofascial pain syndrome is affecting their bodies. Studies reveal that the etiology of myofascial pain syndrome is not fully understood. Still, when the muscles, ligaments, and tissues are inflamed or undergo repetitive trauma, it can be accompanied by correlating conditions and disorders. To that point, doctors will work with their associated medical providers to develop a personalized treatment plan to diagnose and reduce myofascial pain syndrome associated with chronic conditions affecting the body.
How Does The Body React To Myofascial Pain Syndrome
Now when the body is dealing with myofascial pain syndrome, studies reveal that it can be a major health problem when it is not treated right away; it can cause the following:
Impaired mobility
Pain
Muscle hypersensitivity
Sleep issues
Neurological issues
According to “Myofascial Pain and Dysfunction: The Trigger Point Manual,” by Dr. Janet G. Travell, M.D., the book mentioned that when myofascial pain syndrome becomes aberrant, it can lead to a disorder known as myofascial pain modulation disorder. This means that when a person is dealing with trigger points in their bodies, it can distort their referred pain patterns when being diagnosed. Active trigger points normally project pain in different body locations, known as referred pain. However, with myofascial pain modulation disorder, the pain is not localized but aberrant, which causes distortion to the central nervous system and sends pain signals to cause structural damage to the affected muscles in the body.
An Overview Of Referred Pain- Video
Have you been experiencing pain in different locations in your body? Do you have mobility issues when turning your neck or hips? Do you feel like you are losing your quality of life? If you have been dealing with pain-like problems in your body, it could be due to myofascial pain syndrome causing these issues. Myofascial pain syndrome is when the body goes through repetitive motions or trauma that causes symptoms of muscle strain and stiffness that are correlated with referred pain. The video above explains what referred pain does to the body and how it can affect the muscles and the corresponding organs. This is known as somato-visceral dysfunction, where the muscles and the related vital organs are affected, causing pain. An example would be chest pain associated with cardiovascular issues that mimic a heart attack. Various treatments can now treat myofascial pain syndrome associated with trigger points that can reduce the localized pain affecting the body.
Various Treatments To Reduce Myofascial Pain Syndrome
Several available treatments can help the body and bring back a person’s quality of life when it comes to reducing pain-like symptoms associated with myofascial pain syndrome. As stated earlier, when a person is diagnosed with myofascial pain syndrome by their primary doctors, their doctors will work with other pain specialists, like physical therapists, massage therapists, and chiropractors, that can locate where the referred pain is in the body and alleviate the symptoms. This allows the treatment plan to be personalized and catered to the individual. When myofascial pain syndrome causes the muscles to become tight and stiff due to repetitive factors, the pain specialists work with the body to restore functionality and help loosen the muscles. Not only that, but many individuals would take up meditative practices to allow their bodies to relax and reduce future trigger points from developing. This will enable them to have a clear mind and be pain-free.
Conclusion
Myofascial pain syndrome is when the body has pain-like symptoms affecting different muscle groups. It can cause numerous symptoms associated with pain that can cause mobility and dysfunction in the individual. Since the body is a complex machine that incorporates various muscles, tendons, ligaments, and vital organs to maintain functionality, myofascial pain can cause referred pain to a different location of the body and can be a major health problem. However, available treatments can reduce the pain-like symptoms caused by myofascial pain syndrome. When doctors work with associated medical providers specializing in myofascial pain syndrome, they can develop a personalized treatment plan to reduce future pain-like symptoms associated with myofascial pain syndrome from causing more issues to the body and even reduce correlating conditions that overlap that trigger myofascial pain.
References
Cao, Qi-Wang, et al. “Expert Consensus on the Diagnosis and Treatment of Myofascial Pain Syndrome.” World Journal of Clinical Cases, U.S. National Library of Medicine, 26 Mar. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8017503/.
Desai, Mehul J, et al. “Myofascial Pain Syndrome: A Treatment Review.” Pain and Therapy, U.S. National Library of Medicine, June 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC4107879/.
Niddam, D M, et al. “Brain Structural Changes in Patients with Chronic Myofascial Pain.” European Journal of Pain (London, England), U.S. National Library of Medicine, Jan. 2017, pubmed.ncbi.nlm.nih.gov/27352085/.
Travell, J. G., et al. Myofascial Pain and Dysfunction: The Trigger Point Manual: Vol. 2:the Lower Extremities. Williams & Wilkins, 1999.
When exercising, it is very important to warm each muscle group to prevent injuries from occurring when working out. Stretching the arms, legs, and back can loosen up stiff muscles and increase blood flow to allow each muscle fiber to warm up and allow maximum power when each set is performed. One of the best ways to reduce muscle fatigue or stiffness before working out is to foam roll each muscle group for at least 1-2 minutes max to provide optimal functionality. Foam rolling allows the muscles to warm up before an extensive workout session. Still, it can also offer many benefits when combined with other therapies to reduce pain-like symptoms like trigger point pain from causing further injuries from reoccurring in the body. Today’s article focuses on the benefits of foam rolling, how it reduces trigger point pain, and how it is combined with chiropractic care to achieve optimal health and wellness. We refer patients to certified providers incorporating techniques and therapies for individuals dealing with trigger point pain affecting different body areas. By locating where the trigger points are coming from, many pain specialists utilize a treatment plan to reduce the effects that trigger points are causing on the body while suggesting different tools, like using a foam roller to reduce pain in the other muscle groups. We encourage and appreciate each patient by referring them to associated medical providers based on their diagnosis when it is appropriate. We understand that education is a terrific way when asking our providers intricated questions at the patient’s request and understanding. Dr. Jimenez, D.C., only utilizes this information as an educational service. Disclaimer
The Benefits Of Foam Rolling
Have you been dealing with pain-like symptoms in different parts of your body? Do you feel stiffness in your muscles? Or have you been feeling exhausted throughout the entire day? Many people often feel stressed, overworked, and exhausted after a long day and need to find different ways to relieve stress. Whether going to the gym to work out or yoga class, many people should warm up for about 5-10 minutes to work out each muscle group to reduce muscle fatigue and stiffness. One of the tools that people should utilize is using a foam roller. Studies reveal that foam rolling before working out can improve muscle performance and flexibility and, at the same time, alleviate muscle fatigue and soreness.
Incorporating foam rolling as part of your warm-up can prevent issues like trigger point pain from causing more problems in the affected muscle group and causing more harm. Foam rolling has been known as a self-myofascial release (SMR) tool for many athletic people to relieve delay-onset muscle soreness (DOMS) and can help the recovery process for muscular performance. Studies show that when athletes have DOMS, their muscles are tender and stiff that which causes restricted movement. By foam rolling, each sore muscle group can get rolled out on a dense foam roll from the person’s body weight to apply pressure on the soft tissue. When performed correctly, the body’s range of motion will increase, and soft tissue restriction is prevented.
Foam Rolling To Reduce Trigger Point Pain
When the body has been overworked, the muscle fibers will start to overstretch and cause various issues in different body parts. When this happens, tiny, hard nodules form over time and cause referred pain to other body locations in each muscle group. This is known as myofascial pain syndrome or trigger points. Studies reveal that trigger point pain is when the affected muscles are either acute or chronic and cause pain in the surrounding connective tissues. Dr. Travell, M.D.’s book, “Myofascial Pain and Dysfunction,” mentioned that myofascial pain could cause somato-visceral dysfunction in the body as the affected muscles and nerves are correlated with the corresponding vital organs. This means that if someone is dealing with back pain, it could be an issue with their gut system. Now how does foam rolling help prevent trigger point pain? As mentioned earlier, foam rolling each muscle group can alleviate muscle soreness and improve blood circulation. Studies reveal that foam rolling on the muscle group affected by trigger point pain can increase blood flow to the affected muscle and reduce fascial inflammation in the body.
What Foam Rolling Does To The Body- Video
Have you been dealing with muscle soreness? Do you feel like you are constantly bending over or shuffling your feet? Or have you been experiencing constant aches and pains when stretching? If you have been dealing with these musculoskeletal issues, why not incorporate foam rolling as part of your routine? Many individuals have some pain that is affecting their muscles that is causing them pain. Regarding reducing pain, incorporating foam rolling on the affected muscles can increase blood flow to the muscle and reduce any symptoms associated with chronic conditions. Studies reveal that the combination of foam rolling and stretching before working out can provide these amazing benefits, which include the following:
Ease muscle pain
Increase range of motion
Reduce cellulite
Relieve back pain
Relive trigger points in muscles
The video above gives an excellent explanation of what foam rolling does to the body and why it provides relief to those different muscle groups. When people merge foam rolling with other treatments, it can benefit their health and wellness.
Foam Rolling & Chiropractic Care
As stated earlier, other various treatments can combine foam rolling to promote a healthy body. One of the treatments is chiropractic care. Chiropractic care incorporates mechanical and manual manipulation of the spine, especially in subluxation or spinal misalignment. When the spine is misaligned, it can cause muscle strain and mobility issues that can affect the body over time. So how does foam rolling play a part in chiropractic care? Well, a chiropractor or doctor of chiropractic can develop a plan to help manage the pain while treating the condition affecting the body. Since foam rolling is utilized in a warm-up session in association with physical therapy, many individuals who work with a personal trainer can incorporate foam rolling as part of their warm-up to loosen up stiff muscles and go to regular chiropractic treatments to improve muscle strength, mobility, and flexibility.
Conclusion
There are many beneficial properties that foam rolling can provide to the body. Foam rolling can allow blood circulation to the muscles while reducing muscle fatigue and soreness. Incorporating foam rolling as part of a daily warm-up can also prevent trigger points from forming in the muscle groups and can work out the tight knots that the muscle has occurred. At the same time, treatments like chiropractic care and physical therapy can combine foam rolling to promote health and wellness in the body and prevent muscle pain.
References
Konrad A, Nakamura M, Bernsteiner D, Tilp M. The Accumulated Effects of Foam Rolling Combined with Stretching on Range of Motion and Physical Performance: A Systematic Review and Meta-Analysis. J Sports Sci Med. 2021 Jul 1;20(3):535-545. doi: 10.52082/jssm.2021.535. PMID: 34267594; PMCID: PMC8256518.
Pagaduan, Jeffrey Cayaban, et al. “Chronic Effects of Foam Rolling on Flexibility and Performance: A Systematic Review of Randomized Controlled Trials.” International Journal of Environmental Research and Public Health, U.S. National Library of Medicine, 4 Apr. 2022, www.ncbi.nlm.nih.gov/pmc/articles/PMC8998857/.
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Travell, J. G., et al. Myofascial Pain and Dysfunction: The Trigger Point Manual: Vol. 2:the Lower Extremities. Williams & Wilkins, 1999.
Wiewelhove, Thimo, et al. “A Meta-Analysis of the Effects of Foam Rolling on Performance and Recovery.” Frontiers in Physiology, U.S. National Library of Medicine, 9 Apr. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6465761/.
Everyone worldwide knows that feet are important. The feet allow many individuals to run, walk, or jog for long periods without feeling pain for a moderate amount of time. To that point, the various muscles and tendons surrounding the foot provide full body flexion, extension, and stability. Even though it is very easy to get in the recommended amount of steps into being healthy, around 75% of individuals will have foot pain that can impact their ability to walk. One of the most common foot pains is plantar fasciitis, which can become a painful foot condition if it is not treated as soon as possible. Today’s article looks at plantar fasciitis, its symptoms, how trigger points correlate, and treatments for it. We refer patients to certified providers incorporating techniques and therapies for individuals dealing with plantar fasciitis. By locating where the trigger points are coming from, many pain specialists can develop a treatment plan to reduce the effects that plantar fasciitis is causing on the feet. We encourage and appreciate each patient by referring them to associated medical providers based on their diagnosis when it is appropriate. We understand that education is a terrific way when asking our providers intricated questions at the patient’s request and understanding. Dr. Jimenez, D.C., only utilizes this information as an educational service. Disclaimer
What Is Plantar Fasciitis?
Have you been dealing with constant heel pain? Do you feel pain shooting up your leg when you step or walk? Or do you feel a stabbing ache in your heel? Many of these pain issue people are dealing with correlate with plantar fasciitis. Studies reveal that plantar fasciitis results from degenerative irritation on the plantar fascia and its ligaments. This causes the muscle ligaments to become inflamed, swollen, and weak, which then causes the bottom of the foot or heel to hurt when a person is walking or standing. To that point, when there is a repetitive strain on the feet, it causes microtears in the plantar fascia. The plantar fascia in the foot plays an important role as it comprises three segments that support the medial arch and shock absorption when stepping down. As one of the most common causes of heel pain, the residual pain from plantar fasciitis tends to be a sharp, stabbing sensation. Plantar fasciitis is more prominent in middle-aged people. Still, anyone at any age can develop plantar fasciitis, especially if they have labor jobs requiring them to be constantly on their feet.
Symptoms Of Plantar Fasciitis
Since around 2 million Americans could potentially develop plantar fasciitis, it is important to know that when a person has been on their feet constantly, there will be inflammation along the tissues in the feet. Many individuals with a busy lifestyle that requires them to be on their feet frequently would often ignore the pain or discomfort. Some of the symptoms that plantar fasciitis causes include the following:
Pain on the bottom of the heel
Pain in the arch
Pain that is usually worse when waking up
Pain that increases over months
Swelling on the bottom of the heel
However, when the pain becomes overbearing, many people would often think they have sore feet or low back pain from being overly tired from work, under constant stress, or over-exerting their bodies. When this happens, many would think the pain would go away in a few days after resting for a short period.
Trigger Points Associated With Plantar Fasciitis
Now many individuals would often think that plantar fasciitis just only affects the heels, however, it can affect any part of the structure of the foot since all the surrounding muscle tissues are at risk of inflammation. When people start to ignore the pain and discomfort that plantar fasciitis is causing on the feet, it can overlap and develop trigger points in other areas of the body:
Ankles
Knees
Hips
Lower back
Studies reveal that trigger points or myofascial pain syndrome are hard, discrete, small nodules that are along the taut musculoskeletal band that causes numerous issues like inflammation, hypersensitivity, and pain to the affected muscle groups in the body. According to “Myofascial Pain and Dysfunction” written by Dr. Travell, M.D., it mentions that when the deep intrinsic muscles that work with the plantar fascia are affected by trigger points, would cause symptoms of numbness and the feeling of swelling in the foot. This causes many people to have limited mobility and have intense pain when walking, which can negatively impact their lifestyle.
An Overview Of Plantar Fasciitis- Video
Have you been dealing with aching feet? Do you feel a sharp, radiating pain in your feet? Or do you have difficulty walking? Many often think they are dealing with sore feet or other issues causing them pain. Around 75% of Americans often have foot pain affecting their ability to walk, and one of them is plantar fasciitis. The video above explains plantar fasciitis and how it can affect the feet. When the plantar fascia tendons become overused, it causes micro-tears in the muscle ligaments. When added compressive force starts to push against the heel boner, it can lead to a pathological state whereby the plantar fascia degenerates and creates dysfunction and pain. When this happens, it can lead to other conditions like trigger point pain along the muscle fibers in the foot. The pain and tenderness caused by trigger points in the plantar muscles may mask as plantar fasciitis. To that point, when plantar fasciitis becomes an issue and causes the individual to be in immense pain, it can become problematic. As luck would have it, treatments are available to reduce the pain from plantar fasciitis.
Treatments For Plantar Fasciitis
When treating plantar fasciitis, many available treatments can reduce the inflammatory effects in the heel and prevent trigger points from coming back. One of the available treatments is chiropractic care. Chiropractic care is an alternative treatment option to prevent, diagnose, and treat numerous 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 spinal manipulation and adjustments. A chiropractor can carefully re-align the spine, improving a patient’s strength, mobility, and flexibility. Regarding plantar fasciitis, chiropractic care can work with other treatments, including physical therapy, massage, and even injections, to manage the pain and treat the condition. Even though plantar fasciitis takes several months to heal, chiropractic care can involve a precise technique that involves adjustments to the feet, ankles, and spinal alignment. This provides several benefits, which include the following:
Reduces Stress in the Plantar Fascia
Promotes Healing
Provides Effective Pain Management
Reduces the Risk of Further Injury
Conclusion
As many individuals worldwide are on their feet constantly, foot pain can hinder one’s ability to move. One of the most common foot pain is plantar fasciitis which can correlate with trigger points along the various muscles of the foot. Plantar fasciitis results from degenerative irritation on the plantar fascia and its ligaments, which causes sharp, stabbing pain on the heel. When this happens, it can cause the heel to be inflamed, swollen, and weak. To that point, it causes instability and pain when walking. However, plantar fasciitis can be treated when it is caught early through various treatments like chiropractic care. Chiropractic care can reduce the stress in the plantar fascia and help reduce the risk of further injuries. Combined with other therapies, many people can function normally and regain their walking ability without pain.
References
Buchanan, Benjamin K, and Donald Kushner. “Plantar Fasciitis – StatPearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 30 May 2022, www.ncbi.nlm.nih.gov/books/NBK431073/.
Petrofsky, Jerrold, et al. “Local Heating of Trigger Points Reduces Neck and Plantar Fascia Pain.” Journal of Back and Musculoskeletal Rehabilitation, U.S. National Library of Medicine, 2020, pubmed.ncbi.nlm.nih.gov/31594202/.
Shah, Jay P, et al. “Myofascial Trigger Points Then and Now: A Historical and Scientific Perspective.” PM & R : the Journal of Injury, Function, and Rehabilitation, U.S. National Library of Medicine, July 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4508225/.
Travell, J. G., et al. Myofascial Pain and Dysfunction: The Trigger Point Manual: Vol. 2:the Lower Extremities. Williams & Wilkins, 1999.
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