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Chiropractic

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.


How Trigger Points Affect The Musculoskeletal System

How Trigger Points Affect The Musculoskeletal System

Introduction

The body is a functional machine that consists of muscles, organs, and skeletal joints that play different parts in making the body healthy as possible. Each section has a casual relationship as they work together and do their jobs separately. The muscles provide protection and movement from daily activities. The organs supply hormones, oxygen, and nutrients, so the body’s internal functions work correctly. And finally, the skeletal joints help with mobility and stabilization for the body to stay upright. When environmental factors or traumatic injuries affect the body, many issues over time may cause damage, and the body may develop pain-related symptoms. Today’s article examines how the musculoskeletal system works in the body, how trigger points affect the musculoskeletal system, and how chiropractic care can help alleviate trigger point pain. We refer patients to certified providers specializing in musculoskeletal treatments to aid individuals suffering from muscle pain associated with trigger points. We also guide our patients by referring them to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

How Does The Musculoskeletal System Works?

 

Have you been experiencing muscle stiffness in specific areas located in your body? Do you feel tenderness in your neck, shoulders, or back? Or do you feel knots along your muscles that are causing you pain? Some of these symptoms are associated with muscle pain in the musculoskeletal system. The musculoskeletal system in the body has muscles, ligaments, and connective tissues surrounding the skeletal joints. Studies reveal that the structure of the musculoskeletal system shows how the surrounding muscles protect the joints and help provide the body functionality. The various muscles in the body offer a range of motion, sensory-motor functions, reflexes, and strength when functioning normally. However, when environmental factors begin to affect the body over time, it can lead to musculoskeletal disorders associated with pain. Studies reveal that when the body succumbs to pain related to musculoskeletal disorders. Musculoskeletal disorders are a common issue that has affected many individuals worldwide and causes various disabilities and symptoms that affect the body. Some of the musculoskeletal disorder symptoms that affect the body include:

  • Burning sensations
  • Muscle twitches
  • Fatigue 
  • Stiffness and aching
  • Myofascial trigger pain

 

How Do Trigger Points Affect The Body?

One of the musculoskeletal symptoms associated with muscle pain is trigger points or myofascial pain. Myofascial pain is a common condition involving the muscles and surrounding connective tissues that may be acute or chronic depending on where the pain is located. While trigger points refer to hard palpable nodules in the taut bands of the skeletal muscle that can be active (causes spontaneous pain or abnormal sensory symptoms) or latent (causes no spontaneous pain but shows operational myofascial trigger points characteristics). Studies reveal that myofascial pain can be associated with muscle dysfunction, weakness, and limited range of motion that affects the body. A knot in the muscle in certain body areas can make the muscle hyperirritable, causing painful compression while invoking characteristic referred pain and autonomic phenomena in the body. To that point, it can be difficult for doctors to diagnose since trigger points are caused by traumatic events in the body and can occur in different spots in different people. Trigger points can form all over the body, including:

  • Neck 
  • Mid-back
  • Low back

One common characteristic when trigger points affect the body is that they can travel or even spread to the surrounding muscles.

 


Myofascial Pain Syndrome & Trigger Points- Video

Have you been feeling pain located in your neck, back, or particular areas in your body? What about feeling pain in a different location of your body? Or have you experienced muscle stiffness or tenderness in certain areas of your body? If you have been experiencing these symptoms associated with muscle pain, you could be dealing with trigger point pain or myofascial pain in your musculoskeletal system. The video above explains myofascial pain and trigger points and how they affect the body. Studies reveal that myofascial pain is caused by myofascial trigger points that produce exquisitely tender spots in the taut bands of hardened muscles. To that point, it stimulates local and referred pain amongst other sensory, motor, and autonomic symptoms. Myofascial trigger points can cause stiffness and weakness in the involved muscle, making it difficult to diagnose since it can cause pain in different body areas. Fortunately, there are ways to alleviate trigger point pain associated with myofascial pain syndrome from the body.


How Chiropractic Care Alleviates Trigger Point Pain

 

Since myofascial trigger point pain can be challenging to diagnose, it can range from neck to low back pain in different locations and mimic other pain conditions that affect the body. It can affect the body to become hypersensitive and hyperirritable while decreasing a person’s overall sense of well-being. Luckily, treatments like chiropractic care can help alleviate trigger point pain and help manage myofascial pain syndrome. Chiropractic care is not just for the skeletal system but can help relieve muscle pain associated with myofascial pain. Since the muscles are layered and interwoven around the joints, they play an integral part in supporting the body. Studies reveal that chiropractors are great at finding trigger points and utilize specific exercises and physical modalities to treat myofascial pain syndrome symptoms. Some of the benefits chiropractic care use include:

  • Breaking up scar tissue
  • Applying pressure on the trigger point
  • Aligning the spine to reduce the spinal subluxation
  • Ease muscle pain

 

Conclusion

The body consists of muscles, organs, and joints in a casual relationship that helps function and stabilizes the host. The musculoskeletal system has muscles, tissues, and ligaments that are interwoven and layered, surrounding the skeletal joints to prevent injuries or traumatic events from affecting the body. When the body does suffer from damages caused by traumatic events, it can lead to a musculoskeletal disorder known as myofascial pain or trigger pain. Trigger pain is when the muscles have knots along taut bands of the muscle that can cause muscle stiffness and pain. Trigger point pain can be challenging to diagnose since the pain can travel from one location to another section of the body. This is referred pain, and myofascial trigger pain can mimic other chronic musculoskeletal symptoms. Treatments like chiropractic care can help alleviate myofascial trigger pain through spinal manipulation and trigger point therapy, thus relieving the stiff muscle causing pain. Incorporating treatments like chiropractic care can help loosen stiff muscles, increase joint range of motion and bring a person’s wellness back.

 

References

Bron, Carel, and Jan D Dommerholt. “Etiology of Myofascial Trigger Points.” Current Pain and Headache Reports, Current Science Inc., Oct. 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3440564/.

Morgan, William. “Chiropractic Treatment for Myofascial Pain Syndrome.” Spine, Spine-Health, 24 Sept. 2014, www.spine-health.com/treatment/chiropractic/chiropractic-treatment-myofascial-pain-syndrome.

Murphy, Andrew C, et al. “Structure, Function, and Control of the Human Musculoskeletal Network.” PLoS Biology, Public Library of Science, 18 Jan. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC5773011/.

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/.

Vilella, Renato C, and Anil Kumar Reddy Reddivari. “Musculoskeletal Examination.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 8 Sept. 2021, www.ncbi.nlm.nih.gov/books/NBK551505.

Disclaimer

Brachial Plexus Nerve Injury: Chiropractic Back Clinic

Brachial Plexus Nerve Injury: Chiropractic Back Clinic

The body’s nerves are the communication system that carries messages between the brain and the rest of the body. Some nerves transmit messages from the brain to muscles to make the body move, while others relay pain, pressure, or temperature signals. Tiny fibers bundled inside each nerve carry the messages with an outer layer/sheathing that insulates and protects the nerves. The brachial plexus is a network of nerves that send signals from the spinal cord to the shoulders, arms, and hands. A brachial plexus nerve injury occurs when the nerves are over-stretched, compressed, torn, cut, or ripped from the spinal cord.

Brachial Plexus Nerve Injury Chiropractor

Brachial Plexus Nerve Injury

The injury involves the head or neck hitting or getting hit and shifting to one side while the shoulder is stretched/pulled in the opposite direction.

  • Minor brachial plexus injuries are commonly known as stingers or burners and are common in sports like football, wrestling, hockey, soccer, and basketball.
  • Severe brachial plexus injuries can cause arm paralysis and usually result from vehicle or motorcycle accidents.
  • Other conditions like inflammation or tumors can affect the brachial plexus.
  • Sometimes babies can sustain brachial plexus injuries during birth.
  • Pressure and stretching injuries do not physically sever the nerve but can disrupt communication.
  • Cutting injuries vary depending on the severity of the cut and because the nerves are in a protective canal that can also be fractured or broken. If the canal remains intact, the nerve fibers could grow back with time.
  • However, surgery is necessary to repair the damage if the canal is broken.
  • A neuroma/scar tissue can develop if left unrepaired, causing pain.

Symptoms

Signs and symptoms of a brachial plexus nerve injury can vary, depending on the severity and location of the injury. Usually, only one arm is affected.

Minor Injuries

Minor damage comes from over-stretching or mild compression.

  • An electric or burning sensation shoots down the arm.
  • Numbness and weakness in the arm.
  • Neck pain.
  • These symptoms usually last for a few seconds or minutes but can linger for days or longer.

Severe Injuries

More-severe symptoms result from injuries that impact, tear, or rupture the nerves.

  • The most severe injury occurs when the nerve root is torn from the spinal cord.

Symptoms include:

  • Intense pain.
  • Writhing neck pain.
  • Weakness or inability to use specific shoulder, arm, and/or hand muscles.
  • Complete lack of movement and feeling in the shoulder, arm, and/or hand.
  • Symptoms in both arms.

Complications

With time, most brachial plexus injuries in children and adults heal with minimal long-term damage. But some injuries can cause long-lasting problems that include:

Joint Stiffness

  • The joints can stiffen, making movement difficult.
  • Healthcare providers often recommend ongoing chiropractic and physical rehabilitation during recovery.

Atrophy

  • Nerves regrow slowly and can take some time to completely heal after the injury.
  • During that time, lack of use can cause the muscles to break down.

Chronic Pain

  • Nerve damage can cause pain signals to be constantly firing.

Numbness

  • It can occur in the arm or hand, increasing the risk of worsening the injury or causing new injuries.

Disability

  • Recovery from a severe brachial plexus injury depends on age, damage, location, and severity.
  • Even with surgery, individuals can experience long-term muscle weakness or paralysis.

Chiropractic Treatment and Rehabilitation

Treatment depends on the severity of the damage. Chiropractic can help realign, rehabilitate, stretch, and strengthen the muscles, nerves, tendons, joints, and ligaments to expedite recovery. For less severe injuries:

  • Muscle strengthening and posture exercises help maintain motion.
  • Transcutaneous electrical nerve stimulation for pain control.
  • Therapeutic massage will stimulate circulation and keep the muscles loose.

For severe injuries:

  • Surgery
  • Continued chiropractic and physical rehabilitation to maintain thorough circulation, range of motion, and relaxed muscles.

The Brachial Plexus


References

Brucker, J et al. “Brachial plexus birth injury.” The Journal of neuroscience nursing: Journal of the American Association of Neuroscience Nurses vol. 23,6 (1991): 374-80. doi:10.1097/01376517-199112000-00006

Gutkowska, Olga, et al. “Brachial plexus injury after shoulder dislocation: a literature review.” Neurosurgical review vol. 43,2 (2020): 407-423. doi:10.1007/s10143-018-1001-x

Joyner, Benny, et al. “Brachial plexus injury.” Pediatrics in review vol. 27,6 (2006): 238-9. doi:10.1542/pir.27-6-238

Noland, Shelley S et al. “Adult Traumatic Brachial Plexus Injuries.” The Journal of the American Academy of Orthopaedic Surgeons vol. 27,19 (2019): 705-716. doi:10.5435/JAAOS-D-18-00433

How Cushing Syndrome Affects The Body

How Cushing Syndrome Affects The Body

Introduction

In many situations, stress or cortisol in the body allows the host to go into a “fight or flight” response that works together with the sympathetic nervous system. In its acute form, stress enables the individual to experience various symptoms quickly and doesn’t last very long. However, when there is residual stress still in the body over an extended period can cause havoc to the body and affect a person’s well-being is known as chronic stress. To that point, when the body is dealing with chronic stress, over time can become at risk of developing chronic disorders associated with chronic issues affecting the endocrine system. One of the endocrine disorders that correlate with chronic stress is Cushing syndrome. Today’s article examines Cushing syndrome, its symptoms, and ways to manage Cushing syndrome in the body. We refer patients to certified providers specializing in endocrinology treatments to aid individuals suffering from Cushing syndrome. We also guide our patients by referring them to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

What Is Cushing Syndrome?

 

Have you been experiencing abnormal weight gain around your midsection? What about feeling tired throughout the entire day? Or has your mood been changing all day? Many of these symptoms that you are experiencing could potentially make you at risk of developing Cushing syndrome. Cushing syndrome is an endocrine disorder that causes the brain’s anterior pituitary to produce excessive ACTH (adrenocorticotropic hormone), leading to excess cortisol release from the adrenal glands. In the endocrine system, cortisol is a hormone produced in the adrenal glands above the kidneys. These hormones help the body by:

  • Maintaining blood pressure
  • Regulates glucose levels
  • Reduces inflammation in the body
  • Converts food into energy
  • Manages respiration

When the adrenal glands overproduce cortisol, it causes the body to be on high alert and can become a risk of developing chronic symptoms associated with Cushing syndrome. Studies reveal that Cushing’s disease (a condition where the pituitary glands overproduce ACTH and turn into cortisol) becomes associated with an increased risk of cardiovascular and metabolic disorders that overlaps chronic symptoms, thus affecting the body.  

The Symptoms

When the body is dealing with Cushing syndrome, studies reveal that chronic exposure to excess cortisol could potentially be involved with its associated comorbidities that contribute to decreasing a person’s quality of life. When a person has the signs of Cushing syndrome, the symptoms are unmistakable as the symptoms vary in different people. One of the prominent symptoms of Cushing’s syndrome is rapid weight gain along the face, abdomen, back of the neck, and chest. Some other symptoms associated with Cushing’s syndrome include: 

  • High blood pressure
  • Purple/red stretch marks along the abdomen
  • Fatigue
  • Weak, thin muscles along the arms and legs
  • Excessive hair growth in some regions of the body
  • Cognitive difficulties

 


An Overview Of Cushing Syndrome-Video

Have you been experiencing rapid weight gain along your face, neck, and abdomen? What about feeling stressed constantly? Or have you noticed that your memory is declining? Many of these symptoms are associated with an endocrine disorder called Cushing syndrome. The video above explains what Cushing’s syndrome is, its causes and symptoms, and how to treat Cushing’s syndrome. Cushing syndrome is developed when the adrenal glands produce an excessive amount of cortisol in the body. When the body is suffering from too much cortisol caused by Cushing syndrome, one of the symptoms is bone fractures associated with Cushing syndrome. Studies reveal that the skeletal system is one of the common targets that cause glucocorticoids to attach themselves to the skeletal joints. To that point, Cushing syndrome causes structural and functional impairment to the skeletal system associated with morbidity and disability to many individuals. Fortunately, there are many ways to manage Cushing syndrome and lower cortisol levels in the body.


How To Manage Cushing Syndrome

 

Since stress/cortisol is beneficial and harmful to the body, it has a causal relationship with the organs and tissues in the body. The body needs cortisol to regulate the metabolism and functionality of the endocrine organs. Too much cortisol causes the development of Cushing syndrome, and fortunately, there are ways many individuals can manage this endocrine disorder while keeping an eye on their cortisol levels. Many individuals suffering from weight gain from Cushing syndrome should try to find an exercise regime that their primary physician recommends to lose weight and improve their muscle strength little by a little. Other ways that individuals can manage Cushing syndrome are by:

  • Eating nutritious foods that are anti-inflammatory and taking supplements that have calcium and vitamin D.
  • Meditation or yoga can help calm the mind, and taking deep breaths can help relax the body while lowering cortisol levels.
  • Incorporating massages and chiropractic care to alleviate muscle and joint pain caused by Cushing syndrome. Chiropractic care and massages can help loosen stiff muscles and support the joints to regain their range of motion in the body.

Slowly incorporating these lifestyle changes can lower cortisol levels and help prevent Cushing’s syndrome from progressing further in the body while helping the individual get back on their health journey.

 

Conclusion

The body needs cortisol or stress to get through stressful situations that a person is going through. Cortisol is a hormone formed from the adrenal glands that help regulate the body’s metabolism and provide the functionality to the organs and tissues. In its acute and chronic form, cortisol can range from mild to severe depending on the body’s situation. The body risks developing Cushing’s syndrome when the adrenal glands overproduce cortisol. Cushing syndrome is an endocrine disorder that causes an increased risk of metabolic disorders associated with chronic symptoms like weight gain around the face, neck, and abdomen. Luckily, there are ways to manage Cushing’s syndrome and lower cortisol levels by incorporating an exercise regime, eating anti-inflammatory foods filled with calcium and vitamin D, meditation to calm the mind, and incorporating deep breaths to lower cortisol levels. Utilizing these small changes can significantly impact the body while helping the individual better manage their cortisol levels.

 

References

Buliman, A, et al. “Cushing’s Disease: A Multidisciplinary Overview of the Clinical Features, Diagnosis, and Treatment.” Journal of Medicine and Life, Carol Davila University Press, 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5152600/.

Faggiano, A, et al. “Spine Abnormalities and Damage in Patients Cured from Cushing’s Disease.” Pituitary, U.S. National Library of Medicine, Aug. 2001, pubmed.ncbi.nlm.nih.gov/12138988/.

Kairys, Norah, and Ari Schwell. “Cushing Disease.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 2 Feb. 2022, www.ncbi.nlm.nih.gov/books/NBK448184/.

Nieman, Lynnette K. “Cushing’s Syndrome: Update on Signs, Symptoms and Biochemical Screening.” European Journal of Endocrinology, U.S. National Library of Medicine, Oct. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4553096/.

Disclaimer

Aqua Therapy For Low Back Pain

Aqua Therapy For Low Back Pain

Introduction

When it comes to the body, many factors can cause low back pain without a person knowing they encounter it. Simple actions like sitting, standing, and walking can be difficult or helpful, depending on the person’s actions. Since low back pain tends to vary from person to person and the possible factors that can cause low back pain make diagnosing a bit difficult. Fortunately, there are available treatments that can help manage low back pain symptoms and can help alleviate its associated symptoms in the body. Today’s article examines the causes and symptoms of low back pain, aqua therapy for low back pain, and how chiropractic care goes hand in hand with aqua therapy. We refer patients to certified providers specializing in musculoskeletal treatments and hydrotherapy to help many individuals with low back pain. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

The Causes Of Low Back Pain

 

Have you been feeling aches along the sides of your back? Do you feel stiff when hunched over for an extended period? Or does sitting down make the pain go away or worsen? Many of these factors are associated with signs that you could be suffering from low back pain. Low back pain is considered the leading disability causes worldwide, as studies reveal, which can be influenced by many factors that a person is going through. Anyone can risk developing low back pain as it can derive from different sources that overlap many potential issues. Some of the causes associated with low back pain vary depending on how severely the factors affect the individual, which includes:

  • Muscle and ligament sprain (Overused muscles and ligaments from injuries, poor posture, or lifting heavy objects)
  • Herniated discs/ degenerative disc disease (Spinal nerve root compression)
  • Joint dysfunction (Cartilage begins to wear down)
  • Spinal stenosis 
  • Trauma
  • Deformity
  • Osteoarthritis
  • Fractures

 

The Symptoms

When it comes to the symptoms of low back pain, many individuals will experience pain ranging from a dull ache to a sudden shooting burning pain that travels down the legs. Many individuals often feel pain from one location of the lower half of the body; instead, it is located on the other side, known as referred pain. Low back pain can potentially mean that another issue is affecting the body. Some of the symptoms associated with low back pain include:

  • Muscle stiffness
  • Sciatica
  • Muscle spasms
  • Limited mobility on the hips and pelvis
  • Inflammation
  • Muscle tenderness

All is not lost, as treatments are available to manage low back pain symptoms and alleviate the body’s pain.


Aqua Therapy For Spine Health-Video

Have you been experiencing muscle stiffness in your lower back? Do hip pain and sciatic symptoms cause mobility issues in your legs? Or does it hurt when you are bending down to pick something up? You could be dealing with low back pain associated with chronic symptoms affecting the body, so why not try aqua therapy? The video above demonstrates what aqua therapy does to the body and the exercises used to relieve low back pain. Studies reveal that the therapeutic purposes of water have dated back to ancient Egypt, Greek, and Roman civilization; that helps cleanse the body from ailments. Many physical therapists utilize aqua therapy to enable individuals with low back pain. Aqua therapy engages the waters, buoyancy, resistance, and hydrostatic pressure that helps rehabilitate injuries and maintain health. 


Aqua Therapy For Low Back Pain

 

Many individuals that suffer from low back pain will try to find ways to alleviate the pain. Aqua therapy is one available treatment that doesn’t strain the lower back and has therapeutic properties. Studies reveal that the beneficial properties of aqua therapy allow the body to improve muscle strength and range of motion while reducing muscle fatigue by using water buoyancy to take the pressure off the spine. Since low back pain is a common health issue associated with environmental factors for many individuals, studies reveal that water buoyancy can eliminate the gravitational forces impacting the body weight by counteracting it. To that point, this reduces joint stress on the body to perform the water aerobic exercises with ease. Individuals who incorporate aqua therapy in their health and wellness journey may be more motivated to exercise in the water without worrying about constant pain.

 

Aqua Therapy Goes Hand In Hand With Chiropractic Care

Like any treatment, chiropractic care and aqua therapy have an excellent relationship as they work together to assess and analyze the individual’s problem and devise a plan for them. Chiropractors utilize spinal manipulation to determine where the pain is located. So when a person is dealing with low back pain due to spinal subluxation or misalignment, a chiropractor can help the individual by loosening the stiff muscles and increasing the range of motion back to the spine. At the same time, aqua therapy incorporates the same benefits associated with land-based physical therapy, including a treatment plan tailored to the individual. Chiropractors and physical therapists work together to determine the best possible action to speed up the recovery process when it comes to a person’s pain, giving them the best chance to get back their quality of life.

 

Conclusion

Low back pain is one of many individuals’ most common complaints worldwide. The many factors associated with low back pain vary and range from a dull ache to a sharp pain radiating down the legs as part of the symptoms of low back pain. Treatments like aqua therapy can help take the load off the spine through water buoyancy and can help reduce the stress on the joints in the lumbar spine while reducing muscle fatigue. Combined with chiropractic care, many individuals can recover faster from their low back pain and bring back their quality of life without being in so much pain.

 

References

Abadi, Fariba Hossein, et al. “The Effect of Aquatic Exercise Program on Low-Back Pain Disability in Obese Women.” Journal of Exercise Rehabilitation, Korean Society of Exercise Rehabilitation, 31 Dec. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6944883/.

Allegri, Massimo, et al. “Mechanisms of Low Back Pain: A Guide for Diagnosis and Therapy.” F1000Research, F1000Research, 28 June 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4926733/.

Carayannopoulos, Alexios G, et al. “The Benefits of Combining Water and Land-Based Therapy.” Journal of Exercise Rehabilitation, Korean Society of Exercise Rehabilitation, 26 Feb. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7056478/.

Cole, Andrew, and Bruce Becker. “Water Therapy Exercise Program.” Spine, Spine-Health, 26 Feb. 2010, www.spine-health.com/wellness/exercise/water-therapy-exercise-program.

Disclaimer

Healthy Driving Posture: Back Clinic Chiropractic

Healthy Driving Posture: Back Clinic Chiropractic

The body is designed to move. For individuals who spend a significant amount of time driving each day, whether for a living or a long commute, over time can lead to headaches, neck and back pain, sciatica, and increases the risk for serious injury. Chiropractic can retrain individuals to practice healthy driving posture. This is accomplished through decompression and massage therapy combined with recommended stretches/exercises, and an anti-inflammatory diet will bring pain relief and help prevent injury.

Healthy Driving Posture Chiropractor

Healthy Driving Posture

Two main reasons driving impacts the back are poor posture and being in a fixed position for an extended period. Individuals who regularly drive for more than 4 hours a day are more at risk. An unhealthy driving posture can lead to an increased risk of discomfort/pain in the:

  • Neck
  • Shoulders
  • Arms
  • Wrists
  • Fingers
  • Back
  • Legs
  • Feet
  • Over time these issues can become chronic, making the body vulnerable to various injuries.

Back Pain Symptoms

Sometimes back pain needs immediate medical attention if any of the following symptoms present:

  • Inflammation in the back.
  • Swelling on the back.
  • Constant pain does not go away or ease up after resting or movement.
  • Pain in the upper back that radiates to the chest.
  • A high temperature.
  • Unexplained weight loss.
  • Loss of bladder or bowel control.
  • Numbness or tingling around the buttocks or groin area.

Driving Recommendations

Spine Support

  • Slide the tailbone as close to the back of the seat as possible.
  • Leave a gap between the back of the knees and the front of the seat.
  • If the vehicle doesn’t allow for the proper position, a back support cushion can help.

Raise The Hips

  • If possible, adjust the area you sit on, so the thighs are supported along their entire length.
  • The knees should be slightly lower than the hips.
  • This will increase circulation to the back muscles while opening up the hips.

Sitting Too Close

  • An individual should be able to comfortably reach the pedals and depress them through their full range with the entire foot.
  • A safety study found that drivers whose chests were closer to the wheel were significantly more likely to suffer head, neck, and chest injuries in front and rear-end collisions.

Proper Height

  • Ensure the seat raises the eye level a few inches above the steering wheel to allow sufficient clearance between the head and roof.

Seat Angle

  • The angle of the back of the seat should go a little beyond 90 degrees to 100-110 degrees places minimal pressure on the back.
  • Leaning too far back forces the individual to raise/push their head and neck forward, which can cause neck pain, shoulder pain, and tingling in the fingers.

Headrest Height

  • The top of the headrest should be between the top of the ears and the top of the head.
  • It should slightly touch the back of the head when sitting with a healthy driving posture.
  • The headrest is vital in reducing whiplash injuries in the event of a rear-end collision.

Mirror Adjustments

  • Ensure the rear-view and side mirrors are correctly adjusted will prevent straining the neck.
  • Individuals should be able to see the traffic behind them without having to crane their necks.

Be Sure To Take Breaks

  • Even with a healthy driving posture, fatigue can and will set in.
  • Listen to your body and take breaks.
  • Park in a safe place at a rest stop or designated area to get out of the vehicle, move around, and stretch.

Driving Posture Exercises

The following exercises can help improve driving posture and prevent pain while making deliveries or transporting people.

Shoulder Blade Squeeze

This exercise helps reduce pressure on the neck and shoulders.

  • Bring the shoulder blades back and up with the hands on the steering wheel.
  • Squeeze your shoulder blades together in the middle of the back.
  • Hold for 3 seconds, then release.
  • Repeat ten times.

Seated Pelvic Tilt

This exercise activates the abdominal and external oblique muscles.

  • Press the lower back into the car seat.
  • Inhale and tilt the pelvis forward to create an arch in the lower back.
  • Hold for 3 seconds, then release.
  • Repeat ten times.

Posture is more than just how one carries themselves. The effects of unhealthy posture can carry over into an individual’s physical, mental, and emotional health. Whether it’s caused by injury, stress, work, or sports, a professional chiropractor will help you get back to optimal health.


Driving Position


References

Cvetkovic, Marko M et al. “Assessing Post-Driving Discomfort and Its Influence on Gait Patterns.” Sensors (Basel, Switzerland) vol. 21,24 8492. 20 Dec. 2021, doi:10.3390/s21248492

Pope, Malcolm H et al. “Spine ergonomics.” Annual review of biomedical engineering vol. 4 (2002): 49-68. doi:10.1146/annurev.bioeng.4.092101.122107

Tinitali, Sarah, et al. “Sitting Posture During Occupational Driving Causes Low Back Pain; Evidence-Based Position or Dogma? A Systematic Review.” Human factors vol. 63,1 (2021): 111-123. doi:10.1177/0018720819871730

van Veen, Sigrid, and Peter Vink. “Posture variation in a car within the restrictions of the driving task.” Work (Reading, Mass.) vol. 54,4 (2016): 887-94. doi:10.3233/WOR-162359

Ways to Improve Hip & Pelvic Pain With Chiropractic

Ways to Improve Hip & Pelvic Pain With Chiropractic

Introduction

The skeletal joints can keep the body upright and stabilized while protecting the internal organs. The skeletal joints also are at risk of factors (normal and traumatic) that can impact the body, thus potentially causing painful symptoms to affect different body areas. Hip pain is among the most common complaints for many individuals, especially the elderly. To that point, when the body suffers from hip pain, it may involve pelvic pain and associated symptoms that mimic other issues within the body. Today’s article examines the causes of hip and pelvic pain, the symptoms related to hip and pelvic pain, and how chiropractic care may relieve hip and pelvic pain. We refer patients to certified providers specializing in osteopathic treatments to help many individuals with hip and pelvic pain. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

The Causes Of Hip & Pelvic Pain

Do you experience stiffness located on your low back or hips? What about sciatic nerve pain that travels down your legs? Or have you been experiencing cramping around the pelvic regions of your body? Experiencing these symptoms may be the potential cause that you might be dealing with hip and pelvic pain. Even though hip pain is often associated with older individuals, it can affect many individuals of different ages. Studies reveal that the pathologies outside the hips may be the cause and referred pain, making diagnosing hip pain difficult. Hip pain causes could be overused joints and soft tissues that support the hips due to repetitive motions, strain from the multiple muscles that support the hips, or arthritic symptoms. Studies reveal that individuals who work in a desk job will potentially develop low back pain due to prolonged sitting, thus becoming associated with excessive mobility of the lumbar spine and decreased hip joint mobility. 

 

 

Individuals with hip pain could risk developing pelvic pain associated with the overuse of joints and soft tissues. Now how pelvic pain correlates with hip pain, and what’s the causation? Studies reveal that the stabilizing muscles (iliopsoas, pectineus, obturator externus, gluteus minimus, and piriformis muscles) are overworked and become consequent hip and joint destabilization. This causes the affected muscles to become tired and weak and triggers sciatic nerve compression along the piriformis muscle. Pelvic pain associated with hip pain may cause dysfunctional musculoskeletal symptoms along the lower abdominals, hips, and lumbosacral back.

 

The Associated Symptoms Of Hip & Pelvic Pain

The factors involved with hip and pelvic pain could potentially have associated symptoms that might affect the body’s lower extremities. One of the most prominent symptoms of hip pain is groin pain, which could possibly be involved with pelvic pain since the ligaments and muscles that encompass the hips and groin may be weak and overused. Sometimes various underlying causes do contribute to hip and pelvic pain, causing associated symptoms that may confuse the individual in pain. Hip and pelvic pain may refer to low back and sciatic nerve pain since the lower spine and hips are close together; thus, pinpointing where the true source of pain is in the body’s lower half makes it confusing. Some of the symptoms associated with hip and pelvic pain include:

  • Low back pain
  • Muscle weakness
  • Sacroiliac joint dysfunction
  • Bladder issues
  • Sciatic nerve pain
  • Piriformis syndrome

 


The 3 Common Causes Of Hip Pain-Video

Have you been dealing with muscle stiffness around or along your hips and lower back? Do you have bladder issues? Or have you experienced muscle weakness in the lower extremities of your body? Some of these symptoms could be associated with hip and pelvic pain. The video above explains the three common causes of hip pain, and interestingly, one of the causes of hip pain could potentially involve the lower back. Studies reveal that since the low back and hips are close to each other, alterations in the lumbopelvic region could potentially be involved with low back pain. Some of the issues associated with the alterations in the lumbopelvic area include:

  • Limited range of motion on hip rotation 
  • Tissue injury
  • Stiff joint capsules
  • Micro/macro trauma

Fortunately, hip and pelvic pain management may help alleviate referred pain issues through chiropractic care.


Chiropractic Relief For Hip & Pelvic Pain

 

Individuals dealing with hip and pelvic pain may find relief through chiropractic care. The pelvis is a direct continuation of the spine as the sacrum (the five lowest fused vertebrae) and the pelvic girdle complex interact with the joints from the lower skeletal system. If there is pain in the lower body and the individual is unsure whether it is their back or hips, their first course of action is to visit their primary doctor or a chiropractor. Afterward, they will review the individual’s medical history while performing a series of physical exams like various movements to make an accurate diagnosis. Once the pain diagnosis is identified, chiropractors utilize total body alignment by restoring balance in the pelvis and the spine through manipulation. When the spine and hips suffer from a subluxation, it can cause unnecessary strain on the surrounding muscles around the spine and hips. To that point, realigning the spine from a chiropractic adjustment could reduce or eliminate the excessive stress affecting the surrounding muscles. Chiropractic care can also promote various therapies that increase balance along the hips and pelvic region, which include:

  • Stretching
  • Therapeutic massage
  • Physical activities/Exercise therapy
  • Nutrition

Whether the pain is located in the hips, low back, or pelvic regions, chiropractic care can help restore, address, and alleviate the pain while maintaining optimal long-lasting results.

 

Conclusion

The skeletal joints can help keep the body upright and stabilized while protecting the internal organs from normal and traumatic factors. When these factors begin to cause an impact on the body, the skeletal joints are at risk of developing pain along the musculoskeletal structure. Hip and pelvic pain have an overlapping relationship as they are amongst the most common complaints for many individuals. To that point, pain from the hips or the pelvic may mimic other issues associated with chronic disorders. Incorporating treatments like chiropractic care can help alleviate, address, and restore the body through spinal manipulation. This allows individuals to be pain-free and help restore balance in their joints.

 

References

Harris-Hayes, Marcie, et al. “Relationship between the Hip and Low Back Pain in Athletes Who Participate in Rotation-Related Sports.” Journal of Sport Rehabilitation, U.S. National Library of Medicine, Feb. 2009, www.ncbi.nlm.nih.gov/pmc/articles/PMC2699456/.

Lee, Dae Wook, et al. “Chronic Pelvic Pain Arising from Dysfunctional Stabilizing Muscles of the Hip Joint and Pelvis.” The Korean Journal of Pain, The Korean Pain Society, Oct. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5061646/.

Luthra, Jatinder Singh, et al. “Understanding Painful Hip in Young Adults: A Review Article.” Hip & Pelvis, Korean Hip Society, Sept. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6726866/.

Nishimura, Takaaki, and Ryo Miyachi. “Relationship between Low Back Pain and Lumbar and Hip Joint Movement in Desk Workers.” Journal of Physical Therapy Science, The Society of Physical Therapy Science, Oct. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7590845/.

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A Look Into Chronic Inflammatory Response On Joints

A Look Into Chronic Inflammatory Response On Joints

Introduction

The body has a defensive response known as the immune system that comes to the rescue when traumatic events or injuries impact certain areas of the body. The immune system releases inflammatory cytokines to the affected area and begins the healing process to repair the damage while also getting rid of the foreign intruders in the body. Inflammation can be potentially beneficial and harmful to the body, depending on how severe the injury has potentially impacted the area. When inflammation begins to cause an impact on the surrounding muscles, ligaments, and joints, it can lead to chronic issues associated with pain. To that point, it causes the body to be dysfunctional while mimicking other symptoms. Today’s article examines how chronic inflammatory responses affect the joints, their associated symptoms, and how to manage chronic joint inflammation. We refer patients to certified providers specializing in anti-inflammatory treatments to help many individuals dealing with chronic inflammation of the joints. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

How Does Chronic Inflammatory Response Affect The Joints?

Have you been experiencing pain in some regions of your body? What about experiencing tenderness in your muscles? Do your joints ache when you are doing everyday activities? If you have been dealing with these issues, it might be due to chronic inflammatory responses affecting your musculoskeletal joints. As stated earlier, inflammation can be both beneficial and harmful to the body, depending on the severity of the impact the body has taken. In its beneficial form, the body activates the immune system and eliminates pathogens from bacteria, viruses, and other environmental triggers to promote healing and tissue repair. This potentially makes the affected area red and inflamed, thus repairing the damaged cells.

 

However, in its harmful form, studies reveal that chronic inflammatory responses can break down immune tolerance, causing significant alterations to all the tissues, organs, and joints. To that point, the residual effects of high inflammation can cause harm to the joints and cartilage, making them potentially involved with pain and possibly deformity over time. The joints help keep the body moving, surrounded by connective muscle tissue that helps stabilize the body; when chronic inflammatory responses start to affect the joints, they can become a mediator for pain and discomfort while triggering musculoskeletal disorders. Studies reveal that inflammation in the joints can cause damage to the cartilage and result in degenerative changes to the body. This includes functionality loss, joint instability, and other symptoms associated with chronic joint inflammation.

 

The Symptoms Associated With Chronic Joint Inflammation

When it comes to chronic joint inflammation, it can mimic other chronic conditions that present joint instability while overlapping different chronic disorders. This makes diagnosing difficult, especially if the person is dealing with inflammation on one side of their body, but it affects another part. This is known as referred pain, and studies reveal that most inflammatory forms that affect the joints are sometimes arthritic and have systemic symptoms that may occur in different body areas. Some of the symptoms associated with chronic joint inflammation can include:

  • Swelling
  • Stiffness
  • Grinding sounds
  • Difficult mobility
  • Numbness
  • Joint deformity 

 


The Difference Between Healthy Joints & Inflamed Joints-Video

Have you been dealing with joint pain throughout your life? Do you feel muscle stiffness in certain areas when you move around? Or do you feel muscle tenderness in certain areas? Many of these symptoms are associated with joint inflammation, potentially overlapping with musculoskeletal pain. The video above explains the difference between healthy joints and inflamed joints. Healthy joints are utilized when the surrounding muscles are strong and functional while no pain is inflicted on the body. Inflamed joints may be caused by numerous factors like lifestyle habits, physical inactivity, or previous conditions associated with inflamed joint pain. Studies reveal that inflammatory cytokines may potentially amplify musculoskeletal discomfort that affects the musculoskeletal tissues that surround the joints. To that point, inflammation of the musculoskeletal system may overlap with joint pain, thus directly impacting a person’s quality of life. Fortunately, there are ways to manage chronic joint inflammation and restore a person’s health and wellness.


Managing Chronic Joint Inflammation

 

Since inflammation is beneficial and harmful to the body, there are different ways to manage chronic inflammatory markers triggering joint pain. Many individuals who want to lower inflammation in their joints will begin to incorporate natural ways to lessen the pain. Eating foods high in fiber may potentially help lower inflammatory markers, including physical activities to improve musculoskeletal and joint stability and utilizing chiropractic care. Studies reveal that chronic joint inflammation associated with pain does affect a person’s ability to sleep and emotional health. To that point, incorporating treatments to manage inflammatory effects may potentially improve a person’s self-efficacy. Now how does chiropractic care help manage chronic joint inflammation? Chiropractic care includes inflammation reduction techniques that help loosen the stiff muscles that surround the inflamed joints. Joint inflammation may also be due to subluxation (spinal misalignment) associated with environmental factors. Utilizing chiropractic care not only alleviates the symptoms caused by joint inflammation but may potentially alleviate the cause of inflammation. Once a person has completed their chiropractic care treatment, they can return to normal activities without the risk of re-injury and re-inflammation. 

Conclusion

Inflammation in the body can be beneficial and harmful depending on the impacted area. The body unleashes inflammatory cytokines when a traumatic event or injury has occurred in certain body areas. This is due to the immune system naturally responding to the damaged cells, thus causing the area to be red, hot, and swollen to promote healing. To that point, inflammation can impact the surrounding muscles, ligaments, and joints, which can lead to chronic issues associated with pain. Chronic joint inflammation is residual high inflammatory effects that cause harm to the cartilage and joint structures, thus making them potentially involved with pain and possible deformity. Fortunately, treatments like high fiber and anti-inflammatory foods, getting enough exercise, and chiropractic care may help manage chronic joint inflammation and its associated pain symptoms. This way, many individuals can resume their normal activities.

 

References

Furman, David, et al. “Chronic Inflammation in the Etiology of Disease across the Life Span.” Nature Medicine, U.S. National Library of Medicine, Dec. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC7147972/.

Kim, Yeesuk, et al. “Diagnosis and Treatment of Inflammatory Joint Disease.” Hip & Pelvis, Korean Hip Society, Dec. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5729162/.

Lee, Yvonne C. “Effect and Treatment of Chronic Pain in Inflammatory Arthritis.” Current Rheumatology Reports, U.S. National Library of Medicine, Jan. 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC3552517/.

Poudel, Pooja, et al. “Inflammatory Arthritis – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 21 Apr. 2022, www.ncbi.nlm.nih.gov/books/NBK507704/.

Puntillo, Filomena, et al. “Pathophysiology of Musculoskeletal Pain: A Narrative Review.” Therapeutic Advances in Musculoskeletal Disease, SAGE Publications, 26 Feb. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC7934019/.

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