Back Clinic Chiropractic. This is a form of alternative treatment that focuses on the diagnosis and treatment of various musculoskeletal injuries and conditions, especially those associated with the spine. Dr. Alex Jimenez discusses how spinal adjustments and manual manipulations regularly can greatly help both improve and eliminate many symptoms that could be causing discomfort to the individual. Chiropractors believe among the main reasons for pain and disease are the vertebrae’s misalignment in the spinal column (this is known as a chiropractic subluxation).
Through the usage of manual detection (or palpation), carefully applied pressure, massage, and manual manipulation of the vertebrae and joints (called adjustments), chiropractors can alleviate pressure and irritation on the nerves, restore joint mobility, and help return the body’s homeostasis. From subluxations, or spinal misalignments, to sciatica, a set of symptoms along the sciatic nerve caused by nerve impingement, chiropractic care can gradually restore the individual’s natural state of being. Dr. Jimenez compiles a group of concepts on chiropractic to best educate individuals on the variety of injuries and conditions affecting the human body.
The body incorporates different muscles that have specific jobs to help mobilize the skeletal joints while providing function to the arms, neck, legs, and back. Many individuals use their muscles for everyday uses like lifting and carrying objects, moving from one place to another, and protecting vital organs from damage. To that point, issues like traumatic events, injuries, and environmental factors can affect the body and cause damage to the muscles. When the muscles are affected by these factors, tiny knots can form along the taut muscle band that can cause painful symptoms that affect specific areas in the body. One of the muscles affected by pain is the trapezius muscle, known as the “coat hanger” muscle, which can be associated with chronic symptoms of myofascial pain syndrome. Today’s article examines the trapezius muscle, how myofascial pain affects the trapezius muscle, and how to manage myofascial trapezius pain. We refer patients to certified providers specializing in musculoskeletal treatments to aid individuals suffering from trapezius muscle pain associated with myofascial pain. 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. Jimenez DC provides this information as an educational service only. Disclaimer
What Is The Trapezius Muscle?
Have you experienced pain in your neck, shoulders, or mid-upper back? Do you feel headaches occurring near your temples? What about tenderness in certain areas of your body? Some of these symptoms may appear in your trapezius muscles. The trapezius muscle is located across the back that looks like a simple trapezoid with upper, middle, and lower muscle fibers that have different functions for the upper-middle back, shoulders, and neck. While the entire trapezius muscle helps rotates, elevate, and retract the scapula while extending the head and neck, and turning the chin by itself. At the same time, the entire muscle can help with assisting the extension of the cervical and thoracic spine.
Upper Trapezius muscles: allow the shoulders to rise, bend the head and neck, and help support the weight of the upper extremities of the body, including the arms.
Middle Trapezius muscles: assist with flexion and abduction of the arms around the shoulders at a nearly full range.
Lower Trapezius muscles: Helps retract the scapula while rotating the glenoid fossa upwards by decompressing the vertebral borders of the scapula. These fibers help assist the flexion and abduction of the arms.
When traumatic forces or injuries affect the trapezius muscles, painful symptoms begin to affect the muscles, causing them to be tender to the touch and affecting different areas in the body.
How Does Myofascial Pain Affect The Trapezius Muscle?
When traumatic forces or injuries affect the trapezius muscles, certain parts of the shoulders, neck, and upper-mid back will experience pain-related symptoms. When people experience headaches and shoulder and neck pain in their bodies while feeling tenderness in their trapezius muscles, this is known as referred pain associated with myofascial pain. Myofascial pain is when tiny knots along the taut muscle bands begin to make the muscle area tender to the touch. Individuals who suffer from myofascial pain in their trapezius muscles might experience hyperirritable spots that inflict pain and motor dysfunction. Studies reveal that individuals who work in food services may have symptoms of shoulder pain associated with myofascial pain due to repetitive motions on the upper trapezius muscles affecting their upper bodies. Myofascial trigger pain is a bit challenging to diagnose since the pain can be in different locations and mimic various ailments in the body. To that point, when the trapezius muscles are affected by trigger pain may potentially be involved with cervical myofascial pain. Cervical myofascial pain is a disorder that causes pain from muscle overuse or trauma in the neck. When the pain affects the neck muscles, it can travel down to the trapezius muscles causing tenderness and sensitivity in the affected muscle area. Stress, postural mechanics, or repetitive movements can develop myofascial pain syndrome and affect the surrounding muscles.
Trapezius Trigger Points- Video
Have you felt sore around your shoulders, neck, and upper-mid back? What about muscle tenderness in certain areas of your body? Do you feel tension along your neck or near the temples of your head? If you have been dealing with any of these symptoms, then you might be experiencing myofascial trapezius pain. The video above explains how trigger points from traumatic events can affect the trapezius muscle and cause referred pain that overlaps other conditions that may affect the body. Studies reveal that trigger points in the head and neck muscles of many suffering individuals have tension-type headaches. Tension-type headaches are one of the symptoms associated with myofascial trapezius pain. Some of the other symptoms related to myofascial pain affecting the trapezius muscle include:
Deep aching pain
Stiffness
Muscle spasms
Tightness around the shoulder and neck
Tenderness along the shoulders, neck, and upper back
Occipital headaches
How To Manage Myofascial Trapezius Pain
When many individuals suffer from myofascial trapezius pain, many would go to their primary doctor and explain to them that they are experiencing tension headaches constantly. Since myofascial pain is associated with the trapezius muscle is a bit complex and challenging for doctors to diagnose since every person’s pain is different. Many doctors will refer their patients to associated specialists like physical therapists, massage therapists, or chiropractors to determine where the pain is located along the trapezius muscle. Different treatments can help alleviate stiff muscles, and studies reveal that spinal manipulative therapy can help manage chronic pain from myofascial origins. Spinal subluxations or misalignment could potentially involve the corresponding spinal nerve root causing antinociceptive effects to the tender muscle, thus causing pain to the trapezius muscle. Utilizing various treatments to treat myofascial trapezius pain can provide individuals with beneficial relief from their pain along with managing their associated symptoms.
Conclusion
The trapezius muscle is a large superficial trapezoid-shaped muscle located in the back. The upper, middle, and lower muscle fibers have different functions in the head, neck, shoulders, and arms. The trapezius muscle also helps with assisting the extension of the cervical and thoracic spine. When traumatic events or injuries affect the trapezius muscle, it can be developed over time to create trigger points along the taut muscle band of the trapezius muscle and cause referred pain to the upper extremities of the body. Luckily various treatments can help manage the associated pain symptoms from myofascial trapezius pain and can help many individuals get back on their health and wellness journey.
References
Fernández-de-Las-Peñas, César, et al. “Myofascial Trigger Points and Their Relationship to Headache Clinical Parameters in Chronic Tension-Type Headache.” Headache, U.S. National Library of Medicine, Sept. 2006, pubmed.ncbi.nlm.nih.gov/16942471/.
Hwang, Ui-Jae, et al. “Predictors of Upper Trapezius Pain with Myofascial Trigger Points in Food Service Workers: The Strobe Study.” Medicine, Wolters Kluwer Health, June 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5500039.
Laframboise, Michelle A, et al. “Effect of Two Consecutive Spinal Manipulations in a Single Session on Myofascial Pain Pressure Sensitivity: A Randomized Controlled Trial.” The Journal of the Canadian Chiropractic Association, Canadian Chiropractic Association, June 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4915475/.
Ourieff, Jared, et al. “Anatomy, Back, Trapezius – StatPearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 26 July 2021, www.ncbi.nlm.nih.gov/books/NBK518994/.
Touma, Jeffrey, et al. “Cervical Myofascial Pain – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 4 July 2022, www.ncbi.nlm.nih.gov/books/NBK507825/.
The neck ensures that the head is upright in the body while providing mobility to rotate, bend, and tilt in various directions. The neck is part of the cervical spine and provides sensory-motor functions from the nerve pathways spread out along the shoulders and upper back. When traumatic events or injuries affect the cervical spine and cause pain to the neck over time, however, if not treated, it can lead to problematic symptoms associated with muscle pain. Neck pain can lead to muscle stiffness and cause myofascial trigger pain associated with referred pain along the rest of the upper body. Today’s article looks at the effects of neck pain, how it is associated with myofascial trigger pain, and ways to manage neck pain associated with myofascial trigger pain. We refer patients to certified providers specializing in musculoskeletal treatments to aid individuals suffering from neck pain associated with myofascial trigger pain. 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. Jimenez DC provides this information as an educational service only. Disclaimer
The Effects Of Neck Pain
Have you been feeling muscle stiffness around your neck and shoulders? Do you experience random headaches that affect your day? What about feeling tingling sensations along your arms and hands? These symptoms are associated with neck pain and can affect many individuals if not treated over time. Many people who suffer from neck pain will feel muscle stiffness that affects not only the sides of the neck but around the shoulders and their upper back. Studies reveal that neck pain is a multifactorial musculoskeletal disorder that affects the worldwide population and can become a chronic problem. Risk factors associated with the contributing development of neck pain include:
Stress
Poor posture
Anxiety
Sleep position
Neuromusculoskeletal disorders
Auto accidents
Traumatic events
Many of these risk factors associated with neck pain can cause pain symptoms and cause pain in different locations of the body, making diagnosing the pain source problematic for doctors.
Neck Pain Associated With Myofascial Trigger Pain
Since neck pain is common for many individuals, one of the symptoms associated with muscle stiffness and tenderness is myofascial trigger pain overlapping neck pain. Studies reveal that the formation of trigger points is caused when various physical activities begin to yield repetitive stress or cause micro-tears in the definite muscle groups that can cause tension within the muscle fibers. To that point, knots in the taut band of the muscles become hypersensitive and produce referred pain, tenderness, motor dysfunction, and autonomic phenomena. When the neck suffers from a traumatic event that affects the spine, over time can create trigger points or myofascial pain. It is difficult to diagnose where the pain is located in the body because myofascial trigger pain often mimics other pain conditions. It can confuse many individuals as they think they are suffering from one pain, but it’s a different pain that affects their body. Other studies reveal that individuals with myofascial pain syndrome associated with neck pain have a tender point within the tight muscular band, causing local discomfort. To that point, myofascial pain can cause referral pain in remote areas like cervical spine disorders like herniation can often be confused with myofascial pain when there is referral pain in the upper extremities of the body. Some of the symptoms associated with myofascial trigger pain that affects the neck include:
Deep, aching pain
Headaches
Muscle tenderness in the neck or shoulders
Tingling sensation or numbness down the arms and hands
Muscle stiffness
Neck Pain & Trigger Points- Video
Are you experiencing numbness that is running down your shoulders to your hands? What about muscle stiffness along the sides of the neck or shoulders? Or do headaches seem to pop out of nowhere and affect your day? You could risk suffering from neck pain associated with myofascial trigger pain. The video above explains how neck pain is associated with trigger points and how to trigger pain can be primary or secondary to neck pain. Studies reveal that myofascial pain syndrome is a common muscular pain disorder that is misunderstood and involves referred pain to form minor, tender trigger points within the muscles. To that point, myofascial pain associated with neck pain may be consistent with specific patterns of pain associated with each trigger point, contributing factors like emotional, postural, and behavioral factors that cause tension in the neck and frequently related symptoms from various conditions make diagnosing difficult. Since myofascial trigger points are complex and mimic other conditions that affect a different body part, many believe that different ailments affect their body than the actual ailment itself. Thankfully there are ways to manage neck pain associated with myofascial trigger pain and relieve muscle pain.
Ways To Manage Neck Pain Associated With Myofascial Trigger Pain
Since myofascial trigger pain associated with the neck can be a bit complex and challenging to diagnose, many doctors will refer patients to a physical therapist, a chiropractor, or another spine specialist to examine the trigger points causing neck pain. Various treatments can range from home remedies to severe muscle injections, depending on how severe the injuries are since everyone’s pain is different. Some of the available treatments that can reduce and manage myofascial neck pain include:
Exercising (helps stretch and strengthen neck and upper back muscles)
Massage (helps loosen stiff muscles in the neck and shoulders)
Heat therapy (helps relax and increase blood flow to the affected area)
Chiropractic care (uses spinal manipulation to prevent further pain issues from happening)
Acupuncture (helps to relax the trigger point and relieve pain)
Incorporating these various treatments can provide beneficial relief to those suffering from myofascial neck pain and help manage the symptoms associated with the body.
Conclusion
The neck provides mobility to the head as it can rotate, bend, and tilt in various directions while providing sensory-motor functions to the shoulders and upper back from the nerve roots in the cervical spine. When traumatic forces impact the neck, myofascial trigger pain can lead to neck pain. Myofascial trigger pain associated with neck pain is where tiny knots in the affected neck muscles become tender and stiff, which causes referred pain to different locations in the body. Myofascial neck pain is challenging to diagnose but manageable to treat with various treatments and techniques that can release the knots from the affected muscle and prevent future symptoms from happening. This allows many individuals to feel relief from their neck pain and continue their wellness journey.
References
Alghadir, Ahmad H, et al. “Efficacy of Combination Therapies on Neck Pain and Muscle Tenderness in Male Patients with Upper Trapezius Active Myofascial Trigger Points.” BioMed Research International, Hindawi, 10 Mar. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7085833/.
Ezzati, Kamran, et al. “Prevalence of Cervical Myofascial Pain Syndrome and Its Correlation with the Severity of Pain and Disability in Patients with Chronic Non-Specific Neck Pain.” The Archives of Bone and Joint Surgery, Mashhad University of Medical Sciences, Mar. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8121028/.
Fricton, J R, et al. “Myofascial Pain Syndrome of the Head and Neck: A Review of Clinical Characteristics of 164 Patients.” Oral Surgery, Oral Medicine, and Oral Pathology, U.S. National Library of Medicine, Dec. 1985, pubmed.ncbi.nlm.nih.gov/3865133/.
Kazeminasab, Somaye, et al. “Neck Pain: Global Epidemiology, Trends and Risk Factors.” BMC Musculoskeletal Disorders, BioMed Central, 3 Jan. 2022, www.ncbi.nlm.nih.gov/pmc/articles/PMC8725362/.
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/.
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/.
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
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.
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.
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
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/.
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)
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/.
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
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:
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.
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
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