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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.


Spondylitis Anti-Inflammation Diet

Spondylitis Anti-Inflammation Diet

Spondylitis Anti-Inflammation Diet: Individuals who have a chronic back pain condition can be recommended to have two or more vertebrae fused to correct the problem/s and alleviate the pain. However, a form of inflammatory spinal arthritis can cause the vertebrae to fuse by themselves, known as ankylosing spondylitis. One recommended way to bring pain relief is by eating an anti-inflammatory diet. Studies have shown that a low-inflammatory diet can help improve spondylitis symptoms.

Spondylitis Anti-Inflammation Diet

Spondylitis Anti-Inflammation Diet

Ankylosing spondylitis is a progressive inflammatory disease that primarily affects the spine; however, individual symptoms vary. Symptoms include stiffness and pain in the neck, hips, low back, and fatigue. There is no definite pattern meaning:

  • Symptoms can improve.
  • Symptoms can worsen or flare up.
  • Symptoms can stop for a period of time.

Women are affected more often than men with no known cause. There is no cure for ankylosing spondylitis, but treatments and self-care can slow down the disease’s progression and help manage symptoms.

Diet and Inflammation

Diet is not the root cause of inflammatory disease, but eating inflammation-causing foods can worsen symptoms. Reducing inflammation can help alleviate pain.

  • Eliminating foods that cause or increase inflammation is recommended to help the body become stronger and manage symptoms.
  • Another way is to incorporate spondylitis anti-inflammation foods.
  • Functional medicine practitioners can help guide individuals on maximizing healthy nutrition and using it to reduce pain and symptoms.
  • If an individual has a genetic predisposition, their diet can be crucial to calm down the symptoms and help turn the autoimmune disease around.

A spondylitis anti-inflammation diet should be rich in vegetables, fruit, whole grains, and omega-3 fatty acids. Evidence shows that a diet low in starches can lead to less ankylosing spondylitis activity. Low-starch can also help limit the presence of Klebsiella pneumoniae, a bacteria that feeds on starch and is a known trigger for the onset and development of ankylosing spondylitis.

Foods To Eat

Leafy greens

  • These include spinach, kale, Swiss chard, and collard greens containing magnesium and polyphenols that reduce inflammation.
  • These can be raw or cooked with garlic and olive oil added to maximize benefits.

Cruciferous vegetables

  • These contain sulforaphane, an antioxidant that includes broccoli cauliflower and can be eaten raw or cooked, roasted with olive oil, sauteed, and stir-fried.

Allium Vegetables

  • These contain sulfuric compounds and quercetin, a flavonoid that helps reduce inflammation.
  • These include red and yellow onions, leeks, garlic, and shallots.
  • They can be eaten raw or cooked in salads, stir-frys, and sandwiches.

Berries

  • These contain anthocyanin, an antioxidant flavonoid, and other antioxidants and polyphenols that help with inflammation.
  • These include strawberries, raspberries, blueberries, blackberries and can be eaten raw, in smoothies, in salads, with oatmeal, or mixed in unsweetened yogurt.

Fruits

  • Certain fruits contain quercetin and polyphenols to help with inflammation.
  • These include apples, cherries, oranges.

Healthy oils

  • Contain oleocanthal which acts similar to nonsteroidal anti-inflammatory medications and contains various antioxidants.
  • These include olive oil for low heat cooking and avocado oil for high heat cooking to replace butter and margarine.
  • It can be served in dressings and drizzled on foods.

Nuts and seeds

  • These contain alpha-linolenic acid, which is a type of omega-3 fatty acid.
  • Examples include walnuts, almonds, peanuts, pistachios, chia seeds, and ground flaxseeds.
  • These can be served as snacks, salads, mixed in side dishes, topping, or added to unsweetened yogurt or oatmeal.

Fatty fish

  • Omega-3 fatty acids help reduce inflammation.
  • Examples include salmon, cod, rainbow trout, mackerel, and sardines.
  • These can be baked, sauteed, grilled, mixed into salads, and stir fry.

Avoid These Foods

When making lifestyle adjustments for a spondylitis anti-inflammation diet, focus on reducing or removing processed foods and saturated fats. These include:

  • Sugars from all sources like soda, sugary drinks, shakes, candy, and desserts.
  • Trans fats, like those in fried foods like chips and fries.
  • Starches, such as found in potatoes.
  • Refined carbohydrates, processed grains that include white bread, and pastries.
  • Red meat.
  • Gluten.
  • Dairy.
  • Eggs.

Individuals may not be symptomatic with certain foods, but that doesn’t mean the foods should be consumed. Gluten, dairy, and eggs can cause potential problems as they compromise the gut and the immune system. These can set back the individual’s healing or remission.


Body Composition


What Happens To The Body When Eating Fruit

Fruit is made up of simple sugar called fructose, providing the body with a carbohydrate energy source. The natural sugar the body gets from a piece of fruit is not the same as processed fructose added to processed products like fructose corn syrup. Processed products are typically filled with empty calories and very little nutrition. When the body has fruit, the liver processes fructose before getting absorbed through the small intestine. Research shows that exposing the gut to more fiber-rich foods like fruit helps the gut achieve an anti-obese condition by increasing the good bacteria and reducing the obese bacteria. Essential nutrients from fruit include:

  • Folate
  • Vitamin C
  • Vitamin B1

The USDA recommends making half of each meal/plate be fruit and vegetables.

References

Harvard Health Publishing. (November 16, 2021) “Foods that Fight Inflammation.” www.health.harvard.edu/staying-healthy/foods-that-fight-inflammation

Macfarlane, Tatiana V et al. “Relationship between diet and ankylosing spondylitis: A systematic review.” European journal of rheumatology vol. 5,1 (2018): 45-52. doi:10.5152/eurjrheum.2017.16103

Nielsen, Forrest H. “Magnesium deficiency and increased inflammation: current perspectives.” Journal of inflammation research vol. 11 25-34. January 18 2018, doi:10.2147/JIR.S136742

Rashid T, Wilson C, Ebringer A. The Link between Ankylosing Spondylitis, Crohn’s Disease, Klebsiella, and Starch Consumption. Clin Dev Immunol. 2013;2013:872632. doi: 10.1155/2013/872632.

Sharma, Satya P et al. “Paradoxical Effects of Fruit on Obesity.” Nutrients vol. 8,10 633. 14 Oct. 2016, doi:10.3390/nu8100633

van Buul, Vincent J et al. “Misconceptions about fructose-containing sugars and their role in the obesity epidemic.” Nutrition research reviews vol. 27,1 (2014): 119-30. doi:10.1017/S0954422414000067

Pregnant and Chiropractic

Pregnant and Chiropractic

Pregnant and Chiropractic: Many women experience back/pelvis/leg/feet swelling, soreness, achiness, and pain during pregnancy. A growing belly added weight and changes in connective tissue can cause a variety of musculoskeletal strains and misalignments. Chiropractic care provides health maintenance of the spinal column, discs, nerves, joints, muscles, and bones. It is an art and science of adjusting a misaligned body, reducing stress, and promoting health throughout the body.

Pregnant and Chiropractic

Pregnant and Chiropractic

With a primary doctor’s clearance, chiropractic can provide safe adjustments. Chiropractors trained to work with pregnant women utilize techniques that avoid applying pressure on or around the abdomen. Benefits of chiropractic during pregnancy include:

  • Restores and maintains spinal alignment and balance.
  • Helps control symptoms of nausea.
  • Improves energy levels.
  • Relieves body pain.
  • Helps reduce labor time and delivery.
  • Restores pelvic positioning and balance, improving standing, sitting, and walking mechanics.
  • Improves blood perfusion and better movement for the baby

A chiropractor trained in the needs of pregnant women will also provide exercises and stretches that are safe during pregnancy. A chiropractor will discuss/recommend treatment options, patient concerns, and a complete medical history assessment. They will monitor symptoms to customize treatments to the individual’s specific needs to get the most relief.


Body Composition


Gestational Hypertension

Gestational hypertension develops during pregnancy. It is not preventable and returns to normal levels postpartum. However, there is an increased risk of developing chronic hypertension later if gestational hypertension begins to develop. According to Mayo Clinic, gestational hypertension is diagnosed by the following:

  • At least 20 weeks gestation.
  • Blood pressure is higher than 140/90 on at least two occasions.
  • Must be more than four hours apart.
  • There is no other organ damage present.
References

Gutke, Annelie et al. “Treatments for pregnancy-related lumbopelvic pain: a systematic review of physiotherapy modalities.” Acta Obstetricia et Gynecologica Scandinavica vol. 94,11 (2015): 1156-67. doi:10.1111/aogs.12681

Poděbradská, R et al. “The effect of physiotherapy intervention on the load of the foot and low back pain in pregnancy.” “Vliv fyzioterapeutických postupů na zatížení plosky a bolesti zad v těhotenství.” Ceska gynekologie vol. 84,6 (2019): 450-457.

Schreiner, Lucas et al. “Systematic review of pelvic floor interventions during pregnancy.” International journal of gynecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics vol. 143,1 (2018): 10-18. doi:10.1002/ijgo.12513

Do’s and Don’ts After Chiropractic Adjustment

Do’s and Don’ts After Chiropractic Adjustment

Everybody is different in how the body reacts to a chiropractic adjustment. Body misalignment often leads to spinal misalignment or vice versa. Misalignments occur over time; individuals do not notice until soreness and pain begin presenting. Depending on the injury and/or condition, getting the full potential from a chiropractic adjustment means knowing the dos and don’ts following treatment. This involves maintaining a healthy posture, staying hydrated, getting proper rest, and staying active.

Do's and Don'ts After Chiropractic Adjustment

Adjustments

Adjustments are highly effective for the body. Benefits include:

  • Pain relief.
  • Restored full range of motion.
  • Increased strength.
  • Increased energy.
  • Improved sleep.
  • Lowered blood pressure in individuals with hypertension.

Do’s and Don’ts

Stay Properly Hydrated

  • One of the best things for the body is plenty of water every day. Water helps:
  • Circulate nutrients and oxygen to your cells.
  • Flush bacteria from the bladder.
  • Assist with digestion.
  • Prevent constipation.
  • Normalize blood pressure.
  • Stabilize heartbeat.
  • Cushion the joints.
  • Protect organs and tissues.

Stay Active

  • It is not recommended to take on intense workouts after an adjustment but to remain active to keep the muscles, tendons, ligaments flexible and strengthen the body during healing.
  • Activities should be done in moderation and include:
  • Walking
  • Jogging
  • Biking
  • Swimming

Proper Rest

  • Getting the proper amount of sleep is essential for the body to heal to the optimal level.
  • The body getting used to the adjustment can be an exhausting process.

Maintain Healthy Posture

  • Proper posture is essential to keep the body in healthy alignment and prevent further/new injuries.
  • A chiropractor and physical therapist will educate and train individuals on maintaining healthy, active postures.

Stretching

  • Stretching is prescribed as part of the treatment to maintain flexibility and strength.
  • A chiropractor will recommend and show how to perform specific stretches and exercises between adjustments.

What to Avoid

Recommendations on what to avoid after a chiropractic adjustment.

Explosive Movements

  • Stay active but limit any explosive movements for a few days after the adjustment.

Avoid Sitting Too Much

  • Too much sitting, even with a lumbar support chair, can cause the muscles to tighten pulling on the spine.
  • When sitting, get up and move around every 20 minutes.

Paying attention to the recommended do’s and don’ts will help expedite the healing and create new healthy habits.


Body Composition


Dairy Products

Conventional vs. Organic and Grass-fed Dairy

  • Studies have found that dairy cows consuming a diet of grass and hay significantly improved nutrient profiles of produced milk.
  • Milk from grass-fed cows has a higher omega-3 content when compared to organic and conventional grain-fed cows.
  • Omega-3s protect against:
  • Inflammation
  • Heart disease
  • Metabolic conditions

Fermented Products

References

Bourrie, Benjamin C T et al. “The Microbiota and Health Promoting Characteristics of the Fermented Beverage Kefir.” Frontiers in microbiology vol. 7 647. 4 May. 2016, doi:10.3389/fmicb.2016.00647

Licciardone, John C et al. “Recovery From Chronic Low Back Pain After Osteopathic Manipulative Treatment: A Randomized Controlled Trial.” The Journal of the American Osteopathic Association vol. 116,3 (2016): 144-55. doi:10.7556/jaoa.2016.031

Maher, C G. “Effective physical treatment for chronic low back pain.” The Orthopedic clinics of North America vol. 35,1 (2004): 57-64. doi:10.1016/S0030-5898(03)00088-9

Will, Joshua Scott et al. “Mechanical Low Back Pain.” American family physician vol. 98,7 (2018): 421-428.

Pinched Nerve Healing Signs

Pinched Nerve Healing Signs

A pinched nerve may not feel like it is healing. This is because of the soreness, aches, discomfort, and tingling feelings/sensations around the affected area. This could be the neck, shoulder, arm, hands, back, legs, and feet. However, when the achiness and tingling move around and shift, it is a sign of the pinched nerve healing.

Pinched Nerve Healing Signs

Amount of Time For Pinched Nerve Healing

Waiting for the nerve to heal is not a recommended treatment option, as most pinched nerves do not fully recover on their own. A pinched nerve usually takes around six weeks to heal with proper treatment. The longer the nerve stays pinched, the more likely there will be permanent damage. To keep the pinched nerve from returning and getting worse, individuals are recommended to incorporate a pre-habilitation plan that involves continuing rehabilitation exercises to strengthen and keep the muscles, ligaments, and nerves loose, and adjusting posture, work, exercise, and diet habits to prevent re-injuring the nerve or cause new injury/s. 

Common Nerve Sites

Nerves run throughout the body, so it’s possible to experience a pinched nerve anywhere. The most common pinched nerve sites occur at joints where there is constant movement. These areas include:

  • Neck
  • Shoulders
  • Lower Back
  • Arms
  • Hands
  • Feet

Healing Signs

Individuals often believe that their pinched nerve is getting worse because of soreness, aches and pains, and weird sensations. When the pain stays in one area, that could be a sign that the nerve has not been fully stretched/released and/or that there is still compression taking place. Treatment and healing include feeling the symptoms but in a different way. The symptoms will move up, down, or around depending on where the pinched nerve is. Treatment takes the nerve/s and stretches/elongates them, but the pinch created a nerve crimp, crease, fold that wants to return to the pinched position. This is why continued treatment and stretching are recommended, as a spasm, trauma, or some awkward movement can cause the nerve to re-fold to the pinched position or cause a whole new pinch.

Chiropractic Release

Chiropractic treats pinched/compressed nerves with several therapeutic modalities. These include:

  • Body Adjustments
  • Flexion-distraction
  • Therapeutic massage
  • Traction
  • Inversion
  • Laser therapy
  • Ultrasound

Combined, these methods can help heal pinched nerves and keep them from recurring.


Body Composition


Skeletal Muscle

Skeletal muscle is a major muscle group. These muscles are attached to the bone by the tendons. Skeletal muscles incorporate nerves, blood vessels, and connective tissue to operate as a unit. Each skeletal muscle consists of cells that come together that form bundles of skeletal muscle fibers.

  • Strength training stimulates the muscle fibers. When combined with proper nutrition causes hypertrophy/muscle growth.
  • Muscles contract and shorten to pull bones and joints, allowing body movement.
  • The nervous system signals the nerves in the muscle/s and triggers these contractions.
  • Skeletal muscle helps the body:
  • Maintain posture
  • Generate body heat
  • Stability to the bones and joints
References

Bowley, Michael P, and Christopher T Doughty. “Entrapment Neuropathies of the Lower Extremity.” The Medical clinics of North America vol. 103,2 (2019): 371-382. doi:10.1016/j.mcna.2018.10.013

Campbell, W. “Diagnosis and management of common compression and entrapment neuropathies.” Neurologic clinics vol. 15,3 (1997): 549-67. doi:10.1016/s0733-8619(05)70333-9

England, J D. “Entrapment neuropathies.” Current opinion in neurology vol. 12,5 (1999): 597-602. doi:10.1097/00019052-199910000-00014

Kane, Patrick M et al. “Double Crush Syndrome.” The Journal of the American Academy of Orthopaedic Surgeons vol. 23,9 (2015): 558-62. doi:10.5435/JAAOS-D-14-00176

Neuromusculoskeletal Optimization

Neuromusculoskeletal Optimization

Chiropractic is a form of neuromusculoskeletal care that repairs and re-optimizes the nervous system that helps to relieve tension, inflammation, pain and restore body health. Like any piece of machinery that requires regular maintenance to operate correctly without issues, so too is the body an exquisite machine that needs regular maintenance. Treatment restores and maintains optimal function to the nervous system, muscles, bones, tendons, ligaments, and joints.

Neuromusculoskeletal Optimization

Neuromusculoskeletal Care

Central Nervous System – CNS

  • The Central Nervous System or CNS is the body’s computer.
  • It processes functions in the body and mind.
  • It s made up of the brain and spinal cord.
  • It helps process external information through sight, sound, touch, smell, and taste.
  • The CNS interprets sensory information that goes through the spinal cord to the brain, and the body responds accordingly.
  • It controls voluntary movements like walking, talking, exercising.
  • It controls involuntary movements like blinking, breathing, digestion.
  • It allows thoughts, emotions, and perceptions to be created and expressed.

When the Central Nervous System works correctly, the body is coordinated, all senses send and receive information effectively, and cognition/thinking is clear. 

Peripheral Nervous System – PNS

  • The Peripheral Nervous System or PNS transmits signals from the outside to the Central Nervous System.
  • The PNS is comprised of all the nerve bundles that run throughout the body.
  • The PNS is responsible for transmitting information back and forth from the CNS to the rest of the body by electrical impulses and current.

When the PNS is functioning correctly, and there is thorough nerve circulation throughout the body, there are no issues like numbness, weakness, pain, and digestion is in top form.

Enteric Nervous System – ENS

  • The Enteric Nervous System or ENS is a branch of the peripheral nervous system that signals the digestive system.
  • It comprises nerves that stretch across the entire gastrointestinal tract.
  • It allows the nervous system to communicate with the digestive tract and regulate activity.
  • It can stop the digestive process when the body is under stress or strain, i.e., fight or flight response.
  • Chronic stress can create dysfunction in the digestive system.
  • Inflammation and stress can cause the enteric system to disrupt and cause digestive problems.

Pain Relief

Body pain can be an indication of an imbalance in the nervous system. Misalignment from work, home activities, trauma, injury, or posture problems, a subluxation/misalignment can turn into discomfort that leads to pain and neuromusculoskeletal system issues. Pain in the neuromusculoskeletal system can result from spinal misalignment and a shifting skeletal structure. The joints and misaligned bones compress the surrounding nerves and tissue, causing inflammation that results in pain symptoms. This causes the muscular system to compensate for the lack of stability support from the skeletal structure causing awkward body posturing. A chiropractor realigns the spinal structure, removing the compression/pressure from the nerves, tissues, muscles, ligaments, and tendons.


Body Composition


Chiropractic Medicine

The nervous system is highly responsive to chiropractic care because of chiropractic’s focus on the spine, which restores and rejuvenates. Chiropractic medicine and a properly aligned spine:

  • Reduces and eliminates pain.
  • Reduces and eliminates headaches and migraines.
  • Improves balance and coordination.
  • Improves digestive function.
  • Improves quality of sleep.
  • Increases energy.
  • Increases flexibility and mobility.
  • Enhances cognition and clear thinking.
References

Goudman, Lisa et al. “The Link Between Spinal Cord Stimulation and the Parasympathetic Nervous System in Patients With Failed Back Surgery Syndrome.” Neuromodulation: journal of the International Neuromodulation Society vol. 25,1 (2022): 128-136. doi:10.1111/ner.13400

Gyer, Giles et al. “Spinal manipulation therapy: Is it all about the brain? A current review of the neurophysiological effects of manipulation.” Journal of integrative medicine vol. 17,5 (2019): 328-337. doi:10.1016/j.joim.2019.05.004

Millet, Guillaume Y et al. “The role of the nervous system in neuromuscular fatigue induced by ultra-endurance exercise.” Applied physiology, nutrition, and metabolism = Physiologie appliquee, nutrition et metabolisme vol. 43,11 (2018): 1151-1157. doi:10.1139/apnm-2018-0161

Stoll, T et al. “Physiotherapie bei lumbaler Diskushernie” [Physiotherapy in lumbar disc herniation ]. Therapeutische Umschau. Revue therapeutique vol. 58,8 (2001): 487-92. doi:10.1024/0040-5930.58.8.487

Hip Sprain

Hip Sprain

The hips are highly active joints. Hip sprains are rare but do occur. A hip sprain is caused by tearing or stretching the ligaments that surround the hip and join the bones to each other. This is different from a hip strain, which is an injury to the muscles and is generally caused by over-use of the hip flexor muscles and tendons, causing them to tear. Hip sprains usually happen after a fall or a sudden twisting motion, which can occur during sports or an accident.

Individuals involved in sports that require quick stops, body shifting, and sudden direction changes, like soccer, football, basketball, tennis, volleyball, etc., have an increased risk. Most hip sprains can be effectively treated with conservative treatments like self-massage, rest, ice, and nonsteroid anti-inflammatory medications. For more severe cases, physical therapy and chiropractic can treat the condition.

Hip Sprain

Hip Sprain Symptoms

  • Tenderness in the hip increases when lifting the thigh.
  • Cramping sensation/s in the muscles of the upper leg.
  • Swelling in the hip or thigh
  • Bruising in the hip or thigh.
  • Sudden pain in the hip or pelvis.
  • Sharp pain in the hip or pelvis.
  • Pain that worsens when walking, running, or stretching the hip muscles.
  • Loss of strength in the front of the groin.
  • Tugging or pulling sensation.
  • Limping.

Diagnosis

The doctor or chiropractor will:

  • Look into medical history.
  • Inquire about symptoms.
  • Inquire about activities that could cause symptoms.
  • Perform a physical examination.
  • Ask the individual to perform a variety of movements to determine what type of injury has been sustained.
  • Other conditions could cause radiating pain.
  • Pain in one or both hips might not have anything to do with the hips but a pinched nerve root in the lower back.
  • Sciatica can develop when certain nerve roots in the lower back are irritated or compressed, causing symptoms to travel down the sciatic nerve and radiate around the pelvis and leg.
  • X-rays can help rule out hip stress fractures, which can have similar symptoms.
  • MRI or CT scans are used to see if any soft tissue damage has occurred.

Hip Sprain Treatment

  • Treatment usually begins with over-the-counter pain medications and anti-inflammatories to reduce swelling and relieve pain.
  • Resting the hip will help prevent further damage.
  • Applying ice will help prevent tissue damage and reduce swelling.
  • It is recommended to use an ice pack several times a day for the first 48 hours after an injury.
  • Once the swelling goes down, a chiropractor and physical therapy team will create a personalized treatment plan that includes:
  • Adjustments.
  • Exercise therapy.
  • Posture training.
  • Stretching.
  • Massage.

Treatment/Rehabilitation Objectives

  • Reduce inflammation.
  • Relax muscle spasms.
  • Strengthen weakened muscles.
  • Improve joint mobility.

Individuals will be shown how to prevent the risk of sprains in the future. This includes:

  • Avoiding exercising when the body is tired
  • Wearing proper footwear and protective equipment
  • Warming up properly before exercise/physical activities.

Depending on the severity of the sprain, surgery could be the last resort to repair the ruptured or torn ligaments.


Body Composition


Realistic Goals

Not seeing results after putting in the work through exercise and diet can be frustrating. Setting realistic goals can help when results are not showing.

Realistic Fat Loss

  • Do not expect actual fat loss without being in a caloric deficit.
  • The body needs to use more energy than the amount of food/energy taken in; otherwise, excess energy/food gets stored, primarily as adipose tissue.
  • Total Daily Energy Expenditure or TDEE is necessary to set a realistic caloric deficit to achieve measurable fat loss.
  • There are caloric deficit variations, but most doctors, dieticians, trainers, and fitness experts agree that a caloric deficit of around 500 calories a day that equals to about 3,500 calories a week will result in a pound of fat loss per week.
  • One pound of fat a week lost might seem slow, but the one pound of fat is a real pound removed.
  • The long-term goal is not to fall back into unhealthy habits and develop and maintain new healthy ones.
References

Brantingham JW, Globe GA, Cassa TK, et al. A single-group pretest posttest design using full kinetic chain manipulative therapy with rehabilitation in the treatment of 18 patients with hip osteoarthritis. Journal of Manipulative and Physiological Therapy 2012; 33(6): 445-57.

Kamali, Fahimeh and Esmaeil Shokri. The effect of two manipulative therapy techniques and their outcome in patients with the sacroiliac joint syndrome. Journal of Bodywork and Movement Therapies. 2012; 16: 29-35.

McMorland G, Suter E, Casha S, du Plessis SJ, Hurlbert RJ. Manipulation or microdiscectomy for sciatica? A prospective randomized clinical study. Journal of Manipulative and Physiological Therapeutics. 2010; 33(8): 576-584.

Tibor, Lisa M, and Jon K Sekiya. “Differential diagnosis of pain around the hip joint.” Arthroscopy: the journal of arthroscopic & related surgery: official publication of the Arthroscopy Association of North America and the International Arthroscopy Association vol. 24,12 (2008): 1407-21. doi:10.1016/j.arthro.2008.06.019

Wedro, Benjamin. “Hip Pain: Causes, Symptoms, Treatment Information and Diagnosis-eMedicineHealth.” www.emedicinehealth.com/hip_pain/article_em.htm.

Tremors and Spinal Cord Compression

Tremors and Spinal Cord Compression

Tremors are extremely rare, but they can result from spinal compression and not necessarily a brain condition like Parkinson’s disease. Tremors are abnormal, involuntary body movements with various causes, most of which are connected to the brain and not the spine. A study reports that more than 75% of individuals with Parkinson’s experienced a resting tremor, and about 60% experience tremors while moving. Sometimes the spine is the contributor caused by compression of the spinal cord.

Tremors and Spinal Cord Compression

Spinal Compression Study

A 90-year-old man was hospitalized after having tremors, with Parkinson’s being the initial diagnosis. The tremors progressed to the point where the man could not feed himself or walk without support. The case became the focus of a medical report published by physicians in the Department of Orthopaedic Surgery, Division of the Spine, Singapore Tan Tock Seng Hospital. Along with the tremors, symptoms progressed to:

  • Difficulty with fine motor skills like buttoning a shirt.
  • However, it was ruled out because the patient was not presenting with other Parkinson’s symptoms.
  • What was found from the symptoms was cervical spondylotic myelopathy, which is a spinal cord compression in the neck.
  • The compression was caused by a herniated disc impinging the spinal canal and compressing the spinal cord causing spinal stenosis.
  • The compression was resolved by having an ACDF surgical procedure.
  • An anterior cervical discectomy and fusion or ACDF procedure can help manage the condition.
  • An ACDF treats spinal cord compression by removing a degenerative or herniated disc in the neck.

Cervical Myelopathy

Causes of cervical spondylotic myelopathy include:

Common symptoms include:

  • Balance problems
  • Coordination problems
  • Tingling in the hands
  • Numbness
  • Weakness
  • Impairment of fine motor skills

Tremors as a symptom are rare.

Cervical Myelopathy vs. Parkinson’s Disease

There are cases where cervical spondylotic myelopathy and Parkinson’s disease symptoms can overlap. Studies have shown difficulties between the two diagnoses, as well as, individuals with Parkinson’s may exhibit symptoms similar to cervical spondylotic myelopathy that can include:

  • Weakness
  • Lack of coordination
  • Bowel dysfunction
  • Bladder dysfunction

Treatment Cervical Myelopathy Tremors

For individuals with cervical spondylotic myelopathy tremors, surgery can be used to help the condition. However, with cervical myelopathy, there is often some permanent damage. Individuals have shown that post-surgery and decompression, symptoms still present, maybe not as much, but there will be a need for a symptom management plan.

Prevention

The best way to prevent tremors associated with cervical spondylotic myelopathy is to minimize the strain on the spine that can lead to herniated discs and/or other spinal injuries. The discs in the spine degenerate, dry out and start cracking with age, increasing the risk of rupture. If a tremor develops, contact a doctor, spine specialist, or chiropractor to help diagnose the condition. These doctors can perform physical and neurological tests to determine the cause and treatment options.


Body Composition


Aging Health

Steady weight gain throughout life can lead to adult-onset diabetes. This is partly caused by having more body fat and progressive muscle loss. Loss of skeletal muscle mass is linked to insulin resistance that involves:

  • The less muscle is available, the less insulin sensitive the body becomes.
  • As insulin sensitivity decreases, the body becomes more resistant, increasing risk factors for type II diabetes.
  • This can lead to osteoporosis, where the old bone is reabsorbed more and less new bone is created.

Both men and women can experience decreased muscle mass that can lead to:

  • Thinner bones
  • Weaker bones
  • Increased risk of osteoporosis and severe injury from falls.

To help prevent these issues, it is recommended to:

  • Eat sufficient protein throughout the day.
  • It is recommended to space out protein intake across meals rather than consuming it all at once. This helps to ensure the proper amount is acquired.
  • Monitoring body composition regularly can help minimize muscle mass loss and fat mass gain as the body ages.
  • A regular strength training routine will help strengthen bones muscles and maintain optimal circulation.
References

Heusinkveld, Lauren E et al. “Impact of Tremor on Patients With Early Stage Parkinson’s Disease.” Frontiers in neurology vol. 9 628. 3 Aug. 2018, doi:10.3389/fneur.2018.00628

Jancso, Z et al. “Differences in weight gain in hypertensive and diabetic elderly patients primary care study.” The Journal of nutrition, health & aging vol. 16,6 (2012): 592-6. doi:10.1007/s12603-011-0360-6

Srikanthan, Preethi, and Arun S Karlamangla. “Relative muscle mass is inversely associated with insulin resistance and prediabetes. Findings from the third National Health and Nutrition Examination Survey.” The Journal of clinical endocrinology and metabolism vol. 96,9 (2011): 2898-903. doi:10.1210/jc.2011-0435

Tapia Perez, Jorge Humberto et al. “Treatment of Spinal Myoclonus Due to Degenerative Compression Myelopathy with Cervical Spinal Cord Stimulation: A Report of 2 Cases.” World neurosurgery vol. 136 (2020): 44-48. doi:10.1016/j.wneu.2019.12.170