Back Clinic Posture Team. Posture is the position in which an individual holds their body upright against gravity while standing, sitting, or lying down. A proper posture visually reflects an individual’s health, ensuring the joints and muscles, as well as other structures of the body, are working properly. Throughout a collection of articles, Dr. Alex Jimenez identifies the most common effects of improper posture as he specifies the recommended actions an individual should take to improve their stance as well as enhance their overall health and wellness. Sitting or standing incorrectly can happen unconsciously, but recognizing the issue and correcting it can ultimately help many individuals develop healthier lifestyles. For more information, please feel free to contact us at (915) 850-0900 or text to call Dr. Jimenez personally at (915) 850-0900.
Can musculoskeletal therapies treat individuals with upper crossed syndrome to relieve pain, improve posture, and strengthen the muscles in the neck, shoulders and chest?
Upper Crossed Syndrome
Upper crossed syndrome is a condition in which the muscles of the shoulders, neck, and chest become weak and tight, and is usually brought on from practicing unhealthy posture. Symptoms typically include:
Neck stiffness and pulling sensations.
Jaw tension and/or tightness
Upper back tension, lack of flexibility, stiffness, and aching soreness.
Neck, shoulder, and upper back pain.
Tension headaches
Rounded shoulders
Hunched spine
Upper Crossed Syndrome and Posture
The condition affects healthy posture by creating imbalanced muscles between the upper back and chest.
The tight short muscles in the upper chest get overly stretched and remain in a semi-contracted state pulling on the back muscles.
This causes the muscles in the upper back, shoulders, and neck to get pulled and weaken.
The result is a hunched back, forward shoulders, and protruded neck.
The specific muscles affected include the trapezius and the levator scapula/side of the neck muscles. (Hospital for Special Surgery. 2023)
Prescription anti-inflammatory medication for pain symptoms – short-term.
Individuals may be advised by the chiropractic therapy team to avoid too much bed rest and to limit or avoid activities that can cause pain or worsen symptoms. (Cedars-Sinai. 2022)
Studies have shown chiropractic spinal manipulation effectively reduces neck, spine, and low back pain symptoms. (Gevers-Montoro C, et al., 2021)
Increasing or decreasing physical activity as recommended by the therapy team.
Using ice or heat packs to relieve pain and increase circulation to promote muscle rehabilitation and healing.
Using topical pain creams or gels.
Over-the-counter nonsteroidal – NSAIDs, like Advil or Motrin and Aleve.
Muscle relaxants to relieve tension short-term.
Enhance Your Lifestyle
References
Hospital for Special Surgery. Move with the purpose to combat upper and lower crossed syndromes.
National Institute of Arthritis and Musculoskeletal and Skin Diseases. Back pain.
Seidi, F., Bayattork, M., Minoonejad, H., Andersen, L. L., & Page, P. (2020). Comprehensive corrective exercise program improves alignment, muscle activation, and movement pattern of men with upper crossed syndrome: a randomized controlled trial. Scientific reports, 10(1), 20688. doi.org/10.1038/s41598-020-77571-4
Bae, W. S., Lee, H. O., Shin, J. W., & Lee, K. C. (2016). The effect of middle and lower trapezius strength exercises and levator scapulae and upper trapezius stretching exercises in upper crossed syndrome. Journal of physical therapy science, 28(5), 1636–1639. doi.org/10.1589/jpts.28.1636
National Institute of Neurological Disorders and Stroke. Back pain.
Cedars-Sinai. Back and neck pain.
Gevers-Montoro, C., Provencher, B., Descarreaux, M., Ortega de Mues, A., & Piché, M. (2021). Clinical Effectiveness and Efficacy of Chiropractic Spinal Manipulation for Spine Pain. Frontiers in pain research (Lausanne, Switzerland), 2, 765921. doi.org/10.3389/fpain.2021.765921
Factors that cause poor, unhealthy posture can be caused by the day-to-day effects of gravity on the body, personal, work, or sports injuries, illness, genetics, or a combination of these factors is also common. This leads to neck and back pain that leads to various musculoskeletal health issues. Achieving consistent healthy posture requires technique and practice. Chiropractic treatment with massage and/or physical therapy can restore muscles to optimal mobility and function.
Factors That Cause Unhealthy Posture
Factors that cause posture problems, like back pain, are often caused by issues with the strength and flexibility ratio between the body’s muscle groups that hold the body upright.
Muscle Guarding
After sustaining an injury, muscles can spasm to protect the injured and the surrounding area.
Muscle spasms can help keep injuries stable and protect them from worsening, but they can also limit movements and cause pain symptoms.
Prolonged muscle spasms can lead to weakened/vulnerable muscles, creating an imbalance between the muscles guarding against the injury and those still working normally.
This can cause the body posture to shift to compensate.
Muscle Tension
Muscle weakness or tension can develop when holding a prolonged position day after day or when doing daily tasks/chores in a way that places added stress on the body.
When certain muscle groups are weak or tense, posture will be affected.
Aches and pains begin to develop from the awkward positioning and the other muscles that must work overtime.
Unhealthy Habits
Compensation is when the body can still achieve its movement goal but with compromised and unhealthy alignment.
As the body compensates and accommodates muscle spasms, weakness, tension, and/or imbalance begin to present.
When this happens, the body may be forced to use alternate and less efficient muscle contraction and flexion patterns.
Technology
Using technology or working with several combined devices can slowly shift the body from correct alignment.
Incessant texting can cause text neck to develop, a condition in which the neck is held in too much flexion, or forward bending, for a prolonged time.
Discomfort, trigger points, and pain symptoms will develop, leading to further posture problems.
Stress and Mental Health
Individuals who experience stress regularly and easily are factors that cause posture problems.
Stress can contribute to shallow breathing or overly-contracted muscles, causing the body to shift out of alignment.
Adjusting posture can help counter the effects of stress.
Shoes
Footwear affects posture.
Heels extend the body’s weight forward, which can cause hip and spinal misalignment.
Individuals can wear down the outside or inside of their shoes faster because of things like:
Imbalanced kinetic forces will be translated up the ankle, knee, hip, and lower back.
This can lead to pain and discomfort in any of these joints.
Genetics
Sometimes, factors that cause unhealthy posture are hereditary.
For example, Scheuermann’s disease – a condition in which adolescent boys develop pronounced kyphosis in their thoracic spines.
It is recommended that the individual work with their primary/specialist healthcare provider in conjunction with a chiropractic specialist team for treatment and management.
Chiropractic treatment can help individuals achieve and maintain proper posture through various massage therapies to release tightness and relax the muscles, decompression to realign the spine, adjustments to realign the body, and postural training through exercises and stretches to develop healthy postural habits.
Quick Patient Intake
References
In, Tae-Sung et al., “Spinal and Pelvic Alignment of Sitting Posture Associated with Smartphone Use in Adolescents with Low Back Pain.” International Journal of Environmental Research and Public Health vol. 18,16 8369. 7 Aug. 2021, doi:10.3390/ijerph18168369
Korakakis, Vasileios, et al. “Physiotherapist perceptions of optimal sitting and standing posture.” Musculoskeletal Science & Practice vol. 39 (2019): 24-31. doi:10.1016/j.msksp.2018.11.004
Mansfield JT, Bennett M. Scheuermann Disease. [Updated 2022 Aug 21]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK499966/
Mingels, Sarah, et al. “Is There Support for the Paradigm ‘Spinal Posture as a Trigger for Episodic Headache’? A Comprehensive Review.” Current pain and headache reports vol. 23,3 17. 4 Mar. 2019, doi:10.1007/s11916-019-0756-2
Mork, Paul Jarle, and Rolf H Westgaard. “Back posture and low back muscle activity in female computer workers: a field study.” Clinical biomechanics (Bristol, Avon) vol. 24,2 (2009): 169-75. doi:10.1016/j.clinbiomech.2008.11.001
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
Shaghayegh Fard, B et al. “Evaluation of forward head posture in sitting and standing positions.” The European Spine Journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society vol. 25,11 (2016): 3577-3582. doi:10.1007/s00586-015-4254-x
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
Wernli, Kevin, et al. “Movement, posture and low back pain. How do they relate? A replicated single-case design in 12 people with persistent, disabling low back pain.” European Journal of Pain (London, England) vol. 24,9 (2020): 1831-1849. doi:10.1002/ejp.1631
Sitting at a desk or standing at a workstation in the same position for hours at a time every day or night can strain the body’s neuromusculoskeletal system. This causes hunching of the shoulders which leads to body tension, headaches, and neck, shoulder, back, leg, and foot pain. Taking regular breaks to move and stretch out provides various benefits that include pain symptom relief, increased circulation, improved posture, increased energy, muscle relaxation, and improve overall health. Here we look at stretches for sitting and standing jobs.
Stretches For Sitting and Standing Jobs
Sitting or standing for too long can affect an individual’s health. The body is made to move and not remain in one position for long periods. Standing and sitting for a prolonged period of time increases the risk for chronic conditions, sleep disorders, digestion issues, weight gain, obesity, heart disease, cancer, and diabetes. To help break the cycle of staying in one position, experts recommend taking movement breaks for one to three minutes every 30 to 45 minutes, or at least once an hour.
Individuals are encouraged to find ways to set up a job/work system where they are not limited to just sitting or standing but have a balance where they can move around, do some desk work, move some more, and so on where the body is regularly engaging all the muscles and not only using a few that often leads to overworked muscles and overcompensating postures that lead to injuries. This can be using a standing desk, taking quick short walks, or doing some stretches. Movement loosens up the body and helps maintain mental focus.
Flexibility Breaks
The following stretches for sitting and standing jobs are recommended to be done as often as possible to develop healthy habits.
Set an alarm for every 45 to 55 minutes and perform the stretches.
Hold each stretch for at least 15-30 seconds.
Avoid exercises or stretches that cause discomfort or pain.
Chest Stretch
Many individuals begin to hunch forward. Therefore, it is essential to stretch the pectoral/chest muscles and shoulders. Individuals with shoulder problems or injuries should avoid this stretch.
Stand with the feet shoulder-width apart.
The stretch can be performed seated in a chair.
Move the arms behind the body and, if possible, interlock the fingers together.
Straighten the arms and gently lift the hands up until you feel a stretch in the chest.
Hold for 10 to 30 seconds.
Repeat 5-10 times.
Individuals can also use a resistance band and hold it overhead.
Individuals can put their forearms on either side of a doorway, and gently press forward until the stretch is felt in the chest.
Upper Back Stretch
The upper back stretch will help get circulation moving in all the muscles between the shoulder blades as well as the traps and the shoulders.
Begin in a seated or standing position.
Stretch the arms straight out.
Place one hand on top of the other.
Reach away with your arms.
Relax and gently bend the head down.
Imagine the arms curving up and over an imaginary sphere.
Hold the stretch for 10 to 30 seconds.
Neck Stretch
Tension in the neck can lead to headaches and upper back pain. Forward head posture is common when working at a desk/workstation, which places extra weight and stress on the neck muscles. The head can weigh up to 11 pounds. Staying aware of posture and regular stretching can provide relief.
Start in a sitting position, with the back straight and the shoulders back.
Reach down and grab the side of the chair with your hand.
Gently pull on the chair, while tilting the head in the opposite direction, feeling the stretch down the side of the neck and shoulder.
Hold for 10 to 30 seconds and repeat on the other side.
Repeat five to 10 times on each side.
Inner Thigh Stretch
Stretching the inner thigh is important for the hips and groin. This stretch helps open the hips and gets rid of tightness and tension in the lower body.
In a seated position, widen the legs, toes outward, and lean forward with the elbows on the thighs.
Keep the back straight and the abs contracted.
Gently press forward while using the elbows to push the thighs out until a stretch is felt in the inner thighs.
Hold for 10 to 30 seconds.
Repeat as many times as necessary to get a thorough stretch.
Regular stretching will help to improve the range of motion and help the muscles move more efficiently. Stretching may also help individuals reach or maintain a healthy weight for improved posture.
Benefits of Stretching
References
Cooley D, Pedersen S. A pilot study of increasing non-purposeful movement breaks at work as a means of reducing prolonged sitting. J Environ Public Health. 2013;2013:128376. doi:10.1155/2013/128376
Daneshmandi H, Choobineh A, Ghaem H, Karimi M. Adverse effects of prolonged sitting behavior on the general health of office workers. J Lifestyle Med. 2017;7(2):69-75. doi:10.15280/jlm.2017.7.2.69
Fathollahnejad, Kiana, et al. “The effect of manual therapy and stabilizing exercises on the forward head and rounded shoulder postures: a six-week intervention with a one-month follow-up study.” BMC Musculoskeletal Disorders vol. 20,1 86. 18 Feb. 2019, doi:10.1186/s12891-019-2438-y
Feldman, Anatol G. “The Relationship Between Postural and Movement Stability.” Advances in experimental medicine and biology vol. 957 (2016): 105-120. doi:10.1007/978-3-319-47313-0_6
Korakakis, Vasileios, et al. “Physiotherapist perceptions of optimal sitting and standing posture.” Musculoskeletal Science & Practice vol. 39 (2019): 24-31. doi:10.1016/j.msksp.2018.11.004
Lurati AR. Health issues and injury risks associated with prolonged sitting and sedentary lifestyles. Workplace Health Saf. 2018;66(6):285-290. doi:10.1177/2165079917737558
Nakphet N, Chaikumarn M, Janwantanakul P. Effect of different types of rest-break interventions on neck and shoulder muscle activity, perceived discomfort and productivity in symptomatic VDU operators: A randomized controlled trial. Int J Occup Saf Ergon. 2014;20(2):339-53. doi:10.1080/10803548.2014.11077048
Sanders, Martha J, and Claudia Michalak Turcotte. “Posture makes perfect.” Today’s FDA: official monthly journal of the Florida Dental Association vol. 25,2 (2013): 62-5.
Shaghayegh Fard, B et al. “Evaluation of forward head posture in sitting and standing positions.” The European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society vol. 25,11 (2016): 3577-3582. doi:10.1007/s00586-015-4254-x
Body stiffness is common, especially as the body ages. Stiffness can result from intense work, lack of physical exercise, or specific conditions. The reasons vary from individual to individual. Some feel stiff when they wake up, while others become stiff after stopping physical activity. For others, stiffness can result from practicing unhealthy postures, intense workouts, or something new that the body is beginning to get used to. There are several ways to prevent and treat stiffness, no matter the cause, including targeted physical movements, posture corrections, body decompression, chiropractic realignment, stretches, and therapeutic massage.
Body Stiffness
Knowing the cause of body stiffness and how to relieve it can help prevent and treat the condition so the body can function better. It’s vital to see a health care professional immediately if stiffness results from an injury, accompanied by pain, it does not go away with home treatments, or if an insect bite or infection could be the cause.
Individuals should speak to a healthcare professional for frequent stiffness that interferes with their quality of life.
Most of the time, stiffness can be treated at home and reduced through preventative measures.
Stay active but not too hard until the body gets used to the activity.
Various relief methods include a warm bath, massage shower, or self-massage.
Intense Work or Exercise
The muscles incur tiny tears when exercising or performing heavy labor, especially when the body is not used to the intensity or duration.
These tears are normal and help build larger and stronger muscles.
Individuals may feel stiff and sore for 24-72 hours as the body repairs itself.
Inflammation surrounding the joints/synovial fluid after heavy activity or repetitive movements is another cause.
Inactivity
Moving around generates the synovial fluid that lubricates the joints.
When body movement stops, like going to sleep or long periods spent sitting, working, or watching tv, fluid production slows down, resulting in body stiffness.
The lack of fluid after movement can make the body feel stiff when returning to activity.
Unhealthy Posture
The body can become stiff and sore when routinely holding the body in a way that strains the muscles, tendons, and ligaments.
Sitting or standing incorrectly from an unhealthy workstation setup or postural habits contributes to stiffness and musculoskeletal problems.
Medical Conditions
Medical conditions can cause stiffness like rheumatoid arthritis, Lyme disease, thyroid disease, strains and sprains, and low vitamin D levels.
See medical attention if you suspect any medical causes are behind the body stiffness.
Prevention
Depending on the reason behind body stiffness, there are ways to prevent it.
Warm-Up
Warming up before any physical activity loosens up the muscles before fully engaging.
Soreness will present and is part of the muscle repair process.
Properly warming up can help the repair go faster.
Mobility and Flexibility Breaks
Taking breaks from inactivity by getting up and moving around, walking, or performing mobility movements could increase the secretions of joint fluid, prevent stiffness, and relieve the effects of poor postural habits you may have been making.
Set a timer to break up periods of inactivity and move around.
Get up for 5 minutes every hour to move the muscles and get the blood flowing.
Stay Aware of Posture and Form
Postural awareness can help prevent muscle strain that leads to stiffness.
Adjusting the workspace and posture can help prevent stiffness.
The posterior chain: head, neck, torso, and legs are aligned with the feet flat on the floor and back supported.
Stay Active
Maintaining muscle movement maintains blood circulation, which can help reduce stiffness.
Exercise helps reduce inflammation, increases synovial fluid production, and helps strengthen the muscles.
Active Recovery
Participating in active recovery can help bring blood flow to the muscles and prevent inflammation.
Light cardiovascular activities include swimming, cycling, walking, or bodyweight movements.
Anti-Inflammatory Nutrition
Anti-inflammation nutrition like the Mediterranean diet, which includes healthy fats, plenty of fruits and vegetables, lean proteins, seafood, and whole grains, can help reduce aches and stiffness.
Getting enough vitamin D can reduce stiffness.
Chiropractic Flexibility Restoration
Chiropractic adjustments, decompression, MET, and therapeutic massage techniques can relieve muscle soreness and stiffness and restore body function. The chiropractic team will evaluate the individual, diagnose the cause/s, and develop a personalized treatment plan. The team will provide posture training, stretching the body, using a percussive massager or foam roller to break tight, stiff muscles and release adhesions of tissues.
Enhance Your Lifestyle
References
Mailey, Emily L et al. “Comparing the effects of two different break strategies on occupational sedentary behavior in a real-world setting: A randomized trial.” Preventive medicine reports vol. 4 423-8. 9 Aug. 2016, doi:10.1016/j.pmedr.2016.08.010
Schleip, Robert, and Werner Klingler. “Active contractile properties of fascia.” Clinical Anatomy (New York, N.Y.) vol. 32,7 (2019): 891-895. doi:10.1002/ca.23391
Shimoyama, Daisuke, et al. “Reliability of shoulder muscle stiffness measurement using strain ultrasound elastography and an acoustic coupler.” Journal of medical ultrasonics (2001) vol. 48,1 (2021): 91-96. doi:10.1007/s10396-020-01056-0
Trube, Niclas, et al. “How muscle stiffness affects human body model behavior.” Biomedical engineering online vol. 20,1 53. 2 Jun. 2021, doi:10.1186/s12938-021-00876-6
Weerapong, Pornratshanee, et al. “The mechanisms of massage and effects on performance, muscle recovery, and injury prevention.” Sports medicine (Auckland, N.Z.) vol. 35,3 (2005): 235-56. doi:10.2165/00007256-200535030-00004
For individuals with aches and pains after walking, the first thing to check is posture. How an individual holds their body is important in walking effortlessly and comfortably. Improving walking posture will make it easier to breathe and walk farther and faster. Injury Medical Chiropractic and Functional Medicine Clinic can treat back problems, restore mobility, and retrain individuals on achieving and maintaining healthy posture.
Walking Posture
Sitting for extended periods weakens neck and back muscles and decreases spinal mobility, making it more difficult to maintain a healthy walking posture. Improving and maintaining healthy walking posture can go a long way regarding the body’s health.
Benefits
The benefits include:
Strengthened core, back, leg, and buttock muscles.
Improved balance and stability.
Easier breathing.
Increased energy levels.
Improved walking speed, distance, and gait.
Back and hip discomfort symptoms prevention.
Decreased risk of injury and falling.
Set Up Posture
Stand up straight.
Engage the core.
Relax shoulders.
Keep the chin parallel to the ground.
Eyes forward.
Minimize leaning forward or backward.
Spend the first 15 seconds of walking focusing on posture.
Once a rhythm is achieved, periodically check yourself to ensure you stay consistent with proper posture until it becomes normal.
Stand up Straight
Visualize standing tall and straight.
Resist the temptation to slouch or arch the back.
Control Leaning Forward or Back
Leaning strains the back muscles when sitting, standing, and walking.
Leaning slightly forward from the ankles when walking up a hill.
Going downhill, leaning slightly forward, or maintaining a straight back is okay.
Keep Eyes Forward
Avoid looking down.
The focus should be about 20 feet ahead.
Maintaining a forward visual path allows individuals to see anything from the side.
Keep Chin Parallel to the Ground
This reduces strain on the neck and back.
A proper chin position maintains forward focus rather than down.
Shoulders Back and Relaxed
Shrug and allow the shoulders to fall and relax slightly back.
Loosening up the shoulders helps relieve tension and…
Shrug and re-loosen at intervals during the walk to ensure the shoulders stay relaxed.
Engage Core Muscles
The core muscles help resist slouching and leaning.
Keep the stomach pulled in slightly.
Take deep, full breaths to maintain a healthy walking posture.
Maintain Neutral Pelvis
Ensure the hips are not tilting forward or back while walking.
Practice sticking out the buttocks, tucking them in, and finding a natural middle.
The middle is the healthy balance that will keep you from arching the back muscles and spine.
Devices
Resist the urge to engage with the phone or activity monitor while walking and looking down.
Only look when necessary and then mindfully regain posture.
Some activity monitors have vibration alerts to reduce the need to look down.
Utilize earbuds or headphones for making and taking calls and other tasks.
Certain earbuds or headphones allow for voice commands, so you don’t have to look at the phone.
Chiropractic Realignment and Retraining
Maintaining proper posture is a gradual process. A chiropractor can correct years of practicing unhealthy postures like forward head issues or chronic slouching and realign the spine to restore optimal function.
A chiropractic therapy team will work on bones and muscles in specific body regions.
Massage will relax the muscle tissues to restore correct balance.
Chiropractic techniques will realign the neck, spine, hips, and pelvis.
Strengthening and stretching exercises will maintain adjustments.
Posture retraining will teach individuals to stay aware of their spinal position and help create healthy habits.
Regular posture checks, whether at work, school, just walking around doing errands, or exercising, will help the body learn proper positioning until it becomes second nature.
Revitalize and Rebuild
References
Buldt, Andrew K et al. “The relationship between foot posture and plantar pressure during walking in adults: A systematic review.” Gait & Posture vol. 62 (2018): 56-67. doi:10.1016/j.gaitpost.2018.02.026
Hackford, Jessie, et al. “The effects of walking posture on affective and physiological states during stress.” Journal of behavior therapy and experimental psychiatry vol. 62 (2019): 80-87. doi:10.1016/j.jbtep.2018.09.004
Lin, Guohao, et al. “The relationship between forward head posture, postural control, and gait: A systematic review.” Gait & Posture vol. 98 (2022): 316-329. doi:10.1016/j.gaitpost.2022.10.008
Suh, Jee Hyun, et al. “The effect of lumbar stabilization and walking exercises on chronic low back pain: A randomized controlled trial.” Medicine vol. 98,26 (2019): e16173. doi:10.1097/MD.0000000000016173
Woollacott, Marjorie, and Anne Shumway-Cook. “Attention and the control of posture and gait: a review of an emerging area of research.” Gait & Posture vol. 16,1 (2002): 1-14. doi:10.1016/s0966-6362(01)00156-4
Body balance is essential for walking, tying shoelaces, picking up objects, etc. Balance is an acquired skill that the body develops in response to different activities and surroundings. Everyone can benefit from improving and maintaining their balance muscles regardless of age. Balance exercises condition and strengthen the core muscles. Balance training helps improve posture and stability; athletes find it provides increased agility and added power; seniors utilize it to prevent injuries and maintain mobility, and fitness enthusiasts use it to improve workouts. Injury Medical Chiropractic and Functional Medicine Clinic provide whole-body realignment, rehabilitation, postural and balance training, and nutritional advice.
Balance Exercises
Being able to move around efficiently requires healthy postural alignment and balance. The systems responsible for balance can be affected by the following:
Gradual changes brought on by aging.
Back problems.
Foot problems.
Injury.
Side effects from medications.
Arthritis.
Stroke.
Parkinson’s disease.
Multiple sclerosis.
However, it was found that all responded well to exercises designed to improve balance.
Definition
Balance is the ability to control the body in space and distribute weight evenly to maintain uprightness. There are two types.
Dynamic Balance
The ability to remain stable while performing movements or actions that require displacing or moving the body.
Individuals use this type of balance each time the body takes a step in any direction.
Dynamic balance is required when the body is in motion, like walking.
A healthy dynamic balance is essential for the body’s ability to react to sudden changes.
Static Balance
The ability to maintain a stationary position during movements like bending, twisting, reaching, and swaying around the axis of the body.
Both types are essential and can be improved with targeted exercises.
Benefits
Everyone can benefit from balance exercises and can help at different stages of life and fitness levels.
General Public
Balance training:
Teaches the body to use the core for stabilization.
Creates muscular balance.
Improves neuromuscular coordination and communication between the brain and muscles.
Individuals can start incorporating balance exercises into everyday routines. A few ways to do this include:
When picking up an object, reach over to pick them up on one leg, with the other lifting straight into the air behind to engage the abs.
Sit on a stability ball at work, school, or when watching TV.
Stand on one foot while engaged in static balance activities like washing dishes, brushing teeth, etc., and alternate the feet.
Athletes
Proprioceptive training is used with athletes for rehabilitation and prevention of injuries. Proprioception is the sense of body position.
Practicing balance exercises increases the sense of control and awareness of the muscles and joints and how they function when in motion.
Balance training increases power because the individual learns to use their center of gravity more efficiently.
A stronger and more active core helps to increase jump height, throwing, swinging, shifting, and running.
Seniors
Seniors can use balance exercise programs to improve stability for falling prevention and injuries.
Exercises
Below are basic instructions for the following balance exercises:
Tree Pose
Tree pose can be done on the floor, a mat, or Bosu. It strengthens the ankles, improves balance, and engages the core.
Stand with feet together, spine tall and straight, and arms outstretched.
If using a BOSU, use either the ball or the flat side.
Gradually lift the left foot to the side of the calf and balance on the right foot.
Gradually lift arms overhead to make the branches.
Hold for 30 seconds, then switch to the other leg.
Single Leg Deadlift
This exercise strengthens the hamstrings and glutes, works on balance, and activates the abdominal wall. It can be done with or without weights like dumbells.
Stand on the floor with feet together.
Place most of the weight onto the right foot.
Stare at a focal point in front and on the floor
Slowly lower the torso to the ground while lifting the left leg behind.
Keep the spine neutral and reach the hands toward the floor.
Stop when the back is parallel to the floor.
Don’t tighten or stiffen the right knee but keep it moveable.
Squeeze the hamstrings, glutes, and abs while slowly returning to an upright position.
Lie on your back and extend your arms and legs toward the ceiling.
Pull the abdominals in toward the midline.
Lower the right leg and extend the left arm back.
Return to the starting position and repeat with the opposite arm and leg.
Keep switching sides until the set is complete.
The Chiropractic Approach
References
Bruijn, Sjoerd M, and Jaap H van Dieën. “Control of human gait stability through foot placement.” Journal of the Royal Society, Interface vol. 15,143 (2018): 20170816. doi:10.1098/rsif.2017.0816
Dunsky, Ayelet, et al. “Balance Performance Is Task Specific in Older Adults.” BioMed research international vol. 2017 (2017): 6987017. doi:10.1155/2017/6987017
Feldman, Anatol G. “The Relationship Between Postural and Movement Stability.” Advances in experimental medicine and biology vol. 957 (2016): 105-120. doi:10.1007/978-3-319-47313-0_6
Hlaing, Su Su et al. “Effects of core stabilization exercise and strengthening exercise on proprioception, balance, muscle thickness and pain-related outcomes in patients with subacute nonspecific low back pain: a randomized controlled trial.” BMC musculoskeletal disorders vol. 22,1 998. 30 Nov. 2021, doi:10.1186/s12891-021-04858-6
Kim, Beomryong, and Jongeun Yim. “Core Stability and Hip Exercises Improve Physical Function and Activity in Patients with Nonspecific Low Back Pain: A Randomized Controlled Trial.” The Tohoku Journal of experimental medicine vol. 251,3 (2020): 193-206. doi:10.1620/tjem.251.193
Prado, Erick Tadeu et al. “Hatha yoga on body balance.” International Journal of Yoga vol. 7,2 (2014): 133-7. doi:10.4103/0973-6131.133893
Thomas, Ewan, et al. “Physical activity programs for balance and fall prevention in elderly: A systematic review.” Medicine vol. 98,27 (2019): e16218. doi:10.1097/MD.0000000000016218
Many of us are moving around from one location to another. When we are on our feet all the time, it can cause the muscles of the lower extremity to become tight and ache that we need to sit down and rest. When the body is resting, our posture tends to be hunched over, and it causes the postural muscles to over-stretch and cause pain when we get up from our rested position. Whether sitting on the couch or a chair, our posture tends to be reclined where it may seem comfortable, but it causes pain to our musculoskeletal system in our neck, shoulders, and back. To that point, when we get out of the reclined position, it can also affect the legs, calves, and feet. Today’s article focuses on the postural muscles, how postural pain affects the gastrocnemius-soleus muscles, and how MET treatment can help the postural muscles. We utilize valuable information about our patients to certified medical providers using MET treatment to mitigate postural effects on the musculoskeletal system. We encourage and refer patients to associated medical providers based on their diagnosis while supporting that education is a remarkable and fantastic way to ask our providers the essential questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., comprises this information as an educational service. Disclaimer
What Are The Postural Muscles?
Have you been dealing with low back pain? What about feeling a tingling or numbing sensation down your calves or feet? Or do your back muscles constantly ache from sitting down for long periods? Many of these are signs and symptoms that you are experiencing pain in your postural muscles. Studies reveal that the postural muscles interact between the musculoskeletal system and the central nervous system’s afferent and efferent pathways. In the human body, three curves maintain mobility, stability, and balance to resist longitudinal pressures: cervical, thoracic, and lumbar. The postural muscles work with the lower body extremities to support the weight of the upper body extremities. Additional research shows that postural stability and balance control are interlinked with a dynamic process and allow the muscles in the lower portions of the body, like the legs and calf, to help stabilize the upper body’s weight. We will look at the gastrocnemius and soleus muscles as they help maintain good posture, balance, and stability.
Postural Pain Affects The Gastrocnemius-Soleus Muscles
Repetitive motions associated with environmental factors can cause the gastrocnemius and soleus muscles to shorten and cause symptoms of muscle weakness, cramping, and instability in calves and legs. The gastrocnemius and soleus muscles have a beautiful relationship as they help form the calf muscles that allow movement and stability to the entire body. Now how would postural pain affect these muscles? According to research studies, when numerous factors start to affect the body’s posture, whether it is prolonged standing, sitting, bending, twisting, or awkward positions, it causes muscle strain to the body, and it can cause negative effects on the surrounding muscles. For example, say you are in an awkward position and start to feel a numbing sensation down to your legs and low back pain. When you release your body from the uncomfortable position, the blood flow and neuron signals will go haywire as the blood tries to get the muscles working again, and the signals are trying to reach back to the brain.
The Root Cause Of Pain- Video
Do your legs feel heavy constantly? Are you experiencing balancing issues when walking? Or have you been experiencing pain in your lower back, and it’s traveling down to your legs? If you are dealing with these issues, it could result from postural pain associated with your calves’ gastrocnemius and soleus muscles. Poor posture causes numerous pain-like symptoms, leading to muscle weakness or numbness in the legs and calves. When this happens, it can lead to instability and mobility issues that can turn into chronic conditions if not treated immediately. The video above explains how numerous factors can cause pain, leading to underlying musculoskeletal conditions that can cause the body to be misaligned. Luckily all is not lost, as there are multiple treatments to reduce pain and realign the body out of subluxation. Treatments like MET therapy, chiropractic care, and physical and nutritional therapy can help many individuals with pain-like symptoms. They can help stretch, lengthen, and reduce the effects of postural pain.
MET Treatment On The Postural Muscles
When it comes to reducing pain in the postural muscles, many individuals will find ways to treat the pain. In “Clinical Applications of Neuromuscular Techniques,” authors Leon Chaitow, N.D., D.O., and Judith Walker Delany, L.M.T., state that when it comes to reducing pain in both the gastrocnemius and soleus muscles, many pain specialists use muscle energy techniques or MET to help treat the soft tissues that surround the calves by using stretching techniques and isometric contractions to lengthen the shortened muscles that are causing the calves to cramp. Utilizing MET treatment on the postural muscles allows the affected muscles to be stretched gently and, combined with other therapies, can prevent future injuries from reoccurring. Additionally, it will enable the individual to be more mindful of their posture to avoid these issues from escalating.
Conclusion
Overall, it is important to ensure that having a good posture can prevent issues from affecting the lower portions of the body and causing pain in the calf muscles. When the calf muscles begin to deal with pain, it can cause the individual to be unstable and lose their balance. Incorporating soft tissue therapies like MET allow the muscles to be stretched and relaxed while restoring blood flow to the legs and help many individuals walk without feeling pain.
References
Carini, Francesco, et al. “Posture and Posturology, Anatomical and Physiological Profiles: Overview and Current State of Art.” Acta Bio-Medica : Atenei Parmensis, 28 Apr. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC6166197/.
Chaitow, Leon, and Judith Walker DeLany. Clinical Applications of Neuromuscular Techniques. Churchill Livingstone, 2003.
Ludwig, Oliver, et al. “Neuromuscular Performance of Balance and Posture Control in Childhood and Adolescence.” Heliyon, 31 July 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7398941/.
Swain, Christopher T V, et al. “No Consensus on Causality of Spine Postures or Physical Exposure and Low Back Pain: A Systematic Review of Systematic Reviews.” Journal of Biomechanics, 26 Mar. 2020, pubmed.ncbi.nlm.nih.gov/31451200/.
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