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.
The lower half helps stabilize the body and provides movement from the legs and rotation in the hips. The lower abdominal organs help control bowel movement while the muscles allow movement by regulating internal abdominal pressure. Combined with the back muscles, the lower abdomen can keep the body stable while protecting the lumbar section of the spine. When external factors begin to affect the lower back or disrupt the lower abdominal organs, it can trigger different symptoms that correspond to other sections of the body, like knee or leg pain being associated with menstrual cramping in the lower abdominals or even having pelvic pain that is an associated mediator to having constipation. Today’s article looks at pelvic pain, how it affects the lower abdominals, and ways to treat pelvic dysfunction in the body. We refer patients to certified, skilled providers specializing in chiropractic treatments that help those suffering from pelvic pain. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is critical for asking insightful questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer
Can my insurance cover it? Yes, it may. If you are uncertain, here is the link to all the insurance providers we cover. If you have any questions or concerns, please call Dr. Jimenez at 915-850-0900.
How Does Pelvic Pain Occur?
Have you suffered from frequent urination or irregular periods? Have you felt excruciating pain when bending down? Or feeling muscle weakness in the lower extremities of the body? Many of these symptoms are correlated to pelvic pain and can trigger different symptoms affecting the body’s lower half. Research studies have mentioned that pelvic pain in its chronic form is a non-cyclic pain located in the pelvis, and the multiple causations can make it difficult to source where the pain is coming from. The overlapping profiles of pelvic pain can be traced through the numerous nerve pathways that are connected to the spine that can become aggravated and become the mediators for pelvic pain. For example, a person having low back pain might experience uncontrollable urinary discharge in their pelvic region. This could be due to the lower sacral nerve root being impaired and causing an overlap of the profiles resulting from mechanical legions to the lumbar spine, thus increasing the risk associated with the pelvis.
How Does It Affect The Lower Abdominals?
The pelvic region ensures that the body’s lower half is stable and protects the lower abdominal organs from disruptive factors like pelvic pain. Research studies have shown that pelvic pain is a relatively common pain associated with comorbidities affecting the body. Some of the various associated symptoms of pelvic pain can cause a correlation to disturbances of the bladder and sexual function in both sexes while also triggering abdominal and low back pain. Additional research studies have found that chronic pelvic pain can cause a correlated issue with PBS or painful bladder syndrome. What PBS does is that it can make a person have a frequent need to urinate and can cause the pelvic muscles to become tense and sensitive. This coincidentally causes the lower sacral nerves to be aggravated and become a mediator for the genital region to be hypersensitive.
Pelvic Pain Overview-Video
Are you feeling stiffness or tenderness in the groin region? How about going to the bathroom constantly? Or have you been experiencing low back pain? Many of these symptoms correlate to pelvic pain and other symptoms associated with the body. The video above overviews pelvic pain and how it affects the body’s lower extremities. The pelvic region consists of lower sacral nerve roots connected to several different nerve pathways that correspond to the primary nerves and provide an extensive neurological connection to the other areas in the pelvis. When mediators cause an increased risk in the pelvic region, the pelvic splanchnic nerves start to trigger muscle dysfunction in the lower abdominal organs. This causes numerous combinations of symptoms and disorders that causes overlapping of profiles in the body. The lower sacral nerve that is aggravated in the pelvic region could be the causation of pelvic and leg pain.
Treatments For Pelvic Dysfunction
Since the pelvic region has many nerve roots that are intertwined and connect to the major nerves in the spinal cord, it can become aggravated by accompanying the lower lumbar and upper sacral nerve roots to be impaired. Research studies have found that pelvic pain can cause an overlap in risk profiles that involves either the visceral or somatic system and the encompassed structures that help the nervous system form a causal relationship to the spine and lower extremities. When the nerve roots become irritated and affect the pelvic region, treatments like chiropractic therapy and physical therapy can help relieve the pelvic area and even help alleviate other symptoms. Physical therapy helps strengthen the hip and abdominal muscles from becoming weak and can reduce overlapping pathologies. Chiropractic therapy can help manipulate the L-1 through 5 vertebrae in the lumbar region of the spine, causing low back pain and bladder dysfunction. Research studies have mentioned that spinal manipulation can help reduce lower sacral nerve root compression triggering low back pain associated with leg pain. This overlap of risk profiles may cause pelvic pain affecting the body and causing organ dysfunction.
Conclusion
The lower half of the body consists of the lower abdominal organs and the pelvic region that allows bowel movement and keeps the body stable when in motion. When external factors begin to affect the lower back or the lower abdominal organs, it can cause a triggering effect on different sections of the body. Pelvic pain can affect the internal organs in the lower abdominal and pelvic region and cause comorbidities affecting the body’s lower back and bladder function. Treatments that help strengthen the hips and abdominal muscles or manipulate the spine to reduce the encased nerves trapped in the pelvic muscles will provide relief to the body’s lower extremities and improve functionality.
References
Browning, J E. “Chiropractic Distractive Decompression in Treating Pelvic Pain and Multiple System Pelvic Organic Dysfunction.” Journal of Manipulative and Physiological Therapeutics, U.S. National Library of Medicine, Aug. 1989, pubmed.ncbi.nlm.nih.gov/2527938/.
Dydyk, Alexander M, and Nishant Gupta. “Chronic Pelvic Pain – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 11 Nov. 2011, www.ncbi.nlm.nih.gov/books/NBK554585/.
Grinberg, Keren, et al. “New Insights about Chronic Pelvic Pain Syndrome (CPPS).” International Journal of Environmental Research and Public Health, MDPI, 26 Apr. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7246747/.
Hwang, Sarah K. “Advances in the Treatment of Chronic Pelvic Pain: A Multidisciplinary Approach to Treatment.” Missouri Medicine, Journal of the Missouri State Medical Association, 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC6143566/.
Lee, Dae Wook, et al. “Chronic Pelvic Pain Arising from Dysfunctional Stabilizing Muscles of the Hip Joint and Pelvis.” The Korean Journal of Pain, The Korean Pain Society, Oct. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5061646/.
Posture is the positioning of the body. There are two types of posture. Dynamic posture is how individuals position themselves when moving, like walking, running, or bending to lift an object. And static posture is how individuals position themselves when not in motion, like standing, sitting, or sleeping. Minimal stress is applied to the muscles and joints when practicing healthy posture. High-stress work and school combined with unhealthy body positions can cause health consequences to the spine, extremities, and musculoskeletal imbalances.
Health Consequences
Poor postures do not always present with spine or extremity pain right away. This is because individuals will feel discomfort and have the strength and mobility to correct unhealthy/awkward positions and minimize stress. However, eventually, the pain will begin to present as the muscles and joints can only take so much that the ability to correct poor positioning does not matter as there is a developing injury taking place, causing inflammation, letting the body know there is something not right. This often leads to chronic stress and the unnecessary wearing down of the joints to compensate for the unhealthy positions.
Early Signs
Early signs of postural problems can include:
Inability to sit or stand for a long time.
Stiffness when rising from a chair.
Feeling of added physical exhaustion.
Leaving the condition untreated often leads to:
Muscle imbalances.
Loss of normal flexibility.
Discomfort and pain present for no apparent reason.
Unhealthy Posture Symptoms
Symptoms can include:
Slouching
Rounded shoulders.
Potbelly.
Bent knees when standing or walking.
Muscle fatigue.
Aches and pains.
Back pain.
Headache.
Postural Structure
Poor posture interferes and disrupts several of the body’s posture structures. These include:
The static slow-twitch muscle fibers help maintain posture without exerting too much energy and contribute to balance by sensing the body’s position.
Static muscle fibers burn energy slowly and can work for a long time without tiring.
The fast-twitch or phasic muscle fibers are used for movement and activity. These fibers quickly use up their energy.
Because the phasic fibers have to work overtime instead of the static fibers to maintain the body’s position, muscle fatigue, weakness, and pain begin to set in.
Health
Health consequences can include:
Misaligned musculoskeletal system.
The advanced wearing of the spine making it fragile and prone to injury.
Chronic pain.
Decreased flexibility.
Joint mobility is affected.
Balance issues.
Increased risk of falling.
Difficulty digesting food.
Difficulty breathing.
Chiropractic and Physical Therapy
Chiropractors and physical therapists specialize in evaluating and treating musculoskeletal dysfunctions and disorders, identifying and screening for postural dysfunction. Chiropractic adjustments can be highly effective combined with other treatment modalities like massaging the soft tissues to improve circulation, reduce swelling inflammation, and promote healing. Spinal decompression therapy can help stretch and realign the spine to relieve back and/or leg pain. A customized exercise program will stretch and strengthen the body to maintain a healthy posture. Health coaching combined with dietary management can help with pain and inflammation and strengthen muscles and bones.
Bauer BA. Chiropractic or osteopathic manipulation. In: Mayo Clinic Guide to Integrative Medicine. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2017.
Muscolino JE. Posture and the gait cycle. In: Kinesiology: The Skeletal System and Muscle Function. 3rd ed. Elsevier; 2017.
Wang G. Powered traction devices for intervertebral decompression: Health technology assessment update. Washington Department of Labor and Industries, June 14, 2004.
Waters, Thomas R, and Robert B Dick. “Evidence of health risks associated with prolonged standing at work and intervention effectiveness.” Rehabilitation nursing: the official journal of the Association of Rehabilitation Nurses vol. 40,3 (2015): 148-65. doi:10.1002/rnj.166
As the body gets older, slouching, little to no physical activity, and regular stretching cause muscle fatigue, weakness, tension, leading to poor posture complications. The complications include:
Posture can be improved along with overall spinal health and a better quality of life through chiropractic treatment. Chiropractic will improve posture through adjustments, postural exercise training and stretching, education on ergonomics, and nutrition to strengthen the body.
Complications Poor Posture
Symptoms
Symptoms vary as they depend on the severity of the case and condition.
Skeletal muscle comprises two types of muscle fiber. They are static or slow-twitch muscles and phasic or fast-twitch muscles. Static muscle fibers are found in the deeper muscle layers. Static fibers burn energy slowly and keep working without tiring. They help the body maintain posture without effort and contribute to balance by sensing the body’s position and transmitting the information to the brain. Phasic muscle fibers are used for movement and activity but can quickly run out of energy. Poor posture causes muscle fatigue because the phasic fibers are used rather than the static fibers to maintain the body’s proper position.
Muscle Strength and Length
Over time, the body constantly needs support from the phasic muscle fibers. This causes the deeper supporting muscles to waste away because they are not being used. Weak, unused muscles begin to tighten, causing a shortening of muscle length that can compact the spine’s bones and cause back complications.
Nervous System Feedback
The deeper layers of muscle sense the body’s position in space and relay this information to the brain. The brain does not receive complete transmission if the phasic muscle fibers take over this function. The brain assumes that the body needs to be propped up/corrected to counteract the poor posture effects, triggering further muscle contraction, adding to the fatigue and pain.
Listening To The Body
The objective is to form a habit of regularly listening to what the body is saying. Make minor adjustments while standing and sitting throughout the day/night. Often what happens is individuals become so immersed in their work, school tasks that they ignore any physical discomfort and push through and forget to change positions/move around to get the muscles moving and the blood pumping. If there is muscle tension or fatigue, don’t just work through the pain; move into another healthy position.
Posture Improvement
Suggestions include:
Try to avoid sitting in soft chairs.
Switch to ergonomic chairs for any activity that requires sitting for long periods.
Use a lumbar roll to support the lower back when sitting in regular chairs or driving.
Remember to reverse the curve; an example could be if leaning over a desk/workstation, stretch the back in the other direction.
As the body ages, it loses muscle mass, known as sarcopenia. Between the ages of 30 and 80, both men and women can lose 30-50 percent of their muscle strength. Decreasing strength can make it a challenge to lead an active lifestyle or have energy levels to complete the daily errands. Individuals can be reluctant to improve fitness levels through resistance workouts believing there is nothing left after years of inactivity. This is not true as anybody can strength train. With the right mindset, and health coaching team, goals can be set to:
Improve body composition
Improve energy levels
Maintain an active lifestyle
References
Creze, Maud et al. “Posture-related stiffness mapping of paraspinal muscles.” Journal of anatomy vol. 234,6 (2019): 787-799. doi:10.1111/joa.12978
Deliagina, Tatiana G et al. “Physiological and circuit mechanisms of postural control.” Current opinion in neurobiology vol. 22,4 (2012): 646-52. doi:10.1016/j.conb.2012.03.002
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
Pollock, A S et al. “What is balance?.” Clinical rehabilitation vol. 14,4 (2000): 402-6. doi:10.1191/0269215500cr342oa
Waters, Thomas R, and Robert B Dick. “Evidence of health risks associated with prolonged standing at work and intervention effectiveness.” Rehabilitation nursing: the official journal of the Association of Rehabilitation Nurses vol. 40,3 (2015): 148-65. doi:10.1002/rnj.166
Improving posture can be challenging. Poor posture is often the source of various musculoskeletal issues like chronic pain throughout the body. Poor posture can be so ingrained in the brain that it becomes an unconscious positioning reflex that feels right but could be worsening spinal, hip, and leg problems. The Alexander Technique could be a treatment option that could help long-term.
Alexander Technique
The approach focuses on learning mind-body awareness. It is an educational process to teach individuals to become aware of their body positioning and change unhealthy posture/movement habits into healthy ones. The objective is learning to utilize sufficient levels of muscle tension for everyday activities, like sitting, standing up, and walking in a healthy way to maintain optimal health of the musculoskeletal system.
The theory is that less tension minimizes wear and tear on the muscles and structures of the spine vulnerable to compression.
The fundamental goal of the Alexander Technique is to undo all the unhealthy tension habits to decompress the spine and retrain the mind and body to approach movement and body positioning in a new and healthy way.
Teachings
The technique can be done in a class setting or one-on-one teaching because everyone’s postural and movement habits are unique. A teacher helps identify the tension-inducing postures and educates the individual on how to correct them. Human touch is an integral part of the Alexander Technique. Using their hands gently to adjust the individual to a proper upright position, a teacher helps release pressure from the head, neck, shoulders, and upper back. The individual learns to release the tension throughout their body. The Alexander Technique is a type of hands-on therapy; it is not manipulation or massage. It uses a light touch with no risk of injury to the spine, allowing anyone to participate. However, individuals must be willing to participate/engage in the process to get the benefits. Most individuals can tell if it’s right for them during the first lesson.A typical program teaches:
Staying alert to the body’s warning of tension and compression.
Tension Build Up
Individuals usually don’t even realize they’re constantly placing pressure on their spine from unhealthy postural habits, building up muscular tension they never knew they created. For example, unhealthy neck position habits include:
Pushing the head forward
Slumping over
Pinning the shoulders back
These postures generate/build pressure and tension that radiates outward and down to the large muscles of the spine.
Habitual downward pressure can pull and change the spine’s shape, leading to degenerative forms of spinal deformity in severe cases.
When the tension is released, the neck and body begin to stand upright comfortably, without pulling down or pulling back.
Frederick Matthias Alexander
Developed the technique in the 1890s to help his muscle tension problems affecting his acting career. When performing, he would stiffen his neck and pull his head back and up, building tension that caused him to tighten his throat and lose his voice. He did not know he was doing this until he performed in front of a mirror and saw his awkward positioning. He realized this and retrained himself to pose naturally, stay relaxed, and be aware of any tension building in the muscles to release it immediately. Alexander Technique educators/practitioners practice all over the world. The American Society for the Alexander Technique or AmSAT website has a Find A Teacher Tool that connects individuals to AmSAT-approved teachers.
Body Composition
Practicing Mindfulness
Developing a mindfulness practice can help identify triggers of negative behavior or thoughts. Just like diet and exercise, practicing mindfulness is unique to everyone. It is recommended to try different things like:
Journaling is another way to tune into oneself. Grab a pen and paper, a computer, tablet, or phone, and take a few minutes to write every day.
Write one thing that makes you happy.
One thing you want to improve.
One goal you want to accomplish that day or that week.
Mindful music listening can help reduce stress by allowing the individual to focus their attention when their mind is going in all directions.
Instead of turning to the news or email when waking up, grab a cup of coffee or tea and listen to a favorite podcast or music.
Put the phone away and listen to your mind and self.
Try to meditate in the morning when waking up. This helps set the day’s goals/plans. Goal-setting mindfulness has been shown to reduce stress levels and anxiety. However, if the morning is not possible then at night before bed can be used to reflect on the day’s activities, what went well, what didn’t, how to improve something, whatever the case, the point is to make time for yourself to reflect, set goals, and develop a plan to achieve those goals.
References
Becker, Jordan J et al. “Preliminary evidence for feasibility, efficacy, and mechanisms of Alexander technique group classes for chronic neck pain.” Complementary therapies in medicine vol. 39 (2018): 80-86. doi:10.1016/j.ctim.2018.05.012
Cacciatore et al., Improvement in automatic postural coordination following Alexander technique lessons in a person with low back pain. Physical Therapy Journal, 2005; 85:565-578. Accessed January 5, 2011
Chin, Brian et al. “Psychological mechanisms driving stress resilience in mindfulness training: A randomized controlled trial.” Health psychology: official journal of the Division of Health Psychology, American Psychological Association vol. 38,8 (2019): 759-768. doi:10.1037/hea0000763
Little P, Lewith G, Webley F, et al. Randomised controlled trial of Alexander technique lessons, exercise, and massage (ATEAM) for chronic and recurrent back pain. The BMJ. 2008;337:a884. doi: doi.org/10.1136/bmj.a884.
Paolucci, Teresa et al. “Chronic low back pain and postural rehabilitation exercise: a literature review.” Journal of pain research vol. 12 95-107. December 20 2018, doi:10.2147/JPR.S171729
Setting spinal goals is important for an individual’s treatment plan to ensure a thorough and successful recovery following:
Surgery
Trauma
Spinal condition
When developing goals with a surgeon or spine specialist, utilizing a well-known method known as SMART is recommended. Individuals are encouraged to set goals to accomplish personal growth and improvement. It is a model for forming goals and objectives that for medical purposes include:
This could be fitness trackers, daily journaling – writing, video, health coach, etc.
Attainable
Determine if the goal is achievable.
Figure out what tools or skill sets are needed to reach the goal.
Realistic
Results-oriented goals.
Measure results or output, including accomplishments.
Time Frame
Set goals within a doable time frame.
Goal setting helps individuals monitor their progress when recovering from injury, surgery, and/or spinal conditions. Making goals smaller makes it easier to achieve improvements. It’s recommended to have a partner assistant during the goal-setting because the pain can compromise decision-making. Pain affects the mind’s abilities to assess improvement and treatment response rationally. Taking the most important goals and focusing on small building blocks helps individuals maintain motivation during a long recovery process.
Difference Between Goal Setting and Treatment
A standard treatment plan is structured for a specific result and is not set up for adjusting the way goal setting does. A treatment plan is created and prescribed to a patient with little patient input. Goal setting is a collaboration between a patient and a doctor setting objectives as stepping-off points to achieve goals. Goal setting empowers patients with education, skillsets, and tools to succeed and continue that mindset as their lives move on. Achieving short-term goals helps individuals reflect positively on small gains that set a solid foundation for more challenging future goals.
Spinal Treatment Goals
Goals are personalized/custom-tailored to the individual’s case and condition. For example, a patient could set a goal of returning to weekend sports activities. Therefore, achieving the goal could require the individual to engage in exercise five days a week for the next two weeks that could include physical therapy rehabilitation:
These activities are small goals that help the body adapt to handling additional physical stress.
Goal Setting When In Recovery
Spinal issues are dealt with by creating reasonable small objectives to reach a goal. SMART goal setting is an instrumental framework for medical providers to help identify what is important to the patient. Modifications on SMART goals can be done to adjust to the individual’s needs. Spinal goals help patients accomplish what is necessary, keeping them empowered and motivated.
Body Composition
Too Comfortable With Goals
An individual may have a great deal of success doing the same workouts initially but then notice they’re getting easier and are not seeing the same rate of progression. That same workout routine, same weights, and equipment will only go so far in goal achievement. In recovery, as the body gets stronger and fitness levels improve, it is recommended to consistently challenge yourself to avoid falling into a rehabilitation fitness plateau. Part of the recovery process is to change up workouts to challenge the body to achieve optimal health and healing. Individuals are recommended to:
Increase weight and or reps
Increase the amount of weight or the number of reps in each set.
Increase or decrease the tempo
Shorten the rest period between sets to keep the heart rate high or slow down to focus on muscle contraction.
Experiment with different types of workout sets
If you’ve been doing the same kinds of lifts, try drop sets, supersets, or AMRAP (as many reps as possible) to challenge your muscles differently.
Individuals doing high-intensity interval training are recommended to incorporate a long run or bike ride.
Changing the workout routine will keep challenging the body, which is great for health progress.
References
Alexanders, Jenny et al. “Goal setting practices used within anterior cruciate ligament rehabilitation: An exploration of physiotherapists understanding, training, and experiences.” Musculoskeletal care vol. 19,3 (2021): 293-305. doi:10.1002/msc.1535
Bovend’Eerdt, Thamar J H et al. “Writing SMART rehabilitation goals and achieving goal attainment scaling: a practical guide.” Clinical rehabilitation vol. 23,4 (2009): 352-61. doi:10.1177/0269215508101741
Haas, B et al. “Rehabilitation goals of people with spinal cord injuries can be classified against the International Classification of Functioning, Disability and Health Core Set for spinal cord injuries.” Spinal cord vol. 54,4 (2016): 324-8. doi:10.1038/sc.2015.155
Recovery and rehabilitation after spinal fusion surgery take time. Gentle yoga poses can help expedite recovery from spinal fusion surgery and are recommended in a rehabilitation program. The spine is the body’s central support structure that allows the body to stand upright, bend, and stay balanced. However, an individual may need to have vertebrae fused to repair painful back problems. Spinal fusion is a surgical procedure that permanently connects/fuses two or more vertebrae into a single bone. The procedure is done to help:
Correct a deformity
Improve stability
Reduce pain
At the beginning of the recovery process, the doctor may recommend light physical activity like walking. As the spine continues to heal, moderate exercise is essential for optimal recovery. Doctors are recommending gentle yoga to increase mobility, flexibility and regain strength.
Gentle Yoga and Spine Surgery Recovery
Yoga has become a way to stretch the body, exercise, promote physical and mental well-being. There are different styles of yoga, ranging from gentle stretching to advanced poses. Yoga focuses on stretching, coordination, and balance. When stretching the body, the range of motion is improved. Yoga also helps improve balance and increases strength to reduce the risk of falls and injuries. Gentle yoga after spinal fusion benefits include:
Pain relief
Stress reduction
Improved mental health
Increased flexibility and strength
Improved balance
Increase in energy levels
Gentle yoga after surgery focuses on an improved range of motion/coordination of the arms and legs with the torso. This allows the spine to safely flex, not become stiff, and avoid strain, leading to fuller activity.
When To Begin Yoga After Spinal Fusion?
A reduced range of motion and loss of muscle mass is expected in the weeks and months following surgery. The healthcare/rehabilitation team will address this through exercise and physical therapy once the doctor clears the individual to begin rehabilitation training. The doctor will use some form of diagnostic imaging to determine if the vertebrae have fully fused before giving the ok for exercise. Most individuals can begin light physical activity four to six weeks after the procedure. If the fusion surgery was fused in only one place, individuals could start gentle yoga poses within two to three months. For a multi-level fusion surgery, individuals may need to wait four to six months after the procedure before they can safely begin.
Yoga Recovery Program
It’s essential to take it slow and steady when first beginning yoga after spinal fusion. As the body continues to heal, gradually add more challenging poses and stretches to the routine. This is a graduated recovery program separated into stages to help the individual build back strength and flexibility. In the first stages of recovery, gentle poses that have minimal effects on the spine are recommended. These include:
It’s crucial to listen to the body as a guide when moving through the poses, no matter what stage of recovery. The fusion needs time to heal and stabilize, so any poses that involve twisting movements and flexing should be avoided. Seek advice if there is confusion about how or whether or not to proceed. It is recommended to work with an experienced yoga teacher after spinal fusion. A knowledgeable instructor can guide with the poses, inform which poses to avoid and make modifications to get the most out of the gentle poses.
Body Composition
How Heat Affects Basal Metabolic Rate
Gender, height, and age influence Basal Metabolic Rate. These are factors individuals cannot control or change. However, individuals can increase the calories the body burns by regulating body temperature. Both the internal and external temperatures influence metabolic rate. The chemical reactions that contribute to metabolism happen more quickly if the temperature is higher, as the body works harder to restore normal temperature balance. For example, when a fever is present, the Basal Metabolic Rate will jump up to a much higher rate than usual to increase the speed of cellular metabolic reactions to combat the fever and get the body back to a healthy state. When it comes to external temperature, it’s only prolonged exposure to heat that raises the Basal Metabolic Rate.
Gillooly, James F, and Andrew P Allen. “Changes in body temperature influence the scaling of VO2max and aerobic scope in mammals.” Biology letters vol. 3,1 (2007): 99-102. doi:10.1098/rsbl.2006.0576
Posture is how we hold our bodies while standing, sitting, or lying down. A healthy posture is the correct alignment of the body supported by the right amount of muscle tension. Our everyday movements and activities affect the body’s alignment. A postural imbalance can impact the body’s health in various ways. It can cause:
General soreness
Back pain
Muscular pain
Fatigue
Digestive problems
Poor self-esteem
Unhealthy posture can increase the risk of spinal dysfunction, joint degeneration, stress joints, and muscles, resulting in permanent damage if left untreated. The best way to prevent postural imbalances is to be aware of the causes utilize proper ergonomic and movement strategies that can help avoid these problems. As the everyday bad habits, behaviors, and activities are understood, it is much easier to prevent and correct them.
Everyday Posture Is Important
Specific muscles maintain the body’s posture, so we don’t have to think about it and constantly adjust. Muscle groups, including the hamstrings and large back muscles, are essential in maintaining healthy positions. When the muscles function correctly, the postural muscles prevent gravity from pushing the body forward. Postural muscles also maintain balance when moving. A healthy posture reduces strain on the supporting muscles and ligaments during everyday movement and weight-bearing activities. Engaging in healthy posture helps:
Keep the bones and joints in correct alignment so that the muscles function correctly.
Decrease the abnormal wearing of joints resulting in degenerative arthritis and joint pain.
Reduce the stress on the ligaments holding the spinal joints together, preventing injury.
Allow muscles to work more efficiently.
The body exert less energy.
Prevent muscle fatigue and muscle pain.
Prevent muscle strain and overuse disorders.
Unhealthy Posture
Unhealthy posture results when the body sits or stands with the spine in an abnormal position. When an individual practices unhealthy posture over a long period, it progressively leads to muscles and ligaments becoming elongated and weak, while others become short and tight. This creates a physical imbalance that leads to postural abnormalities like:
Individuals can begin to develop unhealthy habits that negatively impact their posture, like walking with their head looking towards the ground. This shifts the body out of alignment.
Sitting For Too Long
Spending too much time sitting even with the correct posture will impact the spine and muscles. It weakens the muscles, ligaments, and abdominals.
Weight
Carrying extra weight can force the spine into an awkward position. This is true for individuals with pot bellies, as it pulls the lower back forward, increasing the risk of lumbar lordosis.
Unhealthy Diet
If the spine does not have access to the vitamins and nutrients it needs, it can struggle to maintain its strength and flexibility. It is also more difficult for the body to repair damage to the spine’s muscles and ligaments.
Clothing and Footwear
Clothing and footwear can impact posture.
High heels, poor-fitting shoes, saggy jeans, large belts, heavy jackets, and other items can force the spine into an unnatural position.
These are fine to wear for short periods but avoid wearing them day in and day out.
Treatment
Chiropractors specialize in issues affecting the spine, especially posture. They can:
Perform a postural examination involving a complete assessment of the musculoskeletal system to identify any joint misalignments and issues that affect soft tissue.
Perform adjustments of misaligned joints using various techniques.
Recommend stretches to loosen/lengthen tight muscles and strengthen weak ones, leading to improvements. A chiropractor will develop an effective stretching regimen to target the correct muscles.
Individuals who sit for extended periods, don’t exercise and don’t watch their diet can experience insulin resistance. Insulin resistance happens when insulin cannot transport excess blood sugar out of the blood and into the muscles. One study found that women who sat for eight hours a day had a higher chance of developing diabetes. Individuals with diabetes tend to have more fat within their bodies, particularly visceral fat, increasing insulin resistance potential. Individuals with diabetes experience a faster loss of muscle mass as they age, further intensifying symptoms and deterioration of body composition.
References
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
Jaromi, Melinda et al. “Treatment and ergonomics training of work-related lower back pain and body posture problems for nurses.” Journal of clinical nursing vol. 21,11-12 (2012): 1776-84. doi:10.1111/j.1365-2702.2012.04089.x
Jung, Suk Hwa et al. “Visceral Fat Mass Has Stronger Associations with Diabetes and Prediabetes than Other Anthropometric Obesity Indicators among Korean Adults.” Yonsei medical journal vol. 57,3 (2016): 674-80. doi:10.3349/ymj.2016.57.3.674
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
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