Back Clinic Chiropractic Spine Care Team. The spine is designed with three natural curves; the neck curvature or cervical spine, the upper back curvature or thoracic spine, and the lower back curvature or lumbar spine, all of which come together to form a slight shape when viewed from the side. The spine is an essential structure as it helps support the upright posture of humans, it provides the body with the flexibility to move and it plays the crucial role of protecting the spinal cord. Spinal health is important in order to ensure the body is functioning to its fullest capacity. Dr. Alex Jimenez strongly indicates across his collection of articles on spine care, how to properly support a healthy spine. For more information, please feel free to contact us at (915) 850-0900 or text to call Dr. Jimenez personally at (915) 540-8444.
are impairments in detecting, modulating, interpreting, or responding to sensory stimuli. One study estimates that 5 percent of elementary aged children met the criteria for SPD. These conditions are closely related to other neurodevelopmental disorders and often overlap with autism and ADHD. Recent studies have shown the benefits of chiropractic in enhancing the functionality of individuals with SPD and Autism.
In 2011, we have more children and young adults affected by neurodevelopmental disorders than ever before in history. There are many factors involved in this such as birth and/or early childhood trauma, environmental toxins, food allergens, the avoidance of breast feeding and heavy vaccination. These are all areas that show promise as causative factors in the formation of neurodevelopmental disorders.
Birth trauma can come in the form of a forceps or vacuum extraction delivery. Even normal vaginal or cesarean birth processes can be particularly traumatic. The most vulnerable area of the infant�s body is the upper cervical spine. This also happens to be the area where the brain stem ties into the top of the spinal cord. Birth trauma can significantly damage this region andcreate a neurological insult that is referred to as subluxation.
Subluxation alters neurological processing
Subluxation is a term used to describe mechanical compression and irritation to spinal joints and nerves. Subluxation scrambles the neurological feedback loop by causing altered rhythms of neurological flow. Subluxation insults the neurology of the infant and affects normal development and maturation. This can often create an environment conducive to the formation of neurodevelopmental disorders such as autism, ADHD andSPD.
Many chiropractors specialize in the location, diagnosis and correction of subluxation patterns in infants and young children. These chiropractors often have unique training with digital technology that uses thermographic and surface electromyography to calibrate the function of the nervous system and identify areas of neurological insult. They are also gifted with palpation, posture and body motion observations to locate specific biomechanical and neurological imbalances in the young child.
Spinal Decompression Therapy
Two recent studies published in the 2011 edition of the Journal of Pediatric, Maternal & Family Health showed the benefits of chiropractic on SPD and Autism. In both cases the children were diagnosed with upper cervical subluxation patterns that were thought to have occurred from early childhood traumas. The children also showed signs of neurological imbalance and subluxation in other regions of the spine. Results of their care were startling and would naturally be considered major breakthroughs in the medical model.
The children�s care consisted of specific chiropractic adjustments for a period of weeks to remove subluxation and balance the neurology. They also followed an anti-inflammatory nutritional program that involved a gluten-free, casein-free diet and nutritional supplements such as probiotics and digestive enzymes.Most natural health practitioners would agree that the majority of children with neurodevelopmental disorders have neurological and digestive damage. The digestive issues typically involve leaky gut syndrome, gut dysbiosis, Candida infections and chronic food allergens. These problems typically present together and can be remedied with an anti-inflammatory diet and nutritional supplements.
There are 10 other case studies of children with similar neurodevelopmental issues who have seen significant improvements through chiropractic care. This is evidence of the role that subluxation plays in affecting normal sensory system maturation and development.
Hopefully these recent studies will shine a light on the impact of subluxation correction on healthy neurological balance. This can range from immune system disorders, chronic disease and neurodevelopmental problems. More research dollars should be spent on inexpensive, low risk, non-invasive modalities such as chiropractic care for childhood health problems and normal brain and immune system maturation processes.
Sensory Processing Disorders (SPD) are impairments in detecting, modulating, interpreting, or responding to sensory stimuli. One study estimates that 5 percent of elementary aged children met the criteria for SPD.
Women often seek out chiropractic care during their pregnancies. One of the main reasons for this is that if they are having musculoskeletal pain, their Obstetrician or Midwife generally has very limited options for conventional medical treatment. They are less likely to prescribe medication, which presents an amazing opportunity for us as chiropractors. What initially began as a strange combination of a sports certification and a prenatal/pediatric certification has created a successful and in-demand niche for us. For the most part, I cannot imagine treating prenatal patients without having the sports background. First, most women at some point in their lives have been or currently are an athlete. And second, one of the most common complaints women have during pregnancy is myofascial pain, and who better to treat that than a sports chiropractor? Here are 5 common and easy-to-treat complaints during pregnancy:
One: Pubic Bone Pain
This pain is very common during the second and third trimesters of pregnancy. Women will often describe it as exquisitely tender, worse with rolling over in bed at night, walking or climbing stairs. Conventional medical opinion is that the ligaments during pregnancy are much more relaxed (due to the hormone, relaxin) causing separation of the pubic symphysis and thus inflammation and pain. Sports chiropractors are uniquely qualified to assess this joint, and the common causes of pain can include:
1. Adductor hypertonicity easily addressed with myofascial release or techniques such as Graston, which can be done over leggings or on skin.
2. SI Joint fixation or Pubic Symphysis fixation. While I am generally a diversified adjuster, an activator adjustment to the superior or more-tender pubic rami will go a long way in terms of providing relief. I strongly discourage any audible manipulation of the pubic symphysis.
3.�Kinesiology taping�of a �RockTape Baby Belt� or modified version of this can provide significant relief and is much more comfortable than a pelvic support belt.
4. Using an ice pack for 15 minutes prior to going to bed at night will decrease pain and inflammation while sleeping.
Two: Rib Pain
Rib pain, especially in the lower and floating ribs, is common as the weight of the abdomen is pulling on the oblique abdominal muscles and their attachments at the ribs. Adjusting the ribs at the thoracic spine and incorporating myofascial release or Graston Technique will work quickly (often in just 1 treatment). Finish up with a few strips of kinesiology tape and your patient will feel significantly better.
Three: Upper Abdominal Numbness
Upper abdominal numbness is a common symptom during the later stage of pregnancy. It often presents as numbness but can also be painful and worse with sitting. One of the easiest ways to provide relief is with one simple strip of kinesiology tape over the top of the abdomen directly under the rib cage.
Four: Swelling in the arms and legs
Swelling in the arms and legs is very common and can lead to numbness, tingling or pain. Before beginning treatment, be sure to assess if the swelling in the feet is significant and test for pitting edema which can be a warning sign of preeclampsia. This can be corroborated with a high blood pressure reading and is very dangerous. Two very effective sports techniques for use with lower extremity swelling include 1.�NormaTec PULSE Recovery System�which is not contraindicated in pregnancy. Patients can do a few 20-30 minutes sessions per week to promote circulation and decrease swelling. 2. Kinesiology taping for edema on the ankles.
Five: Lower Back Pain
Lower back pain in pregnancy is very common. Evaluating a pregnant patient prone is very easy if you have pregnancy cushion that sits on top of your table. If you do not, you can evaluate the lower back in the seated or side lying position. Lower back pain can generally be addressed with diversified adjustments (without any rotation as to not stress the abdomen). In addition, the Webster Technique for pregnancy is a valuable tool for assessing and treating lower back pain during all stages of pregnancy. There are also valuable kinesiology tape applications for lower back pain,�RockTape features a pregnancy taping pdf online. In addition, there are no contraindications to using the Graston Technique to address myofascial pain in the lower back.�
Most of the taping techniques discussed above can be done by patients themselves after a one-time demonstration. Have an assistant or patient�s family member take a video of the application for reference at home. Many sports chiropractic techniques can be used very effectively on prenatal patients.
The goals of the chiropractic treatment of a thoracic disc herniation are to reduce pain and dysfunction while the body heals itself.
Since most disc extrusions naturally regress in a few months, chiropractors will attempt to reduce the pain and pressure caused by the disc herniation. Chiropractic treatment of a thoracic disc herniation may include one or a combination of the following:
Some chiropractors will recommend nutritional support, such as proteolytic enzymes, to reduce the pain and swelling associated with a disc herniation.
More Chiropractic Treatments for Upper Back Problems
In addition to joint dysfunction, myofascial pain syndrome, and thoracic herniated disc, which have already been reviewed in this article, chiropractic care may be a treatment option for additional upper back problems, such as thoracic joint dysfunction, thoracic outlet syndrome, and shoulder dysfunction related to the upper spine.
Will your back pain become chronic?
Joint dysfunction
The thoracic spine is a marvel of joint interaction and complex motion patterns. Composed of a total of 220 separate joints,1 it makes up the lion�s share of the 313 total joints in the entire spine. With this many interactive articulations it is easy to see that maintaining normal joint function, motion, and position is important. Chiropractors treat thoracic joint dysfunction with chiropractic adjustments.
There are a variety of chiropractic-adjustment techniques that can be used to adjust a dysfunctional joint:
Most chiropractors employ manual adjusting techniques that utilize precise thrusting adjustments to help normalize joint function.
Chiropractors can also use softer directional adjusting techniques or adjusting instruments to accommodate the needs of the patient.
Thoracic outlet syndrome
Thoracic outlet syndrome (TOS) is a disorder in which the nerves of the brachial plexus and blood vessels are compressed. This compression can cause great pain and altered sensations such as a �pins and needles� sensation in the hands.
Treatment of thoracic outlet syndrome can include stretching, manual trigger-point therapy, and myofascial anchor-and-stretch release techniques to the affected muscles. Chiropractors may also include adjustments and postural instruction.
Thoracic/shoulder dysfunction
The function of the shoulder and the upper back are interrelated. Studies have shown that thrusting manipulations applied to the thoracic spine and ribs have reduced shoulder pain and dysfunction. Chiropractic adjustments to the thoracic region can be beneficial to certain types of shoulder dysfunction.
There are many causes and treatment options for thoracic spine disorders. Chiropractors have a wide range of treatment options for treating these conditions. Chiropractors are increasingly joining collaborative spinal care teams as a drug-free option for treating spinal and musculoskeletal conditions.
The thoracic spine is a marvel of joint interaction and complex motion patterns. Composed of a total of 220 separate joints, it makes up the lion�s share of the 313 total joints in the entire spine. �It’s easy to see that maintaining normal joint function, motion, and position is important. Chiropractors treat thoracic joint dysfunction with chiropractic adjustments.
When an individual has experienced an injury or developed a condition as a result of trauma from an accident or due to the natural process of degeneration over time, deciding on the best healthcare provider to receive treatment from is an essential choice. If you’ve been harmed, it’s in your best interest to find the most effective form of treatment according to your special needs, and choosing the right doctor can greatly affect your overall improvement.
Not all medical services are right for everyone. In addition, the individual’s health plan may or may not provide coverage for all forms of care. It’s important to understand your financial responsibilities before using any medical services. Educating yourself with the proper information regarding the various types of care that different healthcare specialists can provide and asking providers the most convenient questions about their treatment methods can help individuals make informed decisions when choosing the best healthcare professional.
Choosing the Best Chiropractor
Chiropractic care is one of the most popular alternative treatments utilized to treat common symptoms, such as neck and back pain. Doctors of chiropractic, abbreviated as DCs, focus on diagnosing, treating, and preventing disorders associated with the musculoskeletal and the nervous system. Primarily specializing in the structure and function of the spine and other tissues surrounding the spinal bones, a chiropractor can restore the original health and wellness of the body naturally, without the use of medications and/or surgery. Chiropractic treatment consists of spinal adjustments and manual manipulations to cure injuries or conditions that may have altered the spine’s alignment.
Choosing a chiropractor is a personal choice. There are many chiropractic offices in the United States, and every one of them can provide the essential treatment and care you will need to recover from an injury or condition. However, each individual may be looking to have their specific; personal needs met depending on their type of complication. To start, you may want to ask for recommendations from several friends or loved ones who’ve received treatment from a chiropractor before. Finding the right healthcare professional at that point can make a huge difference in their overall recovery experience.
Also, you can ask your primary healthcare physician for the names of chiropractors that offer high-quality chiropractic treatment services. Furthermore, asking questions can help people make an informed choice. You may want to meet with more than one chiropractor before choosing the right chiropractor for you.
Before asking the important questions, it’s fundamental to know whether the chiropractor you are visiting is licensed to practice in your state of residence. Then, make sure to find out if the doctor of chiropractic, or DC, has any area of specialty and inform yourself on what that is. Several chiropractors, for instance, specialize in automobile accident injuries, while others may specialize in sports injuries. Likewise, you can ask the chiropractor how many years of experience they have working in their specific field. More years of experience can often make a difference in their whole treatment performance.
Important Points to Consider
Chiropractic care is a conservative form of treatment, meaning it does not involve the prescription of drugs, nor are surgeries performed to cure patients either. Chiropractic treatment commonly utilizes spinal adjustments, manipulative procedures, and other therapeutic methods to restore the original structure and function of the spine and its surrounding tissues.
On your first visit to a chiropractor’s office, the doctor will begin by performing a full evaluation to determine the source of the individual’s symptoms. The healthcare specialist may also look at your medical history to identify whether past issues could be causing the current complications. The use of X-rays is not necessarily required to begin treatment. However, the chiropractor may either provide one or refer you to another facility to have one taken for you to rule out the possibility of a more serious injury or condition, such as a fracture, dislocation, or another form of bone disease.
Chiropractic is frequently utilized to correct spinal misalignments, or subluxations, which could be affecting the health of the spine. This treatment is also utilized to decrease pain and discomfort; reduce nerve irritation and inflammation; increase blood flow; diminish muscle spasms; and improve strength, flexibility, and mobility. Chiropractors may also recommend a series of stretches or exercises and lifestyle changes to promote a faster recovery.
After the health assessment, a chiropractor will outline an appropriate course of treatment for the individual and establish certain recovery goals for their health issue. The chiropractor should discuss with you the full details of treatment and how long it should take for the treatment to work for you. Your chiropractor will change your treatment plan as needed to help you heal as soon as possible. Whichever treatment the chiropractor suggests, they should also inform you about the benefits and risks.
If your injury or condition requires additional treatment, the chiropractor should be able to refer you to other health care professionals.
Other Points to Consider
Finally, when choosing the best chiropractor, you should expect the chiropractor’s office staff to treat their patients with courtesy. Both the doctor and the staff alike should be prompt and professional, and they should be able to answer your questions and doubts. Be sure to pay special attention to how the office staff treats you. Be sure to pay attention to how the office staff treats you. After asking yourself the questions listed above and meeting the chiropractor and office staff, think about your answers before choosing the right chiropractor for you. Once you feel comfortable with all the information you have gathered about the doctor of chiropractic, it’ll be easier to make an educated choice for treatment.
As you can see, there are plenty of things to think about when choosing a chiropractor. Because you deserve the best care possible, it’s ultimately essential to do the most research you can do before making a choice. In addition, be sure to talk to different doctors. Most of all, take the time you need to make a choice you feel good about; after all, it’s your overall health and wellness you have to worry about to regain your original well-being.
For more information, please feel free to ask Dr. Jimenez or contact us at 915-850-0900.
Chiropractors who provide care for children � and families � can attest to the many benefits of a healthy spine to a growing child. However, this relatively new area of focus for chiropractic is susceptible to many misconceptions, among the public and the health-care community.
Many of the public perceptions about chiropractic care for children, however, are far from the truth. We explore these misconceptions and spoke to the experts to get the real facts about this thriving chiropractic focus area.
Myth #1 Chiropractic care of children is new.
When some individuals first learn that DCs treat children as well as adults, they may get the wrong idea that chiropractic for kids is new � which is to say untested, experimental and dangerous.
That isn�t the case. Sure, the modern era of this field dates only as far back as the 1980s. But the fact is, the practice actually has much older and stronger roots. �If you go back to 1910, [founder of chiropractic] D.D. Palmer indicated how important it is to check a child�s spine from birth and throughout life,� notes Jeanne Ohm, CEO of the International Chiropractic Pediatrics Association (ICPA), a non-profit organization in Philadelphia.�
By the 1980s, many DCs had developed their practices to treat adults specifically. In 1986, Dr. Larry Webster in the U.S. helped re-establish chiropractic care for children as a legitimate area of focus. He started teaching his child-friendly techniques, and he created the ICPA to further help chiropractors treat children.
Webster passed away in 1997, but his legacy continues. The ICPA now has more than 4,000 members and hundreds of DCs are studying to become chiropractors with a special focus on kids.
Myth #2 Children don�t need chiropractic care.
DCs who treat kids often hear questions along these lines: Why in the world would a child need to see a chiropractor? What good does chiropractic do for a toddler, or even a newborn?
Chiropractors have a few good answers.
�We may see a one-week-old child who is already showing signs of favoring, turning her head to one side versus the other,� says Dr. Judy Forrester, owner of Synergea Family Health Centre, a multidisciplinary clinic in Calgary, Alta. �That may seem minimal� but if we can determine any imbalances or asymmetry with the muscular function or the joint alignment, and we address it early, it�s better. Once those postural patterns and habits develop as they grow, they can be much more difficult to change.�
Dr. Liz Anderson-Peacock is a Barrie, Ont., chiropractor who focuses on care for children. She notes the link between the central nervous systems and various childhood afflictions.
�Children may have symptoms like ear infections, difficulty breathing, colic, attention deficit. We do not treat those things per se. We see those as expressions of the body not interpreting the world properly,� explains Anderson-Peacock, who also serves in the editorial board for the Journal of Maternal, Pediatric and Family Health.
�The organizing system for us to respond to the world is the nervous system. The questions we ask are: if there is something going on with the nervous system, what is it, and can chiropractic care help?�
Anderson-Peacock now spends most of her time travelling around the world doing lectures and other speaking engagements. She also conducts seminars for the ICPA about chiropractic care for children and families.
Ohm from the ICPA links chiropractic to the very moment a child emerges from the womb. �Birth can be traumatic,� she says. The event could cause physical damage that leads to difficulties later. So if a baby develops breathing trouble, �the real cause may simply be a misalignment to the spine from the birth process. Parents who get that will stop at the clinic on the way home from the birth centre to make sure everything is OK.�
Chiropractic & Children
Myth #3 Chiropractors use the same techniques on children as adults.
�That�s what terrifies a lot of chiropractors about adjusting children, as well as parents,� Anderson-Peacock says. �They think we�re going to adjust them like an adult.�
But DCs who treat children do not apply heavy pressure. �Often, it�s a matter of moving the child into a position of ease, holding that position and things will reset quite nicely on their own,� Anderson-Peacock says. Care, she points out, is nowhere near as forceful as it may be for adults.
�That�s why extra training is so crucial. These children are not like miniature adults. For example, spines are primarily cartilaginous until the age of six, and we know cartilage will deform when we have abnormal function. So we want to make sure that function is restored normally. And since the bones are immature, the alignment issues are different. We want to minimize rotations and traction, because children have different needs, due to the immaturity of their musculoskeletal and ligamentous structures.�
The ICPA aims to validate techniques for chiropractic care for children, particularly to help dispel the idea that DCs use the same pressure on kids as they do on adults, Ohm notes. The organization is working with Walter Herzog, co-director of the Human Performance Laboratory at the University of Calgary, to study the pressure required when caring for children. The report should be out by the end of 2015.
Chiropractic & Children with Chronic Conditions
Myth #4 There are no real experts in chiropractic care for children.
In Canada, chiropractic care for children is not a recognized area of specialty, which leads some people to think there are no genuine experts in the field. But that isn�t true.
Many DCs follow accredited courses to develop child-specific skills. Anderson-Peacock spent three years studying at the International Chiropractors Association�s Council on Chiropractic Education (CCE)-accredited program in pediatric chiropractic. She achieved her Diplomate in Clinical Chiropractic Pediatrics (DICCP) in 1996.
Dr. Stacey Hornick is owner of Market Mall Family Chiropractic in Saskatoon, Sask. She attended McTimoney College of Chiropractic, operated by BPP University � a post-secondary institution in London, England. Over three years, she took courses by correspondence and traveled to Thailand, Hong Kong and Australia to complete the residency portion of the program. Having succeeded in her studies last year, she was granted a master�s degree in Chiropractic Paediatrics.
Hundreds of DCs have taken the ICPA�s programs. The ICPA Diplomate Program involves a total of 400 hours of learning and achieved through the successful completion of two levels of study.
The first part � a 200-hour certification program � involves 14 classroom modules, participation in two ICPA Practice Based Research Network projects, and successful completion of the comprehensive certification� final exam.
The second part is a 200-hour advanced competency program. It requires 200 hours of work with more emphasis on research, including either a published research case study or a publishable thesis, as well as clinic work. Enrollment in the first level (200-hour certification program) is a prerequisite to enroll in part two.
Chiropractic care for kids may not be a recognized specialty in Canada, but chiropractic associations recognize it as a legitimate area of focus.
In a statement, the Alberta College and Association of Chiropractors (ACAC) has acknowledged, �chiropractic treatment is as beneficial to children as it is to adults and that the efficacy and benefits of the delivery of chiropractic care to individuals 18 years of age and under are well supported by a body of ongoing research and documented case histories.�
Chiropractic & Teens with Back Pain
Myth #5 Chiropractors don�t collaborate with pediatricians and medical doctors.
Hornick says this simply isn�t the case.
�I often refer pediatric patients to their medical doctors and to medical specialists, and we communicate clearly in the best interests of the child. I see our roles as complementary.�
Forrester also says she has good ties with medical doctors. �The majority of them are very much in favor of working together. Every once in a while you run into someone who thinks we�re all a bunch of quacks and they�re not up to date with the sorts of things we do. But by far the relationship with pediatricians is healthy and puts the patients� best interests first.�
Reality recap
Chiropractic care for kids is not new. Children benefit from chiropractic care. Techniques for children are safe and nowhere near as forceful as they may be for adults. Many DCs are qualified experts, and many child-focused chiropractors establish strong connections with medical doctors. The truth is, DCs can and do share the benefits of their profession with patients across the entire age spectrum.
Mastering pediatrics
Late last year, Dr. Stacey Hornick, a Saskatoon, Sask.-based DC focused on chiropractic care for children became one of the first Canadians to attain a Master�s of Science in Chiropractic Paediatrics.She studied at McTimoney College of Chiropractic, operated by BPP University, a post-secondary institution in London, England. The McTimoney program is the only pediatric chiropractic program that meets the academic requirements for entry into doctoral studies (PhD) in the specific content area of chiropractic pediatrics, an opportunity never before afforded the chiropractic profession, she says.
�For me, it was important to seek out a highly respected qualification in pediatric care,� Hornick says. �There were no university-accredited courses in pediatrics in North America that I was aware of at the time. I liked the idea of studying abroad and at the same time becoming an expert in pediatric-specific assessment, and adjusting techniques that were gentle yet neurologically precise.�
It takes stamina and smarts to get into and complete this tough three-year course. Read on for the requirements. Do you have what it takes?
To enter the program, a candidate must have: a professional qualification in chiropractic and registration with a relevant chiropractic governing body
In each of the first two years of the program, the student must complete:
Work at two residential schools � Hornick explains that usually, students complete their residencies at U.K. chiropractic facilities, but McTimoney also gives students the chance to practice outside of the U.K. For her part, Hornick completed her first-year residency in Thailand, which was memorable. �We stayed at the Children of the Golden Triangle Training Center. It�s a safe haven when kids can go to school and avoid the whole child-trafficking danger, which is a heart-wrenching reality in that part of the world. Many of the children at the facility were orphans � 450 of them. We got to stay with them, and between five chiropractors, we adjusted all of them in three days.�
Online course work � Subjects range from the fundamentals of chiropractic pediatrics to specific requisite topics. Hornick says first-year courses include substrates of chiropractic pediatrics, physical assessment in chiropractic skills and pediatric neurology. �The second year is more application of knowledge.� Courses include normal and variant radiology anatomy in pediatrics, clinical research methodology, and four clinical pediatrics programs.
Structured clinical education, directed and self-directed
Objective structured clinical exam
In the third year of the program, students must complete a research project, including project design, implementation and report at a publishable standard. Hornick�s dissertation: The Effect of Chiropractic on Cortisol Levels in Infants with Colic. The investigation aimed to help doctors understand why chiropractic adjustment has a positive influence on colicky infants. Hornick found that infants with colic who receive chiropractic care demonstrate salivary cortisol release patterns similar to those seen in infants with no colic.
Public�Perceptions about chiropractic care for children are far from the truth. Let’s�explore these misconceptions and speak to experts in order to get the real facts about chiropractic care for children.
It�s obvious that Posture has become the new buzzword surrounding physical health and wellbeing over the past few years. We don�t have to look very far to understand why. Though there are many potential causes for poor posture, there�s no doubt the most widespread cause of our current posture dilemma is a direct result of our obsession with and our dependence on mobile devices. Tablets, smartphones and other technologies are not only a luxury but a necessity in our day-to-day lives.
It�s nearly impossible to avoid the onslaught of news articles and video segments cautioning the public of the harmful effects of long-term mobile device use on spinal health. As a result, our patients (and potential patients) are becoming increasingly aware of this issue as well.
This is great awareness, right?
The media is doing the hard work for us by effectively and efficiently reaching millions of people currently affected �by this epidemic. Arming them with information and questions they need to ask their healthcare providers in order to work towards finding a solution to their problem.
Perfect. That�s us, right?
Now, all we have to do is deliver the correct treatment regimen and the patient walks out of our office with perfect posture, a smile and the quality of life they�ve always dreamed of. Well� Not so fast�
Where do I go from here? Spinal function or spinal structure?
Unfortunately, like most of you are probably thinking at this very moment, it�s not that simple. But, why not? Shouldn�t it be? At one point in our careers, likely as na�ve chiropractic students in our first few trimesters, fixing spines was the ideal we were all hoping to achieve when we became doctors. Then, something changed.
Let�s reflect for a moment on the core principle our great profession is built upon;
bone(s) out of place ? nerve interference ? dis-ease and dys-function
From a global spinal perspective, it looks like this;
cervical curve loss & forward head posture ? nerve interference
? dis-ease and dys-function
As a young student this principle offered our analytical minds an objective means of measuring our success as a future spine care specialist;
correct the abnormal structure ? improve nerve function ? maximize health potential
Unfortunately, we were never taught how to correct abnormal structure and as we continued through the �clinical� trimesters in school we heard less and less about the importance of spinal structure and the overwhelming focus began to land on spinal function. Confused, conflicted, yet anxiously awaiting our release into the real world, we then began to put less and less importance on spinal structure as well and we carried that philosophy with us to our clinical practices. Likely thinking, structural spinal correction was merely for theoretical discussion and not practical application in a clinical setting.
Herein lies a major conflict. The very principle we were taught as the foundation of our careers is now something most of us have been encouraged to disregard because it�s too difficult to achieve, it�s too time consuming, it�s not possible, etc., etc.
Putting more focus towards structural spinal correction is the way forward.
Fortunately for our patients and ourselves, the structure dictates function principle is still very alive and well within us and I believe the latest advancements in traction technology will allow us to incorporate this principle with each of our patients like never before.
Throughout the next 10 months I, along with a few special guest contributors, will be engaging and challenging doctors around the world to take the lead in their communities to begin changing people�s lives by integrating cervical curve remodeling and posture correction into their existing treatment protocols.
We will be using a variety of information disseminating platforms such as blogs, infographics and ebooks to share case studies. Also, treatment protocols and latest advancements in cervical spine remodeling devices will be put in place to demonstrate how quickly and easily cervical curve remodeling and posture correction can be integrated into your existing clinic(s).
We care about posture. We care about quality of life.
Our goal is to create a collaborative, productive discussion. We are taking the lead and fighting this posture epidemic in the communities we serve. I encourage you to reach out and share your questions and ideas with us.
By Dr. Alex Jimenez
Doctors of Chiropractic Offer Tips for Good Posture
Proper Posture has become a passing thing that is�no longer paid attention to. However, through proper posture people would not be in�pain or in some form of disablement. The time has come to bring proper posture awareness.
Dr. Eric Goodman is the creator of Foundation Training, a highly effective protocol. Foundation Training focuses on body weight exercises that integrate as many muscles as possible to strengthen and elongate your core and posterior chain � which includes all the muscles that connect to your pelvis, whether above or below it � thereby alleviating many chronic pain issues.
The protocol has evolved over the years, and I�ve interviewed Goodman twice before, in 2013 and the most recent two years ago in 2014, covering various updates.
Goodman, who is trained as a chiropractor, is a pioneer in the world of structural biomechanics. His program teaches you to optimize your posture, thereby decreasing bodily pain and your risk of exercise injury.
�The idea is really simple. Our body is made to help itself. As long as we can get the muscles to align it properly, our breathing patterns to align properly, our pelvic muscles to be more stabilized, our posture will involuntarily become stronger,� he explains.
�My education is in chiropractic. I�m licensed in Colorado and California, but I only really see patients if they need an adjustment for some reason that they can�t do the poses.�
Why Foundation Training?
While in chiropractic school, Goodman developed severe low back pain. His doctors suggested surgery, which he wisely rejected. Instead, his own pain set him on the path of discovering a long-term solution, which ultimately resulted in Foundation Training.
�My passive care was good. I was getting chiropractic care. I was being stretched. I was being massaged and worked on. But I wasn�t strengthening my spine myself. That�s the difference that I made,� he explains.
�I don�t think that I will ever negate chiropractic, because I love chiropractic. I love the ability and capacity to align the body, align the nervous system and create a very good environment for different process to occur.
[But] if you�re going to get your neck adjusted, I want your neck to stay long and strong afterwards, because that�s what�s going to stop you from having that same adjustment again a week later.�
While obsessively studying anatomy, alignment and exercise in an effort to resolve his back pain, Goodman began to notice that he, and many other people who were in pain, could not move the way the body was designed to move, and this was causing a degenerative effect � and those who were moving properly were able to regenerate and increase strength, while reducing injury and pain.
�I was in chiropractic school. I really understood the body well. I decided that this is going to become an obsession. I�m going to figure this out. I can�t become a doctor, have patients come to me that are asking for my advice on an injury that I have that I can�t fix. It�s not OK.
So, over the course of about four years, I did that. I became very obsessed. I used my anatomy knowledge. I used my understanding of exercise.
I was a personal trainer actually long before a chiropractor. Foundation Training is what I came up with. It�s what I do for myself every single day, and it�s what I�ve been extraordinarily fortunate to teach to thousands of people at this point.�
The secret to Foundation Training lies in its simplicity: no gyms, no specialized equipment and no complicated stretches. By incorporating a series of powerful movements into your daily routine, you can move better, breathe better and get back to using your body the way nature intended.
Addressing Back Pain
Low back pain is a very common problem, and the most common reason why people seek out Foundation Training. In the video below, Goodman demonstrates a back extension exercise that is particularly helpful for back pain relief.
The premise is simple. By strengthening the muscles in your back, they will keep your spine properly braced through all the movements you do as you go about your day-to-day life.
Overall, about 7 out of 10 people who learn Foundation Training do so to address back pain, 2 out of 10 seek to improve their sports performance and the remaining 10 percent typically seek to address knee pain, neck pain, jaw pain, plantar fasciitis, carpal tunnel and other chronic pain.
How to Get Started With Foundation Training
In addition to their latest book, �True to Form,� Foundation Training offers a variety of ways to get the benefits of their system, including their free videos on their website at www.FoundationTraining.com.
Foundation Training also offers certification for clinicians, practitioners, trainers and instructors who are looking to share this groundbreaking and highly effective protocol with their clients and patients.
�There are probably more people using our free videos to get well than using our DVDs and books,� he says. �That�s awesome. That�s why we have free videos.
Our latest book, �True to Form,� is our illustrative process of bringing Foundation Training into your everyday activities � brushing your teeth, waking up from bed, reaching into the refrigerator, whatever, how to apply very simple movement patterns that make you stronger while you do that.
Then if you want to really get into it, we have DVDs and we have a new streaming website. If you�re really into it � come to our workshop or certification. If you come to our workshop and you decide you want to go through a certification, we take the amount of money you paid on the workshop, 100 percent of it, off the cost of the certification.�
While millions of people have gotten started through the free Foundation Training videos, the optimal way to get the most out of Foundation Training is the comprehensive step-by-step program offered on their website or a certified Foundation Training instructor.
The Importance of Posture for Ease of Movement and Health
As noted by Goodman, �Posture is a beautiful thing, except when it�s messed up.� Indeed, while I see many people walking the beach during my daily walks, poor posture is the norm, with hunching being one of the most prevalent posture problems. Indeed, �standing tall� is so basic yet most have forgotten how to do it. When you stand tall, your muscles actually work more effectively.
�We naturally adapt towards our chosen method of absorbing gravity � �Our muscles absorb force � Whether they�re contracting or expanding, they are absorbing or providing force. If you take the opportunity of gravity � this ever-present weight of your own body � and simply provide 5 percent more energy in absorbing it, 5 percent more conscious effort throughout the day, it�s going to change your life forever. It�s going to have people reacting to you differently. It�s going to have you reacting to things like anxiety differently. You�re going to feel the difference of a closed airway and an open airway.
You�re going to feel the tightness of your jaw from the head traveling to forward, contracting the back of your neck when you�re in a bad posture � You start interacting with people like a confident human being interacts.�
Patience and Practice
Most people have poor posture these days. Besides chronic peering down on your smartphone or tablet and excessive sitting, which encourages poor posture unless you�re paying careful and active attention to your body at all times, we�ve also been taught certain posture strategies that actually worsen posture rather than improve it.
Pulling your shoulders back to straighten your posture is one example. As noted by Goodman, this is a �compartmentalized correction� at a place that�s not actually causing the problem. More than anything else, the places that cause the problems in posture are the upper and lower ends of your spine.
A very basic explanation is that your upper and lower spine should be pulling away from each other, not compressing or falling toward each other. So the back and top of your head needs to be pulling away from your tailbone, straight up and neither forward nor backward.
As for how long it might take to correct your posture, it clearly depends on your individual and specific circumstances: how long you�ve had poor posture, how much time you dedicate to corrective exercises and the extent of your postural problems.
�It may be a matter of weeks to months. I believe for some people it may be a year [to complete] the whole process. [But] they�re going to be feeling better along the way. They�re going to notice incremental changes. They�re going to see that their body is supporting itself better steadily. They�re thinking about it less. They�re feeling less pain. They�re feeling better posture. That�s when the real changes start to happen. But there�s no set timeline.�
Walking 101
Walking is foundational for optimal health, and walking with good posture can really maximize your benefits. Your choice of footwear can have a significant influence here. When walking in sneakers or heels, your heel is raised higher than your toes. This in turn makes your arch tighter, which completely alters your range of motion. So, to start, walk barefoot or find a pair of zero-drop shoes.
The rationale behind walking barefoot has to do with plantar flexion, the shortening of the muscles on the back of your ankle and the lengthening of the muscles at the front of your ankle and shin. When walking barefoot, you alter the way the back of your body absorbs force for the better.
Dorsiflexing is a tremendously important piece of walking. This is where you�re lifting the top of your foot toward your shin. When you�re walking with plantar flexion (due to wearing heels), you rarely dorsiflex, thereby contracting and shortening the muscles of your shin.
�That�s Step 1, making sure that there is good dorsiflexion in every step,� Goodman says. �Literally lift the top toes away from the ground. Lift the balls of the feet away from the ground and try to spread your feet a little bit. That will allow your hips to follow a much more natural range of motion. As your feet dorsiflex, it triggers these muscles of the inside and outside of your legs.
Those muscles have internal rotation capacity and external rotation capacity. Both of which are very important for walking � The ability of the adductors, the medial hamstring, the muscles of the inner part of the thigh, the inner upper part of the thigh, to contract during a walk, to spin that hip a little bit more neutral towards straight ahead �
Long story short, range of motion of the hips is so significant to walking. That range of motion is limited most frequently in people at the feet with plantar flexion, excessive plantar flexion or excessive external rotation.�
Head Posture While Walking
The other piece of the puzzle is the location of your head. Most people walk as if they�re sniffing their way forward, head leading the rest of the body. A more natural posture is to lift your chest upward, which allows your shoulders to lift and your chin to retract more or less automatically. So think: �Chest up, chin back.� Initially, this may feel and even look a bit awkward, but you�ll notice it�s a significantly more powerful way to walk, allowing you to engage more muscles.
�If you simply focus on chin back, chest up, shoulders big, broad, not backing down but out � if you focus on that � you�re going to be walking very different. You�re going to experience this really rhythmic counterbalance in your walk. When the right foot comes forward, the shoulder comes forward on the opposite side.
It�s just these nice little muscular glutes, hamstrings, calves, adductors across the body to the opposite shoulder and pec � So many muscles involved. It�s the SCMs that are very important as well to keep that chin back, chest up function happen.�
Preventing iPhone Neck and Dowager�s Hump
The chest up, chin back posture will not only make you look better, but proper posture may also help prevent osteoporosis and significantly reduce your risk of developing a dowager�s hump, which tends to be quite common among the elderly, and women in particular.
This forward slumped posture tends to be related to chronic improper posturing that worsens over time, eventually leading to the development of rigid intractable calcifications. The beginning of the progression of the dowager�s hump is typically the loss of thoracic extension.
�I think the lack of movement and stagnation in bone leads to calcification and typical degenerative changes. Degenerative changes along with spine make it less mobile � It supports it because the muscles aren�t, the discs aren�t. It puts very rigid support structures in place.
Now, can you imagine 20, 50 years from now, when it�s 60 or 70 years after cellphones and iPads came around, the dowager�s humps, we can start calling them the iPad hump � The younger you are, the more capacity you have to be plastic, to engage your body�s natural tendency to respond to stimulus in such a fashion that will get better and better at doing the thing you�re asking it to do.
If you�re often asking it to look down at your phone, please often ask it to lift your chest up, to pull your chin back and to just stand very firm on the ground. Just look at your phone while keeping your chin back and chest up.�
According to Goodman, even if you�ve already started to develop a slight hump, chances are you�ll be able to significantly improve your alignment provided your spine has not yet calcified. Exceptions might be if you have ankylosing spondylitis (AS) or diffuse idiopathic skeletal hyperostosis (DISH). Naturally, the younger you are, the more room for improvement there is.
One important aspect of Foundation Training is what Goodman refers to as compression breathing. With his breathing protocol, you literally re-educate the muscles surrounding your axial skeleton, the spine of your rib cage, teaching them to be in a state of expansion rather than contraction. You�ll find a demonstration of this technique in the video above, followed by another founder exercise.
�[This breathing technique] is something that�s always going to set our work aside from everything else. Not better. Not worse. Different. It�s an accessory,� Goodman says.
�Decompression breathing, which can be taken and applied to any movement, any exercise, any activity � will do more for your spine, more for your chest and neck, more for your dowager�s hump � than anything else I can possibly teach you. The unique thing about it is our specific protocol of learning how to engage the diaphragm more appropriately by drastically strengthening the muscles that surround the rib cage.�
Here�s a quick summary of the compression breathing exercise demonstrated above:
Position your feet so that the OUTSIDE of your feet are parallel. This will make it appear as though you�re standing slightly pigeon-toed
Pull your chin back and lift your chest
Place your thumbs at the bottom of your rib cage, and your pinkies on your pelvic bone
With each breath, your aim is to increase the distance between your thumb and pinky fingers, as well as increase the width of your upper back. This occurs as you elongate the back of your rib cage. Each inhalation expands your rib cage, and each exhalation will keep the abdomen extended and tight. So each in-breath fills up your rib cage, and each out-breath maintains the height and width of your rib cage
Repeat five to 10 rounds with three to four breaths per round
More Information
You have many options when it comes to learning Foundation Training. You can start by reading through or listening to my previous interviews with Goodman, �How Foundation Training Can Help You Maximize Strength and Freedom of Movement� and �New and Revised Foundation Training Exercises Add Even Greater Health Benefits.�
For free video demonstrations and tutorials, be sure to check out FoundationTraining.com and the free videos they have available at their site. For even more in-depth information, pick up Goodman�s latest book, �True to Form: How to Use Foundation Training for Sustained Pain Relief and Everyday Fitness.� Join Foundation Training Connect or check out their free resources at FoundationTraining.com/free-resources.
Just remember, the key is to actually DO the exercises. Just reading about them or watching a video will do you no good. The good news is, even if you�re wheel-chair bound, you can perform the compression breathing exercises, which will, at bare minimum, help you breathe better.
�I have a friend that is [in a wheelchair] and we do some of those workouts. He�s a very good guy from Oklahoma City, but had a very tragic accident. I really hope I get to spend some more time with that guy and see what we can do just based on breathing,� Goodman says.
Foundation Training is a�program that teaches you to optimize your posture. By getting the muscles, breathing patterns, and pelvic muscles to be aligned properly and more stabilized, our posture will involuntarily become stronger,� decreasing bodily pain and risk of injury.
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�We may see a one-week-old child who is already showing signs of favoring, turning her head to one side versus the other,� says Dr. Judy Forrester, owner of Synergea Family Health Centre, a multidisciplinary clinic in Calgary, Alta. �That may seem minimal� but if we can determine any imbalances or asymmetry with the muscular function or the joint alignment, and we address it early, it�s better. Once those postural patterns and habits develop as they grow, they can be much more difficult to change.�
Head Posture While Walking
