In today’s big data informational era, there are many disorders, diseases, and clinical presentations that demonstrate concomitant associations, coincidences, correlations, causations, overlapping profiles, overlapping risk profiles, co-morbidities, and risks of associated disorders that clinically intermingle in presentations and outcomes.
The clinician is mandated by the depth of our present clinical understandings and our oath to our patients to see the complete clinical picture within these integrated clinical paradigms and to treat accordingly.
Somatic dysfunction is defined as the “impaired or altered function of related components of the somatic (body framework) system: skeletal, arthrodial, and myofascial structures, and related vascular, lymphatic, and neural elements.”
A viscerosomatic reflexis the resultant of the effect of afferent stimuli arising from a visceral disorder on the somatic tissues. The reflex is initiated by afferent impulses from visceral receptors; these impulses are transmitted to the dorsal horn of the spinal cord, where they synapse with interconnecting neurons. These, in turn, convey the stimulus to sympathetic and peripheral motor efferents, thus resulting in sensory and motor changes in somatic tissues of skeletal muscle, viscera, blood vessels, and skin.
As an example only,visceral afferents play an important part in the maintenance of internal equilibrium and the related mutual adjustments of visceral function. They are also responsible for the conduction of pain impulses that may be caused by distention of a viscus, anoxia (particularly of muscle), irritating metabolites, stretching or crushing of blood vessels, irritation of the peritoneum, contraction of muscular walls, and distention of the capsule of a solid organ.” Because pain-sensitive nerve end- ings are not numerous in viscera, pain sensation or a visceral reflex response may result from the combined input of several different types of receptors rather than as a specific response to a particular receptor. A variety of visceral receptors have been mucosal and epithelial receptors, which respond to mechanical and epithelial stimuli; tension receptors in the visceral muscle layers, which respond to mechanical distention, such as the degree of filling; serosal receptors, which are slow adapting mechanoreceptors in mesentery or
serosa and which monitor visceral fullness; Pacinian corpuscles in mesentery and pain receptors; and free nerve endings in viscera and blood vessels.
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Our information scopeis limited to Chiropractic, musculoskeletal, physical medicines, wellness, contributing etiological viscerosomatic disturbances within clinical presentations, associated somatovisceral reflex clinical dynamics, subluxation complexes, sensitive health issues, and/or functional medicine articles, topics, and discussions.
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The body relies on the gut system to help regulate its homeostasis and metabolize the nutrients for the immune system. The beneficial gut bacteria help maintain the intestinal walls from developing chronic issues and affecting the entire body. The gut system also provides information to the central nervous system through the spinal cord to the brain. The neuron signals help transport the information to all the corresponding muscles, tissues, and organs that require the gut system to stay healthy and functional. When the gut develops issues, the related muscles, tissues, nerves, and surrounding organs begin to feel the effects, causing the body to be dysfunctional. When this happens, many individuals will start to suffer pain and go to their physicians to find relief. Today’s article focuses on the sympathetic nervous system, how it affects the body, and how gut disorders can disruptively affect the sympathetic nerves in the surrounded torso area. We refer patients to certified, skilled providers specializing in gastrointestinal and chiropractic treatments that help those suffering from gut disorders and bodily 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.
The Sympathetic Nervous System
Have you been feeling stressed throughout the entire day? Do symptoms of inflammation tend to flare around the abdominal area or the abdominal organs? Do your muscles seem to tense up more than they should, even in their relaxed state? All of these signs and symptoms that affect the abdominal region of the body are all connected to the sympathetic nervous system in the body. Research studies have defined the sympathetic nervous system as part of the autonomic nervous system, a central nervous system component. The best way to describe the sympathetic nervous system is that it activates the adrenal glands to produce the hormone adrenaline causing the body to be in a “fight or flight” mode. The sympathetic nerves also help regulate the alpha and beta receptor activity of the various corresponding organs that stimulate the blood vessels surrounding the body, causing a relationship of the organs to the muscles.
How Does It Affect The Body?
As part of the autonomic system, the sympathetic nervous and parasympathetic systems help the body achieve homeostasis by exerting influences over the organ systems. Research studies have shown that this causes the organ systems to upregulate and downregulate the various functions that each muscle needs. Some of the tasks that the sympathetic nervous system that activates these organs include:
An increased metabolism
Decreased GI motility
An increased heart rate
An increase in movement and strength
Suppression in the immune system
Constriction of the large arteries and veins
Increase glucose production
Additional studies have noticed that the neurons in the sympathetic nervous system help prepare the body for various physical activities that affect the organs. This causal relationship between the organs and muscles helps redirect the blood flow to different body parts. The sensory impulses of the somatic tissue will then correlate to the spinal cord’s thoracic and lumbar spinal regions. When these nerves become irritated, it can coincidently cause a direct overlap on the muscles and visceral organs surrounding the nerves, changing their functionality. This causes somatic dysfunction to create the impression of overlapping profiles affecting the internal organs.
An Overview Of The Sympathetic Nervous System-Video
Have you experienced knee pain while having issues in the pelvic region? How about feeling pain in the lower abdomen that triggers spinal stiffness in the lumbar parts of the back? Or have you noticed any pain from the testicular area is relieved after a spinal manipulation? These symptoms are mediators of the sympathetic nervous system when internal organs are damaged. The video above explains the sympathetic nervous system and how it functions in the body. When the body suffers from traumatic forces or ordinary factors, it can cause an increased risk of other associated problems that can also affect it. The afferent fibers from the sympathetic nervous system can carry the pain signals from the somatic and visceral tissues that converge at the common synaptic site that is within the spinal cord. Research has stated that the somatic nociceptive signals can disrupt the gastrointestinal tract due to stress from various locations in the gut system. When this happens, it can cause an overlap of risk profiles in the entire body.
How Do Gut Disorders Affect The Sympathetic Nerves?
The way the gut system works is that it provides homeostasis to the body by regulating the immune system. When the sympathetic nerves are intertwined with the gut system and the spinal cord, research studies show that the sympathetic innervation to the GI tract helps regulate the motility, secretion, and blood flow by correlating to the nervous system’s activity and modulating GI inflammation. When the guts system begins to suffer from disorders affecting the entire body, it can trigger alarm points to the meridians that closely associate with one or more internal organs in the gut system. These alarm points are coincidentally represented as the first instances of visceral pain or tenderness to the somatic structures. When this happens, many physicians will notice that visceral pain involvement overlaps with referred pain, correlating with the individual’s history and other signs of dysfunction. This is a technique called nerve tracing, where physicians follow the line of tenderness from a painful region of the body to the spine, like how GI issues can cause musculoskeletal pain and disturb the visceral tone.
Conclusion
The body requires the gut to maintain homeostasis and help regulate the immune system. The gut system also provides information to the central nervous system by letting the neuron signals transport the sensory-motor functions through the sympathetic nervous system to make the body functional. The sympathetic nerves help provide organ activation to the body that can help prepare the body for various activities. When the sympathetic nerves become irritated, it can cause the muscles and organs to be triggered and change their functionality. This can make the surrounding organs and muscles have an increased risk associated with other disorders that affect the body and correlate to different symptoms. When individuals inform their primary physicians about these symptoms, it gives them a better understanding of these disorders’ causation.
References
Alshask, Mark N, and Joe M Das. “Neuroanatomy, Sympathetic Nervous System.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 14 May 2022, www.ncbi.nlm.nih.gov/books/NBK542195/.
Boezaart, Andre P, et al. “Visceral versus Somatic Pain: An Educational Review of Anatomy and Clinical Implications.” Regional Anesthesia and Pain Medicine, U.S. National Library of Medicine, July 2021, pubmed.ncbi.nlm.nih.gov/34145074/.
Cervi, Andrea L, et al. “Neural Regulation of Gastrointestinal Inflammation: Role of the Sympathetic Nervous System.” Autonomic Neuroscience: Basic & Clinical, U.S. National Library of Medicine, May 2014, pubmed.ncbi.nlm.nih.gov/24412637/.
LeBouef, Tyler, et al. “Physiology, Autonomic Nervous System.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 8 May 2022, www.ncbi.nlm.nih.gov/books/NBK538516/.
Waxenbaum, Joshua A, et al. “Anatomy, Autonomic Nervous System – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 29 June 2021, www.ncbi.nlm.nih.gov/books/NBK539845/.
A viscerosomatic response or VSR is when the internal organs are going through some distress, illness, or injury, causing pain symptoms. An example is the right shoulder presenting with pain when the gall bladder is inflamed. The pain signals are transmitted through the spinal cord, and the muscles in the area could spasm, creating sensitivity or pain when touched. However, viscerosomatic pain is often not worsened or changed by bending, reaching, or twisting in different directions causing musculoskeletal/MSK pain. Without a thorough exam, it’s easy to confuse a VSR with an MSK or basic back ache. Individuals may sometimes feel visceral pain more through emotional symptoms like anger, anguish, or sadness than physical discomfort. Causation varies for everybody and can overlap with underlying conditions.
Causation
The visceral organs’ pain receptors are not as tightly packed or evenly spread out, which makes finding the pain’s source challenging to pinpoint. The most common causes include:
Inflammation
A process of the body’s white blood cells protecting the body from infections, bacteria, and viruses. In autoimmune diseases, the immune system reacts as if normal tissues are infected or have changed and attacks them causing damage. But in some conditions, like arthritis, the body’s immune system triggers inflammation despite no infections, bacteria, or viruses. When inflammation activates, chemicals from the body’s white blood cells enter the blood or tissues to protect the body raising the blood flow to the injured or infected area. Symptoms include:
Redness
Heat
Irritation
Chemicals can cause fluid to leak into the tissues.
Swelling
Pain
The symptoms depend on which organs are affected. Examples include:
Inflammation of the heart/myocarditis can cause shortness of breath and/or fluid buildup.
Inflammation of the tiny tubes in the respiratory system can cause shortness of breath.
Inflammation of the kidneys/nephritis can cause high blood pressure and/or kidney failure.
Circulatory Issues
Decreased blood circulation can strain areas of the body. The body pulls oxygen into the lungs that enter the blood. It travels throughout the body through blood vessels, veins, and arteries. If circulation becomes obstructed or gets stopped, a severe problem called ischemia can develop. This means areas of the body are not getting enough blood and enough oxygen. Ischemia usually originates from a buildup, blockage in the arteries, or a blood clot. Atherosclerosisis plaque, a hard, sticky substance made mostly of fat that collects in the arteries. It builds up slowly over time and can harden and narrow the arteries slowing down blood flow because the blood has less space to circulate.
Swelling/Stretching Organs
Swelling occurs when excess fluids are trapped in the body’s tissues, which can cause the affected organs to enlarge and stretch. Swelling can be internal or external. Internal swelling is usually caused by:
Menstrual cramps are throbbing, aching cramps experienced in the lower stomach just before and during a woman’s monthly period. They can range from mild to severe but are common and can strike right before and/or during the menstrual cycle. Some women can experience dysmenorrhea. Symptoms include:
Aching in the stomach
Pressure in the stomach
Constipation
Pain in the hips, low back, and inner thighs.
Severe cramp symptoms can include:
Upset stomach
Loose stools
Vomiting
Cysts and Tumors
Cysts and/or tumors in the pelvic or abdomen region can cause distress, irritation, inflammation, swelling, and pain viscerosomatic and musculoskeletal.
Chiropractic Causation Diagnosis
There is a connection between the spinal nerves and internal organ function. Internal organs connect to the brain through the spinal cord and nerve ganglia plexuses. The organs cannot function properly if the transmitted signals are interrupted or blocked. A chiropractor uses manual and mechanized manipulation to realign the spine. Chiropractic treatment diagnoses causation, restores joint function, eliminates pain, and prevents further injury, preventing degeneration and slowing disease processes in bone, muscle, and organs.
Spinal Decompression
References
Bath M, Owens J. Physiology, Viscerosomatic Reflexes. [Updated 2022 May 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK559218/
Berrueta, Lisbeth, et al. “Stretching Impacts Inflammation Resolution in Connective Tissue.” Journal of cellular physiology vol. 231,7 (2016): 1621-7. doi:10.1002/jcp.25263
Carver AC, Foley KM. Types of Pain. In: Kufe DW, Pollock RE, Weichselbaum RR, et al., editors. Holland-Frei Cancer Medicine. 6th edition. Hamilton (ON): BC Decker; 2003. Available from: www.ncbi.nlm.nih.gov/books/NBK12991/
Sikandar, Shafaq, and Anthony H Dickenson. “Visceral pain: the ins and outs, the ups and downs.” Current opinion in supportive and palliative care vol. 6,1 (2012): 17-26. doi:10.1097/SPC.0b013e32834f6ec9
The gastrointestinal or gut system helps modulate the body’s homeostasis and metabolize the immune system. With its connection to the brain, the gut can help transport the nutrients and additional information to the corresponding muscles, tissues, and organs to function. These muscles, tissues, and organs all have a job to do and help the body stay healthy from internal and external factors that can harm the gut system. When internal factors disrupt the gut system, it can lead to various symptoms affecting the gut and the internal organs and muscles surrounding the gut system. Today’s article looks at one of the gut disorders known as irritable bowel syndrome and its effect on the lumbar back, and how gut issues in the body cause visceral hypersensitivity. We refer patients to certified, skilled providers specializing in gastrointestinal and chiropractic treatments that help those suffering from gut issues like irritable bowel syndrome and back pain. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is 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.
Irritable Bowel Syndrome Affecting The Body
Have you experienced chronic inflammation in your gut? Have you been feeling overly stressed and constantly affecting your gut? Has your favorite food been causing issues in your gut? Experiencing these symptoms are signs that you might have IBS or irritable bowel syndrome. Research studies have defined IBS as one of the most common diagnoses of gastrointestinal diseases. When a person starts to develop IBS in their gut system, many factors can come into play that can cause the development. IBS is usually formed when there are altercations in the intestinal walls. This causes the gut bacteria to leak out and causes the immune system to attack the intestinal wall linings. Other research studies have mentioned that inflammatory effects can cause visceral hypersensitivity to affect the body by increasing high concentrations of proinflammatory cytokines in the enteric nerves and having a high mast cell count.
Many factors like food sensitivities, bacterial overgrowth, visceral hypersensitivity, and intestinal inflammation are some of the various implications of the pathology of IBS. Research studies have found that when lifestyle changes alter the gut system, it can be associated with discomfort in the abdominal regions while affecting the biochemical integrity. Additional research studies have mentioned that when an individual suffers from IBS, the stressful impact can cause visceral pains to rise in extremities causing the surrounding organs in the gut system to become hypersensitive. IBS associated with visceral pain can also affect the pelvic region and the lower back, causing another set of issues that affect the body.
An Overview Of Abdominal Pain-Video
Have you been feeling inflammation in your gut? Does your lower back or pelvic region begin to ache or make you feel uncomfortable? Have you been experiencing IBS or other gut issues? Many of these symptoms are common in individuals with IBS and abdominal pain. The video above gives an excellent explanation of the three different problems that can affect the abdominal region of the body. Research studies have mentioned that visceral pain is a highly complex disorder that can affect a person who either haves or hasn’t had any structural changes or biochemical abnormalities affecting their gut. When a person’s gut becomes hypersensitive to visceral pain, it can affect the different afferents to arise when the lumbosacral spinal cord aggravates.
Visceral Hypersensitivity Caused By Gut Issues
When the visceral reflexes become hypersensitive, research studies have found that visceral hypersensitivity has become a clinical marker for individuals that suffer from IBS. Some of the symptoms can include:
Frequent bowel movements
Bloating
Abdominal pain
Another indication of visceral hypersensitivity due to IBS is when it is nociceptive input from the colon that can lead the gut system to have hypersensitivity and this can increase the intestinal permeability that alters the gastrointestinal tissues. When this happens it can cause the blood microvessels to make the other targeted organs become hypersensitive as well. Additional research studies have found that when there is abdominal pain in the gut system it can cause other disorders like noncardiac chest pain and other conditions that can develop in the peripheral tissues in the body. When individuals begin to make small changes in their lifestyle habits, it can be beneficial to the other systems and the muscles that have been affected.
Conclusion
The gut or gastrointestinal system helps the body regulate its homeostasis and metabolize the immune system to keep the muscles and surrounding organs functional. When internal or external factors cause problems in the gut system, it can develop into IBS and be associated with visceral hypersensitivity to the corresponding organs and muscles, causing various issues that can make the body dysfunctional. The lumbosacral spinal cord and its nerves become aggravated and cause pelvic and low back pain in the lower half of the body. When this happens, a person will become miserable and affect their quality of life. By making small habit changes in relieving IBS from the gut, the rest of the body will begin to heal naturally.
Greenwood-Van Meerveld, Beverley, and Anthony C Johnson. “Stress-Induced Chronic Visceral Pain of Gastrointestinal Origin.” Frontiers in Systems Neuroscience, Frontiers Media S.A., 22 Nov. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5702626/.
Hadjivasilis, Alexandros, et al. “New Insights into Irritable Bowel Syndrome: From Pathophysiology to Treatment.” Annals of Gastroenterology, Hellenic Society of Gastroenterology, 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6826071/.
Mayer, E A, and G F Gebhart. “Basic and Clinical Aspects of Visceral Hyperalgesia.” Gastroenterology, U.S. National Library of Medicine, July 1994, pubmed.ncbi.nlm.nih.gov/8020671/.
Patel, Nicolas, and Karen Shackelford. “Irritable Bowel Syndrome.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 10 July 2021, www.ncbi.nlm.nih.gov/books/NBK534810/.
Saha, Lekha. “Irritable Bowel Syndrome: Pathogenesis, Diagnosis, Treatment, and Evidence-Based Medicine.” World Journal of Gastroenterology, Baishideng Publishing Group Inc, 14 June 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC4051916/.
Zhou, QiQi, and G Nicholas Verne. “New Insights into Visceral Hypersensitivity–Clinical Implications in IBS.” Nature Reviews. Gastroenterology & Hepatology, U.S. National Library of Medicine, June 2011, www.ncbi.nlm.nih.gov/pmc/articles/PMC3437337/.
The spine has three areas: cervical, thoracic, and lumbar in the back, encased with muscles, tissues, ligaments, and joints that help protect the spinal cord from injuries. With the spinal cord being part of the central nervous system, this long cord has many nerve roots that are spread all over the body and help function each section of the body. When the back muscles become damaged or injured in the thoracic region of the spine, it can cause painful symptoms and other issues that correspond with the thoracic spine. Today’s article will look at the thoracic spine, how back pain in the upper-mid section of the back, and how visceral referred pain affects the thoracic region in the body. We refer patients to certified, skilled providers specializing in osteopathic and chiropractic treatments that help those suffering from chest pains and thoracic back pain. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is 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.
The Thoracic Spine
Have you been experiencing herniation in the upper-mid section of your back? Have you felt chest pain occur frequently? Do your back muscles feel stiff or constantly ache even after you stretch? All these symptoms are signs that affect the thoracic region of the spine. Research studies have defined the three spinal areas: the cervical, thoracic, and lumbar help keep the upper half of the body upright. The thoracic area of the spine has added support from the rib cage and allows the body to rotate and flex the upper body. The thoracic region of the spine is also the first curvature that is tight enough to protect the vital organs and loose enough to allow respiratory movement in the body. Additional research studies have also mentioned that the thoracic segments in the spine are susceptible to injuries that can affect the back entirely. The thoracic segments can succumb to structural alterations, disc herniation, and even trauma in the spine from environmental factors like lifting or carrying heavy objects, muscle strain, and forceful impact.
How Thoracic Pain Affect The Body
When the thoracic region of the spine begins to suffer from environmental factors or traumatic events, it can affect the body and aggravate the nerves that encase the spinal column. Research studies have found that when the thoracic spine has succumbed to injuries, it can affect the upper half of the body. Structural changes in the thoracic T 1 through 3 regions of the spine can cause the cervical area to develop neck pain. This causes restricted segmental mobility in the cervical and thoracic regions of the spine. Another research study has mentioned that individuals suffering from thoracic pain will often complain about paravertebral pain aggravated by prolonged standing, hyperextension, and even hyper rotation in the thoracic spinal column. When this happens, it can cause discomfort to the individual and limit their range of motion since their muscles are stiff. Thoracic pain can even affect the corresponding muscles connected to the body’s internal organs.
Referred Pain Affect The Thoracic Spine-Video
Have you felt muscle stiffness in your upper-middle back? Have you been dealing with neck or chest pain? Have inflammatory issues affecting your esophagus? Many of these are signs and symptoms of visceral referred pain affecting the thoracic region of the spine. The video above explains how visceral referred pain can affect the thoracic spine and the corresponding muscle and organs in the area. Research studies have defined pain as damaged nociceptive sensory nerves that affect the peripheral tissues in the face. The broken nerve roots can affect one portion of the body but also a different section of the body. Additional research studies have also found that visceral pain affecting the thoracic regions of the spine can impact the cardiovascular system. This is due to hypertension caused by chronic stress from environmental factors.
Visceral Referred Pain Affecting The Thoracic Region
Research studies have noticed that thoracic spinal pain can become a common site for inflammation, degenerative discs, and other issues contributing to pain and disability in the spine. Visceral pain is a complex disorder that can cause the surrounding muscles and organs in the thoracic region to be compromised. When the body is suffering from visceral referred pain, the thoracic region of the spine will also begin to suffer. Additional research studies have found that visceral referred pain that affects the thoracic neurons will also affect the esophageal and cardiac input to the cardiovascular and gut systems. When the affected thoracic neurons begin to cause heart and esophageal problems, these two organs become hypersensitive due to noxious stimulation.
Conclusion
The spine has three areas: the cervical, thoracic, and lumbar, which help keep the body upright and is encased with muscles, tissues, and ligaments that protect the spinal cord from injuries. Injuries that affect the thoracic regions of the back can cause problems to the corresponding muscles and the internal organs, especially in the gut and cardiovascular systems. These organs become hyper-sensitive and can make the body develop hypertension and other issues that can make the body dysfunctional. When individuals realize that their upper-middle back pain in the thoracic region can affect their cardiovascular system, they can find ways to treat their back pain and prevent cardiovascular issues from forming.
References
Briggs, Andrew M, et al. “Thoracic Spine Pain in the General Population: Prevalence, Incidence and Associated Factors in Children, Adolescents and Adults. A Systematic Review.” BMC Musculoskeletal Disorders, BioMed Central, 29 June 2009, www.ncbi.nlm.nih.gov/pmc/articles/PMC2720379/.
Brumovsky, P R, and G F Gebhart. “Visceral Organ Cross-Sensitization – an Integrated Perspective.” Autonomic Neuroscience: Basic & Clinical, U.S. National Library of Medicine, 16 Feb. 2010, www.ncbi.nlm.nih.gov/pmc/articles/PMC2818077/.
Gkasdaris, Grigorios, et al. “Clinical Anatomy and Significance of the Thoracic Intervertebral Foramen: A Cadaveric Study and Review of the Literature.” Journal of Craniovertebral Junction & Spine, Medknow Publications & Media Pvt Ltd, 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5111324/.
Joshi, Shriya, et al. “Thoracic Posture and Mobility in Mechanical Neck Pain Population: A Review of the Literature.” Asian Spine Journal, Korean Society of Spine Surgery, 3 June 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6773982/.
Murray, Greg M. “Guest Editorial: Referred Pain.” Journal of Applied Oral Science : Revista FOB, Faculdade De Odontologia De Bauru Da Universidade De São Paulo, 2009, www.ncbi.nlm.nih.gov/pmc/articles/PMC4327510/.
van Kleef , Maarten, et al. “10. Thoracic Pain.” Pain Practice : the Official Journal of World Institute of Pain, U.S. National Library of Medicine, 2010, pubmed.ncbi.nlm.nih.gov/20492577/.
Ward, John, et al. “Immediate Effects of Upper Thoracic Spine Manipulation on Hypertensive Individuals.” The Journal of Manual & Manipulative Therapy, Maney Publishing, Feb. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4459143/.
Waxenbaum, Joshua A, et al. “Anatomy, Back, Thoracic Vertebrae – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 12 Aug. 2021, www.ncbi.nlm.nih.gov/books/NBK459153/.
Low back and mid-back pain could be caused by abdominal or pelvic organ distress/irritation or infection that an individual doesn’t know about. This could be a viscerosomatic reflex. This can be the case when there is no back injury, muscle strain, or sprain that would coincide with back aching and soreness. Identifying the symptoms and diagnosing the underlying cause is the first step in getting ultimate pain relief.
The Organs
Inflammation and other issues with any internal organs in the central, abdominal, or pelvic region can produce low back pain. These include the following:
Heart
Lungs
Stomach
Intestines
Liver
Gallbladder
Viscerosomatic reflex pain can also be felt in a completely different body part than where the organ is located. This can cause an individual to think something is wrong in that body region when there is not.
Kidneys
The kidneys help remove liquid waste from the body.
Urine that contains more chemical substances than what can be diluted can cause kidney stones to form and sharp pain in the side and the lower back.
Kidney stones can also cause difficulty urinating and blood to show up in the urine.
Inflammation of the large intestine/colon and/or ulcerative colitis can also cause:
Low back pain.
Abdominal cramps
Rectal pain.
Visceral Pain
Visceral pain is different as it can be harder to pinpoint a source and feels like a dull aching or tightening pressure. The pain originates in the organs of the respiratory system, stomach, or pelvis that is often described as a dull ache but is also described as:
It can accompany other symptoms like nausea, vomiting, sweating, or heart palpitations.
Psychological symptoms like depression can begin to present.
Chiropractic Care
Chiropractic focuses on healing the musculoskeletal system of aches and pain, muscle stiffness, and/or chronic conditions that complement traditional medical care. Adjustments can correct the body’s alignment and how the body physically functions. A chiropractor will use manual or mechanical decompression techniques to realign the spine. This will release the muscle, tendon, ligament, and nerve tension, bringing pain relief, and improving nervous system function, and viscerosomatic reflex. Treatments include:
Adjustments
Will gently realign the joints to decrease pain and increase range of motion.
Soft-tissue therapy
Will relax tight muscles, relieve spasms, and release tension in the surrounding connective tissues.
Exercises and stretches
Will restore and maintain joint stability and mobility.
Joint bracing and Kinesio taping
Will support sprained joints or muscles as the healing process continues.
Integrative medicine expert referrals
Experts will guide individuals on diet and nutrition to reduce inflammation and promote healthy eating for overall health.
DRX9000 Low Back Pain, Sciatica, Herniated Disc
References
Bath M, Owens J. Physiology, Viscerosomatic Reflexes. [Updated 2022 May 8]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK559218/
Beal, M C. “Viscerosomatic reflexes: a review.” The Journal of the American Osteopathic Association vol. 85,12 (1985): 786-801.
Lefebvre R, Peterson D, Haas M. Evidence-Based Practice and Chiropractic Care. (www.ncbi.nlm.nih.gov/pmc/articles/PMC3716373/) J Evid Based Complementary Altern Med. 2012;18(1):75-79. Accessed 4/25/2022.
Sikandar, Shafaq, and Anthony H Dickenson. “Visceral pain: the ins and outs, the ups and downs.” Current opinion in supportive and palliative care vol. 6,1 (2012): 17-26. doi:10.1097/SPC.0b013e32834f6ec9
Zhou, QiQi, and G Nicholas Verne. “New insights into visceral hypersensitivity–clinical implications in IBS.” Nature reviews. Gastroenterology & hepatology vol. 8,6 (2011): 349-55. doi:10.1038/nrgastro.2011.83
In the body’s upper half, the cardiovascular system’s heart helps pump nutrient-riched oxygenated blood all around the body to the corresponding muscles, tissues, and organs to keep the body functional. The heart is protected by the ribcage and muscles surrounding the heart organ from any external factors that can cause harm to the body. When these factors do cause an effect on the body, it can lead to many issues like thoracic back pain, cardiovascular problems, gut disorders, and even chest pains. These issues affect a person, causing them to feel crummy and dampen their outlook. Today’s article will look at chest pains, how it affects the gut and heart in the body, and how viscerosomatic dysfunction is associated with chest pains. We refer patients to certified, skilled providers specializing in osteopathic and cardiovascular treatments that help those suffering from chest pains and cardiovascular disorders. 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.
What Are Chest Pains?
Have you noticed your heart is beating irregularly? How about acid reflux that is affecting your chest constantly? Have you felt muscle stiffness or tenderness in the middle regions of your back? Or have you felt your chest harden and stiffen after something impacted you? Many of these symptoms are tell-tale signs of you experiencing chest pains in your upper body. Research studies have defined chest pains as a common type of visceral pain that is a dull, deep pressure that squeezes the chest. This results in the visceral afferent nerves aggravated as they cause shoulder pain, jaw pain, or thoracic back pain since the nerve root reaches the spinal cord. Additional research studies have found that chest pains can have a variety of cardiac disorders as they can cause dysfunction in the muscles and skeletal joints within the chest walls or the thoracic regions of the spine. When the thoracic region of the spine becomes affected due to chest pains, it can cause herniation on the spinal discs, thus resulting in unwanted pain and discomfort to the individual. Chest pain can even affect the gut system and the heart itself.
How Does It Affect The Gut & The Heart?
Research studies have mentioned that chest pains can affect the gut system and the heart organ itself due to environmental changes that can affect the gut system. The gut microbiota helps metabolize homeostasis in the body for the gut system. When the gut has been impaired, the harmful bacteria travel through the systemic circulation and heighten the inflammatory effects that cause the development of cardiovascular diseases in the heart. At the same time, additional research studies have mentioned that any symptoms accompanying angina pain are conceptualized as a warning to individuals developing coronary artery disease. When this happens, not all ischemic episodes in the heart are indistinguishable when it comes to chest pains and can result from abnormalities of the thoracic regions.
Viscerosomatic Reflexes Overview-Video
Have you experienced irregular chest pains that pop up randomly? How about discomfort in the thoracic regions of your back? Do you feel gastrointestinal inflammatory issues like acid reflux or IBS (irritable bowel syndrome) cause you pain? These symptoms are associated with chest pains in the body due to viscerosomatic dysfunction. Research studies have found that visceral pain is a complex disorder since it can affect one internal organ in the body. In contrast, the corresponding nerve or muscle gets involved as well. Visceral pain is also associated with GI disturbances and changes in the body’s temperature, blood pressure, and heart rate, which are considered autonomic signs that the body is dysfunctioning. The video above gives an insightful overview explanation of what the viscerosomatic reflexes and nerves do when they are not aggravated.
Viscerosomatic Dysfunction Associated With Chest Pains
Since visceral pain is complex and can affect the internal organs, research studies have found that viscerosomatic dysfunction in the thoracic-upper abdominal regions can cause the thoracic and esophagus to become hypersensitive to environmental factors that irritate the airways that connect the entrance of the gut to the esophageal tube. Additional research studies have even found that non-cardiac chest pains are another form of viscerosomatic dysfunction that causes the esophageal opening of the stomach to become dysmotility and hypersensitive causing gastroesophageal reflux disease. This causes many individuals to develop chest pains and can affect a person’s mortality. Adjusting certain habits affecting the chest, gut, or back can reduce the effects that viscerosomatic dysfunction is causing to the person’s body so that they can get their sense of purpose back.
Conclusion
The body’s upper half has the cardiovascular system, where the heart makes sure to pump blood and nutrients to every muscle, tissue, and organ required to keep the body functional. When environmental factors cause issues affecting the body, it can cause various problems in the gut, chest, and heart; this is known as visceral pain and is a complex disorder that can affect the upper abdominal-thoracic region of the body. Visceral pain can cause the gut system to develop gastroesophageal reflux disease, chest pains, and cardiovascular disorders that can make the thoracic region of the spine herniated and stiff if it is not taken care of. When individuals start to take care of themselves and reduce the visceral pain from the affected organ, their bodies will begin to heal naturally and make them continue their health and wellness journey.
References
Brumovsky, P R, and G F Gebhart. “Visceral Organ Cross-Sensitization – an Integrated Perspective.” Autonomic Neuroscience: Basic & Clinical, U.S. National Library of Medicine, 16 Feb. 2010, www.ncbi.nlm.nih.gov/pmc/articles/PMC2818077/.
Börjesson, M. “Visceral Chest Pain in Unstable Angina Pectoris and Effects of Transcutaneous Electrical Nerve Stimulation. (TENS). A Review.” Herz, U.S. National Library of Medicine, Apr. 1999, pubmed.ncbi.nlm.nih.gov/10372297/.
Johnson, Ken, and Sassan Ghassemzadeh. “Chest Pain – StatPearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 1 Aug. 2021, www.ncbi.nlm.nih.gov/books/NBK470557/.
Sikandar, Shafaq, and Anthony H Dickenson. “Visceral Pain: The Ins and Outs, the Ups and Downs.” Current Opinion in Supportive and Palliative Care, U.S. National Library of Medicine, Mar. 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3272481/.
Stochkendahl, Mette J, et al. “Diagnosis and Treatment of Musculoskeletal Chest Pain: Design of a Multi-Purpose Trial.” BMC Musculoskeletal Disorders, BioMed Central, 31 Mar. 2008, www.ncbi.nlm.nih.gov/pmc/articles/PMC2315652/.
Tang, W H Wilson, et al. “Gut Microbiota in Cardiovascular Health and Disease.” Circulation Research, U.S. National Library of Medicine, 31 Mar. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5390330/.
The body is held up by skeletal joints that keep the body upright and provide everyday movements for the body to go anywhere at any time. The musculoskeletal system provides the muscles, tissues, and ligaments that encase the skeletal joints protecting them from unknown factors that can cause harm to the body. The internal organs also have a purpose in the body as they help provide the nutrients and necessary hormones to the muscles and joints that need these nutrients to function. When environmental factors affect the body, either internal or external, it can cause the body to become dysfunctional and even cause unwanted symptoms that affect the internal organs that correspond to the muscles suffering. Today’s article looks at pelvic pain, how gut disorders are associated with pelvic pain, and how viscerosomatic pain affects the pelvis. We refer patients to certified, skilled providers specializing in osteopathic and gut treatments that help those with gut disorders and pelvic pain issues. 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.
What Is Pelvic Pain?
Have you been experiencing gut issues that are affecting your pelvic region? Has your gut been feeling inflammatory effects? Have you noticed that you need to go to the bathroom more frequently than usual? Many of these symptoms are some of the signs that are associated with pelvic pain. Research studies have defined pelvic pain as disabling, chronic, and persistent pain that commonly affects women. Pelvic pain can range from acute to chronic depending on how severe the pain affects the pelvic region of the body. Additional research studies have mentioned that pelvic pain in its chronic form can become a multifactorial disorder that can cause pain in the gastrointestinal, pelvic musculoskeletal, or nervous system, making the immune, neurological, and endocrine metabolism dysfunctional. When pelvic pain begins to affect the gastrointestinal system, it can lead to various gut disorders that can cause the pain to become worse if it is not treated.
How Do Gut Disorders Associate Pelvic Pain?
Research studies have mentioned that since pelvic pain is a multifactorial disorder, it can cause pain to arise in the internal organs in the gastrointestinal system. When pelvic pain starts to affect the gastrointestinal system, it can cause the development of gut disorders to affect the body further. When gut disorders co-exist with pelvic pain, it can cause an enhancement to the overall pain symptoms that are becoming the result of viscerosomatic dysfunction through the cross-organ sensitization mechanisms. Additional information studies have mentioned that gut disorders like IBS (irritable bowel syndrome) can cause changes in thermal/visceral pain sensitivity that overlap in the lower body’s pelvic region, further enhancing rectal/thermal pain. This can cause a person to become miserable and even affect their quality of life since they are suffering from so much pain.
Visceral Afferent Nerves Being Affected By Pelvic Pain-Video
Have you experienced gut issues like IBS (irritable bowel syndrome), inflammation, or IBD (inflammatory bowel disease)? Have you felt pain in your pelvic region constantly? Has the pain-affected certain areas in your body, not just your pelvis? If you have these symptoms, it might be due to your visceral nerves being involved. The video above explains what the visceral afferent nerves from the pelvic region are doing to keep the body functioning in the lower extremities. The visceral afferent nerves become aggravated by environmental factors affecting the body, including the gut system. Symptoms of inflammation and gut disorders from persistent aspects of many forms of stress or trauma can cause visceral pain to affect the body, thus causing pelvic pain, gut issues, lower back pain, and other body pains.
How Viscerosomatic Pain Affects The Pelvis
The body’s viscerosomatic pain can be complex since the organs also affect the corresponding muscles. The way the pain is described in the body from viscerosomatic pain ranges from dull to excruciating pain. Research studies have mentioned that the burden of viscerosomatic pain emanates from the internal thoracic, pelvic, and abdominal organs associated with the muscles. For visceral pain to affect the pelvic region, research studies have shown that the nociceptive pain from the pelvic area is usually visceral from the results from the pelvic organs that are poorly localized and can overlap with the somatic sensory tracts that are located in the spinal cord. When this happens, it can cause significant discomfort to the pelvic organs in the body and affect the individual with excruciating painful symptoms.
Conclusion
The body provides everyday movements held by the skeletal joints that help the body go anywhere. While the musculoskeletal system and the internal organs help give the muscles, tissues, ligaments, and nutrients the body needs to function. When environmental factors affect the body, it can lead to various issues that cause gut disorders and even pain in the pelvic region, known as visceral pain. Visceral pain is a complex disorder since the affected organs also affect the corresponding muscles. For visceral pain to affect the pelvic area, it can lead to dull excruciating pain in the pelvic organs and affect the individual. Visceral pain can also overlap the sensory somatic tracts in the spinal cord, causing unbearable painful symptoms to the body while inflammatory issues in the gut system are developing. When people realize that the pain is affecting them, they can start to find treatments from their specialized providers to help alleviate their pain.
References
Dydyk, Alexander M, and Nishant Gupta. “Chronic Pelvic Pain – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 11 Nov. 2021, 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/.
Origoni, Massimo, et al. “Neurobiological Mechanisms of Pelvic Pain.” BioMed Research International, Hindawi Publishing Corporation, 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC4119661.
Udoji, Mercy A, and Timothy J Ness. “New Directions in the Treatment of Pelvic Pain.” Pain Management, U.S. National Library of Medicine, Sept. 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC3979473/.
Verne, G Nicholas, et al. “Viscerosomatic Facilitation in a Subset of IBS Patients, an Effect Mediated by N-Methyl-D-Aspartate Receptors.” The Journal of Pain, U.S. National Library of Medicine, Sept. 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3489925/.
Yuan, Tian, and Beverley Greenwood-Van Meerveld. “Abdominal and Pelvic Pain: Current Challenges and Future Opportunities.” Frontiers in Pain Research (Lausanne, Switzerland), Frontiers Media S.A., 4 Feb. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8915637/.
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