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Treatments

Back Clinic Treatments. There are various treatments for all types of injuries and conditions here at Injury Medical & Chiropractic Clinic. The main goal is to correct any misalignments in the spine through manual manipulation and placing misaligned vertebrae back in their proper place. Patients will be given a series of treatments, which are based on the diagnosis. This can include spinal manipulation, as well as other supportive treatments. And as chiropractic treatment has developed, so have its methods and techniques.

Why do chiropractors use one method/technique over another?

A common method of spinal adjustment is the toggle drop method. With this method, a chiropractor crosses their hands and pressed down firmly on an area of the spine. They will then adjust the area with a quick and precise thrust. This method has been used for years and is often used to help increase a patient’s mobility.

Another popular method takes place on a special drop table. The table has different sections, which can be moved up or down based on the body’s position. Patients lie face down on their back or side while the chiropractor applies quick thrusts throughout the spinal area as the table section drops. Many prefer this table adjustment, as this method is lighter and does not include twisting motions used in other methods.

Chiropractors also use specialized tools to assist in their adjustments, i.e., the activator. A chiropractor uses this spring-loaded tool to perform the adjustment/s instead of their hands. Many consider the activator method to be the most gentle of all.

Whichever adjustment method a chiropractor uses, they all offer great benefits to the spine and overall health and wellness. If there is a certain method that is preferred, talk to a chiropractor about it. If they do not perform a certain technique, they may recommend a colleague that does.


Drained Energy: Boost The Central Nervous System

Drained Energy: Boost The Central Nervous System

The body needs consistent energy to get through the day. The central nervous system runs from the brain, down through the spine, and then towards every organ and region of the body. The central nervous system works by sending signals to the organs or the body’s moving parts. But when there is a kink, misalignment, damage, or injury in the spine or other joints, the signals don’t get sent or received correctly.

Pressure builds on the nerves causing the signals/messages sent from the brain to the body to start to slow down and the body’s responses. This includes not just physical reactions but the body’s metabolism. Slow metabolism causes the body to become sluggish and slow. Regular chiropractic adjustments can remove the kinks restoring proper energy flow. When the body’s cells and organs are sending and receiving the signals correctly, the body gets the full force of the energy that the body has stored.

Drained Energy: Boost The Central Nervous System

Energy Drain

Spinal misalignments can cause a multitude of symptoms. The most common problem is pain. Misalignments can also lead to energy-draining problems. These include:

  • Headaches
  • Difficulty concentrating
  • Joint pain
  • Inflammation

The body absorbs toxins from the air, water, food, or direct contact. A buildup of toxins can make the body sluggish. Chiropractic adjustments release these toxins so that the body can rid itself of them. Being out of alignment and balance requires the body to use more energy to get anything done. Even easy to do activities, chores, tasks, etc. When the body’s natural balance is restored, the result is more available energy.

Stress Management

Stress management is vital as chronic stress increases the risk of developing health problems. Learning to manage stress can help increase energy. Therapeutic massage can help with stress relief. A chiropractor will determine the best type of massage for each individual’s situation. The physiological effects of massage to reduce stress include:

  • Increased endorphins, serotonin, dopamine.
  • Decreased cortisol.
  • Increased tissue elasticity.

Endorphins, serotonin, and dopamine are neurotransmitters that are released by the autonomic system when stimulated.

  • Endorphins are responsible for relieving anxiety.
  • Serotonin prevents depression and gives a sense of well-being.
  • Dopamine increases motivation and prevents self-doubt.

When the body lacks these positive hormones, an individual can become stressed, anxious, and overwhelmed. A therapeutic massage stimulates the autonomic system, increasing the release of positive hormones. Increasing the level of positive hormones reduces stress and anxiety and improves overall mood.

When a decrease in cortisol occurs, stress is also reduced. Cortisol is a negative hormone released from the adrenal gland when stimulated by the brain’s hypothalamus region. The adrenal gland is located on top of the kidneys. Cortisol is released into the blood and is transported around the body. Cortisol increases:

  • Stress
  • Anxiety
  • Depression
  • Responsible for the fight or flight response.

When large amounts of cortisol are released in response to pain, stress levels increase, and the immune system is suppressed. A massage helps flush out the cortisol from the blood and replace it with the positive hormone endorphins, serotonin, and dopamine, decreasing stress and increasing relaxation.

Central Nervous System and Chiropractic

Chiropractic looks for the root cause of the problem and addresses that issue. Individuals can keep their bodies stay in balance by:

  • Getting the proper amount of sleep.
  • Staying hydrated.
  • Scheduling at least 30 minutes of exercise.
  • Making healthy diet adjustments.

Chiropractic treatment can help improve quality of life and overall health.


Body Composition


Neglecting A Healthy Diet

Individuals might begin a weight loss journey by going to the gym, which is great, but neglecting a healthy diet is just wasting energy. Fat loss happens when the body is in a caloric/energy deficit. This means an individual has to take in fewer calories than the body is using. According to the CDC, individuals need to reduce food intake by at least 500 calories a day to lose around a pound of body fat a week.

  • Individuals that start increasing exercise/workouts make the body instinctively want to increase calorie intake.
  • Eating more calories than are burned means the individual is wasting the workout.
  • For example, the body needs a 2,100 calorie diet to maintain its weight, and on average, an individual eats 2,100 calories.
  • This means the weight won’t change much, if at all.
  • If an individual burns 300 calories from a workout, the body needs 2,400 calories to maintain weight.
  • If no changes are made to the diet, the individual will be in a negative -300 caloric deficit.
  • Suppose an individual starts increasing their caloric intake because they think their metabolism is speeding up, which is not how it works, then the individual negates any energy deficit that they worked for, leading to no fat loss.
References

Carlson, Linda E et al. “Integrative Approaches to Stress Management.” Cancer journal (Sudbury, Mass.) vol. 25,5 (2019): 329-336. doi:10.1097/PPO.0000000000000395

Kültür, Turgut et al. “Evaluation of the effect of chiropractic manipulative treatment on oxidative stress in sacroiliac joint dysfunction.” Turkish Journal of physical medicine and rehabilitation vol. 66,2 176-183. 18 May. 2020, doi:10.5606/tftrd.2020.3301

Salleh, Mohd Razali. “Life event, stress, and illness.” The Malaysian Journal of medical sciences: MJMS vol. 15,4 (2008): 9-18.

The Effects of Low Laser Therapy on Repairing The Calcaneal Tendon | El Paso, TX

The Effects of Low Laser Therapy on Repairing The Calcaneal Tendon | El Paso, TX

The body is a well-working machine that can endure anything that is thrown in its way. However, when it gets an injury, the body’s natural healing process will ensure that the body can get back to its daily activities. The healing process of an injured muscle varies throughout the body. Depending on how severe the damage is and how long the healing process will take, the body can recover to a mere few days to a few months. One of the most gruelly healing processes that the body has to endure is a ruptured calcaneal tendon.

The Calcaneal Tendon

The calcaneal tendon or the Achilles tendon is a thick tendon that is located in the back of the leg. This muscle-tendon is what makes the body move while walking, running, or even jumping. Not only that, the calcaneal tendon is the strongest tendon in the body, and it connects the gastrocnemius and soleus muscles at the heel bone. When the calcaneal tendon is ruptured, the healing process can last from weeks to months until it is fully healed. 

 

 

The Healing Effects of Low Laser Therapy

One of the ways that can help the damaged calcaneal tendons’ healing process is low laser therapy. Studies have shown that low laser therapy can speed up the damaged tendon repair after a partial lesion. Not only that but the combination of ultrasound and low laser therapy has been studied to be the physical agents for treating tendon injuries. The studies showed that the combination of low laser therapy and ultrasound has beneficial properties during the recovery process of treating calcaneal tendon injuries.

 

 

The study found that when patients are being treated for their calcaneal tendons, their hydroxyproline levels around the treated area are significantly increased with ultrasound and low laser therapy. The body’s natural biochemical and biomechanical structures on the injured tendon increase, thus affecting the healing process. Another study has shown that low laser therapy can help reduce fibrosis and prevent oxidative stress in the traumatized calcaneal tendon. The study even showed that after the calcaneal tendon is traumatized, inflammation, angiogenesis, vasodilation, and the extracellular matrix are formed in the affected area. So when patients are being treated with low laser therapy for about fourteen to twenty-one days, their histological abnormalities are alleviated, reducing collagen concentration and fibrosis; preventing oxidative stress from increasing in the body.

 

Conclusion

Overall, it is said that the effects of low laser therapy can help speed up the healing process of repairing the calcaneal tendon. The promising results have been proven since low laser therapy can help repair the damaged tendon, reducing oxidative stress and preventing fibrosis from escalating, causing more problems on the injured tendon. And with the combination of ultrasound, the calcaneal tendon can recover faster so the body can continue its everyday activities without any prolonged injuries.

 

References:

Demir, Huseyin, et al. “Comparison of the Effects of Laser, Ultrasound, and Combined Laser + Ultrasound Treatments in Experimental Tendon Healing.” Lasers in Surgery and Medicine, U.S. National Library of Medicine, 2004, https://pubmed.ncbi.nlm.nih.gov/15278933/.

Fillipin, Lidiane Isabel, et al. “Low-Level Laser Therapy (LLLT) Prevents Oxidative Stress and Reduces Fibrosis in Rat Traumatized Achilles Tendon.” Lasers in Surgery and Medicine, U.S. National Library of Medicine, Oct. 2005, https://pubmed.ncbi.nlm.nih.gov/16196040/.

Oliveira, Fla’via Schlittler, et al. Effect of Low Level Laser Therapy (830 Nm … – Medical Laser. 2009, http://medical.summuslaser.com/data/files/86/1585171501_uLg8u2FrJP7ZHcA.pdf.

Wood, Viviane T, et al. “Collagen Changes and Realignment Induced by Low-Level Laser Therapy and Low-Intensity Ultrasound in the Calcaneal Tendon.” Lasers in Surgery and Medicine, U.S. National Library of Medicine, 2010, https://pubmed.ncbi.nlm.nih.gov/20662033/.

Multiple Sclerosis, Sciatica, and Nerve Pain

Multiple Sclerosis, Sciatica, and Nerve Pain

Multiple sclerosis and sciatica can exist side by side or have overlapping symptoms. The sciatic nerve begins at the lower back, then through the hips into the buttocks, and separates into both legs into the feet. Sciatica is a type of pain caused by a compressed/pinched or damaged/injured sciatic nerve. The sensation radiates across the nerve with frequency and severity at varying levels, depending on the individual’s body position and/or movement. Individuals with multiple sclerosis can also experience sciatica, believing it’s their multiple sclerosis. Neuropathic pain is a common symptom in multiple sclerosis or MS. It is caused by injury or damage to the nerves of the central nervous system and can cause burning, or sharp, stabbing sensations.

Multiple Sclerosis, Sciatica, and Nerve Pain

Multiple Sclerosis and Sciatic Nerve Pain Difference

MS is an autoimmune disorder where the immune system attacks the protective layer around nerve fibers known as myelin. This affects the central nervous system pathways that regulate feeling and sensation in the body. It can cause painful sensations that include:

  • Muscle spasms
  • Burning, tingling, or aching in the lower legs
  • Electrical shock-like sensations travel from the back toward the legs.
  • Migraines
  • The painful sensations result from the damaged nerve fibers creating interference in the brain’s neural pathways.

Sciatica works differently

An autoimmune response does not damage the sciatic nerve’s pathway, but an added stress/pressure compresses the sciatic nerve. The pain is usually caused by a quick, jerking, twisting, bending, reaching motion that pinches or twists the nerve. Herniated discs and bone spurs are another common cause, along with being overweight can place intense pressure on the sciatic nerve. The critical difference is that multiple sclerosis causes the central nervous system’s signaling pathways to malfunction.

MS and Sciatica

Most individuals, around 40%, will at some point experience some form of sciatica symptoms. This is from age, and all the wear and tear the low back goes through daily. This is why it’s not unusual for individuals with MS to experience sciatica as well. MS can cause body changes that affect activity levels.

  • Decreased mobility can lead to sitting for extended periods that can strain the muscles, tendons, and ligaments, causing sciatica.
  • There is evidence that the lesions that present from MS can extend to the sciatic nerve.
  • One study compared 36 individuals with MS to 35 individuals that don’t have it.
  • All of the participants underwent magnetic resonance neurography to obtain high-resolution nerve images.
  • The research found that those with MS had slightly more lesions on the sciatic nerve than those without MS.

Sciatica Care

It can be challenging to figure out the types of pain being experienced. Sciatica travels down the length of the nerve uniquely and is often felt in only one leg. The pain, tingling, numbness, electrical sensations can present only in the lower back, the buttock, the back of the leg, hamstring, calf, and foot, or in a combination of all the areas. Treatments for sciatica depend on the severity. They include:

  • Chiropractic
  • Physical therapy
  • Posture exercises
  • Lifestyle adjustments
  • Physical activity and exercise
  • Weight loss
  • Cold and hot packs
  • Acupuncture
  • Over-the-counter pain relievers
  • Medications – anti-inflammatories, muscle relaxants, tricyclic antidepressants, and antiseizure medications.
  • Steroid injections – corticosteroids
  • Surgery is a last resort reserved for severe cases that did not improve with other treatments and therapies.

It can be easy to mistake sciatica as a symptom or related condition of multiple sclerosis. Chiropractic can help alleviate sciatica, and although treatment cannot directly treat MS or its symptoms, it can relieve pain and discomfort.


Body Composition


Diabetic Nephropathy

Diabetic nephropathy or diabetic kidney disease is the result of mismanaged diabetes. Kidney failure is a severe medical emergency and can be fatal if not treated. Chronic low kidney function results in:

  • Fluid retention in the body.
  • Inability to filter out metabolites and waste from the blood.
  • Increased risk of infections.

Common symptoms of diabetic kidney disease include:

Increased blood pressure

  • This is the result of increased stress on the body.
  • The kidneys can no longer filter out all the metabolites and excess fluid needed to stabilize the blood pressure.

Proteinuria or protein in the urine

  • Chronic kidney damage results in the protein being excreted through urine.

Fatigue

  • Poor kidney function affects every organ in the body.
  • The organs have to work harder to compensate, leading to fatigue and low energy.

Lower extremity edema

  • Fluid retention usually presents in the lower extremities.
  • Puffy, swollen ankles and legs may appear shiny or waxy.
  • This is common in individuals that have severe diabetic nephropathy.

Shortness of breath

  • As the fluid builds up in the body, additional weight can get stored on and around the lungs.
  • This can make breathing very difficult when lying down or when engaged in physical activity.

Impaired cognition

  • Metabolites in the blood can cause brain damage when not filtered properly.
  • Memory loss
  • Mood changes
  • Loss of consciousness
References

Jende JME, et al. (2017). Peripheral nerve involvement in multiple sclerosis: Demonstration by magnetic resonance neurography. DOI:
10.1002/ana.25068

Mayo Clinic Staff. (2019). Sciatica.
mayoclinic.org/diseases-conditions/sciatica/symptoms-causes/syc-20377435

Murphy KL, et al. (2017). Chapter 4: Neuropathic pain in multiple sclerosis—current therapeutic intervention and future treatment perspectives.
ncbi.nlm.nih.gov/books/NBK470151/

Pain and itching. (n.d.).
nationalmssociety.org/Symptoms-Diagnosis/MS-Symptoms/Pain

Samson K. (2017). In the pipeline-multiple sclerosis neurography, MRI reveals peripheral nerve lesions in MS patients. DOI:
10.1097/01.NT.0000527861.27137.b0

Sciatica: Of all the nerves. (2016).
health.harvard.edu/pain/sciatica-of-all-the-nerve

Kinesiology, Kinesio, KT, Elastic Tape For Back Pain

Kinesiology, Kinesio, KT, Elastic Tape For Back Pain

We see it on all types of athletes nowadays. They are wearing tape that looks like it’s for an injury. It is for injuries, but it can also be used as a preventative measure to avoid injuries. It is known as Kinesiology, Kinesio, KT, and elastic tape. It reduces swelling, increases mobility, and expedites recovery. It can be beneficial with back soreness/pain.

Kinesiology, Kinesio, KT, Elastic Tape For Back Pain

Tape

When it comes to Kinesio tape for back pain, medical professionals reported the tape is most effective when incorporated with other pain treatments. A study found that taping various areas of the body safely relieved knee pain and reduced the need for pharmacological treatment for knee osteoarthritis. It is applied to the body to support a joint, improve circulation, or provide proprioception feedback to the brain. The tape can help increase awareness of a specific painful area, reminding the individual to maintain proper posture and not move in a way that causes pain. Online videos can teach how to tape a particular area of the body. Examples include:

Each joint and muscle requires various tapings or different patterns and directions. Applying the tape to body areas that an individual can reach and access, like the knee and ankle, can be simple. But it can be a challenge to apply it to the shoulder or back. This is when a physical therapist, chiropractor, medical clinician, partner, family member, or friend can help with the application. Kinesiology tape is designed to adhere for an average of three to four days, even when bathing.

Benefits

Kinesio taping for low back pain with help should be done in a shortened muscle position, meaning the person helping should apply the tape while the person experiencing back pain stands up straight. The taping can be two stripes going up and down, or it can be done with strips fanning out towards the buttocks. This gives support to the spine/back muscles and decreases pain.

Recovery and Prevention

Recovery from a spine condition or injury prevention, kinesiology tape can be used without any risk. It can help reduce pain, improve circulation, and provide muscle support. For a minor sprain or strain, the tape could help on its own. But for an individual experiencing severe back pain, it is recommended to seek professional medical care along with a stretching and strengthening regimen. The tape is recommended to be used as part of a complete treatment plan.


Body Composition


Five-Day Training Plan

The idea of training five times a week can be pretty intimidating. This is not about pushing yourself to your breaking point Monday through Friday. The objective of working out this frequently is about exercising normally, not like a professional athlete. That’s why many individuals divide up the areas they work out each day. Particular attention is given to one muscle group or system, letting the others rest and recover. This workout strategy is called a split and is favored by the bodybuilding community. Five-day splits are utilized to target different major muscle group/s every day. A standard training plan includes:

Monday

  • Back
  • Biceps

Tuesday

  • Chest
  • Triceps

Wednesday

Thursday

  • Legs
  • Lower Back

Friday

  • Biceps
  • Triceps

This is just one of the many programs that trainers, athletes, and fitness individuals have developed. Some individuals replace shoulders day with cardio; some do abs every day; it depends on what fitness goal the individual is going for.

References

Journal of Bodywork and Movement Therapies. (April 2016) “Kinesio taping for chronic low back pain: A systematic review” https://pubmed.ncbi.nlm.nih.gov/27634093/

Therapeutic Advances in Musculoskeletal Disease. (August 2019) “The effectiveness of Kinesio Taping® for pain management in knee osteoarthritis: a randomized, double-blind, controlled clinical trial” https://journals.sagepub.com/doi/full/10.1177/1759720X19869135

What are the potential benefits for back pain?: Asian Journal of Sports Medicine. (June 2015) “Low Back Pain in Athletes” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4592766/

The Size of A Herniated Disc

The Size of A Herniated Disc

Herniated discs, although common, can be challenging to treat depending on the size. Over 3mm is considered a large herniated disc. However, it can progressively get more extensive, and this can cause severe side effects. The size can make the disc slip out of place and start compressing on surrounding nerves, leading to muscle weakness and nerve damage.

The Size of A Herniated Disc

X-Ray and MRI

X-rays can’t detect herniated discs, and this is because they highlight calcium in the bones. Because the vertebral discs and the nearby nerves lack calcium, they don’t show up. They do help doctors see other problems that could be causing symptoms like a tumor. A herniated disc will show on an MRI and identify the size and position. Then a medical professional can get a closer look into the bone and surrounding nerves.

Degenerative Disc Disease

A herniated disc is not the same as degenerative disc disease. Degenerative disc disease is when the cartilage and tissues around the disc wear out and down, causing the discs to slowly slide out of their normal position. A herniated disc is the disc getting pulled/yanked out of place.

Tests

Specific tests will help a medical professional like a chiropractor understand the severity of a herniated disc. These include a nerve conduction study and electromyography.

Nerve Conduction Study

A nerve conduction study records electrical impulses in the nerves. Electrode patches are placed on various areas with varying electrical intensities to see different readings. Through the study, medical professionals are better able to understand the health of the nerves.

Electromyography

Electromyography is similar to nerve conduction but uses needles. Electrode patches are placed around the body; then, tiny needles are inserted into a surrounding muscle. The patches then record the reaction of the nerves.

Physical Therapy and Chiropractic Treatment

A herniated disc will usually heal without surgery in around six weeks. However, a herniated disc growing in size can take longer because of a treatment plan that has to be updated accordingly as the treatment progresses.

Physical Therapy

Physical therapy is very useful in working out herniated disc symptoms.

The therapy will slowly help the body recover by using equipment and stretching techniques to strengthen and restore flexibility. One technique is water therapy. Water helps relax the body, and the buoyancy prevents pressure build-up on the spine. This allows the body to stay flexible while avoiding strain and pressure on the herniated disc.

Chiropractic

Chiropractors specialize in herniated discs. Chiropractic works on repairing the whole musculoskeletal system. Once imaging tests have been examined and a personalized treatment plan developed, they perform the necessary adjustments. These include:

Flexion-distraction

This technique uses a segmented table that raises and lowers to release pressure on the spine. The movement also keeps the disc from touching the surrounding nerves, significantly reducing pain.

Pelvic block

The pelvic blocking adjustment utilizes cushions placed under the pelvis. As the chiropractor adjusts the spine, the cushions help to pull the disc back into place gradually.

Therapeutic Massage

Many chiropractors utilize massage therapy as it is highly beneficial for relieving pain and expedites recovery time. One recommended massage for herniated discs is deep tissue massage. The benefits include:

  • Relieving pressure around the nerves.
  • Reduces muscle spasms.
  • Improves the spine’s range of motion.
  • Releases the body’s natural painkillers.

Recommendations

Individuals are recommended not to overextend the spine. Avoid engaging in physical activities that require a lot of bending, twisting, reaching, etc. However, resting for too long can worsen the condition as the body needs movement to recover correctly. Too much rest can lead to the muscles contracting, leading to painful spasms. Safe activities include:

Supplements

Herniated discs often result from an injury, but they could also be caused by weakened joints and muscles. If the body does not get enough calcium, magnesium, or vitamin C, the discs can slip out of place more easily. Taking supplements will help strengthen the area by assisting in the production of collagen. Collagen attaches itself around the discs, ensuring they stay in place and are protected. Foods rich in calcium, magnesium, and vitamin c will also help. Foods include:

  • Red peppers
  • Pumpkin seeds
  • Lemons
  • Almonds
  • Milk
  • Healthy yogurt
  • Peas
  • Brussel sprouts

Hydration

Hydrating the body with plenty of water can reduce pain. Water increases the fluid around a herniated disc. The fluid works as a cushion between the herniated disc and the surrounding nerves, helping to not press on them. Drinking water will also help with movement and sleep.


Body Composition


What Happens To The Body When Eating Fruit

At the basic macronutrient level, fruit is made up of simple sugar called fructose. The natural sugar the body gets from a piece of fruit is not the same as industrial fructose added to processed products like high fructose corn syrup. Processed foods are filled with empty calories and little to no nutrition. When the body takes in fruit, the liver processes fructose before getting absorbed through the small intestine.

Research shows that adding more fiber-rich foods like fruit increases gut ecology to an anti-obese condition. This happens by increasing the lean-type bacteria and reducing obese-type bacteria. Fruit can help boost healthy bacteria that can help prevent weight gain.

Essential nutrients from fruit include Folate, Vitamin C, and Vitamin B1. The USDA recommends 2 cups of fruit a day, depending on age. Making half of each meal fruit and vegetables can be an effective strategy for weight maintenance. Fruit provides the body with a carbohydrate energy source, and fruit sources can also help meet dietary balance needs and promote long-term weight maintenance.

References

Deniz Bayraktar, Arzu Guclu-Gunduz, Johan Lambeck, Gokhan Yazici, Sukru Aykol & Harun Demirci (2016) A comparison of water-based and land-based core stability exercises in patients with lumbar disc herniation: a pilot study, Disability, and Rehabilitation, 38:12, 1163-1171, DOI: 10.3109/09638288.2015.1075608

Gupta, Anmol et al. “Does Size Matter? An Analysis of the Effect of Lumbar Disc Herniation Size on the Success of Nonoperative Treatment.” Global spine journal vol. 10,7 (2020): 881-887. doi:10.1177/2192568219880822

Polkinghorn BS, Colloca CJ. Treatment of symptomatic lumbar disc herniation using activator methods chiropractic technique. Journal of Manipulative and Physiological Therapeutics. 1998 Mar-Apr;21(3):187-196. PMID: 9567239.

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

Camping With Back Pain, Modifications and Adjustments

Camping With Back Pain, Modifications and Adjustments

Going camping for an extended weekend can be exciting and fearful for individuals with back pain. Being in nature is exhilarating, setting up tents with the family, fishing, and hitting the backpacking trails. For those that struggle with back and/or neck pain or conditions that cause pain, the objective is to be prepared for the worst. The weather, steep hills, physical activities, sitting in chairs that are not spine supportive, and sleeping on hard ground can contribute to all kinds of back issues. There are adjustments and modifications, as well as, tools to help the experience remain pain-free and be highly enjoyable.

Camping With Back Pain, Modifications and Adjustments

Camping Back Pain

Not everyone with back pain or conditions that cause pain will struggle with camping out. There are individuals that prefer an ultra-firm sleeping surface like the ground as it provides their spine with the necessary support. Research has found that medium to fully firm mattresses and surfaces are the least to cause back pain. Many individuals go mattress-free a few nights a week and report that it helps reduce their pain.

  • Mattresses that are too soft sink in too much, provide no support to the spine that leads to spinal problems and more aches, and pains.
  • Sciatica from pinched nerves can become irritated or flare up when sleeping on the ground.
  • Individuals with arthritis in the spinal joints can present with stiffness and more pain.
  • Carrying and moving heavy equipment
  • Hiking
  • Backpacking with heavy bags
  • Setting up tents
  • Repeatedly bending over
  • Using traditional camping chairs can position the spine at unnatural angles and can aggravate certain spinal conditions.

Modifications and Adjustments

As with most physical activities for individuals with back pain, it’s all about preparation and modification. Here are a few ways to adjust the camping trip to prevent and avoid back pain:

  • Don’t sit for too long.
  • Move around throughout the day.
  • Stretch out
  • Don’t take long hiking or biking trips.
  • Use the pockets in cargo pants/shorts or a jacket for essential items.
  • Rent a camper with a bed.
  • Get a cabin if necessary.

Equipment

Individuals with spinal conditions and pain will benefit from using proper and advanced gear to provide back support.

Do a little research and see what options are available. Overall, aim for equipment that is sturdy and supportive. Listen to your body, follow a doctor or chiropractor’s advice, and enjoy nature.


Body Composition


Food Journaling

Individuals can keep track of their food choices by logging their food intake into a personal food journal. This is where food choices and calorie intake can be examined, analyzed, and learned from. A study showed that individuals who diligently track their food and calorie intake had a greater amount of weight loss. For those that want to lose body fat, the body needs to be in a caloric deficit. After a week of logging meals, snacks, and drinks, an individual is in a better position to correct and adjust a weight loss plan. For example, journaling helps with:

References

Most comfortable sleeping: Sleep Health. (December 2015) “Effect of different mattress designs on promoting sleep quality, pain reduction, and spinal alignment in adults with or without back pain; a systematic review of controlled trials.” https://www.sciencedirect.com/science/article/abs/pii/S2352721815001400

Workplace Stress Management

Workplace Stress Management

Stress in the workplace is a serious issue. Working is rewarding, but it can become a cause for major stress as well. Studies have shown that more than 40% of workers find their job to be a workplace stressor. Stress takes a toll on the body both mentally and physically. Numerous factors can result in being stressed. This includes:

  • Working for long hours regularly
  • Large amounts of work to complete
  • Meeting deadlines
  • Job insecurity

Workplace Stress Management

Workplace Stress Can Hurt The Body

Workplace stress fatigues and agitates the body and can cause major health issues. These include:

  • Headaches
  • Insomnia
  • Gastrointestinal problems
  • Muscle tension
  • Palpitations
  • Anxiety
  • Depression

Stress Management Guidance

Breathing Exercises

Sometimes stress can be so intense that the heart races. For some, this can lead to panic attacks. To help calm the body down, breathing exercises can help.

  • One exercise to relieve stress is to take one deep inhale and hold it for three seconds.
  • After three seconds, with the front teeth over the edge of the upper lip.
  • Slowly exhale.
  • Wait a few seconds
  • Repeat until you feel calm.
  • Second exercise
  • Close your eyes and breathe in and out like blowing up a balloon.
  • Take a long inhale, pretend the stomach is a balloon and hold the air for seconds.
  • Exhaling, pretend the air escaping is like a balloon releasing the air.
  • This helps to slow down the heart and releases tension.

Stay Aware of Body Posture

When intensely working on something standing or hunched over for a long time, muscle tension is occurring.

  • When sitting, make sure the feet are planted firmly on the floor.
  • Keep the shoulders back and aligned.
  • Investing in an ergonomic chair with lumbar support can help.
  • Low back support will automatically encourage the body to maintain proper posture while also providing comfort.
  • Never cross the legs when sitting. This can place pressure on the pelvis that can lead to low back pain.
  • When standing change postures and positions frequently.
  • If possible, do standing stretches.

Take Short Walks

It’s important to keep the body moving as it promotes circulation and maintains muscle strength and flexibility. Not moving around can make the body feel lethargic and irritated.

  • By getting up and walking around, tension is released, which helps reduce stress.
  • Make an effort to get out and walk regularly.
  • Walking has been proven to reduce stress and strengthen the bones.

Therapeutic Massage

Another way to manage stress in the workplace is to get a therapeutic massage. It will soothe and relax the body, helping you feel more at ease at work and home. Benefits of massage include:

  • Improves flexibility
  • Boosts immune system function
  • Increases energy
  • Reduces anxiety symptoms

Types of massages that help with reducing tension and stress are:

Diet and Nutrition

Fast food and junk food can bring temporary/false relief, but eating poorly regularly will increase stress in the body. The food does not supply the body with the nutrients it needs to get large amounts of work done. Individuals get a quick jolt of energy then crash rapidly and feel worse creating an unhealthy cycle. To help manage stress, some of the best foods include:

  • Citrus fruit
  • Bananas
  • Carrots
  • Turkey
  • Salmon
  • Spinach
  • Tea
  • Yogurt

Stretch Out

When busy working individuals usually do not realize how tense their muscles can become.

Chiropractic Adjustments

Adjustments can be helpful to manage workplace stress. The benefits are able to release tension throughout the body and increase flexibility. Chiropractic can improve blood circulation which can reduce symptoms caused by hypertension and nerve damage. Some chiropractic techniques used include:

This can improve how the body responds to stress. Keeping the body stress-free while working will help to be more productive, and encouraged to live healthier. The nervous system is responsible for adapting to the environment, especially a stressful environment. A properly aligned spine and nervous system allow the body to manage stress better.


Body Composition


High blood pressure and diabetes prevention

Living a healthy lifestyle reduces the risk of chronic diseases, that includes diabetes and hypertension. Too much:

  • Sodium
  • Alcohol
  • Saturated fat
  • Combined with:
  • Smoking
  • Lack or no physical activity
  • Mental stress
  • These are all factors that can affect overall health and longevity.

The American Heart Association recommends at least 150 minutes a week of moderate-intense aerobic activity or 75 minutes a week of intense aerobic activity. Moderate-intense activities include:

References

https://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/massage/art-20045743

www.stress.org/workplace-stress

Jamison, J R. “Stress management: an exploratory study of chiropractic patients.” Journal of manipulative and physiological therapeutics vol. 23,1 (2000): 32-6. doi:10.1016/s0161-4754(00)90111-8

Triathlon Training With Back Pain Issues

Triathlon Training With Back Pain Issues

Triathlon training involves running, biking, and swimming. This much fitness training takes a toll on the body. Pulled hamstrings, twisted ankles, and sore heels are common, but triathlon training can also cause or worsen back pain. Because the back muscles are connected to many other muscles, certain types of movement after a tough training session can present with back pain. There was an Ironman triathlete study that found that 90% of the athletes suffered some form of soft-tissue injury during training, with 70% reporting low back pain and/or sciatica. A 2020 study in BMC Musculoskeletal Disorders found that 14% of recreational half-marathon runners presented with low-back pain.

Triathlon Training With Back Pain

Triathlon Training Hard on the Back

High-impact activities/exercises, constant repetitive motion, places a heavy pounding on the body that impacts the joints and spine. Using improper techniques will aggravate any issues. The stresses applied from repetitive motions, and poor form can lead to the joints breaking down. If new to intense training the muscles might not be strong enough yet, which could also cause back pain and injury. The back stabilizer muscles tend to get neglected in the training, but these muscles support the structures in the midline, spine, and joints. Strengthening the:

  • Base muscles
  • Glutes
  • Back muscles
  • Core
  • Ensures stability of the spine and joints from all the wear and tear.

Training and Overtraining Errors

Even veteran athletes can make mistakes during their training that can lead to sore backs. The biggest mistake individuals make during triathlon training is that they only swim, bike, and run. Training for the specific sport/s is important; but weight lifting, core strengthening, and flexibility training are just as important. Proper rest can become neglected as the individual wants to get in as much training as possible that often gets overlooked, leading to overuse injuries. However, rest is a vital part of training to allow the body to fully recover and operate at full and optimal potential.

Preventing and Avoiding Back Pain When Training

How to sidestep back pain altogether during training includes:

Sleep

A healthy lifestyle includes proper sleep cycles and is even more important during training. The mental aspects a triathlon competition can create require proper rest. Fatigue can also lead to poor technique/form, placing excess stress on the joints and the spine, leading to injury.

Flexibility

Muscles need to maintain flexibility to preserve function and recovery ability. After a training session stretching and working on flexibility will help with overall performance. Stretching should be done after activity when the muscles are warm, and the fibers can be stretched/elongated for optimal recovery.

Proper nutrition

The body needs high-performance fuel to support high-calorie deficits that are associated with intense training and competition.

Strengthening the body

Having a solid body foundation is the objective. Everything is balanced with strong muscles supporting healthy bones. Specific exercises that target the multifidus muscles. These are the body’s back brace. Strengthening these muscles will help prevent spinal injury/s. Back-strengthening exercises include:

Rest days no matter what

Plan rest days no matter what. Pushing through will not make the body stronger or able to perform better, and could cause performance to decrease leading to injury. This does not mean sleeping all day, but engaging in active recovery where the body gets the rest it needs while still maintaining fitness. Active recovery includes:

Technique Improvement

Proper form and technique can really make the difference between staying injury-free and injury/s. Using the right form promotes healthy function. It could help to have gait, swim stroke, and bike techniques evaluated by a professional to ensure that proper form is being utilized.

Body awareness

Stop if the body signals one to stop. This is why the body feels pain. It is the internal mechanism that tells the individual something is wrong. It is not recommended to follow the phrases train through the pain, and no pain, no gain. Individuals are recommended to:

  • Always pay attention if pain presents and does not go away after exercising or warming up.
  • Pain that limits function.
  • Pain that interferes with daily activities.
  • These could significantly exacerbate a spinal injury and should be checked by a doctor.

Body Composition


Rest and Recovery

During rest and recovery, the body goes back to normal or homeostasis. This is the body’s resting rate or normal phase. The body is always trying to go back to homeostasis. This is done by:

  • Maintaining core temperature
  • Blood pressure stable
  • Muscles refreshed

When exercising/training, the homeostasis phase is disturbed, meaning the body needs a period of rest to return to normal. The process of homeostasis uses a lot of energy, which results in an abundant amount of calories burned. After exercise, there is an increase in excess post-exercise oxygen consumption or EPOC. The body uses up more oxygen during recovery than it does before or during exercise. This increase results in burned calories and strong muscles. The most important part of recovery is the rebuilding of muscle. When working out, especially resistance training, tiny tears are made in the muscle fibers. For the tiny tears to turn into growing muscles, they need to repair themselves. This happens during rest. Apart from the physiological benefits, rest helps prevent injury caused by overuse and assists in healing when injuries do occur. Time off helps with mental health as well to refocus, reassess, and apply what has been learned. What rest and recovery can do for the body includes:

  • Burn massive calories
  • Build muscle
  • Refuels the muscles
  • Prevents injury
  • Improves mental health and motivation
References

American journal of physical medicine & rehabilitation/Association of Academic Physiatrists. (October 2014) “Efficacy of Aerobic Exercise for Treatment of Chronic Low Back Pain: A Meta-Analysis” https://www.researchgate.net/publication/266682158_Efficacy_of_Aerobic_Exercise_for_Treatment_of_Chronic_Low_Back_Pain_A_Meta-Analysis

Scientific Reports. (April 2017) “Running exercise strengthens the intervertebral disc” https://www.researchgate.net/publication/316262547_Running_exercise_strengthens_the_intervertebral_disc

Stretch Before and After Journal of Chiropractic Medicine. (Winter 2003) “Changes in low back pain in a long-distance runner after stretching the iliotibial band” https://www.sciencedirect.com/science/article/pii/S0899346707600718

Motorcyclist Common Accident, Crash Injuries

Motorcyclist Common Accident, Crash Injuries

A motorcyclist has an increased risk of injury every time they get on their bike and get on the road. There is no barrier to protect them in the case of a crash or accident. Because of this, motorcycle injuries sustained can be life-changing. The most common injuries that motorcycle riders sustain and suffer when involved in accidents and crashes tend to be related to high traffic, speed, distracted drivers, and construction. This means that most common motorcycle accidents and crash injuries are severe.

Motorcyclist Common Accident, Crash Injuries

Road Rash

Also known as road burn. This is a type of burn that is caused when the body’s skin gets badly scraped and shredded from the road. This often happens when a rider is thrown from the motorcycle skidding down the road before coming to a stop. Road rash can happen on any part of the body. For motorcyclists, it is common on the legs, hands, arms, and back.  It can be excruciating even though the injury is not considered fatal, complications and overlapping injuries can develop. This is usually in the form of infections that can affect mobility and flexibility issues that can require further medical intervention and rehabilitation. In severe cases, it can require skin grafts. Depending on the severity it can leave permanent scarring. Treatment often includes antibiotics, bandage dressings, burn soothing and disinfectant creams.

Fractures and Broken Bones

When a motorcycle and a vehicle collide, it is very common for the motorcyclist to get thrown or knocked off with intense force. When the rider hits the ground, the impact alone can cause fractures and breaks. If the rider lands at an awkward angle this can definitely cause a fracture or break. Broken bones can happen anywhere on the body, but are most commonly sustained in the arms and legs. Broken ribs are also common and usually occur when the motorcyclist gets hit or falls hard. Motorcycle endorsement classes emphasize the ATGATT system that stands for All The Gear, All The Time. This means wearing motorcyclist protective clothing and ankle-high boots. Ankle injuries and fractures are commonly sustained from operating a motorcycle.

Spinal Cord Injuries

If the spinal cord gets injured or damaged the results can be devastating. Depending on the area of the injury, an individual might not be able to walk, use their arms, or move at all. Spinal cord injuries tend to happen when the motorcyclist gets thrown hard or up in the air landing hard on their neck, back, or the body gets pierced by an object. Spine fractures often happen when the rider gets pinned or crushed between vehicles and objects. This can cause temporary or permanent paralysis.

Traumatic Brain Injury

This is one of the most serious injuries sustained in a motorcycle crash. Traumatic brain injury – TBI is when the brain sustains trauma. These injuries usually happen when a motorcyclist is involved in an accident and is not wearing a helmet, their head hits an object forcefully, the head is shaken violently back and forth, or if the skull gets punctured.  Around 15% of motorcyclists involved in accidents that receive medical treatment are diagnosed with a traumatic brain injury. When a person sustains a TBI, they can develop physical and cognitive deficits. Depending on the severity, brain injuries can be treated with surgery, traction, and rehabilitation, but can have lifelong effects.

Organ Injury and Damage

Intense and forceful impacts can cause internal organ damage. Internal bleeding is common in motorcycle accidents. This can be fatal if not diagnosed and treated. Injuries that prove to be fatal, more than three-quarters are caused by traumatic brain injury.

Therapy Rehabilitation

Our experienced team of accident physical therapists and chiropractic team will review the details of the collision, medical treatments and develop a thorough rehabilitation plan. Call our team today and let us help you put your life back together.


Body Composition


Breakfast and Mental Health

Beyond an individual’s physical health, breakfast can significantly impact mood and mental health. According to a 2018 study, a healthy high-quality breakfast has been shown to reduce stress and depression in adolescents. Breakfast nutritional quality was based on individual responses to the following questions:

  • Do you have cereal or other grain-based products bread, toast, etc?
  • Do you have some type of dairy product for breakfast?
  • Do you have commercially baked goods like biscuits or pastries for breakfast?

If a participant stated they consumed commercially baked goods and did not eat bread/toast/cereal or dairy products for breakfast, this was considered a poor quality breakfast. Avoiding commercially baked goods altogether and eating whole bread, healthy cereals, and/or dairy products was considered a good quality breakfast. Choosing grain-based foods along with dairy products was considered healthy because these foods provide a wide range of nutrients. Healthy cereals can provide:

  • Protein
  • Carbohydrates
  • Micronutrients

Results found that individuals that ate healthy quality breakfasts had:

  • Reduced mental distress
  • Reduced depressive symptoms
  • Increased positive mood
  • Improved quality of life
References

Alicioğlu, Banu et al. “Motosiklet kazalarina bağli yaralanmalar” [Injuries associated with motorcycle accidents]. Acta orthopaedica et traumatologica turcica vol. 42,2 (2008): 106-11.

Araujo, Miguel et al. “Effectiveness of interventions to prevent motorcycle injuries: a systematic review of the literature.” International journal of injury control and safety promotion vol. 24,3 (2017): 406-422. doi:10.1080/17457300.2016.1224901

Dupaix, John P et al. “A Comparison of Skeletal Injuries Arising from Moped and Motorcycle Collisions.” Hawai’i journal of health & social welfare vol. 78,10 (2019): 311-315.

Elsemesmani, Hussein et al. “Association Between Trauma Center Level and Outcomes of Adult Patients with Motorcycle Crash-Related Injuries in the United States.” The Journal of emergency medicine vol. 59,4 (2020): 499-507. doi:10.1016/j.jemermed.2020.06.018

Peng, Yinan et al. “Universal Motorcycle Helmet Laws to Reduce Injuries: A Community Guide Systematic Review.” American journal of preventive medicine vol. 52,6 (2017): 820-832. doi:10.1016/j.amepre.2016.11.030

Weight Training To Strengthen The Back Muscles

Weight Training To Strengthen The Back Muscles

When back pain presents for a prolonged period, the back muscles reduce in mass but increase fat content, resulting in more stiffness. This leads to chronic muscle fatigue and results in chronic pain symptoms. Adding resistance to a workout routine in weight machines, free weights, and/or resistance bands helps reduce back pain. Studies have shown that specific therapeutic back muscle weight training is safe and can help relieve pain. A sports chiropractic specialist can recommend appropriate exercises for individuals and their specific condition/s to safely participate in strength training.

Weight Training To Strengthen The Back Muscles

Back muscles development

With time, back pain and increased fatigue can lead to a fear of moving the body and engaging in physical activity. This results in spinal deconditioning and instability. Weight training works on incrementally/progressively increasing the load that the back muscles can tolerate. This technique gradually improves the body’s ability and strength to perform regular daily activities without strain and in optimal fashion. Weight training improves whole-body health because:

  • Back muscles and core muscles increase in function and performance.
  • Muscles are strengthened.
  • Lean muscle mass increases.
  • The range of motion of the spine increases.
  • Body fat decreases.

Guidelines while using weights

When weight training, it is important to understand safety guidelines to help relieve back pain and not worsen or cause further injury. Weighted treatment exercises are for individuals that have been cleared by their physician or chiropractor and are specific to their injury and /or condition. Depending on the underlying pain source, weight training may not be suitable for individuals that have:

  • Severe pain.
  • Back pain that originates from:
  • Previous spinal surgery
  • Tumor
  • Nerve root compression
  • Neurological symptoms
  • Sciatica
  • Spinal fracture/s
  • Spinal infection/s

Medical professionals and chiropractors can accurately diagnose and determine if weight training is safe and which specific exercises to perform. Guidance from a trained therapist or therapeutic trainer is recommended for optimal results.

  • Weight training techniques to alleviate back pain are different from regular weight or resistance exercises.
  • Trained physical/occupational therapists and sports chiropractors can educate an individual on:
  • Correct techniques
  • Frequency
  • Type of training that will help an individual’s condition.
  • Therapeutic training can significantly reduce the risk of further injury and damage to the spine.
  • After initial training, individuals are encouraged to exercise to maintain back muscles and total body health.

Smaller weights build strength progressively

Effective ways to strengthen the spine.

  • Begin with small/light weights and exercise slowly.
  • Fast rapid movements or incorrect lifting and pulling techniques can cause additional damage to the tissues.
  • It is recommended to start with:
  • Low-load motor control exercises without weights activate and stretch the muscles and improve balance.
  • Simple stretches

Exercise machines can be recommended instead of free weights.

  • Exercise machines can provide safe, effective, and progressive resistance to the exercises.
  • The machines can help reduce/prevent injury compared to free weights.
  • The machines can maintain proper support on the back and spine.

It is recommended to combine regular walking activity with a weight training program.

  • Low impact aerobic exercises increase blood circulation along with essential nutrients to the muscles and soft tissues.
  • This promotes healing and reduces stiffness.

Training program and benefits

Gaining the most benefits from strength training, tips to keep in mind:

  • Warm up for a few minutes using heat therapy and simple stretches.
  • Try for 2 or 3 times a week for 30 minutes.
  • Focus on building strength in the core muscles – back, abdominals, obliques, buttocks, and pelvic leg muscles.
  • There is no need to join a gym or buy expensive equipment.
  • Work out at home with small hand weights, resistance bands, and body weight.
  • The therapist or chiropractor will inform the individual on which exercises to avoid, which require extreme or quick moves.
  • Slow, steady resistance training takes advantage of muscle lengthening exercises and muscle shortening exercises for strengthening.
  • If back pain presents with a sustained increase, take time off or modify the strength training exercises.
  • Some soreness is to be expected, but sharp pain is not. If any sharp, sudden pain presents while exercising, stop immediately.
  • Ice therapy can be beneficial after exercising to decrease inflammation and alleviate pain.

Record the amount of weight when beginning the training and note when progressing to a heavier weight. Consistent improvements in pain, flexibility, strength, and function will help maintain motivation. Consult with a professional sports injury chiropractor today to see if weight training is a suitable and safe treatment.


Body Composition


Carbohydrates and Muscle Growth

Simple carbs are a quick, periodic source of energy. Complex carbs are a recommended source of steady energy. Complex carbs are not as readily available for immediate energy as simple carbs are but are more efficient and healthier. Complex carbs offer sustainable energy, meaning the energy is constant with no crash like simple carbs. Because complex carbs have slow-release properties, they should be the largest component of daily energy consumption.

Carbs prevent muscle weakness.

Some glycogen is stored in the muscles. When those muscles are used during exercise, the body taps into the glycogen stores in that specific muscle. Lifting weights with the arms, for example, access the glycogen in the biceps. Athletes take advantage of glycogen by loading up on carbs by consuming a day or more before a workout. This maximizes the muscle glycogen stores. This delays muscle fatigue, making for a better workout and stronger muscles, and can improve athletic performance.

Carbs help muscles recover after exercise.

Recovery goes back to the glycogen stores. Right after exercising, the body needs to replenish its glycogen stores to prevent glycogen depletion. Glycogen depletion, when the stores run out, causes gluconeogenesis. What happens is the body forms glucose from new sources. This is to compensate for the lack of glucose from carbohydrates. This is when the body turns to sources like fat and protein to fill the need. Protein is the last line of defense when energy is required, meaning that energy is running low. When the body breaks down protein for glucose production, it takes what it needs from the muscle/s, causing them to shrink and break down.

References

Dreisinger TE. Exercise in the management of chronic back pain. Ochsner J. 2014;14(1):101–107.

Lee JS, Kang SJ. Strength exercise and walking effects on lumbar function, pain level, and body composition in chronic back pain patients. J Exerc Rehabil. 2016;12(5):463–470. Published 2016 Oct 31. doi:10.12965/jer.1632650.325

Michaelson P, Holmberg D, Aasa B, Aasa U. High load lifting exercise and low load motor control exercises as interventions for patients with mechanical low back pain: A randomized controlled trial with 24-month follow-up. J Rehabil Med. 2016;48(5):456-63.

Welch N, Moran K, Antony J, et al. The effects of a free-weight-based resistance training intervention on pain, squat biomechanics, and MRI-defined lumbar fat infiltration and functional cross-sectional area in those with chronic low back. BMJ Open Sport Exerc Med. 2015;1(1):e000050. Published 2015 Nov 9. doi:10.1136/bmjsem-2015-000050

Chronic Pain and Nutritional Habits

Chronic Pain and Nutritional Habits

Low-back, neck, shoulder, hip, leg, and foot pain are all causes of everyday discomfort and a bad mood. Chronic pain exacerbates the discomfort and bad mood times 10. Chiropractic treatment can help realign the spine and alleviate the pain. However, to maintain pain relief, individuals need to make healthy lifestyle adjustments. One of the most important adjustments is eating habits. Those dealing with chronic pain may not realize their diet is contributing to the pain.

At Injury Medical Chiropractic and Functional Medicine Clinic, we have a combined team of chiropractors, physical therapists, a health coach, and a nutritionist to help educate, develop, and support a personalized treatment plan on spinal health, posture, physical activity/exercise, balance, and eating habits.

Chronic Pain and Nutritional Habits

Salt, Sugar, and Fat Affects the Body

A sedentary lifestyle is a significant contributor to chronic pain, but unhealthy eating habits also play a role. Poor diet adds weight to the body. This stresses the body’s biomechanical structure. It also aggravates inflammation. Too much salt, sugar, and fats ingested through processed foods, fast food, and unhealthy habits affect the body’s regulating systems. They can affect everything from the nervous system, nerves, proper circulation, even the limbic system. The inflammation and stress generate and exacerbate chronic pain symptoms.

Changing unhealthy eating habits is up to the individual.

Individuals can be advised to cut back or cut out unhealthy diet choices; however, it is easier said than done. A doctor, health coach, and nutritionist have no control over what individuals do when they leave the clinic. Individuals themselves can have little control over their own eating habits. Many have an addiction to unhealthy food, which is a disease in itself. To help change poor eating habits, individuals need to be educated on how their eating habits affect the total body and mental health.

Nutrition Discussion

Chronic pain associated with inflammation linked to a poor diet is the first step in the diagnosis and developing an optimal treatment plan. It could be as simple as informing an individual that eating cheeseburgers are causing the inflammation that is hurting their back. However, there is more to it, but individuals are more inclined to avoid the foods causing the inflammation upon hearing a full explanation. Targeting specific foods is the first step in alleviating pain.

The temptation is always there, especially when stress comes into the picture. This is why it is important to have ready-to-go adjustments/alternatives that keep the individual eating healthy, despite the chaos going on around them. A treatment plan will include quick alternatives that can happen in stages. An example could be:

  • Having one cheeseburger and not two.
  • Having a burger without cheese.
  • Eating a burger without the buns.
  • Switching to a plant-based burger.
  • There are many options to be explored to improve eating habits in small steps.

Willpower also has to be addressed in a controlled and supportive setting. This is where the whole team comes in. Many individuals’ eating habits are part of who they and adjusting them can be an uphill challenge. To educate on:

  • Methods of accountability
  • Keeping a journal
  • Having the family or friends eat healthy with them
  • These are techniques and methods to increase willpower to make healthy changes.

Body Composition


Foods Can Support Body Detoxing

The proper foods can support the body in detoxifying toxins and counter the negative effects like brain fog, neurodegenerative disorders, and chronic pain. The foods help to:

  • Neutralize oxidative stress
  • Lower inflammation
  • Increase immunity
  • Strengthen the musculoskeletal system
  • Foods and nutrients that detoxify can be a part of a healthy lifestyle.
References

Bjørklund, Geir et al. “Insights on Nutrients as Analgesics in Chronic Pain.” Current medicinal chemistry vol. 27,37 (2020): 6407-6423. doi:10.2174/0929867326666190712172015

Elma, Ömer et al. “Chronic Musculoskeletal Pain, and Nutrition: Where Are We and Where Are We Heading?.” PM & R: the journal of injury, function, and rehabilitation vol. 12,12 (2020): 1268-1278. doi:10.1002/pmrj.12346

Gómez-Pinilla, Fernando. “Brain foods: the effects of nutrients on brain function.” Nature reviews. Neuroscience vol. 9,7 (2008): 568-78. doi:10.1038/nrn2421

Stress Management and The Body’s Health

Stress Management and The Body’s Health

More individuals are reporting extreme levels of stress. Studies indicate that an increasing number of individuals are feeling worried, anxious, or depressed regularly from various stressors. Maintaining the body’s health includes:

  • Following a balanced diet
  • Getting enough exercise
  • Taking vitamins or supplements to ensure the body gets what it needs for optimal function.

However, research has found that a sudden increase in stress, specifically stress associated with anger, can trigger:

This type of stress can affect individuals that did not know they had heart disease. Intense short-term stress can have dangerous effects on the body’s health, leading to chronic stress. Chronic stress continues at a low level for weeks, months, or years. It can significantly change the way the body functions. Stress management is very important for overall well-being. Learning how to handle stress properly is the goal.

Stress Management and The Body's Health

Poor Stress Management

When stress hits it triggers the brain to release various hormones. These hormones increase heart rate and raise blood pressure. This comes from evolution that helped early humans escape from predators and stay safe from different types of physical danger. This same stress reaction is what we go through, however, it is not to escape danger but to deal with work, family, school, commuting, and social issues, etc. And when the stress response happens on a regular basis it can have serious and long-term effects on the body’s ability to function properly. Stress includes mental, behavioral, and physical symptoms. The effects of stress that are most familiar are related to mood. Mood changes that can result from chronic low-level stress include:

  • Feelings overwhelmed
  • Increased anxiety
  • Generalized anxiety that is not connected with anything specific
  • Unmotivated or unfocused
  • Sadness
  • Depression
  • Irritability
  • Impatience
  • Unusually quick to anger
  • Restlessness

These mood changes can be tied to changes in behavior. The following behaviors are associated with increased stress levels:

  • Alcohol and/or drug abuse
  • Starting or increasing tobacco use
  • Eating changes – undereating or overeating
  • Withdrawing from friends and family
  • Avoiding social interaction
  • Little to no physical activity

Physical effects that are associated with long-term stress.

Chronic stress that lasts for a long period can affect the whole body. The immune system, digestive system, sleep cycles, etc. Physical symptoms include:

  • Tension in the neck and back
  • Persistent headaches
  • Stomach aches
  • Constant fatigue, even after waking up
  • Sleeping pattern changes
  • Insomnia
  • Muscle pain
  • Changes in libido
  • Being more prone to infections because of a weakened immune system
  • Chest pain

Learning Healthy Stress Management

Mental health is now an important part of living a healthy life. Stress comes from all kinds of different places. We can’t always change these moments, but we can change our reactions to reduce the negative effects and results. To manage stress, it is important to know what is causing it.

  • It could be an argument with a boss, co-worker, family member, or significant other.
  • Work deadlines
  • School grades, teachers, kids, etc
  • Bills
  • Repairs

Clearly identifying the main stressors will help individuals anticipate them and form a plan. There are different ways of dealing with it. The different strategies need to be researched and tried by individuals to see what works for them. Think about what helps the mind and body relax and unwind. A few recommended ways include:

  • Watching favorite shows or movies
  • Listening to music
  • Breathing techniques
  • Spend time with friends or family
  • Make time for yourself to do something you love – alone time
  • Unplug from devices like phones, tablets, or computer
  • Play a sport
  • Practice yoga
  • Physical activity
  • Take a nature hike
  • Write, paint, sculpt, knit, sew, crafts, make music, play instrument/s – real media or digital
  • Meditate and practice mindfulness techniques

These are strategies that can be incorporated into regular daily life. Be sure to set time aside to focus on mental wellbeing. Learn to recognize the signs when getting overwhelmed. Don’t hesitate to ask for help when needed. This can be a support system or mental health professional. This is to empower individuals to take better care of themselves in both body and mind.


Body Composition


Setting Attainable Goals

Individuals that have trouble achieving health goals might want to look at the goals themselves. Individuals typically have a general idea of their fitness journey. However, it is hard to reach those goals without a map. Losing weight or getting healthy is the goal but these goals are not measurable. This is too broad that can be different things to different people. Trying to accomplish a vague goal makes it hard to plan, making it happen, or seeing progress. A recommended strategy for goal setting is to use the SMART system. The acronym stands for:

  • Specific
  • Measurable
  • Attainable
  • Realistic
  • Timed

When goals fall into these parameters, it provides a clear picture of what is trying to get accomplished and the ability to plan accordingly. An example could be: An individual will work out at home or the gym for one hour, five days a week for one month. This is a specific and measurable goal when compared to I’m going to work out more. This provides clear guidelines of what needs to happen to achieve success.

References

Bailey, Ryan R. “Goal Setting and Action Planning for Health Behavior Change.” American journal of lifestyle medicine vol. 13,6 615-618. 13 Sep. 2017, doi:10.1177/1559827617729634

Carlson, Linda E et al. “Integrative Approaches to Stress Management.” Cancer journal (Sudbury, Mass.) vol. 25,5 (2019): 329-336. doi:10.1097/PPO.0000000000000395

Jamison, J R. “Stress management: an exploratory study of chiropractic patients.” Journal of manipulative and physiological therapeutics vol. 23,1 (2000): 32-6. doi:10.1016/s0161-4754(00)90111-8

Jamison, J. “Stress: the chiropractic patients’ self-perceptions.” Journal of manipulative and physiological therapeutics vol. 22,6 (1999): 395-8. doi:10.1016/s0161-4754(99)70085-0

Bulging, Herniated Discs and Digestive Problems

Bulging, Herniated Discs and Digestive Problems

There are different possible causes of abdominal pain and digestive problems. Sometimes a bulging disc is the cause. A bulging disc that is causing abdominal pain is rare but possible. When this happens, it’s usually a herniated disc in the upper back, known as the thoracic spine. When the disc bulges to the side, it can cause abdominal pain. One study found that half of the patients presenting with herniated discs also suffered from digestive problems, including irritable bowel syndrome.

Bulging, Herniated Discs and Digestive Problems

Thoracic Disc Herniation

The thoracic spine is the region between the base of the neck and the low back. This section is surrounded and stabilized by the ribcage, reducing the risk of disc herniation. Most herniated disc/s occur in the low back or the neck because those areas with a lot of movement are less stable than the thoracic spine. But they do happen and can contribute and/or cause abdominal pain. This is usually accompanied by pain in the mid-back and the chest. Because this is rare, physicians don’t immediately think that a herniation is causing abdominal pain. This can lead to unnecessary and expensive tests to find the problem.

Lateral Disc Herniation

This is not the most common type of disc herniation. The type of herniation that causes pain in the abdomen is known as lateral disc herniation. This is when the disc bulges laterally/sideways. What happens is it can compress and irritate the nerve root. This is what can cause pain in the abdomen. Types of disc herniations include:

Causes

Most thoracic herniations are caused by trauma to the upper back. This can come from a:

  • Fall
  • Auto accident
  • Sports injury
  • They can also be caused by degenerative disc disease. If this happens, the discs can become calcified, which could require surgery.

Movements like reaching up to get something or twisting motions like putting on a seatbelt can cause the pain to worsen. Most thoracic herniations happen in young individuals brought on by trauma to the area. Women tend to be affected more by thoracic disc herniation that causes abdominal pain.

Herniated Disc and Bloating

Bloating often comes with digestive problems. A herniated discs can also cause bloating along with abdominal and back pain. However, they are not always related because bloating, and other digestive issues can cause back and abdominal pain. Bloating and pain typically go away after a bowel movement. But it is important to see a medical professional if the problem lasts more than a few days.

Gas and a Herniated Disc

In certain cases, a herniated disc can cause gas. This is rare, but evidence suggests that nerve compression in the spine can affect the digestive system. If back pain, abdominal pain, and digestive issues are presenting, seeking out treatment is recommended.

Treatment

Chiropractors specialize in spinal care. The approach is to balance the entire body and heal the underlying issues. The nervous system travels through the spinal column. If injured or damaged, it can cause all kinds of issues. This includes abdominal pain and digestive problems. A chiropractor will:

  • Bring pain relief
  • Realign the spine
  • Balance the body
  • Recommend exercises and stretches
  • Offer nutritional recommendations
  • Recommend sleeping positions to prevent pain at night

They are different techniques to treat disc herniations. These include:

  • Full-body diagnosis
  • Detailed medical history
  • MRI, CT, or X-Rays
  • Laser therapy
  • Ultrasound
  • Ice and heat
  • Electrical stimulation
  • Massage
  • Physical therapy

Body Composition


Binge Eating

A common and powerful trigger of binge eating is restrictive dieting. This type of diet is a common weight-loss method for short-term goals. This is because a highly controlled program of calorie intake makes it easier to prevent overeating. The problem is that this type of restriction is not sustainable. Most individuals can avoid certain foods for only so long. However, this is not the only reason for binge eating. Many individuals use food as an emotional suppressor. They overeat during:

  • Levels of high stress
  • Boredom
  • Bouts of sadness
  • Exhaustion/excessively tired

The brain and body are conditioned to crave certain and usually addictive foods. When individuals want to get their minds off of something, cravings can activate and become overpowering. Although it is not an addiction to alcohol or drugs, food addiction is still an addiction. Working through addictive behavior toward any substance will improve the quality of life. Overcoming food addiction promotes physical health benefits and improved mental health. Recognizing addictive behaviors when it comes to food is the first step.

References

Al-Khawaja, Darweesh O et al. “Surgical treatment of far lateral lumbar disc herniation: a safe and simple approach.” Journal of spine surgery (Hong Kong) vol. 2,1 (2016): 21-4. doi:10.21037/jss.2016.01.05

Lara, F J Pérez et al. “Thoracic disk herniation, a not infrequent cause of chronic abdominal pain.” International surgery vol. 97,1 (2012): 27-33. doi:10.9738/CC98.1

Papadakos, Nikolaos et al. “Thoracic disc prolapse presenting with abdominal pain: case report and review of the literature.” Annals of the Royal College of Surgeons of England vol. 91,5 (2009): W4-6. doi:10.1308/147870809X401038

Polivy, J et al. “Food restriction and binge eating: a study of former prisoners of war.” Journal of abnormal psychology vol. 103,2 (1994): 409-11. doi:10.1037//0021-843x.103.2.409

Herniated Disc Pain Stretches and Exercises

Herniated Disc Pain Stretches and Exercises

Here are a few recommended stretches and exercises for relieving herniated disc symptoms. The vertebrae are the small bones that make up the spine. They have cushion discs between each one. These are the intervertebral discs and are the body’s shock absorbers. The discs can be thought of as small balloons that are filled with an elastic gel-type material. There are twenty-three of these cushions.

Functioning as the body’s shock absorbers transferring various forces, weight, and stress from vertebra to vertebra, so that no one is overburdened taking on all the impact the body goes through. But like any machine, the discs can wear down over time, and sustain injury. When this happens the cushioning gel can leak out and press on the nerve roots emerging from the spine. This type of injury is a herniated disc.11860 Vista Del Sol, Ste. 128 El Paso, TX. Herniated Disc Pain Stretches and Exercises

Herniated Disc Treatment

A herniated disc can lose its height because of fluid and water loss.

This loss affects the bone structures bringing them closer together affecting the ligaments that connect each segment. The ligaments become loose and do not provide the same stability. Ligaments cannot be strengthened with exercise making it more important to strengthen the muscles around the spine to make up for this stability loss. Depending on the severity of the injury, the displaced disc can cause pressure to build upon the nerves, resulting in pain and other discomforts. This comes from the loss of the disc’s cushion causing the vertebrae to rub against each other. Stretches and exercises designed for herniated discs can work in conjunction with conservative treatment to relieve the pain and discomfort.

Stretches and Exercises for Pain Relief

Consult a medical spine specialist/chiropractor before beginning a stretch and exercise regimen. This is because the herniation can become worse or additional injury/s can occur without proper instruction. Once the injury and clinical considerations have been addressed, gentle stretches and exercises can help reduce the pain and other symptoms. Strengthening the back and hamstring muscles reduces pressure on the spinal column helping to prevent pain and promotes healing by:

  • Increasing blood flow to the spine
  • Building strength to support the spinal muscles
  • Decreases stress on the spine
  • Helps relieve the pain
  • Improves abnormal postures and awkward body positions

Equipment is not necessary but there are few items that can help the process.

  • Yoga mat for hard floors
  • A resistance band, a towel will work
  • Yoga blocks
  • Stable upright chair
  • Stopwatch/Timer a phone timer will work

Cervical/Neck Stretches and Exercises

A herniated disc in the neck is usually caused by a forward head posture and a swayback or excessive curvature of the spine.

Isometric hold

  • Sit straight
  • Relax the shoulders
  • Place one hand on the forehead
  • Push head into the hand without moving the head
  • Hold for 5 to 15 seconds.
  • Repeat 15 times

Chin tuck

  • Lie on your back on a flat surface
  • Place arms at sides
  • Tuck the chin in and down toward the chest until a stretch is felt
  • Hold for 5 to 10 seconds
  • Repeat 15 to 20 times

Lumbar/Low Back Stretches and Exercises

Back flexion stretch

This stretch extends the back muscles to relieve low back pain.

  • Lie flat on your back
  • Pull the knees toward the chest and wrap your arms around the knees
  • Lift head straight up off the floor until there is a stretch across the mid and low back
  • Hold for 10 seconds
  • Repeat 5 to 10 times

Piriformis stretch

This stretches the small muscle in the buttocks helping to relieve low back pain and helps with sciatica.

  • Lie flat on your back on the floor or yoga mat
  • Bend the knees
  • Plant feet on the floor
  • Pick up one leg and rest the ankle on the other leg’s bent knee
  • Reach one arm through the leg and use both hands to grasp the bent leg
  • Pull the leg toward the chest until there is a stretch in the buttock
  • Hold for 30 seconds
  • Repeat on the other leg

11860 Vista Del Sol, Ste. 128 El Paso, TX. Herniated Disc Pain Stretches and Exercises

Prone extension stretch

This stretch helps reposition the disc back to its proper position, expediting the healing process. Start slowly and if pain presents, stop immediately.

  • Lie face down on the floor or yoga mat
  • Place the forearms on the floor next to the body
  • The elbows should be at a 45- degree angle
  • Slowly prop the body up, being sure to keep the hips on the floor
  • Keep pressing upward until the elbows are at a 90-degree angle
  • Hold the position for 10-15 seconds
  • Return to  starting position
  • Repeat the stretch 10 times
  • Gradually increase the upward position hold time until it can be maintained for 30 seconds

 

Performing these stretches and exercises or similar types will help with herniated injury recovery and prevent worsening or creating new injuries.


Body Composition


Benefits of yoga

Yoga benefits mental and physical health. Yoga helps improve individual physical health. Specific poses can help:

  • Improve balance
  • Flexibility
  • Build/Tone muscle
  • Prevent injury
  • Improve sense of well-being

Yoga stretches the muscles while relieving physical and emotional stress. Practicing yoga regularly can prevent obesity, and reduce the risk of developing metabolic syndrome. Yoga can help decrease leptin which is a hormone that helps control appetite. This is important for individuals going through chronic stress who are twice as likely to develop metabolic syndrome.

Disclaimer

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico

References

Court C, Mansour E, Bouthors C. Thoracic disc herniation: Surgical treatment, Orthopaedics & Traumatology: Surgery & Research, 104(1)S31-@40, 2018, https://www.sciencedirect.com/science/article/pii/S1877056817303419.

Baastrup’s Syndrome aka Kissing Spine Syndrome

Baastrup’s Syndrome aka Kissing Spine Syndrome

Baastrup’s syndrome is named after Christian Ingerslev Baastrup. He discovered and described the condition in 1933. In this syndrome, pain and inflammation are triggered when the spinous processes of two adjacent vertebrae begin to touch each other. This is where the term kissing spine came from. Most back and neck pain is attributed to inflammation or degeneration of the spinal vertebrae, discs, muscles, and nerves. This is a spinal condition that can cause problems with age. If experiencing pain that worsens when arching the back, consult a professional chiropractor. A physical examination and imaging could reveal the spine is going through this underdiagnosed condition.

11860 Vista Del Sol, Ste. 128 Baastrup's Syndrome aka Kissing Spine Syndrome

Kissing Spine

Spine problems mostly involve the vertebrae and the discs. However, the spine has other components, which include spinous processes. These are thin segments of bone that protrude off the back of each vertebra. Kissing spine syndrome, also known as Baastrup’s disease, or interspinous bursitis, happens when these spinous processes begin to move close together and touch/kiss. Pain and inflammation can be triggered by this.

It is believed to develop as a result of degeneration in the spine that comes with age. As vertebral discs break down from all the wear and tear of life, this can cause the spinous processes to move closer together and touch. This typically develops in the lumbar spine/lower back, but can also affect the cervical spine/neck. The most common symptom of kissing spine syndrome is back pain that worsens when touched or arching the back. For some individuals slumping forward or rounding the back, can help diminish the pain.

When the spinous processes touch, they begin abrasively rubbing against each other. This wears them down and can lead to other types of spinal degeneration. Over time secondary problems can begin to present including neurological conditions caused by compressed nerves. The condition is common in older adults from the natural wear and tear on their spines. But young individuals specifically athletes, can develop the syndrome.

  • Poor posture
  • Obesity
  • Spinal injury/s are additional risk factors.

Diagnosing the condition involves a physical exam and imaging scans to confirm that the spinous processes are in fact touching.

Chiropractic Care

A chiropractor can help manage the pain caused by degenerative disc disease and kissing spine syndrome. Treatment protocols for kissing spine syndrome include:

  • Spinal adjustments
  • Physical therapy massage
  • Spinal manipulation
  • Stretches
  • Exercises
  • Anti-inflammatory diet

Spinal decompression techniques can open the spinal segments so that the spinous processes don’t touch. Manipulations can facilitate proper joint mobility and alleviate inflammation. Physical therapy exercises and stretches will help stretch the spine and the supportive tissues. If experiencing neck or low back pain, contact Injury Medical Chiropractic and Functional Medicine Clinic. Our spine specialists will listen, discuss, and develop a personalized treatment plan. We provide non-invasive approaches for long-term pain management and spinal correction for lasting comfort.


Body Composition


The Paleo Diet

The Paleo diet consists of eating foods that would have been available to humans before modern agriculture was established. If the food was not available to these human ancestors and they did not eat it, then it is not part of the Paleo diet. This includes eating:

  • Lean meats
  • Fish
  • Vegetables
  • Fruits
  • Eggs
  • Nuts

The Paleo cuts out foods like:

  • Grains
  • Legumes
  • Dairy
  • Sugars
  • Processed oils

One study published in the American Journal of Clinical Nutrition compared the Paleo diet to other control diets based on United States nutritional guidelines. The researchers found that the Paleo diet generated improvements in waist circumference, triglyceride levels, and blood pressure.

Disclaimer

The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900.

Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: coach@elpasofunctionalmedicine.com
phone: 915-850-0900
Licensed in Texas & New Mexico

References

Philipp LR, Baum GR, Grossberg JA, Ahmad FU. Baastrup’s Disease: An Often Missed Etiology for Back Pain. Cureus 8(1): e465. Published January 22, 2016. https://www.cureus.com/articles/3982-baastrups-disease-an-often-missed-etiology-for-back-pain. Accessed December 20, 2018.

Filippiadis DK, Mazioti A, Argentos S, et al. Baastrup’s disease (kissing spines syndrome): a pictorial review. Insights Imaging. 2015 Feb; 6(1): 123–128. Published online January 13, 2015. https://link.springer.com/article/10.1007/s13244-014-0376-7 Accessed December 20, 2018.