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.
Automobile accidents are emotionally and physically traumatic events. After an accident, individuals assume that they are okay if they don’t have any broken bones or gashing cuts. However, even minor accidents can lead to significant damage, but the individual doesn’t know it. An invisible/delayed injury is any injury that is not immediately obvious or is not experienced by the individual until hours, days, or weeks later. The most common are soft tissue injuries, back injuries, whiplash, concussions, and internal bleeding. This is why it is imperative to see a doctor or chiropractic accident specialist as soon as possible after an accident.
Invisible Injuries Auto Accidents
The body goes into a fight or flight mode in a vehicle accident. That means a massive adrenaline surge makes anything happening to the body go unnoticed and unfelt. The individual does not feel pain and discomfort symptoms until later or much later.
Soft Tissue
A soft tissue injury affects muscles, tendons, ligaments, and body parts other than bone.
Even at low speeds, accidents, and collisions generate a significant force on the body.
Drivers and passengers often come to a sudden stop along with the vehicle or get thrown around.
This places intense stress on joints and other areas of the body.
Whiplash
The most common invisible soft-tissue injury is whiplash.
Where the neck muscles are suddenly and forcefully thrown forward and then back, causing the muscles and ligaments to stretch beyond their normal range of motion.
The injury typically results in pain, swelling, reduced mobility, and headaches.
Symptoms may not present right away.
Left untreated, whiplash can lead to long-term chronic pain.
Head Injuries
Head injuries are another common invisible injury.
Even if the head did not hit/impact anything, the force and momentum can cause the brain to collide with the inside of the skull.
This can lead to a concussion or even more serious brain injuries.
Concussion
A concussion is a traumatic brain injury. Individuals can have a concussion without losing consciousness, depending on the accident’s severity. Symptoms may be delayed or not experienced, but delayed treatment can lead to a longer recovery. Symptoms can include:
Fatigue.
Headache.
Confusion.
Inability to remember the accident.
Nausea.
Ringing in the ears.
Dizziness.
Back Muscles or Spine Injuries
Back muscles and spinal cord injuries are invisible injuries that can happen after an automobile accident. Signs of a back injury include:
The back muscles can be strained due to the impact and tension build-up.
Sore muscles or pain may not present until a day or two later.
Body stiffness.
Reduced mobility.
Muscle spasms.
Trouble walking, standing, or sitting.
Headaches.
Numbness and tingling.
Injuries to the spine, even serious ones, may not be apparent immediately.
The impact can cause the spine to shift out of alignment profoundly.
Swelling and bleeding in or around the spinal cord can cause numbness or paralysis that can gradually progress.
This invisible injury can have long-term consequences, including paralysis.
Chiropractic Care
Chiropractic is an effective treatment for neuromusculoskeletal injuries. The chiropractor will assess the damage and its severity to determine the best treatment for the individual. It relieves pain and discomfort symptoms, loosens and relaxes the muscles, and restores alignment, mobility, and a full range of motion. Chiropractic uses several tools and techniques to restore the spine and body balance. Results include:
Barach, P, and E Richter. “Injury prevention.” The New England Journal of Medicine vol. 338,2 (1998): 132-3; author reply 133. doi:10.1056/NEJM199801083380215
Binder, Allan I. “Neck pain.” BMJ clinical evidence vol. 2008 1103. 4 Aug. 2008
Duncan, G J, and R Meals. “One hundred years of automobile-induced orthopedic injuries.” Orthopedics vol. 18,2 (1995): 165-70. doi:10.3928/0147-7447-19950201-15
“Motor Vehicle Safety.” Annals of emergency medicine vol. 68,1 (2016): 146-7. doi:10.1016/j.annemergmed.2016.04.045
Sims, J K et al. “Automobile accident occupant injuries.” JACEP vol. 5,10 (1976): 796-808. doi:10.1016/s0361-1124(76)80313-9
Vassiliou, Timon, et al. “Physical therapy and active exercises–an adequate treatment for prevention of late whiplash syndrome? Randomized controlled trial in 200 patients.” Pain vol. 124,1-2 (2006): 69-76. doi:10.1016/j.pain.2006.03.017
Muscle knots or trigger points are tissues/segments of muscle fibers stuck in a contracted state and balled up or become entangled. To the touch, they can feel like small bumps, nodules, or knots. They are primarily found in muscles, but they can also be found in tendons, fascia, periosteum, and ligaments. Tight muscles can limit flexibility, increase discomfort and pain symptoms, and cause further injury that can develop into chronic conditions. Trigger points can develop in all muscles and multiple muscles simultaneously. The Injury Medical Chiropractic and Functional Medicine Team can create a personalized treatment plan for trigger point alleviation.
Muscle Knots Trigger Points
When muscle fibers are stuck in contraction, blood circulation decreases in and around the affected area, and the necessary nutrients and oxygen cannot be delivered. The excessive accumulation of the chemicals – acetylcholine, and calcium leads to a lack of oxygen in the area, which causes muscle fiber contraction and spasms. As the muscle fibers overly contract, they form a knot. Waste materials build up in the fibers as the blocked circulation doesn’t allow removal. This irritates the trigger point, which reacts by sending out pain signals. The brain responds by telling the body not to use that muscle, causing the muscle to tighten, become weak, and lose range of motion. The other muscles have to work harder to compensate.
Trigger Point Types
Active and Latent
One type is an active trigger point.
The trigger point causes pain and discomfort even when the muscle or tissue rests.
The other type is latent, which means that the point does not cause pain or is sometimes even noticed until pressure is applied to the point or area.
Because key trigger point muscles are weakened, the muscles around that point need to work harder, causing multiple knots to form.
Referred pain happens when a satellite trigger point causes sensations in a different area from the point itself.
Causes
The main causes include the following:
Direct Trauma
Muscle trauma or injury can cause fibers not to heal properly, causing segments to stay deprived of oxygen and knotted.
Excessive and Extended Exercising
During exercise/physical activity, profound muscle strain and injury can occur from pushing too hard for too long without proper recovery and repair.
Maintaining Healthy Posture
Unhealthy postures can cause tension, stiffness, and aches and pains.
Stress and Fatigue
Emotional and physical stress takes a toll on the body, which can result in excessive muscle contraction.
Most of the time, it happens subconsciously without realizing that the body is tensing up.
This is why engaging in relaxation activities, including therapeutic massage, is important.
Inactivity
Lack of physical activity and a sedentary lifestyle can cause muscle spasms and over-contracting, leading to muscle knots.
Medical Conditions
Conditions that affect muscles, like arthritis and fibromyalgia or medications, can cause muscle spasms and the development of trigger points.
Chiropractic and Massage Therapy
Chiropractic and therapeutic massage is an effective treatment to relieve muscle knots and symptoms and restore the body to optimal function. Massage uses various techniques to increase blood circulation, break down inflexible scar tissue and stretch and loosen muscles. Pain and discomfort decrease by allowing the muscles to move and restoring blood flow.
Massage Therapy Chiropractic Care
References
Barbero, Marco, et al. “Myofascial pain syndrome and trigger points: evaluation and treatment in patients with musculoskeletal pain.” Current Opinion in Supportive and palliative care vol. 13,3 (2019): 270-276. doi:10.1097/SPC.0000000000000445
Cheung, Karoline, et al. “Delayed onset muscle soreness: treatment strategies and performance factors.” Sports medicine (Auckland, N.Z.) vol. 33,2 (2003): 145-64. doi:10.2165/00007256-200333020-00005
Money, Sarah. “Pathophysiology of Trigger Points in Myofascial Pain Syndrome.” Journal of Pain & palliative care pharmacotherapy vol. 31,2 (2017): 158-159. doi:10.1080/15360288.2017.1298688
Moraska, Albert F et al. “Responsiveness of Myofascial Trigger Points to Single and Multiple Trigger Point Release Massages: A Randomized, Placebo-Controlled Trial.” American Journal of physical medicine & Rehabilitation vol. 96,9 (2017): 639-645. doi:10.1097/PHM.0000000000000728
Weerapong, Pornratshanee, et al. “The mechanisms of massage and effects on performance, muscle recovery, and injury prevention.” Sports medicine (Auckland, N.Z.) vol. 35,3 (2005): 235-56. doi:10.2165/00007256-200535030-00004
Individuals may not be aware that back discomfort/pain symptoms can be connected to not staying hydrated. When the body is dehydrated, it reduces the amount of fluid in the spinal discs making them smaller, resulting in decreased cushioning and support for the spine. The stress can lead to swelling, causing further back discomfort, even a herniated disc. Individuals that experience frequent back pain could find relief by increasing their H2O consumption.
Staying Hydrated
Physical activity and healthy nutrition are important for healthy living. However, individuals can forget the basic need for water, often resulting in dehydration. The body needs to maintain hydration levels to function correctly. Dehydration can cause the body’s fascia/connective tissue which supports every cell and organ, to lose lubrication that allows the muscles to move, slide, and glide smoothly, causing stiffness, and tangled knots/trigger points, making movement difficult and painful.
The Body’s Overall Health
The body is 60% water.
Hydration replaces body fluids lost through exhaling, sweating, and waste elimination.
The body loses and needs to replace around 2-3 quarts of water daily.
Proper hydration regulates temperature, keeps the joints functioning smoothly, protects the spine, and facilitates waste removal.
Dehydration
Even being a little dehydrated is not healthy. Studies have shown that losing 1-2% of body weight without replacing fluids causes thinking and memory problems. A 4% deficit causes headaches, irritability, and sleepiness. Physical work or working outdoors without proper hydration impairs muscle endurance and strength. Dehydration stresses the spine even more which can cause painful swelling and bulged discs. Chronic pain conditions can be worsened by dehydration. This includes:
Overall stiffness
Headaches
Migraines
Joint pain
Arthritis
Fibromyalgia
All can be affected by dehydration.
Lack of water levels can lead to back pain because the discs between the vertebrae need fluid to cushion the bones. They begin to dry out when not properly hydrated, exacerbating back discomfort symptoms that could lead to similar symptoms in the neck or legs.
The spinal discs are filled with a gel substance of around 75% water.
The inner and outer rings/nucleus pulposus are made almost entirely of water.
Water is slowly released from the spinal discs throughout the day.
The discs absorb most of the shock from everyday movements while protecting the spinal cord.
The discs rehydrate during sleep.
Indicators of Dehydration
Other than back pain and discomfort, other symptoms of dehydration.
Fatigue
Irritability
Muscle Cramps
Headaches
Dark Urine
Dry Skin
Dry Eyes
Blurry Vision
Bad Breath
Dizziness
Fever
Caffeinated beverages – soft drinks, tea, and coffee count partly toward daily fluid intake. They do not dehydrate the body, but they can increase urination and are recommended not to be the primary source of liquids during the day.
Hydration
Throughout the day, drink plenty of water and move around and stretch to circulate the H2O.
Increase Water Intake
Sixty-four ounces, eight glasses per day, is the common recommendation.
Water intake encompasses all the liquids consumed in a day, including coffee, tea, and soup.
Foods like cantaloupe and watermelon count toward daily water consumption.
The best sources are water and drinks, primarily water sport replacement drinks, herbal teas, lemon water, and vegetable broth.
Drink more when working out and being active. More water is needed on top of the 64 ounces when active.
Keep hydrating long after the physical activity or workout is over.
When the brain signals thirst, the body is already dehydrated.
Stay ahead by sipping water throughout the day.
Keep a water bottle close by at school or work, refill it twice daily, and increase refills on hot days.
Monitor Hydration Levels
An easy way to assess dehydration is by looking at urine color.
Light yellow or clear is healthy.
Dark yellow or cloudy indicates dehydration.
The Injury Medical Chiropractic and Functional Medicine Team can realign the spine and body to optimal function and assist in developing a nutrition plan to maintain health and wellness.
Benefits Of Healthy Eating and Chiropractic Care
References
El-Sharkawy, Ahmed M et al. “Acute and chronic effects of hydration status on health.” Nutrition Reviews vol. 73 Suppl 2 (2015): 97-109. doi:10.1093/nutrit/nuv038
Johannaber, Kenneth, and Fadi A Fathallah. “Spinal disc hydration status during the simulated stooped posture.” Work (Reading, Mass.) vol. 41 Suppl 1 (2012): 2384-6. doi:10.3233/WOR-2012-0470-2384
Manz, Friedrich, and Andreas Wentz. “The importance of good hydration for the prevention of chronic diseases.” Nutrition Reviews vol. 63,6 Pt 2 (2005): S2-5. doi:10.1111/j.1753-4887.2005.tb00150.x
Ritz, Patrick, and Gilles Berrut. “The importance of good hydration for day-to-day health.” Nutrition Reviews vol. 63,6 Pt 2 (2005): S6-13. doi:10.1111/j.1753-4887.2005.tb00155.x
When it comes to the body, the lower portion has three compartments of muscles that work together to provide stability and mobility to the host when they are in motion. The anterior, posterior, and lateral compartments have numerous muscles, tissues, and ligaments that support the spine and allow the musculoskeletal system to do various movements without pain. When normal factors affect the body, it can cause symptoms of overlapping risk profiles that can lead to musculoskeletal pain disorders associated with pain-like symptoms in the joints and muscles. Today we will look at one of the muscle compartments known as the postural muscles, how postural pain affects the body, and how manual therapy combined with the MET technique can improve the postural muscles. We mention valuable information about our patients to certified medical providers who use methods like the MET combined with manual therapy to reduce pain-like symptoms associated with musculoskeletal disorders. We encourage patients by referring them to our associated medical providers based on their findings. We support that education is a marvelous way to ask our providers the most interesting questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., incorporates this information as an educational service. Disclaimer
What Are The Postural Muscles?
Are you experiencing muscle stiffness in your lower back? What about aches and pain in your shoulders and neck? Or have you noticed your legs feel heavy after sitting down for a long time? Many of these issues are associated with the postural muscles that are causing pain to the musculoskeletal system. So what are the postural muscles in the musculoskeletal system? Well, they are the core muscles that are deep within the abdomen, pelvis, and back. Research studies reveal that the curvature of the spine (cervical, thoracic, and lumbar regions) communicates and works with the central nervous system and musculoskeletal system to provide balance, support, and resistance against pressure on the body. The postural muscles are important in the body as they ensure the host has perfect posture when walking, sitting, or standing. Additional studies mentioned that good postural and stability control are the fundamentals for motor skills. When a person has good postural control, it can help give them a stable gait when walking. However, as the body ages, the postural muscles can become weak and lead to muscle strain while affecting the joints and tendon structures.
The Effects Of Postural Pain In The Body
So what happens to the body when dealing with pain in the postural muscles, and how does it affect one’s posture? Research studies reveal that reducing back muscle endurance from prolonged sitting, slouching, or constantly looking down can cause muscle strain symptoms in the postural muscles. To that point, it can lead to increased development of low back pain and lumbar discomfort in the joints. As stated earlier, other factors like slouching, prolonged sitting, and constantly looking down can affect the lower back, shoulders, and neck. The various muscles that make up the shoulders and neck would become strained and tensed, leading to shoulder and neck pain that can cause discomfort. When these overlapping symptoms affect the body, it can cause many overlapping symptoms that can overlap and cause the individual to be miserable.
How Neck Injuries Affect The Body- Video
Have you been experiencing any muscle strain in your neck, shoulders, or lower back? Does stretching bring temporary relief? Or have you been dealing with heaviness in your legs? Many of these factors are associated with weak postural muscles that can contribute to poor posture, low back and neck pain, and other musculoskeletal issues. The video above explores the common causes and symptoms of neck injuries and how treatments like chiropractic care can help alleviate the symptoms. Treatments like chiropractic care utilize manual manipulation and various techniques to help realign the body and reduce any musculoskeletal disorders associated with pain. Chiropractic care is non-invasive and works with other medical professionals to restore the body naturally.
Manual Therapy & MET On Postural Muscles
So what can one do when dealing with postural pain and trying to find relief? Many individuals go to treatments like chiropractic care, which can allow the body to be realigned and restored naturally. Treatments like chiropractic care can help restore good posture in the spine while relieving and reducing excess pain and strain on the various muscles, tendons, and joints. Additionally, chiropractors use techniques like the MET technique to reduce stress on the soft tissues and restore the joint’s range of motion. According to the book, “Clinical Applications of Neuromuscular Techniques,” Leon Chaitow N.D., D.O., and Judith Walker DeLany L.M.T., stated that muscle restoration is accompanied by biomechanical solutions and strategies that are introduced to the body and become a key focus on the muscles that required strengthening, enhancing, and improve breathing and posture function. When therapists like chiropractors and massage therapists use the MET technique, the affected muscles can be stretched and strengthened while restoring the structural and functional imbalances the body has endured. This can help improve postural muscles while allowing the body to heal naturally. This allows the individual to be mindful of how they present themselves with good posture.
Conclusion
Overall, the body requires the postural muscles to help stabilize and keep the body mobile. When musculoskeletal disorders associated with pain started to affect the muscles through bad posture or other normal factors, it can cause these muscles to be weak and develop musculoskeletal conditions that can lead many individuals to constant pain. Luckily therapies like chiropractic care combined with the MET technique allow the affected muscles to be stretched and strengthened. This allows the body to be realigned and restored naturally. Incorporating stretching combined with chiropractic care can help many individuals be mindful of their posture and enable them to continue their health and wellness journey without pain.
References
Carini, Francesco, et al. “Posture and Posturology, Anatomical and Physiological Profiles: Overview and Current State of Art.” Acta Bio-Medica : Atenei Parmensis, U.S. National Library of Medicine, 28 Apr. 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC6166197/.
Chaitow, Leon, and Judith Walker DeLany. Clinical Applications of Neuromuscular Techniques. Churchill Livingstone, 2003.
Jung, Kyoung-Sim, et al. “Effects of Prolonged Sitting with Slumped Posture on Trunk Muscular Fatigue in Adolescents with and without Chronic Lower Back Pain.” Medicina (Kaunas, Lithuania), U.S. National Library of Medicine, 23 Dec. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7822118/.
Ludwig, Oliver, et al. “Neuromuscular Performance of Balance and Posture Control in Childhood and Adolescence.” Heliyon, U.S. National Library of Medicine, 31 July 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7398941/.
The various muscle groups in the body allow the host to move around and function through many actions without feeling any discomfort or pain. The body has two sections: upper and lower portions that have different functions, from turning the neck from side to side to allowing the legs to enable the body to move around. When various issues or factors begin to affect the body over time, like muscle injuries or normal factors like poor posture and prolonged sitting, it causes overlapping risk profiles that can lead to chronic musculoskeletal conditions. When musculoskeletal disorders affect the body, it can lead to muscle and joint pain that can cause misalignment in the spine and cause the muscle fibers to become short and tense. Luckily there are available treatments that allow the body to realign itself and stretch those short muscles. Today’s article looks at how muscle pain affects the body and how different variations of the MET technique are used to reduce and stretch muscle pain. We mention and provide valuable information about our patients to certified medical providers who use techniques like the MET and therapy for individuals with muscle strain associated with body pain. We give encouragement to patients by referring them to associated medical providers based on their diagnostic findings. We support that education is a marvelous way to ask our providers the most interesting questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., incorporates this information as an educational service. Disclaimer
How Does Muscle Pain Affect The Body?
Have you been dealing with muscle strain or pain in different body areas? Are you experiencing any referred pain in other body locations? Or are your muscles feeling extremely tight that it is causing you pain? When the body is dealing with various issues that are causing the muscle fibers to be tensed, it can lead to muscle pain and cause many people to suffer. Studies reveal that muscle pain is caused when painful conditions like mechanical forces, ischemia, and inflammation stimulate the body’s free nerve endings. Many of these factors also correlate with musculoskeletal disorders like fibromyalgia and myofascial pain that can develop trigger points (palpable, small nodules) in the muscle fibers to cause the muscles to become stiff and contract. Additional studies also reveal that when the muscles begin to cramp up, especially the calves, it can become extremely painful and involuntary as it affects the entire muscle group, the muscle itself, or any selected muscle fibers. This causes the individual to be in pain in an acute setting as the muscle relaxes; however, if the muscle fibers are still in constant contraction, it can lead to chronic issues that affect the muscle group.
Overcoming Pain With Chiropractic Care-Video
Regarding muscle pain in the body, studies reveal that the nociceptive nerve endings in the muscles and tissue fibers can cause the neuron signals from the central nervous system to become hyperexcitable, and hyperactivity can lead to muscle pain. This causes the muscle group and the surrounding muscles to tense and invokes pain when in motion. To that point, it can cause the individual dealing with muscle pain to try and find various treatments to alleviate the pain and continue their lives. When it comes to pain can be relieved through treatments like chiropractic care and massage therapy to reduce the effects of the muscle pain associated with musculoskeletal disorders. The video above explains how treatments like chiropractic care incorporate different techniques to realign the body from subluxation and help stretch the tight, short muscles using manual manipulation and the MET technique.
Variations Of The MET Technique
When the muscles in the musculoskeletal system are dealing with pain in different locations or one location in the body, it can cause the individual to be in constant pain. Luckily treatments like chiropractic care are non-invasive and therapeutic as they utilize different techniques to realign the spine and stretch the tight muscle groups. In “Clinical Applications of Neuromuscular Techniques,” written by, Leon Chaitow, N.D., D.O., and Judith Walker DeLany, L.M.T., stated that when muscle pain affects tone muscle or causes structural changes to the joint’s ROM (range of motion) can lead to shortness and stress to the muscle group. Studies reveal that MET is a stretching technique therapists use to contract the affected muscle in a precisely controlled direction voluntarily. Many stretch variations of the MET technique allow the muscles to be stretched, strengthening and improving local circulation while mobilizing joint restriction. Down below are some of the variations of stretching techniques with MET.
Isometric Contraction: Reciprocal Inhibition In Acute Setting
The isometric contraction technique is used for reciprocal inhibition in an acute setting where the affected muscles are dealing with symptoms of muscle spasms. The isometric contraction allows the therapist to help relax acute muscular spasms and mobilize restricted joints while preparing the joints for manipulation.
Starting point: When acute muscles or joint problems affect the body’s functionality, therapists must commence an easy restriction barrier.
Modus Operandi: The affected muscles are used in an isometric contraction, allowing the short muscle to relax.
Forces: The therapist and individual forces are matched and involve 20% of the individual’s strength to increase no more than 50%.
Duration: Initially7-10 seconds while increasing up to 20 seconds.
Action following contraction: The area of the muscle and joint are taken to a new restricted barrier without stretching after complete relaxation. Therapists should perform the movement to a new restricted barrier on exhalation.
Repetitions: Repeat three to five times until no further gain in the range of motion is possible.
Isometric Contraction: Post-isometric Relaxation In Chronic Setting
The isometric contraction technique is used for post-isometric relaxation in a chronic setting where the muscles are severely contracted. The isometric contraction technique is known as post-facilitation stretching, where therapists stretch chronic or subacute restricted, fibrotic, contracted soft tissues or muscle tissues affected by myofascial trigger point pain.
Starting point: Short of resistance barrier
Modus Operandi: The affected muscles are used in the isometric contraction that allows the shortened muscles to relax and let an easier stretch.
Forces: Both the therapist and individual forces match and increase about 30% of the patient’s strength and increase to 50% of contractions up to 20 seconds.
Duration: Initially 7-10 seconds and increasing up to 20 seconds.
Action following contraction: The rest period is 5 seconds so the body can relax completely before being stretched, and during exhalation, the muscle goes through a painless, new restriction barrier position that is held for at least 10-60 seconds.
Repetitions: Repeat three to five times.
Isotonic Eccentric Contraction
The isotonic eccentric contraction is an isolytic technique to strengthen weak postural muscles that are tensed or tight from prolonged sitting or poor posture.
Starting point: At the restriction barrier
Modus Operandi: When the muscle is contracted and prevented, the therapist uses this technique to slowly overcome and reverse the contracting muscle so it can be stretched to full resting length.
Forces: Therapists use greater forces on the individual and build up subsequent contractions for the affected muscle (*Utilize this stretch on individuals who are not dealing with osteoporotic issues in their muscles and joints)
Duration: Five to seven seconds
Repetitions: Repeat three to five times if discomfort is not excessive.
Isokinetic
The isokinetic technique is a combination of isotonic and isometric contractions that many pain specialists like chiropractors and massage therapists use to tone weakened musculature, build strength in all the surrounding muscles that are involved in a particular joint function, and help train and balance the effects on the body’s muscle fibers.
Starting point: Easy mid-range position
Modus Operandi: The individual uses moderate resistance as the therapist puts the joint through a rapidly full range of movement as this technique is different than simple isotonic exercises, and resistance varies from each person. This technique progressively increases as the procedure progress.
Forces: The therapist uses moderate forces to prevent movement from the individual and then progresses to full forces.
Duration of contraction: Up to four seconds.
Conclusion
Different stretching techniques in MET therapy allow the affected muscles to be stretched and lengthened while reducing muscle pain affecting a body’s location. It is important to be mindful of the movements that can cause the muscles to be overstretched or cramped up, which can cause pain. Treatments incorporating these various stretching techniques allow the affected muscles to relax and restore naturally.
Chaitow, Leon, and Judith Walker DeLany. Clinical Applications of Neuromuscular Techniques. Churchill Livingstone, 2003.
Faqih, Anood I, et al. “Effects of Muscle Energy Technique on Pain, Range of Motion and Function in Patients with Post-Surgical Elbow Stiffness: A Randomized Controlled Trial.” Hong Kong Physiotherapy Journal : Official Publication of the Hong Kong Physiotherapy Association Limited = Wu Li Chih Liao, U.S. National Library of Medicine, June 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6467834/.
Gregory, Nicholas S, and Kathleen A Sluka. “Anatomical and Physiological Factors Contributing to Chronic Muscle Pain.” Current Topics in Behavioral Neurosciences, U.S. National Library of Medicine, 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC4294469/.
Mense, Siegfried. “The Pathogenesis of Muscle Pain.” Current Pain and Headache Reports, U.S. National Library of Medicine, Dec. 2003, pubmed.ncbi.nlm.nih.gov/14604500/.
Injuries after a motorcycle crash include contusions, skin abrasions, soft tissue injuries to tendons, ligaments, and muscles, sprains, strains and tears, facial and jaw fractures, traumatic brain injury, broken bones, misalignment, neck and back injuries, and biker’s arm. The Injury Medical Chiropractic and Functional Medicine Team can develop a comprehensive view of the sustained injuries to create a personalized treatment plan to reduce inflammation, increase flexibility, correct misalignments, rehabilitate the body, relax, stretch, and strengthen the musculoskeletal system, and restore mobility and function.
Motorcycle Crash Injuries
Motorcycle crash injuries are not easy to recover from. Acute soft tissue injuries caused by sudden trauma are common, as well as herniated discs, pelvis, and spinal misalignments that can have a cascading effect on the rest of the body.
Pelvic Misalignment
The pelvis comprises the pubic joint in the front and two sacroiliac joints in the back.
The sacroiliac joints work to connect the pelvis to the spine.
The pelvis also connects various muscles, including the pelvic floor and hip.
When the hip sustains a crash/collision impact or the impact causes the individual to fall on their hip, the hip or pelvis can become misaligned. Pelvic misalignment is one of the leading causes of severe back problems and pain. To realign the pelvis, a chiropractor will develop a physical therapy program that will include the following:
Therapeutic massage to relax the muscles and increase blood circulation.
Directed stretching of tight and overactive muscles.
Strengthening or reactivating weak and inhibited muscles.
Exercises to train proper pelvis positioning awareness.
Neck Injuries
In addition to whiplash, spinal misalignment to the vertebrae in the neck can occur. A chiropractor can help restore the range of motion. The treatment team will develop a therapy program in addition to chiropractic. The primary focus is to improve the flexibility and strength of the neck. The common types of physical therapy include:
Massage.
Neck stretches.
Back strengthening.
Core strengthening.
Leg and Foot Injuries
Extremity injuries frequently occur, particularly to the feet and legs, and include:
Sprains.
Strains.
Muscle tears.
Road Rash.
Bone fractures.
The therapy team will build a treatment plan that works through each system up the foot, knee, and hip. This plan will help heal soft tissue injuries by applying techniques like massage therapy and at-home exercises.
Rider’s Arm
Motorcyclists may extend their hands out to protect themselves from the impact when falling. This position can lead to injuries that affect the shoulders, arms, wrists, and hands. The physical therapy team can help heal soft tissue injuries and increase mobility using mobilization. Chiropractic can restrengthen damaged shoulder muscles, support torn ligaments, and treat tissue damage.
This hands-on technique involves easing a joint or muscle through normal movement patterns to release and relax stiffness and increase mobility.
Manual adjustments, deep tissue massage, exercise, and hot/cold therapy help restore health and mobility and expedite recovery.
Injury Rehabilitation
References
Dischinger, Patricia C et al. “Injury patterns and severity among hospitalized motorcyclists: a comparison of younger and older riders.” Annual proceedings. Association for the Advancement of Automotive Medicine vol. 50 (2006): 237-49.
Mirza, M A, and K E Korber. “Isolated rupture of the anterior tibialis tendon associated with a fracture of the tibial shaft: a case report.” Orthopedics vol. 7,8 (1984): 1329-32. doi:10.3928/0147-7447-19840801-16
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The muscles surrounding the hips in the lower extremities provide stability to the lumbar spine and pelvis while allowing mobility, flexibility, and rotation to the groin, legs, and thighs. The muscles surrounding the groin consist of three large muscle groups: the abdominals, iliopsoas, and adductors, which have a casual relationship with the various ligaments and soft tissues that can be succumbed to injuries or other symptoms that can lead to pain and misalignment to the body. This happens to many individuals who participate in sports or frequently exercise, which can cause strain near the groin and the surrounding muscles. Today’s article focuses on the causes of a groin strain, how it affects the hips and pelvis, and how available treatments can help reduce groin strain. We mention and provide valuable information about our patients to certified medical providers who use techniques like the MET and therapy for individuals with a groin strain and causing mobility issues when functioning. We give encouragement to patients by referring them to associated medical providers based on their diagnostic findings. We support that education is a marvelous way to ask our providers the most interesting questions at the patient’s acknowledgment. Dr. Alex Jimenez, D.C., incorporates this information as an educational service. Disclaimer
The Causes Of Groin Strain
Have you experienced any mobility issues when walking? Do you feel pain near your hips or groin? Or do you feel muscle weakness in your thighs when exercising? Many of these issues are associated with a muscle strain near the groin affecting your lower body. The muscles surrounding the groin allow the legs and thighs to move around in flexion, rotation, and extension without feeling pain. However, when a person starts to feel pain radiating around their groin, it can become an issue if not taken care of. Studies reveal that some of the causes, like adductor strain or injuries from physical activities, can cause the muscle fibers in the three muscle groups of the groin to be in pain. In “Clinical Applications of Neuromuscular Techniques,” authors Leon Chaitow and Judith Walker DeLany, stated that chronic joint and soft tissue conditions predate presenting acute symptoms to the groin muscle regions. To that point, if a person has predisposed injuries in the groin muscles, it can affect how a person walks and functions when in motion, potentially leading to issues affecting the hips and pelvis.
How Groin Strain Affect The Hips & Pelvis
Studies reveal multiple pathologies that can coexist in the hips and pelvis that could cause similar symptoms to the hips and pelvis that can correlate with several organ systems like the gut and reproductive system that causes referred pain to the groin. Additional studies also mentioned that groin pain is widely known as an issue among professional and amateur athletes. They could experience different symptoms and injuries from groin pain associated with the hips and pelvis. An example would be if an individual is participating in a sports event, they could be experiencing myofascial trigger points related to the groin, affecting the pelvis and hips. Some of the symptoms associated with groin strain include:
Stiffness
Swelling
Muscle weakness
Groin discomfort
Bruising around the area
Leg discomfort when flexing
Walking issues
Lower stomach or back symptoms
Many of these symptoms that affect the hips and pelvis can lead to many issues that cause people to be in constant pain or discomfort until they find relief.
Chiropractic Care: The Ancient Healing Art for Modern Life- Video
Have you been experiencing mobility issues? What about pain in your hips, pelvis, or groin? Or do you often feel discomfort when stretching? Many of these issues are associated with groin strain along the hips and pelvic region. Groin strain occurs in the three large muscle groups: the abdominals, iliopsoas, and adductors, when they are overstretched and cause referred pain to the hips and pelvis. This causes many individuals to have instability and mobility issues. Some of the present symptoms that occur to these muscles include:
Pain in active movement
Pain during palpation
Localized swelling
Pain while stretching the muscle-tendon
When pain is causing issues in the groin, many individuals will go to available treatments to help reduce the pain and regain mobility when exercising. One of the available treatments is chiropractic care. The video above shows how chiropractic care is incorporated into modern life as it uses non-invasive hands-on treatment to realign the body and help lengthen the affected muscles.
Available Treatments To Reduce Groin Strain
Numerous treatments can help reduce groin strain from affecting the lower extremities and help bring mobility back to the surrounding muscles. Many individuals would utilize ice packs, resting and elevating the leg to prevent future injuries from re-occurring. However, if left untreated, it can worsen and lead to chronic conditions. Luckily treatments like chiropractic care combined with soft tissue stretching techniques like MET (muscle energy techniques) can help to mobilize restricted joints and relax acute muscular spasms or contractions while preparing the joint for manipulation. A chiropractor will utilize these techniques to realign the spine from subluxation and loosen stiff joints and surrounding muscles that have been affected. Chiropractors will also inform their patients to incorporate various exercises and stretches to help strengthen the affected muscle group and become more aware of their bodies.
Conclusion
Overall, the various muscles, tendons, and ligaments surrounding the lower extremities, like the thighs, legs, and groin, allow mobility, flexibility, and rotation to the lower portion of the body. When injuries begin to affect these extremities, it can lead to referred pain to the hips and pelvis, causing groin strain and invoking pain. If not treated right away, it can develop into chronic conditions that cause mobility and stability issues in the lower body. The upper body would have to compensate for the pain causing subluxation to the spine. Luckily, treatments like chiropractic care combined with stretching techniques like MET can help reduce the pain in the groin muscles while lengthening the short muscles. These techniques allow mobility back to the lower extremities and realign the body so the individuals can be pain-free.
References
Bisciotti, Gian Nicola, et al. “Groin Pain Syndrome: An Association of Different Pathologies and a Case Presentation.” Muscles, Ligaments and Tendons Journal, U.S. National Library of Medicine, 20 Oct. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4617224/.
Chaitow, Leon, and Judith Walker DeLany. Clinical Applications of Neuromuscular Techniques. Churchill Livingstone, 2003.
Kiel, John, and Kimberly Kaiser. “Adductor Strain.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 21 June 2022, www.ncbi.nlm.nih.gov/books/NBK493166/.
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