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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.


The Breathing Connection & The MET Technique

The Breathing Connection & The MET Technique

Introduction

Throughout the world, pain and stress are related to musculoskeletal disorders affecting joints and muscles. Many musculoskeletal disorders will have correlating symptoms with overlapping risk profiles that can make a person’s life difficult. Pain and stress have two forms: acute and chronic, which are associated with numerous everyday factors that a person goes through. Even though pain and stress can impact a person’s life, there are multiple ways to reduce these two by calming the mind and doing meditative breathing techniques to relax the body and clear the mind. What is truly amazing is that meditative breathing techniques can be combined with stretching techniques like MET (muscle energy techniques. Today’s article looks at how stress and pain affect the musculoskeletal system, the breathing connection for musculoskeletal pain, and how MET therapy is combined with breathing exercises. We utilize and provide valuable information about our patients to certified medical providers who use soft tissue stretching methods like MET to reduce musculoskeletal stress on the body. 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

 

Stress & Pain Affect The Musculoskeletal System

 

Have you been dealing with shoulder, neck, or back pain? What about feeling an overwhelming pressure that is causing you to stress out? Or do you feel muscle pain and joint stiffness affecting your daily routine? Many of these issues correspond with stress and pain from numerous factors associated with the musculoskeletal system. Research studies revealed that pain and stress are considered two sides of the same coin regarding the musculoskeletal system. Pain and stress are two distinguished symptoms that overlap each other when musculoskeletal disorders affect the body. Pain is a collection of emotional and sensory perceptions that work with musculoskeletal motor behavior. At the same time, stress is characterized by challenging emotional or physiological events that cause adaptive or maladaptive changes to regain homeostasis. With these two factors working together to affect the musculoskeletal system, the body may develop symptoms and cause the individual to be miserable. 

 

The Breathing Connection For Musculoskeletal Pain & Stress

One of the major correspondents that work with pain and stress is anxiety. In “Clinical Applications of Neuromuscular Techniques,” authors Dr. Leon Chaitow, N.D., D.O., and Judith Walker DeLany, L.M.T., mentioned that anxiety aggravates all chronic pain and stress. However, there is a solution to reduce pain and stress in the musculoskeletal system. When pain and stress are combined with anxiety, it can cause breathing disorders and produce inflammatory cytokines and elevated cortisol levels to contribute. But incorporating some deep breathing techniques can help reduce stress and pain affecting the body. Research studies have revealed that slow deep breathing has been known to reduce the effects of musculoskeletal pain and help lower cortisol levels. Breathing techniques are popular in meditation and yoga practices. Deep breathing and mindfulness can help the body relax from everyday factors and calm the individual. Additional studies have mentioned that breathing exercise programs effectively improve lung function, reduce musculoskeletal pain associated with the back, and help improve a person’s quality of life. 

 


The Natural Way To Heal- Video

Have you been dealing with musculoskeletal pain throughout your entire body? Do you feel constantly stressed throughout your whole life? Or have you felt anxious that it is making your muscles tense constantly? When many people feel constant stress and are in pain, it can lead to musculoskeletal disorders that can cause many individuals to be miserable. When this happens, overlapping risk profiles affect the musculoskeletal, organs, and nervous systems. At the same time, fortunately, numerous treatments can help reduce pain and stress that is affecting the body. Chiropractic care is non-invasive and can help many individuals be mindful of their bodies. The video above explains how chiropractic care can help realign the body from spinal subluxation and mitigate the effects of muscle pain and stress in the muscle fibers.


MET Therapy Combined With Breathing Exercises

When the body has been dealing with musculoskeletal pain on top of stress, it can cause the individual to be miserable and try to find some relief. Luckily there are available treatments that can help restore the body naturally and reduce the effects of stress and pain. Treatment like MET (muscle energy technique) and breathing exercises allow the muscles to relax and properly stretch to relieve muscle pain. Research studies have revealed that breathing exercises and MET therapy can reduce a person’s symptoms and help regain the muscle and joint range of motion. These two combined treatments can help many individuals dealing with musculoskeletal pain associated with stress to be more aware of what is affecting their bodies. They can help them along their health and wellness journey without medicine.

 

Conclusion

Overall, pain and stress are part of numerous conditions and disorders that can affect the musculoskeletal system and cause overlapping risk profiles that can cause the individual to be miserable. When pain and stress affect the body, it can cause the muscles, tissues, ligaments, joints, and organs to work harder than before and develop chronic musculoskeletal disorders. Fortunately, treatments like MET (muscle energy technique) and breathing exercises allow the body to relax and help reduce muscle pain symptoms affecting the body. When a person incorporates these treatments as part of their daily routine, they can become more aware of what is affecting their bodies and improve what is going on in their daily lives. This allows them to continue their health and wellness journey pain-free.

 

References

Abdallah, Chadi G, and Paul Geha. “Chronic Pain and Chronic Stress: Two Sides of the Same Coin?” Chronic Stress (Thousand Oaks, Calif.), U.S. National Library of Medicine, Feb. 2017, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5546756/.

Anderson, Barton E, and Kellie C Huxel Bliven. “The Use of Breathing Exercises in the Treatment of Chronic, Nonspecific Low Back Pain.” Journal of Sport Rehabilitation, U.S. National Library of Medicine, 24 Aug. 2016, https://pubmed.ncbi.nlm.nih.gov/27632818/.

Chaitow, Leon, and Judith Walker DeLany. Clinical Applications of Neuromuscular Techniques. Churchill Livingstone, 2003.

Joseph, Amira E, et al. “Effects of Slow Deep Breathing on Acute Clinical Pain in Adults: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.” Journal of Evidence-Based Integrative Medicine, U.S. National Library of Medicine, 2022, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8891889/.

Zaccaro, Andrea, et al. “How Breath-Control Can Change Your Life: A Systematic Review on Psycho-Physiological Correlates of Slow Breathing.” Frontiers in Human Neuroscience, U.S. National Library of Medicine, 7 Sept. 2018, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6137615/.

Disclaimer

Food Allergies, Inflammation, & MET Therapy

Food Allergies, Inflammation, & MET Therapy

Introduction

Around the world, many individuals will have some reaction to the foods they consume. This type of reaction can lead to a series of unwanted symptoms that affect not only the vital organs of the body but also the musculoskeletal system. This allergic reaction can cause inflammatory effects that lead to joint pain and swelling while affecting a person’s quality of life. Inflammation is the body’s natural defense response from the immune system to repair the body inside and out. When food allergies start to affect the entire body, it can cause the individual to be in constant pain, and many individuals will go to treatments to reduce the symptoms caused by food allergic reactions; however, the residual effects of the allergic reaction can still interfere with the body and affect the musculoskeletal system. Today’s article focuses on food allergies, how they are associated with inflammation in the musculoskeletal system, and how MET therapy can help relieve inflammation associated with food allergies. We utilize and provide valuable information about our patients to certified medical providers who use soft tissue stretching methods like MET to reduce inflammation associated with food allergies affecting the musculoskeletal system. 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 Food Allergies?

 

Have you been dealing with muscle swelling in different locations of your body? Do you see redness or feel a burning sensation in your muscles? Or do your muscles and joints feel achy throughout the day? Many of these pain-like symptoms are associated with inflammatory effects caused by food allergies. Research studies have revealed that food allergies are often defined as an immune reaction to food proteins that many individuals worldwide and, when indigested, are responsible for various symptoms that involve the skin, gastrointestinal tract, and respiratory tract. Many individuals would often confuse a food allergy with food intolerance since the musculoskeletal and gastrointestinal systems are caused by inflammation. Research studies have found that food intolerances are non-immunological responses that cause numerous symptoms and hypersensitivity to the body. Many factors correlate to food intolerances, and food allergies can affect the musculoskeletal system with pain-like symptoms like inflammation.

 

Food Allergies Associated With Inflammation In The Musculoskeletal System

When food allergies or food intolerances occur in the body, it can cause the individuals to have unwanted pain-like symptoms to cause inflammation to appear in the body. When it comes to inflammation in the body, it is produced by the immune system. It helps repair old cells and attack foreign invaders affecting the musculoskeletal system. In “Clinical Applications of Neuromuscular Techniques,” Dr. Leon Chaitow, N.D., D.O., and Dr. Judith Walker DeLany, L.M.T. stated that specific individualized pathophysiological responses exist to many foods and liquids that are being taken accounted for a significant amount of overlapping symptoms being produce. The book also states that it includes pain and discomfort to the musculoskeletal system. To that point, to figure out these presenting symptoms, whatever allergic pathogen is being derived from the food itself could be the result. Additional studies mentioned that food allergies and tolerances are sometimes not established when inflammation from the GI tract and causing pain-like symptoms associated with the musculoskeletal system. Fortunately, there are various treatments to reduce the effects of food allergies and intolerances while restoring the musculoskeletal system.

 


The Benefits Of A Healthy Diet & Chiropractic Care-Video

Have you been dealing with gut inflammation that is affecting your musculoskeletal system? Are you experiencing aches and pains throughout your entire body? Or do you have joint issues that are causing you limited mobility? Many of these issues are associated with food intolerances and allergies that can cause inflammation of the musculoskeletal system leaving the individual in pain. Fortunately, there are many ways to reduce the effects of inflammation associated with food allergies. The video above explains how eating the right foods while being considerate of food allergies can be combined with treatment like chiropractic care, which can help reduce inflammation while realigning the body through manual manipulation. Chiropractors also use soft tissue techniques like MET to help regain joint mobility and reduce the effects of inflammation-causing muscle and joint stiffness.


MET Therapy Relieving Inflammation Associated With Food Allergies

Therapies like soft tissue massages, massage therapy, physical therapy, or chiropractic care all work together with having a nutritional diet plan to prevent flare-ups from food allergies and intolerances. Research studies have found that MET helps stretch the affected muscles induced by inflammation associated with food allergies. This technique allows the body to naturally heal itself and prevent inflammation from exceeding more into the body. Combined with anti-inflammatory foods, many individuals know what food they can and can not consume. Additionally, it allows them to be more mindful of their bodies and sends them on the right track of their health and wellness journey.

 

Conclusion

Overall, many individuals often confuse food allergies and food intolerances, which can cause the musculoskeletal system to be dealing with symptoms of inflammation and pain. Since inflammation is the body’s natural defense system, it is important to be mindful of what is consumed to prevent overlapping risk profiles from causing muscle and joint pain. Luckily, numerous treatments are available to reduce the effects of chronic inflammation associated with food allergies and help the body naturally heal itself. Combining treatments like MET and a healthy nutritional diet can help the body reduce the effects of inflammation from affecting the musculoskeletal system while also allowing the individual to make smart choices in their health and wellness journey.

 

References

Chaitow, Leon, and Judith Walker DeLany. Clinical Applications of Neuromuscular Techniques. Churchill Livingstone, 2003.

Lopez, Claudia M, et al. “Food Allergies – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 31 Jan. 2023, https://www.ncbi.nlm.nih.gov/books/NBK482187/.

Ohtsuka, Yoshikazu. “Food Intolerance and Mucosal Inflammation.” Pediatrics International : Official Journal of the Japan Pediatric Society, U.S. National Library of Medicine, 2015, https://pubmed.ncbi.nlm.nih.gov/25442377/.

Sbardella, Silvia, et al. “Muscle Energy Technique in the Rehabilitative Treatment for Acute and Chronic Non-Specific Neck Pain: A Systematic Review.” Healthcare (Basel, Switzerland), U.S. National Library of Medicine, 17 June 2021, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8234422/.

Tuck, Caroline J, et al. “Food Intolerances.” Nutrients, U.S. National Library of Medicine, 22 July 2019, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6682924/.

Disclaimer

Muscle Inflammation Relieved By The MET Technique

Muscle Inflammation Relieved By The MET Technique

Introduction

When the body sustains an injury or a virus, the immune system springs into action by sending out cytokines to the affected area and causes a process known as inflammation. Inflammation in the body is good for eliminating numerous pathogens, damaged cellular structures, viruses, or infections. Inflammation causes the affected area to be warm to the touch and causes swelling that will decrease in the recovery state. However, inflammation in the body can be positive and negative depending on the severity of the injury. When inflammation is in its chronic form, it can cause muscle and tissue damage to the musculoskeletal system while being associated with other conditions in the body’s system, like the gastrointestinal, nervous, and reproductive systems. In today’s article, we will focus on how chronic inflammation affects the body’s muscles and how the MET technique can help relieve muscle inflammation in soft tissues. We utilize valuable information about our patients to certified medical providers who use methods like MET combined with manual stretching therapy to reduce inflammation associated with musculoskeletal conditions. 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

 

How Inflammation Works In The Body

Have you been experiencing pain in different muscle areas in your body? What about dealing with aches and pains in the morning? Or do your muscles feel tight and hurt more when you bend to pick up an object? Many of these issues affecting the musculoskeletal system are associated with inflammation. As stated earlier, inflammation can positively and negatively impact the body depending on the severity of the injury. Inflammation is a natural healing process for the body that is characterized by redness, swelling, and heat to the soft tissues so that they can be repaired within a few days to weeks. Studies reveal that when the body deals with various pathogenic factors, the immune system releases inflammatory cytokines to the pathogenic factor and starts to heal the affected area.

 

 

Inflammation helps the sprained muscle tissues heal naturally and can be healed within 2-3 days to a few weeks in its acute stage. However, when inflammation is in a chronic state of the body, it causes damage to not only the affected muscle and tissue areas but can even affect the surrounding ligaments, joints, and vital organs. A great example is when a person has a sprained ankle, the affected area swells up, becomes red, and is tender to the touch when its acute inflammation. For chronic inflammation, the body is in constant pain that can be slow and long, and it takes several months to years to heal. Another great example would be gut disorders associated with chronic muscle inflammation.

 

What Does Chronic Inflammation Do To The Body’s Muscles?

So what does chronic inflammation do to the body’s muscles, and how does it affect the surrounding structures? According to research studies, chronic inflammation has been associated with musculoskeletal disorders that can cause an impact in reducing muscle strength and muscle mass. When this happens, it can cause the muscles to weaken and generate the surrounding muscle groups to compensate by working harder. This leads to misalignment in the body and causes overlapping risk profiles in the various muscle groups. In “Clinical Applications of Neuromuscular Techniques,” Dr. Leon Chaitow, N.D., D.O., and Dr. Judith Walker DeLany, L.M.T., stated that numerous factors associated with inflammation could impact how a person sleeps, eat, and function throughout the day. The book also noted that when pathogens can disrupt the natural cycling between the defensive and repair modes of inflammation correlating with the immune system can be disrupted in ill health. A chronic inflammatory cytokine shift could lock the body into a pro-inflammatory state. 

 


Reducing Inflammation In The Body- Video

Have you been dealing with constant inflammation in your muscles? Do you feel muscle weakness or strain when you are in motion? Or do other portions of your body starts to feel aches or pains? Many of these issues are associated with chronic inflammation affecting the musculoskeletal system. Inflammation is part of the immune system’s natural defense that sends cytokines to the affected area and starts the healing process. Inflammation has two patterns: acute and chronic. Acute inflammation is associated with sprains from a twisted ankle or wrist, a sore throat, or an infection. While at the same time, chronic inflammation is associated with muscle pain, sleep disorders, or rashes that affect the skin. When the body is suffering from chronic inflammation, it can be due to many overlapping factors that can cause the body to be in pain. Luckily numerous treatments can help the body and reduce the effects of inflammation. The video above explains how incorporating an anti-inflammatory diet and chiropractic care can help reduce chronic inflammation effects in the body.


The MET Technique & Muscle Inflammation

 

Regarding chronic muscle inflammation, the musculoskeletal system deals with numerous symptoms like pain, stiffness, and weakness associated with various pathological factors. Chronic inflammation can develop from insufficient sleep, eating high-cholesterol foods, not getting enough exercise, and being stressed, which can affect the body and its systems. Fortunately, numerous available treatments can reduce inflammation. Studies reveal that treatments like MET therapy can help reduce pain correlated with muscle inflammation and increase the range of motion to the joints. The body can reduce the effects of chronic inflammation and keep it under control when MET therapy is combined with an anti-inflammatory diet. Also, practicing mindfulness can help reduce the stress contributing to chronic inflammation, which can help relax the body and naturally heal itself. Making these small changes can benefit many individuals trying to be healthier.

 

Conclusion

When it comes to inflammation in the musculoskeletal system, it can lead to overlapping risk profiles that can cause the body to be misaligned and have many pain-like symptoms that can make a person’s life miserable. Since inflammation is part of the immune system’s natural response to fight off infections, incorporating anti-inflammatory diets and MET stretching can help reduce the effects of inflammation and help the body heal itself from the inside out.

 

References

Chaitow, Leon, and Judith Walker DeLany. Clinical Applications of Neuromuscular Techniques. Churchill Livingstone, 2003.

Chen, Linlin, et al. “Inflammatory Responses and Inflammation-Associated Diseases in Organs.” Oncotarget, U.S. National Library of Medicine, 14 Dec. 2017, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5805548/.

Thomas, Ewan, et al. “The Efficacy of Muscle Energy Techniques in Symptomatic and Asymptomatic Subjects: A Systematic Review.” Chiropractic & Manual Therapies, U.S. National Library of Medicine, 27 Aug. 2019, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6710873/.

Tuttle, Camilla S L, et al. “Markers of Inflammation and Their Association with Muscle Strength and Mass: A Systematic Review and Meta-Analysis.” Ageing Research Reviews, U.S. National Library of Medicine, 26 Sept. 2020, https://pubmed.ncbi.nlm.nih.gov/32992047/.

Disclaimer

Invisible Injuries – Auto Accidents: El Paso Back Clinic

Invisible Injuries – Auto Accidents: El Paso Back Clinic

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: EP's Chiropractic Specialists

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:

  • Pain relieved.
  • Improved circulation.
  • Restored alignment.
  • Released compressed/pinched nerves.
  • Improved posture and balance.
  • Improved flexibility.
  • Restored mobility.

Don’t Ignore Post-Accident Pain


References

“Automobile-related injuries.” JAMA vol. 249,23 (1983): 3216-22. doi:10.1001/jama.1983.03330470056034

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 – Trigger Points: El Paso Back Clinic

Muscle Knots – Trigger Points: El Paso Back Clinic

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: EP's Chiropractic Team

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.
  • Both types can cause secondary trigger points to form.
  • They can also prevent muscles from extending, making them feel weak.

Key and Satellite

  • There are also key and satellite trigger points.
  • Key trigger points activate satellite trigger points.
  • 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

Staying Hydrated Can Help Relieve Back Pain: Back Clinic

Staying Hydrated Can Help Relieve Back Pain: Back Clinic

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 Can Help Relieve Back Pain: EP Chiropractic

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.
  • Check out hydration-tracking apps.

Drink Before Becoming Thirsty

  • 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

Manual Treatment For Postural Muscles Using MET

Manual Treatment For Postural Muscles Using MET

Introduction

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, https://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, https://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, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7398941/.

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