Back Clinic Functional Medicine Team. Functional medicine is an evolution in the practice of medicine that better addresses the healthcare needs of the 21st century. By shifting the traditional disease-centered focus of medical practice to a more patient-centered approach, functional medicine addresses the whole person, not just an isolated set of symptoms.
Practitioners spend time with their patients, listening to their histories and looking at the interactions among genetic, environmental, and lifestyle factors that can influence long-term health and complex, chronic disease. In this way, functional medicine supports the unique expression of health and vitality for each individual.
By changing the disease-centered focus of medical practice to this patient-centered approach, our physicians are able to support the healing process by viewing health and illness as part of a cycle in which all components of the human biological system interact dynamically with the environment. This process helps to seek and identify genetic, lifestyle, and environmental factors that may shift a person’s health from illness to well-being.
The digestive system in the body helps with the process of digesting food that the host consumes. The food being digested goes through a bio-transformation where it turns into nutrients and is stored in the intestines, liver, and gallbladder, where it turns into bile to be excreted out of the system to ensure a healthy functional gut system and body. But when disruptive factors like poor eating habits or gut issues start to affect the body and gallbladder, this causes many problems that can make an individual miserable. This affects their quality of life since they are dealing with painful issues in their bodies that overlap the primary source risk profiles. Today’s article looks at the gallbladder, how it functions with the body and parasympathetic nervous system, and how referred shoulder pain and gallbladder dysfunction are connected. We refer patients to certified providers specializing in gastroenterology and chiropractic treatments that help those with issues that affect their shoulders and gallbladder. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer
What Is The Gallbladder?
The digestive system comprises the mouth, the internal organs from the GI tract, the liver, the gallbladder, and the anus, where food is consumed, digested, and excreted out of the body to keep it healthy. The gallbladder is a small organ that store and releases bile at the appropriate time into the intestines to be mixed with the digested foods to be excreted out of the body. This pear-shaped organ inflates and deflates like a balloon when it stores and releases bile while having a casual relationship with the nerves and hormones that help regulate the gallbladder functioning properly. Studies reveal that the ganglia become the target of causing the hormone cholecystokinin and the parasympathetic nerve to up or downregulate the neurotransmission to the gallbladder. This causes the gallbladder to be functional in the body.
What Are Its Functions In The Parasympathetic Nervous System?
So what are the functions that the gallbladder provides to the body? For starters, the parasympathetic nervous system allows the body to rest and digest the consumed food to be turned into nutrients. The parasympathetic nervous system also provides gallbladder stimulation as studies reveal that the gallbladder receives innervation from the parasympathetic nervous system connected to the vagus nerve that transmits information to the spine and the brain. Keeping and releasing bile from this pear-shaped organ helps regulate the gastrointestinal tract. This causal relationship between the gallbladder and the parasympathetic nerve is essential because the body needs to know when to store and release bile from the gallbladder, or it might trigger some issues that can do more harm to the body and even affect the gallbladder itself.
Do You Have Shoulder Pain?- Video
Have you been experiencing gut issues causing a sharp or dull ache in your back or sides? How about questionable shoulder pain that seems to come out of nowhere? Or are your experiencing inflammation in your digestive system? Many of these symptoms are signs of visceral-somatic pain affecting the gallbladder. Visceral-somatic pain is defined when there is damage to the organ, and it starts to affect the muscles in a different location in the body. The video above gives an excellent example of visceral-somatic pain in the gallbladder and the shoulder. Now many people wonder how shoulder pain is the mediator of the gallbladder? Well, inflammation in the liver and gallbladder causes the nerve roots to be hypersensitive and compressed. This leads to overlapping profiles, triggering pain in the shoulder muscles and associated with upper mid-back pain.
Referred Shoulder Pain & Gallbladder Dysfunction
Now say the individual is experiencing shoulder pain; however, when they rotate their shoulder, there is no pain? Where is the source of shoulder pain localized, and what is causing the issue? And why is it correlating to the gallbladder? This is known as referred pain, where the source of pain is poorly localized when it is located elsewhere. Studies reveal that gallbladder dysfunctions like cholecystitis might be associated with acute thoracolumbar shoulder pain. So what does this mean? It means that any referred pain that is the causation of shoulder pain gives the impression that something is wrong with the gallbladder. This would provide much-needed information when individuals are being examined by their physicians.
Conclusion
The body needs the digestive system to help process food the host consumes and excretes for a healthy functioning system. The gallbladder stores and releases bile to the digested food. This ensures that the nutrients and bile are transported and passed out of the body. When disruptive factors cause gut issues and affect the gallbladder, it can correlate to different problems impacting the body. An example would be gallbladder issues associated with shoulder pain. This is referred to as pain, which is from an affected organ and associated with the muscle in a different location. This can make the individual feel miserable and wonder what is going on with their shoulders when it might be something associated with their gallbladder. Available treatments can provide better knowledge to determine the problem and how to alleviate the issues.
References
Carter, Chris T. “Acute Thoracolumbar Pain Due to Cholecystitis: A Case Study.” Chiropractic & Manual Therapies, BioMed Central, 18 Dec. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4683782/.
Jones, Mark W, et al. “Anatomy, Abdomen and Pelvis, Gallbladder.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 8 Nov. 2021, www.ncbi.nlm.nih.gov/books/NBK459288/.
Ear problems like blockages or congestion can cause irritation and pain, as well as symptoms such as dizziness, ear discomfort, headaches, and sinus pain that can lead to infection. This condition can happen to anyone but is prevalent in children, individuals that live in high altitudes, and individuals who suffer from allergies. Spinal misalignments can cause interference to the nervous system that can create problems elsewhere in the body, like the ears.
If there is neck misalignment along with pinched, tangled nerve/s signal transmissions can misfire or cut off messages disrupting the process of draining the Eustachian tube. This creates a buildup of bacteria and fluid, which can cause pain and pressure. Chiropractic decompression treatment uses gentle manipulation of the cervical spine to release the pressure affecting the ear.
Ear Problems
Bacteria or viruses cause ear infections in the middle ear. Infection often results from another illness like cold, sore throat, flu, respiratory disease, or allergies that causes congestion and swelling of the nasal passages, throat, and eustachian tubes.
Eustachian Tubes
The tubes functions include:
Regulating air pressure in the middle ear
Resupply fresh air in the ear
Drain the middle ear
The eustachian tubes are two canals that connect the middle ear to the throat and nasal cavity, known as the nasopharynx. (The eustachian tubes are more narrow in children, which makes them difficult to drain and more likely to get clogged.)When the lining of these canals comes under stress, they can become inflamed/swollen, blocking or filling with fluid causing excessive pressure and pain. This fluid can become infected and cause ear infection symptoms.
If the ear problem is connected to a misalignment of the cervical spine, the following symptoms may be experienced:
Fluid/effusion stays in the middle ear for an extended time.
It can build up over and over, despite no infection.
It can also affect hearing.
Misalignment in the upper cervical spine can cause muscles to flex awkwardly/irregularly, disrupting the opening and closing of the eustachian tubes and their positioning. This often causes inflammation along the eustachian canal, upper throat, and nasal cavity. If left untreated, the inflammation can develop into an infection, causing swelling and/or fluid buildup in the inner and middle ear. Common symptoms of middle ear infections in adults include:
Pain in one or both ears
Hearing is muffled
Sore throat
Fluid drainage from the ear
Chiropractic Realignment
Treatments are helpful for individuals who want to reduce taking antibiotics, which can minimize immunity by destroying the healthy bacteria in the gut. Chiropractic is a simple and effective way to treat ear problems. Realigning the vertebrae relieves tissue inflammation/swelling around the Eustachian tube to allow drainage, relieve pressure, and restore health.
Spinal Decompression Chiropractor
References
Collins, Rachael, et al. “Paralysis from an ear infection: a severe case of otitis externa leading to acute complete cervical cord syndrome.” BMJ case reports vol. 14,12 e245594. 1 Dec. 2021, doi:10.1136/bcr-2021-245594
Harmes, Kathryn M et al. “Otitis media: diagnosis and treatment.” American family physician vol. 88,7 (2013): 435-40.
Laulajainen Hongisto, Anu et al. “Severe Acute Otitis Media and Acute Mastoiditis in Adults.” The journal of international advanced otology vol. 12,3 (2016): 224-230. doi:10.5152/iao.2016.2620
Murphy, D R. “Chiropractic rehabilitation of the cervical spine.” Journal of manipulative and physiological therapeutics vol. 23,6 (2000): 404-8. doi:10.1067/mmt.2000.108143
Polkinghorn, B S. “Treatment of cervical disc protrusions via instrumental chiropractic adjustment.” Journal of manipulative and physiological therapeutics vol. 21,2 (1998): 114-21.
Everyone around the world has dealt with pain that makes them feel uncomfortable and has them place their hands on the location where the pain is originating in their bodies. Many factors can become issues in the body, like a poor, unhealthy lifestyle that causes problems in the gut system and develop painful symptoms that affect the intestines. Stressful events that cause headaches that affect the neck and upper back muscles or gut issues that cause discomfort in the abdominal and back region. All these issues are known as referred pain, where a person feels pain in one part of their body, but it is caused by a different source of pain in a different location. An example would be an individual with back pain, but the pain is originating in their abdominal organs. Today’s article looks at various issues that mask low back pain in the body, how organ issues mimic low back pain, and how to alleviate these issues affecting the body. We refer patients to certified providers specializing in gastroenterology and chiropractic treatments that help those with issues that affect their back and gut system. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer
Different Issues Masking Low Back Pain
Have you experienced discomfort in your abdominal region causing pain in your lower back? How about pelvic issues that are causing bowel discomfort? Or constipation issues that are compressing the nerves in your lower back? These signs and symptoms correlate to visceral-somatic pain, defined as poorly localized pain characterized by irritated internal organs that cause muscle hypersensitivity from the same nerve. So what does this mean for a person experiencing back issues affecting their quality of life? Well, this might be an indication of the individual that might be suffering from gastrointestinal problems that are correlating to low back pain. Studies reveal any disturbances causing musculoskeletal or gastrointestinal complaints that could induce referred pain through the sympathetic nervous system. An example will be if the body suffers from infections from the kidneys that are associated with low back pain.
So how would the kidneys be associated with low back pain? What is the correlation? For example, a person is constantly eating foods with either a high salt content or a high protein in their system. These high food contents begin to form kidney stones in one or both organs, thus causing a sharp pain that triggers low back pain. As the kidney stones pass through the urinary tract, it administrates radiating pain to the body’s lower abdominal and pelvic region. Another example of issues that can mask low back is constipation in the abdominal area associated with pelvic dysfunction. How does this correlate to the lower back? Think of your abdominal organs overlapped by risk profiles associated with gut disorders. Signs like hypothyroidism, SIBO, celiac disease, or IBS can increase the risk associated with pelvic floor dysfunction, which causes bloating and constipation to the abdominal organs. These issues are co-morbidities to IBS as studies reveal that the pelvic floor and abdominal muscles are co-activated to increase spine stability and intra-abdominal pressure. Now it may seem not a bad thing to the body unless the individual is constantly standing for an extended period or is obese, thus becoming a mediator for the host to suffer from low back pain while being associated with pelvic dysfunction.
Organ Issues Mimicking Low Back Pain- Video
Have you been feeling muscle tenderness in the lower extremities of your body? How about gut issues that are associated with low back pain? Or are you feeling bowel dysfunction in your pelvic region? All these issues correlate to viscerosomatic pain, where the infected organ is causing issues to the muscle in a different location. The video above explains how various organ issues can mimic spinal and back pain in the body. One of the examples that the video explains is how kidney infections are associated with back pain. Studies reveal that visceral pain originating from the upper urinary tract coincidently correlates with the characteristics of referred pain and changes in the somatic tissues of the body.
Alleviating Issues Affecting The Body
Say an individual is suffering from low back pain issues; as they get their mandatory examination, they explain to their physician about their low back pain and what is happening. Once the suffering individual is situated, the physician begins to look over the body where the pain is located, either by physical examination or through the intake form they are looking over. So what does this implicates in the body? Well, studies have revealed that systemic pathologies of the visceral organs can mimic or mask musculoskeletal pain. An example would be someone who is experiencing gastrointestinal issues in their gut, and it’s triggering muscle spasms in the back. This causes the nerve roots to be hypersensitive to the visceral organs and increases the risk associated with low back pain.
Conclusion
Dealing with pain is no joke, primarily when the pain is located in a different body region. Sometimes the pain can be an organ issue that mimics muscle pain in the back. This is known as viscero-somatic pain, defined where infected organs are either mimicking or triggering muscle issues in different body locations. This causation is usually due to various factors like unhealthy lifestyle habits affecting the visceral organs and affecting the muscles that correspond to the organs, like IBS issues affecting the lower back. Available treatments are there to figure out what problems affect the body and provide a better understanding to alleviate them.
References
Basso, Francesca Lo, et al. “Manual Treatment for Kidney Mobility and Symptoms in Women with Nonspecific Low Back Pain and Urinary Infections.” De Gruyter, De Gruyter, 1 May 2021, www.degruyter.com/document/doi/10.1515/jom-2020-0288/html.
Bussey, Melanie Dawn, et al. “Is Pelvic Floor Dysfunction Associated with Development of Transient Low Back Pain during Prolonged Standing? A Protocol.” Clinical Medicine Insights. Women’s Health, SAGE Publications, 27 May 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6537301/.
J;, Stowell T;Cioffredi W;Greiner A;Cleland. “Abdominal Differential Diagnosis in a Patient Referred to a Physical Therapy Clinic for Low Back Pain.” The Journal of Orthopaedic and Sports Physical Therapy, U.S. National Library of Medicine, Nov. 2005, pubmed.ncbi.nlm.nih.gov/16355918/.
Lacy, Brian E, et al. “Management of Chronic Abdominal Distension and Bloating.” Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association, 1 Apr. 2020, www.cghjournal.org/article/S1542-3565(20)30433-X/fulltext.
PJ;, Pedersen KV;Drewes AM;Frimodt-Møller PC;Osther. “Visceral Pain Originating from the Upper Urinary Tract.” Urological Research, U.S. National Library of Medicine, 16 May 2010, pubmed.ncbi.nlm.nih.gov/20473661/.
In the body, the heart is a vital organ that pumps blood to all the muscles, organs, tissues, and ligaments that require the body to function and move. As part of the cardiovascular system, the heart keeps the body alive by supplying nutrients and disposing of waste and carbon dioxide away from the body. Various factors can affect the body and the heart as well stressful events, unhealthy eating habits, limited physical activities, or autoimmune conditions can cause strain on the heart. Still, they can correlate to different symptoms in the body. This causes an overlap of risk profiles that may feel something is wrong with the heart but might affect another body part. Today’s article focuses on viscero-somatic pain affecting more than the heart muscle, how referred pain is defined, and various ways for treating viscero-somatic pain in the body. We refer patients to certified providers specializing in cardiovascular and chiropractic treatments that help those with issues that affect their hearts. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer
Visceral-Somatic Pain Affecting More Than The Heart
Are you experiencing radiating pain affecting your neck, arms, or back? How about feeling discomfort in your chest? Do gut issues seem to cause a burning sensation affecting your chest? Many of these symptoms overlap in risk profiles that seem like issues in the heart but can refer to something else affecting the body. This is known as viscero-somatic pain, usually defined as pain coming from the internal organs affecting the muscles that share the same nerve. Studies revealed that the autonomic nervous system mediates visceral-somatic pain. For the heart, the parasympathetic innervation comes from the cardiac branches of the vagus nerves connected to the spine and the brain. Since there is extensive autonomic innervation of the heart, the vagus nerve has a minor role in afferent pain transmission signaling.
An example would be having esophageal issues that are causing chest pains in your chest. So how would that correlate to the heart? Think of it as a person experiencing chest pains and whose brain is being signaled that something is wrong with their heart. Then, when they get treated, their results show that it was esophageal issues. Studies have revealed that spinal neurons receive input from a distal esophagus and receive the same information from the heart through viscero-somatic and viscero-visceral convergence. So what does this mean? This means that the sympathetic innervation of the heart is in a casual relationship to the first five thoracic spinal nerves. This indicates that some pain fibers affecting the heart are directly from the upper thoracic spine. Additional studies have mentioned that the vagus nerve connected to the upper thoracic spine can influence harmful afferent signals of the visceral organs to involve pain and joint stiffness in multiple organs and body structures.
Visceral Pain Explained- Video
Do you feel pain occurring on your shoulders or neck? How about severe pressure on your chest that might be something else? Or have you noticed issues that are affecting your heart are affecting your chest? Many of these are signs of visceral pain, where the pain of the damaged organ affects the muscle in a different body location. The video above explains visceral pain and uses an example of the cardiac muscle being affected by visceral pain. Studies reveal that the sensory input from different visceral organs can mimic cardiac pain due to viscero-somatic convergence of the cardiac input affecting the spinothalamic tract neurons in the spine to cause back issues in the thoracic region. So what does this implicates to the body? Well, say a person is experiencing chest and shoulder pains in their body; however, they’re experiencing heart problems that also affect them.
Treating Visceral-Somatic Pain In The Body
So, a person starts experiencing chest pain radiating from heart issues and goes to the doctor to see what is wrong with them. The physicians will begin to check on their hearts to see if anything is wrong or will be looking at their spine and chest through manual examination to see what is the issue that is affecting their bodies. So what does this mean to the body? Well, it could indicate that joint and muscle dysfunction in the neck and thorax is causing non-cardiac issues in the body. The influence of the spinal nerves on the cardiovascular function of the heart, since the afferent and parasympathetic efferents innervation of the heart, could disturb the upper cervical subluxation as the vagus nerve is being compressed. This correlates to other visceral organs mimicking cardiac pain and being the cause of musculoskeletal issues in the back.
Conclusion
In conclusion, the heart is a vital organ in the body that pumps blood to all the muscles, organs, tissues, and ligaments for functionality and nutrients distribution. The heart also share nerves in the parasympathetic innervation that connects to the vagus nerves which connects to the spine and brain to send information. However, various factors like lifestyle habits can affect the heart muscle and cause the individual chest pains that the brain is getting the signals that something is wrong with the heart. This is known a viscero-somatic pain where affected organs can cause muscle issues in the body in a different location. Treatments are available to figure out what the problem is going on with the body to understand better how to alleviate these viscero-somatic issues.
References
Foreman, Robert D, et al. “Mechanisms of Cardiac Pain.” Comprehensive Physiology, U.S. National Library of Medicine, Apr. 2015, pubmed.ncbi.nlm.nih.gov/25880519/.
Garrison, David W, et al. “Viscerosomatic Convergence onto Feline Spinal Neurons from Esophagus, Heart and Somatic Fields: Effects of Inflammation.” Pain, U.S. National Library of Medicine, June 1992, pubmed.ncbi.nlm.nih.gov/1408304/.
Leach, Austin, and Mike Fisher. “Myocardial Ischaemia and Cardiac Pain – a Mysterious Relationship.” British Journal of Pain, SAGE Publications, Feb. 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC4590151/.
Soares, Bruno, et al. “Accuracy of Physical Assessment in Nursing for Cervical Spine Joint Pain and Stiffness: Pilot Study Protocol.” JMIR Research Protocols, JMIR Publications, 17 Dec. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8726037/.
Pain in different body areas can excruciate the host as it can affect other regions. In the body, pain can affect the muscles, tissues, organs, and skeletal joints through environmental factors that affect the body’s systems. For example, the gut system provides the body with overall health and wellness by regulating homeostasis and metabolism, which can be affected by common factors like stress or unhealthy eating habits that can cause joint inflammation due to overproducing harmful gut bacteria. Or how about poor posture affecting the organs in the pelvic region and causing the lower back and neck muscles to have a dull ache in the body. Today’s article looks at how pelvic pain affects the somato-visceral reflexes in the body and how there are treatments for relieving pelvic pain. We refer patients to certified providers specializing in chiropractic treatments that help those with pelvic pain. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer
Can my insurance cover it? Yes, it may. If you are uncertain, here is the link to all the insurance providers we cover. If you have any questions or concerns, please call Dr. Jimenez at 915-850-0900.
Somatovisceral Reflexes & Pelvic Pain
Have you experienced pain in your lower back or pelvic regions from sitting too long? Have you experienced bladder dysfunction that is causing you to urinate frequently? Or are you suffering from muscle cramps in the pelvic area? Studies have revealed that pelvic pain can be a chronic, persistent pain associated with co-morbidities like IBS (irritable bowel syndrome), neurological disorders, or low back pain. Pelvic pain is challenging to diagnose since it is multifactorial and shares various nerve roots that send signals to the brain. For example, individuals that suffer from pelvic pain will complain about the somatovisceral convergence affecting their reproductive organs and connective tissues. Other issues like prolonged sitting and poor posture can also affect the lumbosacral nerve root as it is being compressed, causing low back pain and pelvic organ dysfunction.
The somato-visceral reflexes of the pelvic muscles can become overstretched and compress the surrounding nerve roots like the sciatic nerve and the lumbosacral nerve, causing issues of sciatica or lower back pain. Studies have also revealed that individuals who suffer from spinal cord injuries can disrupt the somatic lumbosacral nerve pathway that is responsible for coordinating bladder function to the pelvic region. These pathways can also produce different autonomic reflex responses to the various organs and somatic afferents. For example, if a female is experiencing pain in her hips or thighs from hyper-sensitive nerve roots, the brain will register that as pain in her reproductive system. Or, if the pelvic muscles are hypersensitive to the touch, something might be affecting the genital regions.
An Overview Of Pelvic Pain- Video
Have you experienced muscle tenderness located in the pelvic region? Have stressful events caused changes in the reproductive system? Have you experienced pelvic pain that is associated with low back pain? You might be experiencing these systems due to pelvic pain and associated co-morbidities. The video above gives an overview of pelvic pain and how it affects the body. Research studies have revealed that the characteristic of mechanically induced pelvic pain and organic dysfunction that correlates to lower sacral nerve root compression results from low back disorders. The environmental factors that can cause low back conditions include:
Obesity
Heavy lifting
Muscle strain
Poor posture
Herniated disc
Treatments For Pelvic Pain
Various treatments can help relieve these overlapping risk profiles associated with pelvic pain and low back pain that are causing the issue and strengthen the weak muscle affected. Exercising can help support the hip and thigh muscles to prevent muscle strain on the low back and pelvic muscles with the combination of chiropractic therapy to provide beneficial pain relief. Chiropractic therapy on the lumbar spine can help alleviate pelvic pain and lumbosacral nerve root irritation affecting the pelvic region. The effects of chiropractic therapy help sustain the caudal flexion of the lumbar spine and release the muscle that aggravates the lumbosacral nerve root that is running along the pelvic region.
Conclusion
Pain affecting the pelvic region can be due to co-morbidities affecting different areas in the body. With pelvic pain being multifactoral, it can be a challenge to diagnose since it shares various nerve roots signaling to the brain. This causes many individuals to complain about somatovisceral convergence that can affect their reproductive organs and connective tissues in the pelvic region. Other issues like low back pain associated with prolonged sitting and poor posture can cause pelvic pain too. Treatments like chiropractic therapy and exercising can help strengthen the low back and pelvic muscles to alleviate painful symptoms that are causing underlying issues and discomfort in the body.
References
Browning, J E. “Mechanically Induced Pelvic Pain and Organic Dysfunction in a Patient without Low Back Pain.” Journal of Manipulative and Physiological Therapeutics, U.S. National Library of Medicine, Sept. 1990, pubmed.ncbi.nlm.nih.gov/2212886/.
Browning, J E. “Chiropractic distractive decompression in treating pelvic pain and multiple system pelvic organic dysfunction.” Journal of manipulative and physiological therapeutics vol. 12,4 (1989): 265-74. pubmed.ncbi.nlm.nih.gov/2527938/
CM;, Spitznagle TM;Robinson. “Myofascial Pelvic Pain.” Obstetrics and Gynecology Clinics of North America, U.S. National Library of Medicine, 9 June 2014, pubmed.ncbi.nlm.nih.gov/25155122/.
Craggs, Michael D. “Pelvic Somato-Visceral Reflexes after Spinal Cord Injury: Measures of Functional Loss and Partial Preservation.” Progress in Brain Research, U.S. National Library of Medicine, 2006, pubmed.ncbi.nlm.nih.gov/16198702/.
Dydyk, Alexander M, and Nishant Gupta. “Chronic Pelvic Pain – Statpearls – NCBI Bookshelf.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 11 Nov. 2021, www.ncbi.nlm.nih.gov/books/NBK554585/.
Viscerosomatic Gut Bloating: Everybody has healthy bacteria in the gut, but it can get thrown off balance with unhealthy bacteria that start taking over. Stress, viruses, and antibiotics can disrupt healthy bacteria levels. The bacterial balance known as the microbiome in the intestines is an essential factor in body wellness. The connection between intestinal and overall health is an important one as the gut is responsible for producing serotonin, a primary chemical necessary for emotional wellbeing. A viscerosomatic reflex is an organ/s causing pain to show up in the area where the injured, infected, dysfunctional organ is or, as referred pain in other areas of the body. Stress and unhealthy foods contribute to weight gain, organ stress, and chronic pain.
Viscerosomatic Gut Bloating
Bloating
Bloating is the feeling of pressure or gas in the abdomen. Distention refers to the physical expansion of the abdomen. However, these symptoms can present separately or in combination. Bloating can be a symptom on its own but often presents alongside other gastrointestinal disorders like:
After eating, flatulence, belching, bloating, and distention are a normal part of the digestive process. These issues are not considered problems until they cause pain and/or disrupt everyday life.
Stress
Stress can cause inflammation in the digestive tract, increasing pain receptors and distress-related bloating. Stress can disrupt the normal microbiome, creating intestinal dysbiosisand bacterial overgrowth. This can lead to digestive problems and symptoms that include bloating. This can be partly from excess gas production causing the sensation of bloating and physical distention combined with stress, creating an increased perception of bloating.
Foods Can Cause Inflammation
Animal products can cause inflammation because meat, poultry, and fish contain endotoxins/lipopolysaccharides found in the outer membrane of bacterial cells. These compounds are classified as toxins as they can cause health problems. No matter how these foods are cooked or prepared, the endotoxins are still present, absorbed into the body, and can trigger immune responses like inflammation. Eggs can cause inflammation because they contain high levels of cholesterol and arachidonic acid, which is an acid that is part of the inflammatory response. Excess cholesterol in the blood can trigger inflammation as well.
Dairy products can also trigger the inflammatory response in individuals that don’t produce the lactase enzyme, which breaks down the lactose in dairy products, are intolerant of casein and whey, two proteins in cow milk, or from the hormones and antibiotics given to cows to stimulate milk production and prevent infection. Dairy consumption has been linked to an increased risk of cancer and inflammatory conditions that include:
Acne
Asthma
Type 1 diabetes
Arthritis
Multiple sclerosis
Other Causes of Bloating
Other health conditions can present with visceral gut bloating and distention. This includes disorders and other underlying causes that include:
Musculoskeletal disorders can increase bloating and abdominal distention and can be triggered by stress. Two include:
Abdominal Muscle Dysfunction
These are abnormal contractions of the diaphragm and belly muscles that can occur after eating that can cause the nervous system to create a sense of bloating.
This viscerosomatic reflex leads to unhealthy postures and enlargement of the abdominal muscles that can worsen bloating sensations.
Exercises can be recommended to retrain the muscles to contract, usually after eating, which can help reduce bloating.
Pelvic Floor Dysfunction
Stressful situations naturally cause muscles to tighten, leading to increased contractions in the pelvic floor muscles.
These muscles control the bladder, bowel, and sexual function.
The opposite can happen when the pelvic floor muscles become too relaxed. This can make it difficult to have regular bowel movements.
Increased tone and/or over-relaxed muscles can lead to various symptoms, including bloating.
Chiropractic and Health Coaching
The nervous system controls the digestive process. Properly aligning the spine releases the stress and strain on the bones, muscles, and nerves to work correctly. Chiropractic body adjustments, diet/lifestyle adjustments, supplemental recommendations, and exercises can reduce the underlying causes of viscerosomatic gut bloating. Digestive problems such as:
Chronic heartburn
Gas
Constipation
Diarrhea
Bloating
Irritable bowel syndrome
Chiropractic offers a medication-free approach to treating digestive issues.
Descompresion Espinal DRX9000
References
Dragan, Simona, et al. “Dietary Patterns and Interventions to Alleviate Chronic Pain.” Nutrients vol. 12,9 2510. 19 Aug. 2020, doi:10.3390/nu12092510
Fifi, Amanda C, and Kathleen F Holton. “Food in Chronic Pain: Friend or Foe?.” Nutrients vol. 12,8 2473. 17 Aug. 2020, doi:10.3390/nu12082473
Lacy, Brian E et al. “Management of Chronic Abdominal Distension and Bloating.” Clinical gastroenterology and hepatology: the official clinical practice journal of the American Gastroenterological Association vol. 19,2 (2021): 219-231.e1. doi:10.1016/j.cgh.2020.03.056
Mari, Amir et al. “Bloating and Abdominal Distension: Clinical Approach and Management.” Advances in therapy vol. 36,5 (2019): 1075-1084. doi:10.1007/s12325-019-00924-7
Rice, Amanda D et al. “Decreasing recurrent bowel obstructions, improving quality of life with physiotherapy: Controlled study.” World journal of gastroenterology vol. 24,19 (2018): 2108-2119. doi:10.3748/wjg.v24.i19.2108
The body requires the heart in the cardiovascular system to pump oxygen-riched blood to all the muscles, tissues, and organs to keep it functioning. While the heart pumps the blood to the body, the lungs in the pulmonary system help the body by making the host breathe in the fresh air, remove the gases from the body, and helps delivers oxygen to the body cells. When issues begin to affect the lungs and the heart, it can cause the individual to develop cardiovascular disorders and a lung condition known as asthma to disrupt the body and cause pain to the individual. Today’s article looks at what asthma is, how it affects the body, and how somatic issues from asthma can affect the cardiovascular system. We refer patients to certified providers specializing in cardiovascular and pulmonary treatments that help those suffering from asthma attacks. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer
Can my insurance cover it? Yes, it may. If you are uncertain, here is the link to all the insurance providers we cover. If you have any questions or concerns, please call Dr. Jimenez at 915-850-0900.
What Is Asthma?
Have you experienced chest pains that are causing issues in your arms? How about the shortness of breath that causes you to have difficulty breathing? Do you have trouble sleeping due to waking up coughing or breathing rapidly? These are the signs and symptoms of you experiencing an asthma attack. Research studies have defined an asthma attack as a chronic disease that causes inflammatory narrowing of the air pathways to the lungs. When a person starts to suffer from an asthma attack, it can cause the lung capacity volume to be weakened and produce an excessive amount of mucus in the airways. Many factors like genetics, allergens, obesity, stress and environmental exposures can trigger a person to have an asthma attack. When these factors begin to affect the lungs, it can cause an overlap of other risk profiles to affect the body.
How Does It Affect The Body?
The lungs help the body intake fresh air and exhale the gases. The lungs provide an autonomic innervation that has a typical casual relationship to the autonomic innervation of the heart. This causal relationship also works with the parasympathetic innervation of the vagus nerve and the prominent sympathetic innervation of the spine’s thoracic region. With the lungs providing the functionality of breathing in the body, it is considered a musculoskeletal act in the service of a visceral system requirement that straddles the somatovisceral interface. Regarding individuals with asthma, research studies have shown that it can cause somatic symptoms like chest pains, cold hands and feet, and blurred vision. These somatic symptoms can affect the lungs and increase the risk associated with cardiovascular diseases.
The Difference Between Somatic & Visceral Pain- Video
Have you noticed chest pain frequently occurring and causing muscle stiffness in your arms? Are you gasping constantly that it irritates your throat? How about the shortness of breath that makes it difficult to sleep? You could be experiencing an asthma attack that can trigger somatovisceral issues that affect the body. The video above explains the difference between somatic and visceral pain affecting the body. Somatic pain is when the muscles trigger the organs, while visceral pain is the opposite, where the internal organs affect the muscles. When asthma affects the airway muscles, it can cause the heart muscles to work extra harder, causing chest and upper-mid back pains in the body.
Asthma Causing Somatic Issues To The Cardiovascular System
The heart and lungs have a casual relationship as the lungs help the body to breathe in the fresh air, and the heart takes the oxygen-riched blood to supply the rest of the organs, muscles, and tissues in the body. Through the sympathetic system, the heart communicates with the parasympathetic, sympathetic, and sensory pathways that allow the coordination of the cardiac tone, causing the heart to accelerate its beat in the body. When an asthma attack begins to affect the cardiovascular system, research studies have found that the sudden restriction of the airflow pathways from an asthma attack is a development for upcoming cardiovascular issues. The heart muscles will coincidentally begin to strain as the sensory innervations cause immense pain. The sudden constriction of the airways during an asthma attack can also affect the thoracic spine and reach the heart. One of the ways to reduce cardiovascular issues that affect the thoracic spine is spinal manipulation. Research studies have found that manipulating the thoracic spine can help increase the motion of the thoracic cage and enhance the arterial airflow supply to regulate heartbeat and lung capacity.
Conclusion
Asthma is a chronic disorder that causes inflammation and narrows the air pathways that restrict oxygen from entering the heart. The lungs and the heart have a casual relationship to the body, providing oxygen and blood flow to the organs, muscles, and tissues to function correctly. When exposed to environmental factors, it can cause restriction to the airway pathways to the lungs, causing wheezing and coughing motion that can cause somatic visceral dysfunction in the cardiovascular system and the thoracic spine. When this happens, treatments like chiropractic therapy can manipulate the thoracic spine and restore the air pathways to improve cardio and lung capacity.
References
Hashmi, Muhammad F, et al. “Asthma.” In: StatPearls [Internet]. Treasure Island (FL), StatPearls Publishing, 16 Feb. 2022, www.ncbi.nlm.nih.gov/books/NBK430901/.
Kaminskyj, Adrienne, et al. “Chiropractic Care for Patients with Asthma: A Systematic Review of the Literature.” The Journal of the Canadian Chiropractic Association, Canadian Chiropractic Association, Mar. 2010, www.ncbi.nlm.nih.gov/pmc/articles/PMC2829683/.
Pollevick, Matias E, et al. “The Relationship between Asthma and Cardiovascular Disease: An Examination of the Framingham Offspring Study.” Chest, American College of Chest Physicians, Apr. 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8501004/.
Ringsberg, K C, et al. “Psychological Differences between Asthmatics and Patients Suffering from an Asthma-like Condition, Functional Breathing Disorder: A Comparison between the Two Groups Concerning Personality, Psychosocial and Somatic Parameters.” Integrative Physiological and Behavioral Science : the Official Journal of the Pavlovian Society, U.S. National Library of Medicine, 1993, pubmed.ncbi.nlm.nih.gov/8117581/.
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