Gymnastics is a demanding and challenging sport. Gymnasts train to be powerful and graceful. Today’s moves have become increasingly technical acrobatic moves with a much higher degree of risk and difficulty. All the stretching, bending, twisting, jumping, flipping, etc., increases the risk of neuromusculoskeletal injuries. Gymnastics injuries are inevitable. Bruises, cuts, and scrapes are common, as are overuse strains and sprains, but severe and traumatic injuries can occur. Injury Medical Chiropractic and Functional Medicine Team can treat and rehabilitate injuries and help to strengthen and prevent injuries. The therapy team will thoroughly evaluate the individual to determine the injury/s severity, identify any weaknesses or limitations, and develop a personalized plan for optimal recovery, stability, and strength.
Gymnastic Injuries
One of the main reasons injuries are more prevalent is because today’s athletes start earlier, spend more time practicing, perform more complex skill sets, and have higher levels of competition. Gymnasts learn to perfect a skill and then train to make their bodies look elegant while executing the routine. These moves require precision, timing, and hours of practice.
Injury Types
Sports injuries are classified as:
Chronic Overuse injuries: These cumulative aches and pains occur over time.
They can be treated with chiropractic and physical therapy and prevented with targeted training and recovery.
Acute Traumatic injuries: These are typically accidents that happen suddenly without warning.
These require immediate first aid.
Most Common Injuries
Gymnasts are taught how to fall and land to lessen the impact on the spine, head, neck, knees, ankles, and wrists.
Back
Common back injuries include muscle strains and spondylolysis.
Bruises and Contusions
Tumbling, twisting, and flipping can result in various bruises and contusions.
Muscle Soreness
This is the sort of muscle soreness experienced 12 to 48 hours after a workout or competition.
Proper rest is necessary for the body to recover fully.
Overtraining Syndrome
Overtraining syndrome happens when individuals train beyond the body’s ability to recover.
Strength and/or flexibility imbalances – one side is stronger.
Chiropractic Care
Our therapists will start with an evaluation and a biomechanical assessment to identify all the factors contributing to the injury. This will consist of a thorough medical history to understand overall health status, training schedule, and the physical demands on the body. The chiropractor will develop a comprehensive program that includes manual and tool-assisted pain relief techniques, mobilization work, MET, core strengthening, targeted exercises, and injury prevention strategies.
Facet Syndrome Chiropractic Treatment
References
Armstrong, Ross, and Nicola Relph. “Screening Tools as a Predictor of Injury in Gymnastics: Systematic Literature Review.” Sports medicine – open vol. 7,1 73. 11 Oct. 2021, doi:10.1186/s40798-021-00361-3
Farì, Giacomo, et al. “Musculoskeletal Pain in Gymnasts: A Retrospective Analysis on a Cohort of Professional Athletes.” International journal of environmental research and public health vol. 18,10 5460. 20 May. 2021, doi:10.3390/ijerph18105460
Kreher, Jeffrey B, and Jennifer B Schwartz. “Overtraining syndrome: a practical guide.” Sports Health vol. 4,2 (2012): 128-38. doi:10.1177/1941738111434406
Meeusen, R, and J Borms. “Gymnastic injuries.” Sports medicine (Auckland, N.Z.) vol. 13,5 (1992): 337-56. doi:10.2165/00007256-199213050-00004
Sweeney, Emily A et al. “Returning to Sport After Gymnastics Injuries.” Current sports medicine reports vol. 17,11 (2018): 376-390. doi:10.1249/JSR.0000000000000533
Westermann, Robert W et al. “Evaluation of Men’s and Women’s Gymnastics Injuries: A 10-Year Observational Study.” Sports Health vol. 7,2 (2015): 161-5. doi:10.1177/1941738114559705
Softball and baseball require running, jumping, throwing, and swinging movements. Even for the fittest athletes and weekend warriors, the body and the neuromusculoskeletal system will go through overuse injuries, throwing-related injuries, sliding injuries, falls, collisions, and getting hit by the ball. Chiropractic and physical therapy can assist athletes by integrating strength training, body realignment, and rehabilitation injury recovery.
Softball and Baseball Injuries
Baseball and softball injuries are generally defined as either acute/traumatic or cumulative/overuse injuries. Both types can occur in various body areas, for example, a knee injury caused by a fall or quick repositioning shift.
Acute/Traumatic
Injuries occur from traumatic force or impact.
Overuse/Cumulative
These occur over time from repeated stress on the muscles, joints, and soft tissues.
Often athletes return too soon to play, not giving the injury enough time to heal fully.
They begin as small aches and pains that can progress into chronic conditions if not treated.
Shoulder
Shoulder overuse injuries are very common. Constantly performing the throwing movements and high-speed throwing strains the joints, muscles, tendons, and ligaments.
In softball, bicep injuries are more common than shoulder injuries.
In baseball, the overhead throwing position leads to shoulder problems.
Frozen Shoulder
Characterized by a restricted range of motion and pain.
Athletes with frequent shoulder injuries have an increased risk.
Shoulder Instability
Softball and baseball players are more susceptible to injury from overhead throwing, which stretches the shoulder capsule and ligaments.
Shoulder instability can lead to loose joints and dislocation.
Shoulder Separation
This is the tearing of the ligaments that connect the shoulder blade to the collarbone.
This is often a traumatic injury that occurs during a collision or fall with outstretched hands.
Shoulder Tendinitis, Bursitis, and Impingement Syndrome
These are overuse injuries in which the shoulder joint becomes inflamed, restricting movement.
This is an injury to the growth plate on the inside of the elbow.
It can be caused by the wrist flexors pulling on the inside.
It is typically attributed to overuse and improper mechanics when throwing.
Tennis Elbow
This overuse injury on the outside of the elbow makes it difficult to lift or grasp objects.
Hand and Wrist
Softball and baseball can cause hand and wrist injuries from catching, colliding, falling, and overuse. Damage to a hand or wrist is typically caused by repetitive stress and/or a sudden impact.
Finger Fractures
These can be caused by impact on the ball or falls.
This can happen during contact with another player or diving for a ball and hitting the ground hard or at an awkward angle.
Sprains
A fall or impact from the ball or another player can cause these.
Tendinitis
This is an overuse injury, often from pitching and/or throwing.
Back
Catchers are especially prone to back injury because of the crouched position and overhead throwing.
Softball pitchers also experience back strain from the windmill pitching action.
Common conditions include chronic muscle strains, herniated discs, low back issues, sciatica symptoms, and pain.
Knee
Softball and baseball players quickly twist or rotate their knees, making them more susceptible to injuries. Sprains, meniscus tears, ACL tears, and hamstring strains are common.
Aggressive twisting and pivoting can cause swelling, stiffness, and pain.
Running and sudden changes in direction can result in acute knee injuries and overuse injuries.
Knee issues require examination for proper diagnosis.
Other common injuries include ankle sprains, stress fractures, and tendonitis in the foot and ankle.
Chiropractic
Chiropractors work with a massage therapy team to treat various musculoskeletal conditions. Chiropractic specializes in spinal adjustments and other treatments, including joint manipulation, myofascial release, MET techniques, trigger point therapy, and electrical stimulation. It encourages expedited recovery for sports-related injuries because instead of focusing on just the injuries, chiropractic assesses the mechanics of the whole body through proper alignment and release of constricted tissues. Adjustments of the spine and extremities allow the body to realign for better overall functionality, reduce pressure, improve blood circulation, and reduce inflammation to promote increased and thorough healing.
Improving Athletic Performance Through Chiropractic
References
Greiner, Justin J et al. “Pitching Behaviors in Youth Fast-Pitched Softball: High Pitching Volumes With Unequal Pitch Counts Among Pitchers are Common.” Journal of pediatric orthopedics vol. 42,7 (2022): e747-e752. doi:10.1097/BPO.0000000000002182
Janda, David H. “The prevention of baseball and softball injuries.” Clinical orthopedics and related research,409 (2003): 20-8. doi:10.1097/01.blo.0000057789.10364.e3
Shanley, Ellen, and Chuck Thigpen. “Throwing injuries in the adolescent athlete.” International Journal of sports physical therapy vol. 8,5 (2013): 630-40.
Shanley, Ellen, et al. “Incidence of injuries in high school softball and baseball players.” Journal of athletic training vol. 46,6 (2011): 648-54. doi:10.4085/1062-6050-46.6.648
Trehan, Samir K, and Andrew J Weiland. “Baseball and softball injuries: elbow, wrist, and hand.” The Journal of hand surgery vol. 40,4 (2015): 826-30. doi:10.1016/j.jhsa.2014.11.024
Wang, Quincy. “Baseball and softball injuries.” Current sports medicine reports vol. 5,3 (2006): 115-9. doi:10.1097/01.csmr.0000306299.95448.cd
Zaremski, Jason L et al. “Sport Specialization and Overuse Injuries in Adolescent Throwing Athletes: A Narrative Review.” Journal of athletic training vol. 54,10 (2019): 1030-1039. doi:10.4085/1062-6050-333-18
An acute injury or changes to the upper body over time can cause a compressed/pinched nerve in the shoulder. A pinched nerve in the shoulder happens when a muscle, ligament, tendon, or bone irritates or presses on a nerve exiting the neck. Shoulder nerve pain can develop from various sources, such as overuse work injuries, sports injuries, household chores, tendinitis, arthritis, torn cartilage, and other medical conditions, and injuries can contribute to symptoms. Chiropractors are highly qualified to treat pinched nerves. They are trained in whole-body realignment and rehabilitation techniques that find the root source and relieve pressure on compressed nerves.
Shoulder Nerve Pain
The shoulder joint is one of the most complex joints because of its wide range of motion. It is used so frequently that repetitive motion strain is common, often leading to injury. It is usually because of the continued use combined with an unhealed strain/injury that leads to shoulder nerve injury or when surrounding tissues like cartilage or tendons irritate or compress the nerves.
Pinched nerves also occur when a nerve root in the neck is damaged through wear and tear or an acute injury.
Individuals 50 years and older are likely to experience pinched nerves because of degeneration in the cervical spine and/or arthritis.
A nerve can become pinched when bone spurs form around the spinal discs.
Bone spurs are formations of bone that grow when discs weaken with age.
Bone spurs grow around the discs putting pressure on the nerve root.
Symptoms
Compressed Pinched Nerve/Cervical Radiculopathy
Pain sensations in the shoulder.
Tingling and/or pins and needles in fingers or hand.
Weakness in shoulder and arm muscles.
Symptoms have been known to overlap with shoulder arthritis, frozen shoulder, swimmer’s shoulder, or rotator cuff tears, so it’s always best to consult a chiropractor to understand possible causes. Other conditions with symptoms to compare:
Shoulder Arthritis
Stiffness in the joint.
Aching inside the shoulder.
Grinding when moving the joint.
Frozen Shoulder/Adhesive Capsulitis
Stiffness in the joint.
Pain in one shoulder.
Decreased range of motion and movement.
Swimmer’s Shoulder/Impingement
Pain and discomfort in the shoulder.
Weakness in the surrounding area.
Stiffness or tightness in the joint.
Impeded range of motion.
Rotator Cuff Tears
Pain and discomfort symptoms when moving the shoulder.
Weakness in the arm.
Deep aching sensations along the top and side of the joint.
Chiropractic Treatment
Chiropractors are experts on the neuromusculoskeletal system. First, a thorough medical examination will be conducted, including health history and regular activities, to understand the nature of the symptoms. Depending on the type of injury, tests, and exams may be needed to help diagnose and pinpoint the cause. Then the chiropractor will develop a personalized treatment plan. The objective is to relieve pressure and tension on the nerves and relax the muscles. In addition to adjusting the joint or other impacted areas, the therapy team will provide at-home exercises and stretches to maintain the adjustments and expedite healing.
Chiropractic Rehab
References
Kokkalis, Zinon T et al. “Nerve Injuries around the Shoulder.” Journal of long-term effects of medical implants vol. 27,1 (2017): 13-20. doi:10.1615/JLongTermEffMedImplants.2017019545
Leider, Joseph D et al. “Treatment of suprascapular nerve entrapment syndrome.” Orthopedic reviews vol. 13,2 25554. 11 Jul. 2021, doi:10.52965/001c.25554
Matzkin, Elizabeth, et al. “Swimmer’s Shoulder: Painful Shoulder in the Competitive Swimmer.” The Journal of the American Academy of Orthopaedic Surgeons vol. 24,8 (2016): 527-36. doi:10.5435/JAAOS-D-15-00313
Neviaser, Andrew S, and Jo A Hannafin. “Adhesive capsulitis: a review of current treatment.” The American Journal of sports medicine vol. 38,11 (2010): 2346-56. doi:10.1177/0363546509348048
Safran, Marc R. “Nerve injury about the shoulder in athletes, part 1: suprascapular nerve and axillary nerve.” The American Journal of sports medicine vol. 32,3 (2004): 803-19. doi:10.1177/0363546504264582
Strakowski, Jeffrey A, and Christopher J Visco. “Diagnostic and therapeutic musculoskeletal ultrasound applications of the shoulder.” Muscle & Nerve vol. 60,1 (2019): 1-6. doi:10.1002/mus.26505
Field hockey is one of the world’s oldest team sports, dating back to the classical Greek era. It also is recognized as one of the oldest college sports in America. It is a game where teams composed of 11 players, including one goalkeeper, come together on a field and use hockey sticks to drive a ball into a net to score points. The winner is determined by whoever has the most points at the end of the game. The sport requires high aerobic and anaerobic fitness to provide endurance, strength to position, trap, pass, and hit the ball, push and flick the ball, and acceleration/speed and agility. Here we look at the basic fitness components and chiropractic care benefits.
Field Hockey
Aerobic Fitness
Field hockey players need to have high levels of endurance to perform. The game consists of 2 35 – minute halves, with a 10-minute break, plus stoppages. This consistent use of energy and muscular strength requires the cardiovascular system to supply oxygen through the blood.
A conditioning workout should include long-distance and interval training.
Long-distance running or biking is a great way to build up the endurance to run back and forth on the field.
To keep workouts fun, alternate between long-distance and interval.
Strength and Power
Players need to be physically strong to power through an opponent, drive the ball, or push the ball out from another player’s stick. Incorporating exercises that strengthen the entire body will help.
Body-weight workouts will work if you don’t have access to a gym or weights.
Squats, glute bridges, and lunges can help build a strong lower body.
Push-ups and tricep dips are great for the upper body.
Lower body injuries are common. The risk can be reduced by 50% through regular participation in a strength training program with a resistance component, such as neuromuscular training.
Agility
The ability to change direction quickly is important, as players will change direction at least every 5 seconds during a game.
Players should include interval training to increase quickness and agility.
Common agility drills are ladder drills, lateral sprints, and hill climbs.
Flexibility
Healthy hamstring and lower back flexibility maintain stability and balance, which is also important for injury prevention.
Field hockey fitness is about perfecting moves to become an automatic reaction.
Chiropractic Benefits
After putting their body through intense training, players can benefit from sports massage and chiropractic. Benefits include:
Increased Range of Motion
The sport requires a wide range of motion. A misaligned area like the spine and hips causes weakness in the muscles and tendons near the joints causing the player to take on awkward positioning that can lead to various neuromusculoskeletal issues and injuries. Chiropractic reset and realignment maintain body flexibility, muscle relaxation, optimal circulation and strengthen the areas causing weakness.
Enhanced Balance and Coordination
Balance and coordination are critical as the players sprint, shift, twist, and turn. The eyes and ears are the main balance components, but the nervous system plays a role. Chiropractic spinal alignment increases the nervous system’s function of sending signals to the rest of the body.
Speeds up Recovery From Injury
Chiropractic helps heal injury quicker because fluids and nutrients released after an adjustment will move toward the damage expediting healing. Chiropractic breaks up scar tissue and trigger points to rebuild that strength and stamina without the risk of worsening or further injury.
Chiropractic care will improve how the central nervous system communicates with the rest of the body.
Strength Training
References
Espí-López, Gemma V et al. “Effect of manual therapy versus proprioceptive neuromuscular facilitation in dynamic balance, mobility and flexibility in field hockey players. A randomized controlled trial.” Physical therapy in sport: official journal of the Association of Chartered Physiotherapists in Sports Medicine vol. 32 (2018): 173-179. doi:10.1016/j.ptsp.2018.04.017
Krzykała, M et al. “Does field hockey increase morphofunctional asymmetry? A pilot study.” Homo : internationale Zeitschrift fur die vergleichende Forschung am Menschen vol. 69,1-2 (2018): 43-49. doi:10.1016/j.jchb.2018.03.003
Reilly, T, and A Borrie. “Physiology applied to field hockey.” Sports medicine (Auckland, N.Z.) vol. 14,1 (1992): 10-26. doi:10.2165/00007256-199214010-00002
Tapsell, Liam C et al. “Validity and Reliability of a Field Hockey-Specific Dribbling Speed Test.” Journal of strength and conditioning research vol. 36,6 (2022): 1720-1725. doi:10.1519/JSC.0000000000003700
When the body is correctly aligned, the shoulders are the same height, and face forward. Uneven shoulders are when one shoulder begins to raise higher than the other. It usually starts with a slight difference but can turn into a more severe imbalance causing discomfort, tightness, and pain in the neck, shoulders, hips, and back. Chiropractic treatment can bring the body back into balance and alignment through various techniques and therapy modalities.
Misaligned Uneven Shoulders
Several factors can lead to uneven shoulders. Misalignments can be caused by:
Often the shoulder on the dominant side tends to be slightly lower.
Constantly using one hand or side for everything.
Carrying a heavy bag on the dominant shoulder.
Structural issues or muscular skeletal imbalances in other areas of the body.
For example, if the ankle or hip gets injured, it can cause an individual to bring their body out of alignment to adjust to how they position themselves and move. Other common causes include:
Overuse of the shoulders
Tight upper back muscles
Unhealthy posture
Uneven hips
Pinched nerve
Weak muscles
Flat feet
Sedentary lifestyle
Varying leg length
Osteoporosis
Scoliosis
Shoulder injuries
Incorrect sleeping position or sleeping on one side
Sports like tennis, golf, and baseball have an increased risk of causing misaligned, uneven shoulders and posture imbalances.
Symptoms
Uneven shoulders can result in discomfort, tightness, and stiffness in the neck, shoulders, and lower back.
Continued tightness and pulling in the higher shoulder.
A chiropractic massage and functional medicine team will bring the shoulders back into normal alignment.
Therapeutic myofascial release massage will release tension, relax the muscles, and increase flexibility.
Chiropractic adjustments
Spinal decompression therapy
Stretches and muscle-building exercises to balance the shoulders.
Lifestyle adjustment instructions for switching shoulders when carrying bags, using armrests, using the phone, using a mouse, and using ergonomic chairs.
Posture training includes learning to stay aware of one’s posture throughout the day when standing or sitting and completing regular activities.
Learning to use the non-dominant arm to balance the workload.
Incorporating relaxation, meditation, and breathing techniques to relieve stress, tension, and tightness.
Shoulder Pain Treatment
References
Burbank, Kelton M et al. “Chronic shoulder pain: part I. Evaluation and diagnosis.” American family physician vol. 77,4 (2008): 453-60.
Foroozan Mahmoodi et al. The effect of corrective exercises on the pain and degree of uneven shoulder deformity https://rsr.basu.ac.ir/article_625_en.html
Mayo Clinic Staff. (2017). Stress management. mayoclinic.org/healthy-lifestyle/stress-management/in-depth/relaxation-technique/art-20045368
Mitchell, Caroline, et al. “Shoulder pain: diagnosis and management in primary care.” BMJ (Clinical research ed.) vol. 331,7525 (2005): 1124-8. doi:10.1136/bmj.331.7525.1124
Pu Chu, Eric Chun, and Kevin Hsu Kai Huang. “Bridging the gap between observation and brace treatment for adolescent idiopathic scoliosis.” Journal of family medicine and primary care vol. 6,2 (2017): 447-449. doi:10.4103/jfmpc.jfmpc_52_17
When the weather becomes hot, and everyone begins to plan fun activities to enjoy, one of the many activities that come to mind is hanging out in the pool. Swimming is an excellent way to combat the summer heat, but it can provide much more for the body. For athletes, it provides another form of cardio exercise to improve their quality performance when they are competing. While for individuals looking for an affordable exercise regimeor just some fun activity to do, swimming can become a form of therapy and be beneficial for them if they were previously injured. Today’s article looks at how swimming causes an impact on the musculoskeletal system, its beneficial properties to the heart, and how aqua therapy combined with chiropractic care helps optimize full-body health. We refer patients to certified providers specializing in musculoskeletal treatments and hydrotherapy to help those with musculoskeletal disorders. We also guide our patients by referring to our associated medical providers based on their examination when it’s appropriate. We find that education is the solution to asking our providers insightful questions. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer
Swimming & Its Impact On The Musculoskeletal System
Water exercises or swimming can benefit those looking for different cardio exercises to build muscle endurance or have a clear sense of mind. Swimming is fantastic for all body sizes, and when it is done correctly, it can be highly recognized as a form of rehabilitation and injury recovery known as aquatic therapy. Research studies reveal that aquatic treatments and exercises can significantly reduce pain in individuals that suffer from low back pain while increasing physical function. Some of the impacts that swimming/aquatic therapy provides on the musculoskeletal system include:
Builds muscle strength
Improves endurance
Stabilizes joints
Improves poor posture
Swimming/ hydrotherapy is an excellent low-impact exercise that is easy on the back and spine, especially for individuals suffering from low back pain or spinal misalignments. Studies reveal that the efficacy of aquatic activities helps strengthen the abdominals and legs and stretch the back while managing musculoskeletal issues.
When individuals suffer from back pain associated with chronic issues can become concerning for the vital organs that have a causal relationship with the muscle as they are affected as well. When spinal joints and muscles begin to suffer from abnormal weight increases, the muscles and ligaments become misaligned. Misalignment or subluxation is defined as spinal vertebrates that are out of place and cause pressure on the surrounding nerves exiting the spinal cord. These spinal issues then become a risk of developing musculoskeletal disorders in the body. Unlike many aerobic exercises like running or cycling that may be hard on the spine, swimming has little to no impact on the spinal structures. So when individuals begin to take up swimming, they realize that the water buoyancy helps support their body weight while relieving stress on all joints and decompressing the spine. This gives the individual a greater range of motion, while the water gives off a sense of purification as it helps the body relax. Hence, hydrotherapy helps relax people who suffer from obesity or muscle injuries associated with muscle and joint pain as the water provides gentle resistance while relaxing the muscles to promote longer exercise sessions.
The Benefits Of Swimming For The Heart
Swimming or any form of water aerobics is not only beneficial to the musculoskeletal system but can help improve cardiac function in the heart and even the lungs. Studies reveal that swimming is an effective option for maintaining and enhancing cardiovascular fitness. Some of the benefits swimming provides for the cardiovascular system include:
Lowers blood pressure
Improve circulation
Reduces heart rate
But how does swimming improve cardiovascular function in the body? Individuals submerge themselves underwater; they hold their breath until the air is needed. Being submerged underwater may help lung capacity while gaining control of how a person breathes. Breathing exercises associated with aqua therapy help promote stronger lungs and heart while increasing their capacity for blood and airflow to the heart and lungs. Say, for example, a person is having trouble breathing due to restrictive blood and air flow associated with cardiopulmonary issues, which potentially be involved in experiencing an asthma attack associated with obesity.
The Benefits Of Swimming-Video
Have you wanted to try a different form of cardio exercise? Have you been experiencing a limited range of motion in your arms, shoulders, back, and neck? Do you feel tightness across your chest? The video above gives an overview explanation of the health benefits of swimming. Swimming or aquatic therapy allows the individual experiencing chronic pain issues to do cardio activities without increasing or worsening pain, which is very therapeutic for the body. Many people are either training for an athletic event or finding a leisure activity that will benefit them in the long run. Swimming is considered an important factor in a person’s quality of life as it helps them become motivated to make small changes to better their health. Additionally, regular cardiovascular exercises/activities like swimming benefit pain reduction in a therapeutic sense. When individuals are trying to figure out and determine the proper training or therapy that can help alleviate their specific ailments, their goal is to see how those exercises should be done in a certain amount of time without causing fatigue or increased pain as the primary objective.
Aqua Therapy & Chiropractic Care
When looking for the proper exercise regime or treatment for pain issues, it can be challenging to see what works and doesn’t. For those with musculoskeletal disorders related to chronic issues, aqua therapy and chiropractic care go hand in hand in alleviating pain. Aqua therapy exercises can range from simple routines in shallow waters to high-tech equipment like underwater treadmills for muscle conditioning. Active water therapy exercises that are diverse in relieving musculoskeletal pain should be tailored to the person and the specific conditions that are ailing them.
But how does chiropractic care work hand in hand with aqua therapy? Well, chiropractic care and exercise have a casual relationship when it comes to treating musculoskeletal disorders. Many individuals do suffer from spinal misalignment, which becomes a risk of developing musculoskeletal issues that cause discomfort. Since many individuals associate chiropractic care with back issues, the reality shows that chiropractic care not only helps with back issues but various issues that affect the muscles, joints, and organs related to each other. An example would be an individual with low back problems who cannot do any activities for long periods while triggering gut issues. This is defined as somato-visceral pain where affected muscles associated with internal organs trigger pain. So for a chiropractor to adjust an individual dealing with back pain associated with gut or heart issues can slowly restore the person’s natural alignment by reducing the irritated nerve roots between the vertebrae and strengthening the surrounding muscles and tissues. Afterward, a chiropractor may recommend exercises like aquatic therapy to speed up the rehabilitation process, as studies reveal that physical activities are perceived to have a positive impact on health while being associated with perceived symptom reductions in musculoskeletal and injuries, as well as cardiovascular and blood conditions. Once a chiropractic regimen and exercise routine are in place, injury prevention kicks in, keeping the individual moving pain-free.
Conclusion
Whether it is having fun in the sun or finding a new exercise, swimming is not only for just playing but can be therapeutic for individuals dealing with chronic issues. Any aquatic exercise provides little to no impact on the body as it helps strengthen the musculoskeletal and cardiovascular systems with gentle force. Combined with chiropractic care, many individuals that are dealing with musculoskeletal issues associated with chronic organ issues will begin to become motivated to better themselves in the long run.
References
Ariyoshi, Mamoru, et al. “Efficacy of Aquatic Exercises for Patients with Low-Back Pain.” The Kurume Medical Journal, Kurume University School of Medicine, 11 Aug. 2009, https://www.jstage.jst.go.jp/article/kurumemedj1954/46/2/46_2_91/_article.
Lazar, Jason M, et al. “Swimming and the Heart.” International Journal of Cardiology, U.S. National Library of Medicine, 18 Apr. 2013, https://pubmed.ncbi.nlm.nih.gov/23602872/.
Massey, Heather, et al. “Perceived Impact of Outdoor Swimming on Health: Web-Based Survey.” Interactive Journal of Medical Research, JMIR Publications, 4 Jan. 2022, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8767464/.
Shi, Zhongju, et al. “Aquatic Exercises in the Treatment of Low Back Pain: A Systematic Review of the Literature and Meta-Analysis of Eight Studies.” American Journal of Physical Medicine & Rehabilitation, U.S. National Library of Medicine, Feb. 2018, https://pubmed.ncbi.nlm.nih.gov/28759476/.
Athletes train and practice constantly to prepare their mind and bodies for the big games, matches, etc. When the game is on, it is normal/natural to feel anxious and nervous, especially at the beginning, but then the athlete settles in and relaxes, letting their training take over. However, for some athletes, the anxiousness and nervousness doesn’t go away but intensifies, the heart starts racing, and the individual can’t stop thinking about choking, failing, and losing. This is known as sports performance anxiety, or competitive anxiety, and is common.
Competitive Anxiety
Research shows that 30 to 60 percent of athletes experience the disorder. Doctors divide the signs and symptoms into mental and physical categories.
Physical Symptoms
Rapid Heartbeat
The stress can cause overproduction of adrenaline and cortisol, making the heart beat rapidly.
Muscle Tension
The muscles can tighten up, become painful, and cause tension and pain in the head.
Trembling
The hands could shake while holding the ball, bat, racket, or foot twitching could present.
Hyperventilation
Individuals report a sensation of choking or being unable to catch their breath.
Digestion Issues
The stress can cause foods to be quickly digested, causing cramping and/or the sudden urge to use the bathroom.
Mental Symptoms
Fear of Failing
The athlete imagines themselves losing all the time.
Worrying about letting the coach and team down or the audience or other athletes criticizing and laughing at your performance.
Unable to Focus
The athlete may have concentration issues and become absorbed in how others react to their performance.
Overthinking
The athlete can temporarily forget how to perform specific actions that are typically automatic.
Self-confidence issues
The athlete can start doubting their abilities.
Stress and Anxiety
The Yerkes-Dodson law explains how stress, anxiety, and arousal levels affect performance and how stress levels must be maintained within a range to perform well.
Low Arousal
It could be the athlete is not as into the sport as when they began, so they do not put forth the total effort.
High Arousal
This means the sport could be causing so much stress that the athlete panics or freezes up.
Competitive anxiety sets in.
Optimal Arousal
This means the athlete is fully engaged in pushing themselves to the fullest.
This can be applied to any performing task like play rehearsals to a tennis match.
Some recommended steps can be taken to handle and prevent sports competitive anxiety when trying to overcome those overwhelming feelings of nervousness and tension.
Positive self-talk
Self-talk is having a positive conversation with yourself.
Athletes who practiced positive self-talk reported:
Improved self-confidence
Reduced physical anxiety symptoms
Improved sports performance
Listen to Music
When anxious before a meet, game, match, etc., consider listening to some favorite or relaxing music.
Meditation
Meditation has been found to reduce all types of anxiety, including sports.
Chiropractic
Chiropractic treatment specializes in the musculoskeletal system and can realign the body and release any muscle tension and restriction through hands-on manipulation techniques and mechanical decompression. Treatment involves manipulating the muscles, ligaments, tendons, fascia, and soft tissues to relieve pain through therapeutic muscle therapies that include:
One or a combination of therapies can alleviate symptoms related to muscle spasms, delayed onset muscle soreness, fascia restrictions, soft tissue injuries, and pain and dysfunction throughout the body, restoring function, movement, and strength.
Using The DRX9000 For Spinal Decompression
References
Elliott, Dave, et al. “The effects of relaxing music for anxiety control on competitive sport anxiety.” European journal of sports science vol. 14 Suppl 1 (2014): S296-301. doi:10.1080/17461391.2012.693952
Ford, Jessica L et al. “Sport-related anxiety: current insights.” Open access journal of sports medicine vol. 8 205-212. 27 Oct. 2017, doi:10.2147/OAJSM.S125845
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