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Flat Back Syndrome

Flat Back Syndrome

Individuals believe that maintaining a straight/flat back is healthy. However, the back is made up of natural curves that allow flexibility and optimal movement. If there is a lack of these curves, it can lead to spine issues, discomfort, and pain. A common problem to develop from a spine lacking natural curvature is abnormal kyphosis. This is when the natural curve in the thoracic spine – mid-back or lumbar spine – low back disappears, which results in a flat back. Restoring the curvature can be challenging, as flatback syndrome requires chiropractic adjustments to gently shift and realign the spine back into a healthy curve and re-train the spine to maintain the curve.

Flat Back Syndrome

Causes of Flat Back Syndrome

Flatback syndrome is usually a result of muscle tightness in the lower back muscles, specifically in the psoas muscle. Or it could be degenerative disc disease, where the cartilage supporting the spine begins to weaken. Other causes include arthritis and osteoporosis. Practicing unhealthy posture habits can worsen these conditions, speeding up the loss of the spine’s curvature. Loss of spinal curvature does not occur rapidly, as the body will begin to present with symptoms. The following symptoms could be an indication:

  • Fatigue when trying to stand upright
  • Balance problems
  • Restricted mobility
  • Muscle spasms
  • Chronic low back pain
  • Thigh pain
  • Groin pain
  • Disc herniation

Back pain and problems with balance are the earliest warning signs of flatback syndrome.

Symptoms

Flatback symptoms usually get worse as the day progresses, with a sense of fatigue and increasing difficulty to stand upright. Individuals tend to flex or bend their hips and knees to get into an upright position. This can become an exhausting process as the day progresses. Individuals can also have symptoms of sciatica and/or spinal stenosis with leg pain and weakness that gets worse when walking. Neck and upper back pain can begin to present while straining to align themselves. The symptoms become disabling, often requiring pain medications that limit the individual’s ability to perform daily activities.

Realignment Treatment

A chiropractor must determine the severity of the deviation through a thorough assessment and examination. This shows the loss of curvature to help a chiropractor plan a realignment/remodeling adjustment schedule. Restoring a natural kyphosis is done through a combination of adjustments and bracing. Scheduled spinal adjustments will realign and shift the vertebrae back to neutral, while a back brace supports to prevent any deviation. Stretching and exercising relevant muscle groups is also part of a chiropractic treatment plan. An example is core exercises for strengthening the muscles supporting the spine.


Body Composition


Personalized Nutrition

Because the body is so complex and dynamic, there is no perfect fit when it comes to diet, exercise, or a combination. Fad diets typically recommend that individuals adhere to the same eating guidelines, indicating they will reach an expected result like fat loss. These diets work because they focus on a simple reduction in calorie intake, especially processed and fast foods. The problem is that some of these fad diets can restrict critical nutrients that negatively affect an individual’s health. More information about an individual’s body and how it works is an excellent resource in improving body composition and overall health. Personalized nutrition is an innovative and favorable approach to preventing and treating obesity and related conditions. This approach identifies:

  • Genetic markers
  • Dietary patterns
  • Environment
  • Metabolism

Educated recommendations can be made based on these factors.

References

Drabsch, Theresa, and Christina Holzapfel. “A Scientific Perspective of Personalised Gene-Based Dietary Recommendations for Weight Management.” Nutrients vol. 11,3 617. 14 Mar. 2019, doi:10.3390/nu11030617

Farcy, J P, and F J Schwab. “Management of flatback and related kyphotic decompensation syndromes.” Spine vol. 22,20 (1997): 2452-7. doi:10.1097/00007632-199710150-00025

Lee, Chang-Hyun, et al. “‘Lumbar Degenerative Kyphosis’ Is Not Byword for Degenerative Sagittal Imbalance: Time to Replace a Misconception.” Journal of Korean Neurosurgical Society vol. 60,2 (2017): 125-129. doi:10.3340/jkns.2016.0607.001

Lu, Daniel C, and Dean Chou. “Flatback syndrome.” Neurosurgery clinics of North America vol. 18,2 (2007): 289-94. doi:10.1016/j.nec.2007.01.007

Wiggins, Gregory C et al. “Management of iatrogenic flat-back syndrome.” Neurosurgical focus vol. 15,3 E8. 15 Sep. 2003, doi:10.3171/foc.2003.15.3.8

Pelvic Floor Pain and Back Pain

Pelvic Floor Pain and Back Pain

The pelvic floor is essentially the spine, and when pain presents, it can be mistaken for back pain. However, these two conditions are frequently linked. The National Institutes of Health- NIH reported that a quarter of women are impacted by pelvic floor disorders and up to 16% of men. The pelvic floor is made up of muscles. If the muscles begin to spasm, they can spread pain upwards and even downwards. This is where the misdiagnosis of lower back pain comes in.

Pelvic Floor Pain and Back Pain

The Pelvic Floor

The pelvic floor is comprised of muscles and connective tissue, known as fascia. The muscles and fascia intertwine, creating a support system for the pelvic organs. The pelvic floor muscles act as a spring system that supports the organs. When downward pressure is applied, and the spring system is working correctly, they push back up to support the muscles. These muscles create the base known as the core. The core muscles support the abdomen, diaphragm, and back muscles, supporting the spine. This is why back, pelvic pain is prevalent as these muscles are interconnected.

Pelvic Floor Dysfunction and Back Pain

If there is pelvic floor dysfunction, there is an inability to control the muscles. There can be too much or insufficient tension, resulting in urinary incontinence or inability to complete bowel movements. It can also be mistaken for back pain or contributes to pelvic and low back pain. The core muscles support the torso and promote stabilization during movement. If they are not working correctly, the torso and pelvis become unstable. The SI – sacroiliac joints linked with the pelvis and the lower spine can begin to present with posterior pelvic and back pain.

Symptoms

Dysfunction can present in several ways, including:

Causes of Dysfunction

Causes of dysfunction include:

  • Weakness of the muscles or tight muscles.
  • Vaginal dryness by a lack of estrogen during menopause.
  • Tight inner thigh muscles.
  • Back pain itself can cause dysfunction.

Women make up the majority of cases that result from:

  • Pregnancy
  • Childbirth
  • Endometriosis – a condition in which uterine tissue grows outside the uterus.

Men can also develop problems. As a man’s body ages, prostate problems can cause urinary leakage and frequency problems. It can develop from activities like bicycling. The seat can compress the pudendal nerve, causing pain and dysfunction.

Retraining the Muscles

The dysfunction can be helped by reactivating and strengthening the pelvic and core muscles. Training the pelvic floor and the core muscles will help boost support for the spine and alleviate discomfort and pain. First, it is recommended to get a physical evaluation by a chiropractor or physical therapist to determine if the pelvic floor muscles are too tight or weak. The objective is to improve the strength of the pelvic floor muscles or relax them if they are too tight. A chiropractor and physical therapist can work on the muscles, educate on stretches, exercises, nutrition, and offer additional help and support.


Body Composition


Muscle Adaptation

The point of resistance training is to get the muscles to function more effectively. It begins with the contractile proteins that control muscle shortening and lengthening. Resistance exercise can cause some of the proteins to get pulled apart. The stress the muscles experience is the stimulus for the muscles to rebuild bigger, stronger, or more powerful. After resistance exercise, the muscle synthesizes proteins helped by nutritional stimuli and protein consumption. Satellite cells also activate to help build up the broken-down muscle. Resistance exercise causes activation.

References

Cleveland Clinic. (2020). “Pelvic Floor Dysfunction.” my.clevelandclinic.org/health/diseases/14459-pelvic-floor-dysfunction

National Institutes of Health. (September 2008) “Roughly One-Quarter of U.S. Women Affected by Pelvic Floor Disorders” www.nih.gov/news-events/news-releases/roughly-one-quarter-us-women-affected-pelvic-floor-disorders

Smith, Christopher P. “Male chronic pelvic pain: An update.” Indian journal of urology: IJU: journal of the Urological Society of India vol. 32,1 (2016): 34-9. doi:10.4103/0970-1591.173105

World Health Organization. (2013) “Low back pain” www.who.int/medicines/areas/priority_medicines/Ch6_24LBP.pdf

Planks For Spine Support and Back Pain Prevention

Planks For Spine Support and Back Pain Prevention

Regularly doing planks can support/strengthen the spine and prevent back pain no matter the fitness level. It’s estimated that 70% of adults will experience back problems and pain. One of the best ways to keep the spine healthy is by strengthening the core muscles. The more these muscles are built up, the healthier the body will become. The plank position activates the entire core taking the pressure off of the spine.

Planks For Spine Support and Back Pain Prevention

Core Anatomy

The core is the center of the body. It contains all the muscles surrounding the torso. These muscles work together to:

  • Stabilize the body during movement.
  • Prevent injury when engaged in physical activity/exercise.
  • Provide spinal support.

The core is split into two groups of muscles: The inner core and the outer core.

Inner Core

The inner core consists of:

Multifidus Muscles

Quadratus Lumborum

  • The deep abdominal muscle in the lower back sits on either side of the lumbar region of the spine.

Transversus Abdominis

  • Located between the lower ribs and the top of the pelvis.

Pelvic Floor

  • This base group of muscles stretches from the tailbone to the pubic bone.

Diaphragm

  • A dome-shaped muscle that rests below the lungs.

Outer Core

Rectus Abdominis

  • These are more commonly known as the abs.

External Obliques

  • These muscles are located on either side of the rectus abdominis.

Internal Obliques

  • These muscles are located below the external obliques, inside the hip bones.

Erector Spinae

  • These muscles surround the spine and extend up both sides of the vertebral column.

Planks and Back Pain Prevention

When the core is not strong enough, the spine and back muscles overcompensate to keep the body standing correctly. Studies have shown how planks effectively activate the muscles responsible for spinal stabilization. The exercise targets the entirety of the core and strengthens the shoulders and glutes. Strengthening these muscles improves posture, helping to alleviate back problems and pain. However, it’s recommended to talk to a doctor before beginning a plank regimen if back pain is present. If done incorrectly, they could aggravate the back muscles.

Proper Form

Choose an area clear of furniture where the whole body can stretch out. Follow these steps:

  • Begin with hands and knees on the floor.
  • Extend the legs back while keeping the elbows directly below the shoulders and the wrists below the elbows.
  • Keep the head down, looking at the space just above the hands.
  • Engage the abs and keep the body rigid.
  • Imagine a perfectly straight line from the neck to the toes.
  • Hold the position for 10 to 60 seconds, depending on fitness level.
  • Lower the body gently to the floor.
  • Make sure not to curve the back as curving means that the abdominal muscles are being engaged, and tilting the head up can strain the neck.
  • Both can lead to injury, which is why maintaining proper form is essential.

Plank Variations

There are variations of this exercise for different levels of physical fitness. Once the modified and full plank has been mastered, various planks can target other areas of the body. These include:

Side Plank

  • These involve shifting the weight to one forearm while extending the other arm into the air.

One-arm Plank

  • These involve lifting one hand off the ground, then alternating.

Single-leg Plank

Walking Plank

Reverse Plank

Anybody can work up to a plank at any age at any fitness level; it just takes time. Once achieved, it is a great way to keep the body’s core strong, healthy and helps prevent back problems.


Body Composition


Band Lateral Raise

The lateral band raise is an excellent workout for the shoulders. It works out the lateral deltoid, anterior deltoid, and serratus anterior.

  • Grasp one band in one hand.
  • Step on the free end with the opposite foot.
  • Right hand and left foot and vice versa.
  • Slowly extend and raise the arm until they are parallel to the floor.
  • Lower the arms in the same manner.
  • If the shoulders are healthy and strong enough, try adding dumbbells or kettlebells to increase the resistance.
References

Calatayud, Joaquín et al. “Tolerability and Muscle Activity of Core Muscle Exercises in Chronic Low-back Pain.” International journal of environmental research and public health vol. 16,19 3509. 20 Sep. 2019, doi:10.3390/ijerph16193509

World Health Organization. (2013) “Low back pain.” www.who.int/medicines/areas/priority_medicines/Ch6_24LBP.pdf

Youdas, James W et al. “Magnitudes of muscle activation of spine stabilizers in healthy adults during prone on elbow planking exercises with and without a fitness ball.” Physiotherapy Theory and practice vol. 34,3 (2018): 212-222. doi:10.1080/09593985.2017.1377792

Sciatica Causes: Genetics, Low Back Problems, Piriformis, Arthritis

Sciatica Causes: Genetics, Low Back Problems, Piriformis, Arthritis

Sciatica Causes: The sciatic nerve forms by the union of Lumbar4 to Sacral31 nerve roots and exits the pelvis through the greater sciatic foramen, below the piriformis muscle located deep in the buttocks. The nerve runs down the back of the thigh, into the leg, and ends in the foot. The sciatic nerve becomes inflamed, irritated, and/or mechanically compressed. Any type of pain and/or neurological symptom/s from the sciatic nerve is referred to as sciatica. Sciatica is a type of lumbar radiculopathy, which means that the pain originates from the low back and/or sacral nerve roots.

Sciatica Causes: Genetics, Low Back Problems, Piriformis, Arthritis

Sciatica Causes

Physical forces on the nerve can cause mechanical compression due to the following conditions:

Herniated Discs

  • A disc in the lower back can bulge or herniate, causing irritation and/or compression of a sciatic nerve root.

Foraminal Stenosis

  • Stenosis, the intervertebral opening through which the nerve roots travel, begins to narrow/close in, can compress or irritate the sciatic nerve.

Degeneration

  • Degenerative changes in the spine like the thickening of facet joint capsules and/or ligaments can compress the sciatic nerve.

Segmental Instability

  • Instability of a spinal vertebral segment that happens if one vertebra slips over the one beneath it – spondylolisthesis
  • Vertebral defects – spondylolysis
  • Complete dislocation of one or more vertebrae can compress the nerve root/s of the nerve.

Other Sciatica Causes

  • Tumors, cysts, infections, or abscesses in the lower spine or pelvic region can also cause sciatic nerve compression.

Chemical Inflammation

  • Chemical irritants can include hyaluronic acid and/or fibronectin/protein fragments that leak out of degenerated or herniated discs. These irritants can cause inflammation and/or irritation of the sciatic nerve.
  • Degenerated discs can cause nerve tissues to grow into the disc, penetrating the outer and inner layers of the disc, causing sciatica. Immune system responses can contribute to pain when exposed to disc fluid.
  • Substances such as glycosphingolipids/fats and neurofilaments /protein polymers secreted by the immune system are increased in individuals with sciatica. These substances are released from the reaction between nerve roots and exposed disc material, causing inflammation.

Job Occupation

Individuals with specific jobs have an increased risk of developing sciatica. Examples include:

  • Truck drivers
  • Desk workers
  • Teachers
  • Warehouse workers
  • Machine workers
  • Plumbers
  • Electricians
  • Carpenters
  • Fitness trainers

Sitting and standing for long periods, using improper posture, constantly bending, twisting, reaching, and regularly lifting are risk factors for sciatica.

Piriformis Syndrome

Piriformis syndrome is a condition where the piriformis muscle swells and spasms from overuse or inflammation irritating the sciatic nerve that is right underneath. The nerve can get trapped in the muscle causing sciatica-like symptoms that include:

  • Pain follows the same pattern in the leg as a compressed sciatic nerve root.
  • Tingling
  • Numbness

Discomfort from piriformis syndrome feels similar to sciatica, but it is not caused by compressed sciatic nerve root. Piriformis pain comes from compression of the sciatic nerve near the piriformis muscle.

Genetic Sciatica Causes

Sciatica caused by degenerated and/or herniated discs can be genetic. Research has shown that certain genetic factors are more prevalent in individuals with back and spinal problems. These congenital disabilities can cause the discs to become weak and susceptible to external stress. With time the proteins in the disc break down, compromising the integrity and function.

Arthritis and Joint Issues

Arthritis or other inflammatory conditions around the hip joint can cause pain down the leg, similar to sciatica. This is referred pain that spreads out from the source and is not radicular nerve pain that originates in the nerve roots.

  • Conditions like sacroiliac joint dysfunction or sacroiliitis can cause sciatica-like pain that runs down the back of the thigh but usually ends before or at the knee.
  • The pain can be acute and debilitating, like sciatica but is caused by an abnormal motion or malalignment of the sacroiliac joint.

Body Composition


Normal Cholesterol Ranges

High cholesterol can lead to severe consequences when left untreated, but it can be difficult to spot with no noticeable warning signs. This is why it’s essential to monitor cholesterol levels with blood tests, especially if there is an increased risk. Example of normal cholesterol levels for adults 20 years of age or older:

  • Total cholesterol 125-200 mg/dL
  • LDL <100 mg/dL
  • HDL >40 mg/dL men, >50 mg/dL women

Lifestyle

  • Lack of physical activity contributes to high cholesterol levels.
  • Diets that mainly consist of processed foods and saturated fats increase the risk of high LDL levels.
  • Smoking can lower HDL levels.

Aging

  • Individual risk for developing high cholesterol tends to increase as the body advances in age. This is why it is recommended to have regular physicals and blood tests.

Genetics

  • Some individuals are more genetically predisposed to developing high cholesterol and heart disease.
  • Knowing family medical history can help predict whether it may become a problem.
References

Davis D, Maini K, Vasudevan A. Sciatica. [Updated 2021 Sep 2]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK507908/

Giuffre BA, Jeanmonod R. Anatomy, Sciatic Nerve. [Updated 2021 Jul 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK482431/

Hicks BL, Lam JC, Varacallo M. Piriformis Syndrome. [Updated 2021 Jul 18]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK448172/

Raj MA, Ampat G, Varacallo M. Sacroiliac Joint Pain. [Updated 2021 Aug 30]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK470299/

Pregnancy Chiropractor

Pregnancy Chiropractor

With a growing belly and changes in connective tissue, many pregnant women are unable to stay comfortable. A pregnancy chiropractor is safe and effective in helping manage pain in the back, hips, legs, joints and establish pelvic balance. This can provide the baby with space to grow and move throughout the pregnancy and lead to faster, easier labor and delivery. Relief and better symptom management are possible with a pregnancy chiropractor.

Pregnancy Chiropractor

Chiropractic Is Safe During Pregnancy

Before engaging in any treatment during pregnancy, consult a doctor. For the most part, non-invasive chiropractic is considered safe for healthy, low-risk pregnancies and even higher-risk pregnancies once cleared by a doctor. Because pregnant women cannot take medications or undergo other invasive treatment options for pain, chiropractic treatment is recommended for sore, tight muscles, irritability, and pain management.

How A Pregnancy Chiropractor Can Help

What a chiropractor can offer includes:

  • Restore pelvic balance.
  • Improve mechanics for standing, sitting, and walking that could otherwise cause pain.
  • Pain management through therapeutic massage and adjustments.
  • Spinal alignment is restored.
  • Improved blood perfusion.
  • Energy levels improve.
  • Reduce symptoms of nausea.
  • Better positioning and movement for the baby.
  • Optimize the pelvic position to allow for an easier birth; evidence indicates a shorter labor time thanks to an optimal pelvic position.

Clinic Appointment

The pregnancy chiropractor begins with an initial consultation. Here the patient asks questions, discusses any concerns, along with a full assessment of medical history. They will suggest various treatment options to restore the body to its optimal balance. The chiropractor will continually monitor the patient to tailor the treatments to their specific needs and achieve the most relief.


Body Composition


Impact of Breastfeeding and Body Composition

It turns out that breastfeeding and weight loss are showing that there could be a relationship. A study suggested that breastfeeding could eliminate weight gain during six months. These findings are corroborated by another study comparing body fat loss between exclusively breastfeeding and mixed feeding mothers. The researchers found that exclusively breastfeeding promotes more significant body fat loss than mixed feeding among mothers during the first 12 weeks after childbirth. A weight loss of approximately about a pound per week between 4 and 14 weeks after delivery in overweight, lactating women who were exclusively breastfeeding showed no adverse effect on the growth and development of their newborns.

References

Bernard, Maria, and Peter Tuchin. “Chiropractic Management of Pregnancy-Related Lumbopelvic Pain: A Case Study.” Journal of chiropractic medicine vol. 15,2 (2016): 129-33. doi:10.1016/j.jcm.2016.04.003

Borggren, Cara L. “Pregnancy and chiropractic: a narrative review of the literature.” Journal of chiropractic medicine vol. 6,2 (2007): 70-4. doi:10.1016/j.jcme.2007.04.004

Weis, Carol Ann et al. “Chiropractic Care for Adults With Pregnancy-Related Low Back, Pelvic Girdle Pain, or Combination Pain: A Systematic Review.” Journal of manipulative and physiological therapeutics vol. 43,7 (2020): 714-731. doi:10.1016/j.jmpt.2020.05.005

Fever and Back Pain

Fever and Back Pain

It is one thing to wake up with back pain, but another when the pain is combined with a fever, body aches, and chills. It could be the flu or another infection. However, after checking the body’s temperature and fever is present with no other symptoms than back pain unless it is the flu; the fever could be another issue that may or may not be related as there are a variety of causes for back pain like:

  • Inflamed muscles
  • Muscle or ligament strain – If in poor physical condition, repeated and constant tension on the back can cause muscle spasms. Repeated heavy lifting or a sudden awkward movement can strain the back muscles and spinal ligaments.
  • Bulging or ruptured discs – Discs act as cushions between the bones/vertebrae in the spine. The soft material inside a disc can bulge or rupture and press on a nerve. However, a bulging or ruptured disc can present without back pain. Disc disease is often found by accident when spine X-rays are performed for another reason.
  • Arthritis – Osteoarthritis can affect the lower back. In some cases, arthritis in the spine can narrow the space around the spinal cord, a condition called spinal stenosis.
  • Osteoporosis – The spine’s vertebrae can develop painful fractures if the bones become porous and brittle.

Back pain without a fever is usually an indication of a misaligned spine.

Fever and Back Pain

Fever A Sign of Something Else

A fever is the body’s way of trying to raise its core temperature in an attempt to kill off a virus or a bacterial infection. Possible causes of back pain with fever include:

Kidney Infection

  • This type of infection often presents with low back pain and fever.

Spinal Epidural Abscess

  • This is an infection of the lower region of the spine, causing fever and lower back pain.

Vertebral Osteomyelitis

  • This is an infection of the lower spine that causes pain in the arms, lower back, and legs, along with a fever.

Meningitis

  • This causes swelling and inflammation of the brain and spine and needs to be addressed immediately.

Spinal Cord Abscess

  • This is an infection of the internal part of the spine. It is rare but can happen, causing low back pain and fever.

Symptoms

This is when seeing a chiropractor can help. A few signs that should not be ignored include:

  • Recently involved in an automobile accident.
  • Suffered a serious fall.
  • Feeling a tingling in the legs.
  • Having balance issues.
  • Having abdominal pain.
  • Pain is not going away, or it goes away for a while, then comes back.
  • Have weakness in the arms or legs.
  • Having bowel or urinary problems that were not present previously.
  • The pain is worse when sitting or standing up after sitting.
  • Have upper back pain after alcohol consumption.

A chiropractor will take a complete medical history, X-rays, an MRI if necessary, and a thorough physical examination will be performed to determine the cause. After a diagnosis is reached, the chiropractor will perform adjustments to relieve the pain and open the nerve pathways to increase circulation to the area. A chiropractic massage will help reduce stress, relieve back pain, and reduce depression, which can also help reduce the fever unless it is from another issue.


Body Composition


Influenza

Influenza or the flu is a contagious respiratory illness caused by viruses that infect the nose, throat, and lungs. It can cause mild to severe illness and, in extreme cases, can lead to death. Like a common cold, the flu is spread primarily through tiny droplets that get expelled from an infected person when they sneeze, cough, or talk. Approximately 8% of the population gets the flu each season. Flu symptoms are sudden, causing the following:

  • Fever
  • Chills
  • Muscle or body aches
  • Headaches
  • Sore throat
  • Runny or stuffy nose
  • Cough
  • Fatigue
  • Vomiting and diarrhea which is more common in children.

Most individuals with healthy immune systems will recover around seven days. However, the elderly, pregnant women, individuals of any age with certain chronic medical conditions like asthma, diabetes, or heart disease, and children under the age of five have an increased risk of developing complications. Flu vaccination is currently recommended for anyone older than six months in the U.S. and effectively prevents infection in 50 – 80% of the population. The primary treatment method for the flu is to support the immune system with plenty of rest, proper nutrition, and hydration.

References

Ameer MA, Knorr TL, Mesfin FB. Spinal Epidural Abscess. [Updated 2021 Feb 11]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2021 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK441890/

Kehrer, Michala et al. “Increased short- and long-term mortality among patients with infectious spondylodiscitis compared with a reference population.” The spine journal: official journal of the North American Spine Society vol. 15,6 (2015): 1233-40. doi:10.1016/j.spinee.2015.02.021

Rubin, Devon I. “Epidemiology and risk factors for spine pain.” Neurologic clinics vol. 25,2 (2007): 353-71. doi:10.1016/j.ncl.2007.01.004

Tsantes, Andreas G et al. “Spinal Infections: An Update.” Microorganisms vol. 8,4 476. 27 Mar. 2020, doi:10.3390/microorganisms8040476

Changing Positions and Posture Throughout The Day

Changing Positions and Posture Throughout The Day

Changing positions and posture. Individuals who have to sit at a desk, workstation, or cubicle for most of the day increase their risk of back pain, contributing to other health issues.  GetAmericaStanding.org reports the average adult sits for ten hours or more a day. Prolonged sitting at home and work without movement, physical activity, exercise can lead to issues like:

  • Pain
  • Irritability
  • Cardiovascular problems
  • Obesity
  • Diabetes

Long periods of inactivity are associated with increased mortality as sedentariness causes the same damage related to smoking and obesity. It can be challenging to find ways to remain active while sitting at work; this is where changing positions and posture, also known as dynamic sitting throughout the day, can help.

Changing Positions and Posture Throughout The Day

Changing Positions and Posture Throughout the Day

Constantly sitting in a chair means the body remains static, causing blood and energy circulation to slow down, stressing the body’s muscles. Changing the body’s positions regularly along with short periods of activity like standing up, walking around while on the phone, and stretching helps to work out the muscles and keep circulation at optimal levels.

The Importance of Changing Positions and Posture

The body was meant to move and requires movement to stay healthy.

Staying in one position for too long can lead to loss of core strength from the abdominal musculature becoming deconditioned. Muscle deconditioning leads to weakness and tightness. The imbalance affects the spinal support system leading to back, hip, and leg pain. Moving around and doing quick mini-workouts can help strengthen the body, increase core strength, improve posture, burn calories and prevent pain and injury.

The Basics

According to a 2018 study, researchers found improvements in cardiometabolic health among individuals that would stand up, sit less, and move more. Ways to adjust the work or home office to make changing positions and posture easier include.

Medical Consultation

These small changes and adjustments can make a big difference when experiencing body pain from too much sedentariness. However, it is crucial to know if other issues are causing the health problem/s. If back or any pain is associated with any of the following, consult a medical professional.

  • Trauma from an accident or injury.
  • Balance issues.
  • Weakness in the legs.
  • Infection.
  • Fever.
  • Unexplained weight loss.
  • Overflow urinary incontinence is when the bladder fills up and empties without feeling the need to urinate.
  • Severe constipation.

Body Composition


How to Read Blood Pressure Measurements

An individual’s blood pressure includes:

Systolic Blood Pressure

  • This is the first or top number listed on a blood pressure reading and is the measurement of the pressure that the blood exerts against the walls of the arteries.
  • A normal systolic reading should be less than 120 mm Hg.

Diastolic Blood Pressure

  • This is the second number that measures the force of the blood against the artery walls when the heart is resting between beats.
  • A normal diastolic reading is less than 80 mm Hg.

Pulse

  • The pulse is the number of beats per minute the heart is beating.
  • A normal adult pulse is between 60 to 100 beats per minute.

When checking blood pressure, a doctor will read out a vital sign in the normal range of 120/80 mmHg or below. Anything above that could be an indication of an underlying health condition.

References

“Ergonomics for Prolonged Sitting.” The University of California at Los Angeles, Los Angeles, CA. www.uclahealth.org/spinecenter/ergonomics-prolonged-sitting

“Workplace sitting is associated with self-reported general health and back/neck pain: a cross-sectional analysis in 44,978 employees.” BMC Public Health, London, UK. May 2021. pubmed.ncbi.nlm.nih.gov/33957889/

“Active Sitting Guide: 6 Reasons To Really Consider It.” The Ergonomics Health Association. (n.d.) ergonomicshealth.com/active-sitting-guide/

“Cardiometabolic Impact of Changing Sitting, Standing, and Stepping in the Workplace.” Medicine & Science in Sports & Exercise, Indianapolis, IN. March 2018. oce.ovid.com/article/00005768-201803000-00015/HTML

“Reducing occupational sitting time and improving worker health: the Take-a-Stand Project, 2011.” Preventing Chronic Disease, Atlanta, GA. 2012.

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