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When The Body Craves Salt: El Paso Back Clinic

When The Body Craves Salt: El Paso Back Clinic

Although salt is satisfying to the palate and necessary for survival, when the body craves salt, it can be a symptom of a health condition/s. The body needs sodium, but many foods contain more than the body needs. Most individuals’ sodium intake comes from packaged foods, pizza, burgers, and soups. The body craves salty foods for various reasons, often related to a sodium imbalance. To help curb cravings and limit consumption, incorporate seasoning blends, spices, and vegetables into a nutritional plan. Injury Medical Chiropractic and Functional Medicine Clinic can provide expert diet recommendations and health coaching to develop a personalized nutrition plan.

When The Body Craves Salt: EP Functional Chiropractic Team

When The Body Craves Salt

According to the American Heart Association:

  • The body needs 500 milligrams (mg) of sodium daily for optimal functioning.
  • That’s less than one-fourth of a teaspoon (tsp).
  • But because most individuals take in around 3,400 mg every day, the American Heart Association recommends that adults reduce consumption to 1,500-2,300 mg of salt daily.
  • Individuals who crave salt often shouldn’t ignore this as cravings could signal a health condition.
  • It is recommended to seek a healthcare provider’s advice to evaluate nutrition and lifestyle.

Causes

Dehydration

Craving salt could mean the body needs hydration. A sodium deficiency triggers systems that generate cravings for sodium, and the body feels rewarded after consuming salty foods. Individuals that find themselves dehydrated often should consider following these tips to maintain healthy body hydration:

  • Carry a water bottle throughout the day, take frequent sips, and try to refill two or more times.
  • Add fruit or fresh herbs to the water for flavor.
  • Freeze water bottles to have ice-cold water readily available.
  • Ask for water alongside other beverages when dining out.

Electrolyte Imbalance

  • When electrolytes are out of balance, the body can crave salty foods.
  • Electrolytes are minerals in the body with an electric charge.
  • Electrolytes are in the blood, urine, and tissues, and levels can spike or plummet.
  • This occurs when the amount of water taken does not equal the amount lost because of excessive sweating, sickness, and/or frequent urination.
  • Electrolytes are important because:
  • They help balance the body’s water equilibrium and pH levels
  • Move nutrients and waste into and out of the cells
  • Ensure the nerves, muscles, and brain are at optimal function.

Stress

  • Eating behavior can quickly be disrupted when experiencing stressful situations.
  • A stressed body can feel better after eating the foods it is used to, especially for individuals that consume a lot of salty foods when things are normal, and there is no stress.

Boredom

  • Eating because of boredom is an emotional eating behavior similar to stress eating.
  • This response to negative emotions can happen to anyone.
  • Individuals are recommended to work through their negative thoughts with stress reduction strategies that include:
  • Mindful eating.
  • Exercise.
  • Meditation.
  • Spending time in green spaces like a garden, park, etc.
  • Visits with friends and family.

Pre-Menstruation

Pregnancy

  • Experiencing various types of cravings during pregnancy is different for all women that naturally occurs.
  • However, cravings for salty foods often occur in the later stages of pregnancy.

Addison’s Disease

  • Addison’s disease is when the adrenal glands do not produce enough of a certain hormone, like cortisol/the stress hormone.
  • Individuals with this condition could be recommended to consume a high-sodium diet.
  • A nutritional healthcare professional can recommend what sodium sources and how much sodium are best.

Prevent Salt Cravings

Individuals can replace sodium with salt-free substitutes that do not help maintain flavor. Options include the following:

Citrus

  • Using fresh citrus juice can brighten up dishes with acid.
  • When a dish tastes flat, a little acid from lemon juice can help make the food more palatable.

Vinegar

  • Vinegar can brighten the flavor of foods because of its acidic content and serve as a substitute.
  • Vinegar varieties include champagne, rice wine, or white balsamic.

Herbs

No-Salt Seasoning

  • Salt-free seasoning blends are sold online and in grocery stores.
  • Individuals can make a no-salt seasoning mix using cumin, garlic powder, onion powder, paprika, and cayenne pepper.

Garlic

  • Instead of one teaspoon of iodized salt, one teaspoon of fresh garlic can eliminate up to 2,360 mg of sodium and offers an intense flavor.

Reduce Salt Consumption

The U.S. Food and Drug Administration says that reducing the amount of sodium can gradually lower cravings. Taking these steps can help:

  • Limit consumption of packaged foods, especially those with the word instant in the name. These often contain a significant amount of sodium.
  • If possible, prepare lunch to take to work or school.
  • Read nutrition labels to ensure the products contain at least less than 2,300 milligrams of sodium.
  • Stick to fresh, frozen vegetables with no seasoning added or no-salt canned vegetables.
  • Split meals when eating out or cut the meal in half and take the rest home to avoid the high amounts of sodium in restaurant food.
  • Use none or low-sodium salad dressings or place them on the side.

Learning About Food Substitutions


References

Bell, Victoria, et al. “One Health, Fermented Foods, and Gut Microbiota.” Foods (Basel, Switzerland) vol. 7,12 195. 3 Dec. 2018, doi:10.3390/foods7120195

Husebye, Eystein S et al. “Adrenal insufficiency.” Lancet (London, England) vol. 397,10274 (2021): 613-629. doi:10.1016/S0140-6736(21)00136-7

Morris, Michael J et al. “Salt craving: the psychobiology of pathogenic sodium intake.” Physiology & behavior vol. 94,5 (2008): 709-21. doi:10.1016/j.physbeh.2008.04.008

Orloff, Natalia C, and Julia M Hormes. “Pickles and ice cream! Food cravings in pregnancy: hypotheses, preliminary evidence, and directions for future research.” Frontiers in psychology vol. 5 1076. 23 Sep. 2014, doi:10.3389/fpsyg.2014.01076

Souza, Luciana Bronzi de et al. “Do Food Intake and Food Cravings Change during the Menstrual Cycle of Young Women?.” “A ingestão de alimentos e os desejos por comida mudam durante o ciclo menstrual das mulheres jovens?.” Revista brasileira de ginecologia e obstetricia : revista da Federacao Brasileira das Sociedades de Ginecologia e Obstetricia vol. 40,11 (2018): 686-692. doi:10.1055/s-0038-1675831

Healthy Breads: El Paso Back Clinic

Healthy Breads: El Paso Back Clinic

The right kind of bread can be an extremely healthful food. Eating more whole grains is associated with lower weight and reduced health problems, heart disease, and cancer risk. Keeping bread in a healthy diet begins with choosing varieties with the best nutrition. Certain types are naturally high in fiber, vitamins, and minerals. Others are made from refined grains with added vitamins and minerals. Nutritional experts evaluate healthy breads based on researched health benefits and fiber, protein, micronutrient content, and total calories.

Healthy Breads: EP's Functional Chiropractic Clinic Team

Healthy Breads

100% Whole Wheat

  • 100% whole wheat bread contains abundant fiber and nutrients and is one of the most nutritious varieties.
  • A slice of bread made with all whole wheat flour provides 80 calories, 5 grams of protein, 0 grams of fat, 20 grams of carbohydrates, and 3 grams of fiber.
  • One hundred percent whole wheat bread also contains essential minerals like calcium, selenium, manganese, phosphorus, and thiamin.
  • Increasing whole grains has been shown to reduce the risk of multiple chronic diseases, including type 2 diabetes, cancer, and heart disease.
  • Studies have demonstrated the positive effects of whole grains on weight control.
  • Many breads advertise themselves as whole wheat and might not contain 100% whole, unrefined grains.
  • Read labels to determine if store-bought bread was made with only whole wheat flour.
  • A 100% whole wheat bread will either be labeled as such or have whole wheat flour as its first ingredient and does not list other flours like wheat flour or enriched bleached flour.

Multigrain

  • Whole grains like oats, buckwheat, barley, amaranth, and millet can be included in multigrain breads for increased fiber, protein, and micronutrients.
  • Adding a variety of whole grains like these can help reduce the risk of certain chronic diseases.
  • Navigating to healthy multigrain bread can be misleading.
  • Breads labeled as multigrain can be difficult to tell whether the grains used to make the bread were whole or refined.
  • It’s recommended to look for a multigrain bread label that has 100% whole grain.

Oat

  • Oats are whole grains that can supplement whole wheat in healthy store-bought and homemade breads.
  • Oats contain a special fiber called beta-glucan, with benefits that include lowering bad cholesterol, regulating blood sugar, and lowering blood pressure.
  • Oats are high in soluble fiber, which helps reduce constipation.
  • Read the labels and look for brands that list oats and whole wheat flour as the first ingredients with minimal added sugars.

Flax Seed

  • Flaxseeds are not grains, but they aren’t packed with nutrients.
  • These seeds are high in fiber and polyunsaturated fats.
  • Adding flaxseed might help protect against certain cancers and improve heart health.
  • Because the seeds are naturally gluten-free, flax seed bread can be an option for individuals with celiac disease or gluten sensitivity.
  • Some commercially prepared breads combine flax with wheat, but individuals may have to make their own for a loaf made entirely with flaxseed.

Sourdough

  • Sourdough bread is made through fermentation, which adds healthy probiotics to the finished product.
  • A diet rich in probiotics from fermented foods has been linked with positive health outcomes.
  • Benefits include the bread’s natural probiotics, improved digestion, immune system function, extra fiber, protein, and minerals.
  • For the healthiest, choose a variety made with whole wheat flour.

Benefits of a Healthy Diet and Chiropractic


References

Aune, Dagfinn, et al. “Whole grain consumption and risk of cardiovascular disease, cancer, and all-cause and cause-specific mortality: a systematic review and dose-response meta-analysis of prospective studies.” BMJ (Clinical research ed.) vol. 353 i2716. 14 Jun. 2016, doi:10.1136/bmj.i2716

El Khoury, D et al. “Beta glucan: health benefits in obesity and metabolic syndrome.” Journal of Nutrition and Metabolism vol. 2012 (2012): 851362. doi:10.1155/2012/851362

Freitas, Daniela, et al. “Lemon juice, but not tea, reduces the glycemic response to bread in healthy volunteers: a randomized crossover trial.” European Journal of Nutrition vol. 60,1 (2021): 113-122. doi:10.1007/s00394-020-02228-x

“Healthy Bread.” Hall’s Journal of Health vol. 3,7 (1856): 144-146.

Kikuchi, Yosuke, et al. “Effects of Whole Grain Wheat Bread on Visceral Fat Obesity in Japanese Subjects: A Randomized Double-Blind Study.” Plant foods for human nutrition (Dordrecht, Netherlands) vol. 73,3 (2018): 161-165. doi:10.1007/s11130-018-0666-1

Menezes, Leidiane A A, et al. “Effects of Sourdough on FODMAPs in Bread and Potential Outcomes on Irritable Bowel Syndrome Patients and Healthy Subjects.” Frontiers in microbiology vol. 9 1972. 21 Aug. 2018, doi:10.3389/fmicb.2018.01972

Parikh, Mihir, et al. “Flaxseed: its bioactive components and their cardiovascular benefits.” American Journal of Physiology. Heart and circulatory physiology vol. 314,2 (2018): H146-H159. doi:10.1152/ajpheart.00400.2017

P, Nirmala Prasadi V, and Iris J Joye. “Dietary Fibre from Whole Grains and Their Benefits on Metabolic Health.” Nutrients vol. 12,10 3045. 5 Oct. 2020, doi:10.3390/nu12103045

Tosh, Susan M, and Nicolas Bordenave. “Emerging science on benefits of whole grain oat and barley and their soluble dietary fibers for heart health, glycemic response, and gut microbiota.” Nutrition Reviews vol. 78, Suppl 1 (2020): 13-20. doi:10.1093/nutrit/nuz085

Maximizing Musculoskeletal Health and Flexibility for Older Athletes

Maximizing Musculoskeletal Health and Flexibility for Older Athletes

Healthy aging has been linked to a lifestyle consisting of proper nutrition and exercise. However, even with a healthy lifestyle, the body undergoes changes that include conditions, disease, and compromises in physical performance. Because of the effects of aging on muscle and joint tissue, cardiovascular fitness, and other physical parameters, older athletes need to take consideration, but this doesn’t mean slowing down. Injury Medical Chiropractic and Functional Medicine Clinic can develop a training and treatment plan to build and maintain musculoskeletal system health, flexibility, and optimal function.

Maximizing Musculoskeletal Health and Flexibility for Older Athletes

Older Athletes

Research has shown that the physical and mental declines that go with aging can be reduced with fitness and nutrition programs and that it is not too late to start improving fitness, no matter what age. Systemic changes that happen to an aging body include:

Nervous System

  • Imbalances happen more easily and more often.
  • Sensation changes.

Musculoskeletal System

  • Bone Strength Decreases.
  • Muscle Strength Decreases.
  • Flexibility issues occur more frequently.

Respiratory System

  • Decreased Vital or Breathing Capacity of Lungs – The maximum amount of air that can be exhaled after a full inhalation.

Cardiovascular System

  • Maximum Heart Rate slows down.
  • A slower return to resting heart rate after and during physical activity and exercise.

Maintaining Endurance

Common aging fitness declines include:

  • Changes in body composition.
  • Increased body fat.
  • Decreased muscle mass.
  • Loss of height – can be brought on by osteoporosis.
  • Diminished cardiorespiratory capacity.
  • Muscle atrophy.

Research has found that when seniors start to exercise, their health improves quickly. It’s estimated that the physical declines associated with aging are not necessarily inevitable but can also happen by losing fitness/deconditioning effects from reduced exercise levels, frequency, and/or intensity. Despite the losses, older athletes are often able to compete and excel in endurance activities because they tend to have higher proportions of slow twitch fibers.

Older Athletes and Maintaining Fitness: EP Chiropractic Clinic

Memory and Fitness

  • Evidence suggests that seniors who exercise reduce the physical effects of aging and prevent their brain/memory from advanced degeneration.
  • Physical fitness has been linked with reduced memory decline in middle-aged adults.

Training Options

Training methods to maintain athletic performance.

Hill Running or Interval Training

  • This type of training can improve fitness and condition the aerobic and anaerobic systems.

Weight Training

  • Weight training maintains muscle tone, fast twitch muscle fibers, and strength.

Plyometric exercises

Creatine Supplements

  • Supplements may help improve performance during repetitive, intense exercise sessions.

Nutrition

Aging causes the joints to become less flexible, resulting in a range of motion loss leading to limitations and compromised physical abilities. Proper nutrition in older athletes can protect the joints and prevent advanced degeneration. The following nutrients are recommended:

  • Omega-3’s – nuts, seeds, and fatty fish provide anti-inflammatory effects.
  • Vitamin C for collagen production.
  • Sulfur amino acids – certain vegetables, meat, poultry, fish, and dairy products improve joint cartilage health.
  • Bioflavonoids – all fruit and vegetables provide anti-inflammatory effects and improved circulation.
  • Antioxidants – selenium and vitamin E protect against free radicals that multiply with age.
  • Supplements may also be helpful but check with a doctor before beginning a program.

Move Better, Live Better


References

Gillis, Angela, and Brenda MacDonald. “Deconditioning in the hospitalized elderly.” The Canadian nurse vol. 101,6 (2005): 16-20.

Lexell, J. “Human aging, muscle mass, and fiber type composition.” The Journal of Gerontology. Series A, Biological Sciences and medical sciences vol. 50 Spec No (1995): 11-6. doi:10.1093/gerona/50a.special_issue.11

Marriott, Catherine F S, et al. “High-Intensity Interval Training in Older Adults: a Scoping Review.” Sports medicine – open vol. 7,1 49. 19 Jul. 2021, doi:10.1186/s40798-021-00344-4

Rogers, Michael E et al. “Balance training for the older athlete.” International Journal of sports physical therapy vol. 8,4 (2013): 517-30.

Tayrose, Gregory A et al. “The Master’s Athlete: A Review of Current Exercise and Treatment Recommendations.” Sports Health vol. 7,3 (2015): 270-6. doi:10.1177/1941738114548999

Townsend, Danyelle M et al. “Sulfur-containing amino acids and human disease.” Biomedicine & pharmacotherapy = Biomedicine & pharmacotherapy vol. 58,1 (2004): 47-55. doi:10.1016/j.biopha.2003.11.005

Van Roie, Evelien, et al. “An age-adapted plyometric exercise program improves dynamic strength, jump performance and functional capacity in older men either similarly or more than traditional resistance training.” PloS one vol. 15,8 e0237921. 25 Aug. 2020, doi:10.1371/journal.pone.0237921

Wu, Tingting, and Yanan Zhao. “Associations between functional fitness and walking speed in older adults.” Geriatric nursing (New York, N.Y.) vol. 42,2 (2021): 540-543. doi:10.1016/j.gerinurse.2020.10.003

Paresthesia: El Paso Back Clinic

Paresthesia: El Paso Back Clinic

The nervous system communicates with the entire body and reacts to internal and external changes using electrical and chemical impulses to send and receive messages. Messages travel/synapse from one neuron to another using specialized chemicals known as neurotransmitters. Paresthesia refers to sensations of numbness, tingling, prickling, skin crawling, itching, or burning, usually in the arms, hands, legs, and/or feet, but can affect other areas of the body. Chiropractic care, massage therapy, decompression therapy, and functional medicine can relieve tissue and nerve compression, improve flexibility, range of motion, and mobility, and strengthen the muscles surrounding the affected nerve to maintain optimal health and prevent worsening or further injury.

Paresthesia: EP's Chiropractic Specialist Team

Paresthesia

The sensation comes on without warning and is usually painless and described as tingling or numbness. There are different causes of paresthesia, including:

  • Compressed or pinched nerve.
  • Nerve injury.
  • Nerve damage from diabetes.
  • High levels of vitamin D or other vitamins.
  • High blood pressure.
  • Infection.
  • Fibromyalgia.
  • Multiple sclerosis.
  • Stroke.
  • Tumor in the spinal cord or brain.

Some individuals have chronic or long-term paresthesia, which can be a sign of a more serious nerve injury or condition. Added physical stress can cause surrounding tissues to irritate or entangle the nerve leading to building pressure. This pressure causes paresthesia in the area interrupting circulation and function. A pinched nerve can happen anywhere in the body, like the neck, shoulder, wrist, back, and face.

  • A herniated disc in the lower spine can cause back pain and paresthesia in the leg or foot on the affected side.
  • Carpal tunnel syndrome is a pinched nerve in the wrist that causes numbness and tingling in the hand and fingers.
  • Pinched nerve symptoms can be intermittent or constant.
  • Usually, a temporary sensation is caused when pressure is placed on the affected nerve.
  • Once that pressure is relieved, the discomfort goes away.

Individuals with an Increased Risk

Overuse Injury

  • Individuals with jobs or hobbies requiring repetitive motions are at a higher risk for nerve compression, paresthesia, or injury.
  • Anyone can get a pinched nerve, and most individuals will experience paresthesia at some point.

Prolonged Lying Down

Obesity

  • Extra weight places added pressure on nerves.

Diabetes

  • Diabetes can cause nerve and tissue damage.

Pregnancy

  • Weight and water gain can cause swelling and increase pressure on nerves.

Thyroid Disease

  • This puts individuals at risk for carpal tunnel syndrome.

Rheumatoid arthritis

  • This causes inflammation, which can also compress nerves in the joints.

Diagnosis

To diagnose paresthesis, a doctor will look at the individual’s medical history and ask questions about the symptoms. They will perform a physical examination and, depending on the findings, may recommend tests that can include:

Nerve Conduction Study

  • This measures how fast nerve impulses travel in the muscles.

Electromyography – EMG

  • To look at the electrical activity of how nerves and muscles interact.

Magnetic Resonance Imaging – MRI

  • This looks at the different areas of the body in high definition.

Ultrasound

  • Used to produce images, this can be applied to the smaller areas to look for nerve compression or damage.

Chiropractic

Treatment options depend on the cause of the paresthesia. Body misalignments can cause nerve interference that can lead to health problems such as migraines, or can disrupt nerve communication and block proper circulation. Chiropractic care focuses on treating the nervous system and is a safe and effective method for treating nerve problems that cause discomfort and sensations. After a thorough examination of problem areas, massage, decompression, and chiropractic adjustments will:

  • Realign and restore proper nerve function.
  • Restore proper blood circulation.
  • Increase the function of the body’s systems.
  • Promote optimal levels of health and wellness.

The Science of Motion


References

Bova, Joseph, and Adam Sergent. “Chiropractic management of a 24-year-old woman with idiopathic, intermittent right-sided hemiparesthesia.” Journal of chiropractic medicine vol. 13,4 (2014): 282-6. doi:10.1016/j.jcm.2014.08.002

Christensen, Kim D, and Kirsten Buswell. “Chiropractic outcomes for managing radiculopathy in a hospital setting: a retrospective review of 162 patients.” Journal of chiropractic medicine vol. 7,3 (2008): 115-25. doi:10.1016/j.jcm.2008.05.001

Freihofer, H P Jr. “Parästhesien” [Paresthesia]. Schweizerische Monatsschrift fur Zahnheilkunde = Revue mensuelle suisse d’odonto-stomatologie vol. 89,2 (1979): 124-5.

Karne, Sampada Swapneel, and Nilima Sudhakar Bhalerao. “Carpal Tunnel Syndrome in Hypothyroidism.” Journal of Clinical and diagnostic research: JCDR vol. 10,2 (2016): OC36-8. doi:10.7860/JCDR/2016/16464.7316

Sacroiliac Sprain: El Paso Back Clinic

Sacroiliac Sprain: El Paso Back Clinic

A joint is where two bones meet. The two sacroiliac or SI joints connect the spine, pelvis, and hips. This strong joint balances and transmits stress from the upper body to the pelvis and legs. The joints can suffer a sprain causing pain and discomfort symptoms. There can also be the feeling of tightness wrapping around the waist and dull aching across the low back as the surrounding muscles tighten up as a form of protection, also known as muscle guarding. A correct diagnosis is vital to avoid any potentially serious complications. Chiropractors are experts on neuromusculoskeletal problems and can treat, heal, and strengthen the body through various MET, mobilization, and manipulation techniques.

Sacroiliac Sprain: EP's Chiropractic Injury Specialists Team

Sacroiliac Sprain

The main function is to balance the upper and lower body forces. The sacroiliac joints are surrounded by muscle, connective tissue, nerves designed to withstand large stresses and a complex system of ligaments, further strengthening the joints.

Injury Causes

Sacroiliac sprains can be caused by direct trauma to the pelvis from a fall or automobile collision or jobs and sports that involve a lot of bending and twisting. However, sometimes there is no distinct cause. Common causes include:

  • Repetitive microtrauma is excessive/repetitive movements like prolonged twisting, bending, or lifting at work, home, physical activities, and sports.
  • The joint can be pushed out of alignment.
  • Muscular imbalance or weakness in the muscles surrounding the sacroiliac joints can cause problems to develop over time, presenting little or no symptoms.
  • The tissues around a sacroiliac joint also can be stretched or torn.
  • Trauma such as a fall or road traffic accidents
  • Problems with the hips, knees, and feet can generate increased pressure on the joint, which can become painful over time due to repetitive strain.
  • Pregnancy hormones released to promote pelvis relaxation can increase the risk of SI sprain injury.

Excessive stress on the joint can cause microscopic damage to the ligaments surrounding the joint. The joint then becomes inflamed and presents with pain and sensations of discomfort. The body responds by contracting the muscles to prevent further damage. However, the muscle spasms may not stop, resulting in more pain. Referred pain is common from the muscles that go into spasm, with the most affected being the piriformis, gluteal/buttock, and psoas muscles.

Signs and Symptoms

  • Tenderness over the affected joint and area.
  • Pain symptoms on one or both sides above the joints and into the buttocks.
  • Standing or working with increased weight on one leg increases pain symptoms.
  • Pain after lifting or twisting that develops a little while later.
  • Pain travels to the back of the leg, front of the thigh, and the groin.
  • Pain gets worse when sitting and bending forward.
  • Lying down eases the symptoms.
  • Most cases report no loss of strength, tingling, or numbing sensations.

Chiropractic Treatment

Chiropractic treatment will relieve the pain symptoms, but there are stages of treatment, each with specific goals before moving to the next.

  • The objective of the initial stage is to decrease pain and inflammation.
  • The second stage is stabilizing and restoring proper musculoskeletal function.
  • Rehabilitation and targeted stretches and exercises will be introduced as the treatment continues.
  • In the maintenance stage, there should be no pain, and the individual should be able to perform normal daily activities and return to normal life.
  • Recovery time for a sacroiliac sprain can be 4-6 weeks but can take months to heal completely.

Chiropractic Approach for Pain Relief


References

BIDWELL, A M. “Treatment of sacroiliac sprain by manipulation.” The Medical World vol. 65,1 (1947): 14-6.

Evans, P. “Sacroiliac sprain.” American family physician vol. 48,8 (1993): 1388; author replies 1390.

LeBlanc, K E. “Sacroiliac sprain: an overlooked cause of back pain.” American family physician vol. 46,5 (1992): 1459-63.

Sun, Chao, et al. “Cost and outcome analyses on the timing of first independent medical evaluation in patients with a work-related lumbosacral sprain.” Journal of Occupational and environmental medicine vol. 49,11 (2007): 1264-8. doi:10.1097/JOM.0b013e318156ecdb

Engaging The Core: El Paso Back Clinic

Engaging The Core: El Paso Back Clinic

The body’s core muscles are used for stability, balance, lifting, pushing, pulling, and movement. Engaging the core muscles means bracing and tightening the abdominal muscles, which include the latissimus dorsi/lats, paraspinal muscles, gluteus maximus/glutes, and trapezius/traps. When engaged, the trunk muscles help maintain spinal stability, support the spine and pelvis in sitting and resting positions and during dynamic movements, and help prevent injury.

Engaging The Core: EP Chiropractic Clinic

Engaging The Core

To know how to engage the core, individuals need to understand what the core is. The most important muscles for engaging the core include: These muscles are involved every time the body inhales and exhales, in posture control, and when using the bathroom, they start and stop the process.

Rectus Abdominis

  • The rectus abdominis muscle is responsible for the six-pack.
  • It’s a long, flat muscle that extends from the pubic bone to the sixth and seventh ribs.
  • The rectus abdominis is primarily responsible for bending the spine.

External Obliques

  • These are the muscles on either side of the rectus abdominis.
  • The external obliques allow the torso to twist, bend sideways, flex the spine, and compress the abdomen.

Internal Obliques

  • The internal obliques lie below the external obliques.
  • They work with the external obliques in the same functions.

Transverse Abdominis

  • This is the deepest layer of muscle in the abdomen.
  • It completely wraps around the torso and extends from the ribs to the pelvis.
  • The transverse abdominis are not responsible for spine or hip movement but for stabilizing the spine, compressing the organs, and supporting the abdominal wall.

Latissimus Dorsi

  • Commonly known as the lats, these muscles run along both sides of the spine from just below the shoulder blades to the pelvis.
  • The lats help stabilize the back, especially when extending the shoulders.
  • They also contribute to body ability when twisting from side to side.

Erector Spinae

  • The erector spinae muscles are on each side of the spine and extend down the back.
  • These muscles are responsible for extending and rotating the back and side-to-side movement.
  • These are considered postural muscles and are almost always working.

What Not To Do

Individuals learn from mistakes, which might make learning how to engage the core easier by understanding what not to do. Common examples of failing to or not engaging the core correctly.

  • The back slumps when sitting down – the upper body lacks strength and stability.
  • When bending, the stomach sticks out more.
  • Swaying or leaning far to one side when walking – lack of lower body strength causes balance and stability problems.
  • The lower abdomen and back present with discomfort and pain symptoms.

Training

Engaging the core decreases the chance of sustaining an injury at home, work, or exercising and can help with chronic back pain. It creates a stable musculature around the spine that keeps the vertebrae from over-flexing, over-extending, and bending too far to one side. Engaging the core muscles can mean different things, depending on what is trying to be achieved.

  • For example, if doing bending work, the muscles needed, and the order in which they contract differs from when trying to maintain balance while standing on one leg.
  • The muscles engaged will differ in their movement depending on whether an individual is:
  • Trying to move the spine or stabilize it.
  • Pushing or pulling weight.
  • Standing, sitting, or lying down.

For a strong and functional core, the objective is to be able to engage the core in any situation. Engaging the core can be challenging, but with training and practice, the body becomes stronger. Practice engaging the core throughout daily activities that include.

  • Bracing the core while standing, sitting at a workstation or desk, and walking.
  • Day-to-day activities, like reaching for something from a high shelf, grocery shopping, and taking the stairs.

Injury Medical Chiropractic and Functional Medicine Clinic can create a personalized program to address musculoskeletal issues, core training, targeted exercise, stretching, nutrition, massage, and adjustments to get the body to optimal health and maintain health.


The Non-Surgical Solution


References

Eickmeyer, Sarah M. “Anatomy and Physiology of the Pelvic Floor.” Physical Medicine and rehabilitation clinics of North America vol. 28,3 (2017): 455-460. doi:10.1016/j.pmr.2017.03.003

Lawson, Samantha, and Ashley Sacks. “Pelvic Floor Physical Therapy and Women’s Health Promotion.” Journal of Midwifery & Women’s Health vol. 63,4 (2018): 410-417. doi:10.1111/jmwh.12736

Seaman, Austin P et al. “Building a Center for Abdominal Core Health: The Importance of a Holistic Multidisciplinary Approach.” Journal of gastrointestinal surgery: official journal of the Society for Surgery of the Alimentary Tract vol. 26,3 (2022): 693-701. doi:10.1007/s11605-021-05241-5

Vining, Robert, et al. “Effects of Chiropractic Care on Strength, Balance, and Endurance in Active-Duty U.S. Military Personnel with Low Back Pain: A Randomized Controlled Trial.” Journal of Alternative and complementary medicine (New York, N.Y.) vol. 26,7 (2020): 592-601. doi:10.1089/acm.2020.0107

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

Zachovajeviene, B et al. “Effect of the diaphragm and abdominal muscle training on pelvic floor strength and endurance: results of a prospective randomized trial.” Scientific Reports vol. 9,1 19192. 16 Dec. 2019, doi:10.1038/s41598-019-55724-4

Sweating: El Paso Back Clinic

Sweating: El Paso Back Clinic

When the body shifts out of homeostasis or when something in the body is out of balance, the body sweats. Sweating is a process known as perspiration that releases salt-based fluids from the body’s sweat glands to help the body stay cool and regulate body temperature. Sweat is commonly found under the arms, on the feet, and on the palms of the hands. Body temperature, outdoor temperature, or emotional state changes can cause sweating.

Sweating: EP's Chiropractic Functional Team

Sweating

An individual has around 2-4 million sweat glands, which begin to become fully active during puberty. There are two types of sweat glands: eccrine and apocrine. The most common areas of sweating include:

  • Face.
  • Armpits.
  • Palms of the hands.
  • Soles of the feet.
  • Sweating in normal amounts is an essential bodily process.
  • Not sweating enough or sweating too much can cause problems.
  • Sweat is mostly water but contains small amounts of salt.
  • Sweat also contains electrolytes and minerals – including potassium, chloride, magnesium, zinc, copper, proteins, urea, and ammonia.
  • Electrolyte levels need to be replenished after heavy sweating.

Causes

Sweating is normal. However, a variety of causes can stimulate increased sweating.

High Temperature

  • Elevated body temperature.
  • Elevated outdoor temperature.
  • Are the primary cause of increased sweating.

Emotions and stress

Emotions and conditions can also make the body break out in a heavy sweat.

  • Emotional stress
  • Anxiety
  • Anger
  • Fear
  • Embarrassment

Foods

Sweating may be a response to certain foods. This type of sweat is known as gustatory sweating, which can be caused by:

  • Spicy foods
  • Caffeinated drinks – like soda, coffee, and tea.
  • Alcoholic beverages.
  • Medications

Illness and Medications

Sweating may be caused by medication use and certain illnesses:

  • Hypoglycemia – low blood sugar levels.
  • Fever.
  • Fever-reducing medications.
  • Pain relieving medications.
  • Infection.
  • Cancer.
  • Synthetic thyroid hormones.
  • Complex regional pain syndrome – CRPS, is a rare form of chronic pain that usually affects an arm or leg.

Menopause

  • The hormonal fluctuations associated with menopause can trigger sweating.
  • Women going through menopause often experience night sweats and sweat during hot flashes.

Conditions

The following conditions result from either excessive sweating or not sweating enough.

Hyperhidrosis

  • Hyperhidrosis is a condition of excessive sweating from the armpits, hands, and feet.
  • This condition can be embarrassing and could prevent individuals from going about their daily routines.

Hypohidrosis

  • Hypohidrosis is the absence of sweat.
  • Sweat is how the body releases excess heat.
  • Individuals can become dehydrated and have an increased risk of heatstroke.

Chiropractic Adjustments

The nervous system coordinates and oversees all functions of the body. Some can be consciously controlled, and others are automatic. The autonomic nervous system – ANS regulates involuntary processes, including blood pressure, heart rate, digestion, respiration, gland function, sweating, etc. The ANS is divided into the sympathetic and parasympathetic systems.

  • The sympathetic nervous system – when activated, creates a state of elevated activity and attention or the fight or flight response.
  • This process increases blood pressure and heart rate, preparing the body to respond to various stressors.
  • The parasympathetic nervous system promotes resting and digesting processes that lower heart rate and blood pressure.
  • The parasympathetic calms the body.

Chiropractic adjustments have been known to affect the autonomic nervous system. This is achieved by increasing parasympathetic activity/relaxation and down-shifting the sympathetic/fight or flight response and inflammation. A chiropractic adjustment can remove subluxations, which cause interferences in the nervous system. Chiropractic restores and improves the brain and body system communication.


Thoracic Spine Pain


References

Baker, Lindsay B. “Physiology of sweat gland function: The roles of sweating and sweat composition in human health.” Temperature (Austin, Tex.) vol. 6,3 211-259. 17 Jul. 2019, doi:10.1080/23328940.2019.1632145

Cabanac, M. “Temperature regulation.” Annual Review of Physiology vol. 37 (1975): 415-39. doi:10.1146/annurev.ph.37.030175.002215

Cui, Chang-Yi, and David Schlessinger. “Eccrine sweat gland development and sweat secretion.” Experimental dermatology vol. 24,9 (2015): 644-50. doi:10.1111/exd.12773

Kiani, Aysha Karim, et al. “Neurobiological basis of chiropractic manipulative treatment of the spine in the care of major depression.” Acta bio-medica : Atenei Parmensis vol. 91,13-S e2020006. 9 Nov. 2020, doi:10.23750/abm.v91i13-S.10536

McCutcheon, L J, and R J Geor. “Sweating. Fluid and ion losses and replacement.” The Veterinary clinics of North America. Equine practice vol. 14,1 (1998): 75-95. doi:10.1016/s0749-0739(17)30213-4

VACATKO, S. “O hydrataci epidermis” [Sweating]. Ceskoslovenska dermatologie vol. 26,3 (1951): 131-7.

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