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Children’s Postural Health Back Clinic

Children’s Postural Health Back Clinic

Practicing improper/unhealthy postures throughout the day can severely fatigue the mind and body. Children’s postural health is vital to their overall health and energy levels to perform tasks, school work, and play. An unhealthy posture causes the body to lose its ability to dissipate forces evenly and correctly. Symptoms like soreness, pain, tightness, and irritability can begin to present, which is the body’s way of letting the individual know something is off. When the body is in proper alignment, the spine disperses body weight correctly and efficiently. Chiropractic adjustments can effectively counter the unhealthy posture effects, and simple postural exercises can strengthen the body, increasing healthy posture habits.

Children's Postural Health Chiropractor

Children’s Posture Health

Healthy posture is more than simply sitting and standing up straight. It is how the body is positioned, meaning the head, spine, and shoulders, and how it moves unconsciously like a walking gait. An uneven gait or awkward body position can indicate a problem and cause long-term consequences to a child’s health.

Challenges

Kids and children are constantly hunched, slumped, and slouched over device screens. This constant awkward positioning adds weight to the spine, increasing the pressure, which can cause issues ranging from headaches, mild neck pain, low back pain, and sciatica. Severe health effects from poor posture include:

  • Shoulder problems.
  • Chronic pain.
  • Nerve damage.
  • Difficulty breathing from prolonged hunching-over.
  • Spinal joint degeneration.
  • Vertebral compression fractures.

Poor alignment of the muscles begins to restrict postural muscles from relaxing correctly, making the muscles stay stretched or slightly flexed, causing strain and pain. As a child’s body grows, practicing unhealthy postures can drive continued awkward positioning, abnormal spine growth, and an increased risk for arthritis later in life.

Chiropractic Adjustments

A chiropractor will check for any imbalances, like a hunched back, one shoulder higher than the other, or a pelvic tilt/shift. Through a series of adjustments, chiropractic releases the muscles, relieves pressure on ligaments, allows the postural muscles to relax and realign to their proper position, prevents further muscle overuse, strain, abnormal joint wear, and helps reduce fatigue by conserving/utilizing energy as the muscles are functioning correctly and efficiently.

Exercises

Simple postural exercises can help maintain children’s postural health.

Triangle Stretch

  • Standing, spread the legs into an A shape shoulder-width apart.
  • Bend and stretch to one side.
  • Raise the opposite arm of the side, bending straight above the head, so the bicep touches the ear.

Arm Circles

  • Raise the arms above the head.
  • Elbows bent at 90 degrees.
  • Make small circles forward and backward ten times.

Cobra Pose

  • Lay flat on the floor.
  • Place hands next to the chest so that they are underneath the shoulders.
  • Gently press the chest upward.
  • Keeping the legs on the ground.
  • Look straight ahead.

They only take a few minutes, but the objective is consistency. Doing the poses for one week won’t immediately change unhealthy posture habits. It is developing consistent healthy postural habits that generate improvement. They should be done at least three times weekly to build strength and endurance.


Kids and Chiropractic


References

Achar, Suraj, and Jarrod Yamanaka. “Back Pain in Children and Adolescents.” American family physician vol. 102,1 (2020): 19-28.

Baroni, Marina Pegoraro, et al. “Factors associated with scoliosis in schoolchildren: a cross-sectional population-based study.” Journal of epidemiology vol. 25,3 (2015): 212-20. doi:10.2188/jea.JE20140061

da Rosa, Bruna Nichele et al. “Back Pain and Body Posture Evaluation Instrument for Children and Adolescents (BackPEI-CA): Expansion, Content Validation, and Reliability.” International journal of environmental research and public health vol. 19,3 1398. 27 Jan. 2022, doi:10.3390/ijerph19031398

King, H A. “Back pain in children.” Pediatric clinics of North America vol. 31,5 (1984): 1083-95. doi:10.1016/s0031-3955(16)34685-5

Compression Fracture

Compression Fracture

Sometimes the bones or vertebrae of the spine can crack and collapse under their weight. This is known as a compression fracture, vertebral compression fracture, or VCF. There are almost 1 million compression fractures every year, usually because the bones become weakened and crack under the weight of the vertebrae above them. These fractures can cause spinal weakness affect posture and the ability to stand up straight. They are often the cause for individuals to hunch over, also called kyphosis.

Compression Fracture

Compression Fracture

Compression fractures are small breaks or cracks in the vertebrae. The breaks occur in the vertebral body, the thick rounded part on the front of each vertebra. These fractures cause the spine to weaken and collapse. With time, these fractures affect posture as the spine curves forward. The fractures are often found in the middle/thoracic spine in the lower area. They often result from osteoporosis but can also happen after a trauma like an automobile accident, work, sports injury, or a tumor on the spine.

Symptoms

Compression fracture symptoms range from mild to severe or no symptoms. Many individuals can stand or walk without pain. They are often discovered when X-rays are taken for another condition. Symptoms include:

  • Back pain can come on suddenly and last for a significant time, often diagnosed as chronic back pain.
  • It usually develops between the shoulders and the lower back.
  • The pain and discomfort decrease when lying down and worsen when standing or walking.
  • Decreased mobility or flexibility in the spine. Individuals are unable to twist or bend.
  • Hunched over appearance, known as dowager’s hump or hunchback.
  • Loss of height from the vertebrae compression and the spine curving.
  • Pinched nerves
  • Nerve damage can cause tingling, numbness, and difficulty walking.
  • Loss of bladder or bowel control with severe, untreated fractures.

Individuals At Risk

  • Individuals who have had a compression fracture are more likely to have another one.
  • Women over 50 have a higher risk due to osteoporosis.
  • With age, the risk increases for men and women.

Diagnosis

A doctor will perform an examination and ask about symptoms. The exam will include:

  • Checking spinal alignment.
  • Posture analysis.
  • Gently palpates different areas of the back to identify the source of pain.
  • Examine for signs of nerve damage that include numbness, tingling, or muscle weakness.

A doctor will order imaging studies to examine the backbones, muscles, and soft tissues. Imaging studies include:

  • CT scan, X-ray, or MRI of the spine.
  • DEXA scan is a type of X-ray that measures bone loss bone density.
  • A myelogram is a procedure used along with imaging studies. A contrast dye is injected into the spine before the scan making the images easier to see.
  • A triple-phase bone scan is an imaging study that takes three sets of pictures.

Treatment

Compression fracture treatment focuses on relieving pain, stabilizing the vertebrae, and ongoing fracture prevention. Treatment depends on the severity of the fracture and the individual’s overall health. Treatment can include:

Pain Medication

  • A doctor can recommend over-the-counter non-steroidal anti-inflammatory medication.
  • A doctor may prescribe muscle relaxers or prescription medication.
  • Follow instructions carefully when taking medications.

Back Brace

  • A special type of back brace helps to support the vertebrae.
  • The brace can also relieve pain by reducing how much the spine moves.

Strengthening Meds

Vertebroplasty or Kyphoplasty

  • This minimally invasive procedure relieves pain, stabilizes the bones, and improves mobility.
  • During vertebroplasty, the doctor inserts a needle in the vertebra and injects bone cement.
  • During kyphoplasty, the doctor inserts an inflatable device that they fill with cement.
  • Both are outpatient procedures allowing the individual to go home the same day.

Individuals over 65 or that have osteoporosis or a history of cancer are recommended to see their doctor. Individuals who present with sudden back pain that doesn’t get better after a day or two are advised to see a doctor and evaluate for back pain so the doctor can determine the cause and develop a treatment plan.


Body Composition


Vitamin D To Build Muscle

Skeletal Muscle Mass decreases as the body ages, primarily due to decreased physical activity. Vitamin D has been reported to influence muscle quality. This could be helpful for adults as they age. Muscle loss diminishes functional performance on activities that require strength and coordination. When this loss of muscle mass becomes significant, it becomes a condition known as sarcopenia. Treatments include:

  • Healthy diet
  • Exercise
  • Vitamin D supplementation
  • All were found to slow down muscle loss and help regain muscle mass and strength.
  • Vitamin D supplementation is effective, especially in older adults whose blood levels are low.
References

American Academy of Orthopaedic Surgeons. Osteoporosis and Spinal Fractures. (orthoinfo.aaos.org/en/diseases–conditions/osteoporosis-and-spinal-fractures/) Accessed 10/25/2021.

American Association of Neurological Surgeons. Vertebral Compression Fractures. (www.aans.org/en/Patients/Neurosurgical-Conditions-and-Treatments/Vertebral-Compression-Fractures) Accessed 10/25/2021.

Bischoff-Ferrari, H A et al. “Vitamin D receptor expression in human muscle tissue decreases with age.” Journal of bone and mineral research: the official journal of the American Society for Bone and Mineral Research vol. 19,2 (2004): 265-9. doi:10.1359/jbmr.2004.19.2.265

Donnally III CJ, DiPompeo CM, Varacallo M. Vertebral Compression Fractures. [Updated 2021 Nov 21]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: www.ncbi.nlm.nih.gov/books/NBK448171/

Hassan-Smith, Zaki K et al. “25-hydroxyvitamin D3, and 1,25-dihydroxyvitamin D3 exert distinct effects on human skeletal muscle function and gene expression.” PloS one vol. 12,2 e0170665. 15 Feb. 2017, doi:10.1371/journal.pone.0170665

McCarthy, Jason, and Amy Davis. “Diagnosis and Management of Vertebral Compression Fractures.” American family physician vol. 94,1 (2016): 44-50.

Back Pain in Children

Back Pain in Children

Children and adolescents are experiencing back pain. Why it happens, and how parents can help prevent it is the objective. When thinking of back pain the image is typically a man or woman, hunched over grabbing their backs and wincing in pain. However, back pain in children and adolescents is not that uncommon. According to a 2020 study published in Spine, around thirty-four percent of children report having back pain, with almost nine percent experiencing severe back pain. By the time they are fifteen, 20 to 70% of children will have experienced back pain at some point. Developing chronic back pain increases with age and is more common in girls.  
11860 Vista Del Sol, Ste. 128 Back Pain in Children
 
The study found those that sought out early treatment, physical therapy, and chiropractic being the most prescribed lessened the need for more invasive treatments, like spinal injections, and surgery. Back pain can have a major impact on an adult’s life, and more so on a child. Prevention and treatment are important to help restore overall health and wellness.

Signs and Symptoms

Symptoms can vary, the most common:
  • Pain increases with movement, like bending or twisting
  • Increased pain after sitting or standing for an extended period
  • Sore and tender muscles around the spine
  • Tight muscles
  • Muscle spasms
Most back pain in children is mild. However, there are times when the child will require medical attention. A child should see a doctor if back pain persists for more than two or three days, if there is a fever, or if there is any numbness or weakness in the arms and legs.

Common Causes

Like adults, muscle sprains and strains are the most common cause of back pain. Strains are more common in the low back than around the neck or middle back and usually occur from overuse injuries, poor posture, poor body mechanics, and falls. Other common causes include:
  • Weak core
  • Overweight/obesity
  • Muscle weakness and stiffness
  • A sedentary lifestyle, not enough activity
  • Sitting and slouching in front of the computer for too long
  • Carrying an overloaded backpack
 

Spinal Conditions

Recreational and sports activities with injuries sustained are the most common causes of developing back pain. However, back pain can be brought on by underlying health and spine-related conditions. About a third of adolescents with low back pain could have a spinal condition. The most common conditions include:

Idiopathic Scoliosis

This is an abnormal curvature of the spine. This is usually not a painful condition. Some curvatures can be severe enough to cause pain and require medical care. Scoliosis can include the middle, low spine, or the entire spine. It is most common in adolescents 11-17 years of age. Symptoms include:
  • Tilted shoulders
  • Uneven hip bones
  • One side of the ribs projects out more than the other

Scheuermann�s kyphosis

This is a growth disorder of the vertebrae. It happens when the front of the spine does not grow as fast as the back of the spine. This can produce a humpback curvature. The spine bends forward but the child cannot stand up straight. Usually, it happens during accelerated growth periods.

Spondylolysis

The vertebrae can break in children and kids that do repetitive exercises involving bending and twisting. Sports like gymnastics and football create a heightened risk for spondylolysis. It usually affects the low back and presents with non-stop low back pain. The most common treatment is rest. Other causes include:
  • Spinal cord tumors
  • Sickle cell anemia
  • Infection
Tumors and infections are highly uncommon in children. They often present with pain and fever. If the nerves are pinched numbness, tingling, and weakness in the extremities can develop.

Common Treatments

Back pain in children is usually a short experience and can be treated with ice, rest, and over-the-counter medications like acetaminophen for children and nonsteroidal anti-inflammatory drugs like ibuprofen. A playing/exercise program can significantly help reduce child back pain. However, there could be a need to modify the activity, so as to not worsen the injury or create new injury/s. The activities could be made to be lighter or a brace could be utilized. A specialist like a chiropractor/physical therapist can provide treatment, along with exercises, stretches, and lifestyle changes that will help reduce the pain. Complementary therapies like massage and acupuncture can enhance the child�s healing/recovery time and knock out the pain quickly.  
11860 Vista Del Sol, Ste. 128 Back Pain in Children
 

Parental Prevention

Proper posture can and will prevent back pain. Children’s and adolescents’ musculoskeletal structures continue to develop at this stage. Therefore, sitting, standing, and lifting properly is paramount to preventing back pain. Along with this is avoiding activities that place repeated strain on the spine. An example is an overexertion while playing sports. Tips for keeping kids back-pain free:
  • Avoid activities that generate repeated strain on the same muscles
  • Stretching breaks need to be incorporated when sitting for a long time
  • Limit sedentary activities
  • Teach proper posture
  • No slouching
  • As much as possible make the home a stress-free environment
  • Maintain a healthy weight and diet with balanced meals and snacks
  • Help promote overall mental and physical health
Children and kids that are stressed out or depressed have a greater risk of developing back pain. Encourage the kids to stay active, get proper sleep, stretch out, and eat foods that are healthy for the spine. If back pain is presenting, a customized treatment plan along with lifestyle changes will get the child back to their favorite activities.

Lower Back Pain Chiropractic Treatment


 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.* Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*
Head Down, Shoulders Hunched Forward = Phone Neck Pain

Head Down, Shoulders Hunched Forward = Phone Neck Pain

Being attached to a smartphone and looking down for a long can cause phone neck pain. We are all constantly connected to our family, friends, work, etc. When we keep our head down, shoulders hunched forward, neck straining from the uncomfortable angle for a long time a neck injury can develop. This has to do with knowing how to maintain proper posture while using a smartphone.

Most of us know this syndrome as tech neck, text neck, and is caused by straining the neck too far down and forward while talking/texting, etc. Holding this position for too long will cause neck muscle strain and pain. This also occurs with handheld devices with users hunching their shoulders forward. The awkward neck angel and rounded shoulders strain the entire upper body.

 

11860 Vista Del Sol, Ste. 128 Head Down, Shoulders Hunched Forward = Phone Neck Pain

Phone Neck Pain Stretches/Tips

Here are a few tips along with some light stretches/exercises to keep the neck muscles flexible and loose.

  • Try to bring the phone to eye level.
  • Check around and look up from the screen every few minutes so as not to remain in a downward position.
  • Incorporate light and easy neck stretches and exercises.

Chin Tuck

Move the chin towards the chest, and hold for 5 seconds as there will be a comfortable stretch from the neck to the base of the skull to the mid-back. Try doing a few up to 10 times until you feel thoroughly stretched.

Side Bend

Tilt the head to the right, bringing the ear close to the shoulder. Use your hand to pull your head farther into the stretch if possible. Hold for 20 seconds. Bring the head back to the center, and tilt to the left, and hold for 20 seconds. Repeat this motion 3-5 times on each side.

Head Rotation

Rotate the chin towards the right shoulder and hold for 20 seconds. Use your hand to push your head farther into the stretch if possible. Bring the head back to the center, and rotate to the left, and hold for 20 seconds. Repeat this motion 3-5 times on each side.

Neck pain can turn into a full injury or condition if an individual continues with this form of very poor posture. Taking care of our bodies needs to be a priority. Make proper posture a habit and it will help prevent neck and back pain from developing. This along with related posture and biomechanical issues. Proper posture means the head is upright, the ears are in line with the shoulders, and the shoulder blades are down.

Neck Pain Chiropractic Care

 

Dr. Alex Jimenez�s Blog Post Disclaimer

The scope of our information is limited to chiropractic, musculoskeletal, physical medicines, wellness, and sensitive health issues and/or functional medicine articles, topics, and discussions. We use functional health & wellness protocols to treat and support care for injuries or disorders of the musculoskeletal system. Our posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate and support directly or indirectly our clinical scope of practice.*

Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We also make copies of supporting research studies available to the board and or the public upon request. We understand that we cover matters that require an additional explanation as to how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez or contact us at 915-850-0900. The provider(s) Licensed in Texas& New Mexico*

Chiropractic Fixes Hunched Back Teen

Chiropractic Fixes Hunched Back Teen

After pulling out a tree root Muntathar experienced excruciating pain which forced him into a extreme hunched position. If he tried to stand up he would get terrible pain and numbness all down his leg. Despite being to emergency 9 times, he had found no help in the medical world. So as a last resort he decided to travel from America to Australia to see Dr. Ian. Watch as after 2 weeks of specific Gonstead Chiropractic care, Mun stands straight and tall once more and gets his life back. We hope you enjoy this very special case.

The video�(see at bottom of post) was posted on Reddit by user Duggerdean with the comment: �I used to be a skeptic about chiropractic care until I started watching this channel. His latest video is so amazing.�

The video they refer to is that of Dr Ian Watch, who practices at Gonstead Chiropractic in Victoria, Australia � and his teenage patient�Muntathar Altaii from the US.

Despite going to A&E nine times, he says no one was able to help him.

Day 1

blog picture of hunched back teen at hospital walking

 

Dr Ian X-rays Mun�s back and sees one of the joints isn�t functioning properly. The measurements are also quite a long way out which suggests the sacrum (the large triangular bone at the base of the spine) has rotated.

 

Back

Mun Also Has No Feeling In His Right Leg

 

Dr Ian makes what he calls �a very small correction� at the first appointment. After just 10 minutes, he�s already got a small amount of feeling back in his leg.

Mun then confesses he hopes to be better by his graduation � on June 17. No pressure.

Day 2

 

Back 2

Mun Reports He�s Slept Well For The First Time In Three Months

 

Dr Ian identifies a huge amount of upper cervical nerve pressure in his neck. His head sits higher on one side than the other. So, Dr Ian makes another �adjustment�.

Day 4

 

Lift up gif

Mun has a lot more movement. He can move his leg easily, whereas before he would have to pick it up even to walk.

Day 7

 

After further manipulation of Mun�s spine (with assistance to keep it stable), Mun tells Dr Ian how desperate he�d become after his injury. �At first I didn�t want to even live anymore,� he says, �because I couldn�t walk anywhere.�

Day 10

 

STeps

‘Now he just walks like he�s been playing too much X-Box� jokes Dr Ian.

For The First Time, Mun�s Taller Than The Doctor

 

Mun

Transformation In Just 10 Days Is Pretty Incredible

 

blogpictureofagreenbuttonwithaphonereceivericonandhunderneath

Call Today!

Photo Mun Sent Back To His Family That Night

 

photo

 

Before & After

 

Before and after

Mun�s High School Graduation Picture � He Got His Wish Last Week

 

YouTube graduation
Mun, Second From Left, With His Dad

Now Mun Wants To Be A Chiropractor When He�s Older, Of Course!

 

blog picture of emerald green button that says call now

Call Today!

 

Prescription Pain Killers!