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A Comprehensive Guide to Almond Flour and Almond Meal

A Comprehensive Guide to Almond Flour and Almond Meal

For individuals practicing a low-carbohydrate eating style or want to try an alternative flour, can incorporating almond flour help in their wellness journey?

A Comprehensive Guide to Almond Flour and Almond Meal

Almond Flour

Almond flour and almond meal are gluten-free alternatives to wheat products in certain recipes. They are made by grinding almonds and can be bought prepared or made at home with a food processor or grinder. The flour is higher in protein and lower in starch than other gluten-free flour.

Almond Flour and Almond Meal

The flour is made with blanched almonds, meaning the skin has been removed. Almond meal is made with whole or blanched almonds. The consistency for both is more like corn meal than wheat flour. They can usually be used interchangeably, although using the blanched flour will produce a more refined, less grainy result. Superfine almond flour is great for baking cakes but is difficult to make at home. It can be found at grocery stores or ordered online.

Carbohydrates and Calories

A half cup of commercially prepared flour contains about:

  1. The glycemic index of almond flour is less than 1, which means it should have little effect on raising blood glucose levels.
  2. The high glycemic index of whole wheat flour is 71, and rice flour is 98.

Using Almond Flour

It is recommended for making gluten-free quick bread recipes, such as gluten-free:

  • Muffins
  • Pumpkin bread
  • Pancakes
  • Some cake recipes

Individuals are recommended to start with a recipe already adapted for almond flour and then make their own. A cup of wheat flour weighs around 3 ounces, while a cup of almond flour weighs almost 4 ounces. This will make a significant difference in baked goods. The flour is beneficial for adding nutrients to foods.

Almond Meal

  • Almond meal can be cooked as polenta or grits such as shrimp and grits.
  • Cookies can be made gluten-free with almond meal.
  • Almond meal biscuits can be made, but pay attention to the recipe.
  • Almond meal can be used to bread fish and other fried foods, but it must be taken care of so as not to burn.
  • Almond meal is not recommended for breads that require true dough with a developed gluten structure, like wheat flour.
  • More eggs are needed when baking with almond meal to provide the structure gluten in flour creates.

Adapting recipes to substitute almond meal for wheat flour can be a challenge that requires plenty of trial and error.

Sensitivities

Almonds are a tree nut, one of the eight most common food allergies. (Anaphylaxis UK. 2023) While peanuts are not tree nuts, many with peanut allergies can also have an almond allergy.

Making Your Own

It can be made in a blender or food processor.

  • Care must be taken not to grind it too long, or it will become almond butter, which can also be used.
  • Add a little at a time and pulse until it is ground into meal.
  • Store unused flour immediately in the refrigerator or freezer because it will go rancid quickly if left out.
  • Almonds are shelf-stable, and almond flour is not, so it is recommended that you grind only what is needed for the recipe.

Store Bought

Most health food stores sell almond flour, and more supermarkets are stocking it as it has become a popular gluten-free product. Packaged flour and meal will also go rancid after opening and should be kept in the refrigerator or freezer after opening.


Integrative Medicine


References

USDA FoodData Central. (2019). Almond Flour. Retrieved from fdc.nal.usda.gov/fdc-app.html#/food-details/603980/nutrients

Anaphylaxis UK. (2023). Allergy Factsheets (Anaphylaxis UK A brighter future for people with serious allergies, Issue. www.anaphylaxis.org.uk/factsheets/

Atkinson, F. S., Brand-Miller, J. C., Foster-Powell, K., Buyken, A. E., & Goletzke, J. (2021). International tables of glycemic index and glycemic load values 2021: a systematic review. The American journal of clinical nutrition, 114(5), 1625–1632. doi.org/10.1093/ajcn/nqab233

Protein Deficiency: El Paso Back Clinic

Protein Deficiency: El Paso Back Clinic

Protein deficiency, or hypoproteinemia, is when the body has lower-than-normal protein levels. Protein is an essential nutrient in bones, muscles, skin, hair, and nails, and maintains bone and muscle strength. The body does not store protein, so it is needed daily. It helps make hemoglobin, which carries oxygen throughout the body, and chemical enzymes, which cause reactions that maintain organ function. A lack of enough protein can cause problems like muscle loss, fatigue, a weakened immune system, and chronic pain. Injury Medical Chiropractic and Functional Medicine Clinic can provide nutritional guidance and develop a personalized nutrition plan to restore musculoskeletal health and function.

Protein Deficiency: EP's Functional Chiropractic Clinic

Protein Deficiency

When digested, protein breaks down into amino acids that help the body’s tissues function and grow. Individuals can become deficient if their bodies can’t effectively digest and absorb the proteins within the foods they eat.

Symptoms

When the body doesn’t meet the required protein amounts or can’t absorb protein efficiently, it can lead to symptoms, including:

  • Chronic fatigue.
  • Increased infections and illnesses.
  • Reduced muscle mass.
  • Loss of muscle mass.
  • Slower injury healing times.
  • Sarcopenia in older individuals.
  • Swelling in the legs, face, and other areas from fluid buildup.
  • Dry, brittle hair that falls out.
  • Cracked, pitted nails.
  • High blood pressure during the second trimester of pregnancy/preeclampsia.

Causes

Protein deficiency can have various causes, depending on the individual case. Certain medical conditions include:

  • Malnutrition or undereating – an individual does not eat enough calories or avoids certain food groups.
  • Anorexia nervosa.
  • Inflammatory bowel disease.
  • Gastrointestinal disorders.
  • Kidney problems.
  • Liver disorders.
  • Celiac disease.
  • Chronic obstructive pulmonary disease.
  • Cancer.
  • Acquired immune deficiency syndrome.

Increase Protein Intake

Adequate protein intake is essential to maintain healthy amino acid levels to support cell structure and function. The requirement differs for everybody based on age, sex, and physical activity levels. Protein is available in a wide variety of animal and plant foods. Recommended nutritious protein sources for optimal health and fitness include foods such as:

  • Beans and legumes
  • Oats
  • Eggs
  • Cheese
  • Lean beef, chicken, turkey, and pork
  • Seafood
  • Seeds
  • Nuts
  • Various kinds of nut butter
  • Greek yogurt
  • Quinoa
  • Tofu

Protein is essential for all cells and body tissue and can impair body function in short supply. Although diet-related protein deficiency is rare in the United States, certain medical conditions can increase the risk. Adding protein to a diet is simple and can be achieved by incorporating various foods from either plant or animal sources.


Clinical Implementation of Functional Nutrition


References

Bauer, Juergen M, and Rebecca Diekmann. “Protein and Older Persons.” Clinics in geriatric medicine vol. 31,3 (2015): 327-38. doi:10.1016/j.cger.2015.04.002

Brock, J F. “Protein deficiency in adults.” Progress in food & nutrition science vol. 1,6 (1975): 359-70.

Deutz, Nicolaas E P, et al. “Protein intake and exercise for optimal muscle function with aging: recommendations from the ESPEN Expert Group.” Clinical nutrition (Edinburgh, Scotland) vol. 33,6 (2014): 929-36. doi:10.1016/j.clnu.2014.04.007

Hypoproteinemia MedGen UID: 581229 Concept ID: C0392692 Finding www.ncbi.nlm.nih.gov/medgen/581229#:~:text=Definition,of%20protein%20in%20the%20blood.%20%5B

Paddon-Jones, Douglas, and Blake B Rasmussen. “Dietary protein recommendations and the prevention of sarcopenia.” Current Opinion in clinical nutrition and metabolic care vol. 12,1 (2009): 86-90. doi:10.1097/MCO.0b013e32831cef8b

Pappova, E et al. “Acute hypoproteinemic fluid overload: its determinants, distribution, and treatment with concentrated albumin and diuretics.” Vox sanguinis vol. 33,5 (1977): 307-17. doi:10.1111/j.1423-0410.1977.tb04481.x

Lumbar Strain: El Paso Back Clinic

Lumbar Strain: El Paso Back Clinic

The lumbar/low back muscles support the upper body’s weight and are involved in moving, twisting, bending, pushing, pulling, and reaching. These repetitive actions can result in a lumbar strain, which is muscle damage or injury to the tendons or muscles of the lower back, causing spasms, soreness, and pain. A lumbar strain can be the source of severe pain symptoms; it can be debilitating and, if left untreated, can lead to chronic conditions. Injury Medical Chiropractic and Functional Medicine Clinic can relieve symptoms, realign the body, relax, rehabilitate, strengthen muscles, and restore function.

Lumbar Strain: EP's Chiropractic Injury Team

Lumbar Strain

The lumbar vertebra makes up the region of the spine in the lower back. Sudden injuries or overuse injuries can damage the tendons and muscles. Lumbar muscle strain is caused when the muscle fibers are abnormally stretched or torn. Lumbar strain can be acute/sudden or chronic/lingering. A strain that has been present for days or weeks is referred to as acute. It is considered chronic if it has persisted for over three months. It can occur at any age but is most common in individuals in their forties. Increased risk factors can include:

  • Weakened back or abdominal muscles can cause
  • Tight hamstrings can pull the low back muscles down.
  • Excessive lower back curvature.
  • Forward-tilted pelvis.

Symptoms

Lumbar strain can have varied signs and symptoms depending on the location, damage, and cause of injury. The damage can range from simple overstretching injuries to partial or complete tears of varying degrees. The tears cause inflammation in the surrounding area, resulting in back spasms and difficulty moving. A muscle spasm is a cramp caused by a sudden and involuntary contraction or twitch and can be one of the symptoms of a lumbar strain. Other symptoms can include:

  • Muscle spasms either with activity or when resting.
  • Stiffness in the low back.
  • Difficulty standing or walking, with slight relief when resting.
  • Trouble doing simple tasks like bending or climbing stairs.
  • Low back pain can radiate into the buttocks without affecting the legs.
  • The lower back may be tender and sore to the touch.
  • Decreased muscle strength.
  • Restricted or limited range of motion.
  • Inability to maintain healthy posture because of stiffness and/or pain.
  • Discomfort symptoms that persist.
  • Discomfort ranges from mild aches to sharp, debilitating pain.
  • Intermittent flare-ups.

Causes

There are often multiple underlying risk factors contributing to the injury or damage. A few of the most common causes:

Chiropractic

Depending on the severity, a doctor or health care provider could recommend chiropractic treatment and physical therapy. The chiropractor will perform an evaluation, combined with the doctor’s diagnosis, to develop a customized/personalized treatment plan. Treatment may include:

  • Ice and heat therapy
  • Massage to stimulate blood circulation
  • Percussive muscle stimulation
  • Pelvic traction
  • Ultrasound
  • Stretching exercises
  • Exercises to do at home for long-term relief.

It is a safe option to loosen tight back muscles, relieve pain, and promote lower back healing.


Spine Injuries In Sports


References

Ball, Jacob R et al. “Lumbar Spine Injuries in Sports: Review of the Literature and Current Treatment Recommendations.” Sports medicine – open vol. 5,1 26. 24 Jun. 2019, doi:10.1186/s40798-019-0199-7

Domljan, Z et al. “Lumbalni strain-sindromi” [Lumbar strain syndromes]. Reumatizam vol. 38,5-6 (1991): 33-4.

Li, H et al. “Rehabilitation effect of exercise with soft tissue manipulation in patients with a lumbar muscle strain.” Nigerian journal of clinical practice vol. 20,5 (2017): 629-633. doi:10.4103/njcp.njcp_126_16

Williams, Whitney, and Noelle M Selkow. “Self-Myofascial Release of the Superficial Back Line Improves Sit-and-Reach Distance.” Journal of sport rehabilitation vol. 29,4 400-404. 18 Oct. 2019, doi:10.1123/jsr.2018-0306

Pregnancy Sciatica Chiropractic Back Clinic

Pregnancy Sciatica Chiropractic Back Clinic

The body experiences physical changes during pregnancy. As the baby grows, the body has to adjust, which can cause unfamiliar aches and pains. A common issue for pregnant women is sciatica symptoms or lumbar radiculopathy, which radiates discomfort sensations that travel down the lower spine, down the back of the thigh, and into the foot. Chiropractic care and massage therapy can realign the spine and hips, therapeutically massage circulation through the body, relieve symptoms, and restore function.Pregnancy Sciatica Chiropractor

Pregnancy Sciatica

The sciatic nerve is the largest in the body and the main nerve in the legs. In most cases, sciatica happens when this nerve gets compressed by bulging, slipped, or ruptured spinal discs, arthritis, or spinal stenosis.

Symptoms

Aches and pains that result from sciatica range from mild to severe sensations. Symptoms include:

  • Pain that travels from the pelvis down the back of the leg.
  • A burning sensation in the low back and buttocks.
  • Jolting pain that feels like an electric shock.
  • Numbness, muscle weakness, or tingling in one leg or foot.
  • Tingling sensation in one part of the body and pain in another.
  • Pain that worsens when coughing, sneezing or sitting for long periods.

Causes

Sciatica during pregnancy can be caused by:

  • Weight gain is going to pull the spine and muscles down.
  • Increased fluid retention can place added pressure on the nerve as it passes through the pelvis.
  • The expanding uterus can press down on the nerve in the lower part of the spine.
  • The growing belly and breasts shift the center of gravity forward and stretch the lordotic curve causing the muscles in the:
  • Buttocks and pelvis to tighten up and compress the sciatic nerve.
  • The baby’s head can rest directly on the nerve when settling into the proper birth position in the third trimester.
  • A herniated or slipped disc caused by the extra pressure of the growing uterus can be the cause, although this is less common.
  • Pregnancy also causes the body to release a hormone called relaxin, designed to relax the ligaments and prepare the pelvis for childbirth.
  • Loose ligaments can cause spinal compression and affect the sciatic nerve.

Sciatica will most likely occur during the third trimester when mother and baby are bulking up, but it can develop earlier, although this is less common. Most women experience symptoms on one side, though it can affect both legs. The condition can be constant or intermittent, depending on the amount of pressure placed on the nerve, and can remain for a few months after giving birth when the excess weight and fluid are gone.

Treatment Techniques

Simple home remedies and treatment to help ease the symptoms. These include:

Sleep on Your Side

  • Rest on the side of the body that does not present symptoms when lying down.
  • This takes the pressure off the compressed nerve.
  • Use a full-body pillow to support the hips and legs.

A Hot Shower, Heat, and Ice

  • Heat relaxes tight muscles and increases circulation.
  • Putting a cold pack on your lower back and rear pelvis can also help.

Consistent Movement

  • Consistent gentle movement that does not include too much bending or twisting is helpful to keep the musculoskeletal system active and limber.
  • Going for a light walk is recommended.
  • A prenatal yoga class can soothe muscles and the mind.
  • Low-impact activities like swimming can also be beneficial.

Prenatal Massage

  • Prenatal massage can reduce stress, improve blood circulation, and regulate hormones.

Chiropractic and Physical Therapy

  • Chiropractic is non-invasive and drug-free, making it a safe and gentle option for mom and baby.
  • A professional chiropractor can evaluate the condition.
  • Identify and remove interferences in the nervous system from the source.
  • Realign the bones.
  • Provide a personalized treatment plan to alleviate symptoms and stretches and strength-building exercises.

Sciatica In Pregnancy


References

American Pregnancy Association: “Prenatal Massage Therapy.

American Pregnancy Association: “Sciatic Nerve Pain During Pregnancy: Causes and Treatment.”

FRIEDMANN, E. “Narrowing of the spinal canal due to thickened lamina a cause of low-back pain and sciatica.” Clinical orthopedics vol. 21 (1961): 190-7.

Goldsmith, Laura T, and Gerson Weiss. “Relaxin in human pregnancy.” Annals of the New York Academy of Sciences vol. 1160 (2009): 130-5. doi:10.1111/j.1749-6632.2008.03800.x

KULOWSKI, J. “Unusual causes of low back pain and sciatica during pregnancy.” American journal of obstetrics and gynecology vol. 84 (1962): 627-30. doi:10.1016/0002-9378(62)90156-4

Trager, Robert J et al. “Ischial osteochondroma as an unusual source of pregnancy-related sciatic pain: a case report.” Chiropractic & manual therapies vol. 30,1 45. 17 Oct. 2022, doi:10.1186/s12998-022-00451-3

Lumbar Traction Decompression Therapy For Low Back Pain

Lumbar Traction Decompression Therapy For Low Back Pain

Introduction

The back is part of the musculoskeletal system, held by the spine to keep the body upright. The spine allows the body and the back to twist, turn, bend, and move side to side without feeling pain. However, when the body suffers from a pulled muscle or an injury, it can strain the back and cause back issues over time if not treated right away. Luckily, many treatments for low back pain can help a person get back to their daily activities. In this article, we will be looking at what causes low back pain and its symptoms and how lumbar traction decompression can help alleviate low back pain for individuals. By referring patients to qualified and skilled providers specializing in spinal decompression therapy. To that end, and when appropriate, we advise our patients to refer to our associated medical providers based on their examination. We find that education is the key to asking valuable questions to our providers. Dr. Alex Jimenez DC provides this information as an educational service only. Disclaimer

 

Can my insurance cover it? Yes, it may. If you are uncertain, here is the link to all the insurance providers we cover. If you have any questions, please call Dr. Jimenez at 915-850-0900.

What Are The Causes Of Low Back Pain?

 

The spine is encompassed by ligaments, soft tissue, the spinal cord, and nerve roots that allow the body to twist and bend. The lower back allows the motion of twisting and turning to happen, as research studies have shown the lumbar spine provides the support, strength, and flexibility to all the muscles, joints, and nerves in the body. Sadly, the lumbar spine is susceptible to injury and pain, as it supports the upper body’s weight and anything from a pulled muscle from lifting heavy objects to being injured in an accident. Since low back pain is common for many individuals, the causes of low back pain occur at any moment, as research studies have shown. Some of the reasons that occur for low back pain include:

Other research studies have shown that low back pain causes can also be due to mechanical and soft tissue issues that can damage the intervertebral disc, compress the nerve roots, and even cause improper movement to the spinal joints, causing the individual to be in immense pain.

 

Low Back Pain Symptoms

When a person is suffering from low back pain, the pain can range from a mild, dull ache in the lower back to a sharp shooting pain that can travel from the lower back all the way down to the foot. Research studies have shown that low back pain symptoms can begin as an acute symptom that can turn into chronic if it is not treated right away. Some of the most common low back pain symptoms that can occur include:

  • Dull aching pain due to muscle spasms, limited mobility, and aches on the hips and pelvis
  • Traveling pain down to the buttocks, legs, and feet causing sciatica to form
  • Pain from prolonged sitting
  • Gradual pain
  • Sudden pain after an injury

 


Traction Therapy For Low Back Pain-Video

The video above shows how traction decompression therapy is used for individuals suffering from low back pain. Research studies have found that low back pain is common and one of the reasons many individuals see their primary physicians and even miss work. Some of the treatments like traction decompression utilize a traction table to gently pull the spine to cause instant relief to the individuals suffering from low back pain. What traction decompression does is that it allows the beneficial nutrients to be put back into the spine as well as decompressing the compressed discs back to their original form and alleviating the pain. With the combination of physical therapy, many individuals suffering from low back pain will begin to feel much better and continue on their wellness journey. If you want to learn more about spinal decompression therapy, this link will explain the benefits of spinal decompression and how it can alleviate low back pain symptoms.


Lumbar Traction Decompression For Low Back Pain

 

As many people don’t know, lumbar traction is one of the oldest known treatments for low back pain. Lumbar traction decompression has been used to reduce muscle contraction and reduce the symptoms of low back pain in prone. Research studies have shown that the efficacy of lumbar traction therapy for treating low back pain will allow a significant reduction in the pain intensity that the individual is feeling. Utilizing physical therapy that incorporates local heat and exercise and traction decompression therapy will provide excellent results in dampening the effects of low back pain. Other research studies have shown that mechanical traction on individuals suffering from low back pain due to having herniated discs will be significantly improved and restore the spinal discs to their original state. This will allow many individuals to be pain-free and continue their daily activities.

Conclusion

All in all, low back pain is common for many individuals and is one of the reasons why many individuals visit their primary physicians and get out of work. Low back pain can range from a dull, mild ache to a sudden, sharp pain that can cause muscle weakness and other back issues that hinder a person from performing their daily activities. Luckily, treatments like lumbar traction decompression therapy allow the individual suffering from low back pain to be lying on a traction table and have their spine be gently pulled. This gentle stretching allows the beneficial nutrients back into the spine and restores the compressed disc by increasing their height and reducing the pain. Afterward, many individuals will continue with their daily activities without suffering anymore.

 

References

Borman, Pinar, et al. “The Efficacy of Lumbar Traction in the Management of Patients with Low Back Pain.” Rheumatology International, U.S. National Library of Medicine, Mar. 2003, pubmed.ncbi.nlm.nih.gov/12634941/.

Cheng, Yu-Hsuan, et al. “The Effect of Mechanical Traction on Low Back Pain in Patients with Herniated Intervertebral Disks: A Systemic Review and Meta-Analysis.” Clinical Rehabilitation, U.S. National Library of Medicine, Jan. 2020, pubmed.ncbi.nlm.nih.gov/31456418/.

Medical Professionals, Cleveland Clinic. “Low Back Pain: Causes, Diagnosis & Treatments.” Cleveland Clinic, 18 Jan. 2021, my.clevelandclinic.org/health/diseases/7936-lower-back-pain.

Peloza, John. “Causes of Lower Back Pain.” Spine, Spine-Health, 20 Apr. 2017, www.spine-health.com/conditions/lower-back-pain/causes-lower-back-pain.

Peloza, John. “Lower Back Pain Symptoms, Diagnosis, and Treatment.” Spine, Spine-Health, 20 Apr. 2017, www.spine-health.com/conditions/lower-back-pain/lower-back-pain-symptoms-diagnosis-and-treatment.

Peloza, John. “Lower Back Pain Symptoms.” Spine, Spine-Health, 20 Apr. 2017, www.spine-health.com/conditions/lower-back-pain/lower-back-pain-symptoms.

Staff, Mayo Clinic. “Back Pain.” Mayo Clinic, Mayo Foundation for Medical Education and Research, 21 Aug. 2020, www.mayoclinic.org/diseases-conditions/back-pain/diagnosis-treatment/drc-20369911.

Disclaimer

Sacral Fracture

Sacral Fracture

For older individuals, experiencing frequent low back pain could turn out to be a sacral fracture. They tend to occur in individuals over the age of 60 often because there has been a degree of bone loss. Sacral fractures tend not to be the first thing doctors think of when low back pain symptoms are presenting. They are often not picked up on X-rays and are either not diagnosed early enough to take steps or not diagnosed at all. However, they are common.

Sacral Fracture

Sacrum

The sacrum is shaped like a triangle and comprises five segments fused into one large bone. It sits at the base of the spine,  between the two halves of the pelvis, connecting the spine to the lower half of the body. It stabilizes the body when walking, sitting, or standing. The nerves in the lower spine control the bowels bladder and provide sensation to the region.

  • The two dimples that can be seen on individuals’ backs are where the sacrum joins the hipbones or the sacroiliac joint.
  • The point where the low back joins the sacrum can develop discomfort, soreness, and pain.
  • This area experiences stress from bending, twisting, reaching, lifting, carrying during physical activities or sitting for long periods.

Sacral Fracture

Most sacral fractures result from trauma, like slips, falls, and automobile accidents. Stress fractures that happen without a specific injury are also called insufficiency fractures.

Types of Sacral Fractures

  • Low-energy fractures usually happen to older individuals with weak bones due to osteoporosis.
  • An individual trips on something, lands hard on their butt, lifts a heavy object awkwardly, or over-exerts themselves from some physical activity.
  • Then persistent back or buttock pain begins to present.
  • The pain is often centered in the lower back, the hips, and butt.
  • It is more than just back achiness.
  • The individual goes to the doctor, and X-rays are ordered.
  • A lot of the time, these fractures are missed on X-rays.
  • The doctor may diagnose a sprain, but the pain symptoms do not improve.
  • Sometimes there is no apparent cause for the pain.
  • It can be misdiagnosed as a lower back compression fracture or urinary tract infection.

 

  • High-energy fractures are due to trauma and are more common among the young.
  • The individual sustains injuries from an auto accident, has fallen from a significant height, or suffers a sports injury.
  • It results in severe pain.
  • A woman who has just had a baby and gone through some bone loss because of the pregnancy can experience a sacral stress fracture.

Diagnosis

The most common causes for low back pain include:

  • Frequent improper posture.
  • Muscle weakness or tightness.
  • Ligament strain.
  • Joint inflammation.
  • A pilonidal cyst or an anal fissure can also cause pain.

For individuals that have been to a doctor and had an X-ray that reveals no fracture, and there is no improvement after 5 to 7 days, it is recommended to schedule another appointment and ask for a CAT scan or MRI, which is highly effective at finding a sacral fracture.

Treatment

Treatment consists of resting the bone but still being safely active in most cases.

  • Medication is prescribed for pain relief.
  • Many individuals have been found to do well with anti-inflammatory medications, topical medications, and lidocaine patches.
  • Older individuals may be recommended to use a walker during the treatment/healing process.
  • Depending on the severity, crutches may be recommended.
  • Engaging in regular exercise is not recommended, but too much bed rest is also not recommended.
  • Too much rest may not allow the injury to heal correctly, worsen the injury, and/or cause new injuries.
  • Chiropractic and physical therapy are not recommended to let the sacrum naturally heal.
  • After the pain subsides, chiropractic and physical therapy can be implemented to maintain agility and flexibility and strengthen the pelvic and core muscles.

In some cases, if the bone does not heal correctly or some other issue, sacroplasty could be recommended. This is a minimally invasive procedure that injects bone cement into the fracture. It offers quick and long-lasting pain relief with a low percentage of complications. It is considered low risk and can be done by an interventional radiologist or spine surgeon.

Prevention

To minimize the risk of a sacral fracture, it is highly recommended to maintain bone strength. This consists of:


Body Composition


Sitting Posture Adjustments

Adjust Sitting

Change Chair

  • Try a solid wooden chair if unable to use a ball or sit-stand desk.
  • It will make the body sit up straight and increase proper posture.

Move Around Alarm

References

Gibbs, Wende Nocton, and Amish Doshi. “Sacral Fractures and Sacroplasty.” Neuroimaging clinics of North America vol. 29,4 (2019): 515-527. doi:10.1016/j.nic.2019.07.003

Holmes, Michael W R, et al. “Evaluating Abdominal and Lower-Back Muscle Activity While Performing Core Exercises on a Stability Ball and a Dynamic Office Chair.” Human factors vol. 57,7 (2015): 1149-61. doi:10.1177/0018720815593184

Santolini, Emmanuele et al. “Sacral fractures: issues, challenges, solutions.” EFORT open reviews vol. 5,5 299-311. 5 May. 2020, doi:10.1302/2058-5241.5.190064

Low Back Gluteal Strengthening

Low Back Gluteal Strengthening

Today, more than ever, individuals are less physically active and sitting down for more extended periods causing the gluteus muscles to be used less and weaken. Weak, inactive, or tightening glutes can cause instability in the lower spine, the hips, and the pelvis to shift out of alignment. This leads to low back and buttock pain. The pain is constantly dull, aching, pulsating, then when moving, getting up, it throbs and stings. Gluteal strengthening exercises can strengthen the muscles and alleviate the pain.

Low Back Gluteal Strengthening

Gluteal Strengthening

Every individual has a unique physiology. The body develops asymmetrically as the individual favors one side or area of the body over another. This can cause imbalances in the muscular system, leading to awkward positioning that causes pain. The muscle groups that support the lower back consist of the:

  • Core muscles
  • The gluteal muscle group includes:
  • Gluteus Maximus
  • Gluteus medius
  • Gluteus minimus
  • Pelvis muscles
  • Hamstrings
  • Quadriceps

In some cases, the development or lack of level of an individual’s upper back strength can also affect the amount of strain on the lower back.

Gluteal Strengthening Difference

Many joints connect in this area that can have functional problems. The muscles within the lower back need:

  • Exercise
  • Rest
  • Recovery time
  • To be stretched
  • Mobility training – example, foam rolling

Stretch Out

Stretching allows the body to enhance the limits of its flexibility and mobility. Most of the stretches are involve the hip joint, as this is one of the most effective ways to loosen the gluteal regions. It’s essential to warm the muscles slightly with a light activity while stretching them to elongate naturally.

Seated Figure 4 Stretch

  • Sitting in a chair.
  • Cross the right leg over the left.
  • With the right ankle resting on the left knee.
  • It should resemble the number 4.
  • Bend forward at the hip, placing slight pressure onto the left leg.
  • Hold this stretch for ten-twenty seconds.
  • Stretch the other side.
  • Placing the left foot on the right knee.
  • Repeat this three times.

Downward Dog

This yoga pose engages all the muscles along the back. With the glutes at the top in this position, it forces them to activate, allowing them to stretch fully.

  • Hold this pose and focus the attention on the glutes.
  • Arch the back slightly.
  • Feel the stretch in the seat of the glutes.
  • Hold for 30 seconds.

Exercises

Glute Bridge

  • Lay on the back with feet flat on the floor.
  • Knees bent.
  • Rear-end resting on the ground.
  • Engage the glutes.
  • Push the rear-end up to form a bridge.
  • Hold for 60 seconds.
  • Repeat three times.

Swiss Exercise Stability Ball Wall Squat

Squats naturally engage the glutes. This is a variation on a squat that focuses on developing gluteal strength.

  • Stand with the back facing the wall.
  • Place a Swiss stability ball between the wall and the back.
  • Lean back into the ball for balance.
  • Lower the torso until the knees reach 90 degrees.
  • Return to standing.
  • Repeat for ten reps.
  • Do three sets.

Body Composition


Analysis An Effective Tool

Opportunities to increase physical activity lead individuals in a positive direction. The most common reason for reducing and stopping healthy changes is a lack of motivation and feedback. Strategies that provide immediate feedback are essential to:

  • Monitor progress for establishing a baseline.
  • Set appropriate and attainable goals.
  • Track changes over time.
  • Ensure success.

Monitoring changes with a simple weight scale or Body Mass Index calculator provides limited ability to accurately track changes that only highlight weight changes and not track progress in muscle gain or fat loss. In less than 45 seconds, the InBody Test provides doctors, trainers, and physical therapists with easy-to-understand, accurate and objective measurements to evaluate body composition that includes:

  • Assessing muscle distribution.
  • Target areas weakened by condition or injury.
  • Identify muscle and fat imbalances in each area of the body.
  • Monitor changes to determine the efficacy of the treatment plan, exercise program, and diet plan to ensure long-term success.
References

Akuthota, Venu et al. “Core stability exercise principles.” Current sports medicine reports vol. 7,1 (2008): 39-44. doi:10.1097/01.CSMR.0000308663.13278.69

Distefano, Lindsay J et al. “Gluteal muscle activation during common therapeutic exercises.” The Journal of orthopedic and sports physical therapy vol. 39,7 (2009): 532-40. doi:10.2519/jospt.2009.2796

Glaviano, Neal R et al. “Gluteal muscle inhibition: Consequences of patellofemoral pain?.” Medical hypotheses vol. 126 (2019): 9-14. doi:10.1016/j.mehy.2019.02.046

Jeong, Ui-Cheol et al. “The effects of gluteus muscle strengthening exercise and lumbar stabilization exercise on lumbar muscle strength and balance in chronic low back pain patients.” Journal of physical therapy science vol. 27,12 (2015): 3813-6. doi:10.1589/jpts.27.3813

Macadam, Paul et al. “AN EXAMINATION OF THE GLUTEAL MUSCLE ACTIVITY ASSOCIATED WITH DYNAMIC HIP ABDUCTION AND HIP EXTERNAL ROTATION EXERCISE: A SYSTEMATIC REVIEW.” International Journal of sports physical therapy vol. 10,5 (2015): 573-91.