Maintaining the body’s musculoskeletal system and keeping it strong can be done through chiropractic and by managing general overall health. This system includes the:
Bones
Muscles
Tendons
Ligaments
Soft tissues
These all work together to support the body’s weight and allow for movement.Injuries, disease, and aging can cause stiffness, pain, and other issues with mobility, function that can lead to various conditions and/or disease.
The musculoskeletal system
The skeleton provides the framework for the muscles and other soft tissues. Working together, they support the body’s weight, help to maintain proper posture and the ability for movement. Various disorders and conditions can lead to problems with the musculoskeletal system. This includes:
Focusing on overall health and maintaining it will keep the system in top form. This is done by:
Eating a healthy balanced diet
Maintaining a healthy weight
Regular physical activity/exercise
Chiropractic support will take the body to optimal health levels.
How does the system work?
The nervous system is the body’s central command center. It controls voluntary muscle movements. Voluntary muscles are controlled intentionally. Large muscle groups are utilized to do activities like lifting a large object. Smaller groups are used for movements, like pressing a button. Movement/motion occurs when:
The nervous system which includes the brain and nerves, transmits a signal to activate the skeletal/voluntary muscles.
The muscle fibers contract/tense in response to the signal.
When the muscle activates, it pulls on the tendon.
Tendons attach muscles to bones.
The tendon pulls the bone, generating movement.
For the muscle to relax, the nervous system sends another signal.
This signal triggers the muscle/s to relax/deactivate.
The relaxed muscle releases tension
The bone is moved to a resting position.
System Parts
The musculoskeletal system functions to help stand, sit, walk, run and move in general. The adult body has 206 bones and more than 600 muscles. These are connected by ligaments, tendons, and soft tissues. The parts of the system are:
Bones
Bones support the body, protect organs and tissues, store calcium, fat and produce blood cells.
A bone’s outside shell encapsulates a spongy center.
Bones provide structure and form to the body.
They work with the muscles, tendons, ligaments, and other connective tissues to help with movement.
Cartilage
This is a type of connective tissue.
Cartilage provides cushion to the bones inside the joints, along the spine, and ribcage.
It is firm and rubbery.
It protects bones from rubbing against each other.
It is also found in the nose, ears, pelvis, and lungs.
Joints
Bones come together and form joints.
Some have a large range of motion, for example, the ball-and-socket shoulder joint.
Others, like the knee, allow bones to move back and forth but do not rotate.
Muscles
Every muscle is made of thousands of fibers.
The muscles allow the body to move, sit upright, and remain still.
Some muscles help with running, dancing, and lifting.
Others are for writing, fastening something, talking, and swallowing.
Ligaments
Ligaments are made of tough collagen fibers
They connect the bones and provide stability to the joints.
Tendons
Tendons connect the muscles to the bones.
They are made of fibrous tissue and collagen
They are tough but not as stretchable.
Conditions and disorders
Various conditions can cause problems with the musculoskeletal system. They can affect the way an individual moves. The most common causes of inflammation, pain, and mobility issues are:
Aging
With the natural aging process, bones lose density.
Less-dense bones can lead to osteoporosis and bone fractures/broken bones.
As the body ages, muscles lose their mass, and cartilage starts to wear down.
This can lead to pain, stiffness, and decreased range of motion.
After an injury, an individual might not heal as quickly.
Arthritis
Pain, inflammation, and joint stiffness are the result of arthritis.
Older individuals are more likely to develop osteoarthritis. This is from the cartilage inside the joints breaking down. However, the condition can affect individuals of all ages.
Other types of arthritis also cause pain and inflammation. This includes:
Rheumatoid arthritis
Ankylosing spondylitis
Gout
Back problems
Back pain and muscle spasms can result from muscle strains or injuries, for example, a herniated disc.
Some conditions like spinal stenosis and scoliosis can cause structural problems in the back.
This can lead to pain and limited mobility.
Cancer
Different types of cancer affect the musculoskeletal system, for example, bone cancer.
Congenital abnormalities can affect the body’s structure, function, and appearance. For example, clubfoot is a common musculoskeletal condition that babies can be born with. It causes stiffness and reduces the range of motion.
Disease
A wide range of diseases can affect bones, muscles, and connective tissues functionality.
For example, osteonecrosiscauses the bones to deteriorate and the cells to die.
Other disorders, like fibrous dysplasia and brittle bone disease, cause the bones to fracture/break easily.
All types of injuries can affect bones, muscles, cartilage, and connective tissues.
Injuries can occur from repetitive overuse. Examples include:
Carpal tunnel syndrome, Bursitis, and Tendinitis
Sprains
Muscle tears
Broken bones
Injuries to the tendons, ligaments and other soft tissues can lead to chronic conditions.
Maintaining musculoskeletal health
Recommended ways of maintaining a healthy musculoskeletal system are to keep the bones and muscles healthy by getting:
Regular physical activity and exercise
This includes weight-bearing exercises combined with cardiovascular activities. Strengthening the muscles will support the joints and protect/prevent damage.
Proper sleep
This is so the bones and muscles can recover and rebuild.
Maintain a healthy weight
Added weight places pressure on the bones and joints.
This causes various health problems.
If there is added weight, it is recommended to consult a health coach and nutritionist about a personalized weight-loss plan.
They can help make healthy food choices that will make for strong bones and include anti-inflammation foods.
Quit tobacco use
Smoking decreases blood flow in the body.
The bones, muscles, and soft tissues need proper blood circulation to maintain health.
Regular chiropractic adjustments
Adjustments will help maintain the body’s balance and alignment.
This, along with recommended stretches and exercises, will take the body to optimal health.
Healthy Body Composition
Bodyweight Squat
This is one of the best strength exercises for building general functional low body strength. The muscle groups that get worked include the:
Quadriceps
Hamstrings
Glutes
Deep abdominals
Hip abductors
Hip rotators
Squats work almost every muscle in the legs. This also builds core strength to help with everyday movements like pushing, pulling, and lifting. There is no need to load added weight on the back to benefit from this exercise. Using the body’s weight is a perfect workout. This can be done with several variations once strength is built up. The objective is to focus on strict form for maximum effectiveness.
The feet should be shoulder-width apart.
Bend at the hips
Don’t let the knees go past the toes.
Lower the body until the thighs are parallel to the floor
References
American Chiropractic Association. Back Pain Facts and Statistics. Accessed 1/5/2021.
Centers for Disease Control and Prevention. Arthritis. Accessed 1/5/2021.
Centers for Disease Control and Prevention. Arthritis-Related Statistics. Accessed 1/5/2021.
Centers for Disease Control and Prevention. Work-Related Musculoskeletal Disorders & Ergonomics. Accessed 1/5/2021.
Merck Manuals. Effects of Aging on the Musculoskeletal System. Accessed 1/5/2021.
National Institute of Arthritis and Musculoskeletal and Skin Diseases. Healthy Muscles Matter. Accessed 1/5/2021.
Although many soccer injuries involve the legs and lower extremities, other body areas are susceptible to injury/s as well. Acute or cumulative is how soccer injuries are generally described. Acute injuries are traumatic. They are usually caused by a slip, trip, and fall, getting hit, and crashing into other players. Cumulative injuries involve repetitive stress on a muscle, joint, or connective tissue. This triggers progressive aches, pain, and physical impairment that gets worse with time. Understanding how and why they happen is the first step in injury prevention. The more common injuries experienced among soccer athletes include.
Concussion
This is a form of mild traumatic brain injury mTBI caused by a sudden hit/impact to the head. Players are trained to head the ball; however, concussions can happen if not ready for impact or heading at an awkward position.
Ankle Sprains
Ankle sprains are when there is stretching and tearing of ligament/s that surround the ankle joint.
Lateral ankle sprains or outside of the ankle can happen when a player kicks the ball with the top of the foot.
A medial ankle sprain or inside of the ankle can happen when the toes are turned out when the foot is flexed up.
Achilles Tendonitis
This is a chronic injury that occurs from overuse with pain in the back of the ankle. Players are constantly performing repetitive and sudden movements that, over time, can cause this type of injury.
Achilles Tendon Rupture
A rupture involves a partial or complete tear of the Achilles tendon. Often players say with a popping sound. This happens when players perform fast, explosive movements. Rapid stopping, starting, shifting, jumping can all contribute.
Groin Pull/Strain
This is a type of strain that happens when the inner thigh muscles are stretched beyond their limit. As a result, a player can pull the groin when kicking and/or resistance from an opponent trying to take the ball or kick in the opposite direction.
Hamstring Injury
These injuries involve the three back muscles of the thigh and can vary from minor strains to complete ruptures/tears. This comes from running, sprinting, jumping, and stopping, leading to these types of injuries.
Iliotibial Band Syndrome
This is an overuse/repetitive injury that involves a tendon known as the IT band. This is the connective tissue that runs along the outside of the thigh. Constant running can create friction as the band gets pulled along the outside of the knee, which can cause tendonitis.
Plantar Fasciitis
This causes foot pain caused by inflammation of the tissue bands that run from the heel to the toes. Several factors can cause the condition. This could be players using inappropriate or not correctly fitting shoes, shoes that do not provide proper arch support or playing on a hard surface.
Calf Muscle Pull
This is when one of the muscles of the lower leg gets pulled from the Achilles tendon. Again, quick and spontaneous sprinting, running, or jumping is usually the cause.
Knee Injuries
The most common soccer injuries are those that involve the knee. This is because of the stopping and shifting directions quickly and suddenly. The explosive, spontaneous movements place extreme stress on the knees and the supporting ligaments. When the stress goes beyond the ligament’s limits, it can cause a sprain or tear in the joint. When there is an injury to the knee/s, it is diagnosed using a grading scale.
Grade 1 Mild sprain
Grade 2 Partial tear
Grade 3 Complete tear
Runner’s Knee
Patellofemoral pain syndrome, also known as runner’s knee, is a condition where the cartilage under the kneecap gets damaged from an injury or overuse. This happens when there is a misalignment in the knee and/or strained tendons.
ACL Injury
The anterior cruciate ligament or ACL is at the front of the knee. These are the most common knee injuries. This is because the ligaments are less retractable than muscles or tendons. And those in the knees are highly vulnerable to damage.
Cruciate Ligament Injury
This type of injury does not always cause pain but often causes a popping sound when it happens. Pain and swelling develop within 24 hours. This is followed by the loss of range of motion and tenderness around and along the joint.
Meniscus Injury
The Meniscus involves a C-shaped piece of cartilage that cushions the space between the femur and the shin bone. These tears are painful and are often the result of twisting, pivoting, decelerating, or quick/rapid impact.
Shin Splints
The term describes a variety of painful symptoms that develop in the front of the lower leg. This often happens from over/intense training, or the training gets changed. Players can also develop shin splints from training while not using appropriate shoes.
Stress Fractures
These types of fractures are usually the result of overuse or repeated impact on a bone. The result is severe bruising or a slight crack in the bone.
Tendonitis
When tendons get inflamed, it is referred to as tendonitis. This comes with repetitive overuse but can also develop from a traumatic injury that causes micro-tears in the muscle fibers.
Soccer Injuries Prevention
Many of these injuries result from overuse, overtraining, improper conditioning, and/or not warming up properly. Here are few tips to help reduce the risk.
Warm-up for at least 30 minutes before playing
Pay special attention to stretching the:
Groin
Hips
Hamstrings
Achilles’ tendons
Quadriceps
Wear protective gear
This includes:
Mouthguards
Shin guards
Kinesio tape
Ankle supports
Eye protection
Ensure they are correctly sized and maintained.
Check the field
Check for anything that could cause injury/s. This includes:
Holes
Puddles
Broken glass
Stones
Debris
Avoid playing in bad weather
Or immediately after heavy rain when the field is especially slick and muddy.
Allow enough time to heal after an injury.
This also goes for minor soccer injuries. Trying too fast to get back increases the risk of worsening the injury, re-injury, and/or creating new injuries.
Utilize carb-loading to help them increase energy storage for long runs, bike rides, swims, etc. When timed effectively, carb-loading has been shown to increase muscle glycogen, leading to improved performance.
Bodybuilders and fitness athletes
Use carbo-loading to build size and mass before competitions. The timing and efficacy of carb-loading vary from person to person. Make sure to experiment before the next big competition.
References
Fairchild, Timothy J et al. “Rapid carbohydrate loading after a short bout of near maximal-intensity exercise.” Medicine and science in sports and exercise vol. 34,6 (2002): 980-6. doi:10.1097/00005768-200206000-00012
Kilic O, Kemler E, Gouttebarge V. The “sequence of prevention” for musculoskeletal injuries among adult recreational footballers: A systematic review of the scientific literature. Phys Ther Sport. 2018;32:308-322. doi:10.1016/j.ptsp.2018.01.007
Lingsma H, Maas A. Heading in soccer: More than a subconcussive event?. Neurology. 2017;88(9):822-823. doi:10.1212/WNL.0000000000003679
Pfirrmann D, Herbst M, Ingelfinger P, Simon P, Tug S. Analysis of Injury Incidences in Male Professional Adult and Elite Youth Soccer Players: A Systematic Review. J Athl Train. 2016;51(5):410–424. doi:10.4085/1062-6050-51.6.03
As individuals advance in age, the risk of falling starts to become a regular concern. An average of one in four adults over 65 suffers from a fall every year. Around twenty percent of falling accidents result in serious injury. However, experiencing one fall increases the risk of future falls significantly. The most common injuries sustained include:
Hip fracture
Head injury
These injuries usually necessitate hospitalization. Therefore minimizing the risks is important for increasing/enhancing an individual’s quality of life and help minimize the financial burdens that can come with these types of accidents.
Risk Factors for Falling
Various factors can determine an increased risk of falling. If there are two or more at the same time, the risk goes up significantly. These factors include:
A physical therapist or chiropractor can assess the home for safety and possible tripping hazards
Regular vision check-ups at least every two years
Spinal Health
Restoring balance to the body will make the biggest difference in increasing overall health. However, pain, stiffness, and poor health can make getting started a difficult challenge. With the right chiropractic and physical therapy team, getting started does not have to be as challenging, with the transition being made as easily and as smooth as possible.
An essential building block for overall optimal health begins with spinal alignment. When the spine is misaligned it can lead to poor nerve circulation/energy. This slows down and interferes with the body’s functions. This is often manifested with poor balance, weakness, and pain. Chiropractic spinal alignment addresses whole-body health. A chiropractic practitioner is specialized in non-invasively and systematically restoring not only the alignment of the spine but the entire body.
Chiropractic Health
Find a chiropractor and talk to them about any health concerns, including falls. A customized chiropractic adjustment treatment plan will be developed along with a fitness and stretching regimen, and dietary adjustments will significantly optimize health and help prevent falls.
Sports Injuries 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*
References
Hawk, Cheryl et al. �Pilot study of the effect of a limited and extended course of chiropractic care on balance, chronic pain, and dizziness in older adults.��Journal of manipulative and physiological therapeutics�vol. 32,6 (2009): 438-47. doi:10.1016/j.jmpt.2009.06.008
The spinal muscles and ligaments work in conjunction to help support the spine, maintain an upright posture, and control movements during activity and rest. The muscles are named based on shape, location, or a combination. Further categorization factors include muscle functions like flexion, extension, or rotation. Skeletal muscle is a form of striated muscle tissue that is voluntarily controlled by the somatic nervous system. Striated means it is striped in appearance. Most skeletal muscles are attached to bones by collagen fibers known as tendons.
Vertebral Muscle Types
Location
Forward flexors
Anterior
Lateral flexors
Lateral
Rotators
Lateral
Extensors
Posterior
It has the fastest contraction rate of all muscles. Before muscle/s contract, a nerve impulse starts in the brain and runs through the spinal cord to the muscle. For the muscles to contract and work properly they need energy/fuel. Mitochondria produce Adenosine triphosphate chemical cells that are needed for energy. Adenosine triphosphate is made as the mitochondria burn glucose or sugar. The blood vessels deliver the oxygen and nutrients that the mitochondria need to maintain a steady supply of adenosine triphosphate.
The Posterior Cervical and Upper Thoracic Spinal Muscles
Semispinalis Capitus – controls the head rotation and backward pulls
Iliocostalis Cervicis – extends the cervical vertebrae
The Longissimus Cervicus – extends the cervical vertebrae
Longissimus Capitus – controls the head’s rotation and backward pulls
Longissimus Thoracis – controls the extension/lateral flexion of the vertebral column and rib rotation
Iliocostalis Thoracis – controls the extension/lateral flexion of the vertebral column and rib rotation
Semispinalis Thoracis – extends and rotates the vertebral column
Muscles of the Spinal Column
Cervical muscles
Cervical Muscles
Function
Nerve
Sternocleidomastoid
Extends and rotates the head and flexes the vertebral column
C2, C3
Scalenus
Flexes and rotates the neck
Lower cervical
Spinalis Cervicis
Extends and rotates the head
Middle/lower cervical
Spinalis Capitus
Extends and rotates the head
Middle/lower cervical
Semispinalis Cervicis
Extends and rotates the vertebral column
Middle/lower cervical
Semispinalis Capitus
Rotates the head and pulls backward
C1-C5
Splenius Cervicis
Extends the vertebral column
Middle/lower cervical
Longus Colli Cervicis
Flexes the cervical vertebrae
C2-C7
Longus Capitus
Flexes the head
C1-C3
Rectus Capitus Anterior
Flexes the head
C2, C3
Rectus Capitus Lateralis
Bends the head laterally
C2, C3
Iliocostalis Cervicis
Extends the cervical vertebrae
Middle/lower cervical
Longissimus Cervicis
Extends the cervical vertebrae
Middle/lower cervical
Longissimus Capitus
Rotates the head and pulls backward
Middle/lower cervical
Rectus Capitus Posterior Major
Extends and rotates the head
Suboccipital
Rectus Capitus Posterior Minor
Extends the head
Suboccipital
Obliquus Capitus Inferior
Rotates the atlas
Suboccipital
Obliquus Capitus Superior
Extends and bends the head laterally
Suboccipital
Thoracic Muscles
Thoracic muscles
Function
Nerve
Longissimus Thoracis
Extension, lateral flexion of the vertebral column, and rib rotation
Perimysium is the sheath that groups the muscle fibers into bundles.
Endomysium is another type of connective tissue that sheaths each muscle fiber.
The cause of back pain and spinal muscle spasm/s can be caused by overuse, automobile accident, personal, work, or sports injury. The root cause of muscle spasm/s is usually a consequence of an injury to a structure within the lumbar spine. If there have been one or more episodes of muscle spasm in the low back, chances are it will re-occur. The muscles in the low back work together with the abdominal muscles. The spinal muscles add stability by maintaining an erect spine and maintain balance.
Back Pain Specialist
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*
Dealing with chronic back pain along with the COVID-19 pandemic can make it difficult to find relief on a regular basis. When regular massage sessions are not available these self-massage techniques can relieve pain and loosen tense muscles. Massage therapy has been shown to reduce low back pain, specifically for short-term purposes.
There are massage therapist/s that are open with precautions in place. But there�s a good chance the massage therapist will not be able to see an individual right away when the pain presents. Back pain will not wait so here are a few tips on self-massage that individuals can do at the house.
Safety First
Consult your spine pain specialist, chiropractor, or doctor to determine the cause of the pain and if massage will be beneficial. Before starting a self-massage regimen, be sure pain levels are not severe and you are able to perform the massage techniques. Any muscle region, spine included, can benefit from massage both professionally and self. If at any time during the massaging different pain presents other than the massage soreness, stop and evaluate what could be happening.
These self-massage tips are aimed at reasonably healthy individuals. Be mindful of herniated discs, any type of impingement, or spinal compression. If an individual has this type of injury acquire medical instruction on how to perform self-massage techniques specifically for these conditions from a physician, chiropractor, or physical therapist.
Self-massage
Massage therapy helps in relieving back and neck pain in different ways.
Relaxes muscles
Improves range of motion
Reduces injury
Maximizes healing
Better sleep
If working from home and too much sitting has your back tight, in knots, with muscle tension, and stress, self-massage is an answer that works. It is a great alternative until the massage therapy appointment.
Applied Pressure
One way to give yourself a massage is to locate the painful area/s and gently apply pressure with the thumb/s, moving the muscle/s statically by just rotating the arm/hand together with the thumb pressing on the area. If possible get into a comfortable stretching position and massage the area while the muscle, joint, ligament is stretched out and find the painful area and work it if not with the thumb technique then use a foam roller, massage tool, tennis ball, massage ball, etc, also done in slow circular motions.
When applying pressure, don�t push it to the limit like working out. That is not the goal. The objective is to work out the pain/soreness and loosen up the area. Therefore it�s best to start gently and gradually build up to stronger pressure as long as it feels correct and the pain does reduce. Gradually increase the intensity of the pressure, heat, sessions, etc. But do not overdo it, as that could worsen or cause further injury.
Stretch
Although not directly massaging an area, stretching is a form of self-care that keeps the body loose and limber. Stretching out is recommended at the beginning of the day and before exercising. An example is runner�s lunge pose and a yoga pose called pigeon. These are excellent stretches for releasing the psoas muscle, located in the lower lumbar region.
Yoga can help by stretching and releasing the hips, glutes, and back muscles. As with massage don�t overdo the moves, overstretch, or hold the poses for too long. Consult with a doctor for any medical concerns where yoga could be dangerous and impair health.
Additionally, a family member, spouse, partner, or friend can be very helpful when stretching. Assisted stretches help and reduce the effort required to stretch oneself. Some assisted stretches include the supine twist and hamstring stretches. If you are the one assisting and want to guide the pain-relieving stretches, start gently, slowly, and pay attention to verbal and non-verbal cues, like a wincing face, and short breathing.
Utilize Massage Tools/Devices
Utilize self-massage tools and devices that can help deliver pain relief. Foam rollers and tennis balls can help with trigger points, areas of muscle pain and can help with the hard to reach areas.
Massage balls can also help to apply balanced pressure and even circular massage motion. These tools are typically sandwiched between the wall or floor and the individual who rolls drags or creates friction to effectively work the muscle/s tightness, and knot/s out. Motorized massagers can help with muscle tension in the lower side of the back, hips, and glutes.
Partner
Sometimes however there are areas difficult to reach and even if reachable massaging the area isn’t the same because of the awkward position. When this happens if possible use a spouse, family, friend, or partner to massage out those points. This could be the middle back and hamstrings to get a thorough massage.
Just like a professional massage therapist having someone else can be a great help in applying heat or ice to areas that can be troublesome. But if not then make do with what you’re able. Self-massage can be very helpful and beneficial until you are able to see your massage therapist, chiropractor, or physical therapist.
Whiplash Massage Therapy
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*
Back spasms can be compared to a Charley horse in the back. These are a common complaint in doctors’ clinics throughout the country. Spasms can accompany back pain and neck pain, they can be the result of a traumatic event, like a slip and fall accident or an automobile accident. Here is why they occur and what to do about them. �
Back Spasms
A back spasm is an involuntary and sustained contraction of one or more muscles of the spine. Spasms can occur without pain when the muscle/s shift, and pulse. But it’s when pain accompanies the spasm that it can become an issue that can lead to a chronic condition.
Example: Runners get the feeling of having a Charley horse in the calf muscle. Having a back spasm is the same. Spinal muscle spasms could be an indication of something serious, like a micro tear around a spinal disc that can generate inflammation to cause the muscles to tense up.
However, with most cases, a back muscle spasm is a symptom of a mild muscle injury, like a sprain. It can be hard to diagnose the pathology of a muscle spasm. One theory is that if there is a noxious stimulus coursing through the body, specifically the back, it can disrupt/disturb the muscles. When this happens the muscles brace/bunch up together to protect the spine. Here’s are five muscle spasm types that can cause back and neck pain.
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Cervical Spine
If there is a spasm in the neck, it’s more than likely a contraction of the trapezius muscle. This is the muscle group that runs down the neck into the middle or thoracic spine/back.
Back spasms in the cervical spine could indicate a contraction of the sternocleidomastoid. This is located at the base of the skull on both sides of the head. When these muscles spasm, the pain is usually localized or in one area that leads to muscle irritation. However, if the spasm is a symptom of underlying inflammation or nerve irritation, then the pain could radiate and spread down.
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Thoracic Spine
The trapezius starts at the neck to the last vertebra of the thoracic spine or the middle-back. Therefore, a back spasm can affect the neck as well as the middle of the back as well. Spasms in the midback can also result from a contraction of the rhomboid muscle. These connect the shoulder blades to the rib cage and spine.
Because there is less movement in the middle-back, the muscles in this area are less likely to spasm, compared to the cervical/neck area and the lumbar/low area.
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Lumbar Spine
Spasms in the lower back occur from a contraction of the erector spinae muscles. These are the large group of stabilizing muscles that are on either side of the spine or the latissimus dorsi. These muscles are commonly referred to as lats. They are one of the largest muscle groups in the body and cover the middle and lower back.
Relieving Spasms
Treatment for muscle spasms depends on how the injury originated. A full medical history is crucial for a doctor, spine specialist, or chiropractor to be able to look at all the angles in determining and diagnosing the root cause.
It could be from just leaning over and picking up a box to sleeping in an improper/uncomfortable position. This type of pain is less concerning as it is more than likely a sprain or strain, and can be treated rather quickly.
However, if the spasms started after being involved in an automobile accident or falling pretty hard, then there could be serious damage to the area. Back spasms that occur after these types of situations require an immediate full neurologic and muscular examination. This along with advanced imaging, like an MRI.
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Specialists
A spine specialist or chiropractor wants to make sure they’re not missing any underlying injuries or instabilities of the spine that would require extensive and possible invasive treatment. Red flag situations include osteoporosis, which is the loss of bone mass or ankylosing spondylitis, which is a form of arthritis that mainly affects the spine.
Osteoporosis can cause an underlying compression fracture.
Ankylosing spondylitis can cause parts of the spine to fuse together.
Both underlying conditions can cause muscle spasms. However, conservative treatment for most cases is all that is usually needed to relieve muscle spasms of the spine. These include:
Anti-inflammation medications and creams
Chiropractic manipulation to improve spinal muscles range of motion
Heat and ice application
Light activities/exercises like walking that don’t include any bending, twisting, and lifting
If results do not improve within four to six weeks of conservative treatment, then an MRI or other type of scan of the area will be needed.
All that said preventing back spasms is the way to go. We’ve all heard the phrase to be heart-healthy, which concerns cardiovascular health. Now it’s about being spine healthy. Keeping the abdominal muscles, lumbar extensors, and the erector spinae muscles fit is the key. This can be accomplished with regular stretching and core exercises. Also doing yoga and Pilates will go a long way in minimizing muscle spasms and preventing injuries.
Tendonitis can be a painful condition that occurs when tendon/s that connect bone/s to muscle/s become damaged/injured. This can be from overuse of the particular tendon/s or using them in an improper fashion. Whatever the case, the result is inflammation, pain, and swelling. With injury/s where the tendon is stressed/strained to the point of injury, the soft tissue around the area can also be affected. More than 4 million�people�a year in the U.S. seek some form of medical treatment for�tendonitis symptoms.
Common types include:
Achilles tendonitis
Runner�s knee
Golfer’s elbow
Jumper’s knee
Pitcher�s shoulder
Swimmers shoulder
Tennis elbow
Other tendons in the body can also experience symptoms. Symptoms usually occur at the point where the tendon attaches to the bone and include:
Pain as a dull ache, especially when moving the limb or joint
Tenderness
Moderate swelling
The�wrist,�fingers, Achilles tendon, and ankle can all become inflamed from the condition. Primary care physicians are the ones to usually diagnose the injury. Once there is a definitive diagnosis, a non-surgical non-invasive treatment plan is the first recommended option. If these do not work then surgical procedures could be discussed. Chiropractic care is a first-line option that many physicians recommend.
Proper Rehabilitation Makes a Difference
This is usually from improper or incomplete healing.�Many individuals resume normal activities/chores as soon as the pain goes away. This is a mistake, as this is the time when continued care for the injury needs to be observed to heal completely. For this reason, tendonitis tends to recur. This inflames the area of the original injury which can then become aggravated, causing more pain. But more importantly, this aggravation can lead to a re-injury in the same area, which can be more severe the second time around. Chiropractic can help the tendon heal completely and help prevent re-injury to the area.
Chiropractic
Tendonitis symptoms can resemble other conditions, therefore the first step is confirmation. A doctor may use X-rays, MRIs, or CAT scans to make a positive diagnosis. A chiropractor will work with the patient in developing a treatment plan that is effective, and customized to the patient�s needs. The core of the treatment is focused on the root cause of the problem, and not just alleviating the symptoms.
With severe inflammation, a chiropractor will utilize inflammation reducing techniques like bracing, rest, ice, electrical muscle stimulation, ultrasound, low-level laser therapy, massage, and physical therapy. The focus is to loosen the tendon/s to reduce inflammation so that the treatment can continue to the next phase. Once the inflammation is under control, a chiropractor might start:
Massage
Physical therapy
Joint manipulation
Strength exercises
If the individual has limited joint mobility then joint manipulation and adjustments could be the best option.
Treatment Plan
Initial pain often subsides or even disappears after the first two to three weeks. This does not mean that the injury is fully healed. Many patients mistakenly believe that once the pain is gone the condition is gone. This is not true. Inflammation could decrease over the first three weeks, however, complete healing takes around six weeks and longer.� Scar tissue forms during this time which is how the body repairs the injury.
Once the injury is repaired the scar tissue has to be broken down so the area can regain mobility and flexibility. A chiropractor will use specialized techniques to break down the scar tissue. This could also�include massage and ultrasound to help in the process.�Mild stretching exercises could also be incorporated into the plan. As the tissues heal fully then a therapeutic exercise regiment can continue in the aid in breaking down the scar tissue further. These exercises will work the muscles but do not involve the tendons.
Better Health
Tendon inflammation can be healed completely and chiropractic care can help in achieving this. Chiropractic medicine takes the entire body approach, which means that everything is connected in some way. So if there is a form of pain in one place, it does not mean that that spot is where the source of the pain is coming from. It could be somewhere completely different, and so the chiropractor is going to work both areas and possibly others to alleviate the cause and not just alleviate the symptoms. Chiropractic medicine also includes diet, supplemental help, and lifestyle choicesthat can help the healing process and overall health. Once treatment is complete the individual can typically return to normal activities without the risk of re-injury and re-inflammation.
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