Women experiencing low back pain will find there are a variety of possible causes. Lower back pain can stem from the reproductive system or the spine itself. Finding the possible cause of low back pain can be difficult to diagnose. As well as, pinpointing the pain can be a very challenging task. Women wonder how it’s possible to mistake menstrual cramps for back pain and then it happens to them. There are certain conditions that make the low back and core region a central location of continual pain. And unfortunately, women could be more susceptible.
Most individuals will experience low back pain at some point during their life. However, there is a slight prevalence and is more common in females than males across all ages. Low back pain in women increases with age. A research comparison studying middle-aged individuals reported an increase of low back pain in females versus males post-menopause. Some possible low back pain causes include.
Menopause and Hormone Issues
Chronic lower back pain is one of the most reported musculoskeletal issues women face during menopause. About sixty-seventy percent of perimenopausal women present symptoms associated with estrogen deficiency. And over half in perimenopause report chronic musculoskeletal pain. Many of these studies show increasing menopausal symptoms and the correlation to chronic low back pain symptoms.
Menstruation and Uterine Dysfunction
Dysmenorrhea is a uterine dysfunction that involves frequent and severe cramping during menstruation, which often leads to low back pain. The condition is classified as primary or secondary. Both types include low back pain as a common symptom.Primary dysmenorrhea starts when a woman begins menstruation and continues throughout their life. Intense contractions can cause continual and severe menstrual cramping. Secondary dysmenorrhea usually starts later and is caused by another condition like endometriosis or pelvic inflammatory disease.
Endometriosis
Endometriosis is a condition that can contribute to back pain in women. Tissue that behaves like endometrial tissue begins to grow outside of the uterus, in the pelvic cavity or other areas. The new tissue responds to the body’s hormonal changes and can cause swelling, pain, spotting, and bleeding. Endometriosis growths bleed monthly as well. Without a place for the blood to go, the excess irritates and inflames the surrounding tissue.
The condition can cause heavy periods, chronic pain, and scar tissue build-up. Symptoms can present at any menstrual cycle stage. Pelvic pain that runs down the legs is common. Some women have also reported throbbing, shooting pain that can be mild to severe. Symptoms include:
Abdominal pain
Low back pain
Pain when walking or standing
Pain during ovulation
Pain when urinating
Urinary urgency
Pelvic inflammation
Constipation
Pain during intercourse
Bowel movement pain
Rectal pain that radiates
Pain caused by scar tissue build-up within the bladder, fallopian tubes, bowels, and ovaries
Chronic fatigue
Endometriosis can be diagnosed by a doctor during an initial pelvic exam. Further imaging tests to assist in the identification could be requested.
Spinal Issues
The reproductive organs can sometimes contribute to back pain. However, women can also be susceptible to degenerative conditions that affect the spine’s structure. Low back pain is common with an average patient experiencing one to two episodes a year. Low back pain can start in early adulthood and become a chronic problem that can be triggered by various events or activities. Most back pain issues are resolved within six weeks. This is known as acute low back pain. When the pain doesn’t stop for more than 12 weeks it is considered chronic lower back pain.
Postmenopausal Compression Fractures
Around twenty-five percent of women will go through a vertebral compression fracture of the middle or lower spine. The risks increase with age, with around a 40 percent chance at 80 years of age. Small cracks in the vertebrae can cause severe disability and limit function. Osteoporosis is the most common cause of vertebral compression fracture/s. Postmenopausal women are at an increase of developing osteoporosis. This comes from hormonal changes that decrease bone mineral density, leaving the bones open to fracture.
Spondylolisthesis
This is when one vertebral body, or the thick oval bone segment in front of the vertebra, slips against an adjacent body. The result is pain or mechanical symptoms. The pain can spread throughout the spine to the hip, buttocks, into the legs, and possibly the foot. The condition can be congenital, from an unknown cause, or acquired. There is some research on childbirth and hysterectomies putting women at risk for spondylolisthesis.
It is common in the lumbar spine/lower back, but can also present in the cervical spine/neck region. The thoracic/middle spine is extremely rare except in trauma cases. The thoracic spine is the longest region of the spine. It is between the cervical and lumbar regions. One cause of the increased pain is longer times spent sitting in chairs that are not ergonomic. A second is being confined to smaller workspaces. The key is to get up and move around or use a sit-stand desk to alternate sitting and standing. Irregular and localized low back pain is typical for low back spondylolisthesis. The pain usually worsens when the area/region is flexed or directly touched.
Piriformis Syndrome
Back pain sometimes isn�t back pain, but piriformis syndrome. The piriformis muscle is a small muscle that extends from the lower spine to the top of the femur. It can involuntarily contract and compress or irritate the sciatic nerve. The muscle helps rotate and turn the leg and foot outward. Symptoms are consistent with sciatica. It typically presents with buttock pain that shoots, aches, or throbs along the leg�s backside, thigh, calf, and foot. Tingling along the nerve along with numbness is common. Causes include:
Buttock injury
Hip injury
Weight training specifically the gluteal/buttock, hips, and hamstrings
Sitting for a long time – Examples include truck drivers, desk job workers, etc.
Damage to the piriformis muscle
Sciatic nerve wraps around the piriformis muscle
Sacroiliac Joint Dysfunction
Sacroiliac joint dysfunction involves inflammation of the joints, located at the connection of the pelvis and lower spine. It can present as low back or buttock pain that radiates down the leg/s. The pain worsens when climbing stairs or standing for an extended amount of time. Sacroiliac joint dysfunction can be tough to diagnose, as it is often mistaken for other low back pain causes.
SI joint dysfunction causes:
Pregnancy – the increased weight and altered movement/s can cause additional stress and wear.
Joint infection – in rare cases, the joints can be subject to infection.
Arthritis – the joints can develop arthritis from normal wear and tear.
Traumatic Injury – the joints can be injured from a forceful impact from a fall or auto accident.
Most cases do not end up requiring medication or surgery. It is when the pain lasts more than six weeks that there could be something more taking place like neurologic symptoms or other conditions, spinal or otherwise.
Personalized Chiropractic Spine 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*
Massage therapists have come a long way in reducing pain and improving wellness. Back pain is one of the most common reasons people seek physical therapy, chiropractic care, and massage therapy. Back pain affects around three in four adults at some point in their lives. Research supports that massage is a bona fide back pain treatment option. This could be welcome news to those who prefer not to use medications or invasive approaches to managing back pain. The right massage therapists can make all the difference in achieving the benefits.
Massage goals
The first thing is to figure out what the goals are from the massage itself.
Are there acute back or neck issues that need to be addressed?
Looking for non-invasive therapy for long-term management of a chronic spinal condition?
Is the massage for performance enhancement? Could be athletic or to help perform daily activities easier.
Is it just wanting to relax?
Figuring out what it is to be achieved from the massage is essential to finding the right therapist.
Massage clinic, spa, health club, home
A massage can be performed in health clubs, spas, medical clinics, and at home. The location does not predict the massage type or specialty of the massage therapists, but it can be an indicator. Example: For athletic performance, a gym, or Crossfit center massage therapist is a good place to start. If massage is part of a back and neck pain management plan, look into the massage therapists at a medical clinic or a therapeutic massage clinic.
Ask for recommendations and ask questions
When searching, get recommendations, and ask plenty of questions to get all the information needed.
After a few prospects have been found then ask plenty of questions before making an appointment. This can help determine if this will be a long-term therapeutic relationship or a one-time visit. If looking to manage a serious spinal condition, the recommendation would be to find a therapist with more experience.
Massage education programs that are only entry-level do not provide in-depth education and practice for the many specific and complex spinal conditions. The real experience comes from years of practice along with continued education. This is how massage therapists are able to expand their clinical analysis and treatment development expertise. Get a sense of the massage therapist�s education and practice experience. This will help significantly when choosing a therapist best equipped.
Questions to ask potential therapists:
How long have you been practicing?
What�s your massage education?
Related education or practice experience? Many nurses or occupational therapists go on to become massage therapists. This means the information and knowledge from their nursing are now integrated into their massage practice.
How much-continued education have you gone through?
How many sessions do you offer?
What does the schedule look like? Think about scheduling when the therapist is more refreshed, like early in the workweek or their scheduled shift.
Do you have specialties with specific conditions or techniques?
Do you get massaged? If so, how often? Massage is a labor-intensive task. Therefore, it could be best to go to a therapist that keeps themselves healthy and balanced.
How long does it take for the initial appointment?
Do you have to book ahead?
If a therapist is booked don’t get frustrated
If a long-term therapeutic relationship for the management of a spinal condition is the goal, then it may be worth waiting for. A therapist that has a long wait time for initial appointments means they have patients that see them regularly and that�s a very good sign of quality care. One possible option for individuals waiting for their appointment is to go to a local massage school to get treated. This option is less expensive, great for body maintenance, and provides opportunities for the training therapists.
Professionalism
A quality indicator is the professionalism of the therapist. This includes the extent to which they model the values of a health care professional valued by the patient. This is different for everyone. Questions to consider:
Are they on time?
Does the therapist cancel appointments?
Are you comfortable around them?
Do they listen?
Does the patient help in the development of a treatment plan?
Are they comfortable and engaged in the work?
Are they taking their massage career seriously?
Feeling at ease during the appointment/s is very important to massage success and relief. If anything about the therapist causes hesitation, look for another.
Massage Management
Massage is an excellent back pain treatment option that has gained popularity as a complement to pain management plans and as an alternative to invasive procedures. But, massage is not a cure-all. Often the cause of the back pain does not go away entirely. This is where massage therapy comes in as a pain management tool.
It’s important to consider the condition�s duration and severity when evaluating the success of a session. This helps in planning the massage schedule. When there is a complex and established spinal condition be patient, as a 1-hour massage is not going to solve a 10-year back pain battle. However, with perseverance massage can safely and effectively help reduce pain and promote a better quality of life.
Chiropractic Massage Rehabilitation
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*
The shoulder/s are the joints where the upper-arm bones known as the humerus, the shoulder blades or scapula, and the collarbone/clavicle come together. The upper-arm bone fits into the scapula socket and is held in place by muscles and tendons. This is the rotator cuff. It covers and protects the upper-arm and allows for raising and movement of the arm. Pain in the shoulder can have a variety of causes.
Injuries can occur in a slip and fall or automobile accident. A task like painting the house could cause a repetitive/overuse injury. The�soft tissues in the shoulder, muscles, tendons, and ligaments�can get injured from excessive strain, falls, and improper motion. Shoulder pain can come from certain conditions like arthritis. And it can present from problems or issues in other parts of the body. This is known as referred pain.
The shoulder takes on more than we realize. It is made up of an intricate network of ligaments and muscles, with the rotator cuff taking most of the load when moving. It is the most flexible joint in the human body, and one of the most unstable. It is�unstable because of its unique construction. Other joints like the ankle or elbow are limited in their range of motion. Shoulder injuries�are common, as the shoulder sustains more injuries than almost any other part of the body.
Injury Symptoms
Here are some questions to help figure out if there is a shoulder injury:
Does the arm move normally?
Is there extreme stiffness?
Is there pain and what type – throbbing, stinging, shooting
Does it feel like it could pop out of the socket?
Is it strong enough for normal activities?
Certain shoulder injuries can be treated at home for a few days with rest and ice. The shoulder can be bandaged with Kinesio tape to hold it in place if necessary. But serious injuries require professional medical help. Symptoms/signs that a medical professional is needed:
The shoulder joint looks deformed
The shoulder cannot be used at all
The pain is extreme and intense
The shoulder is swelling rapidly
The arm and/or hand is weak and/or numb
Common injuries
Dislocation
When the shoulder gets pulled back hard or rotated too far, the top of the arm can get popped out of the socket. This can cause pain, weakness, swelling, numbness, and bruising.
Separation
This is an injury affecting the joint where the collarbone and shoulder blade come together. It is the acromioclavicular or AC joint. An accident, fall, or traumatic impact can tear the ligaments holding it together. If the collarbone gets shifted out of place, a bump on top of the shoulder will appear.
Fracture
After a fall or a hard hit, the bones can break or become cracked. The most common breaks are to the collarbone and the arm bone that is the closest to the shoulder. Pain presents along with bruising can occur. If the collarbone is broken, the shoulder may sag and there will be no ability to lift the arm.
Cartilage tear
The cartilage or rubbery padding that runs around the rim of the shoulder joint can suffer injury and/or get torn. Repetitive motions and overuse can lead to a tear. It can also be injured in a fall, or anytime it absorbs the brunt of the force. Pain can be felt when reaching over the head, or the shoulder feels/seems to be weak. Sensations like catching, locking, or grinding may also be felt.
Rotator cuff tear
The rotator cuff belongs to a group of muscles and tendons that hold the arm in place and allow for lifting the arm up and overhead. It can suffer damage through overuse or in an accident. The rotator cuff begins to show wear and tear with age. It can hurt at night and when trying to lift objects. Individuals have also reported a crackling sound when moving.
Frozen shoulder
This is a condition that limits how much the joint moves. Bands of tissue or adhesions build up in the joint and keep the shoulder from moving freely. This is where the freeze happens. It comes from the pain, causing the individual to not use it, this allows the adhesions to build.
Impingement
This is when the tendons of the rotator cuff become pinched within the bones of the shoulder. It can cause swelling and pain. It is often set off when lifting the arms over the head repetitively.
Bursitis
This is when the fluid-filled sacs or bursa that cushion the joints get swollen and irritated. Usually, the onset occurs from repetitive motions. However, it can also be caused by a fall or other injury. The pain occurs most when moving the shoulder.
Other causes
Osteoarthritis
Also known as degenerative joint disease. It is the most common form of arthritis. It can affect any joint, including the shoulders. The cartilage between the bones breaks down and allowing them to rub against each other causing pain and stiffness.
Rheumatoid arthritis
This is a disease that causes the immune system to attack the protective lining in the joints. It causes pain and stiffness in the shoulders.
Referred pain
There could be nothing wrong, yet pain or discomfort presents. This could be a sign of a condition involving the lungs, gallbladder, liver, nerves, etc.
Heart attack
Shoulder pain could be brought on from the tightness in the chest and trouble breathing. Get emergency medical help immediately.
Tendinitis
The tendons that make up the rotator cuff become inflamed. It can happen progressively over time or quickly from an accident, fall, or a direct hit to the shoulder.
Bone spurs
These are small, smooth pieces of bone that begin to rub up against the rotator cuff keeping the shoulder from proper movement. They can lead to tendonitis or a tear.
Diagnosis
A doctor or chiropractor will begin with a physical exam to check for structural problems to rule out anything involving the spine or neck. Next, is the range of motion exam to see how strong and flexible the shoulder is. This involves moving the arms in different ways, like:
Above the head
Across the body
Behind
Rotate 90 or 180 degrees
The doctor could recommend imaging tests to get a closer look:
X-rays
These can help find bone spurs, arthritis, and other bone-related causes of shoulder pain. The doctor could recommend an arthrogram. This involves using a dye to enhance the details allowing them to render more clearly.
MRI scan
Radio waves and a powerful magnet generate detailed images of the shoulder.
CT scan
This is a series of X-rays taken from various angles. When placed together, they allow for optimal views to be seen.
EMG
This measures electrical activity in the muscles to see if there are any problems with the nerves.
Arthroscopy
A surgical procedure that utilizes a tiny fiber-optic camera, allowing the doctor to see high-definition images. With certain cases, the doctor could be able to treat the problem during the procedure.
Treatment
Dislocations, separations, and fractures require medical attention. Getting the shoulder back to the right position followed by a sling to hold it in place while healing and in recovery. For less serious issues, the doctor could recommend rest, heat/ice, and medicine like ibuprofen or aspirin to help with the pain and swelling.
Chiropractic treatment for shoulder injury/s and pain. A Chiropractor can:
Relieve pain
Improve range of motion
Increase flexibility
Restore function to the joint
If the shoulder does not show improvement after the first steps, the doctor could recommend injecting an anti-inflammatory medication straight into the joint for the swelling and pain relief. There are times when cartilage tears, rotator cuff tears, and a frozen shoulder does not improve with rest, physical therapy, or medication. As a last resort, the doctor could recommend surgery. Any problem with the shoulder means that the treatment plan will probably include stretches and exercises to help strengthen the joint and improve the range of motion.
Prevention
Consider how often the shoulders are used at work and play. Then find ways to protect it:
If working at a desk, make sure the chair has proper back support and promotes proper posture.
Take several short breaks to move around at least once an hour.
If work requires heavy lifting, proper technique is essential.
First face the object being lifted
Keep the back straight
Bend the knees using the legs for power
When reaching for a heavy object overhead, use a step-ladder to get a better position.
Ask the doctor or chiropractor about a strength and conditioning regimen for the muscles around the shoulders, to keep them strong and flexible.
Chiropractic Treatment Shoulder Pain
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*
The spinal/vertebral column extends from the skull to the pelvis and consists of individual bones known as vertebrae. It is what holds the body upright, allows the body to bend, twist, and is the conduit for major nerves running from the brain to the rest of the body. The vertebrae are grouped into four regions. They are the:
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SpinalTerminology
Number of Vertebrae
Area of Body
Abbreviation
Cervical
7
Neck
C1-C7
Thoracic
12
Chest
T1-T12
Lumbar
5-6
Low back
L1-L5
Sacrum
5 fused vertebrae
Pelvis
S1-S5
Coccyx
3
Tailbone
None
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Cervical Vertebrae
The cervical spine breaks down into two parts. The upper cervical C1 and C2, and the lower cervical C3 through C7. The C1 vertebrae are known as the Atlas and the C2 the Axis. The Occipital Bone is a flat bone that forms the back of the head.
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Atlas
The Atlas is the first cervical vertebra and is abbreviated as C1. This vertebra supports the skull. It appears different from the other spinal vertebrae, as it resembles a ring and is made up of two masses joined at the front and back by the anterior and posterior arches. �
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Axis
The Axis is the second cervical vertebra and is abbreviated C2. It is a tooth-like process that projects upward. It is referred to as the odontoid process or dens, which is Latin for tooth. It provides a kind of pivot and collar that allows the head along with the atlas to rotate.
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Thoracic Vertebrae
The thoracic vertebrae become larger from T1 through T12. What makes the thoracic spine unique is that it is the only vertebrae that support the ribs and is made up of pedicles, spinous processes, and large neural passageways that help reduce nerve compression. Unfortunately, not everyone has a large intervertebral foramen, which can cause compression. �
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Vertebral Body
Spinous Process
Transverse Facet
Pedicle
Foramen
Lamina
Superior Facet
The thoracic vertebrae are attached to the ribs. However, at T11 and T12, the ribs are not attached and are called floating ribs. The region of the spine’s range of motion is limited because of the rib/vertebrae attachments and the long spinous processes. �
Lumbar Vertebrae
The lumbar vertebrae increase in size from L1 through L5. These are the vertebrae that take the body’s weight along with any loading force that can create biomechanical stress. The pedicles are longer and wider than the thoracic spine pedicles, and the spinous processes are horizontal and more square. The neural passageway is large but nerve root compression is very common due to disc herniation from poor posture, prolonged sitting, improper lifting, etc. �
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Vertebrae’s Purpose
The vertebrae range in size with the cervical region being the smallest. The lumbar low back region is the largest. The vertebral bodies of the spinal column are what bear the weight. The body’s upper weight is dispersed through the spine to the sacrum and pelvis. Thee natural curves in the spine provide resistance, flexibility by distributing the body’s weight, and axial loads/forces sustained when in motion. Vertebrae are made up of many elements critical to the overall function of the spine. This includes the intervertebral discs and facet joints. Functions of the spinal/vertebral column include: �
Protection
Spinal Cord Internal Organs
Attachment
Ligaments Muscles Tendons
Support Structure
Head Shoulders Chest Connect Upper and Lower body Balance
The sacrum is located behind the pelvis. It consists of five bones that are abbreviated S1 through S5. They are fused together in a triangular shape. The sacrum fits between the hipbones and connects the spine to the pelvis. The last vertebra L5 moves with the sacrum. Right below are five more bones that are also fused together and they form the Coccyx or tailbone.
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Intervertebral Discs
The intervertebral discs make up a quarter of the spinal/vertebral column’s length. There are no discs between the Atlas, Axis, and Coccyx. Discs are not connected to the body’s vascular system and so depend on the endplates to disperse essential minerals and nutrients. The cartilaginous layers keep the discs in place. They are fibrocartilaginous cushions that function as the spine/body’s shock absorbers. They protect the vertebrae, brain, nerves, etc. There is some vertebral motion that the discs allow but individual disc movement is limited. Significant motion is possible when the discs work together. �
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Annulus Fibrosus and Nucleus Pulposus
Intervertebral discs are made up of an annulus fibrosus and a nucleus pulposus. The annulus fibrosus is a strong radial structure made up of lamellae. Concentric sheets of collagen fibers connect to the endplates. These sheets are positioned at various angles. The annulus fibrosus encapsulates the nucleus pulposus. �
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Both are made up of water, collagen, and proteoglycans. However, the larger amount of water and proteoglycans are in the nucleus pulposus. Proteoglycan molecules are essential because they attract and retain water. The nucleus pulposus consists of a hydrated gel-like substance that resists compression. The amount of water in the nucleus changes throughout the day. This depends on the activity or non-activity. All in all proper care and maintenance of the spinal/vertebral column is vital to general health and overall well-being.
Car Accident Rehabilitation Chiropractor
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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*
Using a neck brace or collar can be part of a treatment option for individuals dealing with a neck injury, pain, and recovery. Cervical-neck spinal conditions can go from mild to debilitating if left untreated and could progress to chronic pain. Whiplash and abnormal cervical lordosis, which is an unnatural curvature of the spine, can happen from looking down at a phone too long, known as text-neck. These are common but different neck disorders that can be helped with a neck brace.
Being prescribed a neck brace depends on the severity of the pain symptoms. Does it present with or without upper back pain, radiate into the shoulders, cause headaches/migraine? These details will help a doctor or chiropractor figure out the best treatment option. If the patient can benefit then a neck brace, also called a cervical collar or cervical orthosis could be used.
Neck Brace
Fortunately, spinal surgery is rarely necessary. There are plenty of non-surgical treatment options that can help manage and reduce neck pain. A neck brace or collar could be part of a treatment plan that includes:
Chiropractic
Physical therapy
Massage
Acupuncture
Medications – over-the-counter and prescription if necessary
The treatment plan will be based on the outcome of:
Physical examination
Neurological examination
X-rays
Other imaging tests
Severity of symptoms
These combined will confirm a diagnosis with the treatment focusing on:
Neck stabilization
Pain management
Advanced healing
Early mobilization
Brace Basics
There are a variety of soft and rigid neck braces available to help manage different cervical spine conditions. The type of brace prescribed is based on the diagnosis and treatment plan. Soft neck braces are flexible and offer the greatest range of motion. Rigid collars are for stricter immobilization/stabilization.
Stabilization refers to immobilizing the head and neck. Limiting or preventing motion helps to support the head while reducing weight from the cervical spine. Two of the most common neck pain disorders are whiplash and poor posture.
Soft Collar
Whiplash is a hyperflexion and hyperextension neck injury. It is caused when the neck quickly, forcefully and swiftly whips forward and backward. Whiplash injuries most commonly happen from auto accidents, work, personal, and sports injuries.
Whiplash symptoms are considered sprains and strains. This is when ligaments, in this case, those of the neck, and the muscles are stretched or torn. These include:
Neck pain
Stiffness
Muscle spasms
Headaches that start in the neck
However, all of the symptoms can radiate into the head and upper back. This is where a doctor could recommend a soft cervical collar as part of a treatment plan. This could be in conjunction with muscle relaxants and physical therapy. Soft collars provide neck support to help reduce soft tissue inflammation and the pain forty-eight to seventy-two hours after the injury.
Soft neck braces are usually made of foam and covered with cotton or other easily washable, comfortable wearable material. The brace wraps around the neck and is secured with Velcro straps. Be aware that over-using a neck brace can happen. A doctor will explain further and will prescribe/encourage performing daily motion exercises, and stretching exercises, as soon as the patient is able after a whiplash injury.
Rigid Collar
Lordosis means the normal forward curve in the neck. However, the normal curve can change negatively with time when the head regularly bends forward past the shoulders. An example is looking down at your phone. Most of us spend hours a day looking down at a phone pad, etc. This causes significant strain on the neck. The human head weighs around 12 pounds. This weight increases to about 60 pounds when the head and neck are extended forward and bent down.
A constantly increased load on the spine can lead to massive stress to the bones, ligaments, and muscles with the potential change in the normal curve and chronic neck pain. Text neck is another spinal disorder that a neck brace can help treat. Depending on the severity of the pain and injury a rigid neck brace or collar could be used.
All neck braces offer some degree of head and neck support. Another type of rigid neck brace has adjustable features that were developed to treat forward head posture caused by poor posture. This brace is called the Cervigard Forward Head Posture Neck Collar. It supports while correcting the alignment of the head and neck. Regular use can gradually restore the normal curvature by correcting head and neck posture.
Doctors recommend the brace be worn for 20 minutes a day or several hours, depending on the severity of pain and injury. The process of correcting the deformation can be compared to straightening teeth with braces, aligners, etc. This retrains the muscles and corrects the abnormal soft tissue tightness that develops from the condition.
Instructions
If a doctor prescribes a brace, follow their instructions for how to wear the neck brace. This will ensure the pain reduces and alleviates, while at the same time reducing the risk of the negative effects of overuse. Ask the doctor or chiropractor how to care for the brace.
Neck & Low Back Pain 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*
Osteoid osteoma refers to a benign tumor/s that can grow on the spine as well as other areas of the body. They are not cancerous, but they can cause pain and abnormal curvature of the spine. It can begin as a small benign spinal tumor that can cause pain, especially at night. They do respond well to over-the-counter pain relievers and can go away on its own. However, if symptoms are unmanageable, other treatments are available.
Osteoid Osteoma
Osteoid means a type of tissue that eventually turns to bone. Osteoma means a type of tumor unique to bones. They are small typical size is less than one inch across. These growths represent around ten percent of all benign bone tumors, with one percent representing spinal tumors.
They can appear and also affect the bones of the arms, hands, fingers, ankles, or feet. They are discovered on the spine around fifteen percent of the time. Osteoid osteomas of the spine affect the posterior, or back area of the vertebrae rather than the anterior, or front region. However, any area of the spine could be affected. But they are most common in the low back.
60% affect the lumbar spine lower back
27% affect the cervical spine or neck region
12% affects the thoracic spine or middle back
Risks
Osteoid osteoma is not cancerous and will not spread out to the various organ systems the way malignant cancer does. It can be discomforting, painful, and could have to be removed. There are some risks associated with osteoid osteomas including:
Scoliosis
It could provoke muscle spasms of the erector spinae. These are the muscles that support the spine and could lead to scoliosis. The spine has a natural curvature. Scoliosis generates an S or C shaped curve to the left, right, or both ways affecting function and mobility. This type is more likely to contribute to the left or right curve of the spine affecting the lower back.
Incorrect diagnosis
Because osteoid osteoma can cause scoliosis, sometimes a doctor will focus on treating the abnormal curve instead of the osteoma.
Nerve root compression
Most individuals do not pose a risk for nerve root compression. But there is a risk if the growth begins to press against the spinal cord, as it can interfere with nerve function. This can lead to spreading/radiating pain and sciatica.
Causes
The causes of osteoid osteoma are not completely understood. What is known is that men are three times more likely to be diagnosed than women. Young people also pose a risk at development. It can develop at any age, but around eighty percent are diagnosed in individuals under 30 years of age. The core of an osteoma is a growth called a nidus. Inside are growing tumor cells, blood vessels, along with cells that progress to bone. A bony shell encapsulates the whole thing.
Signs and Symptoms
Osteoid osteomas usually cause a dull ache at the site of the tumor along with muscle spasms. The pain often gets worse at night. It can be relieved with non-steroidal anti-inflammatory medications like ibuprofen and aspirin. The pain can also be sharp, and occur during the day, worsening with activity and sometimes progressing to severe pain over time. In some cases, however, there are no symptoms.
Diagnosis
Doctors usually notice painful or swollen soft tissue around the tumor during a physical examination. There could be a lump, but this is rare. Imaging tests like an X-ray or a CT scan will be ordered. An x-ray can show the bone thickening, but a CT scan will show the nidus clearly as a dark center surrounded by white cortical bone. Sometimes a CT and MRI imaging scan is used in conjunction to diagnose osteoid osteomas. In some cases, a biopsy could be needed. This is taking a tissue sample and sending it to a lab to be examined under a microscope. However, this is rarely needed.
Treatment
Nonsurgical
Non-steroidal anti-inflammatory medications can be effective relieving symptoms. If it can be controlled with just medication, then this could be the only treatment necessary. Some patients do well trying a different painkiller if the preferred medication no longer works. This needs to be discussed with your doctor, as chronic medication use is associated with issues like ulcers, kidney damage, and concerns about opioid addiction. When this approach is taken, the pain lasts for about three years with the lesion breaking down in five to seven years.
Surgical
If the pain cannot be controlled or the osteoma develops to scoliosis, surgery could be the next step. Most spinal osteomas are surgically removed with open curettage. It is a small incision. The nidus is scooped/scraped out and the cavity walls are removed with a motorized burr. Often a small amount of bone graft material is used to fill in the area. Unfortunately, surgical resection means having to stay at the hospital. Recovery time can be painful.
Radiofrequency ablation
For osteomas that affect the bones other than the spine, radiofrequency ablation. It is a minimally invasive outpatient procedure with a short recovery time. During the procedure, radiofrequency waves generate heat within the nidus around six minutes destroying the tumor. Surgeons use CT scans to precisely target the tumor. The procedure takes one to two hours and afterward, the patient waits in a recovery room for up to four hours.
However, radiofrequency ablation is not as commonly used to treat spinal osteomas. This comes from the risk of thermal nerve damage. The needle tip can reach 194 degrees Fahrenheit, which is more than enough to damage the nerves. Candidates for radiofrequency ablation are usually young patients with no history of neurological problems. Osteoid osteoma is not as scary as it sounds, remember the best defense is a knowledgeable doctor and chiropractor. If back pain is presenting, do not wait to get treatment. There is a spine specialist who can help.
Chronic Pain Chiropractic Relief
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*
Healthy aging is not the easiest to do. The muscle aging process breaks down faster than they get repaired as the body ages. This makes it difficult to participate and carry out regular activities. For healthy aging to be achieved exercise is a must. Specifically, strength training helps to regain muscle loss from aging/inactivity. Strength training reduces the difficulty of daily tasks, enhances the body’s energy, and composition. Strength training combined with vitamin D supplementation will slow down muscle loss, help regain muscle mass/strength, maintain healthy blood sugar levels, and prevent falls.New health problems, new aches, pains, and new fragility caused by muscle loss. What steps can be taken to promote healthy aging and staying healthy and fit? The science of aging, and what can be done to age gracefully and maintain optimal health.
The body and aging
The body’s muscles are constantly going breaking down and repairing themselves. As the muscles are used throughout the day, tiny microscopic tears happen from wear and tear. This is where the tears need to be rebuilt with protein. As the body gets older, it stops rebuilding muscle as efficiently and with time, there is a reduction in overall muscle mass and strength. This loss can be from a combination of factors including:
Hormone changes – increasing/decreasing levels
Physical inactivity
Underlying conditions like cardiovascular disease, diabetes, cancer
This reduction in muscle mass does not just happen to the seniors and the elderly. Body development and strength are at their optimal in an individual’s twenties and start to plateau in the thirties. A decrease in strength usually leads to being less active, and routine activities start to become more difficult. Less activity leads to:
Less to no calories burned
Minimal muscle development
Negative changes to body composition
Muscle loss
Increase in body fat
At some point in an individual’s thirties, the body begins to progressively lose muscle each year. At fifty an individual could have lost around ten percent of the body’s muscle. Then an additional 15% by sixty and another 15% by seventy. Then overall functionality is lost and the ability to enjoy life to the fullest decreases.
Muscle loss factors
Sarcopenia
Sarcopenia is a significant loss of muscle mass and strength. It focuses on diet changes and physical activity that cause progressive loss of muscle mass.
Balance issues
Change in walking ability
Decreased ability to perform daily activities
It was once believed that muscle loss and the effects that came with it were inevitable. However, with the advancements in science and musculoskeletal health, along with continuing to stay active and keeping track of body composition, there are ways to combat loss of muscle mass and strength. Causes include:
Malnutrition is a lack of nutritional intake, which can affect body composition. Malnutrition can create complications that not only affect diet and exercise but how the body responds to diet and exercise. Elderly individuals tend not to get enough protein, which is essential for healthy muscle repair. This is often because they have trouble chewing, food-costs, and trouble cooking limit their access to getting protein on a regular basis. Inadequate protein intake can lead to sarcopenia. Protein requirements for older individuals are higher than for the younger population. This is brought on by age-related changes like a decreased response to protein intake. This means that older individuals need to consume more protein to achieve the same anabolic effect.
Micronutrient deficiency means a lack of nutrients. These are minerals and vitamins, that support body processes like cell regeneration, immune system health, and eyesight. Examples are iron or calcium deficiencies. This deficiency has the highest impact on normal physiological functions/processes and can happen with a protein-energy deficiency. This is because most micronutrients are obtained from food.
Body composition and age
Proper lean muscle mass is essential for healthy aging. A lack of enough muscle can result in:
Difficulty moving
This is when regular movements are no longer regular but now take massive amounts of strength and energy. Examples include taking the elevator becoming a necessity and getting in and out of a car is just as challenging. Loss of function and independence are common as muscle loss progresses. Nineteen percent of women and ten percent of men aged 65 or older no longer have the ability to kneel.
Weight gain
The muscles are linked with the body’s metabolism, so once muscles begin to diminish, so does the metabolism. This is referred to as the body’s metabolism slowing down. What is actually happening is a loss of muscle, meaning the body needs fewer calories to function. When the body needs fewer calories and an individual continues eating the same amount of calories, this is when body fat starts to accumulate. This can happen with no significant changes to individual weight. As muscle loss progresses, it is replaced by fat. Body-weight can remain unchanged, but changes in body composition are unseen, which often leads to an array of health problems associated with obesity.
New healthy aging problems
Studies show that weight gain at a steady rate can lead to adult-onset diabetes. This is due to more body fat and muscle loss. Skeletal muscle mass loss has been linked with insulin resistance. This means the less muscle, the less insulin sensitive an individual becomes. As insulin sensitivity decreases and becomes more resistant, the risk factors for type 2 diabetes increases. Loss of muscle can cause other problems with age. One damaging condition is osteoporosis. A few ways to prevent muscle loss.
Eat a proper amount of protein throughout the day. Space out protein across several meals rather than trying to eat it all at once. This will ensure the proper amount daily.
Monitor body composition regularly. Try to keep muscle mass loss and fat mass gain at a minimum.
Begin a strength training routine.
Focus on building muscle
Muscle loss and weakness has been shown to not be a part of aging, but rather as a result of chronic inactivity. Muscle mass is lost with age but it is not the aging process itself that causes muscle atrophy. It is because individuals tend to become more inactive. Physical inactivity is really what causes muscle loss and weakness. However, something can be done about inactivity. For example, there was a study on postmenopausal women that revealed that regular resistance training increased muscle strength by about 19% after one year.
Scientific researchers believed this training increased bone mineral density, which defends against brittle bones. This along with related studies also confirmed that bone frailty can be reduced. Muscle strength relative to muscle mass can also be improved with resistance/strength training. The idea is that physical aging can be slowed down with physical activity. This is to keep the muscles from losing function.
DNA damaged cells
Telomeres are caps at the end of DNA strands that protect the chromosomes. They can be thought of as the plastic ends on shoelaces. If those shoelaces lose the plastic ends the laces become frayed until they unravel and can no longer do their job. The same can be said of telomeres, the DNA strands become damaged and the cells cannot do their job. A shortening of the Telomere is a hallmark of cellular aging. Cells with shortened telomeres tend to malfunction and secrete hormones that trigger an inflammatory response and tumor formation. A study found that individuals that exercise regularly have longer telomeres. This does not mean that an individual has to spend the entire day at the gym. Only moderate, not heavy strength training was found to be effective.
Maintain muscle
Older individuals can still be reluctant to try improving their fitness level. Many believe that years of inactivity has done its damage and that they are too old to train. However, anyone can set goals to improve body composition that will improve energy levels and maintain activity.
Functional fitness refers to the ability to move comfortably throughout daily life. It not only benefits physical activity but contributes to improved body composition. The aging process does reduce metabolic rate and often leads to increased body fat. Lean Body Mass contributes to the overall Basal Metabolic Ratealso known as metabolism. This is the number of calories the body needs to support its essential functions.
Engaging in strength training or resistance exercises can regain some of the muscle loss brought on from aging and inactivity. This can lead to an increase in lean body mass, which increases Basal Metabolic Rate. This all helps prevent:
Bone loss
Heart disease
Obesity
Age-related falls
With age and the loss of lean muscle mass, balance and agility follow. Tendencies to fall increase and the injuries from those falls can be detrimental to overall health and quality of life. Fractures caused by falling are higher in elder women.
A study of all-women over the age of fifty spent 12 weeks using bands as the chosen form of resistance, as opposed to dumbbells or seated machines, saw a significant increase in strength. None of the participants reported injuries. This could be important for those that are worried that exercise could cause too much strain on the body.
It is never too late
Six percent of adults in the United States engage in resistance training or some form of weight training at least twice a week. There are misconceptions that weight training has an age limit. This is not true. The benefits from lifting weights, whether dumbbells, bodyweight exercises, bands, machines, etc are for everyone young and old. This does not mean training at high-intensity. Older adults should look to resistance training to increase energy levels and decrease body fat. A study in Sports Medicine focused on the effects of strength training for older adults found:
Increased power
Reduced difficulty to perform daily tasks
Enhanced energy
Improved body composition
Participation in spontaneous physical activity
There are several key changes for older adults to increase their healthy aging. They are:
Eating sufficient nutrients
Monitoring body composition
Strength/resistance training
Both strength training and proper nutrition are vital for maintaining or achieving ideal body composition.
Vitamin D
Vitamin D is a nutrient that can be acquired in several ways. It supports the normal physiologic functions that include the absorption of minerals like calcium and zinc. This nutrient can be acquired through food consumption, supplemental form, and exposure to the sun. Most foods in a regular diet provide a relatively small amount with the exception of fatty-fish. Examples of natural food sources include:
Once Vitamin D enters the body, it goes through the liver, kidneys and gets converted into an active form, known as a prohormone. It is then circulated into the blood. A prohormone is essential to normal physiological function and support of the skeletal muscle system.
Building muscle
Vitamin D plays an important role in bone health. More recently it has been reported to contribute to muscle quality. Skeletal Muscle Mass decreases with age, primarily from decreased activity. Treatment includes proper nutrition, exercise, and vitamin D naturally or in supplementation form. It was found to slow down muscle loss, help regain muscle mass and strength.
On your feet
Falls are the number-one cause of fatal and nonfatal injury/s. Low vitamin D levels could be partly to blame. There is strong evidence that vitamin D deficiency can increase the risk of a fall in older adults. The connection has to do with the effects of muscle strength and function. Around 250 older adults participated in a trial of taking vitamin D daily plus calcium supplementation improved:
Quadriceps strength
Postural control
Daily functions
Standing up
Walking
After a year falls were found to decrease by over 25%. Compared with patients that only received calcium, and improved by almost 40% after 20 months. Supplements helped these individuals counter the effects of aging and inactivity on their muscles, and was important in preventing potential falls that could result in injury. Getting enough vitamin D is a step to take to supplement exercise, strength training, and maintain muscle health.
Blood sugar check
Vitamin D benefits for muscle health have been linked with muscle mass and blood sugar. Insulin is a hormone that allows blood sugar into the muscles. Individuals with sufficient blood vitamin D levels have a significantly lower risk of hyperglycemia than those with below-recommended levels. Research shows that daily vitamin D supplements in combination with calcium slow down the long-term rise in blood sugar in individuals with prediabetes. Research has shown that supplementation is beneficial for those who are classified as having a deficiency.
Vitamin D Supplements
For individuals with vitamin deficiencies, supplementation can help prevent loss of muscle, strength, falling, and the progression of hyperglycemia. Aging can be accomplished strength training, aerobic exercise, a healthy diet, and the regular monitoring of body composition.
Healthy aging
Maintaining optimal health and aging the way we were supposed to is possible. It does get harder to maintain ideal body composition. The muscles have a harder time rebuilding/repairing and can experience sarcopenia and malnutrition. It is not about getting a flawless physique, but about being able to participate in activities and maintain a healthy lifestyle. Achieving functional fitness through:
Observation
Diet evaluation
Dietary supplementation
Twice a week strength training
Five-time a week moderate cardiovascular fitness
It is never too late to start on the journey towards optimal health and healthy aging.
Weight Loss Techniques – Push Fitness Center
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*
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