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Fixed Sagittal Imbalance

Fixed Sagittal Imbalance

Individuals with fixed sagittal imbalance, a condition where the normal curve of the lower spine is greatly reduced or absent altogether that can cause pain and difficulty balancing. Can chiropractic treatment, physical therapy, and exercise help improve the condition?

Fixed Sagittal Imbalance

Fixed Sagittal Imbalance

The condition is commonly known as flat back syndrome and can be present at birth or can happen as a result of surgery or a medical condition.

  • It can also happen for other reasons, including degenerative disc disease, traumatic injury, or as a result of spinal surgery. (Columbia University Irving Medical Center. 2023)
  • Individuals with flat back syndrome position their head and neck too far forward.
  • A major symptom is difficulty standing for long periods of time.

Symptoms

The spine has two curves. The lumbar spine in the lower back and cervical spine in the neck curve inward. The thoracic spine in the upper back curves outward. The curves are part of the spine’s natural alignment. They help the body balance and maintain the center of gravity.

  • If these curves begin to disappear the body can have trouble and difficulty standing up straight.
  • The loss of curvature causes the head and neck to pitch forward, making it hard to walk and do regular normal activities.
  • Individuals have to flex their hips and knees and adjust their pelvis in order to stand up straight. (Columbia University Irving Medical Center. 2023)
  • There is a tendency to stoop forward which gradually increases and can even feel like the body is falling forward.
  • By the end of the day, the body is exhausted from the strain of trying to maintain balance.

Causes

Some causes of fixed sagittal imbalance include: (Columbia University Irving Medical Center. 2023)

  • Congenital – present at birth.
  • Degenerative disc disease.
  • Ankylosing spondylitis – a type of inflammatory arthritis of the spine.
  • Compression fractures of the vertebrae – for example, caused by osteoporosis.
  • The condition used to be common after spine surgery to correct scoliosis/abnormal curvature of the spine.
  • The devices implanted could cause flat back syndrome, especially for older individuals.
  • However, new and updated surgical techniques have decreased the complications.

Diagnosis

A doctor will ask about medical history, injuries, or back surgery. This will followed by a physical exam, that can include:

  • A musculoskeletal exam.
  • A neurologic exam.
  • A gait examination will assess standing and walking ability.
  • The gait exam is done because the gait can change to compensate for the loss of the curvature.
  • X-ray imaging will show spinal alignment.
  • Other possible sources of symptoms will be considered before a diagnosis can be confirmed.

Treatment

Treatment often involves physical therapy and exercise, bracing to provide increased support, and sometimes surgery.

  • Physical therapy typically begins with stretching and targeted strengthening exercises to improve posture.
  • The goal is to reverse the pattern of muscle imbalance that keeps the lower back flat.
  • Exercises to strengthen the neck, rear shoulder muscles, back, core, and buttocks can include: (National Health Service. n.d.)
  • Abdominal stretches
  • Hamstring stretches.
  1. Hamstring stretches improve the alignment of the lumbar spine.
  2. Hold the stretch for about 30 seconds at a time.
  3. Repeat three to five times once or twice a day.
  • Back extensions
  • Chest stretches
  • Planking
  • Side-lying leg raises
  • Seated rows in a gym or pull-ups

In severe cases, patients may need corrective surgery. A few options include: (Columbia University Irving Medical Center. 2023)

A chiropractor and/or physical therapist can recommend exercises and other forms of treatment. (Won-Moon Kim, et al., 2021)


Life-Changing Chiropractic Relief


References

Columbia University Irving Medical Center. Flatback syndrome.

National Health Service. Common posture mistakes and fixes.

Lee, B. H., Hyun, S. J., Kim, K. J., Jahng, T. A., Kim, Y. J., & Kim, H. J. (2018). Clinical and Radiological Outcomes of Posterior Vertebral Column Resection for Severe Spinal Deformities. Journal of Korean Neurosurgical Society, 61(2), 251–257. https://doi.org/10.3340/jkns.2017.0181

Kim, W. M., Seo, Y. G., Park, Y. J., Cho, H. S., & Lee, C. H. (2021). Effect of Different Exercise Types on the Cross-Sectional Area and Lumbar Lordosis Angle in Patients with Flat Back Syndrome. International journal of environmental research and public health, 18(20), 10923. https://doi.org/10.3390/ijerph182010923

Neck Stiffness, Crick in the Neck and Chiropractic

Neck Stiffness, Crick in the Neck and Chiropractic

We are familiar with neck stiffness or a crick. This can prevent us from comfortably moving the head all around. A crick can cause the spine, and shoulders to feel rigid and stressed from not being able to turn around and could cause an upper or low-back strain from having to turn the whole body to look back or even just to the side. Chiropractic treatment is available and will help, along with some self-care therapies that can be done at home.

 

11860 Vista Del Sol, Ste. 128 Neck Stiffness, A Crick in the Neck and Chiropractic Relief El Paso, Texas

Crick in the Neck vs. Neck Stiffness

A crick in the neck is the same as a stiff neck. It develops when the neck muscles, tendons, and ligaments become strained/sprained. Most strains and sprains are minor but do cause inflammation/swelling of the neck�s soft tissues, which results in stiffness and, at times muscle spasms.

 

The symptoms

Cricks in the neck are uncomfortable, but not necessarily painful. If there is a pre-existing neck condition or injuries like whiplash the crick and stiffness could increase the uncomfortableness and generate pain.

The most common symptoms include:

  • Neck stiffness
  • Muscle stiffness
  • Reduced mobility affecting the neck�s range of motion
  • A popping sensation when trying to turn or tilt the head

 

Neck Pain Herniated Discs

Causes of a stiff neck or crick

There are different causes of neck stiffness. It can be a combination of things you can control and some you can�t.

Possible causes that you can control:

  • Poor posture working either sitting or standing for several hours without breaks or stretching.
  • Sleeping in a position that puts the neck in an awkward position or using a pillow that does not support the neck when sleeping.
  • Constantly looking down at a cell phone or tablet.
  • Stress and emotional tension can cause involuntarily tightening of the neck muscles and shoulders.
  • Heavy labor along with incorrect lifting techniques.
  • Reaching or having to look up/overhead for several hours like when painting a ceiling.

Possible causes that are out of your control:

  • Whiplash injury
  • Sports-injuries like a football stinger
  • Aging muscles and bones

Around 13% of cases the stiffness, and pain are caused by separate cervical spinal conditions, like:

  • Cervical herniated disc
  • Cervical spinal stenosis
  • Spinal fracture
  • Spondylosis (spinal osteoarthritis)

At-home therapy

Usually, a crick in the neck will go away within a few days without the need to visit a doctor or chiropractor. There are home remedies that can help alleviate neck stiffness.

 

Why Chiropractic Works In Relieving Joint Pain El Paso, Texas

Cold and heat therapy

Cold therapy reduces the swelling of soft tissues, like muscles and ligaments, while heat soothes the tightness by boosting blood circulation to the affected area. There are different products available that can deliver cold or heat to the neck and upper back.

  • Apply ice for 15 minutes each hour.
  • Apply heat therapy like a heating pad for 15 minutes every 2 or 3 hours.

 

Over-the-counter anti-inflammation medicines

Non-steroidal anti-inflammatory medications like ibuprofen and naproxen can help relieve inflammation and pain.

Gentle neck stretches and exercises

Cervical stretches and exercises can:

  • Ease muscular tension
  • Muscle spasms
  • Strengthen muscles
  • Improve neck flexibility
  • Improve range of motion

Prevention

Because neck stiffness can be linked to lifestyle choices, individuals may find that they occur repeatedly. Simple neck stretches, chiropractic treatment, using a supportive pillow, and taking frequent breaks at your job can help prevent neck stiffness and keep you moving. These professionals have undergone extensive training in their field and are capable of treating neck pain effectively. So if you or a loved one are experiencing neck pain, give us a call. We�re ready to help!


 

Neck Pain Chiropractic

 


 

NCBI Resources

 

Is Spine Pain Reducing Your Mobility?

Is Spine Pain Reducing Your Mobility?

Is Your Mobility Slipping Away ?

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Mobility is more than moving from one place to another. It�s freedom and independence.

Whether you have a back or other condition that impacts how you walk, or your body doesn�t move as effortlessly as it once did, decreased mobility impacts a lot of people. But, if you notice changes early on, you and your doctor may be able to work on a plan to keep you moving comfortably for longer.

To see some red flags that may signal a decline in healthy mobility. Do any sound familiar?

Short Walks Become Long Walks

How do you feel after walking a quarter of a mile? Is it painful or taxing on your body?

Unless you have a spine condition or other disease that limits your ability to walk, you should be able to walk your entire life. If it�s challenging to complete short walks, that�s a red flag your mobility is at risk.

Changes In Gait

It�s not just walking distance that foreshadows a decline in mobility�how you walk is just as revealing.

Gait is the medical term for how you walk. While gait changes are a typical part of aging, some gait characteristics aren�t normal. For example: If you walk in a shuffling, unsteady, or cautious manner, you should see your doctor. He or she will help assess your gait and hopefully find the reason for it and ways to improve your movement.

Your �Get Up & Go� Is A Bit Slow

Another way to test your mobility is by doing the �get up and go� test.

You�ll need a friend to time you during this task. First, start by sitting in a chair. When your friend says �go,� get up and walk 10 feet in a straight line, then turn around and walk back to the chair and sit down. Most people who have healthy mobility can complete the exercise in 10 seconds or less.

While speed is an important part of this exercise, think about how you feel afterward. Do you feel any pain in your back muscles or in your legs or joints? If so, you should talk to your doctor to find ways to ease these movements� impact on your quality of life.

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Daily Tasks Aren�t So Routine

Is cooking a meal or taking a shower an ordeal when it used to be just a typical part of your day? Do you have work-arounds for tasks that were once easy?

One can overlook how a once simple part of your daily routine has slowly morphed into a challenging task. You may adjust your lifestyle to accommodate a decline in mobility (like putting a seat in the shower), but that�s a sign it�s time to see your doctor.

Your doctor can get to the bottom of your movement problems and suggest ways to help, such as using an assistive device, like a cane or walker, so you can move easier.

You Don�t Travel Far From Home

This isn�t about getting on a plane�you don�t travel to the other side of town. Avoiding going away from home, even if it�s a grocery store a few miles from your house, could be a sign your ability to move is declining.

Think about it: Running errands across town for an hour or two takes physical endurance. If you feel mentally and physically exhausted over the thought of completing a few errands, that�s a red flag your mobility health is at risk.

The Best Way To Improve Mobility

Want to keep walking well into your later years? The answer is simple: Stay active.

Physical activity is excellent for your heart, lungs, muscles, and spine, and helps preserve your independence. It�s never too late to start exercising.

Caring for your mobility is essential�not just for spine health but for your total health.

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