Women are familiar with abdominal cramps, Pre Menstrual Syndrome, and headaches that accompany their menstrual cycle. However not as many are aware of backache to throbbing back pain sometimes before and/or after a monthly cycle. Many women go to over-the-counter pain medication like ibuprofen. In a study, the regular use of NSAIDs found that it can lead to:
Stomach problems
Bleeding ulcers
Fluid retention
High blood pressure
Kidney
Heart problems
Why Back Pain Presents During Menstrual Cycle
When the uterus is in a contracting state, the nerves around the pelvis feel the sensations. The uterus only contracts for a few seconds, but repeatedly for hours. Sometimes, the uterus compresses blood vessels in the region. This can limit or completely block the blood vessels supplying the muscles around the pelvis. This is a major contributor to back pain during a period. This is known as referred pain, which means the body feels the pain in one area, in this case, the lower back. But the pain is caused by another area of the body, the uterus. This can cause cramping and low back pain before, during, and after a period. If cramps and back pain become debilitating or worsen over time, it could indicate:
If fever is present along with back pain seek professional help as soon as possible.
Here are a few ways that can help bring relief from back pain during the monthly cycle.
Heat Therapy
Heat generates increased blood circulation, specifically where it is applied. Therefore any blood vessels that are blocked by the uterus will have improved circulation to the muscles surrounding the uterus, allowing them to relax. This could be the use of:
Heating pads
Hot water bottle
Warm bath or shower
If at work, many pharmacy stores and regular stores sell heat patches that are applied with adhesive tape. These can be used on the lower abdomen or lower back, providing soothing heat.
Light Exercises
Most doctors refer to exercise throughout the month, just not during the period. As staying in shape will maintain the body’s proper circulation and keep the muscles strong. However, some women can perform light exercises like yoga or swimming. This helps decrease back pain even on the first or second day of a menstrual cycle which for many women is the heaviest and most painful.
Meditate
Meditation can help gain control and insight from feelings about life situations. It takes practice, but once an individual gets the hang of it they are amazed at how much pain can be reduced with a 15-minute meditation session.
Supplemental Support
Taking omega 3’s and magnesium supplements can help with the pain. Omega 3s reduce blood clotting and improve circulation. They are natural anti-inflammatories that decrease prostaglandin, which is associated with backaches and cramps. Magnesium supplements, especially those that contain vitamin B6, can help relieve back pain before and after a period. Magnesium can also be found in:
Beans
Beets
Salmon
Shrimp
Chiropractic Care
The uterus, like every organ in the body, sends and receives nerve signals, from the brain to the uterus. The menstrual cycle has a close relationship with the spine because of its location. Regular chiropractic adjustments can maintain proper communication between the brain and uterus. Chiropractic realigns the entire spine back to its proper position. This relieves the pressure on the nerves of the reproductive organs. Seeing a chiropractor is the right step towards stopping the pain and healing the body naturally.
Positive body composition changes can be seen with higher load volume and less explosive tempo that is combined with shorter rest periods when weight or strength training.
When lifting weights or resistance training, it could be difficult to gain muscle mass if on birth control, near the perimenopausal stage, or officially on menopause.
One of the benefits of weight and strength training is that it can help an individual feel better about themselves. Weight training is associated with significant improvements in:
Body image
Quality of life
Physical activity behaviors
Overall satisfaction
Well being
Disclaimer
The information herein is not intended to replace a one-on-one relationship with a qualified health care professional, licensed physician, and is not medical advice. We encourage you to make your own health care decisions based on your research and partnership with a qualified health care professional. Our information scope is limited to chiropractic, musculoskeletal, physical medicines, wellness, sensitive health issues, functional medicine articles, topics, and discussions. We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the musculoskeletal system’s injuries or disorders. Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to 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 provide copies of supporting research studies available to regulatory boards and the public upon request. We understand that we cover matters that require an additional explanation of 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.
Dr. Alex Jimenez DC, MSACP, CCST, IFMCP*, CIFM*, CTG*
email: [email protected]
phone: 915-850-0900
Licensed in Texas & New Mexico
References
Brynhildsen, J O et al. “Does the menstrual cycle and use of oral contraceptives influence the risk of low back pain? A prospective study among female soccer players.” Scandinavian journal of medicine & science in sports vol. 7,6 (1997): 348-53. doi:10.1111/j.1600-0838.1997.tb00165.x
Forozeshfard, Mohammad et al. “Short term effects of Kinesio taping on pain and functional disability in young females with menstrual low back pain: A randomized control trial study.” Journal of back and musculoskeletal rehabilitation vol. 29,4 (2016): 709-715. doi:10.3233/BMR-160673
Seguin, Rebecca A et al. “Strength Training Improves Body Image and Physical Activity Behaviors Among Midlife and Older Rural Women.” Journal of extension vol. 51,4 (2013): 4FEA2.
A doctor could recommend alternative treatments, as part of aplan for neck pain like acupuncture, herbal compounds, and yoga. You may want to try them out yourself. Many have reported that these have really helped. Please consult a doctor before trying any alternative therapies. These are safe but should be set-up by a professional to make sure they are done safely. For example, there could be negative interactions between herbs, supplements, and other medications being used.
Acupuncture
This is an eastern approach to healing. Acupuncture focuses on the body’s energy force known as Qi or Chi. When the energy is blocked from flowing this is when physical illnesses develop. Acupuncture restores the healthy energy flow. It isn’t better or worse it is just different.
Herbal Medicine
There are herbal compounds that have proven to be useful for neck pain.
Capsaicin Cream
Capsaicin is a chili pepper extract and can help relieve neck pain. It temporarily reduces pain. Capsaicin cream can help with osteoarthritis and muscle pain, which both cause neck pain.
Devil’s Claw
Devil’s claw comes from southern Africa, where it has been used for centuries to treat fever, arthritis, and gastrointestinal problems. It is used for conditions that cause inflammation and pain, like cervical osteoarthritis.
White Willow Bark
White willow bark is how aspirin in Europe was developed. Synthetic versions like aspirin can irritate the stomach, which is why the natural white willow bark is used instead. It helps with conditions that cause pain and inflammation like osteoarthritis.
Massage
Neck pain can be caused by stress, overuse, and misuse. Misuse means like sitting hunched over a computer for too long every day will take its toll. Massage helps to release tension, relieve muscle inflammation, and pain. Regular massages could help as a preventative measure.
Yoga/Pilates
Yoga and Pilates can increase core strength, improve balance, posture, and reduce stress. These can all help deal with neck pain/ prevent neck pain when done correctly and safely. Neck pain relief can be found with these treatments. Treatments that focus on relieving tension or stress can prove especially helpful if the pain is related to tight muscles and the physical effects of stress.
These alternative treatments could work at their optimal in combination with other therapies. This is to fully address the underlying spinal condition/root cause, along with any other neck-related symptoms.
The sciatic nerve can be compressed, pinched, twisted, moved out of position by a variety of things, including injury/s and spinal conditions, diseases, and the most common a herniated disc. This could be time to try the chiropractic solution that can treat sciatica symptoms and bring relief quickly. If you are experiencing a shooting, electrical, tingling, numb pain down one of your legs could be a presenting of sciatica symptoms.
Sciatica
Sciatica is really a symptom itself caused by lumbar radiculopathy. Lumbar radiculopathy is a medical term referring to a low back condition/injury/disorder that is affecting the nerves in this area. The sciatic nerve travels from the lower back down both of the legs and into the feet. Added pressure placed on the nerve from a herniated disc can lead to common symptoms.
Shooting pain that goes down from the low back, through the leg, calf and sometimes into the foot
A feeling of electricity down one leg
Burning pain
Pain from moving
Numbness
Weakness
Causes
Causes of sciatica include:
Vertebrae Out of Alignment
Misaligned vertebrae, referred to as subluxations can put pressure on nerves in the spine � including the sciatic nerve.
Disc Herniation
The discs that cushion the vertebrae are made up of a tough outer layer and a softer inner layer. When the outer layer is damaged and the inner layer comes out into the spine, it is referred to as disc herniation.
A herniated disc means that the inner layer of the disc is putting pressure on nerves in the spine. A herniated disc impacts the sciatic nerve and can lead to sciatica.
Car Accidents
A car accident can easily damage the spine and soft tissues. An accident can cause a misalignment of the spine, a herniated disc, or other injuries that cause symptoms of sciatica.
Sports Injury/s
Even the fittest athletes are susceptible to back injuries, which in turn can cause sciatica. The spine and discs can be damaged due to a large impact, repetitive motion injuries, or even twisting the wrong way.
Work Injuries
Many sufferers of sciatica do not realize that their workplace activities � including repetitive motions and sitting or standing in one position for long periods of time � can lead to sciatica.
How Chiropractic Solution Helps
Prevention found that sixty percent of individuals with sciatica failed to find relief from other treatments found their symptoms improved after chiropractic treatment.
The chiropractic solution works because it gets to the source of the problem and relieves pressure on the sciatic nerve. Chiropractic treatments include:
Realignment
Spinal misalignments are often the cause of sciatica can be corrected through careful chiropractic adjustments. The chiropractor analyzes the misalignment, then applies pressure to the area to correct the misalignment. The pressure is removed from the sciatic nerve, and this is done on and off to get the correct position and massaging the inflamed tissues until symptoms improve.
Spine Decompression
For those whose sciatica is caused by a herniated disc, spinal decompression can bring real relief. Using a specially designed table, the chiropractor can gently stretch the spine � creating space for the disc to heal and pull back from the sciatic nerve.
Find Relief
Please contact our chiropractic team today to schedule an appointment if you are experiencing symptoms of sciatica. We are ready to help you feel better and get back on your feet again. We focus on improving your ability through flexibility, mobility and agility programs tailored for all age groups and disabilities.�We do this so that we may reach as many El Pasoans who need us, no matter the affordability issues.
Severe *Sciatica”* Pain Relief | El Paso, Tx (2020)
NCBI Resources
Patients with sciatica feel better with time, usually a few weeks. If pain continues, other treatment modalities can be discussed.�Muscle spasms can accompany sciatica symptoms and can be treated with heat or ice therapy. A doctor may advise�light exercise like short walks�and once recovery is established they may give you exercises to strengthen your back and core.
Spinal cord injury/s are separated into two phases: There is the primary injury and the secondary injury.
The primary injury refers to the physical trauma to the spine. This could be a:
Car accident
Sports accident
Severe fall
Other traumatic events
When the primary injury happens, neurological injury to the nerves and spinal cord can take place in the form of:
Compression
The compressing of the spinal cord/nerves can cause an impact of bone, disc, and ligaments against the tissues. This is because the spinal canal becomes narrowed and shifts out of proper alignment. This causes the nerves to get pinched during the injury.
Stretching
Tissues get stretched beyond what they’re capable of so the spinal cord can suffer serious damage with the slightest trauma directly to it. Complete cutting or severing of the cord is rare.
Blood supply inadequacy
The injury can cut off or significantly reduce blood supply to the cord and nerves. If the microscopic blood vessels get damaged almost instantaneous hemorrhage or bleeding into the spinal cord.
Spinal cord damage can be seen on an MRI immediately after trauma.
Secondary injury is a cascade of events that occur after the initial trauma, which is the body’s attempt to heal the injury.
This could be seconds, hours, days, and weeks afterward. Several factors play a role in how severe secondary injury will be.
The body releases chemicals in response to trauma. These chemicals cause inflammation, decreased blood flow, and cell death.
Treatments/therapies for spinal cord injuries usually directed at one or more steps during this cascade. Goals of treatment:
Decrease inflammation
Increase blood flow
Reduce scar formation
Slow degradation and cell death
The overall treatment of a spine injury is focused on stabilizing the injury. Once that has been accomplished, there are two following goals:
Treatment priority is to reduce the effects of primary and secondary injuries. One is to immobilize the spine to prevent further injury. This typically happens at the scene of the accident and can be done with a hard collar or brace. IV fluids and medications to maintain blood pressure and possible administration of oxygen may be used. These techniques are fairly standard to deal with primary injury/s.
Surgery could be needed to remove physical impingement/compression on the nerves, restore blood flow, and provide room for subsequent inflammation to help the body heal itself.
Sometimes surgery takes place later to restore the alignment of the bone and correct any deformities that may have occurred. This is as important as decompression for maximizing a patient’s rehabilitation. Stabilization from surgery can help patients sit upright, walk, and maintain proper weight on the trunk. It also helps to avoid developing posture problems in the future.
Methylprednisolone is a steroid that’s considered a neuroprotective agent. This is the only drug treatment supported by the medical community to be used immediately following the primary injury. There is still debate among the medical community as to the effectiveness of this steroid. To date, it has not been defined as a standard of care by any major medical associations.
Treatment Research
Other treatments have been proposed and proven successful in animal trials. These treatments first go through animal trials before human trials. Replicating the benefits in humans is still quite difficult to achieve. There were 100 different treatments that do work in animals, however, methylprednisolone is the only treatment that has demonstrated consistent results.
Reasons why research for spinal cord injuries is tough:
Anatomical differences in animal’s spinal cords: While rodents are typically used for most research, their spinal cords have the ability to create stepping patterns without signals from the brain. That means that after a spinal cord injury with no treatment they can learn to walk again. The human spinal cord cannot do this.
The differences between actual injury and a simulated one: Actual injuries that result in trauma to the spine usually have neurological compression that exceeds that seen in the animal models during the simulated injury. This means that treatments that are effective in animal trials where there is less trauma to the bones and nerves than�when the same treatments are tried for actual injuries, could be less effective because the injury/s are more severe.
During spinal cord treatment tests, researchers typically use mild/moderate spinal cord injuries. Human injuries can vary from one extreme to another that they are either too severe for therapy or too mild that they recover without treatment.
Doing the same experiments and research on animals and humans is complicated: There are all kinds of variables in animal research that can’t be controlled in human studies. There are different models of injury, that happen at different times and are treated with different medications, and all contribute to inconsistencies. The results significantly change the accounts of how useful any given treatment is, especially when comparing the animal studies and human studies.
Example –� Treatments in a laboratory are begun within one hour after injury simulation. This doesn’t happen in clinical settings, because typically, first responders at accident sites work to stabilize the patient’s airway, and spine before they are transported to an emergency room. Replicating that procedure with actual first responders can be quite difficult to do in clinical studies.
Promising Treatments
There are promising treatments in spinal cord injury:
Hypothermia
Naloxone
Corticosteroids
All three have shown positive results in animal trials. But there have been varying results in human trials. While these are positive results, further research from scientists and physicians is needed to develop a highly effective treatment for spinal cord injury.
Hypothermia treatment has piqued a great deal of interest based on a case of its use on a professional football player, that suffered a spinal cord injury. It was a success, but unfortunately, other human studies utilizing this treatment failed to demonstrate the same benefits and some believe the risks outweigh the benefits. Physicians believe that the player’s positive outcome was the result of a less severe injury and early decompression, and not necessarily from the hypothermia treatment.
Researchers debate that freezing reduces blood flow in the injured spinal cord but that it could worsen the secondary injury/s.
Conclusion
Treating spinal cord injury research is still a major focus in the medical community. With progress taking place there is still not yet the major breakthrough. Continued investigation into treatments for spinal cord injuries will go on until spinal injuries are no more.
Severe *Sciatica”* Pain Relief | El Paso, Tx (2020)
NCBI Resources
Spinal injury or trauma can result in myofascial pain syndrome, but lifestyle factors usually have a hand in the condition. Poor posture over a long period,�for example,�sleeping in an awkward position can cause physical muscular stress on the spinal muscles.�Mental and emotional stress can present itself through muscle tension�that helps the development of trigger points.
The�trapezius muscle, that extends from the back of the neck down the shoulders and upper back, is the most common site of spinal trigger points and myofascial pain because of the significant amount of pressure that the muscle has to bear and its susceptibility to whiplash.
Although their main method of treatment is the spinal manipulation, many chiropractors also use other therapies to treat their patients. The following is a brief description of some of the most common therapies chiropractors offer.
Therapeutic Exercise
Chiropractors commonly prescribe specific strengthening exercises for their patients with back, neck, and extremity problems. These exercises can decrease pain, prevent muscle deterioration, promote joint health, increase strength, stability and range of motion, and protect against new or recurring injuries.
Your chiropractor will show you how to do the exercises and supervise you until you are comfortable doing them on your own. It’s important to keep up with your exercises as prescribed (similarly to drug prescriptions). Studies show that individuals who follow their exercise instructions heal faster than those who do not.
Therapeutic Stretches
Following an injury, therapeutic stretching is an important way to prevent scar tissue from forming. Even after the injury has healed, maintaining a regular stretching program helps keep tissues flexible, increases mobility, and protects you from new injuries. As with exercise, your chiropractor will instruct you on proper stretching techniques and will supervise you until you are comfortable enough to do them on your own.
Traction
Many chiropractors use traction, in which traction devices are applied to distract areas of the spine. This treatment helps separate the vertebrae resulting in disc decompression, reduced nerve root pressure, and decreased.
Soft Tissue Manual Therapy
Chiropractors use a variety of hands-on soft tissue therapies to improve the function of the soft tissues (muscles, ligaments, tendons, and joint capsules).�These include pin and stretch, also known under a proprietary name Active Release Technique (ART) and instrument-assisted soft tissue mobilization (Graston Technique).
Physical Therapy Modalities
Muscle Stimulation
This type of therapy uses light electrical pulses that are transmitted to specific areas of the body through electrodes placed on the skin. There are many different types of electrical stimulation. Some are more beneficial for pain relief or to reduce inflammation, some best treat muscle spasm, and some actually cause muscles to contract in order to reduce muscle atrophy. Some forms of electrical stimulation have combination effects.
TENS
A TENS (transcutaneous electric nerve stimulation) unit is a small, battery-powered, portable muscle stimulation machine that can be used at home to help control pain. Variable intensities of electric current are used to control pain. This treatment is recommended to help patients get through periods of severe (acute) pain. TENS units are typically not recommended for chronic pain. In fact, a 2009 �report from the American Academy of Neurology found that TENS units are not effective at treating chronic low back pain.1
Ultrasound
Therapeutic ultrasound is a form of deep heat therapy created by sound waves. When applied to soft tissues and joints, the sound waves are a form of micro-massage that help reduce swelling, increase blood flow, and decrease pain, stiffness, and spasms.
Ice and Heat Therapy
Ice and heat have long been used to treat many painful conditions. Ice therapy is often used to reduce swelling and help control pain immediately after an injury. Heat therapy is used to relax the muscles, increase circulation, and can provide relief to patients with chronic pain. Depending on the patient’s condition, a combination of ice and heat can be used.
Diet and Nutritional Counseling
Studies have shown that poor diet and nutritional imbalances contribute to a number of serious illnesses, such as heart disease, stroke, diabetes, and cancer. Chiropractors are specifically trained in diet and nutritional counseling. Your chiropractor can design a nutritional program specific to your needs that can help you maintain good health and minimize the risk of developing these serious health conditions.
Lifestyle Modification Counseling
Good health is much more than the absence of pain or disease. The lifestyle choices you make on a daily basis can greatly affect your long-term health. We now know that years of seemingly small unhealthy lifestyle choices can, over time, turn into very large health problems. Examples of lifestyle choices and behaviors that can have negative effects on your health include:
lack of regular exercise
smoking
poor diet
excessive mental stress
over-reliance on medication
excessive consumption of alcohol
poor posture
improper lifting
Your chiropractor will talk to you about your lifestyle choices, help you sort through and identify unhealthy health habits, and give you practical strategies to deal with and manage them.
As you can see, chiropractic medicine is more than just spinal manipulations. Chiropractors use a variety of treatment modalities to help the body to heal itself and return the patient to a pain-free and healthy life.
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