Muscle cramp and muscle spasm: Three types of muscles make up the body.
Cardiac muscle makes up the heart.
Smooth muscle cells line the blood vessels, gastrointestinal tract, and organs.
Skeletal muscles attach to the bones and are used for voluntary movements.
A muscle spasm happens when skeletal muscle contracts and does not go back to its relaxed state. Spasms are forceful and involuntary. A muscle spasm that sustains/continues is a muscle cramp. The leg muscles, especially the quadriceps/thigh, hamstrings/back of the thigh, and gastrocnemius/calves, are prone to cramping, but any skeletal muscle can cramp. Charley horse is another name for a muscle cramp.
Causes
There can be a variety of causes for muscle cramps. This includes:
Physical exertion in hot weather
Overexertion
Dehydration
Electrolyte imbalance
Physical deconditioning
Certain medications and supplements could contribute to muscle cramping.
They can interfere with electrolyte levels, contribute to the breakdown of muscle tissue, and/or interfere with blood circulation. Any medication-related muscle cramping should be reported to a doctor.
Night Cramping
Night cramping, especially in the calves, is common and affects up to 60% of adults. Women are more prone to night-leg cramps than men. They are also common with age and a common contributor to insomnia. Muscle fatigue and nerve dysfunction are believed to be a factor. Management remedies include:
Stretching
Self-Massage
Topical muscle pain ointments/creams
Ice therapy
Remedies and Treatment
The majority of cramps resolve on their own within a few minutes without treatment.
It is recommended that as soon as a cramp begins, stop the activity.
Stretch and massage the area,
Hydrate with water and, if necessary healthy sports drink to replenish sodium, vitamins, electrolytes, and more.
Apply heat to help relax the muscle.
Apply an ice pack.
Nonsteroidal anti-inflammatory medications (NSAIDs) can help if the pain is substantial.
Consult a doctor if cramps are severe or are recurring often.
Prevention
Strategies for reducing the risk include:
To vary exercise routines
Maintain proper hydration
Maintain proper levels of electrolytes. Sodium and potassium are lost during physical activity, especially in the heat and with consistent sweating.
Regular Stretching
Warm-up with a quick jog or quick walk before stretching the body.
Body Composition
Insulin and the body
Insulin assists the transport and storage of energy glucose to cells, tissues, and organs. These include the body’s glucose storage like the skeletal muscles and liver. Once the blood sugar returns to a base level as the glucose is absorbed, the pancreas begins producing glucagon instead of insulin. Glucagontells the liver to release the stored sugar, which typically happens between meals. What happens to the body when eating too much sugar and carbohydrates than the glucose-storing organs can handle?
Individuals with Type 1 diabetes have a pancreas that does not produce insulin. Type 1 diabetics need to control their glucose levels with lifelong insulin therapy.
With Type 2 diabetes, the pancreas ends up producing insulin through frequent outbursts. When this starts to happen more than normal, the cells eventually lessen their insulin sensitivity. The body becomes numb to the signaling that there is excess blood sugar in the body. This is what happens in individuals with insulin resistance or Type 2 diabetes. This type of diabetes can be managed or prevented with diet adjustments.
References
AAOS: “Muscle Cramps.” Jun. 2017.
American Academy of Orthopedic Surgeons: “Muscle Cramp.”
American Academy Physician: “AAN Recommendations on Symptomatic Treatment for Muscle Cramps.”
American Family Physician: “Nocturnal Leg Cramps.”
American Osteopathic Association: “Muscle Cramp – A Common Pain.”
Journal of the American Academy of Orthopedic Surgeons: “The Athlete With Muscular Cramps: Clinical Approach.”
National Cancer Institute: “Muscle Types.”
National Institute of Mental Health: “What Is Generalized Anxiety Disorder?”
Pregnancy is an exciting time in a woman’s life. A healthy pregnancy is the objective, and therefore, essential to maintain a healthy diet and stay physically active. However, it can be easy to forget about the strain that pregnancy places on the body and push through the aches and pain with everything going on. Specifically the spine and pelvis. During pregnancy, the body goes through various changes to accommodate the growing baby. When pregnant, a hormone known as relaxin is released. This relaxes the joints for labor and delivery. Sometimes the ligaments can become too loose that they become structurally unstable. This causes pain. Other factors that can lead to spine misalignment and pain:
25 – 30 lbs of added weight and pressure on the spine, pelvis, legs, feet.
Weakened abdominal muscles.
Lower back curvature becomes more prominent.
Pregnant women going through discomfort/pain can benefit from chiropractic pregnancy adjustments. These maintain spinal alignment while keeping the baby safe. Chiropractors are trained to treat pregnant women; however, there is additional certification to specialize in this area. A prenatal chiropractor also provides information on:
Preparing the body for labor and birth
Maintaining healthy posture
Ensure the body is properly aligned throughout the pregnancy.
Diet
Health coaching
Postpartum care
Chiropractic Benefits For A Healthy Pregnancy
The obvious benefits include back pain relief, quality of life improvement, and reducing the need for pain medications. Other benefits include:
Alleviates sciatic nerve pain
Helps to control urinary incontinence
Reduces pregnancy-related nausea
Aligns the pelvis for optimal delivery
Reduces labor and delivery time
There is little risk associated with prenatal chiropractic care. However, it is not recommended for pregnant women with health complications like vaginal bleeding or ectopic pregnancy.
Repositioning
If the baby does not have enough room or is going into a breeched position, a chiropractor will work on the ligaments and muscles in the pelvic region to decrease any intrauterine restrictions. Getting the pelvis aligned will allow for an optimal delivery position. This will help move the head down and give the baby more space. If there is a breech position, it is recommended to see a chiropractor once a week during the eighth and ninth months.
When to Start
After receiving approval from the obstetrician, a woman can see a chiropractor at any stage during pregnancy. Many women start chiropractic in the first trimester. This develops a relationship early and benefits the woman as her body changes throughout the pregnancy.
How Often
Most patients visit a chiropractor once a month during the first trimester. Then they increase the sessions as the pregnancy progresses. Every woman’s pregnancy is different, requiring a personalized/customized treatment plan. The chiropractor will best advise on the frequency of treatment.
Pregnancy Technique
A chiropractor’s job is to manipulate the woman’s spine, joints, and muscles into alignment.
The adjustments utilize gentle pressure. The techniques are adjusted accordingly. Depending on how far along the woman is, as well as musculoskeletal health. For example, they could emphasize focus on the pelvis to reduce stress on the uterus and ligaments for a few sessions. Then shift back to the spine. They will not exert excessive pressure on the abdomen and possibly incorporate specialized equipment specifically for pregnant women.
Sciatica
Symptoms of sciatica are common during pregnancy, typically in the later months. This comes from the added pressure on the sciatic nerve. It can be sharp, burning pain from the hip to the foot. This makes walking, sitting, and sleeping uncomfortable to unbearable. Some women are fortunate enough to experience relief if the baby moves off the sciatic nerve. However, most will need some form of treatment to manage and heal the symptoms. This usually includes:
Series of adjustments
Hot and cold therapies
Stretches
Chiropractic can continue to help after giving birth, providing post-natal care helping the body return to its pre-pregnancy state healthily and optimally.
Body Composition
Diet, Nutrition During Pregnancy
From a nutritional perspective, a high GI diet during pregnancy increases the chances of excessive weight gain and overweight babies. Intake of low-glycemic carbs is associated with weight gain in the normal range. If planning to get pregnant or are pregnant, pay attention to the quality of carb intake for a healthy pregnancy. Health care providers recommend avoiding extreme diets for the first four to six weeks after delivery. This gives the body time to recover and helps to establish a consistent milk supply, as rapid weight loss could interfere with breastfeeding. Before going on a diet or starting an exercise program, check with a healthcare provider to rule out any medical conditions.
References
30 of the Most Surprising (And Alarming) Back Pain Statistics. The Good Body. https://www.thegoodbody.com/back-pain-statistics/. Last updated May 30, 2017. Accessed September 22, 2017.
Bernard, Maria, and Peter Tuchin. “Chiropractic Management of Pregnancy-Related Lumbopelvic Pain: A Case Study.” Journal of chiropractic medicine vol. 15,2 (2016): 129-33. doi:10.1016/j.jcm.2016.04.003
Gostine M. Is Lower Back Pain Normal During Pregnancy? BabyQ. https://www.babyq.com/lens/lifestyle/is-lower-back-pain-normal-during-pregnancy/. Published February 4, 2017. Accessed September 22, 2017.
Sabino J, Grauer JN. Pregnancy and low back pain. Curr Rev Musculoskelet Med. 2008; 1(2): 137–141. Published online February 26, 2008. doi: 10.1007/s12178-008-9021-8.
The hands are used for all kinds of tasks/chores day and night. Using the hands requires the wrists. When wrist pain presents, it can make life unbearable, causing individuals to make all kinds of awkward and unhealthy habits that can worsen and cause further injury. Chiropractic wrist and hand adjustments are recommended for this type of injury. A majority of wrist injuries are the result of micro-stress/repetitive tearing use. Repetitive stress injuries often require a multifaceted treatment approach. This is why chiropractic is so effective, in that it treats the symptoms and the causes to get back to work, school, and normal life quickly.
Wrist Tendonitis
Wrist tendonitis happens when a tendon becomes inflamed. This is common among athletes, store workers, clerks, warehouse workers, hair stylists/barbers, etc. Individuals that are constantly using their hands, wrists, and arms have an increased risk of developing tendonitis. And without proper treatment and rest, the inflammation continues and worsens. Chiropractic wrist adjustments for wrist tendonitis include:
Diagnosis and assessment.
Swelling and pain are alleviated using ice, bracing, ultrasound, laser therapy, and other inflammation-reducing techniques.
Once the inflammation has been brought down, massage therapy is incorporated to keep the tendons loose and relaxed.
Physical therapy and manual manipulation will restore mobility and flexibility to the wrist.
When the pain is completely reduced and mobility is restored, chiropractic wrist adjustments will break down the scar tissue to prevent future injury.
The chiropractor will recommend ergonomic tips and exercises to prevent flare-ups.
Wrist Crepitus
Another common issue that can be painful is crepitus, which is a popping, clicking, and/or cracking in the wrist when moving the hand. Different causes depend on the type the popping/clicking/cracking. If it occurs without pain, more than likely, it is the gases escaping from the wrist joint. This is normal and is not something to worry about. However, a chiropractor can help if it becomes burdensome. Another cause is when a tendon extends or contracts over the bone with certain types of movements. This type of popping often results in pain and should be addressed by a professional to prevent further damage. Both issues are commonly treated with wrist adjustments.
Dislocated Wrist
A dislocated wrist needs immediate medical care from the emergency room. The wrist needs to be reset and given time to recover/heal before a chiropractor can work on it to repair any issues that the dislocation caused. There are benefits from chiropractic after a serious wrist injury that includes:
Pain relief
Function restored
Mobility restoration
Proper wrist alignment
Scar tissue removal
Strength training
Aching, popping, and cracking relief
Chiropractic Wrist Adjustment
Wrist adjustments depend on the injury/condition that the individual is going through. A chiropractor uses different approaches and techniques that return the joints to the proper alignment. Wrist adjustments are usually done by hand and are gentle. This is because the bones and tendons do not need major force to correct. Chiropractors focus on the wrist the same way they focus on the whole body.
They relieve pain and swelling first.
They determine what caused the injury.
Then focus on strengthening the joint.
Develop a prevention regimen to keep it from recurring.
Body Composition
Complete Body Measurement
Getting body composition tested will help progress to optimal health by the results, not the weight scale. Determining progress with metrics like this and lean body mass equips individuals with the knowledge needed to get the results faster and smarter. The quickest and easiest way to determine body composition is to use the InBody. This means focusing on body fat percentage instead of weight. The devices being used today are extremely accurate at giving reliable body fat percentage results. Get a complete readout of your body that includes:
Muscle mass
Fat mass
Body water
Body fat percentage
Getting as much information as possible using optimal tests will help with goal planning and achieving optimal health.
References
Hulbert, James R et al. “Chiropractic treatment of hand and wrist pain in older people: systematic protocol development Part 2: cohort natural-history treatment trial.” Journal of chiropractic medicine vol. 6,1 (2007): 32-41. doi:10.1016/j.jcme.2007.02.011
Prasad, Ganesh, and Mustafa J Bhalli. “Assessing wrist pain: a simple guide.” British journal of hospital medicine (London, England: 2005) vol. 81,5 (2020): 1-7. doi:10.12968/hmed.2019.0051
Sadowski, M, and D Della Santa. “Les syndromes douloureux du poignet” [Wrist pain]. Revue medicale suisse vol. 2,92 (2006): 2919-23.
I threw my back out. Most of us have heard and possibly experienced throwing our backs out. But, what does throwing out your back really mean? Find out from our experts. When talking about throwing one’s back out, it’s usually a result of twisting, turning, coughing, sneezing, or lifting incorrectly. The medical equivalent to this injury is an ankle sprain. It can be excruciating, individuals might not see or feel a tear, but the ligaments have been injured, causing inflammation and pain. The same thing can happen to the spine.
What it means when you throw out your back.
Most experience acute pain in the lower region of their backs. Individuals can throw out their back at any age doing all kinds of activities. These can range from:
Changing a tire
Moving lifting boxes, going upstairs, etc
House chores/tasks
Gardening
Sports
Working out
Bending over to pick up an object
It is more common as individuals age. This is when individuals notice how they could take a serious injury and walk away when they were young. However, with age, something like a cough or sneeze could cause the back to become sprained. When the ankle is sprained, it is immobilized to allow it to rest and heal.
However, it is not as easy to immobilize the spine as large muscles in the back around the spine. Any time tissue is injured, the muscles automatically spasm to act as a splint. These spasms usually tend to be the worst part when back pain presents. This is because the back muscles are large; they cause intense inflammation and pain when they spasm. Combined with this, the back can feel like it is stuck, significantly decreasing the range of motion. This type of injury can take a couple of days to reduce and up to two to six weeks to return to normal function.
This is what is really happening
The majority of the time, what has happened is there is a small ligament strain or an annular tear, which is a tear in the ligament that connects the vertebra to the disc. When standing upright and lifting properly, the disc/s work like hydraulics.
When individuals bend over not using their legs, the back part of the spine widens/opens up, and instead of a hydraulic effect, it becomes a cantilever structure. Bending and twisting compound the pressure across the disc. Prevention is key and by using the legs and keeping the back straight, let the hydraulic system do its natural job.
Misconceptions
Chiropractors specialize in difficult to treat musculoskeletal pain conditions. The term threw out one’s back is similar to the knee, arm, shoulder being blown out. The terminology can create fear associated with the idea of throwing something out of place, especially when it comes to the spine. When individuals come in with back pain, they can become fearful of what will be found. These include:
What has happened to my spine?
Is it going to get better?
Is this going to be a life-long injury?
Will I be able to walk normally?
Through research, doctors now know that fear is an inflammatory response. Therefore, when individuals become fearful, their immune system kicks in, causing the pain to worsen.
Treatment
A few things have been proven to work well, along with seeing a doctor, spine specialist, or chiropractor.
Ice and heat
It depends on individual preference. Ice reduces inflammation and pain, and the heat helps to get the blood flowing in and around the area to help heal the injury.
Abdominal support
An abdominal corset is a stretchy band that is worn around the lower mid-section. The abdominal muscles supply support for the lower body. The corset can help take some of the weight off of the spine to help ease discomfort and pain.
Anti-inflammatories
Advil or a prescription Ibuprophen from a physician is better than narcotics. However, if narcotic medications are necessary, they should be short-term, a few days to a week. In addition, individuals need to show caution as they can cause constipation, making back pain even worse.
Chiropractic and Physical Therapy
Seeing a chiropractor and physical therapist can help heal the injury faster. They will strengthen the spinal muscles and educate the individual on stretches, exercise, posture, anti-inflammatory diet for optimal spinal health. Individuals usually take two to six weeks to heal completely. However, individuals should still be able to do most physical activities once the spine injury heals. Maintaining the back muscles can be achieved with regular exercise, lifting correctly with the legs, and not over-twisting and over-reaching are important elements to prevent back injuries.
Body Composition Analysis
Summer Heat and The Body
How the body reacts to extreme heat. It is a process known as thermoregulation, where the body strives to maintain a temperature between 97.7 to 99.5 degrees Fahrenheit. The hypothalamus, a gland in the brain, is in charge of managing the core temperature. If outside weather is extreme, causing a change in the body’s core temperature, the hypothalamus triggers a specific process to heat or cool the body back to the normal range. When the hypothalamus registers that the body’s core temperature is rising because it’s sweltering outside, it kicks in.
To remove the extra heat, the hypothalamus increases circulation, moving the blood toward the surface, dilating blood vessels so that the heat can dissipate through the skin. When this happens, the veins can protrude, and the skin flushes. Along with increased circulation, the hypothalamus also activates the sweat glands. The evaporation of the water released onto the skin cools the body down, reducing temperature. Finally, the thyroid is activated to lower heat created through the metabolic processes.
References
Disc tears: Stat Pearls. (11/17/2020).” Annular Disc Tear.” ”https://www.statpearls.com/ArticleLibrary/viewarticle/17615
Fear and Pain: Journal of Pain Research. (2018). “Assessments of Pain-Related Fear in Individual with Chronic Pain Conditions.” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280906/
Mittinty, Manasi M et al. “Assessment of pain-related fear in individuals with chronic painful conditions.” Journal of pain research vol. 11 3071-3077. 30 Nov. 2018, doi:10.2147/JPR.S163751
Living with sciatica can be debilitating and exhausting. Find out how different individuals reduced their pain from this condition. Sciatica has different treatment options. It is often a matter of trial and error to find a treatment/therapy that works for the individual. These include:
Different individuals with sciatica share what works for them. Here are their stories.
Rudy Found Relief With Self Care
A bad fall left Rudy, a graphic designer, with a broken pelvis and broken foot. I was in the hospital for a few days, and when I came home, I noticed I was hobbling. I had developed sciatica. I was in a lot of pain but decided to try the treatment that had helped me manage chronic migraines. This was yoga. Specifically, it was hot yoga sessions that, despite the pain, worked. However, for others, he recommends not staying still. The body can’t stay stagnant with no movement.
Rudy follows a plant-based diet. Eating right has helped significantly. He starts the day with a green smoothie and sips one throughout the day. This reduces inflammation and pain. His stress would also contribute to the pain. Anything felt from a pain perspective becomes amplified when in a sad, frustrated, confused mood. Rudy’s advice is to get the body moving. And follow a plant-based anti-inflammation diet.
Medication and a Topical Pain Balm Work For Jose
Jose, 66, figured how his sciatica developed was when he decided to insulate the garage. I was bending, twisting, turning, and contouring my body every which way. A week after the job, I developed excruciating pain that got worse over the following weeks. I would jolt out of bed at 2-3 in the morning with severe pain. My doctor gave me steroids that didn’t do anything. I could barely sit down and had to go through a careful method of getting into a chair. I was prescribed Vicodin – hydrocodone/acetaminophen. I took them for a week and a half.
The pain went away, but it came right back as soon as I stopped taking the meds. The meds were only masking the pain. I decided only to use it when the pain was excruciating. This was because I was worried about addiction. I tried chiropractic, massage, acupuncture, cupping, and physical therapy. Unfortunately, I was not feeling any real relief. Then I went to a pain management doctor, who ordered an X-ray and an MRI.
The doctor informed me that my spine was in great shape. The pain management doctor gave me a piriformis injection and, later, an epidural steroid injection. There were still no positive results. My primary care doctor prescribed gabapentin. This is an anti-epilepsy medication that has been shown to help some cases of back pain. Most of the major pain is gone, and I’m pretty sure it’s from the gabapentin along with weekly deep massage sessions. I also use CBD cream with arnica. Movement is important; during the day, I make sure to stand up and walk around.
Epidural Injections Work For Isabel
Isabel has chronic pain. This comes from arthritis, migraines, and fibromyalgia. Sciatica developed as a result of these conditions. Soon she couldn’t get into the car or even empty the dishwasher without going through excruciating pain. Nerve ablation or physical therapy was ineffective at relieving the pain. Then my doctor suggested getting an epidural injection. This is not the same type of injection as when having a baby. It is not the same at all. The injection includes a steroid medication called a corticosteroid that is an anti-inflammatory, along with an anesthetic. I tried it and got some relief, but the pain came back. However, after a month and a half, I began to feel more relief. The pain is not completely gone. I do feel better, but there is still some pain. My doctor told me that patients are all different and require different amounts of medication and time to work.
Surgery Gave Pablo His Life Back
Pablo, 50, is no stranger to back pain or back surgery. After living with chronic back pain from a roll-over auto accident, Pablo underwent a laminectomy. A doctor removed a portion of the vertebra in 1998 and spinal fusion in 2004 that fused the discs from L5 to S1. Life was going well until I was laid off from my desk job. I started working at a warehouse doing light work, but I would still help lift moderate/heavy bags, boxes, etc. I just pushed through the pain, thinking it was a strain that would go away.
However, during the last six months, the pain was so bad I had to stop working. I needed a cane to get out of a chair. Friends and family told me I was walking like a 90-year-old. I also lost feeling in a couple of my toes. In 2021 I had another fusion and had a broken screw from my earlier fusion repaired. The surgery went well, and they said as long as I don’t do any heavy lifting, I should be alright. Although there is still pain, it is much less than it was before the surgery. My doctor recommended a new desk job and a physical therapy rehabilitation, stretching, and strengthening program.
Body Composition
Calories burned from 10,000 steps
Estimations of how many calories are burned from exercises like walking or running depends on how heavy an individual is. Heavier people use more energy to move than lighter people. Estimates revolve around 100 calories burned per mile for a 180-pound person. 10,000 steps comes to around roughly 5 miles. Assuming an individual weighs 180 pounds means 100 calories x 5 miles equals 500 calories. Over a week, it becomes 3,500 calories. However, lighter or heavier individuals will burn less or more calories while walking the same number of steps or distance.
Individuals that go through severe low back pain caused by degeneration, herniated discs, vehicle, personal, work, and sports injuries, surgery, or spinal fusion is usually a last resort if non-invasive treatments fail to provide relief or not enough relief. Patients try to avoid spinal fusion because it can be an intense experience and requires a year-long recovery period. Unfortunately, individuals still experience discomfort and pain after surgery. Do individuals want to know what other treatment options are available, including chiropractic care?
Doctors will inform post-op patients of the risks involved with chiropractic therapy. However, chiropractic medicine can bring natural pain relief after surgery. Chiropractic treatment requires that an individual be adequately or fully healed before beginning a personalized treatment plan. At Injury Medical Chiropractic and Functional Medicine Clinic, we consult patients post-surgery about the effectiveness of rehabilitation spinal adjustments and physical therapy massage.
Wait Time After Surgery
Spinal fusion surgery involves removing the discs between two or more vertebrae and fusing the bones with metal screws and plates. The objective is to correct conditions like herniated discs and degenerative diseases by immobilizing the spine in that area. It can take at least three months for the vertebrae to fuse for a fully immobilized graft. Once the graft is complete, a few months of physical therapy are recommended to loosen/stretch and strengthen the muscles around the graft. Initial recovery combined with physical therapy typically takes a full year for a complete recovery.
It is during recovery where it can be difficult and for discomfort and pain to present. The reason is patients are recommended to avoid any twisting, bending, over-reaching motions, or the graft could break. This can make an individual take on awkward poses/postures, flexing and contracting muscles incorrectly, causing strain. The result is added discomfort and/or pain.
How Chiropractic Helps
Spinal fusion is not guaranteed to alleviate an individual’s back pain completely. But many do experience discomfort or pain post-surgery. This could be for a little while or longer, depending on their condition or injuries. Fortunately, chiropractic treatment can help bring pain relief through mobilization, manipulation, and massage techniques. Manipulations’ objective is to adjust and/or realign the bones of the spine and other areas of the body. Because of the intricacy of spinal manipulations, many who have undergone back or spinal fusion surgery are hesitant to seek chiropractic treatment. Discuss possible chiropractic care with your physician to determine if the surgical graft is strong enough to withstand spinal manipulations. If the graft is adequately/fully healed and your physician believes it can endure mild adjustments, reach out to a chiropractor to discuss a customized treatment plan.
Body Composition Testing
Poor Leg Skeletal Muscle Mass
The gluteal muscles or buttock muscles are the largest muscle group in the body. Individuals can start losing bone density by their 30s. This increases the risk of injury and further bone density loss. Bone density loss is a natural process, but the process can be accelerated for individuals with under-developed skeletal muscle mass. The health of muscles and bones are closely linked. Researchers found that individuals with less muscle mass than average for their height tended to have narrower and thinner bones. This resulted in limited lower bending strength.
Decreased muscle mass was shown to be linked to balance problems and increased risk of falls. There is a higher prevalence of sarcopenia or muscle wasting for patients with hip fractures and a reduction of leg muscle mass. The combination of:
Low muscle mass
Low bone density
Hip fractures
It can have lifelong consequences
References
Fernandez, Matthew et al. “Surgery or physical activity in the management of sciatica: a systematic review and meta-analysis.” The European spine journal: official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society vol. 25,11 (2016): 3495-3512. doi:10.1007/s00586-015-4148-y
Keller, Glenda. “The effects of massage therapy after decompression and fusion surgery of the lumbar spine: a case study.” International journal of therapeutic massage & bodywork vol. 5,4 (2012): 3-8. doi:10.3822/ijtmb.v5i4.189
O’Shaughnessy, Julie et al. “Chiropractic management of patients post-disc arthroplasty: eight case reports.” Chiropractic & osteopathy vol. 18 7. 21 Apr. 2010, doi:10.1186/1746-1340-18-7
Perrucci, Rachel M, and Christopher M Coulis. “Chiropractic management of post-spinal cord stimulator spine pain: a case report.” Chiropractic & manual therapies vol. 25 5. 6 Feb. 2017, doi:10.1186/s12998-017-0136-0
Szulc, Pawel et al. “Low skeletal muscle mass is associated with poor structural parameters of bone and impaired balance in elderly men–the MINOS study.” Journal of bone and mineral research: The American Society for Bone and Mineral Research vol. 20,5 (2005): 721-9. doi:10.1359/JBMR.041230
Rheumatoid arthritis is said to affect around 1.5 million individuals. Recognized as an autoimmune condition that presents with chronic pain in the body’s joints. It commonly affects regularly used joints like the shoulders, hands, and feet. The condition can begin to present in individuals in their 30s. Concerns that come with a rheumatoid arthritis diagnosis are the condition’s effect on the spinal facet joints. These joints are susceptible to attack from a dysfunctional immune system, leaving them prone to weakness, inflammation, and nerve compression. Chiropractors understand the manifestation of rheumatoid arthritis. They can pinpoint at-risk facet joints and provide corrective relief before more dangerous symptoms begin to present.
Facet joint risks
There are two facet joints that connect each vertebra to the one above and below. Their objective is to stabilize the spine, whether in a neutral position or engaged in flexion/extension movement. When targeted by the body’s immune system, the joints begin to weaken. The body attacks the synovial fluid that lubricates the joints. This creates friction that generates inflammation. Over time the joints break down leading to everything from loss of mobility to bone spurs. When left untreated the facet joints begin to deteriorate, causing nerve compression that can lead to permanent nerve damage. When the joints are not working properly the spine has to work around them.
Subluxations
Disc herniation
Ruptured discs
Sciatica all are possible with facet joint dysfunction.
Treatment
Currently, rheumatoid arthritis cannot be cured but symptoms can go into remission when treatment begins early.Chiropractic is an effective treatment at disrupting the symptoms of joint deterioration that stops the progression.
It has the ability to increase and maintain an individual’s range of motion, from a condition that causes loss of mobility.
It helps to bring rapid pain relief and helps with postural improvements.
It maintains positive spinal health and homeostasis.
Prevents problems with compression and subluxations.
Stretching and strengthening exercises are incorporated to preserve an individual’s spinal integrity.
Diet and nutrition are also adjusted to mitigate the effects, helping with inflammation prevention.
The spinal focus
As rheumatoid arthritis affects the body’s joints, it is vital to protect the facet joints. These joints can experience degenerative damage that can cause long-term problems. Injury Medical Chiropractic and Functional Medicine Clinic provide individuals with the tools necessary to combat rheumatoid arthritis that medications by themselves might not be able to.
Body Composition
Muscle Mass Fitness for Long-Term Health
Muscle building is not just for bodybuilders and athletes. Everyone benefits from building muscle for long-term health. Monitoring the changes in Lean Body Mass can be accomplished by having body composition measured. Body composition analysis can divide an individual’s weight into various components. These include:
Fat Mass
Lean Body Mass
Basal Metabolic Rate will give a clearer picture of overall fitness and health.
Building Lean Body Mass is an investment for maintaining health long-term. The more Lean Body Mass that is built the more is in storage/reserve when the body really needs it. Before adding protein shakes and resistance workouts to the daily regimen, a plan needs to be developed. The first step to building a healthy level of lean body mass is to measure how much there is with a body composition analysis.
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
Pope JE, Cheng J. Facet (Zygapophyseal) Intraarticular Joint Injections: Cervical, Lumbar, and Thoracic. Injections for Back Pain. 129-135. ClinicalKey.com. Accessed July 16, 2019.
Brummett CM, Cohen SP. Pathogenesis, Diagnosis, and Treatment of Zygapophyseal (Facet) Joint Pain. 816-844. ClinicalKey.com. Accessed July 16, 2019.
IFM's Find A Practitioner tool is the largest referral network in Functional Medicine, created to help patients locate Functional Medicine practitioners anywhere in the world. IFM Certified Practitioners are listed first in the search results, given their extensive education in Functional Medicine
