When it comes to treating patients with chronic low back pain (cLBP), doctors of chiropractic commonly use a multi-modal approach that involves manual therapies, like spinal manipulation and mobilization, combined with supervised and/or home-based exercises. Why is that?
In many cases, the superficial paraspinal muscles of patients with back pain will tighten as a reflex in an effort to restrict movement and protect the area from further injury. Unfortunately, such a restriction can result in altered movement patterns that raise the risk for further injury (and pain) elsewhere in the lower back (or even in other areas of the body). On top of that, because the superficial back muscles have abnormally assumed the job of maintaining posture, the deep muscles in the back can become deconditioned and weak, which only raises the risk for further back issues.
So, when it comes to chronic back pain, the job of a chiropractor is two-fold: restore proper joint motion to “turn off” this abnormal reflex muscle spasm and to strengthen the deep muscles so the superficial muscles can return to their normal function.
In a 2011 study, researchers randomly assigned 301 cLBP patients (adults over 65 years old with a five or more year history of chronic low back pain) to one of three treatment groups: supervised exercise therapy (SET); spinal manipulative therapy (SMT), or home exercise and advice (HEA).
Researchers monitored each participant’s progress for over a year and found that members of each group achieved similar short- and long-term improvements with respect to pain, disability, global improvement, general health status, and medication use. Though the patients in the SET group experienced greater gains with respect to trunk muscle strength, endurance, and range of motion in comparison with the home-based exercise group, the difference in results is understandable as the SET protocol was much more intensive.
Though this study did not specifically look at the effect of combining exercise and spinal manipulation for the treatment of cLBP, several guidelines that have looked at the available evidence recommend using such a multi-pronged approach for this group of patients. For example, in 2018, the Canadian Chiropractic Guideline Initiative wrote, “A multimodal approach including SMT, other commonly used active interventions, self-management advice, and exercise is an effective treatment strategy for acute and chronic back pain, with or without leg pain.”
Here at East Sacramento Chiropractic we specialize in caring for your spine and everything attached. We also care about your overall health and wellbeing. To learn more about how chiropractic care can help you get relief from your back pain give us a call to schedule your appointment.
Most people will experience some form of headache during their lifetime. The good news is that most headaches are related, at least in part, to the neck or cervical spine (a cervicogenic headache or CGH) and can be easily managed with chiropractic care.
Although the exact mechanism of CGH is still under debate, there are two possible explanations that are backed by research. The first includes irritation of the sensory nerves in the upper cervical region that communicate with the fifth cranial nerve (the trigeminal nerve) and its nucleus, which is located in the upper cervical region of the spine. This irritation results in referred pain that radiates into the frontal aspect of the head. The second possible mechanism involves irritation of the greater occipital nerve by connective tissue bridges between the spinal cord covering (the dura) and the muscles located at the base of the skull.
Chiropractic treatment regarding CGH includes a combination of spinal manipulation; soft tissue therapies, such as myofascial release; active release techniques of the tight suboccipital muscles; manual and/or home cervical traction; and posture correction.
Unfortunately, the origin or cause of the headache may not be so benign and uncomplicated. Warning signs of a complicated type of headache include (but are not limited to) the following: a very intense, unusual headache that comes on suddenly; significant visual and/or auditory problems; and other neurological signs and symptoms such as balance disturbance, dizziness, weakness, paralysis, speech difficulties, mental confusion, and nausea or vomiting. Until proven otherwise, the following types of headaches should be considered as potentially dangerous: a headache that progressively worsens over 24 hours; a headache that follows head trauma; and headaches that wake one up from sleeping, and/or last greater than 48 hours.
Doctors of chiropractic care are trained to evaluate and treat patients with headaches, and guidelines recommend chiropractic as an initial form of care based on its efficacy and safety.
HOW CAN WE HELP YOU?
At East Sacramento Chiropractic we take our time to do a thorough examination to identify all of the postural strains you may have in your muscles and joints. Our doctors are experts at identifying treatments, stretches and exercises to make sure you have all the tools necessary to live a pain free, active lifestyle. An appointment with East Sacramento Chiropractic will ensure you are sitting, standing and performing your activities in the best position possible.
Give us a call at 916-469-9235 or request an appointment here.
Smoking tobacco causes more than 480,000 deaths annually, which makes it the leading cause of preventable death in the United States (US)—that is nearly one in every five deaths in the country! Smoking causes more deaths than HIV, illegal drug use, alcohol abuse, car accidents, and firearm-related deaths COMBINED. More than ten times as many US citizens have prematurely died from cigarette smoking than American soldiers have died in ALL the wars fought by the US over its 240+ year history.
Tobacco use increases the risk of death from all causes in men and women. Smoking causes approximately 90% of all lung cancer deaths and 80% of all COPD (chronic obstructive pulmonary disease)-related deaths. Smoking also elevates the risk for coronary heart disease (2-4x), stroke (2-4x), and lung cancer (25x). Cigarette use diminishes overall health, increases absenteeism for employment, and increases healthcare utilization and cost.
Regarding the lungs, smoking damages the airways starting with the small air sacs (alveoli), leading to COPD, emphysema, and chronic bronchitis. Most cases of lung cancer are caused from smoking cigarettes. Tobacco smoke can trigger an asthma attack and/or make an attack worse.
n a reproductive capacity, smoking can increase the risk for preterm delivery, stillbirth, low birth weight, sudden infant death syndrome (SIDS), ectopic pregnancy, orofacial cleft in infants, and miscarriage.
Smoking harms virtually EVERY organ of the body. Hence, it’s the cause of many diseases. Smokers have an increased risk for osteoporosis, gum and tooth decay, and cataracts. This does not take into consideration the harmful effects that second-hand smoke inflicts to the innocent bystanders.
Cigarette smoking can cause cancer almost ANYWHERE in your body: bladder, blood (acute myeloid leukemia), cervix, colon and rectum (colorectal), esophagus, kidney and ureter, larynx, liver, oropharynx, pancreas, stomach, trachea, bronchus, and lung. Smoking also increases the risk of dying from cancer and other diseases among those who have or have had cancer.
If this article scares you, GOOD! Take home message: Don’t Smoke, and if you are already a smoker, QUIT!
Here at East Sacramento Chiropracticwe specialize in caring for your spine and everything attached. We also care about your overall health and wellbeing. To learn more about how chiropractic care can help you get relief from your back pain give us a callor Click here to schedule your appointment.
Each year, Americans make 7.5 million doctor visits related to shoulder/upper arm pain. After neck and back pain, shoulder pain is one of the top reasons patients seek chiropractic care. So, why are shoulder injuries so prevalent?
Though there are many possible explanations that address this question, there’s a simple answer: anatomy. There are essentially three joints that make up the shoulder: 1) scapulothoracic joint, 2) the glenohumeral joint, and 3) the acromioclavicular joint. These joints work simultaneously and in harmony to carry out the many tasks we throw at our upper extremities from swimming to swinging a tennis racket or even reaching up to hang a curtain or change a light bulb. The overall structure of the shoulder favors mobility over stability and as a result, there is a greater chance for injury. So, what can we do to prevent shoulder injuries?
Perhaps the most important strategy is to think before you act; that is, don’t take unnecessary chances such as over-lifting in especially awkward positions. Try asking someone else for help instead. Also, use proper form and stay conditioned. Research shows that a strong core (back and belly) can help prevent shoulder injuries.
Common shoulder conditions include (but are not limited to): inflammation (bursitis and tendinitis), instability (“sloppy” joints), arthritis (bone/cartilage injury/wear), fracture, and nerve injuries. Injuries can be acute (from an obvious cause) or more commonly, they can be chronic from wear and tear and can occur gradually over time (from no obvious, single cause).
It’s important to understand that a shoulder complaint may be the end result of dysfunction throughout the body, just as a knee problem can place added stress on the hip (or vice versa). So in addition to direct treatment of the shoulder, your doctor of chiropractic may identify and treat problems elsewhere in the body (forward head carriage, poor core strength, leg length deficiency, etc.) that likely contribute to your shoulder pain complaint. In order to promote a speedy recovery, your chiropractor may also recommend certain food or vitamins/supplements with the aim of reducing inflammation.
Here at East Sacramento Chiropractic we specialize in caring for your spine and everything attached. We also care about your overall health and wellbeing. To learn more about how chiropractic care can help you get relief from your back pain give us a call or Click here to schedule your appointment.
Carpal tunnel syndrome (CTS) is a common complaint, with symptoms ranging from subtle numbness to extreme pain and disability in the hand/wrist that can force a change in a worker’s vocation. According to the current research, the cause of CTS is the compression of the median nerve as it travels through the carpal tunnel at the wrist, which can be the result of repetitive motions involving the wrist, physical injury, and/or conditions like inflammatory arthritis, diabetes, pregnancy, and more. In other words, anything that reduces the tunnel’s size can result in median nerve compression and hence, carpal tunnel syndrome.
Researchers have found that industrial jobs that require repetitive, forceful work—those that involve heavy tools, for example—increase the risk for CTS, but the evidence isn’t as clear regarding jobs that involve repetitive motions with limited force, such as typing on a keyboard.
According to one Danish study that monitored the wrist health of 5,600 technical assistants, computer keyboard use may not be a likely cause of CTS. While the study did find that 11% of the workers experienced tingling or numbness in one or both hands, only 5% were considered to have developed CTS based on their overall description of symptoms—which is similar to what would be found in the general population. The study did find that using a mouse for twenty or more hours per week increased the risk for CTS.
However, that is not to say that working at a computer all day does not cause pain or strain in the hand/s, wrist/s, forearm/s, shoulder/s, or the neck. As mentioned above, just over half of the workers who experienced symptoms like tingling or numbness in the hands did not meet the diagnosis criteria for CTS.
Dysfunction anywhere along the course of the median nerve from the neck, shoulder, and elbow to the wrist can place pressure on the nerve and result in symptoms that mimic CTS. Doctors of chiropractic are trained to evaluate and treat the whole person in order to identify problems that either mimic or contribute to the symptoms associated with carpal tunnel syndrome. In many cases, a patient may not experience satisfying and lasting results unless problems elsewhere in the neck, shoulder, elbow, or lower arm are also addressed.
HOW CAN WE HELP YOU?
At East Sacramento Chiropractic we take our time to do a thourough examination to identify all of the postural strains you may have in your muscles and joints. Our doctors are experts at identifying treatments, stretches and exercises to make sure you have all the tools necessary to live a pain free, active lifestyle. An appointment with East Sacramento Chiropractic will ensure you are sitting, standing and performing your activites in the best position possible.
Give us a call at 916-469-9235 or request an appointment here.