Tag Archives: pain

Don’t Just Sit There (Part 2)

In case you missed it, last week’s post incriminated sitting and poor posture as major contributors to not only what is deemed as “normal” pain and systemic dysfunction, but actual shorter life spans.  Not only were these two culprits incriminated but a solid case was made against them with easily graspable explanations.  So now it’s on you.  You have the knowledge.  What are you going to do with it?

As promised, we will now take it one step further and provide some easily implementable strategies for breaking up the sitting and combating the collateral damage that comes with it.

1) Get Up. Stand Up.

This will be the easiest and most intuitive of all the suggestions we bring to the table.  Break up the long periods of uninterrupted sitting by simply standing up.  Obviously the more movement, the better but I realize in many situations, getting up from your chair and busting out some squats isn’t always conducive to your surroundings. Although, it is a good idea… the new “normal,” if you will.

Set an alarm on your phone for every 15-20 minutes that reminds you to stand up for at least 60 seconds.  Take it a step further and incorporate a simple movement like the Bruegger exercise (http://www.youtube.com/watch?v=yxXqVcDam7Y ) in order to reverse some of that anterior muscle tightening and posterior weakening.

2) Breathe Right

Standing up and executing a movement such as the Bruegger exercise will also open your chest up and provide more room for the lungs to expand, drawing more oxygen in.  This brings us to our next suggestion, and that is to be cognizant of your breathing mechanics.  This can be done in the seated or standing position.  The key is to concentrate on breathing with your abdomen or belly breathing.

This is done by utilizing the main muscle designed for breathing, the diaphragm.  This muscle separates your chest cavity from your abdomen and descends on inhalation (creating negative pressure in the chest cavity and drawing oxygen in) and ascends on exhalation (forcing the carbon dioxide out).

When you breathe properly, you allow the muscles of the chest and neck to relax and not be forced to work all day in order to aid in your respiration.  Unlike the diaphragm, these muscles were not designed to work with every breath. When they are forced to do so because of faulty breathing mechanics, it can lead to neck pain, muscle tightness and more of the hunched forward posture we are trying to avoid.

Being that the abdomen is heavily innervated by the parasympathetic nervous system, belly breathing will also enable us to relax and de-stress.  We explained this mechanism thoroughly in a previous post so feel free to brush up if need be.  https://clarkechiropracticwellness.com/2013/07/10/breathe-right/

3) Ergonomics

As you can see, other than physically getting up and breaking up the sitting, we want to make sure we are doing all we can to sit right.  In keeping with the theme, this also was a topic of a past post: https://clarkechiropracticwellness.com/2013/08/21/pain-discomfort-fatigue-your-workspace-could-be-a-culprit/ .  Making sure your workspace is favorably arranged so that it is the least physically stressful should not be overlooked.

Most large businesses will provide an ergonomic evaluation upon request.  I urge you to take advantage of this.  If yours does not or you work from home, I invite you to review the link above, as it provides basic tips to getting you started.  You can also feel free to contact our office (321-848-0987) as we offer full ergonomic evaluations.

4) Deskercise

A buzz word we are seeing thrown around more and more is “deskercise.”  These are exercises to do at your desk for all of you who are moving a little slow this morning.  Patients of Clarke Chiropractic and Wellness are provided with an ongoing, progressive regimen of postural and lifestyle exercises, which includes movements to keep yourself in check while at the desk.

The starter point provided in this post will be to first make sure your ears are lined up directly over the shoulders.  This will begin to reverse that attractive chin jutting.  Once you have this down (and you are naturally breathing correctly) you can begin to implement reverse shoulder rolls.

One at a time, roll your shoulder up, back and down, each time starting the next roll at the point you ended the last one.  Do this three times for each shoulder, constantly being aware that your ears remain over your shoulders.  This will again, open up your chest and engage the mid to lower back muscles as you pinch your shoulder blades together.

5) Mas Agua

Remaining properly hydrated is key to help you sustain optimal health.  This will assist in keeping your joints lubricated and keep your discs (which absorb so much of your seated weight) hydrated.  In addition to providing you an excuse to break up the sitting to refill your water, natural physiology will also kick in and force you to break up the sitting in order to revisit the restroom.  (Unless of course, corporations begin to implement a toilet-chair, which wouldn’t surprise me.)

In addition to these simple and practical suggestions, beginning to execute movements that support proper posture and movement are a must as well.  Virtually all patients we see are prescribed a progressive exercise regimen that concentrates on the core and relearning the harmful faulty movements obtained due to prolonged sitting.

If sitting, standing or any position for that matter causes you pain or discomfort, it is definitely time to listen to your body and address it.  That is where we can intervene to assist you in getting out of pain and on the course to preventing it in the future.

Hopefully this and all posts will at least plant a seed in your mind so you begin to think about these things.  Once the awareness is there, you can begin to take rectifying action.  It’s alright if it’s uncomfortable or feels unnatural at first.  The key is repetition and consistency in creating a new normal.

You have the knowledge and some strategies.  The rest is up to you.

Keep It Moving.

Some Thoughts on Depression, Pain and Stroke

We’ll take it easy on you with this week’s post as we head into another weekend.  Sometimes I have to repeatedly re-read some of the facts and figures during my constant investigation of the ever growing and changing research.  These are a few of those “double take” paragraphs that I have compiled and felt compelled to share.  Take it in, embrace the empowerment and make the necessary changes.

DEPRESSION – INFLAMMATORY DIET LINK

For 12 years, researchers tracked the diet habits and health outcomes of more than 43,000 women — none of whom had depression at the start of the study period. Here’s what they found: Women who sipped soft drinks, ate fatty red meat, or consumed refined grains (like pasta, white bread, crackers, or chips) daily were 29 to 41% more likely to be diagnosed or treated for depression than those who stuck to a healthier diet. Blood tests revealed that women who ate the above foods also tested significantly higher for three biomarkers of inflammation.

http://www.prevention.com/mind-body/emotional-health/certain-foods-linked-inflammation-and-depression?cm_mmc=MSN-_-PVN_News-_-Pass%20The%20Pasta–And%20The%20Prozac-_-Pass%20The%20Pasta–And%20The%20Prozac%20SL

GOT PAIN?  PATIENT BEWARE

Back pain accounts for more than $100 billion in annual U.S. healthcare costs and is the second leading cause of physician visits and hospitalizations.

What Happens When Physicians Don’t Know How to Treat Pain?

They resort to the only treatment they know: prescription drugs to treat inflammation, arthritis, back pain, stress, and autoimmunity. And now we’re facing another epidemic on top of chronic pain: prescription drug abuse.

The latter has been called the fastest-growing drug problem in the US by the Centers for Disease Control and Prevention (CDC), as the number of deaths from opioid painkillers like hydrocodone and oxycodone rose nearly four-fold between 1999 and 2009.  Pain medications were involved in 14,800 overdose deaths in 2008.

The overdoses now kill more people than cocaine and heroin combined. As USA Today recently reported, more US states are now taking action to try and stop this growing problem.

http://www.usatoday.com/story/news/nation/2013/10/10/states-prescription-drug-painkiller-abuse/2961389/

STROKE: MORE EVIDENCE TO GET UP, MOVE AND NOT BE A STATISTIC

The American Heart Association reports 800,000 Americans suffer from stroke each year. Stroke is the leading cause of disability in the US and the fourth leading cause of death. Up to 80 percent of strokes are preventable, because for the most part, strokes are the result of unhealthy lifestyle choices.

Recent research published in the journal Stroke found that, if you’re inactive, you have a 20 percent higher risk for having a stroke or mini-stroke (transient ischemic attack) than people who exercise enough to break a sweat at least four times a week.

The study involved more than 27,000 Americans for an average of 5.7 years, male and female, Caucasian and African-American.  It included a larger proportion of people from the “Stroke Belt” states, where stroke rates are higher (Virginia, Tennessee, the Carolinas, Mississippi, Louisiana, Georgia, Florida, Arkansas, and Alabama).

http://www.ncbi.nlm.nih.gov/pubmed/23868271?dopt=Abstract

Get out there and move! Have a great weekend.

What’s With that Weird Tape?

If you’re a sports fan like myself, you can’t help notice the increasing presence of an oddly positioned, colored tape being donned by athletes of all sports.  The use of this tape generated much publicity when beach volley ball icons Kerri Walsh and Misty May sported it during their 2008 Olympic gold medal run in Beijing.  Top tennis stars Serena Williams and Novak Djokovic, and most recently, NBA superstar and huge proponent of chiropractic, Derrick Rose have been seen taking advantage of the tape’s therapeutic properties.   

Or maybe you’ve noticed someone in the gym or on the streets fashionably accessorizing with the colorful tape.  The point is, it’s out there and more and more people are utilizing it.

But what exactly is it and what does it do?

In most cases, what you are seeing is a form of athletic tape known as kinetic tape.  The tape had its origin as kinesiotape by Dr. Kenzo Kase in the 1970s.  Since then, other brands such as Rock Tape or Strength Tape have followed suit with slight modifications.

While various manufacturers boast their own techniques to the actual taping method, the main purposes of the tape is shared.  Kinetic tape is a form of tape that can provide support and stability without limiting range of motion.  This is a huge deal in that in order for all of us to function optimally, we need to have access to the full range of motion our joints were designed to provide.  This is key for all of us, but is imperative for an athlete.

Another benefit to kinetic taping is that it helps to reduce swelling and inflammation.  Permitting full range of motion allows this by encouraging venous return of blood and the lymphatic system (waste removal), but the tape actually does this in additional ingenuous ways.

The first way the tape does this is by lifting the skin off of the underlying tissue and allowing room for accumulated fluids to exit.  Another way inflammation and swelling is reduced can be facilitated by a distinct taping method in which the tape is cut into individual strips which resemble fingers. When the patient moves, these fingers then lightly squeeze the area of involvement, creating a massaging effect that encourages the removal of stagnant fluids in the area.  This method is quite useful for the acutely injured athlete who is trying to limit the initial swelling.

In addition, properly applied kinetic tape can provide an all natural analgesic or pain-killing effect.  One way this is done is by lessening inflammation in the ways described above.  The chemical mediators of inflammation excite the nerves that transmit pain signals, so anytime we can lessen inflammation, we can also lessen pain.

The second way the perception of pain is dampened by the tape is by closing what is known as the physiological pain gate.

You see, nerves vary in size and speed of transmission, with the bigger, faster nerves overriding the smaller, slower nerves.  Luckily for us, painful stimuli is mainly transmitted by the smaller nerves, while the sensation of touch takes a ride on the larger, faster nerves.  One way to intelligently and naturally lessen pain is to override the signal by stimulating nerves that pick up touch and enter the spinal cord at the same level.

It is this mechanism that serves as the explanation behind why we instinctively shake or rub the finger we just smashed with a hammer.  By doing this you are literally closing the gate on the transmission of the pain.  Unfortunately, as soon as the stimulation by way of rubbing or shaking ceases, the gate re-opens and the pain signals are once again permitted to reach the brain where the perception of pain occurs.

Kinetic tape conveniently comes into play here by providing constant stimulation to the painful area, thus closing the pain gate.  This serves as an extremely practical, temporary fix while we work to fix the underlying cause of the pain.

Neurologically, the tape serves a therapeutic purpose providing feedback from the taped area to our brain.  Aside from pain, when we are injured, feedback from the injured area tends to become inhibited or lessened.  This can lead to further issues as things like balance or proprioception (the sense of where our body or body parts are in space) is largely influenced by feedback from the actual body part.  Kinetic taping provides neurological stimulation to enhance the necessary communication between the central (brain and spinal cord) and peripheral nervous systems.

At Clarke Chiropractic and Wellness we utilize kinetic taping quite frequently when treating athletes and other patients in order to take advantage of the therapeutic benefits described above.  It should be noted that ideally, the tape is used like any other type of therapy; as an adjunct to chiropractic care and temporarily while we correct the underlying issue.  However, many athletes with chronic issues and a schedule or lifestyle that doesn’t always allow adequate rest for healing absolutely love being routinely taped as well.

If you are curious and would like to explore the world of all natural treatments like kinetic taping feel free to call us at anytime.

I’m ready when you are.

Have You Tried Active Release Therapy?

One of the most desired and effective soft tissue treatments we utilize at Clarke Chiropractic and Wellness is that of active release therapy or ART.  My Crossfitters swear by this form of therapy and we normally implement it to some degree or another on every patient.

So what is it?

What we are talking about here is a soft tissue technique whereby the practitioner applies pressure in a specific direction to a specific area of an involved muscle or ligament while the patient then moves through a specific range of motion.  You may note by my use of the 3 “specifics” that proper application of this technique requires a thorough knowledge and understanding of human anatomy and the mechanics of all individual muscles.

It goes way beyond simply massaging a painful area, and includes identifying and addressing all other structures involved with the problematic area.

For example, one of the most common problem areas most athletes come in for is the shoulder, and it’s usually due to anterior or front side shoulder pain.  Rather than directing all treatment at the spot of pain manifestation, the entire shoulder complex is addressed, sometimes including up to 10 separate muscles.  The shoulder complex, like many joint complexes in the body is just that, complex; and addressing all of the muscles that contribute to its function is key to not only alleviate discomfort, but to ensure the issue doesn’t resurface.

How does it work?

By taking a specific contact on a muscle or ligament, the practitioner anchors that tissue in place.  Then, by having the patient move through a precise motion (usually taking the tissue from a shortened or contracted position to an elongated or extended position) tension is created at the site of the practitioners contact.

Benefits to this include breaking up adhesions or scar tissue build up that may be causing discomfort or limiting full range of motion.  Having pain is one thing and is usually the reason people come visit us in the first place, so addressing it is always a priority.

But restricted range of motion due to chronically shortened or tight muscles can be the underlying issue behind a multitude of issues, including pain.

Muscles that are constantly tight, contracted or constantly working means they tend to build up lactic acid which causes the perception of pain.  This can also lead to compensatory postural changes and movement patterns in order to continue to function despite the limited mobility.  This can also lead to accelerated degeneration or early arthritis due to suboptimal posture and movements.

Reduced range of motion also leads to a reduction of blood and waste removal from the area.  You see, the heart pumps blood to our structures but the body relies on gravity; more so, movement to return that deoxygenated blood to the heart.  Without proper movement you now open the door for more swelling which can than place pressure on surrounding tissues, causing more problems.

You also need full range of motion to rid yourself of inflammation.  Just as the veins rely on movement to bring blood back to the heart, the lymphatic system (your waste removal system) relies on movement to pump all the nasty, pain- provoking, inflammatory mediators out of dodge.

Another variation of ART we implement is that which incorporates something referred to as “nerve flossing.”  That’s right.  It’s not just for your teeth.  Many times, nerves and other soft tissue can become “stuck” or irritated by adhesions or simply by a tight muscle.

The term “flossing” comes into play because we essentially pin the area where the nerve is presumed “stuck” and then have the patient move in a way that allows the nerve to slide back and forth as the fluoride-free floss does between your teeth.  This method can be quite advantageous for people experiencing a variety of symptoms including carpal tunnel symptoms, sciatic complaints, neck, shoulder, and elbow pain.

These are just some of the benefits of properly applied ART.  We could fill pages and pages with a broader explanation and other benefits.  Feel free to research on your own or give us a call if you have any questions.

As with all treatments, this particular technique serves as a worthy adjunct to the total package of neurologically based chiropractic care and nutrition.  As described in the previous paragraphs, ART can be part of a perfect marriage of healthcare delivery in finding a way to breakthrough to those stubborn aches and pain.

If you or someone you know has been unnecessarily dealing with pain and have tried other methods with limited success, I invite you to call us and try a fresh approach to natural and holistic healthcare.

When you’re ready, I’m here to help.

5 More Reasons to Drop that Weight

In a culture obsessed with image and appearance, it’s no wonder that the weight loss industry continues to reign supreme.  We are inundated with images of slim supermodels, shredded athletes, and air-brushed celebrities creating an often unrealistic and unattainable perception of the ideal.

While this has the potential to lead to frustration and unhealthy habits, on the other hand it can serve as motivation to drop that extra baggage.  You see in a society fixated on superficial aesthetics, unfortunately, health winds up taking a back seat.  If striving to fit into that bathing suit can serve as a catalyst for those slowly dying due to the extra baggage to take steps toward a healthier life, then so be it.  (Call that your alkalizing lemonade out of organic lemons or your colloidal silver lining.)  Provided of course, it is done in a healthy and controlled manner.  No fad diets or quick fixes here.

The truth of the matter is the dangers of living life overweight or obese stretch way beyond the outward appearance.  Here are 5 more hazards you may or may not have already been aware of that will hopefully spark you or someone you love to wake up and change before it’s too late.

In order to appreciate these hazards, it needs to be acknowledged that a fat cell is not a benign cell, but rather an endocrine cell; that is, a cell that secretes hormones classified as adipokines.  Hormones are secreted throughout our bodies to serve as communicators and messengers in carrying out various tasks and functions.  This is vital for life, but when not functioning correctly, can be severely detrimental to our health.

HIGH BLOOD PRESSURE

I know we’ve all heard being overweight can lead to increased blood pressure, but why?  Other than the fact that the body needs to work harder to do everything due to the surplus of lbs., fat cells (aka as adipocytes) actually secrete a hormone called angiotensin.  Release of this hormone normally occurs due to the kidney to control blood pressure, but an excess of fat cells leads to an excess of angiotensin, leading to high blood pressure and all the well documented risks that come along with that.

INCREASED INSULIN RESISTANCE

Another hormone secreted by fat cells is called resistin.  This hormone causes insulin resistance, which is one of the key factors involved with type II diabetes.  Mounting research implicates the fat cell’s release of resistin as the linking factor between obesity and diabetes.  Insulin resistance also is involved in hypertension and atherosclerosis.

INCREASED INFLAMMATION

You can’t read anything health related these days without seeing the word inflammation being named as the common denominator involved with virtually all disease processes.  So what do you think the fat cells have the ability to secrete?  You guessed it, numerous inflammatory mediators (i.e. PGE, TNF, IL-6) that increase pain and cause internal destruction.

INCREASED RISK FOR BLOOD CLOTS & STROKE

The hits just keep on coming here.  Fat cells release something called plasminogen activator inhibitor-1 (PAI-1).  This is a protein that essentially diminishes the body’s natural ability to breakdown clots, and enable continuous blood flow.  Too much PAI-1 and you’re prone for sluggish circulation, which can culminate in clots and stroke.  This poor circulation can also lead to swelling and other symptoms such as pain, numbness and tingling due to the lack of blood flow to our peripheral nerves.

This protein is also produced in the cells that line our blood vessels (endothelial cells).  It is normal and quite necessary for these hormones to be present in our bodies.  The main issue here is with excess fat cells comes excess presence of these hormones, leading to a loss of balance (homeostasis) and subsequent pathology.

ESTROGEN DOMINANCE

The last issue we will touch on here is the fact that fat cells produce estrogen.  The more fat cells you have, the more estrogen will be produced.  Male breast cancer continues to rise congruently with obesity.  An overweight male taking part in testosterone therapy is simply providing the fat cells more fuel to convert into estrogen and all the other issues correlated with elevated estrogen levels (infertility, erectile dysfunction, enlarged prostate, cancer, etc.)  Excess estrogen in females can also lead to various forms of cancer, hair loss, hypothyroidism and uterine fibroids.

Obviously the consequences of carrying excess fat extend way beyond these mentioned, but add these to the continuously enlarging list.  I also realize that losing weight is exponentially more difficult than simply saying the words and the degree of difficulty varies on an individual basis.  However, research, evidence and history have shown us that it can be done.

If you’ve tried time and time again to no avail, and are somewhat lost at this point, but willing to truly sacrifice today in order to invest in the future, consult a healthcare professional.  If you’d like to begin your path in the right direction with a nutritional consult, feel free to contact me at anytime (contact information at the top of the page to the right).

A consistent commitment to exercise and a diet overhaul can be life changing and in many cases, saving.  Add the assistance of someone trained to identify functional imbalances that may be impeding your progress, and some serious momentum in the right direction can be attained.  We only get one shot down here and one body to carry us through the journey.  Respect life and make the investment in your future today.

REFERENCES

http://www.ncbi.nlm.nih.gov/pubmed/23839524

http://www.abcam.com/index.html?pageconfig=resource&rid=12300&pid=10694

http://www.ncbi.nlm.nih.gov/pubmed/14671216

http://www.ncbi.nlm.nih.gov/pubmed/15049878

http://www.diabetesdaily.com/wiki/Resistin

http://www.ncbi.nlm.nih.gov/pubmed/11201732

http://www.ncbi.nlm.nih.gov/pubmed/11450024

http://www.ncbi.nlm.nih.gov/pubmed/23011535