According to a study published by the BMC Musculoskeletal Disorders in 2010, Australian professional football players missed less games than their injured counterparts AND had fewer number of leg injuries. The trial included adding chiropractic care to standard medical and physical therapy treatment. Sports chiropractic manual therapy had a positive effect to back pain, hamstring, and lower leg injuries. Good news, mate!
For more, read: http://www.biomedcentral.com/bmcmusculoskeletdisord/
Why Bed Rest Doesn’t Do a Body Good
A recent study reported in Spine demonstrated that extended bed rest can actually injure the low back – including the joints, muscles and discs.
Nine healthy male subjects endured 60 days of enforced immobility. In addition to soft tissue findings, researchers reported that at the end of the study, 5 of the 9 men reported low back pain the first week after re-ambulation.
The researchers found that extended bed rest affects the natural curve in the low back (lordosis). The lordosis is established by 18 months of age, around the time a child stands. The lordosis should measure between 40 and 60 degrees in an adult. Bed rest decreases the degree of the curve which puts can put additional pressure on the disc. This pressure can reduce the natural ability of the disc to absorb shock.
The study also showed that bed rest increases disc height and muscle atrophy. These changes could easily increase biomechanical stress on the spine. A group of muscles mentioned by name in this study were the multifidi (deep muscles in the low back)which have the task of spinal stability. If the foundation is weakened, the multifidi muscles would need to work harder in order to pick up the slack of malfunctioning joints to stabilize the spine.
This study as a whole may help explain why some back pain patients report more low back symptoms when rising from bed after a night of immobile rest. Bed rest is not a good idea when nursing a low back injury in most cases. Movement, as simple as proper stretching and walking, promotes aerobic activity which brings fresh blood flow to the stabilization muscles. Keep it moving!
New Year…New You! Get out of pain, and break the cycle of dysfunction!
Your perception of pain is increased after a lack of sleep or rest. This is a cycle that many people in pain would love to break out of. Think about it you are in pain, so you cannot get comfortable. You toss and turn (in pain), you get out of bed, you find a chair, you still cannot sleep. You go back to bed. Argue with your pillow, and eventually find some rest just in time for the alarm to go off. On a scale of zero to ten, your pain is probably pretty high, and most of us have a stressful and jam-packed schedule that doesn’t leave much room for pain.
Pain can also be higher or more widespread with those with even mild cases of depression. Depression can affect certain neurotransmitters (serotonin and norepinephrine) which also is influenced by estrogen. Estrogen levels become altered around menopause and peri-menopause which can increase certain symptoms.
The link here, is that many factors can influence the perception of pain. Stress, sleep, depression, and aging may manifest in your body as pain. In order to combat nature (because pain is inevitable, but suffering is optional), you can fight back naturally.
Eat a well balanced diet: A balance of whole grain carbohydrates, lean proteins, and a good mix of fruits and vegetables as snacks throughout the day can keep your body nourished. Real foods (not processed foods) make for real people.
Don’t be thirsty: Drinking water is key, it helps keep your muscles hydrated. If you are thirsty, you are already dehydrated.
Exercise: not only does cardio (like walking a few times a week) bring fresh blood to the deep muscles of the low back preventing injury, but lifting weights can help keep osteoporosis away. In addition, exercise helps ward off weight gain, putting less pressure on the joints. Exercise also increases serotonin and endorphins, naturally letting someone feel better about themselves, and improve their mood.
Supplementation: No matter how healthy you eat, you still may be missing key ingredients from your diet. I recommend a multi-vitamin to all of my patients, especially one that includes a Vitamin B complex (which is healthy for nerves and cells). Vitamin C is not only great to help keep the immune system functioning properly, but the vitamin is also very important in ligament and tendon repair. Calcium and Magnesium are also key for muscle functioning, and Fish Oils supplement Omega 3s which make for a happy cardiovascular system.
Chiropractic: Muscle tightness is a side effect of stress. Most men carry their stress in their low back and most women, up near their neck and shoulders. Loosening these muscles my stretching or myofascial release can decrease the muscle spasm, allowing the joints in your spine to move properly. Adjustments increase your range of motion and decrease your pain. Make an appointment and start feeling better!
With recent alarm about replacing hip replacements, the United States will start gathering data to uncover implant problems more quickly. The registry’s goal is to include 90% of 5000 American hospitals that do hip replacement procedures. Keeping Tabs on Implants (Kamp) The Wall Street Journal (10/13/10) This potential collection of raw information can serve as an early warning system for devices that may fail and lead to further patient complications. Hip replacement devices are approved by the Food and Drug Administration, however, currently, there is no long-term monitoring on the devices. Manufacturers would join voluntarily, thereby avoiding mandated rules down the road.
In its early inception, it is still being debated whether or not hospitals or insurance companies will cover the cost. The information they collect now may be able to improve and influence devices made for the future. At the end of August, the Wall Street Journal reported that as many as 93,000 hip replacement devices made by Johnson and Johnson were recalled, with very few still left out on the market. The original device cost approx $6000, and repair of the joint after a malfunction may have cost as much as $20,000. The implant was made of metal, not the traditional ceramic, which was originally thought to increase the longevity of the product, however, caused debris to collect in the hip joint as it wore down. This new registry hopes to track patients who need additional surgery due to worn out joints, implant loosening, or joint dislocation, thereby catching cases where some of the devices have an early demise. Hip replacement is a bigger issue now due to the increase in the baby boom population that is suffering from more osteoarthritis (wear and tear of the bones and joints) and osteoporosis (widespread thinning of the bones).
Patients starting off with hip problems may ultimately suffer from knee pain, ankle sprains, and low back issues. The reasoning is simple, your torso splits its weight into two at your pelvis, evenly distributing into your hip joints and legs. When one hip is diseased or dysfunctioning, that causes your gait (the way you walk) to be altered, putting more pressure on one knee, and sometimes twisting your back as you hike your hip up to walk. Pressure is put on the joints in the low back, which now have to work harder and inappropriately from how they were designed, and may cause spasming in your low back muscles. It is very common for a patient with a hip issue to have tight hamstrings on one leg, tight hip flexors on the opposite side, and muscle spasming in their low back.
Chiropractors cannot determine whether hip replacement is right for you, but we can help keep your hip joint healthy. With proper stretching, muscle release, adjustments and rehab exercises, we may be able to keep a small problem small. Likewise, it is beneficial for patients to seek chiropractic care after surgery to keep joints moving correctly, and preventing the formation of scar tissue. Visit our office if you have a hip or other joint issue. Dr. Buccino would be happy to assess if your low back and hips are working the way they were designed.
In 2007, 27 million US adults (18 and over) reported having back problems. Over 19.1 million received treatment. 10.9 million women and 8.2 million men.
The back accounted for 20% of all musculoskeletal consultations, and the lower back 14% out of 100,000 people presenting for primary care(BMC Musculoskeletal Disorders, 2010; 11:144) Not many of them tried chiropractic first…but you should.
Chiropractic care treats chronic pain…without dangerous risks…A 2009 report found that deaths related to opioid overdose in the US more than tripled from 1999 to 2008 from 4000 to 13,800 fatalities. Most of these were attributable to opioid misuse and abuse. Centers for Disease Control and Prevention estimated a 111% increase in ER visits between ’04 and ’08 for non medical use of opioid meds.
Dr.Andrea Buccino > Blog