What is “Good Posture?”

Have you ever noticed how many people have terrible posture?  One of the most common faulty postures is called “forward head carriage” or “anterior based occiput.”  Other terms are  “hump back” or slouching. There are several reasons for this common postural fault.  One is the weight of the head is, on average, approximately 10-13 pounds and if it’s positioned too far forwards, the muscles in the upper back and neck tighten up much more than normal, fatigue and become painful. Also, the muscles that attach to the skull have different degrees of strength. They also attach and pull at different angles, contributing to the common forward head carriage posture.  The muscles of the chest are much stronger than those in the mid and upper back and tend to pull our shoulders forward. The following pictures offer a good view of both a faulty posture as well as a “good” posture. Notice the forward shift in the line in the pictures of poor posture and backwards shift in the good posture pictures.

As you can see, the weight of the head is back over the shoulders and the shoulder posture is appropriately positioned back in the image titled “Good Head Posture.”

It is important to understand correcting Forward Head Carriage can take time – in fact, it takes a minimum of 3 month before this becomes an automatic new “habit.”  Of course, it could take longer if you sit in slouchy chairs, soft chairs or wear arch supports.  The great benefit you receive with your care at our office is that forward head posture gets corrected without exercises or any strain on your part.  Your body stands more upright without you having to think about it.

If you, a family member or a friend require care, we sincerely appreciate the trust and confidence shown by choosing our service.  We are proud that chiropractic care has consistently scored the highest level of satisfaction when compared to other forms of health care provision and we look forward in serving you and your family presently and in the future.

YOU MAY BE A CANDIDATE FOR CHIROPRACTIC CARE FOR NECK PAIN! FOR A FREE NO-OBLIGATION CONSULTATION CALL 262-251-8306 OR LOG ON TO: WWW.PAINFREE-GREATPOSTURE.COM

Can Chronic Pain be Aggravated by Bad Weather?

Anyone who has treated chronic pain patients will tell you that patients seem to feel worse on days when the weather is bad.

In an research paper titled “The Relationship of Diagnosis and Weather Sensitivity in Chronic Pain Patients” (JNMS Vol.3, No.1, Spring 1995) the authors found that people with many different types of pain syndromes were adversely affected by bad weather.

They said “The onset of aching and tenderness around joints as an indication of impending storms has been a wives’ tale for centuries.  Clinicians have long observed that the weather seems to influence a number of physical conditions.  Numerous past surveys have reported weather sensitivity in patients with chronic pain.  Accounts date back to Hippocrates…”

So, the pain you may feel when the weather changes is not a psychological, “all in your head”, made up thing.  Its real.

The authors also found that this type of pain indicates bone and joint problems and not muscle problems.  So if you are experiencing this type of pain, treatments that focus on muscles won’t help it.  Treatments, like chiropractic, that focus on the joints, will help.

The authors found that spine pain, bulging discs, carpal tunnel syndrome, spinal stenosis and degenerative disc disease were the most weather affected conditions.

To find out more about how I treat these conditions log on to www.newbackpainreliefinfo.com or www.relieffromcarpaltunnel.com

Whiplash & Chiropractic Treatment

The term ‘whiplash’ represents a collection of symptoms that occur as a result of a soft tissue injury of the neck.  This includes over stretching and/or tearing of muscles, tendons, ligaments, disk tissue and/or nerve injuries due to the extreme movements that occur during a whiplash event (usually arising from a car accident).  We have discussed the mechanism of injury and the symptom complex that can arise in past articles.

So the question is – how many patients who sustain a whiplash injury actually improve and recover compared to those that don’t? In one study, it was stated that 43% of patients will suffer long-term symptoms after a whiplash type of injury. More specifically, if a patient is still symptomatic after 3 months following the injury, “…then there is almost a 90% chance that they will remain so.”  They go on to state that no conventional treatment has proven to be effective in helping these chronic cases.  The purpose of their study was to determine the effectiveness of chiropractic treatment in a group of chronic whiplash patients.  To do this, they studied 28 patients (20 women and 8 men, between ages 19-66, mean 39) over a 2-year time frame, injured in motor vehicle collisions. Their symptom severity was graded on an A to D scale (A=minimal symptoms vs. D=disabling symptoms, with B= nuisance and C=Intrusive or partially disabling). Those in Groups C & D either had to significantly modify their work or, they lost their jobs and relied on continual use of medications.  The chiropractic treatment included spinal manipulation (adjustments), controlled resistance of muscles to improve stability and coordination, and the use of ice.  Treatment from an emergency facility and/or their general practitioner and physical therapy had been previously utilized for on average 15.5 months, before entering this chiropractic-based study.  Initially, 27 of the 28 were classified into symptom groups C or D and symptoms included neck pain (82%), neck stiffness (36%), and other complaints of headache, shoulder, arm and back pain. Following treatment 26 of the 28 (93%) improved, 16 by one symptom group and 10 by two symptom groups and this degree of improvement was assessed and agreed upon by both an orthopedic surgeon as well as by a chiropractor.  Seventeen (61%) improved to a point of satisfaction where care was discontinued after the 1st assessment with 4 of the 17 considering return for treatment due to a return of symptoms.  Litigation was still pending in 20 of the 28 cases at the time the study concluded.

This study is very important as over 90% of chronic whiplash cases improved from chiropractic management well beyond the point of improvement obtained through standard emergency, family practice and physical therapy.  Other studies have pointed out that early intervention or treatment with chiropractic manipulation and management approaches generally results in a more favorable response compared to waiting for longer time periods. To be able to obtain this level of success after an average of 15.5 months is truly remarkable!

Chiropractic methods often utilized for patients with a “whiplash” injury include spinal manipulation (or adjustments), mobilization techniques (this includes stretching, figure 8 movements, manual traction), muscle release work (this includes trigger point therapy, myofascial release/friction massage, and others), and promoting self-help approaches (this includes exercise, home traction methods, computer station modifications and other job modifications as indicated, and others).

We realize you have a choice in where you choose for your healthcare services.  If you, a friend or family member requires care for whiplash, chiropractic care is a logical first choice and we would be honored to offer our services.

For more information on these types of injuries, log on to www.chiropracticimpactreport.com

YOU MAY BE A CANDIDATE FOR CHIROPRACTIC CARE
FOR A FREE NO-OBLIGATION CONSULTATION CALL 262-251-8306

What Many People Don’t Know About Chiropractic And What We Can Do For YOU*

*Especially if you have back pain

In just a moment I’m going to tell you some very interesting information about Chiropractic that most people do not know – but more importantly – what it can do for you and how it might even change your life.

This is really good stuff… especially if you have back pain now or have ever had back pain in the past.

But first, there is something else you should know about.  I think you’ll really like it.

Did you the use of Aspirin dates all the way back to around 400 B.C.?  It’s true.  The father of medicine, Hippocrates, who lived sometime between 460 B.C. and 377 B.C., left historical records that included the use of the bark of the willow tree to treat fever, headache and various pains.

It wasn’t until 1829 that scientists started figuring out what was going on.  That’s when they discovered a compound called salicin in the willow plant was responsible for the pain relief.

In that same year, scientists were able to turn salicin into salicylic acid.  The problem was that salicylic acid was very rough of the stomach and mouth… which limited its use.  Then, in 1853 a German scientist named Charles Frederic Gerhardt buffered (neutralized) the harshness of the acid by coating salicylic acid with sodium and acetyl chloride.  Although it worked, it was time consuming and Gerhardt stopped working on it because he didn’t think it was worth it.

OOOOPS!

In 1897 a German pharmacist working for a German pharmaceutical company Bayer, started looking for a solution for his father’s rheumatism.  His name was Felix Hoffmann and he “re-discovered” Gerhardt’s work and in 1899 patented a “new” pain reliever under the name Aspirin.

As a quick and interesting aside: During that same month, Hoffmann synthesized heroin by accident.  His discovery of heroin obviously didn’t end up working out as well as aspirin!

But, one of the truly remarkable thing about all this is:

Scientists did not have a clue how aspirin worked until 1971!  In that year, John Vane theorized how it worked for which he was awarded a Nobel prize in 1982.

Today, over 70 million pounds of aspirin are produced annually all over the world making it the world’s most widely used drug… and scientists still theorize about the exact mechanisms of aspirin.

So what’s all this have to do with Chiropractic and your back pain?

Here’s what:  Believe it or not – Chiropractic and aspirin have many things in common.

First — they can both be traced WAY back in history.

In fact, Hippocrates, who used a form of aspirin back in 400 B.C., also used a form of spinal manipulation.… and so did ancient Egyptians and many other cultures.

But, it was not until 1895 that D.D. Palmer invented “Chiropractic.”   Chiropractic was new and different because Palmer theorized the nervous system controlled every function of the body and Chiropractic adjustments (specific spinal manipulations) removed interference to blocked or pinched nerves.  This, in turn, not only relieved pain… it helped the entire body function better and heal from all sorts of illnesses and diseases.

Just like willow bark and eventually aspirin, spinal manipulation got results and became very popular… but the mechanisms were not understood.

But here’s were Chiropractic & Aspirin differ – in a very big way…

Doctors and scientists had no clue how aspirin worked – but it was hailed by the medical community as a wonder drug and mass-produced.

Doctors and scientists were not sure how Chiropractic worked – so it was branded unscientific and quackery.

Seems a little unfair – don’t you think?

Thank goodness in many areas, research has finally caught up with Chiropractic!

For example, Chiropractic’s ability to help relieve back pain is well researched.  It is a safe, effective and cost-effective way to relieve back pain.

How Does Chiropractic Work?…FUNNY YOU SHOULD ASK:

Many times when you have back pain it is caused by a spinal joint sprain – or “subluxation.”  Ligaments hold two bones together to form a joint and a sprain occurs when a ligament is injured by over stretching it.

This can happen due to small micro traumas over several years or one acute event like a car accident, sports injury or slip and fall.  When the ligament becomes stretched and injured joints do not function properly, delicate nerve fibers can be injured.

Over time, even if untreated, pain can go away even though the spinal joint is not functioning properly.  This can lead to flare-ups in the future and degeneration as the joint moves improperly and wears out.  This is why something small – like bending over to pick up a pencil – can cause severe back pain.

Chiropractic adjustments and treatments are designed to normalize spinal motion as much as possible.  This allows the spinal joints to heal better.

Here’s a simple way to look at it:

If you broke your arm and didn’t get the bone set properly – it would heal out of place and crooked.  The pain might go away in the short term – but there would most likely be big problems in the future.  The best thing to do is put everything in place and then let it heal properly.

Chiropractors are experts at getting your spinal bones and joint “in place” and working properly so they can heal correctly.

Chiropractors are also experts at keeping spines functioning properly to minimize future problems – much like periodic Dental check-ups and cleaning prevent tooth decay and loss down the road.

So, if you have back pain, you might want to try something that has a history starting in 400 B.C. with the father of medicine – Hippocrates – and has been practiced, improved and proven to help back pain.

If you do, just give us a call at 262-251-8306 and we will help you in any way that we can; conservatively and affordably!

I hope you found this information interesting and helpful.

For more information about how I treat back pain log on to www.newbackpainreliefinfo.com

Fibromyalgia – Does This Sounds Familiar?

“I am exhausted and hurt all over.  I can’t get to sleep at night and when I do, I wake up at the drop of a dime.  I went to my doctor and they ran some blood tests and took some x-rays and said that nothing was wrong.  I just don’t know what is wrong or what to do about it.”

This is a classic history obtained from a patient suffering from fibromyalgia or FM.  Because the onset of fibromyalgia is slow and gradual, it is common for patients to postpone visiting their health care provider until the symptoms are quite significant. The diagnosis may also be delayed as many healthcare providers do not feel fibromyalgia is a legitimate medical condition and minimize the symptoms frequently categorizing them as “depressed,” which postpones an appropriate diagnosis and treatment.

The classic definition as defined by the American College of Rheumatology includes at least a three-month duration of symptoms with the presence of 11 out of 18 potential tender points although diffuse, widespread pain not necessarily restricted to these exact locations may also represent an appropriate diagnostic finding in fibromyalgia.

Fibromyalgia is more common in females and affects approximately 2% of the population in the United States. The risk of developing fibromyalgia increases with age, usually developing during early and middle adulthood but can also develop in children and older adults. Other risk factors include a positive family history where one may be more likely to develop FM if a relative suffers with the same condition.

A major risk factor of developing fibromyalgia includes is disturbed sleep pattern and this remains controversial as to whether sleeping disorders are a direct cause or simply the result of fibromyalgia. However, in either case, people with FM cannot obtain deep “restorative” sleep and feel fatigued and tired upon waking in the morning. Sleep disorders including sleep apnea and restless leg syndrome are often present in patients with fibromyalgia.

Certain conditions such as rheumatoid arthritis, irritable bowel syndrome, hypothyroid, and other endocrine/hormonal conditions may preceded the onset of fibromyalgia in which case the condition is considered “secondary fibromyalgia.” Hence, a diagnostic evaluation usually includes a blood test for hypothyroid, autoimmune diseases such as rheumatoid arthritis, and a complete blood count to rule out infections and/or anemia. In most cases, these tests prove negative and the diagnosis is made by excluding other possible primary conditions.

Other causes can include physical and/or emotional trauma where a high-level of stress can trigger this condition. Although experts still debate why patients with fibromyalgia hurt so intensely, the current explanation centers around a theory called central sensitization. This is essentially a lower pain threshold where patients with FM feel pain much sooner than those without it because of increased sensitivity in the brain and/or spinal cord to incoming pain signals.

Treatment of FM relies on a multidiscipline, multifactorial approach including stress reduction, obtaining enough sleep, exercising regularly, pacing yourself, and maintaining a healthy lifestyle, including diet and exercise. Other highly effective treatments, according to the Mayo Clinic website, include chiropractic treatment, massage therapy, and/or acupuncture. The concepts of chiropractic treatment includes restoring movement in restricted spinal joints resulting in improved nerve function and subsequently, improved overall function and reduced pain. Chiropractic care also includes cold laser, nutritional counseling and patient education. We recognize the importance of including chiropractic in your treatment of FM and realize you have a choice of providers. We would be honored to be part of your management team.

YOU MAY BE A CANDIDATE FOR CHIROPRACTIC CARE FOR FIBROMYALGIA! FOR A FREE NO-OBLIGATION CONSULTATION CALL 262-251-8306

Back School 101… 3 Ways To Prevent Making Your Back Pain Worse

Chiropractic care for patients with low back pain (LBP) not only includes spinal manipulation or adjustments but also patient education in regards to heat/ice, performing daily activities and exercise.

Heat vs. Ice: This topic is controversial, as often, patients will be told by their friends and family to use the opposite of what we may recommend to our patients. In general, when pain is present, there is inflammation… so use ice to reduce swelling and pain. When heat is inappropriately utilized during this inflammatory phase of healing, vasodilation or, an increase in blood supply to the already swollen injured area often results in an increase in pain. The use of heat may be safely applied later in the healing process during the reparative phase of healing, but as long as pain is present, using ice is safer and more effective.

Daily Activities: Improper methods of performing sitting, bending, pulling, pushing, and lifting can perpetuate the inflammatory phase, slow down the healing process, and interfere/prevent people from returning to their desired activities of daily living, especially work. Improperly performing these routine activities is similar to picking at scab since you’re delaying the healing process and you can even make things worse for yourself.

Exercise: There are many exercises available for patients with low back pain. When deciding on the type of exercise, the position the patient feels best or, the least irritating is usually the direction to emphasize.

When bending backwards results in pain reduction (referred to as “extension-biased”), standing and bending backwards, performing a sagging type of pushup (“prone press-up”), laying backwards on large pillows or on a gym-ball are good exercises. The dosage or duration exercises must be determined individually and it is typically safer to start with 1 or 2 exercises and gradually increase the number as well as repetition and/or hold-times. If sharp/”bad” pain is noted, the patient is warned to discontinue that exercise and report this for further discussion with their chiropractor. It is normal and often a good sign when stretching/”good” pain is obtained at the end range of the exercise.

We recognized the importance of patient education in our approach to managing low back pain cases, and look forward in serving you and your family presently and, in the future.

YOU MAY BE A CANDIDATE FOR CHIROPRACTIC CARE FOR LOW BACK PAIN!  FOR A FREE NO-OBLIGATION CONSULTATION CALL 262-251-8306

Back Pain? You Need to Treat the Whole Body.

Yesterday, I had a patient say to me “wow, its amazing that everything in the body is connected.”  She said this after I had adjusted her low back and her neck pain went away.

I get this type of comment often and its sort of strange when you think about it.  The fact that everything in your body is connected is self-evident.  One part of the body cannot be damaged without all the other parts being affected.

Think about it.  When you get a sinus infection, what happens ?  You get a fever and chills from your body temperature elevating.  You heart rate goes up.  Your respiration changes.  Your appetite goes down.  Your head aches, the neck can get stiff, and on and on.  All caused by an infection in your nose.

American medicine tends to look at the body as a collection of a bunch of parts.  If the appendix gets infected, take it out.  If the blood pressure rises, take a pill to make the heartbeat weaker.  If the low back hurts, inject the area with numbing medication.

American medicine never seems to stop and consider that maybe the appendix is infected because of an intestinal problem.  Or the blood pressure is high because of dehydration.  Or the low back is hurting because of poor posture.

Now, I’m not saying that you don’t need to treat things medically.  For example, an appendix operation could save your life.  What I am saying is, that people need to focus on the issues that caused the condition to occur in the first place.  If you don’t, you are simply masking over issues that will come back to haunt you later.

When it comes to the spine, this is especially true.  John Bland MD author of Disorders of the Cervical Spine says:

“ We tend to divide the examination of the spine into regions: cervical, thoracic, and lumbar spine clinical studies.  This is a mistake.  The three units are closely interrelated structurally and functionally-a whole person with a whole spine.  The cervical spine may be symptomatic because of a thoracic or lumbar spine abnormality and vice versa ! Sometimes treating a lumbar spine will relieve a cervical spine syndrome, or proper management of a cervical spine will relieve low backache.”

The spine needs to be treated as a whole unit.  To be even more accurate, the body needs to be treated as a whole.

To find out more about how I treat low back pain, log on to www.newbackpainreliefinfo.com.

Mattresses, Pillows and Back Pain

I am often asked, “what is the best kind of mattress for my back?” The answer may surprise you..

Contrary to what is currently being sold in every mattress store in the country, I suggest that you sleep on a firm mattress.  Pillow-tops, memory foam, Swedish foam, water-beds and gel- beds are all too soft.  Way too soft.

You see, your spine needs support at night. It needs a steady, firm surface so it can rest and your discs can get re-hydrated.  If the mattress is too soft, you will not relieve the pressure on the discs.  They will never recuperate at night, leaving you more prone to spinal degeneration.

People mistakenly believe that when they have sore spots or “pressure points” when they sleep, they need a softer mattress.  When in fact, what they need to do is change their pillow height.

If you sleep on your side, you need to have your head propped up slightly.  Most people have a pillow that is too low.  The low height causes you to get more pressure on your shoulders and you will inevitably toss and turn.  Slightly propping up the head will take pressure off your shoulders and make it possible for you to stay in one position all night.

If you sleep on your back, you need to be as flat as possible.  Just a few layers of a towel under your head is often all you need. If what is under your head is too big, you will feel like you need to put something under your knees to take pressure off your back.  Or, you will feel like you need a softer surface.  Don’t make these mistakes, use a firm surface with the correct pillow height.

If you wake up sore, stiff, dizzy or with a headache, something is wrong with your mattress or pillow.  Work with the pillow height first because it is easiest to change.  If that doesn’t work, look at your mattress.  Mattresses never last more than 10 years and if your mattress is over 5 years old, it is probably getting worn out.

I recommend one of three options for a new mattress.

1) Go to a mattress store and ask for the firmest mattress they have and don’t listen to what the salesman says about how “softer is better”.  Softer is more expensive, it feels good to lay on for a few minutes in the store, but in the long run, it is bad for your back.

2)  I recommend the Sleep Number Bed basic model.  (The one without memory foam.)  The foam makes these too soft.  The Sleep Number can be pumped up firmer than most mattresses, it costs the same and it has a 10 year warranty.  A sleep number above 80 with the correct pillow height works great.

3)  The Mercedes Benz of mattresses can be found on www.new-chiropractic-solutions.com.  They also sell an adjustable height pillow that is great for side sleepers.

Watch for a video on my web-site www.painfree-greatposture.com that will explain how to sleep.

For more information on how I treat back pain, sciatica, degenerative discs and spinal stenosis, log on to www.newbackpainreliefinfo.com and order a copy of my free information.

Medical vs. Chiropractic Treatment in Acute and Chronic Back Pain

Have you ever considered who is the best suited to treat back pain?  A study looking at this very question compared the effectiveness between medical and chiropractic intervention.  Over a 4-year time frame, 2780 patients were followed (initial, 2-week, 1, 3, 6, 12, 24, and 48 month intervals) with questionnaires.  Both acute (symptoms <7weeks) and chronic (symptoms >7weeks) low back pain (LBP) patients were treated using conventional approaches by both the MDs and the DCs.  Treatments from the chiropractors included spinal manipulation, physical therapy, an exercise plan, and self-care education.  Medical therapies included prescription drugs, an exercise plan, self-care advice and about 25% of the patients received physical therapy.

The study focused on present pain severity and functional capacity, measured by questionnaires that were mailed to the patients. It was reported that chiropractic was favored over medical treatment in the following areas:

♦ Pain relief in the first 12 months (more evident in the chronic patients)

♦ When LBP pain radiated below the knee (more evident in the chronic patients)

♦ Chronic LBP patients with no leg pain (during the first 3 months)

This study also found that early intervention reduced chronic pain.  While both medical and chiropractic treatment approaches helped, it’s quite clear from the information reported that chiropractic treatment approaches should be utilized first.  Not only because it is more effective, but also because it is safer and less costly.

To find out more about how I treat low back pain and other low back related conditions like sciatica, spondylolisthesis and spinal stenosis log on to www.newbackpainreliefinfo.com.

What is a Spondylolisthesis?

Spondylolisthesis pronounced,  \ˌspän-də-lō-lis-ˈthē-səs\   or spondylo for short.

Spondylolisthesis is a big word that describes a condition where a vertebra has slipped forward on top of the one below it.  The vertebra can slip so far forward that it can choke off nerve roots in the spine and cause shooting pain.

A spondylolisthesis is most commonly found on the very lowest vertebra (L5) or the one above it (L4).  Although, I have seen them at higher levels in the spine on rare occasions.

The most common cause of a spondylolisthesis is a stress fracture.  The fracture splits the vertebra so that the front part slips forward and the back part stays where it is.  Sometimes you can feel around with your fingers and find a divot where the spine dips in, just above the involved vertebra.  The stress fracture usually occurs during physical activity during adolescence, but they can occur at other times.

Sometimes the fracture is missed on standard imaging because no slippage has occurred.  This is called a pending spondylolisthesis and only shows up on a study called a SPECT scan.

The odd thing about spondylos is that many people have them and don’t even know it.  It may happen to you as a teenager and you may have little or no pain at that time.  However, if your posture deteriorates or you injure the area, it can flare up and cause a lot of pain.

Spondylo patients can be treated with chiropractic, but not all techniques work well.  Since the vertebra is already forward, a technique that will push it more forward, is obviously not advisable.  The main goal of treatment is to correct the patient’s posture, so that there is less stress in the area of the spondylo.  That can give a lot of pain relief.

Treatment is followed up with home instructions for care that will help prevent re-aggravation.

To learn more about how I treat spondylolisthesis log onto www.newbackpainreliefinfo.com.  Or if you would like to set up a free consultation to see if I can help, call Jennifer at 262-251-8306.