Stretching

Massage Therapy: It’s Not Just for Rest and Relaxation!

March 2, 2017 blog@chiroaddict.com

What do you think about when you hear the word “massage”? If you’re like many people, you associate massage with a day of pampering at an exclusive resort spa in the mountains or at the beach. But if that’s the first picture that comes to mind, you might be missing something very, very important. That something is the therapeutic value of massage—the ways that massage can actually improve your health and well-being.

While it is certainly true that many types of massage do help with relaxation, therapeutic massage also has a variety of important health benefits. For instance, therapeutic massage:

Accelerates healing by improving the circulation of blood and lymph to injured areas
Promotes flexibility by stretching and loosening muscles and connective tissue
Improves muscle tone and helps prevent or delay muscle atrophy cause by prolonged periods of forced inactivity
Relieves pain in joints by reducing inflammation and swelling in joints
Increases the effectiveness of chiropractic adjustments

Practitioners and patients alike have discussed these types of benefits for many years, but researchers have recently made a great deal of progress collecting and analyzing clinical data to understand the effects of therapeutic massage. Here are some “headlines” from their work as well as a few “notable quotes” from their study findings.

Improved Circulation and Post-Exercise Pain Relief

Investigators at the University of Illinois at Chicago recently conducted a study to determine whether or not massage improves general circulation and relieves soreness after exercise.

“Our study validates the value of massage in exercise and injury, which has been previously recognized but based on minimal data,” said Nina Cherie Franklin, UIC postdoctoral fellow in physical therapy and first author of the study. “It also suggests the value of massage outside of the context of exercise.”
“We believe that massage is really changing physiology in a positive way,” said Franklin. “This is not just blood flow speeds—this is actually a vascular response.”
Because vascular function was changed at a distance from both the site of injury and the massage, the finding suggests a “systemic rather than just a local response,” she said.

Reduced Chronic Low Back Pain and Improved Mobility

There are more than 100 million massage therapy visits in the U.S. each year, and lower back pain accounts for more than one-third of them. Why? Because massage works!

A study in the Annals of Internal Medicine found that patients receiving massage (whether “structural” massage or “relaxation” massage) had better outcomes than those receiving typical medical care without massage. Measured after 10 weeks and again after 26 weeks, patients who received massage had less pain and better mobility than the control group. At 52 weeks, the results were less clear.

A review in Harvard Health Publications contained some very positive words about the study, which was funded by the National Institutes of Health’s National Center for Complementary and Alternative Medicine:

“My interpretation of this well-designed study is that massage appears to be at least as effective as standard treatments for chronic low back pain. It might even be better. And it’s likely safer than medicine. Depending on actual costs and insurance coverage, massage may even cost less than usual care.”
“In my opinion, it’s time massage became a more standard option for the treatment of chronic low back pain.”

The Chiropractic Care – Massage Therapy Connection

Massage is often recommended as an integral part of a broader chiropractic treatment plan, either in the form of massage to loosen muscle tightness before an adjustment, or after an adjustment to help the muscles adapt to the newly-repaired spinal structures. Many patients report that the combination of these two therapies works better than either therapy alone. In our experience, this is most noticeable with conditions that cause chronic pain—chiropractic manipulation or mobilization techniques work to relieve the structural problems and therapeutic massage works to resolve the soft tissue problems. This is why many chiropractors work closely with massage therapists to find the most effective treatment regimen for each patient—the one that returns them to a feeling of health and well-being as quickly as possible. In our Grand Avenue office, here in Billings, Dr. Oblander often works hand in hand with our massage therapists to work with patients who have been in car accidents, are worker’s compensation patients, or who have other issues which our experience tells us would be addressed by combining massage therapy with chiropractic care

If you’re interested in learning more about what massage and chiropractic care can do for you, please give Oblander Chiropractic a call at 406-652-3553! We’ll be happy to discuss your situation with you and to explain our approach. We’re here to help!

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Being a Great Fitness Buddy

February 21, 2017 blog@chiroaddict.com

Studies have shown that one of the best ways to stick to your fitness regime is to have a reliable fitness partner. Being a fitness buddy means that someone else is counting on you to make them accountable for their workout, keep them inspired and ensure that they are not alone in their quest for fitness. To be a great fitness buddy you just need to keep a few basic guidelines in mind:

You should both have similar goals – If you are training for a place on the Olympic team and your fitness buddy just wants the occasional weekend workout, neither of you is likely to meet your goal. This does not mean that you have to share the same goal, but they should be relatively comparable. That way, you can encourage your partner to meet their goal while not losing sight of your own.

Find someone at a similar fitness level – Your fitness partner does not want to feel like they are being left behind if you are at a much higher level than they are. Similarly, choosing someone at a higher level may make them feel like they have to hold back. Having the same starting point is more motivating for you both.

Be reliable – Always show up when you say you are going to. Your fitness buddy will be more motivated knowing that he or she can count on you to be there for a scheduled workout. You should ideally have similar schedules so that your partner does not have to work around your previous commitments.

Don’t hesitate to push your partner – It’s natural to want to do as little work as possible to reach our goals. But encouraging your fitness buddy to push themselves a little farther than they might on their own can help them to reach their goals a little faster. Never push them beyond what they can safely do, but there is no harm in encouraging your partner to push beyond what they perceive are their limits, and they will be pleasantly surprised at how much they can accomplish that they never thought they could.

Keep focused – Help your partner to keep focused on his or her workout by ensuring that your mind does not wander off or become distracted by the cute guy or girl walking by in the gym.

Provide useful criticism – Do not hesitate to correct your workout partner if you feel he or she is using bad form or doing something unsafe. Part of the responsibility of being a great fitness buddy is ensuring that your fitness partner does not become injured during their workout and that they perform to the best of their ability.

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Staying Healthy at the Office

February 14, 2017 blog@chiroaddict.com

When you work in an office job—even one that’s otherwise rewarding—it’s easy to feel trapped in a day-to-day pattern that doesn’t seem to leave much room for physical exercise or healthy eating. And this is true even though more and more Americans are becoming aware that sitting for long periods of time, often without a break, is hazardous to your health.

The simple truth is that they’re right to be concerned. One study conducted in 2010 indicated that “men who reported more than 23 hours a week of sedentary activity had a 64 percent greater risk of dying from heart disease than those who reported fewer than 11 hours a week of sedentary activity.” And yet the nature of office work is essentially sedentary. So what can you do to change that fact and improve your health? This article lists a number of suggestions that may help.

Eat breakfast. Studies have shown that workers who eat breakfast have better concentration than those who only drink coffee in the mornings. In addition, those who eat breakfast tend to eat less during the day than those who do not, and thus more easily avoid gaining weight.
Bike or walk to work. If you live close to work, biking or walking can provide much of the exercise you need each week, and you can arrive at work feeling more energized after spending some time in the fresh air. If you take public transportation to work, consider getting off one or two stops earlier and walking the rest of the way.
Take frequent short breaks. Even if you take a longer break for lunch or to go to the gym, sitting for long, uninterrupted periods of time can still be hazardous. Studies have shown that taking micro-breaks (getting up from your desk and moving around every 15 minutes or so) can be more valuable than taking a longer break only once a day.
Use the stairs. Why ride in a stuffy metal box with 10 other people when you could get a little healthful exercise?
Drink lots of water. Experts recommend you drink 4 to 6 glasses a day to keep yourself hydrated and healthy. If you have to get up to refill your glass from the drinking fountain or the refrigerator, that’ll also provide an opportunity for another micro-break.
Don’t forget about fresh air. Offices can often be stuffy and under-ventilated. If possible, open a window near your desk. If not, be sure to take occasional breaks outside the building, even if only for short periods of time.
Bring a healthy lunch and snacks from home. Rather than eating in the cafeteria, make a healthy lunch at home and sit outside when eating it. Instead of eating sugary snacks from vending machines, bring fruit and nuts and snack on them.
Think ergonomically. Adjust your chair to fit your body and sit with your feet flat on the floor. Position your computer monitor at eye level and your keyboard at elbow level, so that your wrists are straight when you type. Move your whole arm when you use the mouse, not just your wrist.
Stretch at your desk. You may not be able to jog or do push-ups at your desk, but you can certainly stretch and release tension from your arms, neck, shoulders, and fingers.
Exercise before you go home. After a long day at work, many people get home and just want to sit down on the couch and relax. If you are a member of a gym or jog regularly, doing this directly after work will improve the likelihood that you’ll actually exercise.

Techniques for Improving Circulation

January 17, 2017 oblanderchiropractic

A healthy circulatory system is crucial to good health. To be at its best, your body needs to be able to keep blood pumping from the heart and lungs through the arteries to your organs and extremities, and then keep pumping it back to the lungs for re-oxygenation. Anything that interferes with the proper circulation of blood puts your body’s health at risk for lots of reasons.

“Poor circulation” can mean many things. Common symptoms include having consistently cold fingers and toes, experiencing tingling in your feet and hands, feelings of numbness, tiredness and a general lack of energy, and chronically dry skin. More serious symptoms of poor circulation can include headaches, hair loss, dizzy spells, varicose veins, muscle cramps, feeling short of breath, memory lapses (due to impaired blood flow to the brain), bluish-tinted skin, and slow healing times for wounds.

What causes poor circulation?

One of the most common causes is inactivity and lack of exercise. To keep the blood moving, you need to keep your body in motion. And do it often. Poor diet and carrying excess weight can lead to poor circulation, as can diabetes and many other chronic diseases. Medically, if you have been diagnosed as hypertensive (having high blood pressure), this is almost always an indicator of poor circulation. The “high pressure” is caused by your heart having to pump harder to cause the blood to keep flowing, often because of blood vessels that have become constricted because of stress, disease, or the buildup of plaque.

How can poor circulation be treated?

Serious circulatory problems can be treated with medication. But for most people anxious to improve their circulation and thus their overall health, a few lifestyle changes can do wonders:

Get more exercise. Walk rather than ride. Take the stairs rather than the elevator. Go for walks after lunch and go to the gym after work. Your body functions best with a minimum of 30 minutes exercise per day.
Stretch more. Not just before exercising, but at your desk at work. Stretching helps to relieve stress, and stress is one of the things that can constrict your blood vessels.
Get massages. Massage improves circulation by stimulating the soft tissues of your body and encouraging blood flow.
Put your feet up. After you exercise, elevating your legs can really help you not only to relax, but increase your circulation. It also reduces your risk of developing varicose veins.
Eat healthier foods. Try to eat more fruits, vegetables, whole grains, healthy fats (from fish, olive oil, and nuts), and lean meats. Try to avoid processed foods.
Drink more water, and less caffeine. When you’re thirsty, drink water instead of coffee or black tea or soft drinks. Try to cut down on or avoid alcohol, because it definitely impedes circulation.
Don’t smoke, or quit smoking if you do. Nicotine and the pulmonary perils of smoking are among the most common causes of poor circulation.
De–stress, however you can. Stress has an extremely negative effect on your circulation. So try to find healthy outlets for the stresses you encounter at work and in other areas of your life, to release the stress rather than have it build up and become toxic.
Consider herbs and supplements that can help. Ginger, hawthorn berry, cayenne, motherwort, garlic, ginkgo biloba and vitamins C and E all can help to improve your circulation.

If any of the symptoms become chronic, see your doctor or chiropractor. Don’t try to “tough it out” and live with the discomfort of consistent symptoms of poor circulation. Some of the causes can be very serious indeed, so see an expert to make sure.

What Causes Muscle Tension?

December 15, 2016 oblanderchiropractic

Muscle tension occurs when a muscle (or group of muscles) remains contracted for an extended period of time. This might be characterized as a low-energy or low-intensity muscle cramp. Such tension in the muscles constricts blood flow, which in turn keeps oxygen and nutrients from reaching the muscle tissues and tendons. Muscle tension also keeps cellular waste from being carried away. The result is more muscle tension, spasms and damage. Why does this happen? There are actually several possible causes.

One key source of muscle tension is stress or anxiety. For our ancient ancestors, stress was a simple fact of everyday life, and their ability to response effectively to imminent threats (predators, hostile neighbors, natural disasters, etc.) was an integral part of their survival. As a result, their bodies evolved a set of short-term physiological changes that helped them to meet sudden life-and-death challenges by increasing their alertness, strength, speed and stamina. Today, we refer to these changes collectively as the “fight-or-flight” response, and they’re part of our evolutionary inheritance.

Unfortunately, there is now a kind of mismatch between the kinds of modern threats (real or perceived) that most of us encounter in our day-to-day lives and our bodies’ primitive fight-or-flight response. Instead of short-term physical dangers, modern stress is much more likely to come from social or financial pressures that are (usually) lower-intensity but more prolonged. Mounting bills, insane work deadlines and relationship problems are all great examples. This is a problem because our fight-or-flight response was really designed to be “switched on” only for very short periods of time—essentially, just as long as it took us to either defend ourselves or escape from a physical attack. It turns out that the human body pays a high price for the fight-or-flight response, and this price is especially high when the response is activated continuously over long periods of time, even at relatively low levels. Chronic muscle tension is just one potential result.

Muscle tension can also be the result of underlying structural problems or injuries affecting the musculoskeletal system, especially in the back or neck. When the spine is misaligned or there is an injury, the body may compensate by activating other muscles or muscle groups to stabilize the area and prevent pain. These muscles are put under additional strain for which they were not designed, leading to chronic muscle tension.

Chronic muscle tension itself can lead to new kinds of discomfort and pain. The pain can lead to an increase in anxiety and more muscle tension. This becomes a vicious cycle—an unhealthy, downward spiral. Luckily, there are a number of different ways to relieve muscle tension.

One of the best ways to relax your muscles is to exercise. This may seem counterintuitive at first, but muscle use increases blood flow and, accordingly, reduces the tension caused directly from lack of such blood flow. Exercise also produces endorphins which help to relieve stress and anxiety.

Heat is another method of relief. It can help by opening up blood vessels and relaxing the tense muscles. Use care when applying a hot pack. With heat, you can do too much of a good thing. Use a cloth between the pack and the skin so the heat remains measured and soothing. If you use an electrical heating pad, do not lie on the pad, but lay the pad on the tense muscles.

Water therapy can also help reduce muscle tension. Floating in a swimming pool or on a waterbed can prove to be extremely therapeutic because of the relaxing nature of wave action on the body.

Of course, a massage therapist is an expert at helping muscles relax. A truly good therapist can adapt his or her technique to your specific situation and will be skilled at gradually building up the intensity of the massage so that you’ll receive all the therapeutic benefit without losing the relaxation benefit.

Remember—it’s important to understand the underlying cause of chronic muscle tension so that it can be addressed in an effective way. Your chiropractor is specially trained to determine if the underlying cause is structural. If it is, he or she may be able to perform adjustments to correct the problem. Depending on your specific situation, your chiropractor may also recommend a treatment plan that includes several of the therapies mentioned above in order to relieve your pain and restore your mobility as quickly as possible.

Curve Rehabilitation and Posture Correction Programs

September 23, 2014 oblanderchiropractic

As unfortunate as it is, loss of normal spinal curvature and poor posture are extremely common. Given the amount of time we spend staring at various screens—whether sitting at an office desk or walking down the street—it’s not surprising that our bodies are being affected. It’s also not surprising that back and neck pain has become the second most frequent reason for visiting a doctor.

Many people presenting with back and neck pain also suffer from a loss of normal spinal curvature. Luckily, there are a number of treatment options that can be used to restore the normal curve and to help patients relearn good posture. Broadly speaking, loss of the normal curve most commonly involves one of three conditions: lumbar hyperlordosis, scoliosis, and abnormal kyphosis. Each has a number of curve rehabilitation techniques associated with it.

Lumbar Hyperlordosis

Patients with lumbar hyperlordosis (also known as “swayback” or “saddle back”) have developed an exaggerated arch in the lower back (the lumbar region of the spine) that typically makes the buttocks and belly appear more prominent. The treatment approach will often depend on the severity of the abnormal curve and the amount of mobility that still exists in this area of spine. If the curve is not flexible, then it is more likely that treatment will be necessary.

Since hyperlordosis places unusual stress on the vertebrae and spinal discs, failing to seek treatment increases the risk of accelerated spinal degeneration, disc herniation and other structural problems. These, in turn, can cause pain and limit function. Over time, other areas of the body—including the hips, legs and internal organs—may also be affected.

Chiropractors are experts in diagnosing and treating a wide range of musculoskeletal conditions that affect the back and neck. Depending on the situation, they may use a combination of chiropractic adjustments, spinal molding blocks and foam rolls to restore the normal curve. They will also work closely with patients to make postural adjustments, strengthen core muscles and increase range of motion. When a child has hyperlordosis, treatment may involve a brace, which helps to ensure that the abnormal curve doesn’t worsen as he or she grows.

For the most severe and painful cases of hyperlordosis, surgery may be necessary. The objective of this surgery is to correct the severity of the curve and provide additional support for the body’s frame. Such surgery may involve metal rods, hooks, or screws. Surgeons may also use a bone graft to stimulate new growth and strength.

Scoliosis

The word “scoliosis” is more widely recognized than hyperlordosis among the general public. It refers to an abnormal c- or s-shaped lateral curvature of the spine—one that is apparent while looking at an individual from the front or back. In some cases, a patient’s head may appear off-center or one shoulder or hip may be higher than the other.

In about 80% of cases, the cause of scoliosis is not known. This is generally referred to as “idiopathic”. Scoliosis may also be “functional” (an abnormal curve develops because of a problem elsewhere in the body), “neuromuscular” (a curve is caused by abnormally formed vertebrae) or “degenerative” (the curve is the result of deterioration, damage or weakness in the spine’s supporting structures—bone or soft tissue—during later years).

Treatment options for scoliosis depend on the severity and location of the curve, its cause and the likelihood of it getting worse as the patient gets older. Treatment typically involves braces for children and adolescents if their spinal curves are between 25 and 40 degrees. However, the brace’s straightening effect only lasts as long as the patient wears it. Those with a curve beyond 40 degrees to 50 degrees are often candidates for scoliosis surgery. As WebMD puts it, “The goal is to make sure the curve does not get worse, but surgery does not perfectly straighten the spine. During the procedure, metallic implants are utilized to correct some of the curvature and hold it in the correct position until a bone graft, placed at the time of surgery, consolidates and creates a rigid fusion in the area of the curve. Scoliosis surgery usually involves joining the vertebrae together permanently—called spinal fusion.”

Abnormal Kyphosis

Abnormal kyphosis is an outward curvature of the thoracic spine (middle back) that results in a “hunched forward” or “hunchbacked” appearance. It is often caused by poor posture. In these cases—referred to as “postural kyphosis—a chiropractor can reduce the hump by prescribing lifestyle changes and strengthening exercises that improve posture. He or she may also use a variety of spinal adjustment techniques to reduce pain and inflammation, calm muscle spasms, restore range of motion and slow the rate of disc degeneration in the middle back.

Rediscovering Exercise After Years of Being Inactive? Take the SMART Approach

January 9, 2014 oblanderchiropractic

Artists who work with glass or metal know that you should not try to bend or shape the material while it remains cold and brittle. Glass will shatter. Metal will break or quickly show signs of fatigue and damage. Our bodies also need to be warmed up to change. They need the tender, loving care of an artist to reshape them. You are that artist. And sculpting your new body takes time, patience and persistence. And yes, it takes hard work.

You can’t expect your body to react well at the beginning if you ask it to do too much after years of inactivity. Using the following SMART approach to exercise will help you get back into an exercise routine and allow you to reach your goals:

Specific—It’s most effective set exercise goals that are well-defined rather than vague. Say you want to be a trim, 165 pounds of muscle and vibrant energy. This approach to defining your goal not only gives you a specific weight to shoot for, but also describes the feeling you want to go with it.

Measurable—This makes your goal even more concrete and will help you see the progress you’re making in an objective way. Not every approach to measurement uses numbers, but numerical criteria are usually the easiest to work with. This goes for measuring activity as well as measuring the results. For example, a 30-minute, brisk walk is measurable. If you’ve only walked 25 minutes, you know you’re not done. Keeping a journal helps you compare these details later.

Action-oriented—You have to put your dreams into action, and exercise is all about physical movement. But don’t let repetitive exercise become boring. Add different kinds of action. In fact, sports medicine doctors recommend varying the activity between stretching, light endurance, vigorous strength and other types of exercise. This helps to prevent heart attacks, sprains and other maladies from pushing too hard, too fast. It also helps to keep things more interesting.

Realistic—Never let anyone tell you that something cannot be done. By the same token, it never makes sense to ignore reality. If you are not realistic in your goals, you are setting yourself up for failure. Set a few attainable short-term goals when you are starting out in a new exercise program so you are more likely to stick with it as time goes on. It will help give you more confidence and you will be more motivated to set your goals a little higher each time.

Time-related—Set deadlines. This helps to keep you challenged so you keep moving forward. Naturally, any deadline needs to be realistic (see above). You should not expect to be running marathons in one month after a couple of decades of desk work, in-car commutes and armchair quarterbacking.

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