Deprecated: Creation of dynamic property wpdb::$categories is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/wp-db.php on line 668

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Deprecated: Return type of WP_Theme::offsetExists($offset) should either be compatible with ArrayAccess::offsetExists(mixed $offset): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-theme.php on line 554

Deprecated: Return type of WP_Theme::offsetGet($offset) should either be compatible with ArrayAccess::offsetGet(mixed $offset): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-theme.php on line 595

Deprecated: Return type of WP_Theme::offsetSet($offset, $value) should either be compatible with ArrayAccess::offsetSet(mixed $offset, mixed $value): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-theme.php on line 535

Deprecated: Return type of WP_Theme::offsetUnset($offset) should either be compatible with ArrayAccess::offsetUnset(mixed $offset): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-theme.php on line 544

Deprecated: Return type of WP_REST_Request::offsetExists($offset) should either be compatible with ArrayAccess::offsetExists(mixed $offset): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/rest-api/class-wp-rest-request.php on line 952

Deprecated: Return type of WP_REST_Request::offsetGet($offset) should either be compatible with ArrayAccess::offsetGet(mixed $offset): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/rest-api/class-wp-rest-request.php on line 972

Deprecated: Return type of WP_REST_Request::offsetSet($offset, $value) should either be compatible with ArrayAccess::offsetSet(mixed $offset, mixed $value): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/rest-api/class-wp-rest-request.php on line 984

Deprecated: Return type of WP_REST_Request::offsetUnset($offset) should either be compatible with ArrayAccess::offsetUnset(mixed $offset): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/rest-api/class-wp-rest-request.php on line 995

Deprecated: Return type of WP_Block_List::current() should either be compatible with Iterator::current(): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-block-list.php on line 151

Deprecated: Return type of WP_Block_List::next() should either be compatible with Iterator::next(): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-block-list.php on line 175

Deprecated: Return type of WP_Block_List::key() should either be compatible with Iterator::key(): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-block-list.php on line 164

Deprecated: Return type of WP_Block_List::valid() should either be compatible with Iterator::valid(): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-block-list.php on line 186

Deprecated: Return type of WP_Block_List::rewind() should either be compatible with Iterator::rewind(): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-block-list.php on line 138

Deprecated: Return type of WP_Block_List::offsetExists($index) should either be compatible with ArrayAccess::offsetExists(mixed $offset): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-block-list.php on line 75

Deprecated: Return type of WP_Block_List::offsetGet($index) should either be compatible with ArrayAccess::offsetGet(mixed $offset): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-block-list.php on line 89

Deprecated: Return type of WP_Block_List::offsetSet($index, $value) should either be compatible with ArrayAccess::offsetSet(mixed $offset, mixed $value): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-block-list.php on line 110

Deprecated: Return type of WP_Block_List::offsetUnset($index) should either be compatible with ArrayAccess::offsetUnset(mixed $offset): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-block-list.php on line 127

Deprecated: Return type of WP_Block_List::count() should either be compatible with Countable::count(): int, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-block-list.php on line 199

Deprecated: DateTime::__construct(): Passing null to parameter #1 ($datetime) of type string is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/script-loader.php on line 331

Deprecated: Return type of Requests_Cookie_Jar::offsetExists($key) should either be compatible with ArrayAccess::offsetExists(mixed $offset): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/Requests/Cookie/Jar.php on line 63

Deprecated: Return type of Requests_Cookie_Jar::offsetGet($key) should either be compatible with ArrayAccess::offsetGet(mixed $offset): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/Requests/Cookie/Jar.php on line 73

Deprecated: Return type of Requests_Cookie_Jar::offsetSet($key, $value) should either be compatible with ArrayAccess::offsetSet(mixed $offset, mixed $value): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/Requests/Cookie/Jar.php on line 89

Deprecated: Return type of Requests_Cookie_Jar::offsetUnset($key) should either be compatible with ArrayAccess::offsetUnset(mixed $offset): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/Requests/Cookie/Jar.php on line 102

Deprecated: Return type of Requests_Cookie_Jar::getIterator() should either be compatible with IteratorAggregate::getIterator(): Traversable, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/Requests/Cookie/Jar.php on line 111

Deprecated: Return type of Requests_Utility_CaseInsensitiveDictionary::offsetExists($key) should either be compatible with ArrayAccess::offsetExists(mixed $offset): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/Requests/Utility/CaseInsensitiveDictionary.php on line 40

Deprecated: Return type of Requests_Utility_CaseInsensitiveDictionary::offsetGet($key) should either be compatible with ArrayAccess::offsetGet(mixed $offset): mixed, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/Requests/Utility/CaseInsensitiveDictionary.php on line 51

Deprecated: Return type of Requests_Utility_CaseInsensitiveDictionary::offsetSet($key, $value) should either be compatible with ArrayAccess::offsetSet(mixed $offset, mixed $value): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/Requests/Utility/CaseInsensitiveDictionary.php on line 68

Deprecated: Return type of Requests_Utility_CaseInsensitiveDictionary::offsetUnset($key) should either be compatible with ArrayAccess::offsetUnset(mixed $offset): void, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/Requests/Utility/CaseInsensitiveDictionary.php on line 82

Deprecated: Return type of Requests_Utility_CaseInsensitiveDictionary::getIterator() should either be compatible with IteratorAggregate::getIterator(): Traversable, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice in /home2/glimpsi7/public_html/chiroaddict/wp-includes/Requests/Utility/CaseInsensitiveDictionary.php on line 91

Deprecated: trim(): Passing null to parameter #1 ($string) of type string is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp.php on line 173

Deprecated: ltrim(): Passing null to parameter #1 ($string) of type string is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/wp-db.php on line 3031

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

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Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

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Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

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Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

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Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

Deprecated: Creation of dynamic property WP_Term::$object_id is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/class-wp-term.php on line 198

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back care – Page 2

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Tag: back care

Where Does Good Balance and Coordination Come From? Introduction to Your Proprioceptive System

Where Does Good Balance and Coordination Come From? Introduction to Your Proprioceptive System

balancing-on-fence

Proprioception is a complex system of anatomical checks and balances, neural impulses, and brain functions that controls our sense of balance, coordination, and agility. Put most simply, proprioception is the “sixth sense” that enables you to scratch your head without looking in a mirror or climb a flight of stairs without having to look at each step.

Most of us are so accustomed to proprioception that we take it for granted. Its development starts soon after we are born and is observed in infants as soon as they gain control of their neck muscles. When the infant’s body tilts in any direction, its head also tilts in the opposite direction to level its eyes with the horizon. This “righting reflex” is the beginning of our sense of balance.

More technically, proprioception is your body’s ability to transmit a sense of its position in space, analyze that information, and react—either consciously or unconsciously—to stimuli with the proper movement and force. Proprioceptors are a specialized type of motor and sensory nerve that transmits impulses to the central nervous system (in particular, the area of the brain known as the cerebellum) from stimuli felt by the muscles, tendons, joints, and skin. The impulses transmitted by proprioceptors contain vital information, such as the amount of tension in a particular muscle and the relative position of a body part when it is moving.

, Proprioception is what enables you to reach for a glass and actually find it in space. It is also what allows you to pick up the glass with just the right amount of force, neither dropping it nor breaking it by squeezing too hard. Proprioception is what enables you to keep your balance when walking on uneven surfaces or when riding a bicycle. The impulses from proprioception combine with input received from the vestibular system (the fluid-filled network in the inner ear that enables us to feel the pull of gravity and know which direction is “up”) and with input from the visual system to create our sense of balance.

However, just as our eyes become weaker with age, so can the proprioceptive system, leading to a loss of proper balance. This is one of the reasons that falling is the number one cause of hospital admissions for people over 60. Something has gone wrong with the complex processing of information needed to maintain their balance, so older people are more likely to slip and fall on stairs or on slippery sidewalks and injure themselves.

Fortunately, you can strengthen your proprioceptive system by practicing simple balance exercises, thus keeping keep your sense of balance from weakening as you grow older. There are many forms of inexpensive exercise equipment (such as BOSU or Bongo Boards) that enable you to stand on a platform that is designed to be wobbly. This instability forces your muscles and your proprioceptive system to work more, and thus become stronger. So if you are over the age of 50, you should consider speaking to your chiropractor about exercises to improve your proprioception. They are very simple but can greatly improve your overall sense of balance, therefore significantly reducing your risk of injury from falls as you grow older. To schedule an appointment with Dr. Oblander, call 406-652-3553.

Tips for a Healthy Spine

Tips for a Healthy Spine


A healthy spine is an often overlooked and essential part of a healthy lifestyle. People who suffer from back pain, particularly if it is long-term, are generally less healthy than those who do not. In fact, back pain costs are staggering not only financially, but also in terms of lost time from work and because of psychosocial problems that arise during the healing process associated with long-term back pain.

Unfortunately, approximately 80-90% of the population suffers from spinal pain at some point. People who are overweight or obese, and who smoke, lift heavy objects, or had a previous episode of back pain, are more likely to experience back pain.

Because so many people suffer from spine pain, it’s important for you to try to keep your spine as healthy as possible. Following simple posture, lifting, and healthy lifestyle guidelines can help you keep your back in good shape. One of the best things you can do for your spine is to get regularly adjusted. If you are in need of an adjustment, be sure to call our office at 406-652-3553 and schedule an appointment with Dr. Oblander. In the meantime, here are some good ways to take care of your spine:

The American Chiropractic Association recommends the following spinal health tips:

Standing

• When standing, keep one foot slightly in front of the other, with your knees slightly bent. This position helps to take the pressure off your low back.

• Do not stand bent forward at the waist for prolonged periods of time. The muscles in your low back become deconditioned in this position, which may lead to pain.

Lifting

• At all times, avoid twisting while lifting. Twisting is one of the most dangerous movements for your —spine, especially while lifting.

• If the item is too heavy to lift, pushing it is easier on your back than pulling it. Whenever possible, use your legs, not your back or upper body, to push the item.

• If you must lift a heavy item, get someone to help you.

Sitting

• Keep your knees slightly higher than your hips, with your head up and back straight.

• Avoid rolling your shoulders forward (slouching).

• Try to maintain the natural curve in your low back.

Reaching and Bending

• When reaching for something above shoulder level, stand on a stool. Straining to reach such objects may

not only hurt your mid-back and neck, but it can also bring on shoulder problems.

• Do NOT bend over at the waist to pick up items from the floor or a table.

• Instead, kneel down on one knee, as close as possible to the item you are lifting, with the other foot flat on the floor and pick the item up.

• Or bend at the knees, keep the item close to your body, and lift with your legs, not your back.

Carrying

• When carrying objects, particularly if they are heavy, keep them as close to your body as possible.

• Carrying two small objects—one in each hand—is often easier to handle than one large one.

Healthy Diet and Exercise

• While the proverbial jury is still out, we suspect that extra weight puts undue strain on your spine. Keep within 10 lbs. of your ideal weight for a healthier back.

• “Beer belly” is likely the worst culprit, as it puts unwanted pressure on the muscles, ligaments and ten- dons in your low back.

• The most efficient and effective way to reduce weight is by eating a sensible diet and exercising regularly.

• Consult with your doctor before beginning any exercise program, particularly if you have a health condition.

Sleeping

• Sleeping on your back puts approximately 50 pounds of pressure on your spine. Other positions may be better

.
• Placing a pillow under your knees while lying on your

back cuts the pressure on your spine roughly in half.

• Lying on your side with a pillow between your ——– knees may also reduce the pressure on your back.

• Never sleep in a position that causes a portion of —- your spine to hurt. Most often, your body will tell you what position is best.

Quit Smoking

Smokers have more spine pain than nonsmokers, and they also heal more slowly when they have an episode of back pain because the chemicals in tobacco smoke restrict the flow of blood to the tissues in and around your spine.

While following these instructions is no guarantee that you’ll be free from back pain for your entire life, it can certainly reduce your risk of developing it. These simple steps will help you keep your spine in good shape, making you a healthier, happier person.

Lawrence H. Wyatt, DC, DACBR, FICC, Professor, Division Of Clinical Sciences, Texas Chiropractic College, Writer

Nataliya Schetchikova, PHD, Editor

This health article was shared from the following website: http://www.chiroworkscarecenter.com/documents/Articles/ACA_healthy_spine.pdf

AMA: Chiropractic Effective for Acute Back Pain

AMA: Chiropractic Effective for Acute Back Pain

Statistics compiled by the American Chiropractic Association (ACA) tell us that back pain affects a large majority of the population, with roughly 80 percent of people enduring at least one back-related issue during the course of their lives. In fact, there are currently 31 million people in the U.S. alone dealing with chronic, daily back pain.

With these types of numbers floating around, chiropractic patients may feel as if their back pain is inevitable, making the seeking of treatment futile. However, one recently released study review says otherwise, that is, as long as the treatment plan includes chiropractic.

The Journal of the American Medical Association (JAMA) published a systematic review and meta-analysis conducted by 10 medical professionals from medical centers, universities, and healthcare systems across the U.S. The main question this group set out to answer was, “Is the use of spinal manipulative therapy in the management of acute (≤6 weeks) low back pain associated with improvements in pain or function?”

After taking a more in-depth look at 26 different randomized clinical trials occurring between January of 2011 and February of 2017, all of which involved spinal manipulative therapy (SMT), this set of researchers found that, in 15 of the studies, this particular treatment option provided “statistically significant benefits” for the 1,711 patient subjects when it came to lowering their levels of pain. In this same group of studies, almost half of the cases (12) also found major positive effects in regard to the level of function of the 1,381 participants when compared to sham chiropractic or other treatment methods.

It should also be noted that, while 50 to 67 percent of the participants in these studies reported experiencing headaches, muscle stiffness, or even increased pain after SMT, no serious adverse events occurred. This helps confirm chiropractic’s safety, making it a viable method of treating acute back pain episodes quickly and effectively.

These findings are extremely important as another statistic offered by the ACA is that approximately 50 percent of the working population has struggled with some type of back-pain issue in the previous 12 months. Thus, one very effective way to keep them earning an income and supporting their families in a manner that treats the symptoms and cause of their pain is regular and consistent chiropractic care.

This saves them both time off work and money due to unnecessary (and usually costly) medical bills, enabling them to spend both on the things they enjoy instead.

  • American Chiropractic Association. (n.d.) Back Pain Facts and Statistics.
  • Paige NM, Miake-Lye IM, Booth MS, Beroes JM, Mardian AS, Dougherty P, Branson R, Tang B, Morton SC, Shekelle PG. Association of Spinal Manipulative Therapy With Clinical Benefit and Harm for Acute Low Back Pain: Systematic Review and Meta-analysis. 2017;317(14);1451-1460. doi:10.1001/jama.2017.3086
Today’s post was shared from the following website:https://www.chironexus.net/2018/01/ama-chiropractic-effective-acute-back-pain/
Automobile Head Restraints Prevent Injuries—Use Them Correctly!

Automobile Head Restraints Prevent Injuries—Use Them Correctly!

Many people are under the mistaken impression that the head-sized extension at the top of your car’s seat is a head rest. It’s actually not a place to rest your weary head during a long drive, but rather a safety feature called a head restraint that is there to help prevent whiplash in the event of a rear-end collision. And having it adjusted properly can mean the difference between emerging unscathed and enduring weeks of neck pain, along with the cost and inconvenience of medical treatment. 

Whiplash is the most common type of injury in an auto accident. The Insurance Bureau of Canada has conducted studies showing that the proper use of head restraints can reduce the incidence of whiplash by as much as 40%. Russ Rader of the U.S. Insurance Institute for Highway Safety (IIHS) explains what happens when you are involved in a rear end collision: “The head restraint is designed to work with your vehicle’s seat; it keeps your body and head moving together. The problem comes in if your head lags behind your body and snaps backward. That’s what leads to neck injury, or what’s commonly known as whiplash. Modern head restraints are designed to prevent whiplash, and that’s why they’re so much taller than they used to be.” 

One problem is that some people find the newest head restraint designs to be uncomfortable. Some of the common complaints from users at Automedia.com include this one from the owner of a Volkswagen Jetta: “The front headrest points so forward that I get neck pain after just a few miles of driving.” Then there’s this one from a Subaru owner: “Unless you enjoy your face aiming toward your crotch, you may not be able to find a comfortable position for the headrest or your head.” 

One of the reasons for the above complaints is that, in order to get good reviews from the IIHS (many people check the IIHS’s ratings for vehicles before they purchase a car) and comply with the regulations established by the Federal Government for head restraints, auto manufacturers must provide head restraints that meet specific criteria. In particular, the head restraint must be no more than 2.2 inches from the driver’s head and it must be two or more inches higher than was previously required.  

A head restraint can prevent whiplash only if it is as close to your head as possible when a collision happens. When hit from behind, your head snaps quickly backward, then forward, which causes the muscles and tendons in the neck to overstretch and tear. If the head can’t snap back very far, there is much less chance of an injury occurring.  

Most head restraints adjust upward and downward, and some also tilt forward and back. The best position for a head restraint is one in which the head is as close to it as possible, ensuring it is no more than two inches away. The top of the head restraint should ideally be even with the top of your head and should never be any lower than your ears. 

Taking just a little time and effort to position your head restraint correctly can save you a lot of pain and suffering if you are ever in an auto accident. Your health and safety are worth it! 

 

Overcome the Fear of Movement After Auto Injury! Find out why… Author: Michael Melton No Comments Share:

Overcome the Fear of Movement After Auto Injury! Find out why… Author: Michael Melton No Comments Share:

Imagine what happens when you injure your neck in an auto injury…

Your muscles contract, there’s a burst of pain, and a soreness that makes you want to avoid moving your neck too much or turning too far. You may worry about re-injuring yourself or you may think, “I could do more harm than good by moving my neck.” Unfortunately, not moving your neck after an auto injury can actually be worse for your recovery, especially for people after a car accident.

A new study examined the effects of fear of movement on neck disability and range of motion in 98 patients after a car crash!

While the patients’ injuries ranged in severity, all of the patients had pain for under a month and all were injured in an auto collision. Researchers measured patients’ levels of fear using two different scales. They also examined neck range of motion and degree of neck disability. Patients were evaluated after one, three, and six months after the injury.

Patients who were more afraid to move their neck had more severe neck disability and reduced range of motion. Increased fear also prolonged the symptoms. In contrast, patients with lower levels of fear were more likely recover before the six month follow up.

Maintaining movement after an injury does more than just reduce anxiety. It also ensures that tissues don’t become more tense, restricted or damaged. Chiropractic can help you with recovery, because chiropractic works by restoring the normal movement and function of your neck and back.

Conclusion

If you’ve been in a car crash, don’t wait to get treatment. It’s important to get your spine moving again as soon as possible! Chiropractic can help you on the path to recovery! If you are in a car accident, be sure to call our office and schedule an appointment with Dr. Oblander to make sure that you are getting the appropriate treatment you need and to make sure you get the best possible care.

This article was written by Michael Melton and is shared from the following website: https://www.chironexus.net/2017/10/fear-movement-after-auto-injury/

Why teens should sit up straight

Why teens should sit up straight

How many times did you hear, “Sit up straight!” as a child? How many times have you said this to your own child? There’s  a reason behind that famous advice: poor posture early in life may lead to a number of back problems and pain later on. That’s why researchers conducted a study to better understand slouching in adolescents.

Researchers had 1,5092 adolescents complete questionnaires about their lifestyle and experience with back pain. Their sitting posture,  body mass index (BMI), and back-muscle endurance were also measured. Researchers discovered that boys were much more likely than girls to slouch. Watching TV, having a higher BMI, and having lower self-efficacy also increased a teen’s likelihood of slouching.

Teens who slouched also tended to have lower back-muscle endurance and non-neutral standing position. Some teens noticed their back pain increased while sitting, and those teens often had poorer scores on a child-behavior test.

These findings suggest that whether or not a child slouches isn’t simply about whether they remember to sit up straight. Encouraging healthy lifestyle habits and a strong self-esteem could also play a big role in helping your teen develop good posture. A doctor of chiropractic can evaluate your child’s sitting and standing posture to help them avoid future back pain.

O’Sullivan PB, Smith AJ, Beales DJ, Straker LM. “Association of Biopsychosocial Factors With Degree of Slump in Sitting Posture and Self-Report of Back Pain in Adolescents: A Cross-Sectional Study.” Physical Therapy 91.4 (2011): 470-83.

Spotlight on Massage and Lower Back Pain

Spotlight on Massage and Lower Back Pain

According to the National Institutes of Health, lower back pain is the second most common form of chronic pain after headaches. Experts estimate that approximately 80% of Americans will seek help for low back pain at some point during their lives. Public health officials and insurers estimate that Americans spend $50 billion each year on treatments that are often ineffective. The standard treatment for lower back pain is to take muscle relaxants, painkillers or anti-inflammatory medications, along with physical therapy and back exercises. However, few medical interventions relieve pain reliably, and continuing to take painkillers on a long-term basis is not advised. Massage, on the other hand, has been found to be an effective way of dealing with back pain on a regular basis.

Treatment for lower back pain accounts for approximately a third of all visits to a massage therapist. A study published in the Annals of Internal Medicine found that patients suffering from lower back pain of unknown origin were helped more by massage than by conventional medical treatment. Of 401 total study participants, 133 received traditional medical care with no massage, 132 received structural massage (which addresses particular muscular and skeletal structures that cause pain) and 36 received relaxation massage (a general form of massage, such as Swedish, intended for overall relaxation).

Participants in the massage groups received one hour-long massage once a week for 10 weeks. All participants completed a questionnaire at the beginning of the study, then again at 10 weeks, 24 weeks and a year after the beginning of the study to report on their perceived pain. Both kinds of massage groups reported greater pain relief and ease of motion after 10 weeks of treatment than the medical group.

An average of 37% of the patients in the massage groups reported that their pain was almost or completely gone, while only 4% of the usual care group reported similar results. This was also the case at 26 weeks. However, at the one-year mark, the benefits to all groups were about equal. The type of massage used did not seem to matter, with both massage groups experiencing comparable levels of pain relief. The massage groups were less likely to report having used medication for their back pain after the 10 weeks of intervention, and they also reported having spent fewer days in bed and had lost fewer days of work or school than those in the usual care group.

Dr. Richard A. Deyo, professor of family medicine at Oregon Health and Science University in Portland says of the study, “I think this trial is good news in the sense that it suggests that massage is a useful option that helps some substantial fraction of these patients. Like in most other treatments, this is not a slam dunk, and it’s not like a cure, but it’s something that seems to offer a significant benefit for a substantial number of patients.” Deyo sees massage as a way of people being able to break out of the pain-inactivity cycle. He notes, “I don’t see massage as the final solution, I see it as maybe a helpful step toward getting people more active.”

As always, chiropractic care shows the greatest success in the treatment of all types of back pain. We have found that chiropractic care combined with massage can be a very effective option for many of our patients. If you are currently experiencing back pain, be sure to call our office to schedule an appointment with Dr. Oblander. 406-652-3553

 

Preventing Sciatica

Preventing Sciatica

Learning the risk factors of sciatica can help you minimize your risk of developing it. A recent study sheds light onto what makes you more likely to develop sciatica.

The study evaluated 5261 participants aged 40-60. Researchers collected data on participants’ occupational class, physical and psychosocial working conditions, body mass index, smoking, leisure-time physical activity, and history of neck and back pain.

Risk factors for sciatica varied based on gender. Women were more likely to have sciatica if they worked in manual occupational class, were overweight, smoked, lived a sedentary lifestyle, and had previous neck and back pain. Among men participants, those employed in semi-professional and manual occupational classes had higher risk levels. Researchers concluded that occupational class, unhealthy lifestyle and a personal history of back and neck pain made patients more likely to develop sciatica.

Chiropractors have been successfully treating sciatica patients for years. If you are having sciatic pain, be sure to call our office to schedule an appointment with Dr. Oblander to assess your risk factors for sciatica and/or receiving effective treatment.

Kaaria S, Leino-Arjas P, Rahkonen O, Lahti J, Lahelma E, Laaksonen M. Risk factors of sciatic pain: A prospective study among middle-aged employees. European Journal of Pain. 2010 Dec 14.

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Risk Factors for Spinal Degeneration

Risk Factors for Spinal Degeneration

As we age, the discs in our spine start to naturally break down due to normal, everyday living . This is commonly referred to as disc degeneration and can result in pain in the neck and/or back area–pain that is felt by almost half of the population 40 years of age or older . For those over 80, this rate doubles to a whopping 80 percent, which makes understanding what factors promote this particular condition critical to raising the quality of life as we enter our later years. Fortunately, recent research provides some very important information in this area.

Disc Degeneration Risk Factors Revealed In Recent Study

On November 9, 2015, a study conducted by health experts from Mie University Graduate School of Medicine in Japan, Osaka University (also in Japan), and Rush University Medical Center in Chicago, Illinois was published in BMC Musculoskeletal Disorders. In this research, these experts followed 197 individuals living in Miyagawa, Japan who were over the age of 65 for a 10-year period, measuring their disc height at two year intervals to determine what factors, if any, contributed to their spinal discs degenerating at a faster rate.

What they discovered was that, over the time span of the study, the participants’ disc height gradually reduced an average of 5.8 percent, with roughly 55 percent experiencing degeneration in one or two of their discs. Furthermore, there were three factors that they identified that increased the likelihood of disc degeneration. They were: 1) being female, 2) having radiographic knee osteoarthritis, and 3) the presence of low back pain when the study began.

Based on these results, women should take extra care to protect the discs in their spinal column, potentially saving themselves from experiencing neck or back pain later in life. Some options for doing this include maintaining a healthy weight, avoiding repeated lifting of heavy objects, and not smoking as studies have found that smokers tend to experience disc degeneration at greater rates than non-smokers . Chiropractic can help with the other two factors.

For instance, in one study published in The Journal of the Canadian Chiropractic Association, researchers looked at 43 different individuals between the ages of 47 and 70 who were experiencing osteoarthritic knee pain. Some participants received treatment three times a week for two weeks and others served as a control. The subjects who engaged in treatment reported more positive results than those who did not, citing that, after the treatments they experienced fewer osteoarthritic symptoms, had greater knee mobility, and felt that it was easier to “perform general activities.” And this was after just two weeks of care.

Chiropractic can also help lower back pain, further reducing the likelihood that your discs will degenerate at a faster rate when you age. That makes this specific remedy beneficial both now and well into the future–ultimately raising your quality of life. If you need to see Dr. Oblander for an adjustment, please be sure to give our office a call at 406-652-3553!

 

 

  • Akeda K, Yamada T, Inoue N, et al. Risk factors for lumbar intervertebral disc height narrowing: a population-based longitudinal study in the elderly. BMC Musculoskeletal Disorders 2015;16(1):344.
  • Fogelholm RR, Alho AV. Smoking and intervertebral disc degeneration. Medical Hypotheses; 56(4):537-9.
  • Pollard H, Ward G, Hoskins W, Hardy K. The effect of a manual therapy knee protocol on osteoarthritic knee pain: a randomised controlled trial. Journal of the Canadian Chiropractic Associations 2008;52(4):229-42.

 

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Chiropractic Safer than Medical Care for Elderly

Chiropractic Safer than Medical Care for Elderly

Many studies have found that chiropractic care is a safe and effective treatment method when dealing with a number of spine-related issues. The American Chiropractic Association even lists a number of research studies on their website that show that it is a valuable treatment method for easing (and sometimes completely resolving) back pain, neck pain, headaches, and more.

While all of this is good news for professionals that practice in the chiropractic field, some researchers wondered if chiropractic was just as safe for elderly patients as it is for younger patients experiencing these types of problems. So, they set out to find the answer, which they did via a retrospective cohort study funded by NIH and the National Center for Complementary and Alternative Medicine, and also which was subsequently printed in Spine upon its completion.

What researchers wanted to discover was whether the relationship between the risk of injury to people 66 years old and older when engaging in chiropractic care was higher than, lower than, or equal to the risk of injury to this same age group after undergoing medical care by their primary care physician. To find their answer, they studied data on Medicare B patients who went to the doctor in 2007 for a neuromusculoskeletal issue, evaluating their risk of injury seven days post-treatment.

They discovered that seniors that received chiropractic care had a 76% lower rate of injury within seven days of treatment when compared to the subjects that met with their primary physician as a result of a neuromusculoskeletal complaint. Researchers also pointed out that they found that males contained within the research group, older study participants, and those with a higher Charlson co-morbidity score were most at risk of injury within the week after acquiring a neuromusculoskeletal issue.

Additionally, certain medical conditions raised the risk of injury, even after chiropractic care. Therefore, chiropractic professionals should consider whether treatment via spinal manipulation is best for “patients with coagulation defects, inflammatory spondylopathy, osteoporosis, aortic aneurysm & dissection, or [those who have engaged in] long term use of anticoagulant therapy” as the increased risk may not be worth the benefits.

Whedon JM, Mackenzie TA, Phillips RB, Lurie JD. Risk of traumatic injury associated with chiropractic spinal manipulation. Spine 2014;Dec 9.