Back health

How to Reduce the Risk of Snow Shoveling Injuries

November 15, 2018 blog@chiroaddict.com

When the snow starts to fly, your trusty shovel is often the only thing between you and a day spent snowed in. If used improperly, however, that same shovel could leave you with a painful (and maybe even debilitating) injury. Statistics from emergency room and primary care visits provide plenty of evidence that it happens to lots of people every year. That said, it is certainly possible to remove snow from your sidewalk and driveway safely. Here are a few techniques that will help you reduce your risk of snow shoveling injuries.

How to Reduce Your Risk of Snow Shoveling Injuries

The first thing to do when facing the cold is to make sure your body is nice and warm – warmed up, that is. Snow shoveling is an aerobic activity, so it’s wise to treat it the same way you would a jog or a swim. Walk briskly for five minutes, do 100 jumping jacks, or simply march in place. Stretch your lower back, hamstrings, and arms to make sure they’re limber and flexible. Your chiropractor can show you specific stretches that will help get your muscles and joints in shoveling shape.

Next, consider your tools. Having the right ergonomic shovel is a great help when it comes to removing stress on the spine. Choose a shovel that has a curved handle for better ergonomics. A shovel with a small, plastic blade limits the amount of weight you’ll end up lifting, reducing the risk of strain and injuries. Choose your clothing carefully as well. Good quality boots with plenty of traction will keep your feet warm and dry while reducing the risk of slipping.

Once you’re prepared, it’s time to shovel. Push the snow to the side rather than lifting it whenever possible. When you do have to lift, the key word is “straight.” Face the snow straight on, with your hips square. Bend at the knees, take on a small load, and lift with your legs while tightening your stomach muscles. Keep your back straight: don’t twist to toss the snow to the side. Instead, move your feet.

Proper pacing is another effective way to avoid injuries. If you are dealing with a foot of snow, don’t try to get all of it in a single scoop. Instead, remove it in layers from the top a few inches at a time. Take a break every fifteen minutes, or if you start to feel overworked. Stretch your arms, switch out your gloves or hat if they’ve gotten soaked, and remember to drink plenty of water.

The number one way to avoid shoveling injuries is to let something (or someone) else do the work. A snow blower is a great investment if you live in a snowy area or have lots of ground to cover. If you suffer from back pain or have a previous injury, consider hiring someone else to do the job.

If you tend to have back pain after shoveling, consider checking in with a chiropractor about it. Your chiropractor can help you identify areas where your technique could be changed for better safety and effectiveness. He or she can also suggest specific exercises and stretches that will improve your core strength and flexibility. With a little caution and know-how, you and your shovel can handle any winter challenge that comes your way.

Spinal Health During Pregnancy: What Mothers-to-Be Should Know

August 9, 2018 blog@chiroaddict.com

It’s no secret that having a child (especially for the first time) means big changes in the lives of the new parents. But even before the baby arrives, big changes are already underway in the pregnant mother’s body—changes that usually make it possible for her to carry her developing child for nine months and to give birth safely when the time comes.

As a woman’s pregnancy progresses, the combined effects of these physical changes become clearer. Some may simply be awkward, inconvenient or uncomfortable while others can be very painful and even debilitating.

Since no two women experience pregnancy in quite the same way (and no two pregnancies are exactly alike), it’s impossible to create a comprehensive, one-size-fits-all guidebook. However, it is possible to describe in more general terms many of the physical changes that occur and to recommend ways that expectant mothers can help protect their health and maintain their quality of life. The remainder of this article will highlight some issues related specifically to spinal health during pregnancy and offer some useful suggestions.

Pregnancy is hard on a woman’s entire musculoskeletal system, but it’s particularly hard on her back. This is because of a combination of changes that adds to the stress placed on her muscles, bones, and joints while at the same time changing her posture and making her less stable on her feet.

WEIGHT GAIN is one of the most obvious changes associated with pregnancy. While the amount of weight a woman actually gains can vary substantially, a woman with a normal BMI prior to becoming pregnant can expect to be carrying 25 to 35 additional pounds by the time she gives birth. This means that a typical woman (her average weight in the U.S. is 156 pounds) will be about 20% heavier when she delivers her child. That’s 20% more weight for her back to support.
POSTURE also changes significantly as a woman’s pregnancy progresses. So not only is she carrying more weight over time, she’s also carrying it differently as her center of gravity moves forward. This shift places additional strain on the muscles and connective tissues of the woman’s lower back.
PELVIC STRESS increases along with the baby’s weight throughout a woman’s pregnancy and often becomes more intense during the third trimester as the baby drops in anticipation of labor. This can trigger sensations ranging from general heaviness and pressure to debilitating pain. It can also result in additional postural changes and reduced activity.
HORMONES that are released during pregnancy (including one appropriately called “relaxin”) make cartilage, ligaments and other soft tissues more flexible in preparation for childbirth. While this additional flexibility is critical when the big day comes, it can affect a woman’s stability when standing or walking and can also cause her joints—including those in her back—to feel “loose” or “wobbly”.

If you’re pregnant and experiencing pain in your back or pelvis, you should know that you’re far from alone. Between 57% and 69% of women complain of lower back pain during pregnancy and roughly 80% report pelvic pain of some sort. However, you should also know that there are some things you can do. Maintaining a healthy weight, paying attention to your posture and staying active can all contribute to a healthy, more comfortable pregnancy and an easier delivery. Consult your healthcare provider to find out which types of exercises might be most helpful to you in maintaining your strength and mobility at each stage of your pregnancy. A growing number of health clubs offer low-impact yoga and in-pool fitness programs designed especially for expectant mothers.

Managing the discomfort and aches and pains of pregnancy is important. However, many women (and too many healthcare providers) assume that these things are just part of the experience. Perhaps that’s why only about 32% of women report these types of symptoms to their primary doctor and only about 25% of primary doctors recommend seeking treatment for the pain.

The good news is that larger numbers of healthcare professionals are starting to recognize the value of chiropractic care and massage therapy in addressing pregnancy-related symptoms both before and after childbirth. Chiropractic treatments can be particularly effective for pregnancy-related back pain, with the majority of women reporting immediate relief or relief after just a few visits. In a small study of 17 women:

Sixteen of 17 (94%) saw clinically important improvements in low back pain with chiropractic care.
The average pain rating went down from 5.9 to 1.5 (on a scale of 0 to 10).
It took an average of 1.8 visits and 4.5 days to get clinically significant relief.

4 Best Exercises for Improved Posture

July 13, 2018 blog@chiroaddict.com

Let’s face it. Good posture isn’t exactly a high priority for many Americans. Like most things related to our health and wellness, we don’t notice it until it’s gone.

Most of us live in a sitting culture—we sit at work, we sit at school, and we sit at home. The hard truth is that most of us sit too much and sit incorrectly. Beyond this, our love affair with mobile devices is amplifying the post problem by encouraging us to bend over, hunch our shoulders and crane our necks to look at small screens. Given our lifestyle choices, poor posture may seem almost inevitable. But it doesn’t have to be that way. For anyone with a bit of mobility, motivation and time, there are exercises you can do to improve poor posture. Here are four of the best types of exercises to help you improve your posture.

Exercises to Strengthen Your Core

A strong core is essential for good posture. Your core includes your abdominals, lower back, obliques, and hips. Strong core muscles don’t just give you an attractive “six-pack” to show off at the beach. In fact, they help hold your body up straight, improve your balance, and provide you with greater muscle control and efficiency. They’re also critical to maintaining back health and provide some measure of protection against injury. When your core muscles aren’t strong, other muscles have to compensate, which results in reduced mobility as well as weakness and even pain. So, to help avoid or reduce low back pain, try regular core training. Some core training exercises include basic crunches (but not full sit-ups), side planks, crunches with a twist, standing side bends, and plank holds. Doing Pilates is another great way to work out your core muscles, as are back extensions and slow swimming.

Exercises to Correct Your Rounded Shoulders

Because so many people spend their day hunched over while driving, sitting at a desk while working, using a laptop, or even watching television, rounded shoulders are extremely common—but they are in fact a postural abnormality. When you spend a lot of time in these forward-reaching positions, the muscles in your chest, shoulders, and hips become shortened and tight, and at the same time, your upper and middle back muscles lose strength. In order to help avoid and ease rounded shoulders, you can do exercises that strengthen the weak upper back muscles and stretch the tight muscles in the chest, shoulders, lats, and hips. As the upper back becomes stronger and the chest becomes more flexible, the shoulders naturally pull back, which improves your posture significantly. You can strengthen the upper back with exercises such as reverse dumbbell flys as well as rows with a resistance band, while you can stretch your tight muscles by doing standing chest stretches, torso stretches, and standing quad stretches.

Exercises to Neutralize Your Tilted Hips

Hips should be neutral and level when viewed from the side—however, some people have postural abnormalities stemming from their hips’ tendency to slant forward. This is called the anterior pelvic tilt, and it negatively affects posture. Lordosis (also known as “swayback”) is a common indication of this tilt. Seen very often in people who sit for hours every day with their legs bent, this abnormality is caused by weakness in the hamstrings, glutes, and abs as well as tightness in the hip flexors and thighs. Exercises to correct this tilt include the core exercises mentioned above as well as bridges, leg curls with a ball, and single leg hamstring flexions with a ball. Exercises that stretch tight hip and quad muscles include standing quad stretches and kneeling quad and hip stretches.

Exercises to Retract a Forward Head

Unfortunately, you can easily develop poor posture by tilting your head forward for hours every day. This happens when you drive, when you use a laptop or tablet, or when you watch television. When you fail to retract your head while performing everyday tasks, this tightens the front and side neck muscles and weakens the deep and rear muscles of the neck. The muscles at the front of your neck have to be strong enough to hold your head directly above—not forward of—the shoulders. Not only does this abnormality contribute to poor posture, but it also causes chronic neck pain. In order to retract a forward head, elongate the back of your neck by gently pulling your chin straight in. The highest point of your body should be the top back of your head. This works against the penchant to slip into a forward head posture. You can also work on this issue while driving: practice pulling your chin in and pushing your head into the headrest behind you for a few seconds at a time, then releasing. If you have a high-backed chair that you sit in at work, you can do this at your desk as well.

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