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: Creation of dynamic property wpdb::$link2cat is deprecated in /home2/glimpsi7/public_html/chiroaddict/wp-includes/wp-db.php on line 668

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: Using ${var} in strings is deprecated, use {$var} instead in /home2/glimpsi7/public_html/chiroaddict/wp-includes/comment-template.php on line 1739

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: 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

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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

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

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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

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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

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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

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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

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back pain

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9 Risk Factors for Developing Sciatica

9 Risk Factors for Developing Sciatica

Sciatica is a common pain problem that affects about 5% of adults. Sciatica is a symptom rather than a specific diagnosis: sciatic pain can have a number of different causes, and getting a proper diagnosis is key in getting relief from this condition.

While pinpointing the root cause of sciatica can be challenging, the medical research has established the factors that increase the risk of a person developing sciatic nerve pain.

Here are the nine most common risk factors for developing sciatica:

1. Aging

As we get older, we lose flexibility and it takes us longer for our body to heal from injuries. One of the most common types of pain associated with aging is lower back pain, and back pain is very closely linked to sciatica.1,2

2. History of Low Back Pain

Research shows that patients who have problems with low back pain are more likely to eventually develop sciatica. Low back pain can result in a general inflammation in the lumbar spine, and this can start to spread to the sciatic nerve.

3. Smoking

It’s no secret that smoking is bad for your health, and it’s also clear that smokers are more likely to suffer from back pain and sciatica.3

Smoking isn’t just bad for your lungs and cardiovascular system; it’s also associated with inflammation, poor circulation, and a weakened immune system. This makes it harder for your body to function properly and makes it more difficult for your body to heal from injuries.

4. Overall Poor Health

Wellness is about flexibility and movement, and if our general health is poor, it’s difficult to stay active and healthy. Research shows that physical fitness is a great way to prevent and treat back pain.4

In addition, poor cardiovascular health is closely associated with a general inflammatory response in the body, which also increases the chances of musculoskeletal pain and sciatica.5

5. Obesity

Being overweight is one of the strongest predictors of back pain and other musculoskeletal problems, including sciatica.

Research shows that adipose tissue actually creates inflammatory markers which can affect our whole body, including our cardiovascular and nervous system. Remember: all sciatica pain is caused by inflammation of the sciatic nerve, and sciatica is more likely if your whole body is in an inflammatory state.

6. Work-Related Injuries

Repetitive movements or being too sedentary are detrimental to your musculoskeletal health, and this holds true for sciatica, as well.

Studies show that work-related activities can lead to sciatic nerve pain. Here are a few of the work conditions that have been associated with sciatica in the medical literature:

  • Standing or walking for long stretches.
  • Driving for long periods of time.
  • Pulling or kneeling for more than 15 minutes at a time.
  • Whole-body vibration.

If your work includes any of these activities, it’s critical to take breaks frequently, rest, and stretch a bit to prevent muscle injury and pain.

7. Sleep Problems

Research shows that poor sleep quality is associated with back pain and sciatica. This is a difficult issue, as poor sleep is also associated with other health issues, such as poor general health, obesity, and chronic pain. Sleep dysfunction is also associated with generalized inflammation, which is also linked to chronic pain.

8. Direct Injury

Less frequently, sciatica can be caused by an injury to the hip or buttocks, resulting in pain. One example of this would be sitting on a bulky wallet, which puts pressure on the nerve directly.

9. Psychological Distress

Low back pain and sciatica are linked to stress, as well. Monotonous or unsatisfying work and general stress can lead to chronic musculoskeletal pain.

A Whole Body Approach to Recovery

As you can see, many different factors play a role in the development of sciatica. Typically, it’s not just a single issue that results in pain, but a combination of factors. That’s why the most effective treatment and prevention of future episodes require a whole-body approach that looks at the root cause of your pain.

Medical References

  1. Cook CE, Taylor J, Wright A, Milosavljevic S, Goode A, Whitford M. Risk factors for first time incidence sciatica: a systematic review. Physiotherapy Research International 2014 Jun;19(2):65-78. doi: 10.1002/pri.1572. Epub 2013 Dec 11. Review. PubMed PMID: 24327326.
  2. Parreira P, Maher CG, Steffens D, Hancock MJ, Ferreira ML. Risk factors for low back pain and sciatica: an umbrella review. Spine J. 2018 Sep;18(9):1715-1721. doi: 10.1016/j.spinee.2018.05.018. Epub 2018 May 21. Review. PubMed PMID: 29792997.
  3. Lee J, Taneja V, Vassallo R. Cigarette smoking and inflammation: cellular and molecular mechanisms. Journal of Dental Research 2012;91(2):142-9.
  4. Gordon R, Bloxham S. A Systematic Review of the Effects of Exercise and Physical Activity on Non-Specific Chronic Low Back Pain. Healthcare (Basel). 2016;4(2):22. Published 2016 Apr 25. doi:10.3390/healthcare4020022
  5. da Cruz Fernandes IM, Pinto RZ, Ferreira P, Lira FS. Low back pain, obesity, and inflammatory markers: exercise as potential treatment. J Exerc Rehabil. 2018;14(2):168-174. Published 2018 Apr 26. doi:10.12965/jer.1836070.035
Teens, Back Pain and Chiropractic Care

Teens, Back Pain and Chiropractic Care

Looking at the big picture, low back pain is a big problem. The condition affects more than 600 million people worldwide, including over one-third of all Americans—more than the number of people affected by diabetes, heart disease, and cancer combined. The financial burden (medical care plus lost productivity) caused by chronic lower back pain in America exceeds $550 billion annually.

That said, one of the saddest aspects of chronic lower back pain is that it doesn’t discriminate between adults and children. And in an era when teens’ musculoskeletal systems are particularly at risk because of reduced physical activity and poor posture (thanks to heavy school backpacks, improper sitting ergonomics and lots of time spent on mobile devices), this problem is only growing larger. In addition, a number of studies have already indicated that lower back pain in adolescents is strongly associated with the development of chronic lower back pain later in life. That’s the bad news for teens. However, the good news is that those adolescents who have been successfully treated to eliminate lower back pain in their youth have a lower risk of developing chronic lower back pain as they grow older.

So it’s natural that the medical community is keenly interested in learning which treatments are most successful in terms of eliminating the lower back pain itself and in preventing it from recurring later in life. This interest led to a recent study. The aim of the study was to determine which of the commonly-available treatment methodologies were most effective. To determine this, researchers performed a meta-analysis of existing studies published in English, French, Spanish, Italian, and Portuguese to measure which of the treatments used in these studies produced the most consistently positive outcomes in terms of pain, disability, flexibility, endurance, and mental health. The researchers found studies that produced data for 11 treatment groups and 5 control groups involving a total of 334 children and adolescents, and then compared the data.

Their findings were both strong and definitive. Of all the treatment methodologies used in the individual studies, the ones most effective in producing short-term and long-term positive outcomes in the five areas studied were those that involved therapeutic physical conditioning and manual therapy. That is, treatments provided by “hands on” practitioners such as chiropractors, osteopaths, and physical therapists.

These therapies, commonly involving joint and spinal manipulation and ultrasound treatment to reduce pain, were subjectively found to be more effective by the patients than other treatments. The patients’ subjective analysis was confirmed in most of the studies by clinician assessments. Naturally, these “manual therapy” treatment options were preferable in many other ways as well, because they avoided reliance on potentially addictive painkillers like OxyContin and Vicodin, epidural steroid injections, and surgery.

These findings confirm what Doctors of Chiropractic have observed in their own clinics. Over the years, we have seen many patients (of all ages) benefit from the manual therapies we use to provide relief for their lower back pain. So if you (or your children) experience lower back pain—whether occasional or chronic—contact your chiropractor and ask him or her to explain to you the treatment options available, and what they can do to relieve your symptoms and allow you to enjoy life free from pain once again.

Why Does Back Pain Tend to Recur?

Why Does Back Pain Tend to Recur?

In a recent Consumer Reports survey, 88% of more than 14,000 subscribers who had lower back pain indicated that it had recurred during the prior 12 months. While other academic studies suggest that recurrence may be somewhat less widespread—perhaps affecting between a third and half of all back pain sufferers—it’s very clear that many people experience back pain as a recurring problem.

Professor Doune Macdonald and fellow researchers at the University of Queensland in Brisbane were interested in learning why some people experienced a recurrence of their back pain while others did not. Their investigation found an association between recurrence of low back pain and altered muscle activity in the deep muscle fibers of the lumbar spine. These muscles are also referred to as your “core” muscles, the ones that are most targeted in Pilates training. Your core muscles give strength, balance and stability to the back, and consist of muscles in the lower back, abdomen and pelvis.

The most important of the core muscles for the stability of your back are the multifidus. These run along the length of the spine and help to take some of the pressure off the vertebral discs so that weight is more evenly distributed along the length of the back. When working properly, the multifidus muscles are activated even before any movement takes place, so as to protect the spine against injury from a sudden load of weight (such as when lifting a heavy box or bending over to tie your shoes).

According to a study published in the journal Painin 2009, Macdonald and colleagues found that the multifidus muscles showed later activation in those with recurrent low back pain than in the backs of healthy subjects. Any delay in muscle activation can be a potential problem, as a sudden loading of weight on the spine when it is unprepared can lead to abnormal bending and twisting of the spine, increasing the risk of injury.

Possessing strong multifidus muscles is one of the obvious solutions to preventing the occurrence of low back pain. However, part of the problem is that once this set of muscles has been injured, the multifidus tends to atrophy due to disuse while the patient is healing. Prolonged bed rest is one of the worst ways to recover from low back pain because it encourages the multifidus to atrophy even further.

Chiropractic care that includes rehabilitation exercises and spinal adjustments has been shown to improve the function of the multifidus muscles. Your chiropractor can suggest exercises you can do at home that will strengthen your core muscles in between adjustments. The adjustments themselves will align your spine so that it functions properly and will not put excess strain on the supporting multifidus, thus reducing the likelihood of a recurrence of low back pain.

4 Best Exercises for Improved Posture

4 Best Exercises for Improved Posture

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.  

Chiropractic Adjustments Help with Pain Relief

Chiropractic Adjustments Help with Pain Relief

Johns Hopkins Medicine defines pain as “an uncomfortable feeling that tells you something may be wrong.” Depending on its cause, this feeling can range from being mildly annoying to absolutely debilitating in nature, potentially preventing a person from having any quality of life whatsoever. Additionally, some pains are constant and steady, whereas others tend to come and go.

Regardless of the type, intensity, and consistency of the pain, at some point in our lives, we all experience this feeling in one form or another. However, whether or not we’re able to effectively handle it is largely determined by our individual pressure pain thresholds. In other words, the higher our thresholds, the less impact these pains have on our lives, and one fairly new study has found that chiropractic may just increase that limit.

In December of 2016, Chiropractic & Manual Therapies published a piece of research which set out to determine what effect, if any, spinal manipulation therapy (SMT) had on pressure pain threshold. Individuals were recruited from Murdoch University campus in Western Australia and, ultimately, 34 subjects ranging in age from 18 to 36 qualified for inclusion. Twenty of the participants were male, with the remaining 14 being female, all of whom were assessed at the beginning of the study and declared asymptomatic.

Using an algometer with a 1cm2 rubber probe, the participants’ deep mechanical pain sensitivity was assessed multiple times at four different sites on the body (calf, lumbar, scapula, and forehead) by asking each one to indicate the point in which the pressure turned into pain. The average of the second and third recordings was used as a baseline.

Once the initial data was recorded, each participant was then subjected to a high-velocity, low-amplitude spinal manipulation using the hypothenar mammillary push while the subject lay on his or her side. Furthermore, the thrust was aimed at the portion of the participants’ spine located between the L5 and S1 vertebrae. Upon completion, the pressure pain threshold was collected again, and then again at 10, 20, and 30 minutes after the conclusion of the treatment session.

Researchers found that, after engaging in just one session of SMT, subjects reported increases in pressure pain threshold in the calf and lumbar spine areas, with no notable reduction in the scapula or forehead. Additionally, the thresholds that did increase did so at a higher rate on the right side of the participants’ bodies than on the left.

This study shows promise for patients dealing with chronic pain issues as chiropractic adjustments seem to provide an instantaneous reduction in pain. Further research with a larger group of test subjects is warranted.

Dorron SL, Losco BE, Drummond PD, Walker BF. Effect of lumbar spinal manipulation on local and remote pressure pain threshold and pinprick sensitivity in asymptomatic individuals: a randomized trial. Chiropractic & Manual Therapies 2016;24:47.10.1186/s12998-016-0128-5

What is Pain/Types of Pain Treated?  Johns Hopkins Medicine: Blaustein Pain Treatment Center.

Chiropractic Patients Recover Faster, Spend Less Money

Chiropractic Patients Recover Faster, Spend Less Money

Back pain is an expensive health problem for both patients and businesses. A 2012 study reported that we spend about $635 billion on pain every year, with a significant amount of that spent on back pain. Over the years, quite a few studies have shown that chiropractic care is more effective for back pain than medical care, plus chiropractic patients spend less money on their care than medical patients do.

Because back pain is such a common problem, a group of Canadian researchers recently investigated the role that the type of primary caregiver has on financial compensation.

This was a large study of 5,511 patients who experienced a work-related back injury in Ontario, Canada. The patients saw the following providers for their first visit:

  • 85.3% saw a medical doctor
  • 11.4% saw a chiropractor
  • 3.2% saw a physical therapist

The authors set out to “compare the duration of financial compensation for back pain” among patients from each care group.

The study found that chiropractic patients had the shortest amount of time receiving compensation for their pain and also were less likely to have a recurrence.

In addition, chiropractic patients didn’t need to see other healthcare providers for their pain. 75% of chiropractic patients saw no other provider, while 58.6% of physical therapy patients also saw a medical doctor.

The authors conclude:

“The type of healthcare provider first visited for back pain is a determinant of the duration of financial compensation during the first 5 months. Chiropractic patients experience the shortest duration of compensation, and physiotherapy patients experience the longest.”

Blanchette M, Rivard M, Dionne CE, et al. Association between the type of first healthcare provider and the duration of financial compensation for occupational back pain. Journal of Occupational Rehabilitation 2016 Sep 17.

Today’s article was written by Michael Melton and is shared from the following website: https://www.chironexus.net/2016/09/chiropractic-patients-recover-faster-spend-less-money/

Auto Injuries Increase Risk of Future Back Pain

Auto Injuries Increase Risk of Future Back Pain

The National Highway Traffic Safety Administrations reports that more than two million people are injured every year in auto-related accidents involving either a passenger vehicle, large truck, or motorcycle. Furthermore, that number appears to be climbing at an alarming rate, increasing more than five percent between 2014 and 2015 alone.

Certainly, being involved in this type of incident can have long-lasting effects. For instance, one study published in the journal Psychosomatic Medicine found that “a substantial minority” of subjects questioned reported experiencing anxiety when traveling in a motor vehicle post-accident, with 10 percent developing post-traumatic stress disorder (PTSD), a condition that, in some cases, plagued them for years.

Well, another recently published study has found that being in a car crash can also result in long-term physical ramifications as well. Specifically, it discovered that back pain can linger or appear long after the vehicle has been fixed and the debris has been cleaned out of the roadway.

In April of 2017, the European Spine Journal presented a study involving 789 adults, all of whom reported experiencing mild low back pain or no pain at all. Upon entering the study, each person was asked whether or not he or she had been in a motor vehicle accident resulting in low back pain, making note of whether their level of pain increased, decreased, or stayed the same six and 12 months down the road.

Approximately 74.8 percent of the participants responded at the six month mark, with 64.5 percent providing input at 12 months. Of those who did respond, researchers noticed a positive correlation between those who had previously been involved in an auto accident and the incidences of low back pain at a later date. In other words, having a car crash in your past may increase your risk of back pain in the future.

This is partially why being assessed right after a car wreck is so critical. While this is relatively standard when it comes to auto injuries that can be seen or easily felt, damage done to the musculoskeletal system isn’t quite so visible or easy to pinpoint, which also makes it easier to ignore.

Educating patients is the first step to helping them resolve any subsequent back issues. The second step is to regularly ask them whether they’ve been involved in a crash, no matter how small. If they have, addressing that issue first and foremost can keep their quality of life from being compromised months, years, or even decades later.

References

  • Mayou R, Tyndel S, Bryant B. Long-term outcome of motor vehicle accident injury. Psychosomatic Medicine 1997;59(6):578-84.
  • Nolet PS, Kristman VL, Côté P, Carroll LJ, Cassidy JD. The association between a lifetime history of low back injury in a motor vehicle collision and future low back pain: a population-based cohort study. European Spine Journal 2017;doi:10.1007/s00586-017-5090-y
  • Traffic Safety Facts. (August 2016). 2015 Motor Vehicle Crashes: Overview. National Highway Traffic Safety Administration. 
Opiates Ineffective for Chronic Back or Hip Pain

Opiates Ineffective for Chronic Back or Hip Pain

A new study just published in the Journal of the American Medical Association finds that opioids are not an effective solution for chronic pain.

In this article, researchers from the University of Minnesota studied 240 patients who had chronic back, hip, or knee arthritis pain. Half of the study subjects received opiates; the other half received non-opiate pain medications. Patient progress was evaluated at 3-months, 6-months, 9-months, and one year.

The study found:

  • There was no difference in pain-related function between the two groups.
  • At 12 months, the nonopioid patients had less pain than did those who received opiates.
  • “The opioid group had significantly more medication-related symptoms over 12 months than the nonopioid group”

The study authors write:

“Among patients with chronic back pain or hip or knee osteoarthritis pain, treatment with opioids compared with nonopioid medications did not result in significantly better pain-related function over 12 months. Nonopioid treatment was associated with significantly better pain intensity, but the clinical importance of this finding is unclear.”

Previous research has found that about 20% of patients with musculoskeletal pain are prescribed narcotic pain medications for their symptoms, and another recent study found that 36% of people who overdosed from opiates had their first opioid prescription for back pain.

Another recent study found that chiropractic patients are less likely to use opiates for their pain than are medical patients.

From this research, it seems clear that it’s risky to prescribe opiates for musculoskeletal pain. Chiropractic care is a proven safe and effective approach for both chronic and acute back pain.

Krebs EE, Gravely A, Nugent S, Jensen AC, DeRonne B, Goldsmith ES, Kroenke K, Bair MJ, Noorbaloochi S. Effect of Opioid vs Nonopioid Medications on Pain-Related Function in Patients With Chronic Back Pain or Hip or Knee Osteoarthritis Pain: The SPACE Randomized Clinical Trial. JAMA. 2018 Mar 6;319(9):872-882. doi: 10.1001/jama.2018.0899.

Exercise, Chiropractic More Effective Than Medicine

Exercise, Chiropractic More Effective Than Medicine

You may remember your grammar school gym class where the PE teacher would lead you in jumping jacks, push-ups, sit-ups and arm circles. If you’re like a lot of baby boomers, you probably look back and assume it really didn’t do much for the health of the students — just kept the class busy for an hour.

Elementary school days may be way behind you, but exercise carries many benefits now that it couldn’t offer a younger you, especially if you’re battling pain from an injury or chronic condition.

The Journal of Manipulative and Physiological Therapeutics published a report on randomized controlled trials, or RCTs, looking at the result of exercise as treatment for patients experiencing intense pain from soft tissue injuries in the hip, thigh or knee. Success was measured by the following factors:

  • Intensity of pain
  • Recovery
  • Quality of life
  • Psychological outcomes
  • Adverse events

“One RCT found statistically significant improvements in pain and function favoring clinic-based progressive combined exercises over a ‘wait and see’ approach for patellofemoral (anterior knee) pain syndrome,” the study says. “Patients with patellofemoral pain syndrome or groin pain had the best results with clinic-based exercise programs.”

Head to Head to Head

An ABC News blog posted study results comparing the outcome of three different forms of treatment for pain. Results show that patients treated by chiropractic professionals and the individuals who received home exercise advice, referred to as HEA, had higher rates of success than those who turned to medication for relief. Just 13 percent of the patients who took medication reported a satisfactory reduction in pain, whereas, about two-thirds of those who were treated through either chiropractic care (32 percent) or HEA (30 percent) said they were pain-free.

A total of 272 patients, ages 18-65, who were suffering from recent-onset neck pain took part in the study, which the National Institutes of Health spearheaded.

“I always prescribe exercises and/or physical therapy for neck pain,” wrote Dr. John Messmer from Penn State College of Medicine. “I also tell patients that the exercises are the treatment and the drugs are for the symptoms.”

Dr. Lee Green, professor of family medicine at the University of Michigan, also talked to ABC News. “Doesn’t surprise me a bit,” Dr. Green said. “Neck pain is a mechanical problem, and it makes sense that mechanical treatment works better than a chemical one.”

The study, which was published in the Annals of Internal Medicine, singles out the effectiveness of spinal manipulation therapy, or SMT, to provide relief for patients with neck pain. Researchers found that in both the short-term and long-term statistics, SMT had the most effective outcome. The report adds that HEA proved equally effective at some points in the study.

Participants rated their pain at several intervals: 2, 4, 8, 26, and 52 weeks. This enabled scientists to draw specific conclusions, such as the evidence showing that 12 weeks of SMT provided greater pain relief than up to one year of medication.

Chiropractic Benefits

Your chiropractor can not only provide pain releif and preventatiive therapies, they can also guide you in choosing exercises that target the areas you need treating. Chiropractic visits, in addition to home exercise practices, are a way to double down on your odds of successful treatment.

The Mayo Clinic website says there are multiple benefits to using exercise in addition to chiropractic care for your joints, as well as improving general wellness. In combination they serve to:

  • Strengthen the muscles around your joints
  • Help you maintain bone strength
  • Give you more energy to get through the day
  • Make it easier to get a good night’s sleep
  • Improve your balance

We’re not talking about the kind of punishing calisthenics that win you the Presidential Physical Fitness Award, but something to just curb your symptoms and add some range of motion. Consulting with a chiropractor and incorporating some exercise seems to be the best way to get a passing grade in pain relief.

This article was written by Martha Michael and is shared from the following website: exercise-chiropractic-more-effective-than-medicine

Friday Funny

Friday Funny

We thought we would end the week with some Chiropractic humor! We hope you get a giggle out of today’s post! Humor is great for your health! If you have been out shoveling all that snow that we have received recently and your back is not feeling “humorous”, be sure to give us a call and get adjusted by Dr. Oblander before those aches and pains get too out of hand! Our office number is 406-652-3553. Have a wonderful weekend and stay safe and warm!