neck pain – Page 2

What You Should Know About Recovering from Auto Injuries

May 10, 2016 oblanderchiropractic

ambulance-200-300 America’s roads have become far safer across the past three decades. By just about any measure, travelers are much less likely to be injured or killed in a motor vehicle accident than they were in the late 1980s and early 1990s. And this is true even though we’re driving more miles each year!

However, automobile accidents are still notoriously hard on the musculoskeletal system, and there is still a very real risk of back and neck injuries—even when drivers and passengers are protected by the latest safety equipment. In fact, recent research suggests that some types of injuries—particularly to the thoracic and lumbar regions of the back—may actually be more likely when safety belts are used. There is also some evidence that airbags may contribute to more severe neck injuries when they deploy.

At the same time, other developments are also changing the nature of auto injuries. For instance:

Smaller, more fuel-efficient vehicles are good for the environment, but they pose additional risks to their passengers when they collide with larger cars, SUVs and trucks.
Lifestyle and demographic trends are resulting in greater numbers of overweight and obese people on the roads as well as larger numbers of seniors, who tend to have frames that are smaller and more fragile.

So even though the overall fatality rate and the rate of serious injuries should continue to fall as safety systems continue to improve, minor to moderate injuries from auto accidents will continue to be a fact of life for the foreseeable future.

What You Need to Know

Even in cases where drivers and passengers walk away from a wreck believing they’re “uninjured”, accidents can have profound, long-lasting health consequences for those involved. It’s not uncommon for some types of symptoms to appear only gradually days or weeks after the event itself, delaying effective diagnosis and treatment. Symptoms may also come and go intermittently, making it more difficult to associate them with the accident.

Fortunately, there are things you can do to safeguard your health and improve your chances of a more rapid, complete recovery following an auto accident. Clinical studies have demonstrated that chiropractic care can shorten recovery time and decrease the amount of permanent physical damage sustained in a collision.

Take care of first things first. Always address any life-threatening injuries first. If you experience (or have reason to suspect) significant bleeding or bruising, broken bones, internal pain, difficulty breathing, loss of consciousness, or shock, you should seek immediate help from healthcare professionals who specialize in treating trauma injuries.
Visit your chiropractor as soon as possible after an accident. Do this even if you don’t think you’ve been hurt very badly. Research has shown that early intervention in the form of chiropractic adjustment, massage, laser therapy and supervised exercise and stretching programs can make a big difference in longer-term function.
Stay as active as you can throughout your recovery. Activity encourages blood flow to the injured area and promotes healing. It also helps prevent or reduce scar tissue formation and maintain range of motion.
Strengthen the affected area(s) as directed. Exercise and stretching programs are designed to help prevent future injuries and are an important part of a balanced treatment plan.
Recognize that you may be at increased risk of developing chronic problems. Be sure to tell your doctor if any of the following warning signs apply:
A prior history of back, neck or shoulder problems (including previous injury).
Distinct numbness, tingling or pain immediately following an accident.
Increased muscle tension or reduced range of motion after the crash.
You were involved in a rear-end collision.
Your head was turned at the moment of impact.
You have symptoms that don’t resolve or that become generalized.
Do your best to avoid becoming frustrated with the pace of recovery. Setbacks are common and it is not unusual for some symptoms to come and go.

An auto accident can affect your health (and your lifestyle) for years if you don’t receive the proper treatment. So if you or someone you care about has been injured in a collision, please call our office and make an appointment today. Chiropractic care can help put your recovery in high gear!

What is a “Normal” Pain Tolerance?

April 26, 2016 oblanderchiropractic

Pain is a nearly universal human experience that has several aspects. The first thing we usually think about in relation to pain is its trigger or cause. Perhaps you stub your toe, cut your finger while chopping vegetables, or feel the beginnings of a headache coming on. When this kind of thing happens, your body initiates a physical process driven by your anatomy and physiology. Your senses transmit a message through your nerves to your brain, saying “Something is wrong.” The second aspect of pain, however, is psychological and emotional rather than physical—how do you react to the message that your body is experiencing trouble? Do you ignore the headache and continue with your activities, or do you have to stop what you’re doing and focus on the pain to try to make it go away?

When it comes to our response to pain, two factors are also in operation. These relate to the idea of sensitivity. Pain threshold is the point at which pain first begins to be felt, and pain tolerance is the point at which a person reaches the maximum level of pain they are able to tolerate. When attempting to define what “normal” responses to pain are, both factors must be examined.

“Normal” responses to pain are difficult to determine because they vary so widely.

Some people may react to a bad headache by ignoring it and continuing to work, while others may react to a headache they rate at the same subjective level of pain by becoming completely incapacitated and having to lay down and close their eyes until it goes away. So what factors determine these differences in people’s tolerance of pain, and what can we say about them?

First, there seem to be differences in pain tolerance between men and women, with men exhibiting slightly higher pain tolerance than women. But this generalization can be affected by the oddest things. For example:

Studies of dental patients suggest that redheads have lower pain tolerances than people with other hair colors, and actually need higher doses of anesthesia during oral surgery.
Athletes have been proven to have higher pain tolerances than people who don’t exercise.
People who smoke or are obese are more likely to have low pain tolerances.
People who are depressed or anxious are more sensitive to pain and have lower tolerances.

There are also biological factors such as genetics, previous spinal cord damage, and chronic diseases that cause nerve damage that affect how we perceive, interpret, and manage pain. So the problem of defining what constitutes a “normal” level of pain tolerance becomes very difficult. But we recognize intuitively that we’re beginning to approach our own pain tolerance when two things happen—first, the pain begins to interfere with our ability to function in some way and second, it causes us to seek help.

As healthcare professionals, we generally distinguish between acute pain—the pain that usually results from a specific injury or illness, lasts less than 6 months and goes away as the body heals—and chronic pain, which can persist or progress over longer periods of time and may have no clear cause.

Depending on the situation, help may come in the form of common over-the-counter analgesics like aspirin, acetaminophen, and ibuprofen, or from more powerful drugs like opioids. Sometimes it may come in the form of ice, heat or topical treatments. And other times it may come in the form of hands-on therapies like chiropractic and massage.

Whatever your level of pain tolerance happens to be, you can get better at handling pain.

Because of the many factors that can potentially affect pain tolerance, managing one’s pain can be a challenging process of trial and error. You can’t change your genetic pain receptors and how sensitive they are, and dying your hair another color if you’re a redhead isn’t going to make you less susceptible to pain. But there are coping mechanisms that can influence the brain’s perception of pain and help you manage it, effectively increasing your pain tolerance. Relaxation techniques, biofeedback, chiropractic manipulation, massage, and mindfulness meditation have all shown surprising success at enabling people who suffer from chronic pain to manage it more effectively without the ongoing use of drugs.

So if you are one of the 25% to 30% of adults living with musculoskeletal pain, contact our office and ask for help—it IS available, and doesn’t necessarily have to come in a pill bottle!

Top 5 Exercises for Increasing Range of Motion in Your Neck

December 24, 2015 oblanderchiropractic

girafe réticulée 06 Pain and stiffness can significantly reduce your neck’s range of motion. Although a decreased range of motion in your neck may not seem like a major problem, it can actually contribute to a number of unpleasant conditions, including headache, fatigue, irritability and sleep loss. Like any other part of the body, our neck can become stronger and more flexible through exercise. Following are some useful exercises that can help to increase the range of motion in your neck.

All these exercises should be done while sitting comfortably in a chair with your feet flat on the floor and your neck in a neutral position. Your neck should be positioned right above your spine (in other words, be sure your head is not jutting forward or back), and you should be looking straight ahead. If you feel pain (rather than just discomfort) while doing any of these exercises, stop immediately and do not resume them until you have consulted with your chiropractor.

1) Neck rotations – Keeping your head level, gradually turn your head to the right as far as you comfortably can, looking over your right shoulder, and hold for 10 seconds. Then slowly turn your head to the left, looking over your left shoulder, and hold for another 10 seconds. Repeat 5 times.

2) Neck tilts – Tilt your head to the right, bringing your right ear as close to your shoulder as possible, and hold for 10 seconds. Do the same on the other side, tilting your head to the left, again holding for 10 seconds. Repeat 5 times.

3) Neck flexion and extension – This is simply bending your head forward and back. Beginning in a neutral position, gradually bend your head forward, letting it hang with your chin close to your chest, and hold for 10 seconds. Then slowly bring your head up and back so that you are looking at the ceiling. Repeat 5 times.

4) Half circles – Start by tilting your head toward your right shoulder as far as possible, then slowly swing it to the left in a fluid half-circle, moving your head forward and down until your chin is close to your chest, continuing until your head is tilted to the left with your left ear above your left shoulder. Then repeat the movement in the other direction.

5) Levator scapulae stretch – Tilting your head to the right over your shoulder, turn and drop your head slightly so that your nose is pointed toward your elbow, and hold for 10 seconds. You should feel the stretch in the muscle connecting the back of the left lower neck to your shoulder blade. Repeat on the other side.

Can Poor Posture Really Cause Back and Neck Pain?

December 4, 2015 oblanderchiropractic

In a word, yes!

Unless your back or neck pain has been caused by some type of over-exertion or acute trauma, it’s actually very likely that poor posture is at least a contributing factor. The alignment of the spine—from the neck through the lower back and hips—is critical to the body’s ability to support its own weight and move efficiently, so posture problems (which are often chronic) can gradually lead to pain and reduced mobility.

When it comes to pain in your back or neck, the relationship between poor posture and injury can also be a complicated one. On the one hand, having poor posture makes it more likely that you will suffer an injury. On the other hand, suffering an injury can also affect your posture. Mary Ann Wilmarth, DPT, spokeswoman for the American Physical Therapy Association explains, “Little things add up. You can increase the pressure on your back by 50% simply by leaning over the sink incorrectly to brush your teeth. Keeping the right amount of curvature in the back takes pressure off the nerves and will reduce back pain.”

How posture problems contribute to neck pain

One of the most common posture problems is a “forward head and shoulder posture”. This occurs when someone “hunches over” and places their head in front of their neck. The weight of the head towards the front stresses the lower neck vertebrae, and leads to overworking of the upper back muscles to compensate for the pull of gravity on the head. Many people with this posture problem also have a rounded upper back and rounded shoulders, which can lead to further stress and shoulder pain. Often, poor desk and chair ergonomics contribute to these problems, but even slouching on the couch or at a table with your mobile phone can lead to hunching over.

How posture problems contribute to back pain

The “forward head” posture described above causes stress on the lower cervical vertebrae, which may end up sliding forward relative to each other as a result of gravity. This is a particular problem for people who have jobs requiring them to look forward or downwards all day. Eventually, the prolonged pressure on the cervical vertebrae will irritate the ligaments and soft tissues, radiating downwards to the upper back. This process can lead to disc degeneration, cervical osteoarthritis and herniated discs.

Tips for improving poor posture and relieving back and neck pain

Poor posture is typically the result of habits that have been developed over long periods of time performing the same activities over and over again. Here are just a few of the most common culprits:

Staring at computer monitors or mobile devices that are badly positioned.
Sitting in poorly designed office chairs.
Sleeping on mattresses that don’t provide the necessary support.
Carrying heavy backpacks or purses.

But how do you know which activities are contributing to your poor posture and causing you pain? The clues are usually fairly easy to spot once you know what you’re looking for. For instance, the pain in your neck or back may be worse at some times during the day than at others, or it may come and go with changes in your body position. If you experience fatigue or pain when you first wake up in the morning or after you’ve been sitting at your desk for a couple of hours, it might be time for a new mattress or new office furniture.

The good news is that once you become aware of the activities that are contributing to your posture problems and pain, most can be fixed relatively easily, with no need for either medication or surgery. Learn to recognize when you’re hunching over your computer, slouching in your chair or craning your neck to look at your mobile phone. Then sit up straight, aligning your hips, shoulders and ears in one vertical line.

Sometimes, however, the solution is not so simple—especially when poor posture has caused structural changes in the spine and neck. In these cases, a chiropractor can help by designing posture correction and spinal rehabilitation programs to restore the spine’s normal curvature. These programs will usually involve a combination of mechanical techniques that actively remodel the spine (including the use of braces and molding blocks), exercises and stretches that strengthen postural muscles and restore range of motion, and lifestyle changes to address the root causes.

As experts in diagnosing and treating musculoskeletal conditions, chiropractic physicians are specially trained to recognize and correct postural problems. If you’re suffering from neck or back pain and suspect that your posture may be at least partially to blame, call or visit our office today. We can help!

Can Chiropractic Care Really Reduce Your Sensitivity to Pain?

April 28, 2014 oblanderchiropractic

Chronic back pain is a worldwide problem. According to the 2010 Global Burden of Disease report, it is the single leading cause of disability worldwide. In America, an estimated $50 billion is spent each year to treat back pain. And that figure doesn’t even take into account broader economic or societal costs that come with lower productivity and wages lost to work absences. As a result, chronic pain (whether it’s located in the back, neck, head or elsewhere in the body) and its treatment is an issue—either directly or indirectly—affects all of our lives.

Over the years, there have been tens of thousands of anecdotal reports from patients who found relief from their chronic pain as the result of chiropractic spinal manipulation therapy (SMT). There have also been a number of research studies that documented pain relief after receiving spinal adjustments, especially with regard to decreased sensitivity to pain. But critics have always been able to suggest that the pain relief experienced in these studies might be due more to the placebo effect and “expecting” relief than to the therapy itself.

New research from the University of Florida, published in the February issue of the Journal of Pain, provides demonstrable proof that the pain relief from spinal manipulation therapy is the result of the therapy itself, and not simply the result of patient expectations. In this study, researchers worked with 110 participants suffering from chronic back pain. They assigned them randomly to four groups. A control group received no intervention at all, the SMT group received real spinal manipulation therapy, a third group received placebo SMT (non-chiropractic manipulations designed to simulate treatment) and the fourth group received “enhanced” placebo SMT accompanied by instructions that said “The manual therapy technique you will receive has been shown to significantly reduce low back pain in some people.” Patients then received their therapies or mock therapies six times over a period of 2 weeks. Pain sensitivity was assessed at the start and the end of the experiment.

The study design was thus intended to determine how much of any pain relief experienced by the test subjects was due to the placebo effect. Patients in the real SMT group experienced much more significant reductions in their sensitivity to pain than the control group (as expected), but also more pain reduction than either of the placebo SMT groups, including the group that had been “implanted” with the expectation that it would relieve their pain. The researchers suggest that real spinal manipulation therapy created changes to central nervous system response or the processing of neural pain input that the placebo treatments did not. They attributed the pain relief to “the modulation of dorsal horn excitability and lessening of central sensitization. This suggests potential for SMT to be a clinically beneficial intervention.”

These results should not surprise either chiropractors or their patients, who have had first-hand experience with spinal manipulation for years and understand its potential to reduce pain sensitivity in patients. But it is useful information to those who still doubt chiropractic’s ability to provide real relief without drugs or surgery. The pain alleviation produced by chiropractic adjustments has been determined to be a real and valuable alternative to other types of treatment than may involve far more risk and expense.

Top 5 Exercises for Increasing Range of Motion in Your Neck

February 12, 2014 oblanderchiropractic

Pain and stiffness can significantly reduce your neck’s range of motion. Although a decreased range of motion in your neck may not seem like a major problem, it can actually contribute to a number of unpleasant conditions, including headache, fatigue, irritability and sleep loss. Like any other part of the body, our neck can become stronger and more flexible through exercise. Following are some useful exercises that can help to increase the range of motion in your neck.

A Reason to Smile!

August 9, 2013 oblanderchiropractic

How Well Does Chiropractic Care Relieve Back and Neck Pain?

March 13, 2013 oblanderchiropractic

If you have never considered going to a chiropractor to treat the pain in your neck or back, maybe you should. There are an increasing number of studies that confirm the effectiveness of chiropractic care in the treatment of back and neck pain, particularly in comparison with pain-relieving drugs.

According to a report published in the September 2011 issue of Consumer Reports, chiropractic treatment outperformed all other methods for treating back pain, including prescription medication. Of those reporting that a treatment “helped a lot” in the management of their back pain, 65% listed chiropractic (the highest rated treatment) as the most effective, as opposed to 53% for prescription medication. Other natural therapies were also useful (e.g. deep tissue massage helped 51% of patient a lot, yoga/pilates–49%, acupuncture–41%), but none approached the effectiveness of chiropractic care. Similar results were found for the treatment of neck pain (chiropractic–64%, prescription medication–49%). Results were based on the Consumer Reports National Research Center’s 2010 Annual Questionnaire, analyzed by researchers from the Natural Medicines Comprehensive Database.

In a study performed by researchers at Minnesota’s Northwestern Health Sciences University, chiropractic care was more effective for treating neck pain than medications such as aspirin, ibuprofen or narcotic pain relievers. The study, published in The Annals of Internal Medicine, followed over 270 people with neck pain for about three months. These people were divided into three different treatment groups. The first group received chiropractic care, the second group was prescribed exercises to do at home and the third group was prescribed painkillers or muscle relaxers. Approximately 57% of the chiropractic group reported experiencing a reduction in pain of at least 75%, compared with 33% of those in the medication group.

Author of the study, Dr. Gert Bronfort, a research professor at the university, said that of the positive changes that had resulted from chiropractic treatment, “These changes were diminished over time, but they were still present. Even a year later, there were differences between the spinal manipulation and medication groups.”

Another downside that the medication group experienced was that it was necessary to keep taking the painkillers. Dr. Bronfort said, “The people in the medication group kept on using a higher amount of medication more frequently throughout the follow-up period, up to a year later.” One of the great benefits of chiropractic care is that it treats the source of the problem, leading to long-term pain relief, in comparison with painkillers that just mask the symptoms.
Research has found that the most benefit in the relief of neck and back pain comes from a combination of chiropractic care and exercises you do at home. Your chiropractor can suggest effective exercises that you can do at home in between adjustments that will work synergistically with your chiropractic care so that you can experience long-term relief from your back and neck pain.

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What You Should Know About Recovering from Auto Injuries

May 10, 2016 oblanderchiropractic

What is a “Normal” Pain Tolerance?

April 26, 2016 oblanderchiropractic

Top 5 Exercises for Increasing Range of Motion in Your Neck

December 24, 2015 oblanderchiropractic

Can Poor Posture Really Cause Back and Neck Pain?

December 4, 2015 oblanderchiropractic

Can Chiropractic Care Really Reduce Your Sensitivity to Pain?

April 28, 2014 oblanderchiropractic

Top 5 Exercises for Increasing Range of Motion in Your Neck

February 12, 2014 oblanderchiropractic

A Reason to Smile!

August 9, 2013 oblanderchiropractic

How Well Does Chiropractic Care Relieve Back and Neck Pain?

March 13, 2013 oblanderchiropractic