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Top 5 Low-Impact Aerobic Exercises for Winter Fitness

November 21, 2014 oblanderchiropractic

Everyone knows that exercise is essential to maintaining your health. However, not everyone is able to perform the kinds of high-impact exercises that are hard on the joints. Whether your particular concern relates to aging, injury, or some type of chronic musculoskeletal problem, there are several low-impact aerobic exercises that can help keep you fit throughout the winter.

Walking—This simple activity costs absolutely nothing, requires no additional equipment and can be done in most any weather conditions. If walking seems too boring, then try different routes. Mix it up! If you have hills nearby, include them for greater aerobic challenge. Make certain you have good footwear before taking on anything other than flat terrain. If walking isn’t giving you enough of a challenge, add ankle weights or carry barbells. If you don’t have nearby hills, then take to the stairs. Your local high school or college likely has a stadium with steps that can increase your workout intensity.

Swimming—If you have access to an indoor pool, count your blessings. Swimming is not only one of the lowest impact exercises there is, but it may also be the best full-body workouts around. Swimming involves even less impact than walking, and merely staying afloat (without pool floats) requires far more energy than just standing still. Do laps. Time yourself. There are numerous swimming strokes available, plus aerobic activities and games that you can play in the water. Whether you bring friends or go it alone, swimming can give you just as much aerobic “bang for your buck” time-wise as any other activity, and maybe more.

Cycling—Whether you take to the cycle in your gym or take your bicycle out for a spin, this activity produces virtually zero impact and delivers lots of aerobic benefit. Going nowhere in the gym may seem tedious and even boring to some, so take to the bike lanes or walkways with your bicycle. Once you’ve built up your strength, climbing hills can give your legs a good burn. Inside, no helmet is required. Outside, always protect your head when cycling.

Dancing—This might well be the most fun, low-impact aerobic exercise you can do (at least in public). Of course, many dance routines require a partner, but that’s what makes it all so much fun. Don’t be afraid to go beyond the simple waltz. Try the foxtrot for a little variety. Or try salsa, tango and other more strenuous styles to test your timing, finesse and stamina. A good dance routine can get your heart pumping. Performed well, it can even be downright sexy. And if you don’t like being on the dance floor alone with a partner, there’s always line dancing. It’s a great opportunity to work on your timing and coordination while getting a low-impact workout!

In-Line Skating (Rollerblading)—Protective gear is essential for your safety, as is choosing the best path. Most sidewalks have bumps and imperfections that can prove challenging… or disastrous. An empty parking lot might offer a better alternative for beginners. Some parks also have paths that are perfect for this kind of low-impact activity. Taking to the blades can burn more calories than many other exercises. Until you get your balance perfected, you might want to squat down to keep your center of gravity lower to the ground. Take shorter strides when starting out. Don’t go too fast until you’ve perfected your ability to maneuver, slow down and (yes) stop!

Curve Rehabilitation and Posture Correction Programs

September 23, 2014 oblanderchiropractic

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

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

Lumbar Hyperlordosis

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

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

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

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

Scoliosis

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

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

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

Abnormal Kyphosis

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

For High School Athletes, Sports-Related Back Pain Starts Early

August 12, 2014 oblanderchiropractic

People often assume that lower back pain (LBP) is just a problem just for the elderly, or for middle-aged adults who have a history of physical wear and tear. But this is simply untrue. The fact is that over 31 million Americans live with lower back pain on a regular basis, and a great number of them are adolescents.

Recent studies have indicated that many high school students who participate in sports programs are at high risk for developing lower back pain—and worse, few of them seek or receive proper chiropractic treatment. This is increasingly recognized as a legitimate public health concern: A 25-year-long study of adolescent risk factors for LBP, published in 2000, revealed that students who had lower back pain at age 14 were likelier to have back pain 25 years later than students who didn’t have LBP when they were teenagers. This study suggested that prevention of back pain in youth may contribute to the absence of back pain in adulthood.

14 years later, not much has changed. A recent study published in the British Journal of Sports Medicine examined Finnish teenage athletes participating in a variety of sports. Researchers looked at the experience of 464 male and female athletes representing 22 basketball, floorball (a type of floor hockey popular in Nordic countries), ice hockey, and volleyball teams. They found that 255 athletes (55%) had experienced lower back pain in the past year. 51 players (11%) had suffered for longer than four weeks, and 80 (17.2%) had pain so severe that they had to miss training. However, only about 73 of them (29% of those with back pain) had received any medical attention for LBP.

Another study of 12,306 adolescent soccer players found that a significant percentage of them were likely to suffer injuries that cause lower back pain, resulting in the loss of 10,265 training days and—more importantly—putting them at higher risk for LBP as they age. The study also concluded that the likelihood of injury resulting in LBP increased dramatically if a young athlete received no medical attention, then returned to play before the injury had healed.

Parents of teenage athletes should weigh all of this information carefully if their son or daughter begins to complain of lower back pain. Don’t let them ignore it and go back to playing without having the condition treated. Remember—“walking it off” today could have longer-term health consequences that go beyond the discomfort or pain they’re feeling in the moment. Parents should also know that other studies have found chiropractic care to be the safest, most effective form of LBP treatment. Your chiropractor can help relieve your child’s pain today and help prevent a lifetime of lower back pain in the future, without drugs and without surgery. Call or visit our office today to learn more.

Head-to-Head: Chiropractic Adjustments or NSAIDs for Acute Lower Back Pain?

June 2, 2014 oblanderchiropractic

Lower back pain (LBP) is so widespread that it was listed in the 2010 Global Burden of Disease report as being the single leading cause of disability worldwide. Over half of all working Americans have lower back pain symptoms each year, resulting in lost work time and enormous expense – Americans spend over $50 billion each year to treat their back pain.

So it’s not surprising that a great deal of research is being conducted to determine the most effective methods for treating acute LBP. Much of this research has sought to compare the effectiveness of spinal manipulation (the sort of adjustments performed by Doctors of Chiropractic) with nonsteroidal anti-inflammatory drugs (NSAIDs). While these studies have generally not produced definitive findings one way or the other, they have served to highlight potential safety concerns related to NSAIDs. For example, investigators in one study found that diclofenac (an NSAID commonly used to treat LBP) increased the risk of gastrointestinal complications by 54% and posed other risks to the kidneys.

Given the added concern about NSAID side effects, researchers and clinicians have had a renewed interest in learning whether drug-free manual therapies—chiropractic care, in particular—can really be just as effective, but safer. According to a recent study published in the April 2013 edition of the journal Spine, the answer is YES! In fact, the research team that conducted the study found that chiropractic adjustments were both safer and FAR MORE EFFECTIVE.

In this study, investigators divided a total of 101 patients suffering from acute lower back pain into three groups. One group received chiropractic spinal manipulation plus a placebo (sham) version of the NSAID diclofenac (meaning that the only treatment actually being offered was chiropractic care). A second group received sham spinal manipulation and real diclofenac (meaning that the NSAID was the only treatment being employed). And a third group received the same sham spinal manipulation plus placebo diclofenac (meaning that no treatment was actually being offered – this was the “control group”). All treatments were “blinded,” meaning that the patients did not know whether they were receiving real or sham spinal manipulation or real or placebo diclofenac. Outcomes were measured based on a combination of patient self-reporting, physical examination, missed work time, and the amount of rescue medication (paracetamol tablets) participants required over a 12-week period.

Perhaps unsurprisingly, about half of the participants in the “control” group receiving no treatment dropped out of the study because of intolerable pain. Comparing the remaining no-intervention subjects and the two remaining intervention groups, researchers found that the group receiving chiropractic high-velocity low-amplitude (HVLA) manipulation fared significantly better than the group being treated with diclofenac and the control group.

Researchers reported a clear difference between the two intervention groups: “The groups receiving spinal manipulation showed a faster and more distinct reduction in the RMS [root mean square, a standardized test of flexibility and mobility]. Subjects also noted a faster and quantitatively more distinct reduction in their subjective estimation of pain after manipulation.” They also found that the group treated only with the NSAID diclofenac required more rescue medication (paracetamol) than the spinal manipulation group, taking 3 times as many tablets and for twice the number of days. No negative effects were reported from the spinal manipulation group, but several negative effects were reported from the diclofenac group.

So, overall, this study indicates a clear “win” for chiropractic in the treatment of acute lower back pain. Not only does HVLA spinal manipulation avoid the potential safety concerns of NSAID medications such as diclofenac, it has been found to be far more effective. Remember this the next time you experience lower back pain, and consider seeing your chiropractor first. This one simple decision may help you recover more quickly and more completely while also helping you avoid the negative side effects of NSAIDs.

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.

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.

How Flexible Should You Be?

January 30, 2014 oblanderchiropractic

Watching a dancer put her leg to her nose is an impressive sight, and many of us can perform similar feats when we’re children. But we begin to lose flexibility as we age if we do not make a conscious effort to remain limber. Inactivity causes muscles to shorten and stiffen, and muscle mass is lost with increasing years as well. However, maintaining flexibility as we get older is of great importance, since it allows us to retain our mobility and reduces the likelihood of aches, sprains and falls as we age.

Optimal flexibility means the ability of each of your joints to move fully through their natural range of motion. Simple activities such as walking or bending over to tie your shoes can become major difficulties if your flexibility is limited. Unfortunately, sitting for hours at a desk, as so many are forced to do on a daily basis, eventually leads to a reduction in flexibility as the muscles shorten and tighten.

There are a number of different tests used to measure flexibility, but the one test that has been used as a standard for years is the sit and reach test. It measures the flexibility of your hamstrings and lower back. The simple home version of the test requires only a step (or a small box) and a ruler.

Before the test, warm up for about 10 minutes with some light aerobic activity and do a few stretches. Then place the ruler on the step, letting the end of it extend out a few inches over your toes, and note where the edge of the step comes to on the ruler. Sit on the floor with your feet extended in front of you, flat against the bottom step (or box). With your arms extended straight out in front of you and one hand on top of the other, gradually bend forward from the hips, keeping your back straight. (Rounding the back will give you a false result). Measure where your fingertips come to on the ruler. They should ideally be able to reach at least as far as the front of the step. Any measurement past the edge of the step is a bonus. No matter how far you can reach on the first measurement, do the test periodically and try to improve your score every few weeks.

If you find that you are less flexible than you should be, some regular stretching exercises combined with visits to your chiropractor can help to restore flexibility and improve range of motion, helping to ensure that you remain limber into older age.

How Chiropractic Care Has Helped Me: Introducing Jeff Gordon

November 25, 2013 oblanderchiropractic

To any NASCAR fan, Jeff Gordon is a household name. His list of accomplishments on the track is impressive by almost any measure:

After winning 3 races, Gordon joined Hendrick Motorsports in 1993 as part of the Sprint Cup Series in NASCAR.
In 1998, Gordon was named to NASCAR’s “50 Greatest Drivers” list.
In 2008, ESPN’s Terry Blount put him at #10 in a list of 25 all-time greats, and Fox Sports ranked him as #5 on its list of all-time best NASCAR drivers.
In 2009, Gordon became the first-ever NASCAR driver to achieve career winnings of $100 million.

After winning the Daytona 500 three times (1997, 1999 and 2005), and the Sprint Cup Series four times (1995, 1997, 1998 and 2001), Gordon had become a universally-recognized superstar in the sport. But things changed in 2008.

From 2008 to 2009, Jeff Gordon suffered from chronic back pain. An MRI performed half way through the 2009 season revealed what looked like an arthritic condition. He went through rigorous treatments that included physical therapy, stretching exercises and chiropractic treatments. Gordon noted that “there have been times, especially last year, but even this year, when I’ve been thinking about my back when I should be thinking about the car.”

All race car drivers experience tremendous G-forces on the track. This can wear on the health of the spine and create problems if not regularly treated. The pain experienced by drivers can be quite distracting and could shorten their careers if the distraction becomes too great to allow safe driving. NASCAR has a strictly-enforced drug policy that prohibits the use of pain medications that might otherwise alleviate some of the discomfort.

That’s what makes chiropractic such a perfect fit. Its therapies are non-invasive and drug-free. New York-area chiropractor, Dr. David Levine, DC, has discovered techniques that are particularly effective for the injuries suffered by athletes.

“The technique,” said Dr. Levine, “basically involves examining the patient and searching for muscle spasm, areas of pain and tenderness, restriction of motion, and inflammation. Once the treatment is completed, usually within 30 minutes, the patient will often begin to quickly notice relief.”

Jeff Gordon isn’t the only star athlete Dr. Levine has helped. His website contains testimonials from the NY Jets’ former All-Pro Linebacker Lance Mehl and numerous other NFL and NBA players. Dr. Levine’s specialized pain management chiropractic techniques currently have a 90% success rate helping athletes and injured soldiers overcome their debilitating pain.

Car Accidents and Delayed Symptoms: What You Need to Know

October 29, 2013 oblanderchiropractic

Even if your recent fender bender didn’t seem too serious, there’s still a very real chance that you or your passengers may have been hurt. That’s because even the most minor car accidents can cause hidden injuries and delayed symptoms. And while damage to your car is likely obvious and easy to assess, evaluating damage to your body may be far more difficult. In fact, it’s not unusual for a driver or passenger to walk away from a collision with potentially serious musculoskeletal injuries (such as a concussion or whiplash), without knowing it.

Because of the stress response, right after an accident the body’s defenses are on high alert. Any pain may be masked by endorphins produced by the body during and shortly after this kind of traumatic event. Endorphins help the body manage pain and stress and can create a temporary euphoria or “high” feeling. When the threat of the accident is gone, endorphin production slowly disappears, allowing you to feel pain that may have remained hidden earlier.

Perhaps the most common delayed symptom is that of whiplash. Whiplash consists of soft tissue damage in the neck from the sudden acceleration and deceleration of the head, creating hyperflexion and hyperextension of the neck. This can not only cause damage to the muscles, tendons and ligaments of your neck, it can also occasionally fracture or dislocate vertebrae and cause any of the following symptoms to show up later:

Headaches
Reduced range of motion or difficulty moving
Slowed reflexes
Vertigo
Muscle spasms
Localized weakness or numbness
Stiffness in shoulders and arms

Every bit as serious as any broken bones or lacerations, a concussion can prove to be a grave threat to your health. Quite simply, a concussion is the result of the brain colliding with the inside of the skull from a rapid acceleration or deceleration. Not all concussions occur because of bumping the head. If the head is restrained in any way and the restraint suddenly stops or suddenly jerks into motion, a concussion may occur. Symptoms of concussion include the following:

Headaches
Bad temper
Nausea
Spasms
Loss of balance
Blurred or double vision
Disorientation
Confusion
Amnesia
Ringing in the ears
Difficulty concentrating or reasoning
Anxiety or depression
Tiredness, sleeplessness, or other problems with your ability to sleep

The key point with any of these symptoms is to know whether or not you had them before the accident. Someone who knows you or lives with you can help identify any changes in your behavior that may indicate a possible concussion. If you didn’t have a symptom that you’re now experiencing, see your doctor right away.

In addition to the health consequences of car accidents with delayed symptoms, there is also the insurance aspect to consider. Because many accident-related injuries don’t show up immediately, you may have to pay out-of-pocket for the medical expenses from any delayed symptoms if you settle with your insurance company right away. Therefore, consider waiting a few days before signing any release of liability so that any delayed symptoms have an opportunity to reveal themselves. Seeing a chiropractor for a medical evaluation as soon as possible after an accident is also a good idea, since he or she can help identify injuries and start treatment promptly. In many cases, seeking appropriate medical care soon after an accident can improve your chances of a more complete and more rapid recovery.

We Love Chiropractic Humor!

May 17, 2013 oblanderchiropractic

Look Who Else Uses Chiropractic: Professional Tennis Players

April 3, 2013 oblanderchiropractic

There are about 800 professional tennis players in the U.S. who regularly play in competitions sanctioned by the US Tennis Association (USTA). Dr. David E. Stude, a chiropractor and professor at Northwestern Health Sciences University in Minnesota, estimates that up to 65 percent of them suffer at least one tennis-related injury. Although tennis elbow gets the most press among tennis-related injuries, chiropractors assert that they actually see more injuries to the lower extremities, as these are the areas that absorb the force created by the arm swinging the racket. Tightness in the shoulder blades of professional tennis players can lead to muscle pain and headaches, which chiropractic care can help to relieve.

Many professional tennis players make sure a chiropractor is available to them during tournaments to help keep them in top shape throughout a game that can sometimes last for several hours. Some of the top tennis players in the world are regularly treated by a chiropractor, including Andy Murray, Roger Federer and Novak Djokovic. Andy Murray said of his chiropractor, “Jean-Pierre (Bruyere) has been helping my game for years.”

At the 2011 Men’s US Open Tennis Championship, Serbian player Novak Djokovic was battling Rafael Nadal in the final. During the last set, he was experiencing enough lumbar pain to ask for a 10-minute medical time-out, during which he received chiropractic treatment. He walked back onto the court a renewed man, and went on to win the set and the championship.

According to Venus Williams, a seven-time Grand Slam Women’s Tennis champion, “Chiropractic gives me the flexibility I need to keep me in the game.”

Ivan Lendl, a former number-one ranked tennis player and winner of eight Grand Slam singles titles, believes in the power of chiropractic care. He said, “I feel that chiropractic adjustments help to prevent injury…. I try to go twice a week to a chiropractor, sometimes even more during big tournaments. I feel I am much more tuned-up with an adjustment. I support chiropractic very much. I think it is great for sports. I think it’s great for anyone!”

Retired professional tennis player and coach Martina Navratilova won 18 Grand Slam singles titles during her career, and believes chiropractic helped her to achieve this. Navratilova said, “A chiropractor was instrumental in putting my body back together. Alternative therapies will play a bigger role in our lives. After all, people like what works.”
More professional tennis players are getting on board with chiropractic each year, following in the footsteps of such greats as Jimmy Connors, John McEnroe, Tracy Austin and Billie Jean King, all of whom have enjoyed the advantage that chiropractic care brought to their game. It may help to improve your game too!

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