A Healthy Side Dish for Dinner Tonight!
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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
- 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.
- 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.
- Lee J, Taneja V, Vassallo R. Cigarette smoking and inflammation: cellular and molecular mechanisms. Journal of Dental Research 2012;91(2):142-9.
- 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
- 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
Good for You Delisciousness!
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What Everyone Should Know About Heavy Metal Poisoning
Even if you do not spend a lot of time in an industrial manufacturing environment, there is a chance that you may be exposed to heavy metals on a regular basis. Although it is not a common problem, you could be at risk of heavy metal poisoning (sometimes referred to as heavy metal toxicity) from such things as eating lots of large fish, getting some types of immunizations and painting your bedroom.
There are 35 metals that are considered toxic to us, though only 23 of them are actually categorized as “heavy metals”. Of these, the 15 most common (and therefore the ones to be most concerned about) are arsenic, bismuth, cadmium, chromium, cobalt, copper, iron, lead, manganese, mercury, nickel, selenium, silver, thalium and zinc. Some of these (such as copper, iron, manganese and zinc) are metals that our bodies require in trace amounts in order for us to maintain good health. However, an overabundance of any of these metals can lead to serious health problems such as reduced function of the brain and central nervous system, alteration to the structure of the blood and major organ damage.
The problem lies in the fact that the body cannot metabolize heavy metals easily, so they bioaccumulate in the soft tissues. Arsenic, lead and mercury are the most frequent sources of heavy metal toxicity.
Symptoms of heavy metal toxicity include chronic pain, general discomfort and fatigue, brain fog, chronic infections, food allergies, gastrointestinal problems, dizziness, headaches and/or migraines, mood swings, depression, anxiety, and feelings of numbness, tingling and burning in the extremities.
If you have many of the above symptoms, there are a few tests you can take to determine if you have heavy metal poisoning. Tests that can determine the presence of heavy metals in your body include a blood test, urine test, x-rays, fecal analysis and a hair and fingernail analysis.
Conventional treatment for heavy metal poisoning usually involves some form of chelation therapy that uses a chelating agent to remove heavy metals from the body. During chelation (from the Greek word meaning “claw”), the chelating agent binds to the heavy metals in the body so they can be excreted.
Following are some tips on how to reduce your risk of heavy metal poisoning:
- Eat large fish such as tuna sparingly. Fish at the top of the food chain bioaccumulate heavy metals such as mercury, which is why scientists and nutrition experts advise that you eat fish only twice a week. If you want to get more oily fish in your diet, stick with small fish such as sardines, which are low in heavy metals.
- Have any mercury fillings removed from your teeth. Ask for glass ionomer or composite (resin) fillings, which are not only better for your overall health, but are comparable in price and better for the long-term health of your teeth. If your dentist insists on using mercury fillings, change dentists.
- Ban smoking from your house. Not only can second-hand smoke affect your health and the health of your family (particularly your children), but so can “third-hand” smoke. Studies have found that even those who smoke outside still carry the residues of tobacco smoke on their clothing and in their hair (which is why you can always tell who is a smoker when in an elevator with them). These residues include arsenic, lead, polonium and other carcinogens.
- Eat organic food as much as possible. Conventional agriculture uses a lot of heavy metals in food production, from fertilizers and insecticides to storage.
- Ceramic dishware from some foreign countries can contain heavy metals such as lead and cadmium in their paint. Check to ensure your dishware is free of these substances.
Taco Soup Makes a Healthy Fall Dinner Choice!
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Easy Guacamole Recipe for a Healthy Snack!
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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.
Have Some No-Guilt Chocolate Coconut Almond Granola for Breakfast!
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How Do Chiropractors Measure Pain?
Measuring the amount of pain being experienced by a patient is an essential part of chiropractic assessment prior to treatment. However, unlike objective measures such as the degree of spinal curvature or the range of joint movement, the amount of pain cannot be determined directly, but is instead inferred from the patient themselves or from signs usually associated with it. These two methods—patient self-reporting and inference by examination—are the basic tools chiropractors will use to assess a patient’s pain level.
While the degree of discomfort reported by a patient is an important guide, the subjective experience of pain means that each person will have a different level at which they call pain mild, moderate or extreme. Likewise, patients will all have varying degrees of verbal and physical reactions to different levels of soreness. Taken together, however, self-reporting and examination provide a combination of evidence which can be used to determine pain levels with a reasonable degree of accuracy.
Most chiropractors treating a patient will use an assessment form that asks about the kind of problem that the patient is currently experiencing and the amount of pain it is causing. A basic diagram of the body may also be used to mark locations and levels of pain. Further questions, either in the form of a questionnaire or through a patient interview, may be asked to ascertain the frequency of pain and the nature of movements and activities that may trigger pain or worsen it.
The level of perceived discomfort is often assessed using a pain scale in which the patient is asked to assign a figure to their experience such as from 0 (no pain) to 10 (extreme pain). Although such a scale will be subjective, most patients demonstrate a good deal of internal consistency when it comes to reporting relative pain levels. This means that patient-reporting using this type of pain scale can be useful in determining whether a condition is responding to treatment over time or getting worse, as well as in determining how pain levels fluctuate over the course of a day or in response to certain kinds of activity. In addition to the simple pain scale, there are several specially designed questionnaires that are also used to assess the degree of pain and disability associated with spinal injuries, such as the Quebec Back Pain Disability Scale.
Chiropractic assessment of a patient actually begins the moment the patient walks in the door. A skilled chiropractor can tell much about a condition and how much pain someone is in by their overall posture, how they walk, facial expressions of discomfort and involuntary verbalization. While being examined, palpation and movement of problem areas will often give rise to further articulation and tensing against painful movement, which provide further clues both to the location and degree of soreness. A chiropractor may use pain scales during the examination so that patients can communicate in a more focused way how much a certain movement or palpation hurts. Marking these pain levels on a chart provides a baseline measurement that a chiropractor can use to judge the effectiveness of treatment over time.
Although pain measurement is only one method of assessing both the degree of injury and success of treatment, it is an important one. Pain is both a clear sign that something is wrong and an impediment to normal daily activity. In contrast, a reduction in pain following chiropractic therapy increases feelings of wellbeing and provides subjective evidence of improvement. For the chiropractor too, this is an essential indication that they are doing something right. Together with other signs such as increased strength, range of movement and endurance, reduced pain is a welcome indicator that a patient is making progress.
Happy Labor Day! Here’s a Simple Healthy Salad for a BBQ!
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