We hope you will take the opportunity to express your love and appreciation to your family and loved ones today! Expressing love and being grateful is wonderful for your health!
“Referred pain” can be a perplexing phenomenon for anyone who experiences it. Referred pain is what happens when you feel pain in an area of your body that is not actually the original source of the pain signals. The most common example of referred pain is when pain is felt in the left arm, neck or jaw of a person suffering a heart attack, while they often have no feelings of pain in the chest area itself.
It’s important to note that referred pain is different from radiating pain, in which the pain felt in one area travels down a nerve, causing pain along the length of the nerve. This is often the case with sciatica, where pain originates in the lower back and radiates down the leg.
Researchers are still not exactly sure what causes referred pain. Some experts believe that it is due to a mix-up in nerve messaging. The central nervous system (CNS) is constantly receiving a barrage of different messages from different parts of the body. These messages may get mixed up somewhere along the path between the place where the irritated nerve is signaling and the spinal cord or brain where pain signals are processed. With an extensive network of interconnected sensory nerves that serve the same region of the body, such as the nerves of the lower back, thighs and hips, it may be more common for signals to get mixed up than you might imagine.
Although referred pain is usually felt as painful, it can also cause feelings of numbness, tingling or the sensation of pins and needles. Another example of referred pain is a tension headache, in which headache pain is due to an irritation of the nerves in the neck.
Referred pain tends not to cross sides of the body. In other words, if the pain signals are originating in the liver or gallbladder (which are on the right side of the body), you may feel pain in your right shoulder. If the signals originate in the pancreas (on the left of the body), you may feel pain in your left shoulder, etc.
Chiropractic adjustments can address the source of the referred pain, leading to long-term pain relief. Nerves in the area of the spinal cord that are irritated due to a spinal misalignment (subluxation) can be a cause of referred pain. When your chiropractor adjusts your spine, he or she removes the source of irritation, thus providing relief. Dr. Oblander is a Billings Chiropractor who is very knowledgeable about which tests can be performed to determine the underlying cause of your pain (whether direct or referred), and can treat it accordingly. If you have questions or want to seek chiropractic treatment, be sure to give us a call at Oblander Chiropractic: 406-652-3553.
“Never grow a wishbone, daughter, where you backbone ought to be.”
-Clementine Paddleford, American Writer (1898 – 1967)
It’s no accident that so many philosophers and writers have used the backbone as a metaphor for discipline, force of will or character. Your spine (or “backbone”) is the primary physical support for your body’s entire frame. It’s a remarkable piece of natural engineering composed of 33 separate vertebrae that act as a single unit to provide stability as well as flexibility while you’re sitting, standing or in motion. A healthy spine is both strong and resilient. With proper nutrition, exercise, postural habits and chiropractic care, it can allow us to lead an active lifestyle well into old age. However, poor biomechanics, injury and disease can cause problems with the spine that result in misalignment, inflammation, pain and restricted movement.
The spine develops from infancy into adulthood, gradually evolving from a C-shape, which is suitable for crawling, to its distinctive S-shape, which is the appropriate shape for two-legged walking. The natural curves in the spine serve to cushion impact from movement, absorb shock, preserve balance, and allow range of motion. The three main curves in the spine are known as the cervical curve (the neck region), the thoracic curve (the upper back) and the lumbar curve (the lower back).
There are 7 cervical vertebrae, 12 thoracic, 5 lumbar, 5 sacral and 4 coccygeal vertebrae. The sacral and coccygeal vertebrae are those located lowest in the spine, below the area of the lumbar curve. Twenty-four of the vertebrae in your spine are moveable. They are cushioned by intervertebral discs which act like coiled springs. These discs are fluid filled and—as we age—become thinner and more brittle, often causing us to get shorter. Over time (or as a result of excessive wear and tear or specific injury), they can degenerate, bulge or herniate, potentially causing significant pain and loss of mobility.
There are several other common spinal disorders. Lordosis, also known as “sway back,” occurs when there is abnormal forward curvature of the lumbar spine. Those who have abnormal curvature of the thoracic curve have kyphosis, or “hunchback.” Scoliosis occurs when there is a side-to-side curvature in the spine. Slight curves of less than 20 degrees do not usually present health or problems and are seldom treated. Moderate or severe curves usually require treatment because they can interfere with the functioning of internal organs and may significantly limit physical activity.
While the bones and connective tissues of the spine are very good at what they do, they cannot support the body’s weight and facilitate movement on their own. They need the help of strong core muscles. Good muscle tone is important to help maintain proper posture and spinal alignment. This is why it’s so important for us to put effort into maintaining proper posture when we sit, stand, lie, walk and run. Over time, poor posture can place unnatural stresses on the musculoskeletal system (especially the spine), limiting our range of motion and producing pain.
In addition to its role in supporting the body’s frame and facilitating movement, the spine has another important role as well. The spine’s bony vertebrae also encase and protect the spinal cord, which is connected directly to the brainstem. It’s hard to exaggerate how important this protection is. Damage to the spinal cord can cause numbness and loss of motor function. Injury to the cervical area can cause tetraplegia (also known as quadriplegia), while injury to the thoracic or lumbar area may result in paraplegia, or loss of the use of the legs and trunk.
This article serves as a brief introduction to just one aspect of your anatomy. If you are in the Billings area and need a Billings Chiropractor and you have any questions about your spinal health or your musculoskeletal health more generally, please don’t hesitate to call us at Oblander Chiropractic or visit our office (406-652-3553). We’re here to help!
For many people, colder temperatures outside—whether at home or while traveling over the winter holidays—can mean big changes in exercise routines. Some will move their workouts indoors or hibernate during the winter months. Others, though, will decide to work with the seasons and find ways to be active outside. If you’re one of those people, this article is for you.
While there’s certainly no rule against venturing out into the cold for a little bit of exercise, it’s important to be smart about how you do it. Remember to protect yourself from frostbite, hypothermia, and injuries that can come with freezing temperatures. To help you do that, we’ve put together a short checklist that you can use to exercise outdoors safely this winter.
Remember that Cold Weather is Often Dry Weather. Winter weather is often associated with precipitation. However, as the temperatures drop to dangerous lows—close to freezing and below—the opposite is often true regarding humidity. The air will get drier, and even if you don’t sweat as much, you can still lose valuable moisture. When exercising in the cold weather, remember to drink plenty of water, even if you don’t really feel thirsty or sweaty.
Understand the Real Temperature Where You Plan to Exercise. Look up the weather on a website or app before you head out into the cold, but understand the numbers you are looking at. The general weather conditions can differ greatly from place to place locally, even in the same region. Pay especially close attention to wind chill numbers, since the combination of wind and your own movement may lead you to experience lower temperatures. The thermometer may say it’s 35 degrees out, but the wind chill may mean it feels closer to 20 degrees in certain areas.
Dress Appropriately. It may be tempting to bundle up when going out in the cold to work out, but this comes at a cost. Thick, warm clothes will make you sweat more easily, and that sweat can leach heat from your body and allow your temperature to drop to unhealthy levels. The key, as cold weather experts know well, is to dress in layers, starting with a thin synthetic layer of wicking material, then a fleece and finally a thinner waterproof coat. The added benefit to this clothing strategy is that it’s flexible. You can always take off layers if you get too hot.
Warm Up the Extremities. When exercising in the cold weather, pay particular attention to your extremities, which are more vulnerable to frostbite. It’s especially important to cover your fingers and head. If the air is very frigid, cover up your nose and mouth, too: That cold air can damage your lungs and freeze your nose.
Fuel Up. A source of energy is vital to keeping up your metabolism and keeping you warm when out in the cold. Eat a healthy amount of complex carbs and proteins before you go out, and if you’re going to be out for a few hours, then bring a snack along, too. Stay away from sugars and other less dependable sources of energy, if possible.
Start Slow. Stretching and warming up will both make injury less likely and help your metabolism pick up until you are ready for more strenuous work. Always warm up before going out into the winter weather, particularly if you are planning on an intense session with lots of running or heavy exertion. Otherwise, joint and muscle injuries could result.
Know the Danger Signs. Hypothermia and frostbite can creep up on you if you’re not careful. You can defend against the cold better if you recognize the signs. Frostbite occurs on exposed skin like your cheeks, nose, ears, and hands, especially below 20 degrees Fahrenheit. Hypothermia occurs when shivering cannot keep up your core body temperature and your heart and brain begin to shut down. Watch for intense shivering, sudden weariness, slurred words, and trouble with coordination.
Billings and our surrounding areas have had lots of severe cold and snow thus far this winter; be sure to be smart about going outside and take care of your health!
About a third of the millions of people who make appointments with chiropractors every year seek relief from back pain. Back pain can be acute, meaning it happens suddenly, lasts 6 weeks or less and often clears up on its own; or back pain can be chronic, meaning it comes on gradually and lasts 3 months or more. Chronic back pain can be particularly debilitating and can limit movement and mobility.
Traditional treatments for back pain include medication, physical therapy, surgery or steroid injections. While these treatments may provide symptomatic relief, they do not address the root cause of the pain. They can also be painful and expensive to carry out.
The foundation of chiropractic care for chronic back pain is the understanding that misaligned vertebrae can cause the pain. This misalignment can result in many additional problems, such as headaches, body pains and impaired joint mobility. Chiropractic treatment aims to restore alignment to the vertebrae, returning natural health to the spine and all the body parts the spinal nerves serve.
Chiropractors believe in the body’s natural ability to heal itself. Chiropractic care avoids medications and their possible side effects, and it also avoids surgery. As an example of the differences in treatment, surgeons may remove a herniated disk from the spine in order to relieve pressure on the nerves, while chiropractors use non-invasive spinal manipulation to achieve the same result.
Dr. Oblander can treat your chronic pain based on the vertebral misalignments found in your body. A quick, sudden force is applied to the appropriate vertebrae in order to restore the motion of the joint. Another common treatment for chronic pain is known as the flexion-distraction technique. This treatment involves a special table that stretches the spine. It is particularly effective in treating injuries to the discs that have been the cause of long-term back pain.
Chronic back pain will probably also require additional treatments such as massage, exercise, and perhaps physical therapy. A good chiropractor will work with other health professionals as needed to ensure you get the best possible treatment for your pain. He or she will also look at the entire picture of your life, including your diet, health habits, medical history, family history, and other conditions you may have. This approach is holistic and has a better chance of eliminating the root cause of your chronic back pain than traditional treatments that only work on the symptoms.
Every body is different. If you have questions about this article or whether chiropractic is an appropriate choice for your specific situation, please ask. We are here to help those in the greater Billings area!
The last 10 years have seen exceptional innovation in personal electronics. Our smartphones, laptops, and tablets have undoubtedly made it easier to create, consume and share all kinds of content as well as to shop online anywhere and anytime. But they do also have their drawbacks—including negative health consequences. This applies in particular to our posture. The overuse of personal electronic devices is taking a toll on our necks and backs, and this damage could lead to even more serious health issues down the road.
Some medical professionals are calling it the “iPosture Syndrome”. It’s a head-forward posture that many people (teenagers and younger kids included) are developing from hunching over electronic devices for long hours every day. As physiotherapist Carolyn Cassano explains, “If the head shifts in front of the shoulders, as is happening with this posture, the weight of the head increases, and the muscles of the upper back and neck need to work much harder to support it, leading to pain and muscle strain.”
According to CNN, “The average human head weighs 10 pounds in a neutral position—when your ears are over your shoulders. For every inch you tilt your head forward, the pressure on your spine doubles. So if you’re looking at a smartphone in your lap, your neck is holding up what feels like 20 or 30 pounds.” All that additional pressure puts a strain on your spine and can pull it out of alignment.
Also known as “text neck,” this head-forward posture is a fairly new development among younger adults, teenagers and children (some just beginning kindergarten) who are developing chronic neck and back pain as well as early signs of spine curvature. Coined by Dr. Dean Fishman, a chiropractor and founder of the Text Neck Institute in Florida, the phrase “text neck” is defined as an overuse syndrome involving the head, neck and shoulders, usually resulting from excessive strain on the spine from looking forward and downward at a portable electronic device over extended periods of time.
The text neck disorder is unfortunately progressive, meaning that it gets worse over time without treatment. “It can lead to degenerative disk disease which is irreversible, bone spurs start to grow, people get pinched nerves or herniated disks and that can lead to really intense pain,” says chiropractor Dr. Anthony Bang of the Cleveland Clinic.
The doctor explains that the neck should have a banana-like curve. However, people who consistently look down at handheld devices for hours daily are losing that normal curve, thereby developing straight necks. While severe neck problems can result from losing that curve, there are ways to avoid this fate.
“First of all, put it away, it can wait five minutes. Give your neck a break, but if you need to use it, take it and bring it up to eye level so that your head still stays on top of your shoulders instead of stooping down looking at your lap,” said Bang.
CNN also recommends that you “Be aware of your body. Keep your feet flat on the floor, roll your shoulders back and keep your ears directly over them so your head isn’t tilted forward. Use docking stations and wrist guards to support the weight of a mobile device. Buy a headset.”
Now there are even apps to help you with your texting posture. For example, the Text Neck Institute has developed an app that helps the user avoid hunching over. When your phone is held at a healthy viewing angle, a green light shines in the top left corner. When you’re slouching over and at risk for text neck, a red light appears.
A healthy circulatory system is crucial to good health. To be at its best, your body needs to be able to keep blood pumping from the heart and lungs through the arteries to your organs and extremities, and then keep pumping it back to the lungs for re-oxygenation. Anything that interferes with the proper circulation of blood puts your body’s health at risk for lots of reasons.
“Poor circulation” can mean many things. Common symptoms include having consistently cold fingers and toes, experiencing tingling in your feet and hands, feelings of numbness, tiredness and a general lack of energy, and chronically dry skin. More serious symptoms of poor circulation can include headaches, hair loss, dizzy spells, varicose veins, muscle cramps, feeling short of breath, memory lapses (due to impaired blood flow to the brain), bluish-tinted skin, and slow healing times for wounds.
What causes poor circulation?
One of the most common causes is inactivity and lack of exercise. To keep the blood moving, you need to keep your body in motion. And do it often. Poor diet and carrying excess weight can lead to poor circulation, as can diabetes and many other chronic diseases. Medically, if you have been diagnosed as hypertensive (having high blood pressure), this is almost always an indicator of poor circulation. The “high pressure” is caused by your heart having to pump harder to cause the blood to keep flowing, often because of blood vessels that have become constricted because of stress, disease, or the buildup of plaque.
How can poor circulation be treated?
Serious circulatory problems can be treated with medication. But for most people anxious to improve their circulation and thus their overall health, a few lifestyle changes can do wonders:
If any of the symptoms become chronic, see your doctor or chiropractor. Don’t try to “tough it out” and live with the discomfort of consistent symptoms of poor circulation. Some of the causes can be very serious indeed, so see an expert to make sure.
A recent evidence-based report on the effectiveness of chiropractic treatment for people dealing with low back and neck pain contains some very good news. And it’s good news for three important groups of people—patients who benefit from chiropractic, employers who sponsor health care plans, and insurance companies who manage the costs.
The report is called “Do Chiropractic Physician Services for Treatment of Low Back and Neck Pain Improve the Value of Health Benefit Plans?”. It was prepared for the Foundation for Chiropractic Progress by a panel of esteemed medical authors who were tasked with investigating the clinical effectiveness and economic efficiency of today’s chiropractic care.
In their summary, the authors concluded that chiropractic care is “more effective than other modalities in treating low back pain and neck pain.” In terms of cost, they determined that chiropractic care for low back pain, compared with medical physician care, increased annual spending per patient by only $75 per year. For neck pain, there was actually a cost savings – the cost of chiropractic care compared with medical physician care was reduced by $302 per year.
In terms of overall cost-effectiveness, the authors of the report concluded: “When considering effectiveness and cost together, chiropractic physician care for low back and neck pain is highly cost-effective, represents a good value in comparison to medical physician care and to widely accepted cost-effectiveness thresholds.” They also concluded that their cost-savings estimates were likely to be “understated” since their analysis didn’t capture reduced spending on over-the-counter and prescription medications that would have been associated with conventional treatment.
This should indeed be seen as good news by the many Americans who already use chiropractic care to treat their back and neck pain. It should also be considered good news for American employers and health care providers concerned about providing the best value for every dollar in their health benefit plans. But the good news isn’t limited to the US—the researchers found the effectiveness and cost figures also applied in the European Union.
The report authors concluded with an even stronger statement in favor of chiropractic care: “Our findings in combination with existing US studies published in peer-reviewed scientific journals suggest that chiropractic care for the treatment of low back and neck pain is likely to achieve equal or better health outcomes at a cost that compares very favorably to most therapies that are routinely covered in US health benefit plans. As a result, the addition of chiropractic coverage for the treatment of low back and neck pain at prices typically payable in US employer-sponsored health benefit plans will likely increase value-for-dollar by improving clinical outcomes and either reducing total spending (neck pain) or increasing total spending (low back pain) by a smaller percentage than clinical outcomes improve.”
Older adults have long relied on chiropractic care to help keep them healthy and active. However, little scientific data has been gathered about the use of chiropractic by seniors, and few studies have been conducted to evaluate the potential benefits. New research published in the March edition of the Journal of Manipulative and Physiological Therapeutics has helped to fill this important gap. The investigators’ findings confirmed what chiropractors and their older patients have known for some time. Not only does chiropractic care help relieve older adults’ back pain, it also seems to keep them more active and protect them from limitations in their daily activities.
The study analyzed data on 1,057 Medicare recipients gleaned from nationwide research conducted by the Centers for Medicare and Medicaid Services, called the survey on Assets and Health Dynamics among the Oldest Old (AHEAD). In the AHEAD survey, a subset of patients who had been identified as suffering from back pain were asked questions about their overall health as well as their ability to complete activities of daily living (ADL) and their lower body function. ADL was defined as normal activities such as walking up stairs, doing household chores, and going shopping for groceries. The researchers then compared the survey information with medical records indicating which of the older adults had received either medical care or chiropractic care during the 11-year period covered by the study.
After analyzing the data, the researchers found that the chiropractic patients were much less likely to show declines in ADF and lower body function than patients who received only medical care. This indicates that they were more able to maintain an active lifestyle. The chiropractic patients were also less likely to report significant declines in their health.
The researchers thus concluded that chiropractic care appears to have had a protective effect against age-related frailty and disability. As they said in the study, “These results suggest that when chiropractic care is delivered in practice at care levels comparable to those used in clinical trials and relative to the types of services delivered within an episode of medical care only, chiropractic confers significant and substantial benefits to older adult functional ability and self-rated health.”
The findings were considered particularly significant because Medicare patients have a great deal of flexibility with respect to treatment options. They can consult medical doctors, doctors of chiropractic, physical therapists, internists, neurologists, orthopedists, and interventional pain providers. This means that the results attributed to chiropractic care were achieved in a setting where patients had access to a wide variety of therapies rather than in a clinical study format where subjects typically have only one or two options available to them.
This research also added to the existing body of evidence that chiropractic care is safe for seniors with back and neck pain, and that chiropractic can offer substantial relief for spinal conditions such as arthritis and disk herniation. Because aging causes the degeneration of spinal disks, regular chiropractic care may help to make seniors less prone to painful and debilitating back injuries like bulging disks and pinched spinal nerves.
All of this means that older chiropractic patients may be better able to enjoy their “golden years” freer from pain and disability. And it also means that they may be able to maintain a more active and healthier lifestyle.
Fashion before comfort… and health! That seems to be a prevailing attitude in the United States, particularly among women out shopping for new shoes. And while there are a number of shoe styles that can cause foot problems, the high heel (especially the ultra-high heel) is by far the biggest culprit. According the American Podiatric Medical Association:
Ultra high-heels have many podiatrists concerned: According to Hillary Brenner, DPM, a spokeswoman for the American Podiatric Medical Association, “Heels are getting higher and higher,” she says. “We podiatrists like to call it shoe-icide.” Ultra-high heels often result in an array of injuries, short- and long-term, from ankle sprains to chronic pain and many issues in-between.
“Ultra-high heels force the feet into a position that puts stress on the ball of the foot,” continues Brenner. “At this critical joint, the long metatarsal bones meet the pea-shaped sesamoid bones, and the toe bones (phalanges). Too much pressure can inflame these bones or the nerves that surround them. Chronic stress to the foot bones can even lead to hairline fractures.”
However, heels in general, whether they’re stilettos or mid-heels, are hobbling women all around the country. High heels are known for producing a tender knot on the back of the heel, called the “pump bump” by some. This is a result of the pressure from the stiff, unyielding high-heel on the back of the foot. Blisters, swelling, bursitis, and even discomfort in the Achilles tendon can follow.
Additionally, all high heels increase the danger of an ankle sprain. The issue most seen by podiatrists is a lateral sprain, which occurs when a walker rolls onto the outside of their foot, stretching the ankle ligaments beyond their usual length. A serious sprain may even tear the ligaments and increase the risk of developing osteoarthritis.
In podiatrists’ and other medical professionals’ offices across the country, women are presenting with mild to severe foot problems due to wearing the wrong shoes. Other shoes that can cause foot pain and other issues include:
So what can a woman do to stay fashionable and keep her feet healthy and pain-free? For those who love high heels, consider performance pumps, which most often come with reinforced heels, athletic shoe construction, and more wiggle room for the toes.
Another solution for the pump enthusiast is a chunky-heeled shoe. Chunky heels allow better balance with a wider surface area, which gives the foot much more stability thereby diminishing the risk of ankle sprains.
For other shoes such as ballet flats, orthotic inserts can offer the support that the shoes lack. If you’re unsure about what kind of insert is best for your feet, talk to your podiatrist to get an informed opinion on how to best take care of your feet—and look good doing it.