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Modern Treatment for Back Pain: Beyond Bed Rest, Pain Pills and Surgery

Modern Treatment for Back Pain: Beyond Bed Rest, Pain Pills and Surgery

chiro_counseling-whiteboard-200-300According to the National Institutes of Health and Dr. Michael S. Wilkes of the Western Journal of Medicine, “Despite a plethora of research intended to guide physicians in their management of back pain, physicians still hold strong non-evidence based beliefs dating back to the 19th century.”  What beliefs is Dr. Wilkes referring to?  He’s talking about the long-held conventional wisdom that says bed rest is one of the best ways to treat back pain.

And it turns out that physicians aren’t the only ones who hold “strong non-evidence based beliefs” about how back pain should be treated.  One study, according to the Daily Mail, found that 35% of people thought bed rest is the best way to handle such aches and pains. The study included 1,000 people from 25–65 years of age.

So why are many doctors so quick to prescribe bed rest?  And why are so many patients inclined to comply?  Simple—pain avoidance.  Certainly our minds are part of the feedback loop in any therapy, especially where intense pain is involved. Dr. Michael Vagg, Clinical Senior Lecturer at Deakin University School of Medicine has pointed out that the mind’s expectation of pain “can itself cause protective movements to persist for longer than necessary.”  Thus, the tendency to use bed rest as a solution.

The Evidence Against Bed Rest

For most types of back pain, there is powerful evidence that extended bed rest does not help. One study showed that when comparing routine care, bed rest and exercise, bed rest seemed to result in greater intensity of pain, greater disability and more work days lost. Exercise had the most favorable outcome. According to Wilkes, “14 of 18 controlled studies do report that active exercise can improve outcomes.”

Short-term bed rest can be helpful to reduce painful muscle spasms when such spasms are an attempt for the body to limit movement in an injured part of the body.  However, bed rest restricts the spine’s motion and, unlike other body parts, spines require motion in order to get nutrients to stay healthy.  Restricted movement can result in lost strength and can make it harder for the spine to recover.  When the patient is experiencing their most acute back pain, they may need to temporarily change their routine, but the majority of such patients should minimize bed rest and return to their normal routine as soon as possible. Exercise can help produce better results and quicken the healing process.

Part of a Broader Pattern

Unfortunately, the outdated (and ill-advised) bed rest recommendation is part of a broader pattern that some healthcare observers believe they see in the treatment of back pain.  Dr. Bruce Landon, a professor of health care policy at Harvard Medical School, and a team of researchers have found that many medical doctors ignore expert clinical guidelines when it comes to treating back pain.  And the results aren’t limited to inappropriate guidance about bed rest.  They include unnecessary medical imaging, needless exposure to addictive painkillers and surgeries that are often risky, expensive and ultimately ineffective.

Interestingly, a study published in the September 2014 edition of the Journal of the Canadian Chiropractic Association found that chiropractors, physical therapists and medical doctors have very different rates of adherence to current evidence-based practice guidelines as they relate to treating nonspecific back pain.  Their analysis found that medical doctors follow such guidelines only 52% of the time, compared with 62% for physical therapists and 73% for chiropractic physicians.

Whether you’re suffering from acute or chronic back pain, it’s important to seek out the best evidence-based treatment you can find.  Chiropractors are experts in diagnosing and treating health conditions that affect the musculoskeletal and nervous systems, especially those that involve the back and the neck.  Chiropractic treatment has been shown in studies to be both safe and effective.  Plus, chiropractic patients have consistently reported high levels of satisfaction with the results as well as the experience.

If you or someone you care about is suffering from back pain, there’s help available.  Remember—you have options!  We encourage you to call or visit our office today!

Golfers Swing into Summer with Chiropractic Care

Golfers Swing into Summer with Chiropractic Care

afternoon golfing
afternoon golfing

PGA golfers Tiger Woods and Padraig Harrington have relied on chiropractic care for years to stay healthy and to improve their performance over the course of their professional careers. Fred Funk and Suzann Pettersen have too. So have a great many others. So there’s really little doubt that elite golfers (and their coaches and trainers) recognize the value of chiropractic care. But what about the weekend warrior? Can chiropractic care help the average golfer play better, longer and with fewer injuries?

If you’re a golfer, you might already know first-hand that your musculoskeletal health plays a huge role in your enjoyment of the sport as well as your performance.

One of the most important things to understand is that the biomechanics of your golf swing can affect your health (back, hips, neck, elbows, etc.) and vice-versa—that your health can affect your swing.  It’s really a feedback loop that can have either a positive or negative effect on your game over time.

Many professionals around the broader golf community—from instructors and trainers to healthcare providers who specialize in sports medicine—are becoming increasingly interested in this feedback loop.  The Titleist Performance Institute (TPI) is one very good example:

“…TPI has analyzed how physical limitations in a player’s body can adversely affect the golf swing and potentially lead to injury.”

“TPI’s mission is to educate golfers and industry professionals on the body/swing connection…”

Let’s talk health first.

The very nature of golf and the biomechanics associated with swinging a club make chiropractic care a great fit for golfers. Golfing can involve considerable strain on the spine as a result of the need to generate club head speed. This requires good swing mechanics—posture, balance and timing. Poor swing mechanics have the potential to create exaggerated or flattened spinal curves that can seriously affect performance. In fact, Tom Ward, PGA Golf Instructor, says, “Over 50% of all golfers will experience some sort of pain due to poor posture and the problems that arise from loss of proper curves in the spine.”

By helping to improve your spine’s stability and range of motion, chiropractic care can help prevent injuries and enhance swing performance. An individualized treatment plan including chiropractic adjustments combined with structured stretching and exercise programs may make a significant difference in how well you golf and how much you enjoy it—as well as in how long you’re able to play the game.

Now what about performance?

Recent research suggests that chiropractic care can indeed lead to improved golf performance. A recent study published in the Journal of Chiropractic Medicine demonstrated that the combination of chiropractic care and stretching are associated with greater improvements in golfers’ swings when compared to stretching alone.

Two groups of golfers participated in the study. One group received a program of stretching only, and the second received both stretching and spinal manipulation. The stretching program was the same for both groups, and both groups had similar average ages, handicaps, and initial swings. All 43 participants initially performed three full swing maneuvers, and the average distances were recorded. Over a 4-week period, all participants hit 3 balls before and after treatment.

After 4 weeks, the stretching only group showed no improvement in swing performance.  However the stretching and manipulation group did improve their swing performance and there was greater driving distance right after treatment each week. So it appears that yes, chiropractic care can help not only top golfers such as Woods and Harrington, but it can help you improve your golf game too.

A good golf swing is the result of a complex combination of balance, flexibility and strength.  And doing it repeatedly over the course of 18 holes (or even more in tournament play) takes a high degree of conditioning as well. If you’re serious about golf, chiropractic care can help you play better, play longer and avoid injuries while you’re doing it!

Call or visit our office today to learn more!

Modern Treatment for Back Pain: Beyond Bed Rest, Pain Pills and Surgery

Modern Treatment for Back Pain: Beyond Bed Rest, Pain Pills and Surgery

chiro_counseling-whiteboard-200-300According to the National Institutes of Health and Dr. Michael S. Wilkes of the Western Journal of Medicine, “Despite a plethora of research intended to guide physicians in their management of back pain, physicians still hold strong non-evidence based beliefs dating back to the 19th century.”  What beliefs is Dr. Wilkes referring to?  He’s talking about the long-held conventional wisdom that says bed rest is one of the best ways to treat back pain.

And it turns out that physicians aren’t the only ones who hold “strong non-evidence based beliefs” about how back pain should be treated.  One study, according to the Daily Mail, found that 35% of people thought bed rest is the best way to handle such aches and pains. The study included 1,000 people from 25–65 years of age.

So why are many doctors so quick to prescribe bed rest?  And why are so many patients inclined to comply?  Simple—pain avoidance.  Certainly our minds are part of the feedback loop in any therapy, especially where intense pain is involved. Dr. Michael Vagg, Clinical Senior Lecturer at Deakin University School of Medicine has pointed out that the mind’s expectation of pain “can itself cause protective movements to persist for longer than necessary.”  Thus, the tendency to use bed rest as a solution.

The Evidence Against Bed Rest

For most types of back pain, there is powerful evidence that extended bed rest does not help. One study showed that when comparing routine care, bed rest and exercise, bed rest seemed to result in greater intensity of pain, greater disability and more work days lost. Exercise had the most favorable outcome. According to Wilkes, “14 of 18 controlled studies do report that active exercise can improve outcomes.”

Short-term bed rest can be helpful to reduce painful muscle spasms when such spasms are an attempt for the body to limit movement in an injured part of the body.  However, bed rest restricts the spine’s motion and, unlike other body parts, spines require motion in order to get nutrients to stay healthy.  Restricted movement can result in lost strength and can make it harder for the spine to recover.  When the patient is experiencing their most acute back pain, they may need to temporarily change their routine, but the majority of such patients should minimize bed rest and return to their normal routine as soon as possible. Exercise can help produce better results and quicken the healing process.

Part of a Broader Pattern

Unfortunately, the outdated (and ill-advised) bed rest recommendation is part of a broader pattern that some healthcare observers believe they see in the treatment of back pain.  Dr. Bruce Landon, a professor of health care policy at Harvard Medical School, and a team of researchers have found that many medical doctors ignore expert clinical guidelines when it comes to treating back pain.  And the results aren’t limited to inappropriate guidance about bed rest.  They include unnecessary medical imaging, needless exposure to addictive painkillers and surgeries that are often risky, expensive and ultimately ineffective.

Interestingly, a study published in the September 2014 edition of the Journal of the Canadian Chiropractic Association found that chiropractors, physical therapists and medical doctors have very different rates of adherence to current evidence-based practice guidelines as they relate to treating nonspecific back pain.  Their analysis found that medical doctors follow such guidelines only 52% of the time, compared with 62% for physical therapists and 73% for chiropractic physicians.

Whether you’re suffering from acute or chronic back pain, it’s important to seek out the best evidence-based treatment you can find.  Chiropractors are experts in diagnosing and treating health conditions that affect the musculoskeletal and nervous systems, especially those that involve the back and the neck.  Chiropractic treatment has been shown in studies to be both safe and effective.  Plus, chiropractic patients have consistently reported high levels of satisfaction with the results as well as the experience.

If you or someone you care about is suffering from back pain, there’s help available.  Remember—you have options!  We encourage you to call or visit our office today!

Summer SAD Explained

Summer SAD Explained

sad woman near windowSeasonal Affective Disorder (SAD) in winter is a widely-known phenomenon. There is less sunlight during winter days, which affects the serotonin (“happy” hormones) produced in response to light striking our pineal gland, causing depression and listlessness. But not many people are aware that SAD has a summer equivalent as well. Studies performed on people in countries near the equator have found that their populations often suffer from SAD in the summer months. But what can be its cause?

For some people, the seasonal change to summer can cause depression, agitation and irritability. Although it is thought to affect only 1% of the population, it is a real phenomenon nevertheless. Not everyone is happy with hot temperatures, and many people suffer through the increased heat and humidity. It becomes more difficult to sleep, many suffer a loss of appetite and/or just don’t want to cook in hot, steamy weather. They may exercise less because of the heat and spend hours in an air-conditioned living room watching TV because it’s too hot to do anything else.

We are also very much creatures of habit, and any change to our daily routine and circadian rhythms (which are responsible for the sleep-wake cycle) can upset our balance. In summer the kids are home, families often go to sleep and wake up at different times and have a whole new daily routine. In the midst of all that, many Americans and Europeans choose to take their annual vacation during these months, which further upsets their regular schedules (as pleasant as that interruption usually is). Your habits of sleep, work and meals can change radically in the summer months.

Then there’s the issue of body image. In the cooler months, those of us who do not still maintain the body of an active 20-year-old can cover up our various bumps and bulges in loose sweaters. Not so in the summer.  Even a modest bathing suit at the beach reveals more than many of us would like. And many people starve themselves in an effort to get their “bikini body” back for their two-week holiday by the sea, adding to the stress their body must endure.

Finally, the financial strain that a summer vacation puts on the budget can also take its toll. In addition, many working parents have to pay for childcare in the summer, or have to fork out a significant sum for camp, so summer is not always the best time for a family financially, increasing stress and rates of summer depression. And for families who can’t afford either childcare option, three solid months of having the kids at home all day can drive even the most patient parent up a wall.

To combat summer depression, there are a number of things you can do. First, be sure you give yourself sufficient sleep and exercise. It’s tempting to stay up later than usual in the summer months, but remember that 7 to 8 hours of sleep a night are necessary in order to function at your best. If it’s too hot to exercise, try exercising late at night or early in the morning before things heat up. You can also join an air-conditioned gym for a couple of months until things cool down.

Eat a sensible, balanced diet high in fruits and vegetables, which help to keep you hydrated while providing important nutrients. Don’t try to lose a bunch of weight all at once. Planning ahead is your best option, as you can put away a little money every month toward your summer holiday and can also gradually lose any excess weight before beach season without putting stress on your body. Finally, plan to do something fun. Call a friend to come over and join you to share a movie in your air-conditioned house or go out for exotic cocktails with your partner. The good news is that summer depression can be prevented or managed with a just little advance planning.

Those who suffer from summer SAD often find that the symptoms disappear with the return of fall and a more “normal” lifestyle rhythm. However, if you find that your depression continues well after the seasons begins to turn, it may be a good idea to consult your physician.

 

The Joys of Swimming for Fun and Fitness

The Joys of Swimming for Fun and Fitness

man-swimmming-200-300With summer weather heating things up across much of the country, swimming is a great way to cool off and have some fun!  But did you know that it’s also an excellent way to increase your fitness, help control your weight and improve your overall mood?  Plus, swimming is a type of exercise that people of any age and physical ability can enjoy.  It’s easy on the musculoskeletal system while at the same time providing a good aerobic workout.

Swim for Fun

Even among avid swimmers, boredom in the pool is one of the common reasons for losing interest in sport.  While swimming laps in the pool may not seem like a recipe for fun, here are a few things you can do to add some variety to your in-water workouts.

  • Plan your in-pool workout ahead of time and vary your activities so that variety is built-in.
  • Swim with buddies who have the same water fun and fitness goals that you do.
  • When swimming laps, do things to keep your mind engaged in your activity and help sharpen your technique.  Counting how many strokes you need to complete a length of the pool and how quickly you can do it is one way to look for improvements.  Experimenting with stroke length is another.
  • If you have the option, change up the locations of your swimming workouts.  A change of scenery—from an indoor pool to an outdoor one, or from a lake to the ocean—can make a big difference in how your workout feels.
  • Add to your “playbook” of swimming drills.  You can reach out to others or go online for suggestions to help mix things up.
  • Learn some new strokes or make up some of your own.  You might look silly doing it, but it adds to the experience!

Swim for Fitness

While swimming may not be as accessible as walking, running or even biking in some communities, it has distinctive health benefits that make it well worth the trip to a local pool.  The organization that governs all swimming-related activities in the UK (called the ASA) compiled a report of scientific findings from all over the world about the health benefits of swimming.  Some of them are truly striking.  For instance, researchers have found that swimming regularly reduces men’s risk of dying early by a staggering 50% relative to those who run, walk or do no physical activity.  Experts estimate that just two and a half hours per week of swimming can significantly reduce your risk of chronic disease.

A good all-around exercise, swimming involves both aerobic activity and working against resistance.  Unlike most aerobic activities, however, swimming involves little in the way of jarring impact (like the shocks and jolts involved with running) and doesn’t require you to support your full body weight while doing it.  When submerged up to your neck in water, your body weight is effectively reduced by 90 percent.  As a result, overweight and obese people can get a good workout without placing large amounts of painful stress on the lower body’s muscles and joints.  This removes a common deterrent to exercise for a large (and growing) part of the US population and suggests that swimming could be an attractive option for people trying to manage their weight.

Arthritis sufferers or those with musculoskeletal injuries can also benefit from swimming, since studies have shown that it improves range of motion without causing a worsening of symptoms such as pain and stiffness.  In fact, according to the UK’s Chief Medical Officer, swimming as a form of exercise (as opposed to running or practicing other impact sports) can reduce your risk of osteoarthritis.

Beyond increasing fitness levels and helping to manage weight, swimming may provide a variety of other health benefits:

  • Studies performed on people suffering from fibromyalgia have found that exercise performed in a warm pool reduced anxiety and depression and caused an improvement in mood.
  • For older adults, swimming has been shown to improve quality of life and reduce the risk of osteoporosis.  Post-menopausal women in particular are at increased risk of bone loss, and swimming provides a safe and effective form of the resistance exercise that is needed to maintain bone density.
  • Pregnant women find that swimming strengthens their shoulder and abdominal muscles, which are put under increased stress during pregnancy.  Obstetricians recommend swimming as a good form of exercise for most pregnant women, as it provides them with temporary relief from the extra weight they are carrying.

It’s hard to exaggerate the potential fitness benefits of swimming.  Swimming helps to build cardiovascular fitness, muscle strength and endurance.  It tones your muscles and helps to maintain healthy heart and lung function.  It also improves flexibility, reduces blood pressure and alleviates stress.  Whether in a community pool, at a nearby lake or in the ocean, swimming offers an ideal way for most people to keep fit that’s also easy on the body’s musculoskeletal system.

So get out there this summer and have some fun in the water!

Seven Deadly Health Sins

Seven Deadly Health Sins

jolly-roger-200-300Behind many of the debates about healthcare in the US—its availability and cost as well as its effectiveness—is an important phenomenon. The demands being placed on healthcare providers are growing and changing (at least in large part) because of the way we live our lives.  Day-to-day choices we all make are contributing to a wide variety chronic health conditions that are sometimes referred to as “lifestyle diseases.” And while our healthcare system is very good at treating acute medical problems, it is not very good at preventing or treating chronic ones.

In many cases, it’s fair to say that the health we get in the future is a result of the lifestyle decisions we make in the present. With this idea in mind, it’s also fair to ask whether it makes good sense to ask our healthcare system to single-handedly save us from the effects of our own unhealthy habits. This is why, as chiropractic physicians, we work closely with our patients to help them be more active in their own health by taking more responsibility for their own lifestyle choices.

So which lifestyle choices are causing the most trouble? While we could obviously point out harmful behaviors like smoking, drinking too much alcohol or using harmful drugs, the behaviors that really need more attention from most people are much more fundamental. We call these the “Seven Deadly Health Sins” that compromise longevity and quality of life.

Sitting Too Much. According to the Mayo Clinic, those who have a sedentary lifestyle are in danger of things like “obesity and metabolic syndrome — a cluster of conditions that includes increased blood pressure, high blood sugar, excess body fat around the waist and abnormal cholesterol levels.” A recent study showed that those who spend a large amount of time in front of a television or other forms of screen entertainment had a roughly 50% greater risk of death from any source.

Eating Too Much Fat, Sugar and Salt. The typical American diet not only contains too many calories, it’s also too high in fat, salt and sugar. In excess, these ingredients (all too common in processed foods) trigger a wide range of complex, self-inflicted health problems.

Sleeping Too Little. According to a recent poll by the National Sleep Foundation, a combination of daily stress and lifestyle choices (including nighttime activities as well as eating and exercise habits) is causing more than a third of the U.S. population to get fewer hours of sleep than they need.

Drinking Too Little Water. Most of us would be much better off if we drank lots more water and fewer sugary drinks. While there’s no real evidence that Americans are chronically dehydrated (despite all the hard work of bottled water companies), there is plenty of evidence that the things we are drinking aren’t particularly good for us from a nutritional point of view.

Mismanaging Stress. Our relationship with stress is a complicated one. The simple truth is that stress itself isn’t inherently positive or negative for our health. The thing we actually have to pay attention to is how we respond to it. While the physiological stress response we’ve inherited through evolution is designed to help us confront immediate physical dangers, most of today’s threats aren’t immediate or physical. The result of this mismatch is that our “fight or flight” response may stay switched on for much longer periods than nature intended. This in turn can cause a variety of health problems. Since stress is an inevitable part of modern life, it’s important for us to embrace the positive view of stress that helps us grow and develop while also learning how to turn off the harmful effects.

Ignoring Posture Problems. The way we carry ourselves while sitting or standing can have lasting implications for our musculoskeletal health. The bad news is that poor posture can reduce our strength, flexibility, and balance and—at the extreme—can cause pain and even compromise organ function. The good news is that posture problems can be corrected once they’ve been recognized. Even better, it’s possible to prevent them by developing good habits in the first place.

Putting Off Preventive Healthcare. The best time to pay attention to your health is while you still have it. Unfortunately, many Americans still cling to the reactive “sickness care” model and don’t take full advantage of the expanded preventive care options that have been made available to them as a result of the Affordable Care Act (ACA). The US Department of Health and Human Services estimates the ACA made 76 million Americans “newly eligible” for free preventive care. But a Kaiser Health Tracking Poll in March 2014 revealed that only 43% of the population was aware of the change, meaning that many people are probably foregoing preventive care out of cost concerns. Remember—it’s always better to recognize and treat a health problem early before it grows worse and becomes more difficult to address!

By avoiding these Seven Deadly Health Sins, you can also avoid many chronic health conditions. If you or someone you care about has health questions or concerns, we encourage you to call or visit our office today. We’re here to help!

10 Great Reasons to Stay Hydrated

10 Great Reasons to Stay Hydrated

water peak 2
water-droplet-in-glass

Water is essential to life. Our bodies are already 60%-70% water, and those reserves need to be replenished on a daily basis to keep us healthy. Add either extreme heat or extreme cold (both of which dehydrate us), and drinking enough water becomes even more critical.

Exactly how much water we should drink each day is an open question. As reported by the Mayo Clinic, the Institute of Medicine has determined that adequate water intake per day is roughly 3 liters (about 13 cups) for men and 2.2 liters (about 9 cups) for women. Some sources recommend more, some less, but there seems to be no question within the healthcare community that many of us should be drinking more water than we are. Here are a few reasons why:

  1. Water curbs your appetite, and contains zero calories. Both of these reasons should have some appeal to you whether you’re actively trying to lose a few pounds or just trying to maintain a healthy weight. Studies have shown that often when people think they’re hungry, they’re really thirsty.
  2. Water increases your energy levels. Studies have indicated that a cup of water can be more effective at boosting your energy levels than a cup of coffee. One suspected reason for this is that our perception of fatigue is often caused more by dehydration than actually being tired.
  3. Water is good for your skin. Rather than investing in expensive creams and lotions, why not invest in a few more glasses of water per day? They will help to keep your skin healthy, radiant, and glowing. And it’s a lot less expensive than anything you could buy at the cosmetics counter.
  4. Water increases your brain power. According to a study in Frontiers in Human Neuroscience, subjects who drank a glass of water before performing a series of cognitive tasks reacted faster and thought more clearly than subjects who did not.
  5. Water helps maintain the balance of your other bodily fluids. You lose moisture daily via sweat and other excretions. Similarly, your blood, lymph, and intestinal fluids become depleted, and must be replenished with a proper intake of water.
  6. Water improves your moods. Although there are many causes of depression, headaches, irritability, and fatigue, one of the most common is dehydration. When your body becomes low on water, your blood vessels dilate, causing all of these symptoms. Increasing your daily intake of water can counter and reverse them.
  7. Water lowers your risk of heart attack. When your arteries and veins become clogged with plaque, you increase your likelihood of heart disease—one of the most effective ways of preventing this buildup of plaque is to remain properly hydrated. A study in the American Journal of Epidemiology found that drinking more water was positively associated with a decrease in the risk of coronary heart disease. Drinking liquids other than water increased this risk, according to the same study.
  8. Water can keep your joints lubricated, too. The synovial fluid that keeps your joints functioning properly and that keeps your bones from rubbing against each other becomes depleted when you are dehydrated. Drinking more water prevents this.
  9. Water improves your digestion. Your ability to digest your food depends on the proper functioning of a series of enzymes in your intestinal tract. The “delivery mechanism” for these enzymes is water—don’t get enough of it, and your ability to digest and assimilate nutrients in your food breaks down.
  1. Water even prevents fluid retention. This sounds counter-intuitive, but it’s true. Dehydration causes the body to retain water, because it thinks there is a critical lack of it. Drinking more water actually causes your body to stop retaining it.
What You Should Know About Recovering from Auto Injuries

What You Should Know About Recovering from Auto Injuries

ambulance-200-300America’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!

Short on Time During Your Workout? Don’t Skip the Stretching!

Short on Time During Your Workout? Don’t Skip the Stretching!

Little ballerinas
Little ballerinas

Why is stretching the part of our workout regimen that so many of us tend to skip? We might tell ourselves it’s because we’re sort on time, that we’re impatient or that (deep down) we believe stretching is really pointless. But however we rationalize it, skipping the stretching is a BAD idea!

It’s probably obvious that our joints were designed to be able to move in various directions with a certain degree of freedom. But as our bodies age, we become stiffer and lose the flexibility we had when we were young. In fact, chances are (unless you happen to be a dancer or gymnast), that process will start even before you reach your 20th birthday. However, it’s never too late to regain some of that youthful flexibility by becoming more serious about stretching. Combined with strength training, proper stretching can help prolong our mobility and independence—allowing us to perform basic day-to-day tasks well into our senior years. Reaching that high shelf, bending to pick up a dropped object, and accessing that hidden switch behind an awkward kitchen cabinet are all great examples.

One reason it’s really important to stretch before working out is that we are likely to use muscles and connective tissues that are normally inactive. Without flexibility, the risk of getting hurt goes up. However, stretching can help prevent (or even treat) some common types of musculoskeletal injuries if it’s done correctly. Plus, it can feel good! Stretching can be a great way to start the day or to wind down after work.

Preparing the body for exercise by warming up the muscles (increasing blood flow) and stretching is easy and need not take up much of your time. Simply begin moving the various muscle groups in a deliberate way, with slow stretches of the joints towards the end of their range of motion. As you do this, you should notice a gentle “pulling” sensation and hold the position for up to half a minute. Then stretch the alternate side or move on to other muscle groups. Not only does stretching prevent injury, but it also improves the mechanical efficiency of your body. Stretching prior to exercise means muscles and joints are able to move through their full range of motion with less effort when exercising , improving performance.

Other benefits of stretching include improved circulation, less pain and faster recoveries following workouts, and better posture. If you find yourself arriving home stiff and achy from sitting at a desk all day and then commuting—try stretching. You might find that you’ll feel better almost instantly!

Remember—good health is the result of lots of little day-to-day things, including your nutrition, exercise and sleep habits, as well as your healthcare choices. As chiropractic physicians, we’re experts in diagnosing and treating disorders of the musculoskeletal and nervous systems. We’re also experts in prevention and performance. If you’re interested in any of these things, we encourage you to call or visit our office today!

Trampoline Safety: What Parents Should Know

Trampoline Safety: What Parents Should Know

teen-male-on-trampoline
teen-male-on-trampoline

From a health and safety point of view, the best advice we could give parents who are considering letting their kids use trampolines at home is to don’t do it unless you are willing to supervise and attend your children while they play on a trampoline.

Since 1977, the American Academy of Pediatrics (AAP) has strongly recommended against the use of home trampolines by children. In 2009, the last year for which complete data is available, nearly 100,000 people suffered injuries from trampoline use that required a visit to the Emergency Room.

The most compelling reason for not allowing trampoline use in your home is the risk of permanent neurological damage. One study found that 1 out of every 200 trampoline mishaps resulted in this type of injury.  While the overall odds of this happening are small, the effect on a child’s life is potentially devastating.

According to the National Electronic Injury Surveillance System (NEISS), 75% of all trampoline injuries occurred when there were two or more people on the trampoline at one time. NEISS data also show that 29% of trampoline injuries in kids 6–17 were dislocations or fractures. This percentage jumps to 48% in kids 5 and under. What this tells us is that the smaller kids are the most vulnerable.

If you do decide to allow your children to use a home trampoline, there are a few things you (and they) can do to help prevent some types of injuries.

  • Safety Net—Ensure that your trampoline includes a safety net. The AAP has stated that safety nets have not improved injury statistics, but this could be because such netting is rarely installed or used properly.
  • Ground Level—If at all possible, install your trampoline at ground level. This will require digging a hole in which to set up the trampoline. This way, if the safety netting slips or fails, the person using the trampoline won’t have as far to fall.
  • One at a Time—Never let more than one person on the trampoline at a time. Allowing multiple users only magnifies the risk and the energy with which users are catapulted upward.
  • Store—When the trampoline is not in use, disassemble it and place it in storage.
  • Repair—Never use a trampoline that is ripped or damaged.
  • Padding—Make sure the trampoline is properly padded, covering the springs and other hardware with a different color.
  • Center—Always jump in the center of the trampoline for greatest control.
  • Simple Jumps—Never attempt somersaults or other complex maneuvers. Such moves should only be attempted under the strict supervision of trained professionals and/or with special safety equipment to ensure maximum protection.
  • Supervision—Children should be actively supervised by an adult at all times. This means that the adult responsible should not be distracted or doing something else. The trampoline user should have their entire attention and the adult should be able to control the user. In other words, if the user does not obey the commands of the adult, the trampoline session should end immediately.

 

As healthcare professionals, our primary message here is a very simple one—and it bears repeating. When it comes to home trampoline use, the best thing you can do for your child’s safety is to wait until they are older before allowing it. The risks far outweigh the benefits.