 As the school year kicks into full gear, many parents are busy picking out supplies, organizing schedules, and ensuring their kids are ready for a successful academic year. One often overlooked aspect of back-to-school preparation is backpack safety. While backpacks are essential for carrying books, lunch, and personal items, improper use can lead to discomfort or even long-term health issues. Here's a guide to help ensure that your child's backpack is a safe and practical tool for their school journey.
Choosing the Right Backpack When selecting a backpack for your child, consider these key factors: - Size Matters: The backpack should be proportional to your child's size. It shouldn’t be too large or too small—just enough to hold their school essentials comfortably. - Padding and Support: Look for padded shoulder straps and a padded back panel. This cushioning helps distribute weight evenly and reduces pressure on your child’s shoulders and back. - Adjustable Straps: Ensure that the backpack has adjustable shoulder straps to allow a custom fit. The bottom of the backpack should rest about 2 inches above your child's waist, and the top should not extend beyond the shoulder blades. - Multiple Compartments: A backpack with multiple compartments can help distribute weight more evenly and keep items organized. It also helps prevent overloading one part of the backpack. Packing Wisely How your child packs their backpack is as important as the backpack itself. Here are some tips to encourage safe packing habits: - Distribute Weight Evenly: Heavier items should be placed closest to your child’s back and in the middle of the backpack. This helps to maintain balance and reduces strain on their shoulders. - Pack Light: Encourage your child to carry only what’s necessary for the day. Excessive weight can lead to poor posture and back pain. The American Academy of Pediatrics recommends that a child’s backpack should not weigh more than 10-15% of their body weight. - Use Both Straps: Teach your child to use both shoulder straps. Slinging the backpack over one shoulder can cause uneven weight distribution, leading to muscle strain and posture issues. Adjusting and Wearing the Backpack Proper adjustment and wearing techniques are crucial for avoiding injuries: - Adjust the Straps: Make sure the shoulder straps are adjusted so the backpack sits snugly against your child’s back. Loose straps can cause the backpack to shift, leading to discomfort and potential injury. - Wear It Properly: Encourage your child to wear the backpack with both straps over their shoulders. They should avoid leaning forward or hunching over, as this can strain their back and shoulders. - Consider a Waist or Chest Strap: For heavier loads, a waist or chest strap can help distribute the weight more evenly and reduce the strain on the shoulders and back. Recognizing Signs of Discomfort It’s important to watch for signs that a backpack may be causing issues: - Pain or Discomfort: If your child complains of back, shoulder, or neck pain, it may be a sign that their backpack is too heavy or not worn correctly. - Posture Changes: Notice if your child is slouching or leaning forward more than usual. This can indicate that the backpack is too heavy or not adjusted properly. - Red Marks: Check for red marks or indentations on your child’s shoulders. This can be a sign that the straps are too tight or the backpack is too heavy. Encouraging Healthy Habits Promoting good backpack habits is a key part of ensuring your child’s safety: - Regular Check-ins: Periodically check the weight of your child’s backpack and ensure it remains within a safe limit. - Educate Your Child: Teach your child about the importance of backpack safety and encourage them to speak up if they experience discomfort. By taking these steps, you can help ensure that your child's backpack is a tool that supports their learning and growth rather than a source of discomfort or health issues. A well-chosen, properly packed, and correctly worn backpack is essential for promoting good posture and overall well-being. As always, keep communication open with your child about their comfort and make adjustments as needed. Here’s to a safe and successful school year!
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 Lower Cross Syndrome (LCS) is a common postural issue that affects many people, often without them even realizing it. It’s characterized by a particular pattern of muscle imbalances in the lower body that can lead to discomfort, pain, and even functional impairments. In this blog post, we’ll dive into what Lower Cross Syndrome is, how it develops, and practical strategies for addressing it.
What Is Lower Cross Syndrome? Lower Cross Syndrome is a condition where there is a specific pattern of muscle weakness and tightness in the lower body. This imbalance typically involves:
How Does Lower Cross Syndrome Develop? Lower Cross Syndrome can develop from various factors, including:
Recognizing the Symptoms People with Lower Cross Syndrome might experience:
Addressing Lower Cross Syndrome Correcting Lower Cross Syndrome involves both strengthening and stretching exercises, as well as lifestyle adjustments. Here are some effective strategies: Stretch Tight Muscles
Conclusion Lower Cross Syndrome is a manageable condition that often results from modern lifestyle habits and poor posture. By understanding the muscle imbalances that contribute to LCS and implementing targeted stretches, strengthening exercises, and postural corrections, you can alleviate symptoms and improve your overall function and well-being. Remember, consistency is key, and it may also be beneficial to consult with a healthcare professional or physical therapist for personalized advice and guidance. By addressing Lower Cross Syndrome, you’re not only tackling a specific issue but also investing in your overall health and posture, setting the stage for a more comfortable and active lifestyle.  In today's fast-paced world, many of us spend a significant portion of our day sitting at desks, hunched over computers, or looking down at our smartphones. Over time, these poor postural habits can lead to a condition known as Upper Cross Syndrome (UCS). In this blog post, we'll delve into what Upper Cross Syndrome is, its causes, symptoms, and explore treatment options to alleviate its effects.
What is Upper Cross Syndrome? Upper Cross Syndrome is a musculoskeletal condition characterized by muscle imbalances and poor posture in the upper body. It typically involves a combination of tightness and weakness in specific muscle groups, leading to pain, discomfort, and reduced range of motion in the neck, shoulders, and upper back. It was first described by Dr. Vladimir Janda, a Czech physician who specialized in musculoskeletal medicine. The syndrome is called "upper cross" because of the pattern of muscle imbalance that forms an X shape across the upper body. In UCS, certain muscles become tight and overactive, while others become weak and inhibited. Typically, the tight muscles include the upper trapezius, levator scapulae (muscles along the back and side of the neck), and pectoralis major and minor (chest muscles). Conversely, the weakened muscles often include the deep cervical flexors (front neck muscles), lower trapezius, and rhomboids (muscles between the shoulder blades). Causes of Upper Cross Syndrome:
Symptoms of Upper Cross Syndrome:
Long-Term Effects If left Untreated: Upper Cross Syndrome can lead to more serious issues, such as:
Treatment and Management:
Conclusion: Upper Cross Syndrome is a common condition resulting from muscle imbalances and poor posture, often exacerbated by modern lifestyles. By understanding its causes, recognizing the symptoms, and implementing appropriate treatment strategies, individuals can alleviate pain, improve posture, and enhance overall well-being. Remember, proactive management is key to preventing the progression of Upper Cross Syndrome and maintaining optimal musculoskeletal health.  Understanding Degenerative Disc Disease: Causes, Symptoms, and Treatment Options
In the realm of spinal health, few conditions are as commonly misunderstood yet impactful as degenerative disc disease (DDD). Despite its name, DDD is not actually a disease but a condition that affects the spinal discs as a result of natural wear and tear over time. Let's delve deeper into what degenerative disc disease entails, its causes, symptoms, and available treatment options. What is Degenerative Disc Disease? Degenerative disc disease refers to changes in the spinal discs, which act as cushions between the vertebrae in our spine. These discs are composed of a tough outer layer (annulus fibrosus) and a gel-like inner core (nucleus pulposus). As we age, these discs can degenerate or break down, leading to a variety of symptoms. Several factors contribute to the development of DDD: 1. Age: The primary risk factor is aging. As we grow older, the discs lose water content and elasticity, making them less effective as shock absorbers. 2. Genetics: Some people may have a genetic predisposition to developing DDD, where their discs naturally degenerate more rapidly. 3. Lifestyle Factors: Activities that place repetitive stress on the spine, such as heavy lifting, twisting motions, or excessive sitting, can accelerate disc degeneration. 4. Injuries: Trauma to the spine, such as from a fall or a sports injury, can also contribute to the development of DDD. Symptoms of Degenerative Disc Disease The symptoms of DDD can vary depending on the location and severity of the affected discs. Common symptoms include: - Pain: Typically in the lower back or neck, which may radiate to the buttocks or thighs. - Stiffness: Especially after prolonged sitting or standing. - Numbness or tingling: Along the nerve pathways affected by the degenerating discs. - Weakness: In the muscles served by the affected nerves. It's important to note that not everyone with degenerative disc changes experiences symptoms. In some cases, the degeneration is detected incidentally during imaging studies for other reasons. Conservative Treatments: - Chiropractic Treatment and Exercise: To strengthen the muscles supporting the spine and improve flexibility. - Activity Modification: Avoiding activities that worsen symptoms and adopting ergonomic practices. The choice of treatment depends on the severity of symptoms, the location of the affected discs, and the patient's overall health. Living with Degenerative Disc Disease While degenerative disc disease can be a chronic condition, many individuals manage their symptoms effectively through a combination of treatments and lifestyle adjustments. Maintaining a healthy weight, engaging in regular exercise that supports spinal health, and avoiding smoking (which can accelerate disc degeneration) are all beneficial strategies. Final Thoughts Degenerative disc disease is a prevalent condition that affects millions of people worldwide, often causing significant pain and discomfort. However, with proper diagnosis and a comprehensive treatment plan tailored to individual needs, many individuals can find relief and continue to lead active lives. If you suspect you may have degenerative disc disease or are experiencing persistent back or neck pain, consulting with a healthcare professional is essential for an accurate diagnosis and appropriate management plan. By understanding the complexities of degenerative disc disease, we can empower ourselves and others to take proactive steps towards spinal health and overall well-being.  In today's digital age, many of us spend a significant portion of our day sitting at a computer, whether for work, leisure, or both. While technology has certainly improved our lives in many ways, it has also brought with it a host of health concerns. One common complaint that plagues computer users is neck pain. If you've ever wondered, "Why does my neck hurt when I sit at my computer too long?" you're not alone. In this blog post, we'll explore the reasons behind this discomfort and offer some tips on how to alleviate it.
Poor Ergonomics: One of the leading causes of neck pain from prolonged computer use is poor ergonomics. Ergonomics refers to the science of designing and arranging objects so that people can interact with them efficiently and comfortably. When your computer setup is not ergonomically sound, it can put unnecessary strain on your neck and other body parts.Solution: Invest in an adjustable chair, a desk at the right height, and an ergonomic keyboard and mouse. Ensure that your monitor is at eye level, and your wrists and arms are in a neutral position while typing. Forward Head Posture: Another common issue is the development of forward head posture. This occurs when your head juts forward, causing your neck to carry more weight than it should. When you're engrossed in your computer screen, it's easy to let your head drift forward unconsciously. Solution: Be mindful of your posture. Regularly check that your head is aligned with your spine, not tilted forward. Some gentle neck and shoulder stretches can help counteract the effects of forward head posture. Prolonged Static Positions: Sitting in the same position for hours on end can lead to neck pain. Maintaining a static posture can put continuous pressure on the same muscles and joints, leading to discomfort and stiffness. Solution: Make an effort to take short breaks every 30-60 minutes. Stand up, stretch, and move around to prevent muscle fatigue. These breaks will not only benefit your neck but also your overall well-being. Screen Position: The position of your computer screen plays a crucial role in your neck's comfort. If your screen is too low or too high, it can force you to constantly tilt your head in an unnatural position, causing strain. Solution: Adjust your screen so that it is at or slightly below eye level. This will help keep your head and neck in a more neutral position. Stress and Tension: Stress can manifest physically in your body, often causing muscle tension and discomfort in the neck and shoulders. This tension can be exacerbated during long hours at the computer, especially if you're working on a demanding task. Neck pain from prolonged computer use is a common issue in our modern, technology-dependent world. However, with the right adjustments and practices, you can mitigate this discomfort and create a more ergonomic and comfortable workspace. Paying attention to your posture, taking regular breaks, and addressing the root causes of your pain can go a long way in ensuring that you can use your computer without the accompanying neck pain. Your health and comfort should always be a priority, so take the necessary steps to keep your neck happy and pain-free during those long hours at the computer. For many individuals, especially those dealing with chronic neck pain, chiropractic care can provide additional relief and support. Chiropractors are experts in assessing and treating musculoskeletal issues, including those related to the neck and spine. They can offer adjustments and manipulations that help restore proper alignment and alleviate tension in the neck and shoulders. Some benefits of chiropractic care for computer-related neck pain include:
 Plantar fasciitis, a common cause of heel pain, can be debilitating for those affected. It's characterized by inflammation of the thick band of tissue that runs across the bottom of your foot, connecting your heel bone to your toes. While various factors contribute to its development, recent studies have shed light on an unexpected association: the relationship between calf muscles and plantar fasciitis. Let's delve into this intriguing connection and explore what it means for both prevention and treatment strategies. Understanding Plantar Fasciitis: Before we explore the calf muscle connection, it's crucial to understand the mechanics of plantar fasciitis. The plantar fascia plays a vital role in supporting the arch of the foot and absorbing shock during walking, running, and other activities. When subjected to excessive stress or tension, tiny tears can develop in the fascia, leading to inflammation and pain, particularly around the heel. The Calf Muscle Link: Recent research has highlighted the role of calf muscles in the development and management of plantar fasciitis. The calf muscles, comprising the gastrocnemius and soleus, are integral to the function of the foot and ankle. Tightness or dysfunction in these muscles can alter biomechanics and increase strain on the plantar fascia, contributing to the development of plantar fasciitis. 1. Biomechanical Changes: Tight calf muscles can alter the mechanics of the foot and ankle, leading to overpronation or excessive inward rolling of the foot. This misalignment places greater stress on the plantar fascia, predisposing it to injury and inflammation. 2. Limited Range of Motion: Reduced flexibility in the calf muscles can restrict the ankle's range of motion, causing compensatory movements in the foot. These compensations can overload the plantar fascia, resulting in micro-trauma and subsequent pain. 3. Muscle Imbalance: Imbalances between the calf muscles and other muscles in the lower extremities can disrupt normal foot mechanics. Weakness or tightness in certain muscle groups may exacerbate tension on the plantar fascia, contributing to the development or persistence of plantar fasciitis. Prevention and Treatment Strategies: Understanding the relationship between calf muscles and plantar fasciitis can inform effective prevention and treatment strategies. Here are some approaches to consider: 1. Stretching Exercises: Regular stretching of the calf muscles can improve flexibility and reduce tension on the plantar fascia. Simple stretches such as calf raises, wall stretches, and towel stretches can be beneficial. 2. Strengthening Exercises: Strengthening exercises targeting the calf muscles and surrounding musculature can help correct imbalances and improve overall foot mechanics. Exercises like calf raises, toe curls, and ankle dorsiflexion exercises can be incorporated into a comprehensive rehabilitation program. 3. Footwear Modification: Wearing supportive footwear with adequate cushioning and arch support can help alleviate strain on the plantar fascia. Orthotic inserts or custom-made shoe inserts may also be beneficial in providing additional support and correcting biomechanical abnormalities. 4. Manual Therapy: Massage therapy, myofascial release, and trigger point therapy can help alleviate tightness and tension in the calf muscles, promoting optimal muscle function and reducing the risk of plantar fasciitis. 5. Gradual Progression: When increasing physical activity or introducing new exercises, it's essential to progress gradually to avoid overloading the calf muscles and plantar fascia. Sudden changes in intensity or volume can increase the risk of injury. Conclusion: The association between calf muscles and plantar fasciitis underscores the intricate interplay between muscle function and foot mechanics. By addressing calf muscle tightness, weakness, and imbalance, individuals can mitigate the risk of developing plantar fasciitis and improve outcomes for those already affected. Incorporating targeted stretching, strengthening, and therapeutic interventions into a comprehensive management plan can facilitate recovery and promote long-term foot health. As our understanding of this relationship continues to evolve, so too will our approaches to prevention and treatment, offering hope for those seeking relief from this common and often debilitating condition. Have you ever wondered what is actually “cracking” during a chiropractic manipulation? The audible “cracking” or “popping” sound that you hear during a manipulation is not that different from the sound you hear when you crack your knuckles. This sound actually has an official name, cavitation. And this cavitation is not your bones breaking, or ligaments snapping, but rather the quick release of gas that can occur within a joint. Many of our joints are what are classified as synovial joints- meaning there is a capsule that exists within the joint along with synovial fluid. Synovial fluid is the natural lubrication that occurs within a joint allowing it to move pain-free. Restrictions in joint mobility, often due to misalignments or adhesions, can contribute to the build-up of gas. When a joint is not moving through its full range of motion, the synovial fluid becomes stagnant, allowing gas to accumulate over time. Thus, the more restricted an area of your spine is, the more pressure that develops there. This pressure can be felt as loss of ROM, pain, tension, etc. During a chiropractic adjustment, or manipulation, your joints get stretched near their end range. This can allow for a myriad of things to ensue like relaxation of the surrounding musculature, but more excitingly, the cavitation. When a joint capsule is stretched it creates a negative pressure within the capsule leading to the formation and collapse of gas bubbles. These gas bubbles are mainly nitrogen and materialize as the gas is pulled out of solution by the negative pressure that happens as a result of the capsule stretching. So what does this mean- is my adjustment not working if there’s no sound? Cavitations can vary between people, and can even vary depending on the body part in the same individual. Oftentimes cavitations occur without the added force of a chiropractic adjustment, like when you’re moving after sitting down for a long time. The effectiveness of a chiropractic manipulation is not determined by how loud a cavitation is, contrary to popular belief. There are no known downsides or risks associated with the frequency of a cavitation within a particular joint, or even how loud a cavitation is at this time. The “cracking” or “popping” sound is just a bonus!  What are the “hamstrings”? The hamstrings are a bundle of three separate muscles: semimembranosus, semitendinosus, and biceps femoris. All three of them are located on the back of the thigh. The main action of these muscles is to bend, or flex, the knee as well as internally rotate and adduct the leg. Injuries to this muscle group are extremely common unfortunately, and can happen to individuals of all activity levels; however 29% of sports injuries can be classified as hamstring strain injuries. Usually people will feel the onset of pain while running or sprinting and can hear or feel an audible pop. Bruising is also not uncommon depending on the severity of the strain.
These injuries are very susceptible to a risk of reinjury, so it’s essential to determine the true cause of the injury. Whether it be due to a muscle imbalance with the quadriceps, or a lack of flexibility and strength. Little evidence exists to show that over the counter anti-inflammatory medications are beneficial as well. Low level laser therapy, and working on the appropriate rehabilitation plan can provide long-term effects. With rehabilitation the goal is to address the biomechanical dysfunction that led to the initial injury. Eccentric strengthening has been shown to be the most effective at reducing re-injury. Eccentric contractions occur when the muscle is being activated while also lengthened at the same time. In addition to eccentric strengthening of the hamstrings, working on core and lumbo-pelvic stability and balance should be a focal point. The initial phase of rehabilitation begins immediately after the injury and can last for four weeks. In this phase regular activity should be modified to reduce extraneous stress on the tissue, however movement and mild exercise can prevent full atrophy and decreased neural drive. In this phase exercises will be geared towards range of motion and include mainly open-kinetic chain movements. The second phase of rehabilitation aims to restore maximal strength contractions with pain-free repetitions. This second phase can last for several weeks. The third, and final, phase includes dynamic and advanced exercises to re-establish athletic movements in full capacity. The overall prognosis of hamstring strain injuries is very good as long as the appropriate rehabilitation is performed. Phase I Exercises
Phase II Exercises
Phase III Exercises
-Danirose Billings  A Dowager's hump, also known as kyphosis or hyperkyphosis, refers to an excessive outward curvature of the upper spine, resulting in a rounded hump-like appearance in the upper back and neck. While reversing a Dowager's hump entirely is not always possible, there are measures individuals can take to improve posture, strengthen muscles, and potentially reduce the prominence of the hump. The best medicine of course would be the avoidance of developing such a hump in the first place. A hyperkyphosis can lead to other significant problems such as headaches, neck pain, numbness/tingling, spinal stenosis, disc herniations/bulges, spinal degeneration and arthritis. Prevention and Management Strategies 1. Posture Correction:
  Image by pressfoto on Freepik In our quest for optimal health and wellness, we often focus on nutrition, exercise, and mindfulness practices. However, there's one crucial aspect of wellness that is sometimes overlooked: chiropractic maintenance care. Chiropractic care isn't just for alleviating pain; it's a cornerstone of preventive healthcare that can unlock a host of benefits for both body and mind. Chiropractic care is founded on the principle that proper alignment of the spine is essential for the body to function optimally. Through adjustments and other manual techniques, chiropractors aim to restore alignment, relieve pressure on nerves, and facilitate the body's natural ability to heal itself. While many people seek chiropractic care to address specific issues like back pain, neck pain, or headaches, maintenance care takes a proactive approach. Rather than waiting for symptoms to arise, individuals engage in regular chiropractic visits to maintain spinal health and prevent future problems. Just as we service our cars regularly to prevent breakdowns, our bodies also benefit from routine maintenance. Here's why regular chiropractic care is so vital:
If you're new to chiropractic care or considering incorporating maintenance visits into your wellness routine, here are a few tips to get started:
TEXT or call 203-842-8631 to schedule your chiropractic "tune-up" today!  Image by freepik  Trigger points (MTrP) are discrete, focal, hyperirritable spots located in a taut band of skeletal muscle. They produce pain locally and in a referred pattern which often accompany chronic musculoskeletal disorders. Acute trauma or repetitive movements may lead to the development of stress on muscle fibers and the formation of trigger points. Patients may have regional, persistent pain resulting in a decreased range of motion in the affected muscles. These include muscles used to maintain body posture, such as those in the neck, shoulders, and pelvic girdle. Trigger points may also manifest as tension headache, tinnitus, temporomandibular joint pain, decreased range of motion in the legs, and low back pain.  Unfortunately, much of the terminology, theories, concepts, and diagnostic criteria are inconsistent, incomplete, or controversial. U.S. physician Janet Travell, and her partner Rinzler, coined the term “myofascial trigger point” in the 1950s, reflecting their finding that the nodules can be present and refer pain (pain experienced away from the location of the trigger point) to both muscle and overlying fascia. Although the MTrP is a common physical finding, it is often an overlooked component of non-articular musculoskeletal pain because its pathophysiology is not fully understood. In spite of its high prevalence in patients, it is not a commonly established diagnosis, and is considered to be the great imitator.  Research suggests strong evidence supporting chiropractic manipulation, ischemic pressure, and electric stimulation for immediate pain relief at MTrPs. A successful treatment protocol relies on identifying trigger points and elongating the structures affected along their natural range of motion and length by stretching the muscle in conjunction with passive, active, active isolated (AIS), muscle energy techniques (MET), and proprioceptive neuromuscular facilitation (PNF) stretching to be effective. If you, or a loved one, suffers from pain, call our office today at (203) 842-8631 For further questions, e-mail [email protected] Information provided by PubMed®
A service of the National Library of Medicine, PubMed® contains publication information and (in most cases) brief summaries of articles from scientific and medical journals. For guidance from NCCIH on using PubMed, see How To Find Information About Complementary Health Approaches on PubMed. Website: www.ncbi.nlm.nih.gov/pubmed Shah JP, Thaker N, Heimur J, Aredo JV, Sikdar S, Gerber L. Myofascial Trigger Points Then and Now: A Historical and Scientific Perspective. PM R. 2015;7(7):746–761. doi:10.1016/j.pmrj.2015.01.024 J Manipulative Physiol Ther. 2009 Jan;32(1):14-24. doi: 10.1016/j.jmpt.2008.06.012. Chiropractic management of myofascial trigger points and myofascial pain syndrome: a systematic review of the literature. Vernon H1, Schneider M.  The synthetic opioid fentanyl, now ubiquitous in the illegal drug market — is increasing. The State Medical Examiner reported in 2019 that there were 1,200 accidental drug deaths; this equates to an 18% spike from the previous year. The opioid crisis has become the worst drug epidemic in modern American history with over 70,000 deaths across the nation. Opioids are drugs that need to be cultivated from a plant, specifically the poppy plant. Once harvested, the dried ruminates of the plant can be manufactured to make morphine, opium, and heroin. This type of opioid has been used for thousands of years, dating back to 3400 BC for medicinal purposes.  Utilization of nonpharmacological pain management may prevent unnecessary use of opioids. In a retrospective study analyzing back pain patients from 2012-2017 residing in 3 different US states, the study compared the use of primary care intervention versus chiropractic care. The results showed that patients with spinal pain who saw a chiropractor had half the risk of filling an opioid prescription. Among those who saw a chiropractor within 30 days of diagnosis, the reduction in risk was greater as compared with those with their first visit after the acute phase.
If you, or a loved one, suffers from pain, call our office today at (203) 842-8631 For further questions, e-mail [email protected] Information provided by PubMed®
A service of the National Library of Medicine, PubMed® contains publication information and (in most cases) brief summaries of articles from scientific and medical journals. For guidance from NCCIH on using PubMed, see How To Find Information About Complementary Health Approaches on PubMed. Website: www.ncbi.nlm.nih.gov/pubmed Pain Med. 2020 Mar 6. pii: pnaa014. doi: 10.1093/pm/pnaa014. [Epub ahead of print] Impact of Chiropractic Care on Use of Prescription Opioids in Patients with Spinal Pain. Whedon JM1, Toler AWJ1, Kazal LA2, Bezdjian S1, Goehl JM2, Greenstein J3.  Worrying about all the news on the new coronavirus and the illness it causes? Well, that makes good sense. If you often struggle with anxiety, worries about your health, or obsessive thoughts and actions, you might need additional assistance, so we are here to help. Keep these thoughts in mind. You’re fully prepared to help yourself. You can take steps to calm and steady yourself. Remember what works for you — because as fellow humans we’re not so dissimilar, but we do tend to have our own preferences and best practices.
While no one source of information is perfect, some are undeniably better than others! Here are some examples:
 We’re all on this journey together. News about the virus will likely grow worse, then grow better. Listen to public health experts who can help us navigate the path ahead. Take sensible steps that can help us all: get your bearings, practice good hygiene, use calming strategies that work for you — and maybe try something new. Making healthy, reasonable choices about what to do and what not to do will make a big difference in being able to stay as safe and as well as possible.
 75 percent of pregnant women experience pregnancy-related low back pain, pelvic pain, or a combination; this pain increases as pregnancy progresses. In an effort to avoid chemically treating your symptoms, why not manage them with an effective drugless alternative? With the unavoidable change in your center of gravity, this process increases your lumbar lordosis, resulting in musculoskeletal conditions.
2. Sciatic Nerve Pain: since your precious cargo contributes to uterine pressure on supporting vasculature or direct compression of the sciatic nerve. 3. Sacral Pain: as hormonal changes allow for ligament laxity, increased mobility, and joint separation from Relaxin. Pubis dysfunction can produce pain and unwanted symptoms during the birthing process.  Chiropractic care and patient education as part of a comprehensive prenatal care team has been shown to hold greater benefit for pregnant patients than traditional obstetric care alone. If you are experiencing debilitating low back pain as a result of pregnancy, call or text (203) 842-8631 to receive the best evidence based treatments that effectively treat and prevent these pesky symptoms. Information provided by PubMed®
A service of the National Library of Medicine, PubMed® contains publication information and (in most cases) brief summaries of articles from scientific and medical journals. For guidance from NCCIH on using PubMed, see How To Find Information About Complementary Health Approaches on PubMed. Website: www.ncbi.nlm.nih.gov/pubmed Weis CA, et al. Prevalence of Low Back Pain, Pelvic Girdle Pain, and Combination Pain in a Pregnant Ontario Population. J Obstet Gynaecol Can. 2018 Aug; 40(8): 1038-1043. https://www.ncbi.nlm.nih.gov/pubmed/30103876 Lisi AJ. Chiropractic spinal manipulation for low back pain of pregnancy: a retrospective case series. J Midwifery Womens Health 2006; 51:7-10. https://www.ncbi.nlm.nih.gov/pubmed/16399602 George JW, Skaggs CD, Thompson PA, et al. A randomized controlled trial comparing a multimodal intervention and standard obstetrics care for low back and pelvic pain in pregnancy. Am J Obstet Gynecol 2013;208:295.e1-7. https://www.ajog.org/article/S0002-9378(12)01969-2/fulltext
 Many of us expect guidance from the local orthopedist; with advice from a trusted source, it is advised to pursue a course of physical therapy. Acute pain is a complex process involving activation of: nociceptors, chemical mediators, and inflammation. Both prescribed and over-the-counter medications can target elements within the pain pathway to eliminate or reduce the sensation of symptoms. Pain management begins, when possible, prior to the tissue trauma until acute pain is appropriately managed. Clinical outcomes and satisfaction most likely will be improved.
 Even medication or physical modalities are "palliative care", and symptoms can be expected to persist if the underlying cause goes untreated. Research shows that cervical traction in conjunction of transcutaneous electrical stimulation demonstrates both analgesic efficacy with improved global mobility/pain levels with cervical disorders. [1] If you or someone you know suffers from debilitating neck pain, call or text (203) 842-8631 to receive the best evidence based treatments that effectively treat and prevent these pesky symptoms. Information provided by PubMed® A service of the National Library of Medicine, PubMed® contains publication information and (in most cases) brief summaries of articles from scientific and medical journals. For guidance from NCCIH on using PubMed, see How To Find Information About Complementary Health Approaches on PubMed. Website: www.ncbi.nlm.nih.gov/pubmed 1. Med Sci Monit. 2017; 23: 335–342.
The Effectiveness of Cervical Spondylosis Therapy with Saunders Traction Device and High-Intensity Laser Therapy: A Randomized Controlled Trial 2. Journal ListMo Medv.110(1); Jan-Feb 2013PMC6179627 A Review of Management of Acute Pain Quinn Johnson, MD
To be continued.... (check out or instagram @DrQChiro for more)What athlete wouldn't want to be able to jump a little higher to get that competitive edge? Would you ever consider going to your Chiropractor if it meant you might be able to increase your vertical jump with an adjustment? It's true! The effect of a chiropractic high-velocity, low-amplitude manipulation in those who suffer from ankle joint dysfunction over a 3 week period had statistically significant improvement in vertical jump height.
 There were no adverse effects in this study, as chiropractic manipulation is non-invasive nor uses pharmacologic intervention to achieve these results. Your feet have an important stability function. If the foundation that you stand on is dysfunctional, these stresses will be transmitted to other parts of your body with discomfort and pain being felt in your ankles, knees and lower back. If you'd like to have our doctors assess you, or someone you know, call or text our office TODAY at (203) 842-8631. Information provided by PubMed®
A service of the National Library of Medicine, PubMed® contains publication information and (in most cases) brief summaries of articles from scientific and medical journals. For guidance from NCCIH on using PubMed, see How To Find Information About Complementary Health Approaches on PubMed. Website: www.ncbi.nlm.nih.gov/pubmed J Manipulative Physiol Ther. 2014 Feb;37(2):116-23. doi: 10.1016/j.jmpt.2013.11.004. Epub 2014 Jan 2. Effect of chiropractic manipulation on vertical jump height in young female athletes with talocrural joint dysfunction: a single-blind randomized clinical pilot trial. Hedlund S1, Nilsson H1, Lenz M1, Sundberg T2.
Fibromyalgia is the second most common condition affecting your bones and muscles. Yet it's often misdiagnosed and misunderstood. Its classic symptoms are widespread muscle and joint pain and fatigue. There's no cure. But a combination of medication, exercise, managing your stress, and healthy habits may ease your symptoms enough that you can live a normal, active life.  Fibromyalgia can feel similar to osteoarthritis, bursitis, and tendinitis. But rather than hurting in a specific area, the pain and stiffness could be throughout your body. Studies to evaluate resistance training with Chiropractic treatment have proven that this combination of treatment improved strength and reduced symptoms of FM. It also improved adherence to the treatment plan and reduced dropout rates while facilitating greater improvements of the domains of functionality.
Information provided by PubMed®
A service of the National Library of Medicine, PubMed® contains publication information and (in most cases) brief summaries of articles from scientific and medical journals. For guidance from NCCIH on using PubMed, see How To Find Information About Complementary Health Approaches on PubMed. Website: www.ncbi.nlm.nih.gov/pubmed J Altern Complement Med. 2009 Mar;15(3):321-8. doi: 10.1089/acm.2008.0132. Effects of resistance training and chiropractic treatment in women with fibromyalgia. Panton LB1, Figueroa A, Kingsley JD, Hornbuckle L, Wilson J, St John N, Abood D, Mathis R, VanTassel J, McMillan V.  The question is often asked whether or not you need to continue to see your Chiropractor after your symptoms have resolved. Aside from spinal manipulation (SMT), Shelton Sports & Spine also offers massage, acupuncture, nutrition, and functional assessments. Spinal manipulation is a common treatment for low back pain, and studies show how effective it can be even when you're not symptomatic. Based on studies, patients who followed-up with their Chiropractor for evaluations and treatment showed more improvement in pain and disability scores. SMT is effective for the treatment of chronic nonspecific LBP. This technique requires the use of the practitioners hands or device to apply a controlled thrust (that is, a force of a specific magnitude or degree in a specific direction) to a joint of your spine. The amount of force can vary, but the thrust allows the joint more mobility than it would on its own. Spinal manipulation is different from spinal mobilization, which doesn’t involve a thrust (and is performed within a joint’s natural range of motion and can be controlled by the patient).
 Spinal manipulation is safe when performed by a trained and licensed practitioner. The most common side effects of spinal manipulation are temporary muscle soreness, stiffness, or a temporary increase in pain. In a 2017 clinical practice guideline, the ACP suggested that spinal manipulation remains a recommended treatment option for chronic low-back pain, due to evidence of effectiveness. Don't wait until your symptoms become bothersome. Call our office today at (203) 842-8631, and together let's continue to achieve your best at our multidisciplinary clinic. Information provided by PubMed®
A service of the National Library of Medicine, PubMed® contains publication information and (in most cases) brief summaries of articles from scientific and medical journals. For guidance from NCCIH on using PubMed, see How To Find Information About Complementary Health Approaches on PubMed. Website: www.ncbi.nlm.nih.gov/pubmed Spine (Phila Pa 1976). 2011 Aug 15;36(18):1427-37. doi: 10.1097/BRS.0b013e3181f5dfe0. Does maintained spinal manipulation therapy for chronic nonspecific low back pain result in better long-term outcome? Senna MK1, Machaly SA.
 Even Tufts School of Dental Medicine has acknowledged the significance of the use of Chiropractic care, and have TWO Chiropractors who lecture to current dental students on craniofascial pain. If you and/or someone you know experiences TMJ, call or text our office today to talk to our doctors and therapists on ways we can help at (203) 842-8631.
*J Manipulative Physiol Ther. 2012 Jan;35(1):26-37. doi:10.1016/j.jmpt.2011.09.004. Epub 2011 Nov 10. Intraoral myofascial therapy for chronic myogenous temporomandibular disorder: a randomized controlled trial. Kalamir A1, Bonello R, Graham P, Vitiello AL, Pollard H.
Call or text (203) 842-8631 today if you, or someone you know, is experiencing vertigo. *J Manipulative Physiol Ther. 2013 Feb;36(2):119-26. doi: 10.1016/j.jmpt.2012.12.011.
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| Who doesn't enjoy restful sleep? The time we spend asleep allows our body to regenerate and repair itself. Due to hectic work schedules and requirement at home, we already don’t get the necessary amount of sleep we need; therefore, it’s in our best interest to minimize possible sleep disturbances whenever we can! It has been shown that 50-60% of adults have reported nocturnal leg cramps. It is most prevalent in the elderly and pregnant population. There is no exact cause for nocturnal leg cramps, but some possibilities include: prolonged sitting, improper posture, and over-exerting muscles in the lower body.  |  Water is required for biological and physiological processes in our body; and, if we don’t give our body the water it needs, we won’t be able to carry out processes and functions at optimal levels. The National Academies of Sciences, Engineering, and Medicine states an adequate fluid intake level for men is about 15.5 cups a day and 11.5 cups for women |
Exercises to Avoid Nocturnal Cramping and Improve Function:
Pelvic Tilt – Find your hip bone and tilt it forward and back. Don’t lift/bridge your hips up, only tilt!
Open Book – Don’t just reach your hand to the bed. Focus on trying to get your shoulder blade as close to the bed as possible.
Pec Stretch – Place your elbow at a 45 degree angle with your foot on the same side taking a step in front. Gently push your chest forward to feel a stretch. Hold for 30 seconds.
QL Stretch – With your limbs in position, lean away from the doorway to feel the stretch in your low back.
Sleeping on your stomach can cause issues in the low back, since your spine is put in an unnatural position. If you can’t avoid stomach sleeping, place a small pillow under your pelvis to correct alignment.
Consistent side-sleeping can put your hips out of alignment. You can place a pillow in between your knees to lessen pressure on the hips, but think about transitioning to a better sleep position.
The best way to sleep is on your back! This position keeps your spine neutral and allows to distribute your body weight evenly. If you feel any pressure in the low back due to natural curvature, you can always place a pillow under your knees
If you’re a side sleeper, be cognizant of your neck position. The height of your pillow should allow your neck to be in neutral alignment. The neck is not directly connected to the legs, so how could that affect anything? Cervical spine alignment impacts alignment for the rest of the spine, and the lower spine has more of a direct impact on the leg muscles. Although not in direct proximity to the lower extremity, it has an affect on the entire kinectic chain of our body.
Keep these tips and tricks in mind for nocturnal leg cramp prevention! Call (203) 842-8631 to Schedule an appointment today if you'd like to review these stretches or explore nutritional supplementation to help avoid these symptoms.
Consistent side-sleeping can put your hips out of alignment. You can place a pillow in between your knees to lessen pressure on the hips, but think about transitioning to a better sleep position.
The best way to sleep is on your back! This position keeps your spine neutral and allows to distribute your body weight evenly. If you feel any pressure in the low back due to natural curvature, you can always place a pillow under your knees
If you’re a side sleeper, be cognizant of your neck position. The height of your pillow should allow your neck to be in neutral alignment. The neck is not directly connected to the legs, so how could that affect anything? Cervical spine alignment impacts alignment for the rest of the spine, and the lower spine has more of a direct impact on the leg muscles. Although not in direct proximity to the lower extremity, it has an affect on the entire kinectic chain of our body.
Keep these tips and tricks in mind for nocturnal leg cramp prevention! Call (203) 842-8631 to Schedule an appointment today if you'd like to review these stretches or explore nutritional supplementation to help avoid these symptoms.
We see many patients in our Shelton office who are suffering from acute or chronic pain, and we've found that our chiropractic approach is very successful and getting people relief.
Your body contains roughly 60 different chemicals and each one is responsible for very different functions and regulatory actions. For instance, calcium helps your muscles contract and potassium regulates your heartbeat. Sodium controls the balance of water in your system and fluorine protects your teeth against decay. There are also four chemicals associated with management of pain, and a study published in Journal of Orthopaedic & Sports Physical Therapy has found that chiropractic promotes almost all of them.
Your body contains roughly 60 different chemicals and each one is responsible for very different functions and regulatory actions. For instance, calcium helps your muscles contract and potassium regulates your heartbeat. Sodium controls the balance of water in your system and fluorine protects your teeth against decay. There are also four chemicals associated with management of pain, and a study published in Journal of Orthopaedic & Sports Physical Therapy has found that chiropractic promotes almost all of them.
For purposes of this study, researchers chose thirty participants who weren’t actively in any sort of pain to see what effect chiropractic treatments had on their levels of neurotensin, oxytocin, orexin A, and cortisol—the four chemicals that impact how much pain a person feels. The subjects were separated into three different groups: ten engaged in cervical spinal manipulation (chiropractic involving the neck area), ten received thoracic spinal manipulation (manipulation to the discs and vertebrae in the middle and upper back), and the final ten subjects were the control group, so they received no spinal manipulation therapy whatsoever. Researchers drew each individual’s blood prior to, immediately after, and two hours post-treatment to determine the starting levels of neurotensin, oxytocin, orexin A, and cortisol, as well as to note any changes that may occur.
Immediately upon conclusion of the spinal manipulation sessions, researchers found “significantly higher” levels of both neurotensin and oxytocin in the participants who received either form of spinal manipulation. Cortisol levels increased only for the subjects who engaged in cervical spinal manipulation, and orexin A levels were unaffected by the chiropractic treatments entirely.
Immediately upon conclusion of the spinal manipulation sessions, researchers found “significantly higher” levels of both neurotensin and oxytocin in the participants who received either form of spinal manipulation. Cortisol levels increased only for the subjects who engaged in cervical spinal manipulation, and orexin A levels were unaffected by the chiropractic treatments entirely.
These findings suggest that engaging in regular chiropractic care can help your pain on a cellular level by changing the chemical makeup of your body. Not to mention, regular spinal manipulations also work to correct the spinal issue that is causing the pain in the first place. This makes chiropractic an effective two-prong approach to pain management.
If you're in pain, chiropractic care can help. We've helped hundreds of patients with auto injury pain, sciatica, back pain, neck pain, and more. Don't put your health second, call to schedule your appointment today!
That's a wrap for our blog this week! Stay tuned for our next blog, and send your questions to [email protected]
*Plaza-Manzano G, Molina F, Lomas-Vega R, et al. Changes in biochemical markers of pain perception and stress response after spinal manipulation. Journal Orthopaedic and Sports Physical Therapy 2014;44(4):231-9.
If you're in pain, chiropractic care can help. We've helped hundreds of patients with auto injury pain, sciatica, back pain, neck pain, and more. Don't put your health second, call to schedule your appointment today!
That's a wrap for our blog this week! Stay tuned for our next blog, and send your questions to [email protected]
*Plaza-Manzano G, Molina F, Lomas-Vega R, et al. Changes in biochemical markers of pain perception and stress response after spinal manipulation. Journal Orthopaedic and Sports Physical Therapy 2014;44(4):231-9.
Treatment Recommendations for Low Back Pain Include Chiropractic
| The American College of Physicians (ACP) recommends in an evidence-based clinical practice guideline published today in Annals of Internal Medicine that physicians and patients should treat acute or subacute low back pain with non-drug therapies such as superficial spinal manipulation. If drug therapy is desired, physicians and patients should select nonsteroidal anti-inflammatory drugs (NSAIDs) or skeletal muscle relaxants. |  |
 | Low back pain is one of the most common reasons for all physician visits in the U.S. Most Americans have experienced low back pain. Approximately one quarter of U.S. adults reported having low back pain lasting at least one day in the past three months. Pain is categorized as acute (lasting less than four weeks), subacute (lasting four to 12 weeks, and chronic (lasting more than 12 weeks). “Physicians should reassure their patients that acute and subacute low back pain usually improves over time regardless of treatment,” said Nitin S. Damle, MD, MS, MACP, president, ACP. “Physicians should avoid prescribing unnecessary tests and costly and potentially harmful drugs, especially narcotics, for these patients.” |
For patients with chronic low back pain who have had an inadequate response to non-drug therapy, ACP recommends that physicians and patients consider treatment with NSAIDs as first line therapy; or tramadol or duloxetine as second line therapy. Physicians should only consider opioids as an option in patients who have failed the aforementioned treatments and only if the potential benefits outweigh the risks for individual patients and after a discussion of known risks and realistic benefits with patients.
“Physicians should consider opioids as a last option for treatment and only in patients who have failed other therapies, as they are associated with substantial harms, including the risk of addiction or accidental overdose,” said Dr. Damle.
“Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain” is based on a systematic review of randomized controlled trials and systematic reviews published on noninvasive pharmacological and non-pharmacological treatments of nonradicular low back pain. Clinical outcomes evaluated included reduction or elimination of low back pain, improvement in back-specific and overall function, improvement in health-related quality of life, reduction in work disability/return to work, global improvement, number of back pain episodes or time between episodes, patient satisfaction, and adverse effects.
The evidence was insufficient or lacking to determine treatments for radicular low back pain. The evidence also was insufficient for most physical modalities and for which patients are likely to benefit from which specific therapy. The guideline does not address topical therapies or epidural injection therapies.
ACP’s clinical practice guidelines are developed through a rigorous process based on an extensive review of the highest quality evidence available, including randomized control trials and data from observational studies. ACP also identifies gaps in evidence and direction for future research through its guidelines development process.
ACP’s previous recommendations for treating low back pain were published in “Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society” in 2007. Some evidence has changed since the 2007 guideline and supporting evidence reviews. The 2007 guideline did not assess mindfulness-based stress reduction, MCE, taping, or tai chi
That's a wrap for our blog this week! Stay tuned for our next blog, and send your questions to [email protected]
“Physicians should consider opioids as a last option for treatment and only in patients who have failed other therapies, as they are associated with substantial harms, including the risk of addiction or accidental overdose,” said Dr. Damle.
“Noninvasive Treatments for Acute, Subacute, and Chronic Low Back Pain” is based on a systematic review of randomized controlled trials and systematic reviews published on noninvasive pharmacological and non-pharmacological treatments of nonradicular low back pain. Clinical outcomes evaluated included reduction or elimination of low back pain, improvement in back-specific and overall function, improvement in health-related quality of life, reduction in work disability/return to work, global improvement, number of back pain episodes or time between episodes, patient satisfaction, and adverse effects.
The evidence was insufficient or lacking to determine treatments for radicular low back pain. The evidence also was insufficient for most physical modalities and for which patients are likely to benefit from which specific therapy. The guideline does not address topical therapies or epidural injection therapies.
ACP’s clinical practice guidelines are developed through a rigorous process based on an extensive review of the highest quality evidence available, including randomized control trials and data from observational studies. ACP also identifies gaps in evidence and direction for future research through its guidelines development process.
ACP’s previous recommendations for treating low back pain were published in “Diagnosis and Treatment of Low Back Pain: A Joint Clinical Practice Guideline from the American College of Physicians and the American Pain Society” in 2007. Some evidence has changed since the 2007 guideline and supporting evidence reviews. The 2007 guideline did not assess mindfulness-based stress reduction, MCE, taping, or tai chi
That's a wrap for our blog this week! Stay tuned for our next blog, and send your questions to [email protected]
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