Back Pain: It Isn't Always What It Used To Be

If you ignore a back problem, it will likely not go away on its own. Sometimes you can get through an episode when it’s early in the condition with some over the counter medications and rest. So you’d think. If the underlying problem is never addressed, the back pain problem is there to resurface again at a later date.

Usually when the pain returns, it hurts a little bit more and lasts a little bit longer. Over time, the episodes will start to show up more frequently until the person takes the actions necessary to create a more substantial healing. (Hopefully they go to see a chiropractor and get their spine in its proper alignment instead of relying on stronger and stronger medications.)

More often than not, the person dealing with the back pain follows their doctor’s orders and concern themselves with their back only when the pain shows up. Then they return to doing all the same things that led them to the the problem in the first place. Then the symptoms return and they show back up to their doctor.

“I know what I’ve got, doc. Last time you told me it was my L5 disc.” They then expect you to do what you did last time, give them the relief in the same time frame you gave it to them last time and they can get on with their lives. Sometimes it happens just like that, sometimes the episode takes a couple of extra days to return back to normal.

Eventually, they’ll get the same condition, they’ll show back up to your office, expect the same results… and they won’t happen. The doctor will end up doing more tests and discover that they don’t just have an “L5 disc” problem anymore. They now have L4 and L5 and the sciatic nerve is being compressed. The previously minor disc bulge at L5 has turned into a full blown disc herniation with potentially more invasive treatment needed to alleviate the pain.

How could this have been avoided? Once you’ve been notified that you have a back problem, seek relief from the pain first. Once the pain is gone, you must distinguish that your “pain” and your “problem” are two different things. Celebrate the relief of your pain, but evaluate what may have led to the problem in the first place.

Are you strengthening your back muscles? Are you getting enough exercise? How are your daily activities contributing to the problem and how can they be modified. Don’t accept your back condition and assume it will never change or get worse. Most of them can and do get worse over time.

Just Do One Thing At A Time.

If you’ve started to notice that your health is declining and it’s time to do something about it, you’re probably wondering where to start. You know you don’t feel good, you know you’re not doing enough healthy things for yourself, but it can all be a bit overwhelming. Even if your primary goal is to drop a few pounds and just feel better… which action should you take first?

One school of thought is to take massive action. This is certainly a good thing and has helped many overcome great obstacles. Taking massive action should lead to massive results. However, when it comes to changing your health, which massive action should you take? Go and buy every vitamin in the store? Run laps around your block until your legs won’t move? Schedule appointments with a chiropractor, personal trainer, massage therapist, and psychologist?

My suggestion is to take massive action… on one thing at a time. Pick something. It doesn’t have to be anything other than something that will move you closer to a long term goal of being healthy. To me, that would mean that I’m an appropriate weight, I’m generally free of pain, I have lots of energy, and my moods are pretty consistent in a positive way.

The major categories are going to be eating better and exercise.

Eating right can start with eliminating the things that you know are bad for you that you regularly eat. Too many sodas? Trips to the vending machine? Double frappacinos with whip? Something just popped into your head and you know it’s been slowing leading to a decline in your health. Pick one and let it go.

Bring your lunch to work a couple of days per week or find something healthy that you can eat at least once per day. Start taking a decent multi-vitamin if you’re not doing so already and drink a lot more water. Just do something healthy.

Once you’ve got this habit formed and are starting to feel pretty good about your results, time to reassess and eliminate something bad and add in something good. Keep this up until you get where you want to go.

What about exercise? I have to admit, doing this regularly is not always the easiest thing for me. I say it’s about spending the time and effort, but I think it’s more about not spending the time finding something that I really enjoy doing. You don’t have to start an exercise program by planning to run a marathon (unless that helps you get motivated).

Walking 1 mile and running 1 mile burn about the same amount of calories since it takes longer to walk that same distance. Find ways to walk more, even if it just means parking your car further away from the building at work. You can do it, but you have to start somewhere and that means taking action towards your goal.

You can get healthy, really! It’s possible for those that are willing to make the effort. If your health has declined to such a degree that you need professionals to help you heal and feel better, then by all means do that too. Take massive action… just do it on one thing a time.

How Much Do Your Activities Cause Your Pain?

Uh oh, it’s happened again. You can feel the initial “twinge.” That is, you can feel the early warning sign that you low back pain problem is about to come back again. You knew you should have been keeping up with your chiropractic visits and the exercises your doctor gave you, but you just haven’t done it.

You feel great most of the time, but you’ve learned that when you get this feeling, things are about to go downhill…fast. Sometimes you get off easy, just a few over-the-counter remedies and you can get back to work. Sometimes you’re going to be spending the weekend putting ice on your back and waiting for the doctor to open up first thing Monday morning.

Worse case is that you’ll spend the next couple of weeks trying to get yourself back to feeling not just pain-free, but to the point where you don’t feel like things are about to go bad at any point. That’s the worse feeling.

So it’s somewhere in one of these episodes that you begin to ask yourself, “Why does this keep happening? Is it something I’m doing or not doing?” Most of the time, the answer is “yes!” Now, our bodies are not made out of concrete, and no one can make sure that your back pain will never, ever return again. However, there’s plenty that you can do to keep the episodes at bay and keep from feeling bad more often than not.

Let’s not even get into some of the preventative measures like regular chiropractic care. Let’s just realize that your daily activities are usually what is contributing to your problem. If you sit all day on the computer, then get in your car and sit, and then go home and sit, and then go to sleep and do the whole thing all over again… you’re going to have problems.

Some people will do some exercises, but that seems to be primarily made up of sit-ups, walking, and riding their bike. None of these activities will strengthen the spine to any noticeable degree. Certainly nothing that is going to keep that “feeling” from coming back again. Your normal daily activities have a focus on actions that occur in front of you with almost no engaging of the back muscles for anything other than keeping you upright.

If you’re going to keep a back problem away, you’re going to need to strengthen your back. Taking some time out to follow your doctor’s recommendations and perform some regular activity for the sake of your spine will go a long way in keeping things together. Keep the weight down, the stress away, some regular general exercise, and some regular exercise focused on strengthening your spine and you should do okay.

Does Chiropractic Help With Shoulder Pain?

Chiropractors are known for their abilities in helping people with neck and back pain. The most common reason why someone even considers seeing a chiropractor is for back pain, specifically low back pain. Research and studies and the general consensus is that we can help in this area. What about shoulder pain? Is there anything a chiropractor can do to help shoulder pain?

You can certainly have a chiropractor take a look at and evaluate your shoulder problem. While the spine is most commonly adjusted, the chiropractic adjustment can be performed at any joint. A joint is anywhere two bones meet. In the case of the shoulder, we’ll be looking at three different areas; the clavicle (collarbone), the humerus (upper arm), and the scapula (the shoulder blade).

Any of these joints can move out of their normal position with extended use in the wrong way. Stress and poor posture in the upper back can lead the shoulder blade to become stuck and fixated in the wrong position. The chiropractor can adjust this area and work with the muscles to get things moving again.

The same principles apply to the humerus and the clavicle. There are certain movements in which each bone will take on a more primary role. The chiropractor can feel with his hand if the right areas are moving or not. If the joint is not moving, this means it is likely not functioning correctly. This is where the chiropractor’s expertise can be of most use.

The first evaluation of the shoulder is really to see if any of the muscles, ligaments, or tendons have torn. Depending on the severity of the tear, you may need an immediate referral for an MRI and a visit to an orthopedic specialist. You don’t want someone moving your bones around if you have a tear, and the chiropractor doesn’t want to do that either.

If you haven’t had any trauma to the shoulder joint and the pain has just come on gradually over the years. The chiropractor can take a look and provide adjustments and work to the muscles that can make a world of difference.

June 6-12 National Headache Awareness Week

Hello headache sufferer's. The following article is full of research based information that can help you end your pain. It demonstrates how massage aids in headache relief.

Massage Reduces Headache Frequency
Massage significantly reduced the number of headaches experienced by people with chronic tension headaches, and decreased the duration of the headaches, according to a recent study.

"Massage Therapy and Frequency of Chronic Tension Headaches" was conducted by Christopher Quinn, Clint Chandler and Albert Moraska, Ph.D., of the Boulder College of Massage Therapy in Boulder, Colorado.

Four people who had experienced two to three headaches per week for the past six years or more participated in the study, which lasted eight weeks. During the first four weeks, baseline headache measures were recorded. Throughout the last four weeks, participants received two 30-minute massages per week.

A standardized massage protocol was used, consisting of six phases that fit in the 30-minute time period: preparatory tissue warm-up (three minutes), myofascial release (five minutes), axial cervical traction (two minutes), trigger-point therapy (15 minutes), facilitated stretching (five minutes) and session closure (three to five minutes).

The trigger-point therapy, which made up the bulk of the routine, consisted of scanning palpation of the upper trapezius, sternocleidomastoid, suboccipital, splenius capitis, levator scapulae and temporalis muscles.

"When located, active trigger points were treated by pincer or flat palpation with just enough pressure to elicit referred pain or autonomic referral phenomena," state the study's authors.
The pressure was maintained until the referral pain ceased, or for a maximum of two minutes, then slowly eased to produce a vascular flushing. In a typical session, six active trigger points were treated, and the procedure was repeated three to five times on each point.

Every night before bed participants completed a headache diary form, recording number of headaches, intensity of most severe headache, and duration of longest headache.

Each subject experienced a reduction in headaches within the first week of massage treatment, and the mean number of headaches per week was significantly reduced from 6.8 to 2 during the four weeks of massage.

"Because our therapeutic massage protocol specifically addressed trigger-point activity, we believe that the reduction in activity of these regions by massage was a major contributor to the observed beneficial effects on tension headache," state the study's authors.

Although duration of headache decreased for all four subjects, the decrease was not statistically significant, and there was no significant change in headache intensity.

"The findings suggest that a larger, more complete study that includes a proper control group is warranted," state the study's authors.

- Source: Boulder College of Massage Therapy. Authors: Christopher Quinn, Clint Chandler and Albert Moraska, Ph.D. Originally published in American Journal of Public Health, October 2002, Vol. 92, No. 10, pp. 1,657-1,661

While this study was statistically inclusive, as many small population studies are, the reality of reduced headache frequency in participants is clear.

So if you're experiencing regular headaches, even one per week, give massage a try. The worst that can happen is that you will leave relaxed, refreshed, and potentially headache free.

**Thanks to Lyn Yancha, LMP for finding this article**

Massage - Your First Experience

This week I had quite a few new patients, and as I went over the treatment information, I realized how much of this is brand new to so many people. While massage is much better understood than it was 10 or 20 years ago, there are still a lot of questions around massage. There are many different treatment styles and environments. A massage you receive on vacation at a resort is likely to be very different from the medical massage you'll receive here in the chiropractic office. I'd like to share some information about what to expect during your first massage treatment here at Sound Chiropractic.

While Dr. Early will do a thorough exam and explain the treatment plan to you, many of the same questions will be asked by your massage practitioner. This is done for several reasons. First, we keep seperate charts and like to ensure that all information is complete. Secondly, some of our patients receive massage therapy only and are not seeing Dr. Early. Finally, by asking you for a complete health history and description of your current symptoms, your massage therapist is sure to have the best, most up to date information. This will ensure that your treatment plan is catered specifically to your needs.

Once the intake has been completed, your massage practitioner will advise you of the massage treatment they plan to give. This will be an overview of the areas of the body that will be targeted. They will then instruct you to "dress down" and tell you how to lie on the massage table. "Dressing down" is your choice. I like to tell clients to "dress down" to their level of comfort. For some that means completely disrobing, for others it means keeping a top on, socks on, or whatever makes them feel most comfortable to ensure the deepest relaxation. Remember, no matter what level you "dress down" to, you will always be covered with a sheet and blanket. Only the part of the body being worked on will be exposed.

While you change, your massage practitioner will step out of the room, make chart notes, wash their hands and return to provide your treatment. Most treatments last one hour, though 30 minute and 90 minute treatments are also avaiable. While on the table, your only job is to relax thoroughly and stay in communication with your therapist. By breathing deeply and slowly you will aid your muscles to relax to their fullest potential. Your massage therapist will ask you about your comfort and the pressure level during the massage, but always feel free to speak up if they don't ask first.

Your massage, especially your first massage, is all about you. You are in control of the treatment. If the temperature is too high or too low, ask your therapist to adjust it. If you need more or less pressure, tell them. You won't hurt our feelings by asking for adjustments. In fact, we appreciate requests because it is how we learn to best treat you.

These are some basic questions that come up day to day. If you have further questions, please email me at dianaskidmore@soundchiropractic.com Better yet, give us a call and come in for your massage treatment today! 206 440 7700

Take Charge Of Your Health!

Most health problems can be avoided. Many of the problems we deal with every day didn’t have to be there at all, if we were willing to take a good hard look at ourselves and decide to be healthy.

The first question is, do you think your body wants to be healthy or do you think you have to medicate it into being “healthy?” An easy example is if you get a cut on your skin. You know that the bandage doesn’t heal the cut, your body does. It just knows that it needs to heal that area and it gets to work. If you are a healthy person, the cut will likely heal much faster than if you are unhealthy.

I see this in my practice every day. I’m a chiropractor and we work with aligning the spine to improve the patient’s health. In order for the spine to stay in its proper position, the muscles will need to work with us. The health of the muscles will determine how fast the patient gets results.

Too many people are in pain, come in and get treatment, just to find that the results take much longer than they thought they would. Then I see patients in moderately good health that bounce back much faster than expected. The patient that consistently makes more healthy choices will get better faster than the patient that doesn’t. Period.

So how do you avoid most health problems and stay healthy? There’s not a lot of mystery to it, believe me. I’ve tried, probably just like you, to find any other new possible way to get healthy other than what has been tried and true.

1. Eat right – What does this mean? Fruits and vegetables, you know, all the stuff you don’t want to eat. If you look at your health as just the results of what you’ve been doing so far, this will help in your motivation. Eliminating one bad food at a time and replacing it with something healthy will go a long way. Maybe no more sodas, instead you’ll be drinking water. Replacing green tea for coffee, or reducing your sugar intake.

Continue to make these better choices and eventually you’ll see a big difference in how you feel. Many conditions are the result of long term diet issues. If you eat poorly, you don’t give your body any materials to maintain your health.

2. Exercise – Don’t start your new exercise program by opening up your front door and running 10 miles. Find some ways to build momentum in your exercise program. Take a walk, go play catch with your child (or even your dog), or get a bike and start doing laps around your block. Find a way to get started and go from there.

Exercise will improve the tone of your muscles, make you stronger, and most importantly, will help you deal with stress. Stress is a huge factor in your health.

It all sounds to easy, right? It’s not easy. Staying consistent with these elements of your goal to get healthy will yield plenty of benefits, just figure out your best way of sticking with it. I’ve found that adding in (or taking out) one thing at a time will make all the difference. You won’t lose fifty pounds in six weeks, but whatever you do lose will stay gone. Over the long-term, that’s what will make all the difference in your health. Take charge of your health!