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Common Back Problems
Answers to few common questions
 

Auto Accidents
If you have been involved in a car accident, whiplash injuries need to be taken very seriously. Because symptoms of a whiplash injury can take weeks or months to manifest, it is easy to be fooled into thinking that you are not as injured as you really are.
Too often people don't seek treatment following a car accident because they don't feel hurt. By far, the most common injury to the neck is a whiplash injury. Whiplash is caused by a sudden movement of the head, either backward, forward, or sideways, that results in the damage to the supporting muscles, ligaments and other connective tissues in the neck and upper back.

Unfortunately, by the time more serious complications develop, some of the damage from the injury may have become permanent. Numerous studies have shown that years after whiplash victims settle their insurance claims, roughly half of them state that they still suffer with symptoms from their injuries. If you have been in a motor vehicle or any other kind of accident, don't assume that you escaped injury if you are not currently in pain. Find a Chiropractor today.

Lower Back Pain
Eighty percent of people suffer from back pain at some point in their lives. Back pain is the second most common reason for visits to the doctor's office, outnumbered only by upper-respiratory infections. In fact, it is estimated that low back pain affects more than half of the adult population each year and more than 10% of all people experience frequent bouts of low back pain.

The susceptibility of the low back to injury and pain is due to the fact that the low back, like the neck, is a very unstable part of the spine. Unlike the thoracic spine, which is supported and stabilized by the rib cage. This instability allows us to have a great deal of mobility to touch our toes, tie our shoes or pick something up from the ground, but at the cost of increased risk of injury.

As long as it is healthy and functioning correctly, the low back can withstand tremendous forces without injury. Professional power lifters can pick up several hundred pounds off the floor without injuring their low back. However, if the low back is out of adjustment or has weakened supporting muscles, something as simple as taking a bag of groceries out of the trunk of their car, picking something up off the floor, or even simply bending down to pet the cat can cause a low back injury.

Until recently, researchers believed that back pain would heal on its own. We have learned, however, that this is not true. Recent studies showed that when back pain is not treated, it may go away temporarily, but will most likely return. It is important to take low back pain seriously and seek professional chiropractic care. This is especially true with pain that recurs over and over again. Contact our chiropractor . . . we can help!

The Causes of Low Back Pain
There are many different conditions that can result in low back pain, including: sprained ligaments, strained muscles, ruptured disks, trigger points and inflamed joints. While sports injuries or accidents can lead to injury and pain, sometimes even the simplest movements, like picking up a pencil from the floor, can have painful results. In addition, conditions such as arthritis, poor posture, obesity, psychological stress and even kidney stones, kidney infections, blood clots, or bone loss can lead to pain.

Due to the fact that there are a whole lot of things that can cause low back pain, and some of those things can be quite serious if left untreated, it is important to seek professional help. Chiropractors are the experts at diagnosing the cause and determining the proper treatment for low back pain. Here are some of the most common causes:

Subluxations
Whenever there is a disruption in the normal movement or position of the vertebrae, the result is pain and inflammation. In the lumbar spine, these usually occur at the transition between the lower spine and the sacrum. Subluxations can lead to debilitating low back pain. Fortunately, subluxations are easily treatable and often times a significant reduction in pain is experienced almost immediately after treatment.

Disc Herniations
Contrary to popular belief, a herniated disc does not automatically mean that you are going to suffer from low back pain. In fact, one study found that almost half of all adults had at least one bulging or herniated disc, even though they did not suffer any back pain from it. On the other hand, herniated discs can be a source of intense and debilitating pain that frequently radiates to other areas of the body. Unfortunately, once a disc herniates, they rarely, if ever, completely heal. Further deterioration can often be avoided through regular chiropractic care, but a complete recovery is much less common.

Sprains, Strains and Spasms
This is commonly the source of low back pain among the weekend warriors. You know, the type who have very little physical activity during the week, but once the weekend arrives, they push themselves way too much. By the end of the weekend, they are lying flat on their back counting down the hours before they can get in to see their chiropractor. Overworking the muscles or ligaments of the low back can lead to small tears in the tissues, which then become painful, swollen and tight.

Stress
Whenever you become stressed, your body responds by increasing your blood pressure and heart rate, flooding your body with stress hormones and tightening up your muscles. When you are stressed all the time, the chronic tension causes your muscles to become sore, weak and loaded with trigger points. If you are stressed out all of the time and you have low back pain, it is important to do some relaxation exercises, such as deep breathing, as well as to get regular exercise.

Treating Low Back Pain With Chiropractic
Chiropractic treatment for low back pain is usually pretty straightforward. Most commonly, it's simply a matter of adjusting the lower lumbar vertebrae and pelvis to re-establish normal motion and position of your bones and joints.

Chiropractic for the low back has been repeatedly shown to be the most effective treatment for low back pain. In fact, major studies have shown that chiropractic care is more effective, cheaper and has better long-term outcomes than any other treatment. This makes sense because chiropractic care is the only method of treatment that serves to re-establish normal vertebral motion and position in the spine. All other treatments, such as muscle relaxants, pain killers and bed rest, only serve to decrease the symptoms of the problem and do not correct the problem itself.

Upper Back Pain
Most people do not realize how much they move their neck during the day until they are unable to do so. The degree of flexibility of the neck, coupled with the fact that it has the least amount of muscular stabilization and it has to support and move your 14 - 16 pound head, means that the neck is very susceptible to injury. You can picture your neck and head much like a bowling ball being held on top of a stick by small, thin, elastic bands. It doesn’t take much force to disrupt that delicate balance.

The spinal cord runs through a space in the vertebrae to send nerve impulses to every part of the body. Between each pair of cervical vertebrae, the spinal cord sends off large bundles of nerves that run down the arms and to some degree, the upper back. This means that if your arm is hurting, it may actually be a problem in the neck! Symptoms in the arms can include numbness, tingling, cold, aching, and “pins and needles”.
These symptoms can be confused with carpal tunnel syndrome, a painful condition in the hands that is often found in people who work at computer keyboards or perform other repetitive motion tasks for extended periods. Problems in the neck can also contribute to headaches, muscle spasms in the shoulders and upper back, ringing in the ears, otitis media (inflammation in the middle ear, often mistaken for an ear infection in children), temporomandibular joint dysfunction (TMJ), restricted range of motion and chronic tightness in the neck and upper back.

We associate the neck and upper back together, because most of the muscles that are associated with the neck either attach to, or are located in, the upper back. These muscles include the trapezius, the levator scapulae, the cervical paraspinal muscles and the scalenes, as well as others.
The Causes of Neck and Upper Back Pain

Most neck and upper back pain is caused by a combination of factors, including injury, poor posture, chiropractic subluxations, stress, and in some instances, disc problems.

Injuries
By far, the most common injury to the neck is a whiplash injury. Whiplash is caused by a sudden movement of the head, either backward, forward, or sideways, that results in the damage to the supporting muscles, ligaments and other connective tissues in the neck and upper back. Whether from a car accident, sports, or an accident at work, whiplash injuries need to be taken very seriously.

Because symptoms of a whiplash injury can take weeks or months to manifest, it is easy to be fooled into thinking that you are not as injured as you really are. Too often people don’t seek treatment following a car accident or sports injury because they don’t feel hurt. Unfortunately, by the time more serious complications develop, some of the damage from the injury may have become permanent. Numerous studies have shown that years after whiplash victims settle their insurance claims, roughly half of them state that they still suffer with symptoms from their injuries.

If you have been in a motor vehicle or any other kind of accident, don’t assume that you escaped injury if you are not currently in pain. Get checked out by a good chiropractor.

Poor Posture
One of the most common causes of neck pain, and sometimes headaches, is poor posture. It’s easy to get into bad posture habits without even realizing it - even an activity as “innocent” as reading in bed can ultimately lead to pain, headaches, and more serious problems. The basic rule is simple: keep your neck in a “neutral” position whenever possible. Don’t bend or hunch your neck forward for long periods. Also, try not to sit in one position for a long time. If you must sit for an extended period, make sure your posture is good: Keep your head in a neutral position, make sure your back is supported, keep your knees slightly lower than your hips, and rest your arms if possible.
Subluxations

Subluxations in the neck and upper back area are extremely common due to the high degree of stress associated with holding up your head, coupled with the high degree of instability in the cervical spine. Most subluxations tend to be centered around four areas: the top of the cervical spine where it meets the skull; in the middle of the cervical spine where the mechanical stress from the head is the greatest; in the transition where the cervical and thoracic areas of the spine meet; and in the middle of the thoracic spine where the mechanical stress from the weight of the upper body is greatest. Signs of subluxation include looking in the mirror and seeing your head tilted or one shoulder higher than the other. Often women will notice that their sleeve length is different or that a necklace is hanging off center. If someone looks at you from the side they may notice that your head sits forward from your shoulders. This is known as FHP - forward head posture - and is very common for people who are stooped over their computers all day long. Subluxations are a debt to the body. If they are not taken care of soon after they occur, then they can get much worse over time due to the accumulation of compounding interest.
Stress

When most people become stressed, they unconsciously contract their muscles. In particular, the muscles in their back. This ‘muscle guarding’ is a survival response designed to guard against injury. In today’s world where we are not exposed to physical danger most of the time, muscle guarding still occurs whenever we become emotionally stressed. The areas most affected are the muscles of the neck, upper back and low back. For most of us, the particular muscle affected by stress is the trapezius muscle, where daily stress usually leads to chronic tightness and the development of trigger points.

The two most effective ways you can reduce the physical effects of stress on your own are to increase your activity level – exercise – and by deep breathing exercises. When you decrease the physical effects of stress, you can substantially reduce the amount of tightness and pain in your upper back and neck.

Disc Herniations
The discs in your cervical spine can herniate or bulge and put pressure on the nerves that exit from the spine through that area. Although cervical discs do not herniate nearly as often as lumbar discs do, they occasionally can herniate, especially when the discs sustain damage from a whiplash injury. Contact us today!

Headaches
Headaches affect just about everyone at some point and they can present themselves in many different ways. Some people only experience pain in one part of their head or behind their eyes, some people experience a pounding sensation inside their whole head, and some people even experience nausea, while others do not. The pain itself may be dull or sharp and may last for anywhere from a few minutes to a few days. Fortunately, very few headaches have serious underlying causes, but those that do require urgent medical attention.

Although headaches can be due to a wide variety of causes, such as drug reactions, temporomandibular joint dysfunction (TMJ), tightness in the neck muscles, low blood sugar, high blood pressure, stress and fatigue, the majority of recurrent headaches are of two types: tension headaches (also called cervicogenic headaches) and migraine headaches. There is a third, less common, type of headaches called a cluster headache that is a cousin to the migraine. Let’s start out by taking a look at each of these three types of headaches.

Tension Headaches
Tension type headaches are the most common, affecting upwards of 75% of all headache sufferers. Most people describe a tension headache as a constant dull, achy feeling either on one side or both sides of the head, often described as a feeling of a tight band or dull ache around the head or behind the eyes. These headaches usually begin slowly and gradually and can last for minutes or days, and tend to begin in the middle or toward the end of the day. Tension headaches are often the result of stress or bad posture, which stresses the spine and muscles in the upper back and neck.

Tension headaches, or stress headaches, can last from 30 minutes to several days. In some cases, chronic tension headaches may persist for many months. Although the pain can at times be severe, tension headaches are usually not associated with other symptoms, such as nausea, throbbing or vomiting.

The most common cause of tension headaches is subluxations in the upper back and neck, especially the upper neck, usually in combination with active trigger points. When the top cervical vertebrae lose their normal motion or position, a small muscle called the rectus capitis posterior minor (RCPM) muscle goes into spasm. The problem is that this small muscle has a tendon which slips between the upper neck and the base of the skull and attaches to a thin pain-sensitive tissue called the dura mater that covers the brain. Although the brain itself has no feeling, the dura mater is very pain-sensitive. Consequently, when the RCPM muscle goes into spasm and its tendon tugs at the dura mater, a headache occurs. People who hold desk jobs will tend to suffer from headaches for this reason.

Another cause of tension type headaches comes from referred pain from trigger points in the Sternocleidomastoid (SCM) or levator muscle on the side of the neck. These are much more common in people who suffer a whiplash injury due to the muscle damage in the neck region.
Migraine Headaches

Each year, about 25 million people in the U.S. experience migraine headaches, and about 75% are women. Migraines are intense and throbbing headaches that are often associated with nausea and sensitivity to light or noise. They can last from as little as a few hours to as long as a few days. Many of those who suffer from migraines experience visual symptoms called an "aura" just prior to an attack that is often described as seeing flashing lights or that everything takes on a dream-like appearance.

Migraine sufferers usually have their first attack before age 30 and they tend to run in families, supporting the notion that there is a genetic component to them. Some people have attacks several times a month; others have less than one a year. Most people find that migraine attacks occur less frequently and become less severe as they get older.

Migraine headaches are caused by a constriction of the blood vessels in the brain, followed by a dilation of blood vessels. During the constriction of the blood vessels there is a decrease in blood flow, which is what leads to the visual symptoms that many people experience. Even in people who don’t experience the classic migraine aura, most of them can tell that an attack is immanent. Once the blood vessels dilate, there is a rapid increase in blood pressure inside the head. It is this increased pressure that leads to the pounding headache. Each time the heart beats it sends another shock wave through the carotid arteries in the neck up into the brain.

There are many theories about why the blood vessels constrict in the first place, but no one knows for sure. What we do know is that there are a number of things that can trigger migraines, such as lack of sleep, stress, flickering lights, strong odors, changing weather patterns and several foods; especially foods that are high in an amino acid called ‘tyramine.’You can reduce the likelihood of migraine headaches by making some lifestyle changes.

Cluster Headaches
Cluster headaches are typically very short in duration, excruciating headaches, usually felt on one side of the head behind the eyes. Cluster headaches affect about 1 million people in the United States and, unlike migraines, are much more common in men. This is the only type of headache that tends to occur at night. The reason that they are called ‘cluster’ headaches is that they tend to occur one to four times per day over a period of several days. After one cluster of headaches is over, it may be months or even years, before they occur again. Like migraines, cluster headaches are likely to be related to a dilation of the blood vessels in the brain, causing a localized increase in pressure.

Chiropractic Care for Headaches
Numerous research studies have shown that chiropractic adjustments are very effective for treating tension headaches, especially headaches that originate in the neck.

A report released in 2001 by researchers at the Duke University Evidence-Based Practice Center in Durham, NC, found that "spinal manipulation resulted in almost immediate improvement for those headaches that originate in the neck, and had significantly fewer side effects and longer-lasting relief of tension-type headache than commonly prescribed medications." These findings support an earlier study published in the Journal of Manipulative and Physiological Therapeutics that found spinal manipulative therapy to be very effective for treating tension headaches. This study also found that those who stopped chiropractic treatment after four weeks continued to experience a sustained benefit in contrast to those patients who received pain medication.

Each individual’s case is different and requires a thorough evaluation before a proper course of chiropractic care can be determined. However, in most cases of tension headaches, significant improvement is accomplished through manipulation of the upper two cervical vertebrae, coupled with adjustments to the junction between the cervical and thoracic spine. This is also helpful in most cases of migraine headaches, as long as food and lifestyle triggers are avoided as well.

Headache Trigger Points

Trigger point therapy for headaches tends to involve four muscles: the Splenius muscles, the Suboccipitals, the Sternocleidomastoid (SCM) and the Trapezius. The Splenius muscles are comprised of two individual muscles – the Splenius Capitis and the Splenius Cervicis. Both of these muscles run from the upper back to either the base of the skull (splenius capitis) or the upper cervical vertebrae (splenius cervicis). Trigger points in the Splenius muscles are a common cause of headache pain that travels through the head to the back of the eye, as well as to the top of the head.

The Suboccipitals are actually a group of four small muscles that are responsible for maintaining the proper movement and positioning between the first cervical vertebra and the base of the skull. Trigger points in these muscles will cause pain that feels like it’s inside the head, extending from the back of the head to the eye and forehead. Often times it will feel like the whole side of the head hurts, a pain pattern similar to that experienced with a migraine.

The Sternocleidomastoid (SCM) muscle runs from the base of the skull, just behind the ear, down the side of the neck to attach to the top of the sternum (breastbone). Although most people are not aware of the SCM trigger points, their effects are widespread, including referred pain, balance problems and visual disturbances. Referred pain patterns tend to be deep eye pain, headaches over the eye and can even cause earaches. Another unusual characteristic of SCM trigger points is that they can cause dizziness, nausea and unbalance.

The trapezius muscle is the very large, flat muscle in the upper and mid back. A common trigger point located in the very top of the Trapezius muscle refers pain to the temple and back of the head and is sometimes responsible for headache pain. This trigger point is capable of producing satellite trigger points in the muscles in the temple or jaw, which can lead to jaw or tooth pain.

Avoid Headache Triggers
Stress may be a trigger, but certain foods, odors, menstrual periods, and changes in weather are among many factors that may also trigger headache.

Emotional factors such as depression, anxiety, frustration, letdown, and even pleasant excitement may be associated with developing a headache.

Keeping a headache diary will help you determine whether factors such as food, change in weather, and/or mood have any relationship to your headache pattern.

Repeated exposure to nitrite compounds can result in a dull, pounding headache that may be accompanied by a flushed face. Nitrite, which dilates blood vessels, is found in such products as heart medicine and dynamite, but is also used as a chemical to preserve meat. Hot dogs and other processed meats containing sodium nitrite can cause headaches.

Eating foods prepared with monosodium glutamate (MSG) can result in headache. Soy sauce, meat tenderizer, and a variety of packaged foods contain this chemical which is touted as a flavor enhancer.

Headache can also result from exposure to poisons, even common household varieties like insecticides, carbon tetrachloride, and lead. Children who ingest flakes of lead paint may develop headaches. So may anyone who has contact with lead batteries or lead-glazed pottery.
Foods that are high in the amino acid tyramine should also be avoided, such as ripened cheeses (cheddar, brie), chocolate, as well as any food pickled or fermented foods.

Pinched Nerve
The term “pinched nerve” is somewhat of a catch-all phrase that is commonly used to describe the pain associated with a variety of conditions from subluxations, to tunnel syndromes to the referred pain from trigger points.

Most of the time, what is called a pinched nerve is actually an irritated, or inflamed nerve where the nerve itself is not actually pinched. In most cases, nerves become irritated and inflamed when the bones, joints or muscles of the spine are not in their proper position, or are not moving properly. This condition is called a “subluxation”, the treatment of which is the specialty of the doctor of chiropractic.

There are instances when nerves do become ‘pinched’, such as in Carpal Tunnel Syndrome, Sciatica and Thoracic Outlet Syndrome. In each of these cases, injury, spasm or inflammation of the surrounding muscles and connective tissue causes the nerve to become compressed, resulting in pain. These conditions are referred to as “tunnel syndromes.” Treating tunnel syndromes is more complex than treating a simple spinal subluxation, but they usually respond very well to chiropractic care; especially when combined with other physical therapies, such as exercises and stretches.

Trigger points are very tight “knots” of muscle that form when muscles are either chronically overworked or injured, and are often experienced as a pinching or burning pain. Trigger points will commonly cause pain that radiates to other parts of the body, which is also known as referred pain. The successful treatment of trigger points usually requires a combination of chiropractic care, stretching and a form of deep tissue massage called ‘trigger point therapy.'

It is very important that the cause of any form of pain be properly diagnosed. This is especially important when nerves are affected as severe or long term irritation, or compression, of a nerve can lead to permanent nerve damage. If you have been told that you have a “pinched nerve” it is very important that you seek professional care from a doctor of chiropractic as soon as possible. Find a local Chiropractor today.
General Wellness

Regular chiropractic care, eating a healthy diet, taking vitamin supplements, keeping your weight under control and stress management are all part of an overall wellness lifestyle that, if followed, results in a longer, healthier and pain-free life.  Here are a list of basic tips to help you maintain a healthier, more vibrant body.

Regular Chiropractic Care
The chiropractic approach to healthcare is holistic, meaning that it addresses your overall health.  Numerous studies have demonstrated that chiropractic care is one of the most effective treatments for back pain, neck pain, headaches, whiplash, sports injuries and many other types of musculoskeletal problems.  It has even been shown to be effective in reducing high blood pressure, decreasing the frequency of childhood ear infections (otitis media) and improving the symptoms of asthma.

Chiropractic is so much more than simply a means of relieving pain.  Ultimately, the goal of the chiropractic treatment is to restore the body to its natural state of optimal health.  In order to accomplish this, chiropractors use a variety of treatment methods, including manual adjustments, massage, trigger point therapy, nutrition, exercise rehabilitation, and massage, as well as counseling on lifestyle issues that impact your health.  Since the body has a remarkable ability to heal itself and to maintain its own health, my primary focus is simply to remove those things which interfere with the body’s normal healing ability. 

Chiropractors understand that within each of us is an innate wisdom, a health energy, that will express itself as perfect health and well-being if we simply allow it to.  Therefore, the focus of chiropractic care is simply to remove any physiological blocks to the proper expression of the body’s innate wisdom.  Once these subluxations are removed, health is the natural consequence.

Just like continuing an exercise program and eating well in order to sustain the benefits of exercise and proper diet, it is necessary to continue chiropractic care to ensure the health of your musculoskeletal system.  When you make routine chiropractic care a part of your lifestyle, you avoid many of the aches and pains that so many people suffer through, your joints will last longer and you will be able to engage in more of the activities you love.

Many years ago, dentists convinced everyone that the best time to go to the dentist is before your teeth hurt – that routine dental care will help your teeth remain healthy for a long time.  It is important to remember that, just like your teeth, your spine experiences normal wear and tear – you walk, drive, sit, lift, sleep and bend.  Regular chiropractic care can help you feel better, move with more freedom, and stay healthier throughout your lifetime.  Although you can enjoy the benefits of chiropractic care even if you are only treated for a short time, the real benefits come into play when you make chiropractic care a part of your lifestyle.

Maintain Good Posture
Poor posture creates a lot of stress on your spine and chronic muscle tension, leading to pain and stiffness.  This happens because the weight of your upper body must be supported by your back muscles instead of the bones of your spine.  The further your posture deviates from normal, the greater the stress on your back and the more pain that you will experience.

To illustrate this idea, think about carrying a briefcase.  If you had to carry your briefcase with your arms outstretched in front of you, it would not take long before the muscles of your shoulders would be completely exhausted.  This is because carrying the briefcase far away from the center of your body places an undue stress on your shoulder muscles.  If you held the same briefcase down at your side, your muscles would not fatigue as quickly because the briefcase is closer to the center of your body and the weight is, therefore, supported by the bones of the skeleton, rather than the muscles.

A simple exercise to improve your posture is called the Wall Posture Exercise.  To do this exercise, simply find a flat wall.  Rest your back against the wall and scoot your heels, shoulders and head back until the touch the wall.  Holding this posture, step away from the wall and try to hold this posture as long as you can while you go about your day.

Reduce Your Stress
Modern life is full of pressure, stress and frustration.  Worrying about your job security, being overworked, driving in rush-hour traffic, arguing with your spouse — all these create stress. According to a recent survey by the American Psychology Association, fifty-four percent of Americans are concerned about the level of stress in their everyday lives and two-thirds of Americans say they are likely to seek help for stress.

You may feel physical stress as the result of too much to do, not enough sleep, a poor diet or the effects of an illness. Stress can also be mental: when you worry about money, a loved one’s illness, retirement, or experience an emotionally devastating event, such as the death of a spouse or being fired from work.

However, much of our stress comes from less dramatic everyday responsibilities. Obligations and pressures which are both physical and mental are not always obvious to us. In response to these daily strains your body automatically increases blood pressure, heart rate, respiration, metabolism, and blood flow to your muscles. This response is intended to help your body react quickly and effectively to a high-pressure situation.

After decades of research, it is clear that the negative effects associated with stress are real.  Although you may not always be able to avoid stressful situations, there are a number of things that you can do to reduce the effect that stress has on your body.  The first is relaxation. Learning to relax doesn't have to be difficult. You can learn about specific techniques for stress reduction in the Stress Reduction section of this website.

Maintain a Healthy Body Weight
Most people know that excessive body weight contributes to the development of a number of conditions, such as coronary heart disease, diabetes, high blood pressure, and colon cancer.  However, it may also be a major contributing factor for the development of low back pain.  The spine is designed to carry a certain amount of body weight. 

When it is exposed to the excess pressure of being overweight, the spine becomes stressed and, over time, can suffer structural damage.  Being overweight significantly contributes to symptoms associated with osteoporosis, osteoarthritis (OA), rheumatoid arthritis (RA), degenerative disc disease (DDD), spinal stenosis, and spondylolisthesis.
In addition to back pain, those who are overweight may suffer from fatigue, as well as difficulty breathing and shortness of breath  during short periods of exercise.  If the fatigue and shortness of breath causes one to avoid activity and exercise, then this can indirectly lead to back pain as lack of exercise contributes to many common forms of back pain.

If you are currently overweight and suffer from low back pain, talk to your doctor about effective ways to lose weight.  Not only will your back pain improve, but you will decrease your risk of most major degenerative diseases at the same time.

Sleep on a Good Mattress
Good health and sleep are closely linked. Just as we improve our eating habits for better health, we should also improve our sleep habits.  Sleep debt is a costly problem in our society, both fiscally and physically.  Sleep should be a priority and not just a negotiable need determined by our busy schedules.  Good sleep not only reduces costly back problems but also helps to prepare us for a more productive, alert and safe day ahead.

Here are some tips to help you select the proper mattress for you:

Personal preference should ultimately determine what mattress to purchase. 
Any mattress that helps someone sleep without pain and stiffness is the best mattress for that individual. There is no single mattress that works for all people with low back pain. 

Find a mattress with sufficient back support to reduce low back pain. 
A good mattress should provide support while allowing for the natural curves and alignment of the spine.  Medium-firm mattresses usually provide more back pain relief than firm mattresses. 

Know when it’s time to get a new mattress.
If an old mattress sags visibly in the middle, it is probably time to purchase a new one. Putting boards under a sagging mattress is only a short-term fix and may cause more back problems and low back pain in the long run.

Be wary of mattress advertising gimmicks.
Claims that a mattress is “orthopedic” or “medically-approved” should be viewed skeptically.  There has not been extensive medical research or controlled clinical trials on the topic of mattresses and low back pain.  You must determine whether or not extra features on a mattress make it more comfortable or supportive for your back.

Wear Orthotics
Orthotics are custom fitted inserts that you place into your shoes to keep your feet functioning correctly. Your feet are the foundation of your body. They support you when you stand, walk, or run. And they help protect your spine, bones, and soft tissues from damaging stress as you move around. Your feet perform better when all their muscles, arches, and bones are in their ideal stable positions.

The foot is constructed with three arches which, when properly maintained, give exceptional supportive strength. These three arches form a supporting vault that distributes the weight of the entire body.  If there is compromise of one arch in the foot, the other arches must compensate and are subject to additional stresses, which usually leads to further compromise.

By stabilizing and balancing your feet, orthotics enhance your body’s performance and efficiency, reduce pain, and contribute to your total body wellness. Since the average person spends almost two-thirds of their day in shoes, it’s important to make sure that they provide optimal support.  One popular brand of orthotics is Foot Levelers.  Foot Levelers orthotics support all three arches in your feet, thereby creating a stable foundation upon which to build proper body posture.

Drink More Water
Water is the single-most abundant nutrient in the body, accounting for around 60% - 65% of your total weight.  It is also the least forgiving of all the nutrients you consume.  You can survive for weeks without food, but for only a couple of days without water.  Water is responsible for the transport of nutrients, oxygen and waste products, as well as for regulating your body temperature and serving as the medium in which all of your body’s chemical reactions take place.  Most people do not drink enough pure clean water.

Drinking an adequate amount of clean water every day is one of the most overlooked, but simplest ways of keeping your body healthy.  Water is used to help the body cleanse itself of toxins and metabolic waste.  Although drinking water has become more popular over the past several years, many people still do not consume enough water.  Instead, they drink coffee, tea, juices and soft drinks and figure that they get enough fluids.  It is true that when you drink these things you are consuming water.  However, along with the water, you are also consuming a lot of other stuff that the body will need to ultimately eliminate, so the potential beneficial effect of the water is somewhat negated.  To make matters worse, drinks that contain caffeine, such as coffee, tea and soft drinks, actually cause more water loss than the amount of water they contain, resulting in a net loss of water.

Ideally, the average person should consume around ten cups of water per day, or just over a half gallon.  Some of this water is found in the food and beverages you consume, so you don’t have to drink an entire half-gallon of water every day.  An easy way to accomplish this is to buy a 1.5 liter bottle of water from the local grocery store and to drink that amount of water every day.  If you exercise heavily, you may have to drink two of those 1.5 liter bottles of water each day.  By drinking enough water, you will be helping your body to remain healthy.  It is by far the cheapest health insurance you can buy. 

Eat More Fruits and Vegetables
People know that they should eat more fruit and vegetables in their diet, but most people don’t do it.  It seems lately that the four major food groups of the American diet have gone from dairy, fruits and vegetables, grains, and meat to sugar, fat, salt and caffeine.  Because of the easy availability of fast foods and snack foods, we have lost our taste for fruits and vegetables; especially vegetables.  It is not uncommon for many people to go for weeks without consuming a single serving of fresh vegetables.  This is not good.

The human body evolved with a diet high in fruits and vegetables, and is dependent on many of the compounds unique to plant foods in order to operate correctly.  If you don’t consume enough of these plant compounds, your energy level will suffer along with your overall health.  Most people are shocked at how much better they feel when they cut down on the fast foods and snack foods and increase their fruit and vegetable intake. 

If you find it difficult to work in several servings of fruits and vegetables into your routine every day, you may find it helpful to supplement your diet with what is called a “greens” supplement, which is a highly concentrated powder of fruits, vegetables and antioxidants.
Increasing your consumption of fruits and vegetables is an important way to improve your overall health.  The key is to make it part of your lifestyle - to make it a new habit.

Cut Down on Sugar
In a recent study done by the USDA, it was reported that the average American consumes 134 pounds of refined sugar every year, or approximately 20 teaspoons of sugar per day.  As hard as this may be to believe, consider the following facts:

A 12 oz. can of Pepsi™ contains 10 teaspoons of sugar
A 2 oz. package of candy contains 11 teaspoons of sugar
A 16 oz. cup of lemonade contains 13 teaspoons of sugar
A cup of Frosted Flakes™ contains 4 teaspoons of sugar

This high level of sugar intake is very unhealthy and contributes to obesity, Type II diabetes, heart disease due to elevated triglycerides, kidney stones, dental caries, chronic tiredness and reactive hypoglycemia.  Decreasing your sugar intake is as simple as avoiding foods which are high in refined sugars, such as soft drinks, candy, cake and donuts, as well as most condiments.  When you purchase sweetened food, look for products that are sweetened with apple juice or stevia, rather than sugar or high-fructose corn syrup.

Take a Multivitamin
Many people don’t think that they need to take vitamin supplements because, after all, the human body did not evolve to need supplements – as long as you eat a balanced diet, you can get everything that your body needs, right?  While it is certainly true that people living a thousand years ago did not have multivitamins, they also did not have thousands of tons of toxic chemicals being pumped into their environment every year; they were not exposed to a constant man-made electromagnetic field from power lines and cell phones; they did not eat highly processed foods that contained artificial colors, flavors and preservatives; they were not sedentary; and they were not under constant stress at work and at home.  Our bodies were simply not designed for a fast-paced, high-stress, highly processed lifestyle.

The reality is that we need to give our body some help in order to stay healthy in the world today.  That’s where supplements come in.  Supplements help to ensure that your body gets all of the extra vitamins, minerals, phytonutrients and probiotics necessary to function the way it should. 

Get Into the Light
One of the most important nutrients for your mind and body speeds toward you at 186,000 miles per second from more than 93 million miles away. This nutrient is called sunlight. Most people don’t think of sunlight as a nutrient, but it is. Sunlight is necessary for regulating proper hormone function, calcium absorption, bone health as well as a normal daily sleep-wake cycle (circadian rhythm). In fact, if you don’t get enough sunlight in your daily ‘light diet,’ you can suffer deficiency symptoms, such as:

  seasonal depression (also known as Seasonal Affective Disorder)
  poor quality of sleep
  a loss in work performance (especially in night-shift workers)
  disrupted melatonin regulation
  depressed cortical brain activity
  depressed immune function

Unfortunately, the light to which most of us are exposed each day comes from manmade sources,  such as fluorescent, sodium and incandescent lights that do not produce full-spectrum sunlight.  Numerous studies have shown that these limited-spectrum artificial light sources can make students irritable in school, reduce production among factory workers and make office workers sluggish. In one study, researchers even found that calcium absorption dropped off in the elderly who spent their days indoors during the winter, while those who spent time under full-spectrum lighting had an increase in calcium absorption.

Getting enough full-spectrum light can give your mood a tremendous boost.  Light can help reduce stress, help you feel happier and improve your ability to concentrate.  To make sure that you are getting enough light in your diet, doctors recommend the following tips:
Try to spend at least 15 minutes outside every day; even when it's very cloudy. The full-spectrum daylight is still beneficial to your health.
Begin using a light box during the fall and winter seasons, especially if you tend to get the winter blues.

Stop wearing sunglasses as they create very unnatural light for your eyes. Sunglasses should only be worn when you need to protect your eyes from physical harm or very bright light.

Keep Your Heart Healthy
Heart disease is currently the number-one killer of adults in the United States.  This is unfortunate because most heart disease is caused by poor lifestyle choices.  The four big lifestyle changes you can make to ensure to maximize the health of your heart are exercise, maintaining a healthy body weight, taking a high quality vitamin supplement and stopping smoking. 

Just as exercise is important to the health of your neuromusculoskeletal system, it is also critical to the health of your heart.  When you regularly exercise, your body becomes much more efficient at using oxygen and burning calories and your blood pressure is normalized.  This decreases the stress on your heart.

Another easy way to reduce the stress on your heart is to decrease the amount of body fat you carry around.  It takes approximately one mile of additional blood vessels to supply one pound of additional fat.  If you are twenty, thirty or fifty pounds overweight, it is easy to see how that extra body fat can place an undue burden on your heart.

Vitamins E and C and folic acid are the three most important nutritional supplements to take for your heart.  Vitamin E is a powerful fat-soluble antioxidant which helps to prevent the cholesterol in your blood from becoming oxidized.  High cholesterol levels in the blood, per se, are not that big of a deal.  Cholesterol only becomes dangerous when it interacts with an oxidizing radical.  Vitamin E helps to prevent this.
Vitamin C is important to help strengthen the walls of the arteries and prevent the development of cholesterol plaques inside the coronary arteries. 

Did you know that the arteries that are the most likely to develop cholesterol deposits are the ones that are close to the heart?  The reason is that when the heart contracts, it pushes blood out with a great degree of force.  If the walls of the arteries which are closest to the heart are not as strong as they should be, they will tend to momentarily stretch out like a balloon and cause small tears to the inside arterial wall as the rush of blood from the heart passes by.  These small tears serve as a place where platelets and cholesterol form deposits.  High levels of vitamin C reduce the number of tears in the arteries by strengthening the collagen tissues around the arteries, keeping them from expanding too much as blood pulses through.

The third vitamin which is important is one of the B-vitamins called folic acid.  Folic acid, also called folacin, is important for reducing the level of homocysteine in the blood.  Homocysteine is a metabolic by-product which can contribute significantly to the development of heart disease.  So, when you take your multivitamin while you are on your way to do your exercises, make sure that it contains at least 400 IU of vitamin E, at least 500 mg of vitamin C (1000 is even better) and 40 mcg of folic acid.

Stop Smoking
If you are a smoker, you are sick of hearing this, but….  it is REALLY important that you stop smoking!  Smoking throughout the day is akin to living inside a burning building.  Smoking degrades the collagen of your skin, causing premature wrinkling, destroys the cells inside your lungs, promotes heart disease, cataracts and cancer because of the oxidizing radicals released into the blood stream.  It can also contribute to back pain by dehydrating the spinal discs. 

Bone is a living tissue dependent on the functions and support provided by the other body systems. When these systems are not able to perform normally, bone is unable to rebuild itself. The formation of bone is particularly influenced by physical exercise and hormonal activity, both of which are adversely affected by cigarette smoking.

Smoking reduces the amount of oxygen in the blood and increases the level of harmful substances, such as carbon monoxide. In addition, nicotine causes a constriction of the small blood vessels that feed your spinal discs, shutting down their nutrient supply.  Over time, the loss of normal blood supply leads to your discs becoming dehydrated and they begin to degenerate.  Smoking is also known to cause an increase in estrogen loss in women who are perimenopausal or postmenopausal, which can result in a loss of bone density and increase your risk of developing osteoporosis.

There is no question that it is difficult to quit smoking.  Many people who have quit say that it was the hardest thing they have ever done.  But it is not impossible.  People do it all the time.  If you currently smoke and want to quit, there are a number of effective medical programs that can help you.  Some people have also found complimentary therapies, such as hypnosis, to be helpful in quitting smoking. Contact us today!

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