Friday, December 17, 2010

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.

Wednesday, November 17, 2010

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.

Sunday, October 17, 2010

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.

Friday, September 17, 2010

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.

Tuesday, August 17, 2010

Why Don't More People See Chiropractors?

According to various polls and questions asked of the public, more than 50% (sometimes 60%) of the population indicate they would consider visiting a chiropractor. For the last forty years, the percentage of people that actually do so has remained the same. While more people are seeing chiropractors than ever before, consistently only 10% of the population does so.

Why? If so many people would consider chiropractic as an alternative to other medical choices, why don’t they actually do it when the need arises?

They don’t know what to expect.

Most people have gone to see a medical doctor. They have an overall understanding of what they can expect when they walk in the office. They expect a little window, to be handed some paperwork to fill out, and then eventually get a chance to visit the doctor and tell them where it hurts. They also know that they’ll likely be handed a prescription that will help their symptoms and they can be on their way.

What happens when they go to see a chiropractor? That’s just it. They don’t really know. They assume it’s similar to a visit to an MD, except that instead of a prescription the chiropractor is likely to “pop” something. Do they really need something “popped”? They’re not sure so they go with what they know.

They don’t know if their condition can be helped with chiropractic care.

They think of chiropractors as helping with auto accidents and low back pain (if you just go by the most common advertisements seen), but they don’t have that. They have headaches, or neck pain, or shoulder pain. Can a chiropractor help with that? They look at a couple of yellow page ads or run through some websites. Some say they do, some don’t say anything about it.

Can they get help by seeing the chiropractor? Again, they’re not sure so they just go back to what they know. They want relief and they want it fast. They’ve gotten relief before by getting a prescription so once again they find themselves at their physician’s office.

They don’t know who to see.

All the chiropractic ads say different things. Activator Methods? Gonstead? Palmer Graduate? Do I need that? Is one really better than the other? This guy seems okay, he’s wearing a white coat and advertising “decompression.” Do I need to be decompressed? All of the chiropractors seem to be advertising slightly different things, while the medical doctor offices all seem to be closer to the same.

There can be a lot of confusion about visiting a chiropractor. While many chiropractors offer an initial no-charge consultation, most people just aren’t going to sit through a consultation when what they really want is pain relief as quickly as possible. It’s really up to the chiropractic profession to continue to educate and get a consistent message out there so people will know what to expect, which conditions are regularly treated, and understand some of the terminology that is out there when it comes time to make their choice.

Saturday, July 17, 2010

What If You Can't Afford Treatment?

With all the debate going on about government-sponsored healthcare and keeping costs down, chiropractic care remains one of the cheapest methods of solving many different health conditions.

For less than the price of a round of steroid injections, you can get weeks to months of chiropractic treatment that will typically have longer lasting and more beneficial effects — without the side effects.

Now, I understand that many people can have difficulty with starting a treatment plan that may include multiple visits in a week. That’s at least a co-pay every time they walk through the door. I don’t want to sound unsympathetic, but I know that people waste so much money on things that are harmful to their health while putting their health issues on the back burner that could easily be solved now.

Is it really that you can’t afford treatment? Or is it that you just don’t see it as a priority? Every situation is different and your situation may be that you truly cannot afford it, but I’ve encountered many patients that just don’t see their health as a priority and that’s unfortunate.

At our office, we bend over backwards to offer discounts and alternate payment options in an effort to help you afford care, so it’s always surprising when people don’t choose to take advantage. Others are thrilled that we offer choices and ways for them to get all the care they need now and then pay for it over time.

I can sleep at night knowing that people that really want the help will always get the help at our office. If you need chiropractic care and wonder how in the world you can afford it, know that there are offices out there that will give you the payment assistance you need to make it happen.

Thursday, June 17, 2010

Is Back Pain Caused By A Lack Of Exercise?

Many people seem to want to know if you can just exercise lower back pain away. Is it only about exercise? That is, did you end up with lower back pain due to a lack of exercise? Or could it be something else?

Your back pain is not necessarily caused by a lack of exercise, but it's probably a good place to start looking. When I ask patients if they exercise, most are still saying "no." Those that do exercise tend to stick with the same machine or routine for their entire program. (And almost none of their "routine" exercises focus on improving their back muscles.)

So on one hand, we have those that don't exercise and have lower back pain. It's easy to take a guess and see that their spine is having problems due to a lack of muscular support. While their spine may need more work at this point (check with your healthcare professional), eventually they'll exercise lower back pain away by creating a muscular back support around their spine with regular exercise.

Those that do exercise, but are not performing a variety of movements are causing a different problem; muscular imbalance. They are likely only developing certain muscle groups while largely ignoring others. Worse, they may be performing activities that are alarmingly similar to what they already do all day.

They are strengthening muscles that are already overworked (muscles in the front of the body) and not strengthening muscles that are typically ignored (back muscles). This is a standard recipe for developing lower back pain problems and should be avoided.

Overall, maintaining a variety of activities that includes exercises to enhance cardiovascular health, strengthening and stretching will help exercise lower back pain away for good. The same formula works for almost everyone. First, due some exercise regularly. Next, make sure you take some time to strengthen your back muscles (especially if you already know you need it!).