A Natural Solution To Back Pain
Houston Back Doctor Comments: Getting your health back after a spine injury can be problematic if you do not approach it holistically. What is meant by holism? In general it is caring for the person as a whole vs. individual parts, and using techniques that assist different bodily systems. It can be treating the mind as well as the body. It is well known that depression is an important risk factor for back pain.
When dealing with a mechanical spinal problem, the doctor needs to consider the condition of the disks and ligaments, scar tissue, muscle strength, posture, movement, and alignment. A simple prescription, while effective at reducing pain, is not a good solution in the long run. For example, the scar in muscles that is formed after injury when NSAIDs (ibuprofen) are used is much weaker. The patient needs to also consider the side effects of stomach or gastrointestinal bleeding that can come with long-term use. Leaving joints problems to sit for years while masking the pain, will just make future rehabilitation more difficult and less effective.
Pain is a signal for your body to avoid certain movements and can be very protective. While muscle pain is expected during rehabilitation, if there is ligament or joint pain, then you’re pushing it too hard.
Exercise and stretching without attention to joint injuries, will also not work over time. It’s hard to maintain exercise when there is joint pain. Chiropractic care can keep the spine and other joints flexible while you also approach the other aspects of spine function with specific exercises and stretching.
Maintaining a healthy body weight is also part of any holistic approach. If you’re overweight, this adds tremendous stress to your spine. In some cases it may be important to first get your weight down, before commencing an exercise program, or weight training.
In addition to proper weight control you have to also consider sound nutrition in terms of vitamin and mineral consumption. Most patients need to do better at eating green leafy vegetables, fresh fruits and other nutritious foods. One has to avoid harmful fats, and chemicals/preservatives that are often present in highly processed foods. Supplements such as manganese and glucosamine chondroitin may help joint health. Although there are few studies on how effective these supplements help, the downside or side effects are quite minimal.
As a doctor of chiropractic, I can advise you on integrating a holistic approach with spinal joint care, strength training, flexibility, and sound nutrition.
Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com. or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!
Torticollis and Whiplash
Doctor of Chiropractic near NASA states: Torticollis is a condition where a joint or disk is injured and you can’t move your neck. Sometimes the head is bent or turned a little to one side. And sometimes you’re straight but can barely move in any direction. This type of problem is usually caused by a disk injury. Whiplash can cause this condition or it can come on by sleeping in an awkward way.
The spine is meant to move a lot, especially the neck. This is so we can quickly look around, above, and below. When the spine cannot be moved without intense pain, it’s a sign of both a joint and nerve problem. The nerve may be pinched or compressed, stretched, or irritated by chemicals from inflammation/swelling. To protect the nerve, the body puts a splint on it with muscle spasm. This keeps you from moving your head.
If the joint injury is reduced, by aligning the bones of the spine, the healing and scar tissue will stabilize the area in alignment. If the joint is left out of alignment or is hypermobile, this can lead to future degeneration. To get the joint moving and functioning normally again, you need to have motion through the joint adjustment, and exercises to keep activated. One study showed that patients, who wear foam collars after whiplash, do worse than patients who were actively mobilized without collars. It may at first seem counterintuitive to move when pain is there, but it’s all about moving within your pain tolerances. Usually small motions are still preserved. Instead many patients wear collars or do not move their neck enough. This causes the muscles to become more inflexible and contracted. Overtime it can lead to substantial weakness and even atrophy (wasting away).
So even in the early stages of a whiplash, when the neck can barely move at all, small movements that are not painful are encouraged. The specific adjustment will reduce the irritation to the nerve that is signaling the muscles to spasm. Once the nerve is freed, then the muscle will usually release. Greater ranges of movement will follow as the body allows. This should not be hurried because the nerve and disk is at risk for re-injury in the very early stages of healing.
Medications and surgery will not correct the alignment of the spine. When the joint is sprained, it needs to be re-aligned to reduce the tension on the ligaments and disk. We can guide you through this process so the range of motion returns quickly.
Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!
Low Back Pain and Failed Back Surgery
Houston Chiropractor Comments: Back surgery is quite common in the US with hundreds of thousands of operations each year. Sometimes these are laminectomies and diskectomies and other times the spine is fused together so certain joints no longer move, a critical spinal function. The conservative medical approach/thinking is rest, medications, exercise, and physical therapy. If these fail, then epidural injections are often used. If there is little relief, at this point in the patient’s course, chiropractic care is usually not considered, and many patients follow the medical trajectory toward surgery.
Although most surgeons wouldn’t consider an operation to be effective for back pain, most patients think this is the primary concern for the surgeon. In reality, the surgery is more indicated when the nerve root is compressed and there are neurological signs such as muscle wasting, foot drop, or numbness. If back pain is the primary problem and not leg pain or numbness, then surgery should generally be avoided.
But most patients with leg pain will also have low back pain, and this low back pain can be quite severe. The patients that have this continued pain or numbness are called surgical failures. The term for this is failed back surgery syndrome. Entire medical conferences have been devoted to the topic/problem. Patients are left with few medical options after a failure and re-operation is especially problematic. The patient may be prescribed an opiate patch, or perhaps an implanted spinal cord stimulator, or both. These devices send electrical impulses through tiny wires that carry the signal to different areas of the spinal cord.
Sometimes these approaches work, but too often they don’t. By their nature they cannot correct a joint problem. If you had a joint/disk injury before the surgery, it is likely it is still there. Post surgical cases should be evaluated by a chiropractor to see if there is an underlying joint problem that the can be adjusted specifically.
There may be some natural alternatives to electrical implants and long term opiate medications for pain control. Certain physiotherapy, ice and exercise can be incorporated into a comprehensive drugless management program. Even counseling and behavior therapy can help to lessen the need for medications. Usually patients can be safely adjusted after the initial surgery has healed (about six weeks). It is important to consider all options before repeat operations. Active rehabilitation combined with specific chiropractic care can be the solution for many patients.
Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!
Slipped Disc – What Is That Exactly?
Clear Lake City Chiropractor Comments: “I was digging a hole in my garden and hit a rock with the shovel. After clearing the dirt from around the rock, I bent over and reached into the hole. I couldn’t get a good grip on the rock and had to twist my body to get my arm under it. As I started to move the rock, I felt something ‘give out’ in my low back and felt immediate low back pain, but it wasn’t terrible. Like a fool, I gave it another try but this time, the pain in my back was really sharp when I twisted to reach under it. Then, it felt like a knife stabbing me when I tried to stand up. Since then, I can’t stand up straight and pain is shooting down my left leg.”
The intervertebral disc is like a shock-absorber located between each vertebra in our spine extending from the tail one to the upper neck. When healthy, your discs truly do function as shock absorbers. There are two parts to the disc – the inner part (called the nucleus) which is the liquid-like center and the outer part (the annulus), which is tough, laminated and rubber-like whose job is to hold the nucleus in the center of the disk. The annulus has concentric rings which look similar to the rings of an oak tree trunk and the strength of these laminated rings is due to the fibers crisscrossing, creating a self-sealing, secure border for the nucleus center. In spite of this great anatomical structure, our discs degenerate and can crack or tear allowing the more liquid-like nucleus to leak out of the annulus creating the classic “slipped disc” (technically referred to as a herniated or ruptured disc). When the herniated disc presses into the nerve that goes down the leg, pain is felt along its course and can radiate all the way to the foot. There are five vertebrae and disks with a pair of nerves that go into each leg and depending which disc ruptures, pain will follow a different course down the leg, which is why we ask you if you feel the pain more in the back or in the front of the leg. When the disc tears prior to both disc herniation and leg pain, low back pain occurs because the nerve fibers that are normally only located in the outer third of the disc grow into the central portion of the disc, making it generate more pain.
So now for the important question, “…what can I do for it?” When you visit our office, we will ask you about how you injured your back. Often, the cause of a herniated disc can be the accumulation of multiple events over time. It certainly can happen after one major event, like our example of lifting a rock out of a hole, but that is usually the “straw that breaks the camel’s back” and not the sole cause. Many researchers have reported it is rare for a healthy disc to herniate. Rather, disk degeneration with tears already present sets up the situation where a bend plus a twist, “…finishes the job.” The orthopedic and neurological examination will usually clearly identify the level of herniation. Chiropractic treatment often includes traction types of techniques, some form of spinal manipulation or mobilization, extension exercises, physical therapy modalities like electric stimulation, low level laser, or ultrasound, and ice therapy. Core / trunk strengthening and posture management are also commonly applied and, proper bending/lifting/pulling/pushing techniques are taught. As long as you have not lost bowel or bladder control, you are better off seeing if conservative care can relieve your pain before looking at surgical options.
Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!
Headaches from Forward Head Posture
Clear Lake Area Chiropractor Comments: John Q. Public has been trained to believe that headache is a problem in the head and headache treatment and relief comes in a bottle.
While it’s true that pain medications can bring relief for a pounding headache, they rarely get at the actual cause of the problem. You have to also consider the long-term problems that can occur when you take these types of pills for years or even decades. Some long-term complications include stomach bleeding, liver and kidney problems. Plus there is the problem of not actually correcting anything and instead masking the symptoms. Pain pills are not one of the five food groups.
For many patients, the problem is not one in the head, but may have a spinal cause. Let me explain how this works…. Normally, the neck is balanced over the shoulders in an upright manner. Some people, however, they develop forward head posture where the head protrudes out away from the shoulder girdle-it looks like the bad posture your mother told to avoid. It is the slouching or turtle problem- your neck should now come out of the front of your chest. This type of posture is often seen in computer operators and others who bend over to do their work. Whiplash injuries can also create this forward head posture by disrupting the natural curve of the neck.
Over time the muscles at the back of the neck become tight and start to tug and pull at the base of the skull. This can cause head pain. Sometimes it’s a dull ache with a burning type of pain full of tension. In other patients, the headache may be more throbbing and to one side. The important thing is to address the actual cause of the problem. This is where chiropractic care is key. By correcting the forward head posture, the head is more balanced over the shoulders. Many patients will report less tension in their shoulder and upper back muscles which were really working over time.
At Beecher Chiropractic Clinic, I try to get at the cause of headaches. Usually it’s not a lack of pills in the diet, and in most patients simply correcting their posture can bring relief. Only a comprehensive examination of the full spine will determine if the cause of your headaches is spinal, and whether chiropractic will be the best option for you to regain your health.
Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!
Stress and Headaches
How does stress affect your wellbeing? And how is stress related to getting headaches? There are many paths to this and I will discuss the most common ways stress can make you more headache prone.
Stress can affect our sleep. Americans just do not get enough sound, restful and restorative sleep. Studies suggest that few of us get the necessary eight hours each night. Tossing and turning, and simply not recovering from the previous day, adds tension to your morning. Sleep deprivation itself can lead to headaches. Sometimes we compensate for this by taking in a lot of caffeine each day, which can then create a vicious cycle, making us jittery and affecting our ability to fall asleep later that night.
How we react to it stress also affects us. Some of us literally “take it out’ on our bodies, channeling the stress into our neck and shoulders. This can cause tension-type headaches where the back muscles of your neck are tight and ropey. “Knots” in the muscles can develop, sending shooting pains into your head, as if it’s trapped in a vise, being squeezed by the muscle tension.
Stress can affect us by disrupting our normal healthy routine. Instead of eating right and exercising, we resort to eating junk foods and avoiding the gym. Over-eating and not maintaining a healthy weight can add to the stress on our body, the spine, and our heart.
A lot of us think we handle stress well and just need a two-week vacation to get back on track. But really, two weeks off does little to change your life for the other fifty weeks during the year. The key is to learn how to handle and deal with stressors on a “day to day” basis. Sometimes, it’s a spinal injury that is not corrected that adds to a stressful feeling. Sometimes, it’s conflict at work or at home, that is simply not getting resolved. Are we ourselves taking time out to smell the roses?
Each day, try to do something positive for yourself, and resist the temptation to worry about the future and fret about the past. Take each day as it comes and try to have positive thoughts. These practices can help improve your outlook and perspective. There’s a lot to be said for the person who wears “rose-colored glasses,” or the person who can just let the water “run off of the duck’s back.”
Try a different attitude in approaching the stressful things in your life. Sometimes just getting things into perspective and not stressing the small stuff are important to leading a more stress-free life, and enjoying the hidden pleasures that life brings to us each and every day.
Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!
How to Prevent Low Back Pain
While 80% of us will suffer a severe back pain episode at some point in our lives, most of us at any given time should be more concerned about preventing or aggravating back pain, rather than resolving a set-back. As they say, an ounce of prevention is worth a pound of cure. There are two aspects to prevention of back pain: keeping strong and flexible, and avoiding mistakes during movements.
As far as exercise is concerned, nothing is more beneficial to the spine than walking. Remember that your spine is your “core,” and the core is activated with fast-paced walking. Most of us don’t think of how the spine is affected with walking, instead focusing on the legs. Make walking part of your daily routine. Walk a few blocks or across town to run an errand, rather than getting into a car for these short trips. Park a few blocks away when you have to use the car, so that you can get in a few minutes of walking. Some of us spend five minutes circling in a parking lot just to get a space close to the front door or we get frustrated when we can’t find a space close to the gym! In contrast to sitting, which increases pressure on our disks, walking strengthens muscles and dissipates the pressure on our lower disks.
Keep the back flexible through slow stretching in all of the different ranges. Tight muscles at the back of the thighs-the hamstrings are an often neglected area that affects the lower spine tremendously. To stretch these muscles, stand upright and put on foot on the back of a chair or sofa. Slowly bend forward and hold this position for 30-40 seconds. It should cause a tight burning pain at the back of the leg. It should not cause a shooting pain down your leg, or increase pain in the lower spine. If it does, then see a doctor of chiropractic (DC) immediately. When the hamstrings are flexible, this allows the pelvis to rotate forward when you bend over. If the hamstrings are not flexible, then the lower spine will bend too much to accomplish any lifting task.
The second aspect to preventing back pain is avoiding mistakes, such as lifting with your back, instead of your legs. This is especially true if an object is very heavy. Sometimes the object is light, but we lift in an awkward position, standing with most of our weight on one leg, then bending and twisting, such as getting grocery bags from a back seat, or moving and positioning a child safety seat. Especially avoid twisting motions of the lower spine while bending over. Also, use one of your hands to help brace your spine, which will decrease the pressure on your disks.
Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!
“Ice vs Heat”. Which one is right?
Ice vs Heat Which One Is Right?
Houston Chiropractor Comments: A common question I get in my clinic is “When do I use heat and when do I use ice?” Unfortunately this question is usually asked after they have already done the wrong one. The patient has usually relied on old information that has been passed down from grandma or what they remember their coach saying 20 years ago.
To understand which one to use, you need to understand the basic physiology of what you are trying to do. Cold therapy with ice is the best immediate treatment for acute injuries because it reduces swelling and pain. Ice is a vasoconstrictor (it causes the blood vessels to narrow) and it limits internal bleeding and swelling at the injury site. Apply ice (wrapped in a thin towel for comfort) to the affected area for 20 minutes at a time. Allow the skin temperature to return to normal before icing a second or third time (about 40 minutes). You can ice an acute injury every hour. It does not matter if the injury was 24 or 48 or 72 hours before, if there is swelling and pain, use ice.
Cold therapy is also helpful in treating some overuse injuries or chronic pain in athletes. An athlete who has chronic back pain or neck pain that increases after exercising may want to ice the injured area after exercise to reduce or prevent inflammation. It’s not helpful to ice a chronic injury before exercise.
The best way to ice an injury is with a high quality ice pack that conforms to the body part being iced. You can also get good results from a bag of frozen peas, an ice massage with water frozen in a paper cup (peel the cup down as the ice melts) or a bag of ice.
Heat is a vasodilator (it causes the blood vessels to get larger) which increases circulation to the area. Heat is generally used for chronic injuries or injuries that have no inflammation or swelling. Sore, stiff, achy muscle or joint pain is ideal for the use of heat therapy. Athletes with chronic pain or injuries may use heat therapy before exercise to increase the elasticity of joint connective tissues and to stimulate blood flow. Heat can also help relax tight muscles or muscle spasms. Don’t apply heat after exercise. Ice vs Heat, after a workout ice is the better choice on a chronic injury.
Because heat increases circulation and raises skin temperature, you should not apply heat to acute injuries or injuries that show signs of inflammation or redness. Safely apply heat to an injury 20 minutes at a time and use enough layers between your skin and the heating source to prevent burns. Leave the heat off for at least 40 minutes before using it again.
Moist heat is best, so you could try using a hot wet towel. You can also use heat producing lotions. I recommend Biofreeze to my patients. Never leave heating pads on for more than 20 minutes at a time or while sleeping to prevent burning.
Because some injuries can be serious, you should see your chiropractor of Houton TX if your injury does not improve (or gets worse) within 48 hours. If no improvement is made you should seek out Houston rehabilitation.
Dr. Ward Beecher practices at his Houston Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!
The Neck and Headache Connection
Houston Chiropractor’s Comments: In the 20 years that I have been a chiropractor, I have noticed that patients with headaches commonly complain of neck pain. The term “cervicogenic headaches” has become an accepted term due the close connection between the head and neck for many years. There are many anatomical reasons why neck problems result in headaches. One of these reasons is that the top 3 nerves exiting the spine penetrate the muscles that connect the head to the neck, any excess pressure on these nerves by the muscles or spinal joints will result in irritation and subsequent pain. Another reason is that some of the cranial nerves affect sensation and motor function around the head, neck and face.
When patients come to our office seeking treatment for their headaches, a thorough examination of the neck, upper back and cranial nerves is routinely performed. It is common to find a decrease in the neck’s range of motion and bone alignment. Muscle tenderness is also common and contributes to the headaches and neck pain.
It is best to have your cervical spine examined by a chiropractic spine specialist to determine the cause of your pain. Specific treatment, stretches or exercises may be recommended to prevent the pain from becoming a chronic problem.
Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!
What is the best pillow for neck pain?
I have been practicing chiropractic in the Clear Lake City / Bay Area part of Houston, TX since 1990, and one of the most common questions I am asked is “What is the best pillow for neck pain relief?”
For most people, the answer is a water based pillow. At my office, we recommend the Chiroflow pillow. This neck pillow can be adjusted for customized density and support. A study in the “Archives of Physical Medicine and Rehabilitation” February 1997 showed that they worked well to relieve neck pain.
In addition to the cervical pillow, make sure of what is causing your neck pain. It is best to have your cervical spine examined by a chiropractic spine specialist to determine the cause of your pain. Specific stretches or exercises may be recommended to prevent the pain from becoming a chronic problem.
Dr. Ward Beecher practices at Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment at BeecherChiropractic.com or by calling (281) 286-1300. If you have any questions regarding this blog, please comment below!
