Why Is My Back Always Hurting?

Houston Area Chiropractor Comments: Low back pain is a very common problem affecting 80-90% of all of us at some point in our lifetime.  Why is that you ask?  There are many reasons. One of the biggest reasons is that we are 2-legged animals carrying 2/3rds of our weight above our waist.  Studies have shown deterioration or arthritis occurs much sooner in us vs. our 4-legged animal counterparts. A 180 lbs man carries roughly 120 lbs above the waist.  This means, every time he bends over, in order to stand upright, he needs to lift 120 lbs PLUS whatever he is lifting.  Hence, the argument of, “…but I only bent over to lift a pencil and my back went out,” seems on the surface as impossible but in reality, the man in our example is lifting the pencil plus 120 lbs. Now, let’s add to that the point that a 5 pound weight equals 50 pounds when held out in front with the arms stretched out straight.  Now, if that’s not bad enough, now, let’s assume all of this is happening from a bent forward position, with a twist at the waist, with out stretched arms, while lifting a 20 pound object.  Get the idea?  It’s amazing our back doesn’t get injured every day as we lift 2 bags of groceries into the far end of a car trunk, or, when lifting our 30 pound child in and out of a car seat, height chair, or when they are screaming and pushing away from us as we try to lift them!

In order to further appreciate why the low back is so vulnerable to injury, some basic understanding of anatomy is needed.  When we’re born, the back is made up of 33 segments of which 5 fuse by the time we’re about 18 years old to make up the sacrum (bottom of the spine) and 4 fuse to make up the coccyx (tail bone), leaving 5 lumbar (low back), 12 thoracic (mid-back) and 7 cervical (neck) vertebra.  These are stacked up on top of each other like building blocks and are connected to each other by a shock absorbing disk in the front and two smaller facet joints in the back, acting like a tripod.  In the low back, we’re supposed to bear about 80% of our weight in the front and 20% in the back but, if our abdominal muscles are a bit out of shape and the pelvis rotates forwards, the curve in the low back increases and overloads the back of the vertebra (facets) making them vulnerable to injury.  The disk becomes injured when we bend/lift/twist. This can tear the outer tough fibers of the disk, allowing the central more liquid-like material to leak out.  If this happens, the leaking or “herniated” disk can put pressure on the nerve that exits the spine and travels down our leg.  If the pain pattern includes the back of the leg, it’s commonly referred to as “sciatica.”

why does my back always hurt
Back Pain – Credit to https://costculator.com/ flickr photo by FootMassagez shared under a Creative Commons (BY) license

OK, enough about anatomy.  What can we do to reduce the chances of having periodic low back pain? Obviously, staying in shape is very important. Certain muscles of the body must be tight to keep us upright or standing.  These muscles need to be stretched on a regular basis. For example: the hamstring muscle.  We’ve all had to perform hurdler types of exercises and remember how tight they feel!

We realize that you have a choice in where you choose for your healthcare services.  If you, a friend or family member requires care for low back pain, we sincerely appreciate the trust and confidence shown by choosing our services and look forward in serving you and your family presently and, in the future.

Dr. Ward Beecher practices at your local Houston chiropractor – Beecher Chiropractic Clinic at 1001 Pineloch, Ste 700 Houston, TX 77062. You can schedule an appointment or call (281) 286-1300. If you have any questions regarding this blog, please comment below!

Types of Headaches

Clear Lake Chiropractor Comments: Headaches are one of the most common complaints for which patients seek chiropractic care.  Chiropractic is especially helpful in the treatment of headaches because the three nerves that exit the top of the spine (upper neck) are often the cause of or directly related to headaches. These three nerves travel into the head and have to pass through a very thick group of muscles in the upper part of the neck near where these muscles attach to the base of the skull.  This is why when you have headaches and rub the back of the neck, the muscles may feel tight and or tender.  In fact, if enough pressure is applied over one of these three nerves, pain will radiate into the head following the course of the nerve, sometimes all the way into the eyes.  When chiropractic headache treatment is applied in the upper neck region, a reduction of the headache and neck pain occurs because the muscle tension is decreased and joint motion is restored.

The International Headache Society (IHS) has classified headaches into two main categories, primary and secondary.  Primary headaches occur for no known reason and there are four groups of these: 1) migraine, 2) tension-type, 3) cluster, and 4) “other” primary headaches. Secondary headaches are those with a specific cause such as sinus/allergy headaches, those associated with eye strain, a known medical condition or those due to cold or flu.  Both migraine and cluster headaches are “vascular” (related to the blood vessels expanding inside the head) resulting in a unique set of symptoms that includes nausea, vomiting, pounding/throbbing and can be quite debilitating.

The most common type is the tension-type of headache.  A thorough history is necessary because there is no specific diagnostic test (lab or blood test) for tension-type headaches.  Hence, the concept is to make sure the headache is not related to some other condition that is diagnosable by a blood or lab test and if present, having that condition properly managed.  So, assuming all the tests come back “normal” and all other causes have been eliminated or “ruled out,” the most common type of tension-type headache is “episodic” or, occurs off and on, lasting minutes to days.  The pain is usually described as, “…my whole head hurts.”  There is typically tightness or tension (NOT throbbing) described in the neck muscles and the intensity ranges from mild to moderate, not usually severe, where laying down is needed.  Physical activity does not usually make it worse and there is no sickness to the stomach (nausea/vomiting), and no intense reaction to bright lights or noise (like there is with migraine & cluster types of headaches).  There are sub-types of tension headaches that can occur simultaneous with migraines headaches, but the classic “aura” (a before the headache warning associated with migraine headaches) is usually not present.

Chiropractic treatment typically includes manipulation and mobilization of the neck, muscle release techniques, physical therapy modalities like electric stimulation, ultrasound, and others, exercise, stress and diet/nutritional management.

If you, a family member or a friend require care, we sincerely appreciate the trust and confidence shown by choosing our service.  We are proud that chiropractic care has consistently scored the highest level of satisfaction when compared to other forms of health care provision and we look forward in serving you and your family presently and in the future.

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!

types of headaches
headache flickr photo by openDemocracy shared under a Creative Commons (BY-SA) license

 

Reduced Medicare Costs with Chiropractic

reduced medicare costs with chiropractic

More visits to chiropractic physicians and fewer visits to primary care medical physicians  can lead to $83.5 million in savings.

Researchers have estimated that chiropractic care may reduce the number of Medicare patient visits to primary care medical physicians for back and/or neck pain, resulting in annual savings of $83.5 million.

Source: Davis et al. (2015) J Am Board a Med.

If you are experiencing neck pain or back pain in Houston while on Medicare, using a chiropractor to treat these conditions could save you money!

Chiropractic Care for Older Medicare Patients

chiropractic care saves money

Saves Money, Shortens Back Pain Episodes

Patients with chronic low back pain and other medical problems received three different types of care. The results are in:

Chiropractic manipulation only: lowest cost and shortest back pain episodes

Combo chiropractic & medical care: second lowest cost

Medical care only: highest cost

If you want to lower your healthcare costs and also shorten your pain episodes, call your local Houston chiropractor now! We can help shorten your experience with back pain in Houston and neck pain.

Can Whiplash Affect My Memory?

Houston Chiropractor Comments on MTBI:

This is a common complaint we hear as a Houston chiropractor occurring as a result of a whiplash injury, but it’s not commonly known, leaving those who are suffering wondering, “…what’s wrong with me?”  Whiplash is an injury that classically occurs as a result of a car crash at any speed, even at low speed!  This is because at low speed, there is little to no damage to the car, and the forces from the crash are not absorbed by the crushing metal.  As a result, those forces are transferred to the contents inside the car – that is, the passengers.  This sometimes results in a significantly greater injury compared to crashes that occur at twice the speed because the latter results in crushing metal. The actual injury that occurs in whiplash is caused by the sudden, rapid movement of the head resulting in varying degrees of injury to the neck, as well as to the contents inside the skull – that is, the brain.  The brain literally “bangs” into the inside walls of the skull when the head is rapidly accelerated during a car crash.  The resulting injury is a concussion.  What’s interesting is that most patients injured in a car crash often don’t mention a concussion nor is it usually asked about at the doctor’s office as other, more obvious injuries are dwelt with. The condition is usually referred to by one of two names:  post-concussive syndrome or mild traumatic brain injury (MTBI).

Suffering From Whiplash and MTBI

This can be very embarrassing, frustrating, and scary for patients suffering with MTBI. Other symptoms associated with this include difficulty in focusing (blurred vision), headaches, having difficulty in pronouncing certain words (“tongue twisted”), having difficulty in understanding what was said, difficulty remembering numbers or groups of numbers like phone numbers, addresses, birthdates, and so on.  These symptoms can range from mild to severe and can be very disruptive, making work and everyday tasks challenging.

How long does it last? MTBI can completely clear up in 2 to 6 months without problems or, it can hang on for 2 years or longer, and may even become a permanent residual from the car crash.  In one study, continued problems after a 2 year time frame were reported in close to 20% of those injured 2 years earlier.  This study suggests that about 1 out of 5 may continue to suffer with MTBI and the associated brain-related problems for at least 2 years following a car crash.  However, another study reported the long term “higher cognitive function” (such as the ability to communicate through written or spoken language) is usually not affected by whiplash injuries.  However, they preface that with by reporting that a more commonly injured group with more mild brain problems was found.

As chiropractors, we are trained to do a thorough history, orthopedic and neurological examination, and ask specific questions about mild traumatic brain injury.  It is important to discuss this information with those suffering from whiplash injuries as frequently, MTBI patients think something is “…seriously wrong” and harbor unnecessary anxiety.

Headcase flickr photo by jsmjr shared under a Creative Commons (BY-SA) license

We realize that you have a choice in where you choose for your healthcare services.  If you, a friend or family member requires care for MTBI whiplash, chiropractic rehabilitation & care is a logical first choice and we would be honored to offer our services to you.

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!

Chiropractic and Opioid Prescriptions

chiropractic opioid prescriptions

 

More doctors of chiropractic (DCs) could mean fewer opioid prescriptions for younger Medicare beneficiaries.

Higher number of DCs per capita is strongly correlated with a lower proportion of Medicare patients who fill opioid prescriptions. If you currently have back pain, neck pain, or need a chiropractic care in Houston, please consult with your local Houston chiropractor – Dr. Beecher. Natural solutions can be had like chiropractic for opioid prescriptions.

Chiropractic Care For Elderly Lower Back Pain

Elderly Lower Back Pain
168/365 Back pain flickr photo by Travelin’ Librarian shared under a Creative Commons (BY-NC) license

Clear Lake Chiropractor Comments: Chiropractic treatment of elderly lower back pain (LBP) has been reported to be very safe and highly effective.  In fact, back in 1994, guidelines were published recommending that chiropractic treatment of low back pain should be a first consideration / treatment of choice in front of many other forms of back care health services.  Since that time, more and more studies have been published showing continued advantages of chiropractic care over many other forms of LBP care.

Even though studies have shown that the peak prevalence of LBP occurs in the 5th decade of life, LBP is also a significant public health problem in older adults ranging between 13% and 49% with “…soaring costs in terms of health care expenditures.” So, what about care for the elderly – is chiropractic care equally safe and effective in this older population as it is in younger patients?

A recent study reported two types of spinal manipulation or adjustments verses minimal conservative medical care (MCMC) in patients with subacute or chronic, non-radiating elderly lower back pain over 55 years of age.  This included a total of 240 participants, of which 105 were women and 135 were men with an average age of 63 years.  The two types of manipulation included a high velocity low amplitude type (the classic “cracking” type of manipulation) and a low velocity variable amplitude type (stretch – not associated with a “crack”) treated 12 times over a 6 week time frame.  A 3rd treatment group (MCMC) served as a “control” to compare against the two manipulation approaches.  All three groups received a half hour exercise session at week 3 and outcomes were studied at 3, 6, 12 & 24 weeks.  The results showed equally effective benefits to the two styles of manipulation over the MCMC group, with no serious adverse events associated with any of the treatment groups.

This study is important in a number of ways. First, it points out that two distinctive styles of manipulation frequently utilized in chiropractic and likely to be encountered by patients obtaining chiropractic care, are equally effective in a population exceeding 55 years of age for elderly lower back pain.  The type of manipulation ultimately decided upon can therefore be based on: 1) patient preference (as some patients just don’t like being “cracked”) and 2) the chiropractor’s clinical experience.

When visiting our clinic, we take pride in providing accurate, up-to-date information about our patient’s condition and what must be done to obtain long term, satisfying results.  We are most appreciative to have the opportunity to provide care to our patients and strive to make the experience highly satisfying.

If you, a family member or a friend requires care, we sincerely appreciate the trust and confidence shown by choosing our services.  We are proud that chiropractic care for elderly lower back pain has consistently scored the highest level of satisfaction when compared to other forms of health care provision and look forward in serving you and your family presently and, in the future. 

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!

Can Whiplash Really Happen to YOU?

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Clear Lake Area Chiropractor Comments: You’re stopped at a red light awaiting a left turn into the grocery store when out of nowhere, you  hear the screeching of tires, you turn your head and look into the rear view mirror and see that you’re about to be hit from behind. Then “POW!”  The sudden force of the impact propels you back into your seat; your head hits the headrest and then bounces forwards, almost hitting the steering wheel.  You feel your body twist due to the angle of the seat belt and your sunglasses fly off and your purse sitting on the seat next to you flies into the dashboard and lands on the floor spilling its contents.  You’re not sure what just happened as it all happened so fast.  Is this a dream?

Can Whiplash Really Happen?

 

Tiny Car Accident flickr photo by cito17 shared under a Creative Commons (BY-NC-ND) license

After collecting yourself and calming down, you get out of the car to inspect the damage and talk to the driver that just ran into you.  You notice that right now, you don’t really hurt that much…. but you feel kind of dazed.  When you inspect your car, you surprisingly notice very little damage, but it sure felt like your car should be totaled based on the way it felt.  The other driver said he was checking the station on the radio and saw you too late.  He tried to stop and slammed on the brakes but it was too late.  He said, “…I couldn’t have been moving more than 5-10 mph when I hit you!”  You ask, “How could this possibly feel so….. hard an impact?  Was he lying to me? Do I have Whiplash? Can whiplash really happen?” There certainly wasn’t much damage to your car…maybe he was right???  When he asked you if you would, “…let it go,” and not call the police, you almost agree, but something stops you.  Even though there is little car damage and, “…he is a nice guy….,” you just don’t feel right in, “…letting it go.”

Within 15-30 minutes, you’re REALLY HAPPY you didn’t give in and take his advice as by now, your neck is really starting to hurt. You feel kind of nauseated and light headed.  Your head is beginning to pound and you feel like you better sit down.  When the police officer approaches he seems distant and you’re having difficulty hearing him.  Pretty soon, you notice others helping you onto a stretcher and attaching a neck brace prior to taking you to a local emergency room.  At the ER, you are confused about the details of the accident but piece together the best you can the events of the evening.  They take x-rays, recommend some Advil and ice, and tell you to contact your primary care physician if you have problems. They tell you that you’re going to hurt for a few days and “…that‘s normal.”  However, over the next several days, pain intensifies to a point where neck and headache pain is constant, you can’t sleep, your memory seems blurry, you can’t seem to concentrate and loose your place during thought and conversation…. something is REALLY WRONG!

Low Speed Collision Related Injury

This scenario is not atypical of a low speed collision related injury.  In fact, the less the car is damaged, the greater the impact is to the contents inside the car (this is called “elastic deformity”).  That’s because crushing metal absorbs the energy of the force (ie, “plastic deformity) and if the speed is “…too low” and little metal crushing/energy absorption occurs, the G-forces that occurred during the collision are transferred to the contents inside the vehicle and that force can be significantly greater than a crash that occurs at 2-4 times the 5-10 mph speed.  In general, when there is less damage to the car, be alert that the force exerted on the contents is greater than when car damage occurs.  This is why when cars crash during a car race, the race car basically falls apart, leaving the driver enclosed in a cage that prevents bodily damage, and they often walk away from the accident.

If you, a loved one, or a friend is struggling with whiplash residuals from a motor vehicle collision, you can depend on receiving an in-depth assessment and therapeutic approach at our chiropractic facility.

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!