photo courtesy of shareski

A patient in my office asked, “after I’m finished treating my injuries, how often should I return for care?”  When this patient’s injuries resolve, she will be released from care related to a motor vehicle collision.  She was essentially asking, how often she should make appointments when she wants to continue feeling well.

This patient was still recovering from injuries to muscles, ligaments, and nerves in her neck and low back, but she explained that she was already beginning to feel range and ease of motion that rival her pre-accident status.  Her care concluded when she felt better and we ensured that her condition had stabilized.

The Benefits of Chiropractic Care

If she felt better treating with injuries, she saw that she could continue feeling better receiving chiropractic adjustments after her injuries healed as well.  She understood that her body was benefiting from chiropractic therapy and wants to continue to feel that way in the future.  This is a message that I try to impart to every patient.

For most patients that have no current complaint and desire to present for maintenance care, I recommend visits once a month.  This is often a very good starting point and in the course of care, we will learn if this is a good frequency.  If the patient feels that they are not maintaining optimal functionality, then their frequency can be adjusted accordingly.

Of course patients that are having pain wonder how often they will be treated as well.  Often, patients with injuries will initially be recommended to treat multiple times a week to control symptoms and start to correct misalignments in the spine.  When we start to see maintained improvements then, visit frequency can be reduced.

Staying Aligned Helps Reduce Daily Stresses

The body constantly responds to stressors that affect our well-being and chiropractic treatment can help reduce the effects of these daily stresses on our bodies.  Every patient is different and particular conditions require varying levels of care.

At Matthews Chiropractic Center we can devise an appropriate care plan whether you seek pain relief or desire to stay out of pain.  This is patient centered care, care to suit you.

As we all know, sitting is a very common activity at work, just like using a computer (a subject for another day), and it is widely accepted that sitting at a desk the whole day can lead to low back pain, soft tissue, and disc injury^[1][2]. I’ve assembled a list of things that you can do at your desk to make you feel more comfortable while sitting. There is one MAJOR caveat… most of these suggestions only help you AVOID low back pain. If you are already suffering, you may need to stop reading this and visit Matthews Chiropractic Center. This concept points to an integral part of my care, namely patient education, so that patient’s may take part in prevention of future problems.

4 Tips for Desk Jockey Comfort

1. Maintain Good Posture / Ergonomics

Make sure that your back is supported by your chair^[3], Use a foot rest, Make your hips higher than your knees using a stress wedge or tilt the back of the seat slightly higher than the front, If you recline your backrest also tilt the seat backwards^[4].

2. Postural Breaks / Change Position

Take regular breaks from sitting, Get up to stretch and walk every 30 minutes, Change the height of your chair periodically, Do some work standing, Sit on an exercise ball at your desk.

It’s easy to get lost in your work. Some patients set timers that remind them that they should get up and take a walk. Your best work happens when you are relaxed and feel good. Don’t press on when your body tells you it’s time for a break. Do so and you will be better for it.

3. Core Strengthening / Conditioning

Muscles of the back and core fire constantly to maintain stable, upright/sitting posture. Eventually, these muscles can become tired and that makes the back sore and prone to injury. Therefore, strengthening and stretching muscles of the core and deep muscles of the back can help prevent pain and low back injury.

I would recommend starting with 4 exercises that require no equipment:

• Cat-Camel
• Curl-up
• Side Bridge
• Bird Dog

Descriptions of these exercises can be found at the American Council on Exercise website.

4. Chiropractic Care

The dangers of prolonged sitting are well documented. In fact, it has been shown that sitting changes the curvature of the spine and increases pressure in the discs^[5][6]. Chiropractic treatment in my office can help combat the muscular pain and spinal fixation that result from maintaining the spine in stressful postures.

A basic rule of thumb is if it hurts, it needs to move. Drink lots of fluids, take breaks, stretch it out, and as a part of a wellness program get chiropractic adjustments.

Do you have a tip or story you’d like to share about fixing the workplace to better suite your back? Please share them with us.

1. Kyphosed seated postures: extending concepts of postural health beyond the office. Pynt J, Mackey MG, Higgs J. J Occup Rehabil. 2008 Mar;18(1):35-45. [↩]
2. The response of the nucleus pulposus of the lumbar intervertebral discs to functionally loaded positions. Alexander LA et al. Spine. 2007 Jun 15;32(14):1508-12. [↩]
3. Effectiveness of a lumbar support continuous passive motion device in the prevention of low back pain during prolonged sitting. Aota Y et al. Spine. 2007 Nov 1;32(23):E674-7. [↩]
4. Lumbar spine curvature during office chair sitting. Lengsfeld M et al. Med Eng Phys. 2000 Nov;22(9):665-9.
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5. Lumbar lordosis. Effects of sitting and standing. Lord MJ et al. Spine. 1997 Nov 1;22(21):2571-4. [↩]
6. Ergonomics of posture–review of various problems of standing and sitting posture. Grandjean E, Hünting W. Appl Ergon. 1977 Sep;8(3):135-40. [↩]