Matthews Chiropractic Center » pain

Prepare for the Spring, from the ground up…

Matthew Leibman — Fri, 27 Mar 2009 13:02:53 +0000

Hopefully many of you are learning the importance of maintaining a healthy spine. Something that I haven’t yet discussed in this space is the importance of our spine’s foundation… our feet. With the spring upon us and many outdoor sports and activities starting again, this is a great time to check the health of our feet and arches.

The feet form the foundation of the skeleton in the same way that a foundation provides a steady platform on which a house can be built. If there is a problem with the foundation, then the structure above may lack stability/balance and be prone to excessive wear and tear/degeneration. In our bodies, improper support of the feet can affect the ankle, knee, hips, pelvis, low back and up the spine. So, the importance of a solid foundation can not be understated.

Supporting the Alignment of Your Feet

The more you move and exercise, the greater the importance of good support and alignment of the feet. Every time the foot strikes the ground information is transmitted to the ankle and up to the spine to inform the body of the foot’s position in space, so that our bodies can maintain balance and know how the position the foot and ankle for the next step. Imagine the number of times that the feet hit the ground when you go for a jog or track down a fly ball for example. Moving over unlevel ground (cross country, rounding the bases) or running while avoiding obstacles (basketball, soccer, football, field hockey) put even greater demands on the feet and ankles.

Foot Levelers has devised the following screening to determine if you might benefit from custom made spinal pelvic stabilizers:

Do you stand or walk on hard surfaces for more than 4 hours daily?
Do you participate regularly in any physical sport?
Have you had a prior injury to your knee, back, or neck?
Do your shoes/sneakers wear unevenly?
Do you have joint pain while standing, walking, or running?
Is one of your legs shorter than the other?
Do you have knock-knees or bow legs?
Do you have obvious foot problems (bunions, corns, etc.)?
Do your feet “toe out” when you’re walking?
Do either or both feet appear “flat” with no arch support or extra high in the arch area (strong arch)?

Find Balance

If you answered yes to any of these questions, then you may be a good candidate for Foot Levelers custom-made stabilizers. Whether your feet need improved support or if you simply desire custom fitting, Foots Levelers offers a full line of products including Spinal Pelvic Stabilizers, Shoethotics, and Sandalthotics to help put the spring back in your step. At Matthews Chiropractic Center, we offer custom scanning of your feet and the full catalog of Foot Levelers products. Come in today to have your feet scanned, so you can be more comfortable in all your spring activities.

Dr. Leibman will be conducting a free foot screening at the Matthews Vitamin Shoppe on Saturday, April 18th from 11am until 1pm.

*Images provided by Caselet & Joel Bedford respectively.

Low Back First Aid

Matthew Leibman — Thu, 12 Mar 2009 15:01:03 +0000

When taking history from patients who present with new low back pain, I often find that they could have limited the severity of their injury. Especially injuries that have muscle spasm as a major component. Muscle injuries can be very painful, make it difficult to move, and can cause spinal joints to move improperly or become immobile. These are some of the most common injuries that I see in the office. Weekend warriors, do-it-yourselfers, spring cleaners, and those who work in the yard are all at risk.

Pay Attention to What is Causing Your Pain

Muscle injuries can often become worse within 12 to 24 hours, so when we feel some minor pain, pulling, or tightness this could be the signal to back off. If your are working and lifting or move incorrectly and feel a twinge of pain or something pop, then stop and take it easy. Those who soldier on and figure that it will be okay, many times are the same folks who come crawling in wondering what caused their pain.

Treat With Heat Later, Not First

While it initially feels good and often loosens in the short term, using heat (heating pad, hot bath/shower, hot tub) should be avoided within the first 48 hours after an injury to the low back. If your pain is strong and you are having a hard time finding a comfortable position, try to lie on your back (on a firm surface) with your knees bent. Some patients are comfortable lying on a couch with their legs hanging over the arm (bent knee position).

Some basic tips to follow:

Do not use heat
Apply ice for 20mins each hour (paper towel between ice & skin)
Avoid strong or excessive (painful) stretching
Rest in a comfortable position, try to walk slowly periodically
Present to Matthews Chiropractic Center for chiropractic care

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Resolve to Avoid Low Back Pain this Year

Matthew Leibman — Tue, 27 Jan 2009 20:25:05 +0000

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.

References

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.
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.
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.
Lumbar spine curvature during office chair sitting. Lengsfeld M et al. Med Eng Phys. 2000 Nov;22(9):665-9.
Lumbar lordosis. Effects of sitting and standing. Lord MJ et al. Spine. 1997 Nov 1;22(21):2571-4.
Ergonomics of posture–review of various problems of standing and sitting posture. Grandjean E, Hünting W. Appl Ergon. 1977 Sep;8(3):135-40.

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