All posts by sikorskychiro

Symptoms of Tech Neck

Tech neck happens when people spend too much time with their head and neck extended too far forward over their body while looking at a computer screen. It can also happen when people repeatedly tuck their head down over their chin and hunch their shoulders while sending or receiving text messages on a cell phone.

Symptoms:
•Neck pain •Shoulder pain   •Shoulder blade pain •Pain in arms and hands •Numbness in thumbs and fingers •Headaches and/or Migraines •Fatigue •Eye strain and blurred vision

  • Minimize Tech Neck by:
  • Bring screens to eye level
  • Use a tablet or smartphone holder
  • Take frequent breaks from screens
  • Strengthen mid back and cervical extender muscles

Call Dr. Steve for help with your posture and tech neck!

Chiropractic manipulation shown efective in treating nonspecific neck pain

                      More and more research is showing that chiropractic is safe and effective!  Here’s a study from Pain Physician showing just that.   

A systematic review of 47 randomized trials found that cervical manipulation is safe and effective:

  • An effect in favor of thrust manipulation plus exercise compared to an exercise regimen alone for a reduction in pain and disability.
  • Of the 25 studies (that evaluated adverse events), either no or minor events occurred.
  • According to the published trials reviewed, manipulation and mobilization appear safe.  

Coulter ID et al. Manipulation and Mobilization for Treating Chronic Nonspecific Neck Pain: A Systematic Review and Meta-Analysis for an Appropriateness Panel. Pain Physician. 2019 Mar;22(2):E55-E70.

Functional Clam

Function Clam

The clam is a great exercise for strengthening the Glute Medius. The Glute Medius is an important muscle related to lower back pain. They help stabilize the pelvis while walking, so the weakness can lead to an unstable pelvis.

Another area that weakness of Glute Medius can cause pain in is the knee. Because of this runners have to pay extra attention to this muscle so they don’t suffer from injuries related to this muscle. ( knee pain and Illiotibial band syndrome)

If you want more information or want to see if you have weakness that could be contributing to your pain, call the office and make an appointment!

Can disc herniations shrink over time?

Yes disc herniations can shrink over time!

This study found that DISC HERNIATIONS RESOLVE BY THEMSELVES THE MAJORITY OF THE TIME! That is awesome. The study found that the overall incidence of spontaneous resorption after LDH was 66.66% (95% CI 51% – 69%). The incidence in the United Kingdom was 82.94% (95% CI 63.77% – 102.11%). The incidence in Japan was 62.58% (95% CI 55.71% – 69.46%).

There is hope! Chiropractic works to restore normal mechanics to the spine and corrective exercise can help this process along.

Pass this along to anyone who is suffering! And if you are suffering be sure to make an appointment with Dr. Steve!

 Incidence of Spontaneous Resorption of Lumbar Disc Herniation: A Meta-Analysis.

www.ncbi.nlm.nih.gov/pubmed/28072796/?fbclid=IwAR0dt9NxXyRk-mS2YVujQJHsaHq–TfITH0xGr0f1gFALeIjqVX-nsuTQ8I

Running Shoes part III: The latest Research

Part 3: Running shoes

What happens if you don’t have pain or you are a casual runner that is just looking for a new pair of running shoes?

The research shows that selecting running shoes based on comfort is the best.

The best way to know if they are comfortable is by trying them on and run at least a quarter-mile.  If the shoe feels good then that is the right shoe for you! That’s it, pretty easy, right?  If the sneaker feels good, that’s the one to buy.

Keep it simple! Your body knows what it needs.

Below is a nice summary of shoe research.

Research on running shoes

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If you missed my other posts on running shoes click here! And if you need help with shoes or running in general please give us a call!

What happens you get adjusted?

Chiropractic adjustments help restore proper mechanics to the spine or the joint being adjusted.

A Spine Journal study was “the first to measure facet gapping during cervical manipulation on live humans”.

A patient being adjusted by Dr. Sikorsky

The results demonstrate that:

  • Target and adjacent motion segments undergo facet joint gapping (0.9 mm ± 0.4mm) during manipulation.
  • Intervertebral range of motion is increased (8-13 degrees) in all three planes of motion after manipulation.
  • Pain score improved from 3.7±1.2 before manipulation to 2.0±1.4 after manipulation.

Anderst WJ et al. Intervertebral Kinematics of the Cervical Spine Before, During and After High Velocity Low Amplitude Manipulation. The Spine Journal Volume 18, Issue 12, December 2018, Pages 2333-2342

More research showing chiropractic is safe

A systematic review of 47 randomized trials found that cervical manipulation is safe and effective:

  • An effect in favor of thrust manipulation plus exercise compared to an exercise regimen alone for a reduction in pain and disability.
  • Of the 25 studies (that evaluated adverse events), either no or minor events occurred.
  • According to the published trials reviewed, manipulation and mobilization appear safe.  

Coulter ID et al. Manipulation and Mobilization for Treating Chronic Nonspecific Neck Pain: A Systematic Review and Meta-Analysis for an Appropriateness Panel. Pain Physician. 2019 Mar;22(2):E55-E70.

Why does my back hurt in the morning?

People that come into our clinic for treatment after lumbar disc herniation or disc bulging frequently have a history of pain which is worse in the morning and then improves after they’ve been up moving around for a bit. Often they have some questions about what exercises and stretches they can do in the morning to make them feel better. We learned more about morning back pain in a disc – injured patient after the research of Michael Adams in the 1980s.(1,2) Adams referred to the “diurnal behavior of the disc” which mostly refers to the tendency for the discs to absorb moisture from the tissues around them overnight. The discs soak up the fluids from the tissues around them while a person is recumbent in bed overnight. So in the morning when they wake up the outer layers of the disc are under a bit more tension, which we refer to as hydrostatic pressure. In turn, the disc becomes a bit more plump, adding pressure to nerves and surounding structors.

So what should you do? Once you get out of bed you should not bend over right away. Try to keep your back straight or try stretching backward .

Next, use your hips to bend over the sink to brush your teeth.

A straight back using my hips to bend over.
Bending at the lumbar spine causing lots of pressure on the lumbar discs

The above picture is a great way to cause sharp shooting pain in the morning.

Try to sit up straight or use a back support in the small of your back like in the picture above.

Sitting with a more normal curve in the lumbar spine helps take the pressure off of the lumbar discs and helps decrease pain.

A wrong way to sit

Sitting like this cause more disc pressure causing disc irritation. It can cause the disc to bulge more.

Discs are fatter in the morning because the absorb fluid overnight. So think of a jelly doughnut if the doughnut has more jelly its more likely to shoot out if you put pressure on it.

So remember back straight, stomach tight will help prevent lower back pain and help you heal if you have pain.

Impaired Core Stability as a Risk Factor for the Development of Lower Extremity Overuse Injuries: A Prospective Cohort Study

A weak core can increase your chances for lower extremity injury during exercise!

The core is important for your lower back and neck health for sure. It’s also very important for extremity health. If you have been dealing with an arm or leg injury (extremity) that has not been getting better with treatment, it might be good to add in some core exercise to improve outcomes.

Take Home Message from the study: A college freshman with dynamic postural control limb imbalances, decreased hip extension strength, or decreased core muscle endurance during bridging exercises is more likely to develop a lower extremity overuse injury.

Muscle as viewed through an electron microscope!

This is a pretty cool picture. Can you believe the detail? The red in the picture is the muscle and the white stuff is the connective tissue is called fascia. A painful area in a muscle can be caused by damage to one or both of theses structures!