Mighty Muscles!

We all have them, but most of the time we pay no attention to them, unless of course we pull them in some way or exercise them too much so they ache a bit! But muscles are essential for movement because:

• They convert energy into the motion, just as a car engine makes your car run.
• Basically, you couldn’t do anything without muscles. For example, muscles in your larynx, mouth and tongue help you to speak, skeletal muscles help you to walk, run, climb, exercise and dance – these are the muscles that control voluntary movements.
• Muscles also help control body movements that you generally never even think about – your breathing, heart beat, facial expressions, food digestion, eye movements, blinking and other involuntary movements.

 Our body has more than 650 muscles, making up more than 40% of our body weight.

Without muscles – you wouldn’t be able to live very long, that’s for sure. Humans have more than 650 muscles, which make up more than 40% of your body weight. Heavy stuff!
How do muscles move? Well, muscles are made up of cells that contract and then relax. These cells use energy from the food you eat to do this, so without food, and the nutrients it provides, your muscles would be too weak to perform as they should.
Can you hurt muscles? Sure, you can and you often hear people say they have “pulled” a muscle, meaning it has been torn, similar to breaking a bone. However, unlike most bones that have to be re-set, muscles are self-healing.
Some fun facts about muscles:

• It really does take more muscles to frown (12) than smile (10)!
• Your eye muscles move more than 100,000 times each day!
• The smallest muscle is in your ear – it’s called the stapedius.

One way to improve the way your muscles work is to exercise! Exercise makes your heart beat faster, sending more blood out to your muscles, giving them the vital oxygen and nutrients they need to work properly. And when you exercise, your digestive system slows down to conserve energy that your muscles need.
But don’t forget muscles only move when commanded by your nervous system—the focus of your chiropractic care. Which is one reason athletes and those who want to be their best seek regular chiropractic care.

For more information, please visit www.atlanticchirofl.com or call our office at (386) 492-4881

Spinal Curves, What Do They Mean?

When you think of your spine, do you think of a straight row of bones that go from the bottom of your brain to the bottom of your back? In reality, the spine is made up of four different curves that provide balance and flexibility to your body and help prevent injury. These curves also allow the spine to support 10 times more weight than it could if the curves were missing! You can more easily see these curves when you view a model of the spine from a side view.
The four types of spinal curves are:

• Cervical Lordosis – A backward “C”-shaped curve located in the upper part of the spine. This curve helps to keep your head from moving too far forward. Neck pain usually results when there is any type of significant loss to this curve.
• Thoracic Kyphosis – The “C”-shaped curve of the upper and mid back, comprised of 12 vertebrae
• Lumbar Lordosis – The five vertebrae of the lower back that are also in the shape of a backward “C.” This area of the spine faces backward when seen from the side.
• Sacral Kyphosis – The sacrum is a triangular-shaped bone at the base of the spine, between both hip bones. It is also a “C”-shaped curve.

As a pre-born baby develops, it has only one type of spinal curve, the kyphotic “C”- shaped curve. As an infant’s motor skills begin to develop, the baby learns to hold its head up, sit, crawl, stand up and walk – all causing significant muscle development and allowing more weight to be shifted to the spine. This also begins the development of the additional spinal curves.

It is important that these curves be properly maintained to balance your body and to avoid pain and injury. Proper lifting requires that you bend at the knees, instead of at the waist, to keep your spine from straightening.

Of course, regular chiropractic check ups and adjustments help to maintain your proper spinal curves. In addition, there are specific products, such as cervical pillows, that also help to keep spinal curves in place and keep you out of pain! Call our office for an appointment today!  (386) 492-4881 or www.atlanticchirofl.com

Causes and Treatment Options for Muscle Cramps

A muscle cramp can bring a jogger to his knees or elicit the fear of drowning in a swimmer; however, athletes are not the only individuals to experience a muscle cramp or spasm. According to one estimate, approximately 95 percent of people will at some time in life experience the sudden, sharp pain associated with a muscle cramp.

A muscle spasm is an involuntary contraction of a muscle, part of a muscle, or several muscles that usually act together. If the spasm is forceful and sustained, it becomes a cramp. Most people describe a muscle cramp as a feeling of tightness in the muscle; it’s not unusual to feel a lump of hard muscle tissue underneath the skin in the vicinity of the cramp. During a spasm or cramp, it may be painful, or even difficult, to use the affected muscle or muscle group.

Cramps and spasms can affect any muscle, even those affiliated with the body’s various organs; however, they are most common in the calves, hamstrings, and quadriceps. Cramps in the feet, hands, arms, and lower back occur frequently, as well.

Many possible causes
Common as they are and painful as they can be, a shroud of mystery surrounds the cause of muscle spasms and cramps. Some researchers believe that inadequate stretching and muscle fatigue lead to cramps. According to the University of Michigan, other possible factors include a low level of fitness, overexertion (especially in intense heat), stress, and depletion of electrolytes through excess sweating or dehydration. Certain diuretic medications can also cause cramping due to a loss of sodium, potassium, and magnesium.

Treatment of muscle spasms
Typically, muscle cramps require no treatment other than patience and stretching; medicines are not generally needed to treat an ordinary muscle cramp. Gentle and gradual stretching, along with massage, may ease the pain and hasten recovery.

When a muscle spasm or cramp is the result of an injury, applying ice packs for the first two to three days may help alleviate the pain. Spasms that last a long time may be treated with moist heat for 20 minutes several times a day.

If you tend to get muscle cramps during exercise, make sure you drink enough fluids, and, after your workout, consider a warm Epsom salt bath followed by stretching of the affected muscles. Generally speaking, water is sufficient for rehydration; however, some may find a sports drink or juice beneficial as a means to restore their body’s electrolyte balance.

If your muscle cramps are associated with a specific medical condition, keep in mind that you need to address the underlying health problem for the cramps to subside.

Tips for Prevention
As with any health condition, it is always best to prevent muscle cramps or spasms—especially if you tend to develop them. Consider altering your diet and lifestyle by incorporating the following suggestions:

• Take steps to improve your diet. Eliminate sugar and caffeine from the diet, and increase consumption of fiber and protein. In addition, remember to eat plenty of calcium- and magnesium- rich foods, such as green leafy vegetables, yogurt, legumes, whole grains, tofu, and Brazil nuts. High-potassium foods, including bananas, avocados, lima beans, and fish, may also be helpful.
• Before and after you exercise, stretch muscle groups that tend to cramp.
• Incorporate strengthening exercises into your fitness routine.
• Avoid dehydration. To prevent dehydration, consume plenty of fluids and foods high in water such as fruits and vegetables.
• Avoid excess sodium and soda (high in phosphoric acid), as they can leach calcium.
• Avoid chocolate, caffeine, and alcohol, which can interfere with magnesium absorption.
• Improve your posture. For example, you may have mid-back spasms after sitting at a computer desk for too long in an awkward position.

Vitamin E has been said to help minimize cramp occurrence. Although scientific studies documenting this effect are lacking, anecdotal reports are common and fairly enthusiastic. Since vitamin E is thought to have other beneficial health effects and is not toxic in usual doses, taking 400 units of vitamin E daily could be considered.

Discuss with your doctor of chiropractic if your cramps are severe, happen frequently, respond poorly to simple treatments, or are not related to obvious causes like strenuous exercise. These could indicate a possible problem with circulation, nerves, metabolism, hormones, medications, and/or nutrition.

If you have any questions on this or any other condition, please contact our office at (386) 492-4881, and please visit our website at www.atlanticchirofl.com!

Your Waste Removal System

The body’s lymphatic system is connected to every other organ, yet few people pay much attention to it unless something goes terribly wrong with it – then it becomes a real cause for concern.
What is the lymphatic system and why is it so important? Just as the cardiovascular system carries oxygen and nutrients to every cell in the body through blood pumped from the heart, the lymphatic system, made up of your lymph vessels and nodes, tonsils, adenoids, appendix, spleen, and thymus gland, is the body's "rubbish collector" that filters out toxins, waste and other debris at the cellular level. If the flow of lymph fluid is blocked in any way, the fluid becomes thick and toxic.

One of the best ways to keep the lymph fluid moving properly through the body is to exercise. Physical movement helps the lymph system to keep from becoming “sluggish.” A sluggish lymphatic system may cause illness, pain and disease, including heart disease, sinusitis, viral/bacterial infections, fatigue, loss of energy, eczema, and even cancer.

In today’s world, many people have become sedentary. Because there is no lymphatic “pump,” like the heart, the lymphatic system relies on muscle contractions, the result of movement and exercise, to push the lymphatic fluid throughout the body. Any exercise that incorporates major muscle groups and deep breathing assists lymph flow.

Walking, jumping on a small trampoline (rebounder), running, swimming or any type of aerobic exercise helps contract muscles and increase lymph circulation.

Here’s an exercise that you can do almost anywhere to stimulate lymph flow in the chest and underarm area:

Stand in a relaxed position with your feet close together. Hold your arms out to the side, palms down, parallel to the floor. Rotate arms in small circles; forward 10 times, then backwards 10 times. Repeat, rotating in medium size circles and then again in large circles. Do this two to three times several times during the day.

Take care of your lymphatic system, and it will take care of you!

Do I Have Carpal Tunnel Syndrome?

Many people believe they have carpal tunnel syndrome (CTS). The majority have been told by their medical doctor that they have CTS. Others have mistakenly concluded that because they have some numbness and tingling in their wrist or hand, they must have this neurological disorder. Still others have ongoing forearm, wrist, or hand pain (possibly localized to the thumb and/or index finger), and are led by articles they've read on the Internet to diagnose themselves with CTS. Almost all of this is in error.^1,2

Why are so many diagnoses of this condition mistaken? The primary culprit is lazy clinical decision-making, compounded by a failure to understand correctly the workings of the musculoskeletal system. Carpal tunnel syndrome is a specific diagnosis which involves mechanical pressure on the median nerve as it passes through a small tunnel in the wrist created by tiny adjoining bones. There's not much room in this carpal tunnel and its dimensions can be narrowed further by inflammatory conditions such as osteoarthritis or rheumatoid arthritis. Pregnancy can lead to CTS owing to increased fluid retention. Repetitive stress may lead to inflammation of tendons that cross the wrist. Such inflammation may lead to soft tissue swelling which compresses the carpal tunnel, causing CTS. Various other disorders should also be considered when CTS is suspected.

Importantly, CTS is not a catchall diagnosis to be used when a person has forearm, wrist, and/or hand pain. If a person really has CTS, he or she will have specific symptoms. The person will awaken at night owing to pain and/or numbness and tingling. Symptoms will be precisely located to the thumb and index finger (possibly involving the middle finger). Wrist pain may or may not be present. Also, the person will demonstrate a weakness of pinch grip involving the thumb and index finger. If these signs and symptoms are not present, the person does not have carpal tunnel syndrome. Usually, the diagnosis is clearcut and does not require special tests such as electromyography.

Remarkably, most physicians, regardless of specialty, are unaware of these important criteria. If the patient has pain and/or numbness in the hand, the patient has CTS. Case closed. This lack of sophistication leads to real harm done to the patient, such as unnecessary tests which waste time, cost a lot of money, and may result in damaging surgery which is not curative as it was directed at a problem that really wasn't there.

In marked contrast, chiropractors are highly trained in accurate analysis of musculoskeletal problems involving the shoulder, arm, and hand.³ When patients have symptoms mimicking those of carpal tunnel syndrome, chiropractors use their broad knowledge and experience to correctly evaluate the situation. For example, spinal dysfunction, muscle spasm, and trigger points can all cause symptoms which appear to be those of CTS. Chiropractors are able to see through this masquerade and effectively address the real underlying problems.

 

 Many musculoskeletal problems, including symptoms masquerading as carpal tunnel syndrome, are effectively managed by chiropractic care. The key, as always, lies in accurate evaluation of the cause of the patient's pain patterns.

To a very large extent, physical pain involving the spine, arms, and legs is related to mechanical joint dysfunction. There are exceptions, of course, including pain caused by a severe acute injury or an inflammatory condition such as ankylosing spondylitis. But in most cases, chiropractic care will provide a solution to a person's musculoskeletal pain, resulting in a reduction or even a resolution of the problem.
It's important to remember that most painful symptoms don't just happen on their own. Your chiropractor will do more than address the problem at hand. He or she may also help you design an effective exercise program and a healthful nutrition plan to optimize your health and well-being over the long-term.

¹Ibrahim I, et al: Carpal tunnel syndrome. Review of the recent literature. Open Orthop J 6:69-75, 2012

²Uchiyama S, et al: Current concepts of carpal tunnel syndrome: pathophysiology, treatment, and evaluation. J Orthop Sci 15(1):1-13, 2010

³Bialosky JE, et al: Heightened pain sensitivity in individuals with signs and symptoms of carpal tunnel syndrome and the relationship to clinical outcomes following a manual therapy intervention. Man Ther 16(6):602-608, 2011

What's Wrong With My Back?

Not all back problems are created equal. One person may have been working on a home improvement project and injured her back while simultaneously bending and twisting. Another person may have developed back pain as a result of a vehicular collision. Another person may be experiencing back pain as a result of osteoporosis. Yet another person may have a serious illness which causes back pain as a related problem.

Back pain is a problem common to many types of injuries and illnesses. How can you tell the difference - in other words, how can you tell when back pain requires you to take action, such as seeing your chiropractor? A reasonable approach is to use a 48-hour guideline. Your body usually has a powerful ability to heal itself. If your back pain hasn't gone away on its own within 48 hours, then seeking professional assistance is a very good plan.

However, some situations require immediate attention. For example, if you've had an accident, seeing your chiropractor right away is probably the right thing to do. In another scenario, if you begin to experience severe pain without an obvious cause, then seeing your chiropractor right away makes a great deal of sense. Like many things in life, having physical pain requires us to use good judgment. The 48-hour rule-of-thumb applies to most situations, but if you've had an accident or are having an unusual problem, see your chiropractor as soon as possible, today if necessary.

When a person has back pain, it's very important to make sure there are no related problems. Most of the time there aren't, but no one wants to be the exception and it's always better to be safe than sorry. Making your own diagnosis is never a good idea. "Oh, that's been bothering me for months," some people will say. "It's just back pain." Of course, such an approach to one's health violates the 48-hour rule. If the problem really wasn't anything much, it would have gone away within a few days. Something else is going on, and usually the longer a physical problem is left untreated the more difficult it is to deal with. The old expression, "an ounce of prevention is worth a pound of cure" is as true today as it was 100 years ago.

Your chiropractor is an expert in back pain. They know that physical pain happens for a reason.^1,2 Their job is to discover that reason, using the tools of history taking, physical examination, biomechanical analysis, and special tests, if necessary, such as x-rays and other imaging methods. Most of the time, the underlying problem is mechanical in nature, involving the spinal joints and associated soft tissues, including the ligaments, muscles, and tendons. Such mechanical problems cause the vast majority of cases of back pain, and are directly addressed by chiropractic care.³ In unusual circumstances, your chiropractor will refer you to another specialist. The important approach in all situations is to seek appropriate care. Your chiropractor's office is the right place to start.

 
Most people now know the importance of exercise in daily life. The benefits of exercise range from improved strength, balance, and agility to deeper, more restful sleep, improved outlook on life, and heightened levels of creativity. Of course, there's also an additional direct benefit for persons with back pain.
Most cases of back pain are biomechanical in nature. In these circumstances, spinal joints have lost some mobility and spinal muscles have become tight. The long-term result is back pain, which may be mild, moderate, or severe, depending on the extent of the biomechanical dysfunction. Chiropractic care is the specific treatment for problems involving the spinal joints and muscles. Exercise is an important addition to chiropractic care. When you perform challenging activities throughout a full range of motion, as you do when you exercise, you're retraining the joints and muscles of your back. By engaging in such activities on a regular basis, you're helping to restore spinal strength and mobility, enhancing the benefits you're receiving from chiropractic care.

Your chiropractor is an expert in rehabilitative exercise and will be glad to design an exercise program that will work for you.

¹Bakker EW, et al: Spinal mechanical load as a risk factor for low back pain: a systematic review of prospective cohort studies. Spine 34(8):E281-E293, 2009

²Shambrook J, et al: Clinical presentation of low back pain and association with risk factors according to findings on magnetic resonance imaging. Pain 157(7):1659-1665, 2011

³Wilder DG, et al: Effect of spinal manipulation on sensorimotor functions in back pain patients: study protocol for a randomised controlled trial. Trials 12:161, 2011

Fibromyalgia and Chronic Pain

The condition of fibromyalgia creates many challenges for a person with this disorder. These challenges often go far beyond the characteristic chronic pain which alone can be potentially debilitating. Those with fibromyalgia have pain in many locations and the presence of multiple pain sites is often confusing to their doctor or doctors. Family physicians, internists, endocrinologists, and even pain management specialists and rheumatologists often have great difficulty in comprehending the full extent of fibromyalgia and the serious health and well-being issues that are caused by the disorder.

Persons with fibromyalgia have so many symptoms that an uninformed physician may find it easier to refer such patients to a psychologist or psychiatrist. But the physical symptoms of fibromyalgia are real. The sufferers have widespread pain on a chronic basis. Additional symptoms include fatigue, sleep disturbances, numbness or tingling in the hands and feet, joint stiffness, and cognitive dysfunction (brain fog). Depression commonly affects those with fibromyalgia.
Owing to the presence of so many chronic symptoms, fibromyalgia is notoriously difficult to treat. Such patients are typically taking multiple medications, prescribed by multiple specialists attempting to combat the problems that fall within their particular branch of medicine - pain management, rheumatology, and psychology/psychiatry.

Despite taking several medications on a long-term basis, most fibromyalgia patients tend not to improve. Depression and chronic pain take a profound toll, and daily living becomes quite burdensome. Many fibromyalgia patients despair of ever finding even a partial solution.

Attempts to address the problems of fibromyalgia by just treating the symptoms often fail. As the physiologic causes of the disorder are unknown, holistic approaches have a much greater likelihood of success. Multidisciplinary treatment is needed to impact this systems-wide disorder, including chiropractic care, nutritional recommendations, psychological counseling, and a gradual return to increased levels of physical activity and exercise.^{(1, 2, 3)}

Chiropractic care, by its very nature, is a holistic method of healing. By using noninvasive methods which balance function within both the nerve system and the musculoskeletal system, chiropractic care gives your body the best chance to recover from many complicated problems.

Chiropractic care is a key component of the multidisciplinary approach to management of multisystemic disorders such as fibromyalgia. By restoring more normal function to the person's nerve system, chiropractic care unleashes powerful and natural healing forces. The result is a body whose parts are now working together instead of against each other. As the body heals, pain and symptoms will likely naturally begin to reduce and resolve

¹Schneiderr M, et al: Chiropractic management of fibromyalgia syndrome: a systematic review of the literature. J Manipulative Physiol Ther 32(1):25-40, 2009

²Hauser W, et al: Guidelines on the management of fibromyalgia syndrome. A systematic review. Eur J Pain 14(1):5-10, 2010

³Busch AJ, et al: Exercise for fibromyalgia: a systematic review. J Rheumatol 35(6):1130-1144, 2008