Everett Chiropractic Center Blog

May 10, 2017

Consumer Reports: Real Relief from Back Pain

WSDOTworker150x150   (How many safety features can you find on this WSDOT site photo – arguably the largest organization in the State dedicated to safety? Yet, he doesn’t bend over correctly at all.)

I keep forgetting to mention that the current issue of Consumer Reports features a cover story on back pain. It is a very good review of what most of mainstream medicine recommends, and therefore what most people are doing – the lack of effectiveness, cost, and risks associated with that approach. And it covers alternative methods of addressing back pain, the proven effectiveness (which is why it is the cover story), cost savings, and safety. All of that is old news if you have been reading this Blog long (and if you search any of the key words in this Post you will find many posts – there are over a thousand here – on that subject).

Two things are interesting to me about the article: what is right in plain sight, but missed entirely due to mindset; and how, still, the recommendations regarding how to bend and lift are erroneous – harmful even.

First, the mindset thing. Modern medicine is about treating symptoms: some will argue that but just look at what is said and what is the object of all the focus – back pain (a symptom) in this case, but it is everywhere all of the time if you look. And while they fairly accurately talk about the causes, they fail to conclude that substantially addressing these causes would be a means of preventing the symptom. Instead they point out, for example, that abnormal findings on X-rays is common among people who do not suffer with back pain. (That should be a clue, why isn’t it?)

Secondly, but related, is this whole business of correct bending and lifting technique – how could they get it so thoroughly wrong so consistently. How could they not connect the dots – remember the ‘they’ is the authoritative bodies of professional experts spewing opinions, guidelines, and recommendations (shifting gazillions of dollars within the economy)… but let’s not go down the cynical path.

I share all of this because we have a copy in the reception room – with the best parts highlighted (be me:-). Read it, but ignore the part about how to bend and lift, and talk with me about that.

DrD

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March 10, 2017

Another Health Care Professional Who Doesn’t Know How to Bend Over

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February 8, 2016

101 Benefits of Exercise.7

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Research overwhelmingly shows that regular exercise lowers the risk for many diseases, enhances the functioning of virtually every physiological system in the human body and improves psychological well-being.

7. Improves athletic performance.

(This might be a good time to think of the “industrial athlete” point of view in the prevention of job-releated injuries.) I have been focused on that here for the past five years: if you are interested search this Blog for related terms.

I will Posting a benefit every day from a list put together by Dr. Dave Phillips, M.D. He is an M.D. from Atlanta, GA who specializes in Sports Medicine. As a former All-American swimmer he knows a few things about exercise. He is also on the JuicePlus+ Health Advisory Board. He is also all over YouTube doing videos on JuicePlus+, exercise, and other health-related topics.

I hope this list of benefits of exercise is of help to you.

October 26, 2015

Take it from the Gym to the Job

WSDOTworker150x150

In the gym some people know the Knee Rule; they have heard of it and can parrot it back. They know how to lift properly, some of them.

But often those same people do not apply what they know in the gym about moving properly and lifting to how they move and lift on the job.

They should.

We encountered this recently with a mechanic injured at work (lifting). Now back to work at nearly full duty he mentioned last week that he is setting the hoist by getting down on the ground to move the hoist’s arms, rather than just bending over the way he has in the past – or would if he was at 100%.

So, with a quick review of his getting up and down off the ground technique (less than 30 seconds), we determined that he broke the knee rule every time he went down and every time when he got up.

When I reviewed the knee rule, and showed him how to get up/down correctly, he said, “that’s just like a lunge, I know that rule already!” (eyes open wide!)

Yeah. You got it. And so did he, instantly (with a history of playing semi-pro football and competitive bodybuilding he should right?).

Same is true for how to dead lift or squat: there are a number of critical rules. They all apply to lifting in the gym as well as lifting on the job.

I believe there is an opportunity here for preventing back injuries – which is why I have been blogging about it for nearly 5 years. My experience so far is that prevention isn’t usually the priority but, if you know of any employers who are interested, please have them contact us at (425) 348-5207.

August 25, 2015

FitBALL SeatingDiscs – We Now Have Them!

Versa Disc

Versa Disc

These seating discs used to be called Disc-O-Sits… that was then, this is now.

A Seating Disc is made of high quality gym ball material. You blow it up yourself with your mouth so you put a little of a lot of air in them.

They are tough: in the absence of blades or flame they should outlast you.

Why would you want one?

1. You sit a lot and your back hurts from sitting so much. (Sitting on one of these discs feels like sitting on a ball and has all the same wonderful benefits.) Note: in our office these replace the Backtivator which used to be great but most won’t hold air any more so I have stopped buying and recommending them.

2. You need to improve you balance. (BECAUSE YOU DO NOT WANT TO FALL!!!) If that’s you, these are the most fun, fastest, and simplest means of dealing with that. Just position yourself in a corner and practice standing on it: first both legs, then one at a time, then with the eyes closed. Your ability to balance will skyrocket!

3. You want to increase your “core” strength (think stability – spine or otherwise). Many exercises are made much more challenging by the addition of an unstable – seating disc – surface. Think push ups, sit-ups, squats, lunges, side bridges, etc.

4. You want a great deal on the price. I picked up 7 of them while attending a seminar in Post Falls, ID this past weekend, so I got a deal: not shipping and a break for buying so many. I paid $25 a piece. You can have one for $29 (plus tax). So call 425-348-5207 or stop by when we’re open and get one while they last:-)

DrD

July 10, 2015

Kids and Chiropractic…

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Something to think about if you have kids…

I first used that photo (above) as an illustration of how NOT to bend over, but it works here too:-)

DrD

June 30, 2015

Where To Bend When You Bend & Lift

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June 2, 2015

The Back Injury Prevention Course: Certainties

I have tried to lay out the thought process behind the Back Injury Prevention Course, generally, and some of the Assumptions which I think are safe but shouldn’t stop us from attacking the issue head-on.

The assumptions shouldn’t stop us because here is what we know for certain:

All of us are going to be:

1. sitting,

2. standing,

3. walking,

4. bending & lifting and (to some extent)

5) getting up and down off the ground no matter what else we do… for a living or in our daily lives.

These basic movements when done poorly put us in serious risk of injury – to the knees, to the back, to the neck, etc. And, yes, I know that almost everyone simply assumes that they know how to sit, stand, etc., but all you have to do is look around and it becomes clear that, whether they “know” or not, the vast majority of people are not doing these basic moves well. And precisely because it’s mindless for most people, the need for mindfulness is urgent.

Our quality of movement is important. In fact it’s even more important if you are: overweight, weak, pregnant, etc., isn’t it? How much harder is it on your knees to be obese and going up stairs or getting out of your car if you break the Knee Rule?

I don’t think that the list of Assumptions means we shouldn’t do something about quality of movement; I think it’s even more important to move well.

If we are going to adopt the “industrial athlete” mentality, and I think we should, then let’s follow the example of the NFL, the NBA and most, if not all, Olympic athletes, and strive to make our quality of movement as safe and healthy as possible.

That’s what the Back Injury Prevention Course is all about.

May 29, 2015

I Was Right About The Back Injury Prevention Course

When I introduced the Back Injury Prevention Course three years ago, I promised that I could teach a course that would reduce the risk of on-the-job back injury by managing a risk factor, poor body mechanics.

Unique to any back injury prevention approach that I have been able to find, I also promised that an employer would be able to measure their risk of job-related back injuries among employees.

There is a thought process behind why I chose body mechanics, or how to bend and lift, that I will share in another Post soon, but the results so far go something like this:

Before the Course: less than 9% of the employees successfully demonstrate how to properly bend and lift by passing a screening maneuver.

After the Course: almost two-thirds (64%) successfully demonstrate how to properly bend and lift.

May 25, 2015

The Back Injury Prevention Course: Assumptions, Certainties, and Risk Factors

This Course follows an outline. There is a reasoning process, a certain logic, and considerable thought behind that outline. There is a reason for each of the Topics in the Outline so here, and with the next few Blog Posts, I intend to share the thinking and address the questions which are answered by the Outline Topics. This will give participants something to refer to, in review, after the Course, and give you some insight into why.

Why “risk factors”? Why that risk factor? Why even discuss “assumptions,” and “certainties”?

Remember, the main audience for Posts related the Course is employers. This entire effort is an attempt to help them (you) with a problem that they (you?) have: back pain injury at work. Some are stopped in their tracks by the Assumptions with no where to go, hence the sense of inevitability that we now have in many circles within industry and the healing professions. Most haven’t calculated in the Certainties because they haven’t made the connection or they think that these are uncontrollable.

I believe if we accept the Assumptions as a given, we can move on. Why? Because of the Certainties. These are going to happen no matter what.

May 21, 2015

I Was Wrong About the Back Injury Prevention Course

When I developed the Back Injury Prevention Course I declared that it could be taught (and learned) in one hour.

Now we know that it takes 90 minutes.

And given the feedback we’ve had, the participant’s preference for more activities, more practice, and more hands-on assessment, two hours is going to be the new standard.

I thought you should know so you can plan accordingly.

May 9, 2015

From Pain To Ping Pong

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A recently new patient was in yesterday. He’s been seen enough times to be out of pain and he is doing the basic spine exercises regularly without problems.

So he asks if he can play tennis…

Here’s the deal. When it doesn’t hurt it’s easy to think it’s Ok. It isn’t. It wasn’t even “Ok” before it started hurting: it was dysfunctional and probably degenerating (It may already have reached the diseased state – think arthritis). Out of pain and doing basic mobility exercises is a very long was from playing tennis and getting away with it. Playing tennis (or Ping Pong) at this point is an invitation to RELAPSE.

So when it isn’t hurting is precisely the time to REHABILITATE. That means gradual progressions in activity and demand stopping at each progression to spend plenty of time so that your body responds all the way and adapts completely to the new demands.

It goes without saying (but I will say it) that a review of your body mechanics (how you move, especially bending, lifting, squatting, and getting up and down off the ground) has already been accomplished by this stage and any corrections made so that you are now “training”  (or re=training) proper movement patterns.

Sure, I know it’s hard to find help with these aspects of your RECOVERY. But if these steps are not taken, you won’t have a recovery. You will have the typical NATURAL HISTORY of back pain that most people have. You don’t want to be typical in this case.

Call if you need assistance: (425) 348-5207.

P.S. – You can use the Search box on this Blog to learn more about each of the terms in CAPS. There are almost a 1,000 Posts here and most are related in one way or another.

DrD

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