Everett Chiropractic Center Blog

May 29, 2019

The Big Three

Scroll down a ways and you will find a Post for each of the Big Three exercises…

Start here: https://doctordilday.wordpress.com/2015/07/

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May 21, 2019

The Context of “Exercise” – The Dreaded Re-injury

If the subject is back pain, the consensus among many of the ‘experts’ is that the “natural history” of back pain is a series of episodes: the #1 predictor of back is…? Answer: you have had back pain in the past. Ask any athlete that has been around for a few decades and they will tell you that old injuries tend to re-visit and re-occur – we call them relapses if they re-occur within a reasonably close time to relief of symptoms.

So if an old injury is a weak link, what can you do? Well, make the weak links as strong as they can possibly be. If structural stability is compromised, emphasize muscular stability way beyond what would otherwise be considered adequate.

But, it is going to happen (re-injury that is). Then what? You have to start the cycle over again, from the start, and go through each phase as carefully and mindfully as you did the first time. For us, and for most professionals in the business, patients’ injuries were never properly rehabilitated. As soon as symptoms were relieved, either the doctor or the patient discharged themselves from care, and went on as if they were back to “normal.” If exercises ever were seriously discussed, or done, they are dropped (how we got to this series in the first place); and how to maintain progress, or continue progress, never gets discussed: the patient is not there to discuss it.

The re-injury itself may or may not have been avoidable – remember Safety First! But the entire focus of this series is that a full and proper recovery, followed by mindful and correct use of the body, will ensure the fewest and least dramatic episodes in the future. In my case I had regular back pain episodes for 15 years. After I figured out what I just shared here, it was more than 15 years without a single episode – and really only one in the past 20-plus years.

Apply the principles described in this series of Posts, in the absence of symptoms, and you have prevention. Imagine that!

May 20, 2019

The Context of “Exercise” – The Recovery Phase

First there was when to stop.

Then Relief Care context.

Then Rehab, the transition.

Then “core” stabilization or strengthening.

I kind of backed into this series of Posts inadvertently. Initially, I wanted to address some of the issues that could come up in the consideration of why or why not to do an exercise – when to stop doing it.

But, years ago, I did want to do a series on this cycle (injury-relief-rehab-recovery-reinjury). I began with the story about my own back injury and how I progressed to full recovery. (It took 15 years and had almost nothing to do with any of the health care professionals I came in contact with – the rehab and recovery phases didn’t that is.)

So why is it necessary to talk about recovery at all: you are ‘recovered’ after all. Well, in a word: relapse. In the tissues of a significant injury, aging is going to take place faster than in the surrounding, uninjured tissues. That injured spot is a weak link. Now might be the time to take a more global look. To find out if there are other weaknesses that need to be balanced out. Finally, the phrase, “I just want to ‘get in shape'” makes sense. This part is about your longer term future. The point I would make here is the same one I have made all along: what you do should be guided by why you are doing it. Elsewhere (all over) this Blog I have written about setting goals, assessing where you are now, “progressing” in steps to where you want to be. That is all covered. Use the search box on this Blog, using whatever key words seem appropriate, to find a list of Posts. (Start with “progressions” to get started.) Here, too, there are all kinds of ‘normals’ that can guide you into exercises that will give you meaningful benefits safely. And normal is a worthy goal: most people are far from it. It will keep you healthy. How you get there is a journey. And you know about journeys… they all start with a single step:-)

If you need help, let me know.

April 3, 2019

People with Low Back Pain

Many people with low back pain, who receive chiropractic care to get relief, fail to understand a fundamental truth.

Because they have always responded well to adjustments, and rapidly, they believe that all they have to do is make it to the office and get up on the table and everything will be fine. It has always been the case for them. No matter how bad their pain has been: from the first visit to the last, over years, and even decades. When they get adjusted they feel a lot better. The back pain goes away. And they can return to thinking that they do not have a ‘problem’.

The truth that they fail to appreciate is that their pain is not their problem: their problem is that they have a spinal subluxation complex.

It is a progressive condition if not corrected. Which means that it gets worse over time, if not corrected. And however bad the symptoms, they can get a worse too. Possibly a lot worse.

The answer: everything this Blog is about. Prevention. Correction. And maintaining good healthy habits, breathing, bracing, bending and lifting. It also means not going 6 months (or several years) between visits to the chiropractor.

That is our message. But sometimes the aid car comes in handy; the surgeons gets to do their work; and the pharmaceutical companies get a little richer.

March 4, 2019

Vacuuming without Back Pain

Patients often show up in the office after vacuuming. Here is how to move, push and pull without undue stress to the back (here we won’t talk about all the other injuries that could happen, later if there is interest).

Vacuuming is no different than anything else; it is the basics that keep you safe: knee rule, neutral spine, pushing from the heel.

Use the stance to push: go from weight being on the back leg to weight being on the front leg: push with the heel of the back leg. Critical to back safety is the ‘line’ we always talk about in Tai Chi (this line is the signature characteristic of Wu style Tai Chi). DO NOT BEND AT THE WAIST! Reaching further than you can go by shifting your stance will require that you bend over at the waist. Instead, take a step.

Use the stance to pull: go from weight being on the front leg to weight being all on the back leg. In Tai Chi we call this the Back Stance. These stances: ‘back stance’ and ‘front stance’ are described in great detail with pictures elsewhere on this Blog (use the Search Box). Move your feet, generate the force from the heel, then leg, then waist.

Stiffen your spine with ‘bracing’ to add strength and increase safety. That just means to tighten the butt, gut, and pelvic floor muscles when you generate force. Bracing correctly is how the strong people squat, bench, and dead lift great weights – and you are welcome to make all of that noise that they make, too, no one will hear it over the vacuum cleaner.

Let me know if this helps.

January 30, 2019

Sleep Loss Heightens Pain Sensitivity and Dulls Brain’s Painkilling Response

new research

It is well known that chiropractic care will decrease pain symptoms (and others). It is equally well known that once you have less pain, you sleep better. Now researchers are looking more closely at that connection: you are going to feel pain more when you get less sleep.

For patients with neck pain, back pain and headaches, the cycle usually goes like this: first less pain; then more and better sleep; then better energy levels; then higher levels of activity.

The message from this new research is clear: get out of pain; get your sleep. Get your sleep and get out of pain.

The message of chiropractic care is also clear. We can help!

 

June 2, 2018

Back Pain Brain

The brain doing what the brain does.

April 30, 2018

News You Can Use…

http://campaign.r20.constantcontact.com/render?m=1116637109108&ca=e6b4386d-9203-4043-bdad-835531c164a4

April 16, 2018

Finally, the media is saying it, and it is true…

Some would say that if the national, mainstream, media say it, it must be true.

Others would say that if the mainstream media said it, it can’t be true.

Well, there is a middle ground. Sometimes, some of what the mainstream media says is somewhat true. This article highlights the media, finally, giving some coverage of a national disgrace, a crime actually. But all of that is old news if you have been reading this Blog (search the main topics, or words from the article, here by using the Search box, and you will find many, many Posts covering these very same issues – going back 13 years).

April 2, 2018

“You have ruined me for using other Chiropractors.”

The words of a patient on Friday.

Nice to know.

February 3, 2018

The Opioid Crisis: Who Is/Is Not Guided By The Guidelines?

As far back as 1994, spinal manipulation has been a leading approach for managing low back pain in national care guidelines, and chiropractic care was the only approach that was also noted to improve function. (AHCPR Clinical Guideline #14: Acute Low Back Pain for Adults)

The 2017 American College of Physicians guidelines continued to point to spinal manipulation as a preferred initial non-drug therapy selection for chronic low back pain, along with other chiropractic services such as exercise, mindfulness, and low-laser therapy. (Annual of Internal Medicine; February 24, 2017)

So what percent of medical providers recommend spinal manipulation? Two. (OPTUM Insurance Study 2012 (retrospective review of 16,000,000 musculoskeletal cases)

“259 MILLION opioid painkiller prescriptions were written in 2012 – enough for one bottle for every adult in the U.S. 2016 data suggests that opioid problem is WORSENING, not improving.” (Centers for Disease Control; https://www.cdc.gov/vitalsigns/opioid-prescribing)

January 30, 2018

What is the leading cause of death for adults under age 50 in America?

It isn’t too much chiropractic care…

According to June 6, 2017 CBS Evening News, it is…

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