Post-Surgery Back Pain

One of our goals at Chiropractic Care is to prevent as many spinal surgeries as possible. We understand that surgery is necessary for certain conditions, but we also feel that many surgeries can be prevented with conservative chiropractic care. Patients who have already undergone surgery require special consideration when determining the appropriate treatment plan. Cox Flexion Distraction manipulation is an effective therapy that gently relieves pressure on spinal nerves and is frequently utilized in our offices to treat post-spinal surgery patients.

The rate of spinal surgery in the United States and the associated costs continues to rise even though there is little evidence in favor of surgical spinal fusion for back conditions. In some cases, the spinal surgery is ineffective, a condition called failed back surgery syndrome (FBSS). Other patients will develop pain months or even years after surgery. A typical reason for this developing pain is called Adjacent Segment Disease (ASD). One common type of surgery is a spinal fusion. This surgery alters the normal biomechanics of the spine limiting motion at the fused levels. This loss of motion is compensated for by an increase in motion at spinal levels above and below the fused site resulting in a significant amount of additional forces being placed on those facet joints  and discs. These additional forces may result in vertebral degeneration, disc herniation, spinal instability and spondylolisthesis which can result in pain and spinal stenosis.

One form of therapy that is beneficial to post-surgical pain cases is Cox decompression manipulation. Decompression manipulation is considered a low velocity, low amplitude adjusting procedure and has been shown to create a decrease in intradiscal pressure, an increase in posterior disc height while opening the vertebral canal and intervertebral foramen thus relieving pressure on pain sensitive nerves.

Dr. Kruse, along with Dr. Jerrilyn Cambron have recently had a paper accepted for publication demonstrating that Cox manipulation may also benefit post-surgical patients who suffer from adjacent segment disease.

Cox Decompression Chiropractic Manipulation of a Patient with Post-surgical Lumbar Fusion: A Case Report.  Accepted for publication in the Journal of Chiropractic Medicine (JCM), 2011. 

Drs. Kruse and Cambron have also had a study accepted for publication demonstrating the positive outcomes of Cox Decompression Manipulation performed to a larger population of patients who previously underwent lower back spinal surgery.

Post-Surgical Lumbar Spine pain treated with Cox Chiropractic Flexion Distraction manipulation: A retrospective study in a private practice setting. Accepted for publication in the Journal of Manipulative and Physiological Therapeutics (JMPT), 2011.

For more information and research on this topic, go to http://www.coxchirocare.com/ and look for post-surgery back pain.

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Mom, these books weigh more than I do!

Jacey Merkle weighs just 90 pounds. Add her backpack, and her weight shoots up to 110.

On any given school day, Jacey, a seventh-grader at Southwest Middle School, will lug around 20 pounds of books and school supplies on her back.

And she’s not alone.

The American Chiropractic Association has been sounding the alarm for years over heavy backpacks and the back issues they cause in young students.

In a recent study, researchers found that the average child carries a backpack “that would be the equivalent of a 39-pound burden for a 176-pound man, or a 29-pound load for a 132-pound woman.”

In the study, 60 percent of those carrying heavy backpacks had already reported back pain.

A second study done showed that the longer a child wears an oversized backpack, the longer it takes for a “curvature or deformity of the spine to correct itself,” according to the ACA.

Rapid City chiropractor James Schwietert said he treats plenty of students who have back and neck pain caused by carrying heavy backpacks.

“Some of these backpacks weigh half as much as the child,”Schwietert said. “Over the long term, what you’re doing is loading the spine with unnecessary weight at too young of an age.”

An overly heavy backpack will cause a child to bend forward to support the weight on his back, rather than on the shoulders.

Schwietert said that while children may have only minor back and neck complaints now, they will likely see graver complaints later in life. “They’re going to carry that issue.”

Karin Merkle, Jacey’s mother, said her daughter’s heavy backpack has been an issue in their house, especially since Jacey walks a mile to and from school each day.

Merkle tried to find alternatives for her daughter, even buying a rolling suitcase. It didn’t work well, so Jacey went back to her backpack.

Stan Evans, principal at Dakota Middle School, said the heavy backpacks haven’t been a huge issue at his schools, but said, “I know that some students do overload them.”

Evans thinks that while there will always be a place for textbooks in education, teachers will continue to use other resources such as online curriculum.

That shift should lessen the burden of heavy backpacks.

Schwietert also expects a day when students will carry all of their schoolwork on lightweight electronic devices.

Until that happens, he urges parents to pay attention to the weight in their kids’ backpacks and look for alternatives whenever possible.

He also encourages parents to spend a little more to get ergonomically correct backpacks that shift the weight lower on the body.

It may be an extra expense now, but it will pay off in the end, he said.

To view the original article, please click here.

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Pull Your Weeds, Not Your Back, When Gardening

 

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As springtime approaches, weather warms up and leaves turn green, many people will spend more time outside planting bulbs, mowing the lawn and pulling weeds. Gardening can provide a great workout, but with all the bending, twisting, reaching and pulling, your body may not be ready for exercise of the garden variety.

Gardening can be enjoyable, but it is important to stretch your muscles before reaching for your gardening tools. The back, upper legs, shoulders, and wrists are all major muscle groups affected when using your green thumb.

A warm-up and cool-down period is as important in gardening as it is for any other physical activity," said Dr. Scott Bautch of the American Chiropractic Association's (ACA) Council on Occupational Health. "Performing simple stretches during these periods will help alleviate injuries, pain and stiffness."

To make gardening as fun and enjoyable as possible, it is important to prepare your body for this type of physical activity. The following stretches will help to alleviate muscle pain after a day spent in your garden.

Garden Fitness Stretches

Before stretching for any activity, breathe in and out, slowly and rythmically; do not bounce or jerk your body, and stretch as far and as comfortably as you can. Do not follow the no pain, no gain rule. Stretching should not be painful. o While sitting, prop your heel on a stool or step, keeping the knees straight. Lean forward until you feel a stretch in the back of the thigh, or the hamstring muscle. Hold this position for 15 seconds. Do this once more and repeat with the other leg.

Stand up, balance yourself, and grab the front of your ankle from behind. Pull your heel towards your buttocks and hold the position for 15 seconds. Do this again and repeat with the other leg.

While standing, weave your fingers together above your head with the palms up. Lean to one side for 10 seconds, then to the other. Repeat this stretch three times.

Do the "Hug your best friend." Wrap your arms around yourself and rotate to one side, stretching as far as you can comfortably go. Hold for 10 seconds and reverse. Repeat two or three times.

Finally, be aware of your body technique, body form and correct posture while gardening. Kneel, don't bend, and alternate your stance and movements as often as possible to keep the muscles and body balanced.

When the Bulbs Are Planted...
If you already feel muscle aches and pains and did not complete the warm-up and cool-down stretches, there are ways to alleviate the discomfort. Apply a cold pack on the area of pain for the first 48 hours or apply a heat pack after 48 hours, and consider chiropractic care.

Ready for Spring... Yard Work!

The state-of-the-art equipment available today for lawn and leaf management can help turn the average homeowner into a lawn specialist overnight. But the use of weed trimmers, leaf blowers and hedge clippers has also been sending many aspiring landscapers to the office of their local doctor of chiropractic.

The American Chiropractic Association (ACA) warns that using this equipment can result in back and neck pain, as well as more serious muscular strains and tears if not used properly.

"The repetitive motion that your body undergoes when using such equipment can bring on a whole host of mechanical problems within the body," says ACA President Dr. Richard Brassard. "It is essential to operate your equipment properly. If you do not, the pounding your body endures may be multiplied."

Tips On Safely Using Your Outdoor Equipment
Dr. Brassard offers the following tips to help you safely enjoy a productive day in the yard:

Regardless of what piece of equipment you are using, make sure it has a strap-and that you use it. Place the strap over your head on the shoulder on the opposite side of your body from the device. This will help normalize your center of gravity.

Be sure to switch the side on which you are operating the equipment as often as possible, and to balance the muscles being used, alternate your stance and motion frequently.

Take frequent breaks from the activity of the day. Muscle fatigue may be felt when using any of these devices for an extended period of time.

Consider electric-powered items, especially if you experience back or neck pain, as they tend to be much lighter than their engine-powered counterparts.

When picking up or putting down your equipment, be sure to bend from the knees, not at the waist. Keep the object close to your body as you lift, not at arm's length.

"While it is critical that you operate your yard equipment safely, it is equally important that you prepare your body for the work you are about to do," explains Dr. Brassard. "Be sure to include a warm-up/cool-down period that involves stretching to help avoid injury."

Simple Stretches For Everybody
Before stretching, there are a few tips to keep in mind. Breathe in and out slowly throughout each stretching exercise until the muscle is stretched to its furthest point. At that point, hold your breath in. When you relax, breathe out. Stretch gently and smoothly. Do not bounce or jerk your body in any way and stretch as far as you can comfortably. You should not feel pain.

Following are a few easy stretches Dr. Brassard recommends for getting the most out of the time you spend in the yard:

Stand up and prop your heel on a back door step or stool with your knee slightly bent. Bend forward until you feel a slight pull at the back of the thigh, called the hamstring. You may need to stabilize yourself by holding onto a garage door handle or sturdy tree branch. Hold the position for 20 seconds, then relax. Do it once more, then repeat with the other leg.

Stand up and put your right hand against a wall or other stable surface. Bend your left knee and grab your ankle with your left hand. Pull your heel toward your buttocks to stretch the quadricep muscle at the front of your thigh. Hold that position for 20 seconds, relax and do it again. Repeat with the other leg.

Weave your fingers together above your head with your palms up. Lean to one side for 10 seconds to stretch the side of your upper body, then reverse. Repeat two or three times.

"Hug your best friend": Wrap your arms around yourself after letting your breath out and rotate to one side, as far as you can go. Hold it for 10 seconds. Then reverse. Repeat two or three times.

Chiropractic Care Can Help
If you experience pain or discomfort resulting from outdoor equipment misuse, call your doctor of chiropractic. Doctors of chiropractic are trained and licensed to treat the entire neuromusculoskeletal system, and can help people lead healthier lives by focusing on wellness and prevention.

Visit the ACA Site, click here

Please visit our website for more information - click here -
or call our Chicago office:  312-269-5556
or our Homewood office 708.798.5556