Author: hyftechnologies

A combination of chiropractic, trigger point therapy, and lifestyle changes has proven to be very effective in decreasing the severity and duration of the physical pain of fibromyalgia.

The word fibromyalgia comes from the Latin term for fibrous tissue (fibro) and the Greek ones for muscle (myo) and pain (algia). Fibromyalgia syndrome is chronic disorder which includes widespread muscle pain, fatigue, and multiple tender points that affects 3-6 million people in the United States. For reasons that are unclear, more than 90 percent of those who develop fibromyalgia are women. It is not currently known whether the predominance of women who suffer from fibromyalgia is a phenomenon of the socialization of women in the American culture or whether it is some combination of the female reproductive hormones and other genetic predispositions.

According to the American College of Rheumatology (ACR), fibromyalgia is defined as a history of pain in all four quadrants of the body lasting more than three months. Pain in all four quadrants means that you have pain in both your right and left sides, as well as above and below the waist. The ACR also described 18 characteristic tender points on the body that are associated with fibromyalgia. In order to be diagnosed with fibromyalgia, a person must have 11 or more tender points. In addition to pain and fatigue, people who have fibromyalgia may experience:

• sleep disturbances
• morning stiffness
• headaches
• irritable bowel syndrome
• painful menstrual periods
• numbness or tingling of the extremities
• restless legs syndrome
• temperature sensitivity
• cognitive and memory problems (sometimes referred to as “fibro fog”)

Fibromyalgia is often confused with another condition called “myofascial pain syndrome” or “myofascitis.” Both fibromyalgia and myofascitis can cause pain in all four quadrants of the body and tend to have similar tender point locations, but the two conditions are worlds apart. Myofascitis is an inflammatory condition due to overuse or injury to your muscles, whereas fibromyalgia is caused by a stress-induced change in metabolism and healing. Myofascitis tend to come on rather suddenly and is usually associated with a particular activity or injury, true fibromyalgia has a slow, insidious onset, usually beginning in early adulthood. It is very important to diagnose each of these correctly, for they require very different approaches to treatment. Unfortunately, fibromyalgia is a chronic condition, meaning it lasts a long time – possibly a lifetime. However. it won’t cause damage to your joints, muscles, or internal organs.

The Basics of Fibromyalgia

The latest research indicates that fibromyalgia is a stress-related condition that is a cousin in Systemic Lupus Erythematosis (often referred to as simply ‘lupus’) and Chronic Fatigue Syndrome. In all three of these conditions, there is the same predominantly female distribution, chronic fatigue, sleep disturbances, irritable bowel, as well as many other similarities. You can think about these three conditions as lying on a continuum with Fibromyalgia on one end, Lupus on the other and Chronic Fatigue Syndrome in the middle. All three of these conditions are caused by an abnormal stress response in the body, but with Lupus, the immune system is primarily affected, causing an autoimmune reaction that attacks your healthy tissues. On the other end of the spectrum is fibromyalgia, where metabolic abnormalities are primary. These metabolic changes are the result of a stress-induced decrease in blood flow to an area of the brain called the pituitary. This, in turn causes a decrease in a number of important hormones, such as the growth hormone releasing hormone (somatotropin) and the thyroid stimulating hormone. These hormonal changes lead to abnormal muscle healing, borderline or full-blown hypothyroid, as well as memory and cognitive changes.

One of the major physical abnormalities that occurs with fibromyalgia lies in the muscle itself, where there is a build up of a protein called “Ground Substance.” Ground substance is normally found in muscle, bone and connective tissue all over the body and is responsible for making the tissues stronger and less susceptible to tearing. In a normal person, when a muscle is injured, the muscle tissue itself is able to regenerate and over time, completely heal itself. In a person with fibromyalgia, the muscle is unable to completely heal itself. Instead, an abnormally large amount of ground substance builds up in the injured area. It is the ground substance, coupled with local muscle spasm it creates that creates the muscle ‘knots’ associated with fibromyalgia.

A number of tests may be done to rule out other disorders and an examination can reveal whether a person has the characteristic tender areas on the back of the neck, shoulders, sternum, lower back, hips, shins, elbows, or knees. Unlike its cousin lupus, there are currently no diagnostic laboratory tests for fibromyalgia. Because there are no clinical tests for fibromyalgia, some doctors, unfortunately, conclude that a patient’s pain is not real, or they may tell them that there is little they can do. But a combination of chiropractic, trigger point therapy, and lifestyle changes has proven to be very effective in decreasing the severity and duration of the physical pain and disability of fibromyalgia.

Fibromyalgia can be difficult to treat. Not all doctors are familiar with fibromyalgia and its treatment, so it is important to find a doctor who is. Fibromyalgia treatment often requires a team approach, utilizing chiropractic care, trigger point therapy, massage, dietary changes, as well as exercises and stretching.

Treating Fibromyalgia with Chiropractic

Chiropractic care is critical for those who suffer from fibromyalgia in order to keep the spine and muscles from losing too much movement. Because fibromyalgia causes the muscles to tighten up and lose some of their natural pliability, it results in a global loss of movement in the spine. The loss of movement in the spine results in a neurological reflex that causes the muscles to tighten further. This vicious cycle will continue and over time will lead to increased pain, increased muscle tightness, a loss of movement, more difficulty sleeping and the development of more and more trigger points.

The only option is to continually adjust the spine and keep it moving. It is not uncommon for those with fibromyalgia to be adjusted three to four times per month to keep everything mobile and relaxed. The biggest concern in treating people with fibromyalgia is that their muscles have a diminished healing ability. For this reason, chiropractic adjustments are usually modified slightly to be more gentle than normal. This helps to decrease the stress on all of the small supporting muscles of the spine, which can be easily injured. It is important when seeking chiropractic care, to make sure that the doctor is familiar with the muscular changes that occur with fibromyalgia so that they can adjust their treatment accordingly.

Treating Fibromyalgia with Trigger Point Therapy

The overwhelming characteristic of fibromyalgia is long-standing, body-wide pain with defined tender points, and frequently, trigger points. Trigger points are often confused with “tender points.” They are not the same. A trigger point needs firm pressure to elicit pain, while tender points are painful with even very light pressure. Trigger points will refer pain to other areas of the body, whereas tender points will not. Unlike tender points, trigger points can occur in isolation and represent a source of radiating pain, even in the absence of direct pressure. As discussed earlier, trigger points are purely comprised of spasmed muscle fibers, whereas tender points are knots filled with ground substance. Those with fibromyalgia almost always have a combination of the two – trigger points and tender points – and can improve dramatically with light trigger point therapy.

Trigger point therapy for fibromyalgia is much like trigger point therapy for low back pain, neck pain or headaches. The points are the same. The difference is just intensity. Since the muscles in patients with fibromyalgia are easily injured and take longer to heal, it is necessary to use less pressure on their trigger points.

Treating Fibromyalgia with Cold Laser Therapy

Since poor healing of muscle tissue and chronic pain are characteristic traits of fibromyalgia, laser therapy is an important part of any treatment plan. Two of the major benefits of cold laser therapy is stimulation of tissue healing and decreased sensations of pain.

A 1997 study of 846 people with fibromyalgia reported in the Journal of Clinical Laser Medicine and Surgery demonstrated that two-thirds of the patients experienced improved pain and mobility with cold laser therapy. Another study published in Rheumatology International in 2002, showed that those who received laser therapy had a significant improvement in pain, fatigue and morning stiffness.

Self-Care for Fibromyalgia

Your day to day lifestyle choices have a tremendous impact on how much impact fibromyalgia will have on your life. The difference between those who take care of themselves and those who do not is tremendous. Those who make lifestyle changes to help their fibromyalgia suffer much less pain, are able to remain more active and have a much higher quality of life than those who do not. If you have fibromyalgia, here are some of the main things that you can do on a daily basis to help your body:

Getting Enough Good Sleep

-Getting enough sleep and the right kind of sleep can help ease the pain and fatigue of fibromyalgia, but is something that can be hard to get. Many people with fibromyalgia have problems such as pain, restless legs syndrome and brain-wave irregularities that interfere with restful sleep. Insomnia is very common. Although alcohol may help you to relax, it is not recommended before bed as it has been shown to interfere with restful sleep. Some of those with fibromyalgia have found 5-hydroxy tryptophan (5-HTP) very helpful, as well as the prescription anti-depressant amitriptyline. Typically, we don’t recommend taking perscritpion drugs, but in this case, it is difficult to heal without enough sleep.

Exercising

– Improved fitness through exercise is recommended. Studies have shown that fibromyalgia symptoms can be relieved by aerobic exercise. Though pain and fatigue may make exercise and daily activities difficult, it’s crucial to be as physically active as possible. The best way to begin a fitness program is to start with low impact exercises, like walking and swimming. Starting slowly helps stretch and mobilize tight, sore muscles. High-impact aerobics and weight lifting could cause increased discomfort, so pay attention to your body. The more you can exercise, the better off you will be.

Making Changes at Work

-Most people with fibromyalgia are able to continue working, but they may have to make big changes to do so. It may be necessary to reduce the number of hours at work, find a job that will allow you to have a flexible schedule, or switch to a less physically demanding job. Many people with fibromyalgia require specially designed office chairs, adjustable desks or other adaptations in order to continue working. If you face obstacles at work, such as an uncomfortable desk chair that leaves your back aching or difficulty lifting heavy boxes or files, your employer may make adaptations that will enable you to keep your job.

Eating Well

-Foods, just like anything else, have the ability to either stress your body or to help your body heal. Foods that tend to be stressful on the body include: dairy, eggs, wheat, corn, as well as anything with monosodium glutamate (MSG), nitrates or nitrites (as are found in processed foods). Several environmental toxins may also contribute to the overall physical stress on your body, therefore fish should be avoided as well. It is important that you eat as much clean, organically grown fresh foods as possible. Base your diet around whole foods such as: brown rice, legumes, oats, spelt, rice milk, soy, hormone-free chicken or turkey, roots, nuts and berries.

Nutritional Supplements

-There are dozens of nutritional products that claim to be ‘the answer’ for fibromyalgia. To date, none of them have proven to be of much long-term benefit for anyone. However, there are some people who have used magnesium malate with good results, some people who have used ginkgo biloba with good results and others with various herbals. The bottom line with nutritional supplements is that, to date, there is nothing that works for everyone. If you come across something that you would like to try, by all means do so, as long as you check it out with your chiropractor first to ensure that it won’t interfere with any of your other treatment. Contact us today!

Several studies have shown that chiropractic care can help decrease many of the symptoms of PMS without the potential side effects of prescription drugs.

Premenstrual syndrome (PMS) is characterized by mood swings, swollen abdomen, headaches, back pain, food cravings, fatigue, irritability or depression in the days before a woman’s monthly period. The severity of these symptoms can range from mild to incapacitating and may last from a couple of days to two weeks.

It has been estimated that three of every four menstruating women experience some form of premenstrual syndrome, and it is more likely to trouble women from their late 20s to early 40s. Between 10 to 20 percent of all women experience symptoms that are severe or even disabling.

PMS is thought to be a side effect of hormonal changes during the monthly menstrual cycle and can be made worse by stress, decreased serotonin levels in the brain and subluxations in the low back.

Although chiropractic care cannot fix the way your body responds to the hormonal changes that preceed menstruation, several studies have shown that it can help decrease many of the symptoms of PMS without the potential side effects of prescription drugs. Since the nerves that exit the low back are responsible for regulating all of the tissues in the lower abdomen, any pressure or irritation that can be alleviated through chiropractic care can be helpful. Contact our chiropractor . . . we can help!

Shin splints are characterized by pain in the front part of the lower leg. It occurs on the inside edge of the large bone there — the tibia. This condition is common in runners, but can also occur in other physically active people.

Shin splints usually happen during or after a change in the intensity of physical activity, such as running more miles or more frequently.

Shin splints are not a standard medical diagnosis. The condition may also be called medial tibial stress syndrome (MTSS), anterior tibial pain or exercise-induced leg pain.

Causes of Shin Splints

Shin splints are very common among professional and recreational athletes, especially runners, military recruits and dancers.

Overuse of the leg muscles — without taking enough time to rest and heal — can lead to inflammation or swelling of the tendons, muscles or tissue covering the shin.

This causes pain along the front of the shin. Symptoms range from a dull, tight feeling to a sharp pain along the shin.

Several factors increase your chance of developing shin splints, such as:

• Running long distances or on hills or uneven surfaces
• Training incorrectly or too much
• Switching your routine
• Wearing the wrong shoes
• Not warming up properly
• Foot problems

In addition to excessive training, other conditions can also lead to pain in the shins, such as:

• Flat feet
• A very rigid arch of the foot
• Chronic anterior compartment syndrome (when the large muscle on the front of the lower leg becomes too large for the tissue that surrounds it)
• Stress fractures

Chiropractic Care for Shin Splints

Shin splints will often go away with basic therapy, which involves:

• Rest
• Ice
• Massage
• Rehabilitation exercises
• Stretching
• Kinesio taping

However, if the shin splits don’t clear up quickly, your chiropractor will look for other problems that may be contributing to the pain. This includes examining your spine, hips, knees and feet for misalignments.

One problem with the foot that can lead to shin splints is over pronation — or “rolling in” of the foot. This condition causes overstretching in the shin muscles. If this is the case, your chiropractor may prescribe a foot orthotic for you. This will adjust how your foot strikes the ground.

Your chiropractor may also make adjustments in your foot joints, ankle, knee, SI joint or low back. This can relieve the pain from shin splints, or prevent them from happening again.

If you have shin splints, look for a chiropractor who specializes in treating sports injuries and conditions. This will help you return to your regular training program.

The temporomandibular joint connects the jawbone to the skull. Up to 10 million people suffer from painful temporomandibular joint disorder (TMD), according to the National Institute of Dental and Craniofacial Research. Symptoms include pain in the face and neck, locked jaw or limited jaw movement, painful clicking when moving the mouth, dizziness, difficulty chewing or swallowing and a change in the way the teeth fit together. TMD is about four times more common in women than men.

Causes

TMD has many causes, some physical, some emotional. A jaw injury, such as one caused by a car accident or being hit hard by a ball, can lead to TMD. Degenerative joint disease is another leading physical cause of TMD.

Emotional stress can cause behaviors that lead to TMD, such as clenching the jaw or grinding the teeth.

Conventional Treatment

You can manage TMD through medications or lifestyle interventions. Your doctor may recommend muscle relaxants or pain relievers. Certain types of antidepressants also relieve pain. If you clench your teeth at night, aggravating your TMD pain, your doctor might prescribe a sedative. These medications bring along a variety of side effects.

Other interventions don’t require drugs. Rest your jaws by eating soup or soft food. Avoid chewing gum. Firm or soft bite guards sometimes relieve pain, and keep you from grinding your teeth at night. Ice packs or moist heat can help. A physical therapist can teach you exercises to strengthen and stretch your jaw muscles.

If stress and anxiety are the cause of your TMD, try relaxation techniques. Mindfulness meditation, acupuncture, biofeedback, talking to a counselor or massage might help.

In extreme cases, some doctors recommend surgery to repair this joint.

Chiropractic Care and TMJ

Some patients with TMD find relief through chiropractic care. A chiropractor can manipulate your neck and jaw to improve alignment and relax muscle tension. Many chiropractors will also recommend special exercises, hot and cold treatment and other non-pharmaceutical interventions. Your chiropractor might team up with your dentist to provide the best care.

If you’re suffering from TMD, call us today so we can help ease your jaw pain.

About 90 percent of people will recover from plantar fasciitis within a few months following conservative treatment.

Plantar fasciitis is one of the most common explanations of heel pain. It is caused by inflammation to the thick band that connects the toes to the heel bone, called the plantar fascia, which runs across the bottom of your foot. The condition is most commonly seen in runners, pregnant women, overweight people, and individuals who wear inadequately supporting shoes. Plantar fasciitis typically affects people between the ages of 40 and 70.

Symptoms

Plantar fasciitis commonly causes a stabbing pain in the heel of the foot, which is worse during the first few steps of the day after awakening. As you continue to walk on the affected foot, the pain gradually lessens. Usually, only one foot is affected, but it can occur in both feet simultaneously.

Diagnosis

To diagnose plantar fasciitis, your doctor will physically examine your foot by testing your reflexes, balance, coordination, muscle strength, and muscle tone. Your doctor may also advise a magnetic resonance imaging (MRI) or X-ray to rule out other others sources of your pain, such as a pinched nerve, stress fracture, or bone spur.

Treatment

Treatment for plantar fasciitis includes chiropractic care, medication, physical therapy, shock wave therapy, or surgery.

Medications

Nonsteroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen and naproxen are used to treat the inflammation and pain of plantar fasciitis, but they won’t cure the condition. Corticosteroids can also be used to ease pain and reduce inflammation. Corticosteroids are applied either as a topical solution in conjunction with a non-painful electric current or through injections to the affected area.

Physical Therapy

Stretching exercises for the Achilles tendon and plantar fascia are recommend to relieve pain and aid in the healing process. Sometimes application of athletic tape is recommended. In moderate or severe cases of plantar fasciitis, your doctor may recommend you wearing a night splint, which will stretch the arch of your foot and calf while you sleep. This helps to lengthen the Achilles tendon and plantar fascia for symptom relief. Depending on the severity of your plantar fasciitis, your physician may prescribe a store-bought orthotic (arch support) or custom-fitted orthotic to help distribute your foot pressure more evenly.

Surgery and Other Procedures

When more conservative methods have failed to reduce plantar fasciitis pain, your doctor may suggest extracorporeal shock wave therapy, which is used to treat chronic plantar fasciitis. Extracorporeal shock wave therapy uses sound waves to stimulate healing, but may cause bruises, numbness, tingling, swelling, and pain. When all else fails, surgery may be recommended to detach the plantar fascia from the heel bone. Few people need surgery to treat the condition.

Home Remedies

Stretching your plantar fasciitis is something you can do at home to relieve pain and speed healing. Ice massage performed three to four times per day in 15 to 20 minute intervals is also something you can do to reduce inflammation and pain. Placing arch supports in your shoes absorbs shock and takes pressure off the plantar fascia.

Patients will find that chiropractic care for hip and knee osteoarthritis can help reduce inflammation, improve joint functioning, reduce pain, and strengthen the muscles around the affected joints.

Osteoarthritis in the knee and hip areas can be a very painful injury, and one that is often a chronic condition if left untreated. Chiropractic care for hip osteoarthritis and knee osteoarthritis can be very helpful for patients who have been unable to find relief from the pain in any other way.

Symptoms

Signs of hip osteoarthritis and knee osteoarthritis include an increasing level of pain in the hip area that may extend into the groin area, pain shooting down the thighs, and pain in the knee joints. It is not uncommon for the knees to be the first place the pain is felt, and some patients may not notice the hip pain until later. The pain often increases when the weather is colder, or when the patient is engaged in physical activity like jogging or walking.

Therapy

Chiropractors use very gentle spinal adjustments to place the spinal column in proper alignment, which has a positive effect on the hip joints that are connected to the spine. While hip and knee osteoarthritis is not curable at this time, it is very much manageable with the help of chiropractic care.

Treatment

Knee osteoarthritis can also be managed very effectively with the help of chiropractic care. The treatments for both knee and hip osteoarthritis may be similar, and can include stretching, massage, gentle manipulation of any painful joints, and the use of ultrasound for healing.

Knee pain is common in people of all ages. It may start suddenly — such as after exercise or an injury. But it can also develop over time, starting out as minor discomfort.

Chiropractic care for knee pain includes first identifying the underlying cause of the pain, which could be an injury, mechanical problem or some kind of arthritis. Once this is known, the chiropractor can determine the best treatment for the pain.

Causes of Knee Pain

There are three main types of problems that can lead to pain in the knee.

Injuries

Damaging any part of the knee may cause pain. These parts include:

• The structures that surround the knee — the ligaments, tendons and fluid-filled sacs
• The parts of the knee itself — ligaments, cartilage and bones

Some of the most common knee injuries include:

• Tearing of the anterior cruciate ligament (ACL)
• Tearing of the meniscus. The shock absorbing cartilage between the bones of the shin and thigh
• Knee bursitis. Inflammation of the fluid-filled sacs that cushion the knee
• Patellar tendinitis. Inflammation of the tendons that connect the muscles to the bones

Mechanical problems

Changes in how the knee works can lead to pain in the knee, such as:

• Iliotibial band syndrome. Tightening of the ligament that runs from the pelvic bone to the outside of the tibia, which can cause it to rub on the outside of the thigh bone
• Dislocated kneecap. This happens when the kneecap (patella) slips out of place.
• Hip or foot pain. These can change how you walk and lead to more stress on the knee.

Arthritis

There are many different types of arthritis that can cause swelling and pain in the knee, including:

• Osteoarthritis
• Rheumatoid arthritis
• Gout
• Septic arthritis

How Chiropractic Care Relieves Knee Pain

Chiropractors will first do a thorough physical examination. This will enable them to identity the underlying cause of the knee pain. Even though the pain is located in the knee, the problem can lie elsewhere in the body.

For example, runners often complain of a tight iliotibial (IT) band — a common condition for them. This, however, may be caused by weakness in certain muscles, which makes them walk or run unevenly. In order to stabilize the joints, the IT band has to work harder. Over time, this may cause it to tighten and lead to knee pain.

Chiropractic care may be able to relieve knee pain, especially when combined with standard medical care. Spine and joint manipulation can improve the functioning of the knee by:

• Returning the spine to normal movement
• Relaxing the muscles of the body
• Increasing the range of motion in the knee
• Improving the coordination of joints, especially the ankle, knee and hips
• Reducing other problems in the body that may be contributing to pain in the knee

Chiropractors may also use other techniques to reduce inflammation in the knee that is causing pain, such as ultrasound therapy or ice massage. They may also apply special kinds of tape to the body to treat ligament injuries. This helps stabilize the problem area and reduce inflammation.

Relief From Knee Pain and Overall Health

Excessive knee pain can often lead to people avoiding certain activities, such as walking, running or biking. Over time, the lack of physical activity can lead to other health problems and may aggravate the pain in the knee.

Early treatment of knee pain, along with the underlying causes, can help people return to their normal activities sooner. This will improve their health both in the short and long term. It will also allow athletes to return to their training and competitions.

When nerves become ‘pinched’, injury, spasm, and inflammation of the surrounding muscles causes the nerve to become compressed, resulting in pain. The term “pinched nerve” is somewhat of a catch-all phrase that is commonly used to describe the pain associated with a variety of conditions from subluxations, to tunnel syndromes to the referred pain from trigger points.

Most of the time, what is called a pinched nerve is actually an irritated, or inflamed nerve where the nerve itself is not actually pinched. In most cases, nerves become irritated and inflamed when the bones, joints or muscles of the spine are not in their proper position, or are not moving properly. This condition is called a “subluxation”, the treatment of which is the specialty of the doctor of chiropractic.

There are instances when nerves do become ‘pinched’, such as in Carpal Tunnel Syndrome, Sciatica and Thoracic Outlet Syndrome. In each of these cases, injury, spasm or inflammation of the surrounding muscles and connective tissue causes the nerve to become compressed, resulting in pain. These conditions are referred to as “tunnel syndromes.” Treating tunnel syndromes is more complex than treating a simple spinal subluxation, but they usually respond very well to chiropractic care; especially when combined with other physical therapies, such as exercises and stretches.

Trigger points are very tight “knots” of muscle that form when muscles are either chronically overworked or injured, and are often experienced as a pinching or burning pain. Trigger points will commonly cause pain that radiates to other parts of the body, which is also known as referred pain. The successful treatment of trigger points usually requires a combination of chiropractic care, stretching and a form of deep tissue massage called ‘trigger point therapy.’ It is very important that the cause of any form of pain be properly diagnosed. This is especially important when nerves are affected as severe or long term irritation, or compression, of a nerve can lead to permanent nerve damage. If you have been told that you have a “pinched nerve” it is very important that you seek professional care from a doctor of chiropractic as soon as possible. Contact us today!

Chiropractors will always seek to treat shoulder pain with the most gentle and drug-free methods possible. The ultimate goal of chiropractic care for shoulder pain is to bring the patient’s shoulder back to full function while reducing and eliminating the pain caused by the injury.

Shoulder pain can have a number of different causes, ranging from an injury like a car accident, to a chronic problem like arthritis. Patients who experience shoulder pain may be surprised by the intensity and duration of the pain. The shoulder area is so essential for completing daily activities that it makes sense that the shoulder pain injury should be taken seriously and treated to avoid worsening your condition.

Symptoms

Some signs that shoulder pain needs immediate attention may include a decreased ability to hold objects, decreased functioning of the arm, shoulder pain that persists even while at rest, shoulder pain that lasts more than a day or two, and unusual twinges or aches in the shoulder area.

Diagnosis

Chiropractic care can be an extremely effective treatment for shoulder pain regardless of its cause. A chiropractor will often begin with an examination of the patient’s neck area since shoulder pain can frequently be the result of “referred” pain from the neck. Whether the shoulder pain is connected to the neck or is limited to the lower part of the shoulder, it can generally be treated with non-invasive methods of natural healing such as chiropractic care.

Treatment

Care for an injured shoulder may include application of heat, application of ice packs, gentle manipulation from the chiropractor to help the shoulder return to its original state of functionality, and gentle stretching and strengthening exercises that the patient can perform at home.

Most neck and upper back pain is caused by a combination of factors, including injury, poor posture, chiropractic subluxations, stress, and in some instances, disc problems.

Most people do not realize how much they move their neck during the day until they are unable to do so. The degree of flexibility of the neck, coupled with the fact that it has the least amount of muscular stabilization and it has to support and move your 14 – 16 pound head, means that the neck is very susceptible to injury. You can picture your neck and head much like a bowling ball being held on top of a stick by small, thin, elastic bands. It doesn’t take much force to disrupt that delicate balance.

The spinal cord runs through a space in the vertebrae to send nerve impulses to every part of the body. Between each pair of cervical vertebrae, the spinal cord sends off large bundles of nerves that run down the arms and to some degree, the upper back. This means that if your arm is hurting, it may actually be a problem in the neck! Symptoms in the arms can include numbness, tingling, cold, aching, and “pins and needles”.

These symptoms can be confused with carpal tunnel syndrome, a painful condition in the hands that is often found in people who work at computer keyboards or perform other repetitive motion tasks for extended periods. Problems in the neck can also contribute to headaches, muscle spasms in the shoulders and upper back, ringing in the ears, otitis media (inflammation in the middle ear, often mistaken for an ear infection in children), temporomandibular joint dysfunction (TMJ), restricted range of motion and chronic tightness in the neck and upper back.

We associate the neck and upper back together, because most of the muscles that are associated with the neck either attach to, or are located in, the upper back. These muscles include the trapezius, the levator scapulae, the cervical paraspinal muscles and the scalenes, as well as others.

The Causes of Neck and Upper Back Pain

Most neck and upper back pain is caused by a combination of factors, including injury, poor posture, chiropractic subluxations, stress, and in some instances, disc problems.

Injuries

By far, the most common injury to the neck is a whiplash injury. Whiplash is caused by a sudden movement of the head, either backward, forward, or sideways, that results in the damage to the supporting muscles, ligaments and other connective tissues in the neck and upper back. Whether from a car accident, sports, or an accident at work, whiplash injuries need to be taken very seriously. Because symptoms of a whiplash injury can take weeks or months to manifest, it is easy to be fooled into thinking that you are not as injured as you really are. Too often people don’t seek treatment following a car accident or sports injury because they don’t feel hurt. Unfortunately, by the time more serious complications develop, some of the damage from the injury may have become permanent. Numerous studies have shown that years after whiplash victims settle their insurance claims, roughly half of them state that they still suffer with symptoms from their injuries. If you have been in a motor vehicle or any other kind of accident, don’t assume that you escaped injury if you are not currently in pain. Get checked out by a good chiropractor.

Forward head posture is very common for people who are stooped over their computers all day long. If not taken care of with chiropractic care, subluxations like this can worsen over time.

Poor Posture

One of the most common causes of neck pain, and sometimes headaches, is poor posture. It’s easy to get into bad posture habits without even realizing it – even an activity as “innocent” as reading in bed can ultimately lead to pain, headaches, and more serious problems. The basic rule is simple: keep your neck in a “neutral” position whenever possible. Don’t bend or hunch your neck forward for long periods. Also, try not to sit in one position for a long time. If you must sit for an extended period, make sure your posture is good: Keep your head in a neutral position, make sure your back is supported, keep your knees slightly lower than your hips, and rest your arms if possible.

Subluxations

Subluxations in the neck and upper back area are extremely common due to the high degree of stress associated with holding up your head, coupled with the high degree of instability in the cervical spine. Most subluxations tend to be centered around four areas: the top of the cervical spine where it meets the skull; in the middle of the cervical spine where the mechanical stress from the head is the greatest; in the transition where the cervical and thoracic areas of the spine meet; and in the middle of the thoracic spine where the mechanical stress from the weight of the upper body is greatest. Signs of subluxation include looking in the mirror and seeing your head tilted or one shoulder higher than the other. Often women will notice that their sleeve length is different or that a necklace is hanging off center. If someone looks at you from the side they may notice that your head sits forward from your shoulders. This is known as FHP – forward head posture – and is very common for people who are stooped over their computers all day long. Subluxations are a debt to the body. If they are not taken care of soon after they occur, then they can get much worse over time due to the accumulation of compounding interest.

Stress

When most people become stressed, they unconsciously contract their muscles. In particular, the muscles in their back. This ‘muscle guarding’ is a survival response designed to guard against injury. In today’s world where we are not exposed to physical danger most of the time, muscle guarding still occurs whenever we become emotionally stressed. The areas most affected are the muscles of the neck, upper back and low back. For most of us, the particular muscle affected by stress is the trapezius muscle, where daily stress usually leads to chronic tightness and the development of trigger points.

The two most effective ways you can reduce the physical effects of stress on your own are to increase your activity level – exercise – and by deep breathing exercises. When you decrease the physical effects of stress, you can substantially reduce the amount of tightness and pain in your upper back and neck.

Disc Herniations

The discs in your cervical spine can herniate or bulge and put pressure on the nerves that exit from the spine through that area. Although cervical discs do not herniate nearly as often as lumbar discs do, they occasionally can herniate, especially when the discs sustain damage from a whiplash injury. Contact us today!