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Kids get hurt all the time. They’re running, they’re jumping, they’re crashing into things. Kids want to have fun, and when they play, they play full-out.

So, when kids play real sports, stuff happens.1,2 Whether your kid plays soccer, baseball, football, or studies karate, a broken bone, sprained ankle, or twisted knee is just the natural fallout of learning new skills and having a good time.

The treatment for most childhood sports injuries is straightforward and standard.3 For strains and sprains that involve only mild to moderate swelling and pain, the time-honored RICE protocol is followed – rest, ice, compression, and elevation.

Pediatric orthopedists get involved when the injury is more severe or when an arm or leg bone is broken.

But there are other issues, and every parent needs to be aware of these possibilities. In one of the unusual chains of circumstances that make the practice of medicine and the practice of chiropractic so interesting, a physical trauma (like a sports injury) can reveal an underlying serious problem.

In other words, various disorders of bone may not show themselves in terms of symptoms until a physical trauma makes them apparent. Such problems include metabolic disorders, growth and development problems, and even benign and malignant tumors.

What would make a parent suspect such an issue? First, if the child’s pain seems out-of-proportion to the degree of injury. A mild knee sprain – for example, caused by tripping over second base while trying to stretch a double into a triple – should not be causing significant pain.

Also, mild-to-moderate injuries should not be warm to the touch. A parent can evaluate this. And, a child should not be running a fever after an activity-related injury.

It would also be suspicious if the pain did not improve daily. For the majority of injuries, pain that lingers beyond several days suggests an underlying problem. Children are resilient. Healthy kids heal quickly. They want to shrug off an injury, forget it happened, and get back to playing.

If your child isn’t getting better in a few days, seems lethargic, or feels ill following an injury, warning bells should go off.

Your family chiropractor is familiar with all such conditions and scenarios. He or she is always alert to unusual situations and will recommend the appropriate steps to take, including a complete physical and x-ray examination. If necessary, your chiropractor will be able to recommend appropriate specialists for follow-up, including hematologists, endocrinologists, and pediatric orthopedists.

These more serious problems are uncommon. And, of course, well-informed parents help their kids grow up healthy and strong.

¹Caine D, et al: Incidence and distribution of pediatric sports-related injuries. Clin J Sport Med 16(6):500-513, 2006
²Emery CA: Risk factors for injury in child and adolescent sport: a systematic review of the literature. Clin J Sport Med 13(4):256-268, 2003
³Demorest RA, Landry GL: Prevention of pediatric sports injuries. Curr Sports Med Rep 2(6):337-343, 2003

Kids can get checked, too. Do kids need regular blood pressure check-ups or regular tests of their blood glucose levels? Probably not – these simple procedures can be done during a child’s annual physical. But kids are very active and more frequent chiropractic check-ups are usually a good idea. Most of us were introduced to chiropractic care when we were adults – and we had to play catch-up for however long a period of time before we really began to feel healthy again. If we began chiropractic care as a younger adult, it probably didn’t take too long to restore good health. If we were older – well, the process probably took more time.

If chiropractic care is valuable for you, imagine how valuable it is for your children. Kids are natural explorers – they run, jump, climb things, fall down, and bounce around. And, kids are resilient – this ability to recover quickly is one of the great benefits of being very young. Occasionally, one of these activity-related injuries impacts a child’s spine. Nothing obvious has happened and nothing hurts. But there may be subtle injuries to spinal muscles and spinal ligaments that have a long-term effect on spinal nerve function.

Spinal nerve function depends on mechanical integrity of the spine itself. If spinal muscles and ligaments are inflamed or irritated, spinal nerve function is compromised to a greater or lesser extent. In a child, the short- and long-term results may include muscle pain and stiffness, loss of full range of motion in the neck or lower back, frequent colds, headaches, gastrointestinal problems, allergies, and asthma. Of course, when it comes to good health for you and your family, preventing a problem is much easier than treating a problem. In the long run, prevention also costs much less. We all want our kids to be healthy and well. We want them to play full-out, to engage in all kinds of sports, and to have a lot of fun. In order for children to continue to enjoy optimal health, regular spinal check-ups are as important as an annual physical exam. Your local chiropractor is the spinal health expert in your community. She will be glad to help you ensure your child’s continued good health.

¹Barkley JE, et al: Reinforcing value of interval and continuous physical activities in children. Physiol Behav April 16, 2009
²Fecteau D, et al: The effect of concentrating periods of physical activity on the risk of injury in organized sports in a pediatric population. Clin J Sport Med 18(5):410-414, 2008
³Spinks AB, McClure RJ: Quantifying the risk of sports injury: a systematic review of activity-specific rates for children under 16 years of age. Br J Sports Med 41(9):548-557, 2007

American kids are under tremendous pressure to perform well in school. Every year they’re required to take more and more standardized tests, and every year they fall further behind children around the world, particularly in science and mathematics.More is required to do well in school beyond sitting in the classroom and managing to stay awake throughout the day.

Kids by nature want to learn, but somehow this love of new knowledge and new experiences is sucked out of them early on. Many teachers no longer teach to broaden the skills and abilities of their students. Instead they teach to the standardized tests. There’s no longer much room for exploring new territory, and kids get bored easily and stay bored if they’re not challenged.

How can we help our children when the educational system does not provide the formula to engage many kids? Making sure our kids are healthy and well is a very good start. One of the most interesting developments in cognitive science (how people learn) in the last ten years is the importance of physical activity in relation to human performance. The results are in – research proves that physical activity is highly correlated to learning and academic achievement. Active kids are explorers. Active kids are alert and interested in what’s going on around them. Active kids have an instinctive desire to grow and develop.

What kinds of exercise should our kids be doing? The great news is that the specific type of exercise doesn’t matter. It’s all good, whether a kid is playing soccer, running track, or riding around the neighborhood on her bike. It’s the amount of exercise that counts, not the format of the exercise. Federal agencies recommend that every child get an hour of physical activity each day. This hour can be broken up into small segments or done all at once. What matters is the amount and consistency of the exercise.

Chiropractic care can play a big role in a child’s development. Periodic chiropractic treatment can improve the functioning of a child’s musculoskeletal system, and thus help improve their physical performance. And, chiropractic care can help a child recover quickly from activity- and sports-related injuries.

By helping a child continue with fun, enjoyable, and rewarding physical activities, chiropractic care is also helping them improve their academic performance. The result is a much more well-rounded young person, one whose interests may extend from the ball field to the science lab to the music room.

¹Hillman CH, et al: The effect of acute treadmill walking on cognitive control and academic achievement in preadolescent chiildren. Neuroscience 159(3):1044-1054, 2009
²Ploughman M: Exercise is brain food. The effects of physical activity on cognitive function. Dev Neurorehabil 11(3):236-240, 2008
³Davis CL, et al: Effects of aerobic exercise on overweight children’s cognitive functioning. Res Q Exerc Sport 78(5):510-519, 2007

American kids are under tremendous pressure to perform well in school. Every year they’re required to take more and more standardized tests, and every year they fall further behind children around the world, particularly in science and mathematics.More is required to do well in school beyond sitting in the classroom and managing to stay awake throughout the day.

Kids by nature want to learn, but somehow this love of new knowledge and new experiences is sucked out of them early on. Many teachers no longer teach to broaden the skills and abilities of their students. Instead they teach to the standardized tests. There’s no longer much room for exploring new territory, and kids get bored easily and stay bored if they’re not challenged.

How can we help our children when the educational system does not provide the formula to engage many kids? Making sure our kids are healthy and well is a very good start. One of the most interesting developments in cognitive science (how people learn) in the last ten years is the importance of physical activity in relation to human performance. The results are in – research proves that physical activity is highly correlated to learning and academic achievement. Active kids are explorers. Active kids are alert and interested in what’s going on around them. Active kids have an instinctive desire to grow and develop.

What kinds of exercise should our kids be doing? The great news is that the specific type of exercise doesn’t matter. It’s all good, whether a kid is playing soccer, running track, or riding around the neighborhood on her bike. It’s the amount of exercise that counts, not the format of the exercise. Federal agencies recommend that every child get an hour of physical activity each day. This hour can be broken up into small segments or done all at once. What matters is the amount and consistency of the exercise.

Chiropractic care can play a big role in a child’s development. Periodic chiropractic treatment can improve the functioning of a child’s musculoskeletal system, and thus help improve their physical performance. And, chiropractic care can help a child recover quickly from activity- and sports-related injuries.

By helping a child continue with fun, enjoyable, and rewarding physical activities, chiropractic care is also helping them improve their academic performance. The result is a much more well-rounded young person, one whose interests may extend from the ball field to the science lab to the music room.

¹Hillman CH, et al: The effect of acute treadmill walking on cognitive control and academic achievement in preadolescent chiildren. Neuroscience 159(3):1044-1054, 2009
²Ploughman M: Exercise is brain food. The effects of physical activity on cognitive function. Dev Neurorehabil 11(3):236-240, 2008
³Davis CL, et al: Effects of aerobic exercise on overweight children’s cognitive functioning. Res Q Exerc Sport 78(5):510-519, 2007

At least 70 percent of America’s 30 million elementary school students use computers, according to a recent New York Times article. As a result of this increased usage, doctors of chiropractic are treating more young patients suffering from the effects of working at computer stations that are either designed for adults or poorly designed for children. Many children are already suffering from repetitive motion injuries (RMI) such as carpal tunnel syndrome and chronic pain in the hands, back, neck and shoulders.

A recently published study conducted by a team of researchers from Cornell University found that 40 percent of the elementary school children they studied used computer workstations that put them at postural risk. The remaining 60 percent scored in a range indicating “some concern.”

“Emphasis needs to be placed on teaching children how to properly use computer workstations,” stated Dr. Scott Bautch, past president of the American Chiropractic Association’s Council on Occupational Health. “Poor work habits and computer workstations that don’t fit a child’s body during the developing years can have harmful physical effects that can last a lifetime. Parents need to be just as concerned about their children’s interaction with their computer workstations as they are with any activities that may affect their children’s long-term health,” added Dr. Bautch.

What can you do?

To reduce the possibility of your child suffering painful and possibly disabling injuries, the American Chiropractic Association (ACA) and its Council on Occupational Health offer the following tips:

• f children and adults in your home share the same computer workstation, make certain that the workstation can be modified for each child’s use.
• Position the computer monitor so the top of the screen is at or below the child’s eye level. This can be accomplished by taking the computer off its base or stand, or having the child sit on firm pillows or phone books to reach the desired height.
• Make sure the chair at the workstation fits the child correctly. An ergonomic back cushion, pillow or a rolled-up towel can be placed in the small of the child’s back for added back support. There should be two inches between the front edge of the seat and the back of the knees. The chair should have arm supports so that elbows are resting within a 70- to 135-degree angle to the computer keyboard.
• Wrists should be held in a neutral position while typing – not angled up or down. The mousing surface should be close to the keyboard so your child doesn’t have to reach or hold the arm away from the body.
• The child’s knees should be positioned at an approximate 90- to 120-degree angle. To accomplish this angle, feet can be placed on a foot rest, box, stool or similar object.
• Reduce eyestrain by making sure there is adequate lighting and that there is no glare on the monitor screen. Use an antiglare screen if necessary.
• Limit your child’s time at the computer and make sure he or she takes periodic stretch breaks during computing time. Stretches can include: clenching hands into fists and moving them in 10 circles inward and 10 circles outward; placing hands in a praying position and squeezing them together for 10 seconds and then pointing them downward and squeezing them together for 10 seconds; spreading fingers apart and then closing them one by one; standing and wrapping arms around the body and turning all the way to the left and then all the way to the right.
• Your child’s muscles need adequate hydration to work properly and avoid injury. Encourage your child to drink four 8-ounce glasses of water a day. Carbonated beverages, juices and other sweet drinks are not a substitute.
• Urge your child’s school or PTA officials to provide education on correct computer ergonomics and to install ergonomically correct workstations.

“If your child continues to complain of pain and strain from sitting at a computer, see a doctor of chiropractic,” urges Dr. Bautch. “A chiropractor can help alleviate your child’s pain and help prevent further injury.”

The growing awareness of safe driving and state safety laws have alerted the general public and parents to the importance of using car seats for their small children whenever and wherever they are driving. Most states require the use of car seats for children under the age of 4 and weighing less than 40 pounds. However, these safety rules aimed at protecting children may cause serious neck and spinal injuries and can even be deadly if the child car seats are used incorrectly.

The American Chiropractic Association (ACA), its Council on Occupational Health and ACA member Dr. Michael Freeman, trauma epidemiologist and clinical assistant professor of public health and preventive medicine at the Oregon Health Sciences University School of Medicine, have developed the following general guidelines and safety tips to ensure proper car seat safety.

• Make sure the child safety seat is appropriate for the age and size of the child. A newborn infant requires a different seat than a 3-year-old toddler.
• Car seats for infants should always be rear facing as the forces and impact of a crash will be spread more evenly along the back and shoulders, providing more protection for the neck.
• Car seats should always be placed in the back seat of the car-ideally in the center. This is especially important in cars equipped with air bags. If an air bag becomes deployed, the force could seriously injure or kill a child or infant placed in the front seat.
• Make sure the car seat is properly secured to the seat of the vehicle and is placed at a 45-degree angle to support the head of the infant or child.
• The lap harness should be fastened low, as close to the hips as possible; the harness should never be fastened around the waist.
• Make certain the shoulder harness is fastened securely and the straps lay flat against the body. Twisted straps can cause additional injury that might prevent the seat from working properly.
• Use a retention clip (if provided by the manufacturer) when securing a child safety seat with the shoulder harness. The retention or shoulder harness clip is an added safety feature and must be fastened close to the armpit of the infant or child.
• Borrowing or purchasing a used car seat can be dangerous; there is the possibility of unknown or undetected damage. Car seats that have been in a serious accident should never be used again.
• Be sure the seat meets federal motor vehicle safety seat standards. Consult the owner’s manual or contact the manufacturer for that information. All car seats should have an owner’s manual and instruction booklet.
• Be sure the clip between the legs of the child is fastened snugly.

While car accidents can be dangerous for all passengers, small children are especially at risk, according to Dr. Scott Bautch, past president of ACA’s Council on Occupational Health. “The weight of the head of a child makes the cervical spine much more vulnerable to injury,” Dr. Bautch explained. “The infant has little control in the muscles of the neck, and the head can bounce from side to side and fall forward, which can cause serious spine and neck injuries. Children have more flexible upper bodies and shoulders. Make sure the harness comes up, way up, over the shoulders.”

Underscoring the importance of proper car seat use, a recent article in Nation’s Health reported the findings of a study conducted in Kentucky by the Centers for Disease Control and Prevention. The study found a 37 percent drop in infant fatalities since the 1982 enactment of the state law mandating the use of child car seats. “To continue this decline, prevention efforts now must focus on the proper use of the seats to maximize their life-saving potential,” the researchers said.

The key when traveling with small children is to be aware of and follow these rules and tips to ensure proper car seat safety. And remember everyone: Buckle up!

If you or one of your children have been involved in a serious automobile accident and have experienced neck and back discomfort, you should consider a visit to a chiropractor.

The health of a child’s spine needs to be taken very seriously. A healthy spine will decrease their chance of injury, improve their posture, improve their overall health and help to avoid spinal problems such as scoliosis. in fact, studies have shown that children who receive regular chiropractic care are less frequently sick, are able to concentrate better and are generally healthier. As parents, this is what we want for our kids, right?

Here are three things that you can do today to help improve your child’s spinal health:

• Regular chiropractic care. Just as children need good hygiene, dental care and sound nutrition, they also need regular chiropractic care. Chiropractic care will help to restore and maintain normal spinal function, allowing a child’s body to develop optimally.
• Limit backpack weight. One common source of spinal injury for children is their heavy backpacks. Limit the weight of their backpacks to 10% – 15% of their body weight. For example: A child weighing 50 lbs. should carry no more than 7.5 lbs, and a child weighing 80 lbs. should carry no more than 12 lbs. If children carry more than this, they have an increased risk of injuring themselves.
• Keep kids active. There is an epidemic of childhood obesity in this country as more and more children spend their day in front of the television and playing computer games. This not only increases their risk of developing diabetes and heart disease early in life, it is also very stressfull on the spine. More and more children suffer from back pain and headaches simply because they don’t get enough exercise.

Every child is different and has unique needs. Your Doctor of Chiropractic is trained in evaluating and treating the spines of all ages. Give your kids the gift of a healthy spine by getting them regular chiropractic care.

Ever since 1984, the year soccer passed baseball as the most popular team sport in the United States, participation in this sport has skyrocketed. With increasing numbers of children running and kicking their way down soccer fields across America, doctors of chiropractic are urging parents to take a step back and learn how to protect their children from the potential injuries this popular sport can cause.

Although soccer can be a great overall sport for children, some youngsters are enduring mild to severe head traumas, neck injuries, damage to the cervical spine, headache, neck pain, dizziness, irritability, and insomnia as a result of their participation, according to the September 2000 issue of the Journal of the American Chiropractic Association (JACA). Each year, in fact, youths under age 15 suffer more than 227,100 soccer-related injuries, according to recent reports.

Heading the Ball: A Risk for Children

“People have this misconception that soccer has no risk,” says Scott Bautch, DC, past president of the American Chiropractic Association’s (ACA) Council on Occupational Health, who has five children playing soccer. “I think soccer is too aggressive too early, which is leading to potential problems. It’s not as though we can fix brain damage later on in these kids’ lives.” Soccer requires three basic skills – kicking (striking the ball with the feet), trapping (similar to catching the ball, only using different parts of the body), and heading the ball, (the deliberate use of the head to redirect the ball). It’s that last one – heading – that stirs concern and controversy over possible permanent damage.

Philip Santiago, DC, who was an All-American soccer player in college and a professional player for five years, says that heading is safe only when children are given “proper coaching in proper technique.” Dr. Santiago has also served for five years as head soccer coach at both New York Institute of Technology and Montclair State University, and was the chiropractor for the United States Olympic Team in 1992. Dr. Santiago’s opinion on proper technique is backed up in a study of elite soccer players at the 1993 Olympic Festival. “While properly executed heading was not found to result in any concussive episodes, 18 percent (18 of 102) of the concussions were a result of heading,” the study found.

Dr. Santiago would like to see youngsters hold off heading until age 10 or 11. Dr. Bautch prefers age 14 to 16, based on maturation and development of the spine.

Helmets: Not A Complete Solution

Some school districts are now requiring helmets for young soccer players. However, Dr. Bautch, who says helmets are “a positive,” worries that helmets don’t protect the spine and don’t make up for too-aggressive play. “They are just a small piece that may give some protection,” he explains. “I’d hate to see kids wear helmets and have people think that the kids are safe and that they don’t have to teach safety and prevention. I would rather see no heading without helmets in young kids, and let helmets be introduced later.”

Prevention and Treatment of Injuries

Parents should also encourage a broad spectrum of sports – like soccer, skating and skiing, for example – to develop the whole body. Over-playing and over-training are problems exacerbated by ambitious parents, peer pressure and adult role models. Children need their rest time.

If an injury occurs, think RICE – rest, ice, compression, and elevation of the injury – which is the recommended procedure. Keep the injury iced until the swelling is down, applying ice no longer than a 20-minute session. After 20 minutes, ice fatigues the blood vessels and causes a heat reaction that actually increases swelling. Leave the ice off for about an hour and reapply. Then, try to get the child to move the injured area as soon as possible. If pain persists, consider taking your child to a chiropractor or other health care professional.

Other Recommendations for Soccer Safety

Parents can help protect their children from soccer injuries. Many of the participants at a recent Consumer Product Safety Commission roundtable insisted that parents and coaches already have the tools at their disposal. Among them are:

• teaching and use of proper heading technique
• use of smaller balls for younger players
• strict enforcement of rules
• padding of goal posts
• use of mouth guards
• improved medical coverage at games
• coaches educated in symptoms of brain injury
• proper nutrition, including plenty of water to keep muscles hydrated

In today’s age of health and fitness, more and more kids are involved in sporting activities. Although being part of a football, soccer or Little League team is an important rite of passage for many kids, parents and their children could be overlooking the importance of proper nutrition and body conditioning needed for preventing injuries on and off the playing field.

“The majority, if not all, sports are good, provided that the child prepares appropriately,” says Dr. Carl Heigl, president of the American Chiropractic Association’s Council on Sports Injuries and Physical Fitness. “Without proper preparation, playing any sport can turn into a bad experience. There are structural and physical developmental issues that need to be taken into consideration before children undertake certain sports.”

Highly competitive sports such as football, gymnastics and wrestling follow rigorous training schedules that can be potentially dangerous to an adolescent or teenager.

The best advice for parents who have young athletes in the family is to help them prepare their bodies and to learn to protect themselves from sports-related injuries before they happen.

“Proper warm up, stretching and weight-lifting exercises are essential for kids involved in sports, but many kids learn improper stretching or weight-lifting techniques, making them more susceptible to injury,” says Dr. Steve Horwitz. “Parents need to work with their kids and make sure they receive the proper sports training.”

“Young athletes should begin with a slow jog to warm up the legs and arms and stretch all the major muscle groups,” says Dr. Horwitz. “Kids involved in football, baseball, gymnastics and swimming should develop a routine that includes strengthening exercises for the abdomen, the low-back muscles, arms and shoulders.”

Proper nutrition and hydration are also extremely vital. “A student athlete may need to drink eight to ten 8-ounce glasses of water for proper absorption. Breakfast should be the most important meal of the day. Also, eating a healthy meal before and after practice or a game allows for proper replenishment and refuels the body,” adds Dr. Horwitz.

Young athletes today often think they are invincible. The following tips can help ensure your child does not miss a step when it comes to proper fitness, stretching, training and rest that the body needs to engage in sporting activities.

Encourage your child to:

• Wear the proper equipment. Certain contact sports, such as football and hockey, can be dangerous if the equipment is not properly fitted. Make sure all items of equipment— including helmets, pads, and shoes— fit your child or adolescent. Talk to your child’s coach or trainer if the equipment is damaged.
• Eat healthy meals. Make sure your young athlete is eating a well-balanced diet and does not skip meals. Avoid high-fat foods, such as candy bars and fast food. At home, provide fruit rather than cookies, and vegetables rather than potato chips.
• Maintain a healthy weight. Certain sports, such as gymnastics, wrestling and figure skating, require your young athlete to follow strict dietary rules. Be sure your child does not feel pressured into being too thin and that he/she understands proper nutrition and caloric intake is needed for optimal performance and endurance.
• Drink water. Hydration is a key element to optimal fitness. Teenage athletes should drink at least eight 8-ounce glasses of water a day. Younger athletes should drink five to eight 8-ounce glasses of water.
• Drink milk. Make sure your child has enough calcium included in his/her diet. ACA recommends 1 percent or skim milk for children over 2 years old rather than whole milk because of its high fat content. The calcium in milk is essential for healthy bones and reduces the risk of joint-and muscle- related injuries.
• Avoid sugar-loaded, caffeinated and carbonated drinks. Sports drinks are a good source of replenishment for those kids engaged in long-duration sports, such as track and field.
• Follow a warm-up routine. Be sure your child or his/her coach includes a warm-up and stretching session before every practice, game or meet. A slow jog, jumping rope and/or lifting small weights reduces the risk of torn or ripped muscles. Flexibility becomes a preventive key when pushing to score that extra goal or make that critical play.
• Take vitamins daily. A multi-vitamin and Vitamin C are good choices for the young athlete. Vitamin B and amino acids may help reduce the pain from contact sports. Thiamine can help promote healing. Also consider Vitamin A to strengthen scar tissue.
• Avoid trendy supplements. Kids under the age of 18 should avoid the use of performance-enhanced supplements, such as creatine. Instead, they should ask their coach or trainer to include weekly weight-training and body-conditioning sessions in their workout.
• Get plenty of rest. Eight hours of sleep is ideal for the young athlete. Lack of sleep and rest can catch up with the athlete and decrease performance. Sluggishness, irritability and loss of interest could indicate that your child is fatigued.

Parties. Gift shopping. Family gatherings. Curling up to watch a favorite movie on the couch…. The holiday season is full of reasons for good cheer. And yet, according to the American Physical Therapy Association, it is also prime time for Americans to suffer from back and neck pain.

For one thing, the stress associated with extra obligations during the holidays can increase muscle tension, aggravating any existing condition. But there are also a number of common seasonal activities— such as entertaining, shopping, and wrapping gifts— that can lead directly to back and neck pain. Here are a few tips from the American Chiropractic Association to help you stay pain free this holiday season.

At home:

• Sit in a firm but comfortable chair, and pay attention to posture while entertaining friends and family or watching television. Spending hours on too-soft sofas in poor posture can cause imbalances along the spine.
• Don’t cook, clean, and talk on the phone all at once— unless you have a headset. Cradling the phone between your ear and shoulder can lead to muscle tension and neck pain.

While shopping:

• Make yourself comfortable. Prevent unnecessary body tension by wearing supportive shoes and non-restrictive clothing.
• Leave your overstuffed purse at home. Instead, wear a fanny pack or take a small wallet containing only the essentials— credit card, driver’s license, and your gift list of course.
• Don’t try to carry too much at once. Make frequent visits to your car to unload bags, if necessary. For larger items, don’t be shy— ask your sales clerk for help!
• Remember, shopping can be an endurance sport, so treat yourself right after a long day of shopping. Stretch your muscles and take a hot shower or bath to release tension that may have accumulated during the day.

Wrapping gifts:

• Wrap presents at a table. While spreading out on the floor may be fun and convenient, it encourages poor posture and tension.

Sticking to a routine of physical activity, getting adequate rest, and eating well will also help relieve stress and tension during the holidays. Above all, relax! It’s one of the best things you can do for yourself, your family, and your back. And if you do experience neck or back pain, be sure to fit an appointment with your doctor of chiropractic into your busy schedule.