Category: Stress & Anxiety

Humans appear to be hard-wired for modest levels of anxiety as a fear-arousal warning mechanism. Anxiety may be characterized as uneasiness, fear, worry, and apprehension. Anxiety is a common psychological state in which the basic message is “get away from this situation”. The state is usually accompanied by numerous physiologic components including surges of the hormone adrenaline, increased heart rate and elevated blood pressure, and increased blood flow to the major muscle groups as the body prepares for “fight or flight”.

These are all normal responses to environmental threats. The overall process is orchestrated by the amygdala and hippocampus, two regions of the brain’s limbic system which process memory, emotional response, and spatial navigation. But for many people, if anxiety states become frequent and prolonged by various developmental circumstances in childhood and their teenage years, they may begin to respond to perceived rather than real threats. The anxiety state may persist and even become the default condition for the individual.

Those with chronic anxiety may experience chronic back pain,^1,2 chronic muscular tension, fibromyalgia,³ headaches, chest pain, shortness of breath, and heart palpitations. Chronic anxiety may cause a person to anticipate the worst, to have ongoing feelings of dread, to be constantly irritable and tense, and to experience panic attacks. Eventually the person may become worn out from the constant drain on their inner resources and a likely outcome is depression. The person simply cannot take any more stress.

Chronic anxiety has a specific impact on the musculoskeletal system. Persistently elevated levels of adrenaline create ongoing tension in the postural muscles of the lower back and the weight-bearing, antigravity gluteal muscles, pelvic musculature, and hamstrings. The long-term results may include chronic lower back pain, inflammation of the sciatic nerve, and lumbar disc disease. Of course, any of these health problems create more anxiety for the person, establishing a vicious circle of anxiety, pain, more anxiety, and more pain.

Solutions for chronic anxiety usually require multidisciplinary holsitic approaches. Nutrition, for example, is a key factor in restoring a person’s homeostatic mechanisms. Significantly reducing one’s intake of simple carbohydrates – soda, muffins, cookies, cake, fast food, and even juice – will often have a substantial impact. Making sure to have five servings of fresh fruits and vegetables every day will also provide great benefit.

Chiropractic care can frequently provide considerable assistance to those with chronic anxiety. By normalizing activity within the musculoskeletal system and reducing muscular stress and tension, chiropractic care helps eliminate an unnecessary source of biochemical and physiologic stress.

¹Newcomer KL, et al: Anxiety levels, fear-avoidance beliefs, and disability levels at baseline and at 1 year among subjects with acute and chronic low back pain. Phys Med Rehabil 2(6):514-520, 2010

²Hurley DA, et al: Physiotherapy for sleep disturbance in chronic low back pain: a feasibility randomised controlled trial. BMC Musculoskeletal Disord 11:70, 2010 [11 pages]

³Silverman S, et al: Toward characterization and definition of fibromyalgia severity. BMC Musculoskeletal Disord 11:66, 2010 [9 pages]

This is turning out to be a pretty tough century. Or at least so far. The recent earthquake-like shocks in the economy have impacted everyone, and most people’s stress levels are sky-high.

Jobs have been lost, retirement savings have shrunk drastically, and energy prices are rising again. Economic stress leads to real physical stress.

Stress is more than just a state of mind. Stress has real physical components, including tight muscles, headaches, difficulty falling asleep and restless sleep, abdominal pain, allergies and asthma, inflammation, and high blood pressure.

Some results of stress may have long-term consequences. Prolonged high blood pressure, for example, may lead to heart disease, heart attack, and stroke. Long-term inflammation may lead to weight gain, diabetes, and even kidney disease.

Of course, we could have stress because we have stress. We’re stressed, and now we begin worrying about all the things that could go wrong because we are under stress. Not a good plan.

A better plan would involve being proactive and beginning to take action steps that support our health and well-being. The action steps include the usual suspects – exercise and good nutrition. Everyone knows they “should” be doing regular exercise and “should” be eating good food every day, the difficulty is that no one wants to do what they “should”.

The way to reducing one’s stress levels is in choosing to take action. We choose healthy behaviors because we want to, not because we think we “should”. The concept of personal choice is powerful and may lead to shifts toward behaviors that are healthy.

From an information point of view, both exercise and good nutrition have potent effects on a person’s health.Both reduce inflammation. Both neutralize circulating free radicals, reducing a number of health risks, and both provide new energy resources, making us healthier and happier.

Choosing good health improves our lives in countless ways. By choosing, we take back the power of good health. Everyone in our lives benefits by our renewed energy, creativity, productivity, and love for life.

Beginning a program of chiropractic care is another positive choice we may make. Chiropractic adjustments help our bodies work more efficiently and effectively, directly reducing physiologic stress and indirectly improving our ability to effectively manage the stress in our daily lives.

Your chiropractor is an expert in health, wellness, and well-being and will be glad to help you design exercises and food plans that will work for you. Remember – being healthy is a choice!

¹Appel LJ, et al: Effects of comprehensive lifestyle modification on blood pressure control: main results of the PREMIER clinical trial. JAMA 289(16):2083-2093, 2003
²Elmer PJ, et al: Effects of comprehensive lifestyle modification on diet, weight, physical fitness, and blood pressure control: 18-month results of a randomized trial. Ann Intern Med 144(7):485-495, 2006
³Viera AJ, et al: Lifestyle modifications to lower or control high blood pressure: is advice associated with action? The behavioral risk factor surveillance survey. J Clin Hypertens 10(2):105-111, 2008

We certainly live in stressful times. It’s not easy to assess whether our era is the most stressful, but we do have plenty of daily stress. The job, the home, the kids, the relatives, and the economy – all these stresses add up and yet we wonder why we have so many aches and pains.

So many ailments are stress-related. Americans are notoriously overweight. Overeating is a stress-coping mechanism.¹ Headaches and backaches are often associated with increased stress. There’s a strong correlation between high blood pressure and stress, ulcers and stress, and even cancer and stress.

What can we do? The external stresses in our lives aren’t going away. Our activity-filled lives are busy and complex – there’s always going to be stress. The key is to help avoid or ease the physical effects of stress. Interestingly, chiropractic treatment can be of great assistance in reducing the effects of stress on the body.

In general, stress causes muscles to tighten. This is an unconscious reaction. Tight muscles cause a cascade of further muscle tightening, shortening of muscles and ligaments, and a resulting decrease of mobility in joints, particularly shoulder joints, hip joints, and joints of the spine.^2,3

This overall mechanical effect of stress has a number of additional consequences. All the extra unconscious muscle activity wastes precious nutritional resources and uses up energy needed for critical body functions. Lactic acid accumulates, irritating nerve endings and further increasing muscular tightness. And, importantly, the losses in spinal joint mobility lead directly to increased levels of pain. This, of course, leads to more stress.

This vicious circle of stress, muscular tightness, and pain can be relieved and reduced by chiropractic treatment.⁴ Chiropractic therapy is specially designed to improve joint mobility of the spine and pelvis. This gentle, effective treatment gradually restores maximal spinal motion. Muscle tightness is alleviated, metabolic processes begin to return to normal, and nutrients become more available to help maintain healthy functioning. Levels of pain are reduced, and we become better able to withstand the physical effects of stress.

Your chiropractor will explain the many benefits of treatment, and will provide instruction in stretching techniques and specific exercises that help maintain the positive results of therapy.

There will always be stress. We can learn how to reduce the physical effects of stress, and become stronger, healthier, and happier in the process.

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Take a Break! A few quick tips –

• Get up out of your chair or leave your workbench and walk over to an open window. Change your point-of-view. Breathe some fresh air.
• Go for a five-minute walk, either in the corridors of your building or out-of-doors.
• Call a friend and chat for five minutes.
• Close your eyes, clear your mind, and take an imaginary vacation – relaxing on a warm beach, deep-sea fishing on a beautiful yacht, or skiing down a gorgeous mountain.

These short, focused breaks will help reduce muscular tightness and physical stress, and also help your brain recharge so you can be more creative and productive!

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¹Marchesini G, et al: Psychiatric distress and health-related quality of life in obesity. Diabetes Nutr Metab 16(3):145-154, 2003
²Weickgenant AL, et al: Coping activities in chronic low back pain: relationship with depression. Pain 53(1):95-103, 1993
³Burns JW: Arousal of negative emotions and symptom-specific reactivity in chronic low back pain patients. Emotion 6(2):309-319, 2006
⁴Hurwitz EL, et al. A randomized trial of chiropractic and medical care for patients with low back pain. Spine 31(6):611-621, 2006

Way back in the 1960s, when everything was brand-new, the Beatles introduced Maharishi Mahesh Yogi to national television audiences in American and the UK. The Maharishi came to the West with the Beatles to introduce a new thing – Transcendental Meditation.

At the time most Westerners were not familiar with meditation in any form. The Maharishi introduced a simple method that has become well-known and popular over the years. Meditation is even more important to our health and well-being in the 21st century than ever before.

It takes a lot to maintain good health these days. Of course, eating a healthy diet – with plenty of fruits and vegetables – and exercising regularly are the cornerstones of good health. Sufficient rest is another key ingredient – most of us require at least seven hours of sleep each night to restore energy and vitality.

There is another essential factor – one that is less well-recognized and easy to overlook. In the early years of the 21st century we all need to find ways to manage our daily levels of stress. If we tell the truth, for most of us, our stress levels are off the charts.

Meditation can be a powerful tool for reducing the impact of stress on our bodies, and for helping us better manage the stress in our lives.^1,2 Meditation is simple and straightforward – all that’s required is a commitment to making it happen.³

You don’t need any special equipment. You don’t need incense or candles. You don’t even need a mat or a cushion. You can do meditation sitting in a comfortable, straight-backed chair.

There are many methods and ways of practicing meditation. In Transcendental Meditation you silently repeat a simple phrase to yourself. You focus on the phrase, known as a mantra. In Zen meditation, you focus on your breath – not by breathing deeply, but rather as a means to focus your attention. Breathe in, breathe out. Your attention wanders. Notice that, and return your focus to the breath.

Or, you can simply sit quietly. Close the door and turn off your cell phone. Make sure everyone in your home knows this is your alone time. Just sit quietly for ten minutes, allowing yourself to relax. Find a place within yourself on which to focus, and let yourself go. Set aside ten minutes a day. You’ll find that you eagerly look forward to this quiet time and that you emerge refreshed and revitalized.

Your chiropractor is an expert in helping people achieve greater levels of health and well-being and will be glad to help you learn about methods of stress reduction that will work for you.

¹Barnhofer T, et al: Mindfulness-based cognitive therapy as a treatment for chronic depression. Behav Res Ther Feb 5, 2009
²Carson JW, et al: Yoga of Awareness program for menopausal symptoms in breast cancer survivors: results from a randomized trial. Support Care Cancer Feb 12, 2009
³Sharma R, et al: Effect of yoga based lifestyle intervention on subjective well-being. Indian J Physiol Pharmacol 52(2):123-131, 2008

“The Stress of Life” is a perennial bestseller by Hans Selye, written in 1956. Selye almost single-handedly introduced the notion of stress into the worldwide consciousness. By doing so, Selye changed the way we think about ourselves, our values, and how we conduct our lives.

As Selye observed, stress is a double-edged sword. Many types of stress are good for people, both physiologically and personally. For example, Wolff’s law states that bone will remodel (build more bone) along lines of mechanical stress. In other words, bone becomes stronger when it is subjected to physical loads. The physiological stress of weight-bearing exercise such as walking, running, and strength training helps prevent osteoporosis by making bone denser and more resilient. From a psychological perspective, the great German philosopher, Friedrich Nietzsche, famously stated in “Twilight of the Idols” (1888), “What does not destroy me, makes me stronger.” Apparently, Nietzsche (writing in the 19th century) was far ahead of Selye in pointing to the benefits (and dangers) of stress.

Life is filled with “good” stresses. A new love relationship, a new job, or a new baby may all provide great personal happiness and the experience of fulfillment and satisfaction. But each circumstance may also place new demands on us, calling on us to be and do much more than that of which we had previously thought ourselves capable. A person may develop all sorts of adaptive responses in attempts to cope with life’s new requirements, but most of these adaptations are themselves stress-producing. Over time the adaptations become habits, stress becomes a day-by-day experience, and a host of physiological and psychological disorders and syndromes may appear.^1,2 High blood pressure, diabetes, overweight/obesity, arthritis, insomnia, and depression may all be considered as long-term maladaptive responses to stress.³

Muscular aches and pains, muscle spasms, and headaches are common physiological responses to ongoing stress. A vicious circle develops in which stress leads to muscle tightness, which constricts blood vessels, which leads to headaches, which leads to more muscle tightness, more pain, and even more stress. One’s day seems to become filled with stress and stress reactions. The good news is that means of ending these vicious circles of stress are available. Present time consciousness, regular exercise and a healthy diet, sufficient rest, and regular chiropractic care comprise a powerful tool kit for restoring balance in one’s life.

¹Wu EL, et al: Increased risk of hypertension in patients with major depressive disorder: a population-based study. J Psychosom Res 73(3):169-174, 2012

²Hristova MG: Metabolic syndrome – From the neurotrophic hypothesis to a theory. Med Hypotheses 2013 July 27 [Epub ahead of print]

³Martocchia A, et al: Targets of anti-glucocorticoid therapy for stress-related diseases. Recent Pat CNS Drug Discov 8(1):79-87, 2013

We live in stressful times. The economy is tough, global conflicts rage, severe weather events are affecting people in every corner of the globe, and our numerous technological devices don’t seem to be making things any easier. Of course, this is nothing new. Every generation thinks theirs is the best of times and the worst of times. But the result is that people everywhere have high levels of stress.

Sometimes stress is a good thing. Mechanical stress, such as exercise, causes your muscles and bones to become stronger and your nerve system to become smarter. Taking on a new assignment at work or taking a challenging class in school may be stressful, but the effort involved in achieving a successful result will cause you to grow and develop in ways that you might not have imagined. After all, the great philosopher Friedrich Nietzsche famously said “what doesn’t kill you makes you stronger.”

But chronic, ongoing physical and mental stress, the kind that affects us every day, is not good for us. Chronic stress causes real psychological and physical problems. People undergoing chronic stress may develop anxiety, which if not managed effectively may lead to depression. Chronic stress may lead to a variety of disorders and diseases, including arthritis, inflammatory conditions such as Crohn’s disease, gastrointestinal problems such as peptic ulcer, diabetes,¹ high blood pressure,² and even heart attacks and stroke.³ As we are all subject to numerous stresses every day, both personal and work-related, it’s very important for us to develop strategies that will be successful in helping us manage ongoing stresses.

The most important method for managing stress is to attempt to focus your point-of-view, your frame of reference, on the present moment. Our minds are constantly in motion, constantly at work creating new thoughts and new scenarios regarding some potentially stressful situation, or rehashing old conversations, old conflicts, and old problems. The result is that we’re almost never at peace. When we try to sit down and relax for a bit, it’s never too long before our minds start bringing up the exact things we’d like to be able to forget or ignore, at least for a little while. Most of us can’t flip a metaphorical switch and shut off our incessant stream of mostly negative self-talk. But we can learn to remind ourselves to return to the present, to come back to this moment, the one that’s happening now.

The best way to do this is to ask yourself, “is this [what I’m thinking about] happening right now?” If you can see that what’s happening now is that you’re sitting in a chair reading the newspaper, you have a good chance of being able to let go of what your mind is talking to you about. Say to yourself, “I’m right here, right now, and none of that other stuff is actually happening right now.” This will help you create some distance from your self-talk, and the self-talk may even recede into the background for a while. The feeling of calm you might then experience is one you can build on. The more you practice returning to the moment, the more power you gain in being able to manage the stress in your life.

¹Bener A, et al: Association between psychological distress and gastrointestinal symptoms in diabetes mellitus. World J Diabetes 3(6):123-129, 2012

²van Dijk, AE, et al: The association between prenatal psychosocial stress and blood pressure in the child at age 5-7 years. PLoS One 7(8):e43548, 2012

³Pereira VH, et al: Stressed brain, diseased heart: A review on the pathophysiologic mechanisms of neurocardiology. Int J Cardiol 2012 Apr 20 [Epub ahead of print]