The “throwing shoulder” in sports such as tennis, golf, or baseball is subjected to continuous microtrauma often resulting in overuse injuries. This blog is about West Palm Beach Chiropractor: Throwing Shoulder Injuries.

A study on baseball pitching found two phases during the throw when injury to the shoulder was most likely to occur.

Firstly, during arm cocking, the arm will have to internally rotate before externally rotating.  This internal rotation causes a compressive force at the anterior (front) portion of the shoulder.

Secondly, the arm is decelerating and the shoulder is internally rotating.  Again, a compressive force achieved at the shoulder can cause injury. 

Thirdly, even the short period between the above phases can cause injury due to repetitive movements over time.

West Palm Beach Chiropractic Care: Throwing Shoulder Injuries

Repetitive throwing, especially at the intense speed of motion per second performed by baseball pitchers eventually can result in shoulder impingement. 

West Palm Beach Chiropractic Care: Subacromial impingement

Due to the (flexed, horizontally adducted and internally) rotated arm of the throwing shoulder, a superior (upward) translation of the humeral (upper arm bone) head occurs.  This translation of the humerus impinges (pinches) on the rotator cuff  and biceps brachi muscles.  The muscles translate against the inferior surface of the acromion of the scapula (part of shoulder blade) or coracoacromial ligament. 

 

Throwing sports activities that constantly stretch the shoulder capsule, such as in baseball causes instability.  Therefore, an anterior (front) subtle or excessive laxity or looseness causes impingement on the anterior labrum (cartilage in shoulder joint). 

 

As a result of the above, Arthritis/degeneration occurs when grinding of the labrum anteriorly occurs. And this is because of failure of the supportive musculature needed during the deceleration phases. For example, there is fatigue of rotator cuff, deltoids and latissimus dorsi resulting in diminished support to the glenohumeral joint by the muscles.

West Palm Beach Chiropractic Care: What is shoulder impingement syndrome?

A shoulder impingement syndrome is defined as a compromise of the space between the coracoacromial arch (portion of top outer edge of shoulder blade) and the proximal (situated nearer the center of the body) humerus (upper arm bone). So several structures may get impinged (pinched): The biceps tendon, superior labrum (cartilage in shoulder joint), supraspinatus (1 of the rotator cuff muscles) tendon, and the subacromial bursa (a fluid-filled sac for countering friction at a joint ) are all vulnerable to being impinged.

Causes for shoulder impingement include both structural and functional reasons:

Structural reasons:

-variant acromial types that are hooked or lengthened (top portion of shoulder blade developed/grew abnormal)

-degenerative (wear and tear arthritic) changes on the undersurface of the acromion

-an inflammatory process in the subacromial space (which could be due to i.e. bursitis, rotator cuff tear, or/and all of the above)

Functional reasons:

-abnormal position of your spine or scapula (ie. thoracic kyphosis)

-tightness of your shoulder capsule (membrane around shoulder joint),

-decrease in the space between the coracoaromial arch and proximal humerus due to past injuries

-abnormal motion due to nerve related problems (i.e. nerve palsy)

West Palm Beach Chiropractic Care: Throwing Shoulder Injury Treatment

Chiropractic adjustments/manipulation to the shoulder (e.g. glenohumeral), and associated regions.  Associated regions may be the cervical (neck) and thoracic (mid back) spine. Additionally, soft tissue therapy (myofascial release, pressure point and various post isometric relaxation procedures) and modalities (cold/heat therapy and electric muscle stimulation) will be administered as needed. Finally, therapeutic exercises to continue treatment at home will be given.

The first goal is to get you out of pain. Next, restore normal range of motion to the shoulder. Finally, to strengthen the rotator cuff and scapulothoracic (mid back where the shoulder is attached) musculature. The long-range goal is to stabilize your shoulder with a progressive rehabilitation program. Also, recommendations for correction/modification of posture and/or occupational/daily lifestyle activities is important.

West Palm Beach Chiropractic Care: Throwing Shoulder Injuries

Meiri Chiropractic serving West Palm Beach, Jupiter, North Palm Beach, Palm Beach Gardens and the surrounding areas offers excellent chiropractic treatment for throwing shoulder injuries. Call 561-253-8984 today to schedule an appointment or to find out more about West Palm Beach Chiropractic Care: Throwing Shoulder Injuries.

From Dr. Natalie Meiri’s Clinical Pearl Stories:

Chiropractic Care for Neck and Low Back Pain and Layered Muscle Imbalance Syndrome

This was a 58 year old patient who had neck and back pain. To be HIPAA compliant, I will call him Harry instead of his real name.  Harry had treated with another chiropractor prior to seeing me.  He had gone to acupuncture, an orthopedist and physical therapy for his chief complaints. However, Harry still had pain in his neck and lower back. Harry presented to my office after difficulty in activities of daily living due to his neck and back condition.

Harry worked as a truck driver for 20 years and attributed some of his neck and back problems to his daily work activity.  However, he also liked various sports and stated, “did injure himself from time to time”. Harry also had been in multiple car accidents which he had residual pain from even after care.

 

Harry’s Examination and Imaging

Upon examination, there were positive tests for his neck and low back pain.

Harry had X-rays from his previous doctor. The findings in his x-rays were moderate to severe osteoarthritis (wear and tear arthritis) throughout his spine. 

I would order a M.R.I. if he wasn’t improving in a month or 12 visits. Harry had osteoarthritis  (as seen on his x-rays) and Layered muscle imbalance syndrome was detected during my exam:

Harry’s gluteus maximus was totally inactive/weak and extension (of thigh) was performed almost exclusively by his hamstrings and thoracolumbar (midback and low back) muscle segments.  Moreover, he had dysfunction in his upper trapezius, levator scapulae, cervical (neck) flexors, (pectoral muscles, rhomboids, serratus muscles, and latissimus dorsi.  Additionally, his illiopsoas and hip flexors were overactive and shortened.

What is Muscle Imbalance Syndrome?

 Obviously, there are some differences in muscle strength which cause a normal imbalance. After all, not all muscles are equal. The smaller muscles tend to react rapidly and strongly to a stimulus and are called phasic. Similarly, the larger muscles hold our posture and are called tonic.  And then certain movement patterns are notable.  For example, internal (inward) rotation of the shoulder is stronger than external (outward) rotation of the shoulder.  Additionally, the size and number of the muscles used for the particular movement matters.  Alternatively, position also makes your balance of muscles stronger or weaker.  However, there is another point of view clinically in regards to muscle imbalance; weakness and tightness.  This type of muscle imbalance is dysfunctional and needs evaluation and treatment to correct.

Muscle imbalance Syndrome is when some of your muscles become shortened/tight and overactive or weak and inhibited.  Inhibition means that the neural connection is absent, bypassed, incomplete, weak, or overridden. Moreover, this often happens to specific muscles. Typically, postural antigravity slow-twitch muscles tend to tighten and shorten.  In contrast, the phasic fast twitch muscles usually weaken and elongate.

 

What is Upper Cross Syndrome?

Upper cross syndrome causes altered muscle activation and movement patterns of the head, neck, shoulders, and back muscles. The muscles involved can be shortened (tightened) and overactive or stretched, weakened and inactive. For example, muscles of the neck and posterior (back) upper back, such as the deep neck flexors, serratus anterior, rhomboids, middle trapezius, and lower trapezius, are weakened, stretched, and inactive. Additionally, the “tightness” of the suboccipitalis, levator scapulae, and Upper trapezius on the back side is crossed by the “tightness” of the pectoralis major and minor, SCM, and scalenes on the front side. The weakness of the deep neck flexors on the front side is crossed by the weakness of the serratus anterior, rhomboids, middle trapezius, and lower trapezius on the back side.

These muscle imbalances can cause bad posture, misalignments in the neck, mid back and upper extremities (limb) causing neck pain, chest pain, upper back pain, tingling in the upper arms and decreased range of motion in the same areas.

Postural changes due to upper cross syndrome include: Forward head posture, cervical hyperlordosis, thoracic hyperkyphosis, protracted and elevated shoulders (round shoulders), and scapular winging.

 

What is Lower Cross syndrome?

Lower cross syndrome is characterized by shortened hamstrings, overactive/tight hip flexors, iliopsoas and lumbar spinal erectors due to improper conditioning or from prolonged sitting. And the inactivity can result in weakness to the gluteal and abdominal muscles. 

Furthermore, it may promote a pelvic tilt of the lumbar spine.   And this will create dysfunction and back pain.  The overactive/shortened muscles can include in the kinetic chain: gastrocnemius/ soleus (calf muscles), hip flexors, hamstrings, adductors, tensor fascia Lata (t.f.l.) and piriformis.  The underactive/inhibited muscles could include the gluteus maximus, gluteus medius, quadratus plantae (foot muscle), peronei (shin muscle), and abdominal wall muscles.

For example, the gluteus medius becomes weak and quadratus lumborum takes over for gluteus medias to stabilize the body. When the quadratus lumborum becomes overactive, postural changes take place.  Continuation of the incorrect movement causes microtrauma throughout the mid and low back spine  and sacral areas.  Eventually it could even effect the hip joints patella femoral (knee cap) joints and shin/ankle/ arches of the feet.  Indeed it becomes a self perpetuating cycle of dysfunction and pain.

 

 

“Swimmer’s shoulder” is a term that can represent numerous shoulder conditions. These include impingement syndrome, rotator cuff tendinitis, labral injuries, ligamentous laxity or muscle imbalance causing instability, muscular dysfunction, and neuropathy from nerve entrapment. You will have weakness, pain and instability from the activity of repetitive swimming that causes any of these Swimmer’s shoulder injuries and conditions.  This blog is about Chiropractic W.P.B.: Swimmer’s Shoulder and the Shoulder Adjustment.

 

Chiropractic W.P.B.: What is Swimmer’s Shoulder?

If you are a swimmer, you are susceptible to shoulder injury due to the repetitive nature of the training/ exercise.  Even if you use different swimming strokes, this still can ultimately result in repetitive shoulder injury due to the high number of shoulder revolutions. 

In many cases, the swimmer will have developed a subacromial impingement syndrome.  It represents chronic irritation of the humeral head (top part of upper arm bone) and rotator cuff on the coracoacromial arch (top outer edge of shoulder blade or scapula or and consists of the acromion, coracoacromial ligament, and coracoid) during swimming.

 

What is shoulder impingement syndrome?

A shoulder impingement syndrome is defined as a compromise of the space between the coracoacromial arch and the proximal (situated nearer the center of the body) humerus (upper arm bone). So several structures may get impinged (pinched): The biceps tendon, superior labrum (cartilage in shoulder joint), supraspinatus (1 of the rotator cuff muscles) tendon, and the subacromial bursa (a fluid-filled sac for countering friction at a joint ) are all vulnerable to being impinged.

Causes for shoulder impingement include both structural and functional reasons:

Structural reasons:

-variant acromial types that are hooked or lengthened (top portion of shoulder blade developed/grew abnormal)

-degenerative (wear and tear arthritic) changes on the undersurface of the acromion

-an inflammatory process in the subacromial space (which could be due to i.e. bursitis, rotator cuff tear, or/and all of the above)

Functional reasons:

-abnormal position of your spine or scapula (ie. thoracic kyphosis)

-tightness of your shoulder capsule (membrane around shoulder joint),

-decrease in the space between the coracoacromial arch and proximal humerus due to past injuries

-abnormal motion due to nerve related problems (i.e. nerve palsy)

 

Chiropractic West Palm Beach: Mechanism of injury for Swimmer’s Shoulder/Impingement

Firstly, the swimmer’s stroke mechanics of freestyle, butterfly, and backstroke styles require the swimmer’s arms to reach over the shoulder and then enter the water.  Next, the arms pull through the water in a semicircular motion, propelling the swimmer in motion.  With the breast stroke, there are differences and similarities to the other styles. 

Second, in the pull-through phase (underwater), the muscles involved are: pectoralis major and latissimus dorsi. In the recovery phase (hands out of water), the muscles involved are the supraspinatus, infraspinatus, middle deltoid and the serratus anterior. 

Third, so depending on how the swimmer’s hand/arm is positioned when entering the water, it can create an excessive rotation causing repetitive injury.

Chiropractic West Palm Beach: Pectoral Muscles Overdeveloped compared to the Back Muscles Leading to Swimmer’s Shoulder/Impingement

The swimmer’s pectoral muscles may be overly developed compared to the other back muscles. Moreover, these back muscles are:

-scapular retractors (draws back the shoulder blades) such as the rhomboids and lower trapezius

-adductors and elevators of shoulders such as the middle rhomboids and upper trapezii, levator scapulae. And even the upper fibers of latissimus dorsi

When the above happens, the swimmer’s scapula may “wing”.  Furthermore, the scapula muscles that are too weak will become fatigued.  Additionally, the shoulder will be unable to rotate and move properly. Next, when the humerus is elevating, it will not clear the acromion and impingement occurs.

Lastly, the abnormal scapulothoracic (shoulder blade and mid back) motion ends in fatiguing the rotator cuff muscles (originating off the scapula). Similarly, the rotator cuff muscles which serve as dynamic shoulder stabilizers becoming fatigued effects the static stabilizers (glenoid labrum and associated capsuloligamentous components).  Ultimately, this results in humeral instability/traction type stress and rotator cuff tendinitis.

Chiropractic West Palm Beach: Pectoral Muscles Overdeveloped compared to the External Rotators Leading to Swimmer’s Shoulder/ impingement

The swimmer’s pectoral muscles may be overdeveloped compared to the external rotators (infraspinatus and teres minor) of the shoulder.  Because the shoulder external rotator muscles are weakened and fatigued, the greater tuberosity impinges the internal rotator muscles during abduction (raising arm at side) of the shoulder.  Basically, there is dysfunctional motion/rotation of the shoulder.  Therefore, the imbalance in strength between the external and internal rotator muscles of shoulder can cause a tendinitis.

 

Chiropractic West Palm Beach: Poor Swimming Technique and Posture Leading to Swimmer’s Shoulder/ impingement

Firstly, entering the water with the thumb first increases the amount of internal rotation in the shoulder causing abnormal motion. Entering the water with the third or fourth finger leading the arm, with your wrist slightly bent is better.

Secondly, as the swimmer “pulls” crossing the midline, this places the  shoulder in a position where the rotator cuff muscles aren’t as strong.

Thirdly, the swimmer’s improper posture (forward head posture) when not swimming also effects the shoulder.

Fourthly, Amount of rotation during freestyle is a common cause of pain. If the swimmer swims flat on the water, they must extend the arm farther back past the body to recover.

Chiropractic West Palm Beach: Treatment for Swimmer’s Shoulder/ Impingement Syndrome entails:

Chiropractic adjustments/manipulation to the shoulder (e.g. glenohumeral), and associated regions.  Associated regions may be the cervical (neck) and thoracic (mid back) spine. Additionally, soft tissue therapy (myofascial release, pressure point and various post isometric relaxation procedures) and modalities (cold/heat therapy and electric muscle stimulation) will be administered as needed. Finally, therapeutic exercises to continue treatment at home will be given.

The first goal is to get the swimmer out of pain. Next, restore normal range of motion to the shoulder. Finally, to strengthen the rotator cuff and scapulothoracic (mid back where the shoulder is attached) musculature. The long-range goal is to stabilize the swimmer’s shoulder with a progressive rehabilitation program. Also, recommendations for correction/modification of posture and/or occupational/daily lifestyle activities is important.

Chiropractic W.P.B.: Do you know someone with Swimmer’s Shoulder?

Meiri Chiropractic serving West Palm Beach, Jupiter, North Palm Beach, Palm Beach Gardens and the surrounding areas offers excellent chiropractic treatment for Swimmer’s shoulder/ impingement syndrome. Call 561-253-8984 today to schedule an appointment or to find out more about Chiropractic W.P.B.: Swimmer’s Shoulder and the Shoulder Adjustment.

 

A common source of pain and disability is soft tissue injury with its resultant fibrosis and loss of elasticity and strength. Soft tissue injury and fibrosis may result from acute or repetitive trauma to muscular, tendinous, myofascial, or ligamentous tissue.  Therefore, adjustments of the joint without attention to the supporting and controlling effects of the soft tissues (i.e. muscles, tendons, ligaments, fascia) will likely result in recurrence of joint dysfunction (misalignment of joint).  The reason being, abnormal soft tissue patterns and presentations may persist after joint function has been restored.  Accordingly, any soft tissue problems need to be treated along with the joint dysfunction. 

Soft Tissue Manipulation (STM) techniques are defined as those physical methods applied to muscles, ligaments, tendons, fascia, and other connective tissues with the goal of therapeutically affecting the body. This post is about a West Palm Beach Chiropractor:  Muscle Imbalance Syndrome and Soft Tissue Techniques.

West Palm Beach Chiropractor:  Muscle Imbalance Syndrome

 Obviously, there are some differences in muscle strength which cause a normal imbalance. After all, not all muscles are equal. The smaller muscles tend to react rapidly and strongly to a stimulus and are called phasic. Similarly, the larger muscles hold our posture and are called tonic.  And then certain movement patterns are notable.  For example, internal (inward) rotation of the shoulder is stronger than external (outward) rotation of the shoulder.  Additionally, the size and number of the muscles used for the particular movement matters.  Alternatively, position also makes your balance of muscles stronger or weaker.  However, there is another point of view clinically in regards to muscle imbalance; weakness and tightness.  This type of muscle imbalance is dysfunctional and needs evaluation and treatment to correct.

Muscle imbalance Syndrome  is when some of your muscles become shortened/tight and overactive or weak and inhibited.  Inhibition means that the neural connection is absent, bypassed, incomplete, weak, or overridden. Moreover, this often happens to specific muscles. Typically, postural antigravity slow-twitch muscles tend to tighten and shorten.  In contrast, the phasic fast twitch muscles usually weaken and elongate. For example, with the forward head posture syndrome  you shift your head forward with the chin poking out which causes the following:

-Your upper trapezius, levator scapulae and pectoral muscles tighten, shorten and become overactive.

-Your deep cervical (neck) flexors, middle and lower trapezius, rhomboids and serratus muscles weaken and get inhibited

And there are other various patterns of imbalance (e.g. Pelvic Cross syndrome, layer syndrome). 

 

West Palm Beach Chiropractor:  Causes of Muscle Imbalance Syndrome

While there are many reasons for muscle imbalance, the most common cause may be chronic overuse or traumatic injury.  Without proper treatment, there is a muscle elasticity change.  Of course, having a sedentary lifestyle without a variety of movements also causes imbalance.  Your connective tissue will shorten over time if left in the same position for long. Indeed, forced movements, stress, and even fatigue can lead to muscle imbalance.  Next, this can even effect your central nervous system.  Your nervous system remembers these imbalances of abnormal movement patterns.  Also, even though appearing often together, a muscle that is tight, shortened and overactive is not the same as muscle spasm. This Tightness is due to hypertrophy (overgrowth) of the connective tissue.

Ultimately, combinations of tight and weak muscles have abnormal movement patterns that changes the biomechanics of joints.  And this can lead to degenerative (wear and tear) changes or/and fixated joints.

 

West Palm Beach Chiropractor:  Muscle Imbalance Syndrome Evaluation and Treatment at Meiri Chiropractic

Generally, practitioners test muscle strength to evaluate imbalance. With muscle imbalance syndrome, some Researchers  introduced using movement patterns as part of the evaluation. 

Firstly, when the patient first presents, it’s important to get them out of pain.  So the total treatment of the chronicity should begin with restoring as much joint motion by chiropractic adjustments/manipulation as possible and substantially decreasing pain before balancing the muscular system.

Secondly, for treatment of the muscle imbalance, post-isometric relaxation and proprioceptive neuromuscular facilitation (PNF) techniques are utilized.

Thirdly, proprioceptive (sense that lets us perceive the location and movements of our body parts) training is incorporated.  This is done with  various balance activities (e.g. wobble boards, exercise balls, trampolines).  Studies show these types of activities help the nervous system on a subconscious level regarding the new correct movement pattern.  The result is improvement of gait, coordination, body posture, and stabilization.

 

From Dr. Natalie Meiri’s Clinical Pearl Stories:

West Palm Beach Chiropractor: Wrist Adjustments  

Author: Natalie Meiri, D.C.  Posted: 7/28/24

This was a 35 year old patient who was a package handler/warehouse worker.  To be HIPAA compliant, I will call him Tracey instead of his real name. Tracey was a patient who was treating with me for his neck and back problems originally.  Then one day, he told me he hurt his wrists while lifting at the gym.  And he needed to keep in shape for his physical job and was concerned about the recovery time.

West Palm Beach Chiropractor: Tracey’s examination

Upon examination, he had some limitation of range of motion at the wrists with certain movements. Furthermore, Tracey had positive tests for a wrist strain (injury to a muscle or to the band of tissue that attaches a muscle to a bone, called a tendon).

I would re-evaluate in a month.

West Palm Beach Chiropractor: Wrist Anatomy

Your wrist is made up of eight small bones (carpal bones) plus two long bones in your forearm — the radius and the ulna. Your wrist functions as the link between the hand and the forearm. In your wrist, a tendon functions to move the bone. A ligament is a fibrous connective tissue that attaches bone to bone. There are no tendon attachments that function at the wrist. Tendons cross the wrist to insert into the hand, fingers, and thumb. And there are ligaments holding and stabilizing your wrist bones in place.

Problems affecting muscles that originate off the elbow and forearm may show up as pain at your wrist. Wrist conditions are often the result of trauma, overuse, and arthritis.

In athletes, positions that strain muscles repetitively are likely to cause an insidious (gradual) onset. Ultimately, this may lead to tendonitis. Tendonitis is inflammation or irritation of a tendon. Weight lifting, gymnastics, rowing, and racquetball are examples. Overuse with typing is a common problem. You may be a professional musician or be in assembly line movement patterns at work.

West Palm Beach Chiropractor: Some possible tendinopathies of the Wrist

Extensor pollicis longus (EPL)tendinitis/tendinosis

This muscle arises dorsolaterally (back or upper surface) from the middle part of the ulna (long forearm bone closest to fifth finger) and ends at the distal (tip) of the thumb. The EPL extends the thumb (moves the thumb  away from the hand and parallel to the palm). This tendonitis is seen in drummers, athletes involved in racquet sports, and patients with rheumatoid arthritis.

 Extensor indices proprius (EIP) syndrome and extensor digiti minimi (EDM) tendinitis/tendinosis

The Extensor indices proprius (EIP) is a narrow, elongated muscle in the deep layer of the dorsal (back of ) forearm. Its tendon goes to the index finger, which it extends (bends backward).

The  extensor digiti minimi (EDM) is also a narrow muscle which originates in the lateral humerus (elbow area) and attaches to your 5th digit (5th finger). The EDM is a two joint muscle. It acts as an extensor in both joints. The EDM extends the wrist and the little finger.  This means it moves the back of the hand toward the back of the forearm and straightens the little finger from a fist.

Extensor carpi ulnaris tendonitis/tendonosis

This muscle originates in the lateral humerus (elbow area). And it inserts into the 5th metacarpal (5th bone in palm of hand).  The extensor carpi ulnaris serves to extend and adduct the hand (moving a hand toward the body) at the wrist.  It is a relatively common tenonitis found in occupations or sports requiring repetitive wrist movement.  Examples include racquet sports, rowing, golf, and baseball.

 

Tracey’s West Palm Beach Chiropractic Treatment

The goal of Tracey’s treatment was firstly to relieve pain. Secondly, get his wrists range of motion back .  Finally, to rehabilitate/strengthen musculature. 

Treatment consisted of:

First, Chiropractic adjustments/manipulation of the wrists.

Second, Soft tissue manipulation (cross friction /myofascial release, pressure points, postisometric relaxation) to the muscles and soft tissues (i.e., tendons, ligaments) involved.

Third, Ice along with Electric Muscle Stimulation.

Fourth, Home exercises for self stretching and strengthening muscles.

Fifth, recommendations for modification and avoidance of aggravating activities were reviewed.

Tracey got pain relief and improved function in his wrists from the very first visit and had no problems at work.  Moreover, he continued his visits until he finished his care at 12 visits and never missed a day of work. 

Conditions/ Dysfunctions resulting from a trauma or repetitive injury involving the muscles, ligaments, and joints of the extremities (limbs) can significantly reduce the quality or the ease of performing many activities related to personal care, livelihood, and recreation. Therefore, it’s important to get help quickly for your injury from your West Palm Beach Chiropractor as Tracey did.

West Palm Beach Chiropractor: Wrist Adjustments

Your West Palm Beach chiropractor offers a range of treatments to bring pain relief for a variety of conditions. A West Palm Beach chiropractor can treat your wrist pain naturally.   Contact us at 561-253-8984 to learn more or to make an appointment with your West Palm Beach Chiropractor today or to find out more about West Palm Beach Chiropractor: Wrist Adjustments.

 

Did you know the signs of osteoporosis often appear suddenly with the development of a painful kyphosis (hunchback)  or hip fracture? Astoundingly, over half of women over age 50 years will have a fracture due to osteoporosis. And it is estimated over 1.3 million number of fractures will be due to osteoporosis with an enormous cost. However, 50% of osteoporotic hip fractures and 90% of vertebral spinal compression fractures are preventable. Your Bone Mass should not be thought of only in an emergency, but should be a lifelong striving for preservation and development. Read West Palm Beach Chiropractor: Osteoporosis and Nutrition to learn about how to have healthy bones.

 

West Palm Beach Chiropractor: What is Osteoporosis?

Firstly, Osteoporosis is a loss of bone mass associated with deterioration of the microarchitecture (structure and connectivity of bone elements and the thickness of the cortical shell) of bone tissue.

 

Secondly, Osteoporosis is typically divided into bone loss associated with age, called senile osteoporosis (type II) and postmenopausal osteoporosis (type I). Of course, Women can get both types.

 

Thirdly, generalized (whole body) osteoporosis is the most common form found with both senile and postmenopausal causes. A regional osteoporosis may occur that is restricted to a bone or part of a limb. This can be found with immobilization and Sudeck’s atrophy (associated bone changes found with reflex sympathetic dystrophy). Moreover, regional/localized osteoporosis may occur in certain areas of bone as a result of infection, cancer, or an inflammatory arthritis.

 

West Palm Beach Chiropractor: Osteoporosis classification/diagnosis

 

Radiographically (x-ray), osteoporosis is classified based on the area or region found. The classification of Osteoporosis is often primary or secondary. Primary causes include senile and postmenopausal types. And secondary causes include hormonal dysfunction such as hyperthyroidism and hyperparathyroidism.  So the thyroid gland uses iodine from food to make two thyroid hormones that regulate the way the body uses energy. While the parathyroid glands are four tiny glands located behind the thyroid gland. The parathyroid glands produce a substance (parathyroid hormone) that helps control the amount of calcium in the blood.

 

The World Health Organization distinguishes the degree of loss of bone mass by two terms:

• osteopenia-bone density greater than 1 standard deviation (SD) below the normal mean but less than or equal to 2.5 SD below the normal mean
• osteoporosis-bone density greater than 2.5 SD below the normal mean

West Palm Beach Chiropractor: Anatomy and Physiology of Osteoporosis

 

First, Osteoporosis occurs due to loss of bone quantity without an associated decrease of bone quality (mineralization is normal). It appears there is increased resorption in the process of bone formation. Indeed, the process of bone formation and resorption is a delicate balance. And environmental, nutritional, and hormonal factors are all involved in this. While genetics play a huge part in bone mass variation, lifestyle is still essential.

Second, Production of bone exceeds resorption (bone breakdown) in early life.  Next, the production of bone peaks during and after puberty. Gradually, the production does decline during the mid-20s to early 30s. After this, a small period of balance occurs when production equals resorption. Especially in women, an imbalance in favor of resorption begins in the late 30s and early 40s. The fact is, the rate of bone loss is greater in women than in men in a lifetime.  Men only lose 25% of bone mass while women lose 50%.  Decreases in estrogen at menopause causes cortical bone loss and therefore increases the risk of fracture.

Third, Bone is composed of two thirds mineral (mainly hydroxyapatite, a mineral composed of phosphorus and calcium). The remaining one third is collagen, water, proteoglycans (type of protein), and other noncollagenous proteins. Type I collagen acts as a framework for deposition of minerals. The process of bone formation and repair is determined by an interaction of three cell types: osteoblasts  (form collagen), osteocytes (coordinate bone formation function), and osteoclasts (break down bone).

 

West Palm Beach Chiropractor: Risk Factors and Osteoporosis

Risk factors for osteoporosis include:

• female gender
• white or Asian background
• early menopause
• family history
• lean body form
• lack of exercise in all age groups or excessive exercise in young people
• use of glucocorticoids, phenytoin, aluminum antacids, lithium, loop diuretics, tetracycline, warfarin, thyroid medication, corticosteroids
• heavy alcohol use, smoking, low calcium intake or vitamin D deficiency, high phosphate, fiber, or sodium intake, more than four cups of coffee per day, excessive carbonated drinks (several a day), and possibly a high animal-protein diet

 

Specifically, in young female athletes, osteoporosis may be part of the “female athlete triad” condition.  This is when the athlete has a condition of disordered eating, menstrual irregularity, and osteoporosis/osteopenia (when your bones are weaker than normal and your risk of getting osteoporosis is high). “Disordered eating” is known to occur often in young female athletes. Disordered eating is classified as restricted eating behaviors.  While it is not anorexia nervosa, it is a clinical disorder.  For instance, Menstrual Irregularity in young competitive female runners is linked to disordered eating and low bone mineral density (BMD). Similarly, low BMD shows up with disordered eating in young female athletes even without menstrual irregularity.  

 

West Palm Beach Chiropractor: Helpful Supplementation for Osteoporosis

Calcium- important for bone formation. -1,000 mg for premenopausal women and 1,500 mg for postmenopausal women. Calcium is important in the process of bone formation. And the absorption is dependent on a normally functioning gastrointestinal environment. 

Boron- helps with calcium absorption

Copper– necessary in bone strengthening

Glucosamine and Chondroitin– Needed for forming bone/connective tissue in the body

Magnesium– needed in Calcium absorption

Phosporus– needed for bone strength

Sillica– for higher bone density

Vitamin B Complex– helps in producing strong bones

L-lysine and L-arginine- normalizes hormonal stress.  Helps bone development and enhances production of collagen.

Vitamin K– important for bone health

Methylsulfonyl-methane (MSM)- helps with joint pain and inflammation of musculoskeletal system.  Also, has sulfur needed for healthy bones

Vitamin D– for calcium absorption. Vitamins D is important for absorption of calcium.  Beginning with ultraviolet stimulation (sunlight), next conversions in the liver and the kidney produce a form of vitamin D. In conclusion, sufficient sunlight is important for calcium absorption for production of vitamin D or you will need to supplement.

Multienzyme complex with betaine hydrochloride(HCI) plus proteolytic enzymes– for proper digestion and absorption of calcium

Vitamin A with mixed carotenoids and vitamin E- antiaging

Zinc plus copper– helps in assimilating calcium and for immune system function

Chromium picolinate– Helps insulin activity in the body.  Chromium may protect bone by promoting the production of collagen by osteoblasts and by moderating bone resorption.

DL-phenylalanine(DLPA)- amino acid that aids in pain management and proper mood balance.

Kelp– has many minerals

Multivitamin and mineral complex– for essential nutrients

Vitamin C with bioflavonoids– helps with collagen and connective tissue repair/formation

 

Herbs–
 Alfalfa, barley grass, black cohosh, boneset, dandelion root, nettle, parsley, poke root, rose hips, and yucca are all helpful for strong bones. Feverfew is good for pain relief/ anti-inflammatory.  Red clover acts as a natural estrogen by slowing the degenerative breakdown of bone mass.  Common herbs sage, rosemary, and thyme may slow bone breakdown inhibit the breakdown of bone that contributes to osteoporosis.

 

 

 

West Palm Beach Chiropractor: Diet/Lifestyle for Osteoporosis

 

Foods that are high in calcium should be eaten: dairy products, Broccoli, chestnuts, clams, dandelion greens, most dark green leafy vegetables, flounder, hazelnuts, kale, kelp, molasses, oats, oysters, salmon, sardines (with the bones), sea vegetables, sesame seeds, shrimp, soybeans, tahini (sesame butter), tofu, turnip greens, and wheat germ.

For especially women, establishing a lifestyle habit of maintaining a combined appropriate level of exercise and avoiding risk factors for osteoporosis is important. Some weight bearing and mild resistance exercise along with walking is beneficial.

Some studies indicate having large quantities of protein may cause an acid imbalance in the body, which the body attempts to counteract by releasing minerals from the bone (e.g. calcium). Research shows that women who are vegetarians experience significantly less bone loss than women who consume meat. Soy, beans, and lentils supply proteins, and green vegetables are all very rich in calcium, as well as contain large amounts of other vitamins and minerals.

 

West Palm Beach Chiropractor:Osteoporosis and Nutrition

Are you suffering from back pain and osteoporosis and looking for natural healing solutions? Osteoporosis can cause unnecessary pain to your spine. A W.P.B.  chiropractor will help you maintain your posture, give you adequate exercises, and important education for better health.

Get in touch with us at Meiri Chiropractic to schedule an appointment today at 561-253-8984 or to find out more about West Palm Beach Chiropractor: Osteoporosis and Nutrition.

 

References: Handbook of Preventative and Therapeutic Nutrition by James M. Gerber,M.S., D.C.

Prescription for Nutritional Healing (3^rd edition), Phyllis A. Balch, CNC

Thomas Souza, (2018) Differential Diagnosis and Management for the Chiropractor

 

*Please consult your primary care doctor (M.D. who is monitoring your condition) about the above supplements.

 

Chiropractor in W.P.B.: Multiple Sclerosis and Nutrition is about how chiropractic in conjunction with nutrition can be a solution for managing and reducing the symptoms of Multiple Sclerosis (MS).  While there is no known cure for MS, research shows some healthy behaviors can positively impact your MS development, quality of life and ultimately your life expectancy

Chiropractor in W.P.B: What is Multiple Sclerosis (M.S.)?

Typically, M.S. patients are less than 55. And it is more prevalent in women than men. Often, MS appears in patients who reside in temperate climate zones and are of western European ethnicity. Relapses commonly occur in women 2 to 3 months after childbirth.

MS is characterized by episodic attacks that initially resolve, but eventually leave residual neurologic deficits. And the initial episode often will resolve in days.  Next, the patient may remain symptom free for months or years. Eventually, however, symptoms recur.  Lastly, Symptoms usually will involve a region and consist of numbness, tingling, weakness, diplopia (double vision), dizziness, or urinary sphincter dysfunction (urgency or hesitancy).

Chiropractor in W.P.B: What is the Cause of M.S.?

First, the cause of MS is unknown, but scientists think it may be an immune disorder (condition in which the body attacks itself by mistake).

Second, There is an apparent genetic relationship due to the association of MS and HLA-DR2.  The human leukocyte antigen (HLA) is a family of genes found on chromosome 6 which provide the instructions to make a group of proteins known as the HLA complex. The HLA proteins are present on the surface of cells, and they help the immune system to distinguish foreign invaders such as viruses and bacteria from the body’s own cells and tissues. 

Third, the primary role of the HLA complex is in the regulation of the immune system to defend against disease. Your individual HLA type is inherited from your parents. In MS, the immune system fails to distinguish between the body’s tissues and foreign proteins.  This results in your body attacking your own central nervous system. 

Fourthly, MS attacks myelin as if it were foreign. And Myelin is an insulating layer, or sheath that forms around nerves, including those in the brain and spinal cord.  MS is a disease characterized by patchy demyelination with reactive gliosis.  Gliosis is a process leading to scars in the central nervous system that involves the production of a dense fibrous network of neuroglia (supporting cells) in areas of damage.  This occurs in the spinal cord, optic nerve (nerve for transmitting visual images), and white matter of the brain.  And Gliosis is a prominent feature of many diseases of the central nervous system, including multiple sclerosis and stroke.

Chiropractor in W.P.B: Diagnosis and Findings on Imaging for M.S.

Indeed, no single test can diagnose MS. The medical history, neurologic exam and lab tests helps rule out other diseases and confirm MS. For example, Laboratory evaluation may reveal mild lymphocytosis (increased white blood cells) or increased protein count in the cerebrospinal fluid (CSF). Immunoglobulm G (type of antibody) are more often seen in the CSF.

Finally, Magnetic Resonance Imaging (MRI) will demonstrate multifocal areas of patchy demyelination in the brain or cervical (neck) spinal cord.  

 

 

Chiropractor in W.P.B:Helpful Supplementation/Nutritional Recommendations for Multiple Sclerosis

Calcium and magnesium– studies found may help with relapses of MS

Coenzyme Q10 90 mg plus Coenzyme A– helps with fatigue and mood elevation in MS and for strengthening the immune system

Essential Fatty Acids- (e.g. Gamma-linolenic acid (GLA), flax seed oil, primrose oil, omega-3 essential fatty acid complex)- Deficiency is frequent in MS patients

Garlic – antioxidant and anti-inflammatory effects in multiple sclerosis

Methylsulfonyl-methane (MSM)- for pain and exhibits antiinflammatory properties.

Acidophilus- Important for digestion and absorption of nutrients

Creatine – to help with muscle atrophy (loss of muscle mass) common in MS

Free form amino acid complex– predigested/separated amino so available readily for use by the body.

Grape seed extract– A strong antioxidant and reduces inflammation

Multienzyme complex- processing food properly

Nicotinamide adenine dinucleotide (NADH)- for repair, metabolism and energy

Multiglandular complex– to help endrocine and hormonal systems

Selenium- an antioxidant and immune system booster

7-keto DHEA- may help fat loss by increasing metabolism.  Also, may help increase muscle mass.

Vitamins: Vitamin A (with carotenoid), C and E with bioflavonoids – An antioxidant and immune system stimulant. Fights free radical damage. Vitamin B complex plus extra vitamin B6 (pyridoxine) and vitamin B12 and choline and inositol (vitamin B8)-  Assists immune system function and keeps nervous and immune systems function better Vitamin D– To help calcium absorption Vitamin K-may help with nausea and good for bone health

Herbs– Burdock, dandelion, echinacea, goldenseal, pau d’arco, red clover, St. John’s wort, sarsaparilla, and yarrow are great detoxifiers. Lobelia, skullcap, and valerian root calm the nervous system and may help with insomnia.

 

Chiropractic WPB: Lifestyle/Diet Recommendations for MS:

While there are numerous diets for MS, the Mediterranean diet appears to be the best. Moreover, the best diet maybe mostly vegetarian for MS.  So try to eat lean meats and wild caught fish (salmon,flounder, cod) if necessary. Eat plenty of fresh vegetables and fruits.

Heat/ warm surroundings should be avoided.  A higher body temperature makes it harder for demyelinated nerves to conduct electrical impulses. This can make it more difficult for you to function. Therefore, avoid exposure to heat, such as hot baths, showers,sunbathing, and overly warm surroundings. Swimming in cool water is a good choice. Learn techniques to de-stress and beat anxiety.  Plenty of sleep is important as exhaustion may trigger an attack.

First, avoiding processed foods and eating mostly organically grown foods will help decrease chemicals and additives.

Second, Gluten  and dairy should be avoided. Cow’s milk is hard to digest for many people. Many people have food allergies that are making their conditions worse.  Gluten may be one of yours.

Third, excess Sugar causes inflammation and interferes with your immune response.

Fourth, alcohol and smoking should be omitted

Fifth, drink plenty of good quality water (8 glasses) everyday.

 

Chiropractor in W.P.B.: Multiple Sclerosis and Nutrition

Are you seeking a natural treatment to help relieve Multiple Sclerosis (MS) symptoms?  Chiropractic is a popular CAM (complementary alternative medicine) therapy for symptom relief of M.S. Your chiropractor in W.P.B. can help you manage your symptoms and improve your overall quality of life. Call 561-253-8984 today to make an appointment or to find out more about Chiropractor in W.P.B.: Multiple Sclerosis and Nutrition.

 

References: Handbook of Preventative and Therapeutic Nutrition by James M. Gerber,M.S., D.C.

Prescription for Nutritional Healing (3^rd edition), Phyllis A. Balch, CNC

Thomas Souza, (2018) Differential Diagnosis and Management for the Chiropractor

 

*Please consult your doctor (M.D. who is monitoring your condition) about the above supplements.

 

From Dr. Natalie Meiri’s Clinical Pearl Stories:

Chiropractic West Palm Beach: Natural Treatment for Trigger Finger

Author: Natalie Meiri, D.C.  Posted: 7/21/24

This was a 56 year old patient who was an office worker.  To be HIPAA compliant, I will call her Ziona instead of her real name. Ziona was a patient who was treating with me for her back and hip problems originally.  Then one day, she told me her 2^nd and 4th fingers on her right hand were getting stuck” when trying to extend from a flexed position. Also, she reported having to extend the involved finger passively with her other hand.   Often, she reported a dull ache in the palm of the right hand.

Ziona had a history of occupational overuse with her fingers.  Furthermore, this was especially true for grasping maneuvers.  She didn’t know how it started and couldn’t remember any injuries to her fingers. Ziona herself thought it was a trigger finger.   

Ziona’s examination

Upon examination, she had limitation of range of motion at those fingers with certain movements. A small nodule was palpated at the base of the involved finger.  It was mildly tender to  pressure or gripping.

She would be referred out for further evaluation to her primary care doctor if there was no improvement within 12 visits. 

Chiropractic West Palm Beach: the Cause of Trigger Finger

Firstly, the cause is due to the flexor tendon of the fingers pulley system dysfunctioning.   Tendons are bands of connective tissue that attach the muscles to the bone enabling the muscles to move the bones. So the tendons of the fingers pass through at the base of the proximal (near) phalanx of the thumb or finger.

Secondly, through inflammation (e.g. due to autoimmune disease), trauma, repetitive injury, congenital/genetic (e.g. juvenile rheumatoid arthritis) variation and hormonal factors, the tendon sheath enlarges. This happens proximal to the pulley system.  Next, it is caught as the finger or thumb moves into extension.

Thirdly, this is a form of stenosing tenosynovitis. Moreover, there is hypertrophy (abnormal enlargement) and inflammation of the tendons and its sheath. Subsequently, resulting in catching and locking sensations due to the inability to slide smoothly within its sheath. 

Fourthly, trigger finger pain shows up as an unusual ache, stiffness, discomfort or progressive pain in the palm of the affected finger. Frequently, a distinct snapping or clicking sound becomes increasingly noticeable while trying to extend or flex the finger digit. 

Fifthly, Trigger finger frequently affects the dominant hand, with the thumb and ring finger being the most commonly affected digits. Additionally, there will be a tender nodule or swelling at the distal (far) palmar crease of the hand effected.

Ziona’s West Palm Beach Chiropractic Treatment

The goal of Ziona’s treatment was started with a focus to relieve pain. Next, conserve and restore the mobility of the finger joints.  Finally, to preserve and strengthen surrounding musculature. 

 Treatment consisted of:

-Chiropractic manipulation or mobilization of the finger, and associated regions consisting of her hands and wrists.                             

-Soft tissue manipulation (cross friction /myofascial release, pressure points, postisometric relaxation) to the muscles and soft tissues (i.e., tendons, ligaments) involved.

-Home exercises for self stretching and strengthening muscles.

-Nutritional support for osteoarthritis were recommended  (i.e., glucosamine sulfate, boswellia, horsetail, SAM (S-adenosylmethionine), Vitamin E, Niacinamide, Vitamin C) were recommended. 

-Recommendations for modification and avoidance of aggravating activities

Ziona got pain relief and improved function in her fingers within a few visits.  She no longer reported her fingers being “stuck”.   

 

Chiropractic West Palm Beach: Natural Treatment for Trigger Finger

Your West Palm Beach chiropractor offers a range of treatments to bring pain relief for a variety of conditions. A West Palm Beach chiropractor can treat trigger fingers naturally.   Contact us at 561-253-8984 to make an appointment with a chiropractor in West Palm Beach today or to learn more about Chiropractic West Palm Beach: Natural Treatment for Trigger Finger.

 

 

 

Chiropractor in West Palm Beach: Stress and Nutrition is about how chiropractic and nutrition can help relieve your stress.

Stress is defined  as “a physical, chemical, or emotional factor that causes bodily or mental tension and may be a factor in disease causation” (1).  Psychosocial stress pervades modern life and is known to have an impact on health. You can experience stress from your environment, your body, and your thoughts. For instance, negative changes such as an illness, injury, job loss, or a relationship break-up can contribute. Similarly, positive changes such as a promotion, a mortgage, or the birth of a child still produce stress. 

Chronic stress can lead to physical symptoms such as: headaches, muscle tension in the face, neck, back, shoulder/ chest pain, an upset stomach, elevated blood pressure, exhaustion, sexual dysfunction and menstrual changes, increase or loss of appetite, problems sleeping/insomnia.  Anxiety, panic attacks, obsessive-compulsive disorder, post-traumatic stress disorder (PTSD), and phobic disorders are among the more serious emotional manifestations of stress. Many people attribute their stress-related symptoms to “nerves,” and in fact stress usually does affect the parts of the body that are related to the nervous system. 

Moreover, a state of continual stress ultimately wears out the body. And it especially effects the immune response and increases susceptibility to illness and slows healing.  Researchers estimate that stress contributes to many major illnesses, including cardiovascular disease, cancer, endocrine and metabolic disease, skin disorders, and infectious ailments of all kinds, insomnia or other changes in sleep patterns, and/or gastrointestinal disorders. Most definitely, almost all body functions and organs are effected.

Chiropractor in West Palm Beach: our bodies release stress hormones.  These include adrenaline, nor-adrenaline and cortisol. And the hormones create physiological changes to help us cope with the threat or “danger”. And the “fight or flight” response and is apparently designed to prepare one to face an immediate danger.

Firstly, the endocrine system gets activated with stress. The endocrine system plays an important role in regulating mood, growth/ development, tissue function, metabolism and reproductive processes. Furthermore, our metabolism is affected. Your hypothalamus located in the brain plays a key role in connecting the endocrine system with the nervous system. The hypothalamus sends Stress signals to activate the release of stress hormones cortisol and epinephrine (adrenalin) from your adrenal glands.  Next, glucose (blood sugar) is produced by your liver to provide the extra energy. Thereafter, most people reabsorb the extra glucose when the stress subsides.  However, for some people there is an increased risk of diabetes.  Subsequently, the Cortisol released as a consequence to stress suppresses the immune system and inflammatory pathways.  As a result, we become more susceptible to infections and chronic inflammatory conditions. In other words, our ability to fight off illness is reduced.

Secondly, stress can effect your gastrointestinal system. Heartburn and acid reflux might begin if you have changed your eating habits.  For instance, you may be eating more or less.  You may have started eating more fatty and/or sugary foods. So the ability of our intestines to absorb nutrients from our food may be reduced. The result may be stomach pain, bloating and nausea, diarrhea or constipation.

Thirdly, heart rate and blood pressure increase when you are stressed. Once the stress passes, it returns to normal.  However, if chronically experienced, damage to blood vessels and arteries may occur. You will have an increased risk for hypertension, heart attack or stroke.

Fourthly, your respiratory system is working to breathe harder and more quickly with stress. This is to quickly distribute oxygen-rich blood around your body. For asthmatics, this could be a problem. For others it can cause hyperventilation. The last scenery is more likely if someone is prone to anxiety and panic attacks.

West Palm Beach Chiropractor: Nutritional Changes to Deal with Stress

Achieving a normal body weight if you are overweight is important to deal better with stress.  Also, eating a low-glycemic-load diet, rich in fruits, vegetables, and whole grains, can reduce the risk of developing the diseases associated with stress.

Chiropractor in West Palm Beach:  Helpful Supplementation/Nutritional Recommendations for Stress

Beta-carotene,selenium, and vitamins C and E-as antioxidants to  fight damaging free radicals due to stress

Gamma-amino- butyric acid (GABA) -Acts as a natural calming agent and nutrition for the brain.

Glutathione– An antioxidant protects against cell damage

Inositol- a sugar that may help with mood and depression

Nicotinamide adenine dinucleotide(NADH)- helps with generating energy

S-Adenosylmethionine (SAMe)- may help beat depression

Taurine- amino acid for brain and heart function defense

Trimethylglycine (TMG)- helps decrease homocysteine levels in the blood and acts like SAMe to elevate mood and decrease depression.

vitamin B complex plus extra vitamin B5 (pantothenic acid)- for proper nervous system function

Vitamin C with bioflavonoids– to help the  overworked adrenal glands

Calcium and magnesium– to replenish lost minerals from stress response

Coenzyme Q10 plus Coenzyme-for increasing energy and function of the heart and immune system.

L-tyrosine– amino acid; essential for the production of brain chemicals called neurotransmitters, including epinephrine, norepinephrine, and dopamine.

Melatonin– may provide better, deeper sleep

Fiber (oat bran or psyllium husks)– for proper bowel movements

Multivitamin and mineral complex- to get all necessary nutrients

Raw adrenal glandular and raw thymus glandular– to help the adrenal and thymus glands, significant in the body’s stress reaction.

Vitamin E– Needed for immune system reaction and also an antioxidant

Zinc– necessary for immune system reaction and for protection from free radical damage

Herbs: Ashwagandha (natural sedative), Ginko Biloba (brain function),Milk thistle (cleanses liver), Catnip (anti-stress and sleep aid),Chamomile (sleep aid and relaxing), Dongquai, chiznadra support kidneys, adrenals and nervous system.  Hops( for stress and need for alcohol), Kava Kava (sooths the mind), Passion flower (calming), St John’s wort (for nerve pain), Siberian Ginseng (to endure stress), Skullcap ( relieves headaches and helps with sleep).Valerian (sleep aid)

 

Chiropractor in West Palm Beach: How can Chiropractic care help ?

 

1. Reduces muscle tension

Chronic back pain is influenced by stress. Chiropractic care can help relieve your stress and anxiety by relieving tension in the neck, back and other stress-related issues. Stress causes your muscles to tense. This  impedes your posture when walking and sitting. A chiropractor helps you loosen the tension you are feeling and corrects your posture.  Regular adjustments from a chiropractor in West Palm Beach can help your body keep things moving freely. Adjustments will help your joints to move freely and will relieve pressure on veins, arteries, muscles, and underlying structures.  The result is improved blood circulation and lymphatic system drainage.

 

1. Optimizes nervous system function
   

A Chiropractor in West Palm Beach will utilize adjustments to your spine to help restore your autonomic nervous system and body to a natural balance.  The autonomic nervous system is a control system that acts largely unconsciously and regulates bodily functions, such as the heart rate, digestion, respiratory rate, pupillary response, urination, and sexual arousal. This system has a built-in stress response that causes physiological changes to allow the body to combat stressful situations. This stress response (“fight or flight response”) is activated in case of an emergency. However, this response can become chronically activated during prolonged periods of stress. Prolonged activation of the stress response causes havoc on the body – both physical and emotional.  Chiropractic adjustments sooth your irritated nerves and thereby help deactivate the stress response.

 

1. Personalized patient care

A Chiropractor in West Palm Beach will use natural healing solutions and guide you to develop a program to manage your stress levels unique to your life situation.  These various natural strategies include manipulation/ manual therapy , and diet/nutritional recommendations. In addition, a chiropractor in West Palm Beach will give you  exercise recommendations and important pointers on how to relax. 

 

During stressful times, a chiropractor in West Palm Beach can help relieve your stress!

In conclusion, chiropractors focus on the evaluation and treatment of neuromusculoskeletal (NMS)-based disorders.  However, chiropractors also help manage the multiple potential causes of ill health including acute and chronic stress. Successfully reduce your stress and its consequences with natural chiropractic care!

Are you experiencing stress and need relief? Call your chiropractor in West Palm Beach at 561-253-8984 to make an appointment today or to find out more about Chiropractor in West Palm Beach: Stress and Nutrition.

 

 

References

1. “Stress.” Merriam-Webster.com Dictionary, Merriam-Webster, https://www.merriam-webster.com/dictionary/stress. Accessed 10 Sep. 2020.

2. References: Handbook of Preventative and Therapeutic Nutrition by James M. Gerber,M.S., D.C.
3. Prescription for Nutritional Healing (3^rd edition), Phyllis A. Balch, CNC
4. Thomas Souza, (2018) Differential Diagnosis and Management for the Chiropractor 

*Please consult your doctor (M.D. who is monitoring your condition) about the above supplements.

 

 

 

Incredibly, 90 to 95% of diabetics in the United States have type 2 diabetes.  This is the type that is able to be reversed or prevented.  In fact, Type 2 diabetes may affect as many as 20% of the senior U.S. population (ages 65 to 74 years). Approximately 5.4 million adults in the United States have undiagnosed type 2 diabetes.  However, many cases can be avoided by making appropriate lifestyle changes.

In people with diabetes, glucose builds up in the bloodstream leading to hyperglycemia. If it is not properly controlled, diabetes can lead to heart disease, kidney disease, edema, nerve damage, and infections of the mouth, gums, lungs, skin, feet, bladder, and genital areas. And skin sores may develop and fail to heal properly. Chiropractor in West Palm Beach: Diabetes Mellitus and Nutrition is about nutritional supplementation/diet and lifestyle changes to help diabetes mellitus.

Chiropractor in West Palm Beach:  What is Diabetes Mellitus?

Diabetes mellitus is a disorder that results in chronic hyperglycemia (high blood sugar) due to absence of insulin, decreases in insulin, and/or decreased sensitivity of insulin receptors (areas on the outer part of a cell that allow the cell to join or bind with insulin that is in the blood). Generally, Diabetes mellitus is evident in two forms: (1) type 1, insulin-dependent diabetes mellitus, and (2) type 2, non-insulin-dependent diabetes mellitus. Usually, type 1 diabetes becomes apparent in childhood or adolescence.  And type 2 diabetes shows up later in life (over the age of 40).

Microvascular complications of diabetes are those long-term problematic changes to small blood vessels. Unfortunately, it can lead to various health problems such as: retinopathy (disease of retina of eye), nephropathy (kidney disease), and neuropathy (nerve damage disease).

Moreover, it is estimated that 40% of  people in the United States are prediabetic according to the U.S. Centers for Disease Control and Prevention. Also, it appears long-term damage occurs in the pre-diabetic state (especially to the cardiovascular system) prior to the full development of diabetes. 

 

Doctors diagnose diabetes by measuring blood sugar levels. The categories and criteria for diabetes are:

 

Pre-diabetes	Diabetes
-pre-diabetes at 100 mg/dL for a Fasting Plasma Glucose (FPG)	-fasting plasma glucose (FPG) level of 126 mg/dL or higher
-140 mg/dL for an oral glucose tolerance test (2 h PG; OGTT).	-a 2-hour plasma glucose (2 h PG; glucose tolerance test) of 200 mg/dL or higher
	-patients with apparent signs and symptoms of diabetes with a random plasma glucose concentration of 200 mg/dL or higher

Chiropractor in West Palm Beach:  PHYSIOLOGY regarding Diabetes Mellitus

 

Firstly, your Glycemic metabolism is controlled by the interaction of insulin (which has mainly a hypoglycemic/lowers sugar or glucose function) and hormones that are referred to as counterregulatory.

Secondly, these counterregulatory hormones include glucagon (hormone that your pancreas makes to help regulate your blood glucose), epinephrine/norepinephrine (chemical messengers also known as adrenaline, that play an important role in the body’s fight or flight response), cortisol (steroid hormone that is produced by your 2 adrenal glands, helps in immune response and metabolism), and growth hormone (secreted by pituitary and helps metabolism).

Thirdly, in general, these hormones act to stimulate glycogenolysis (happens in the liver and kidney to produce glucose for balancing the blood sugar) and gluconeogenesis (process in the liver when glucose is formed from non-carbohydrate sources).

Fourthly, Catecholamines (e.g. adrenaline) in particular, suppress insulin secretion and stimulate hepatic (liver) glucose production.

Fifthly, the hypoglycemic function of insulin is various.  This includes promoting the uptake of glucose by mainly muscle and adipose tissue (fat), inhibiting the breakdown of glycogen (promotes glycogen/”glucose”stores), and inhibiting the production of other sources of energy such as from free fatty acids.

Lastly, Diabetes mellitus is a disorder in which your body does not produce enough or respond normally to insulin, causing blood sugar (glucose) levels to be abnormally high. The body may not produce enough insulin to move the glucose into the cells. Also, the cells may stop responding normally to insulin (insulin resistance).  Finally, the resulting high levels of glucose in the blood and the inadequate amount of glucose in the cells together produce the symptoms and complications of diabetes.

Symptoms of diabetes may include:

-increased urination and thirst

-loosing weight even if not trying to

-Diabetes can damage nerves and cause problems with the sense of touch

-Diabetes can damage blood vessels and increase the risk of heart attack, stroke, chronic kidney disease, neuropathy and vision loss.

Chiropractor in West Palm Beach:  Risk Factors for Diabetes Mellitus

Type 1 diabetes is an autoimmune reaction (the body attacks itself by mistake). Risk factors include:

• Family history: a parent, brother, or sister with type 1 diabetes.
• Age: While you can get type 1 diabetes at any age, it typically develops in children, teens, or young adults.

Chiropractor in West Palm Beach: Prediabetes and Type 2 Diabetes

So Prediabetes and type 2 diabetes have similar risk factors. To start with, if you already have prediabetes, this is an added risk factor to develop type 2 diabetes. Additional risk factors are:

-Are overweight or obesity.

-Are age 45 or older.

-Your parent or sibling has type 2 diabetes.

-Are physically active less than 3 times a week.

-Have non-alcoholic fatty liver disease

-You had gestational diabetes (diabetes during pregnancy) or given birth to a baby who weighed over 9 pounds.

-Are an African American, Hispanic or Latino, American Indian, or Alaska Native person. Some Pacific Islander people and Asian American people also have a higher risk.

 

Chiropractor in West Palm Beach:  Helpful Supplementation/Nutritional Recommendations for Diabetes Mellitus

Alpha-lipoic acid– may be helpful for peripheral nerve damage in diabetic patients. And helps control blood sugar levels.

Chromium picolinate – may improve glucose tolerance

L-carnitine plus L-glutamine plus taurine– helps mobilize fat, decreases sugar cravings and aides in activating insulin.

Quercetin- protects the eyes from damage due to diabetes

Raw adrenal glandular and raw pancreas glandular and thyroid glandular-  Aids in rebuilding and replenishing these organs.

Vitamin B complex – helps improve glucose tolerance

Plus extra Biotin (vitamin B7)- May improve glucose tolerance and reduce pain from diabetic neuropathy.

Inositol– type of hormone like compound. May help improve diabetic neuropathy.

Vitamin B12 plus folic acid- helps diabetic neuropathy

CoenzymeQ-10 plus Coenzyme A– helps glucose tolerance and stabilizes blood sugar.

Magnesium– may improve insulin production

Manganese– may help with repair and metabolism

Psyllium husks– good fiber source and mobilizes fat

Evening Primrose Oil– improves diabetic neuropathy

Aloe Vera Juice- May lower blood sugar levels

D-Vitamin D- Helps maintain good blood flow in patients with diabetes who live in climates where don’t get enough sunshine.

A-Vitamin A with carotenoids– antioxidant that helps the eyes

C-Vitamin C with bioflavonoids-may help slow complications due to diabetes (vascular problems)taken in normal amounts.

E-Vitamin E– helps improve glucose tolerance

Calcium– helps lower the risk of diabetes

Copper complex– helps metabolism.  Imbalance of copper may lead to progression of diabetes

Maitake extract– helps with glucose tolerance

Multienzyme complex plus proteolytic enzymes- Good digestion is essential for diabetes recuperation

Pantethine- (Pantothenic acid form) In some studies, pantethine seems to lower levels of cholesterol and triglycerides in people with diabetes.

Pycnogenol or grape seed extract- antioxidant for connective tissue and may help blood sugar levels

Garlic- Enhances immunity and improves circulation.

Gymnema- May help  fight sugar cravings and lower high blood sugar

Asian Ginseng- May help with production of insulin and help with activating more insulin receptors

Herbs: Cedar Berries (for the health of the pancreas), Fenugreek seeds (may support blood glucose control), Huckleberry (helps body with protection against diabetes complications),  Juniper berries (might help lower blood sugar), dandelion root and uva ursi (for blood sugar levels and clearing of toxins)

 

Chiropractor in West Palm Beach: Diet/Lifestyle for Diabetes Mellitus

First, Eat a low-fat, high-fiber diet.  Be sure to include plenty of raw fruits and vegetables. Fiber helps to reduce blood sugar spikes and keeps you full. Subsequently, oat or rice bran crackers with nut butter or cheese are great between meals. Legumes, root vegetables, and whole grains are additional sources of carbohydrates and protein.

Second, complex carbohydrate intake is important. Similarly, High-glycemic foods such as white rice/ flour products, starchy vegetable (potatoes), and many processed foods are converted into blood sugar during digestion very fast.  Your insulin level will spike. Instead, eat Carbohydrates found in low-glycemic foods such as asparagus, broccoli, cabbage, green beans, and low-starch vegetables and fruits. These are converted into blood sugar more slowly (raises insulin levels slowly).  

Third, Omit saturated fats, trans fats, hydrogenated or partially hydrogenated oils, and simple sugars (except to balance an insulin reaction). Good fats and oils include extra virgin olive oil, fish oil, almond oil and butter, avocados, nuts, and seed oils such as sesame, flax, sunflower, and pumpkin. Substituting polyunsaturated fats such as these and other vegetable oils also decreases cognitive decline in people with diabetes.

Fourth, among many studies emphasizing the need for exercise in reducing the morbidity (condition of suffering from a disease or medical condition) of diabetes, some indicate minor lifestyle changes may affect mortality (relating to death).

For example, in an 8-week walking program of 10,000 steps/day for women, the benefits of improved glucose tolerance and a reduction in blood pressure was realized.

Chiropractor in West Palm Beach: What is Diabetic Neuropathy?

With Diabetic Neuropathy, you will typically have low back pain along with burning pains in the lower extremities (limbs) and poor balance. Also, it can affect your arms and hands with numbness and pain. Indeed, neuropathy is a diabetes complication that causes nerve damage throughout your body.  Hence, about half of all people with diabetes have some form of neuropathy. Furthermore, it is more common in those who have had diabetes for many years. 

In one study a patient with diabetic neuropathy was treated with chiropractic manipulation to the intertarsal and mortise joints (foot and ankle joints) and chiropractic myofascial therapy to the quadratus plantae muscles (muscle at bottom of foot) 18 times over 4 months. This treatment brought about dramatic improvement in both symptoms and clinical signs of nerve function. (1)

In conclusion, the study found that joint dysfunction may play a role in susceptibility to diabetic neuropathy and the treatment brought about improvement. Therefore, chiropractic treatment may bring about improvement by normalizing joint and nerve function in the areas affected.

Chiropractor in West Palm Beach: Diabetes Mellitus and Nutrition

Diabetic Neuropathy can be helped naturally at Meiri Chiropractic.  Most certainly, this involves spinal adjustments or extremity (limbs) manipulation and soft tissue techniques along with the use of modalities (i.e. heat therapy, electric muscle stimulation) and rehabilitation/home exercises.

Are you suffering from diabetic neuropathy?  As holistic health care professionals, chiropractors are health care providers who discuss and help implement nutritional changes for our patients as well.  Your chiropractor in West Palm Beach can help you manage your neuropathy symptoms and improve your overall quality of life. Call 561-253-8984 today!

 

 

References: Handbook of Preventative and Therapeutic Nutrition by James M. Gerber,M.S., D.C.

Prescription for Nutritional Healing (3^rd edition), Phyllis A. Balch, CNC

Thomas Souza, (2018) Differential Diagnosis and Management for the Chiropractor

 

*Please consult your doctor (M.D. who is monitoring your condition) about the above supplements.