Physical Therapy and Back pain

Core stabilization, or core strengthening has been around for many years and has been ‘borrowed’ by sports performance training programs, exercise programs such as Yoga, Pilates and Boot Camps. In Physical Therapy and rehabilitation, core stabilization means that activation of the trunk muscles must occur first in order for us to create a stable base of support that allows us to move our arms and legs. Making the trunk muscles stronger keeps the spine stable and helps the body stay balanced with movement; preventing falls and injury. In other words: core=balance and stability and therefore less back pain.

While those banging six packs (see also, me J) look great down at the ocean, that in and of itself is not the core. The “core” muscles run the entire length of the torso from the hips to the shoulders. When these muscles contract, they stabilize the spine, pelvis and shoulder girdle and create a solid base of support. This allows us to stand upright and move on two feet, shift our weight and move in any direction. This distribution of weight protects the back from injury. An effective core conditioning program needs to target all muscles of the core to be effective.

Exercises that Build Core Strength:

The most effective core strengthening exercises work the torso as a solid unit with both front and back muscles contracting at the same time. The most basic core strengthening exercise is Abdominal Bracing where you try to pull your navel in toward your spine without holding your breath. Most core strengthening exercises don’t require equipment and include:

• Planks: Position yourself face down on hands and balls of feet. Straighten arms. Tighten stomach muscles and lift hips to form a straight line from head to toe. Hold 15-30 seconds. Do not let hips sag to the floor.

• Basic Push Up: Position yourself face down with hands under shoulders and on balls of feet. Tighten stomach muscles and bend elbows to lower chest towards the ground. Keep neck in neutral by gazing towards floor. Straighten elbows to complete one repetition. Do not let hips sag to the floor.

• Bridging: Lay face up on flat surface, knees bent and arms by sides. Slowly raise buttocks and hips, keeping stomach tight. Slowly lower hips again. This completes one repetition.

• Supermans: Lay face down on flat surface with arms stretched overhead and straight legs. Tighten stomach muscles and simultaneously lift arms and legs into the air a few inches then slowly lower them.

Other exercises include the use of stability balls, medicine balls, kettlebells, wobble boards, yoga and pilates. These particular exercises should only be performed under the supervision of a trained professional and when beginning any type of exercise program, always see us first. If done wrong or in pain, rehab exercises can actually worsen your condition.

Hey honey, does this skirt make my hip joints look rotated?

The American Chiropractic Association (ACA) recently released an article on the effect clothing and bags can have on the body. Generally, women (say it isn't so) more than men have clothing items that can lead to pain or discomfort- bags being one of the most common. Heavy bags, tight clothes, and many shoes that men and women wear can have negative effects on the body:

* Heavy bags (such as briefcases or handbags) can put strain on the side of your body that they are carried on. When traveling, swap the side that you use to hold your bag often. Try not to over-pack bags, and keep bulky and extra items out of your pocketbook or backpack.

* Shoes with proper support are ideal. High heels change how the body balances and can cause instability when walking, leading to problems with the feet and back. Try to bring a pair of flats with you to change into after wearing heels for a while.

* If you carry a bag with over 10% of your body weight, it can cause a significant shift in balance, as the body compensates for the additional weight and gets used to the sudden change. Take items out of your bag to reduce weight, and use a bag that has a long, wide strap.

* Even keeping your wallet or ATM cards in your back pants pocket can create misalignment while sitting. Sitting all day with your wallet on one side can lead to problems with your back, spine, and hips.

Remember to pick clothing, shoes, and luggage that are lightweight, symmetrical, and provide freedom of movement. Take breaks to stretch when standing or sitting for long periods of time, and try to wear clothes that are non-restrictive for the majority of your time. Changes in balance and your center of gravity can affect your entire body. And over time those imbalances ferment into big problems. Chiropractic can help alleviate these imbalances, and the problem. If you or anyone you know is suffering from pain brought on by an imbalance-or any other reason-give us a call.

-Dr Shawn R Lee, Chiropractor.
Susquehanna Spine & Rehab; Chiropractic, Physical Therapy and Massage in Bel Air & Abingdon Maryland. 

Hey honey, does this skirt make my hip joints look rotated?

The American Chiropractic Association (ACA) recently released an article on the effect clothing and bags can have on the body. Generally, women (say it isn't so) more than men have clothing items that can lead to pain or discomfort- bags being one of the most common. Heavy bags, tight clothes, and many shoes that men and women wear can have negative effects on the body:

* Heavy bags (such as briefcases or handbags) can put strain on the side of your body that they are carried on. When traveling, swap the side that you use to hold your bag often. Try not to over-pack bags, and keep bulky and extra items out of your pocketbook or backpack.

* Shoes with proper support are ideal. High heels change how the body balances and can cause instability when walking, leading to problems with the feet and back. Try to bring a pair of flats with you to change into after wearing heels for a while.

* If you carry a bag with over 10% of your body weight, it can cause a significant shift in balance, as the body compensates for the additional weight and gets used to the sudden change. Take items out of your bag to reduce weight, and use a bag that has a long, wide strap.

* Even keeping your wallet or ATM cards in your back pants pocket can create misalignment while sitting. Sitting all day with your wallet on one side can lead to problems with your back, spine, and hips.

Remember to pick clothing, shoes, and luggage that are lightweight, symmetrical, and provide freedom of movement. Take breaks to stretch when standing or sitting for long periods of time, and try to wear clothes that are non-restrictive for the majority of your time. Changes in balance and your center of gravity can affect your entire body. And over time those imbalances ferment into big problems. Chiropractic can help alleviate these imbalances, and the problem. If you or anyone you know is suffering from pain brought on by an imbalance-or any other reason-give us a call.

-Dr Shawn R Lee, Chiropractor.
Susquehanna Spine & Rehab; Chiropractic, Physical Therapy and Massage in Bel Air & Abingdon Maryland. 

Killing yourself with kindness

 Nice guys finish last? You have heard that one, but what about nice people die first? It's true. According to Dr. Gabor Mate', a palliative care physician turned addiction specialist, noted that in his many years of practice, those people who died young of chronic diseases were people who could not say no; those who went out of their way to be helpful, accommodating etc.

I'm not saying be a jerk. It was not those who helped their fellow man, it was those who had a pathological need to be validated. They usually had a psychological or emotional trauma in their life that left a hole in their soul that needed to be filled. Sometimes they turned to addiction, other times to self-loathing.

Physiologically, what happened to them, and what happens to all of us is the same-just more grand. What we have come to think is normal, is actually stress. Getting 3 girls out of bed, dressed (and keeping them dressed and somewhat happy in their outfit and hairstyle), finding something for breakfast, getting them to eat it; getting them to school on time; driving down the colossal mess that is Wheel Rd; getting to work, finding a parking spot, hoping staff makes it on time, dealing with insurance companies; repeat. This facilitates my sympathetic nervous tone (think fight or flight), increases cortisol production, creates tissue anoxia (no oxygen in organs and tissues) and creates central nervous system sensory disturbances (jacks up the nerves). Well, all that lowers immunity; degenerates the joints, eats muscles and shuts down the liver; raises blood pressure, cholesterol formation, abnormal hormone function, and promotes inflammation. In other words-disease; name a disease, any disease and at its core is inflammation.

Other than regular chiropractic care to reset the nervous system, reverse catabolic hormone production, undue stress on the joints and make you better looking; what can you do? Massage. The physical, chemical and emotional effects of massage are proven to fight stress and prevent disease.