Thursday, February 25, 2010

Is There An Easier Way To Stretch Hamstrings?

Most of the patients that come to my office sit at a computer all day. (Who doesn’t these days?) I also seem to have more than my share of people that are active in running and working out, but not necessarily taking the time to stretch.

Since sitting all day at the computer is limited in its movements, the same areas of their bodies seem to get tight and stressed. One of the primary muscle groups that seems to lead to a lot of low back pain is having tight hamstrings. The hamstrings are the muscles at the back of your thigh. Can you bend down and touch your toes? If not, and you feel pulling at the back of your thighs, you probably have tight hamstrings.

Another test would be if you lay flat on your back, how high can you lift one leg at a time before your knee starts to bend, or before you start to get so much tightness that you can’t go up any further. If you can’t make it to 90 degrees, your hamstrings are too tight. If you can’t make it past 30 degrees, like a lot of patients, you are in trouble and need to get moving on regular stretching.

At this point, I do have to warn you that you should consult with a physician before attempting any exercise program. Done!

If you try to stretch your hamstrings in the most common ways; from a standing position and then bending over, or sitting on the floor with your legs stretched out in front of you and then try to reach your toes, you may be having trouble. Take a look at someone holding this position. They are doing more stretching to their backs then they are to their hamstrings. That’s because in order to hold that position, they have to be at 90 degrees! Which is the point you want to get to anyway!

Since you can’t do that, your back compensates and you reach out with your neck and strain you back. Try this instead: Sit at the edge of a chair or bench. Reach one leg out in front of you with your leg straight and your foot pointing straight up. Keep good posture and just reach as far as you comfortably can. If you feel a good stretch, then hold it for 30 seconds and then repeat. If you feel sharp pain or anything other than a stretch, back off until you get back to the right position.

It’s also way better to stretch after you’re already warmed up too, like after working out or having walked for ten to fifteen minutes. You’ll get a lot more out of the stretch and have fewer complications.

Thursday, February 18, 2010

Why Don't More People See Chiropractors?

According to various polls and questions asked of the public, more than 50% (sometimes 60%) of the population indicate they would consider visiting a chiropractor. For the last forty years, the percentage of people that actually do so has remained the same. While more people are seeing chiropractors than ever before, consistently only 10% of the population does so.

Why? If so many people would consider chiropractic as an alternative to other medical choices, why don’t they actually do it when the need arises?

They don’t know what to expect.

Most people have gone to see a medical doctor. They have an overall understanding of what they can expect when they walk in the office. They expect a little window, to be handed some paperwork to fill out, and then eventually get a chance to visit the doctor and tell them where it hurts. They also know that they’ll likely be handed a prescription that will help their symptoms and they can be on their way.

What happens when they go to see a chiropractor? That’s just it. They don’t really know. They assume it’s similar to a visit to an MD, except that instead of a prescription the chiropractor is likely to “pop” something. Do they really need something “popped”? They’re not sure so they go with what they know.

They don’t know if their condition can be helped with chiropractic care.

They think of chiropractors as helping with auto accidents and low back pain (if you just go by the most common advertisements seen), but they don’t have that. They have headaches, or neck pain, or shoulder pain. Can a chiropractor help with that? They look at a couple of yellow page ads or run through some websites. Some say they do, some don’t say anything about it.

Can they get help by seeing the chiropractor? Again, they’re not sure so they just go back to what they know. They want relief and they want it fast. They’ve gotten relief before by getting a prescription so once again they find themselves at their physician’s office.

They don’t know who to see.

All the chiropractic ads say different things. Activator Methods? Gonstead? Palmer Graduate? Do I need that? Is one really better than the other? This guy seems okay, he’s wearing a white coat and advertising “decompression.” Do I need to be decompressed? All of the chiropractors seem to be advertising slightly different things, while the medical doctor offices all seem to be closer to the same.

There can be a lot of confusion about visiting a chiropractor. While many chiropractors offer an initial no-charge consultation, most people just aren’t going to sit through a consultation when what they really want is pain relief as quickly as possible. It’s really up to the chiropractic profession to continue to educate and get a consistent message out there so people will know what to expect, which conditions are regularly treated, and understand some of the terminology that is out there when it comes time to make their choice.

Thursday, February 11, 2010

Back Pain: It's Not Always What It Used To Be

If you ignore a back problem, it will likely not go away on its own. Sometimes you can get through an episode when it’s early in the condition with some over the counter medications and rest. So you’d think. If the underlying problem is never addressed, the back pain problem is there to resurface again at a later date.

Usually when the pain returns, it hurts a little bit more and lasts a little bit longer. Over time, the episodes will start to show up more frequently until the person takes the actions necessary to create a more substantial healing. (Hopefully they go to see a chiropractor and get their spine in its proper alignment instead of relying on stronger and stronger medications.)

More often than not, the person dealing with the back pain follows their doctor’s orders and concern themselves with their back only when the pain shows up. Then they return to doing all the same things that led them to the the problem in the first place. Then the symptoms return and they show back up to their doctor.

“I know what I’ve got, doc. Last time you told me it was my L5 disc.” They then expect you to do what you did last time, give them the relief in the same time frame you gave it to them last time and they can get on with their lives. Sometimes it happens just like that, sometimes the episode takes a couple of extra days to return back to normal.

Eventually, they’ll get the same condition, they’ll show back up to your office, expect the same results… and they won’t happen. The doctor will end up doing more tests and discover that they don’t just have an “L5 disc” problem anymore. They now have L4 and L5 and the sciatic nerve is being compressed. The previously minor disc bulge at L5 has turned into a full blown disc herniation with potentially more invasive treatment needed to alleviate the pain.

How could this have been avoided? Once you’ve been notified that you have a back problem, seek relief from the pain first. Once the pain is gone, you must distinguish that your “pain” and your “problem” are two different things. Celebrate the relief of your pain, but evaluate what may have led to the problem in the first place.

Are you strengthening your back muscles? Are you getting enough exercise? How are your daily activities contributing to the problem and how can they be modified. Don’t accept your back condition and assume it will never change or get worse. Most of them can and do get worse over time.

Thursday, February 4, 2010

Get Healthy! Just Do One Thing At A Time.

If you’ve started to notice that your health is declining and it’s time to do something about it, you’re probably wondering where to start. You know you don’t feel good, you know you’re not doing enough healthy things for yourself, but it can all be a bit overwhelming. Even if your primary goal is to drop a few pounds and just feel better… which action should you take first?

One school of thought is to take massive action. This is certainly a good thing and has helped many overcome great obstacles. Taking massive action should lead to massive results. However, when it comes to changing your health, which massive action should you take? Go and buy every vitamin in the store? Run laps around your block until your legs won’t move? Schedule appointments with a chiropractor, personal trainer, massage therapist, and psychologist?

My suggestion is to take massive action… on one thing at a time. Pick something. It doesn’t have to be anything other than something that will move you closer to a long term goal of being healthy. To me, that would mean that I’m an appropriate weight, I’m generally free of pain, I have lots of energy, and my moods are pretty consistent in a positive way.

The major categories are going to be eating better and exercise.

Eating right can start with eliminating the things that you know are bad for you that you regularly eat. Too many sodas? Trips to the vending machine? Double frappacinos with whip? Something just popped into your head and you know it’s been slowing leading to a decline in your health. Pick one and let it go.

Bring your lunch to work a couple of days per week or find something healthy that you can eat at least once per day. Start taking a decent multi-vitamin if you’re not doing so already and drink a lot more water. Just do something healthy.

Once you’ve got this habit formed and are starting to feel pretty good about your results, time to reassess and eliminate something bad and add in something good. Keep this up until you get where you want to go.

What about exercise? I have to admit, doing this regularly is not always the easiest thing for me. I say it’s about spending the time and effort, but I think it’s more about not spending the time finding something that I really enjoy doing. You don’t have to start an exercise program by planning to run a marathon (unless that helps you get motivated).

Walking 1 mile and running 1 mile burn about the same amount of calories since it takes longer to walk that same distance. Find ways to walk more, even if it just means parking your car further away from the building at work. You can do it, but you have to start somewhere and that means taking action towards your goal.

You can get healthy, really! It’s possible for those that are willing to make the effort. If your health has declined to such a degree that you need professionals to help you heal and feel better, then by all means do that too. Take massive action… just do it on one thing a time.