For many people, the term “whiplash” conjures up a fairly uncomfortable image: being rear-ended by another car and having your head suddenly snapped back and forth by the impact.
Despite innovations in automotive design, whiplash injuries have become increasingly frequent in the past 30 years. Symptoms of whiplash can include serious and lingering neck pain, back pain, headaches and dizziness; no single effective treatment has been identified to deal with this chronic, frustrating condition.
But help may be on the way. A recent study in the journal of Spine suggests that early, active treatment is most effective for managing whiplash symptoms. In the study, “active” treatment consisted of repetitive motion exercises performed at home (10 times every hour, beginning within 96 hours of injury); “standard” treatment involved home exercises performed only a few times each day, starting two weeks after injury.
Results showed that 38% of patients receiving immediate, active treatment reported “no pain” at six-month followup, compared to only 5% of patients receiving delayed standard treatment. The authors note that this type of active home treatment is an “ideal form of rehabilitation” because it expends only small resources within the health care system.
It’s time to whip whiplash! If you or someone you know is suffering from whiplash, schedule an appointment today with us at Laurel Regional Chiropractic.
Reference: Rosenfeld M, Gunnarsson R, Borenstein P. Early intervention in whiplash-associated disorders. A comparison of two treatment protocols. Spine 2000: Vol. 25, No. 14, pp1782-87.
Dr. David P. Chen
Chiropractor in Laurel, MD 20708
Laurel Regional Chiropractic
Showing posts with label back pain. Show all posts
Showing posts with label back pain. Show all posts
Monday, March 28, 2011
Wednesday, March 24, 2010
Golf Injury Prevention
There are three phases to the golf swing, each of which can cause injury if executed incorrectly. Additionally, there are specific exercises you can perform to help reduce your risk of hurting yourself during that particular swing phase.
Phase 1: Take-Away. The take-away consists of the set-up movement to the top of the back swing. During this phase, the most common potential injuries involve the thumb and wrist, particularly on the lead hand. Here is an effective workout for the muscles of the wrist, hand and forearm. To begin, stand with your feet shoulder-width apart holding a 5-pound dumbbell in your right hand. Keeping your arm to your side and using only your wrist, raise the dumbbell as high as you can and lower it as far as you can. Do two sets of 12 reps. Next, do another two sets of 12 reps, but while moving your wrist from side to side as far as you can. Repeat this entire workout with the dumbbell in your left hand.
An advanced workout for your wrists would be to take a barbell/dumbbells with a weight you can handle, anywhere from 10-45 pounds, and do three exercises back to back to back without rest. Start with your feet shoulder width apart and grab the weight with your hands facing down, shoulder-width apart, held which each thumb. Reverse-curl the weight up toward your body, flexing the forearm as you finish the movement at the top. Do 10 reps.
Phase 2: Impact. The next phase of the swing is the impact, which consists of the downswing and impact with the ball. The most common injuries during this phase are attributable to stress on the back knee and compression forces acting on both wrists. Additionally, the lead elbow and hand/wrist are often hurt during impact.
In terms of exercises that can help prevent these injuries, leg extensions/leg curls and abduction/adduction exercises (almost all fitness clubs have equipment for these types of exercises), along with regular stretching and massage, are extremely effective for the legs. Triceps pushdowns using a reverse grip with the hands facing up is an excellent exercise for the triceps and will help to prevent injury to the elbows. High-intensity training (one set to muscle exhaustion for each exercise, using slow, deliberate movements) works well and is a safe method of training for all the exercises above. For the legs, do 12-15 reps; for the triceps/elbows, do 8-12reps.
Phase 3: Follow-Through. Finally, there is the follow-through after impact. During this phase there is abdominal torque and risk of spinal injury. I recommend training the oblique muscles (essentially the sides of the abdomen) using a trunk rotation machine, twisting slowly in a circular fashion for 12-15 reps, and a lower back extension machine for 12-15 reps. Do not use heavy weights for these exercises and make sure to do them slowly and eliminate momentum. These exercises will help strengthen the core muscles and help prevent back injuries.
Source: To Your Health, February 16, 2010 [Volume 4, Issue 5]
Dr. David Chen
Chiropractor in Laurel, MD
Laurel Regional Chiropractic
Phase 1: Take-Away. The take-away consists of the set-up movement to the top of the back swing. During this phase, the most common potential injuries involve the thumb and wrist, particularly on the lead hand. Here is an effective workout for the muscles of the wrist, hand and forearm. To begin, stand with your feet shoulder-width apart holding a 5-pound dumbbell in your right hand. Keeping your arm to your side and using only your wrist, raise the dumbbell as high as you can and lower it as far as you can. Do two sets of 12 reps. Next, do another two sets of 12 reps, but while moving your wrist from side to side as far as you can. Repeat this entire workout with the dumbbell in your left hand.
An advanced workout for your wrists would be to take a barbell/dumbbells with a weight you can handle, anywhere from 10-45 pounds, and do three exercises back to back to back without rest. Start with your feet shoulder width apart and grab the weight with your hands facing down, shoulder-width apart, held which each thumb. Reverse-curl the weight up toward your body, flexing the forearm as you finish the movement at the top. Do 10 reps.
Phase 2: Impact. The next phase of the swing is the impact, which consists of the downswing and impact with the ball. The most common injuries during this phase are attributable to stress on the back knee and compression forces acting on both wrists. Additionally, the lead elbow and hand/wrist are often hurt during impact.
In terms of exercises that can help prevent these injuries, leg extensions/leg curls and abduction/adduction exercises (almost all fitness clubs have equipment for these types of exercises), along with regular stretching and massage, are extremely effective for the legs. Triceps pushdowns using a reverse grip with the hands facing up is an excellent exercise for the triceps and will help to prevent injury to the elbows. High-intensity training (one set to muscle exhaustion for each exercise, using slow, deliberate movements) works well and is a safe method of training for all the exercises above. For the legs, do 12-15 reps; for the triceps/elbows, do 8-12reps.
Phase 3: Follow-Through. Finally, there is the follow-through after impact. During this phase there is abdominal torque and risk of spinal injury. I recommend training the oblique muscles (essentially the sides of the abdomen) using a trunk rotation machine, twisting slowly in a circular fashion for 12-15 reps, and a lower back extension machine for 12-15 reps. Do not use heavy weights for these exercises and make sure to do them slowly and eliminate momentum. These exercises will help strengthen the core muscles and help prevent back injuries.
Source: To Your Health, February 16, 2010 [Volume 4, Issue 5]
Dr. David Chen
Chiropractor in Laurel, MD
Laurel Regional Chiropractic
Thursday, March 11, 2010
Poor posture can lead to poor health
Prevention and awareness is the best care for health-related problems. One of the easiest and most logical ways to prevent bad posture habits is to think about the consequences.
1. Tension Headaches: Sitting hunched over at your job, most commonly caused by your hands reaching for the keyboard when typing on your computer leads to your shoulders and head slumping forward. This posture tightens the muscles in your neck, upper back and shoulders. After awhile, the tightness causes nerve irritations and muscle spasms which restrict proper flow of blood to the back of your head. This leads to tension headaches.
2. Diminished Breathing: Poor posture can lead to severe kyphosis (hunched back) causing the torso collapse leading to breathing difficulties. Rounded shoulders and overly bent or imbalanced spine restrict the expansion of the rib cage, which restricts the rise and fall of the breathing diaphragm. Reduced rib and spinal mobility will affect the normal breathing movement. If the diaphragm can't rise, it won't be able to draw in as much oxygen during inhalation.
3. Fatigue: Fatigue is one of the most common causes of bad posture. Tired and tight muscles cannot support the skeleton as they are designed to do. Your muscles have to work extra hard just to hold you up if you have poor posture, leaving you without energy. Lack of adequate muscle flexibility and strength, abnormal joint motion in the spine and other body regions will lead to overall muscle fatigue.
4. Make you look older: Never underestimate the beauty and health benefits of good posture. Often poor posture is just a bad habit that is easily corrected. Poor posture not only makes you look older, but could be the first step toward dowager’s hump, double chin, potbelly, and swayback as well as some internal problems too. When a person is hunched over or not standing straight that person may be perceived as older than they actually are. Good posture is not only beneficial to your body; it also makes you look taller and slimmer. What's more, good posture can convey self-confidence, which may just be the best accessory you can have.
5. Back pain: Most common consequence of poor posture, due to muscle strain, especially lower back pain. The back muscles, ligaments, and discs are under extra stress when the spine is not in proper alignment. Strong muscles help keep the spine in proper alignment and prevent back pain. Strong muscles also prevent the spine from extending beyond its normal range of motion, which is essential to protecting the ligaments and disks from injury.
Source: T. Moses Public Relations and Consulting, http://tmosespublicrelations.com
Dr. David Chen
Chiropractor in Laurel, Maryland
Laurel Regional Chiropractic
1. Tension Headaches: Sitting hunched over at your job, most commonly caused by your hands reaching for the keyboard when typing on your computer leads to your shoulders and head slumping forward. This posture tightens the muscles in your neck, upper back and shoulders. After awhile, the tightness causes nerve irritations and muscle spasms which restrict proper flow of blood to the back of your head. This leads to tension headaches.
2. Diminished Breathing: Poor posture can lead to severe kyphosis (hunched back) causing the torso collapse leading to breathing difficulties. Rounded shoulders and overly bent or imbalanced spine restrict the expansion of the rib cage, which restricts the rise and fall of the breathing diaphragm. Reduced rib and spinal mobility will affect the normal breathing movement. If the diaphragm can't rise, it won't be able to draw in as much oxygen during inhalation.
3. Fatigue: Fatigue is one of the most common causes of bad posture. Tired and tight muscles cannot support the skeleton as they are designed to do. Your muscles have to work extra hard just to hold you up if you have poor posture, leaving you without energy. Lack of adequate muscle flexibility and strength, abnormal joint motion in the spine and other body regions will lead to overall muscle fatigue.
4. Make you look older: Never underestimate the beauty and health benefits of good posture. Often poor posture is just a bad habit that is easily corrected. Poor posture not only makes you look older, but could be the first step toward dowager’s hump, double chin, potbelly, and swayback as well as some internal problems too. When a person is hunched over or not standing straight that person may be perceived as older than they actually are. Good posture is not only beneficial to your body; it also makes you look taller and slimmer. What's more, good posture can convey self-confidence, which may just be the best accessory you can have.
5. Back pain: Most common consequence of poor posture, due to muscle strain, especially lower back pain. The back muscles, ligaments, and discs are under extra stress when the spine is not in proper alignment. Strong muscles help keep the spine in proper alignment and prevent back pain. Strong muscles also prevent the spine from extending beyond its normal range of motion, which is essential to protecting the ligaments and disks from injury.
Source: T. Moses Public Relations and Consulting, http://tmosespublicrelations.com
Dr. David Chen
Chiropractor in Laurel, Maryland
Laurel Regional Chiropractic
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