What Exactly is “Ergonomics”?

The term ergonomics stems from the Greek words ergon (work) and nomos (laws). According to the US Occupational Safety and Health Administration, ergonomics is defined as “the science of fitting workplace conditions and job demands to the capabilities of the working population.” Good ergonomics in the workplace is key to maintaining our body’s proper health and function, and it can have a major effect on the quality of our work.

Ergonomics involves the physical stressors in our workplace as well as related environmental factors. For example, physical stressors are any activities that put strain on the bones, joints and muscles. These can involve things such as performing repetitive motions, vibrations, working in awkward positions and actions using excessive force. Environmental factors that contribute to bad ergonomics include loud noise, bad indoor air quality and improper lighting.

Bad ergonomics can increase the risk of injury to the musculoskeletal system, causing conditions such as carpal tunnel syndrome, tendonitis and neck and back pain, as well as creating a range of other health problems, including sick building syndrome, eyestrain and hearing loss. However, there are steps you can take to improve your workplace ergonomics that can help reduce health risks.

Cumulative trauma disorders, such as carpal tunnel syndrome and tendonitis, are caused by repetitive motions such as typing. To prevent this, set up your computer workstation in a way that allows your hands and wrists to be in as neutral a position as possible. When sitting at your desk, your chair should be at a height where your eyes are level with the top of your computer screen, and your arms are at a 45-degree angle for typing. Ensure that your wrists are not angled up or down or to the left or right. If your desk is too high to keep your forearms straight, raise the height of your chair and use a footrest to keep your feet from dangling.

Your chair should be at a height where your feet are flat on the floor or on a footrest, while keeping your knees just slightly higher than the level of the seat. The chair should provide some light support to your lower back (use a pillow, if necessary) while allowing you to move freely. The arms of the chair should support your lower arms while letting your upper arms remain close to your torso.

To reduce eyestrain, adjust ambient lighting to diminish glare and adjust the brightness and contrast until your eyes are comfortable reading. If you are working in a noisy area, use earplugs or headphones that cut ambient sound (but not set loud enough to damage your hearing!).

Good ergonomics also involves taking frequent breaks. Move around, get some fresh air and focus your eyes on things at varying distances.

 

Applied Kinesiology Found To Benefit Chiropractic Patients with Urinary Incontinence

Two American chiropractors have used applied kinesiology (AK) to aid the treatment of 21 patients experiencing urinary incontinence (UI), with considerable success.  Applied Kinesiology is a technique that uses the strength of a particular muscle (often a muscle in the arm) to diagnose problems in certain organs or in other parts of the body.  The practitioner places pressure on whichever of the patient’s muscles that corresponds the particular part of the body being assessed, and the amount of resistance it gives determines if there is a problem in that area.

Urinary incontinence affects 10% of men and 40% of women at some point in their lives, with women being particularly susceptible to UI following childbirth.  Current evidence suggests that weakness in the pelvic floor muscles, which leads to UI, can result from problems in other areas of the pelvis or lumbar spine as well as weakness in the pelvic floor itself.  Chiropractic manipulation may thus be of considerable benefit in correcting these problems with a concomitant improvement in the symptoms of UI.

Chiropractors Scott Cuthbert and Anthony Rossner assessed patients who had UI by using AK muscle testing to determine the presence and location of musculoskeletal disorders in the lumbar or pelvic regions.  The precise nature of the problem was then assessed by physical examination.  Muscle testing was again used to guide chiropractic manipulation treatment. Interventions that improved muscle strength were continued, and those that failed to do so were not pursued.  Patients were seen for up to thirteen treatments, and for no more than six weeks.

All of the patients treated experienced an improvement in UI symptoms, with nearly half (ten out of 21) reporting complete resolution of their condition following treatment.  It is particularly significant that ten of the patients had presented with long-standing symptoms of UI (at least five years, but greater than 40 years in two cases!).   Annual check-ups for at least two years confirmed that these improvements were maintained post-treatment.

In addition to positively demonstrating the benefit of using muscle testing techniques to aid with chiropractic diagnosis, this research is important in showing the relationship between UI symptoms and musculoskeletal weakness in parts of the lower back and pelvis.  A particular observation here was that the restricted breathing noted in many patients due to trauma to the diaphragm (and other muscle groups associated with inhalation such as the rectus abdominus and oblique abdominal muscles) was also found to impact on urinary continence.

This study suggests that combination of AK and chiropractic manipulation of the lower back and pelvis may be very helpful for patients with UI symptoms.  Please call us or visit our office with any questions.

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• The Types of Urinary Incontinence (neurogenicbladder.me)
• Simple Exercises to Fight Incontinence in Elderly Women (homeinsteadsonoma.com)

 

Shoulder Arthritis Causes and Treatment Options

While we generally think of arthritis as being associated with old age, shoulder arthritis is not uncommon among younger people as well. Any injury to the shoulder, such as a dislocation or a fracture, can eventually lead to shoulder arthritis.

The shoulder consists of two main joints. The first is the glenohumoral joint. This is a ball-and-socket joint in which the head of the upper arm (humerus) fits into the glenoid cavity of the scapula (shoulder blade). The second is the acromioclavicular. This joint is formed by the meeting of the collarbone (clavicle) with the top of the scapula (acromion).

Hyaline cartilage located on the ends of these bones generally allows for movement of the arm in the socket without friction, but a loss of cartilage here can cause the bones to rub against each other. Although not as common as arthritis in other parts of the body, shoulder arthritis can be extremely uncomfortable and debilitating. The principal symptom of shoulder arthritis is steadily worsening pain, especially when the arm is moved.  However, patients with this condition are also likely to experience considerable stiffness in the joint and weakness at the shoulder. Sleeping may become difficult as the condition worsens, especially on the most affected side.

Shoulder arthritis may be caused by any of the following:

1. Osteoarthritis.  This is the degenerative wearing of cartilage, especially at the acromioclavicular joint.
2. Loss of cartilage through acute traumatic injury to the shoulder, such as from a car accident, particularly when there has been a tear to the rotator cuff.
3. Rheumatoid arthritis, an inflammatory autoimmune disease in which the body attacks its own cartilage.

Both osteo- and rheumatoid arthritis are more prevalent in older people (osteoarthritis in particular tends to occur in those over age 50).  It’s not surprising that the overall incidence of shoulder arthritis is increasing as the general population ages.

Initial management of shoulder arthritis is usually non-surgical. Possible treatment options include:

• Chiropractic care
• Targeted exercise programs to increase shoulder mobility
• Heat and ice treatment
• Nutritional supplements such as glucosamine and chondroitin, both of which build cartilage and can slow joint degeneration
• Rest and shoulder immobilization
• Modifying shoulder movements to minimize irritation
• Non-steroidal anti-inflammatory drugs (NSAIDs)
• Corticosteroid injections and other medications may be used in the case of rheumatoid arthritis

The National Arthritis Foundation reports that regular chiropractic care can help prevent the damage caused by arthritis. Chiropractic treatment can help reduce pain and restore movement and increase range of motion in the shoulder joint.

In severe cases, surgery for shoulder arthritis can help to reduce pain and improve motion if non-surgical treatments are no longer working. Glenohumeral surgery can consist of either replacing just the head of the humerus with a prosthesis (hemiarthroplasty) or replacing the entire joint (both the humeral head and glenoid cavity, a total shoulder arthroplasty).

Related articles

• Intestinal bacteria linked to rheumatoid arthritis (sciencedaily.com)

 

Chiropractic Rehabilitation Significantly Helps Scoliosis Patients

Scoliosis is a condition in which the spinal column appears curved rather than straight when viewed from the back. Symptoms include pain, restricted upper body movement and, in more severe cases, increased pressure on the heart and lungs. The misalignment of the vertebrae that is associated with scoliosis tends to worsen with age due to an asymmetric degeneration of the spine that is produced by the abnormal curvature.  This means that effective early management of the condition is important. As yet, however, there have been few published studies of exercise and rehabilitation programs specifically designed to help patients with scoliosis.

Michigan chiropractor Mark Morningstar assessed the progress of 28 patients after chiropractic treatment for scoliosis and a six-month follow-up program of remedial exercise and rehabilitation techniques. The specific therapeutic interventions used by each patient at home were based on Active Reflex Correction in 3 Dimensions (ARC3D) and included the use of corrective weights, exercises that rotate the upper body, and foam blocks to bring the spine back into alignment.

Six months after the initial treatment, patients exhibited an average improvement of 10 degrees in spinal curvature from a mean curvature of 44 degrees prior to treatment. Twenty-two of the 28 participants in the study were observed to have improved spinal alignment, with the remaining six receiving no apparent benefit. Without treatment, the angle of curvature would be expected to remain broadly similar, as it did in the six unimproved patients, or even to increase. Patient ratings of pain were recorded to have fallen by an average of 39 percent based on the Quadruple Numeric Pain Scale (QNPS) questionnaire when measured at six months after initial treatment, and by a further 21 percent at the 24-month follow-up. The Functional Rating Index (FRI) of disability similarly fell from a baseline average of 60 percent to 30 percent at the six-month check, and 18 percent at 24 months. A spirometer was used to measure the lung capacity of all patients before and after treatment, and a 7percent mean increase was observed at six months, with no further improvement 18 months later.

Improvements in curvature, pain and disability tended to be greatest in patients who began the study with the least severe condition. Patients presenting with double major curvature (an S rather than C-shaped spine) received no benefit in spinal curvature from the treatment, but even they experienced a reduction in pain and disability.

 

 

How Does the VibraCussor Work?

Increasing numbers of chiropractors are incorporating a VibraCussor into their practice, as they have found that it often helps to prepare the patient for an adjustment. The VibraCussor relaxes the muscles and fascia surrounding the vertebral subluxation that they will be addressing, making their treatments more effective.

The VibraCussor is a vibration instrument that differs from usual massagers in that it uses a piston-like up-and-down movement rather than a back-and-forth movement. It creates comfortable waves of compression that travel through the tissues to the affected muscles and fascia, allowing the instrument to release fascial adhesions, relax tense muscles and increase circulation and lymph flow. It is possible for the chiropractor to vary the frequency of the percussion in order to target specific tissues and tissue depths.

Fascia is the thick, white connective tissue that surrounds the body’s muscles and which keep our organs in place. However, under stress from injury or surgery, the fascia can become too tight and may form fascial adhesions that can be felt under the skin as knots or ropes in the muscles. These adhesions can trap nerves and restrict blood flow and movement of the muscles, which puts the body out of balance. Tight fasciae are often responsible for poor posture and imbalances in the breathing and heart rhythms.

The VibraCussor can be effective in treating myofascial trigger points, frozen shoulder, TMJ (jaw) problems, joint fixation (particularly of the shoulder, elbow, hand, hip, knee and foot), muscle fatigue and fascial adhesions. With VibraCussor treatment, nervous system tension is released, muscle spasms are reduced and lymph and blood circulation are encouraged. This helps to reduce musculoskeletal pain and allows the patient to reduce or eliminate the need for pain medication, in addition to increasing their range of movement.

According to Jeff Banaszak of Back9Fitness.com, “Besides targeting tight tissues, the benefits of mechanical compressive therapy include stimulation of body proprioceptors. Prioprioceptors are specialized cells found within joints and muscles that when activated help protect and improve function. By stimulating the proprioceptors, the therapist can activate a particular muscle needed to control posture, balance and strength.”

Most chiropractic patients report that the VibraCussor is very relaxing, and in addition to releasing fascial adhesions some have reported that it releases emotions as well, helping to eliminate the stress that is so often the cause of the tightness and adhesions in the first place. The VibraCussor is a gentle, non-invasive form of treatment that can be a positive addition to your regular chiropractic care.

 

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Chiropractic More Effective for Neck Pain Than Other Therapies

Neck pain is believed to affect between 10% and 15% of the general population, and is particularly likely in those over 50 years of age. Neck pain is frequently accompanied by headaches, dizziness or other symptoms.  In addition, certain movements or sustained postures of the neck can aggravate the pain and stiffness and add to a limit in range of motion.

Common treatments for neck pain include prescription analgesics along with some type of physical therapy (usually massage, application of heat and/or specialized exercises) to deal with the pain and improve function.  However, the results of a randomized controlled trial published in the Annals of Internal Medicine showed that manual therapy, such as chiropractic care performed by a certified chiropractor, was more effective than either physical therapy or continued care by a general practitioner.

The study involved 183 patients between 18 and 70 years of age who had reported having non-specific neck pain for two weeks or more. Patients were randomly assigned to one of three groups: manual therapy, physical therapy or continued care by their physician.

Those referred to a manual therapist had a 45-minute treatment once a week for up to six weeks; those who were treated by a physical therapist had a 30-minute treatment twice a week for up to six weeks; and the remaining patients who were under continuing care from their doctor were given medication to treat pain and inflammation, were instructed in the use of hot compresses and were given exercises they could perform at home to treat their neck pain. All patients included in the study were allowed to use exercises at home, non-prescription pain medication and any medication that his or her physician may have prescribed before the beginning of the study in the treatment of their neck pain.

Seven weeks after the beginning of the study, patients were asked to rate their neck pain, from “much worse” to “completely recovered,” and the researchers compared the number of patients in each group who had reported feeling at least “much improved.” The results indicated that 68.3% of the manual therapy group reported feeling either “much improved” or “completely recovered,” compared with 50.8% of patients in the physical therapy group and 35.9% of patients in the physician-treated group.

Despite the fact that the lead author of the study is a physical therapist, the study noted that “the physical therapy patients achieved significantly worse success rates while using twice the number of patient visits as the manual therapy group.” The researchers concluded that “in daily practice, manual therapy is a favorable treatment option for patients with neck pain compared with physical therapy or continued care by a general practitioner,” and that “primary care physicians should consider [referral for] manual therapy when treating patients with neck pain.”

 

How Chiropractic Care Has Helped Me: Introducing Brigadier General Becky Halstead

 

Retired Brigadier General Becky Halstead is no stranger to pain. She spent her entire adult life in the military, and was the first female graduate from West Point to become a general officer. She has seen battle all over the world, including in Iraq. But she has also fought her own personal battle—with fibromyalgia.

 

Fibromyalgia is a condition that is still not fully understood, but it involves symptoms that include headaches, fatigue, muscle pain, anxiety and depression. “It’s as if your whole body is a bruise … You hurt everywhere,” Halstead says. Even something as simple as showering was painful. “The water hitting your skin, it would feel like it was tearing.”

 

The conventional treatment for fibromyalgia involves pharmaceuticals, which Halstead took for a number of years. However, the drugs have only limited effectiveness, and she did not want them to affect her job. She said “I knew it wasn’t going to kill me—I was just in pain, so I took myself off all prescription drugs when I went into combat. I was in charge of 20,000 soldiers. That’s a huge command, a huge responsibility. I wasn’t going to have someone doubt or wonder whether the prescriptions influenced me or my decisions.”

 

However, it became impossible to continue in the military while dealing with debilitating pain, so she retired from the army in 2008. It was then that she began semi-monthly visits to a chiropractor, and that’s when her health began to turn around. Within a year of beginning chiropractic treatment, she was able to discontinue taking pharmaceuticals entirely by combining regular chiropractic spinal adjustments with nutritional supplements.

 

Halstead says of chiropractic care and how it has helped her, “It’s not like you’re cured, but you feel so much better. They set me on a path of getting well. I’m the healthiest I’ve been in 10 years. I was taking eight or 10 prescription drugs in 2008. The more I went to the chiropractor, the less prescriptions I needed.” She continued, “When I retired, my pain was easily a 9 or 10 (on a 10-point scale) every single day. My pain now is a 2 or 3, and maybe even sometimes a 1. I don’t think I’ve hit a 10 since I started regularly seeing a chiropractor.”

 

“If I had known how much chiropractic care would help me when I was a commander in Iraq and in the United States, I could have taken better care of my soldiers.” Although chiropractic care for military personnel was approved by congress, there are still many treatment facilities that do not have a chiropractor on staff, which Halstead would like to see changed.

 

“Until we’ve done that we have not fulfilled our leadership responsibility,” Halstead said. “If you want to help them, see a congressman and ask ‘aren’t our men and women getting these benefits?’ I’m not a chiropractor I’m a satisfied patient, a beneficiary of their talented hands, minds, and hearts. Go find yourself a chiropractor and change your life!”

 

 

 

Dr Dubois, DC, CCSP

 

Dr. Dubois,a Swiss physician, and a Triangle Certified Sport Chiropractor has over 20 years of experience in the treatment and prevention of disorders of the musculoskeletal system. Amongst his patients, two world champions in martial arts (gold medalists in 2005 WMJA), one carrier of the Olympic flame in 2004, and numerous soccer players, swimmers and athletes of all levels who benefited from his chiropractic care.

 

http://www.omaha.com/article/20130316/LIVEWELL01/703179900

 

http://www.youtube.com/watch?v=t22AVZ44z3A (first of a 4-part series)

 

 

 

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How Does Sigma Instrument® Adjusting Work?

As technology advances, so do chiropractic techniques. Instrument adjusting has become the fastest growing form of chiropractic manipulation due to its ease of use for the chiropractic practitioner and the safety to the patient. It can take quite a bit of effort to perform a proper chiropractic adjustment, and most chiropractors can attest to having suffered any number of shoulder, back and wrist injuries from treating patients over the course of their practice.

A Sigma Instrument® adjustment involves the use of one of these special instruments. It has an appearance similar to a drill, and is held in a similar manner. What it does is produce a speedy thrust and recoil motion, similar to the way a chiropractor uses their hands to adjust the vertebrae in your back. The benefit of the instrument is that it performs this high-velocity, low-amplitude motion 12 times per second, and is targeted to a very small area. The force of the thrust radiates through the joint and the tissues that surround it, releasing trigger points that are often the cause of muscle spasms.

As opposed to traditional chiropractic adjustment techniques, use of the Sigma Instrument® does not cause the same popping and cracking noises in the joint that can make some people feel uneasy. It is a gentle, mechanical method of easing the joints back into alignment that is basically an extension of the chiropractor’s hands. Your chiropractor can exert just the right amount of pressure needed by adjusting the force of the thrust up or down from merely a few ounces all the way up to 40 pounds, and it works on a wide range of body areas, not only on the spine.

Several studies have shown that instrument adjusting is just as effective as traditional chiropractic techniques for easing pain and increasing range of motion in patients who have sought chiropractic care. Its speed, gentleness and accuracy are also recommended for populations that may have trouble with the use of traditional chiropractic techniques, such as children and the elderly.

The Sigma Instrument’s® movement stimulates the patient’s special sensory nerve receptors, called proprioceptors, which are responsible for detecting the proper motion and alignment of the body’s muscles and joints, signaling that all is well; however, at the same time it avoids stimulating the nociceptors, the sensory nerve receptors responsible for sending pain signals to the central nervous system.

The use of instrument adjusting, such as with the Sigma Instrument®, allows for fewer side-effects and less post-treatment muscle soreness. If this seems like a form of treatment you may be interested in, consult with your chiropractor and ask if it may be possible to incorporate Sigma Instrument® adjusting into your treatment regime.

 

Dr Dubois, DC, CCSP

Dr. Dubois, a Swiss physician, and a Triangle Certified Sport Chiropractor has over 20 years of experience in the treatment and prevention of disorders of the musculoskeletal system. Amongst his patients, two world champions in martial arts (gold medalists in 2005 WMJA), one carrier of the Olympic flame in 2004, and numerous soccer players, swimmers and athletes of all levels who benefited from his chiropractic care.

How the New York Yankees Use K-Laser Therapy

A therapy that has been widely used in Europe since the 1970’s, laser therapy involves the use of red and near-infrared light to help speed healing, increase circulation and reduce pain. Laser therapy has been shown to encourage tissue repair and hasten the healing of wounds, reduce inflammation and reduce the formation of scar tissue.

Professional sports teams are eager to adopt any technology that will give their players an edge and keep them in the game and off the bench. The New York Yankees have found that K-Laser therapy does exactly that. Johnny Damon, who formerly played for the New York Yankees, was successfully treated with the K-Laser for low back pain.

Steve Donohue, assistant athletic trainer for the New York Yankees, and having worked for the team for the past 32 years, can attest to the usefulness of K-Laser therapy in treating both acute and chronic conditions; the bruises and contusions that can come from being hit with a 95-mph fastball, treating tendonitis (which is a common problem for both pitchers and batters), bursitis and general muscle overuse injuries, for example.

Donohue says the K-Laser is the best laser they have used due to its convenience and portability; they use it on airplanes as well as in the training room. “We ice and then laser and they seem to be responding a lot quicker,” says Donohue, “I think we’ve gotten more rapid response and rapid recovery with guys coming back quicker.” He goes on to say, “It’s a hot item in the training room, the guys are lining up for it.”

Laser therapy works by interacting with tissues on a cellular level, speeding up their metabolic activity to improve the amount of nutrients crossing the cell walls. The K-Laser features dual infrared wavelengths of 970 nm and 800 nm that are more efficient than using one wavelength alone.

K-Laser treatment is completely painless. The only sensation you may have is a slight warm or tingling feeling in the area being treated. A typical treatment lasts from 3 to 9 minutes, and side effects of any type are very rare.

K-Laser therapy may be used along with other forms of treatment, and many chiropractors use it along with chiropractic adjustments to help speed healing in their patients. It is suggested that acute injuries be treated with K-Laser therapy daily, particularly in cases involving significant pain. Chronic conditions may be treated two to three times a week and tapering off as the condition improves. Consult with your chiropractor as to the best course of treatment for your particular condition (even if you are not in the major leagues!).

 

Dr Dubois, DC, CCSP

Dr. Dubois, a Swiss physician, and a Triangle Certified Sport Chiropractor has over 20 years of experience in the treatment and prevention of disorders of the musculoskeletal system. Amongst his patients, two world champions in martial arts (gold medalists in 2005 WMJA), one carrier of the Olympic flame in 2004, and numerous soccer players, swimmers and athletes of all levels who benefited from his chiropractic care.

 

 

How is Chiropractic Care Like Health Insurance? Just Read On…

The best treatment for illness is to give your body the tools to avoid becoming ill in the first place. Preventing a disease or condition is much easier and less costly than treating it once it has developed. And regular chiropractic care can be a very useful tool in your toolkit to help keep you healthy. Like health insurance, chiropractic care is there for you when you are suffering, but even better than health insurance, it can also help keep you from needing treatments that involve drugs (with their potential side effects) and invasive surgeries down the road.

Chiropractors believe that an optimally working body has the ability to heal itself. Chronic stress, trauma, lack of sleep and unhealthy, inactive lifestyles interfere with the body’s natural healing ability. Any of these conditions can cause spinal subluxations that restrict movement, cause pain and create a nervous system that doesn’t function as it should. When messages from the nervous system are not efficiently sent and received, it can compound your health problem until it gets to the point where drugs or surgery are required.

A chiropractor can correct whatever spinal subluxations are interfering with the smooth operation of your nervous system when they first appear. A body that is in proper alignment is far less likely to become injured. With the increased strength and range of motion that chiropractic care provides, you are able to move in a way that prevents accidents and falls. Your body also has a better capacity to heal itself due to proper nerve signaling and increased blood flow.

Doctors of Chiropractic are not only experts at treating your musculoskeletal system, they can also provide you with important information to help keep you well. This includes advice on a suitable diet, nutritional supplements, specific exercises you can do at home and other useful tips and techniques to help you maintain a healthy lifestyle that is more likely to keep you free from pain and help you avoid costly medical treatments. Chiropractic care is holistic and patient-centered, and treatments are designed specifically to meet your individual needs. In cases where traditional medical services are indicated, your chiropractor will refer you to your family MD or an appropriate specialist.

Just as you keep your car maintained with regular check-ups and oil changes to keep it running smoothly and keep it out of the repair shop, so should you treat your body. According to the American Chiropractic Association, “Wellness begins on day one of chiropractic care.” You and your chiropractor can determine an appropriate schedule for regular treatments so you can achieve the all the preventive health benefits that chiropractic care has to offer.

 

Dr Dubois, DC, CCSP

Dr. Dubois,a Swiss physician, and a Triangle Certified Sport Chiropractor has over 20 years of experience in the treatment and prevention of disorders of the musculoskeletal system. Amongst his patients, two world champions in martial arts (gold medalists in 2005 WMJA), one carrier of the Olympic flame in 2004, and numerous soccer players, swimmers and athletes of all levels who benefited from his chiropractic care.