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Back popping.
9/26 8:50:50

Question
I'll start off by saying I did go to a chiropractor for over a year. My lowest disk is slowly diterorating and the to vert's were mis aligned. He was able to take care of that. The problem now is that I have muscle knots  on either side of my lower spine, which I am sure due to my condition. I can have dificuty twisting, moving, bending, ect...... If I stretch or relax I can feel popping in these areas than I am able to move much better. The weird thing is that there is no joints in some of the areas I am feeling popping. Any ideas what is going on? I cannot go back to my chiro due to finances so any advice I could get would be great. Thanks

Answer
Back pain , muscle knots , trigger points ,


Hello Thomas,

First, let me say I am sorry it took so long to answer, my home computer is on the fritz, not working, and I have to squeeze time in the office computer to answer.

Next, Let me say that I am sorry for your continued lower back problem.

If you went to the Doctor of Chiropractic for over a year, your condition should have improved markedly.  In a year, I hope you communicated with your Doctor and received stretching instruction, exercise recommendations, posture suggestions, nutritional education.

"....My lowest disk is slowly diterorating ....", this is a slow, subtle, insidious process--- we do not even have to feel the deterioration happening !  If proper nutrition and alignment is not assured to the joints of the area, deterioration will recommence, and move ever faster.  In my Staten Island Chiropractic office I have an informational handout I give to patients- which may be helpful to you:
++++++++

Deterioration,  degeneration :

Degenerative   Disk    Disease               
(  DDD,   DJD,  OA )

Degenerative Disc,  Degenerative Joint Disease,  progressive OsteoArthritic Degeneration

Degenerative Disc Disease  (old term =  DJD) is  actually  a  quite  common  condition.   However,  the course of the condition is highly variable.   Some patients with DJD literally cannot walk, yet other patients with similar X-ray/ MRI findings may be able to run marathons or lift heavy weights.   Some people suffer for only a few days with pain and symptoms, some people suffer for months. Although the course is highly variable, there are certain steps that are always helpful to follow:  Ice the area when painful-  10/ 15minutes on, 30/ 45 minutes off;  avoid certain postures and movements;  bend the knees when coughing or sneezing;  bend the knees when lifting anything;  do not extend legs straight out when sitting, laying down, lifting, or driving.   Avoiding certain movements and postures will prevent aggravation of the condition.   Practicing good postures and movement patterns will help the condition heal and be less painful.  Degenerative disk disease,  degenerative joint disease,  deteriorating discs (disk)   is/ are  often caused by,  or often  concurrent with the Vertebral Subluxation Complex.

         Vertebral   Subluxation   Complex    (a.k.a.  憇ubluxation?
The vertebral subluxation complex is the underlying cause of many healthcare problems.

A subluxation interferes with the proper functioning of joints, and can cause osteo-arthritic degeneration, Degenerative Disk Disease, degenerative joint disease, etc.

A subluxation interferes with the proper functioning of the nervous system (the master system which controls and coordinates all function within the body) and may cause various other conditions, symptoms and problems.


Subluxation  is  a  serious  condition  identified  by  its  five  parts:

    Spinal Kinesiopathology:
         This is fancy way of saying the bones of the spine have lost their normal motion and position. It restricts your ability to turn and bend. It sets in motion the other four components.

    Neuropathophysiology:
         Improper spinal function can choke, stretch, or irritate delicate nerve tissue. The resulting nerve system dysfunction can cause symptoms elsewhere in the body.

    Myopathology:
          Muscles supporting the spine can weaken, atrophy, or become tight and go into spasm. The resulting scar tissue changes muscle tone, requiring repeated spinal adjustments.

    Histopathology:
         A rise in temperature from an increase in blood and lymph supplies result in swelling and inflammation. Discs can bulge, herniate, tear, or degenerate. Other soft tissues may suffer permanent damage.

    Pathophysiology:
         The VSC contributes to OsteoArthritic degeneration.  Bone spurs and other abnormal bony growths attempt to fuse malfunctioning spinal joints. This spinal decay, scar tissue, and long-term nerve dysfunction can cause other systems of the body to malfunction.


The Vertebral Subluxation Complex describes what happens when spinal bones lose their normal movement patterns and position.  When subluxated, joints are in a stressed, vulnerable, compromised condition.  Subluxation may cause Arthritis, Disk Herniation, Disk Degeneration,  or aggravate such conditions.
 
          Vertebral  Subluxation  cannot be corrected through chemicals (medicine), stretching, yoga, vitamins or physical therapy alone.     Subluxation- a neuro/skeletal/muscular-   mechanical-   problem  requires  a   mechanical correction-  -  -    a manipulation,     best performed with the chiropractic adjustment.

Dr. Victor E. Dolan,   Doctor of Chiropractic;   Diplomat, American Chiropractic Board of Sport Physicians; Diplomat, American Academy of Pain Management; Certified Clinical Nutritionist (IAACN); FIRST  Chief of Chiropractic  in  a  Hospital  in  New York State (DHSI);  As  Seen  in  PREVENTION  Magazine
++++++++++++++++++++++++++++++++++



On PREVENTING deterioration:

What ? ! ,  I have to brush my teeth!?,,, after EVERY meal ! ? ,,, For the REST of my life ! ? ! ...  I don抰  want  to.  period.  I won抰.  To heck with it !  If I get a hole (cavity),  THEN  I抣l take care of  it.   Maybe I won抰 get any cavities anyway?.

              It  took  the  American Dental Association YEARS to educate people that they should brush frequently to avoid dental disease.  It has taken YEARS to educate patients that visits to the Dentist for hygiene, cleanings, flossing, coatings, etc.  are  necessary to PREVENT  dental problems.  Some people still do not floss after every meal, some do not even brush often enough  (yyyuuukkkk),  so some people still have severe dental problems  despite  all  the  knowledge  about   PREVENTION   and  dental  health maintenance  that  is  out   there.     Can  you  believe  it  ?? !!

              Some people have the same problem with  PREVENTATIVE  Spinal  Health
that  used to  exist with preventative dental health.  Some people come to the Doctor of Chiropractic and say, ?..do not adjust me, just give me therapy...?  some people say,
?..What ? ! , I have to practice SPINAL HYGIENE !?!, (practice proper postures, proper movement patterns, and  see  the  Chiropractor  periodically !?!),  Naahh, ... I  don抰
want to. period.  I won抰.  To heck with it!  When I get PAIN,  then  I抣l take care of it.
(  pain is often the LAST symptom to appear-  whether a cavity or a heart attack !  )

              Vertebral   Subluxation   Complex    (a.k.a.  憇ubluxation?
The vertebral subluxation complex can be the underlying cause of many healthcare problems.  A subluxation interferes with the proper functioning of the nervous system (the master system which controls and coordinates  all   function  within  the  body)  and may cause various other conditions,  symptoms and problems.
This  (Subluxation)  is a serious condition identified by its five parts:
      Spinal Kinesiopathology,   Neuropathophysiology,   Myopathology,  Histopathology,  Pathophysiology.
  
The Vertebral Subluxation Complex describes what happens when spinal bones lose their normal movement patterns and position.

         Automobile accidents, improper lifting, improper posture, alcohol, emotional stress, chemical imbalances, and long periods of sitting can cause the Vertebral Subluxation Complex.
          Vertebral  Subluxation  cannot be corrected through chemicals (medicine), stretching, yoga, massage, vitamins or physical therapy alone.  Subluxation- a neuro/skeletal/muscular- mechanical- problem requires a mechanical correction-  -  -    a manipulation,     best performed with the chiropractic adjustment.  For good health- Treat the   Cause,  not just the Symptoms.

             Chiropractic  corrects  the  Vertebral  Subluxation  Complex.

You  cannot be 慼ealthy?if you have a Subluxation.  You MAY feel it, with a pain, stiffness, or a 慿ink?in your neck/ back.  You may NOT  even feel it-
just as people often do not feel the cavity growing in their tooth,,,, until it hits the nerve; or you may not feel it at all, like people do not feel high blood pressure or diabetes until AFTER damage has been done!!  PREVENTION-  Visit the Doctor of Chiropractic REGULARLY,,, just like your dentist!  (practice spinal hygiene as you do dental hygiene  -PREVENTION!-

Dr. Victor E. Dolan,   Doctor of Chiropractic;   Diplomat, American Chiropractic Board of Sport Physicians; Diplomat, American Academy of Pain Management; Certified Clinical Nutritionist (IAACN); FIRST  Chief of Chiropractic  in  a  Hospital  in  New York State (DHSI);  As  Seen  in  PREVENTION  Magazine
++++++++++++++++++++++++++++++++++++++++++++++


Some nutritional recommendations for muscle knots/ inflammation/ pain:


Proteolytic enzymes are beneficial to counteract the inflammation. Bromelain is an example of a proteolytic enzyme.

Essential fatty acids are precursors to potent antiinflammatory substances. Essential fatty acids include fish oil, flax oil, evening primrose oil, black currant seed oil and borage oil. Essential fatty acids include omega-3 fatty acids (fish and flax oil) and omega-6 fatty acids (black currant seed oil, borage oil and evening primrose oil).

Quercetin is a potent bioflavonoid, in fact, it has been named, "the most important flavonoid" by a leading peer-reviewed journal (Nutr. Cancer 1993, 20:21-9). It is a powerful antioxidant, and Michael Murray suggests that, "quercetin appears indicated in virtually all inflammatory and allergic conditions" (Murray, M. Encyclopedia of Nutritional Supplements, 1996, Prima Publ., Rocklin, Ca. p. 327).

Vitamin C is essential to the healing process. Bioflavonoids in general operate to stabilize cell membranes, decrease the release of inflammation mediators and inhibit the inflammatory process (Amella et al. Inhibition of mast cell histamine release by flavonoids and bioflavonoids. Planta Medica 1985;51:16-20).

Both calcium and magnesium relax the muscles. Magnesium inhibits inflammatory prostaglandin synthesis (Fontana-Klaiber, H., and Hogg, B. Therapeutic effects of magnesium in dysmenorrhea. Schweiz Rundsch Med Prax 79(16): 491-494, 1990).

Zinc promotes healing.

Boswellia serrata is reported to have strong analgesic (pain-relieving) effects (Kar, A. & Menon, M.K. Life Sci. 1969;8:1023), along with antiinflammatory and anti-arthritic activity.

Tumeric research has demonstrated excellent antiinflammatory and antioxidant properties of turmeric, and especially of curcumin, which is the active component of turmeric that is responsible for the yellow pigment (Reddy AP & Lokesh, BR. Mol Cell Biochem. 1992;111-117). The antiinflammatory properties are due to the ability of curcumin to reduce histamine levels and possibly increase
natural cortisone production by the adrenal glands (Aora RB, Basu N, Kapoor V, Jain AP. Antiinflammatory studies on Curcuma longa (turmeric). Ind.J.Med Res. 1971:59:1289-95).

Ginger is an herb known mostly for its therapeutic effect in nausea. Ginger also has powerful abilities to combat inflammation, and these antiinflammatory effects are well-backed by scientific studies. Ginger contains phenolic compounds that inhibit the enzymes responsible for generating important mediators of pain and inflammation in more than one pathway (Kiuchi et. al.
Inhibition of prostaglandin and leukotriene biosynthesis by gingerols and diarylheptanoids. Chem Pharm Bull. 1992;40:387-91).

Milk thistle has always had a strong reputation for supporting liver function and pathways of detoxification. Removal of wastes and toxins is crucial in decreasing inflammation. Silymarin, which is one of the main ingredients in milk thistle, has an antiinflammatory effect on blood platelets (Altorjay I et al. Acta Physiol Hung 1992;80:375-80), and the ability to inhibit free radical production and leukotriene synthesis means that it prevents the powerful, inflammatory leukotrienes from wreaking havoc in the body (Alarcon de la Lastra,
C. et al. Planta Medica 1995;61:116-119; Fiebrich F and Kock H. Experientia 1979;35:148-150).

Herbs to aid in muscle relaxation include valerian, passion flower, kava kava, and scullcap. Do not use kava kava if liver disease is suspect.

White willow is an antiinflammatory and analgesic agent. White willow was used as far back as the Middle Ages to reduce pain and fevers. The salicylates found in the white willow bark are responsible for the anti-inflammatory and anti-fever effects. Acetylsalicylic acid, otherwise known as aspirin, is chemically similar to the salicylates.

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Beware of overutilization of PAIN MEDICATIONS :



PAIN

Pain is a 憆ed light on the dashboard?

Pain is your body telling you that something is wrong.

That RED LIGHT on the dashboard of your car- -- do you ignore it until the car
breaks down, or do you get it checked and correct the problem?

Pain,
pain in your body-
-- do you ignore it until your body breaks down, or do you get it checked and
correct the problem? Pain, do you cover up the pain by taking a painkiller?
Take a painkiller, mask the pain, and allow a problem to progress in your body?

NOTICE ON PAIN RELIEVERS:

Label changes ORDERED by FDA; the FDA announced proposed label changes for OTC over-the-counter pain relievers to include the potential for stomach bleeding and liver damage (FDA news 206- 207; 12-9-06) ;

The American Heart Association issued a scientific statement recommending medical doctors change the way they prescribe OTC pain relievers from a first choice to an alternate of recommending non-pharmacologic treatment (AHA statement 2-26-07).

NSAID Acceleration of ARTHRITIS; an important side effect of Aspirin and other NSAIDS is that it will inhibit cartilage repair and accelerate cartilage  destruction ( Journal of Rheumatology, 1982; 9: 3- 5 ). Many times people take NSAIDS for the pain of Arthritis , not realizing these drugs may make the underlying condition worse. These medications cover up the pain, and cause the problem to worsen.


Pain can often be the result of the Vertebral Subluxation Complex.

Vertebral Subluxation ( 慥SC?, 憇ubluxation?)
Vertebral Subluxation is actually a quite common condition.

Doctors of Chiropractic look for pathological conditions which may require referral to other specialties, and also look for 慡ubluxation? Other disciplines look for pathology, but overlook the importance of alignment and movement in the spine which affects our nervous system (the master control system- ALL health disciplines learn this). VSC- 慡ubluxation??can be the
cause of many symptoms and conditions.



Only a Doctor of Chiropractic will evaluate and treat for VSC, as
well as other pathology.



Some patients immediately develop symptoms related to the VSC, some
patients take years to develop symptoms. Some people suffer for only a few days with pain and symptoms, some people suffer for months. Some people recover in days, some take months or years, depending upon severity of the condition.

A subluxation interferes with the proper functioning of the nervous system (the master system which controls and coordinates all function within the body) and may cause various other conditions, symptoms and problems.


The Vertebral Subluxation Complex describes what happens when spinal bones lose their normal movement patterns and position. When subluxated, joints are in a stressed, vulnerable, compromised condition. Subluxation may cause Arthritis, Disk Herniation, or aggravate such conditions.

Vertebral Subluxation cannot be corrected through chemicals
(medicine), stretching, yoga, vitamins or physical therapy alone.
Subluxation- a neuro/skeletal/muscular- mechanical- problem requires a  mechanical correction- - - a manipulation, best performed with
the chiropractic adjustment.

Dr. Victor E. Dolan, Doctor of Chiropractic; Diplomat, American Chiropractic Board of Sport Physicians; Diplomat, American Academy of Pain Management; Certified Clinical Nutritionist (IAACN); FIRST Chief of Chiropractic in a  Hospital in New York State (DHSI); As Seen in PREVENTION Magazine
+++++++++++++++++++++++++++++++++++++++++++++++++++++++


MUSCLE KNOTS:

Break up the monotony, break up the muscle, postural fatigue: by that I mean- change positions frequently. Every 15 minutes, get up from the desk, change positions. Every 15 minutes- go for a brief walk down the hall and back. Place the book, paper you are reading slightly to your right,,, then slightly to the
left. Monotony makes fatigue, fatigue causes MUSCLE KNOTS, tightness, inflammation and pain.

An exercise, or stretch that I recommend is the knee to chest stretch- see  http://www.about-the-web.com/spiritworks/web/Kaiser/html/kneechst.htm .

I also recommend the 'Iron Gym' for a hanging exercise-
see: http://www.getirongym.com/Default.asp?tcode=pi8&tag=google&gclid=COfu0LyV-5cCFQN...  
 You do not need to 'chin-up', or pull-up; just hanging can be helpful to the spine, if you cannot place the iron gym-- do it from a tree branch!

I do recommend re-visiting your Doctor of Chiropractic.  Perhaps some financial arrangement can be made for you.  If you can only go once- I recommend going once to review this information and make sure there are no contra-indications to my suggestions in your particular case.




I hope the above helps. If further info is needed, do not hesitate to
re-contact me here at AllExperts.com
( http://allexperts.com/ep/965-100794/Chiropractors/Victor-Dolan-DC-DACBSP.htm  )



Thank You, your Staten Island Chiropractor friend signing off,


Dr. Victor Dolan, DC
http://drvictordolan.chiroweb.com (email newsletter)  

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