How Long Will It Take? 

My colleague, Dr Jerry Kennedy, wrote this great article on a common patient question and frustration. He did a great job in answering it.

One of the most common questions that patients ask their chiropractor is, “How long will it take?” Some people ask because their #1 concern is that the chiropractor is never going to let them go. Maybe they have heard the “once you go you always have to go” myth that some people say about chiropractors. If that’s you, I have good news. It’s not true. Your chiropractor isn’t ever going to hold you hostage. That’s not the reason that most people ask that question. The majority of people who ask, “How long will it take?” are asking because they are in pain or in some way hampered, and they would like to get back to normal as soon as possible. That makes perfect sense. If patients had their way, they would get better instantly. I jokingly refer to that concept as patients wanting a “Jesus visit.” That’s when they go into their chiropractor’s office, get an adjustment, and are instantly better. Healed! Unfortunately, it doesn’t usually work that way. Sure, there is the occasional exception to the rule, but for the most part, your body takes time to heal. It’s also important to note that healing and feeling are not the same things. There are times when a medication or a treatment can help your body feel better quickly, but that doesn’t mean it has healed yet. If your pain/problem comes back as soon as the medicine wears off, your body hasn’t yet fully healed. The same is true of treatment. If your pain/problem comes back a few days after your treatment, your body hasn’t yet fully healed. That doesn’t necessarily mean the medicine/ treatment isn’t working. It could just be the difference between feeling and healing. So that brings us back to our original question, “How long will it take?” Unfortunately, there isn’t an exact answer. It depends on the problem. It depends on the person. There are a lot of factors at work. It’s an oversimplification, but I used to tell my patients that 5 factors would determine how long it would take their body to heal.

First - how old are you? That’s an easy one. Younger people heal faster than older people. The older you get, the more you realize how true that is.

Second - how bad is the problem? Not all health problems are the same degree of severity. Let’s use a sprained ankle as an example. On one end of the spectrum, you could have a minor sprain that heals up in 24 hrs. No big deal. On the other end, you could have a major sprain that requires many weeks of rest and therapy to heal. As a general rule, the more severe a health problem is the longer it takes to heal.

Third - how long have you had the problem? Just to clarify, that’s not necessarily the same thing as how long you have felt bad. It’s possible to have a health problem much longer than you have felt bad. Arthritis is a great example. Most people who have arthritis will have it for years before they ever have any pain. As a general rule, the longer you have had a health problem the longer it will take to heal.

Fourth - where is the problem? You may not know this, but different parts of the body heal at different rates. Muscles heal faster than ligaments. Ligaments heal faster than bone. Even the different joints of the body heal at different rates. An injury to your elbow is likely to heal much faster than an injury to a more complex joint like your shoulder.

Fifth - are you (the patient) willing to do your part? Healing not only takes time but it also takes participation. Sometimes rest is required. That means the patient has to be willing to slow down or stop. Sometimes nutritional changes are required. That means the patient needs to add something or remove something from their diet to help their body heal. Sometimes stretching or strengthening is required to help heal an injury. Ultimately, a patient who is willing to do their part to help their body heal will heal faster than a patient who doesn’t.

So when you ask your chiropractor the question, “How long will it take?” often you won’t get a specific answer. Don’t worry…they aren’t avoiding the question just for the sake of avoiding the question. It’s a difficult question to answer because the answer is different for every person. More often than not, chiropractors will take the information that you have given them, and use their clinical experience to give you a timeframe. It’s not set in stone. You may do better than expected and heal faster. You may do worse than expected and heal more slowly. Everyone is different. What does all this mean for you? Well, it means a couple things.

First, it’s important that you understand that healing takes time. If you expect your body to heal instantly, you may quit doing the exact things you should be doing because you aren’t willing to give them the proper amount of time.

Second, it’s important that you have open communication between you and your healthcare providers. You should be able to ask questions and express concerns. They should be able to let you know what you are doing right and what you are doing wrong. When you and your healthcare providers work together as a team, you are more likely to get positive results faster.

Lastly, it’s important that you do your part. Patients who participate in their care heal much faster than those who don’t. Stretch when it’s time to stretch. Go to your chiropractic appointment when it’s time to go to your appointment. Do your exercises when it’s time to do your exercises. Rest when it’s time to rest. The bottom line is this…everyone is different. How long it takes your body to heal is going to be different than how long it takes my body to heal. If you want to heal as quickly as possible and get back to normal, you have to be patient and you have to participate in the process. You can do it!

If you are ready to have your back pain resolved, please contact us or call 8096 6781.

Neck Strain

There is a good chance it is coming from your 'Forward Head Posture' (FHP).

Your head should sit directly on top of the neck and shoulders. Imagine a bowling ball sitting on top of a vacuum cleaner pipe.  If the bowling ball rolls forward it is putting enormous pressure on the vacuum cleaner pipe, as in the case of FHP.  The neck and shoulder muscles become very tense and tight leading to tension and pain.  It can also cause disc problems and other arthritic problems in the neck. Other issues it can lead to are: headaches, back, neck, arm and hand pain and tingling.  It can also cause problems with one’s bite and jaw pain. FHP alters the body’s ability to control your balance leading to a greater risk of injuring yourself.
 
Causes:
It is usually from being sedentary and spending most of your time sitting down and/or slouching e.g. driving a car, work, watching tv and using a computer, and backpacks.  It is the repetitive nature of these activities that causes it.
 
How do I know if I have FHP?
Have someone look at you side on.  The middle of the ear hole should be in a straight line up from the centre of the shoulder.  If this is not the case, please consult your Chiropractor as it can cause spine and nerve damage. 
 
How can I prevent or manage it?

  • Consult a Chiropractor as it may be possible to improve it through corrective treatment
  • Correct work station set up 
  • Every 20-30minutes take a mini-stretch break or stand up
  • Use a low back support in your car and at your workstation
  • When wearing a backpack keep both straps on your shoulders and close against your back.  It should not weigh more than 10-15% of your body weight

If you would like help with your forward head posture please contact us or book online to so our chiropractors and massage therapist can help you to start feeling better.

Sciatica

Sciatica describes symptoms of buttock and leg pain. This sometimes includes tingling, numbness or weakness. It originates in the lower back and travels through the buttock and down the large sciatic nerve in the back of each leg.

Common lower back problems that can cause sciatica symptoms include a lumbar herniated disc, degenerative disc disease (caused by osteoarthritis), spondylolisthesis, or spinal stenosis (caused by osteoarthritis). Sciatica isn't an actual diagnosis, it's just referring to the symptoms.  Often people refer to their back or leg pain as sciatica but if your pain isn't going below your knee, it's unlikely to be caused by your sciatic nerve, even if it's a really sharp pain. 

Sciatica Nerve Pain Characteristics

It may comprise of one or more of the following:

  • Constant pain or pain brought on by certain movements in only one side of the buttock or leg (rarely in both legs)
  • Pain that is worse when sitting, coughing, sneezing or going to the toilet 
  • Leg pain that is often described as burning, tingling, or searing as opposed to a dull ache
  • Weakness, numbness or difficulty moving the leg, foot, and/or toes
  • A sharp pain that may make it difficult to stand up or walk and pain getting in and out of a chair
  • Pain that radiates down the leg and possibly into the foot and toes 

Sciatic pain may range from being mild and occurring infrequently to excruciating and debilitating. In rare and extreme cases, where the pain is caused by a disc herniation, it may cause a condition called cauda equina syndrome which can result in a loss of bowel, bladder and sexual dysfunction. This is a medical emergency.

The Sciatic Nerve and Sciatica

The sciatic nerve is the largest nerve in the human body and is made up of 5 individual nerve roots which exit from the Lumbar spine (lower back). Sciatica symptoms occur when the large sciatic nerve is irritated or compressed at or near its point of origin.

If you're experiencing sciatica symptoms please contact us as our chiropractors can help you out. 


How is it diagnosed

Your chiropractor will take a thorough history to determine when and how the injury occurred as well as what aggravates and alleviates it. You will be taken through a series of tests including orthopaedic and neurological testing and muscular strength test providing it doesn't increase your pain. You may also have X-rays taken to check for any slippage of a vertebra, osteoarthritis, disc narrowing and the amount of curvature in your spine. 

Treatment

Bed rest isn't a good idea unless you just can't get out of bed and try to minimise it to a few days. Try to move as much as your pain will allow you to as it will help you to heal faster. Try bending forwards, backwards, side to side and rotating only in a comfortable range.

Spinal manipulation has been shown to help reduce pain (1). This in combination with exercises specifically prescribed for you will help you recover faster. 

If needed, take pain killers to help you tolerate your severe pain and get adequate rest. Don't over do it just because you can't feel the pain anymore as you may cause further injury. Heat packs can also help to manage the pain.

Surgery is a last resort and most cases can be managed with conservative chiropractic care. 

Our chiropractors have had extensive experience in dealing with clients who have sciatica. If you would like help with this please contact us or book in online.

(1) https://nccih.nih.gov/health/pain/spinemanipulation.htm#science

Fuel For Your Back

Your back pain isn't only affected by what you do or don't do throughout the day but also by what you eat. 

What you eat affects your back pain and body composition. Your body is like a car's engine, if you fuel it with e-10 and it needs 95 or 98 octane fuel, don't get upset when it doesn't give you the output you want. Research shows that a plant-based diet is best to help reduce pain and inflammation. Whilst a purely plant based diet makes it harder to get in enough protein and you may be sad to not eat meat, the Mediterranean diet is a happy medium.

If you would like to know more about fuelling your body properly to reduce pain please contact us or book in online to start feeling better today as our chiropractors love being able to help.

Constant Stress

We have all experienced stress at times in our lives.  The source of our stress can vary from things such as: our relationships at home, work deadlines, colleagues at work or illness. Constant stress can become unhealthy particularly when it causes us to crave foods that may taste good but don't nourish our bodies - did someone say comfort food?!  If we don't receive the correct nutrition it becomes harder for our bodies to deal with stress and we're more likely to put on weight.  

The Cortisol Made Me Do It 

Also, known as “the stress hormone,” cortisol can increase when you’re feeling tense or stressed. This may cause you to reach for comfort foods such as pasta and bread as well as sugary foods.  This isn't such a great idea as eating those foods causes our blood sugar to quickly rise. This combined with the fact that cortisol causes our blood sugar to rise too as our bodies are preparing us to either 'fight or flight' can lead to type 2 Diabetes.  Of course, one can enjoy these foods in moderation. Try to eat a diet filled with nutrient-dense foods such as lentils, beans, lean protein and plenty of vegetables. 

Chronic Stress

Long term increases in cortisol can lead to a lower life expectancy, interfere with learning and memory, lower immune function and bone density, increase weight gain, blood pressure, cholesterol, heart disease.  Chronic stress and elevated cortisol levels also increase risk for depression, mental illness, and lower life expectancy. (1)

How To Manage Our Stress

Whilst alcohol can help to relax us it isn't a great way to deal with stress long term.

If you are stressed and you have been a couch potato lately it is time to get moving as this can reduce your cortisol levels. It also boosts our endorphin levels which are our 'feel good' hormones.  You don't need to go for a run, going for a walk is great but do try to get your heart rate up and push yourself.

Receiving chiropractic treatment may have a positive impact on reducing your cortisol levels. (2)  Chiropractic can also help alleviate muscular pain and tension which may help to your alleviate stress. (3)

Meditation and breathing exercises can help to reduce stress and clear you mind - try out this video.  A lot of people say they can't keep their mind still enough to meditate.  Meditating won't necessarily make you a zen-like Buddhist monk and it is very normal to have thoughts going in and out of your mind, try not to get frustrated by this.  Instead, notice that your mind has wandered, and start focusing on your breath again. Your mind may wander a hundred times and that is ok!

If you would like help with your stress management, contact us today to schedule an appointment.

(1) https://www.psychologytoday.com/blog/the-athletes-way/201301/cortisol-why-the-stress-hormone-is-public-enemy-no-

(2) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2050804/

(3) 'Mechanism of action of spinal manipulative therapy' Joint Bone Spine, Vol 70, Issue 5, September 2003, pg 336 - 341

Back Your Inner Athlete

This year, Spinal Health Week 2016 runs from 23 to 29 May with the theme ‘Back Your Inner Athlete’. 
 
Every day more and more Australians experience disabling low back pain, neck pain and headaches, limiting their ability to work and engage in an active healthy life.
 
One explanation for this is the impact an increasingly sedentary lifestyle has on postural fitness. Think about all the hours you spend each day sitting at work or school, on a computer or other mobile device, watching television or playing computer games. Poor posture increases pressure on your spine which can cause low back pain, neck pain, headaches and fatigue.
 
Low back pain is a growing problem and now ranks second in Australasia and seventh in the world according to the World Health Organisation’s latest Global Burden of Disease study. Neck pain is also problematic ranking ninth in Australasia and 21st in the world.
 
If you suffer from back pain, neck pain or headaches or if poor postural fitness is impacting on your ability to live life to the fullest, visit our chiropractors at Riverside Chiropractic and Back Your Inner Athlete.
 
Chiropractic care focuses on the relationship between body structure (primarily the spine and pelvis) and function (as coordinated by the nervous system) and how this relationship can restore and maintain health.
 
Each week around 300,000 patients visit an Australian chiropractor. Chiropractic care is an increasingly common and effective treatment for back pain, neck pain and headaches eliminating the need for drugs or surgery. This means chiropractic care can also be very cost effective in comparison to other types of treatment.
 
At Riverside Chiropractic, we are encouraging our patients and the North Ryde community to begin a conversation about preventative health and well-being and adopt healthy habits.
 
Chiropractors have an important role to play in preventative health and well-being because they understand that a vital part of maintaining normal spinal function is by helping patients to make healthy lifestyle changes around nutrition, exercise and wellness. 
 
Adopting healthy habits today (such as improving postural fitness) can significantly reduce the risk of injury or pain later on and have a positive impact on your self-esteem, social relationships and even mental health.
 
Back, neck and spinal problems are also a leading cause of lost productivity in the workplace and forced early retirement. Every year forced early retirement has a traumatic effect on the hopes and prosperity of a large number of Australians.
 
We are encouraging people who haven’t been in for 6 months or more or those who have never had their back checked to com in and discover what steps you can take to improve your overall health and well-being and Back Your Inner Athlete.  Please either phone 8096 6781 or email us for an appointment today.
 
Celebrate Spinal Health Week on 23 May by downloading the CAA Back App with augmented reality feature at Back Your Inner Athlete, on the Apple App Store or Google Play.
 
Spinal Health Week 2016 is a national initiative of the Chiropractors’ Association Australia (CAA).

Is Mineral Water Bad For Us?

Myths

  • Leaches calcium out of bones: it was originally thought that the bubbles would leach out calcium as soft drinks in large quantities have been shown to do this.  The good news is that no research shows that carbonated water leaches calcium out of bones.1 The confusion arose as originally it was thought to have something to do with the bubbles.
  • Bad for teeth: studies done by immersing teeth in still and mineral water showed very little difference in the erosion of the teeth.2  
  • Salt: the amount in it is negligible - avoid chips, biscuits and adding salt to food.  For people that are required to have a salt reduced diet it is a good idea to avoid it but for otherwise healthy people - drink up!

Avoid mineral waters with sugar and artificial sweeteners.

Benefits: 

  • It is great for hydration, contains calcium and magnesium which is great for bone and muscle health

1.    http://www.mayoclinic.org/healthy-lifestyle/nutrition-and-healthy-eating/expert-blog/carbonated-water/bgp-20056174
2.    http://www.ncbi.nlm.nih.gov/pubmed/11556958