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back sprain and frequent popping
9/26 8:52:25

Question
Dear Victor Dolan,
 About 2 1/2 months ago I strained my lower back during my dance class.  A simple move that turned into a week of not being able to move.  First let me tell you a bit about myself, I am 23 years old.  I am very dedicated to fitness and was training for a fitness modeling competition 3 months ago.  I am a hip hop dance instructor and also a waitress.  After injuring my back for the first time I went to PT and in about 3 weeks I was able to go about my normal routine.  I had one set back, while lifting groceries, but I was able to recover on my own.  About a month ago, I was leaning over and to put up a little girls hair and my lower back tightened up and pulled.  I thought it would be alright and would recover as last time.  So I continued with work (waitress), wearing a lower back brace. A week went by, and my pain had increased and was now radiating up my back underneath my shoulders.  I was unable to arch my back as usual, and to look at I no longer had a natural arch to my lower back and my hips appeared to be tilted back.  I stopped going to the gym, dancing and took some days off of work. I began PT about a week ago and my arch is back and muscle wise I feel fine, but now I am popping in places that I haven't popped before.  My hips pop, sometimes I find it hard to breath, and when I take a deep breath the center of my back pops, my shoulders pop when I rotate them, and my neck pops. All of which I have never experienced before.  Also, recently I have been having tingling sensations down my back and sometimes on my left arm.  I haven't been to the gym in a month now, and am really concerned about what is going on.  I have made an appointment to see a chiropractor and I am still seeing PT.  I have a few questions and concerns.  Why am I all of a sudden popping in places that I have never popped before?  Should I be really concerned about this?  Is there anything else that I should be doing for my back?  I am a very active person, and I need my back to heal, but dance is starting soon, and I don't know if I am going to be okay with it?  Are these feelings and sensations normal after a reinjury occurs?  Or did I do something really serious this time?  Thank you sooo much for your time and expertise!!!!!  Hope to hear from you soon!!!!!!  Thank you again !  Danika

Answer
23 years old, dancer, back pain, lower back pain, injury, reinjury, spasm, sprain, strain, pinched nerve, herniated disc

Hello Danika,

Sorry to hear of your condition.

Re-injury?

I do not think you were over the initial injury, so I am not sure I would call it a re-injury.

You need to see your local Doctor of Chiropractic for a full evaluation.  You are young, so you should be able to be effectively treated.  This is your first back injury, so you should be able to be effectively treated with good outcome.  Your Doctor should perform a comprehensive exam as to all of these complaints.  Xrays, perhaps even MRI or CT scans could be necessary as well.

You have now had your condition for 3 months.  It will take time to repair the damage, but you are young, and the injury is relatively recent.

Chiropractors treat back pain, neck pain, pinched nerves, herniated discs, sprains and strains all the time.  Chiropractors treat dancers and athletes who want to prevent injury, recover faster, reach their full potential- all the time.  Here is some information I hand out in my Staten Island Chiropractic office:

++++++++++++++++++++++++++++++++++++++

Sprains,  Strains,  musculo-skeletal injury
Sometimes  a slip, trip, fall, heavy lift, or a motor vehicle accident can cause a 慡prain/ Strain Injury?  This can result in ligament sprain, muscle strain, and 憄inched nerves?
Often-  the true    c a u s e   of  the lingering tenderness, stiffness and pain;  is a misalignment,  a 慿ink?in the joint, a stretch of the muscles, tendons and/ or ligaments:- more properly termed a Vertebral Subluxation.   Sometimes symptoms can come immediately, sometimes days, weeks or even months later!- Well after the actual trauma !!!

                    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 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 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:
         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.
         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, 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.
+++++++++++++++++++++++++++++++++++++++++++++++++

Lower  Back  Pain  (LBP):          Low  Back  Pain  can be caused by many different things.  Big, BAD, catastrophic things like a tumor or a cancer can cause low back pain (only a proper exam by a licensed doctor, like your Doctor of Chiropractic, or your family Doctor of Medicine, can evaluate your signs and symptoms, and perhaps refer for testing).  Big, bad things like a Herniated Disc, sciatica, possible fracture or dislocation can cause LBP (again, best evaluated by your DC or MD, and perhaps referral).  Bad things, like  - Sprains, Strains, contusion, or Vertebral Subluxation Complex (all very efficiently diagnosed and treated by your Doctor Of Chiropractic.  LBP can come from a motor vehicle accident, sport injury, slip, trip, fall, arthritis, lifting improperly, or even bad posture in standing, sitting or sleeping.  All of these things often have a Lumbar (Low Back) Vertebral Subluxation involved.
              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 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 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:
         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.
         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, 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
+++++++++++++++++++++++++++++++++++++++++++++++++++

Athletic  Performance  Improvement,  Accelerated  Recovery

Chiropractic is well known to improve athletic performance, prevent sport injury, and accelerate recovery from injury or hard training.  With Doctors of Chiropractic serving on almost every nation抯 Olympic Team, with Chiropractic holding official status with the USOC and serving almost every US Olympic Athlete:  the results of chiropractic cannot be  denied.     Coaches  and  athletes  are  aware  of  terms  such  as                                 
    enhanced  performance,     performance  improvement,                         .
    accelerated  recovery,   restoration   and   regeneration.                             .
Many coaching conferences   discuss   strategies   on   these   aspects   of   exercise,   competition,   sports  and  athleticism.

An interesting study was performed and published way back in 1991.   The January 1991 issue  of  the  Journal  of  Chiropractic  Research  and  Clinical  Investigation  published findings that  demonstrate  significant  increases  in  athletic  performance after  a  twelve  week  program  of  Chiropractic  treatment.     

Athletic  Ability  Research:
Male and female athletes between the ages of 18 and 42, representing a variety of sports backgrounds, were recruited to participate in this study. None had ever before been under chiropractic care.  Each of these participants underwent eleven separate tests, each test designed to measure a specific aspect of athletic performance. Then, half the participants were evaluated through chiropractic analysis and placed on a twelve week program of chiropractic  treatment   ( consistent regimen of chiropractic, similar to a consistent regimen of physical athletic training/ exercise ).  ( measured aspects: side step test, dodging run, right boomerang run, modified bass tests of dynamic balance, vertical power jump, standing broad jump, distance perception jump, horizontal linear space test, nelson hand reaction test, nelson speed of movement test, nelson choice of response-movement test )

All subjects continued to train and practice as usual in their sports.    At the half-way point of six weeks, they were all reevaluated and changes in scores for each group were compared.   All increases in performances by each group were measured by the average percent  of  change  in  all  eleven  tests  combined.

The control group,  those  not  receiving  chiropractic care, showed slight improvement in  eight  of  eleven  tests  ( this group had been training 慳s usual?for the time period ).    By combining the average percentages of change on each test it was found that the control  group  showed  an  overall  improvement  of  4.5%.

Those  receiving  chiropractic  treatment   (along with their 憉sual training?,  the  test group, had dramatically different results. They showed improvement on all eleven tests for a total   10.7%  average  increase  after  six  weeks.    And  when  retested again  after  the  second  six  week  period  of  care  this  test  group  demonstrated  a remarkable      16.7%    average   increase   in   athletic   ability.
(  consider  that  one/ onehundredth of a second  ( 1/100th ) is the difference between win ?lose,,, 16.7%  is HUGE )
What Do Chiropractors Do?
Chiropractors analyze the structure of the body, looking for misalignments, primarily in the spine, and also the extremities.    Spinal misalignments,   termed      vertebral subluxations,     irritate   the  nerves  which  in  turn  inhibits  the  body抯  ability to function optimally.     Like a high performance automobile,  the human structure must be balanced and in alignment to be at it抯 best.    A Ferrari with pistons that don抰 fire in sequence,  wheels that are out of balance or alignment,  and high performance specifications  that  are  improperly  set   will   not   only   have   it抯   performance compromised    but  will  also  have  dramatically  increased  potential  for  parts  to  wear  out  and  breakdown.   The  human  body, far more delicate and complicated than even the most advanced automobile is similar.    If  the framework,  particularly the spine,  isn抰 properly aligned and balanced-  the body cannot perform  to it抯  potential and is more susceptible to illness and injury,  with  slower  recovery  when  injury does  occur.

What Do Vertebral Subluxations Do?
Vertebral subluxations cause nerve conduction interference.  This inhibits millions of messages from the brain from flowing smoothly along the nerves and in this in turn interferes with the coordination of the actions of the body.  The only health care provider trained to diagnose and correct vertebral subluxations is the Doctor of Chiropractic.  Like a properly tuned Ferrari,  the chiropractic patient athlete,  when properly aligned, functions at a level of peak performance.

Famous Athletes Utilize Chiropractics.
Many athletes have discovered the relationship between proper spinal  alignment and their own level of achievement. San Francisco Forty-Niner Greats Joe Montana and Roger Craig as well as heavy weight champion Evander Holyfield are examples of  professional and world-class athletes who realize(d)  the value of proper structural alignment and balance in their bodies.   They have learned through their own experiences what  research  has  shown;   that  through  chiropractic  care -  one  can demonstrate faster reaction time,  better balance,  improved coordination, increased muscular power;  and when injured-  accelerated recovery and regeneration.

The Competitive Edge.
Emphasis on athletic excellence continues to escalate in this country in terms of both dollars and extremes in personal sacrifice. Though the dangers of taking anabolic steroids have been widely publicized for years, the number of athletes who suffer serious health problems caused steroids continues to grow.  Now, however, the athlete looking for the competitive edge  need not look beyond the framework of  his(her)  own body.  Increased  public  awareness  is  leading  many  to  realize  that  a  natural  method  is  available  in achieving  performance  enhancement.     The  method  is  Chiropractic!
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++

What should you do for your back?-  See your local Doctor of Chiropractic for evaluation and treatment if appropriate.

I hope this helps.  I wish you good luck and good health naturally, your Staten Island Chiropractic friend signing off,

Dr. Victor Dolan, DC
http://drvictordolan.chiroweb.com       (email newsletter)
http://www.DocDolan.net
http://www.GoodHealthNaturally.info  

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