Debunking the Idea of the Inevitability of Low Back Pain: What You Can do to Lower Your Risk

https://journals.lww.com/spinejournalabstracts/Fulltext/2015/00001/POTENTIALLY_MODIFIABLE_RISK_FACTORS_FOR_LOW_BACK.3.aspx

One of the tricky questions I often get when patients are dealing with recurrent lumbar pain especially, is whether or not there is an inherited familial predisposition to develop lower back pain.

The answer is mostly no, but it still has a few shades of gray scales. You will inherit certain spinal characteristics from your parents: slight variations in the collagen protein that makes up your spinal discs, supporting ligaments, and some spinal congenital anomalies that increase the mechanical stress to your spine. And families can sometime engage in the same type of occupation or hobby that carries a higher risk of injuries. However, the majority of your risk is related to your individual risk factors such as injuries and lifestyle choices (and indeed we tend to learn a lot of our habits, good and bad, with our folks).

This large scale review of modifiable risk factors for low back pain was co-authored by a DC colleague, who brings a slightly more hands-on, clinical perspective to data interpretation. The bottom line: do not be fatalistic about your risk of developing lower back pain as inevitable and be diligent in doing your part. In addition to some well known predisposing risks such as smoking, obesity, and inactivity was another biggie that is often overlooked: chronic sleep deprivation. Sleep is when we repair our soft tissues from the strains of the day and chronic sleep shortage creates a very poor environment for your frame to maintain its integrity.

The Impact of Chiropractic Care on Workplace Wellness

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5659805/

This article is a few years old but, as the saying goes, “an oldie but goodie”. The trend toward bringing health and wellness services directly to the workplace is picking up. This piece of research, even with its methodological limitations (single employer site, no control group), is still a breakthrough piece of research in backing up with data what employers have discovered: On site care has some very measurable benefits, in outcomes such as decreased sick days and absenteeism. But even if your employer does not provide those services, remember to provide those services to yourself.

Preventing Chronic Adult Spinal Pain: Is Chiropractic part of a preventive solution?

https://www.ncbi.nlm.nih.gov/pubmed/31003674

I have been listening to a series of podcasts on pediatric chiropractic research recently. There is a lot of research on adult chiropractic care and a lot of research in general pediatric and adolescent healthcare, but pediatric and adolescent chiropractic research is comparatively sparse, which made this article all the more interesting. Countries with universal health insurance coverage are more likely to do these sort of studies, since there is not only a public health impact in acquiring knowledge about what prevents chronic, costly health conditions, but also a real economic and budgetary urgency since the buck falls on you alone from birth to end of life.

The hot topics of adolescent and young adult health have usually centered on mental health, substance abuse and reproductive health. However the research is also pretty clearly showing that adolescent and young adults are already in the process of developing the chronic illnesses that become more evident two decades later, namely neuromusculoskeletal and cardiometabolic. And the idea is to start addressing those when they begin a few decades earlier.

Chiropractic Adjustments to the Neck and Risk of Vascular Injury: Latest Research

https://bmjopen.bmj.com/content/9/5/e025219?rss=1

This most recent research article on changes in blood flow to the upper cervical arteries during cervical manipulation is another reminder that cervical adjustments done properly are really quite safe from a vascular standpoint.

Real Food, Fake Foods, Calories and Major Weight Gain

https://www.npr.org/sections/thesalt/2019/05/16/723693839/its-not-just-salt-sugar-fat-study-finds-ultra-processed-foods-drive-weight-gain

This article reminded me of Stephan Guyenet’s fantastic book (The Hungry Brain), which discusses the biological brain based roots of obesity. We have been fooled into thinking that all calories affect the brain appetite regulating mechanism in the same way, although Guyenet, a world wide expert in brain body fat regulation had compiled enough scientific data to argue against that. The state of your food really matters on your weight. Real food, in the form nature offers, has a vastly different effect on your waistline than the processed food that makes up the majority of the American diet (and unfortunately of most of the so-called first world nations). This study is small in scale but to my knowledge the first of its kind in a controlled environment. The same amount of fat and carbs from a frozen pizza versus a juicy piece of meat and a plain baked potato have different effect.

What is most surprising to people is how many foods they consider “healthy” are really ultra-processed: breakfast cereal is ultra-processed while plain cooked steel cut oatmeal is not. The infamous granola bar is mostly a chemical bomb that tricks your brain into eating more, while some plain raw nuts and fruit are very satisfying to sense of being full and content. In a perfect world with endless hours I would go on, but for now try to stick with food that looks like it has just come out of the field, off the tree, the barn, or the water.

Getting your Pregnant Body ready for Birthing

It has been a while since I have written about chiropractic and pregnancy, because I have been too busy talking about feet, but a crop of pregnant bellies have made their way to the office again, reminding me of this very important topic.

I had a chance to attend an excellent training seminar last month, taught by a very seasoned midwife who has a long history of working side by side with body works practitioners, including chiropractors. As she progressed through her professional career, she started to realize the profound correlation between the neuro-muscular structures of the spine and pelvis, optimal fetal positioning, and successful labor progression. While I have studied the chiropractic approach to pregnancy and have worked on pregnant women for 25 years, I never cease to be surprised by how much more I can learn. Gail Tully’s seminar gave me a more refined understanding of how certain spinal structures determine the progression of various phases of labor and gave me a few new preventive tools as well.

I would highly recommend her website as a resource for pregnancy preparedness. The information is generic and you have to figure out what may apply to your particular situation or not (and working with your local chiropractor can help you devise an individual plan from that material). Here is a link to some daily activities of preparedness that will be safe in most instances.

https://spinningbabies.com/start/in-pregnancy/daily-activities/

WELCOME OUR NEW CHIROPRACTIC SENIOR INTERN KAILA ALVAREZ!

Big News-

Join us in welcoming our Senior Chiropractic Intern Kaila Alvarez.

Kaila will be working with Dr. Demel over the next 12 weeks.  She will be assisting in the care of Dr. Demel’s patients in addition to working independently in running a Community Sports Care Program and Pro Bono Care Program. We’re excited to have her join us and we hope you will be too! Be sure to share the good news with your friends and family. Click the links below for an application.

Kaila Alvarez is in her final months of Doctor of Chiropractic training at Northwestern Health Sciences University in Bloomington, Minnesota. She grew up in a small town near Madison, Wisconsin with a family that could always be found at a sporting complex on any weekend. After a couple of years living in Bloomington, Kaila and her husband recently moved to Nerstrand. Her goal is to contribute to a community of individuals to reach their peak performance through chiropractic care and quality communication with a medical team, because people deserve to perform at their best. In her previous internships she has had the privilege of providing care for all ages, from high school students to professional athletes. She looks forward to assisting you in achieving your maximum potential!"