https://www.youtube.com/watch?v=LD0RyS2KtrE
As a corollary to the Bruegger's stretch/relief position for the neck and shoulders, the standing lunges addresses the long-standing postural shortening of the hip flexors associated with the sitting position. It is a more convenient option than a traditional lunge, often not accessible because of knee problems or clothing limitations.
I am always interested in keeping up with chiropractic pediatric research because I feel that the future of our profession so much intersects with the future of our kids health and thriving. I found out about this most recent research article through 1 of our chiropractic research podcast, and I have listed both references at the bottom of this blog.
The research article focused on tracking traditional pediatric milestones through the chiropractic care intervention of 37 children's with neurodeflective disorders (the newest term coined to describe the spectrum of children with nonnormative neurological development for any reason). What was interesting and may be unique about this article is that it focused on the improvement in some of these traditional milestones (speech, social, gross and fine motor etc.) with the only variable being the chiropractic intervention, without some of the rehab therapy specific to each category (speech therapy, physical therapy, occupational therapy, sensory integration therapy, behavior modification therapy). The podcast producer theorizes that there is a grossly underutilized rule of chiropractors addressing subtle spinal functional lesion in the pediatric population, which will not manifest as pain, but have enough of an impact on neurological circuitry to interfere with normal neurological progression of expected milestones. The author also is strongly pushing for a better coordination of care and cooperation of chiropractors with their rehab counterparts in the above-mentioned specialties, with the idea that chiropractic will restore some degree of neuronal circuitry integrity, which then allows rehab specialists to maximize the benefit of their therapies in the affected pediatric population. This would be a refreshing departure from the current relative lack of cooperation between chiropractors and pediatric occupational therapy, physical therapy, speech and behavioral therapy.
https://vertebralsubluxationresearch.com/2022/07/10/1830-chiropractic-brain-development/
https://podcasts.apple.com/nz/podcast/understanding-and-changing-neurodevelopmental/id1360919805?i=1000596043004
When reviewing with patients some of their postural distortion patterns causing or aggravating their existing pain pattern, the triad of anterior head shifting, rounded shoulders, and increase midback kyphosis comes up more often than it does not. And with it the question: why does this happen? The simplest answer is that modern human life involves everything in front of you and below shoulder level, with very few counterbalancing activities. And by far the biggest culprit is sitting, especially sitting at a computer workstation.
The so-called Bruegger's stretch or relief position is a rapid focused counterbalancing posture that emphasizes thoracic lengthening an extension, cervical retraction and extension, external rotation and retraction of the shoulders. I tell patient to do this every 2 hours, for 6 slow breath cycles as a sort of postural reset.
I had 2 similar cases since the beginning of the year that made me realize it would probably worth blogging about it to let the word out. Pediatric and adolescent headaches can be frustrating to figure out. Often the easy causes have already been ruled out by the time they show up in the office.
I wanted to talk about one very specific type of headaches often affecting our young teens. These headaches tend to affect one side of the face, usually one side but sometimes both, tend to be in the temporal area, sometimes behind the eye. The pattern is random, coming in cyclical episodes that come and go. There is no other associated trigger identified, from diet, sleep, stress, cervical spine, food, etc. The only matter in which I was able to successfully identify them and treat them was in some patients for whom the location was very close to the jaw, and there was some mild painful information along the soft tissues on the side of the head. However when doing some intraoral palpation along the posterior muscles of mastication, I was able to reproduce quite a bit of the lateral headache pain pattern by findings trigger points of the posterior internal muscles of the jaw.
Some orthodontic treatments will require pretty aggressive positional changes of the lower jaw in relationship to the upper jaw, as well as some lateral shifting. This will obviously result in better long-term alignment for the purpose of not only cosmetics but also proper chewing and occlusion, and sometimes improved airway opening. However the transient stress on existing particular structures of the jaw and supporting muscles of mastication can be symptomatic in the form of headaches and the distribution of the intraoral muscles, while the jaw itself can be minimally painful during normal activities such as talking and chewing.
In the case of both patients, once we isolated the pain producing source of the headaches, we were able to track back the cyclical episodes more or less following the adjustment of the patient's orthodontics, usually 5 to 7 days after tightening the braces or adding internal banding between the top and lower jaw. The combination of trigger point therapy in the internal muscles of the jaw, gentle joy adjustment and other soft tissue supporting measures seem to be quite helpful at relieving the transient headaches episode.
This is a long overdue blog and patient resource video. I've been thinking about it off and on for several years every time I stare at strap grooves in my patients trapezium when I look at them from the back. Half the world is at risk of aggravating neck and shoulder pain by not wearing the appropriate bra, it should not be a mystery and I hope that the video will shed some light on the process.
https://www.youtube.com/watch?v=7tnr6cJu66I
I frequently run into patients who tell me they have had to give up squatting exercises because of aggravated knee pain. This is extremely unfortunate since squatting is 1 of the best exercises to functionally engage the core, upper gluteal areas, lower back, and squats mimics the type of strength and stability posture we need for real-life activities.
It's all the more unfortunate since there is a pretty easy alternative to do a squat without causing me pain. Notice that you can use a ball of any size including something pretty small or even a foam roller, unlike the large ball that I use for the demonstration video.
https://www.youtube.com/watch?v=1zpZeza8lKU
https://chriskresser.com/8-tips-for-beating-insomnia-and-improving-your-sleep/
I am rarely a big fan of these "10 things to do for XYZ" articles, but I'm going to make an exception for this 1 because it really is relevant , concise, practical and hits a few topic that are not getting enough air time as far as sleep problems.
We finally got around to recording the instructional video for patients using the Armaid tool to control symptoms of carpal tunnel associated with repetitive soft tissue strain of the upper extremity. It's going to be much more effective if we can have a 15 minutes set up time in the office, to make sure that each patient can properly locate the trigger zones, since everyone's primary area of soft tissue entrapment can be a little bit different.
https://studio.youtube.com/video/6dR7TZnJtnM/edit
