Posts Tagged ‘back pain’

What is Cumulative Trauma? A Chiropractic Perspective

Wednesday, October 21st, 2009

Cumulative Trauma or CTDs is a wear and tear of the bony and soft tissue components of a joint because of overuse. In my San Diego based chiropractic clinic, I treat people on a daily basis who suffer from CTDs. CTDs can result from poor lifting habits, straining the neck, long hours of light force repetition without adequate rest time, awkward reaching, etc.

The irritation that results in Cumulative Trauma disorders accumulates over time, eventually resulting in a breakdown of the involved joint or joints and its muscles and ligaments. Symptoms from CTDs include soreness, pain, restricted range of motion, numbness, cracking noises in joints, weakness and clumsiness.

The potential end result of cumulative trauma disorders can be hand pain, wrist pain, neck pain, back pain, elbow pain, shoulder pain and leg pain.

What is the best cure for CTDs? Prevention. Application of good ergonomic principles to your work environment as well as tasks that you undertake outside of work is vital. A CTD may takes years to start causing symptoms and can also take a prolonged period of care to resolve. CTDs that go untreated can potentially cause permanent disability or symptoms that never completely resolve.

CTDs are serious and should be treated that way.

Here’s To Your Health

Dr. Jones

San Diego Chiropractic Center
Pain Relief San Diego Chiropractor Blog

Easy Ergonomic Solutions

Saturday, September 19th, 2009

As a practicing San Diego Chiropractor who has concerns for my patients’ well being, I get out of my office frequently in order to check up on my patients, ergonomic situations.

Poor computer ergonomics account for a substantial percentage of the conditions that my patients complain of.

The typical patient that presents to my office with neck pain, shoulder pain, back pain, elbow pain or carpal tunnel syndrome has a poor ergonomic set up that is fueling their symptoms. Often times, there are easy or inexpensive “fixes” for these ergonomic issues.

If your monitor is too low for example, you have the option of very inexpensive fixes as well as very expensive fixes. For a cheap fix that is actually free, you could raise your monitor on a stack of phone books. On the other hand, you could purchase a wall or desk mounted monitor arm and spend hundreds of dollars.

The same is true for keyboard tray solutions. I bought my keyboard tray from Fry’s for about $20.00. It works great for my application. There are keyboard trays, however, that cost hundreds of dollars. Some inexpensive computer desks with keyboard trays only cost a few hundred dollars.

Another example of ergonomic solutions is my Ergo Nav mouse pad. A regular mouse pad that sits on your desk and is not ergonomic may cost $5 to $20. My Ergo Nav, that mounts to your computer chairs armrest retails between $40 and $70 while some mouse platforms sell for well over $100.

Ergonomic solutions are not always expensive but can save you a great deal in future medical costs if implemented sooner rather than later.

Here’s To Your Health


Dr. Jones

Economical Adjustable Mouse Platform

San Diego Chiropractic

Pain Relief San Diego Chiropractor

Ergonomic Forum Ergonomic Mouse Pad

Sitting, Reaching and Posture

Saturday, August 22nd, 2009

Sitting and reaching have a profound impact on your posture. Both sitting and reaching stress the spine. Reaching stresses both the spine, shoulder, elbow and wrist. Sitting and reaching contribute to poor posture that can cause neck pain, shoulder pain, back pain and wrist pain.

Sitting has a negative impact on your back for several reasons. Since our spines were made to move, it should come as no surprise that hours on end of sitting in a static position leads to injury.

In addition to a lack of movement, the sitting posture itself is structurally stressful to the spine. When we are standing upright, the lower back should have a sweeping forward curve which promotes stability by reducing pressure on the discs that separate our vertebra. Sitting reverses the normal curve in our lower backs and increases the pressure on the discs leading to an increased chance of injury.

From a postural standpoint, the sitting position can promote rounded shoulders, slumping forward of the upper back and jutting forward of the jaw. Not only are these postures unattractive but they contribute to the development of tendonitis and result in stretch weakness of the involved muscles.

There are volumes of information regarding ideal sitting postures both on the web and within other posts on this site. Sorting out your posture with the use of a good ergonomic chair will help you maintain good posture and spinal health.

Reaching at or beyond your normal arc of motion also contributes to poor posture and cumulative trauma type injuries, especially of the neck and shoulder. It is vitally important to the health of your frame to keep objects that you use on a regular basis within easy reach. Your phone, the mouse, stapler, etc., if used frequently through the course of your day, should be within your immediate reach. Objects that are used less frequently can be kept farther away, closer to the edge of your comfortable reach.

Take a good look at your work space. Making a few simple changes will help save your posture and your spinal health.

Here’s To Your Health

Dr. Jones
(619) 280-0554 San Diego
Economical Adjustable Mouse Platform

San Diego Chiropractic

Pain Relief San Diego Chiropractor

Ergonomic Forum Ergonomic Mouse Pad

Self Help Ergonomics

Monday, December 22nd, 2008

By nature, I am a do-it-yourselfer. I like to think that I have the ability to examine a set of circumstances - especially my own - evaluate them and make any necessary changes or improvements.

Back during the late 90s, I was applying everything I knew about treatment for Carpal Tunnel Syndrome that was within my scope of practice as a chiropractor in order to heal my patients. This was a frustrating experience. Along with the classic symptoms of wrist pain and hand pain, many CTS patients get neck pain, shoulder pain and upper back pain. My treatment was partially successful on each of these symptoms.

The sticking point of my care was the fact that I was trying to unravel symptoms that were being generated / exacerbated during the course of a 40 + hour work week with treatments that were only being delivered three times weekly in half hour sessions. I am not implying that my care wasn’t helpful, what I am saying is that I knew that in order for my patients to recover that they needed more help. In this case, the help had to come from them. Somehow they needed to help minimize the stresses that they were subjected to during the day.

Part of this exercise involved my patients keeping pain diaries. Basically, over the course of one month, I asked them to write down everything that they could identify as a source of their pain.

A quick examination of my patients’ pain diaries revealed that there were three basic aggravating work duties that 90% of them shared. Reaching for the mouse, reaching for the phone and having to rotate their heads in order to see their monitor were the most common aggravating work duties.

Obviously it doesn’t take a degree in ergonomics to solve these kind of issues. Many of us go through our days numb to the factors that affect our well being. The conscious application of situational awareness can provide us with obvious problems and simple solutions to many work place ergonomic issues.

Look at your work environment today. If your body does not feel centered and balanced as you perform your work duties, chances are that you can make some modifications or at least identify some modifications that could be made to improve your ergonomics.

Here’s To Your Health

Dr. Jones
(619) 280-0554 San Diego
Economical Adjustable Mouse Platform

San Diego Chiropractic

Pain Relief San Diego Chiropractor

Ergonomic Forum Ergonomic Mouse Pad