Spine and Posture Corrective Care

 

Spine and posture corrective care is a form of treatment that uses specialized postural assessment, specific adjustments, exercises and traction in order to restore a persons spine to the optimal position. 

GOOD POSTURE means that the weight is evenly distributed throughout the body with no area being over stressed. Good posture means that all the joints are aligned, there is no extra tension on ligaments and tendons,  and the muscles are functioning as they should. This also helps to remove any stress and tension on the spinal cord and nerves.

POOR POSTURE may begin with muscle fatigue, and over time leads to chronically tense muscles, accelerated degeneration in the spine and disc herniation from asymmetrical weight load. In the photo below notice that his head is forward and his body is leaning to his left side. This can lead to neck and back pain or he may be unaware he is compensating for an unresolved issue.

The first step is to identify your posture and self correct during the day as much as possible.  Also pay attention to how you stand, walk , your sleeping position and how your work space is set up.

 

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Test your posture yourself:

  • Hips should be centered over the feet with no rotation of the pelvis.

  • Shoulders should be centered over the pelvis.

  • Shoulders shouldn't be rolled forward and the hands should be evenly spaced away from the hips without one in front of the other.

  • The ears should be centered over the shoulders.
  • Both shoulders should be even without one elevated more than the other.

 

 

The Spinal postural correctional treatment that we utilize is Chiropractic Biophysics technique (Idealspine.com). This form of treatment is ideal for people with chronic conditions, unresponsive to other forms of chiropractic or medical treatment, and postural abnormalities.

In order to determine if a patient is a candidate for this type of treatment, we would need a detailed history, physical exam, postural assessment and possibly X-Rays. Each case is unique, so each treatment is customized. If you have any questions or want to get your posture checked, CLICK HERE to send us a message. 

Chiropractic Biophysics is the most researched, evidence-based form of chiropractic treatment. This treatment is like combining chiropractic manipulations with physical therapy.

Studies have shown that there is an ideal spinal curve and posture and deviations for the normal can have negative effects on the spine and surrounding soft tissues (1,2,3,4). Studies have shown improvement in patients who have failed with other forms of chiropractic, those who have radicular symptoms and those seeking other non-surgical options (5,6,7).

Poor Posture seems to affect many people who sit for long periods of time, especially when using a computer. As people sit, their head tends to protrude forward. When the head is off center the muscles contract and spasm to support this offset.

 
 

In the Video Above, as the head moves forward the vertebrae in the neck are compromised. This position changes the weight bearing areas within the spine. Increased pressure is placed on the discs as well as other joints, ligaments and muscles. Patients may have symptoms of chronic neck tension as this posture is constantly straining the muscles on the back of the neck. This may lead to frequent headaches and in the long term it may cause excessive or premature arthritis.

 

Treatment Procedure:

After a treatment plan is created, we will begin spinal manipulations with myo-fascial release treatment this will reduce any acute pain that may exist. Once the pain is stabilized we then move into postural exercises and adjustments which are used to correct the posture. In addition, traction may be applied to the spine to further correct the posture issues.

Traction is tension applied to the spine over a period of time with progressive resistance. The traction is applied in a specific position according to the postural deviation. With this treatment the ligaments and muscles will stretch and the spine will regain it's optimal position (8,9).

An example would be similar to braces on teeth to shape them then into the ideal position. The traction, postural adjustments, exercises and home therapy are all designed to act as a similar principle. CLICK HERE to contact us.

 

 

 

 

 

 

 

 

REFERENCES

1. Harrison DD, Troyanovich SJ, Harrison DE, Janik TJ, Murphy DJ.  A Normal Sagittal Spinal
      Configuration: A Desirable Clinical Outcome. J Manipulative Physiol Ther 1996;19(6):398-405.
2. Harrison DD, Janik TJ, Troyanovich SJ, Holland B. Comparisons of Lordotic Cervical Spine
      Curvatures to a Theoretical Ideal Model of the Static Sagittal Cervical Spine.
      Spine 1996;21(6):667-675.
3. Harrison DD, Cailliet R, Janik TJ, Troyanovich SJ, Harrison DE, Holland B. Elliptical
      Modeling of the Sagittal Lumbar Lordosis and Segmental Rotation Angles as a Method to
      Discriminate Between Normal and Low Back Pain Subjects.  J Spinal Disord 1998; 11(5):
      430-439.
4. McAviney J, Schulz D, Richard Bock R, Harrison DE, Holland B. Determining a clinical
      normal value for cervical lordosis. J Manipulative Physiol Ther 2005;28:187-193.
5. Paulk GP, Bennett DL, Harrison DE. Management of a chronic lumbar disk herniation with
      CBP methods following failed chiropractic manipulative intervention. J Manipulative Physiol
      Ther 2004; 27(9): 579e1-579e7.
6. Oakley PA, Harrison DE. Use of Clinical Biomechanics of Posture (CBP) protocol in a
      postsurgical C4-C7 total fusion patient. A case study. J Chiropractic Education 2005;19(1):66.

        7.  Berry RH, Oakley PA, Harrison DE. A structural approach to the postsurgical laminectomy case.

             J Vert Sublux Res 2007; March 19:1-7.

8. Moustafa IM, Diab AA. Rehabilitation for Pain and Lumbar Segmental Motion in Chronic
    Mechanical Low Back Pain: A Randomized Trial. Journal of Manipulative and Physiological
    Therapeutics Volume 35, Issue 4 , Pages 246-253, May 2012.

       9. Moustafa IM, Diab AA. Extension traction treatment for patients with discogenic lumbosacral       

          radiculopathy: a randomized controlled trial. Clin Rehabil June 8, 2012.