EXERCISE WALKING FOR BETTER BACK HEALTH

Taken from our 01 Aug 14 Spine-Health Powered Newsletter

People with ongoing or recurrent episodes of lower back pain should consider the benefits of walking as a low‐impact form of exercise.

Aerobic exercise has long been shown to reduce the incidence of low back pain. However, people with low back pain often find some forms of exercise too painful to continue, and therefore don't get the exercise they need to maintain good health. Exercise walking is one way to benefit from regular exercise while not aggravating the structures in the lower back.

BENEFITS OF EXERCISE WALKING

There are many inherent health benefits from a regular routine of exercise walking, such as:

 - Strengthens muscles in the feet, legs, hips, and torso - walking increases the stability of the spine and conditions the muscles that keep the body in the upright position.

 - Nourishes the spinal structures - walking for exercise facilitates strong circulation, pumping nutrients into soft tissues and draining toxins.

 - Improves flexibility and posture - exercise walking along with regular stretching allows greater range of motion; helps prevent awkward movements, and susceptibility of future injury.

 - Strengthens bones and reduces bone density loss - regular walking for exercise helps prevent osteoporosis and can aid in reducing osteoarthritis pain.

 - Helps with controlling weight- any regular exercise routine helps maintain a healthy weight, especially as one ages and metabolism slows.

EFFECTIVE EXERCISE WALKING TECHNIQUES

Using the following techniques will help improve the benefits of walking:

     1. Walk briskly, but as a general rule maintain enough breath to be able to carry on a conversation.

     2. Start out with a 5 minute walk and work up to walking for at least 30 minutes (about 2 miles) at least 3 to 4 times a week.

     3. Maintain good form while walking to get the optimum aerobic benefit with each step and help protect the back and avoid injury. These elements of form should be followed:

 - Head and shoulders: Keep the head up and centered between the shoulders, with eyes focused straight ahead at the horizon. Keep the shoulders relaxed but straight - avoid slouching forward.

 - Abdominal muscles: It is important to actively use the abdominal muscles to help support the trunk of the body and the spine. To do this, keep the stomach pulled in slightly and stand fully upright. Avoid leaning forward as you walk.

 - Hips: The majority of the forward motion should start with the hips. Each stride should feel natural - not too long or too short. Most people make the mistake of trying to take too long of stride.

 - Arms and hands: Arms should stay close to the body, with elbows bent at a 90 degree angle. While walking, the arms should keep in motion, swinging front to back in pace with the stride of the opposite leg. Remember to keep hands relaxed, lightly cupped with the palms inward and thumbs on top. Avoid clenching the hands or making tight fists.

 - Feet: With each step, land gently on the heel and midfoot, rolling smoothly to push off with the toes. Be mindful about using the balls of the feet and toes to push forward with each step.

DO I NEED WALKING SHOES?

Exercise walking, as with other forms of exercise, requires the right equipment for a safe and effective routine. Good walking shoes are an important investment; choosing the appropriate walking shoes is important to maximize the benefits of exercise walking.

Finding the proper walking shoe may take some time and a bit of money, but it is essential for achieving long and short term benefits. Shoes are the most important piece of equipment in walking.

Walking shoes provide a basic protection and mechanical support for the foundation structures of the body - the feet - which in turn help keep the entire body balanced and aligned. When there is a minute imbalance in the feet, the compensatory domino effect causes changes throughout the body.

Specifically, when the body's natural gait motion is off balance, the body counterbalances the problem by redistributing weight. This ultimately changes the natural posture and alignment of the spine, leading to muscle strain and back pain over time. Though the imbalance may seem minor, in the long run, the stresses added to the body can add up and cause unnecessary wear and tear.

The right walking shoes can help foster excellent balance and posture during exercise walking, while poorly fitted walking shoes can cause pain or increase susceptibility to injury. It is best to find a technical running shoe store that will watch the individual's walk and will provide a shoe that fits based on the individual's specific biomechanics (this service is not typically found in large chain stores).

Walking shoes should allow the feet to naturally roll slightly inward (pronation) and outward (supination) to help absorb the different forces acting on the body. For many people, either one or both feet under pronate (roll outward) or over pronate (roll inward), altering the balance and length of the leg during stance, as well as gait. Some shoes are designed to control over pronation, whereas others are designed to encourage pronation.

Therefore it is important to make sure that walking shoes match each individual's specific biomechanical pattern.

An additional side effect of pronation and supination is the change in the natural curvature of the arches of the feet.

The feet are the crucial elements of gait motion, and maintaining a smooth gait is critical to preserving good spinal health. To ensure the correct balance during exercise walking, one must limit over pronation and under pronation of the feet. Good walking shoes should provide this stability.

USING A TREADMILL

When using a treadmill for walking exercise, all of the above guidelines are still important, with the additional caution to avoid using the handrails as much as possible (unless they are needed to keep balanced).


Click here for more information about walking and guidelines for buying walking shoes: http://www.spine- health.com/wellness/exercise/walking-  shoes-exercise-walking

Chiropractic Care Boosts Surgery Avoidance

This PSA from the Foundation for Chiropractic Progress discusses how chiropractic care has enabled many people to avoid invasive surgical procedures. 

Back on the Job - Chiropractic Care

Making The Case for Primary Spine Practitioner Care

Better Option to Back Surgery

“The American Association of Medical Colleges has identified musculoskeletal medicine as an area in which students receive inadequate preparation for practice in the real world.[1] North American medical schools have limited time devoted to musculoskeletal education. Only 30% to 40% of schools have required instruction in the musculoskeletal system.[2][3] Graduates entering practice experience the effects of this lack of instruction; one survey found that half of family physicians reported inadequate musculoskeletal training for clinical practice.[4]”[5]

These are not the words of an opinionated and/or biased chiropractor but those of clinical researchers at the University of Rochester School of Medicine and Dentistry. They admit that as of November 2014,[5] most primary care physicians graduating from medical school lack the confidence to assess and treat musculoskeletal complaints. This fact alone creates a substantial argument for the necessity of an integrative system of healthcare delivery that incorporates Primary Spine Practitioner (PSP) trained providers who possess the knowledge, skill, and ability to triage[6] patients with musculoskeletal complaints.

PSP trained providers [DC, PT, MD, NP, PA] can evaluate and manage the majority of patients with musculoskeletal conditions based upon best available evidence, and in a patient centered model of care. This portal of entry into the healthcare delivery system can then streamline the referral process for those patients who need a level of care beyond that of standard musculoskeletal treatment. Incorporating this type of provider would alleviate the burden of musculoskeletal complaints from primary care practices allowing medical doctors to focus on infectious disease and serious pathology, conditions they ARE TRAINED FOR.  

The desire for this integration became evident to us upon receiving a letter from Excellus Blue Cross/Blue Shield of Rochester dated 29 December 2014. In this letter they outlined a “Waived Copayment Pilot Program” whose purpose is to “help drive care to spine pathway trained practitioners so that the program’s value can be measured and compared to other modalities of treatment for back and neck pain”. This program will extend until 31 December 2015 and only include Excellus employees and their covered family members but underlines the fact that a major health insurer believes PSPs are credible portal of entry providers for patients who present with musculoskeletal conditions.

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[1] Association of American Medical Colleges. Medical School Objectives Project. Contemporary issues in medicine: musculoskeletal medicine education. Report VII. 2005.

[2] DiCaprio MR, Covey A, Bernstein J. Curricular requirements for musculoskeletal medicine in American medical schools. J Bone Joint Surg Am. 2003 Mar;85(3):565-7.FREE Full Text

[3] Pinney SJ, Regan WD. Educating medical students about musculoskeletal problems. Are community needs reflected in the curricula of Canadian medical schools? J Bone Joint Surg Am. 2001 Sep;83(9):1317-20.Abstract/FREE Full Text

[4] Sneiderman C. Orthopedic practice and training of family physicians: a survey of 302 North Carolina practitioners. J Fam Pract. 1977 Feb;4(2):267-50.Medline

[5] DiGiovann, Benedict F., , MD, Richard D. Southgate, , MD, Christopher J. Mooney, , MA, MPH, Jennifer Y. Chu, , MD, David R. Lambert, , MD, and Regis J. O’Keefe, , MD, PhD. "Factors Impacting Musculoskeletal Knowledge and Clinical Confidence in Graduating Medical Students."The Journal of Bone and Joint Surgery E185 96.21 (2014): n. pag. The Journal of Bone and Joint Surgery, Inc. The Journal of Bone and Joint Surgery, Inc.; STRIATUS Orthopaedic Communications, 05 Nov. 2014. Web. 17 Jan. 2015. <http://jbjs.org/content/96/21/e185>. 

Investigation performed at the Department of Orthopaedics and Rehabilitation, University of Rochester School of Medicine and Dentistry, Rochester, New York

[6] Process of organizing several patients for treatment. The process of deciding which people in a hospital department should get medical treatment first, according to how serious their condition is..

Link to the full article:

https://plus.google.com/114651765255995665833/posts/4PEFAr1kaDQ

Unlock Your Healing Potential with Chiropractic Care

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