Brain Health Series: Chronic Pain and Brain Function

Brain health in is a topic not discussed often enough, especially within the medical community. The conversation around mental health and access to mental health services has been increasing in recent years, however the aging brain is often left out of the conversation. There are so many questions left unanswered surrounding the decline of brain health associated with aging. The medical profession has made observations about those who ultimately experience brain atrophy and those who don’t, so we are slowly starting to gain clarity. However, there are still many questions left unanswered.

Research has identified some clear correlations and patterns in those who ultimately receive a diagnosis of dementia. Keep in mind, however, that correlation does not equal causation. We know that balance problems and risk of falls increase with increasing severity of cognitive decline. We know poor mental health increases the risk of developing dementia. We know that muscle weakness is...

Continue Reading...

3 Exercises for Weak or Painful Shoulders

Acute or chronic shoulder pain is a common reason a person might seek out the services of a therapist. In this blog post, we will cover the starting point of our favorite exercises for weak or painful shoulders. First, we will discuss different types of exercise and how we use each type to promote pain management. Then we will demonstrate shoulder alignment and give instructions for strong, healthy shoulder joints!

Sound like a plan? Here goes...

When we initiate a plan of action for either acute or chronic pain, we structure an exercise sequence in a specific order. The first goal is to calm down the pain response and bring more stability to the joint in order to allow for bigger movement. Once pain is addressed, we look at underlying movement patterns and reinforce patterns to promote optimal joint health! Let's take a look at the difference between different types of strengthening exercise and discuss a starting point for weak or painful shoulder joints.

Different types of...

Continue Reading...

Announcing our Strengthening for Shoulder Pain Workshop on Saturday June 30th, 2018

One of our favorite exercises for chronic shoulder pain is isometric shoulder strengthening. An isometric exercise involves using the muscle without moving the joint through a range of motion. This is a great initial start to a strengthening program to bring stability to a joint.
 
Isometric exercises can be done in all directions to strengthen multiple muscle groups. This easy exercise can be performed by positioning yourself near something that can provide resistance, like a wall. Then gently push your arm into the wall and hold for a few seconds. Sounds straightforward enough, but this is also an easy exercise to compensate with different movement patterns. The pattern we most often see people doing is performing a shoulder exercise using their trunk rather than actually using their shoulder (as demonstrated in the above photos, be like picture 2 not picture 1!) Trunk stability in this exercise is essential for proper shoulder strengthening.
 
Wanting to...
Continue Reading...

A Brief Overview of Chronic Pain

As the chronic pain epidemic continues to pour over into the opioid epidemic, new research continues to break down the complexity of chronic pain. Just a few years ago, chronic pain was viewed completely from a biomechanical perspective. When the medical community realized that treating only the injury was not only not working, but the epidemic of chronic pain continued to worsen they realized they needed to take a step back and look at the whole person. What has been discovered has been an eye-opening look at how chronic pain involves factors beyond what is happening within the body tissue. Now, we take a broader look at the whole person and understand chronic pain has a multitude of origins.

The Actual Risk Factors for Chronic Pain

Over time, physicians and other professionals realized the amount of tissue damage being seen on an MRI and the amount of pain a person was experiencing just were not matching up. Beyond that, those who underwent surgical procedures were showing...

Continue Reading...

When Body Alignment Does Matter: A Discussion of Chronic Pain and Function

Chronic pain is the leading cause of disability in the United States, with an annual cost estimated to be about $100 billion. These costs are associated with healthcare expenses, lost income, and lost productivity. A majority of adults experience acute pain at least once in their lives with about 28% later developing chronic pain (3).

With the nation’s growing opioid epidemic, there has been considerable emphasis on understanding the sources of chronic pain. Many mistakenly believe that tissue damage is directly correlated with a person’s risk of developing chronic pain. Statements from medical professionals to their patients which include “Your MRI shows that you have the spine of an 80 year old and you can expect to be in pain for the rest of your life” or “just avoid stairs or squatting entirely if it your knees are hurting” just further exacerbate the myths surrounding chronic pain.

There is much confusion regarding body alignment, movement,...

Continue Reading...

Should I Get an MRI for Low Back Pain?

Mounting research indicates that getting an MRI for chronic back pain is more harmful than it is helpful. When someone walks into their doctors office looking for low back pain relief, imaging and medication might be recommended. However, an MRI report may come back with results like “degenerative joint disease” or “bulging discs”. Both of these findings are highly normal and present in up to 50% of the general population. In fact, it would be abnormal if the spine did not show any signs of aging. Once we hear a diagnosis like “degenerative joint disease” we think this is causing our back pain and assume that we will be in pain the rest of our life. This could not be further from the case.

Normal MRI Findings

60% of adults over 60 years of age will show abnormal MRI results, regardless of whether or not they have pain. In some cases, people do have low back pain and an MRI will show no abnormal results. This does not mean pain is...

Continue Reading...
Close

50% Complete

Two Step

Lorem ipsum dolor sit amet, consectetur adipiscing elit, sed do eiusmod tempor incididunt ut labore et dolore magna aliqua.