Recent Article in JAMA Highlights Spinal Manipulation for Low Back Pain
This JAMA patient page provides some great information for both acute and chronic sufferers of low back pain. It reiterates some things chiropractors have been saying for decades. However, it is always nice to see recommendations from the broader medical community. Such as highlighting the importance of conservative care before drugs or surgery. Spinal manipulation, also known as the chiropractic adjustment, is again touted. A great first line treatment option for both acute and chronic cases of low back pain. Combined with exercise and other non-drug treatment options, spinal manipulation is safe and effective.
There are many options to choose from when picking a treatment for your lower back pain. You can easily take a supermarket approach. But, you don’t need to waste your time and money down the aisle trying the latest fads, creams, lotions, potions, and miracle cures. The tried and true combination of time, early return to activity, exercise therapy, and chiropractic spinal manipulation remain at the forefront of first line intervention for lower back pain.
Dr. Erik Reich is a chiropractor in Meriden, CT. He practices at Omni Physical & Aquatic Therapy Center, Inc. located at 303 South Broad Street. Where he treats all types of patients from high school athletes, seniors, victims of trauma such as auto accidents, and desk jockeys. Dr. Reich enjoys staying active through a variety of sports, time at the gym, and finding new vegetarian food spots. Spending time with his wife and son, and their Boston terrier, is something Dr. Reich also enjoys.
Coronavirus disease (Covid-19) is spreading throughout the world. The United States, and especially the New York Metro Area, is currently a hotbed of infection. People are urged to stay home. Physical distancing from others, and avoid going out except for essential activities, is the rule.
Health professionals know that the most effective measures in combating the spread of the virus are robust hygiene practices. Hand washing, limiting physical contact with others, refraining from touching your face, and other health promoting activities are key. Then, one must consider the role of exercise. Physical activity is important in the overall picture of protecting yourself from infection.
Exercise has been shown to help regulate the immune system. Regular physical activity can therefore improve your body’s defense to infection. Exercising during the coronavirus pandemic presents unique obstacles. Gyms are closed. Physical distancing guidelines take certain sporting activities off the table. So, in this blog I will offer three suggestions to maintain a physical activity program while adhering to physical distancing and other hygienic protocols.
Something is Better than Nothing
First, don’t let perfect be the enemy of good. Just because you can’t go to the gym or play basketball with your friends right now doesn’t mean you can’t exercise. If you like to lift heavy weights, now is a great time to focus on your form. Also, attention to intensity at home with lighter reps and more intention yields benefits. You won’t lose strength as quickly as you may be fearing. Maintaining muscle mass doesn’t require the progressive overload that gaining muscle requires. So as long as you’re lifting, pushing, pulling, squatting, hinging, etc. some weight, don’t lose sleep that you may not have access to the loads you are used to moving.
Likewise, while you may not be able to enjoy the team aspect of certain sports, skills can be sharpened and drills can be performed at home for many sports. Take this time to improve or hone your dribbling, feinting, shooting at a target, or other skills. Video yourself and watch it back and look for areas to improve, or share with teammates and ask for feedback on technique. Exercise during coronavirus can have a social aspect if you use the apps and social media that is now available to many of us.
Time for Fresh Air
Studies show, spending time outdoors improves markers for good health. Fewer strokes, less respiratory disease, hypertension, and other conditions are all improved with greater exposure to nature. Furthermore, it is a great way to get some exercise during coronavirus threat, while maintaining physical distance from others.
So despite playgrounds, swimming pools, and gyms being closed, green spaces are accessible and largely remain open to the public. So take a walk on a trail, go for a hike in the woods, walk on the beach, ride your bike, and aim for 150 minutes a week of physical activity as recommended by the CDC and in the Physical Activity Guidelines for Americans, 2nd edition. We are all taking advice from the CDC seriously right now, so we might as well adhere to their advice on exercise.
Get Creative with Exercise During Coronavirus
Now is a great time to get creative with your exercise during coronavirus. While being untethered from your usual routine may be stressful, it can also be fun to experiment. If you like lifting weights now is a good time to find some unusual items around the house to push, pull, carry, and squat. Not everything in life is barbell shaped, and in fact most of what life throws at you is not gym equipment.
Therefore, find the benefits in using unconventional loads in your lifts. You will work accessory muscles, balance, coordination, and sometimes it’s just fun to lift weird heavy objects. Think of how popular tire flipping has become at some gyms. Water jugs, a 50 pound bag of sand in the garage, pull ups off the kid’s swing set…use your imagination and lots of everyday items can become gym equipment.
Dr. Erik Reich is a chiropractor in Meriden, CT. He practices at Omni Physical & Aquatic Therapy Center, Inc. located at 303 South Broad Street. Where he treats all types of patients from high school athletes, seniors, victims of trauma such as auto accidents, and desk workers. Spending time with his wife and son, and their Boston terrier, is something Dr. Reich also enjoys.