I could hardly believe my eyes but I actually saw a back to school ad! I am thinking didn’t school just end. As your chiropractor in the Woodbridge Dale City VA area I want to share some tips from the BC chiropractic association.
Proper backpack use is often taken for granted and the effects of this could be drastic on our growing children and youth.
The body is a very sensitive and complex organism that adapts to the stressors we place on it. If we continually place undue and uneven stress on one of the most important parts of our body, the spinal column, we could end up in trouble later on in life! Examples of poor backpack use can include but are not limited to: muscle strain, headaches, back, neck and arm pain, improper growth and development and even nerve damage.
This being said, it’s imperative that we understand how to properly use backpacks in a way that they don’t place negative and uneven stress on our spine in an attempt to promote healthy growth and development!
Here are some great tips from the BC Chiropractic Association Backpack Safety Program, PACK IT LIGHT, WEAR IT RIGHT! that will help your family with proper backpack use:
Lighten up your backpack by ensuring you only have the essentials for the day. Things like shoes, old lunch boxes, old clothes and books for other courses don’t need to be carried around endlessly throughout the week.
If you’re carrying more than 15% of your body weight then you need to, lighten your load! For young and small children 10% of their body weight should be the upper limit!
Carry the heaviest items closest to the body! If you have a waist strap, USE IT!
Choose a backpack that has lots of pockets and areas to store things as this will make the load seem lighter.
When loading your backpack, do it on a table or a ledge that is at least waist height.
When putting your backpack on, keep it on the table and place BOTH straps on one at a time. Using both straps is essential to evenly distribute the weight being carried. Uneven weight distribution could lead to unwanted curvatures and abnormalities in the developing spine and musculature, respectively.
It is summer time! You can tell because it is miserably hot and the humidity is unbearable! But it is also weekend warrior time! Time to look around the basement and find you glove, clubs, racket… And that generally amounts to the pre-event perpetration. As your chiropractor in the Woodbridge, Dale City VA area I have to tell you that isn’t enough. Although I have no credibility because my pre-run stretching amounts to me bending over to put on my running shoes. Besides that point here are some common injuries and some ways to prevent them.
Anyone who concentrates all their exercise into 1 or 2 intense bouts a week could be considered a weekend warrior. But physicians agree that weekend warriors tend to be men older than 30, especially former competitive athletes who expect their bodies to adapt to—and recover from—activity the same way it did when they were teenagers.
But even people who are not super athletes can suffer injuries if they do intense activities over the course of a day or two, such as a weekend of yard work or cleaning gutters.
The types of injuries that frequently occur for weekend warriors are:
Muscle strains, such as hamstring injuries
Ligament sprains, particularly ankle sprains
Tendonitis in the Achilles tendon and elsewhere
Shin splints
Shoulder or rotator cuff injuries
Nearly all of these types of injuries can be resolved by following the RICE (rest, ice, compression, elevate) protocol. If pain lasts longer than a few weeks or doesn’t improve, make an appointment to see your doctor.
Prevent injuries before they occur
The main trigger for weekend warrior injuries is the abrupt transition from little or no activity to intense bouts of it. Muscles and soft tissues need gradual conditioning to perform at their best.
To prevent this, it’s important to exercise more regularly, if possible. Even if your main period of activity is on the weekends, try to fit in at least 1 or 2 periods of exercise on weekdays.
Build up activity slowly.
If you’ve been inactive for most of the winter or you’re starting training for a marathon in the fall, gradually increase your exercise time and intensity each week.
Warm up.
Before you jump into activity, warm up your muscles with 10 minutes of moderately paced activity like jogging, for example.
Stretch.
After doing a few minutes of light exercise, stretch your major muscle groups, such as your quads and hamstrings, as well as any muscles that will be heavily used during your chosen activity. You can also benefit from using a foam roller before you stretch, which has been shown to increase flexibility and lessen post-exercise pain.
Don’t forget to stretch after you finish exercising too. The findings about the benefits of pre-exercise stretching are mixed, but stretching after exercise has clear benefits for decreasing soreness and helping muscle tissue return to its normal state.
Use proper technique and proper equipment.
It may help to consult a coach, trainer, or physical therapist if you’re new to a sport or piece of equipment.
Find an exercise program.
A class or race training group can help you set a good pace for working toward your exercise goals.
Don’t push through serious pain.
Mild muscle soreness is normal after a workout, but stop exercising if you experience sudden, piercing pain or if you have pain that’s getting steadily worse.
With the increased use of computer keyboards, video games and other computer devices wrist and carpal tunnel injuries have increased worldwide. I have to say in my Woodbridge, Dale City VA Chiropractic office I have also seen a spike in carpal tunnel complaints. It is very important to take breaks and stretch your wrists and forearms to avoid a bigger problem.
The forearm and digit energizer series is a great way to manage that fatigue and pain you are feeling creep into your hands and wrists from excessive typing, gripping, or handstand walking.
This series is challenging and can place your hands into a position that they may not be comfortable being in to start, so exercise restraint on your first time. If you find your hands, wrists, or fingers are tender in any of these stretches, try first to reduce the pressure applied, and then slowly and progressively increase that pressure over time until you gain a full range of motion. We encourage you to challenge yourself with the finger flexing and neuromuscular components shown as well. You will be surprised at how much dexterity you gain from just a few round of this series, and the fatigue you feel when you first begin is expected. However, in time, when your fingers are dancing across your keyboard pain free and you suddenly are able to shuffle a deck of cards like a riverboat gambler, you will understand why we call it the energizer series!
A couple things to remember:
Complete 5-10 good reps of all the exercises shown, and take the time to slow down the movement and get a good amount of time under tension for these small endurance muscles.
Spend more time, 60-90 seconds, in the stretching ranges that are especially difficult or hard to stretch.
We are coming up on summer in the northern VA area. Which generally hot and miserable. I constantly tell people in my Woodbridge, Dale City VA Chiropractic office to drink water. Every patient I have hears me say it on the way out of my office! Pretty much every one of them goes “yea yea I know lots of water.” Not only from a muscle recovery stand point hydration has tons of other benefits!
Drink!
Good old H2O is critical for rehydrating when the body experiences fluid loss, such as when we sweat. Even though many gyms like to keep pricey sports drinks and protein shakes stocked on their shelves, most of the time, water will do the trick just fine. Shoot to sip seven to 10 ounces of fluid every 10 to 20 minutes during exercise to stay properly hydrated. If you’re working out for longer than an hour or doing a particularly intense exercise (like running a marathon or participating in a tough training session), you will probably need to replace electrolytes too—this is where a sports drink or electrolyte-enhanced water comes in handy. However it’s also important to be wary of overhydration: Too much water can lead to hyponatremia, which is when excess water in our bodies dilutes the sodium content of our blood. “It is most often caused by long duration exercise and either drinking fluid at a rate that is more than fluid losses or only replacing fluid losses with hypotonic fluids like water,” CamelBak hydration advisor, Doug Casa, says.
Sip on sports drinks and coconut water.
When we sweat, we lose electrolytes, which are minerals found in the blood that help to regulate (among other things) the amount of water in the body. Research suggests and sports drinks, such as Powerade and Gatorade, can help prolong exercise and rehydrate our bodies because they contain electrolytes, which plain old water does not. While an ordinary workout may not require electrolyte-replenishing, those participating in longer and more intense periods of exertion, such as running a marathon or going through a particularly intense workout, will benefit from a good dose of electrolytes mid-workout. Not in to sports drinks, or want a more natural alternative? Water-enhancing electrolyte tablets, coconut water, or a homemade sports drink could be potentially effective substitutes.
Turn to fruit.
Many fruits are a great source of both electrolytes and fluids, though the dose of electrolytes can differ from fruit to fruit. Bananas and dates are known for having high levels of the electrolyte potassium, making them a great option for refueling during an intense workout (for example, a long run). To stay hydrated while keeping up electrolytes, it’s important to drink water while munching on fruit (fruit contains some water, but not as much as your water bottle).
Weigh yourself.
Hop on the scale before and after exercise. For each pound lost during activity, drink an additional 16 ounces of fluid. If your body weight change is three percent or more, you may be experiencing significant to serious dehydration. Losing a few pounds of body weight after exercise can put strain on the body and result in uncomfortable side effects like muscle cramps, dizziness, and fatigue. To prevent sweating away the water that keeps us hydrated, have a water bottle at the ready.
Check the toilet.
If you’re taking a mid-set break to hit the loo, check on the color of your urine to make sure you’re staying hydrated. When properly hydrated, urine should be pale yellow in color. Though it may be tricky to keep an eye on it, try to watch the urine stream, since the color of urine will dilute when it hits the toilet water. Store this handy, dandy urine color test in your phone or wallet to make sure your piddle is up to snuff—dark yellow urine may indicate dehydration.
Tame thirst.
Whatever you’re drinking, be it water, juice, or sports drinks, make sure to take a sip or two whenever you feel thirsty. Even if you’re not feeling totally parched, mild thirst is still a sign of impending dehydration.
Pay attention to your muscles.
Lean muscle tissue contains more than 75 percent water, so when the body is short on H2O, muscles are more easily fatigued. “Staying hydrated helps prevent the decline in performance (strength, power, aerobic capacity, anaerobic capacity) during exercise,”Casa says. When your muscles feel too tired to finish a workout, try drinking some water and resting for a bit before getting back at it.
Pinch yourself. (No, really.)
Go ahead, pinch yourself! Skin turgor, which is the skin’s ability to change shape and return to normal (or more simply put, it’s elasticity), is an easy way to check your hydration (though not 100 percent reliable for everyone). Using your pointer finger and thumb, simply pinch the skin on the back of your hand (not too hard!) and hold for a few seconds. When you let go, if the skin takes a while to return to its normal position, you may be dehydrated.
Keep dry mouth at bay.
One of the first signs of dehydration is dry mouth. If your mouth starts feeling like the Sahara, head to the water fountain (or take a sip from your reusable water bottle!). A short water break between sets or during quick breaks from cardio can help stave off exercise-induced dehydration.
Stop if you get the dizzies.
Feeling lightheaded during a workout is a sign of dehydration and a signal to tone it down a notch. Though willpower sometimes makes us want to push ourselves through a few more reps or another mile, feeling dizzy is an indicator that it’s time to hydrate.” Due to the decreased plasma volume with dehydration during exercise,” Casa says, “the heart must work harder to get blood to the working muscles.” When there’s not enough water in blood, both blood volume and blood pressure drop, resulting in dizziness.
Sitting all day seems like a great idea when given the other options like lifting, standing and bending. But the reality is sitting isn’t that great for you! As a Chiropractor in the Woodbridge, Dale City VA area I see a lot of injuries that are the result of sitting. Of course, we all have to sit! I am sitting right now as I type this. But there are a few options we can use to make desk work better for us. A standing desk can help when available and so can switching between your desk chair and a stability ball. Here are some benefits of the stability ball from the AFPA.
1.) Burn Extra Calories
As a personal trainer, you may not spend a large portion of your day sitting. However, many of your clients may sit for eight or more hours a day. That’s where you come in. While you probably focus on form and stance during each session, part of being a successful personal trainer is integrating your knowledge and expertise beyond the gym. You must be willing to go the extra mile and offer advice that your clients can take home with them. If your client is interested in replacing the office chair with a stability ball, remind him or her of the added bonus: extra burned calories.
2.) Relieve Back Pain
While you will have to focus on maintaining good posture while sitting on the stability ball, you won’t be as hunched over as you could be sitting in an office chair. But the truth is, sitting on a stability ball isn’t going to bring miracles or completely alleviate any pain you are experiencing. However, with regular exercise and stretching on a stability ball, you may be able to relieve some of the pain you are experiencing. We’ll take a closer look at those options below.
3.) Tone Core Muscles
While we already discussed the negative impacts that sitting in a chair can have on your core strength, did we mention that switching to a stability ball can also help you to sculpt and tone those stubborn abs and obliques? With a stability ball, you are no longer relying on the back of the chair to keep you propped up. Instead you must engage your core, which of course leads to an increase in your core strength. Looking for an extra challenge during the workday?
4.) Induce the Inspiration to Stretch
Maybe it’s just us, but it’s rather difficult as a trainer to sit on a stability ball without taking a break or two during the day to stretch out and relieve some tension. As we stated earlier in the post, the stability ball can relieve some strain you may experience in your back. It can also provide added support when you want to get a deeper stretch that you may not have been able to perform otherwise.
Low back pain is one of the most common health related injuries. The thing I hear a lot in my Woodbridge, Dale City VA Chiropractic office is “I didn’t even do anything”! Some of the types of injuries are even hard for me to believe and I have been a chiropractor in the Woodbridge, Dale City VA area for over 20 years. The thing I try to tell people is it is almost never that one thing that hurt your back it is the last two or three weeks that lead up to the injury. For the most part it is long standing tightness. All your back muscles attach to your spine and pelvis. As they continue to tighten over the course of weeks they increase the load on the joints until you sneeze, pick up a piece of paper, stretch, go to the bathroom…. Yes, the list goes on but it is rarely the actual cause.
Here are some daily stretches you can do to keep your back stretched and relaxed so the muscles function correctly.
The Deep Squat
Stand up straight with your arms folded across your chest. Place your feet shoulder-width apart and toes pointing out slightly. Squat down as far as you can, keeping your heels on the floor. As you squat ensure your weight goes into your heels and not your toes. For a full range of movement, your bum should sit down by your heels and your head should be tall and looking forward. Perform the exercise slowly when lowering down, giving yourself time to keep control and lower all the way – or as far as your range of movement will allow. Pause for a count of two at the bottom of the squat, allowing your groin area to relax. Your knees should be directed slightly outwards in alignment with your feet. Keeping your knees out, squeeze your gluteals and stand up out of the squat. Only go as far as you can without any pain. As you perform the exercise regularly you will slowly but surely be able to achieve greater flexibility. Do this for 2 sets of 10.
Knee to Chest
Lie on your back, flex your knees up and do a pelvic tilt so you press your lower back flat to the floor. Slowly and gently pull your right knee to your chest at a slight angle towards your left shoulder. Hold for 5 seconds and release back to the bent position. Then repeat with the opposite leg. Do this 10 times in alternating fashion
Downward Dog
Place your hands and feet on the floor, shoulder-width apart, knees bent and hips high. Your heels should be off the floor at this point. Relax your head and neck so you are looking towards your knees. Do a pelvic tilt so your lower back is arched and your spine is straight. Now straighten your arms and pull your shoulder blades together. Straighten your knees as well. You may lose the arch in your low back but don’t allow your lumbar spine to flex. This will require a good abdominal squeeze to maintain the lumbar arch. Hold for 30 seconds and relax. Repeat 5 times.
Spine twists
Sit down with your legs loosely crossed. Pull your back up tall and stick your chest out so that you are sitting upright with perfect posture. Fold your arms across your chest. Tighten your abs so that your pelvis is stable. Then slowly turn your head and shoulders to one side. Turn as far as you can and you will feel the stretch in the rib area. Hold the end position for a count of two and then turn across to the other side and repeat. Perform two sets of 10 repetitions each side.
Do not force any of these exercises and if you feel any discomfort stop. Keeping your low back stretched will help you prevent some low back injuries but routine chiropractic visits with these stretches can help prevent the big injuries. Of course injuries are inevitable but if your try to prevent the preventable ones you can eliminate a lot of pain from your life.
With all the news of concussions in sports it is important that we keep an eye on our young athletes. Of course, concussions are a major concern but they are a small part of the injuries and problems young athletes face. As a chiropractor in the Woodbridge, Dale City VA area I see tons of young athletes. I try to advise them in all aspects of being athletic. Here are the ACA guidelines on young athletes.
The majority, if not all, sports are good, provided that the child prepares appropriately,” says Timothy Ray, DC, a member of the American Chiropractic Association’s Council on Sports Injuries and Physical Fitness. “Without proper preparation, playing any sport can turn into a bad experience. There are structural and physical developmental issues that need to be taken into consideration before children undertake certain sports.”
Highly competitive sports such as football, gymnastics and wrestling follow rigorous training schedules that can be potentially dangerous to an adolescent or teenager. The best advice for parents who have young athletes in the family is to help them prepare their bodies and to learn to protect themselves from sports related injuries before they happen.
“Proper warm up, stretching and strength-training exercises are essential for kids involved in sports, but many kids learn improper stretching or weight-lifting techniques, making them more susceptible to injury,” says Steve Horwitz, DC, an ACA member from Silver Spring, Md., and former member of the U.S. Summer Olympic medical team. “Parents need to work with their kids and make sure they receive the proper sports training.”
“Young athletes should begin with a slow jog as a general warm-up, followed by a sport-specific warm-up. They should then stretch all the major muscle groups,” says Dr. Horwitz. “Kids need to be instructed in appropriate exercises for each sport to prevent injuries.”
Proper nutrition and hydration are also extremely vital. “While an ordinary person may need to drink eight to 10 8-ounce glasses of water each day, athletes need to drink even more than that for proper absorption. Breakfast should be the most important meal of the day. Also, eating a healthy meal two to four hours before a practice or a game and another within one to two hours after a game or practice allows for proper replenishment and refuels the body,” adds Dr. Horwitz.
Young athletes today often think they are invincible. The following tips can help ensure your child does not miss a step when it comes to proper fitness, stretching, training and rest that the body needs to engage in sporting activities.
Encourage your child to:
Wear the proper equipment. Certain contact sports, such as football and hockey, can be dangerous if the equipment is not properly fitted. Make sure all equipment, including helmets, pads and shoes fit your child or adolescent. Talk to your child’s coach or trainer if the equipment is damaged.
Eat healthy meals. Make sure your young athlete is eating a well-balanced diet and does not skip meals. Avoid high-fat foods, such as candy bars and fast food. At home, provide fruit rather than cookies, and vegetables rather than potato chips.
Maintain a healthy weight. Certain sports, such as gymnastics, wrestling and figure skating, may require your young athlete to follow strict dietary rules. Be sure your child does not feel pressured into being too thin and that he/she understands that proper nutrition and caloric intake is needed for optimal performance and endurance.
Drink water. Hydration is a key element to optimal fitness. Teenage athletes should drink at least eight 8-ounce glasses of water a day. Younger athletes should drink five to eight 8-ounce glasses of water.
Drink milk. Make sure your child has enough calcium included in his/her diet. For children over 2 years of age, ACA recommends 1 percent or skim milk rather than whole milk. Milk is essential for healthy bones and reduces the risk of joint and muscle related injuries.
Avoid sugar-loaded, caffeinated and carbonated drinks. Sports drinks are a good source of replenishment for those kids engaged in long duration sports, such as track and field.
Follow a warm-up routine. Be sure your child or his/her coach includes a warm-up and stretching session before every practice, game or meet. A slow jog, jumping rope and/or lifting small weights reduces the risk of torn or ripped muscles. Flexibility is key when pushing to score that extra goal or make that critical play.
Take vitamins daily. A multi-vitamin and Vitamin C are good choices for the young athlete. Vitamin B and amino acids may help reduce the pain from contact sports. Thiamine can help promote healing. Also consider Vitamin A to strengthen scar tissue.
Avoid trendy supplements. Kids under the age of 18 should avoid the use of performance-enhancing supplements, such as creatine. Instead, they should ask their coach or trainer to include weekly weight training and body-conditioning sessions in their workout.
Get plenty of rest. Eight hours of sleep is ideal for the young athlete. Lack of sleep and rest can decrease performance. Sluggishness, irritability and loss of interest could indicate that your child is fatigued.
My Woodbridge, Dale City VA Chiropractic office gets calls relating to neurology on an almost daily basis. We treat pretty much all non-surgical and non-pharmacological issues a patient could have. Most importantly the neurological training I underwent, helps me diagnosis and refer patients that I can’t help.
Traditionally, neurology tends to look at disease of the nervous system as black-and-white with one side being optimal neurologic function and the other being neurological disease such as tumors, strokes etc. Functional Neurology looks at dysfunction of the nervous system as different shades of gray looking for subtle changes in the nervous system before they become distinct pathologies. You will often hear it said by functional neurologist that neurons need fuel and activation in order to thrive and survive. Fuel can be defined as oxygen, glucose and essential nutrients. Activation refers to stimulation of the nervous system which causes changes in the structure and metabolism of the nerve cell. More recently, Functional Neurology Practitioners are also involved with eliminating possible negative effects on neurons such as toxins, infectious agents and immune responses.
Four factors that are of high importance in functional neurology care are:
Determining where the failure in the nervous system and/or body lies.
What would be the right stimulation to activate that area?
What is the health and condition of the failing area, so as to determine how much stimulation would be too much.
Adapting this vital information in order to apply that precise amount of stimulation to the patient in our office.
It is important to note that the stimulations used, must be specific to the particular patient who is being treated. There is bio- individuality to the nervous system, just as individual as a fingerprint, and such that even those with similar symptoms may require different stimulations at different frequencies and intensities in order to achieve the best success. This cannot be done in a generalized or cookbook type program. For example, you cannot treat every patient with a balance disorder or ADHD with the same treatment protocols. Generalized treatments run the risk of exciting an area of the nervous system that is already overexcited, or stimulating an area that should be inhibited. Results are maximized due to the fact that the program of stimulations is tailored to the individual patient’s problem and capacity, and not a one-size-fits-all program where results may be limited or the program may actually be inappropriate. In other words: Different people, different brains, and therefore, different treatments.
It is important to note that the functional neurological examination although very detailed is noninvasive and therefore can be performed on many different types of patients without patient anxiety being a factor. This is very significant especially for those practitioners treating children on the autism spectrum, because there is a tendency for these children to have higher anxiety. The skilled Functional Neurology Practitioner realizes that everything from the patient’s posture, to tics, to faulty eye movements, and alignment are all expressions of what is going on in the patient’s nervous system. Subtle though these expressions may be, to the highly skilled Functional Neurologist, these little things mean a lot.
Activation of the nervous system via specific exercises or stimulations to targeted areas of the brain, pathways or circuits can create powerful results in the patient, but should be carefully monitored, so that the metabolic capacity of the patients nervous system is not exceeded, and damage does not occur instead of the intended rehabilitation.
Functional neurology is on the cutting edge of health care.
Functional neurology is a field of study that achieves successful results by applying current neuroscience in an office setting. This means that the Functional Neurology Practitioner is taking current neuroscience from the research laboratory and devising ways of applying that research in the office to treat patients. The training begins with neuron theory and progresses to a level that allows the practitioner to evaluate and treat dysfunction of the nervous system without the use of, or in conjunction with medications.
The concept of functional neurology is relatively new and therefore begs the question” What exactly is functional neurology? ” This is an inquiry that I get asked when doing presentations, and by email on a regular basis. Hopefully the above helps to clarify some of the questions and misconceptions out there regarding Functional Neurology.
The following is a list of health conditions people have shown significant improvement with:
Balance disorders low immunity
arm/shoulder pain spinal stenosis
low back pain/sciatica numbness
bulging/herniated discs neck pain
carpal tunnel syndrome MS symptoms
dizziness tremor disorders
dystonia hip/knee/feet pain
early Alzheimer’s symptoms insomnia
fibromyalgia migraines
RLS (restless leg syndrome) post concussion
If you have been suffering from any of the above problems or can’t figure out what is wrong call me at 703 730 9588. Even if it is outside of my scope of practice I may be able to help you find relief.
I see tons of patients with headaches as a Woodbridge, Dale City VA Chiropractor. One of the things that needs to be ruled out is TMJ or TMD. It is the same thing just two different names. TMJ dysfunction can cause pain into the side of the face and head. Most people don’t associate this complaint with their jaw, they just consider it a headache. Here is some information that may help you decide what is causing your headaches.
Does it hurt when you chew, open wide to yawn or use your jaws? Do you have pain or soreness in front of the ear, in the jaw muscle, cheek, the teeth or the temples? Do you have pain or soreness in your teeth? Do your jaws make noises loud enough to bother you or others? Do you find it difficult to open your mouth wide? Does your jaw ever get stuck/locked as you open it?
If you answered “yes” to some of these questions, you may have a temporomandibular joint disorder, or TMD. TMD is a group of conditions, often painful, that affect the jaw joint.
Signs may include:
Radiating pain in the face, neck, or shoulders;
Limited movement or locking of the jaw;
Painful clicking or grating when opening or closing the mouth;
A significant change in the way the upper and lower teeth fit together;
Headaches, earaches, dizziness, hearing problems and difficulty swallowing.
For most people, pain or discomfort in the jaw muscles or joints is temporary, often occurs in cycles, and resolves once you stop moving the area. Some people with TMD pain, however, can develop chronic symptoms. Your doctor of chiropractic can help you establish whether your pain is due to TMD and can provide conservative treatment if needed.
What Causes TMD?
Researchers agree that TMD falls into three categories:
Myofascial pain—discomfort or pain in the muscles of the jaw, neck, and shoulders;
A dislocated jaw or displaced disc;
Degenerative joint disease—rheumatoid arthritis or osteoarthritis in the jaw joint.
Severe injury to the jaw is a leading cause of TMD. For example, anything from a hit in the jaw during a sporting activity to overuse syndromes, such as chewing gum excessively or chewing on one side of the mouth too frequently, may cause TMD.
Both physical and emotional stress can lead to TMD, as well. The once-common practice of sitting in a dentist’s chair for several hours with the mouth wide open may have contributed to TMD in the past. Now, most dentists are aware that this is harmful to the jaw. In addition to taking breaks while they do dental work, today’s dentists also screen patients for any weaknesses in the jaw structure that would make physical injury likely if they keep their mouths open very long. In that case, they may use medications during the procedure to minimize the injury potential, or they may send the patient to physical therapy immediately after treatment. In less severe cases, they instruct patients in exercises they can do at home to loosen up the joint after the visit.
While emotional stress itself is not usually a cause of TMD, the way stress shows up in the body can be. When people are under psychological stress, they may clench their teeth, which can be a major factor in their TMD.
Some conditions once accepted as causes of TMD have been dismissed—moderate gum chewing, non-painful jaw clicking, orthodontic treatment (when it does not involve the prolonged opening of the mouth, as mentioned above), and upper and lower jaws that have never fit together well. Popular theory now holds that while these may be triggers, they are not causes.
Women experience TMD four times as often as men. Several factors may contribute to this higher ratio, posture and higher heels.
TMD Diagnosis and Treatment
To help diagnose or rule out TMD, your doctor of chiropractic (DC) may ask you to put three fingers in your mouth and bite down on them. You may also be asked to open and close your mouth and chew repeatedly while the doctor monitors the dimensions of the jaw joint and the balance of the muscles. If you have no problems while doing these things, then the problem is not likely to be TMD. Your DC can then look for signs of inflammation and abnormalities. Sometimes special imaging, an x-ray or an MRI may be needed to help confirm the diagnosis.
If you have TMD, your doctor may recommend chiropractic manipulation, massage, applying heat/ice and special exercises. In most cases, your doctor’s first goal is to relieve symptoms, particularly pain. If your doctor of chiropractic feels that you need special appliances or splints (with the exception of the “waterpack” and other guards against teeth grinding), he or she will refer you to a dentist or orthodontist for co-management.
In addition to treatment, your doctor of chiropractic can teach you how to:
Apply heat and ice to lessen the pain. Ice is recommended shortly after the injury or after your pain has started. In the later stages of healing, you need to switch to heat, especially if you are still experiencing discomfort.
Avoid harmful joint movements. For example, chomping into a hard apple is just as bad as crunching into hard candy (some hard candies are even called “jawbreakers”—for good reason). And giant sandwiches can cause the mouth to open too wide and have a destabilizing effect on the jaw.
Perform TMD-specific exercises. Depending on your condition, your DC may recommend stretching or strengthening exercises. Stretching helps to loosen tight muscles and strengthening helps to tighten muscles that have become loose. Special feedback sensors in the jaw can be retrained, as well, if needed.
