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Computer Related Injuries and Chiropractic Care

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COMPUTER RELATED INJURIESComputer Related Injuries and Chiropractic Care

The computer is a vital tool in many different jobs and activities, for adults and children. But long periods of using a computer can increase your chance of developing an computer related injuries. Inappropriate computer use can cause muscle and joint pain, overuse injuries of the shoulder, arm, wrist or hand, and eyestrain.

Children can experience particular physical and psychological problems if they play computer games too much. You can reduce or avoid these risks with the correct furniture, better posture and good habits, such as taking rest breaks and restricting time spent playing computer games. Typical injuries include

  • Posterior cervical dorsal syndrome (“computer back”)
  • “Mouse shoulder”
  • Carpal tunnel syndrome
  • Tennis elbow
  • Lumbar sprains and strains
  • Disc injuries
  • Eyestrain from computer use
  • Health risks from computer games

Learn how to identify and help prevent these computer related injuries and learn when to get help with chiropractic care.

Basic Terminology For Computer Related Injuries

To understand computer related injuries requires an introduction to some of the basic terminology of musculoskeletal injury.

Muscle spasm: excessive muscle tone; usually caused by a reaction to postural fatigue, tissue injury, or psychogenic stress.

Strain: injury to a muscle or tendon (the tissue that connect muscles to bones); usually due to repetitive overuse, fatigue, over stretching, excessive contraction, unguarded movements, postural loading, or direct blows.

Repetitive strain injury (RSI): damage to the tendons, nerves, muscles, and  other soft tissues of the body caused by specific repeated movements which overstress the tissues; another name for RSI is cumulative trauma disorder (CTD).

Tendonitis: inflammation of a tendon; usually caused by excessive repetitive or abnormal motion.Sprain: injury to a ligament (the tissue that connects bones together); usually due to the same things which cause strains and the additional stress added  when the muscles fatigue.

Myofascial trigger points: local points of severe muscle spasm caused by postural strain and repetitive use; they may be initiated or perpetuated by many physical, chemical, or psychological stresses; and trigger points can “trigger” local and referred pain when pressed or when severe they cause pain
without pressure.

Joint dysfunction: abnormal joint operation due to weak or lax supporting muscles or ligaments, or conversely excessively tight supporting tissues; dysfunction can result in pain, abnormal motion, and eventually degeneration and nerve interference.

Cervicogenic headaches: headaches caused by irritation of the tissues of the neck by any of the tissue dysfunctions.

Posterior cervical dorsal syndrome (“computer back”)

A very common postural syndrome in modern society involves excessive rearward curving of your lower, middle, and upper back; forward drawn head; rounded shoulders; and excessive forward curving of your upper neck. This syndrome has been given several names including sterno-symphyseal syndrome, posterior cervical-dorsal syndrome, or more commonly, computer back or student syndrome. It is a natural result of prolonged sitting work, especially with computers. These postural defects in turn can cause

  • headaches
  • excessive muscle tension in your neck, chest, shoulders, arms and forearms, back, abdomen, hips, and thighs and legs
  • strains and trigger points the above muscles
  • joint dysfunction and sprains in your neck, back, and ribs
  • increased loading on the intervertebral discs of your spine
  • impaired function of your breathing muscle (your diaphragm), causing the muscles lifting your upper ribs and shoulders to become overactive and subject to problems

To help prevent computer back try adopting the postural relief position every 20 minutes i order to aoid computer related injuries.

“Mouse shoulder”

“Mouse shoulder” (as good a name as any) is a syndrome arising from prolonged elevation and bracing of the shoulder to accommodate an inappropriately positioned mouse, or performing short range movements of the mouse, or (usually) both. This syndrome results in severe shoulder and shoulder blade muscle spasm (in the trapezius, deltoid, and teres muscles) and trigger points with referred pain in the arm.If left untreated, this problem can develop into a much more serious rotator cuff injury. Call your clocal chiropractor and avoid these computer related injuries.

Carpal tunnel syndrome and Computer Related Injuries

Carpal tunnel syndrome arises primarily from compression of the median nerve as it passes through the wrist. It is the most common nerve compression injury in the body and it is the most common and costly RSI. Typical symptoms include

  • paresthesias (abnormal sensations) such as tingling and numbness in the thumb and index and middle fingers
  • night pain
  • weakness in grasping, thumb and index finger pinching, and other thumb movements
  • clumsiness, such as awkward hand movements and dropping things

For more information, see Carpal tunnel syndrome.

Tennis elbow

Classic tennis elbow, or lateral epicondylitis, is another type of RSI. It is a tendonitis affecting the common extensor tendon at the lateral (outside) area of the elbow. Tennis elbow is a very common cause of elbow and forearm pain. It can cause mild to severe pain in the lateral elbow and may be aggravated by grasping and excessive finger motions. The pain may also radiate up the arm or down into the forearm.For more information, see Tennis elbow.

Lumbar sprains and strains

Lumbar spine sprains (ligament or joint capsule tears) and strains (muscle or tendon tears) are common in office workers due to the high loads placed on the spine during sitting.Sprains and strains may cause back and hip pain as well as muscle swelling and tightness.For more information, see Lumbar sprains and strains.

Disc injuries

Increased loading on the spine due to prolonged and faulty sitting postures may cause sprains of the outer (annular) fibers of the intervertebral discs. In more advanced cases the soft inner material (nucleus) of the disc may protrude into or even through the annular fibers of the disc, resulting in a herniated disc.Herniated discs may cause back pain, leg pain and altered sensation down to the foot, weakness, walking difficulties, or combination of these symptoms.For more information, see Disc injuries.

Eyestrain from computer use

Focusing your eyes at the same distance point for long periods of time causes fatigue. The human eye structurally prefers to look at objects more than six metres away, so any work performed close up puts extra demands on your eye muscles.The illuminated computer screen can also cause eye fatigue. Although there is no evidence that eye fatigue damages your eyesight, computer users may get symptoms such as blurred vision, temporary inability to focus on faraway objects and headaches.

Preventing eyestrain from computer use

Tips to avoid eyestrain include:

  • Make sure your main source of light (such as a window) is not shining into your face or directly onto the computer screen.
  • Tilt the screen slightly to avoid reflections or glare.
  • Make sure the screen is not too close to your face.
  • Put the screen either at eye level or slightly lower.
  • Reduce the contrast and brightness of your screen by adjusting the controls.
  • Frequently look away from the screen and focus on faraway objects.
  • Have regular eye examinations to check that any blurring, headaches and other associated problems are not caused by any underlying disorders.

Health risks from computer games

Playing computer games for too long or without correct furniture and posture can lead to health problems such as:

  • Overuse injuries of the hand
  • Obesity
  • Muscle and joint problems
  • Eyestrain
  • Behavioural problems including aggressive behaviour
  • Photosensitive epileptic seizures (caused by flashing or rapidly changing lights – this is rare).

Parents can reduce the risk of children developing computer-related health problems. You can encourage your child to:

  • Sit at least one metre away from the screen
  • Take frequent breaks
  • Pursue other activities. Encourage your child to enjoy different hobbies and interests, particularly sports and physical activities.

You can also:

  • Set sensible time limits on your child’s game playing. Some guidelines recommend no more than two hours of screen time each day
  • Set up the computer, desk, chair and keyboard to suit your child’s height. For example, adjust the chair so that your child’s feet rest flat on the floor
  • Buy an ergonomic chair
  • Buy a smaller mouse, which suits the size of your child’s hand
  • Teach your child to use the keyboard and mouse properly and safely, such as pushing the buttons and other controls gently. Using unnecessary force increases the risk of overuse injury.

Eight basic steps for preventing common computer-related injuries

The key to preventing common computer-related injuries is to identify and remove the abnormal stresses acting on your body while you work. Eight ways to do this are

  1. Adopt proper sitting posture by changing the arrangement of your desk, chair, and computer screen and keyboard. See Ergonomics at Work and Microsoft’s Healthy Computer Guide. Check yourself to ensure you maintain proper posture throughout the day. A good idea is to have someone else watch your posture while you work.
  2. Support easily compromised areas of the body. A lumbar support pillow and wrist supports for your keyboard and mouse can prevent many injuries.
  3. Don’t sit too long at your desk, get up and move around at least every half-hour. Also, try adopting the postural relief position every 20 minutes.
  4. Recognize that the psychological stress of your work could be altering your posture. Slumped shoulders and shoulders pulled upward are common self-defense postures.
  5. Improve your overall fitness level to make your muscles strong and flexible so that they do not fatigue as quickly. Start simple, balanced exercise program that you will continue, for example, brisk walking at lunch.
  6. Stretch and relax your tight (or overactive) muscles and strengthen and tone up your weak (or underactive) muscles. Periodically perform these simple stretches.
  7. Take a few minutes to massage your muscles to help work out the kinks. Use gentle kneading motions and strokes towards the heart.
  8. At the end of your long day, relax your muscles in a warm bath or shower. You deserve it!

Consider using a computer program like Workrave, a freeware program that assists in the recovery and prevention of RSIs. To quote the website: “The program frequently alerts you to take micro-pauses, rest breaks and restricts you to your daily limit.” It also provides helpful examples of stretches and exercises for you to perform during the breaks. Also consider using one of the many posture apps available for smartphones.

When to get additional help

You should seek help for

  • problems different than your “usual” ones
  • weakness
  • persistent (lasting more than 2-3 days) or worsening symptoms
  • symptoms that disrupt your work or home life

Contact Dr. Burt if you have any of the symptoms mentioned in this article. Your symptoms can get progressively worse if not fixed on time with proper chiropractic care.

Chiropractic Care and Correction of a Bad Posture

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chiropractic careChiropractic Care and Correction of a Bad Posture.

Having good posture has always been considered important and chiropractic care plays an important role by keeping your spine aligned.

So, what is good posture and why should we bother with our posture?Posture means ‘the position you hold your body during certain activities, not just standing and sitting’.

It relates to all activities.Good posture helps your body function better. If you have correct posture for the activity you are doing, your body will need less effort doing it and be less likely to get injured. Good posture will give you better mechanical advantage and reduce strain on certain parts of your body that are prone to injury.This is particularly important in physical activities, such as manual labor, gardening and sports, and that applies to athletes of all abilities.If you make better use of the natural lever systems in the body you will get better mechanical advantage, which will get the job done with less effort and with less risk of injury.

 

Posture of the Spine and the Nervous System

Common interferences to the nervous system occur between some of the 24 moving bones of the spinal column. A loss of normal motion or position of these bones can irritate or impair the function of the nervous system.

This can disrupt the transmission of controlling nerve impulses. With improved spinal function people often report improved organ and system function. Your Chiropractor can help remove any interference that may be impairing normal health.

When under proper control of your nervous system, all the cells, tissue, and organs of your body are designed to resist disease and ill health. The Chiropractic approach to better health is to locate and help reduce interferences to your natural state of being healthy.

Causes of poor posture

The causes of faulty posture can be divided into two categories: positional and structural.

Structural causes are basically permanent anatomical deformities that may not amenable to correction by conservative treatments. However, some leg length inequalities and some ankle and foot issues can be corrected conservatively.

Positional causes of poor posture include

  • poor postural habit—for whatever reason, the individual does not maintain a correct posture
  • psychological factors, especially self-esteem
  • normal developmental and degenerative processes
  • pain leading to muscle guarding and avoidance postures
  • muscle imbalance, spasm, or contracture
  • joint hypermobility or hypomobility
  • respiratory conditions
  • general weakness
  • excess weight
  • loss of proprioception—the ability to perceive the position of your body
  • over reliance on passive support from a non-ergonomic chair

Physiology of posture

Posture control involves static and phasic reflex activities:

  • Static reflexes involve sustained contraction of the musculature.
  • Dynamic short-term phasic reflexes involve transient movements.

Both types of reflex are integrated at various levels in the central nervous system (CNS) from the spinal cord to the cerebral cortex and are largely effected through extrapyramidal motor pathways.

Postural reflex patterns from reflexes, such as the stretch and flexion (withdrawal) reflex pathways, result in a coordination of many joint movements and combinations of muscle actions:

  • These involve the contraction of prime movers, synergists, and stabilizers, along with the necessary relaxation of antagonists.
  • These muscles are regulated for contraction intensity, speed, duration, and sequential changes in activity.

The integrative pattern of posture is predominantly automatic and unconscious, resulting from the incessant shifting of weight (postural sway).

Postural corrections are continuously mediated by spinal reflexes. Posture is further mediated by the visual, labyrinthine, neck-righting reflexes, and by the interplay of joint reflexes.

While the control of posture is primarily controlled by various reflex mechanisms, there is also extensive input from the higher centers of the nervous system. Therefore, posture to some extent can be relearned (corrected) just as it was learned in the first place.

Correcting postural faults

Postural faults must be accurately analyzed before they can be effectively corrected.

Examination should include the following:

  • observation of the patient as they sit and move about
  • spinal alignment
  • if appropriate: measurement or estimation of the deviation from ideally erect postures using plumb lines, inclinometry, and posture guides —done in three or all four views
  • limb length and girth measurements
  • flexibility tests and joint mobility tests
  • muscle length and strength tests

The importance of muscle testing to postural analysis cannot be  over-emphasized. Much of the specific therapy in posture correction relies  directly on muscle tightness and weakness found during examination.

Conventional corrective therapies

Six main modalities are employed in the conventional treatment of faulty body mechanics and hence postural faults: chiropractic; heat; massage; stretching; strengthening exercises; and supportive measures to treat ligaments, bones, and nerves.

These days, more and more people find themselves sitting in front of computer screens or television sets for long periods of time. Only a small percentage of people exhibit good posture when they are sitting. That’s because it is
hard to sit up straight for eight hours at a time. Eventually, you will find yourself slouching or leaning forward to get a better look at the computer screen. Over time, the bad posture can really start to add up and take a physical toll on your body. You may start to feel tight or stiff in your shoulders and neck, or you could experience lower back pain.

If you have ever felt like there’s a knot of muscle tension in your neck or back, it may be a sign that you are exhibiting poor posture. This tension will only get worse over time, and can begin to seriously impact your quality of life. With quality chiropractic care, you can fix the problem before it gets out of hand.

 

Pelvic Tilt, Neck Pain and Low Back Pain Symptoms

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pelvic tilt

Pelvic Tilt, Neck Pain and Low Back Pain Symptoms

Balance is the key of life the Chinese called it Yin and Yang. The human body is always seeking homeostasis and when out of balance disease and pain will consume you. It is only until balance is restored the body can heal properly. Human structure needs to be balanced from all 3 planes. In static posture and also in movement. Obviously we are asymmetrical beings and perfect alignment will never exist, but we must strive to be as close as possible or problems will exist later on down the road as we age. Also spine is a gravity depending structure. When sacrum and pelvis are off the rest of the spine will be off. Fix the foundation and the rest of the symptoms will disappear.
In the picture above we are looking at the balance of the pelvis from the front and back specifically the relationship between the quads and hams. In the first picture we have a neutral pelvis where the quads and hams are well balanced. In the second picture the pelvis is imbalanced due to the shortening of the quads which led to the lengthening of the hamstring. In technical terms the quads are concentrically loaded and the hams are eccentrically loaded causing an anterior pelvic tilt. Now that the pelvis is imbalanced symptoms of tight hamstring, lower back pain, upper back pain, tight traps, neck pain, headaches etc… will emerge. Until we balance the pelvis symptoms will continually plague the individual.

Our spine has three curves in it: One in the low back called the lumbar curve; one in the upper to mid-back called the thoracic curve; and a curve in our neck called the cervical curve. These curves influence one another. If something is off balance in one, the other two will also be out of balance.Since the spine rests on the pelvis, the curves of the spine are also influenced by the position of the pelvis.

Key to skeletal balance, a sense of orientation and muscular coordination, the balanced pelvis forms a rim-like base for the spinal vertebrae, rib cage, shoulder girdle and head.

Like the sprout growing up to form leaves and down to become roots; pelvic core integrity expresses itself in two directions simultaneously. The pelvic basin is responsible for not only being the base of support for the upper body but for transferring weight through the femur heads down through the knees, ankles and feet. How weight transfers through each leg and foot is dependent upon the positioning of the pelvic basin. Only when the pelvis is gravitationally centred can the feet receive and distribute weight evenly.

Pelvic instability shows itself as pelvic tilts, forward flexion, twists, dips or torques. Symptoms associated with instability include mid and low back pain, hip socket tension, leg length discrepancies, knee and ankle problems, TMJ and jaw pain, difficulty in breathing, groin pain, shoulder pain, difficulty in standing and walking, an inability to stand on both feet and excessive muscle tension throughout the body. Even headaches and dizziness may be traced to pelvic instability.

These diverse and complex symptoms reflect the innate involvement of the pelvis with three distinct bio-rhythms. Not only does the pelvic keystone provide the foundation for muscular-skeletal support but it cradles the meningeal-cranial-sacral system (the dynamic fluid relationship between sacrum and cranium) and provides the hard drive for the proprioceptive nervous system (our energetic sense of orientation).

 

Chiropractic Care Can Help with Text Neck Problem

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tex neck and chiropractic careChiropractic Care Can Help with Text Neck Problem

Are you currently reading this while hunched over your phone?
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If so, here’s a very scary wakeboard call: Chiropractic Care Can Help with Text Neck Problem.
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Most people spend an average of two to four hours a day slumped over their smartphones, according to the study, and that awkward position isn’t doing any favors for your neck and back.
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We know you won’t be throwing out your phone, tablet, or e-reader anytime soon. That’s fine, just be sure to use it with proper posture, which means your ears are aligned with your shoulders and your shoulder blades are back in the neutral position.
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How is Texting Hurting Your Health?

Let’s first put the situation into perspective. Mobile device usage has increased significantly and will continue to do so into the future. According to text-neck.com, Americans spend 2.7 hours per day on average communicating and socializing on their phones, and they spend even more time looking down at their mobile devices for web searching and other uses.

They go on to say that 75% of the world’s population spends hours daily hunched over their handheld devices. Studies also show that people under the age of 30 send an average of 3,000 text messages per month. That’s approximately 100 text messages a day!

Perhaps an even more unsettling thought is the fact that young children and toddlers are now given phones and tablets as play toys. One study found that 75% of children under 8 have access to a smartphone or tablet. It’s also been reported that in the U.S. alone, nearly 1 in 5 kids under the age of 8 use a mobile device at least once a day.

The problem with all this time spent with the head flexed forward is that it increases the risk of developing what has been termed as Text Neck.

What is a Text Neck?

Text neck is the term used to describe the neck pain and damage sustained from looking down at your cell phone, tablet, or other wireless devices too frequently and for too long. And it seems increasingly common. Recently, a patient came in to my practice complaining of severe upper back pain. He woke up and was experiencing severe, acute, upper back muscle strain. I told him I believe the pain is due to the hours he was spending hunched over his cell phone. Diagnosis: Text neck. Of course, this posture of bending your neck to look down does not occur only when texting. For years, we’ve all looked down to read. The problem with texting is that it adds one more activity that causes us to look down—and people tend to do it for much longer periods. It is especially concerning because young, growing children could possibly cause permanent damage to their cervical spines that could lead to lifelong neck pain.

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