Jun 12

Coping with Back Pain during Pregnancy

Coping with Back Pain during Pregnancy by Olivia O Leary D.C BSc Hons Chiropractic

back pain during pregnancyBack pain in pregnancy is a common complaint we see at Gorey Family Chiropractic Clinic, complicating approximately half of all pregnancies in Ireland each year. For pregnant women, back pain during pregnancy is not a trivial matter.  Left unaddressed, pregnancy back pain can have a negative impact on your daily lifestyle, from causing missed time from work, affecting looking after other children, to making your delivery more difficult.

To help make your pregnancy as pleasant as possible and facilitate an easier delivery, it is generally recommended that back pain should be always be addressed as quickly as possible and managed throughout your pregnancy.

Lower back pain in pregnancy that lasts a long time (several weeks or months) is a predictor for postpartum back pain (pain after birth). For this reason, pregnant women are encouraged to look after their back whilst pregnant and to seek guidance and treatment where appropriate during pregnancy for back pain.

Risk Factors for the Development of Pregnancy Back Pain

  • pregnancy back acheA physically strenuous occupation, for instance a job with lifting or standing involved or even a pregnant mother caring for other small children can increase the risk of back pain developing in the course of a pregnancy.
  •  A prior history of back pain or pelvic girdle pain
  • Previous injury to the back or pelvis from an accident or trauma is another known predisposing factor in the development of back pain in pregnancy.

Causes of Back Pain

The causes of back pain in pregnancy are largely related to problems with two structures in the lower back, the sacroiliac joints and the lumbar spine.

Typically there are three main reasons why these structures become painful:

1.    As a mother’s abdomen grows back painduring pregnancy, the center of gravity in her body is forced to change in response to the increasing weight of the baby coupled with the weight of the amniotic fluid, sac, placenta etc.

This increasing weight pulls forward and the pregnant mother is forced to increase   the curve of her lumbar spine to compensate.

2.    The sacroiliac joints, an attachment point of the pelvis to the spine can frequently become unstable in the latter stages of pregnancy. These joints, already under considerable pressure from the increasing weight of the bump, are affected by the hormonal changes a women’s body goes through during the second and third trimester of pregnancy.

The pregnancy hormones affect the laxity of the ligaments that connect the sacroiliac joints to the spine. This occurs so that the pelvis may expand to allow the passage of the baby downwards through the birth canal so as to facilitate giving birth. However this process creates significant instability of the multiple ligamentous structures at the very same point when these structures are under pressure from the increased weight of the abdomen.

This capregnancy back painn give rise to a condition called Symphysis Pubis Dysfunction or SPD.

The pain from this disorder can radiate to your thighs, and some women feel or hear a clicking or grinding in the pelvic/ pubic area.

The pain can be most noticeable when you are:
•    Walking
•    Going upstairs
•    Standing on one leg (for example when you’re getting dressed)
•   Turning over in bed and it can also be difficult to move your legs apart, for example when you get out of a car.

There is treatment to help, and techniques to manage the pain and discomfort. If you get the right advice and treatment early on, SPD can usually be managed and the symptoms minimised.

The tips listed here can help you to protect and minimise the strain on your back

  •  Avoid lifting heavy objects
  •  Bend your knees and keep your  back straight when lifting
  •  Move your feet when turning round to avoid twisting your spine
  •  Wear flat shoes as these allow your weight to be evenly distributed
  •   Work at a surface high enough to prevent you stooping
  •   Sit with your back straight and well supported
  •   Make sure you get enough rest, particularly later in pregnancy

How Can Pregnancy Related Back Pain be Treated?

Firstly if you aRelieving back painre intending to get pregnant pre-emptive treatment through exercise is extremely beneficial particularly if you are a sufferer of back pain prior to pregnancy.

Where possible try to strengthen you core before becoming pregnant. Developing strong core musculature helps support the spine, baby and eases the pressure exerted on the lumbar spine and sacro-iliac joints.

Our Gorey Family Chiropractic team may utilise different tailor made treatments for pregnancy back pain, including specific advice& instructions on how to address your individual back problem yourself.  This is determined following a thorough assessment and evaluation and has been shown to be a safe effective way of easing the pain coming from structures such as the muscles, ligaments and joint of the spine and pelvis.

Chiropractic aims to relieve or ease pain, improve muscle function and improve your pelvic joint position and stability, and may include

  • Manual therapy to make sure the joints of your pelvis, hip and   spine move normally
  • Exercises to strengthen your pelvic floor, stomach, back and hip muscles
  • Exercises in water which supports the bodies increasing weight
  • Advice and suggestions including positions for labour and birth, looking after your baby, pain relief, such as TENS
  • Equipment if necessary such as pelvic support belts. Supportive belts that take the strain off the sacroiliac joints can be very helpful in controlling the instability of the sacroiliac joints. Your chiropractor or other prenatal healthcare professional can advise on sizing and fit if these are appropriate as well as instruct you on how to use the belts correctly to maximum effect.
  • Advice and instructions are also given on proper posture’s while pregnant. i.e how to sit, stand sleep to take strain off the spine as well as considering  specific ways to perform routine activities, such as housework; how to sleep comfortably, lift and bend safely.

When to Get Help for Low back or Pelvic Joint Pain?

Getting diagnosed as early as possible can help keep pain to a minimum and avoid long-term discomfort. If you are pregnant and suffering from low back pain  or pelvic / sacroiliac pain and are based around Gorey, Enniscorthy, Wexford, Arklow, Wicklow or Carlow it may be time to be professionally evaluated. Why not call Gorey Family Chiropractic today to make an initial consultation appointment.

For your convenience all of our Chiropractic team are registered with VHI, Aviva and Laya Healthcare allowing clients claim reimbursement from a wide range of private healthcare Insurance providers.

Opening hours Mon 8-7, Tues 9-5, Wed 8-7, Thurs 9-5, Frid 8-7

Call Gorey Family Chiropractic Clinic  on 053 94 83338 or alternatively email info@chiropractor.ie

May 22

Do your feet need support from a custom made insole/ orthotic?

Do your feet need support from a custom made insole/ orthotic? by Olivia O’ Leary D.C BSc Hons 

custom made orthoticsWe spend so much of our time on our feet; walking, running, working or playing sports it’s no wonder that the number of people who suffer foot pain or knee pain from the stress and strain put on their feet is quite staggering. Throw some bunions or collapsed arches into the mix and its an eventual recipe for disaster. Foot pain can be quite crippling when it strikes…so where does it come from?

 SOME FOOTY FACTS & FIGURES:custom made orthotics

  • An average person walks approx 12,000 steps per day (or 4 miles)
  • A person will walk 4 times around the earth circumference in a lifetime
  • A person places 500,000 kilos of pressure on their feet in a lifetime
  • 83% of Irish Population will suffer from an acute episode of foot or foot related pain, the majority of which are treatable and even preventable with proper foot care and Orthotics.

How do feet affect other areas of your body?

custom made OrthoticsThe feet have a direct impact on the rest of a person’s body.  Like the foundation of a house, your feet support the weight of everything above them.

When a small problem develops in your feet, a subtle change in the way you walk will cause a chain reaction of adjustments in your posture and way of walking.  These changes can put stress on joints higher up in your body like those of the knees, hips and lower back which leads to the development of muscular and skeletal problems and pains elsewhere. It can be pointless to treat these other injuries without considering where the root of the problem lies. This brings us on to the topic of orthotics and their use as a treatment.

What do Orthotics do and how can they help?

Tog Custom made Orthotics work on your feet much like glasses work on your eyes- they reduce stress and strain on your body by bringing your feet back into proper alignment.

Custom made Orthotics are designed in such a way that they fit comfortably like an insole in your shoe and but have the advantage of having been custom made for exact imprints of your feet.

Custom made Tog orthotics are biomechanical medical appliances which are made to correct your own specific foot imbalances rather than the generic off the shelf model model which is not specific.

How are Orthotics Created?Orthotics

We offer  TOG Gait Scan technology at Gorey Family Chiropractic which allows a scan of an individual’s foot to be taken and from this information a custom made insole is created which works both correctively and preventatively.   This state of the art technology therefore looks beyond just treating symptoms but determines the root cause of the problem and addresses the malfunction of the foot that has led to the foot pain or problems.

This also relieves abnormal strain off other tissues and structures further up the leg, which can lead to knee pain, hip pain and even contribute to lower back pain. By balancing and buffering the forces exerted during walking, orthotics help to restore normal balance and take pressure off other muscles and joints.

This is particularly helpful for runners or sports people where small foot malfunctions are more pronounced and influential in causing injuries whilst running.

Common conditions where orthotics can be necessary or beneficial in the overall management include

  • Plantar Fasciitis,Heel spur
  • Shin Splints
  • Ilio-tibial band Syndrome,
  • Fallen arches
  • Achilles Tendonitis
  • Metatarsalgia
  • Heel Spurs

Lifetime Guarantee:

Tog Orthotics carry a lifetime guarantee against cracking to the supportive Orthotic shell.

If you are suffering from any of the types of  problem mentioned and are based around Gorey, Wexford, Arklow or Carlow it may be time to be checked.  Why not call Gorey Family Chiropractic today speak to one of our friendly team who will be happy to arrange a Tog Gait Scan assessment  to evaluate the need or benefits to be gained from Tog orthotics specific to your own individual requirements.

For further information on this product, please see the Tog Orthotics video on the practice videos section on our website http://www.chiropractor.ie/5,gallery,orthotics_patient_education_dvd.html

For your convenience all of our clinical team are registered with VHI, Aviva and Laya Healthcare allowing clients claim reimbursement from a wide range of private healthcare Insurance providers.

Opening hours Mon 8-7, Tues 9-5, Wed 8-7, Thurs 9-5, Frid 8-7

T : 053 94 83338  or alternatively email info@chiropractor.ie.

Gorey Family Chiropractic Clinic, Railway Road, Gorey, Co Wexford.

 

Apr 24

A water based exercise programme for hip and back pain

A water based exercise programme for hip and back pain by Olivia O Leary D.C BSc Hons

Water based exercise programme

Water based exercise programmes are  especially helpful in cases where a land-based exercise program is not possible due to a client’s intensity of pain, severity of condition or other factors. As such, water therapy is a versatile exercise and is particularly good for people with conditions such as:

  • Osteoarthritis
  • Advanced osteoporosis (with susceptibility to and/or pain from fracture)
  • Muscle strain or tears

All of these conditions can make it uncomfortable or painful to exercise on a hard surfaces or while standing. Water is a kinder and more comfortable environment.

If you are any way unsure about the suitability of the following exercises, please feel free to message /ask one of our Gorey Family Chiropractic team where we would be happy to tailor make the water based exercise programme  to your own injury recovery requirements.

GUIDELINES FOR GETTING STARTED

Choose a pool that has a different depths. You should be able to workout in waist-deep water and chest-deep water. Make sure also the pool has an area where you can exercise in your own lane, away from swimmers or an open-swim environment.

You may benefit from a water shoe or light water resistant sandal with grip this will allow you to grip the pool floor more easily.

This back/hip -friendly water workout avoids actions like jumping, twisting which may aggravate back pain or hip pain.

Try to complete a water exercise routine 3 times per week to improve back pain or hip pain symptoms in a few weeks to a month. Walk and do light stretching to reduce muscle soreness on the days you do not do water exercise.

WARM UP WITH CARDIO WATER EXERCISES

  • 
Begin your workout by warming up the muscles with a cardiovascular workout. Start in the area of the pool that has waist-deep water. Begin walking back and forth through the area, while swinging your arms as you would if you were walking on land.

A water based exercise programme for hip and back painYou will get some resistance when you swing your arms. Although it may not feel as comfortable as walking on land, it is important to focus on creating a swinging motion for proper body mechanics and balance.

Walk in the water for 5 to 10 minutes. If you feel comfortable with the motion and want an extra challenge, move to chest-deep water after 5 minutes. You will feel an increase in resistance.

A cardiovascular workout treats back pain in a similar way as walking. It stretches and strengthens muscles throughout your back and legs. It can also lead to weight-loss, which can reduce the painful pressure on nerves, discs and muscles.

  • Move to deeper water and try to water jog. In this motion, you feet should minimally touch the ground, but you will swing your elbows a bit like runnning on the spot in water..

Focus on each footfall being heel to toe, rather than toe to heel. This will mimic a natural walking or jogging motion, helping you strengthen muscles that you use in daily walking. You will move forward  slowly in the water.

Water jog for 5 to 15 minutes depending on your problem and fitness levels and stop when you start to feel muscle fatigue.
If you have access to water weights you can strengthen your arms as you swing them while water jogging.

STRENGTHENING WATER BASED EXERCISES
Stand near the edge of the pool to begin strength-training water exercises. To start place one hand on the edge of the pool. For added stability, place your back against the edge of the pool.

Do leg kicks:

Water based exercise programme for hip and back pain

The exercise can be done once confident, away from the pool side with a straight leg.

Keep one leg on the ground the opposite knee can be slightly bent. Contract your stomach muscles and slowly raise the opposite leg as high as it will go. Slowly lower it back down.
This exercise will stretch and strengthen your thighs. Repeat it 12 to 15 times, and then turn around and repeat it with the opposite leg. It is important to be slow and deliberate with your movements so that you do not add to your back pain or hip pain.

Do Water Marching:

You can do this with 1 hand holding onto the wall or away from the wall in waist-high water. Start a walking motion, but bring your knee as high as you can after you lift each leg.

Lower it and do the same marching motion with the opposite leg. Work towards making your thigh parallel with the water’s surface. March for 5 minutes, or until you feel muscle fatigue. This exercise stretches and strengthens your thigh, hip, buttock, abdominal and back muscles helping combat back pain and hip pain.


Do Water Weight Lifting:

  1. Bend your knees and place your back against the side of the pool. Push gently so that your back feels stable.Grab water weights in each hand. Bend your elbows and keep them straight. You will be moving your forearms during this exercise.

Tighten your tummy muscles. Bring the weights down until your arms are straight. Slowly bring the weights up through the water, until your arms are at a 90 degree angle again. Repeat 12 times and do 2 to 3 sets. Stop if there is pressure on your back or your muscles are fatigued.

This exercise strengthens your arms and your core.Make sure to keep your stomach tight throughout the entire exercise.As your abdominal muscles feel stronger with time, move away from the edge of the pool, bend your knees slightly and keep your back straight as you perform the exercise.

STRETCHING WATER BASED EXERCISES

  1. Stand with your back to the edge of the pool. Bend your knee and lift it to your chest. Grasp your knee with your hands and hold for 20 seconds.Repeat with the opposite leg. Do the stretch 2 to 3 times on each side. Make sure your back stays straight through this entire exercises.
  2. Do the SupeWater based exercise for hip and back painrman Stretch. With your stomach down in the water, hold on to the edge of the pool. Stretch your legs out as far as they will go and move the legs gently to assist staying afloat. Hold the stretch for 30 seconds and repeat 3 times. This exercise will form a gentle arch in your back, stretching your stomach, back, shoulder and leg muscles.
  1. Stand with your back near the edge of the pool. Reach both hands backward  and grasp the rail at the edge of the pool tightly. Take 1 step forward and move your hands as close together as is possible.You should feel a deep stretch in your chest and upper arms. Hold for 15-30 seconds and repeat 2 to 3 times. Adequately stretching your chest muscles will make it easier to sit and stand up straight without hunching your back. Tight chest muscles cause rounding the shoulders and can contribute to a hunchback type posture.

GOREY FAMILY CHIROPRACTIC: SUPPORTING YOUR RECOVERY AND MAINTAINING IT

Our specialist Chiropractic team are trained and hold extensive experience both in Ireland and the U.K in back pain and hip pain diagnosis, back pain and hip pain treatment and back pain rehabilitation. Equipped with on site x ray and state of the art gait scanning equipment, we consider not only your back pain or hip pain, but the root cause of your problem and will work with you to help maximise your recovery through tailor made treatment and rehabilitation.

For your convenience all of our Gorey Family  Chiropractic team are registered with VHI, Glo, Aviva and Laya Healthcare allowing clients claim reimbursement from a wide range of private healthcare Insurance providers. We also provide care under the GAA injury scheme.

Opening hours Mon 8-7, Tues 9-5, Wed 8-7, Thurs 9-5, Frid 8-7

Tel: 053 94 83338   or alternatively email info@chiropractor.ie    

Mar 07

Minimising back strain this calving season

Minimising back strain this calving season by Olivia O’ Leary D.C BSc Hons Chiropractic

As we progress through calving season, how is your back coping with the strain ?
It’s that time of year in farming when the pace and intensity of the workload has increased rapidly and farmers often faprevent back injury this calving seasonll into the habit of pushing themselves too hard and injuring themselves and only drawing breath when the body is at breaking point or in pain.

As Chiropractors in a rural community dealing and treating  significant numbers of farmers daily, we understand the day to day physical challenges posed by the demands of the farm and the injuries that it can cause particularly at calving time.

Our advice for farmers: Think of the long term and plan for the future. Don’t ignore your back, and when you’re tired don’t take  risks lifting or otherwise, it can be a costly, painful mistake  in the long term. So think of these tips…

Back pain at calving can generally be avoided through good forward planning, using a knowledge of safe lifting and body positioning principles, safe work practices as well as using mechanical aids wherever possible.

Calving related back pain often develops from
• Handling Accidents (getting crushed or knocked down by heifers/cows wary of human contact at calving or just after calving.
• Getting stuck in awkward positions; trying to get a calf out (not leaving enough space behind the cow to get the calf out)
• Long hours and regular night work increases the risk of back pain during this busy time of the year due to fatigue; meaning farmers are more of risk of forgetting to lift properly, take chances hauling things around, falsely believing they’re saving time:-(

Remember
• Well designed calving pens and gates minimise the direct physical contact between the cow/heifer and the farmer reducing handling accidents.
• Calving jacks if properly used can reduce the risk of back injury.
• Mechanical lifting aids such as a pulley system in the calving pen is a useful tool to reduce back strain.

The financial costs to the farmer of a back injury are high, do not ignore back pain believing it will go away, if affected, get early evaluation, treatment and appropriate exercises as necessary to help you recover faster, properly and to minimise the chances of getting injured again so as to avoid time lost unable to work through injury.

Offering comprehensive diagnosis and treatment for injuries relating to the back and neck as well as trapped nerves, shoulder, hip, knee and foot joint and muscle problems, Gorey Family Chiropractic also offers clients on site X-ray services, onsite computerised gait scanning, prescription medical insoles and can arrange direct refferal for MRI where medically necessary.

Gorey Family Chiropractic Clinic is registered with VHI, Aviva/ Irish Life Health and Laya Healthcare allowing clients to claim reimbursement for treatment if covered by their health Insurance policy.

For advice or further information T 053 94 83338

or check out our website on www.chiropractor.ie

Mar 18

Prevent back pain in the garden this spring

Prevent back pain in the garden this spring by Olivia O Leary D.C BSc Hons Chiropractic

If you are like many of our clients at Gorey Family Chiropractic you may have been trying to get out after the recent storms to start the spring planting, cut the grass or tidy up after the storm damage.

Now that SpringPrevent back pain weather has finally arrived in Wexford here are a few tips from our chiropractors at Gorey Family Chiropractic to help make your spring gardening and DIY safe, healthy and enjoyable. However if like some people you are office or car bound by week and therefore a bit of a  weekend warrior type a few precautions to avoid back pain or other injury may be helpful!

We notice here at at the Clinic that the recent weather conditions haven’t helped back related matters with lot’s of clients struggling to get normal exercise done. This is also coming off the back of the winter where many people get precious little outdoor exercise at all. This lack of exercise can lead to our back’s, hips and muscles becoming stiff and weaker over time. So if you also sit at a desk all week and then attack some vigorous gardening all in the one go, it may unfortunately become a a recipe for disaster!

We can end up using muscles and joints and neural pathways that have barely moved all week and are not used to extended periods of physical activity. Another common problem of  trying to do everything all at once also may leave you exhausted, sore and fed up. There’s a better way!

Give these handy back friendly tips a try:

1.     Make sure you have all the correct tools and equipment you need before you start. This makes sure you are adequately equipped and avoids unnecessary back or muscle strain due to lack of Prevent back pain in the Garden with Gorey Family Chiropractorcorrect equipment for the task in hand just when you are in the middle of something.
2.     Do some stretching or warming up before you begin. This may seem silly but it gets your muscles and joints moving and prepares them for the activities to follow. It’s a well known fact that stretching helps flexibility and helps prevent injury so take a little time to give your body a chance to warm up.
3.    If you are tackling a big job break it down. Make sure you allow yourself time for regular breaks every half hour to hour which is particularly important also with tasks that are repetitive like weeding hoeing. Back pain is often triggered by repetitive hoeing or weeding without a taking a break. A break may be 2 or 3 minutes to sit down or to do some stretching if you feel stiff.

Prevent back pain in the garden this spring

4. Using the right moves can go along way to enabling you to plant and rake without the ache. Positioning your body correctly reduces strain on muscles and joints. Remember to keep you back straight and bend your knees. When weeding try to use a mat to ease knee joint pressure.

5.    Drink plenty of water.  Keeping hydrated helps muscles, joints, nerves and our brains to keep functioning well.
6.    Get help. For bigger jobs or those involving heavy lifting make sure you have some help to avoid back pain.  Having help makes lifting safer for your back and quicker to complete the bigger tasks.
7.    Actions such as digging, raking and sweeping which involve bending and twisting at the same time can place a lot of pressure on the joints muscles and discs of the lower back. If there is already some instability in these structures it can increase your risk of damage, so be extra careful with these movements.
8.    Think about your Maintenance! Get your spine , muscles and nerve function checked and treated if necessary by our Gorey Family Chiropractic team BEFORE beginning your next project to help your  stability, function and strength and decrease your chances of back pain or other aches and pains.

GOREY FAMILY CHIROPRACTIC: SUPPORTING YOUR RECOVERY, MAINTAINING RECOVERY AND PREVENTING INJURY

Our specialist Chiropractic team are trained and hold extensive experience both in Ireland and the U.K  in the diagnosis and treatment of back pain, neck pain, nerve and disc disorders as well as treating and managing sports injuries and conditions like osteoarthritis.

On site x ray is offered and for your convenience all of our Gorey Family Chiropractic team are registered with VHI, Glo, Aviva and Laya Healthcare allowing clients claim reimbursement from a wide range of private healthcare Insurance providers including the GAA Scheme.

For further information contact info@chiropractor.ie or call 053 94 83338.

Feb 11

4 Ways to Strengthen your Back

Building Core Muscles Helps Protect you from Back Injury…
The Chiropractic team at Gorey Family Chiropractic are not only concerned with treatment, we also incorporate the benefits of exercise and rehabilitation in combination with treatment to return the spine to a strong stable condition preventing future episodes of back pain. So how can we do this?

Our back muscles are involved in every move we make. The spinal system includes muscles along with the bones, discs, joints and ligaments in the trunk and abdominal area, together known as the core. This complex system helps our bodies twist, turn, bend, extend and bear stress from everyday activities.
Weakness, imbalance or tightness in the muscles that support the spine creates imbalance and can lead to abnormal posture, muscle fatigue and back pain.
The following exercises suitable for all levels help build core muscles to protect the spine and help prevent back pain. There are a number of different ways to strengthen your core. The exercises you choose will depend on whether you have had back problems before, and your age. Be sure to discuss any exercise program with one of our Gorey Family Chiropractic team if you are unsure or if you are in pain at the moment.

1. Pool exercises (easy)

Pool walking is a low-impact way to build core muscles. As you move, the core works against the force of the water. This is gentle on extremities such as knees, hips, ankles and feet.

2. Exercise ball (medium/difficult)

Exercise videos or specific instruction from one of the Gorey Family Chiropractic team will help you understand how to use an exercise ball appropriately. These exercises are deceptively simple and with practice, you can increase the intensity gradually to great effect.

3. Floor exercises (medium/difficult)

A popular core booster is the side plank. Lie on your right side with your right hand on the ground. (Beginners should use the elbow.) Lift yourself up to form a plank, with your right arm straight and left arm at your side. Hold the position, then repeat. Be sure to keep the body in a straight line while tightening the abdominals and gluts.

4. Mind-body workouts (easy to difficult)

Disciplines such as tai chi, Yoga and Pilates help target core muscles. Sign up for a class or rent a DVD exercise program to try at home.  Tai chi is low impact and ideal for people with a history of musculoskeletal problems. Choose “relaxation” yoga for lower impact. Pilates is centered around building core strength and improving posture.
No matter what you do, the key is to find an activity appropriate for your body — one that you enjoy and will stick with so you can continue to build a strong, healthy back. Good Luck and message us if you have any questions 😉

info@chiropractor.ie or alternatively call 053 94 83338