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Muscle Pain

Commonly muscular pain is talked about when a person considers their pain to be a non serious pain. However muscle pain can be intense, constant, long lasting, and out of proportion with the severity of actual tissue damage.

One component of muscular injury is hypo-perfusion of blood. Anything that can cause a reduction of blood to the muscle can give rise to pain. This could be a magnesium to calcium ratio imbalance, a short term increase in muscle use, normal regeneration of muscle tissue (we break down and build muscle every day), exercise induced break down and build up of muscular tissue (over done it or DOMS), poor posture, or disuse atrophy (yes doing nothing can give rise to a pain experience!).

Mechanisms of Myofascial Pain were further elaborated in a recent paper (1). In which trigger points were talked about. I have worked to understand trigger points for the last 20 years, including seeing a paper written by an Orthopeadic Surgeon in a prominent Journal that trigger points do not exist. If I find a prominent point that triggers pain then I’ll call it a trigger point, controversially, even when no twitch response exists. Trigger points are well established in their pain referral. A quick Google and you’ll see the images of where muscles can refer their pain.

When looking to resolve muscular pain approaches of paracetamol, ibuprofen, codeine, capsaicin amongst others are all products to help you cover up the experience of having pain. A Chiropractor may be able to offer a muscle a way of not only resolving the cause of muscular dysfunction and hypo perfusion but also to aid the rehabilitation of training your muscles to ‘centrate’ around your joints. AKA Muscular Balance. If you believe you have muscular pain and it has lasted more than 3 days then consulting with a Chiropractor may be just what your body ordered. Before you get used to it and your symptoms die away anyway. Leaving you thinking that you’ve gotten over the issue yet future re-occurrences will inform you that you did not.

The question to ask yourself is when my muscle pain symptoms ‘settle down’ have I gotten used to it or have I healed it? The phenomenon is called ‘accommodation’ in Neurology. Accommodation is what happens when you are in a bad smell- you get used to it, and it is, as if the bad smell had gone away…

 

(1) Saleet-Jafri, M (2014). Mechanisms of Myofascial Pain, A Review Article. doi: 10.1155/2014/523924

Fascia.. ‘I’m over it’..

Tom Myers is well known to have disseminated knowledge of human anatomy whilst attempting to tie into his Rolfing practice the felt experience of having a human body. Myers has been touted as the Father of Fascia, quoted by a Canadian Masseur come science writer as being ‘over it'(1).

The architecture of the cell is remarkable for many reasons, the one of importance here is that when a cell is under tension from its environment as opposed to tension within its inner environment a change in genetic expression occurs. Yes! The nucleus of a cell alters the expression of its available genes from external tension placed upon the cell. If my body to some degree is a collection of cells that exist within the medium of my connective tissue. Then differences in connective tissue tensions have a genetic difference in how my cells within my body express the 23,000 (ish) genes I possess.

Allowing for markedly different function(s) to occur in adjacent areas of the body. Undoubtedly in my mind having an effect upon the mechanics of the area and the felt sense of the area and of the inner experience of the area; not to mention a different physiology of the area. A different genetic expression may give rise to a strength, or a vulnerability, altering ones health.

Is the falling rate of male fertility in modern society a result of immune system dysfunction? eg leukocytospermia. The dysfunction of white blood cells has been linked to MMP signalling proteins which also interact with c fibres of the nervous system (a route to give a pain signal). To summarise genetic expression, immune function and pain levels are all linked by science to connective tissue tension (aka fascia).

Are the rising levels of immune dysfunction (demonstrated by an over reliance upon antibiotics), the rise in autoimmunity disease rates and the rise in medically unexplained symptoms all a function of a change in the tensions placed upon our body tissues, because we just do not move as much as we did?

Fascia is one view of the body and in itself is not representative of the entire conglomerate of the human body and tells us nothing of the human (interoceptive) experience of having a body. A professional body worker (dancer yogi Qi Gong instructor included) would be well advised to have an adaptable view of the human body and not become any one tissue centric about their approach. After all as a teacher, instructor, therapist, chiropractor, osteopath or physiotherapist the outcome of a patient is not a function of how right you are!

Keep going science you have a long way from which to ‘catch up’!

(1) Ingraham P Does Fascia Matter? A Science Review of Fascia

How Not To Utilise Chiropractic Care!

Chiropractic Care includes the interventions and advice given to you by your Chiropractor in your treatment session. I don’t really know why but some people save up a long list of things for their Chiropractor to ‘fix’ during a session. Perhaps it is value for money or not feeling as though you need much help until there are a lot of things to get fixed. You’ll have to decide for yourself…
When something for whatever reason goes wrong in your body, your body in another area will compensate or try to help and this process of help will continue until you die unless the original problem is ‘fixed’. Leaving it a longer time frame just means more compensations and more compensations make it harder to find the start of the chain of compensations (the real problem).
Getting the best from your Chiropractor would involve the 3 day rule (if you are not fixing your symptom within 72 hours then you are incorporating it into a new normal and not fixing it. This is why most niggles clear up in a few days. getting an appointment on day 4-10 is optimal.
To get value for your money have a check up / treatment 1-4 times a year and get an appointment for a new symptom between day 4 and 10 of when it first started as long as it lasts more than 3 days. If it went away in less than 72 hours there is no need to see your Chiropractor.

How might Back Pain run in families..?

Two recent studies seem to have conjoined in my mind; one is from Zurich University Chiropractic department showing brain activity relative to lumbar spine pressure such as might happen in low back pain syndromes. The other is about training mice to ‘fear’ a smell across their generations controlling for nurture. Answering the long debate of nature versus nurture. Researchers showed that without nurture the cue for a fear response can still be passed on.

The first study carried out in Zurich; showed that back pain is linked to a part (nucleus) of the brain involved in social pain. What if we as humans could pass on in our genes information that affects the life experience of the next generation? You may find yourself as an individual with a back symptom from ‘nowhere’ due to an ancestral social cue. In generations passed going out of favour with the group could have had deadly consequences.

The second study was published in Nature Neuroscience (2014; 17, 89-96) demonstrating a transference of a fear response genetically; without nurture. The mice were shown to pass on a (protective) smell memory to their children and their grandchildren (F2).

If we as a species can have an ancestral cue for a social stress causing back pain passed on from family member to family member and social stress is not considered in your care plan. You could be forgiven for thinking that you have to ‘live’ with pain. Identifying potential cues from your environment ‘stressors’ to your behaviours, thoughts and/or feelings can be methodologically worked through. Whilst you figure out the cues to your stresses consider having body work to help you with accumulation. Accumulation in my opinion can make your condition worse.

I think when human body tissues are abnormally loaded the tissues do not undergo a training effect and instead are strained. Having a genetic fear response in social conditions where I reflexively squeeze my back muscles from an unidentified cue, providing pressure on my vertebrae, would be an abnormal load; like a repetitive strain scenario on the low back tissues of the body. Choose fascia first chiropractic it is more than a ‘quick click’.

Neuroplasticity; how fast can I change..?

As humans we are driven by our nervous system, a system that facilitates an engagement with our environment and each other. The stimuli we receive from our genes and our environment via our nervous system molds us into the people we are, right now. Genes can be ‘changed’ by environmental neurological input called epi-genetic change. Our many bacterial cells, which outnumber our human cells 10 to 1 produce viruses in response to environmental stimuli (toxins). Whilst on the outside social interaction and our wider society teaches us to find our place and stay there for 30 years. Times are changing and people just do not have a job for life in the UK anymore. Yet finding our place is incoherent to our nervous system. We thrive on new experiences, problem solving, social connectivity (healthy relationships; including with ourselves). The industrial revolution gave us a division of labour tactic whilst stripping us of our individuality.

The human population was stable before the industrial revolution afterward however the population continues to rise. A continually rising population in the world is causing it’s own problems to solve but it is stimulating some change as people innovate their way into the market place. Who moved my cheese is a great economic guide to how people can have their jobs in a flux of constant change and thus so to must the individual which fosters neuroplasticity. In the case of becoming ill we have become stuck e.g. our inner processes and strategies have enabled us to get to our current position in life and when the external world changes the person doesn’t know they need to also change their inner world to suit reality. When we cannot match up the inner experience, with the outer reality then we will at some juncture in our nervous system go awry.

A constant trend of learning is helpful to continue the process of neuroplasticity as is also exercise. Inherently being ‘wired’ to seek a difference (or a newness) is therefore in our nature. At present however it is not in everyone’s behaviour. When we have not experienced a change for a while we can get ingrained in our ideas, behaviours, interactions and perceptions. We can actually feel a negative emotion when we encounter something in the outside world that is contrary to what we have become ingrained to except/expect. A negative emotion might be anxiety or disgust for example. Neurologically speaking we need the right input (the penny to drop) before we can move onto our next lilly pad or chapter of life. When neuroplasticity occurs our brain actually starts a process of re-wiring.

Changing your brain can occur instantaneously. Sounds easy doesn’t it… ?! Monkeys  (of Silver Springs) have been studied with regard to neuroplasticity and have demonstrated a re-organisation in their brain cells within 2 hours. Macaq monkeys, elsewhere, have also been studied for their neuroplastic ability and are 30 million years behind homo sapien sapien in development, meaning that being 30 million years more advanced we humans can change our brains for sure; faster than two hours.

In the Chiropractic literature adjustments of the cervical spine have been shown to cause a ‘re-organisation’ of the human brain. Learning a language has also been shown to foster neuroplasticity in the hearing acuity of an adult human.

Looking for variety, feeling many differences in life, experiences outside of the hum drum and a constant vigil on our self improvement are behaviours that can enable us to drive neuroplasticity in ourselves throughout our life. Exercise, nutrition, education and body work are all examples of how we might go about ensuring that we have a variety of neurological input into our nervous system throughout our life. When neuroplasticity stops we get stuck in our ways, have to have things a certain way and perhaps transition into behaving ‘old’. Staying young at heart is a colloquial way of keeping neuroplasticity happening in your life. Staying ‘young’ is beneficial to your health.

Mind over matter?

We know the hypothalamus (a part of the human brain) is highly plastic (changeable), in fact some say the most plastic part of the brain. The hypothalamus stimulates or inhibits hormones. Hormones secreted by the hypothalamus are able to alter the job of certain cells. Thus a chain of possible change within any and every human is present. When we stimulate the hypothalamus to produce particular hormones we learn automatically a default to produce them. One could say we get more used to being us.

We are actually rewarded in the brain with opiates when our regular ‘molecules of emotion’ are released. When we try another way (state of mind) we do not get a reward, why effort is required to change, why a feeling of being wrong comes with any change we try. Those that are guided by that inner feeling are shied away from change because it doesn’t ‘feel right’. Those who are in their head have a flurry of mixed thoughts, tangential ideas and not knowing for sure that their current action is the ‘correct one’. Those that are guided by how their body is; tend to get a difference in their body such as they do not feel good in their body, they are sluggish or they have transitory pains that aren’t usually there, for example.

For me the way the media reports upon ‘mind over matter’ can lead one falsely down a path of whenever I need I can control anything that comes. Like being a superhero. In the real world we cannot control everything. Monks who live on mountain tops in isolation for 30 years do not get to reach enlightenment. Really any mind over matter situation needs to be delineated from ‘pushing through it’ and to have a time frame added. For most people they do not have a spare 30 years to try it out to see for themselves!

Essentially we are human beings with many different ways to be (states of mind). We will find it easier to be different or to change whilst our nervous system is still growing (spinal columns complete in 4th decade of life). After this time the amount of effort required for change becomes increased as more energy is required to make a change e.g. rewire our brain. With every change thus comes the wobbly part big or small, short or long.

The icing on the cake of difficulty with change after 40 is the future psychology of human beings. Doing things in the future is easier than actually doing them. The future psychology of taking out credit is a great example of how we consider it less of a risk because I can pay it (do it) later. Whilst we need time to be human beings with meditation we also need time to be human doings with exercise. Both exercise and meditation have been shown to have an epi-genetic effect toward health. Next time you are considering making a change do not underestimate the amount of effort required, time required and energy required whilst also not forgetting to include the amount of euphoria and reward you will receive when you ‘make it there’.

For example a study was able to demonstrate that actual physical muscle growth was achieved over a 6 week period of imagining a gym programme; yes our minds can affect physical body tissues and no it is not an easy thing to add to your already busy life. Hence why no man is an island and we need help from others e.g. a chiropractor to help my body move better helping my body tissues last longer as a complimentary lifestyle choice to regular exercise and a healthy diet. Sometimes however issues of trust and of giving over control can get in the way of you getting off your own inner island and making a powerful healthful connection with another human being (in my opinion).