Main Street Chiropractic

Hi I'm Dr. Carl Zaycosky, and this is my way of sharing the resources, insight, and experience I've gained in my years as a chiropractor. I hope they help you chart a course toward whole body health.
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More Reasons for Good Posture Part 1

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 More Reasons for Good Posture

                I’ve done a couple of blogs about posture over the last few years.(There are two blog series I did on posture , Perfecting Your Posture & Sleeping Posture can you put links to those 2 here) In this blog series, I want to touch on several of the risks poor posture can have that may profoundly affect quality of life beyond having a sore neck or back that poor posture typically creates. Whether it be sitting too long, staring at our phones for hours on end, or slumped over on the couch bingeing on your favorite Netflix series we can all do a better job maintaining correct posture. Heartburn, incontinence and constipation are three things you may not have considered that have a link to bad posture.

                Poor posture can contribute to heartburn, particularly right after you’ve eaten. Let’s set the stage. You head right back to your work station after gobbling down your lunch assuming your normal position, seated with your shoulders slouched and head forward looking down at your computer screen(s).  This all too familiar position puts stress on your abdomen. This can lead to the stomach acid being forced in the wrong direction back toward your esophagus. This is the mechanism that causes gastric reflux or heartburn. I’ve also read accounts that this can slow the peristaltic movement of food through the intestines. Peristaltic movement is the relaxation and contraction of your esophagus, stomach and intestines that pushes food through your digestive tract where nutrients are absorbed. I’ve never ran across a study that makes a link between bad posture and a slowed digestive tract, but it makes sense to me.

                I’ll hit on a couple more fun facts next time.

                                Dr. Z.                    

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Back Pain Guidelines Part 3

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One point of contention I have with the guidelines are the recommendations as to when to employ exercises for someone experiencing acute low back pain. Exercise is recommended as a treatment approach for chronic (lasting more than 12 weeks) pain. I don’t dispute that exercise alone may not have measurable benefit in the acute, early stage of injury; it has proven benefit when used in conjunction with spinal manipulation. There is a study which indicates spinal manipulation has better outcomes when used with exercise when compared with spinal manipulation as the sole treatment method.

I want to add my own opinion at this juncture. It’s important to remember each person’s back pain is a little different than someone else’s. Meaning what may not work for one individual may work for another. I often think what a savings our national healthcare budget would have if each person could be directed initially to the back pain treatment approach that would be the most effective for them. Since that isn’t possible. Recommendations from a reputable source (The American College of Physicians) that have made an extensive review of the medical literature is the best alternative currently available. This approach is called best practice methods and is a model that is being implemented throughout healthcare.

 

You local chiropractor,

Dr. Z.

Carl Zaycosky, DC
Main Street Chiropractic

For part 2: click here

For part 1: click here

 

 

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Back Pain Guidelines Part 1

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“times they is a changin’” specifically in how back pain is treated by health professionals. The word came out earlier this year with the release of updated guidelines from The American Academy of Physicians regarding treatment of back pain. I’m going to cover these recommendations in the next few blogs, but before I get to that, SPOILER ALERT: chiropractic treatment comes out smelling like a rose in these guidelines.
Healthcare is consistently changing as new approaches are discovered and found to be effective, subsequently being employed with patients. Likewise treatment approaches that seemed to be helpful are discarded once the science has proven them to be ineffective or not as effective as they were once thought to be.
The treatment of back pain is a prime example of how treatment approaches change over time. When I started practice the medical model of care at least for severe low back pain, was two weeks of bed rest. Keep in mind too this rest often times occurred in a hospital, “times they is a changin’” image under today’s health care norms of same day surgery and home based care, spending two weeks in a hospital to rest.
My point is not to ridicule past practices. I’m sure the healthcare providers then were using methods they thought best for their patients. Believe me I was employing methods of chiropractic practice in 1984 I wouldn’t dream of using today. And, I bet 50 years from now the providers will look back and shake their about what was being done to patients in the teens.
I’ll get to the specifics next time.

Your Local Chiropractor
Dr. Z.
Main Street Chiropractic

For part 2: click here

For part 3: click here

 

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