1. The Situp – The situp is essentially nonstop repetitive flexion of the spine, which can damage discs and joints over time. We are flexion-driven society thanks to over-sitting, texting and driving, so why do we want to perform an exercises that encourages that positioning? Alternative- Deadbug

2.  Side Bends – This exercise is all too common at gyms. Basically you are loading weight on one side and cranking the spine repetitively. If you are looking to sculpt the core you need to training the obliques, and anti-rotation, anti-bending exercises are a much safer solution that actually while provide more benefit. Alternative- Farmer’s Carry, Suitcase Carry

3. Upright Rows -This is elevation of the shoulder with internal rotation while holding weight that is in front of the body. That is actually the precise test for diagnosing a shoulder impingement. With hands gripping a bar, you are locking your biomechanics into a position that loads too much stress on the areas where the shoulder joints connect with the body. Alternative –  Single Arm Dumbbell High Pull

4. Military (behind the neck) Press – just don’t do it, this is bad on so many levels. Alternative- Dumbbell Shoulder Press with core engaged

5. Exercises that can be good when done correctly but are often performed incorrectly:

•  Burpees – due to factors like hip tightness, core and/or upper body weakness and poor conditioning, this exercise is often performed repetitively with no regard for form.
•  Kipping pull-ups – Again, if the core is not engaged and the shoulders are not locked in, there is risk for injury when form is not paramount.
• Planks – this one is all about form and focus. Poor form adds stress to the low back and shoulders. Flexing every single muscle at once can have its benefits, but a better solution would be to focus on core stability while relaxing muscles that are overactive to begin with, like the upper traps and hamstrings.  Maintaining proper breathing is often overlooked during this exercise but can be very beneficial.

With any exercise, proper core engagement and clean functional movements will always be of the utmost importance. At Integrated Health Solutions, our team of doctors are trained to assess these movements and treat the pain associated with dysfunctions. Not only do we help eliminate your pain, we work to avoid future problems by making sure you move in the healthiest way possible!

Content provided by Dr. Drew Hunt

The post Safe Alternatives to the Most Common Dangerous Exercises appeared first on Integrated Health Solutions.

Lets face it – injuries, especially sports-related injuries, are inevitable. Whether it’s a torn rotator cuff muscle suffered while pitching or a sprained knee from ballet dancing, injuries are a part of being active. Rehabilitation, therefore, should also be active.  I missed my entire junior year of football due to a sprained ankle that occurred during pre-season training.  I was told to R.I.C.E and…well, that’s about it. Rest, Ice, Compress, Elevate, repeat. Rest, Ice, Compress, Elevate, repeat. I was following the athletic trainer’s orders and sat passively on the sideline with a bum ankle that never seemed to strengthen. I then spent the next season taping my ankles before every practice and game and wearing ankle braces over the tape. 

It wasn’t until I read about Indianapolis Colts star Dwight Freeney rehabbing his sprained ankle 2 weeks before the 2010 Super Bowl with a chiropractor that I realized there was another way. As a chiropractor, I have been educated on the latest therapies and most effective protocols for treating all kinds of injuries. So when a patient came into our clinic on crutches with a sprained ankle, I knew this was the perfect opportunity to demonstrate our approach to injury rehabilitation. 

Patient is a 40-year-old male with an inversion sprain that occurred while landing from a flying round house kick at taekwondo.

Treatment consisted of medical dry needling of the surrounding tissue with a TENs unit to decrease tension, soft tissue mobilization to remove muscular adhesions, joint centration for proper alignment and kinesiotaping to reduce swelling. This protocol was implemented twice a week for the first 2 weeks.  After just one week, swelling was down, bruising had dissipated and mobility was returning.

After 4 visits the therapy shifted to exercises and treatments that promote joint motion and weight-bearing.  A study by Linde et al. supports this approach – the study consisted of 150 patients with inversion sprains being treated with early motion and weight bearing exercises. After one month, 90% of patients demonstrated pain-free gait and 97% had increased work ability.

Within 8 visits, the patient’s issues had resolved and so the emphasis turned to preventative care and improving resilience through balance training. 

At Integrated Health Solutions, we take an active approach to our patient’s injuries and pain with a primary focus on functionality.  Our goal isn’t just to get you back on the field, its to make you the best version of you possible so that you can enjoy physical activity without fear of re-injury. 

Content provided by Dr. Drew Hunt

Sources: 

1. https://www.lanjochiro.com/2010/02/dwight-freeney-superbowl-hopeful-using-chiropractic-to-heal-ankle/
2.  Linde F, Hvass I, Juergensen U, Madsen F. Early mobilizing treatment of ankle sprains: A clinical trial comparing three types of treatment. Scan J Sports Sci.1971;8:71-7

The post Don’t Let Your Pain Keep You Sidelined appeared first on Integrated Health Solutions.

Active Release Technique, or A.R.T. for short, is a patented, state-of-the-art soft tissue technique that uses specific contact on the injured area of the patient, in order to help decrease pain, tension, and adhesion.  In A.R.T, the provider uses their hands in a specific motion with pressure to work out the tightness that is affecting that area.

The people that will benefit the most from this technique are:

• Athletes, both professional and recreational
• Patients with chronic pain and overuse
• Patients who want an unconventional treatment for relief

A.R.T. was created by Dr. Michael P. Leahy when he realized that you could actually feel your patient’s tissue injuries.  He discovered that connective tissue and scar tissue could build up as a result of overuse and stress.  As scar tissue builds it ties down tissues that normally need to move freely, thus reducing the range of motion of the affected tissue. This tissue derangement typically causes pain and alters function.

What can be treated by this technique?  There are dozens of conditions, which include, but are not limited to:

• Headaches
• Neck Pain
• Shin Splints
• Shoulder Pain
• Achilles Tendon Pain
• Knee Pain
• Tennis Elbow
• Soreness in tendons, ligaments, and nerves

When you come in for treatment at our active release clinic you can expect Dr. Charbel to analyze your soft tissue function to determine the true cause of pain.  The analysis of the soft tissue is done using a technique called “active palpation”, which is a hands on technique used to discover abnormalities in the soft tissue, usually without the use of an MRI or an ultrasound.

At our affordable chiropractic clinic, Dr. Charbel offers A.R.T. to reduce pain that patients feel from the causes outlined above.  He knows that everyone’s pain is different and every patient should be treated as such.  That’s why he takes the time to talk to each patient and understand where the pain is actually coming from, instead of treating everyone the same.  Additionally, Integrated Health Solutions offers other complimentary therapies to A.R.T., in order to ensure the best care possible.

About Integrated Health Solutions

Dr. Charbel Harb is a licensed chiropractic physician and the Medical Director of Integrated Health Solutions. Our core belief is that each patient who walks through the doors is a person, not just a medical record or chart. Our greatest pleasure is bringing joy to our patients and helping them to fully embrace life, allowing them to enjoy each day: active, healthy and pain free.

The post Active Release Technique Alternative Treatment for Muscle and Joint Pain appeared first on Integrated Health Solutions.

Have you accepted the fact that you will always suffer from chronic low back pain? Think again. There are simple steps you can take to ensure you move properly, which in turn will help you eliminate your pain.

In my opinion, traditional medicine has failed to help patients understand their pain, and does little to encourage them to make modifications socially and psychologically, and most importantly, biomechanically. Simple modifications in your lifestyle can help you eliminate your chronic low back pain. By making simple changes in your mechanics, as opposed to treatments that only mask the pain, I believe you will alleviate your symptoms, if not totally make them disappear.

Let me first begin by briefly explaining why I feel so strongly about this particular topic. I have had my share of chronic low back pain throughout the years. My condition, known as spondylolisthesis, is actually quite severe. I used to receive at least two injections per year, among other forms of medication to help me control my pain, which was radiating into my legs and preventing me from being able to walk without pain, let alone enjoy recreational activities. I visited many health care providers, but was never educated on proper mechanics, or proper hip movement to spare the low back. However, through my studies to become a chiropractor, I very quickly realized that I was moving improperly the entire time, which was contributing to my low back pain. Since modifying my mechanics, I have not had an episode of low back pain in over 10 years!

At our Indianapolis chiropractic clinic, a majority of our patients being treated for low back pain have poor mechanics. They tend to recruit their low back in daily movements, when in fact; they should be using their hips. Daily activities, such as picking objects up off the floor, going from sitting to standing, washing their face, brushing their teeth, tying shoe laces, etc. are often done improperly. Recruitment of the lower back during these simple daily activities can cause micro-trauma to the tissue in the lower back, which in turn can lead to chronic pain.

If moving incorrectly is not enough, our current sedentary lifestyle of constant sitting, whether at the office, in the car, or at home, can also contribute to chronic pain, by inhibiting your core and glutes, which are primary mover muscles and are important in core stability.

Related: Think Sitting Can’t Kill You?

At our affordable chiropractic clinic, we treat patients with a variety of backgrounds, from avid athletes to deskbound individuals, who suffer from chronic back pain. However, we have helped them become in control of their pain, through education and empowerment of a few very simple steps.

1.  Maintain a neutral back. [youtube_sc url=”https://www.youtube.com/watch?v=P01UKraYFGE&list=UUywozp0WIbd3OU4N9KQlUag”]

2. Pick items up from the floor properly. [youtube_sc url=”https://www.youtube.com/watch?v=aiQJVD5lcds&list=UUywozp0WIbd3OU4N9KQlUag”]

3. Squat with a neutral back.  Many people believe squatting is only done at the gym when working out. However, we squat all day every day, for example, going from sitting to standing, going up stairs, grabbing your lunch out of the refrigerator, picking things up off the floor, etc. [youtube_sc url=”https://www.youtube.com/watch?v=cPHeDo192Us&list=UUywozp0WIbd3OU4N9KQlUag”]

Mastering the techniques in these videos will help you immensely in managing your low back pain.

If you have any questions on proper mechanics, or chronic low back pain, contact our Indianapolis chiropractic clinic today at 317.449.2020.

About Integrated Health Solutions

Dr. Charbel Harb is a licensed chiropractic physician and the Medical Director of Integrated Health Solutions. Our core belief is that each patient who walks through the doors is a person, not just a medical record or chart. Our greatest pleasure is bringing joy to our patients and helping them to fully embrace life, allowing them to enjoy each day: active, healthy and pain free.

The post A Simple Way to Manage Your Low Back Pain appeared first on Integrated Health Solutions.

Over the past few centuries, our understanding of pain has evolved to include new contributing factors. Pain is an individualistic experience, however it is also considered a biopsychosocial experience.

Biological Factors

The biological component is simply your body. The organs or tissues, such as ligaments, muscles and/or nerves could be deranged and damaged, thus sending signals to the brain which in turn interprets those signal and decides whether to signal pain or not. We should not ignore the fact that the psychological factor can also affect the biological component of the pain model. States of depression and anxiety can manifest itself in the body, causing tension, spasm and tightness in areas such as the traps, the neck and the jaw.

Psychological Factors

Psychological factors, such as stress, anxiety and depression, can actually worsen the experience you have with pain. Recent studies show that patients who have a negative psychological condition prior to surgery, such as hip replacement, were prone to a longer period of pain during recovery.

Social Factors

Social factors, such as our work environment, family, or lifestyle, can also influence our perception of pain. Many of our patients report that their pain intensifies when they are at work, or when they are involved in an argument with a significant other. When exposed to a negative social environment, pain intensifies; science contributes this to the brain perceiving the environment as hostile and resorting to a flight and fight mechanism acting as a sense of protection.

Mind Over Matter

These factors contribute to our pain, because pain is perceived at the brain level. One of the most interesting phenomenon of pain is that it is not necessarily an experience at the site of the pain. For example, you might have a herniated disc, but you will not be aware of it until your brain decides to signal that the tissue is harmful, at which point you will feel the pain in your back.

Scientific findings have proven that there are individuals with disc degeneration, herniated discs, rotator cuff tears, bulging discs, etc.  who are completely asymptomatic. This reinforces my previous statement, that the pain is an experience at the brain level affected not only by the tissue but also by your mood and your perception of your environment. If the brain decides to signal that, for example, the disc bulge is harmful, then it is at that point that you will feel the pain which is a form of protection to alert us that there is a need for modification.

At Integrated Health Solutions, an affordable chiropractic clinic, we educate our patients on the cause of their pain. We explain to them that pain is not necessarily a direct correlation in the harm of the tissue, but instead the pain is simply a signal for the need of modification. When patients understand that the pain is not creating more damage to the injury, we actually find they experience a reduction in pain.

At our Indianapolis Chiropractic clinic, we strive to educate our patients on the different factors that affect pain, in hopes of expediting their healing. Through this education, in most cases, the patients are able to reduce the external factors that negatively affect their pain experience, whether it is psychological or environmental, by doing so, it helps us obtain our goals in fewer visits.

If you’ve been dealing with pain, and would like to learn more about the factors that may be contributing to it, contact our office today at 317.449.2020.

About Integrated Health Solutions

Dr. Charbel Harb is a licensed chiropractic physician and the Medical Director of Integrated Health Solutions. Our core belief is that each patient who walks through the doors is a person, not just a medical record or chart. Our greatest pleasure is bringing joy to our patients and helping them to fully embrace life, allowing them to enjoy each day: active, healthy and pain free.

The post What You Should Know About Pain appeared first on Integrated Health Solutions.