The Joint Sugar House...the Chiropractic place

Tuesday, May 20, 2014

Can Your Foundation Be Your Source Of Pain?

Susan came into our Sugar House clinic discouraged and totally frustrated, looking yet again for another chiropractic physician. For the last 12 years she had been to Chiropractors, M.D.'s, Family Practitioners, Orthopedic Specialists, Neurologists, and even a Psychologist. She had received x-rays, MRI's, been probed, blood drawn, examined, and given many other exotic tests administered by the best that modern medicine had to offer. Nevertheless, they could not find anything physically wrong with her. There was no disease or pathology present. The final diagnosis: “The pain was psychosomatic.” In other words, it was all in her head. She was subsequently prescribed some medications to dull the pain and given even more to reduce her anxiety and to counter the side-effects of the first medications. Susan was slowly being poisoned by the medicines she was taking. This was her life now. Yet she knew “deep down” that something WAS wrong. So, partly out of desperation and partly lead by her intuition, she showed up at The Joint hoping to get “just a little relief.”
I’m often asked, “What is the most common condition I see as a chiropractic physician.”   Well, usually most chiropractors would say it’s headaches, neck pain and back pain. But, I have to confess, I believe those to be symptoms of a more sinister problem.  The problem I see most often – is that of a pelvic foundation being “off”.  Allow me to explain.
A healthy spine is straight from back to front; with three curves when viewed from the side (Cervical, Thoracic, and Lumbar.) These curves provide strength and mobility. [picture spine.png] A perfectly balanced body also has five foundations (your feet, knees, pelvis, diaphragm, and shoulders). Whereas stress is a normal function of life, excessive stress will alter those curves and affect those foundations. So when stress becomes problematic, our body begins to protect itself. Thankfully, our bodies have a remarkable ability to change. This change (compensation) can be caused by a number of factors and be expressed in many ways, but the first step in self-protection and self-preservation is to compensate (and not always for the best.)  
How often have you felt tense or tired after a days work or activity? Have you ever been mentally off and not on your “A-game?” Are you getting sick more often, or is it you are just feeling run down? These are all different types of compensations, i.e., your body trying to protect itself BEFORE you get the headaches or neck and back pain. Unfortunately, many doctors stop looking after they find the first symptom and never ask, “Why is the body compensating? What's the underlying factor?”
One of the body's first lines of defense is to tighten or contract the muscles and connective tissues. This is why many people run to the massage therapist to loosen the muscles, not realizing they are actually working against the body’s defense mechanism.  Now, I'm all for massage and body work; there is a time and place for it. However, if your symptoms continue, or return soon afterward, then there may be an underlying cause that needs to be addressed. 
Muscles are connected to tendons which pull on the bones. This sets up a cytokine inflammatory response in the muscles, tendons, bones, and joints. In other words, they get overworked and sore. Your body is uncomfortable, more compensations, more soreness, more compensation, more soreness... it becomes a vicious cycle until… PAIN. The body tells you “something” is wrong. “OUCH!”
While all the above is happening, your joints are also trying to reduce the pressures placed upon them. This could be a joint in your neck (cervical), upper back (thoracic), or lower back (lumbar). One of the major joints affected is the Sacroiliac joint. This is the joint between the sacrum

(tail bone) and your ilium (hip bone). [picture: si_joint.jpg]  Think about it: ALL of your body weight above your legs goes through these two joints. They are normally under a lot of pressure.
When these two joints get stressed they compensate by rotating. One hip bone goes back and the other goes forward. It's like a dish-rag twisting to tighten up. Now seated between the two ilium is the sacrum. [Picture:SacralBase.jpg] When the ilium twist (to tighten up the foundation) the sacrum is caught in the middle and is scissored and pinched. It compensates by rotating forward and off to the side.  
Here's where things get interesting. The top of the sacrum is the foundation for your spinal column. As the sacral base changes, the spine follows. The lowest vertebra rotates and your spine leans off to one side – just like the Leaning Tower of Pisa. [picture: Pisa.jpg]

However, we are not the Leaning Tower of Pisa; we are living human beings and don’t walk around with our head off to one side over our shoulder. No, we compensate further, by twisting our neck and upper backs – which brings our head vertically over our tail (pelvis).  (Basic physics demonstrates that when a curved object is twisted, the curve straightens out and is weakened. This is why bridges are arched (curved) and not straight.)
NOW, we are experiencing symptoms! 
HEADACHES (our head is not centered). NECK PAIN ( our necks are twisting). UPPER BACK PAIN between our shoulders (our thoracic spine is twisting). LOWER BACK PAIN (our foundational vertebra are rotating). And HIP PAIN (we have a twisted pelvic foundation). You may not experience all of these symptoms at once, you may only be experiencing a loss of mobility or what others call “normal back pain” (What's normal about pain?) Nevertheless, if your pelvis is “off” – you have compensatory symptoms that are getting worse!
Imagine what would happen if while under this kind of stress you bent over to pick up your child? Or to tie your shoe? Or just tried to get out of the car? Pow! Your back “goes out” for no reason (or is there?) Did you ever hear of the straw that broke the camels back? (Sorry, bad pun intended.)
When Susan came to our clinic, I did a brief but thorough examination. I was looking for symmetry and function, not symptoms. I was looking for the root cause of her pain. And I found it – her foundation was not only off, but way off! Susan left our clinic shouting our praises. After 12 long years I had finally found the cause of her pain and fixed it – bringing a much sought after relief. Susan continues to receive regular chiropractic care at The Joint in Sugar House and happily shares her story and new found joy with others.  
-Dr. Michael Lindstrom
Chiropractic Physician