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Interventional Chronic Pain Management Treatments | Central Chiropractor

Chronic pain is known as pain that persists for 12 weeks or even longer, even after pain is no longer acute (short-term, acute pain) or the injury has healed. Of course there are many causes of chronic pain that can influence any level of the spine, cervical (neck), mid back (thoracic), lower spine (lumbar), sacral (sacrum) or some combination of levels.

What treatments do interventional pain management specialists perform?
Oftentimes, early and aggressive therapy of chronic neck or back pain can earn a difference that is life-changing. But remember that knowledge is power: Be certain that you know your choices. There are various treatment procedures and treatments available for chronic pain, each completed by a treatment specialists. Interventional pain management specialist treatments may be a fantastic solution for some people with chronic pain symptoms.

Interventional Pain Management Specialists
Interventional pain management (IPM) is a special field of medicine that uses injecti…

Top Workout Mistakes: Is Your Exercise Routine Actually Hurting You?



Exercise Physiologist and PUSH-as-Rx ® fitness facility owner Daniel Alvarado takes a look at common mistakes that people make in their workout routines.

Time is precious. That’s why making the most of every sweat session and avoiding common workout mistakes is key. I’m a huge fan of sneaking in mini-workouts whenever I could. That’€™s one of the benefits of high-intensity interval training: You only need several minutes.

But there are so many other ways you can shift your own exercise routine to more efficient workouts. Tiny tweaks may make a huge different when it comes to losing body fat increasing lean muscle mass and reducing stress.

12 Common Workout Mistakes


Here are some of the most common workout mistakes you need to avoid:

1. You Only Use Machines.


There€™s no doubt about it. Resistance training is medicine.

In fact, a 2012 study found just 10 weeks of resistance training can increase lean muscle mass by nearly 4 pounds and reduce 4 pounds of fat while increasing your metabolic rate by 7 percent. Translation, you’ll burn more fat when you’re out of the gym, too. But that does not so much more than strength training . It’s a key factor in the natural management of type 2 diabetes, thanks to its ability to help create normal blood sugar levels. Resistance training increases bone mineral density by 1 to 3 percent, helps shed that dangerous belly fat and also lowers your resting blood pressure.

Its pain-relieving properties can help ease fibromyalgia symptoms in women. Clearly, we all need to be make sure strength training is in our lives.

But you’re short-changing yourself if you’€™re only using machines. (In fact, this is one of the classic workout mistakes.) Strength training machines lock your movement into a pre-determined plane of motion, meaning you’re working those large, primer mover muscles without a lot of assistance from stabilizing muscles. Keeping these muscles out of the mix fails to strengthen them and also largely eliminates the use of balance in each lift.

Certainly, if your only goal is increase muscle mass in one area, or if you’re focusing on one muscle group for rehab purposes, machines have their place. But a lot of us want training that is more functional so we could move around with more ease, and in much less pain, every day. Free weights strengthens total-body movements and increases coordination between muscle groups that are different. Free weights may improve performance better than a machine-only approach, too. For instance, squats are more effective at increasing vertical jumping compared to machine leg presses.

Be sure to make free weights part of your lifting routine. And don’t forget to incorporate bodyweight exercises, too. Remember, even the ancient Greeks understood the insane fitness value of calisthenics.

2. You Wait To Work Out.

Studies show you’ll be able to optimize your workouts by targeting a specific time of day, depending on your goals, although working out at night is not working out at all. (Of course, pushing your workout to nights also means more excuses can pop up through the day, derailing your PM workout efforts, too.)

But the best time to sneak in a sweat session largely depends on your own main fitness goal. This great Medical Daily article sheds some light on optimal workout times:

Walking to lose weight? Getting your steps in can transform your diet in a way that better leads to weight loss, based on an 2011 study published in the Journal of Sports Medicine and Physical Fitness. Walking later in the day prompted exercisers to eat during breakfast, an important factor to reduce late-night cravings, lower the risk of obesity and improve weight-loss success. you are able to also optimize fat-burn should you workout in a fasted state before breakfast. Doing this helps improve insulin sensitivity even in case you eat a high-fat diet, researchers say. The good news for walkers? You’ve got options.

  • If you’re looking to construct muscle fast and increase strength, evening workouts are optimal.

  • To beat work-day brain fog and increase focus and performance, aim for afternoon sweat sessions between noon and 6 p.m.

  • Exercise is one of the most potent stress relievers on the planet. To help prime your blood pressure for optimal levels for sleep, opt for morning exercise. A 2010 study by Appalachian State University researchers found morning resistance training helped drop blood pressure levels on average by 20 percent. That’s as good or even better than common hypertension-fighting drugs.  A 2011 study published in the Journal of Strength and Conditioning Research discovered moderate 7 a.m. morning walking resulted in a 10 percent blood pressure drop throughout the day; at night, it sank 25 percent. It helped exercises reach deeper sleep compared to working out at other times of the day. The AM exercises spent up to 75 percent more time in deep sleep compared to afternoon and evening exercisers.

3. You Forget The “œLittle Muscles.”

Sure, biceps and pecs and quads usually get all of the glory, but there’s more to movement than those big prime mover showoff muscles. There’s a whole other cast of characters you need to nurture. Stabilizers are muscles that support the body while the prime movers do their thing. Synergists help assist those prime movers to create movement patterns that are functional. Should you ignore these little guys, you might be setting yourself up for posture problems that may manifest into pain and injuries down the line. Workout mistakes such as these will only snowball and lead to inflammation, pain, altered movements and eventually injury.

Using resistance band exercises and exercises that involve multiple planes of motion that mimic more real-life movements (not just the up-and-down of a bicep curl) can help target those important, albeit less famous, muscles.

Targeting the dynamic stabilizers of the rotator cuff, erector spinae (deep core muscles that keep your body upright), gluteus medius and minimum, tibialis anterior and obliques.

Men’s Health shares some ideas on how best to strengthen a few of these important muscles:

  • Back extensions

  • Bicycle crunches

  • Side steps using an exercise band around both feet

4. Your Recovery Is All Wrong.

In case your post-workout recovery consists of 2 minutes of stretching and a shower, it’s time to get real. Workout mistakes such as these may not seem just like a huge deal now, but as you age you’ll start feeling it. Chances are it’ll catch up with your joints and muscles as you age, making injury and pain inevitable. Here, I want to cover foam rolling exercises.

But let’s back up a sec. The organs, muscles, nerves, bones and arteries and veins of your body are all enveloped in a densely woven webbing called fascia. Much like the yard of a sweater, your fascia connects you entire inner body, highlighting the fact that trouble in one spot could impact a totally different part of the body.

When you work your muscles hard, microspasms occur, triggering the formation of knots€ or adhesions in the soft tissue. This, subsequently, starts leading to abnormal movement that can, over time, result in chronic pain and injury. Luckily, self-myofascial release, including foam rolling, can help “break up those knots to help get your muscle length and functioning back to normal.

And here’s the big takeaway: foam rolling short, tight muscles riddled with knots in combination with proper stretching can help return your body to some more normal selection of motion. This could improve not only performance, but just the manner in which you feel in general, too. A Texas Woman’s University study found this combo can serve as one of the remedies for fast back pain relief.

And this is something I’m really excited about. Foam rolling effects your brain and stress hormones, too, not just your muscles. Emerging science suggests foam rolling impacts the nervous system and can lower cortisol levels, reducing not just physical stress, but emotional stress, too. After exercise, foam rolling can improve cortisol levels in fact better than rest. Exciting stuff!

To get a full-spectrum foam rolling and corrective exercise program, your best bet is to have other posture and movement assessments and an overhead squat by way of a qualified personal trainer with high-level certifications and also a college degree to do so. The National Academy of Sports Medicine focuses heavily on these assessments and corrective exercise programs.
Several key points:
  • Common muscles include the calves, peroneals, IT- band, TFL, piriformis, adductors, hamstrings, quadriceps, latissimus dorsi and thoracic spine.

  • It’s possible for you to foam roll holding tender spots for 30 to 90 seconds, 1 set daily.

  • DON’T make the classic foam rolling of quickly rolling over a muscle back and forth mistakes. So the neural, skeletal and muscular systems can work together to more effectively break up the adhesion, you need to hold tender spots.

  • To improve flexibility, follow foam rolling with static stretches of the same muscles, holding the static stretches for at least 30 seconds. Do this before and following a workout.

  • Keep proper posture as you’re rolling.

  • If you want more pressure, you are able to use your own body to create it. For instance, if you’re rolling your calves and need more pressure, it is possible to cross your one leg within the other that’s being rolled.

  • If you have a health condition or are pregnant, talk with your doctor before foam rolling. Foam rolling is not suitable for people with cancer, congestive heart failure or alternative organ failure, skin lesions, goiters, uncontrolled high blood pressure, blood clots, bleeding disorders and certain other health issues.

5. You Force Yourself To Run.

If you’ve gone over the best running tips for beginners and still dread lacing up your sneaks for a jog, it might be time to find another form of cardio. The key is to do something so you stick with it, you like, not torture yourself.

If you do stick with running, remember, it’s not about speed. In fact tend to live longer. Fast marathon runners gain no increase in lifespan compared to people who avoid exercise.

Cycling, mountain biking, spinning (I love the Peloton bike) are just a few of the other ways to work cardio into your life. I recently did an article to try. Just make it fun and find a workout buddy. We know working out using a buddy increases your odds of sticking to an exercise routine. But did you know a virtual buddy works? That may be one huge factor in Pelot’€™s success, where people from throughout the world indoor cycle as they’re connected virtually to other riders.

6. You’re Jarring Your Joints (And Maybe Your Lungs).

Love basketball? Opt for indoor instead of a game on asphalt to save your valuable knees. Runner? Get your job on along the side of the road for more give. And consider trail running to get a more natural, less jarring surface. Runner’s World’s annual sneaker guide features an annual featuring many options with better shock absorption, too, but shoes can only go so far.

And beware of other workouts that were popular linked to joint injuries. They dynamic, twisting movements of Zumba make it a fun class. In one study, nearly 30 percent of Zumba participants experienced an injury; 42 percent of those involved the knee. The people most likely to suffer injury took class nearly 4 times a week, so if your joints are feeling it, maybe dial back a bit and fill in a class or two with something more forgiving, like gentle yoga. (Maybe sure you’ve a qualified instructor.)

Flooring matters. For indoor gyms, I prefer flooring made from natural cork or real linoleum (NOT vinyl knockoffs). And this brings up an important side point: Natural floorings like solid or certified formaldehyde-free manufactured cork don’t off-gas toxic fumes common to popular gym flooring and mats. In 2014, the University of Lisbon in Portugal and the Delft University of Technology in the Netherlands released first-of-its-kind data showing the horrific state of indoor air in gyms. We know vinyl-based products off-gas carcinogenic formaldehyde, as well as plasticizing phthalate chemicals.

Popular gym flooring made from recycled tires labeled as rubber€ are often laden with compounds on the verge of being classified as hazardous waste. Tire crumb used in several gym floors contains distillate aromatic extract, oils that can make up to 30 percent of a tires mass. Unfortunately, these are among the world’€™s most harmful chemicals, rich in polyaromatic hydrocarbons and other carcinogens, in accordance with the Healthy Building Network.

Urge your gym to use more healthy flooring materials and invest in a air exchange system. If you’re setting up a part of your home for working out, looking into cork or real linoleum flooring with good shock absorption qualities. Green Building Supply is a good place to look for safer building materials.


Athletic Tips




7. Your Workout Rest Periods Are Wrong.

The amount of time you rest between exercise sets matters, depending on your own fitness goals.

Here’s a nice breakdown in the National Academy of Sports Medicine:

  • Muscle endurance & stabilization: This is great if you’re just getting started or back on the wagon with exercise. It’ll help strength key muscles for joint stability in order to build a strong foundation and progress in a safer way as you become more fit. In this stage, you’ll focus on lifting lighter and taking a rest period anywhere from zero to 90 seconds long between sets. The short rest period keeps the heart rate elevated, optimizing weight loss and fat burn.

  • When hypertrophy is the goal, we’re focusing on increased muscle size. Short rest periods increases testosterone levels and human growth hormone in men. It’€™s is best achieved with relatively short rests periods often ranging from 0 to 60 seconds. Longer rest periods may be appropriate depending on condition of the lifter and the amount of weight lifted.

  • Maximal strength & power: When you’re focusing on lifting your max weight and when you’re training for maximum power, you’re going to focus on taking much longer rest periods. Three to five minutes are necessary.

8. You Forget To Rest.

Overtraining is a problem. Not giving your body and hormones the time to adjust to exercise or not resting adequately between workouts — can cause injuries, mood problems, negative changes in your metabolism and burnout within a couple of months time. While too much exercise mightn’t be the sole reason for negative symptoms in some people, overtraining combined with stress from other factors like imbalanced hormones, a diet that is poor, and a lack of sleep or rest can accumulate to serious bodily damage.

And get this: Overtraining can actually cause weight gain. Excessive exercise can lead to high cortisol levels, which could switch your body into fat-storage mode.

Signs of overtraining include:

  • Changes in your heart rate

  • Trouble sleeping

  • Increased soreness

  • Joint pain

  • Moodiness, depression or anxiety

  • Chronic fatigue or exhaustion

  • Changes in your appetite

  • Feeling more thirsty

  • Digestion issues

  • Irregular periods or changes to your menstrual cycle, such as with all the severe overtraining phenomenon called female athlete triad
Running is definitely an exercise that helps you live longer, but you’ll want to mix it up to include the benefits of yoga and HIIT training, too.

9. You Arrive Undernourished.

Working out on an empty stomach does burn fat. But showing up having an empty tank doesn’t work for everybody. And in some, having the right pre-workout snack enhances fat burn in fact. In The Event you end up burning out halfway during your workout, you could possibly want to try many of these pre-workout snacks before you hit the gym.

A study published in the Journal of the International Society of Sports Nutrition found no difference in weight loss between women who ate a meal-replacement shake before exercising without eating and those who got straight into their workouts. So the moral of the story? Do what’s right for you personally, but probably get some sort of natural, pre-workout drink or snack in your routine.

10. You’re Stretching Dangerously.


This is really a biggie when it comes to workout mistakes. If you played sports growing up, chances are you did one of these dangerous stretches that place torque and unnecessary strain on your joints.

Common Exercise Mistake: You Endanger Your Knee with This Hurdler’s Stretch



The above stretch hurdler’s stretch is intended to stretch the hamstring, but it’s one of the major workout mistakes. But the problem lies for the reason that left knee. See how it’s rotated and stressing the knee? This could stretch the joint capsule, damaging cartilage and ligaments, according to a lot of studies. The U.S. Navy IDs this as a stretch to avoid.

To get a hamstring stretch with no unneeded stress, put the foot of the leg opposite the one being stretched to the inner thigh of the leg that is stretched.

Common Exercise Mistake: You Do This Quadriceps Stretch with Both Knees Flexed



Here’s another one that stresses your knees. You can get an effective quad stretch minus the damaging effects of the one above. The Navy trainers recommend then reaching around with one arm, lying on your own stomach and grasping the same-side foot. Before you feel a stretch in the very front of the leg, pull the foot toward the buttocks. To protect your neck, turn your head toward the same side that you’re reaching.

Exercise Mistake: You Do This Overhead Bicycle, Yoga Plow Stretch



This may be the most dangerous stretch on the list. And there’s no safe alternative. It places your neck into extreme positions that are forward, putting pressure on the cervical discs.

11. You’re Too Predictable.

We do anything with no variation, we can get bored and our fitness goals can plateau. The nervous system and muscle can adapt to your own routine, sometimes as early as 6 to 8 weeks. Now it’s time to shake things up!

Here are a few tricks for climbing your way from a plateau so you don’t get stuck in this workout mistake:

  • If you’re a runner, try the Swedish training trick called fartlek.

  • Trade in a few longer, moderate cardio workouts for BurstFit ideas you can do at home.

  • Eliminate, or drastically cut back on, alcohol. I’ve seen so many people fall off of the fitness wagon, sometimes with as little as one or two drinks. If you’re drinking and hitting a plateau, it’s time for mocktails instead.

  • Eat more fat. That’s right, your body may be craving more healthy fats. Experiment by means of your calorie intake and find out if adding more avocados and other healthy fats into your diet stokes your fat burn.

12. You Forget Corrective Exercise.

We touched on foam rolling earlier, but that’s just one important component of corrective exercise. To workout without this component that is critical is making one of the workouts mistakes that are most common. To get a personalized read on what you need to work on, it’s best to consult using a certified personal trainer (I recommend ones through National Academy of Sports Medicine, the American College of Sports Medicine or the National Sports and Conditioning Association.) Physical therapists and chiropractors can help.

The idea is getting a postural and movement assessment will help show:

  • Muscles that need stretching and rolling

  • Muscles that need strengthening

  • Running issues like supination or pronation

  • Broken body mechanics, including postural distortions like forward- head posture, upper – and lower-crossed syndrome

Final Thoughts On Common Workout Mistakes

  • The best time of day depends on your specific fitness and health goals.

  • To avoid injury and pain, it’s imperative to work corrective exercise into your routine.

  • Foam rolling can improve both your physical and mental stress levels, but be sure to hold tender spots for at least 30 and you have to roll the proper muscles to be effective.

  • If you’re starting to notice joint pain, pay attention to the classes you take, your shoes and the surfaces you exercise on. Workout mistakes are the culprit, and adjustments may be necessary.

  • The rest period you take in between exercise sets varies depending on your fitness level and goals.

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