Dr. Jeffrey I. Kennis,  D.C.
205 Commercial St.
Boston, MA 02109
NORTH END

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Work Is a Pain in The...
Back pain and headache are common health complaints among workers in almost every industry, and are responsible for substantial suffering and disability, along with lost productivity. Two recent studies attempted to determine which risk factors are more likely to lead to musculoskeletal pain and headaches among workers.

Studying Office Workers
The first study examined office workers with a high degree of computer usage. Questionnaires were used to determine the musculoskeletal symptoms reported by the employees and the associated risk factors. The leading areas of pain among computer users were found to be the shoulder, neck, and upper back regions, with more than 60% of surveyed workers reporting pain in at least one of these areas.

Physical and Psychological Issues
High psychological distress was significantly associated with upper back and shoulder complaints, while a high workload was found to be significantly associated with lower back complaints. Women were more likely to report shoulder pain. The researchers concluded by emphasizing the importance of developing an intervention that addresses both physical and psychological complaints.

The second study focused on headaches as a possible outcome of the types of occupational and psychological factors examined in the first study. The aim of the study was to determine the occupational psychological, social, and mechanical factors that predicted the presence and severity of headaches among workers. The factors most strongly related to headache severity were role conflict, lower decision control, control over work intensity, job satisfaction, and higher quantitative demands.

Chiropractic Can Help
Stress has been shown to worsen chronic pain so managing stress could play a significant role in minimizing symptoms. Studies suggest that chiropractic can help the body cope with stress while improving the symptoms of headache and back pain.

April 05, 2021
Category: Uncategorized
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Tips to Avoid Text Neck

In this age of mobile devices and smartphones, more and more patients are being diagnosed with neck pain associated with looking down at a screen. Studies have shown that young people are at increased risk of back and neck pain due to overuse of devices. Now, a new condition, dubbed "text neck," is being found in smartphone-users of all ages, resulting in serious stiffness, strain, and pain in the neck muscles and cervical spine.

 

Americans send an average of around 2.19 trillion text messages every year, meaning that text neck has the potential of afflicting millions of people.

The condition is relatively new, and as Forbes reports in their article, How Texting Can Give You a Permanent Pain in the Neck, "It takes time...for a new condition to spread throughout the medical community. Some doctors who have never heard of text neck don't think to ask patients with neck pain about their phone or computer habits."

However, investigators of worker's compensation claims are at the point that they look into the phone records of claimants with neck pain, and sometimes use their history of text messaging to get their compensation cases dismissed, attributing the neck pain to personal screen time rather than work.

There is no denying that a great number of people consider smartphones to be indispensable. And this overuse is causing what could be an epidemic of health problems into the future. A study published in the journal Applied Psychophysiology and Biofeedback found that an overwhelming majority of 83% of participants reported some hand and neck pain during texting. Researchers in this study also found that people sending texts displayed other classic signs of tension, such as increased heart rates and holding their breath. Even when they said they were relaxed, they had signs of tension.

If you text or play games on your smartphone, you know that it is easy to get into the habit of holding your head forward-and-down while typing on it. Another study conducted at the Center for Musculoskeletal Research found that 90% of people flexed their necks while texting, defined as bending the neck forward over 10 degrees past neutral alignment. In this study, it was discovered that the more texting that participants did, the worse their risk of neck or shoulder pain.

Especially susceptible to text neck are those of us who not only spend some of our leisure time on smartphones, but also spend much of our working time sitting at computers. All these hours spent in a flexed posture can add up to 30 pounds of extra weight on the upper vertebrae, straining the trapezius muscles and pulling the spine out of alignment over time.

Researchers are also finding that people over age 50 are more at risk of developing text neck. According to physical therapist Rob Worth, in an interview with Forbes, "People in their 50s and 60s have less tissue tolerance. Overuse injuries (like text neck) don't heal as quickly."

However, Worth said that young people are also at risk of permanent problems from text neck. He suggested that the stooped posture while typing on phones may freeze the position of the spine's alignment, and years down the road, we may see people who are permanently stooped because of it.

If you suspect you have text neck, talk to your health-care provider. Your chiropractor or physical therapist can help you determine if you're suffering from this ailment. These experts can also help design a treatment plan to relieve pain and regain range of motion, as well as advise you about preventing future injury. The following tips, summarized from the Forbes article, may help you avoid the risks of text neck:

  1. Hold your phone at a proper reading angle, rather than looking down. Your phone should be held directly in front of your mouth, a few inches across from your chin. Your eyes should look down rather than having to bend your neck down. Your shoulders should feel relaxed while you're typing.
  2. Use a text-dictation program if you have one. Hold the phone in front of your mouth.
  3. Set a timer and take breaks. Avoid prolonged phone use by taking regular breaks where you put your phone down and do something else.
  4. Build strength and range of motion. In your workout routine, include exercises and stretches that strengthen your neck, back extensors, rhomboids, and latissimus dorsi muscles. For some ideas, check out this blog post from researcher Dr. Erik Peper.
  5. Drink water and maintain hydration.
  6. Use other forms of communication. Try calling your family and friends or seeing them in person to chat.

References

Quilter D. How texting can give you a permanent pain in the neck. Forbes June 7, 2013. www.forbes.com.

Lin IM, Peper E. Psychophysicological patterns during cell phone text messaging: a preliminary study. Applied Psychophysiology and Biofeedback March 2009; 34(1): 53-57.

Gold JE, Griban JB, et al. Postures, typing strategies, and gender differences in mobile device usage: an observational study. Applied Ergonomics March 2012; 43(2): 408-412.

Peper E. Improve health with fun movements: practices you can do at home and at work. The Peper Perspective blog; February 2, 2013.

Reducing Headaches

According to a recent study, patients treated with chiropractic adjustments experienced a 50% reduction in the number of cervicogenic headaches they experienced.

What Are Cervicogenic Headaches?

Cervicogenic headaches are non-throbbing, steady headaches felt at the back of the head, with pain extending downwards through the neck and between the shoulder blades. Some patients also experience dizziness. Such headaches are caused by dysfunction in the cervical spine (the portion of the spine located in the neck).

Research Studies

Previous studies showed that chiropractic treatments can alleviate both the pain and disability resulting from cervicogenic headaches. This study showed that chiropractic treatments can also reduce the frequency of such headaches.

The research involved 80 people with chronic cervicogenic headaches. Patients received either light massage or chiropractic adjustments. Within each group, half received high doses of the treatment, while the other patients received lower doses. The light massage treatments involved several minutes of gentle neck and shoulder massage, while the chiropractic treatments consisted of high-velocity, low-amplitude adjustments of the upper back and neck.

Improvements with Chiropractic

Patients who received chiropractic treatments improved substantially more than those receiving massage. On average, chiropractic patients saw their headaches cut in half. At the conclusion of the study, chiropractic patients required one-third less pain medication than at the start, and reported a 50% reduction in symptoms.

 

The researchers found no major differences between patients receiving 8 chiropractic treatments and those who received 16 treatments. Those who received more treatments did have slightly more improvements in terms of neck disability. More research is needed to determine the optimum number of chiropractic treatments, but the researchers have concluded that chiropractic adjustments are an effective method of treating cervicogenic headaches. Research shows that chiropractic can also relieve migraine headaches.

Haas M, Spegman A, Peterson D, Aickin M, Vavrek D. Dose response and efficacy of spinal manipulation for chronic cervicogenic headache: a pilot randomized controlled trial. The Spine Journal 2010; 10: 117-128.

Worrying Damages DNA and Speeds Aging

There's the old lyrics, "Don't Worry, Be Happy."

Well, new research shows that worry actually speeds aging by degrading and modifying DNA.

Harvard researchers looked at 5,243 women and found that those with high phobic anxiety were more likely to have shorter telomeres.

The women with high anxiety had DNA damage similar to being six years older than their actual age!

"Many people wonder about whether—and how—stress can make us age faster," said Olivia Okereke, MD, MS, BWH Department of Psychiatry, study author. "So, this study is notable for showing a connection between a common form of psychological stress—phobic anxiety—and a plausible mechanism for premature aging. However, this type of study design cannot prove cause-and-effect or which problem came first—the anxiety or shorter telomeres."

Reference:

High Phobic Anxiety Is Related to Lower Leukocyte Telomere Length in Women