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Hand Sanitizers vs. Soap?

It’s that time of year where sickness is spreading. So how do we combat it? Hand sanitizer or soap? A study by the American College of Preventive Medicine showed that alcohol-based hand sanitizers are less effective than soap at preventing outbreaks of norovirus in long-term care facilities. Alcohol-based hand sanitizers clean the skin by killing some bacteria, diseases, and germs on the skin’s surface, but they don’t actually remove dirt.

The CDC recommends using sanitizers with at least 60 percent alcohol if soap and clean, running water are not available. Here is some more hand-washing advice from the CDC:

What Is the Right Way to Wash Your Hands?

– Wet your hands with clean, running water and apply soap.
– Rub your hands together to make lather, then scrub the entire hand.
– Don’t forget the backs of your hands, between your fingers, and under your nails (clean nails by scratching nails down opposing soapy palm).
– Continue for at least 20 seconds.
– Rinse your hands well under running water.
– Dry your hands using a clean towel or air-dry them.

The bottom line? Either is better than nothing, and washing with soap is better than hand sanitizer.

Posted 2018-01-23

Are Inversion Tables Good for You?

Lower back pain is the leading cause of disability in the country. People suffering with chronic back pain will consider anything and everything for relief, such as:

  • Chiropractic
  • Yoga
  • Massage
  • Acupuncture
  • Physical Therapy
  • Injections
  • Surgery

Those with chronic back pain frequently consider at-home therapies because of their benefits, including being able to use them more frequently as well as being less expensive than pricey services and insurance bills.

An inversion table is designed for the user to lie upside down. Using an inversion table will increase the space between the vertebrae of your spine and relieve pressure off the nerves and discs. Used in the right situation, it can provide temporary pain relief. However, it is not a long term solution and should not be relied upon for treatment.


So how do you decide if an inversion table will help you? Well, if your lower back pain is due to spinal compression issues such as stenosis, degeneration, disc herniation, etc. then inversion therapy could help you. However, there are risks to be aware of that may not help you, but hurt you. There are warnings not to use it if you have heart issues or high blood pressure so please discuss this option with your doctor before deciding if this therapy is right for you.

To use the table, you usually hang from 1 or 2 minutes up to 5 minutes. The key is not how long you hang, but the frequency you do it since it only provides temporary pain relief. So use it at times when you need it most: in the morning, after work, or before bed.

So if you are thinking about an inversion table for your home, do the research and talk to your doctor. If it is the right fit for you, give it a try!

References:
https://www.mayoclinic.org/diseases-conditions/back-pain/expert-answers/inversion-therapy/faq-20057951

https://www.spine-health.com/treatment/chiropractic/spinal-decompression-patients-advice-inversion-tables-and-therapy-everyone

Posted 2018-01-20

Fake Sciatica?

You’ve probably heard someone say, or even thought to yourself, “I think I have Sciatica.” This phrase has become common with the increase in low back problems in our culture. So is it True Sciatica or just Sciatic-like symptoms? The answer is that there are many reasons you could be having pain in your back and down your leg. I want to make you aware of a couple reasons that involve your muscles.

First, I want to define what True Sciatica is. Then, I want to explain how you can perform a test to see if you have these related symptoms.

True Sciatica involves pain from the Sciatic nerve being pinched in the lower back (L4-S1). The pain usually affects one side of the leg. The pain travels from your lower back, down the leg, and into the foot. Common causes include spine and disc-related issues. Symptoms include:

  • pain
  • burning
  • numbness
  • tingling
  • shooting pain
  • weakness in the involved leg/foot
Perform this test to check for Sciatica symptoms:
The Slump Test:
  1. Sit in a chair
  2. Straighten the effected leg out in front of you
  3. Slump your upper back and tuck your chin
  4. Flex your foot up to point your toes toward you

If you feel an increase in symptoms listed above, this may be a sign of Sciatica. Please see a physician for proper diagnosis.

If the test above was negative, then continue reading. I will list two muscles that, if harboring Trigger Points (TPs), can give you similar symptoms to Sciatica. I will explain how these TPs affect you, walk you through tests to perform, and even give you steps to relieve the pain.

Gluteus Minimus

This glute muscle is located deep in the hip area and can develop trigger points. These TPs can cause pain in the buttock area and down the back or side of the leg to the foot (shown in red below).

Sound familiar? If so, follow the steps below to test if you have Sciatica-like symptoms caused by TPs in the gluteus minimus:

If this feels like your primary pain, this could be the cause of your sciatic- like symptoms.

  1. Get a ball or foam roller
  2. Lie down on your side with the ball or foam roller under your hip.
  3. Put pressure on this muscle in the areas where the X’s are shown in the picture.
  4. Find and hold on the tender spots to see if any refer pain down your leg.

You can release these TPs by holding medium pressure on the area for 20-30 seconds at a time until the referred pain diminishes and you only feel pressure. You can also see a Massage Therapist with Trigger Point Therapy experience to help you.

Piriformis

This is another muscle located deep in the buttock area that rotates the thigh. TPs in this muscle can refer pain in the buttock and down the thigh. However, this muscle can also impinge the Sciatic nerve as it travels under or through the muscle. This impingement is called “Piriformis Syndrome”.

To test to see if this muscle is impinging the Sciatic nerve, do the following:

Piriformis Syndrome Test:

  1. Lie on the floor on your back
  2. Bring your effected knee toward your chest and across your body
  3. Hold for several seconds
  4. If you start to feel the primary pain and symptoms, this is a sign of Piriformis Syndrome. Please see a healthcare professional.

If you don’t get symptoms with the above test, then check this muscle for TPs:
  1. Get a foam roller or tennis ball.
  2. Sit on the floor leaning one buttock on top of the ball. Put pressure on the areas where the X’s are shown in the picture above.

Important: If you feel nerve-type pain going down your leg, move the ball and see if the pain goes away. You may be pressing directly on that Sciatic nerve.

  1. Find tender spots to see if any dull-type pain refers down your thigh. If this feels like your primary pain, this could be the cause of your sciatic like symptoms.

Note: If you still have pain symptoms, please see a physician for a proper assessment and diagnosis.

I hope this helped you in your quest to relieve pain. If you have any questions, please feel free to email me or make an appointment online. I am always here to help!

Posted 2017-10-28

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