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Tech and Chiropractic

The topic of tech pops up now and again in this blog, but it’s been a while since we’ve written specifically about how various technologies have pushed the chiropractic field forward. (Check out Chiropractic in the Modern Era from 2021.)

The crazy thing about technological advances is that they just keep happening, so there are always new things to discuss. From telehealth to wearables, from extended reality (XR) to artificial intelligence (AI), the last few years have brought a technological acceleration that’s quickly made the future the present.

In this article, we’re going to look at just a couple of the technologies that have already begun to impact the field and are poised to become more ubiquitous in the years to come. (And you know we love a good follow-up, so we may be back soon to cover even more tech!)

Telehealth

Partially fueled by the Covid-19 pandemic, the availability of telehealth options in chiropractic has exploded in recent years. Many patients have warmed to the idea of being treated virtually, and providers have beefed up their knowledge of how to provide quality care while managing HIPAA compliance challenges and other regulatory concerns.

So much of chiropractic is, by nature, a hands-on experience, so a first-blush reaction of, “But…how?” is more than understandable. With more reliance on a visual assessment, treatment methods must be modified. Your chiropractor can’t give you an adjustment through your laptop screen, but they can evaluate your posture and your progress with any prescribed exercises.

This approach brings with it new advantages as well. Telehealth brings the chiropractor “inside” the home, providing valuable information about a patient’s living situation—their workspace, the way their space is arranged, etc.—that the provider wouldn’t otherwise have. This information can give a chiropractor a better idea of any day-to-day ergonomic and space challenges and/or constraints the patient is dealing with, which may inform their treatment plan.

Extended Reality

Extended reality (XR) is a term that encompasses virtual reality (VR), augmented reality (AR), and mixed reality (MR). The Interactive Design Foundation has a great “nutshell” definition of XR:

Extended reality (XR) is an umbrella term for any technology that alters reality by adding digital elements to the physical or real-world environment to any extent and includes but is not limited to, augmented reality (AR), mixed reality (MR) and virtual reality (VR).

XR provides some very exciting opportunities for chiropractors. For example, Kinetisense uses motion capture—the same technology filmmakers use to make the unbelievable come to life in front of you—for three-dimensional movement analysis. The company markets its tech to a variety of industries, and some chiropractors have already begun incorporating it into their practice.

The applications for XR in chiropractic are mind-boggling. Picture your chiropractor handing you a VR headset that allows you to be immersed in a pleasant, calming environment while you’re receiving an adjustment. Or imagine wearing a headset that uses AR to “gamify” chiropractic exercises by layering virtual elements over your environment, motivating you with tiered challenges and motivational feedback.

The future is here and near, folks, and it’s taking place right before your (VR-headset-covered) eyes.

Sources:

Billing DynamixExploring the Frontier: Latest Advances in Chiropractic Techniques

FasterCapital: Enhancing Chiropractic Care with Augmented Reality: A New Frontier

FasterCapital: Mind Body Connection: How VR Can Improve Chiropractic Outcomes

Interactive Design FoundationExtended Reality (XR)

KinetisenseKinetisense Clinical

National Center for Biotechnology InformationRapid Deployment of Chiropractic Telehealth at 2 Worksite Health Centers in Response to the COVID-19 Pandemic: Observations from the Field

By: Brett Hearn

Chiropractic Considerations for Arthritis

According to the Centers for Disease Control and Prevention (CDC), 53.2 million people have arthritis. That’s 21.2% of all adults. One in five—slightly more than one in five—deal with some form of the disease. 

Those numbers are staggering. 

You may be familiar with some of the more well-known forms of the disease, such as osteoarthritis (OA), rheumatoid arthritis (RA), and psoriatic arthritis (PsA), but there are more than 100 forms of arthritis and related diseases (including gout and fibromyalgia). The various forms of arthritis cause pain in a host of ways—and there are many different ways to treat that pain.

If you suffer from arthritis, you may have wondered at some point if chiropractic is a viable option for treatment. The answer in many cases is “yes,” but that “yes” comes with some caveats. Let’s talk about a few important things to remember when it comes to treating arthritis with chiropractic.

Chiropractic can complement other arthritis treatments.

Chiropractic is often one spoke in the wheel of a comprehensive course of treatment for a variety of ailments, and this is certainly true with arthritis. 

Treating autoimmune diseases like RA and PsA often requires medication to control a patient’s overactive immune response. In most cases, chiropractors cannot write prescriptions, so to rely on chiropractic alone would deprive someone of the full range of treatment and relief available. (If you’re suffering from extreme joint pain that can severely impact your quality of life, you’ll want everything in the treatment tool belt at your disposal.) In these instances, chiropractic can still serve as a complement to medical intervention rather than a replacement.

Sometimes chiropractic adjustments are off-limits.

If a patient is experiencing active inflammation (as can happen during a flare-up), a chiropractic adjustment could be very painful—and even dangerous. When that joint inflammation is caused by an autoimmune disease like RA or PsA, the disease and the medications used to treat it can cause osteoporosis. In such a case, the pressure from an adjustment could cause a fracture. A fused spine or osteoarthritis in the back or neck are also disqualifiers for an adjustment.

As you may know, however (possibly from being avid readers of this very blog), there’s a lot more to chiropractic than just neck- and back-cracking. There are still chiropractic treatment options for arthritis that don’t require spinal manipulation, including ultrasound, electrotherapy, low-level laser treatment, and infrared sauna rooms.

Chiropractic can play a role in treating secondary pain.

Even when chiropractic adjustment isn’t an option in one area of the body (whether due to active inflammation or another reason), an adjustment elsewhere might still bring some relief. 

In many cases, pain or stiffness in one part of the body causes us to compensate—or even overcompensate—elsewhere, causing pain there too. Chiropractic adjustment to treat secondary pain brought on by arthritis may bring some relief. (If you’re already dealing with arthritis pain, you’ll certainly welcome respite where you can find it—including relief from any “bonus” pain.)

If you’re one of the millions of Americans who are fighting the good fight against arthritis, talk to your chiropractor about your diagnosis and symptoms. They’ll be able to discuss the treatment options at their disposal, and you may find that their arsenal to fight the disease is more formidable than you expected.

by Brent Hearn

SOURCES:

Arthritis FoundationChiropractic Care for Arthritis

Arthritis FoundationHow Arthritis Hurts

Centers for Disease Control and Prevention (CDC)Arthritis Factsheet

WebMDChiropractic Care for Joint Problems: What to Know

Fun Facts About Bones and Joints

The human body is a mind-bogglingly complex machine. The way its many components (usually) work together in harmony to keep us breathing, thinking, and living is a marvelous thing to behold.

The human body is also pretty weird. These meat sacks we call “us” are a gold mine of trivia just waiting to be discovered and discussed. Since this is a chiropractic blog, it’s worth noting a few things about bones and joints that you can use at an icebreaker at the next party when you’ve exhausted your Marvel and T-Swift knowledge.

Not all humans have 206 bones.

It’s one of those nuggets of trivia you likely learned as a child and proudly recited to show how smart you were: There are 206 bones in the human body. But it would have been more accurate to say that most adult humans have 206 bones. Or that a human adult has about 206 bones.

Why the equivocation? Well, when we’re born, we can have closer to 300 bones! As we grow, some of our bones fuse, leaving most of us with that precious 206 number we all know and love. But adults can have more bones; some of us have extra digits, vertebrae, or ribs.

No one is actually double-jointed. 

Have you ever met someone who could contort their fingers at a stomach-churning angle that, for most other people, would require a trip to the emergency room? Or someone who could drop into full side splits with zero training and no preparation? If so, there’s a good chance that when met with an astonished, “How did you do that?!” they shrugged and responded, “It’s easy. I’m double-jointed.”

If so, that person was lying.

Okay, perhaps “lying” is a bit harsh. It’s possible that some of us are still carrying a grudge from the week’s worth of lunch money we lost when a kid bet they could bend their thumb to their wrist without having to call an ambulance. Perhaps it’s more accurate to say they’re simply mistaken.

What so many of us call “double-jointed” is actually something called hypermobility, which is a fancy term for the ability to move one’s joints further than most of us can without any special training. (If, say, you’re a dancer, gymnast, or martial artist who’s trained hard to achieve a high level of flexibility, that’s not what we’re talking about; this kind of hypermobility is something you’re born with.)

Hypermobility can be caused by a variety of factors, including abnormal collagen or elastin fibers, shallow bones in your joint sockets, and, in some cases, more serious medical conditions.

The smallest bone in your body.

It’s quite possible you already know that the femur is the longest bone in your body. (Another popular trivia question.) But have you “heard” what the shortest bone is?

As you may have guessed from that super-lame hint, it’s in your ear. The stapes, one of the three bones collectively known as ossicles (the other two are the malleus and the incus), resides in your middle ear. The stapes helps to transfer sound vibrations from the external environment to the inner ear, and it’s smaller than one kernel of short-grain rice!

If you think one or more of the bones and joints in your miraculous body may need some attention, make an appointment with a chiropractor.

In the meantime, we hope you’ve learned a little something today. Just be sure you impart your newfound wisdom from a place of wonder rather than condescension. There’s a fine line between being the most interesting person in the room and being the person people dodge on their way to the snack table.

By: Brett Hearn

Sources:

BBCThe Myth of Being Double-Jointed

Cleveland Clinic13 Strange and Interesting Facts About Your Bones

healthlineStapes

StatPearlsAnatomy, Head and Neck, Ear Ossicles

Think RiceRice Types and Forms

USA TodayHumans Have Nearly 100 More Bones at Birth Than as Adults

verywell healthCan You Really Be Double-Jointed?

Don’t Believe the Fitness Myths

For most (read: pretty much all) of our posts, we like to delve into a topic that we find relevant to your health, citing a variable number of sources along the way. In this post, however, we’re going to veer into new territory and unpack some key points from a single article. Why? Well, because it’s chock-full of fitness info that can have an outsized impact on your daily exercise regimen and long-term fitness goals.

The Article

In a January 2024 article in The New York Times entitled  8 Fitness Myths That Drive Experts Crazy, writer Danielle Friedman takes the hammer to some long-held beliefs about fitness. We’ll be examining just a few of them briefly, but we highly recommend reading the article in its entirety; it’s a short, easy read, and it’s quite enlightening. 

There’s another upside too: Since we’ll be setting the record straight on some commonly held misconceptions, you can “well, actually…” your way under the nerves of anyone who dares to air one of said misconceptions as fact! Who doesn’t enjoy correcting their friends, family, and coworkers?! 

With the preamble out of the way, let’s get to it! We’ll start with a hard truth, namely that…

Walking is not enough to keep you fit.

To start with, we’re not saying you shouldn’t walk (and neither is The New York Times). Far from it. Walking has a host of documented positive benefits for your brain, your heart, your sleep habits, your mood, and…you get the picture. A whole bevy o’ benefits. 

That said, beginning in your 30s, you begin to progressively lose muscle mass. If you want to maintain a strong body (vital for independence as you move into your later years), you’ll need to work some strength training into your fitness regimen. 

Not to worry, though. You don’t have to commit yourself to some kind of extreme powerlifting routine to build muscle because…

You don’t have to lift heavy weights to build muscle.

Sure, you can if you want. But if you prefer to do more reps of lighter weights, that’s okay, too. Both build muscle, so it’s a matter of preference. 

So you’ve got it down now, right? You can walk, but you can’t treat walking as a magic fitness bullet; you’ll need to do some resistance training too. It could be worse, right? At least you’re not a runner. Those poor suckers! Don’t they know running will wreck their knees? It’s good to know that some of your long-held fitness beliefs still hold true, right? Well, actually…

Running doesn’t destroy your knees.

What?! How can this be?! If you’re an avid runner, this is great news. But if the belief that running is a joint wrecker has been your excuse not to run, now you’ll have to come up with another one. Or, you know…actually start running. Just make sure not to do too much too fast. Overly aggressive training is one thing that can cause knee issues. 

Okay, so now you’ve got it, right? You’ve decided you’re going to bite the bullet and mix in some running with your walking. Hey, maybe this isn’t so bad, you think. Since I’m now a runner, I can limit my strength training to upper body since my legs are getting such a workout! 

By now, you should know what’s coming. Not so fast, because…

Runners and cyclists still need to strength-train their lower body

Yes, running makes your lower body stronger (as does cycling), but not enough for significant muscle growth. So you’’ll still need to make friends—or, at the very least, uneasy allies—with squats, lunges, and the like.

The Takeaway

Don’t assume you know something to be true just because you’ve always heard it’s true. Oh, and again, we highly recommend reading the whole article. It debunks some other fitness myths that you might be holding onto. (Never waste a chance to arm yourself with extra ammunition with which to correct your loved ones!)

by Brett Hearn

Source:

The New York Times: 8 Fitness Myths That Drive Experts Crazy

Leg Length Discrepancy

by Brent Hearn

Perhaps you’ve suspected—or been told—at some point by someone (a physician, chiropractor, coach, for instance) that you or your child have “one leg shorter than the other.” Or maybe you’ve noticed a limp or “hitch” in your or your child’s gait and wondered if it might be caused by a difference in leg length. Whatever the case, it’s completely understandable that you’d have some questions.

The purpose of this article is to address a few of those questions. Hopefully you’ll come away armed with a bit more knowledge and enough context to know whether your or your child’s leg length discrepancy is cause for concern—and if so, what your next steps should be.

What the heck is LLD?

LLD can refer to either “limb length discrepancy” or “leg length discrepancy.” (This article is only concerned with the latter, so assume in all cases the first “L” stands for “leg” for our purposes.)

What are the types and causes of LLD?

LLD can be classified into “structural LLD” (also called “true LLD”) and “functional LLD.” With true LLD, there’s an actual structural difference in leg length. This could be congenital (present from birth) or can arise due to a variety of other reasons, including (but not limited to) a broken bone, surgical repair, a tumor, or radiation exposure.

With functional LLD, there only appears to be a discrepancy in length due to some other condition—a muscular imbalance, low joint mobility, a tilt in the pelvis, etc. (Don’t misunderstand; just because functional LLD doesn’t involve an anatomical discrepancy doesn’t mean it can’t cause problems.)

Is my (or my child’s) LLD a cause for concern?

In most cases, no. A slight difference in leg length is common; in fact, most people in the world have some degree of LLD. Differences less than two centimeters are negligible and might not be noticeable, even to the person affected.

However, in other cases, yes. Larger discrepancies can affect a person’s gait, mobility, and posture. If the discrepancy is left untreated, the person affected may suffer from some combination of the following symptoms (depending on severity):

  • a limp
  • hip pain
  • knee pain
  • ankle pain
  • back pain
  • degenerative arthritis
  • scoliosis

What should my next steps be?

There are many different treatments available for LLD, depending on its cause, severity, and age of the person affected. They can range from less invasive (shoe inserts, chiropractic, physical therapy, etc.) to a variety of surgical interventions.

If you suspect that you or your child may need to be evaluated for LLD, schedule an appointment with your chiropractor, primary care physician or your child’s pediatrician. They’ll be able to refer you to a specialist if necessary.

Sources:

Boston Children’s HospitalLimb Length Discrepancy

Children’s Hospital of PhiladelphiaLimb-length Discrepancy

Columbia University Irving Medical Center – Columbia Orthopedics: Leg Length Discrepancy