Sunday

Wolff’s Law

Just as Davis’ law describes how soft tissue reacts to tension or lack thereof, Wolff’s law is concerned with bones. This law states that “bone in a healthy person or animal will adapt to the loads under which it is placed. If loading on a particular bone increases, the bone will remodel itself over time to become stronger to resist that sort of loading.”[1] Wolff’s law says that the opposite is true as well; if the loading on a bone decreases, the bone will become weaker. It’s quite amazing, really, when we come to realize how dynamic our bodies are and how even our bones can remodel themselves due to the forces acting upon them. 

An everyday example of Wolff’s law can be seen in tennis players. Since most of them use one arm to hold their tennis racquet, that arm becomes much stronger than the other. The constant use of the racquet-holding arm, and the fact that it is often placed under higher than normal stress, leads to this strength.

On a more negative note, the abnormal stresses on and movement of bones as we age can help explain the very common problem of osteoarthritis. These stresses are largely due to trauma, as well as faulty biomechanics. As we age, there are more opportunities for trauma or repetitive bad habits that accumulate over time, which ultimately lead to abnormal forces on the spine.

It has become the “norm” for elderly people to suffer from osteoarthritis, but this doesn’t have to be the case; it shouldn’t be normal and it certainly isn’t ideal. It is merely a reaction to what the body is being required—or not required—to do. It is only when biomechanics are restored that bones can be remodeled to a more normal and stronger state.

If you’re young and are nowhere near worrying about osteoarthritis yet, don’t discount the lesson you can learn from Wolff’s law. Trauma doesn’t only occur in the elderly or in extreme situations. Everything from being born, to falling down while learning to walk for the first time, getting into a minor fender bender, sleeping on your stomach, poor posture habits, long periods of sitting, and even stress causes stress to your spine. And I would guess that everyone in the world has experienced at least one of these factors!

Most people don’t think of being born as a “trauma,” but babies experience the same sort of whiplash that occurs when you get into a car accident. And, interestingly enough, they usually take about six months to hold their heads up on their own—the same amount of time it takes to heal from some spinal injuries like whiplash. I adjusted each of my children’s spines as soon as they were born, and as a result, they were all able to hold their heads up, crawl, and walk much sooner than the average child (the picture to the right is my son at 2 weeks old). It is because I understood the importance of spinal restoration that I gave them this care so early on, and it has aided their development throughout their childhoods so far. So, remember to avoid the abnormal forces and stresses I mentioned in this post, and if you find that you have experienced spinal trauma, be sure to see a chiropractor as soon as possible. Your spine will thank you for it, both in short-term pain relief and long-term spinal health.


“Working to restore GOD’s perfect design in you!”

[1] “Wolff’s law.” Wikipedia. <http://en.wikipedia.org/wiki/Wolff's_law >

Davis' Law: Why Traction is Important

I’ve talked before about how all the aspects of my Chiropractic BioPhysics methods are interconnected, but there’s actually an anatomical law that can help illustrate how important they are. It’s called Davis’ law, and it’s used to describe “how soft tissue models along imposed demands.”[1] In other words, if tension is placed on ligaments or soft tissue, this soft tissue will elongate. In the same way, if soft tissue remains in a relaxed state for a long enough time, it will shorten.

So what does this mean for your chiropractic care?

Well, first, Davis’ law shows that merely going to a chiropractor and getting adjusted will not lengthen your soft tissue. What damaged (shortened) soft tissue needs is to be stretched. And what I offer—that many other chiropractors do not—is a traction system that does just that (see my earlier blog post for a full overview of Chiropractic BioPhysics techniques). 

During traction, my patients stand on a vibration plate to stimulate proprioceptors (joint receptors) to re-educate the brain and create new, proper posture habits. We call this neuromuscular re-education.

Traction ultimately causes “creep,” or a stretching of the soft tissue, which enables the spine to return to its natural, normal position. Adjustments do aid your spinal health, but I believe it is the combination of adjustments and traction that really provide long-term results.

Keep in mind, however, that if soft tissue, ligaments, tendons, etc. have shortened, it can impair the ability to restore the spine to its ideal position. Creep will not and cannot happen without force over time, just as the damage done to my patients’ spines does not appear overnight.

A good analogy for creep is shooting a rubber band. Sure, you can shoot a rubber band once, twice, or even a few times without stretching it out because the stretch has not been held for a long enough length of time to make a permanent change to the band’s structure. But if you continue to shoot it repeatedly, and stretch it slowly, holding the stretch, of course it will eventually elongate. Your spine is much the same way; after days, months, or even years of bad habits that lead to shortened soft tissue in your back, this tissue can’t immediately return to its ideal length and position. What it needs is continuous re-education of the nerves and tissues so that you can live a pain-free, healthy lifestyle, not just get out of pain for a short time. That’s why a combination of spinal adjustments and my traction system is the best way to reverse spinal damage.  

"Working to restore GOD's perfect design in you!" 




[1] “Davis’ Law.” Wikipedia. <http://en.wikipedia.org/wiki/Davis'_law>

Wednesday

The Importance of Chiropractic Maintenance Care

In December 2011, the Journal of Chiropractic Humanities published a study entitled “A theoretical basis for maintenance spinal manipulative therapy for the chiropractic profession,” which explored the patient benefits of chiropractic care even when there may be no obvious symptoms.

The author, David N. Taylor, DC, DABCN, hypothesized that manipulation of the spine encourages normal motion, so manipulation of joints with no symptoms should keep those joints moving in the right way and benefit the patient. He studied the existing literature and found that lumbar (the five vertebrae between the rib cage and pelvis) motion was restricted in people who had low back pain, versus those who had not suffered this type of pain. Thus, he felt that manipulation could benefit these people in the early stages of lumbar pain to maintain motion in the spine.

In addition, he found that osteophytes—also known as bone spurs, or bony projections that form along joints—developed in rats when the lumbar segments were fixated. The longer they were fixated, the greater number of osteophytes occurred. It may surprise you to hear that these bone spurs in rats could form in as little as four to eight weeks! This finding supports Taylor’s notion that early intervention and maintenance care will ultimately keep the spinal joints mobile.

As Taylor’s study continued, he also discovered that changes occur in the nerve after two weeks of immobilization of the foot and ankle. It follows that the same might take place in the spine if a patient lacked motion. All of the changes he noted in his research occurred in a matter of weeks, which points to the need for quick intervention. His suggestion for intervention is chiropractic maintenance care, or care even when no symptoms have presented.

At Living Well Family Chiropractic, we strongly advocate the importance of maintenance care. Even when your symptoms have subsided, we’ve taken x-rays, and you can see that your spine has gotten much closer to the ideal spinal model, it is important that you continue your chiropractic care. It will be on a less frequent basis, of course, but it is extremely important to keep your spinal joints moving and maintain all the hard work we’ve put in together. Remember: you’re not Superman! The same outside forces that took your spine from its original healthy position to the point of needing care in the first place will still be there when the initial phases of chiropractic care are complete.

A good analogy is the maintenance of your teeth. You may get your teeth cleaned by a dentist routinely, once or twice a year. But we all know that we can’t stop brushing our teeth on a daily basis just because of this. Even if you get sealant at the dentist, you still need to maintain good dental hygiene on your own. The same is true of your spine, and you should think of adjustments as spinal hygiene. Getting out of pain is most patients’ first priority, understandably, but you shouldn’t assume that just because you’re not feeling pain, you don’t need to continue your chiropractic care. The more time and effort you put into keeping yourself healthy and well, the more benefits you’ll ultimately reap!
 
In all areas of life and studies, we learn that structure determines function. Why should your spine be any different? The stronger and better positioned your spine is, the greater level of function you will have. Keep this in mind when pursuing spinal restoration. If having a healthy spine isn’t enough motivation to keep you coming back for maintenance care, think of all the activities you’ll be able to perform, pain-free, as a result of it. It will be well worth it!

If you’re interested in reading Taylor’s study for yourself, visit the link below:

“Working to restore GOD’s perfect design in you!”