Oh My Aching Back: 5 Tips For Back Health

By Brian C. Burnett, D.C., M.S.

It's February 2015, and you're one month into your New Year's goal of loosing weight and getting in shape.  You're motivated, focused and nothing is going to stop you from loosing that weight this time, except that aching pain in your low back.  You've been doing so good with your workouts, but this pain in your back is potentially going to derail your fitness goals.  Don't worry, you're not alone and there is something that you can do.

Here are some statistics on low back pain.

• 31 million Americans experience low-back pain at any given time.¹
• Low back pain is the single leading cause of disability worldwide, according to the Global Burden of Disease 2010.
• One-half of all working Americans admit to having back pain symptoms each year.²
• Back pain is one of the most common reasons for missed work.  In fact, back pain is the second most common reason for visits to the doctor’s office, outnumbered only by upper-respiratory infections.
• Most cases of back pain are mechanical or non-organic—meaning they are not caused by serious conditions, such as inflammatory arthritis, infection, fracture or cancer.
• Americans spend at least $50 billion each year on back pain—and that’s just for the more easily identified costs.³
• Experts estimate that as many as 80% of the population will experience a back problem at some time in our lives.⁴

What Causes Low Back Pain?

The lumbar spine is very complex with many possible pain causing structures.  If you are suffering from low back pain, it is important for you to be evaluated by a health care professional, like a chiropractor, to find out the true cause of your pain.  Here are a few of the reasons your low back may be hurting.

1. Soft tissue sprains/strains: There are a lot of muscles, tendons, and ligaments that hold the lumbar spine in place.  If you are carrying some extra weight in your midsection and have just started a new exercise program, it is very easy to injure these soft tissue structures because they have not adapted to the new physical demands that have been placed on them.  
2. Facet Syndrome:  The facet joints are where two vertebrates come together.  When injured, these joints can be a source of a lot of pain.  One cause of facet joint pain is from tight muscles caused by inactivity or a lot of sitting.  When you sit for long periods of time the psoas muscle becomes tight and shortened.  This can cause hyperlordosis of the lumbar spine, which can lead to injured facet joints.
3. Herniated Disc:  A herniated disc can be one of the most painful of low back injuries.  It can occur from trauma to the lumbar spine, like a car accident, but is more likely to occur in middle aged adults from simple activities like bending over to tie your shoes.  Your core is designed to protect your low back.  As we get older and fail to keep up with an exercise program, the core gets weaker and cannot do its job of protecting the low back.  

5 Tips to Low Back Health

1. Movement, The Medicine for Life
   • Inactivity is one the biggest culprits in many of our modern health ailments, including low back pain.  Modern technology has given us so many advances to save time and be more productive, but it has also increased our level of inactivity.  Our muscles and joints are made to move, and as the old saying goes, "if you don't use it, you loose it."  Your joints can actually begin to degenerate from inactivity.  This is why I encourage my patients to engineer movement into their daily lives.  Park at the far end of the parking lot when you get to work so you will walk more.  Take the stairs instead of the elevator.  At the top of every hour take a 2-3 minute break to get up, walk around and do some simple stretches and exercises that I will teach you.  
2. Listen To Your Mother And Sit Up
   • The human body is made to function within a certain biomechanical range.  When you have poor posture, the body does not function properly and external stress is placed on muscles and joints.  At first you won't notice the stress because your body does an amazing job of adapting to stress.  However, over time the stress will find a weak point, like your low back, and injuries will occur.  Practice good posture to prevent low back injuries.  Walk tall with your head up and your shoulders back.  When you sit in a chair at work, make sure you have good lumbar support and you are not slouching into the chair.  
3. Exercise
   • For good low back health, you want to focus on strengthening the "core".  Most people think the core is just the abs, but it is also composed of the diaphragm, the pelvic floor, and the posterior chain.  The core is your center of gravity which serves to stabilize and protect your low back and surrounding structures.  By strengthening your core you can prevent injuries and have a healthy back.  Here are some simple exercises that you can do at home or in the gym to get started.
   • • Back extensions: Lay face down on a yoga mat.  Press up with your hands and lock your elbows while keeping your hips on the floor.  In yoga this is called, "the cobra pose".  You should feel a good stretch in your low back.  If you have pain, just press up to where you feel pain and stop.  Hold the position at the top for 5-10 seconds and then come back down.  Back extensions are a great exercise to get movement into the low back.
     • Planks: Get in a push-up position while resting your weight on your elbows.  Hold this position for 20-30 seconds. This will provide a great isometric contraction of the abdominal muscles and help to strengthen the core.
     • Glut Bridges: Lay on your back and bend your knees.  Engage your core by tightening your abs and pelvic floor.  Squeeze your buttocks and lift up off the ground.  If this is to easy for you, try lifting one leg off the ground or planting your feet on a Bosu Ball.  This exercise is a great way to strengthen your posterior chain and protect your low back
4. Weight loss
   • Studies have shown that a small amount of weight loss, like 10-15 lbs, can have significant improvement on low back pain.  It's no surprise that when you are carrying around a few extra pounds that that will place undue stress on the joints in your low back.  If you haven't already, start incorporating a healthy meal plan into your daily routine and you will double your weight loss results while decreasing your low back pain.
5. Chiropractic
   • Chiropractors are doctors who treat the whole body, but specialize in neuromusculoskeletal condition, like low back pain.  As I mentioned earlier there can be many causes of low back pain, so it is important to see a specialist, like a chiropractor, who is trained to identify the cause of low back pain.  Chiropractors use many different techniques and methods that are safe and noninvasive to treat low back pain.  

References:

1. Jensen M, Brant-Zawadzki M, Obuchowski N, et al. Magnetic Resonance Imaging of the Lumbar Spine in People Without Back Pain. N Engl J Med 1994; 331: 69-116.

2. Vallfors B. Acute, Subacute and Chronic Low Back Pain: Clinical Symptoms, Absenteeism and Working Environment. Scan J Rehab Med Suppl 1985; 11: 1-98.

3. This total represents only the more readily identifiable costs for medical care, workers compensation payments and time lost from work. It does not include costs associated with lost personal income due to acquired physical limitation resulting from a back problem and lost employer productivity due to employee medical absence. In Project Briefs: Back Pain Patient Outcomes Assessment Team (BOAT). In MEDTEP Update, Vol. 1 Issue 1, Agency for Health Care Policy and Research, Rockville,

4. In Vallfors B, previously cited.

7 Tips To A New You In The New Year

It's that time of year again, the time of year when most people become reflective on what they have done in the past year and what they would like to accomplish in the next year.  Some people, like myself, like to set goals for what they want to achieve in the New Year.  If you're not one of those people, I would strongly encourage you to give it a try this year.  I'm not talking about a silly New Year's resolution, I'm talking about setting real goals for your life.  A resolution is something that you wish would happen in the New Year, but you never really get serious about it.  On the other hand, a goal should be achievable, measurable, have clear-cut action steps and a time-line to get done.  

1. Dream BIG, or go home!
   • I'm a firm believer that we are only limited by our imaginations.  Many people fail to reach their goals, let alone set goals, because they can't imagine their lives being any different then they have always been.  An interesting phenomenon about the human experience is that we usually get what we focus our thoughts on.  Don't underestimate the power of visualizing what you want for your life.  Most great athletes spend time visualizing their performances before they ever take the field.  Let me encourage you to take 5-10 minutes each morning to visualize and dream about what you want out of that day, week, month, and year.  If you do this everyday for the next month I guarantee that you will begin to see positive changes in your life.  And remember, aim for the stars and if you land on the moon, you've still done alright. 
2. Have written goals and someone to keep you accountable!
   • Statistics show that people who have written goals are more likely to achieve a higher level of success.  Take it one step further and have an accountability partner, and nothing can stop you from achieving your goals.  After you have visualized and dreamed about what you want in life, put pen to paper and write down your goals.  Your goals should be broken into life time goals, long term goals, (5-10 years), short-term goals, (months and yearly), and daily goals.  Every morning you should review your long-term goals and set daily goals that are going to help you reach those long-term goals. Review your goals once or twice a day to keep your eye on the prize.  Share your goals and dreams with your spouse or a close friend so that they can keep you accountable.  Periodically have them check you on your progress, this will drastically improve your chances for success.  
3. Family First
   • A lot of times in life we find ourselves climbing the ladder, but is your ladder leaning against the right wall?  When you're setting your goals for the year, focus on whats most important in your life and that should be your family.  If this was your last year to live, how would you want to be remembered by the ones close to you?  Make sure your family is a priority.  Set goals that are going to strengthen your relationships with your spouse and your children.  Make time each day to talk to your family and really be in the moment when you're together.  
4. Get Fit
   • It's that time of year again, the time where you ask yourself how you put on so much weight and vow to loose it all.  This is the year, the year you loose the weight and get back in shape, or is it?  Will you go strong for a few weeks and then start sneaking the cookies and cake?  Just a few bites won't hurt, besides, you've been hitting the gym, you deserve a treat.  The reason why so many people fail at their weight loss goals is because they try to go from couch potato to marathon runner in January.  If your activity level has been that of a sloth this past year, than you can't expect to go to the gym once or twice and loose all the weight.  The easiest way to establish a new habit is to make it so simple that you can't fail.  Start off with something easy, like a 15 minute walk around the block.  Once you have that down, step it up.  Just like with all of your other goals, set up a long term, short term, and daily fitness goals.  And just remember, a goal should have a time-line, be measurable, and accountability partners improve results.  There are a lot of great smart phone apps that will help you tract your fitness goals.  You can even share with your friends on social media to help keep you accountable.
5. You are what you eat
   •  The old saying is true, we really are what we eat.  Our bodies are complex machines that need high octane fuel.  If you're feeding your body junk, than your not going to get the results that you want.  Fortunately, we live in a time when many people are becoming aware of the benefits from eating healthier.  You can see it in the way the entire fast food industry is changing by having healthier menu options.  The American public is demanding healthier food with better ingredients and the marketplace is answering with new and healthier alternatives to yesterdays fast food culture.    If you want to eat healthier and loose weight in the new year, than let me encourage you to change your mindset.  Don't think of food as the enemy to avoid, so you starve yourself.  Rather, think about how you can better feed yourself with healthier options.  When you think about it, we are either fueling our bodies or feeding disease.  
6. Money
   • Money is just like time, if you don't manage it, it will manage you.  Many people go through life waiting for that big promotion, not realizing that they are in control of their own financial destiny.  Just like with diet, exercise, and anything else in life that you want to achieve, you have to set goals and plan how you want to get there.  Statistics show that individuals with written goals for retirement save more and are more likely to achieve their goals.  It doesn't matter if it's a new car, college, or retirement, figure out how much you're going to need and start making a road map to how you're going to get there.  
7. Health is the greatest Wealth
   • Health truly is the greatest wealth.  It has been said that we spend our time and health to obtain wealth just to turn around and spend our wealth to buy back health, which rarely works.  The key to living a successful and fulfilling life is to find balance in all the areas of our life.  This year make your health a priority.  Schedule that annual physical with your primary doctor.  Start engineering movement and exercise into your daily life.  Make the changes in your diet that are going to fuel the machine and keep your energy levels high throughout the day.  Take care of your body.  Go see the chiropractor to have your spine and nervous system examined.  Get regular massages.  Incorporate activities, like yoga, Thia Chi, or meditation that are going to help you destress.  You only get one body, so take care of it.  You only have one life to live, so live to the fullest and have no regrets.  

10 Tips To A Happy and Healthy Holiday

Some of you may still be recovering from your Halloween “Candy Coma” just in time for the Thanksgiving turkey binge.  The Holiday season is definitely upon us, and with this time of year comes the temptation to, overeat, overspend, and under exercise. I want to encourage you to avoid the pitfalls of the Holidays by making better decisions for your wallet, your waistline, and your family.  You can make the most of the Holidays and it all starts with a good game plan.  Follow my 10 Tips to a Happier and Healthier Holiday.  

1. Avoid Surprises by coming up with a game plan
   • The Holidays can be a very stressful time of year with all of the expectations that come along with it.  Which family are you going to spend time with?  What presents are you going to get?  Which parties are you going to attend?  What foods are you going to make?  If you don’t have a game plan, then you can get overwhelmed very easily.  Start planning out your Thanksgiving and Christmas Holiday weeks in advance so that there won’t be any stressful surprises at the last minute.
2. Make a budget
   • The #1 problem in marriages and relationships is money, and what you do with your money during the Holidays can have a ripple effect on your budget for the rest of the year.  Sit down and be realistic about what you can and can’t afford this year.  Can you afford the ski trip or the expensive Christmas presents?  Be honest with yourself.  Don’t buy presents for everyone if you can’t afford it.  I promise you that your Aunt June will be just fine if she doesn’t get a Christmas sweater this year.
3. Focus on Fun, not Food
   • Most holidays are associated with certain foods. Christmas at your house might not be the same without your aunt’s green been casserole, but that doesn’t mean food has to be the main focus. Instead, throw yourself into the other rituals a holiday brings, whether it’s caroling or tree trimming. 
4. Have a Tech-free Holiday
   • We have all been out to dinner and seen the family that is engaged in their electronics and not each other.  Don’t let that be you this Holiday season.  Put down the phones and turn off the electronics and focus on creating new memories with your friends and family.  You can Facebook about it later.   
5. The Best Offense is a Good Defense
   • Everyone’s overly busy during the holidays, and most of us want to spend our time shopping, decorating, or seeing friends and family, which leaves less time to cook healthy meals. Take defensive action several weeks ahead of time by cooking meals intended specifically for the freezer. You’ll be thankful later when you can pop one of the meals into the oven or microwave and turn your attention instead to writing out holiday cards with a personal message in each.
6. Portion Control
   • Everyone has their favorite dish during the Holidays.  Ever since I was a little boy my favorite thing has always been my grandmother’s homemade pumpkin chiffon pie.  You can still enjoy your favorite foods, just practice portion control.  One helpful tip is to use a smaller plate so you don’t load up as much food.
7. Moderation
   • When it comes time to enjoy some cocktails at the office Christmas party, try to practice moderation and limit yourself to how many drinks you have.  You will spare yourself some empty calories and possibly some embarrassment in front of your coworkers.  
8. Turkey Trot
   • This year start a new Holiday tradition that involves exercise.  Sign up for a 5K race or some other type of exercise event.  This way you have something to train for and you will be less tempted to eat that extra slice of pie and more inclined to hit the gym.
9. Schedule Some Me Time 
   • We all know how stressful the Holidays can become, that is why it is important to schedule some down time to allow yourself to unwind.  Exercise is one way to do this, but you may also want to consider getting a massage, reading a good book, or watching your favorite Christmas movie.  Whatever it is that you like to do on your down time, make it a priority so you don’t get burned out this Holiday season. 
10. It’s better to Give than Receive
    • Studies show that people who give their time and money to charity live longer and happier lives.  The Holiday season is the perfect time of year to give back to the community and the less fortunate.  This year start a new tradition with your family and help out at your charity of choice.  After all, it is better to give than receive. 

Concussions, The Silent Epidemic In Sports

  It's another Friday night under the lights, and just like every other high school football team in America, the Tipton Cardinals are trying to win another game.  But this game was special, it's the first round of the Missouri state playoffs.  It's a chilly Halloween night as Chad Stover, a 16 year-old defensive back, leads the Tipton Cardinals on the field to stop their opponent.  In the third quarter Tipton is trailing Sacred Heart 27-18.  Sacred Heart has the ball and is looking to score again.  The ball is snapped and the running back takes the hand-off.  Chad Stover zeros in on the running back and goes in for the tackle.  As Chad collides with the running back, his head violently strikes the running backs thigh.  That was the last tackle that Chad Stover would ever make.  

     Chad managed to make it to the sidelines, but something wasn't right.  Twice his coach asked if he was okay.  Chad said he was and went back into the game.  In the huddle he told his teammates, "Somethings wrong."  Chad's legs went weak and he collapsed on the field.  His parents watched in horror from the bleachers.  In the state of Missouri, or any of the 50 states for that matter, it is not required by law for an ambulance to be present at a high school football game.  911 was called, and shortly arrived to tend to Chad.  He was placed on a stretcher and life-flighted to near-by Columbia University Hospital.  Chad had sustained a severe traumatic brain injury (TBI) comparable to a motor vehicle collision.  He would remain on life support for two weeks until he passed on November 12, 2013 with his family by his side.

     Head injuries in sports has become a serious topic of discussion in recent years.  In a court filing made public on September 12 the NFL estimates that nearly one-third of former players will develop dementia, Alzheimer's disease or other neurological  disorders like Parkinson's and ALS.  These statistics are a stark contrast to the NFL's position for years that there was no risk of neurological disorders after a career of taking blows to the head.  

     

     A recent study published by the Journal of the American Medical Association followed 25 college football players with no formal concussion history and found that the players had significantly less than normal volume in the hippocampus, the region of the brain that is in charge of memory.  In another study conducted by the University of Rochester, researchers found a significant decrease in white matter in the brains of college football players who were relatively concussion free.  

     If you think that just college and NFL players are at risk of head injuries because they have more violent collisions, then think again.  Children are at much greater risk of sustaining head injuries then adults because their brains are still developing.  Virgina Tech's biomedical-engineering department tracked 19 boys ages 7 and 8 during the 2011 and 2012 seasons.  The researchers counted 3,061 blows to the heads of the boys, 60% of which occurred in practice.  None of the boys sustained a concussion, but the hits were violent nonetheless.  11 of the hits registered a g-force of 80 or greater, which is what you would see in a motor vehicle collision.

     In light of the shocking research that has been released, many parents are thinking twice before letting their sons or daughters play collision sports.  From 2007 to 2013, tackle football participation has fallen 26.5% among U.S. kids ages 6 to 12, according to the Sports & Fitness Industry Association.  

What is a Concussion?

     So what is a concussion?  A concussion occurs when their is trauma to the head, neck, or body that results in damage to the brain.  When the body sustains a violent blow, the brain is shaken inside the cranium.  The brain has billions of nerve cells and some of them may be injured or even broken when the head or body takes a hit.  

Signs and Symptoms of a Concussion

     It is important for everyone to know and understand the signs and symptoms of a concussion, including the athlete, the coaches, and the parents.  Here are some of the signs and symptoms of a concussion.

Loss of consciousness	Seizure or convulsion	Balance problems	Nausea or vomiting	Drowsiness
More Emotional	Irritability	Sadness	Fatigue or low energy	Nervous or anxious
"Don't feel right"	difficulty remembering	headache	Dizziness	Confusion
Feeling Slowed down	"Pressure in head"	Blurred vision	Sensitivity to light	Amnesia

Concussion Treatment 

     Whenever a concussion is suspected in an individual it is important to have a trained provider perform a thorough orthopedic and neurological exam of the head and neck to determine the extend of the injury.  The best treatment for a concussion is physical and cognitive rest.  This means no physical or mental exertion until the signs and symptoms of the concussion have subsided.  The individual should slowly return to their normal activities as their symptoms decrease, but if their symptoms worsen they should return to their previous level of activity where they had no symptoms.

Return to Play Protocol

1. Rest until signs and symptoms go away.  
   • Must remain symptom free at each step.
   • Minimum of 1 day at each step.
2. Light aerobic activity
3. Sports specific activity and training 
4. Non-contact training drills
5. Full contact training drills
6. Competition

7 Tips to Concussion Prevention

     It is important to understand that as long as you or your child are involved in a contact sport, you are at risk of getting a concussion.  No helmet or piece of equipment can fully prevent a concussion, but there are some steps that you can follow to reduce the risk of a concussion.

1. Educating the athletes, coaches and parents on the signs and symptoms of a concussion.
2. Base-line concussion testing of all athletes in the pre-season.
3. Proper training and technique on how to tackle and take a hit.
4. Proper equipment.
5. Stricter rules that punish unnecessary roughness. 
6. Proper strength training, especially of the neck.
7. When in doubt, hold them out.

     

     We live in a dangerous world.  Whether we are walking down the street, driving down the road, or playing a contact sport, there will always be inherent risk.  Hopefully as doctors and scientist continue to do research and learn more about concussions, we will be able to find a middle ground of preventing concussions and enjoying some of our favorite sports.  Until that time, educate yourself on concussions, play safe, and when in doubt, sit them out.  

1. Gregory, Sean. "The Tragic Risks Of An American Obsession."  Time. September 2014: 32-39. Print

Movement, The Medicine For Life

As a chiropractor, most people think that I am just concerned with the condition of the spine.  This is true, but there is so much more that I focus on with my patients.  If I could choose an alternate title for my profession, it would be, "Doctor of human movement as it pertains to health".  After all, movement is one of the key elements that makes us living creatures.  

Our bodies are designed to move, a lot.  All of our joints and muscles have special nerve endings, called proprioceptors, that are stimulated by movement.  When these nerve endings are stimulated, they release a chemical that has the ability to override pain.  

In our Western Civilization many people live very sedentary lives.  If you think about it, most people wake up, get ready for work, and they "SIT" in their car for their commute to work.  Then they "SIT" for 8 hours at a desk job.  After work they "SIT" again on their drive home.  Finally, they "SIT" on the couch while watching their favorite TV shows before they go to bed.  The average American is sitting for 10 hours or more during the day.  As a nation we are suffering from a disease I like to call  hypomovementitis, which is caused by a deficiency in vitamin M, (movement).  

I am writing about this jokingly, but this is a very serious matter.  Our sedentary lifestyles are the root cause of many chronic diseases, (high blood pressure, heart disease, diabetes, etc.) that cost individuals and this country billions of dollars every year.  The United States spends more money on "sick-care" than any other country in the world.  Just imagine what we could do as individuals and a nation if we saved billions of dollars a year on managing chronic diseases.  

Every day I see the results of a lack of movement in patients in my practice.  My focus is more on correcting the negative musculoskeletal side effects, but I know that if I can get my patients moving more, then it is going to have positive effects systemically.  To learn more about the adverse health effects from lack of movement, please read my article, "Death by Sitting".  

When the human body is faced with outside stresses it will make adaptations, this is my approach to this issue.  I don't propose that we should try to change all of Western Civilization, simply make adaptations to better cope with the stress that we face each day.  I would never tell someone to quit their job because they sit at a desk all day.  They just need to find a way to adapt to that physical stress.  I encourage my patients to, "engineer movement" into their daily lives.  Just like anything that is important to us, we have to make a concerted effort to develop good habits.  Here are 7 tips to engineer movement into your life.

1. Ride a bike to work.
2. If you have to drive to work, park farther away so that you have to walk.
3. Take the stairs.
4. Instead of sitting in a chair, have a standing work station or sit on a exercise ball.
5. Take a 5 min break every hour to stand up and walk around to improve blood flow.
6. Do a set of 10 back extension stretches to take the stress off your low back.
7. Do Wall Angel exercises to pull your shoulders back.   

Thank you for taking the time to read my blog.  Please take a minute to visit my social media sites.


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Thanks for reading.  If you would like to learn more about other services that I offer, please contact the office.


In Health,

Brian C. Burnett, D.C., M.S.
Chiropractic Physician
Brian Burnett Chiropractic, PL
1108 Hays St. Tallahassee, FL
O: 850-222-5362

Heat Illness Prevention

Here in Florida, we know a thing or two about hot weather.  It's early July, and the summer heat is in full swing.  Heat illness is a serious condition that can affect any individual, especially athletes who are training out in the heat.  If you are a coach or athlete, please familiarize yourself with the dangers of heat illness.


What is Heat Illness?
Heat illnesses occur when someone is exposed to extreme temperatures and the body is unable to cool itself off.  There are several factors that can lead to heat illness:

• Exercise duration
• Fitness level
• Humidity
• Age
• Being overweight
• Hydration

There are four (4) classifications of heat illness.

1. Heat rash
2. Heat cramps
3. Heat exhaustion
4. Heat stroke

Signs of Heat Illness
The signs and symptoms of heat illness vary in severity, but can escalate very rapidly and quickly become life threatening.


Heat Rash is a skin irritation caused by excessive sweating and is the least serious heat illness.


Heat Cramps are painful muscle spasms, usually in the calves or leg muscles, caused by depleted electrolytes from excessive sweating.  Many athletes have experienced heat cramps at some point in their career and know how it can quickly limit their performance. 


Heat Exhaustion is not life threatening, but can quickly escalate into heat stroke, which is deadly, if not treated. 

• Excessive sweating
• Weakness
• Cold, pale, clammy skin
• Fast, weak pulse
• Nausea or vomiting
• Fainting

Heat stroke should be considered a life threatening condition, and medical attention should be sought immediately.

• Body temperature above 103 degrees (F)
• Hot, red, dry or moist skin
• Rapid and strong pulse
• Possible unconsciousness.

Heat Illness Prevention
The key to preventing heat illness is to educate yourself on the signs, and know how to respond accordingly.  It is also important to understand that a mild heat illness can quickly become a life threatening situation.


If someone is exhibiting the signs of heat exhaustion, follow these steps.

• Move to a cooler location, in the shade or indoors.
• Lie down and loosen clothing.
• Apply cool, wet towels to your skin.
• Sip water
• If you have vomited and symptoms continue, seek medical attention.

If someone is showing signs of heat stroke, follow these steps.

• Call 911 immediately.
• Move to a cool, shaded location.
• Reduce the body temperature with cool, wet towels or a bath.
• DO NOT GIVE FLUIDS.

It is important to understand that if you are exercising outside in the heat, you can become dehydrated and develop a heat illness faster.  Follow these steps when exercising outside in the heat.

• Exercise in the morning or late afternoon when the temperature is cooler.
• Pace your workout allowing for plenty of warm-up and cool down time.
• Wear loose, light clothing.
• Avoid eating heavy meals prior to exercising outside.
• Drink plenty of fluids before, during and after exercising outside.
• Monitor yourself for signs of heat illness.  If you begin to develop signs of heat illness, seek medical attention.

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In Health,

Brian C. Burnett, D.C., M.S.
Chiropractic Physician
Brian Burnett Chiropractic, PL
1108 Hays St. Tallahassee, FL
O: 850-222-5362

Do You Suffer from Chronic Headaches?

Do you suffer from headaches?  Headaches, or cephalgia is described as pain in the head and neck region.  As a chiropractor, I treat headaches everyday, so I understand how debilitating they can be.  If you are someone who suffers daily from headaches, then you know how they can interfere with every aspect of your life.  It is my goal to identify the cause of your headaches and give you lasting relief so that you can start living your life again.


What Causes Headaches?


Headaches can be very difficult to diagnose because there are over 200 different types of headaches.  Some are benign, and some can be life-threatening.  The brain itself does not have pain fibers and cannot sense pain.  The pain that you feel from headaches is caused by pain-sensitive structures surrounding the brain.  There are nine of these structures in the head and neck, they are the cranium, muscles, nerves, arteries and veins, subcutaneous tissues, eyes, ears, sinuses, and mucous membrane.


Types of Headaches
Headaches are classified as either, "primary" or "secondary".  Primary headaches are benign and not caused by any underlining disease or structural problems.  Migraines are a type of primary headache.  While migraines can be very debilitating, they are not dangerous or life threatening. 


On the other hand, secondary headaches are usually caused by an underlying disease, like a tumor, brain bleed, or infection.  Secondary headaches can be harmless, or can be life threatening.  There are certain "Red Flags" that you should pay attention to that may indicate a life threatening headache.


Red Flags
The following are some red flags that may indicate a dangerous headache:
1. New headache after age 50
2. Very sudden onset of headache, (thunderclap headache)
3. Headache increasing in frequency and severity
4. New onset of headache in an individual with possible HIV or cancer.
5. Headache following head trauma.
6. Headache with full body illness, (fever, rash, stiff neck).
7. Inability to move a limb.
8. Change in personality, consciousness, or mental state.
9. Headache caused by cough or physical exertion.


Treatment for Headaches


In my practice the most common types of headaches that I treat are primary headaches, like migraines and tension headaches.  Many of my patients suffer from chronic repetitive stress in the neck and shoulders from poor posture because they sit at a desk all day.  When this happens, the head and shoulders begin to roll forward, thus placing a lot of stress on the muscles and joints in the cervical spine.  For every one inch of anterior translation of the head, 10 lbs. of stress is placed on the neck.  This will cause the muscles at the base of the skull to spasm, and when this happens the nerves will become irritated.  This is the beginning of a tension headache.


My approach to treating headaches is the same as if I were treating any other area of the body.  First I address joint restrictions through chiropractic adjustments.  Joint mobility is essential to overall health.  Next, I address the tight and tender muscles with Active Release Technique or other soft tissue therapies.  The third, and probably most important, step in treating headaches is to teach my patients corrective exercises that will improve their posture and help to prevent headaches in the future.  The final step is to educate my patients on stress management.  The majority of us live very stressful lives, which can take its toll on our health.  Managing your stress levels is vital to preventing headaches and living an Optimized Lifestyle.


Testimony


The following is a testimony from one of my patients who suffered from headaches before coming to see me.


I visited Dr. Burnett on the advice of my primary care physician. I had severe headaches with vomiting and two visits to the emergency room. After the very first visit, I had no further headaches. I continued to see Dr. Burnett; first once a week, then every two weeks. As of this writing, I am seeing him once a month. He gave me exercises to do at home starting with the first visit and added additional ones on subsequent visits. Some were difficult at first, but after a while I got so I could do them easily and without pain. I am still working on my right shoulder but I am confident it will soon be as functional as my left. It is surprisingly that there are so many areas in your body that contribute to headaches. I would highly recommend Dr. Burnett.


- Karen Trogdon




If you or someone you know suffers from headaches, you don't have to anymore.  Call our office today to schedule an appointment, and take back your life. 

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Thanks for reading.  If you would like to learn more about other services that I offer, please contact the office.


In Health,

Brian C.Burnett, D.C., M.S.
Chiropractic Physician
Brian Burnett Chiropractic, PL
1108 Hays St. Tallahassee, FL
O: 850-222-5362