Nov 30, 2009

chronic pain vs acute pain whats the difference?

 Chronic pain is defined as pain that persists longer than 90 days beyond the course of the natural expected healing time.  As a chiropractor in San Diego, I get calls from both new and established patients on a regular basis who complain of back pain, neck pain, etc.  One of the factors that comes into play when planning a chiropractic treatment program is the duration of the patients pain. 

In general, the longer that a patient suffers with a painful condition, the longer / more intense the treatment is needed in order to fix it.  Acute or recent episodes of pain respond much quicker than do chronic conditions.


Pain is very difficult to quantify by any practitioner.  Pain is subjective in nature and completely defined by the person experiencing the symptoms, the fact that chronic pain can exist without an obvious cause makes it much more difficult to treat. 

I see the difficulties that my chronic pain patients have with their conditions on a daily basis.  Aside from the actual pain that they experience, those who suffer with chronic pain often limit their activities for fear of exacerbating their conditions.  They also have a much harder time focussing on mental tasks as the pain is a constant source of distraction.  The more severe the pain, the more difficulties these people have with attention demanding tasks.

While we strive to avoid pain, pain is a wonderful tool of the nervous system.  Pain lets us know of actual or potential tissue damage with an unpleasant sensation that directs our attention to the affected area so that we can either immediately take action to stop the process or focus on healing the injured body parts.  Chronic pain sensations are a bit more insidious.

Chronic pain often involves a decrease in the sensitivity of the nerve fibers that send messages of pain from the damaged area.  With a decreased sensitivity (threshold), the nerve is much more likely to transmit painful sensations to the brain then a healthy nerve / tissue combination. 

This activity within the nervous system is know as a wind up phenomenon and it is very difficult to stop once it has been established.  In some other cases, nerve fibers that normally don’t carry painful sensations not only begin to transmit pain signals but it is thought that they may actually generate the signals themselves.

In my office, chronic pain is often the result of untreated sprain / strain type injuries of the joints.  In untreated or under-treated sprain / strain injuries, the joint or the muscles that move the joint are laden with scar tisuue that acts to either limit or alter motion of that joint.  With time, the awkward, unnatural biomechanics of the scar tissue laden joint results in irritation, inflammation and finally pain and spasm. 

While chiropractic care is often successful at re-establishing “clean” biomechanics of a joint, it is always better to get the care in the beginning of an injury versus waiting for that injury to become chronic, with a requiring more care with a decreasing chance of complete recovery.

Because of the possibility of an acute painful condition becoming a chronic one, I always encourage my patients to take care of themselves immediately when they first start to experience pain.  I have practiced chiropractic care for almost two decades now and I can say that chronic painful conditions of the spine are devastating. 

Not only do they make you experience pain, but in most instances they limit your physical activities creating a situation that can easily degrade from inactivity secondary to pain, to deconditioning and eventually to obesity and ill health in general leading to a dissatisying lifestyle.

The bottom line on chronic pain is this – avoid it if you can.  Don’t ignore your pain.  Painful acute conditions that are left untreated can easily spiral into a chronic condition that has the potential to alter your lifestyle in a negative way.


Writers Bio

Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.

Call Steve Jones at
(619) 280 0554
San Diego Chiropractic

ADJUSTABLE MOUSE PLATFORM Website to learn more about or Buy Ergo Nav

Chiropractic San Diego Website to make an appointment
Better Health Steve Jones

Nov 26, 2009

Is Chiropractic Care Addictive?

Is Chiropractic Care Addictive?  I am asked this question on a regular basis. 

There are many people who are under the impression that once you begin chiropractic treatment you have to keep going – almost like something bad is going to happen to you if you stop your care.

I understand how some people would come to think that chiropractic care could be addictive, after all, almost all medications that people get from their medical doctors for pain is addictive.  I suppose that if you are in pain, are concerned about the addictive nature of the medications that you have taken in the past, and are going to the chiropractic for the first time that you may think that chiropractic care for pain may be addictive as well.

I can assure you that chiropractic care is not addictive but feeling good can be as powerful as an addiction.  There are certain people that are more “in tune” with their bodies than others.  Restrictions in joint motion and flexibility typically occur slowly over time and are not normally perceptible.  Once these people start care they experience full, free range of motion of their joints – and they like it.  After formal care ends, a percentage of these people notice when their joints begin to lose their range of motion.  Since they felt better under chiropractic treatment, they like to continue their care simply to feel better.  This is about as addictive as chiropractic care can be.  It is really no different from those who exercise and / or diet and feel better and therefore continue with their plan.

In closing, you can receive chiropractic care with no fear of developing a physical or physiological dependency on the treatment.  Most chiropractors, myself included, know that chiropractic care is of great benefit to the health of your spine.  Keeping your spine well adjusted is akin to keeping your teeth brushed and flossed – but it is not addictive.


Writers Bio

Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.

Call Steve Jones at
(619) 280 0554
San Diego Chiropractic

ADJUSTABLE MOUSE PLATFORM Website to learn more about or Buy Ergo Nav

Chiropractic San Diego Website to make an appointment
Better Health Steve Jones

Nov 23, 2009

How do you think I hurt my back?

 How do you think I hurt my back?

I am often asked the question "how do you think I hurt my back?"  Believe it or not, in the absence of some recent significant injury, this question isn't so easy to answer.

Many patients simply wake up with back pain that wasn't there when they went to bed, or they throw their backs out while reaching for a cup of coffee or picking a sock up off the floor.  These scenarios are typical.

The truth is that our backs are very strong.  Some of the ligaments in our backs are capable of withstanding over 700 pounds of tension.  That is a lot of force.

Yet somehow we manage to injure ourselves with mundane events.

The answer to many of these injuries involves postural stress.  Postural stress is dangerous to the health of our spines.  It can result in lost days of work, disability and worst of all - loss of recreation and fun.

Postural stress results from poor posture, awkward bending and lifting, too much sitting, poor eyesight (makes us lean forward to see what we are doing) and many other activities of daily living.

These stresses that we endure are compensated for in other areas of our spines.  However, with time and enough exposure to the stress previously mentioned, the joints in our backs become irritated and inflamed leading to muscle spasms and pain.

I like to use the analogy of stacking the straws on the camels back with injuries like this.  In other words, these instances of stress are nothing by themselves but the effects of the stress is cumulative.  As the stresses build, the body’s' chance of a breakdown increases.  Eventually you suffer a breakdown.

Chiropractic care can help you control the effects of postural stress.  When our backs hurt, that is a clear indication that inflammation is present.  Inflammation always stimulates scar tissue formation which limits your spines' flexibility and causes pain.  Chiropractic adjustments breakdown the inflammation caused scar tissue and improve your spines flexibility.  Improved flexibility keeps your spine healthier and much less likely to be aggravated by your activities of daily living.

If your job requires sitting for more than four hours per day, monthly chiropractic adjustments are very important in controlling the accumulating stress in your back.

There are other obvious steps that you can take toward improving the health of your spine and preventing episodes of back pain.  Eating a healthy diet and exercise are very important in reducing the chances of suffering a back injury.
Being careful when lifting and carrying heavy objects and making sure that you don't sit in one position for longer than twenty minutes is also helpful.


Writers Bio

Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.

Call Steve Jones at
(619) 280 0554
San Diego Chiropractic

ADJUSTABLE MOUSE PLATFORM Website to learn more about or Buy Ergo Nav

Chiropractic San Diego Website to make an appointment
Better Health Steve Jones

Nov 15, 2009

Does acute or chronic back pain have you down?

Does acute or chronic back pain have you down?  Looking for alternatives to what your current back pain management plan is?   Read on! 

Practicing chiropractic in San Diego has exposed me to a patient base that is more interested in their health then in other areas of the country.  In addition to traditional chiropractic treatment for neck pain and back pain our office offers our patients a host of recommendations for self care of their pain that can become part of a healthy lifestyle. 

In order to help control episodes of back or neck pain, immediately drink several glasses of water.  In some cases, dehydration will cause muscular aches and back pain.  The rule of thumb of drinking eight, eight ounce glasses of water per day is healthy in general.  Incidentally, headaches can be caused by dehydration as well.  If you have headaches on a regular basis, increasing your water consumption may give you relief.

Ice applications to the area of pain can also be beneficial.  Ice helps reduce inflammation which not only causes pain but can trigger local muscle spasms that lead to functional losses.  There used to be an old rule concerning icing that suggested ice for the first 48 hours and then apply heat after that.  Modern clinical studies indicate that as long as you have pain, you have inflammation.  Inflammation always responds better to ice than it does to heat.  We recommend that our patients ice their back pain or neck pain 20 minutes at a time at least two times per day with at least a 20 minute break in between sessions.  Ice with a soft gel pack through a thin piece of clothing.  Lastly, watch for frostbite – if the skin over the area that you are icing turns red or brown and scabs over you did too much.

Try to not sleep on your stomach.  Stomach sleeping puts your back into extension which compresses the joints that run down the back of your spine.  You should either sleep on your back with your knees supported with a pillow or sleep on your side in the fetal position.  Either of these two positions may be comfortable for you and allow for a better nights sleep.

Do not try to exercise out of the pain.  Exercise is vital to strengthening your back and providing stability but it needs to begin when your original pain has subsided and or is no longer aggravated by physical activity.  The joints in our spines are supported by the ligaments and muscles.  Once injured, ligaments heal slowly and may never provide the support that they did before the injury.  We can improve our muscle tone, however, through exercise to regain pre-injury stability.

One last bit of advice that I will mention in this article is nutritional supplementation.  Nutritional supplements can not only help you heal faster but can help control pain and inflammation as well.  Among the common supplements that we recommend are essential fatty acids, Glucosamine, Chondroitin, SAMe and vitamin C.

Writers Bio

Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.

Call Steve Jones at
(619) 280 0554
San Diego Chiropractic

ADJUSTABLE MOUSE PLATFORM Website to learn more about or Buy Ergo Nav

Chiropractic San Diego Website to make an appointment
Better Health Steve Jones

Nov 11, 2009

Sitting to avoid backpain

 From a postural standpoint, one of the worst things that we can do to our bodies is slouch while we sit.  Sitting seems like such an innocent, non-injurious activity.  This is far from the case.

I have been practicing chiropractic in San Diego for the last 15 years and what I have seen in practice regarding back injuries would be surprising to most people in non-medical careers.  The average person that I speak with regarding back pain and injuries is of the mind set that low back pain is the result of jobs that require heavy lifting or contact sports, golfing or car accidents.

In reality, it is the constant stress and strain of postural stress that is the biggest burden on our spines.  The postural stress of sitting for hours on end in a task chair in front of a computer can become overwhelming.  When our bodies are exposed to a specific stress over a long period of time, the effects that the stress places on our bodies has a cumulative effect.  Over the course of months or years that cumulative stress expresses itself as pain, stiffness or more serious symptoms.

When I am explaining the ongoing cumulative effects of postural stress to my chiropractic patients I like to use the classic example of the Chinese water torture.  Those first couple hundred drops of water on the forehead aren’t bothersome – but a few hundred drops more will make you truly miserable.  The same process happens to your low back as the minutes, hours, days, months and years pass with you sitting in a computer chair.

There is a chart floating around that I have come across in several texts that relates your bodies posture with the amount of stress that each particular posture generates on the discs in the lower back.  As the chart demonstrates, the level of stress increases as the subject transitions from a prone position to a standing position to seated position to a slumped forward seated position.  The chart shows the pressure in the discs to equal 100% of your body weight while standing, approximately 125% of your bodies weight while sitting and over 140% of your body weight when sitting in a forward slumped position.

The reason that sitting is so hard on your back from a postural standpoint is due to the anatomy of the lower back vertebra.  When we are standing, your lower back naturally has a forward sweeping curve with the concavity of that curve facing rearward.  That curve acts to efficiently divide the weight of your body between the discs that separate your vertebra and the joints that run down the back of your spine. 

When you assume a seated position, that curve straightens out transferring some of your weight from the posterior joints to the discs.  Slumping forward transfers even more weight resulting in more compression of the discs and more stress on the low backs discs.

As time passes, this increase pressure causes irritation of the overloaded spinal structures eventually leading to inflammation, spasm and pain.  This is the basic process with many injuries to the body that result from ongoing exposure to some irritating or stressful activity.    

How is this postural stress negated?  Well, unfortunately, all if it can’t be.  But it can be limited by practicing good posture and the right ergonomic principals.  A brief ergonomic evaluation of your work area can give you loads of valuable information that will help minimize the effects of your work environment on your body.

Sitting is a sedentary task but like most things in life, if you don’t do it properly there will be undesirable consequences.

Work Safe!


Writers Bio

Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.

Call Steve Jones at
(619) 280 0554
San Diego Chiropractic

ADJUSTABLE MOUSE PLATFORM Website to learn more about or Buy Ergo Nav

Chiropractic San Diego Website to make an appointment
Better Health Steve Jones

Nov 7, 2009

Chiropractic Care for Neck Pain and Headaches:

Chiropractic Care for Neck Pain and Headaches:

Do you seem to get headaches whenever you get neck pain?

If so, you are dealing with a very common problem.  My San Diego chiropractic office sees people on a regular basis who suffer from these symptoms.   Neck pain is often accompanied by headaches because of the muscle tension that is so often present with neck problems.

I am sure that many of you have heard of muscle tension headaches.  More often than not, muscle tension headaches begin in the neck where tightness has developed for a variety of reasons.  Sometimes neck injuries such as those from auto accidents or postural stress secondary to sitting in front of a computer all day will cause the neck muscles to tighten up.

Tight muscles in the neck cause muscle tension on the back of the head.  This tension causes the muscles that cover your skull to spasm.  Between the aggravation of tight muscles and neck pain, headaches will often become a companion to your neck pain.

Treating muscle tension headaches often requires a multifaceted approach.  Chiropractic care will help relieve a great deal of the muscle tension and spasm.  Chiropractic adjustments relax muscles, restore normal joint motion and eliminate the associated neck pain.  In addition to chiropractic manipulations, therapies including electric muscle stimulation, ultrasound and ice packs are beneficial to help reduce the muscle spasms that help cause the tension headaches.

Another important part of elimination or reducing the number of muscle tension headaches that you experience is to identify what sets them off.  Postural stresses associated with computer work, reading, certain types of work or specific hobbies can lead to stress in the neck that causes headaches.  Identifying the culprits and either eliminating them or modifying them helps greatly in controlling your headaches.

The bottom line is that neck pain and muscle tension headaches are closely related and often successfully treated with chiropractic care.


Writers Bio

Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.

Call Steve Jones at
(619) 280 0554
San Diego Chiropractic

ADJUSTABLE MOUSE PLATFORM Website to learn more about or Buy Ergo Nav

Chiropractic San Diego Website to make an appointment
Better Health Steve Jones

Nov 3, 2009

Hip Pain and Chiropractic

 Hip Pain and Chiropractic

Hip Pain means different things to different people.  I treat many people for hip pain in my San Diego Chiropractic center.

Earlier I wrote that hip pain means different things to different people.  What I meant by that is that usually the patients who complain of hip pain would point to their lower backs when I ask them to point to the pain.  When I ask them at that point if it is actually lower back pain that they are feeling they will usually think for a moment and then say, “Yes, I guess it is low back pain.”

When patients complain of hip pain they are usually referring to pain in the area of the sacroiliac joint.  The sacroiliac joints are two large joints that are positioned just to the sides of the bottom vertebra in the back right at the level of the beltline.  I believe that people refer to this as hip pain because it is typically at its worst when walking.

True hip pain found in the joint where the femur joins with the socket found in the pelvic bones.  The typical patient will identify hip pain by pointing to the front of the body, below the beltline and off to either side of the midline of the body.

Sacroiliac joint pain is often brought on or aggravated by prolonged sitting, bad lifting habits and direct injuries such as those that occur with sports or auto accidents.  The sacroiliac joints are the largest joints in the spine and can heal slowly after an injury.

Chiropractic care supported by ice pack applications, light stretching and avoidance of know aggravating activities (if it hurts don’t do it) will usually eliminate the pain.

Chiropractic care is also effective for true hip pain but the approach is somewhat different.  Since hips are joints, chiropractic care is also quite effective in relieving hip pain as well

Writers Bio

Dr. Steven R. Jones is a licensed Chiropractor in the state of California. He received his doctorate from Palmer College of Chiropractic-West in Sunnyvale, California. Dr. Jones has treated his patients for over 15 years at his own San Diego Chiropractic practice.

Dr. Jones is accepting new patients and would be happy to consult with you regarding your chiropractic needs.

Call Steve Jones at
(619) 280 0554
San Diego Chiropractic

ADJUSTABLE MOUSE PLATFORM Website to learn more about or Buy Ergo Nav

Chiropractic San Diego Website to make an appointment
Better Health Steve Jones