"The More Mechanically Distorted A Person Is, The Less Energy Is Available
For Thinking, Metabolism & Healing."

Roger Sperry, Ph.D.
1988 Nobel Prize for Brain Research

Posture - Issues and Answers

Posture: Is It Really That Important?
How does a balanced, aligned spine spell relief?
I am no longer in pain. Should I continue seeing my chiropractor?
What is Forward Head Posture?
How can I change my Posture?
I am getting older. Don't these pains come with age?
The bowling ball test.


Posture: Is It Really That Important?

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Posture is affected by and affects every aspect of our lives. An individual's state of nutrition, exercise, stress management, body fat control and mental development can all be associated with posture. Posture is one of the most overlooked keys to optimum health and performance. Good posture improves fitness, thinking ability, emotional state and general vitality. Why? Posture is affected by the position and function of the spinal column. This also affects the function of the spinal cord and spinal nerves. Your posture, therefore, is a window to the spine and the spine is a window to the nervous system.

"Posture affects and moderates every physiologic function from breathing to hormonal production. Spinal pain, headache, mood, blood pressure, pulse and lung capacity are among the functions most easily influenced by posture."
--American Journal of Pain Management 1994, 4: 36-39

"The more mechanically distorted a person is, the less energy available for healing metabolism and thought"
--Roger Sperry Ph.D. (Nobel Prize in Physiology or Medicine 1988)

"To Live a long, active, energetic life, few things matter more than good posture"
--American Journal of Pain Management 1994, 4: 36-39

"Posture and normal physiology and function are interrelated. Abnormal posture is evident in patients with chronic pain-related conditions including backache, headache, and stress-related illnesses."
--American Journal of Pain Management 1994, 4: 36-39


At Dr. Carlson’s we have a different idea of health. In the evolving age of healthcare, we bring you unsurpassed care, scientifically proven for the long-term correction of injuries. Whether major traumas (like car accidents, falls, sports injuries, etc.) or minor traumas (like sitting all day, poor sleeping habits, ergonomics, etc.), your spine takes the majority of that abuse.

With the understanding that the spine is the anatomical protection for your nervous system, it makes sense that alterations to your posture can influence that system, particularly the spinal cord and brainstem. At Dr Carlson’s office, we aim to restructure your spine back to a natural, healthy configuration. Healthy posture means a healthy nervous system, and from there the possibilities for good health are endless.

We are excited to bring the most advanced techniques and latest research to the valley. Our goal is to revolutionize healthcare as we know today by providing unmatched service combined with the most advanced scientific techniques known for treating the human frame.

Your Posture
Your posture is a product of the activities that you do, and the traumas or injuries experienced in your lifetime. Such abnormal posture can set up early degenerative changes, and has been associated with a multitude of pain syndromes.

Rationale for Treatment
What makes Dr. Carlson different is the treatment beyond the resolution of symptoms. Symptoms are often the end of an underlying process. Your body does a relatively good job adapting to abnormal postures until you begin to notice symptoms. It is your body’s way of trying to limit any further damage. Symptomatic relief does not resolve the underlying problem, and the majority of science has shown that symptoms tend to be recurrent. Below is a reference we use to rationalize chiropractic care beyond the resolution of your symptoms that brought you in to our office. Correcting the problem that caused the symptoms to arise not only makes sense but has greater long term success.

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How does a balanced, aligned spine spell relief?

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The illustration to the right demonstrates a side and back
view of the spine. Notice the red vertical lines overlying each
spine. These red lines represent gravity lines. In other words
when a person is upright, standing or sitting, the spine should
be centered in the gravity line. The exception to this is when
a person is bending, turning, or twisting. However, those
positions do not represent the posture we are in most of the
time. At least they shouldn't be.

The side view of the spine illustrates four normal curves.
The thoracic and sacral curves are called kyphotic curves and
are present at birth. The cervical and lumbar regions start out
at birth with a kyphosis and change to forward curves or lordotic
curves after we start crawling and walking. It is very important
for all four curves to develop because the spine is 17 times
stronger with the curves than it is without them. If these
curves are diminished or non-existent the spine is
weakened. If any of these contours are more or less curved
than the other ones, an imbalance occurs. This causes the gravity line to shift forward or backward
making the muscles of the spine work harder to keep the spine upright. Muscle tension, pain, stiffness,
and accelerated degenerative changes result from postural imbalance.

The back view of the spine should appear straight under normal conditions. This changes if a person has a scoliosis or a curvature of the spine. If a person's spine does curve to one side, it will compensate back to the other side to keep the head positioned directly over the base of the spine.

If this compensation does not take place, the center of gravity would shift in the direction of the
curve and he or she might feel like they were falling to the side. The mechanical irritation caused
by a curvature of the spine leads to pain, stiffness, and early degenerative changes.

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I am no longer in pain. Should I continue seeing my chiropractor?

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Structural Rehabilitation of the Spine and Posture: Rationale for Treatment Beyond the Resolution of Symptoms
Troyanovich SJ, Harrison DE, Harrison DD.. University of Alabama, Huntsville, USA.

OBJECTIVE: To provide a rationale for active chiropractic rehabilitative treatment that extends beyond the single goal of resolution of symptomatic complaints.

DATA COLLECTION: A manual search of available reference texts and a search of MEDLINE were collected with an emphasis on tissue healing sequelae and the role of mechanical loading on this process.

RESULTS: The reviewed material indicates that all tissue growth and repair is influenced by mechanical loading and body posture and is positively affected by body postures that normalize/minimize adverse mechanical stresses and strains. Altered alignment of the human frame may lead to poor healing of the body tissues and eventual pathological architectural changes may occur in muscle, ligament, bone and central nervous system. Minimization of altered postural/structural loading of the human frame may take longer than resolution, or maximal reduction, of offensive symptoms. By itself, a patient's perception of pain is not a valid indicator of health.

CONCLUSION: Because mechanical loading of the neuromusculoskeletal tissues plays a vital role in influencing proper growth and repair, chiropractic rehabilitative care should focus on the normalization/minimization of aberrant stresses and strains acting on spinal tissues. Manipulation alone cannot restore body postures or improve an altered sagittal spinal curve. Therefore, postural chiropractic adjustments, active exercises and stretches, resting spinal blocking procedures, extension traction and ergonomic education are deemed necessary for maximal spinal rehabilitation. Chiropractic studies that demonstrate structural improvements are sorely lacking and needed. The use of passive treatment modalities as the sole means of chiropractic intervention for the management of patients suffering with neuromusculoskeletal dysfunction no longer has a place in modern chiropractic practice after the acute phase of healing has passed.

The Normal Spinal Position - A Desirable Outcome
A normal spinal position is derived from a mathematical, three-dimensional model, and is desired as a beneficial clinical outcome. Simply put, variations from the ideal model have been associated with a multitude of musculoskeletal and neurological disorders. Below you will find rationalization for obtaining a normal or near normal as possible position for the spine and reasons for why we offer the type of care we provide.

Research & Findings
Deed E. Harrison, DC Donald D. Harrison, DC, PhD Stephan J. Troyanovich, DC Stacy Harmon, DC, MD. A Normal Spinal Position: It’s Time to Accept the Evidence. Journal of Manipulative and Physiological Therapeutics. 2000; 23(9):623-645.
"It is suggested that optimizing the spine's position to resist the compressive force of gravity is a logical place at which to address an 'optimal stress' risk factor."
" These postures are also associated with asymmetric muscle efforts."

Braaf MM, Rosner S. Trauma of the cervical spine as a cause of chronic headache. J Trauma 1975; 15: 441-6.
"In a survey of more than 6000 cases of chronic headache-sufferers, Braaf and Rosner found that 'complete or segmental loss or reversal of the normal lordotic curve of the cervical spine is the most consistent characteristic feature and very often is the only abnormality found.'"

Vernon H, Steiman I, Hagino C. Cervicogenic Dysfunction in Muscle Contraction Headache and Migraine: a Descriptive Study. J Manipulative Physiol Ther 1992; 15: 418-29.
"In 47 subjects with tension and migraine headaches,Vernon et al found a high incidence of hypolordosis, straightened cervical curve configurations, and reversed cervical curve configurations."

Nagasawa A, Sakakibara T,Takahashi A. Roentgenographic Findings of the Cervical Spine in Tension-type Headache. Headache 1993; 33: 90-5. 55: 943-8.
"Nagasawa et al compared 372 patients with tension headaches and 225 control subjects matched for age and sex; they found statistically significant differences between the two groups, the headache patients having straightened cervical curve configurations and low set shoulders. In addition, with increasing age, the headache patients’ cervical curve was straight more frequently."

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What is Forward Head Posture?

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We’re a health conscious society today and good posture is a part of it. Good posture means your spinal bones are properly aligned and your joints, muscles and ligaments can work as nature intended. Good Posture helps contribute to the normal functioning of the nervous system. Without good posture your overall health can be compromised. The long-term effects of poor posture can affect bodily systems such as digestion, elimination and breathing as well as muscles and ligaments. A person who has poor posture may often be tired or unable to work efficiently or move properly.

One of the more common postural distortions seen in doctor’s offices these days is Forward Head Posture or FHP. In my office it is frequently a contributing factor of neck pain and stiffness patients seek relief for. In the past few decades, with the proliferation of computer workstations in most businesses, FHP is becoming a common modern day affliction. Since we live in a forward facing world, the repetitive use of computers, TV, video games, trauma and even backpacks have forced the body to adapt to a forward head posture.

Think of your head as a bowling ball that weighs between 12-15 pounds. Ideally your head should be positioned directly over your cervical (neck) spine and shoulders. If your head is even 1 inch forward to this normal position the weight of your head effectively doubles the load your neck has to support. If you keep your head in this position for long periods, pain syndromes will eventually occur and can cause the above-mentioned symptoms, as well as upper back muscle spasms. Because the neck and shoulders have to carry this weight all day spinal tissues are subject to significant loading for sustained periods of time. The spinal tissues can over time deform and undergo remodeling changes that could become permanent. When this happens it takes much more time to correct. Postural distortions are very subtle at first and become progressively worse over time if steps are not taken to change the course of FHP. Forward head posture has been shown to flatten the normal neck curve, resulting in disc compression, damage and early degenerative changes or arthritis. This abnormal position is often linked to tension headaches that start at the back of the head and sweep over the top and front of the head. FHP can also cause tension in the TMJ (temperomandibular joint) or jaw joint leading to pain, headaches and bite problems. Some evidence exists that postural positions can affect the nerve tissue by altering blood flow to the spinal chord. People with uncorrected FHP can potentially suffer chronic or unpleasant conditions, such as pinched nerves and blood vessels as seen in thoracic outlet syndrome.

FHP is fairly easy to detect. Patients are usually asked to look up at the ceiling, down at the floor, and then straight ahead. I then find the center of the shoulder and draw an imaginary line up. It should pass right through the middle of the ear where the hole is. If you were to continue this imaginary line down through the rest of your body the line should fall through the middle of your hips, through the middle of the knee and ankle.

In my office determining FHP is fairly straightforward. If I suspect a postural component to a patients complaint the first step is a thorough consultation and spinal examination, along with x-rays (if needed) to identify all factors that may contribute to Forward Head Posture. Once identified, Chiropractic adjustments and exercise/postural recommendations can be made. Most Chiropractors will point out poor ergonomics and situations that pre-dispose an individual to FHP, and give practical solutions. Monitoring good posture should be a lifetime commitment. With a little effort and awareness, you can be assured a future doing things you love to do, rather than suffering from the damage and degeneration that FHP and poor posture can bring.

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How can I change my Posture?

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Correction of an abnormal spinal mechanics takes time and consistency. When your teeth are crooked the Orthodontist puts braces on to correct the structure. Think about how much more important the structure of your spine is for the function of your overall health. We focus on correcting the problem through Chiropractic, traction and exercise.

To change the ligament structure takes time and consistency. An applied force over time

The problem that has been described is secondary to the neurological problems caused by spinal subluxation. The secondary problem is the connective soft tissue that holds vertebrae to vertebrae surrounding the inner spinal cord, and allows spinal units to function in harmony with other spinal units. Normal muscle action is also dependent on harmony within spinal units. This connective soft tissue that we are speaking of us called the epi pia collagen network of the ligaments and discs in the spine. The University of Michigan conducted whiplash-type experiments utilizing primates and found that the vertebrae of the cervical and lumbar spine compression fractured before the ligaments tore.
For our future reference we will refer to the ligaments and discs as TOUGH-SOFT tissue. Protein fibers in the tough soft tissue are what make them so durable. Protein in the paravertebral tough soft tissue, especially the ligaments and discs, do not stretch under a quick adjustive work force. A rapid overloading of the spinal column causes the discs and ligaments to separate, bunch, or tear. Under a strong sustained traction or compressive force, the protein fibers begin to “creep” longer or shorter. They creep longer under traction forces and shorter under compressive forces; thereby working together they always maintain stability to the vertebrae and to the spine whether in a normal or a subluxated position.

When the spine is subluxated, the protein fibers creep longer and allow a greater range of motion on the traction side of the subluxation complex; whereas the shorter protein fibers offer more resistance to motion on the opposite side, or compression side of the subluxation. These fibers creep either longer or shorter, as the case may be, to stabilize and to accommodate the new position of the subluxated vertebra and the entire spine. Once the protein fibers have set up in their new subluxated position, the shortened fibers on the acute, compressed side of the subluxated spine presents a mechanical advantage that is many times greater than when they were at their normal length. This subluxation produces a mechanical advantage (lever arm) so great that the vertebra is relatively immovable to the adjustive forces on the acute side. Normal motion is also impeded and adjustive forces on the previously mentioned subluxation will not produce motion on the compressive side of the subluxation. This immovability on the compression side produces a fulcrum-type effect, which then transfers the adjustive force into the opposite long protein fiber side. Therefore, greater forces and greater mobility than expected is usually produced on the side of the longer protein fibers, as these fibers have lost a proportional amount of their normal mechanical advantage in their new subluxated position. Therefore, movement of the vertebrae under any adjustive force may not be in the direction that the clinician anticipated, even if a specific line of drive was used. Aberrant vertebral movement may give temporary relief. However when the patient is again erect and under axial compression forces of gravity, the unequal, unrehabilitated ligaments and discs are unequally loaded and therefore, produce unequal forces that begin to return the spine to its subluxated state. The patient will again be in need of an adjustment.

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I am getting older. Don't these pains come with age?

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A normal neck contour decreases mechanical wear and tear

The x-ray directly to the right demonstrates what would be considered a normal or near normal cervical lordosis(curve). The X-ray is of a 73 year old man. This x-ray demonstrates the benefits of a "healthy neck curve." There is not any evidence of degeneration. It is very common at this age to see disc degeneration (narrowed
disc spaces between the vertebra) and bone spurs which are part of the degenerative process. By the way, degenerative arthritis has a number of other names such as Osteoarthritis, Degenerative Joint disease or Wear-and-Tear Arthritis. Osteoarthritis can be developing for years before symptoms surface.

(Near normal contour)

The reversed neck contour speeds up wear and tear causing premature Osteoarthritis

This x-ray demonstrates not only a reversed neck curve, but also substantial degeneration. Notice the disc spaces between the vertebras at the lower area of the neck are much thinner than the ones above. Additionally, a number of bone spurs are present at the same levels where disc thinning is occurring. This is a classic presentation of Osteoarthritis on x-ray. Most people would think that this is an elderly patient because of the advanced degeneration. Interestingly, this patient is only 55 years old in contrast to the x-rays of the 73 year old patient above. This is proof positive that chronically distorted (Reversed contour misalignments and postures in the spine dramatically accelerate with degeneration) degenerative arthitis. Could this process have been prevented or delayed with chiropractic correction? Very possibly and very likely it could have. The intervention should have started years earlier before degeneration was present. The problem with something like this is that many times patients aren't experiencing any symptoms to speak of until a lot of the damage is done. Minor to no symptoms may be present in the initial stages of degenerative wear and tear. Let's use an analogy to clarify how degeneration happens. The wear and tear that takes place on an automobile is a good comparison.

For instance, let's say you are driving and hit a pot hole in the road. We will assume that the front end of your car was knocked out of alignment. If you stopped your car, got out and looked at the tires, do you think signs of wear and tear would already be visible? Probably not. What if you kept driving the car for another 10,000 miles without getting the problem checked out. First, you probably noticed some subtle changes in the car's steering. Maybe it pulled to
one side of the road or you felt a vibration, and possibly you did not notice anything at all. Then one day 10,000 miles later you were getting in your car and noticed the front tires had a lot of unusual wear going on. You decided to ignore it and go on. Several months later all sorts of problems started showing up in the steering, braking, and handling of the car. This process is similar to how spinal joints degenerate. Sometimes vertebral misalignments or distorted postures are neglected and lead to accelerated wear and tear on the joints. A reversed cervical curve commonly happens in motor vehicular accidents, especially in a rear-end or front
end collision. A sudden jolt to the neck can cause the neck curve to be instantly reversed. In many
instances the only symptoms that are present is soreness and stiffness, and occasionally no symptoms
are present at all. At least this happens initially. But as time goes on the reversed neck curve starts to
take its toll on the joints. Since the weight of the head is shifted forward in front of the spine a person
will start noticing problems as they age. What started out as a few days of stiffness turns into pain,
reduced range of motion, neck tension, and accelerated degenerative arthritis. It is rare to see a 73 year old patient like the one in the x-ray with no apparent degenerative changes. By taking a proactive preventive role in your health it is possible for you to achieve the same results.

A properly aligned spine reduces pain, improves joint function and retards degeneration.
Don't suffer needlessly. We can help with gentle chiropractic care

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The bowling ball test

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The best way to get a feel for how a decreased spinal curve mechanically affects the muscle tension and wear-and- tear of your spine is to do what we call the bowling ball test. It may sound funny, but will really open your eyes to how much potential mechanical stress your spine experiences. Take a 10 to 12 pound bowling ball and hold it in one hand, palm up like you are getting ready to bowl. Now, curl the ball up close to your body and hold it in that position for 15 to 20 seconds. Keeping your upper arm stationary start extending your elbow until your forearm is 90 degrees from your arm, or your forearm is pointing straight in front of you. Now try to (Neck muscles should balance hold the ball in this position for 15 to 20 seconds. the head weight, not support it.)
Bringing the bowling ball away from your body makes your arm work tremendously harder to hold the ball up. The bicep muscle will start to fatigue faster and probably begin to ache as well. The same thing happens to the spine when the spinal curves are not balanced or if a curvature or Scoliosis is present.

The diagram up and to the right demonstrates the biomechanics of how the head weight is balanced
on the spine. Under normal conditions, the muscles of the neck should not have to "work hard" to keep
the head posture upright. The muscles should basically stabilize the head posture. This example assumes
that the person is standing or sitting in a neutral upright posture. This would not apply to a person who
is bending his/her neck from a neutral posture. We are interested in the position most people assume
when standing or sitting. If the curve is taken out of the neck or reversed, the muscles in the back of the
neck have to start working to support the weight of the head, just like the bicep did in the bowling ball
test where the forearm was straightened. This dramatically increases the tension in the neck muscles
causing symptoms such as muscle spasms, pain, headaches, stiffness, and early degenerative changes.
We have found in practice that the majority of patients with neck pain and stiffness have a
straightened or reversed neck contour.

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