Many people come to
my office after they have an injury
, but are not really sure how it happened.
It may have been some very common activity, like picking up a pen, to sleeping
in an awkward position and just waking up with pain. Other times, it’s an
obvious trauma.
The reality is that
some of those injuries may be due to cumulative stresses that contribute to
their body’s inability to deal with normal biomechanical stresses. When your
body cannot adequately deal with or distribute those biomechanical/physical
stresses/forces, it may be a greater than normal stress on other parts of the
body.
My belief is
that the mechanism of physical injury
(particularly neuromusculoskeletal) is
this: All injury
is caused by your body’s inability to deal with, distribute or
adapt to change and/or the physical/biomechanical forces/stresses that are being
placed on a particular part of the body at that particular moment in time.
The older you are, the less
able your body is able to deal with change.
The more injuries you have,
the more scar tissue (which is less flexible), the more unlikely the
area is to deal with a change, especially rapid change.
The more degeneration your
body has, the less likely it is able to adequately distribute the
biomechanical/physical stresses that are being placed upon it.
Able to withstand the
physical/biomechanical stress.
By being strong enough to
absorb or adapt to it. (Exercise can help with this)
By being flexible enough to
absorb or adapt to it. (Chiropractic care, stretching, and exercise can
help with this).
By being able to distribute the biomechanical/physical stress/strain/force
that is being placed on it. (Chiropractic care can help with this by increasing
the range of motion and degree of restriction that may contribute to injury
and
degeneration).
After an injury
to
help your body repair itself, and to prevent further injury
you must either:
1. Minimize the
physical forces and physical stress on that part of the body.
2. Build up that
part of the body so it is better able to support those stresses. (Exercise)
3. Stabilize the
integrity of the surrounding structures by optimizing and utilizing the range of
motion as well as maintaining the flexibility and mobility of the area so it can
distribute biomechanical/physical stress/force (stretching, chiropractic
adjustments and possibly some therapy).
4. Then, tune up
your body so it is better able to adapt to change, as well as, distribute those
stresses using the structures (body parts) you already have (chiropractic
adjustments). This is why I believe maintenance chiropractic care is
beneficial. Quality chiropractic care that focuses on optimization of motion,
as well as symmetry of movement and posture can be preventive when utilized
properly.
For example, if you
are in a car accident, there are a lot of forces that are being placed on your
body. Those forces are much greater than your body is used to and are abnormal,
which may cause injury
. It is just common sense that the more force on an area;
the more likely your body is to get injured in that given area. However, the
better your body is able to adapt and or distribute the biomechanical/physical
stress/force being placed on it, the less likely you are to be injured. That’s
just common sense.
If you are older, your body is
less able to deal with change, biomechanical stresses, etc. In addition,
you likely have scar tissue or structures that have some level of
degeneration that make your body less able to deal with the forces being
placed upon it, that will also have an effect on your body’s ability do deal
with the change and/or physical/biomechanical stress.
Even if you are young, healthy,
and fit, the biomechanical forces being placed on a body in a car collisions
are usually more than the average structures can handle, therefore, you get
injured.
This also can
explain why even in low impact collisions, injuries can occur. If one’s
body is unable to deal with change at a particular part of their body because
that particular part was subjected to an abnormal amount of stress or change and
that part of the body was unable to withstand those forces it therefore, “fails”
and becomes injured (see above). It really is a question of probability
and the likelihood that one would be injured, but to say that one cannot be
injured or will be injured is nearly impossible due to the numerous variables
that are involved.
The mechanism of
how one becomes injured is usually very similar, but the exact particular events
can sometimes be explained in hindsight, sometimes not. Most of the time,
however, the injuries are due to the accumulation of many little injuries
(perceived or not) that when compounded may result in the proverbial, “straw
that broke the camel’s back”, particularly when it is a relatively normal
activity that results in injury
. This is the argument that is made for
maintenance care.
Quality
Chiropractic care, when properly utilized and understood, can hasten recovery
time, prevent the typical acceleration of degenerative changes post-injury
, and
prevent injuries by optimizing the body’s biomechanical response to change
and/or physical forces.