Dr. Glenn Hyman’s Blog

How you sit says a lot

I just got the Denver Chiropractic Center Primary Pattern Rehab Protocols back from the printer. After all of these years, I finally put those protocols to paper and you’ll start getting them now at your appointments. Thanks to Otto the Hungarian Typesetter for doing the layout (really, he lives near Budapest).

Did you know that I can pretty much tell if you’re at risk for back problems based on how you sit down into a chair? It’s true. Since the glutes and back extensors, if properly firing and properly patterned, control your descent into a chair, I can tell if yours are working or not. If you tend to put a hand on your knee or an armrest when getting into a chair, you’re in trouble.

Using the arm to ‘build a bridge’ tells me that your glutes are not firing effectively. This means that you’re probably not using your glutes for other tasks, like picking objects up from the floor. Failing to use these muscles is a recipe for future back problems.

A typical patient with a back crisis thinks that it was caused by the bag of dog food he stooped over to grab. Or perhaps that patient was trying to get that squirming child into her car seat.

The reality is, almost all back problems are cumulative. Bad motor habits cause important muscles, like the glutes and spine extensors, to work less and less. If you’re not firing these muscles, you’re using other muscles, probably smaller spinal muscles, to take up the slack. This is what wears out spines and causes big back problems. The dog food and squirming kid are just the straws that break the camel’s back.

A great way to protect yourself is to start working on the squat pattern and getting it right. The Chair Squat Protocol is a Phase 1 Primary Pattern exercise that will help you. Remember of course to check with your doctor first.

Start with a sturdy chair, ideally with its back against a wall (1).

1

With your calves barely touching the chair, maintain a slight arch in your back and move your rear down and backwards into the chair(2).

2

Without shifting all of your weight onto the chair, use your glute muscles (by pushing your heels into the floor) to come back up (3).

3

My arms are extended in the pics as a counter-balance, but you don’t need to do that. Using this little exercise, every time you sit into a chair, you can work on protecting your back over the long run by using your glutes and spinal extensors.
This will help ensure that you continue using these important muscles and supporting your spine functionally. Yes, there are even more aggressive ways to work these muscles (that’s Phase 2 and Phase 3).

If you’re putting up with pain, whether it’s back pain, shoulder pain, headaches, shin splints or anything else, give us a call 303.300.0424. We’re here to help you.

Glenn Hyman

Insurance we accept
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

We are in-network providers for the following plans:

Aetna
Anthem – Blue Cross / Blue Shield

Cigna
Great West
Humana
United Healthcare and its subsidiaries
Kaiser PPO

We process all insurance paperwork for you!

If you don’t see your plan on this list, call us 303.300.0424, and Robyn will help you figure out if you have coverage in our office. Discount packages are available for those without insurance coverage.

Office Hours
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Monday – 9-5
Tuesday – 9 -5
Wednesday – 9-5
Thursday – 9-5
Friday 9-4

Quick Links…
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Our Website

Contact Information
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
phone: 303.300.0424
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Sept-Oct 2009 paper & ink newsletter (pdf)

sept-oct-2009-newsletter1

The link is to a pdf of the Sept-Oct 2009 newsletter. You need acrobat to open it. Enjoy!

Dr. Glenn at Buffalo Creek Xterra, Tri the Creek, Beaver Creek Xterra

Sorry, I’ve been away from the blog. I’ve done 3 triathlons since the last post. Updates to follow.

Denver Chiropractic Center sponsors Denver Athletic Club Tri!

We’re proud to be on boards as sponsors for this years Denver Athletic Club Tri the Creek Sprint Tri. Check it out here.

banner_public_left

Steve Larsen dies of a heart attack

As many of you know, I strongly encourage training for shorter distance endurance events, like 10K’s and sprint or Olympic distance tri’s. Why is this?

Frankly, because I – along with many other experts – feel that too much long distance training puts too much stress on a body. The fact that an accomplished long-distance athlete just dropped dead at age 39 is further example of this.

My thoughts and condolonces go out to his wife and 5 kids.

From velonews.com:

Steve Larsen, probably the only professional who competed and won major races as a mountain biker, road biker and triathlete, died Tuesday evening after collapsing during a running workout, his friend Michael Nyberg told VeloNews.

Larsen was 39 and he and his wife Carrie Larsen have five children.

“He was doing a track workout and he collapsed. They did CPR immediately and an ambulance arrived quickly, but they weren’t able to save him,” Nyberg said.

Another friend of the family confirmed Larsen’s death, saying that an autopsy is pending, but that he apparently suffered a heart attack.

Larsen began racing in the 1980s and was on the Motorola team for three years in the early 1990s, racing the Giro d’Italia and other major European events. He then moved into mountain biking, winning the NORBA National Cross-Country title in 1998 and 2000.

In 2001, he switched to triathlon, qualifying for the Ironman in his first year in the sport, and finishing ninth at the Hawaii event. He also competed in XTerra offroad triathlons. He was reportedly the only American to compete in the world championships for road, mountain bike, track and cyclocross.

Larsen grew up near Davis, California. For several years he operated a bike and triathlon shop there, called Steve Larsen’s Wheelworks. He retired from professional racing in 2003 and opened a real estate agency in Bend, Oregon.

He still competed in triathlons for fun, finishing 70th at the 2008 Ironman World Championships with a time of 9:19:25.

Denver Chiropractic’s Top 3 Hips Stretches

‘Tis the season to get outside and start running, riding, hiking, climbing, etc. Here are 3 critical stretches that, if performed daily (or almost daily), will keep your hips happy all summer long. Tight hips can evolve into hip problems, knee pain, and plantar fasciitis.

For more info, look for the May-June issue of the newsletter coming soon to a mailbox near you.

 

Glute Stretch
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

glute stretch

The glutes are the biggest muscles in your body. They propel you forward in all athletic endeavors. If they start to scar up, they lose power, and other muscles start to take up the slack, particularly the hammies and the hip rotators. Back pain and hamstring problems usually follow.

To stretch: Just lay on your back and flex your hip to around 90 degrees. Use your left hand to pull your right leg across your body. Reach that right arm away to maximize the pull on the fascia. Hold for about 20 seconds and switch sides.

 

Hip Rotators
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Hip ro 1

The hip rotators include muscles like the piriformis. Problems in these muscles lead to sciatica and lateral knee pain.

To stretch: Lay on your side, preferably on a bench or the edge of a bed. Flex your hip to 90 degrees, grab your left knee with your left hand, and rotate your shin with your right hand. Make sure that your knee doesn’t move up towards the sky/ ceiling. Hold for 20 seconds, then flip over and do the other side.

hip ro 2

 

Hip flexors ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

The hip flexors oppose the glutes. They bring your leg forward in running, are obviously important in climbing, contribute to 360 degree pedaling, and more.

As they are overused, they totally screw up mechanics, leading to hip pain, knee pain, and back pain.

To stretch: get down on one knee, keep your torso upright, and move forward. See how  I maintain that arch in my back instead of rounding forward? That’s how you get the hip flexors to stretch.

Hip flex 1Hip flex 2

 

 
Remember- a tight muscle will become a scarred muscle. And noting breaks up scar tissue like Active Release Technique. So, you if need help, come on in. I can help you.

This Denver Chiropractor’s son is allergic to peanuts

We found this amazing peanut butter stand-in for Andrew, our oldest son, who is allergic to peanuts (so sayeth the lab test, he’s never had them). Anyway, this stuff is awesome:

http://www.sunbutter.com/

Did a rib pop out?

Another Denver Chiropractic Center blog:

Today I had another new patient who came to me thinking she had
popped a rib out of place. She had severe mid back pain that traveled
under her shoulder blade. It started on Saturday while she was
shoveling snow.  She called first thing in the morning today (Monday)
and of course we got her in as soon as we could.

Here’s an article on the site:

http://www.denverback.com/q_midscapulae.html

Ribs rarely actually move out of place unless there is a severe
trauma, like a car accident. For some reason, people with mid
back pain almost always thing that a rib is out place.

Think about it for a second. Those ribs are there to protect
your heart and lungs. They’re strongly attached to both your
spine and sternum, and are very difficult to move ‘out of place.’

There are several layers of muscle between the shoulder blades,
also known as the scapulae. These muscles include the traps,
rhomboids, and spinal muscles.

Sharp mid back pain is almost always muscular, and usually is
dramatically better with just one Active Release treatment, and it’s
almost always gone after two or three sessions.

Chronic mid back pain can frequently be traced back to those
same muscles. I regularly see patients who’ve had pain between
the shoulder blades for years. These cases require a few more
treatments, but they also resolve nicely with Active Release. And
yes, these people also think that they have a rib that’s out.

Sometimes I fail

Yesterday I had to tell a new patient that I couldn’t
help him. It’s a tough thing to do, but it happens,
even at Denver Chiropractic Center; even with
Active Release.
.
This particular patient was referred to me by
another chiropractor. He had low back pain
that radiated down the back of his thigh since
last November. He rated it as a 9 on a scale of
10 (10 is the worst). It started when
he was hiking in the Andes with a very heavy pack.
.
This is a classic herniated disc.
When I treat disc cases with Active
Release, the goal is to relieve the tension on the
muscles that cross the involved joint.
I was his last hope. I worked on him for about 30 minutes.
.
If Active Release is going to help, usually the
patient will feel a little better right away. This
man felt exactly that same. Considering that
he’d tried just about everything under the sun,
and considering that his pain had been the same
for 5 months, I told him he should speak to
a surgeon.
.
I hate to do that, but sometimes giving a
person an honest opinion, even if it’s one they
don’t want to hear, is the best I can do.
I never try to work with someone if I don’t
think that I can help. Luckily, it doesn’t happen
often.
.
This man was grateful that I was honest with him.
He left my office understanding why it was time to
speak with a surgeon. In the long run, he’ll
recover and move on with his life.
.
Just thought I’d share that one with you.
.
Glenn Hyman
Denver Chiropractic Center

16 Years of hip pain? Really?

OK, so all of the staffing chaos is behind me. The new
office manager, Amy, is on board and doing a great job.
Massage therapist Erin has been seeing clients and
getting rave reviews. So, on to this week’s question.
Once again, the person is real, and the question is
too:

“I was in a car accident 16 years ago, and I’ve
had hip pain ever since. I’ve had X-rays, and the
bone is fine. I have trouble lifting my leg to
climb in and out of the bathtub. Is this something
that you can help me with?”

The answer:

“Yes, I can probably help you. When muscle gets
injured, whether it’s a car crash, sports injury,
or repetitive motion, the healing process creates
scar tissue. This scar tissue changes the way that
muscle works – it doesn’t contract and relax as
efficiently as it used to. This leads to pain,
tightness, weakness, and other problems.

This condition can linger on for years, even decades.
Since nothing breaks up scar tissue as effectively as
Active Release, patients with long term problems
start to finally get relief. I have actually treated
injuries that were 20 years old and made dramatic
improvements.”

In this case, I treated the lumbar muscles, hip flexors,
glutes, and the piriformis. They were heavily scarred,
and the patient started noticing improvement after
the first visit. I’m still treating her (3 times as
of this wiriting) so I can’t yet claim success, but
I’m confident this patient will feel about 90% better
when we’re done.