chiropractic

Wow, it’s been two month since I wrote anything here! I guess that’s because things are pretty much going on fairly well. I have settled into a very comfortable exercise routine made up of physical therapy exercises for the low back, qigong, and yoga. It takes about 45 or 50 minutes to do all the exercises that I like. During the week I do about 30 to 35 minutes twice a day. On weekends I usually spend an hour exercising and stretching. I usually like to try a new qigong exercise at the end of my routine on the weekends, and do some meditating as well.

I have been getting stronger. I can do Warrior 1 now, at least on my more energetic days. The feeling of strength in my legs and core that I feel when doing that pose really lift me. It makes me feel solid and grounded.

As you can see, I have much more flexibility and strength in my low back than I have had in over a year. To help regain that flexibility, Pigeon pose and a modified Cobra pose (always followed by Child’s Pose) have been part of my routine for months.

My favorite qigong exercise for spine flexibility is called Turtle Neck. I sit in Baddha Konasana and scoop my head down and forward, then up, and then back and down. The head basically moves in a forward circle in the air and the spine follows. It’s called Turtle, but the movement seems rather snakelike to me. Doing the movement with the legs stretched forward works the back in a slightly different way, lower down the back.

It’s absolutely essential now for me to listen to the needs and limitations of my body, which can at times vary on a daily basis. Some days I manage only a few seated forward bends and perhaps a side bend or two. Other days I feel much stronger. I have been seeing, though, continual improvement, though at almost a glacial pace. As long as I have patience and don’t push, things work out okay.

The chiropractor I was seeing through all last year closed her doors at the beginning of this year. I’ve been seeing a new husband and wife chiropractor team since late March. I like this practice. Bonus: they have massage therapists on staff so I get massages covered by insurance! However, perhaps because of their different adjustment techniques, my mid-back is now unstable and tender. Still, I feel confident the soreness there will work itself out. At least I now have a good foundation in my stronger, more limber lower core.

Towards the end of April I did some house cleaning in preparation for having a few friends over. I straightend and dusted a couple of rooms, working for about an hour and a half.  Just that little bit of work exhausted me, and left my shoulder and upper back muslces in pain for several days.  It was then I realized that, while the rehab exercises the chiropractor had given me, and I had been faithfully doing twice a week for months, had done their work in strengthening my arms, legs, and lower- and mid-back, they hadn’t targeted my upper back, leaving those muscles (mainly the upper fibers of the trapezius), vulnerable. Less than two hours of house cleaning and I was out of commission for two days! Yikes!

I immediately added stretches for the upper back into my daily stretching routine. I also began searching YouTube for gentle exercise for the the upper back. I wanted something similar to the yin yoga I have been doing that has been so much help to my middle and lower back.

I stumbled a video of Qi Gong for the Upper Back and ordered it. I have been working with this video several times a week for the past three weeks, and I have found it to be gentle enough for my underused muscles not to cause me pain. I have liked it so well that I think I may get his qi gong workout for the lower back, too.

But has my new qi gong and stretching routine strengthened my shoulders enough to allow me to return to normal activities? YES! Last weekend I was able to complete a pretty heavy reorganization of my closets. It was fairly vigorous work that took hours to complete. I had been wanting to do this reorganization for months but couldn’t because of my back pain. My shoulders were a bit sore for the next couple of days, but nothing worse than typical muscle soreness (DOMS).

It has been a long road (six months since I started chiropractic), but I am so glad to finally be able to do normal activities again!

As I left my chiro appointment yesterday…my back full of trigger points, Dr. K told me…I wanted nothing more than to relax into a session of yin yoga. I just wanted to relax into a pose, not thinking about how I should push into the stretch or how long to hold it, but just let myself be in the pose. As I haven’t done yin yoga in months, I set my interval timer to two minutes per pose, so as not injure myself in a pose held too long. I also made sure to avoid certain poses like twists or cobra that I though could have stressed my back.

Afterwards I felt emotionally tender. Yin yoga can do that. Today, though, I feel great. My mind clear and intelligent, my emotions hopeful and positive, my back more at peace than it has been for days.

I’m in my fourth week of chiropractic care. I have discovered the secret to a successful chiropractic visit: meditate for 20 to 30 minutes before my appointment. Before my last visit, I reclined the seat in my car and meditated for half an hour before I went in.  On a previous visit, I put in my headphones and meditated in a chair in the waiting room for 20 minutes before she called me. Both times my chiropractor said my spine had good mobility, and that I was doing very well. Before I started meditating first, she commented that I was difficult to adjust because of my tight muscles. So from now on I’ll try to get to work half an hour earlier than usual so that I can leave work early and meditate before my chiro appointments.

Meditation has also helped the pain, at least one time.  One day last week I was having a bad pain day. I took a long, hot bath, which usually helps, but this time the pain was still there even after the bath. I finally got myself to meditate for half an hour. During the meditation I concentrated on sending energy to the places that hurt, and after the meditation the pain was gone! I have experienced lessening of pain during a meditation (as well as an increase in pain), but I have never had pain go away entirely and remain gone after a meditation!

Meditation is turning out to serve as an indicator of my progress, as well. At the place where I meet other meditators for weekly meditation, we sit in hard plastic chairs–the kind that are often sold as deck furniture. I have gotten in the habit of bringing a small pillow to put under my lumbar spine to ease the pressure there. Even then, as my muscles relax during the hour-long meditation, I often find that I become aware that I am not sitting straight in the chair and need to adjust my position. And I feel a strong need to crack my neck and back. I know I shouldn’t move during meditation, but I usually end up bending my neck to the side to crack it at least once during the hour. 

Last night I never felt the urge to crack my neck. Not once, either during or after the meditation. Halleluiah! I did feel the need to readjust my position once. Hopefully this need, too, will disappear if my chiropractor is able to correct the scoliosis in my spine. But it was lovely to lose track of time because I didn’t feel the need to crack my spine.

I am finding it harder to stick to a very minimal exercise regime than I had anticipated. If I don’t regularly do at least some cardio (I have an elliptical machine) and a few stretches, I’m restless and can’t sleep. But if I do too much my back complains later…and wakes me up in the middle of the night. Of course I feel fine when I’m warm and exercising; the pain only makes itself known hours later. Add to that the fact that having two chiropractic appointments, and one massage, a week adds cuts into my normal evening exercise/yoga time. I haven’t yet figured out exactly what works best to both keep my back safe and bring me restful sleep, nor when best to work a practice into my new schedule. It is frustrating. Things will be easier for me once my chiropractor feels I have progressed to a point where she can prescribe exercises for me to do.

What I have been able to do successfully is delve into a pranayama practice. B.K.S. Iyengar’s Light on Pranayama was my Christmas gift to myself from the store where I attend meditation classes. I’m about a third of the way through. So far he’s discussing the Hindu philosphy of prana: laying the groundwork. I have yet to get into the discussion of specific pranayamas.

However, as I do have prior knowledge of pranayama, either taught to me by my meditation teacher or picked up from various yoga books, I have put together a short practice for myself. I’m sort of making it up as I go, but basically doing Breath of Fire, Alternate Nostril Breathing, and working on the upper two locks: jalandhara bandha (chin lock) and uddiyana bandha (abdominal lock). The entire practice so far is lasting about 15 minutes, but I will probably lengthen it as I get used to the practice, and as time permits.

When I have time, I follow this practice with a 30-40 minute meditation. I have found the combination of the pranayama practice followed by the meditation to allow me to sleep through the night.

I am finding that the body work I am undergoing now–chiropractic and deep tissue massage–is releasing stored past memories and pain. To heal fully, I must allow these memories and feelings to come pass through me. I must surrender to the process as it unfolds.

My practice last night was simple: a few minutes of pranayama followed by a 40 minute meditation. During the meditation I petitioned to accept the path of surrender.

Surrender to the physical pain, the forced inactivity, the emotional pain, and the memories. I must be open to the experiences as they happen, then allow them to drift away like clouds, like thoughts that arise in meditation…not to be followed or held onto, but simply experienced as they come, and then released.

I slept well last night. Today I feel more grounded emotionally, though I still need a heating pad to help with the physical.

My chiro appointment went very well. Dr. K is super sweet and attentive. Her intake discussion with me was very detailed.  She had an intake questionnaire for me to indicate what activities my back pain interferes with.  Mostly the pain isn’t bad enough to interfere with my daily activities, but I did indicate I can have trouble lying on my back (I haven’t been able to do Savasana for a couple of months). I also noted that I’m unable to twist without pain.  One of the muscle groups that is currently spasming (the serratus posterior) is involved in twisting the spine.  I explained that practice yoga, yoga has a lot of twisting, I have had to stop doing all twists because of my injury, and I miss it.  I think she was bemused/amused by my complaint. I’m sure it’s not often a client’s major complaint is that they can’t twist!

During her examination, she found good mobility in my spine except for T5-T9, right there in my mid-back. Apparently I have a golf-ball-sized knot of very spasmed muscle just to the right of the spine in that region. She seemed concerned that it may have been there for “some time”, and was starting to form scar tissue.  Goody.

She did a quick spinal adjustment, then gave me electrical stimulation to try to release the muscle spasm. Electrodes went above and below the knot, and she covered the whole area with a hot pad. The stim felt tingly, odd, and slightly unpleasant. The treatment probably lasted 10 minutes.

She decided on twice weekly treatments for 4-6 weeks that will include manipulation, heat, and muscle stim. She also wrote a scrip for weekly massage for the same length of time, which will be covered by insurance.  I’ll have to see if my current MT is set up to take insurance. My guess is she’s not, in which case I’ll get massages at the chiro clinic after my treatment.

For home therapy self-care, I’m supposed to apply moist heat for about 20 minutes twice a day. No more ice. I can either take a hot shower, hot bath, or use a moist heating pad. I’m just tickled that I have a doctor’s note to take a long hot shower every morning, and a hot bath every night!

I asked her if she was going to prescribe any PT exercises. She said not yet. She wants to see how I respond to her current treatment plan first, then add additional treatments if they don’t work. She says if she throws everything at me at once, she won’t know what has worked and what hasn’t. The scientific approach! As a scientist myself (geologist), I appreciate the application of the scientific method.

So where does that leave my yoga practice? She. Dr. K said she never tells someone who has an active exercise program to stop; basically left it up to me.  My practice has dwindled down to little more than stretches and PT exercises for the past month or two anyway. I think I’ll keep doing some stretches on my limbs, and maybe neck stretches, but cut out anything that focuses on the back or abs for the time being.  Maybe this is a time to focus my practice on pranayama and meditation instead of asana.