For the majority of us who work in office and at desk jobs, we spend a great deal of time sitting down. While sitting for most of the day seems pretty low risk compared to other occupational hazards, sitting in the same position all the time can stress the structures of the spine, and may result in injuries to the back, neck and even the wrist. It is important to find an office chair that is ergonomically designed to support the lower back and promote good posture. An ergonomic chair cannot only prevent injury and pain in the back, but it also maximizes your function at work.

When looking for the right ergonomic chair for you, it is important to find one suited to your needs. With so many ergonomic office chairs on the market, it’s important to research them, since there is no single chair that could be labeled the “best.” There are specific features that should be considered when looking for a desk chair, such as adjustable seat height. Your feet should be flat on the floor with your thighs at a horizontal position, and your arms should be even with the height of the desk. Having an adjustable armrest is also beneficial, since users can rest their arms and relax their shoulders, which can eliminate significant tension while working. You should also look for a chair with a seat that has sufficient width and depth to support any user. While working, you should be able to sit with your back resting against the back of the chair. In addition, the back should also be adjustable in its tilt forward and backwards.

One big issue about working at a desk all day is that many chairs are not designed to support the lower back. Support for our lumbar spine, or our lower back, is very important. Our spinal curvature has an inward curve in the lumber spine, and sitting for too long without supporting it will lead to slouching and straining the structures of the lower spine. An ergonomic chair must offer lumber support and adjustment, so the user can fit the chair to the inward curve of the lower back.

Additional things to also consider are the seat material: is it comfy? An ergonomic chair with a swivel on the chair can help you reach different areas of your desk without strain.

After researching the properties of the ergonomic chairs on the market, you need to consider your specific job and what functions you need to perform. Consider your priorities and properties you need for your ergonomic chair. Once you’ve decided on the chair for you, explore stores to try the chairs out. See if they’re comfortable and meet your needs. Shop around, both online and off to make sure you get the best price and quality out there. You might also want to consider alternative ergonomic chairs, such as kneeling or saddle chairs and even the exercise ball chair.

References Used:

[1] http://www.spine-health.com/wellness/ergonomics/office-chair-ergonomic-chair-alternatives-traditional-office-chairs Accessed October 2011

[2] http://www.wikihow.com/Choose-an-Ergonomic-Office-Chair Accessed October 2011

[3] http://www.officechairadvice.com/ Accessed October 2011

Computer work has become the backbone of most of our daily lives. But with its rise in the workplace, there has been a concurrent increase in injuries associated with repetitive computer work, such as carpal tunnel syndrome and repetitive strain injury. Incorrect usage of a keyboard or a mouse can be the culprit, since unnatural keyboard positions exert stress on the muscles, tendons and ligaments in the hands and wrists. An unsupported wrist can be the cause of wrist fatigue, and if your wrist is resting in the incorrect position, extensive typing, can pose a threat.

Ergonomic equipment can help to minimize the risks of injury during extended computer work. If you are a frequent computer user, it might be worth investing in an ergonomic mouse pad or keyboard.

When looking for an ergonomic mouse pad, there are some key features to take into consideration. Look for a mouse pad that allows you to maintain your natural hand position. It needs to imitate the position the wrist has when at rest, by providing an angled surface. Also, make sure the mouse pad has a non-slip grip to ensure it remains in place under normal movement. Purchasing an ergonomic mouse pad and choosing one made from soft material or filled with a soft gel can help to remove the pressure from the tendons and nerves. Hard materials cause compression and pressure on the tendons and nerves in the wrist, and can lead to pain and discomfort. Most importantly, check that the pad is comfortable, offering a good position for your wrist at rest and good freedom of movement while working.

When it comes to keyboards, a wrist rest is a good investment, since it’s designed to give your wrists a break after typing for long periods of time. If you’re typing incorrectly, it helps to alleviate the pain associated with repetitive strain injury or carpal tunnel syndrome. A good wrist rest helps to keep your wrists off the edge of the hard desk and can also help to prevent incorrect posture during typing. Before buying a wrist rest, make sure you know the height and width of your keyboard. There are many styles available on the market, and it’s important to find the wrist rest comfortable for you. It needs to be the same height and width of your keyboard and it’s key to find a wrist rest that conforms to the shape of your wrist. When placing the wrist rest against the edge of the keyboard, there shouldn’t be a gap between the two. Adjust the position so that the wrist rest is set at the edge of the desk.

Sleepless in America?

For more than one in three Americans, getting a good night’s sleep isn’t as easy you might think.  According to a recent poll by the National Sleep Foundation, a combination of daily stress and lifestyle choices (including nighttime activities as well as eating and exercise habits) is causing more than a third of the U.S. population to get fewer hours of sleep than they need.  Not surprisingly, the same proportion report that sleepiness has in some way affected their quality of life.

The Long-Term Prescription for Quality Sleep.

Many studies have focused on the time we devote (or don’t devote) to sleep.  However, a good night’s sleep is about more than just quantity.  It’s also about quality.  If you’re sleeping poorly, experts point out that developing a sensible routine and avoiding certain behaviors around bedtime can improve your chances of falling asleep quickly and sleeping soundly through the night.  Here are a few of their suggestions:

• Go to bed at the same time each evening and wake up at the same time each morning.
• Exercise regularly but avoid increasing your heart rate within two or three hours of bedtime.
• Eat dinner early enough in the evening so that digestion doesn’t interfere with bedtime.
• Drink plenty or water but avoid drinking hot or cold liquids before or after bedtime.
• Reduce or eliminate caffeine and other stimulants in your diet.
• Sleep on your back and/or your side.  Don’t sleep on your stomach!

When it Comes to Sleep, Little Things Matter More Than You Might Think.  And They Add Up.

While finding more effective ways to manage stress and making adjustments to your lifestyle can take some time, there are several “little” things you can do right away that may improve the quantity and quality of sleep you get.  These things focus on your sleeping environment itself:

• Make your room is as dark as possible at bedtime.
  • Reduce background noise.
  • Keep your bedroom at a cool, comfortable temperature.
  • Sleep on an appropriate mattress.
  • Choose the right pillow.

Is Your Pillow Doing Its Job?

Let’s face it.  You probably don’t give a lot of thought to the pillow you sleep on.  And you probably didn’t give your pillow much thought when you purchased it either.  The truth is that most people don’t.  It’s not unusual for a person (or a couple) to spend thousands of dollars on a high-quality mattress but then buy pillows that don’t support the head and neck properly.  That’s because—while they understand that sleeping on the wrong mattress can quickly lead to a backache—they aren’t aware that poor alignment of the neck and upper back during sleep can lead to other, more subtle problems that they may not associate with the spine.

If a person’s head is supported by the pillow at a level that’s either too high or too low relative to the rest of the body, the neck and upper back can be placed under stress.   Similar stress can also occur if their upper back is not supported along with the neck (so that the head tilts forward), or if the head is allowed to roll sideways when the person is sleeping on his or her back.  Symptoms include snoring, insomnia and waking up with a headache, stiff neck or numbness in the arms and hands.  If you’re experiencing these sorts of symptoms, you may be sleeping on the wrong pillow.

What Makes a Pillow “Right”?

Choosing a pillow is a very personal decision.  The pillow that’s right for someone else may not be right for you.  Nevertheless, we’ve provided some basic guidelines that will make it easier for you to choose the right one.  The right pillow:

• Supports your head at the proper height whether you’re sleeping on your side or on your back.
• Supports both your head and neck in a neutral position while you’re sleeping on your side (Make sure there is no gap between the pillow and your neck!).
• Provides adequate support for both your neck and upper back while you’re sleeping on your back.
• Keeps your head tilted in the proper neutral position while you’re sleeping on your back.
• Prevents your head from rolling sideways while you’re sleeping on your back.
• Is easy to move on.

In general, you’re looking for a pillow that supports your neck, cushions your head and keeps your spine in alignment.  It must be comfortable!

Purchasing Tips

• Know what you like.  Do you prefer a pillow that’s “bouncy” or one that can be “molded” to the shape of your head and neck?  How “dense” do you like your pillow to feel?   Is it important to you that the material “breathes” and offers good insulation from heat and cold?  Maybe you prefer a pillow made of synthetic or hypo-allergenic material?  The more clearly you can describe your preferences, the more likely it is that a knowledgeable salesperson will be able to help you find your ideal pillow.

• Don’t skimp.  Like most things, pillows can differ a great deal in the quality of their construction and materials.  They also (naturally) differ a great deal in their price.  Buy a better quality pillow if you can, since they’re generally made of materials that will provide better support, comfort and durability.  But keep in mind that the first priorities are comfort and function.  Just because a pillow is expensive doesn’t mean it’s right for you.

• Take the time to “test drive” and compare.  Many department stores, mattress retailers and specialty bedding shops will have sample pillows that you can try.  If possible, follow the “Ten Minute Rule” and test drive pillows in your favorite sleeping positions.  Remember—you and your pillow will be spending about eight hours together every night for several years, so it makes sense to choose wisely now.

• Avoid buying a matched set of pillows for yourself and your partner.  Keep in mind that your partner probably needs a different pillow that you do.

Get an Expert Opinion from the Doctor Who Understands Your Neck and Back Best

If you’re not sleeping as well as you used to, or if you’re waking up with a headache, stiff neck or numbness in your arms or hands, we invite you—and your pillow—to visit our office.  As chiropractic physicians, we understand that the way you sleep affects your health.  And that your health affects the way you live your life.  Call today to schedule an appointment.  Sometimes a small thing (like a new pillow) can make a big difference!

At my chiropractic office in Springfield, VA we treat a wide range of running injuries.  One of the first questions I always asked my patients who run; What kind of running shoes do you have? Were you fitted for the shoes at a running store?  Running is wonderful cardiovascular exercise and a popular workout choice for men and women. Just as a carpenter requires the right tools for his trade, the right pair of running shoes is essential for both the casual and the serious runner. There are some things to consider when purchasing a running shoe.

How far and often will you be running? If you are a casual runner (less than ten miles per week), then a basic running shoe will be fine. If you are training for a marathon, consider making a true investment in your running shoes for optimal performance.

Consider the arch in your foot. Those with a high arch, need a running shoe that is absorbs shock well with no added support to the shoe. If you have an average arch, a neutral shoe will be the best fit. Those with a low arch or flat feet need a motion or stability control shoe to give added support to the arch.

Understand pronation, which is the rolling of the foot from heel to toe through the foot strike. A proper or neutral pronation is hitting the outside of the heel and up to ball of your foot evenly across the front. This is how your foot reduces the stress of impact. Supination means that the outside of your foot takes most of the shock instead of finishing in the neutral position. Overpronation is too much roll across from the outside to the inside of your foot.

To determine your level of pronation, look at the shoes you walk or run in. Most everyone will begin on the outside of the heel, the real indicator is the wear on the forefoot. If most of the shoe wear is:

•             On the medial (inside) side then you Overpronate

•             On the lateral (outside) side then you Supinate

•             Uniform across the forefoot then you have a Neutral Stride

Where will you be running? Most people run on pavement or sidewalks, so most running shoes are designed with this in mind. However, if you are going to be running on uneven or softer surfaces (such as mountain trails or grass), look at shoes intended for those kinds of surfaces.

Shop for running shoes late in the afternoon, as feet are at their peak size at this time of day. When trying on the shoe, make sure there is a full thumb width between the end of the longest toe and the end of the shoe. In a properly fit running shoe, the toe box will allow the toes to move freely. The heel should not slip or rub against the shoe and the sole should flex with ease where the foot flexes.

Go to a store that specializes in running shoes.  Locally we have several stores that specialize in running such as Pacers and Potomac River Running.

If you run often, consider purchasing more than one pair of running shoes. This way, you can rotate them. If you run often, your shoes should be replaced every six months or 300 miles.

Do consider price so your budget isn’t blown, but don’t sacrifice comfort and durability in the process.

Runners have a wide selection of styles, colors and levels of comfort from which to choose when looking at running shoes. Remember, whether you are a casual runner or a serious runner, comfort and excellent support are essential for the best performance!  To find out more information visit our website at Chiropractor Springfield, VA or give us a call at (703) 912-7822.

Unless you have been living under a rock for the past couple of years you have probably heard of Vibram Five Fingers shoes.  These shoes are very minimalistic in nature and create a barefoot like experience for your feet.  The human foot has 26 bones, 33 joints, 20 muscles, and tons of sensory receptors also called proprioceptors.  Like the rest of the body,these muscles, joints, tendons and receptors need to be stimulated and exercised on a regular basis.  The Vibram Five Fingers were designed to do exactly that.  The provide protection for your feet but still allow the feet to function as if you were walking around barefoot. 

The problem with tradional sneakers and shoes is that they put your feet into a more rigid protective form.  Overtime this creates weaker muscles in your feet and legs leaving them more prone to injury.  As the biomechanical stresses on your feet increase it then can create problems along the rest of your kinetic chain up your body.  For example, if you overpronate or have flat feet from collapsed arches this puts additional stress on your knees, then your hips and eventually your spine.  Now what causes overpronation or flat feet, well usually the muscles and tendons in your feet become weak eventually causing your feet to loose their natural arch support.  When the tissue stretches and you lose your arches in your feet this is called plastic deformation.  Think of plastic deformation in terms of silly putty.  Once you stretch the silly putty it does not return to its original form.  The same concept occurs in your feet, once the muscles and tendons become weak your natural arches collapse.  So what can you do to prevent this process from occuring in your feet?  Wear Vibram Five Fingers or walk barefoot.  Now personally I would rather have some protection on my feet from rocks, concrete and glass so the Vibram Five Fingers make complete sense.  Your feet still get the exercise and training they need but without the risk of injury. 

Now the problem with the Vibram Five Fingers is that most people have been wearing rigid, protective shoes for the past 20-30 years. Their muscles, tendons, and ligaments have adapted to this support. Certain muscles has tighten up to compensate while other muscles have weakened.  As your introduce your feet to the Vibram’s you need to let this process occur slowly over time.  As you feet become stronger you can wear them for longer and longer periods of time eventually working up to wearing them for daily activities such as walking, running and lifting.  Once your feet adapt and become stronger you should be able to wear them for most if not all activities.  But just like anything, these changes need to occur slowly over time to avoid injury. 

I have the seen use of Vibram Five Fingers grow in popularity at my chiropractic office in Springfield, VA.  More and more people are utilizing these shoes for training and everyday activities.  I have also seen an increase in the number of injuries caused by the Vibram Five Fingers because patients think that they can put them on and go for their normal 5 mile run.  If you fall into this category you need to give my office a call at (703) 912-7822  to address the injury.  If you are new to the Vibram Five Fingers, let your feet and body adjust to them slowly to prevent injuries. 

Do you currently wear Vibram Five Fingers? If so leave a comment below and tell me about your experience with them.