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Can Stress Actually Affect Your Spine?

Dr. Don Parkerson, Jr.

 

One of my childhood memories was watching the TV show Sanford & Son.  At some point during each episode, Fred Sanford would clutch his chest and exclaim that he was having “the big one” upon receiving a particularly stressful bit of information from Lamont or Aunt Esther.  It’s always been easy to link stress with heart attacks or high blood pressure, but what about the spine?  Can stress create a similar type of health problem in the spine?  Could losing your job cause neck pain?  Could the loss of a spouse lead to a herniated disc?

 

As we examine the effects of stress on the spine, it is essential that we address one issue beforehand.  When I mention the effects of stress to patients, I often get a puzzled look followed by, “do you think I’m a hypochondriac?”  Let me be crystal clear that having stress-induced spinal problems has nothing to do with being a hypochondriac.  Hypochondriacs report health problems that doctors cannot verify through objective physical findings.  I am referring to spinal problems that can be scientifically measured via leg length measurement, x-ray analysis, neck palpation, posture analysis, and infrared thermal scanning.

 

The Holiday Effect

 

The CDC estimates that roughly 90% of all doctor’s visits in America are in some way related to stress.  If this number is even remotely accurate, then surely a portion of my work as a chiropractor must be dealing with patients who are stressed.  While we aren’t likely to find a federally funded research study on the effects of stress on spinal problems, I have conducted my own unscientific observations in our clinic.  I call it the “Holiday Effect” because it occurs each year from the last week of November through the end of December.

 

It’s no secret that the holiday season creates an inordinate amount of stress for Americans.  Whether it’s feeding twenty relatives for Thanksgiving, or being able to buy all the right Christmas presents, stress levels increase as those big days get closer.  If you don’t believe me, go to a Publix on the Wednesday night before Thanksgiving, or a mall on Christmas Eve.  Witness for yourself the epitome of stress.

 

For the last eight holiday seasons, I have curiously watched our patient flow during the days preceding both Thanksgiving and Christmas.  While many health clinics are preparing to shut down for the holidays, our phones start ringing with patients needing to be adjusted.  The three days preceding Thanksgiving are a particularly robust time for us, as is the Saturday after Thanksgiving.  In fact, the highest number of patients that Dr. Humber and I ever saw in a single day was the Wednesday before Thanksgiving in 1999.  Why?

 

The same typically applies to the weeks before Christmas, whereby we see more mothers having headaches and more fathers with lower back pain.  Now, here is the most important part of the “Holiday Effect” theory.  Each of these presumably stressed patients presents with objective signs of spinal misalignment, i.e. functionally short leg, palpable muscle spasms in the neck, and postural distortions.  In other words, the increased mental stress during the holidays has manifested as actual physical signs and symptoms that can be observed and even measured.  I realize that is not irrefutable scientific evidence, but I’ve seen it with my own eyes for eight years now and fully expect to see it again this fall.

 

How Could This Happen?

 

My anecdotal evidence may be interesting, but we need to define a more specific means of how a mental process can cause actual physical changes in the spine.  One explanation could be that our bodies translate our stress into muscle contraction.  Stay with me because this may get a little technical.

Take a look at the picture to the right.  The area marked by red is the trapezius muscle.  Your trapezius runs from the base of your skull, out to the tips of your shoulder blades, and all the way down to the small of your back.  It is very involved in the movements of the head and neck, as well as your posture.  Neurologically, the trapezius is unlike most other muscles in that the nerves that control it come directly out of the brainstem.  This is very important in understanding the mind-body connection that occurs with the trapezius.

 

When the brain processes stress, the trapezius reacts by contracting its muscle fibers.  This results in involuntary muscle spasms, or trigger points, as they’re sometimes called.  Perhaps, you’ve felt the rigid shoulders of someone who’s tense.  This level of constant tension and spasm in the trapezius muscle creates a pulling effect on the neck and mid-back, which causes imbalances in your spinal alignment.  In Southern-ese terms, it gets you out of adjustment.

 

Along those same lines, patients under stress may not “hold” their adjustments as well as they normally would.  A patient who may typically go three months between adjustments might need to get adjusted weekly during a stressful time.

 

Now What?

 

Now that we’ve presented our case that stress can indeed affect your spine, what is the sensible patient to do?  A wise, older patient of mine once told me that the only people who have no stress are six feet under.  I tend to agree with her, so we better figure out ways to manage our stresses.  Here are a few suggestions:

 

1.      Prayer – my personal favorite.  Even the Annals of Internal Medicine has documented that patients who practice prayer or laying on of hands benefit from it. (1)

2.      Meditation – not to be confused with prayer.  Meditation uses relaxation techniques to quiet the mind.  The American Journal of Psychiatry states that meditation reduces anxiety and panic. (2)  Yoga and deep breathing exercises have also been proven effective in reducing stress. 

3.      Exercise – countless studies have shown that aerobic exercise reduces stress.  This one is really a no-brainer!  Even a short brisk walk can relieve bouts of stress. 

4.      Sleep – do you ever lay awake at night worrying about the next day?  The average person needs 7 to 8 hours of quality sleep per night, which allows your body’s organs to recuperate from the previous day.

5.      Eat well – hunger may cause your blood sugar to drop, which triggers anxiety and fatigue. (3)

6.      Massage therapy – massage has been shown to decrease the heart rate and relax the muscles of the body.

7.      Be realistic about your problems – an old proverb states that if all of our misfortunes were gathered in one common heap, most people would be content to take their own and depart.

8.      Make a list – identify the sources of your stress and come up with solutions to deal with each one individually.

9.      Take a vacation – if even for a day, take a break and separate yourself from your daily stresses.  You will perceive them differently when you return.

10. Laughter – Proverbs 17:22 states “A merry heart doeth good like a medicine.”  Research has shown that humor is a very effective mechanism for dealing with stress, and that laughter reduces stress hormone levels and increases immune system antibodies.  The writer Norman Cousins said, “Laughter is an antidote to apprehension and panic.”  Tell a joke, watch a funny movie, or even laugh at yourself.

 

Make it a great month!

 

 

References:

1.        Annals of Internal Medicine, 2000.

2.        American Journal of Psychiatry, 1992.

3.        Dr. Joseph Mercola, 5 Simple Strategies to Reduce Stress and Eliminate Exhaustion

 

 

 

For further information on this topic, you may contact Dr. Parkerson at 770.952.5353, by email at Parkerson@humberparkerson.com, or visit our clinic on the web at www.HumberParkerson.com.

 

The Highest Level is the monthly e-mail newsletter of the Humber Parkerson Clinic and is designed to empower our patients and the general public to make informed decisions on issues of nutrition, lifestyle, and spinal care.  To receive The Highest Level each month, e-mail your request to HighestLevel@humberparkerson.com.

 

© Humber Parkerson Clinic 2005

 

 

August 2005 issue of The Highest Level

 

 

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