I
Can't Escape My Chair: What Can I Do?
When you sit in chairs for hours each day,
the spine doesn't get enough movement and fluid is leached
out of the discs. This minimizes incoming nourishment because
the discs have no direct blood supply and are fed by a process
of absorption facilitated by pressure changes in the case
of the spine.
Since the primary constituent of a spinal
disc is water, it only makes sense to keep properly hydrated
to prevent your discs from dehydrating. This means drinking
at least half your body weight in ounces of water daily. A
person weighing 200 pounds would need 100 ounces of water
daily. I know for a fact drinking water can decrease pain
in degenerative spines because I've seen it happen over and
over again in my own practice.
When we sit much of the day, we typically don't get enough
movement or exercise to keep the muscles and ligaments of
the spine healthy. As our spinal discs dehydrate they narrow.
This causes the ligaments of the spine to become progressively
more lax.
This condition is a very common cause of spinal
instability that typically leads to more serious lumbar pathology
such as pinched nerve roots, disc herniations or arthritic
changes that crowd the spinal cord and nerve roots. Symptoms
suggestive of spinal instability include:
Sensing the need to manipulate or adjust your
own joints (i.e. popping your own back or neck).
Pain or discomfort that is relieved by adjusting
your own spine, particularly when the same or similar symptoms
return and can again be alleviated by self-manipulation or
manipulation by a trained manipulator. In addition to pain,
such symptoms as tingling, numbness, spasm, muscle weakness
and a sense of tension around a joint that are repeatedly
alleviated by manipulation indicate spinal instability.
Popping or clunking sounds coming from a spinal
joint(s) when performing a characteristic movement, such as
rotating the spine in one direction, yet this symptom does
not result with rotation in the opposite direction.
A trained professional will notice washboarding,
which is hyper-activation of the deep spinal stabilizers in
the region of the lax joint.
But, there is a solution to minimize the detriments
of sitting too much -- the Swiss ball (Figure
5). As a sphere, the Swiss ball has a reduced base of
support, moves easily underneath you and requires both the
activation of your postural muscles and your balance mechanisms.
A study conducted by Swedish Naprapath Joakim
Dettner and his colleagues found, when compared to massage
therapy, simply balancing on a Swiss ball in a seated position
for one-minute intervals with 30 seconds rest seven times
in a row, in place of any other form of treatment, significantly
decreased pain and disability.2