POST ADJUSTMENT SORENESS, WHAT’S HAPPENING?
After conducting all necessary tests to new patients with chronic pain, that includes asking for short term and long term goal, clinicians will recommend each patients to a course of care to attain the goals, whatever that is.
Much like any form of treatment, there will be some sort of side effects. Fortunately, conservative treatment like chiropractic is very minimal and very common is post treatment soreness, why is that?
When you do things like you’re not used to do, your body will adapt to it. I still remember when I started learning to drive a manual car, my left leg got exhausted because we to meet a right control between clutch and gas and at the end of the day, my left hamstring and left calf got sore and that was every after session. Now I am used to it, I don’t feel sore anymore. When I started playing Volleyball training after years of not practising, my arms were sore on first few weeks. Or when I started going to the gym, aches and pains all over my body next day. Simply because my body is not used to it until I am accustomed to it. Spinal manipulation is no different.
Our primary goal as chiropractors is to take the patient to a level where everything is comfortable – pain free movement or do things again that stopped patient from doing due to pain. When pain level is increased, everything else is also ramped up like anxiety and stress and that puts a patient into a whirlwind of emotional cycle until the source of pain is ceased. Ideally, we like it to be permanent. Manual manipulation of the spine is an attempt to realign the structure that is designed humans erect on the first place.
In modern world, posture has been greatly affected because of the way we sit, stand or even sleep. We have now what we call “Text Syndrome” that shapes our neck to a head forward carriage and our head weighs roughly 12 lbs. Also, an increased BMI also increases compressive forces to our low back or when an athlete repeatedly drop to the ground disc are also compromised. Over the period of time, the body will adapt to it – a certain curvature, even lateralized, is now recognised as ‘permanent’. In an attempt to straighten the spine and body resistance are met is where the problem arises. What is happening is that the inhibited muscles are now reactivated, ligaments are stretched, and mechanoreceptors are now firing, lots of physiological changes happening which is unnatural despite of being considered aligned’. This could result into a pain that is worse than initially described or in the areas of the body that had otherwise perfectly fine. It is part of the process of getting better – it is a healing soreness, beginning of something new and it is completely normal. It is a good sore.
Apart from soreness and discomforts, patients will also notice a gradual restoration of functionality. Adjusting a restricted spinal segment that have been “stuck”, joint adhesion is decreased and thereby increasing mobility. Human body has the innate ability to repair tissues and heal itself.
It is a same thing you get after working out in the gym for the first time, or learning to drive on early phase – It simply means, you’re on the path of improvement. It will be better in time.